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Lady Morella Takes Her Medicine(PT)


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Diet: I am going to cancel this goal. I have too much going on to try to work on this right now. 

 

PT: I have been doing well on this. I was pretty frustrated with the PT when I realized I only had two appointments left and hadn't noticed a difference at all. PT in general is very frustrating to me. They give exercises then walk off and there is very limited time to ask any questions to make sure I am doing it right or ask questions. I know PT is slow work, I don't have a problem with that. I do have a problem paying 80 a session to be generically told to stretch (no specifics) and them acting like I am being impatient, but I have been mobilizing for quite a while trying to fix this. It immediately tightens up within 24 hours. I have been doing many of these exercises on my own before I started PT. When I try to explain that they brush it off. I really hate PT. I feel like it is a rip off. It doesn't have to be, but I don't know how to make this work. 

 

"Run": This is gonna have to be put on hold. I have way too much to do and the PT is taking up my time. 

 

To-Do List: 39/100 - I have a bunch of things to add to my list. I have so little time and I am too stressed to focus well. 

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I suspect there is a huge range in the quality of physical therapists. I'm 100% sure there is one out there who could help you, but I have no idea how rare that person might be. It reminds me of stuff @jstanlick was talking about on his thread. It's not exactly the same...he's been talking with dieticians etc, and the people have been pretty helpful overall. The similarity is that the other people in his classes and the other patients with similar symptoms don't have anything in the ballpark of the exercise routine, clean diet and overall discipline that he has. I think a similar thing likely is happening with the PT. The average patient is probably pretty sedentary and doesn't do much mobility work. A really good PT would listen to you and adjust the program accordingly (from what you say, more emphasis on the first thing is really what's needed). Anyway, I understand your frustrations and am sorry it wasn't more helpful.

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Xena, Level 14+ Valkyrie Ranger

January 2017  December 2016

Oct/Nov 2016

 

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3 hours ago, Xena said:

I suspect there is a huge range in the quality of physical therapists. I'm 100% sure there is one out there who could help you, but I have no idea how rare that person might be. It reminds me of stuff @jstanlick was talking about on his thread. It's not exactly the same...he's been talking with dieticians etc, and the people have been pretty helpful overall. The similarity is that the other people in his classes and the other patients with similar symptoms don't have anything in the ballpark of the exercise routine, clean diet and overall discipline that he has. I think a similar thing likely is happening with the PT. The average patient is probably pretty sedentary and doesn't do much mobility work. A really good PT would listen to you and adjust the program accordingly (from what you say, more emphasis on the first thing is really what's needed). Anyway, I understand your frustrations and am sorry it wasn't more helpful.

Yeah, I do think there are great PTs out there. I am actually a pretty big fan of Kelly Starrett, I have been helped greatly by his books and some of the free videos. He is a PT. I think the problem is exactly what you said the average patient lies about doing the work, is sedentary, doesn't do mobility work, and if they are working out, probably have terrible form. Sitting is the new smoking and so they now ask if you have a desk job and if you say yes they get on a soap box. Last Tuesday I told the guy that I was mobilizing 30 minutes a day for over 3 months and not seeing results. 

I will have to take a look at @jstanlick thread. I have had issues in that arena too. I think that is part of why I am so frustrated. I see the same thing happening and I don't know how to find the right people without spending a fortune (or maybe that is too late, another fortune?)

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Diet: I am going to cancel this goal. I have too much going on to try to work on this right now. 

 

PT: Been faithful on my PT. My muscles are tight. I need to mobilize more. 

 

"Run": So we had this strange storm come through and it actually rained quite a bit. Friday afternoon through this morning was really nice. So I did a Run interval last night. 7 min easy run and 3 minute walk x4. It went pretty good. It was nice just to be out in the cool air. 

 

To-Do List: 66/100 - Got some progress on my list. I took advantage of the soaked ground and pulled as much of the tumbleweeds in the alley as I could. I hoed the rest of them on one half of the yard. I ran out of daylight. I really need to work on some of the higher priority stuff, but most of it is stuff I need to do on the computer and I didn't want to waste the good weather. 

 

==

The pull up bar is working out pretty good. I just try to do a pull up strict from my toes (which means I am not starting from a hang maybe 150°?) every once and a while. So far it is getting easier. 

