Back in the room...again!

That article is really interesting, but 119g of protein per day - as advised for weight loss seems a bit crazy o_O But it's definitely something I need to think about, having my calories come more from protein rather than anything else. It does make sense in a way in the digestion and energy use kind of way...

I hope you are doing well Ticketty - and that you'll have a lovely weekend :)
 
That article is really interesting, but 119g of protein per day - as advised for weight loss seems a bit crazy o_O But it's definitely something I need to think about, having my calories come more from protein rather than anything else. It does make sense in a way in the digestion and energy use kind of way...

I hope you are doing well Ticketty - and that you'll have a lovely weekend :)

Hi Min, how are you? How's your week been? Good I hope. Yes, it makes total sense to have higher levels of protein to protect muscle mass, especially as you get older and lose muscle mass anyway.

Another lb down this morning, it's going really slowly at the moment. I'm still carrying a lot of fluid around my knee and calf since the ruptured membrane thing so I think my body water weight is an issue. Also all the opiate painkillers I'm on have what can only be described as a slowing of digestive transit. As Peter Kay once said during his joke about slimming world "I could sh*t a lb" :rolleyes: It's so demotivating. I wish I'd taken some measurements before I started. My trousers have become really baggy so it's definitely coming off! It's hard not to get hung up on numbers on the scales, especially if I don't know how pedantic they're going to be about enforcing the maximum BMI allowed for the op on Wednesday.

There was a report by the Royal College of Surgeons yesterday http://www.bbc.co.uk/news/health-36101302 which made me glad I don't live in some parts of England where health authorities won't do hip and knee replacements if the patient's BMI is more than 30. At least here in Wales it's 35, I couldn't imagine being in this amount of pain for the additional time it's going to take me to get down to that. Having said that I do get why they do this, it's not just about cost but the outcomes are better, the joints last longer and there are less risks if your weight is lower. I'm definitely going to be motivated to carry on losing weight after I've had the op to maximise my recovery and improve my quality of life.

One week till we go to Prague, I'm so excited. Everything's organised, including booking the mobility scooter. The company I've dealt with is called Accessible Prague and they have been brilliant. It's going to enable me to get around the city, hopefully if the weather's nice we can go for long walks around the beautiful parks with the pram. Letna Park has a great restaurant and beer garden where I'm looking forward to a few naughty holiday treats :)
 
Well done on another lb loss, it's all going in the right direction! :) Is there any kind of diuretic option you could have to try to get rid of the water retention? It must be so uncomfortable with your knee and calf :( Good luck for the appointment on Wednesday, I really hope they see things are improving and hopefully they'll give you the green light.

I really hope you'll enjoy Prague and have a wonderful time. You're brave with the mobility scooter, knowing my coordination skills, I'd drive it straight into a canal! :p
 
Thanks Minerva for your reply. Well, yet another lb off this morning, after a few days with no movement on the scales it's good to finally see all this deprivation paying off! I think I'll ask the consultant on Wednesday about a diuretic, the swelling is a lot better than it was but the left leg is still noticeably different to the right. I do worry whether it might delay the surgery as the op carries quite a high risk of DVT, whether more fluid in the tissues would make blood clots more likely I don't know. Another question for Wednesday!

I am expecting a few funny moments with the mobility scooter, I've never had a go on one before and also have no co-ordination so it should be interesting. OH thinks we should pimp it up with a sound system :). I remember about 10 years ago when I was on crutches with a torn ligament, my daughter's then boyfriend (now husband) who was a bit of a boy racer decorated them with go faster stripes, which didn't go down too well with the physio's :rolleyes:. This time next week we'll be on our way to the airport, I'm so excited. I've bought lots of cute stuff for Ruby online, I wrapped it all yesterday. I'm looking forward to a break from the diet, starting with a cooked brekky next Sunday morning. We've always had one, which OH cooks, and the smell of him cooking bacon the last few weeks has been unbearable! Not long to go till Wednesday, when hopefully I'll be clearer on the way forward and timescale for the op.
 
