Lows and Highs - Independence Day for Celiacs...

With marathon training season upon us in Houston, this Celiac was feeling a little down as I tried to schedule my July 20 appointment for post operation review. Every time I had, the scheduling screen did not show up, leading to delays while the clinic staff consulted with the tech support, etc. I told them that not running was absolutely killing me (see my post on the Ironman).

Finally, the answer was that the doctor was going on vacation, until the 29th. Three hours of "Oh no..." and then - "If you can come in tommorrow, he'll see you." Sweet - please pray I get cleared for at least jogging.

In other big developments - The rumor is that Jason's Deli will roll out gluten free bread system wide! This weekend! I'm so excited - the only thing is that you have to ask for the special prep area. Happy July 4th.

Not signing up for Ironman, Texas (yet)

It's absolutely killing me to not sign up for this race. I was actually on the registration page with credit card in hand, when my brain kicked in and said, "It's less than a year away and you haven't run step one since February, and your doc won't let you run for another three weeks." I just couldn't do it.

Maybe the race won't close (ha ha).

Knee exercises for physical therapy

This list is what I have been doing 3 times a week (not everything every time). If you have knee issues, there's probably an exercise in here for you.

All of these exercises should be done fluidly and reasonably slowly, in control.

• Prone TKE
• T-Band Stand TKE
• Standing Hamstring Curl
• Leg Press
• Heel-Toe walk
• Single leg balance
• LAQ
• Ball bridge
• Ball hamstring curl
• NMES SAQ (isometrically sqeeze quad)
• NMES SLR (isometrically squeeze quad while raising leg straight)
• NMES Quad Set (put something under knee and isometrically squeeze quad while raising leg straight)
• Stool scoots
• Sideways-hip abduct
• Mini Squats
• Step up – forward and lateral
• Standing calf – raise single leg
• Lunges
• Elliptical machine forward and back
• Bike machine

…and don’t hold your breath while you do them…

Other things I have found helpful:

• Epsom salt bath at night
• Ice, ice and more ice
• Anti-inflammatories
• Carbonated apple juice to combat nausea
• Early bedtime and lots of sleep
  

I found a lot of these exercises (but not all) explained at

http://www.athensorthopedicclinic.com/docs/Basic_Knee_Exercises.pdf

Progress and measurement

Well, yesterday was good news and new news for my recovery. I actually spiked out a 140 rpm on the recumbent bicycle they have at the PT place. That's faster than I have ever spun a crankshaft. The new news was that they measured my quads and calves. I've lost an inch and a half of muscle around my right quad, which they say extrapolates to about 25 weeks before my legs 'even out' -- almost 6 months.

It is a very humbling experience.

I think I'm wired to always be looking at the area that needs improvement. Friends who see me occasionally say that I'm doing much better, that I'm moving around better and that I look "normal." Those are nice comments to have, because they remind me of the progress I am making.

Probiotics good for Celiac

Back in March 2009, I posted about probiotics being a good idea for traveling Celiacs. Now comes Science Daily reporting a study in the Journal of Leukocyte Biology explained in more common terms by Dr. Michelle Sullivan. She recommends a daily probiotic. There doesn't seem to be much downside except the expense, and the upside could be pretty dramatic.

Almost Straight...

It's been exactly a month since the surgery and my knee is almost back to being able to be straight. That's important, because if my knee can be straight, it can lock and support my weight through the skeleton instead of using my weak muscles.

The trend is generally very good. Tiredness is no longer a general concept. There's upper body (rare), lower body (more frequent), hurt leg (pretty frequent) and supporting muscles (very frequent). Bicycling seems to help a lot

The surgeon cleared me Friday to be in the pool (yay) and do aquajogging (yay, but he did give me a funny look on that question). I have just six little cuts/holes around my knee, and all the steri-strips are off now. The worst thing on Friday was that he reiterated the four months to jogging on the street/trails. That would have me waiting to be on the road until July 25.

I've really eased off the Tylenol - none so far today in fact.

My body has put on a few pounds, which I anticipated because of my solution to the nausea, but now would like to see melt away. Of course, nothing "melts away" - so it's diet and exercise for me. I really miss exercising outdoors. I was built to move, and this approach lacks camaraderie and actual moving through space. Maybe that yearning will ease up when I start swimming again.

Mass Celiac Screening Cost Effective

Screening young adults for Celiac is cost effective, says an Israeli study. It would be an excellent use of CDC money to do the same analysis for the US, especially since it appears it takes longer here to get a diagnosis (11 years?) than in Israel (6 years).