Gratitude List (April 23, 2022) #TToT

Posted on by Astrid

Hi everyone on this sunny but windy Saturday afternoon. I’m writing a gratitude post once again. As usual, I’m joining Ten Things of Thankful. Here are the things I’ve been grateful for lately.

1. I am grateful for some lovely colors I’ve been able to mix with the Fimo Professional true colors pack I got from my staff last week. I so far mixed a purplish red, a beautiful green and of course the sky blue I already may’ve posted about last week.

2. I am grateful for Chinese takeout food. We went to get Chinese food last Monday. Originally, I’d gotten a little upset about it, because the staff generally default to satay with noodles. However, I talked it over with my assigned staff and we decided to order chicken with pineapple and sweet and sour sauce too. One of my fellow clients was completely delighted.

3. I am grateful for a text conversation with my sister. She’s still doing well with her pregnancy (she’s nearly 37 weeks along), for which I’m grateful too.

4. I am grateful for the support from my staff. I’ve had a rough couple of days this week, but my staff pulled me through.

5. I am grateful I was able to go on the elliptical for the first time in a long while this week. I went on it for only five minutes or so, but that’s the way to get started.

6. I am grateful I am sometimes able to go for slightly longer walks than just a walk around the day center and for several walks during the day now too.

7. I am grateful I did better than expected at my physical therapy this week.

8. I am grateful my husband is supportive of me even when I’m struggling. I am grateful that my husband is trying to help me come up with solutions to the obstacles I face in life.

9. I am grateful I was able to show a temp staff worker and the intern my polymer clay collection yesterday.

10. I am grateful for soothing playlists of nature sounds and instrumental music on Spotify.

11. I am grateful for sunshine. Despite the fact that it’s chilly and windy, I like it that it’s quite sunny.

12. I am grateful that, despite Easter and all the “bad” food I had over the past couple of weeks, I’m still just plain overweight rather than obese. I am actually at the same weight I was two weeks ago. This is not an excuse to continue having “bad” treats, of course.

That was a better gratitude list than I expected. I initially struggled to get to ten and now I got to twelve, which should be another reason to be grateful, yay!

What are you grateful for?

Gratitude List (April 1, 2022) #TToT

Posted on by Astrid

Hi everyone. I really want to write another blog post tonight. Specifically, I want to write a gratitude post. As usual, I’m joining Ten Things of Thankful. Let me share those things I’ve been grateful for in the past week.

1. A good appt with the behavior specialist. Behavior specialists, actually, as the one I used to see was a temp and she was introducing me to the new one. We had a good talk.

2. The best Asian food ever gone even better. Read: spicier. Like I said last week, a staff was leaving, the same staff who got me the best Asian food ever a few weeks ago. As a goodbye present to me, she promised me another serving of the food. This time though, she got a “mildly spicy” version. Well, according to the Indonesian cooks, at least. It was amazing, but I did get a slight stomachache from it afterwards.

3. Inspiration to write again. I’m now on a six-day streak on my blog and have picked up writing in my diary app, Day One, too.

4. Great blog stats and engagement. Okay, I feel as though the majority of the page views I got on the day I got nearly 300 this past week, were probably bots, but oh well. I am also getting lots of engagement, which is awesome.

5. Paracetamol. I have been having some back pain lately, but thankfully, it responds well to paracetamol.

6. The new iOS version. It actually finally solved the major Braille-related bug that had been in existence for literally months.

7. My new headphones. I finally decided to order new noise canceling headphones and decided to go for the Bose QuietComfort 45 ones. At first, I was a little disappointed, because the manual said they could be used with an audio cable while on (so that I can use noise canceling). Apparently not. However, other than that and the fact that its spoken announcements are in English only, it’s quite good.

8. The fact that I’m still overweight rather than obese despite a lot of “cheat” meals and treats over the past week. In fact, I only gained 0.1kg.

9. The fact that it wasn’t raining or snowing when I went to the day center this afternoon (it had been snowing and raining a lot during the rest of the day). Plus the fact that, even though the daytime temperature didn’t get above 4°C today, it didn’t even feel all that cold thanks to my winter coat.

10. The fact that a fellow client made me laugh with his April Fools joke this evening. The staff did check whether I was okay with a little prank and I said I was. In the end, I didn’t really understand the prank, but we both laughed at the verbal joke about April Fools that went along with it.

What are you grateful for?

I Am Overweight!

Posted on by Astrid

Hi everyone. Today I’m joining Di of Pensitivity101 for Saturday Swapit, a weekly weight loss meme. I am not intending for this to become a weekly feature, but, because I had a dietitian’s appointment yesterday, I wanted to share some things I learned.

