Tag: Health

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A Walk to the Doctor’s Office (and a Well-Earned Cupcake)

Written February 4, 2025

Hello Dear Readers,

It’s that time of year again—my annual checkup with my general practitioner. Not my nephrologist this time, just the standard “let’s make sure nothing unexpected is brewing” kind of visit. Although, if I’m being honest, “annual” checkups feel almost quaint in my world. Thanks to my kidneys, I’m on a much more frequent schedule.

When we bought this house, my wife and I made sure we had all the essentials within walking distance—our dentist, doctor, and a few favorite spots for coffee. It makes life easier, and today, it means my appointment is just a short stroll away. The weather isn’t as pleasant as yesterday, but it’s decent enough. Besides, I won’t be outside long, so why complain?

There’s something oddly comforting about these little hubs of life—places where errands mix seamlessly with leisure. My doctor’s office is nestled in a small mall, surrounded by restaurants, coffee shops, and even a cupcake store. My wife isn’t big on cupcakes, but I certainly am. And today, I just might reward myself with one.

Before my brain stroke, I never imagined I’d be visiting doctors so regularly. Back then, checkups felt optional—something you did when absolutely necessary, not something you scheduled like clockwork. Now? Every few months, I’m back in an exam room, getting my blood pressure, heart rate, and kidney function scrutinized. It’s not my favorite pastime, but I’ve learned to accept it. There’s no use questioning how important these visits are. They keep me informed, and more importantly, they keep me alive.

A lot of it comes down to choices—small, daily decisions that keep my health in balance. My wife and I eat in a way that supports my kidneys: more fresh produce, fewer processed foods, and carefully measured protein. I can’t just mindlessly grab a steak or overindulge in anything salty. Even something as minor as a cold or a slight miscalculation in my water intake can send my numbers in the wrong direction. It’s a delicate system, and I have to respect it.

That’s why I no longer mind these doctor’s visits like I used to. They aren’t just about checking boxes; they’re about staying ahead of problems before they spiral. I listen to my doctors, take their advice seriously, and adjust accordingly. It’s a partnership, not a battle.

Still, a little reward never hurts. After my checkup, I plan to take a detour to the cupcake shop nearby—nothing excessive, just a small indulgence to mark another successful visit. Because if there’s one thing I’ve learned, it’s that balance is everything. Taking care of my health is non-negotiable, but finding joy in the little things? That’s just as important.

So, here’s to another routine checkup, another step in the right direction, and maybe—just maybe—a well-earned cupcake at the end of it all.

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Running, Weather, and the Fine Art of Not Wrecking My Kidneys

Written January 30, 2025

Hello Dear Readers,

Yesterday’s run? Surprisingly pleasant. The weather was in that sweet spot—chilly enough to make standing around feel like a questionable life choice but with just enough sun to turn things comfortable once I got moving. It’s that perfect running paradox: too cold to stand still, too warm to bundle up. And best of all? I managed to beat my target pace for the first 5K again, which means I’m still holding onto my ever-diminishing speed goals. A small but satisfying victory.

Now, let’s talk about my body’s complicated relationship with temperature. Ever since my brain stroke, my autonomic nervous system has been a bit of a diva—it no longer regulates heat or cold properly. If the weather swings too far in either direction, my endurance takes a nosedive. Some runners struggle with pacing, others with motivation. I struggle with the fundamental issue of my body, deciding it simply does not approve of temperature extremes. It’s like a toddler refusing to eat anything but macaroni and cheese.

Because of this, I’ve been forced to become a part runner and part-amateur meteorologist. I check the forecast religiously, sometimes more than I check my emails. My weather app claims it can predict the weather up to 10 days in advance, though let’s be honest—it’s basically fortune-telling after a week. Still, it gives me a decent heads-up on what’s coming. And when you have a body that treats temperature changes like a personal betrayal, planning ahead is crucial.

Take tomorrow, for example. Warmer weather is on the way, which means hydration is about to become my new best friend. That also means my pace might start to slow because staying hydrated and pushing for speed don’t always go hand in hand. And here’s where things get tricky. I love progress. I love seeing the numbers on my running app improve. But I also love having functioning kidneys, and unfortunately, one comes at the expense of the other.

