Tag: Home Monitoring

  • Daily Journal #31 — No More Weight Gain, a Rib Scare, and Some Reassuring News

    Daily Journal #31 — No More Weight Gain, a Rib Scare, and Some Reassuring News

    This morning’s health check was pretty uneventful, which was exactly what I wanted.

    My weight did not go up any further.

    Everything else looked normal too.

    Blood pressure was good.

    Pulse was good.

    Body-water reading looked normal.

    So after yesterday’s unexpected weight increase, I was happy to see things stay stable.

    The Rib Pain Got Bad Enough That I Went In

    The bigger issue today was my rib.

    The pain got bad enough that it actually hurt when I breathed.

    That started freaking me out a little.

    There is a big difference between:

    My side hurts.

    And:

    It hurts every time I take a breath.

    With all of the medical crap I already deal with, chest or rib pain combined with breathing discomfort is not something I really want to sit at home and guess about.

    So I ended up going in to get it checked.

    I’m glad I did.

    The X-Ray Was Reassuring

    They took an X-ray.

    The good news is that it did not show a rib fracture.

    That was reassuring.

    Obviously, an X-ray doesn’t magically make the pain disappear, but at least I knew there wasn’t an obvious broken rib staring back at them.

    Later in the day, the pain actually started feeling considerably better.

    Now I’m wondering if I aggravated whatever I originally injured while I was sleeping.

    Maybe I rolled onto that side.

    Maybe I flipped onto my stomach.

    Maybe I just managed to sleep in exactly the wrong position.

    Whatever I did, it was definitely angry when I woke up.

    I’m Still Glad I Went

    Sometimes I question whether I should go get something checked.

    You start thinking:

    Maybe I’m overreacting.

    Maybe it will go away.

    Maybe I’m wasting everyone’s time.

    But I was in enough pain that breathing hurt.

    Given everything else going on with my health, I would rather get checked and be told nothing serious showed up than sit at home worrying about it.

    So even though the X-ray was reassuring, I’m still glad I went.

    That alone took some of the anxiety away.

    Another Easy Day

    I took it easy again today.

    Between the rib pain and the exhaustion I’ve been dealing with lately, I really didn’t need to prove anything.

    Rest.

    Keep an eye on everything.

    Let whatever I aggravated calm down.

    By tonight, the rib is definitely feeling better than it did this morning.

    My weight stayed stable.

    The rest of the morning health checks looked good.

    And the X-ray didn’t show a fracture.

    That is enough good news for one day.

    Hopefully tomorrow is even more boring.

    At this point, boring sounds pretty damn good.

    Medical Disclaimer

    This journal reflects my personal health experience and the evaluation I received from my own healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation about chest pain, rib pain, breathing problems, medications, activity, or treatment. Pain with breathing can have many causes, some of which can be serious. New, severe, persistent, or worsening chest or rib pain, shortness of breath, fainting, coughing up blood, or other concerning symptoms should be evaluated promptly by qualified healthcare professionals.

  • Daily Journal #29 — 247 Pounds, Acceptable Kidney Labs, and Almost No Sleep

    Daily Journal #29 — 247 Pounds, Acceptable Kidney Labs, and Almost No Sleep

    This morning’s health check was good.

    I’m down another half pound or so, which puts me at 247 pounds.

    My blood pressure was good.

    My pulse was good.

    My body-water reading was good.

    So from the health-check side of things, everything looked pretty encouraging.

    The Renal Blood Work Came Back

    I also got the results from the renal blood work.

    The numbers were acceptable.

    Nothing jumped out that required some drastic change or immediate action, which is exactly what I was hoping for.

    After everything that has happened with the AKI, the ultrasound, the MRI, nephrology appointments, and repeated blood work, it is nice to finally have a stretch where the kidney news is basically:

    Nothing dramatic. Keep going.

    I can live with that.

    Sleep Is Still a Disaster

    Unfortunately, the sleep situation is another story.

    I barely slept again last night.