First though, I have a major win to share: when stepping on the scale yesterday, it told me I’m now 70.1kg. This means I’ve crossed the line back from obese to just plain overweight! I did kind of trivialize the achievement by saying it’s the absolute minimum I had to lose to cross this line and hence I may be back into the obese category next week. That may be so, but I did lose 1.7kg since starting on my food plan five weeks ago. That may not sound like much, but I’d rather lose the weight slowly and keep it off than lose more weight only to gain it all back and then some.

Like I said, I’m doing my healthy eating plan under a dietitian’s supervision. The main goal is not weight loss, but relative mental stability with respect to food and a healthy eating structure. You see, I have a history of bulimic tendencies and had a slip-up with respect to purging just before Christmas. Every opportunity to eat still leads to inner conflict.

With respect to this, the dietitian taught me about my negative and positive voices: the healthy-eating voice vs. the bulimic voice. Even if you’re not bulimic, you’ll likely recognize some of the disordered things the negative voice is telling me, such as that, if you’ve eaten a “bad” food, now the day’s gone to waste and you can just as easily call it a cheat day and binge eat whatever you want. The reality is, though, each healthy food choice will ultimately contribute to your weight loss (or other healthy lifestyle goal).

Another thought is that you have to make up for one small treat by restricting on another food. The idea that this thought is unhealthy, may contradict the previous one, but, in reality, it’s all about balance. If you’ve had one small treat that’s not on your food plan in the morning, it doesn’t mean the day’s gone to waste, but it doesn’t mean you need to be restricting or making up for it later in the day either. It doesn’t mean you can have said treat each and every day, of course. Your food plan is there for a reason, after all.

Another thing I asked the dietitian about is late evening snacking. I have a serving of fruit on my food plan in the evening. My staff felt that, for practical reasons, it’d be best if they’d offer it to me at 9:15PM. I countered that, since this is pretty close to my bedtime, I wouldn’t burn it off then. Thankfully, the dietitian was able to reassure me that people’s digestion works 24 hours a day. It’s a myth that late evening snacking causes you not to burn off the calories you consume!

#WeekendCoffeeShare (January 14, 2022)

Posted on by Astrid

Hi everyone on this Friday afternoon. I’m joining #WeekendCoffeeShare. I just had a glass of water and am going to have another one in half an hour or so. Maybe I’m going to ask for a Senseo or treat myself to a Dubbelfrisss, my favorite soft drink. I’m afraid we don’t have the diet variety though. Can I pour you a drink? Let’s have a cup of something and let’s chat.

If we were having coffee, first I’d share that it’s not as cold as it was last week, but it’s still too cold for my liking. Daytime temps rose to about 7°C most of this week. I did go on one longer walk yesterday, to the supermarket to buy a card for my father. He’ll celebrate his 73rd birthday tomorrow. We also bought some veggies. Oh, and a croissant, because I felt like treating myself. I had just one for lunch instead of bread though. I just looked up how many calories are in one croissant and that’s about as much as in two slices of bread without toppings. Of course, bread contains less fat and sugar and more fiber, but so what?

If we were having coffee, I would go on to share about my dietitian’s appt this morning. It went pretty well. She didn’t admonish me for not wanting to lose the 13kg I need to lose to be at a healthy BMI. I do want to lose the 1.5kg I need to lose to no longer be obese though. More importantly, I want to eat relatively healthily and hopefully quiet the inner conflict about food.

The dietitian gave me some recommendations for healthy meal choices for breakfast and lunch. For example, she said I can have salad for lunch with croutons and a little chicken, tuna or salmon (that last one I don’t really like) occasionally rather than bread. I do need to make sure the staff take care of portion sizes, of course, because I’m pretty sure they’d otherwise throw the entire can of tuna into my salad. For breakfast, I am still allowed yoghurt with muesli, just not the crunchy kind. And thankfully, the muesli doesn’t need to be plain, it can include nuts or raisins or the like.

I did share my disappointment with her at only having lost 0.5kg over the past week when I stepped on the scale yesterday. The dietitian said that this is a pretty great result though.

If we were having coffee, lastly I would tell you I got my benefits payment slip last Monday and am grateful to report I will still get enough money that I can still spend some on fun things like polymer clay supplies or the like. I don’t know whether I shared this in my coffee share posts before, but my long-term care copay will automatically be withheld from my benefits. The copay is income-dependent and, because I’m married, my husband’s income is counted too. Then again, because I’m married, I do get to pay the so-called “low” copay because the government does take into account the responsibility I have for contributing to his household expenses too.