Dehydration is bad for anyone, but for me, it’s particularly risky. My kidneys already function at less than full capacity, so letting them get parched isn’t just a bad idea—it’s a potentially dangerous one. Pushing my limits is one thing; actively sabotaging my health is another.

So, if I have to choose between breaking a personal record and keeping my body happy, I’ll choose my health every time. Okay, maybe not happily, but let’s call it a mature decision. It’s the kind of choice I’ll have to keep reminding myself of mid-run, especially when the competitive part of my brain whispers, just a little faster, you can still beat it.

But in the end, running is about longevity, not just speed. And if slowing down a little means I get to keep running for years to come? That’s a trade I’m willing to make even if my inner speed demon protests the entire way.

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A Funny Thing About Annual Check-Ups

Written January 29, 2025

Hello Dear Readers,

Every January, like clockwork, I get a little nudge from my doctor’s office: It’s time to schedule your annual physical! It’s a routine as predictable as New Year’s resolutions that don’t make it past February. Except this year, something was off. By mid-January, my inbox remained suspiciously silent. There was no automated reminder, no gentle push to book an appointment.

Curious (and a little paranoid), I logged into my patient portal, hoping to schedule it myself. Turns out, I was a bit premature. Last year’s appointment was on January 30th, so technically, I wasn’t due just yet. Patience, as they say, is a virtue—but when it comes to health, I’d rather be early than late.

Lessons From a Stroke: Why I No Longer Play Chicken With My Health

Before my brain stroke, I wasn’t exactly best friends with the medical world. Doctors were for emergencies, right? Annual check-ups were those things people did when they had extra time. And I, in my infinite wisdom, thought I had plenty of it.

Then came the stroke. And the swollen feet from gout. And the realization that, actually, time isn’t something to take for granted. Now, I’m a changed man—or at least a much more medically responsible one. I go for my annual physical without fail, and I see my nephrologist every few months like it’s a standing coffee date (minus the coffee because caffeine is another thing I have to watch).

The Irony of Post-Stroke Health

Here’s the kicker: I’m probably the healthiest I’ve ever been. Who knew a life-altering medical event could be the best personal trainer?

Since my stroke, I’ve taken up running and walking—activities I once considered optional but now see as non-negotiable. My endurance has skyrocketed. My diet? Let’s just say I’ve become intimately familiar with ingredient labels. Salt, protein, phosphate, and potassium are all on a tight leash. My wife, determined to make sure I don’t live a life of bland meals, has turned our kitchen into a spice lab, crafting homemade blends that put store-bought seasonings to shame.

Even my drinking habits have changed. I still enjoy a glass of something now and then, but just one. Gone are the days of carefree refills. And sleep? I treat it with the same discipline as a tax deadline—strict and non-negotiable. Bedtime at 9:30 PM, wake up at 7 AM, no exceptions.

Health: A Long Game, Not a Sprint

The truth is, I don’t feel sick. There’s nothing urgent making me rush to the doctor. But if I’ve learned anything, it’s that health isn’t just about reacting to problems—it’s about preventing them. Regular check-ups while feeling good help establish a baseline. Without that, how do you even know what’s “normal” for you?

So, I fully expect that tomorrow, my doctor’s office will send that long-overdue reminder email as if on cue. And this time, I’ll be ready.

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It Is So Important To Find Balance Exercise and Health

Written August 24, 2024

Hello Dear Readers,

I woke up to a familiar but unwelcome sensation—muscle pain. My glutes were exceptionally sore, and I quickly connected the discomfort to yesterday’s yard work. Squatting down repeatedly to pull weeds around the front yard was more of a workout than anticipated. While yard work isn’t typically considered exercise, it was enough to challenge my muscles, and the soreness is a clear sign. However, I like to think of it as a two-for-one deal—I got rid of the weeds and gained some strength along the way.

One of the challenges I face due to my kidney condition is managing my protein intake. Unlike the average healthy male, who can consume about 10% of their weight in protein, I’m restricted to a much lower amount. Protein plays a crucial role in muscle repair, and this limitation can make my recovery slower than I’d prefer. Given my active lifestyle, I know my muscles won’t heal as quickly as they would. Still, I try to strike a balance between staying fit and managing my health restrictions.