 

The rings are still on my back porch. Not really sure whether it is ok to use there or not. I want to go to the hardware store to try to see what the porch is made out of so I can look up loading specs. I will probably move them in the meantime. If you structural knowledge my set up is here: 

 

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I don't have any real advice about your PT situation. Since you aren't totally happy with the way things are progressing, I would say try to gather information from multiple sources and continue to be your own advocate. Since you are pretty knowledgeable about (1) your own body and (2) mobilization techniques, are there other ideas you've seen (e.g., on the internet) that might be helpful? I would definitely feel free to go to the PT with additional questions or suggestions. I don't remember what the original problem was (knee??). Do you think it might just need more time to heal? On the grand scheme of things, you haven't been seeing the PT for too long...but maybe the problem was going on for a long time before that.

 

Great job on the run intervals.

Xena, Level 14+ Valkyrie Ranger

January 2017  December 2016

Oct/Nov 2016

 

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2 hours ago, Xena said:

I don't have any real advice about your PT situation. Since you aren't totally happy with the way things are progressing, I would say try to gather information from multiple sources and continue to be your own advocate. Since you are pretty knowledgeable about (1) your own body and (2) mobilization techniques, are there other ideas you've seen (e.g., on the internet) that might be helpful? I would definitely feel free to go to the PT with additional questions or suggestions. I don't remember what the original problem was (knee??). Do you think it might just need more time to heal? On the grand scheme of things, you haven't been seeing the PT for too long...but maybe the problem was going on for a long time before that.

 

Great job on the run intervals.

Yes, it is my knee that has been bothering me. It hurts anytime I try to do most things athletically. Squats and cycling for sure, but lots of other things it comes and goes. It bothers me sometimes on Deadlifts, Kettle bell swings, rowing, planks(!?!) and even pull ups(!?!). I have been trying to do it myself and with the help of my coach at the gym, but what it hurts on doesn't really make sense. It has been an issue off and on since 2015. As such I really haven't been going to PT all that long in comparison. Sometimes I think it is helping. Other times I think the muscle tension is worse. Really I think it is some sort of muscle imbalance. I had it in the past with my traps/pecks which gave me issues for quite a while. 

 

I feel completely unable to express myself about the whole thing. I try to explain and they talk to me like I have never heard of the principles before or act like I am exaggerating about my adherence in the past . Having the appointments in the morning doesn't help as I'm not much of a morning person. The ability to communicate is the first thing to go when I am frustrated too. I will keep at it. I have two more appointments (I misread before) so I will see what happens. I had a tech/assistant the last three weeks so I see the PT again tomorrow for the first time in 3 weeks. 

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Does the PT have a sense as to what might be causing your pain? Cartilage, tendons etc?

Is the thought just to try to increase strength in stabilizer muscles? Or are they working to correct some kind of imbalance?

 

The main thing I could think with planks would be maybe locking the knee? Is it some kind of overextension problem?

 

...not trying to grill you with questions. Just wonder if your PT is on the right track etc.

Xena, Level 14+ Valkyrie Ranger

January 2017  December 2016

Oct/Nov 2016

 

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On 6/15/2018 at 10:11 PM, ladymorella said:

I think the problem is exactly what you said the average patient lies about doing the work, is sedentary, doesn't do mobility work, and if they are working out, probably have terrible form.

I'm thinking this is a big part of the issue. Doctors and other health professionals get used to how the average person responds and they get stuck assuming that's how everyone will respond. Well, that's not fair is it? It's not just health professionals. That kind of stuff happens in all walks of life. But, I find it most frustrating in the healthcare world. I got different responses from the doctors, the nurses, the dietitians, trainers, etc. and it was all based on their previous experiences with patients. Or at least that's my belief. The first doctor wanted to write me prescriptions right away because "people just don't change their numbers that much on their own". So, you get lumped in with how the stereotypical person behaves until you either find a better professional or make them listen to you. The latter can feel a lot like banging your head against the wall and the former is not as easy as it sounds.

 

Hopefully the PT has some new ideas for you today and can get things on the right track!

