TKR

Yes.  Total Knee Replacement.  I visited my ortho this week and learned that instead of needing one new knee, I need two.  The Doc told me in 2009 that I needed a new right knee.  So far I’ve managed my life without getting it done.  Now he told me that the left knee has no cartilage and is also bone on bone.

With RA,  the synovial membrane that surrounds the knee joint becomes inflamed and thickens.  Over time, the resulting chronic inflammation will damage the cartilage.  This will cause cartilage loss, pain, and stiffness.  Then there is OA (osteoarthritis) where as you age, the cartilage cushion that protects the knee will soften and and wear and this causes pain and stiffness.

Another factor is trauma.   I’ve been involved in athletics since I was young and I always had bruised or skinned knees.  I had my share of falls while skiing or hiking.  I fell while biking.  I recently got bifocals and took 2 really hard falls on my knees and hips.  So I think that all three of these factors – RA, OA and Trauma – have contributed to my current knee situation.

So I’m continuing on my normal pace – which is typically warp speed until such time as the pain and discomfort is bad enough that it impacts my life.  Then we will discuss the first knee replacement.  As the doctor said, I’m highly functioning considering the state of my knees, so there’s no reason to rush.  He suggested that when my world narrows is when I need to address surgery.

Until that time, I’m trying to concentrate a bit more on my eating and exercising.  I have been the same weight for 5 years.  Yeah, just about since I started this Blog about trying to lose weight after turning 50.  So I think that I’ve failed!!  Miserably.  I’m doubling down on my efforts because other than my weight and my RA, I’m very healthy.  I’d like to stay that way.

New Month, New Post

I have to give myself credit.  I’m still at it.  If I have one thing, it’s stick-tuit-ive-ness.

I’m still going once a week for a private session with Cathy the training nazi, and this fall I committed to trying to hit one additional class each week.  I managed last week, but last night there was no class, and tonite?  Well I was tired, forgot to take my meds and was achy, so I came home and walked thru the woods instead.

Any results?  I’ve been doing Weight Watchers for 6 weeks and I’m down 5 pounds.  Not much, but all my clothes are loose and I feel good.  It’s never been easy for me to lose weight – I tend to lose every other week.  And I’m not making excuses, but The Red Sox just won the world series which meant a lot of nervous baseball watching and after all, it is a game of consumption, right? It was hard to sit home watching without munching occassionally.

Weight watchers at least makes me aware of everything I put in my mouth.  I understand the ramifications and try to make trade offs.  But the fact is that it’s just hard.  Especially as you get older.  I can’t work out like I used to.  I don’t have the time every day to devote to activity.  Some days I don’t want to do it.

But I’m still making the attempts.  Slow and steady it’s going to come off.

And the Red Sox did just win the World Series!  Hot dogs and beers all around!!

Spaghetti Squash??

So I started weight watchers on Tuesday.  Wednesday night Mr. Phat had planned a celebration dinner in honor of his daughter’s wedding anniversary.  This means a big pot of gravy and something hearty and italian.  He decided on Chicken parm and his favorite, macaroni.

I knew that I would have to do some damage control, so on Tuesday evening I shopped for the chicken breast and bought a spaghetti squash.  I got home and while unpacking the groceries, Mr. asks “what’s that?”  “Well I’m going to have that with your gravy tomorrow night.”  “You mean you’re not having Macaroni?”  “I thought I would make the squash for dinner.”

Again he asks “You mean you’re not having macaroni?”  How dare I.  Well when step daughter arrived she was excited because she’d never had spaghetti squash before but had bought one to try.  I showed her how to cook an scrape the strands out and to be honest, it was tasty and crunchy and satisfied me Wednesday night with my parm-less chicken breast.  The grandson gobbled up the squash as well.  It’s definitely something that I will cook again on Italian dinner day.  Besides, the squash is ZERO WW points and I’d rather have that and a glass of wine than macaroni and no wine.  Priorities!!

Otherwise, no complaints with WW.  We all know that it takes planning and forethought.  Last night’s dinner was a long ago planned outing to Frank Pepe’s Pizza in New Haven Ct.  Their coal fired pizza is legendary and one of my favorite foods.  I didn’t feel like I was cheating while eating it because I had planned for it all week.

I’ll let you know how I do come Tuesday when I have my second weigh in.  Until then, Go Red Sox!

Intro from Phat50chick:  I loved this blog post from David, the CEO of WW. He’s very candid in his approach, tells it likes it is and I relate to most everything he says in his posts. In today’s blog I could especially relate at the end under Feeling Strong. He says that “the absolute most important thing to do is keep on doing.” That’s what I’m doing. Keep on keeping on. Enjoy.

Vacation

Much of the two weeks since I’ve posted was my fall vacation.  We drove from RI to S. Carolina to visit my brother and wife who relocated there a year ago.  I’m not usually a fan of long car rides – it can wreck havoc on my joints.  However that didn’t happen.  I didn’t feel as though my RA was adversely affected by the drive.  We did a lot of walking, which is good because vacation can also be about eating.

