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Archive for April, 2017

Another big expense

April 14th, 2017 at 02:51 pm

Well, I've been making good progress this year on decreasing debt, but I'm going to backslide a bit in the service of preserving my health.

I've been struggling with a growing fatigue problem for about 4 years. The last time I remember being my "old self" who woke up early and easily full of energy was about 5 years ago. I remember going out and taking lots of long walks early mornings during the times I was out in Los Angeles helping out with my mom during her final year; I remember having a job that required me to be at the office across town at 8:30 am and not struggling with it. Then I remember starting to work at a manufacturing plant in April 2012 and having my asthma get massively worse within 3 weeks, which interfered with my ability to exercise, and gradually I began to struggle to be able to get in to work at 9 a.m.--not because I would wake up late, but because I would wake up at 6:30 and just zone out over a few cups of coffee until making myself get into the shower. The asthma eventually came under control two years ago after I was put on Flovent, but my energy never returned.

Lately I've been struggling at the other end of the day as well--if I want to be out after 7 pm, I am often too exhausted to do so. Not that I am falling asleep that early--just being nonproductive browsing social media because I don't have the energy to go out more than one or two nights a week.

I had my doctor run tests and she ran the standard panels, but my tests all come back normal.

Then 3 years ago, during the 6 months I was unemployed, I went to hear a chiropractor talk on thyroid issues, since I suspect this may be part of the problem. My mother was on Synthroid, and my sister has been on it since age 19, so clearly it runs in the family. That chiropractor ran a test for thyroid antibodies--a test that my doctor did not run because it is not part of the standard thyroid test panel. That test showed that my antibodies were out of range, indicating that my body is in essence attacking my own thyroid (a condition known as Hashimoto's Thyroiditis). The doctor recommended going on a gluten free diet (so I switched from being vegan to going gluten free, not that the two are incompatable but I just couldn't manage too many dietary restrictions at one time) and paid out of pocket for periodic thyroid antibody tests. When I brought the topic up to my doctor, she gave me the standard allopathic medicine doctor response of "there's really nothing to do but wait until your thyroid levels go out of range and then use Synthroid.") The chiropractor also had another program of treatment he recommended--but it was mostly out of pocket except for the lab testing, and I couldn't afford it at the time.

By going gluten free, I had seen my antibody levels gradually go down. But this winter I felt the fatigue increase, and when I had another test done in March, it showed an increase in my levels again. They're still significantly lower than the first time I was tested (which to me is evidence for the autoimmune nature and the role of gluten in the disease), but this was the first time i 3 years that my levels rose rather than fell.

Then 3 weeks ago I was on facebook and I saw a talk by another chiropractor being given on Saturday. I went to that talk and signed up for a consult with him. I also knew of a third chiropractor who treats Hashimoto's who is actually on the list of recommended practitioners listed by Isabella Wentz, author of "The Hashimoto's Protocol" and I made an appointment to see him as well.

So after all of this, I've decided that now is the time to get my energy back, because that is what enables my ability to accomplish every other goal in my life. Having met twice now with each of the three doctors, I've decided to go to the one who is on Wentz's list of recommended practioners. Yes, it will involve a big out of pocket cost, since again, only the lab tests are covered by insurance. But I'm not making progress on the other goals in my life in the way that I want because of my lack of energy. I'll be going for a more extensive panel of tests next week--and if there is anything more serious going on that would require an internist, that should be shown by the tests as well (in which case I need to hurry up to find a new internist as my last one died in November).

I brought along my last few sets of bloodwork results to the exams, and the doctor who I have chosen noted a recurring anomaly in another marker that no doctor had ever commented on before, and told me what it indicated, which fits with some other information I have from "genetic genie" interpretations of my 23andme results (basically a methylation anomaly). That, plus his answer to another "test" question I gave to my doctors to understand more about their perspective, gave me some confidence that this doctor will help get me on the path to restoring my energy--since right now, as the song goes, "my 'get up and go' has got up and went." And that, frankly would be worth incurring another 2.5K expense (especially in the least invasive way. I've done a lot of reading about functional medicine in the past few years, and have come to believe that while allopathic (traditional) medicine is the best route to treating acute conditions, for autoimmune and many chronic conditions, you are best off starting with a functional medicine approach which may entail lifestyle changes to forestall further problems rather than waiting until the problem becomes bad and then sticking you on drugs.