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"You can't climb the ladder of success with your hands in your pockets." - Arnold Schwarzenegger

"The important thing is not to think much but to love much; and so do that which best stirs you to love." - St. Teresa of Avila

Current Challenge: Seeks Balance | Battle Log: Ye Olde Battle Logge | NF Character: Public Profile | Strava 

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On 6/19/2018 at 10:14 AM, Xena said:

Does the PT have a sense as to what might be causing your pain? Cartilage, tendons etc?

Is the thought just to try to increase strength in stabilizer muscles? Or are they working to correct some kind of imbalance?

 

The main thing I could think with planks would be maybe locking the knee? Is it some kind of overextension problem?

 

...not trying to grill you with questions. Just wonder if your PT is on the right track etc.

No, I have only had x-rays and so right now the idea is to help strengthen the hip and glutes and maybe to alleviate tightness? Which needs to be done anyway as I am certainly weak at all the exercises. 

I am extra mobile in my joints, so with mobility stuff I pretty much don't do anything with joints other than the hip and ankles which have poor mobility. I think something is going on and I am locking my knees more than usual. I learned a while back to never lock my elbows or knees on exercises, but I seem to be doing it more lately. I also have this weird unstable feeling in my knee. I told my PT about it and he physically tested to see if there was ligament issues. Which I don't think it is ligament as it feels like my inner leg muscles and my glute aren't activating right. To be honest I am a tad worried that it is a neurological issue, but that is a bit of a jump right now. 

 

It's hard to say. I don't think the PT is wrong which is why I keep going, but I think there is some aspect missing. I definitely noticed this week my knee is not hyperextending anymore when I lay in bed which is good. But overall I feel my glute exercises are going worse. I think though I might have got a puzzle piece that maybe will help the PT. Right now I feel like we are dealing with problems I am having, but I'm just not sure if it is the cause or just side effect symptoms of the main problem.

 

On 6/19/2018 at 10:39 AM, jstanlick said:

I'm thinking this is a big part of the issue. Doctors and other health professionals get used to how the average person responds and they get stuck assuming that's how everyone will respond. Well, that's not fair is it? It's not just health professionals. That kind of stuff happens in all walks of life. But, I find it most frustrating in the healthcare world. I got different responses from the doctors, the nurses, the dietitians, trainers, etc. and it was all based on their previous experiences with patients. Or at least that's my belief. The first doctor wanted to write me prescriptions right away because "people just don't change their numbers that much on their own". So, you get lumped in with how the stereotypical person behaves until you either find a better professional or make them listen to you. The latter can feel a lot like banging your head against the wall and the former is not as easy as it sounds.

 

Hopefully the PT has some new ideas for you today and can get things on the right track!

I wholeheartedly agree. It does feel like banging your head against the wall. It sometimes feels like:

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Sometimes I think how could this ever work? How can PT ever work for someone that didn't have a traumatic injury like a tear, sprain, or surgery? How can you ever prove to your dietitian that you are only eating the food on your food logs and you indeed are faithfully measuring every piece of it?

 

Snap judgments do happen in all walks of life, but I feel in health related fields it is a whole different level. I do a lot of IT work in my job. I know that the average user's report is partly wrong or missing information, but I know I have to ask the right questions to try to get the info I need to fix the problem.

 

I also know that if I have to call tech support that they might assume I am an average user and they have to test certain things first, but I can talk them through what I have done to demonstrate my knowledge on the subject so they can figure out where I am at. I have found the same to be true with cars problems, electrical issues, and other things. I have never found the ability to do that with health stuff, doctors, dietitians, or PTs. They seem to have an undying belief that you are the average idiot and incapable of change and then will adamantly lie about it. It is very frustrating. I use to think that maybe I have a bad doctor who refers me to all these bad doctors, but after moving around I think it is just the norm. 

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Sorry really long again. So much going on this is actually short.

 

I take spoilers seriously, even if years old

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Again Doctor Who 10th Doctor spoiler(ish)

Spoiler

All week when I get to thinking it is all ok when suddenly I hear:

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seriously every day Vale Dacem goes through my head. 

Over the past month or so I have learned I would be a terrible time traveler going into a place right before tragedy. Yet somehow I would fair better than many. Which makes me think what is wrong with me? What is wrong with me that I am ok knowing terrible things are going to happen, yet feel no compelling need to tell the people it will happen to? I have no problem sacrificing myself to try to alleviate pain for others, but rules are rules. Whether a temporal time directive or policies. There are methods to the madness. I guess deep down I think keeping the "rules" will cause less issues in the end and I can try to subtly tip the scales. 