My brother fancies himself an amateur chef and he likes to smoke meats.  When we arrived, the Weber kettle was on the driveway with a pork shoulder smoking away on it.  That was good for 2 days of meals, and in between we did go out to watch the Patriots/Denver duel, which meant really bad food – chicken wings, calzones and pizza.  I skipped the beer and wine that day.

Tuesday morning, Mr. Phat and I set out for Charleston for a mini getaway.  I didn’t realize what a food mecca Charleston is.  Fabulous food scene and a number of well known chefs cut their teeth there, including Tyler Florence.   There is a great eat local movement there and we had lunch at Husk which is foremost in that category.   http://www.huskrestaurant.com/  Award winning Chef Sean Brock insists that his ingredients be local or he makes it himself. While my cheeseburger was delicious, I can’t say that I exactly warmed up to the recommended Fried Pigs Ear Lettuce Wraps.  I managed to eat one, but then thought of my dogs ear and just couldn’t do anymore.

In addition, we ate at Slightly North of Broad http://www.mavericksouthernkitchens.com/slightlynorthofbroad/ which was my favorite.  The ambiance and decor was lovely and the restaurant was quiet!! Carpeting and upholstered chairs muffled the loud sounds that you get in many other contemporary restaurants. 

View to the kitchen at Slighty North of Broad

I tried to be good with my food choices for most of the week.  I had several meals of fish over greens which was delicious and satisfying.  We did a lot of walking all over the city and did walk 9 holes of golf on Friday carrying clubs.

However, on our last night in SC, my brother took us to the fried fish house nearby – Captain Steve’s.  It was pure gluttony – more hush puppies than you need, large portions of fried shrimp, flounder, catfish – you name it, if is swims and can be fried, they serve it here.  With french fries, onion rings and, of course, more hush puppies.

When in Rome….I had my fish fried.

Needless to say, I have blown up like a tick between the food, booze and salt.  My pants were tight later in the week.  Starting today I was back to egg white omelette for breakfast – salad with a cup of pasta for lunch and Mr. Phat just put chicken in the oven to roast.  I’m flushing my system with plenty of water and No beer or wine.  Which is very hard while watching football.

Fried Pigs Ear Lettuce Wraps at Husk

I’m back at it and hitting the gym once again with the *itch on Tuesday.  She’s already been looking for me.

Mr. Phat and I enjoying our mini vacation

I would love it if one of my fellow wordpress bloggers can help me change the http language to show as just a quick link.

Interesting Article About Weight Gain

I was reading an article today on MSNBC which I found interesting:

Weight gain won’t budge after menopause? Study offers diet strategies

I could relate to this article on so many levels.  First of all, I’m tired of constantly tracking my food.  I confess to not having written it down, but I can tell you what I’ve eaten this week.  Every morsel.  Including the 6 life savers I had today at 10 calories each.  I can totally empathize with the women in this study. In fact, I think they wrote it about me.  I don’t eat or drink that many empty calories.  I don’t eat potatoes, although I did have french fries last week for the first time in months.  Then I danced my arse off that night.

I eat fruit every day.  I had a pear today in the car while I was between meetings.  Today’s lunch was salad with chicken breast which was leftover from the dinner I made last night.  I put rice wine vinegar on it for dressing.

I exercise almost every single day.  Maybe not a hard core gym workout everyday, but at least a 30 minute dog walk or ride on the recumbent bike.  I’m far more active than many people in my age group.

Perhaps there is hope.  The article states that “The women who added fruits and vegetable to their diets, using them to replace higher-calorie meats and cheeses, lost more weight over the long-term. That small change can give you a big, long-term result.”

I’ve been at this new way of eating for a year.  I’m moving better, fitting into clothes better and feeling better.  A former colleague stopped by the office today, said hello and then said “wow, you look good – really good.”  My Rheumatoid Arthritis is virtually non-existent except for the bad knee – which is an injury and not RA.

I’m going to continue on my path to long term good eating.  And the only empty calories I will continue to consume, but not overindulge it?

 You got it. 

Million Dollar Baby

Just because those boxing gloves are PINK, doesn’t mean that this was a mandy pandy wimpy workout!!! Cathy at Better Bodies Functional Fitness works on you until you’re ready to yell “UNCLE!”  We started with circuit training.  I have Rheumatoid Arthritis.  These knees are not made for jumping.  Of any kind.  She had me attempting jumping jacks (ok, so they were the funniest looking jumpin’ jacks that you’ve seen) and then I had to jump rope.  Again, a nearly futile attempt although I did manage to get half a dozen jumps in a row several times.  Maybe my knees can be trained to jump again.  I guess if it’s possible, Cathy will help me make it happen.

But my favorite is boxing.  Jab, Cross, Jab, Cross.  Then we add in the hooks and uppercuts.  It’s really cool and a great workout.  I’m gonna feel it tomorrow.  Thanks Cathy.  If you want to know what a good workout is all about – you can find her at

http://betterbodiesri.com/index.cfm

I’ve not felt this good since 2006 when I was in terrific shape.  Thanks Cathy!!  I needed the push that you gave me this spring.