Saturdays are typically my day for a 10k run. It’s become a personal ritual I look forward to each week. I especially enjoy seeing my neighbors working on their lawns in the early hours, trying to beat the summer heat. Something is calming about watching them tend to their yards while I’m out for a run. However, today’s run was far from relaxing. The soreness in my muscles made running more difficult. After a few kilometers, I decided to cut the run short. Instead of my usual 10k, I settled for 5k. While it’s not my ideal distance, I felt it was the right decision given the circumstances.

My wife, who also runs, takes a more flexible approach to her training. She adjusts her pace and distance based on how she feels but ensures she gets at least 20 minutes of running, even when she feels off. Her struggles are the opposite of mine—she deals with low heart rate and blood pressure, which can leave her feeling sluggish if she doesn’t get her morning exercise. Though she doesn’t have the same dietary restrictions I do, she’s diligent about counting her calories. I guess everyone has their health challenges to manage.

I’m reasonably satisfied as long as I can get one solid 10k run each month. These runs are essential for building my speed, and I don’t want to miss too many. With some rest, I hope my muscles will heal soon to return to my usual routine.

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A New Focus – Posture

Written July 28, 2024

Hello Dear Readers,

Yesterday, my wife made a rather unsettling observation: my posture has visibly deteriorated. I’ve been vaguely aware of it, but hearing it from her made the issue into sharp focus. I’ve always had a habit of slouching—whether sitting in my chair or standing. Over the years, this bad habit has become more ingrained, almost second nature. What concerned my wife even more was when she spoke with my mother and discovered that she, too, had had difficulties maintaining proper posture due to bone alignment issues. This conversation made my wife think that my posture problems might be rooted in something similar.

This concern isn’t just about appearances or comfort. Poor posture can lead to various health issues, some extending beyond the apparent back pain or muscle stiffness. My wife, who has always been attentive to my well-being, pointed out that poor posture can adversely affect how we breathe and potentially negatively impact the health of our internal organs. Considering that I’m already dealing with compromised kidney function, the idea of adding more health complications to the mix is not something I take lightly.

Honestly, I can’t recall when I consciously maintained proper posture for any significant period. It’s one of those things I’ve always known I should do but never really attempted to correct. Perhaps it’s because the immediate consequences of poor posture aren’t always obvious, so it’s easy to let it slide. However, now that my wife has brought it to my attention, I’m realizing how important it is to address this issue before it leads to more severe problems.

Moving forward, I’ve decided to make a concerted effort to improve my posture. I plan to periodically assess how I’m sitting and standing throughout the day and make adjustments as needed. I know this won’t be an overnight change. Still, if I can consistently correct my posture, I believe it will feel more natural over time. The goal is to reach a point where good posture becomes the norm, and I won’t have to consciously think about it as much.

Of course, I’m unsure what benefits to expect from improving my posture. However, failing to correct it could lead to more significant skeletal issues caused by the excess strain that poor posture places on various body parts. This realization has made me even more determined to make this change.

My wife has also suggested that I consult a professional, such as a doctor or chiropractor, to better understand what might be contributing to my poor posture and how best to address it. It might be something as simple as strengthening my back muscles, or perhaps there’s a need for spinal alignment. Since neither of us is qualified to make these determinations, I’ll discuss this with my general practitioner at my next appointment. In the meantime, I’m committed to being more mindful of how I carry myself and making a conscious effort to sustain better posture throughout the day.

This journey toward better posture is just beginning. While I’m uncertain of the challenges and outcomes that lie ahead, I’m optimistic that this small change could have a meaningful impact on my overall health. I’m grateful to my wife for bringing this to my attention and for her continued support in helping me make these necessary adjustments.

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Back To 10K Runs In the Heat

Written July 27, 2024

Hello Dear Readers,

Today is a Saturday, and like most Saturdays, I aim to complete a 10k run. However, I haven’t been able to stick to this goal consistently due to the heat, which makes running quite uncomfortable. To address this, I’ve adjusted my schedule and run early in the morning when the temperature is more relaxed. This change has allowed me to start doing 10k runs again recently.