    According to my Apple Watch, I got about an hour and a half of sleep.

    I know a watch is not a sleep lab, but I really don’t need technology to tell me I barely slept.

    I can feel it.

    I am completely beat today.

    My body is tired.

    My brain is tired.

    Everything just feels slow.

    The insomnia has been going on long enough now that it is becoming one of the most frustrating parts of my day-to-day life.

    You can have good numbers on the scale.

    Good blood pressure.

    Good pulse.

    Good kidney results.

    And still feel like absolute garbage because you didn’t sleep.

    Calling It an Early Night

    So today’s plan is pretty simple.

    Get through dinner.

    Then go to bed.

    Early.

    No trying to push through the evening.

    No pretending I’m not exhausted.

    I’m hoping my body finally gets the message and lets me sleep tonight.

    Today’s numbers were good.

    The renal labs were acceptable.

    I’m down to 247 pounds.

    Those are all wins.

    Now I just need one more.

    Sleep.

    Medical Disclaimer

    This journal reflects my personal health experience and the monitoring and treatment plan developed specifically for me by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation regarding kidney function, weight loss, sleep, medications, or treatment. Consumer wearable devices can provide useful estimates of sleep and other health metrics, but they are not a substitute for professional medical evaluation. Persistent or severe sleep problems, significant fatigue, or changes in kidney function should be discussed with qualified healthcare professionals.

  • Daily Journal #28 – Quiet Day, More Blood Work, and still tired

    Daily Journal #28 – Quiet Day, More Blood Work, and still tired

    Honestly, I’m still just really tired.

    The lack of sleep over the last few days has definitely caught up with me. Nothing dramatic happened today, but sometimes the quiet days are the ones where you realize how worn down you actually are.

    Morning Health Check

    The morning numbers looked good.

    My blood pressure was good.

    My heart rate was good.

    My other usual health checks were good.

    And I was down another half pound or so.

    So from a numbers standpoint, things are continuing to move in the right direction.

    That part I’m happy about.

    Doctor Follow-Up

    I also had a follow-up doctor appointment today.

    Nothing particularly exciting came out of it, which at this point is probably a good thing.

    While I was there, they drew another set of renal blood work.

    After the recent AKI, kidney ultrasound, MRI, nephrology appointments, and all the waiting around for numbers, I’m definitely ready for this chapter to settle down.

    I should hopefully get the lab results tomorrow.

    That will give us another look at where my kidney function stands now.

    Mostly Just Tired

    The biggest thing today is fatigue.

    I’m tired.

    Not “I could use a nap” tired.

    More like the kind of tired that builds after several nights of bad sleep and starts making everything feel like work.

    So today wasn’t about accomplishing much.

    It was about getting through the appointment, getting the blood work done, keeping an eye on the numbers, and resting.

    Sometimes that has to be enough.

    Hopefully tomorrow brings good renal numbers.

    And hopefully tonight brings some sleep.

    I’d gladly take both.

    Medical Disclaimer

    This journal reflects my personal health experience and the testing and follow-up plan developed specifically for me by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation regarding kidney function, blood testing, medications, fluid intake, or treatment. Renal laboratory values and symptoms such as fatigue can have many causes and should be interpreted in the context of an individual’s complete medical history. Always discuss laboratory results, symptoms, and treatment decisions with your own qualified healthcare professionals.

  • Daily Journal #27 — MRI Results, Stable Numbers, and Another Sleepless Night

    Daily Journal #27 — MRI Results, Stable Numbers, and Another Sleepless Night

    This morning’s health checks were spot on.

    My weight was exactly the same as yesterday.

    That was actually reassuring because yesterday I had to drink 32 ounces — a full quart — of water before my MRI.

    With the way I normally monitor my fluid intake, that is a lot of water to drink in a short period of time.

    So I was curious what the scale and my body-water reading would look like this morning.

    Thankfully, there was no sign that I was retaining that extra fluid.

    Everything looked good.