The copay is calculated based on our combined income from two years back, so 2020 for this year. Because my husband earned more money in 2020 than in 2019 and had a lot of tax deductibles in 2019, I was expecting a higher copay by at least €100 a month, but fearing it might be as much as €200 a month. Then again, I was hoping my benefits would also be raised a little. Long story short, my net income was cut by €82 a month. That’s a lot. I realize some people won’t be able to handle this, particularly people on benefits. I am so intensely grateful that I am relatively well off.

How have you been?

An Eventful Wednesday

Posted on by Astrid

Hi everyone on this Wednesday evening. The weather was beautiful today. It was cold in the morning, but sunny and about 21°C in the afternoon.

This morning, I had an appointment with my community psychiatric nurse. I hadn’t seen her in four weeks, as two weeks ago she had had to cancel due to a crisis situation. This time, I was able to talk through some of my struggles. I vented some of my grief with respect to my blindness. I ended on a positive note though, sharing the wonders of VoiceOver Recognition.

At 1PM, I had a quick dental check-up. The dentist comes to our day center four times a year for these, so I didn’t have to travel. Thankfully, all was well and I was literally gone within minutes.

Then I had a talk with my support coordinator about my upcoming care plan review. We had to discuss my risk inventory. This is a long list of possible risks someone can experience, such as of choking, falling, epileptic seizures, aggression, etc. With each box, the staff have to tick of “Yes” or “No” and if yes, elaborate on the risk. I disagreed with several “No” answers, but then my support coordinator explained that this is within the current care situation. For example, there is no risk to my personal hygiene because my staff are there to help me with this.

I did get my coordinator to add a “Yes” to risks re social media use because my Internet use can often trigger me and lead to meltdowns. I did ascertain that these risk assessments are not necessarily associated with restrictive measures. In other words, just because there’s a risk associated with my Internet use, doesn’t mean they need to restrict my online activity.

Later, I realized there really needs to be a “Yes” in the box on risks associated with overweight too. I had said this at the meeting but my coordinator had said that since I don’t suffer with sores due to fat or the like, there’s no risk. I do feel there is, given that my BMI is above 30 and I need support in maintaining a healthy’ish diet.

I went on three walks this afternoon and evening. On my way back from one of them, my one-on-one asked me whether I wanted to photograph the chickens near the day center. A client at another care home here has always wanted to have chickens and he finally got his wish granted a few weeks ago.

Unfortunately, only one of them lays eggs so far. The guy whose chickens these are says the other one’s crest needs to get redder before she will lay eggs. My husband said it might actually be a rooster though. I hope not.

Dropping Those Extra Pounds

Posted on by Astrid

One of Mama Kat’s writing prompts this week asks us what’s sabotaging us in dropping those extra pounds. I remember about six years ago responding to a similar prompt on my old blog. At the time, the prompt asked us specifically about those first five pounds. That would be somewhat fitting for today too, as my weight currently is about five pounds into the obese range.

It hasn’t always been that way. Back in 2015, losing five pounds wouldn’t even get my BMI under 30. In 2017, I had a BMI close to 35. I managed to turn that around and lose almost 10kg or 20lbs in six months, crossing the line back to just plain overweight for the first time in many years.

Now I’ve been back within the obese range for several years already, but my weight has been more or less stable for about two years now. I would really like to lose those first five pounds, but something’s sabotaging me. And that something isn’t binge eating anymore.

In fact, back in 2015, I admitted that the problem wasn’t most likely my emotional overeating either. I’m not sure that’s true, as I considered it a win that I hadn’t had a binge in a few weeks. Now, I haven’t had one in months.

However, I was probably right that it was more my habitual snacking and lack of exercise. Currently, I do try to get in enough exercise at least with my walking, but I still eat just a little too many cookies and chips.

The fact that I get in enough walking, probably keeps me stable, but I could be doing so much better if I just resisted the urge to have a cookie or two with each coffee break. Like my husband once said, if I removed just one cookie from my diet and didn’t make it up with anything else, I would have lost those first five pounds within six months to a year.

Mama’s Losin’ It

June 2021 Health and Wellness Update

Posted on by Astrid

I am feeling kind of worried about my health lately. To get myself a more realistic picture of how I’m doing, I thought I’d do a health and wellness check-in. I am hoping I can make this a monthly habit.

Firstly, the reason I am worried is one abnormal result on the annual bloodwork I had done last week. I get an annual blood test for fasting glucose, cholesterol and other indicators of metabolic syndrome. This is because I take psychiatric medications that can influence this. Last year, my mental health agency ordered it, but this year, my care facility’s physician did. This means I could see my results in the patient portal for my GP surgery that same evening.

