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Pancakes and Physical - Karen's Musings
Random Rambling
estherchaya
estherchaya
Pancakes and Physical
So I'm having this ridiculously serious craving for pancakes. I want them. Desperately. I feel like I would do a lot for a good pancake right now. Except, um, I generally don't care for pancakes. So this is an extremely weird craving to have. I have a really good recipe for pancakes that are yummy. But the worst part? I want Bisquik Pancakes. Which is disgusting what with all that salt and such in it. But that's what I want. I wonder if Bisquik is kosher... I really, really, really, really want some pancakes!!!!!!!!!!

Righto.

Anyway, on to my physical (mostly for my benefit):

I had a physical this morning for the first time in six years. I spend so much time at doctor's offices that well-visits (other than with my OB/GYN) are not an option. Seriously. I don't have time for MORE doctor's visits! So, um, yeah. But I finally decided it was time for a physical. My nurse-practitioner, with whom I had made the appointment, is great. She was very, very thorough and never made me feel like she was rushing (my appointment took something like an hour and a half, plus having lab work drawn). She took a very thorough family history, which was sort of interesting. Two of my grandparents (one from each side) are ridiculously healthy, and everyone else is falling apart. Heh.

Anyway, nothing surprising came out of it. I've lost a few pounds. But considering how overweight I am, a few pounds really isn't all that exciting, and it's probably all due to not taking depakote. Bleh. She basically said I'm screwed when it comes to losing weight. She doesn't think it has anything to do with my eating or my activity level, both of which she is happy with. But it's just part-in-parcel with the rest of the joys of PCOS. She said I'm not her only patient in the same boat and that she's sorry I'm frustrated, but that I'm doing everything right. "Sometimes," she said, "the goal is just to maintain, which you're doing very well." Argh. It definitely is a relief to hear her say that my weight gain is consistent with everything else that's wrong with me, but it's also frustrating that there aren't really any solutions either.

She agrees that I shouldn't be taking the depakote...too risky, and not enough benefit in taking it two weeks on, two weeks off, and such. Because of my history of hemoplegic migraines (as opposed to classic migraines which I also get), there are a bunch of things I can't take that might otherwise help. And, so long as I'm trying to get pregnant, most other options are ruled out. So I asked her the real question that's been bugging me: At what point am I allowed to say, "Well, clearly I'm never going to get pregnant" and start treating my migraines. It's not really a question she can answer of course, but she did suggest that I wait until after I've tried working with a reproductive endocrinologist before I decide to assume I'm not getting pregnant. So... that's an answer, anyway. She also said they might have better suggestions for medications I could take in the meantime, even if they don't work as well as the Depakote did. I'm still considering trying Topomax again, neuropathy aside. We'll see.

So my two big issues, migraines and weight, are basically things that I'm going to have to live with.

She wants me to see a cardiologist soonish (preferably before I get pregnant, but she said I didn't need to stop trying or anything). I have a Patent Foramen Ovale, which isn't generally a big deal, but given my history and the probable-TIA I had in 1999, she thinks it wise for me to have a consult from a cardiologist. So I'll take care of setting that appointment up soon.

Finally, she suggested I wear a splint at night to try and deal with some of these carpal tunnel issues.

Otherwise, I appear to be in good health and she'll call me if any of my bloodwork looks funny. Which it will. Another of the joys of PCOS is high triglycerides and high cholesterol. My cholesterol has been borderline for years (but with good distribution, so never been a big deal), but my triglycerides are likely to be through the roof, as they were last time I had them checked. HEre's the fun part: cholesterol and triglyceride medications cannot be taken while pregnant (and by extension, when trying to get pregnant). So no matter what those numbers are, there's nothing I can or will do about it. Based on what I eat, my diet is not responsible for any issues I have with triglycerides or cholesterol. So, um, yeah.


And that's that. Basically all the problems I've got are likely rooted in the fact that I'm female. And they're all problems without solutions. And I'm not going to fall over dead tomororw. I consider that a victory.

Tags: ,
Current Mood: groggy groggy

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Comments
magid From: magid Date: July 14th, 2005 06:31 pm (UTC) (Link)
I believe Bisquick is kosher.

PCOS plus migraines - I wish there were some magic handwaving I could do. Not gaining is something, but how frustrating for you, the whole package.