    The MRI Results Are In

    I also received the results from yesterday’s kidney MRI.

    And thankfully, there really wasn’t anything unexpected.

    We already knew that my right kidney is not functioning efficiently, and the MRI confirmed that picture.

    There were also a couple of cysts noted on the left kidney, but the important part is that the left kidney is filtering well.

    From what I understand from the results and my previous conversations with my nephrologist, there wasn’t anything there that suddenly changed the picture or gave me a new reason to panic.

    That is a huge relief.

    I’ve spent a lot of time worrying about this over the last few months.

    The acute kidney injury.

    The ultrasound.

    The nephrology appointments.

    The blood work.

    Then waiting for the MRI.

    Your mind can create a lot of terrible possibilities when you are waiting for answers.

    Now I finally have the more detailed imaging.

    Nothing unexpected.

    I’ll take that.

    Hopefully this means we can start putting this entire AKI episode behind me.

    Unfortunately, Sleep Is Another Story

    The kidneys may have given me some good news today.

    Sleep did not.

    I basically didn’t sleep at all last night.

    Again.

    The insomnia is getting really old.

    There is tired, and then there is the kind of tired you get after lying awake most of the night knowing that you desperately need sleep.

    Today I am beat.

    Not much energy.

    Not much motivation.

    My brain feels tired.

    My body feels tired.

    Everything feels tired.

    So tonight I’m not going to fight it.

    I’m planning on going to bed early and hoping my body finally decides to cooperate.

    A Good Day to Take the Win

    Today wasn’t particularly exciting.

    But considering what I’ve been worrying about lately, boring is actually pretty good.

    My health numbers were good.

    My weight stayed stable even after all the water I had to drink for the MRI.

    The MRI didn’t reveal some new surprise.

    My left kidney is still doing its job.

    The biggest problem today is that I’m exhausted.

    I can live with that for a day.

    Hopefully tonight I finally get some sleep.

    Medical Disclaimer

    This journal reflects my personal health experience and my understanding of medical testing performed as part of the treatment plan developed by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or an interpretation of anyone else’s kidney imaging or laboratory results. Kidney cysts, reduced kidney function, acute kidney injury, changes in fluid balance, and sleep problems can have many different causes and should be evaluated in the context of an individual’s complete medical history. Always discuss imaging results, kidney function, symptoms, medications, fluid recommendations, and treatment decisions with your own qualified healthcare professionals.

  • Daily Journal #26 — MRI Day, 720 Seconds, and Waiting for Results

    Daily Journal #26 — MRI Day, 720 Seconds, and Waiting for Results

    This morning’s health check was good.

    I lost a few more ounces.

    My blood pressure was good.

    My heart rate was good.

    And my body-water reading was basically unchanged.

    So overall, another good start to the day.

    Then came the part I had been waiting for.

    MRI Day

    I had the kidney MRI today.

    I had forgotten just how loud those machines are.

    And how confined they feel.

    Even when you know exactly what is happening, lying inside that tube for an extended period of time is still a strange experience.

    The entire MRI took about 45 minutes.

    This one was done with contrast.

    At one point, after they gave me the contrast, the technologist told me I had about 12 minutes left.

    Okay.

    Twelve minutes.

    My brain immediately did the math.

    720 seconds.

    So I started counting.

    One.

    Two.

    Three.

    Four.

    Eventually I got to 1,000.

    At that point I remember thinking:

    I think she lied to me.

    Apparently my internal clock is not nearly as accurate as I thought.

    Not long after that, they started moving me back out of the machine.

    So maybe she didn’t lie after all.

    A Very Different MRI Experience

    Something else surprised me today.

    The last time I had an MRI, I barely fit inside the machine.

    There wasn’t much room at all.

    Today?

    I still wasn’t exactly swimming around in there, but there was noticeably more space.

    That was one of those little reminders of how much my body has changed.

    When you lose weight gradually, sometimes you don’t really notice the difference from one day to the next.