My nephrologist recommended using a running app to track my progress, so I tried it. I completed my weekly 10k run this morning, but around the 8-kilometer mark, I lost focus and couldn’t remember how far I had run. Thankfully, I’m very familiar with my route, so I kept going until the app announced my distance. Hearing the app’s voice confirming that I had reached my goal was a relief.

I use a free app from Asics that provides updates at set intervals. I’ve configured it to announce my progress every minute, which helps me stay motivated and on track. My wife, however, finds frequent updates distracting and has her app set to announce every five minutes. It’s interesting how we each find different ways to stay focused during our runs.

I’m pleased to have completed another 10k run, although I felt exhausted afterward. I suspect that my body is adjusting after not running this distance regularly for a while. In 2023, I ran 10k thrice a week, so not keeping up that frequency has likely impacted my stamina. While I can still complete the distance, my pace has plateaued, and pushing myself to run faster during 10k runs has been challenging.

I’ve focused more on 5k runs weekly to improve my speed. Running shorter distances allows me to concentrate on increasing my pace without the fatigue of longer runs. This adjustment is a more manageable approach for now. In the future, I may need to revise my running schedule further, but for now, I’ll continue with this plan.

Getting back into the routine of regular 10k runs has been a rewarding experience, even if it is only once a week. I’m eager to see how my performance improves with consistent training. The journey back to my previous fitness level is challenging. Still, I’m confident that I’ll continue to make progress with perseverance and the right strategy.

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Key To Change Yourself Better Is Leaning From Your Mistakes

Written 6/26/2024

Hello Dear Readers,

Sometimes, taking care of our bodies means working toward improving small things. Recently, I had the experience of getting a disappointing lab result, which turned out to be because I was too dehydrated. I now make sure every day that I drink 1.5 – 2.0 liters of water, which is the recommended intake for my body.

Before my kidney failure, I ignored how much I drank or anything like that. When you get hit with trauma such as a brain stroke, you start to wonder what you have been doing all wrong. Well, there are no benefits in crying about my past. All I had to do was make changes to my lifestyle to sustain my kidneys’ health. It is a trial-and-error process. It is a long process, as sometimes you do not see the results as fast as you want.

After the last lab experience, this will not happen to me again. The level of activities or external environmental factors such as weather can drastically impact your body. Sometimes, I need to adjust the amount of water I am drinking.

Making this little change into a habit is tricky. For example, I started mowing the lawn but needed to remember to take some water. It never occurred to me to bring a water bottle when I did a few hours of mowing. Interestingly, we are all cursed with habit no matter how much we try to change our past behaviors. Now, I know I have to keep hydrating. So, I stopped mowing, got water, and resumed rather than just pushing through without water.

It’s important to reinforce this good decision. Even small steps are worth taking and celebrating if they’re in the right direction. Making sure to stay hydrated is just one of those small steps that can have a big impact on overall health.

I’ve learned through this journey that maintaining health requires continuous effort and adaptation. It’s about listening to your body and making adjustments as needed. Sometimes, it’s easy to get caught up in daily routines and forget the essentials, like drinking enough water. But we can significantly improve our health by being mindful and making small, consistent changes.

For anyone dealing with similar issues, remember that it’s okay to make mistakes. The important thing is you will learn from them. It’s part of the process. The key is to keep trying and not give up. Every small change adds up over time, leading to better health and well-being.

It is crucial to take care of our bodies by making small improvements, like staying properly hydrated. My experience has taught me the importance of paying attention to my body’s needs and making necessary adjustments. It’s a journey of trial and error, but we can achieve a healthier lifestyle with persistence and mindfulness.

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Coping with Unexpected Kidney Function Changes

Written June 25, 2024

Hello Dear Readers,

Yesterday went well overall, but I received some concerning news from my nephrologist. Either the labs were taken on an off day for me, or my already compromised kidney function has significantly declined. My log showed no anomalies, so my doctor thinks it was a bad day, possibly due to dehydration. I’m hoping that the previous tests were conducted on such a day. More blood and urine samples were taken to retest, and I should have an update in a few days.

Receiving news like this can be really disheartening. I keep wondering what could have caused the sudden drop in my kidney function. I’ve been doing my best to follow all the recommendations from my doctor. It might be that a recent change in my medication is having an unexpected adverse effect, so reverting to my previous regimen could be necessary.