A good diuretic should help, my grandmother had severe heart problems and when she went into care, they gave her some powerful stuff and it turned out she was carrying around quite a few kilo's just in water around her legs and body. While your condition isn't as severe, I really hope they can help with it on Wednesday as it really doesn't sound pleasant.

And you'll be fine on the scooter! Just don't drink and drive ;) Ha. A sound system sounds awesome, to be honest, get a nice Darth Vader theme going and no one will mess with you! :D
 
I did laugh at the Darth Vadar theme....that would be cool.

Well yesterday was busy. OH kindly drove me to Chester to get my hair cut and highlights done, after which we went to my elder daughter's and stayed for tea. My younger daughter joined us after work, it was so nice to catch up with everyone. She'd cooked a spag bol which I enjoyed, only having a small amount of spaghetti and a very small glass of red wine. Weighed myself this morning and no damage done i.e. water weight gain. Tomorrow is the day of reckoning with my pre op, hopefully they'll be impressed with my weight loss in the 6 weeks since I saw the consultant ( nearly 8% of my bodyweight) and won't put the op back even if my BMI is hovering around 34-35. I'm bricking it about having it done, but at the same time just want it over now so I can hopefully get back to normal over the summer.

5 days till Prague. Everything's organised, can't wait now.
 
Moment of truth time. Had my pre op assessment for total knee replacement this morning. The maximum BMI here to have the surgery is 35. Having tried so hard to get it down over the last five weeks, by my reckoning it was now 34 something. I knew that was weighing myself naked but figured it would still be ok. So the first nurse weighed and measured me and wrote my BMI down as 36.5. What???? Apparently my height was now 5' 5.5"so I seem to be losing height as quickly as I'm losing weight! I protested that it couldn't be right but she took no notice. Next I get to see the nurse practitioner for blood tests, ECG etc. The first thing she said was "wow, well done on your weight loss". (on 17th March my BMI was 39.) Everything else is fine, blood pressure normal etc. She agreed that to be pedantic about a BMI score and put back the op taking everything else into consideration wasn't fair, as I'd done so much to get my weight down and am otherwise really healthy. So she measured my height again and somehow found another 4cm which now made my BMI 35. Yey!! So...if all the blood tests come back ok my op is now scheduled for Friday 13th May. Eek!!! I was expecting in about 4-6 weeks. She said I've not to put any weight on now before the op. So Prague is going to have to be a bit more restrained than I'd planned :rolleyes:. Hey ho. It'll all be worth it in the end. Just bricking it now though.
 
The hospital have just phoned. The op is definitely on for Friday 13th May. Good job I'm not superstitious!:). Officially bricking it now.

Was a bit naughty last night. OH is a butcher and had brought some nice fillet steak home which he cooked with onions, mushrooms and home made chips. I had a small portion and a glass of red wine and was absolutely stuffed. Didn't weigh myself today but it was worth it, the taste of proper food is amazing. Back on the diet now till Sunday, four days off in Prague, then back on it. I've been advised to come off the VLCD a few days before the op and up my protein intake to aid healing so will do a sort of slimming world thing for then.
 
I'm so happy to hear that the appointment went well! Your hard work really paid off. Enjoy Prague, but obviously - be mindful as the op is now only 2 weeks away! Don't be superstitious, my birthday is on the same day :p It'll be ok! You're in good hands.
VLCD isn't the best leading up to that point, so do stick to protein, but replace carbs with some vegetables :) So no potato, rice, pasta (and maybe no wine :p I do miss wine, but it's evil!) and you'll be absolutely fine!
 
Thanks Minerva. So when you're celebrating your birthday you can think of me recovering from the anaesthetic! :) I'm not superstitious at all, but my mum in law is - for some unknown reason I can mitigate it by taking a piece of coal in with me (wtf??) sure that would go down well with the hygiene protocol!. Yes, I'll do as you suggested and replace carbs with fruit and veg (I do miss fruit on this diet) as I find anyway that starchy foods really bloat me and I don't like the way I feel after eating them, though I love pasta especially. And I miss wine too. I don't drink nearly as much of it as I used to, I've become a bit of a lightweight (well in that respect anyway :rolleyes:) but do enjoy a glass especially with food.