    Then something happens that gives you a comparison to the old version of yourself.

    For me today, it was fitting inside an MRI machine with room to spare.

    I’ll take it.

    Now We Wait

    The MRI is done.

    That is the important part.

    Now no more anticipating it.

    No more wondering what it is going to be like.

    No more mentally building it up.

    Now I just wait for the results.

    I should hopefully have them tomorrow.

    After all of the kidney questions over the last few months, the ultrasound, the nephrology appointments, the blood work, and now the MRI, I’m hoping this gives us the detailed answer we’ve been waiting for.

    For tonight, though, there isn’t much else I can do.

    The test is finished.

    The numbers this morning were good.

    And tomorrow should hopefully bring some answers.

    Medical Disclaimer

    This journal reflects my personal health experience and the testing plan developed specifically for me by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation regarding MRI testing, contrast agents, kidney disease, fluid intake, medications, or treatment. MRI procedures and the use of contrast can vary depending on a person’s medical history and the purpose of the examination. Always follow the instructions provided by your own healthcare team and radiology department, and discuss any concerns about imaging or contrast with qualified healthcare professionals.

  • Daily Journal #25 — One Pound Back Down and a Steak Worth Eating

    Daily Journal #25 — One Pound Back Down and a Steak Worth Eating

    Not much going on today.

    My morning health check was good.

    Everything looked pretty normal, and I lost one of the two pounds I had put on over the last couple of days.

    At this point, I’m pretty convinced the extra weight wasn’t fluid.

    I think I just ate more than I normally do.

    Sometimes the simplest explanation really is the right one.

    The Steak Was Worth It

    The day before, we had steak and mini baked potatoes for dinner.

    We really don’t buy beef very often anymore.

    But we picked some up the other day, cooked it on the grill, and it was really good.

    I didn’t go crazy.

    It wasn’t like I ate some giant restaurant meal.

    I just ate a little more than I normally would for dinner.

    And apparently my body noticed.

    When you follow a pretty strict routine every day, even a small change stands out quickly.

    That is one of the strange benefits of tracking everything so closely.

    If my weight changes, I usually have a pretty good idea of what may have caused it.

    Sometimes You Have to Deviate

    I think every once in a while, you have to allow yourself to deviate a little.

    Not throw the whole plan away.

    Do not ignore sodium.

    Not stop paying attention.

    Just enjoy something different.

    For me, that meant having a steak.

    And honestly?

    It was worth it.

    Living with chronic illness already comes with enough restrictions.

    If I can make a reasonable choice, stay within the limits my medical team has given me, and enjoy something I don’t normally eat, I think that matters too.

    I’m not trying to be perfect.

    I’m trying to be consistent.

    There is a difference.

    The Scale Tells the Story

    The nice part is that one of those pounds is already gone again.

    My other health numbers still look good, so I’m not seeing anything that makes me think this was fluid retention.

    It looks more like a little extra food, maybe a little more sitting in my system than usual, and then things starting to settle back down.

    That’s exactly why I don’t want to panic over every single movement on the scale.

    The trend matters more than one number.

    And right now, the trend still looks fine.

    So today’s lesson is pretty simple.

    Sometimes you eat the steak.

    Sometimes the scale notices.

    And sometimes that is completely okay.

    Medical Disclaimer

    This journal reflects my personal experience managing weight, diet, sodium intake, and chronic health conditions under the guidance of my healthcare team. Nothing in this article should be considered medical or nutritional advice. Weight changes can happen for many reasons, including food intake, fluid shifts, medications, and medical conditions. If you have heart failure, kidney disease, high blood pressure, or another condition that requires dietary or fluid restrictions, follow the plan provided by your own qualified healthcare professionals and discuss unexpected or persistent weight changes with them.

  • Daily Journal #24 — Another Pound Up, but Two Days Out of the House

    Daily Journal #24 — Another Pound Up, but Two Days Out of the House

    This morning’s weigh-in was up another pound.