The good news is my fasting glucose, cholesterol and triglycerides were all within the normal range. The one thing that wasn’t, is an estimate of kidney function. It should be above 90 and was 81. Because it is an estimate, one abnormal blood test doesn’t say anything. I may need to be retested in a few months.

I looked up what to do about decreased kidney function, hoping to find that if I drank plenty of water, I could get it back to normal. I’m still not sure that’s the case. I mean, I try to drink at least two liters of fluid each day, but can’t figure out whether that should be enough. Other than that, I do try to watch my salt intake more closely. That’s pretty hard, of course – harder than drinking more water.

I do worry that I might not be able to tolerate the topiramate though, because if I remember correctly, that medication is eliminated through the kidneys. I’m not sure though and will leave this to the doctors to decide.

Like I said though, all my other results were within the normal range. My fasting blood glucose was 4.3. It should be between 4 and 6 and was 4.2 the last time, but I’m not drawing conclusions about it increasing as of yet.

Today, I did send off a urine sample for checking for a UTI, because I’ve been having lower abdominal pain. It came back alright. My staff will likely call for an appointment for me to see the doctor, as the pain is still pretty intense.

As for some good news though, I stepped onto the scale this morning and am back at my average weight for the past six months or so. My weight usually goes up or down a few pounds. I’m now 72.1kg, which means 2kg to lose for a BMI under 30. I am unlikely to reach that goal, but it’s okay.

As my husband reminded me when I told him about the abnormal blood result, small steps go a long way. I am already trying to cut back on my snacking on the weekend. I also make sure to eat enough veg and fruit. I mean, the meal delivery company isn’t great on putting veg in its pasta and rice dishes, which I eat most days. However, I make sure to eat some cucumber, tomatoes or raw bell pepper with each lunch. For the upcoming month, I’ve also selected some potato dishes from the meal menu, since they usually are richer in veg.

My husband also pointed out that I get enough physical activity. I could go on the elliptical more often, but my walking is pretty good already.

I did feel a little depressed when my husband told me that it’s obvious that I’m not as healthy as the average woman in her thirties. Then again, he reminded me that I turned the tide on my weight gain in 2018 and am healthier in some ways than I was before. Besides, a century ago I wouldn’t have lived past infancy. That put things into perspective.

Getting Active #WotW

Posted on by Astrid

Hi everyone. Today I’m joining in with Word of the Week. It’s been nearly a year since I last joined this linky, but today I’m inspired to. The idea is to sum up your week in a word or phrase. My phrase for this week is: getting active.

You see, last week I was still pretty badly under the weather. This week, though I’m not fully recovered, I’m getting back on track. Though I did walk most days last week, I didn’t get in any other exercise.

This week, so far, I reached my step goal of 10K steps a day each day. I am pretty motivated. Last week, my husband joked that I’d earn a Domino’s pizza for every five million steps I took. That’d take me about a year and a half if I reached my step goal each and every day. I don’t, of course, but I do meet the goal about three times a week on average. This week, five times, so far. I still marvel at the fact that, about three years ago, I merely dreamt about reaching my step goal a few days a week and considered it a sign of optimal physical health. This does show that, as much as I may think I’m deteriorating, at least with respect to physical activity, I’m not.

In addition to walking, I went on the elliptical both yesterday and today. I got in only about ten minutes each day, but that’s okay, considering I’m still not fully recovered from my cold. Yesterday, I listened to a Christian workout playlist. Today, I chose the Southern rock playlist I created some years back when I still went on the elliptical regularly. It was good to listen to my favorite song on that playlist, Jessico by the Kentucky Headhunters.

I also did some core training, ie. planking. I can do it for about ten seconds at a time, which isn’t much, but oh well. I know that if I continue to try, I’ll get better eventually.

Being able to be this physically active, truly boosts my confidence. I mean, I had to buy new clothes this past week and the jeans I ordered, seemed a bit tight at first. This caused me to feel rather self-conscious about being overweight. My staff though reassured me that jeans always fit tighter when you first buy them. Besides, though I’m overweight, at least I still have the exact same size I had about six years ago when I ordered my current favorite jeans, for which the new ones are a replacement. This means I’m not gaining weight.

Word of the Week linky

Early November 2020 Health and Wellness Update

Posted on by Astrid

Like I said a couple of weeks ago, I had a physical health check-up at the mental health agency. That wasn’t good. That is, my blood pressure was high and so was my weight. Even though the nurse said I might not have gained any weight compared to the last time I stepped onto the scales, as each scale is different, I was pretty alarmed. So was my husband. He asked whether I could be put on a diet. Well, no-one can force me, but I did agree on a food plan with the staff.

