This summer was intense. In previous years, we had a babysitter or two to help out with the kids during those long weeks when they don't have camp. This year, for a variety of reasons, we did not. Indeed, we have not had regular childcare since late February. It has been a difficult transition for me. So I had a lot of intense hours and weeks where I was "on" from early morning until early evening or sometimes later. I also got a pretty nasty viral infection at the end of June that got into my lymph nodes and caused problems for most of the rest of July. (More on that in a moment).
I had a pretty intense gastroparesis flare in mid-July. I think the virus, combined with stress and general fatigue, greatly contributed to the flare, but my appetite went away, my nausea went up, my waistline bloated greatly, and I generally could not tolerate my "normal" keto-ish foods. I doubled my motility medication (to little effect) and I had a two week period where Ritz crackers were kind of what I could manage. Oh, and I got a sinus infection just for kicks and giggles.
By the end of July, I was in pretty poor shape. The problems in my lymph nodes culminated in a rather large lump in my left breast that led to a mammogram in early August. The lump on the left side turned out to be nothing, but in the process of having a look-see, the technician discovered something on the right side that was troubling. I have a fiberadenoma on that side, and the troublesome spot on the right side was in the same place and about the right size and shape, but the doctor didn't like how the margins looked, so a biopsy was duly scheduled. I won't lie--I was pretty anxious for most of the month of August. I was pretty sure it was just that stupid fiberadenoma, but your mind goes in a lot of scary directions when you hear things like "3 mm mass with jagged margins"--google it, I dare you. (
No, don't. Really). Strangely, I got a lot of writing done in August. But not a lot of sleeping. There's nothing like a cancer scare to up your productivity.
I had my biopsy in mid-August. I was expecting a fine needle aspiration (done 13 years ago when the fiberadenoma was first found/diagnosed), but instead I got a punch biopsy. I've had them before (once without any anesthetic!), and I'm not scared of needles, but the lidocaine took the stuffing out of me for a couple of days. There was a vessel feeding the thing that she hit on the way in, so I had a massive bruise where they did the punch. It is still visible and slightly sore, almost three weeks later. I had to wait another five days for the biopsy results. In the end, it turned out to be the same benign fiberadenoma from before. I admit, the psychological toll of the whole thing, combined with the rest of the summer, derailed me on so many levels.
On the upside, I made the happy discovery that I could swallow soft bread after two years of being completely unable to do so; I enjoyed a few grilled cheese sandwiches before graduating to toast and cereal, and then....dum, dum, dum, a Subway sandwich. Believe me, no one was more surprised than me! Keto (ish) was relatively easy to follow when carby things were impossible for me to swallow, but now that these things are eatable again, I find I am having a hard time eating mostly eggs and cheese and bacon with the odd piece of fruit. My egg tolerance is down right now, so that doesn't help either.
This was followed by an accidental chicken exposure that produced...nothing. Nada, zip. No reaction whatsoever except for a slightly itchy feeling in my mouth, which could have been due to something else entirely. I had already scheduled an appointment with a new allergist to get retested, since I've been wondering where I am with things, and it has been almost 10 years since I was last tested. After that incident, I'm
very curious to see how things stand with chicken. Because after almost eleven years without chicken, and being paranoid about it (because my reaction to it has been very severe), it would be nice to eat it again! (Try eating anything healthy without chicken or most fish and not tolerating salad particularly well. It is hard. And very very very monotonous. I'm a terrible dinner guest).
This is where things stand right now. I gained weight in August. More than I'd like to admit. Some of it is water weight, because it went on so quickly and my clothes still fit, but I'm sure some of that is from the bread and other junky carbs I've eaten in the past month. We did a lot of traveling in August and I got tired of being a poor house guest, so I ate what I was served whenever possible. I suppose it is a little like starving and then being presented with a bounty--it is hard to know where to start and stop.
I confess that I am struggling to know what to eat, or how to interpret my body's signals for hunger and satiety, since they've been off for so long I no longer trust them. I'm trying to be gentle with myself--to have a bit of a break from how hard food has been for so many years, and eat what seems appealing and easy on my system, since my gastroparesis flare is still ongoing. I realize that I can't eat like this long term, but I think I need to get some of the pent-up food frustration of the past two years out of my system before I can get back on the wagon, so to speak.
When I started my keto-ish approach last summer, I felt it was a way to get off the fast train to Diabetesville. My diet was severely restricted because of all my swallowing issues, and starting keto felt like widening my dietary field in a lot of great ways. I felt better overall (once I got over the induction flu), and mostly stopped having issues with hypoglycemia. My gastroparesis symptoms settled down quite a bit too, which is odd since high fat is one thing to avoid with this condition (fiber is the real problem, but fat slows motility too). When I did have grains on occasion, I noticed I felt pretty bad afterward. I tried to steer my diet toward carbs that did not include grains.
I did lose ten pounds last summer and reached my first goal weight, and my CBC numbers are good. But I still want to lose more weight and it still seems impossible, particularly given my recent gains. I'm trying to be okay with this. I'm nearly 40, and it isn't going to get easier from here in. (All Bodies Are Good Bodies).
So I'm trying to find the way forward. My goal is to be healthy, and I want to have enough energy to keep up with my kids and the basic demands of city life. The high-carb diet that is typical of Americans is not the best option for me, but the so-called "healthy" diet of every women's magazine in America is not one my body can tolerate. I also can't eat 100 calories for lunch and make it through to supper. So I'm figuring it out. I'm hopeful that my allergy appointment in two weeks will give some clarity and possibly widen my dietary field somewhat.
First thing is to lose the weight I gained this summer. I'm always less active in the summer because I'm in the car a lot more and because I don't tolerate heat very well. This summer was particularly bad because I was sick so much of the summer and it has been hotter than usual. Now that I am back in the school groove, I'm walking more during the day, and generally moving around more. So that is all to the good. There is a Barre studio that recently opened near my house; I'd like to see if my neuroma can tolerate that, because my running days are over. I have a neighbor who walks in the morning; we've talked about doing it together sometimes. I don't want to get into something that I have to do like my job, but I do need to be a bit more active in my day.
Bread is my kryptonite. I don't like pasta all that much, and rice is just okay, but I can eat bread all day. But it doesn't really love me back. I can tolerate grains in small doses, but I can't build my diet around them; I feel like garbage when I eat too much grain. I love potatoes too, and can tolerate them relatively well, but I think it is probably best to limit them as well. And cake. I love cake to distraction, but it needs to be a birthdays-and-holidays sort of thing. I think I'm probably going to land in some sort of paleo-keto hybrid, which is the dietary direction I've been headed for a while. As with my clothing, I'm going to have to experiment with things again for a while to see what works and what doesn't.
In the meantime, I'm going to have a slice of cinnamon raisin toast. Because I can.