    Kind of weird.

    Normally, seeing the scale move up would make me start wondering about fluid retention, especially after some of the ups and downs I’ve had lately.

    But today, I really don’t think that’s what is going on.

    My blood pressure was good.

    Pulse was good.

    Glucose was good.

    My body-water reading was good.

    So for now, I’m not reading too much into the extra pound.

    I’ll keep watching it like I always do.

    A Pretty Boring Day — Which Was Actually Kind of Nice

    Today was pretty uneventful.

    Not much going on.

    I went to a furniture store.

    That probably doesn’t sound like much.

    For most people, it isn’t.

    For me, it was.

    I’ve spent an incredible amount of time at home over the last year because of everything going on with my health and mobility.

    So going to a furniture store is not just going to a furniture store.

    It means getting dressed.

    Getting out of the house.

    Getting in the car.

    Walking around pushing a walker

    Managing the pain.

    And the fatigue.

    Making sure I don’t overdo it.

    And then getting back home.

    That whole process takes more out of me now than it ever used to.

    Two Days in a Row

    The thing I’m actually happy about is this:

    That makes two days in a row that I left the house.

    Yesterday was the beach.

    Today was the furniture store.

    Neither one sounds like a major accomplishment when you say it out loud.

    But when you’ve been mostly stuck at home for a very long time, they feel different.

    They feel like progress.

    Not huge progress.

    Not life-changing progress.

    But progress.

    And I’ll take it.

    My Leg Is Reminding Me Who Is in Charge

    Of course, there is always a price.

    As I’m writing this tonight, my leg is killing me.

    The extra walking over the last couple of days definitely caught up with me.

    That part is frustrating.

    I want to do more.

    My brain says:

    You got out two days in a row. Keep going.

    My body says:

    Yeah, about that…

    So tomorrow I’m going to take it easy.

    That is another thing I’ve had to learn.

    Doing more doesn’t always mean doing more every single day.

    Sometimes doing more means knowing when to stop.

    Resting tomorrow doesn’t erase what I did yesterday or today.

    It just means I’m trying not to turn two good days into three bad ones.

    A Small Win Is Still a Win

    Today wasn’t exciting.

    There wasn’t some big medical update.

    No major test.

    No dramatic story.

    I went to a furniture store.

    That’s it.

    But I left the house.

    For the second day in a row.

    And right now, that counts as a win.

    Medical Disclaimer

    This journal reflects my personal experience living with chronic health conditions and mobility limitations. Nothing in this article should be considered medical advice, diagnosis, or a recommendation to change medications, activity levels, exercise, rest, or treatment. Weight changes can occur for many reasons, and pain or worsening mobility symptoms should be discussed with qualified healthcare professionals. Always follow the activity and treatment guidance provided by your own medical team.

  • Daily Journal #23 — Good Numbers, Less Anxiety, and a Better Day at the Beach

    Daily Journal #23 — Good Numbers, Less Anxiety, and a Better Day at the Beach

    This morning’s health checks were good.

    My blood pressure was good.

    My pulse was good.

    My weight was up 1.1 pounds, but I’m not particularly concerned about it right now.

    My body-water reading was basically the same as yesterday, which makes me think this probably isn’t fluid.

    There are a couple of pretty ordinary explanations.

    I was wearing a heavier shirt this morning than I was yesterday, and I definitely ate more for dinner last night than I normally do.

    I had a pretty good-sized salad and some of our low-sodium Mexican casserole.

    It’s kind of like beans and rice with chicken, and it is really good.

    And really filling.

    I’ll probably post that recipe in the next few days.

    So for now, I’m just going to monitor the weight and see what tomorrow looks like.

    One pound by itself doesn’t have me worried.

    Feeling Better After the Nephrologist

    I also feel better mentally today after meeting with my nephrologist.

    The appointment was very encouraging.

    Everything he told me was positive, including his explanation that the upcoming kidney MRI is really there to get a closer, more detailed look at what they already saw on the ultrasound.