Regardless, aside from ensuring I continue to do what I know I should be doing, there is little else I can control. My wife always reminds me not to worry about things beyond my control.

There are two things I can improve. I can improve my hydration by not eating more than one Ganoral bar daily. Sometimes, due to the heat, I feel more dehydrated than usual. My doctor mentioned that the Ganora bars I’m taking are protein-based, so he’s not overly concerned, even though I sometimes eat a few of them per day. I just can’t allow myself any excuses for not drinking enough water or over-indulging in snacks.

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A Day at the Nephrologist’s Office With My Wife

Written 6/24/2024

Hello Dear Readers,

Today, I found myself at the nephrologist’s office instead of my usual Tuesday or Thursday appointment due to a schedule change initiated by the doctor’s office. 

Luckily, my wife was able to take a day off to join me today, turning the appointment into a little excursion. She’s been eager to meet my nephrologist, and we’ve also planned a treat for ourselves—a visit to the new cupcake store that just opened near us.

The appointment was set for right after lunchtime. My wife was all over the house, ticking off her to-dos before we headed out. The appointment only changes my daily schedule a little. Changing the appointment day meant I’d skip my usual run. Given today’s scorching heat, missing it seemed alright, rather desirable. I’d still fit in with my other exercises, keeping up with my usual activity level.

At the doctor’s office, I introduced my wife to my nephrologist, who welcomed us warmly. This was her first time meeting him. The usual health check followed, with him logging my blood pressure and heart rate from my smartphone, which I monitor constantly with my smartwatch. He also took note of my body weight and composition from my smart scale. He was looking for any sign of unusual changes. Ever since I had a brain stroke, I have had a smartwatch and intelligent scale to monitor those. It makes it much easier to detect any unusual signs. 

Unfortunately, my creatine and potassium levels were high, prompting the need for additional tests. My doctor thought it was similar to last summer when dehydration skewed my results since my logs did not seem unusual or bad at all. Despite my efforts to stay hydrated, I can quickly lose a few pounds of water by lawn mowing, resulting in summer yard work sometimes getting the better of me.

Post-appointment, we headed to that much-anticipated cupcake store. The cupcakes were not only a feast for the eyes but also delicious. I’m saving mine to enjoy after dinner, a sweet end to a day of health checks and treats.

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Title: Refueling After Yard Work: Balancing Hunger and Health

Written 5/17/2024

Hello Dear Readers,

Yesterday, I managed to complete mowing the remainder of the yard. This endeavor took a considerable amount of time and energy. Afterward, I found myself overwhelmingly hungry. This intense hunger isn’t unusual after three hours of strenuous physical activity. Yet, the quantity of food required to satiate this hunger surprised me. My post-activity meal consisted of a generous bowl of spaghetti, four granola bars, and a cookie. Only then did I feel the edge of my hunger dull—not full, just no longer hungry. I learned this important distinction from my grandparents, who emphasized it as a practical approach to maintaining a healthy weight.

Given the intensity of my hunger yesterday, I half-expected the scales this morning to suggest that my weight had dropped alarmingly low. I intend to maintain my current weight, so I need to be more mindful. The thought made me frown a bit. To my mild surprise, the scale showed that I was only half a pound lighter than the previous day, which was already slightly below the lower end of my desired weight range. I felt better. I can manage that by eating marginally more.

I make it a practice to regularly monitor my weight to ensure I maintain a healthy balance. On days like yesterday, when my physical activity leads to a higher calorie output than intake, it’s natural to see a slight decline in weight. Additionally, we are vigilant about our salt intake due to my high blood pressure issues. Even though salty foods tend to increase water retention, impacting weight measurements, I allow for what I consider an acceptable daily fluctuation—about 10% over or under my target weight.

As I prepare for my morning run, I’m curious how my robust eating from yesterday will influence today’s weight measurement. It’s a delicate balance, managing food intake against physical activity and overall health, and it’s a journey that always keeps me engaged and attentive to my body’s needs.

Navigating through these challenges, I continue to learn more about my body’s responses and how best to maintain a stable and healthy weight while still enjoying the foods I love and the activities that keep me fit. This balancing act is not just about numbers on a scale; it’s about feeling good, staying healthy, and living life to the fullest.