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I lost more weight, and faster than intended.

Saturday, February 16, 2019

Our WL Leader, Ellen, congratulated me for losing more weight, than the 5% intended. SP, then, suggested I share it with the community. So, here it is. I started the Blog and, then, it disappeared. So, here I go again:
I had knee surgery last month, which was not an easy feat for this lady. My previous surgeon, yes, I had a hip replaced, close to 9 years ago, refused to operate, because, as he said: " I am a very conservative surgeon." That didn't help my pain any. I went to another surgeon, who was willing to do the surgery, with the comment: "You are ready!"
So, I had the surgery on January 9. It has not been an easy ride. The hospital wanted to send me home the same day. I insisted on staying at least one night. So, I went home the next day. I had a college friend stay with me for two weeks to take care of me. Then, I handled it by myself. The nights were the worst. I don't think I ever slept more than 3 hours, and that, rarely. I also started rehab after one week. I didn't count any of the rehab, initially, because I really felt lousy. The last couple of weeks, I did more walking than my PTs. like, but Fitbit reminded me every hour to go for 250 more steps, which I did. So, the minutes I counted are those hourly 250 steps and my rehab time, which runs 1.5 hours or more, twice a week.

The weight loss, initially, prior to the surgery, was intentional, because less weight meant less to carry on my operated leg. Then, I was just not hungry. The opioids the hospital prescribed for me to take, lasted one day, because I just could not keep any food down, using them. So, I just went to Tylenol, occasionally, because that is all I could take, because of my blood thinner. I had also started to eat only two meals a day; breakfast and a mid-afternoon lunch/dinner. I am sure that started my weight loss, beside the fact that I was terribly sleep deprived, and just never felt hungry.

Therefore, my comment that it was not intentional. I was sure I would lose some weight, but not at such a fast rate. Now, I have to wait and see, if I will stay there, or will add a little again. For now, this is what it is. I will continue Rehab for another 4 - 6 weeks, and that is not an easy task for me. This crew at Rehab must think I am 18 years old, but the fact is that I turned 78 years old, last December. I was always in good shape and very athletic in my life, but had put on weight, after having had 2 boys, later in life. So this is my story. I already dread Rehab on Monday morning, but my 'dear PT friends', keep on telling me "No Pain, No Gain."

So, this is my story.

Just a quick update to my Blog from : I discontinued my Physical Therapy on Dr.'s orders. The surgeon became alarmed when both of my hips started to hurt, including my ankle that was broken two years ago. He ordered me to only walk and ride a stationary bike.
This past week, I returned to PT, but a different outfit. They are gentler and listen to me. Unfortunately, after the first session, I walked out of the organization quite well, but ended up with extreme pain throughout the following night. According to their instructions, I kept it easy the following day. Then, I went back, yesterday, reported what I experienced, and they were baffled (as I was). I went through another session, and had a really good night, last night. I walk mostly without a cane, these days, only take it with me, when I run errands, and don't know, how long I will be away. I am hopeful, for the first time, that I will improve, eventually. I will only keep up with these new sessions, until I will start to travel overseas in about three weeks. I will report more, upon my return.
So far, I kept my weight between 135# and 137#, weighing in at 135# this morning. I decided to stay around this weight, by eating two meals a day: Breakfast and a Lunch/Dinner-type of meal, mid-afternoon. If hungry later on, I choose a piece of fruit in the evening. That works quite well for me.

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Member Comments About This Blog Post
    Best wishes for a speedy recovery!
    787 days ago
    I think all rehab people do not see the person as a person . every one is figure on paper if person A can do so the rest. my neighbor who fell in Jan has been moved from one rehab place to another because she could not do the written plan for every one with her injury and now is be considered for another move . they think she is not trying hard enough.
    do what you can and allow the heal process to continue. eating small meals may be helpful sometimes thee normal meals can be over whelming .
    790 days ago

    Comment edited on: 2/18/2019 12:49:25 PM
    Marlis, I absolutely agree with Laurel! When I had huge back surgery almost 40 years ago, I had a tremendous amount of PT after a 9 1/2 hour surgery. I was in the hospital for 8 weeks, then the PT continued in my house for many months, with a different PT. Both explicitly said that pain with PT could be damaging, as I would essentially be causing small tears in the muscles we'd be working on. "No Pain No Gain" is something bodybuilders do and is forbidden in surgical rehab. Bodybuilders want to rip muscle fibers because it will cause scar tissue and helps them bulk up more. In surgical rehab, that scar tissue can cause interference with how the knee joint is designed to work. PLEASE don't work until it hurts, only work until you feel the pressure that tells you that you have gone "further" than the session before. The pressure you feel going "further" tells you that your muscle, ligaments, tendons, etc., will be able to take more the next time. Pain simply tells you that you have gone too far and that you've torn muscle fibers which then need to be rested and healed before your next session. Only YOU know what is good for you, so be your own patient advocate and tell the PTs when you need to stop that particular exercise and move on to the next one. Ladies in our 70s need to stick up for ourselves, as the young'uns who are our therapists have no idea what their instructions can do to us!
    791 days ago
    Marlis, I am so sorry to read this. I had no idea you were going through so much with your health, and I feel like a bad friend for it. I hope the weight stays gone after you're recovered to keep your knee feeling like it has an easy job. Take care of yourself, my friend, and I'll be thinking of you.
    791 days ago
    Wow, thank you for sharing your weight loss success, congratulations!
    Indeed it will help that your hip has less weight to carry.

    Too funny about the PT crew thinking you are 18
    Yes, PT can be very intense, but it is usually doable and worth it.
    A young man in our office had a ruptured vertebral disc in his neck, he was in a lot of pain and his arm was losing strength. It was almost sure he needs surgery but they gave PT a chance... he had to practice 30 minutes 5 times a day (!)... and he improved so much he didn't need surgery after all.
    791 days ago
    Laurel, I am on blood thinner because I have AFIB and often have an irregular heartbeat. For that reason, I cannot not take Advil or Aleve.
    791 days ago
  • no profile photo HOTPINKCAMARO49
    Awesome! Way to go!
    791 days ago
    I am afraid I don't agree with "no pain, no gain". After surgery last year, it was made clear to me at the hospital that their number 1 goal was for me to not feel pain. They said I would not do my breathing exercises as well or get in my walking if I did not have pain level controlled, Marlis- fight back. Something has to give...blood thinners? Level of rehab exercise? This extreme rehab and allowing so much pain can be debilitating. Protect yourself. Hugs, Laurel emoticon
    791 days ago
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