    He didn’t seem overly concerned.

    That helped.

    It’s funny how much your mind can wander when you are waiting for medical tests.

    You start with one unanswered question.

    Then your brain creates ten more.

    Then twenty.

    Before long, you are mentally diagnosing yourself with every possible outcome.

    Anxiety can really take over if you let it.

    I’m still anxious about the MRI, but I’m feeling much better about it than I was a few days ago.

    Chronic Illness Doesn’t Only Affect You

    Something else I’ve been thinking about lately is how chronic illness doesn’t only affect the person who has it.

    Your family lives with it too.

    In my case, my wife has been incredibly patient with me.

    Because of my sodium and fluid restrictions, we haven’t been out to eat in quite some time.

    That used to be something we really enjoyed.

    We moved to an area with new restaurants, new foods, and tons of fresh seafood.

    Going out and trying new places was supposed to be part of living here.

    Then life changed.

    Over the last year and a half, there have been surgeries, hospital stays, tests, labs, doctors, medications, restrictions, good days, and bad days.

    And no, it isn’t over.

    Not even close.

    But that doesn’t mean we stop living and sit around waiting for whatever comes next.

    We still need to find ways to enjoy ourselves.

    So Today We Went to the Beach

    We decided to go to the beach today.

    We live about 30 minutes from Sanibel Island, which is a beautiful area with great beaches and plenty of shelling for my wife to enjoy.

    I was a little apprehensive about going.

    The last time we went to the beach, it didn’t go very well.

    I had one of my near-passing-out episodes while walking back to the car.

    It was hot.

    I was exhausted.

    The car was only about 500 feet away, but it felt considerably farther than that.

    I had to stop several times just to make it back.

    I eventually got there without passing out, but the experience stuck with me.

    So I was definitely thinking about that today.

    Today Went Better

    Today turned out okay.

    We only stayed for about two hours because it got hot pretty quickly.

    The walk back to the car was still difficult.

    The sand was really soft and fluffy, which makes walking with a walker much harder.

    Even with my homemade sand shoes.

    Yep.

    I made sand shoes for my walker on my 3D printer.

    A cane sinks right into soft sand.

    Walker legs do too.

    So I designed pieces that fit over the existing walker legs and give them a much larger footprint.

    They actually work pretty well.

    They don’t magically turn walking through beach sand into something easy, but they definitely help.

    The photo above is my walker sitting on the beach with the sand shoes attached.

    Three Stops, But I Made It

    Getting back to the car still took some effort.

    I had to stop about three times along the way.

    I was sweating pretty heavily by the time I got there.

    But there was one very important difference compared with the last trip.

    I never felt like I was going to pass out.

    No tunnel vision.

    No feeling like I was about to collapse.

    Just tired.

    And hot.

    I’ll take that.

    It probably sounds like a very small accomplishment to somebody else.

    We went to the beach for two hours and I walked back to the car.

    Big deal.

    But when your world gets smaller because of chronic illness, sometimes those small things become pretty damn important.

    Today we went to the beach.

    My wife got to do some shelling.

    I got through the walk back to the car.

    And we had something that felt a little closer to a normal day.

    That counts as a win.

    Medical Disclaimer

    This journal reflects my personal experience living with chronic health conditions and following the treatment plan developed specifically for me by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation to change medications, fluid intake, sodium intake, activity levels, or treatment. Symptoms such as dizziness, near-fainting, excessive sweating, rapid weight changes, swelling, or exercise intolerance can have many causes and may require medical evaluation. Heat can also place additional stress on people with certain medical conditions. Always discuss symptoms, activity limits, hydration, and exercise with your own qualified healthcare professionals.

  • Daily Journal #22 — Good Numbers, an Encouraging Kidney Appointment, and MRI Monday

    Daily Journal #22 — Good Numbers, an Encouraging Kidney Appointment, and MRI Monday

    This morning’s health numbers were good.

    Actually, they were all pretty much spot on.