 

This week have been a lot of 

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This week a few more people have the burden of knowledge and I guess it is true that misery loves company. I feel a lot better now. Mostly cause now most of the people affected know the things that are to come. 

 

This whole ordeal has turned everything upside down. I have so much to do, and yet no idea where to start or what my timelines are on anything. 

 

In other news I seemed to have hurt my elbow a little. It sort of feels to me like when I overextend it. which makes me think the rings or handstands I have been working on might be the issue. However it started on Sunday so I think a pull up did it. I tried to give it some rest this week. No pull ups on my home pull up bar. Negatives seemed ok, and pushups seem ok. I stayed off the rings and no handstands. 

 

Diet: I am going to cancel this goal. I have too much going on to try to work on this right now. 

 

PT: This week has been a bit of an issue. Started off great on Monday. Went to PT on Tuesday and all the exercises were amped up a bit. Everything was pretty hard (my exercises where already hard.) As usual they give me an exercise then take off so you can't ask questions about what muscles should be working or such. Then they wanted be to do a (basically) ring assisted single leg squat to a chair. I was really skeptical that I should be doing it, but I tried it. It didn't feel right. I tried to explain and they still wanted me to do it. I didn't for sure know it was a bad idea so I did it anyway and tried to note what was going on that didn't seem right. I couldn't explain it. I got a long lecture about having to start working up from somewhere, but it doesn't feel right. It's hard on my right leg, but it will get stronger. It doesn't feel right on the left leg.

 

Wednesday my leg was having issues again, like last week. Left glute feels like it isn't activating right and my calf is super tight etc. So I skipped PT thinking maybe the previous day was too much. Thursday was more of the same. My PT told me he wanted me to start returning to normal exercises so I did the crossfit class skipping out of any fast work that I have been struggling with and slowing down anything that is iffy, and modifying the wall balls to arms only (which is really hard to not use your legs a little.) I think there is no change in my problems with Kettle Bell Swings, Rowing, Deadlifts, Bent over Rowing, cleaning, and the position for sled pulls. My leg didn't feel good when I tried to do the remaining stuff on my PT so I skipped most of it. My knee today is bothering me a lot. I am going to skip the exercises again most likely. I will give it a shot, but I think I will end up doing mobility only.

 

"Run": Run would be on the weekend if at all. I likely won't get another one in. 

 

To-Do List: 79/100 - Got some progress on my list. Probably I should be done with it. It hard to assign points on some things. I have one section of going through paperwork, but have the same points for all folders even though some folders take 4x as long to go through. I feel like I am making no progress. I had a huge load of stuff dropped in my lap with no idea of timeline. So I feel the need to do all these new things immediately, but there is too much and I do have prior things that need to be done soon. Life it too much right now, yet strangely it is less stressful now than 2 weeks ago. 

 

Feel free to skip this part. It is in no way necessary to the storyline, just feeling really reflective lately:

I think it is a little like the time 2 years ago. I was stressed from work and went on vacation and have a first time ever overnight backpacking trip planned. I thought there was cell coverage in the area and it turned out there wasn't. Once I got my 3 miles that I had planned to do I was at a windy peak, so I went further down the trail. Then looking at the terrain I was sure that close to being in cell range. There still wasn't a great spot to settle into and I still felt great so I went to the next bend. Then the next. Then the next. Then the area wasn't good to settle down in. Then the next bend. Ok one more bend to see if I have cell coverage. I don't care, mind you, but I hadn't planned properly for work to not be on call (I am always on call.) At 5 miles I decided ok, the sun is almost down I have got to settle soon. Two more bends to try to get cell coverage as I knew that I was close to coverage. I walked a little scanning the area knowing I might need to turn around to find a camp spot. Well this might be a good place to camp I will keep it in mind. Ouch! Bam! On the ground. I stepped off a 4 inch log and it hurt, then I lost my balance in the recoil and rolled my ankle and fell to the ground.

