![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
missdianeI really do like this doctor. He is thorough and confirms things and hey, so far his guesses are correct, if annoying.
The blood and ultrasound do indicate fatty liver disease which he expressed how common it is, especially with bigger folks and doesn't help that I'm now diabetic. It's not something that has any meds you can take for it, it's a lifestyle change treatment. So gotta buckle down and though I eat well, I need to find ways to continue to improve that (one thing is to go to pescatarian rather than vegan since fatty fish and eggs are very good for the liver). Also, I really do need to find some form of exercise that will help me and not screw up my back or other hypermobile joints. Going to look into the Y in the next town over that is new and has three pools. If I'm considering water exercise, I need to find very good shoes to be able to walk on the wet tile without slipping and dislocating something.
MRI to check out the liver lumps is scheduled so far (still need preauthorization) for 8am on Friday the 11th. Fortunately, I'm not too claustrophobic since regular MRI gives better scans than open MRI. Even if I was, I'd suck it up since I want the best scans possible. His guesses are hemangiomas (benign tumors) or focal fat sparing. The latter would be completely on brand for me since after ultrasounds and breast biopsies, I already have fatty breast tissue. As long as we can rule out anything like cancer, any vibes you could spare would be awesome
If the liver gets diagnosed with the less scary things, he also thinks it's past time that I get the double thrill of Alien Butt Probe and endoscopy at the same time but that's not the priority yet.
Oh and he also thinks that it's possible that my bloating/distension issues may be something called abdomino-phrenic dyssynergia. I found this about that Abdomino phrenic dyssynergia falls under the category of functional GI disorders due to the inability of the brain to coordinate the correct movement of the diaphragm in response to the fullness of the abdomen via the phrenic nerve. This leads to uncomfortable abdominal bloating and distension as the diaphragm contracts instead of relaxes when there is abdominal fullness. The diaphragm is a large muscle that lies underneath the ribs and helps with breathing. When the diaphragm contracts, it moves in a downward motion, reducing the space in the abdomen and pushing the organs down and out. Further, as the intraabdominal contents are pushed outward, the abdominal muscles are unable to compensate for the pressure and weaken resulting in bloating and distension.
APD often coincides with pelvic floor dysfunction as the diaphragm and pelvic floor muscles have a functional relationship modulating intraabdominal pressure. When the synergy is off, the pelvic floor muscles also suffer from impaired nervous innervation and become tense and contracted, pulling up into the pelvis further contributing to the bloating and distension.
The blood and ultrasound do indicate fatty liver disease which he expressed how common it is, especially with bigger folks and doesn't help that I'm now diabetic. It's not something that has any meds you can take for it, it's a lifestyle change treatment. So gotta buckle down and though I eat well, I need to find ways to continue to improve that (one thing is to go to pescatarian rather than vegan since fatty fish and eggs are very good for the liver). Also, I really do need to find some form of exercise that will help me and not screw up my back or other hypermobile joints. Going to look into the Y in the next town over that is new and has three pools. If I'm considering water exercise, I need to find very good shoes to be able to walk on the wet tile without slipping and dislocating something.
MRI to check out the liver lumps is scheduled so far (still need preauthorization) for 8am on Friday the 11th. Fortunately, I'm not too claustrophobic since regular MRI gives better scans than open MRI. Even if I was, I'd suck it up since I want the best scans possible. His guesses are hemangiomas (benign tumors) or focal fat sparing. The latter would be completely on brand for me since after ultrasounds and breast biopsies, I already have fatty breast tissue. As long as we can rule out anything like cancer, any vibes you could spare would be awesome
If the liver gets diagnosed with the less scary things, he also thinks it's past time that I get the double thrill of Alien Butt Probe and endoscopy at the same time but that's not the priority yet.