    My blood pressure looked good.

    My heart rate looked good.

    My glucose looked good.

    And I even dropped a little more weight.

    After all of the ups and downs lately, I’ll take a morning like that without complaint.

    Nephrologist Appointment Today

    I had my nephrology appointment today, and it was very encouraging.

    He examined me and didn’t see any signs of fluid retention.

    That is definitely a plus.

    After the recent weight fluctuations, swelling, and concern about whether I was holding onto fluid again, hearing that was reassuring.

    We also talked about the MRI I have scheduled for Monday.

    I’ve obviously been anxious about it.

    He reviewed my kidney ultrasound again and told me not to sweat it.

    His explanation actually helped.

    He compared the ultrasound to looking at something from a distance.

    You can see the general picture, but you can’t necessarily see all of the fine details.

    The MRI is more like getting up close.

    It will allow them to look at everything in much greater detail and hopefully answer the remaining questions.

    That made the whole thing feel a little less ominous.

    It sounds like the MRI is really about making sure they have the clearest possible picture.

    Either way, I get it done Monday.

    Hopefully, after that, we can finally start putting this whole AKI episode behind me.

    I Want to Write More About the AKI

    Once I get through all of this, I’m planning to write a full article about my acute kidney injury.

    Not because I think everyone’s experience will be the same as mine.

    It won’t.

    But I think there is value in explaining what happened to me, how quickly my kidney numbers changed, what contributed to it, what my doctors looked for, and what I learned from the experience.

    Before this happened, I knew what an AKI was in general terms.

    I didn’t really understand how quickly it could happen or how something being used to help one medical condition could potentially create a problem somewhere else.

    That balancing act has probably been one of the biggest lessons of this entire experience.

    The Radiology Instructions

    The radiology department also called with instructions for Monday.

    One of the instructions is that I need to drink 32 ounces of water about 30 minutes before the MRI.

    That kind of sucks.

    With the fluid limit I normally follow, 32 ounces is a huge chunk of my daily allowance.

    It’s a little over 60 percent of what I normally drink in an entire day.

    So I’m going to have to plan around that.

    This isn’t me deciding to suddenly increase my fluid intake. These are the instructions I was given for the test, and I’ll follow the instructions from the people taking care of me.

    At this point, I just want to get the MRI done and get some answers.

    Anxious and Optimistic

    Even with a very reassuring appointment today, I’m still anxious.

    I think that is probably going to be there until the MRI is finished and someone tells me exactly what they see.

    But I’m also optimistic.

    My health numbers were good this morning.

    My weight is still moving in the right direction.

    My nephrologist didn’t see any signs of fluid retention.

    And he didn’t seem overly concerned about what he saw on the ultrasound.

    Those are all positives.

    So Monday is the next hurdle.

    Get the MRI.

    Get the results.

    And hopefully put one more medical scare in the rearview mirror.

    Medical Disclaimer

    This journal reflects my personal health experience and the treatment and testing plan developed specifically for me by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation to change your medications, fluid intake, sodium intake, testing, or treatment. Instructions for imaging studies, including how much fluid to drink before an MRI or other procedure, may vary depending on the test and the individual patient. Always follow the instructions provided by your own healthcare team and radiology department. Acute kidney injury, fluid retention, changes in kidney function, and related symptoms can have many different causes and should be evaluated by qualified healthcare professionals.

  • Daily Journal #21 — 250 Pounds, Better Numbers, and a New Way to Track What I Eat

    Daily Journal #21 — 250 Pounds, Better Numbers, and a New Way to Track What I Eat

    This morning’s health checks were great.

    I’m down to 250 pounds.

    That puts me just 25 pounds away from my goal of 225 by April.

    After the fluid issues I was watching over the last few days, it was also reassuring to see my body-water measurement back in its normal range.

    My blood pressure was good.

    My heart rate was good.

    My glucose was good.

    For once, everything seemed to be cooperating.

