8-Week Wellness Challenge

First of all, I want to say right off the bat that I have succeeded at losing 17 lbs since my highest weight post-total hip replacement surgery!! That means I lost the 15 lbs I gained post-surgery, plus an additional 2 lbs. I have 5 more lbs to go to hit my 1st major goal. My youngest told me today, “Mom, you’re getting skinny.” Lol. Even though “skinny” isn’t my goal, regaining my health is, it was still nice to hear that someone noticed some progress.

My eating and workouts kind of went up and down over the summer, as those who powwow understand the disruption of routines, driving for hours, dancing all weekend, not always having access to the healthiest of foods, packing a cooler, etc. The healthy habits could have been better, they could have been much worse. I concentrated this summer on not beating myself up over slip-ups and just trying to get back on as soon as I can.

My sister got me in the habit of walking for 45 minutes every morning at work. When she isn’t at work, she texts me to ask me if I went out for my walk yet. Lol. That got me going on the consistent activity. But today I want to write about a wellness challenge that has really motivated me.

Tracy is a woman I went to graduate school with and we both earned our MSWs at the same time. Our kids go to the same school, have played on the same teams, and she is friends with one of my nieces. She encouraged me after learning about my hip osteoarthritis back in 2012 to take her cycling class (which, by the way, was a killer workout) to give my joints a break from running, and she has conquered her own health challenges and surgeries. She is inspiring.

My sister-in-law invited me to participate in an 8-week wellness challenge that Tracy was organizing. She had participated the 1st time Tracy did the challenge and encouraged me and my sister to join. The details of the challenge and the structure really intrigued me, which are explained below.

For 8-weeks, each person can earn a point per day in the following areas: 1) Journaling/tracking food intake and following a safe, healthy and nutritious eating plan of our choice, 2) drinking half your body weight in ounces of water, 3) exercising (and she leaves it to us to determine what we think is a workout, there is no minimum number of minutes required to earn this point) – and with exercise one can only earn a maximum of 5 points per week to encourage rest days, 4) getting at least 7 hours of sleep per night. We all took a picture of our scale with our starting weight and sent it to Tracy, and at the end of the 8 weeks we will take a picture of our scale with our ending weight. We can earn 1 point for each percentage of total body weight we lose. For example, if someone starts out weighing 200 lbs, they would earn 1 point for every 2 lbs they lost by the end of the challenge. We have sheets were we can record our points daily. One can earn a maximum of 26 points each week, and then additional points at the end with our final weigh-in. The people who did this challenge the first time don’t mess around. The previous winner didn’t miss ANY of their weekly points and lost weight. There is a $25 buy-in which is given to the winners at the end of 8 weeks. And she set up a FaceBook page for the members of the challenge so we always get little reminders, or encouragement, or ideas for meals and snacks.

I am used to keeping a food journal, and when properly motivated I can exercise 5 days per week. I was really intrigued with the sleep requirement. My sleep routine has been non-existent for almost a year and I’ve never given it much deliberate thought. I go to bed early when I am exhausted or I push myself and don’t get rest. There is no consistency.

We just finished up Week 2 of the challenge. I think I’ve missed only 1 sleep point each week so far when my schedule was a little off on that day. I have been tracking my food faithfully and paying attention to my calorie goals. I even track my “free days” or free meals. There is nothing like seeing that you ate a DQ Blizzard, or 4 slices of pizza from Rudy’s to make you more conscious of your food choices. I make my water intake daily. I’ve earned 5 exercise points per week. I started using MapMyWalk and synched it to my MyFitnessPal so it automatically posts my workouts and calorie expenditure to my food log. Although I began the challenge intending to do the Metabolism Miracle, my actual eating has turned into more of a carb counting routine. I keep my breakfasts and lunches to anywhere between 5-15 grams of carbs or less, I eat many vegetables, take my vitamins, and if I feel like eating some popcorn or a small handful of chips, or 2 soft tortillas in the evenings, I do it. I usually keep dinners to 2 carb servings or less. And guess what…..my weight seems to be just dropping off!! I believe it’s because the structure of this challenge encourages several healthy habits, not just food and exercise. I think it’s the sleep requirement that’s made the difference with me as well as being mindful of my carb intake and not restricting myself as much as before. My energy is evening out more each day…I don’t have as many dips and my energy lasts longer. And I feel smaller already.

So if you haven’t guessed it at this point, Tracy is amazing!!! This was so needed at this point and time and I’m having fun AND improving my health. Thank you again for organizing this!!

Day 3 Post Hip Replacement Surgery

Day 3 – Morning report:

Last night’s sleep at KCOI wasn’t very restful. Lol. I woke up with heel pain from having to keep my legs in the same position during sleep. Then my ice pack sprang a leak around 3am. They had to change the bedding, then do a blood draw around 4:15am. My room felt nice and cool until the outside temperature dropped and then the cold woke me up at 8am. I have warmed up blankets piled on me now, rolled up towels under my ankles, and I’m drinking coffee. They do have decent coffee here. (*it really is the small things in life….😊)

I have a great nurse in the daytime and a different great nurse in the evening. It’s funny though, the nighttime nurse puts pillows under my knees and lower legs, and then the daytime nurse comes in and lectures me on how I’m not supposed to sleep with pillows like that because of the risk for blood clots. I tried to get rid of the pillows this morning before she saw, but I only got one put away before she came in and busted me. Lol.