New Year, New Chick

Photo as I started Phat50Chick with RA

It’s been just about a year!!  This is my 75th post on Phat50Chick with RA.  I have been less avid about posting lately but that’s due to lack of time.  I’ve finally gotten into a groove with my health kick which is finally paying off and I’d like to think that it’s showing a bit.  Judging by the photos above, I think that I have more of a waist these days.  Which only makes the boobs look bigger, but whaddya gonna do?

I have been diligently working with my trainer Cathy once a week for probably close to 3 months.  She kicks my butts regularly on Tuesdays.  I hurt for a couple of days after but it’s a good hurt – the kind I actually like!  In between I’ve been walking, hiking or riding my recumbent bike.  The dog and I do a lot of walking which benefits the both of us. Soon I will start incorporating some of the moves I do with Cathy in my routine on other days of the week.

Eating has moderated as well.  I am less hungry.  I eat meals and don’t snack throughout the day like I used to do.  I am trying to combine more protein and fruit with less crap and overall it’s been good. And I’ve not felt deprived. And I’m not obsessing about food, calories or points.  I’m just being sensible.  On the occasions when I overate, I didn’t kick myself or continue on the binge.  No, I started right back with healthy eating.

The clothes are looser and I’m moving better.  While I don’t look great in a bathing suit, I’ve had one on more times this month than all of the past 2 years.  My RA is definitely more in the background than ever before.  The joints don’t hurt so much, I’m not taking pain medication at all these days.  And I got bloodwork results back yesterday and all is good on that front as well.

I think that this groove is going to help me move along to a smaller, healthier me more quickly now.  Especially with Sargeant Cathy the Trainer monitoring me.

So as I start my second year as Phat50Chick with RA who’s almost 51,  I’m feeling so much better than I was a year ago and I’m looking forward to the next year.  Truly grateful to all my followers who stayed with me thru the tough times, the good times and always encouraged me.  I think that is the best part of Phat50Chick – is your comments and words of encouragement.  I look forward to having you on the journey for the next year. Happy Birthday to me.

Happy 4th of July!!

I wanted to wish all my readers a Happy 4th of July.  July is probably my favorite month – it’s my birthday month and I think that has something to do with it.  I also love the hot weather – so long as I can sleep in air conditioning.

The fact that the holiday is midweek and I am working this week will help me with eating more of the right things.  No big parties to go to, just a small cookout here and I can control the food.  I did splurge on some ribs that are marinating, but otherwise it will be steak and a grilled caesar salad.

I started this blog at the end of July last year, which means I am approaching a year.  While I haven’t had too much success in weight loss yet, I believe that I am in a much better place than I was a year ago.  I’m working out regularly; once a week with a trainer who kicks my butt each time.  I am eating much better and still enjoying my life and not feeling like I am missing out.  I certainly feel balanced – much more so than a year ago.

I am looking forward to the next year of Phat50chick because I feel that I’m heading in the right direction.  So Happy Birthday to our Nation.  Enjoy your time with friends and family and count your blessing.

Phat’s Physical Phitness

The end result of one of our hikes!

What a great incentive to get out there and hike this weekend.  Beautiful weather in Franconia, NH and great views.  I spent three days doing a lot of walking and hiking throughout Franconia Notch and every step felt great.  I never ached, got tired or had too much pain.  On Saturday we did a short, but very steep and rocky climb up Artist Bluff to this view.

Even Abbie the Jack Russell made the climb and enjoyed the view.  The remarkable thing to me was climbing down.  I truly feared that I would have trouble going back down the rocky trail.  I have issues going down stairs.  But Cathy, my trainer, has made me understand that my limitations may not be so much in my body as they are in my head.  Some of the moves that she has me do, I tell her that I can’t do.  But infact, I can do them.  I think that sometimes we tell ourselves we can’t do certain things because either we fear failure, or don’t want to hurt ourselves or are lazy.  Maybe I’ve used the RA as an excuse for somethings.  Truth is, I’m not fat because I have RA.  I had a weight issue before I got RA – infact, I’ve struggled with my weight most of my life.  RA has given me an excuse to be lazy about my fitness.

So I pushed myself and actually the hike down wasn’t nearly as difficult as I envisioned and I have to thank Cathy for making me rethink my reservations about some movements.  I’m not sure I would have attempted this climb before listening to her help me rethink fitness.

I felt so good all weekend because we never stopped moving.  I estimate that over the three days we did about 12.5 miles of hiking or walking.  My legs haven’t felt this good in a long time and my demeanor was more upbeat than it’s been in while.  I really do believe that physical movement is so good for those with chronic illness.  Or any illness for that matter.

Which is a good segue for introducing my next post, which is actually a guest post from a blogger who is an advocate for the Mesothelioma Cancer Alliance.  He is going to talk about fitness and cancer patients.   That post is coming later this week.  Stay tuned.

Meantime, tomorrow, I have another session with Cathy and I hope she kicks my butt again!! I’m going to be ready this time!