 

There I was in bear country with a sprain in two places on my ankle that went numb immediately. At the moment I didn't know if I just broke it. There I was 5 1/2 miles from my car with an ankle I couldn't feel nor put weight on. I couldn't get my food high enough in the trees, had no cell coverage to call for help if needed, and was violating my on call duty. Somehow in all that stress and problems it was the most relaxed and peaceful I had felt in a year. I was almost relieved/happy I had sprained my ankle so bad and couldn't go any further to try to find cell coverage.

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Lean out: 4lbs / 70lbs

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11 hours ago, ladymorella said:

 They seem to have an undying belief that you are the average idiot and incapable of change and then will adamantly lie about it. It is very frustrating. I use to think that maybe I have a bad doctor who refers me to all these bad doctors, but after moving around I think it is just the norm. 

This I find so frustrating! I had boderline hypertension and the doctors all said to  cut down on my salt, and every time when I said I hardly ate salt they treated me like I was eating at McDonalds 5 days a week! How do you ever hope to find a solution if they never believe you. Like you said I know when I ask IT for help, they always suggest the basics like restarting a computer. But what if they just got stuck at that and never believed you when you said you had done that? That's my experience with doctors.

 

I do hope your PT helps though.

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Wisdom 22.5   Dexterity 13   Charisma 15   Strength 21  Constitution-13

Elastigirl:Luck Favors The Prepared - Current Challenge: August 1 to September 4 - Nerd Fitness Rebellion

"If more of us valued food and cheer and song, above hoarded gold, it would be a merrier world" J.R.R.Tolkien

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1 hour ago, Elastigirl said:

This I find so frustrating! I had boderline hypertension and the doctors all said to  cut down on my salt, and every time when I said I hardly ate salt they treated me like I was eating at McDonalds 5 days a week! How do you ever hope to find a solution if they never believe you. Like you said I know when I ask IT for help, they always suggest the basics like restarting a computer. But what if they just got stuck at that and never believed you when you said you had done that? That's my experience with doctors.

 

I do hope your PT helps though.

Yes, exactly. I think I have told you about trying to lose weight and people kept telling me to eat less food. I told them I was eating 1000-1400 calories and no one believed me. It was terrible. 

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2 minutes ago, ladymorella said:

Yes, exactly. I think I have told you about trying to lose weight and people kept telling me to eat less food. I told them I was eating 1000-1400 calories and no one believed me. It was terrible. 

Yikes, so annoying and very non helpful. I used to sort of make me feel shamed, as if I was doing something wrong. But I am over that now;)

Wisdom 22.5   Dexterity 13   Charisma 15   Strength 21  Constitution-13

Elastigirl:Luck Favors The Prepared - Current Challenge: August 1 to September 4 - Nerd Fitness Rebellion

"If more of us valued food and cheer and song, above hoarded gold, it would be a merrier world" J.R.R.Tolkien

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10 hours ago, Elastigirl said:

Yikes, so annoying and very non helpful. I used to sort of make me feel shamed, as if I was doing something wrong. But I am over that now;)

Yeah, same here I went so far as to look up various articles on how to weigh your food if you could believe that. Like I was missing some big think beyond the cooked vs. uncooked weight. They can make you feel like an idiot. 

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Well I guess this challenge is over. These past couple weeks have been crazy. I got thrown a curve-ball a couple weeks ago and the effects are still being felt. I was expecting it, but the timeline moved way up. There are new twists every day. Today had 3!! I have so many decisions to make and no information on which to make it. In the end I don't even know what I want. I mean I think I know what I want, but it certainly isn't a sure thing and then this morning my first waking thought was the realization that what I wanted is almost impossible. It is a roller coaster of a day. 

 

Diet: This didn't go well. I'm being very indecisive about what to do. Then with the curve-ball I have been emotional eating. I think part of the problem is I need to up my protein. It think a low protein diet is really unsatisfying and end up with me looking for more food no mater how much I have already eaten. 

 

PT: I wasn't given specific instructions for my PT homework. It was told to do it as needed, but the paperwork said to do it twice a day. I did it once a day until I started having issues 2 weeks ago. I tried to give occasional rest thinking I was over doing it. I think I did well on this, but since I'm not really sure what I was suppose to be doing who knows. I feel like an idiot PT makes sense on paper, but I can't ever seem to get it to add up. I sort of feel like I am spending $80 a week to be on my own and constantly saying "maybe on my next appointment we will figure something out." Turns out PT during the other stuff was really bad timing, but there was no way to foresee it. 