Oh and he also thinks that it's possible that my bloating/distension issues may be something called abdomino-phrenic dyssynergia. I found this about that Abdomino phrenic dyssynergia falls under the category of functional GI disorders due to the inability of the brain to coordinate the correct movement of the diaphragm in response to the fullness of the abdomen via the phrenic nerve. This leads to uncomfortable abdominal bloating and distension as the diaphragm contracts instead of relaxes when there is abdominal fullness. The diaphragm is a large muscle that lies underneath the ribs and helps with breathing. When the diaphragm contracts, it moves in a downward motion, reducing the space in the abdomen and pushing the organs down and out. Further, as the intraabdominal contents are pushed outward, the abdominal muscles are unable to compensate for the pressure and weaken resulting in bloating and distension.
APD often coincides with pelvic floor dysfunction as the diaphragm and pelvic floor muscles have a functional relationship modulating intraabdominal pressure. When the synergy is off, the pelvic floor muscles also suffer from impaired nervous innervation and become tense and contracted, pulling up into the pelvis further contributing to the bloating and distension.
no subject
Date: 2024-10-01 04:39 pm (UTC)This doctor DOES seem to be willing to try to figure out *reasons* for things, rather than just "lose weight" - I mean obviously lose weight is part of it - but there are OTHER things going on - and he seems willing to consider that!
Kind of like my most favourite ortho guy who was like "you have arthritis, losing weight is really what will help - but ALSO I will try to alleviate your pain by sucking goop out of your massively swollen knee, and inject cortisone" - and made my life INSTANTLY better by being willing to acknowledge that losing weight isn't easy OR quick!
no subject
Date: 2024-10-01 04:43 pm (UTC)Yeah, we both know I need to lose weight since it's 100% clear that I'm not one of those folks that can be fat but healthy. I didn't deny it and he didn't harp on it. I liked that. And he seems to know that if we treat the other things, the weight loss is going to be easier anyway.
Your ortho guy GETS IT too. A hell of a lot easier to lose weight if you can actually oh, MOVE with less pain.
no subject
Date: 2024-10-01 04:42 pm (UTC)no subject
Date: 2024-10-01 04:44 pm (UTC)no subject
Date: 2024-10-01 04:53 pm (UTC)What about these?
https://preventproducts.com/products/shower-steps-slip-resistant-shower-footwear?variant=43091276398742¤cy=USD&utm_medium=product_sync&utm_source=google&utm_content=sag_organic&utm_campaign=sag_organic&gad_source=1&gclid=Cj0KCQjwu-63BhC9ARIsAMMTLXSyR6EjsxJ8eyRPxxLargGPHpZRWQeHG1FYuxlLTuBjoCBhLYH_tEwaAqcUEALw_wcB
no subject
Date: 2024-10-01 05:01 pm (UTC)These have excellent ratings
https://www.walmart.com/ip/Stepedia-Water-Shoes-Women-s-Men-s-Non-Slip-Aqua-Socks-Swim-Shoes-for-Beach-Surfing-Yoga-Pool-7-8-Women-5-6-Men/5292066118?classType=VARIANT&athbdg=L1400
no subject
Date: 2024-10-01 05:03 pm (UTC)no subject
Date: 2024-10-01 05:04 pm (UTC)Before I think about getting those, I'll have to drive over to the Y and check things out.
no subject
Date: 2024-10-01 05:07 pm (UTC)no subject
Date: 2024-10-01 05:11 pm (UTC)Even just getting in the water and treading for half an hour would get me MOVING. I need to do something
no subject
Date: 2024-10-01 05:12 pm (UTC)no subject
Date: 2024-10-01 11:54 pm (UTC)The ones that I like, I got ages and ages ago - so I can't find exactly the same ones - but something similar to these
https://www.amazon.com/ALEADER-Barefoot-Minimalist-Aerobics-Swimming/dp/B0CRQZKMNJ
https://www.amazon.com/Mishansha-Barefoot-Quick-Dry-Non-Slip-Sneakers/dp/B0CT83TYZN
or even these
https://www.walmart.com/ip/Starbay-Women-s-Slip-on-Water-Shoes-with-Adjustable-Strap-Black-8-2903/934992872
no subject
Date: 2024-10-02 08:10 pm (UTC)I'll have to take a trip over to the Y in the next few days and see if they can give me a tour and if it looks good, I"ll sign up and then see if my old bathing suit(s) fit and get the shoes. :)