Now we’re a little over two weeks on. I didn’t get my blood pressure taken today, as my GP recommended we wait three months and then check it everyday for a week. I did get weighed in though. And guess what? I lost 1kg compared to the last time I stepped onto this scale in early September and 3kg compared to the health check. Only two more kilograms to go and I’m no longer obese.

Overall, I’m doing okay sticking to the food plan. I eat bread rather than crunchy muesli for breakfast, make sure I eat enough veggies and fruit and drink at least 1.5 liters of water a day. That plus coffee, which contrary to common belief does hydrate the body to an extent, and occasionally green tea. I do usually eat a cookie with each coffee break, while my food plan says I can only have a cookie with my evening coffee. However, each day that I skip a cookie, I’m proud of myself for making a healthy food choice. Same each morning with breakfast, which is a real struggle, as I’m not a bread person.

I also make sure I get in enough physical activity. Last week, I felt really lazy, but, according to my Fitbit, still got more than the recommended 150 weekly minutes in active heartrate zones. This week, so far, I got 341. I broke my personal step count record yesterday by getting in over 16K steps. I don’t go on the elliptical as often as I’d like, but that’s because after walking two to three times a day, my legs are often tired.

In other health-related news, I talked to my CPN from mental health about sleep on Tuesday. I usually get enough sleep, but I have very vivid nightmares most nights. They aren’t your standard monster-chasing-me nightmares. In fact, most revolve around my sense of safety here at the care facility. My CPN may talk to my nurse practitioner about it. She said I might benefit from medication to help with this. Thankfully though, having discussed the issue has already calmed things down a bit.

#WeekendCoffeeShare (October 25, 2020)

Posted on by Astrid

It’s already late Sunday evening. I was up real early today, but still didn’t get to blog so far. Today, I’m joining in with #WeekendCoffeeShare. We may still have some coffee, although our official evening coffee break has passed. Otherwise, I can offer you green tea or water. Let’s have a drink and let’s catch up.

If we were having coffee, I would share that last week, I bought a new Fitbit Inspire 2. It’s pretty cool to be able to track not just my steps and distance walked, but also my minutes in active heart rate zones. I got more than twice the required number of minutes this week.

That being said, I’m already looking at someday buying myself an Apple Watch. I discovered just a few days after I’d purchased the Fitbit, that there’s a new Apple Watch SE that’s significantly cheaper (or should I say less expensive?) than the regular one. I’m really hoping I’ll be able to buy that one someday.

If we were having coffee, I would share that I had a health check on Tuesday. Like I said, it showed that my blood pressure was somewhat high and of course I’m significantly overweight.

I did find out on Friday that my blood pressure is actually pretty normal when resting, ie. just after waking up. It was 115 over 75 then, but rose to 129 over 91 after I had showered and gotten dressed. I have no clue of the significance of this, but my staff E-mailed my GP about it, as the nurse from the health check-up had recommended.

If we were having coffee, I would tell you how frustrated I was when discussing my health check with my husband. He wanted me to go on a diet. I want that too, but it’s hard for me to follow through especially long-term and the staff refuse to enforce a healthy lifestyle.

After a sleepless night and some frustrated discussions with my staff, they talked to the behavior specialist. She recommended we make a food plan together, my staff and me. Then all of us know what I’m supposed to eat and not eat and the staff can redirect me when I want to overeat. So far, it’s going okay’ish. That is, the staff have still occasionally offered me food I’m not supposed to eat at that moment and then I struggled to refuse it. I did eventually talk to the staff about it and try to make up for my bad choices later on. I’ve not yet had a moment when I requested food I wasn’t supposed to eat, which according to my food plan would require the staff to tell me it’s not wise and to offer an alternative.

If we were having coffee, I would tell you that my husband came by for a quick visit today to take me on a walk. That was fun.

If we were having coffee, I’d tell you I finally updated my iPhone to iOS 14. I hadn’t expected iOS 14.1, which came out a few days ago, to solve any of the many accessibility bugs the original iOS 14 had come with. After all, the release notes didn’t mention VoiceOver at all. To be sure, I asked on a Dutch VoiceOver users group about it and got a reply from the most critical iPhone user on the list saying that the update had fixed most of the bugs. Practically all other list members had already updated, claiming that most bugs can be circumvened. I didn’t want to take the risk, but I do believe this particular member. So far, it’s all pretty good. I am having a play around with VoiceOver recognition, which describes images. It’s pretty cool so far.

What have you been up to?