Oh, and I've been very impressed with all the nurse-practitioners I've seen. Plus they have more time for each appointment (around here, anyway).
estherchaya From: estherchaya Date: July 21st, 2005 08:19 pm (UTC) (Link)
I'm all for the magic handwaving if you ever figure it out. ;)

I love nurse practitioners. They are the bestest.
(Deleted comment)
estherchaya From: estherchaya Date: July 21st, 2005 08:20 pm (UTC) (Link)
not falling over dead appears to be a positive thing.
From: kahunadoctor Date: July 14th, 2005 07:07 pm (UTC) (Link)
I'm craving donuts right now.
estherchaya From: estherchaya Date: July 21st, 2005 08:20 pm (UTC) (Link)
what kind of donuts?
From: (Anonymous) Date: July 22nd, 2005 01:02 pm (UTC) (Link)
chocolate glazed with sprinkles and jelly on the inside...instant heartattack!
estherchaya From: estherchaya Date: July 22nd, 2005 01:11 pm (UTC) (Link)
hrm. None for me thanks, but do help yourself!
real_bethy From: real_bethy Date: July 14th, 2005 07:16 pm (UTC) (Link)
Oy yoy yoy! It sounds like you have an awful lot on your plate right now. I wish you a full and speedy recovery.

I'm sure you are probably right sick of people suggesting remedies to you, but I will take the risk of invoking your frustration in hopes that maybe you find *something* that will help you out. Have you tried acupuncture? It doesn't hurt (and I'm a big, fat wimp who hates needles) and I have found it helpful. If you simply cannot stand the idea of acupuncture, there is acupressure, which involves no needles. Check for a fully licensed Chinese Medicine Practitioner (also called "doctor of Chinese Medicine"). As well, maybe there are some foods that can help combat migranes. I can't think of any off hand, but I'm sure there have to be. You may want to try eating as many whole grains and organic produce as possible...they are great for filling you up with power and getting rid of bad things. Have you tried chiropractic? Sometimes, a lot of people get migraines because of poor physical alignment - which causes all sorts of other problems. I know that I have a tendency to clench my teeth which gives me headaches (which I'm sure are nowhere near what you experience - I'm just saying). And, if all else fails, you can always drink lots and lots of V8.:):):)

Anyway, I hope I haven't driven you crazy - I know everyone seems to have their own personal cure-all. I just know how awful chronic pain can be, and how important it is to try and find some way to manage it so that you can get on with Life. I admire how strong you are for being so active and working so hard and creating such a wonderful Jewish home in spite of some of your physical difficulties. You rock!
estherchaya From: estherchaya Date: July 21st, 2005 08:29 pm (UTC) (Link)
sorry for not responding earlier. I've been lousy about commenting lately.

I have tried acupuncture. I absolutely will never do it again. Aside from not helping, I hated every second of it.

Re: foods... I have to limit my intake of a huge laundry list of foods for fear of exacerbating my migraines (e.g. sharp cheese, red wine, canteloupe, chocolate...). I have (even when purposely experimenting) noticed no correlation to my migraine frequency or severity when eating organic vs. nonorganic produce.

I have tried chiropractic with limited success. Which is to say, it fixed other problems, but not the migraines. Typically it's tension headaches that are caused by poor alignment (though tension headaches can trigger a migraine).

Ick on the V8.

I'm not trying to knock down all your ideas. I'm really not this negative a person. It's just that I've been getting migraines since I was 2 (I'm almost 30 now), and I've pretty much tried it all. I am never ever ever bothered by alternative suggestions. Oftentimes people DO hit on something I've not tried (for example, people haven't previously suggested eating more organic food to alleviate migraines... it just happens that I've gone through the occasional organic phase and never noticed a difference)

I admire how strong you are for being so active and working so hard and creating such a wonderful Jewish home in spite of some of your physical difficulties. You rock!

Er, thanks! I'm kind of amused that you think of me as active, though. I'm a relatively sedentary person.
ichur72 From: ichur72 Date: July 14th, 2005 07:16 pm (UTC) (Link)
Oh dear. Bisquick pancakes do sound good.

Glad you're not falling over dead, G-d forbid, but *thpth* on the migraine/PCOS news.
estherchaya From: estherchaya Date: July 21st, 2005 08:33 pm (UTC) (Link)
Bisquik has a rather distinctive flavor, don't you think? I want some! I still haven't had it and it's been several days since I posted about said cravings.

Pretty cool on the not dead part, eh? Considering that I figured she was going to tell me if I didn't lose weight pronto I'd die, I'm pretty pleased. Good blood pressure, good thyroid, good cholesterol, borderline but not problemmatic triglycerides, no gaping holes in my abdomen, all 10 fingers and ten toes functioning, no strange diseases. All in all, I'm not as broken as I thought I was!
ichur72 From: ichur72 Date: July 21st, 2005 08:36 pm (UTC) (Link)
Yes, it does! I also like the thick, fluffy, cake-y texture it can give to pancakes. Too bad I'm full right now ... :P

Glad you got such a good report from the doctor. I hope you get some equally good news on the migraine front -- sounds like this is really bothering you.
estherchaya From: estherchaya Date: July 21st, 2005 08:48 pm (UTC) (Link)
yeah, it is really bothersome... I'm about ready to just accept that I'll never be able to get pregnant and take birth control so I can stop worrying about what preventive measures I take for migraines. But I think I've got another 5 years before I think that way.