    I’ll take that kind of morning anytime.

    I’m Going to Start Tracking My Food Here

    I think I’m going to make a small change to the Daily Journal going forward.

    I want to start adding a section where I record what I ate during the previous day.

    I’m not trying to calculate every calorie or milligram of sodium with laboratory precision. What I really want is a simple record I can go back and look at.

    If I suddenly gain two or three pounds, my feet swell, or my body-water reading jumps, I want to be able to look back and say:

    What did I eat yesterday?

    Was there something unusually high in sodium?

    Did I eat something different?

    Was there a restaurant meal, sauce, dressing, packaged food, or something else I didn’t think about at the time?

    That’s really all I need.

    Something close enough to help me identify patterns.

    I’ve Tried the Food Tracking Apps

    I’ve tried quite a few food-tracking apps over the years.

    Some are pretty good.

    Some are not.

    And some, in my experience, have been a complete waste of money.

    My worst experience was with CAL AI.

    When I first started using it, I actually liked it.

    It worked well.

    I could enter what I was eating, and it gave me the kind of quick estimate I was looking for.

    Then, about 30 days into using it, the app suddenly stopped working properly.

    It would no longer record the food I entered.

    I contacted the company for support.

    That didn’t get me very far.

    My experience was basically an AI support bot giving me the same response over and over again without actually fixing the problem.

    I eventually asked for a refund.

    That didn’t happen either.

    So I disputed the charge with my credit card company.

    The company challenged the dispute, and in the end I was left without a refund and without a working application.

    So that was fun.

    The really funny part is that I wouldn’t be shocked if I somehow get charged again when the membership renews.

    At this point, I think keeping my own simple food record right here might actually work better for what I need.

    Yesterday’s Food

    Going forward, I think I’ll keep this part intentionally simple.

    Breakfast:
    Strawberries & Blueberries

    Lunch:
    Peach & pineapple

    Dinner:
    Salad, pork tenderloin & sweet potato

    Snacks:
    Peach & Plum

    I’m not trying to turn this into a calorie-counting diary.

    I just want another piece of information I can compare with my weight, swelling, blood pressure, body-water readings, and how I’m feeling.

    Over time, maybe I’ll start seeing patterns that aren’t obvious in the moment.

    Still Staying Out of the Heat

    It’s still hot here.

    Another heat advisory today.

    So I’m continuing to stay inside and out of the heat as much as possible.

    With the lightheadedness and near-passing-out episodes I’ve had, I don’t see any reason to tempt fate by spending time outside when the temperature and humidity are brutal.

    There will be plenty of time to go outside when Florida decides to stop trying to cook us.

    Kidney Appointment Tomorrow

    Tomorrow is my nephrology appointment.

    Since the renal blood work somehow wasn’t done with the rest of my labs, I’m expecting there’s a pretty good chance I’ll need another blood draw.

    That may be especially important because my MRI on Monday is scheduled with contrast, and they may want updated kidney-function numbers before giving it to me.

    So I’m guessing there are probably a few more needles in my immediate future.

    At this point, I should probably start earning frequent-flyer miles for blood draws.

    Still, today started on a good note.

    250 pounds.

    Body water back to normal.

    Good blood pressure.

    Good heart rate.

    Good glucose.

    Tomorrow we deal with the kidneys.

    Today, I’m enjoying the good numbers.

    Medical Disclaimer

    This journal reflects my personal experiences managing multiple chronic health conditions and the treatment plan developed specifically for me by my healthcare providers. Nothing in this article should be considered medical advice, diagnosis, or a recommendation to change your diet, medications, fluid intake, testing, or treatment plan. Weight changes, swelling, abnormal heart rate or blood pressure, changes in kidney function, and other symptoms can have many different causes. Dietary sodium and fluid recommendations can also vary significantly from person to person depending on their medical conditions and medications. Always discuss symptoms, medication changes, dietary restrictions, imaging with contrast, and other medical decisions with your own qualified healthcare professionals.