Fitness Quest and Crohn’s Update: July 2017

It’s been far too long since my last blog in February when I discovered that I was suffering from DVT (Deep Vein Thrombosis). The good news is that this issue seems to have cleared up completely – at least that’s the news I expect at my check up next month. My afflicted leg is no longer swollen beyond recognition and doesn’t ache more than the other one. Well, except for a tightness with my “IT Band” (Iliotibial band) which runs from the hip to the shin. This seems to coincide with a flare up of my plantar fasciitis (foot pain) in the other leg so I’ve put my orthotic inserts and bought new shoes. This, along with taking a break from extended walking/running, seems to be helping.

Speaking of running, I once again participated in The Rose Run in Petersburg, MI (my hometown) a 5K to support cancer research – which is also held in Los Angeles in October as well! Anyway, I set the goal of beating my time from last year and I did it! Only by a few seconds, but I was faster than last year. Remarkable because I made many mistakes including:  1) I didn’t train properly or at all and 2) I probably shouldn’t have run given the above mentioned injuries. But, I did it with the encouragement of my niece, who ran with me, and sheer stubbornness.

In Crohn’s news, I have moved to weekly injections of Humira. My doctor felt that my disease was progressing still with the DVT being a symptom of that and that we needed to up the dosage. I think it’s working and have had only one significant flare up since going to the new weekly regimen. Though I keep calling my case “moderate” my gastroenteroligist says I actually have quite a bit of damage regardless of how I feel about it. I think he’s always suprised that I seem to be able to maintain and even gain weight. Again, stubbornness I suppose.

In other news:

Nutrition: Still experimenting with macros and seem to have finally figured out what works best for me as I’ve been losing weight consistently for a few weeks now. Lower carbs, higher protein are working now. Still getting too many fats according to my tracking through MyFitnessPal but I’ll get there. If I can keep avoiding the drive-thru I can better control this.

Workouts: These have been going okay, nothing spectacular. Still kind of looking for the next challenge. I’ve done planking, push-ups, an “arms race” where I competed against a few other guys to see who could put the most size on their arms in a set amount of time (it wasn’t me), my 5Ks, and wall sitting. What’s next? I’ll let you know.

Attitude: Overall, still positive. I do find myself reminding myself of all my blessings more these days – probably middle-age malaise or my general disgust with the state of politics in the USA these days (no politics, stay calm…must control blood pressure).

Onward!

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Fitness Quest: A New Wrinkle and Warning

Those of you who have read my other blog posts know that I have a digestive disorder called Crohn’s. Though my case is well controlled and I’m responding very well to my current treatment (Humira) I’m always at risk of other complications. Well, one of those complications occurred this week and it wasn’t even one I was aware of: Deep Vein Thrombosis (DVT).

DVT is a potentially serious and life threatening condition where, in the simplest terms, a blood clot forms in a vein (usually the leg) and blocks the blood flow. The result is pain and swelling of the limb – yes it hurts. In about 1 in 9 cases, if I’m reading the stats right, the clot will dislocate and move to the lung causing a blockage in the lungs (a pulmonary embolism or PE) and resulting in death. Scary stuff!  And it turns out that having an inflammatory bowel disease – like Crohn’s or Ulcerative Colitis – is a risk factor. Other risk factors are sitting still in one position too long (as in on a jet), a hereditary blood disorder known as “Factor V” which causes blood clots, injury, and others.

The good news is that we caught mine early, I’m on treatment (blood thinners) and there’s a good chance that I’ll get over this without any ill effects whatsoever (there’s also a chance I’ll have post thrombotic syndrome, aka PST, a couple years down the road, but I’ll cross that bridge if I come to it). Only time will tell and it may be as long as 6 months before I’m completely out of the woods.

There’s a lot of information on DVT on the web. Sites I used to gather my information and stats are:

Mayo Clinic
Cleveland Clinic
Centers for Disease Control and Prevention (CDC)
American Society of Hematology

I urge you to check out the facts for yourself and watch for the warning signs. If you have a leg cramp or strain in your leg that won’t go away, notice swelling, get checked soon. I thought my leg pain was just from lifting a heavy object the wrong way and waited almost a week before deciding that something was wrong. If I had been aware of the warning signs I could have started treatment that much earlier (that’s the warning).

In other personal fitness news:

Workouts: mine have been pretty blah since the New Year. Most people get geared up and motivated but for some reason I didn’t. I’m back on track with my weight training again – only upper body for now due to the DVT (and with my doctor’s permission). However walking and running is out of the question until the swelling and pain in my leg start to subside. I did get some good hiking in on a recent trip to Las Vegas and Death Valley recently though before the DVT hit.

Fitness and Nutrition: for whatever reason even with my exercise curtailed and my diet being, shall we say, lax my body fat seems to be decreasing even though my body weight is going up slightly each week. Could be a broken scale, could be that I’m doing something right and perhaps that my low carb, high fat strategy is more effective than I thought.

Well, as always the only direction to go is forward. So I’ll keep on keeping on.

Onward!

P.S. and for those who are not faint of heart, below is a picture of my good leg and afflicted leg side by side.

dvt-022517
Can you guess which leg is swollen? Hint: it’s the one with no definition.