So who here has used Air B&B?

April 2nd, 2017 at 01:09 pm

One of my new year's resolutions was to try to do a couple of weekend getaways this year--one in the spring and one in the fall (plus work will pay for my going to a conference in Las Vegas in June, and I need to take some time to visit my sister in Los Angeles, possibly in July since work is slowest then).

In beginning to think about a spring getaway, I looked at the website for the bed and breakfast that I have gone to a couple of times before--once on my own in the fall, and then I met Patient Saver there last May (the second time we had met F2F). I love that b&b because it is right on the Delaware River, but in northern PA so less pricey than the New Hope area B&Bs, and there were a couple of restaurants within walking distance.

But when I looked at their schedule for this year, I see that they aren't taking reservations, citing health reasons. I'm sorry to hear that one of the owners is ill, and sorry that my nice little weekend getaway is now most likely out of business.

So I began looking at Air B&B places and thought I'd ask about people's experiences with them. Of course, it's going to vary a lot based on the particular place you stay. I only have ever had conversations with two people about their Air B&B experience.

Q1 Review

April 1st, 2017 at 02:13 pm

Financials First: My net worth is up to $490K, so I'm getting very close to the half-million mark. Very exciting!

My debt is also down, but still beyond what I would like it to be. There's more on the credit cards than I can pay off in one month and that makes me unhappy. I just need to keep that in mind and keep the discretionary spending more in check. Q1 always leads to my eating out going out of control what with tax season busy-ness.

Time also for a Goal Review. I definitely need a re-boot! Being at another new job and going through the tax season here for the first time, having them reorganize our work flow in the middle of this (which is ultimately much more effective, but the transition from the old system to the new system was bumpy since I didn't yet have the old system fully mastered) and then getting sick and feeling not entirely well for the past month have done a number on the goals.

So: Goal #1, Job performance: I'm improving on my technical mastery, but don't have full mastery of everything at work yet. I've definitely NOT managed to shift to an early schedule of getting in half an hour early. And I need to start studying for the CFP exam again--that's what got most off track during Q1.

Goal #2: self-care. Again, got off track. I've been feeling really tired and have been going to bed early but this doesn't mean that I'm getting eight hours sleep each night. I need to turn all screens off at 9 pm. I have spent too much time on social media, especially in light of my upset over the current administration's performance.

Does anyone else here have a Fitbit Charge HR 2? Have you noticed the new sleep screens? They now use your heartbeat to track your sleep stages: deep, light, REM, and awake and display your pattern over the whole night. Up until last Sunday, they just tracked times awake and times restless. The new output is much more useful.

I did really well on meditating daily until I got sick. Now I need to get back to it--and to find a new PCP.

I did get a blood test (one I ordered myself) and found out that my Hashimoto's has gotten a bit worse since I last assessed my antibody levels a year ago. I'm reading Isabella Wentz's Hashimoto's Protocol, which was just released this week, and I have made appointments with a couple of functional medicine doctors. I'm not sure if I will actually enroll in their programs right now, but getting a doctor's Rx for some additional testing and talking to someone will help. The traditional (allopathic medicine) approach is to wait until autoimmune disease gets so bad that it pretty much destroy's an organ (the thyroid in the case of Hashimoto's; the adrenals in the case of Addison's) and then just put you on medication for the rest of your life. The traditional thyroid tests that they give you if you ask your doctor to test your thyroid (TSH, T3, T4) don't necessarily catch the disease in progress. My regular thyroid tests are normal but the antibody tests are not, and I'd prefer to prevent this from getting worse and having to be on some form of medication for life, so this may mean more out of pocket health care expenses.

The Hashimoto's protocol author suggests that following her regime (supplements, more money sigh) will help significantly with fatigue. I've started with thiamine, selenium, and NAC. If I'm to get back to regular exercise, I need to feel more energetic.

I did walk to work one day this week, at least, and am looking forward to doing that much more often as the weather continues to warm.

Finally: Goal #3, getting organized. I have tentatively found someone to help me with the landscaping, and as things get warmer, I'll try to make progress on the inside-the-house organizing as well. This was always intended as a primarily Q2 goal, since this season has the best weather and is less busy with work than the end and beginning of the year.

So: I'd give myself a C- in overall goal progress. But today is the start of a brand new quarter, so hopefully by the time I sit down July 1, I will have a more positive self-assessment to report.