Anyway, I'll be okay for the next month as I've started the Depakote again. Meh.

I hate complaining this much about them, really, but geez it's getting ridiculous!
xiphias From: xiphias Date: July 14th, 2005 07:26 pm (UTC) (Link)
Bisquick is O-U, dairy.
estherchaya From: estherchaya Date: July 21st, 2005 08:33 pm (UTC) (Link)
hooooray!
happyduck1979 From: happyduck1979 Date: July 14th, 2005 07:50 pm (UTC) (Link)
Please know that it is very possible ot get pregnant with OCOS and that while pregnant many of the symptoms actually get milder. Often it can be controlled. Please get yourself to an RE rather than an OB. They are secialists and I can tell you that switching to one makes an enormous difference. Been there. Done that. Writting a book.

Have you heard of an organization called ATIME?
estherchaya From: estherchaya Date: July 21st, 2005 08:34 pm (UTC) (Link)
ATIME sounds familiar.
I'm seeing the RE at the end of the month.
Glad to hear you had a positive experience. Your daughter is gorgeous.
happyduck1979 From: happyduck1979 Date: July 22nd, 2005 01:45 am (UTC) (Link)
time is a frum organiation for couples dealing with difficulty in conception. They have online forums and a bunch of other services. They opperate worldwide, but their "home base" is in NY/NJ areas (not sure where you are, but there are members across Canada, the US, Israel, UK, Belgium and Bulgaria to name just a few).

We did have an interesting run, my daughter was born just before our 6th anniversary. Kah she is the love of my life.
estherchaya From: estherchaya Date: July 22nd, 2005 01:12 pm (UTC) (Link)
yeah, I think I actually belong to the message boards there. Though I never post and I rarely read, and in fact, can't even remember the URL anymore.
happyduck1979 From: happyduck1979 Date: July 22nd, 2005 01:34 pm (UTC) (Link)
Well they really do have a lot to offer. Not just the mesage boards either. Anyhow, I am only affiiated as a member, but I know they have heoped a lot of people tremendously.
hopeness From: hopeness Date: July 14th, 2005 08:35 pm (UTC) (Link)
Personally, I'm quite glad you won't be "fall[ing] over dead tomorrow".

Someone commented that Bisquick is kosher... so go for it. We got kosher pancake mix for our camping trip and it is disgusting. Personally I like from-scratch, but Bisquick's good when you're in a hurry (like chasing after a cute little boy).

Have breakfast for dinner!
estherchaya From: estherchaya Date: July 21st, 2005 08:35 pm (UTC) (Link)
I love having breakfast for dinner!
pocketnaomi From: pocketnaomi Date: July 14th, 2005 11:01 pm (UTC) (Link)
When I was trying to get pregnant, they put me on glucophages (aka metformin) both because it helped make it a little more likely to succeed despite the PCOS and because it tended to help with the cholesterol problems related to PCOS. They did say I'd want to stop them if I had a confirmed pregnancy, but it wasn't like I couldn't take them in case I accidentally was on them for the first two weeks of a pregnancy or anything like that... in fact that was the whole point of taking them.

Didn't work in terms of getting pregnant, but that was before I found out that the PCOS was the least of my problems in that respect, and that the rest weren't chemical, they were having body parts in the wrong places.
From: (Anonymous) Date: July 14th, 2005 11:39 pm (UTC) (Link)
Yeah, I'm taking Metformin, though I didn't know about the correlation with controlling cholesterol. It's an icky drug, but I'll live.
estherchaya From: estherchaya Date: July 14th, 2005 11:40 pm (UTC) (Link)
Ooops! That anonymous comment was from me. Stupid LJ.
arosoff From: arosoff Date: July 17th, 2005 06:49 pm (UTC) (Link)
Recent studies indicate that metformin may be a good thing to continue during pregnancy... much lower rates of miscarriage and diabetes. Would be good news, something like 40% of PCOS pregnancies end in miscarriage :-(
estherchaya From: estherchaya Date: July 21st, 2005 08:49 pm (UTC) (Link)
yeah, it seems to vary by doctor. Some doctors say they prefer to use it throughout pregnancy, some doctors say no way you can't do it or you'll die a horrible grisly death. My doctor says, "Generally I wouldn't recommend it through pregnancy, but I would defer to the RE if you got pregnant" She's pretty realistic that way.
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