How's your week going? How's the Java coursework?
 
Your posts make me laugh, you have a great (subtle) sense of humour and it comes across. I'm not sure how a piece of coal would help, but I guess you could pack one? Just in case? Because why not? o_Oo_Oo_O That will be an interesting one to explain to the doctors in any case! ....

I used to be pasta fiend! When I was little, pasta wasn't a staple in our household (Eastern Europeans have an obsession with potatoes... so I can't really eat them anymore), but that's the thing I always loved most. Now I've grown out of it and I only really have it when I'm ill - some plain pasta with a bit of butter is just heavenly. But having said that, I'm still obsessed with fresh white bread. In kindergarten, we took a trip to the local bakery, and they gave us a freshly baked white loaf... Just wow. It was amazing. My grandparents were always a bit mad when they'd bring some bread home only to find it hollow within half an hour! :rolleyes: I was a terror.

I do miss fruit as well, but, I do know it's all sugar. So I have an apple as a treat every now and then and maybe some blueberries, but, carefully. I remember when I came off VLCD and made a huge mistake by having grapes. I didn't realise they had such a high sugar content, it made me ravenous. So I've become a bit weary. But, in moderation, as a treat, I don't see why you couldn't have some. :D

My week is going alright, thank you! I'm starting the coursework over the weekend, hopefully, I'll get to the bottom of what the lecturer wants us to do and then get on with it. I'll submit *something* at the end, whether it's right, that's a separate question entirely... O_O

I hope your last few days in the UK are great and you will enjoy your time away! Don't think about the op too much, there's no reason to stress and worry x
 
Aww thanks! My sense of humour is sometimes a bit inappropriate and I find myself thinking "I can't believe I just said that" :oops: usually when I see Steve looking at me aghast. Sometimes I need to engage my brain first.

Oh I love fresh white bread too, even better with thickly spread butter on it. Dipped into soup or with some nice cheese....this is descending into food porn so I'd better stop. This is supposed to be a weight loss forum! I know fruit is high in sugar, but do enjoy it,just as you say, in moderation.

Good luck with completing the coursework, I'm sure you'll be fine.

Well I was doing fine on the diet yesterday but could not get warm all day, even in the evening with the central heating cranked up and under a throw in my pj's I was cold, miserable and fed up. OH went to the pub for an hour and ended up making toast when he came home so I had some too. I'm trying to hang on in there till Sunday but I'm winding down to my hols and it's so so hard. But will try to be good.:rolleyes:
 
I do like your sense of humour a lot, it makes me chuckle. I think we all have those moments when we think we shouldn't have said something, but, life wouldn't be much fun if we went analyzing everything!

You're nearly there, just one more day of being sensible and then you can let go for a bit :) It's definitely harder when you know you'll be 'off' the diet and maybe a little bit of "what's the point for just one day?" might creep in, but keep in mind the operation and the fact that it's not forever! You're doing really well and I know you'll be sensible. :) Don't sorry too much about everything, it will be ok.
<3
 
Hi Bee and thanks >3.
Better day yesterday, Exante maple pancakes for breakfast, choc chip cookie for lunch and a small salmon fillet with broccoli for tea. I know salmon's higher in calories but I need the omega 3's, and I do enjoy it, I try to eat it once a week. Just taking a break from cleaning the house and pottering about collecting stuff to pack. Tomorrow I get to meet my little granddaughter Ruby for the first time, my son sent me such a cute pic yesterday and said that we are just coming at the right time as she has really started smiling this week. I can't wait to have lots of cuddles. The only thing is I don't think I'll want to come home next week :(
 
Hi! Your posts caught my attention as I relate to a lot of what you're going through with your knee problems! I developed osteoarthritis in my late forties, and have since had three knee ops including one total replacement. It took me a while, even after my diagnosis, to get my butt into gear to lose weight - I was 21.5 stone at the time, but I finally got into the right frame of mind as I approached 50 (I'll be 54 soon). I hope it all goes well for you, and that you enjoy your visit to your family in Prague. :) xx
 
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