 

"Run": This ended up not working out. I got one run in which was good. It has been hot out. I was hoping to sub an elliptical workout, but that didn't happen. 

 

To-Do List: 103/100. I barely squeaked this by. On the one hand I feel like my points on some of the things weren't very proportionate to their necessity and timeline and thus the 103 should actually be more than that. On the other hand I feel like I have not done near the amount of things that I should have. 

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Lean out: 4lbs / 70lbs

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On 6/26/2018 at 12:05 AM, ladymorella said:

On the other hand I feel like I have not done near the amount of things that I should have.

I don't know if its human nature or what, but it does seem no matter how many things I get done in a day I'm not usually satisfied. Rather than focusing on all the great stuff and accomplishments made, I look at the stuff that isn't done yet. I will tell you what I tell myself but have difficulty hearing or doing: Focus more on the good stuff. As motivating as focusing on the undone stuff and getting it done can be, its not as joyful as the far too few times that I have stopped and given myself a pat on the back.

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"You can't climb the ladder of success with your hands in your pockets." - Arnold Schwarzenegger

"The important thing is not to think much but to love much; and so do that which best stirs you to love." - St. Teresa of Avila

Current Challenge: Seeks Balance | Battle Log: Ye Olde Battle Logge | NF Character: Public Profile | Strava 

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Sorry about the PT, that sounds super frustrating. I put the blame on the therapists, it is their job to communicate with you and help you.

I find that getting more protein really helps keep me satiated .And bonus- it builds muscle.

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Wisdom 22.5   Dexterity 13   Charisma 15   Strength 21  Constitution-13

Elastigirl:Luck Favors The Prepared - Current Challenge: August 1 to September 4 - Nerd Fitness Rebellion

"If more of us valued food and cheer and song, above hoarded gold, it would be a merrier world" J.R.R.Tolkien

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On 6/26/2018 at 1:05 AM, ladymorella said:

To-Do List: 103/100. I barely squeaked this by.

In other words. Success!

 

On 6/26/2018 at 1:05 AM, ladymorella said:

Diet: This didn't go well. I'm being very indecisive about what to do. Then with the curve-ball I have been emotional eating. I think part of the problem is I need to up my protein. It think a low protein diet is really unsatisfying and end up with me looking for more food no mater how much I have already eaten. 

It sounds like you are dealing with a ton of stress right now. I'm not surprised the diet is suffering.

If you want to work on it, my suggestion would be to take the weekend to spend some time preparing good food for yourself and planning out the week. Think about healthy food that would also feel special and comforting. And/or non-food ways that you can take care of yourself.

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Xena, Level 14+ Valkyrie Ranger

January 2017  December 2016

Oct/Nov 2016

 

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On 6/27/2018 at 7:53 PM, Xena said:

In other words. Success!

Yes, it is hard to keep perspective right now. 

On 6/27/2018 at 7:53 PM, Xena said:

It sounds like you are dealing with a ton of stress right now. I'm not surprised the diet is suffering.

If you want to work on it, my suggestion would be to take the weekend to spend some time preparing good food for yourself and planning out the week. Think about healthy food that would also feel special and comforting. And/or non-food ways that you can take care of yourself.

Yeah, apparently there is a numbness that comes with too much stress too, just like too much grief. Who knew? It pops in from overwhelming to numbness occasionally. Ahhh!!! Haha. It'll pass, just have to gut it out for a couple months or so. Oh how I wish I could run, hike, or ride my bike right now for relief.

I did do better today. A grocery store is closing near my house for some dumb reason I bought a bunch of junk food with their 25% off sale. So good news I have food so I can be prepared. That bad news is it's not great food. But planning is better than not planning. I planned out 2/3 of the day today and it help out a ton. Also I bought celery yesterday. I figure I need to recognize the reality right now and munching is likely gonna happen so better to be celery, turkey, or peaches rather than ice cream, Twinkies, french fries and such. 

 

I like the idea of special health food. Just not sure what to use as right now a I really need to save money as a few things have happened that make things kinda of tight right now. Normally it'd be like sushi or something like that. 

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18.10 |18.6 | 18.518.418.318.218.116.2 | 16.1 | My Character

Lean out: 4lbs / 70lbs

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