It’s amazing how a single digit number can make such a big difference with your hemoglobin. I came in to the surgery with my hemoglobin at 12.2, up from 11.5 two weeks ago. Then it dropped to 8.2 by early yesterday morning. That’s when I felt the worst…cold, shaky, and lightheaded. They checked my blood results today and my hemoglobin is up to 10.6. It went up a little higher than the 2 point gain they usually see after a transfusion. Just 2 little hemoglobin points made such a difference in how I feel. Crazy.

I get to go home today! I’m doing so well with my PT that my doctor doesn’t see a need to keep me here for my afternoon PT session. So my morning schedule is to wait for an hour after taking my thyroid meds to eat and take my 1st round of pain pills today, then do my PT around 10:30am or so. Then I can start with the business of being discharged. Yay!

And later the same day……

Waiting for my pain pills to kick in so I can do my last round of PT here.

I talked to my surgeon yesterday. He said I had several large bone spurs on my hip joint and that he removed ALL of them. I asked him how the hip looked after he took it out and he said it was bad…lol. That it definitely needed to be replaced. I asked if he kept it in a jar to show me, lol, but sadly he said they can’t do that anymore…it’s now considered bio-hazardous waste and has to be disposed of. Bummer…I wanted to see it. Lol. Take it to my diabetes class for Show & Tell. πŸ˜³πŸ™ˆ

I told my surgeon that I promised to set my old joint aside for my Tunwin Stephanie and he just laughed. She had dibs on it, she said my bad hip was probably better than the one she had now. Lol.

Still later….same day…..

One trip in a wheelchair down to my van and we’re heading home!! Discovered quickly that I couldn’t maneuver my right leg into the front seat of the van, so I hopped in the middle seat. I made my nurse nervous as she didn’t know how I would manage stepping up on the running board and into the seat….she and Joe B said I was like a cat the way I climbed in with ease. Hahahaha.

By the way, I am not liking the pain meds. They upset my stomach on the drive home. It was very windy, plus I’m not used to sitting in the back like that. I thought I was going to be carsick for the first time ever, but we made it home without incident.

And it feels wonderful to be home. πŸ™‚

Day 2 Post-Hip Replacement Surgery

Day 2 Post-Hip Replacement Surgery:

Today was kind of an eventful day. My blood count went down, which is expected after surgery and usually not an issue, except that I have anemia (just a touch). My surgical team elected to go with a spinal block and sedative to get me through surgery because they said the spinal block results in less blood loss for reasons they haven’t figured out yet, as opposed to a general anesthesia. But my hemoglobin count went down to 8.2, so I needed a blood transfusion, 2 units of O positive. At least I know now what my blood type is. It took about 5 hours for 2 units of blood.
I was feeling lightheaded, shaky and cold this morning. I feel much better now.

Aaaaaand, I had 2 sessions of PT. My muscles are strong from all my weight training and I’ve impressed my PT lady and my doctor with my progress. I can walk the very short set of stairs right around the corner from my room, I can walk bearing all my weight on my formerly bum hip leg. And I can do leg raises in all directions except across the center plane of my body. So I got cleared to move around the hospital room and my floor without the safety belt and without having to call a nurse to assist me. It still has to be with the walker, but at least I have some independence.

I don’t mind the IV, or the daily blood draws (except I wish they didn’t have to do them around 4:30-5:30am), but the drain near my incision is kind of freaking me out. I have to clip the little flat cylinder to my gown whenever I get out of bed, and they empty it once a day. Yuck. But the drain is far preferable to having a hematoma, which is a swollen spot under your skin where the blood has pooled near the surgical sight. I had read about some hip replacements that were done several years ago and the patient described feeling like they were sitting on a golf ball. That would be much worse that this freaky little drain.

One more night and morning here and headed home! Thank you again for all the positive stuff headed in my direction. I got flowers today from Jeri and Cadence and Christian, and I had students take Snaps of flowers and send the snaps to me. Lol. And I really appreciate the visitors, texts, phone calls, inboxes, tweets, etc. 😊

Post-Surgery Update: Day 1

I’m going to turn my FaceBook updates into blog entries since they are long enough to do so. I’m starting with the day of my surgery, Day 1. I’ll post the subsequent updates soon after this, so it’s like 2 weeks of blog entries all posted in one day. Lol.

2.5 Hours Post-Surgery

I am bionic now. πŸ™ŒπŸΌπŸ’ͺ🏼

πŸ˜‚πŸ˜‚ Everything went well. I don’t have any nausea, I ate some soup and crackers and took my first round of pain meds. Spinal block is starting to wear off, I can wiggle my toes and move my left leg. My surgeon was very pleased with how smoothly everything went. And they tell me I’ll be up and on my feet sometime today.

Can’t thank everyone enough for all the prayers, good thoughts, texts, inboxes, tweets. Everyone from my students to friends and family. Hated the worry it caused for my family and friends…glad to report that I am doing great within 4.5 hours of my surgery. Dr. Scott Cook is amazing. Another day or 2 here and I’ll be home. 😊

And later the same day…….

So this just happened. 5 hours post-surgery and they got me on my feet and I took a stroll down the hallway. 🚢🏽
With my walker assisting, of course.

I feel like Rocky now. πŸ’ͺ🏼Hahahaha. Maybe that’s just the pain pills.

So thankful for my lifting partner – my sister Sharon, the two trainers I’ve had in the past year, Travis Barrett and Dustin Kinsey. The PT lady was surprised at what I could do in my 1st PT session. I have muscle strength that they are not used to seeing in hip replacement patients. And no nausea or light-headedness. The incision area is a little achy, but the joint area just feels like a very sore muscle.

I seriously thought she was crazy when she said we were going to stand up. Lol. So I’m ready on my way to recovery!