I'm not saying that moving 700 miles in one year (mostly running, some biking, walking, and hiking) will keep you alive after a stent, but other people claim it helps. Who knows. In any case, 700 miles between the end of March and the end of December isn't bad.
The sad part is that 74,642 calories is only about 15 Anthony's Pizzas, or one piece every three days. Which is far, far less than I would like to eat.
On the other hand, it is 487 bottles of beer, which is more than one a day. That has its appeal.
Thanks RunKeeper!
Friday, December 31, 2010
Wednesday, December 29, 2010
Saturday, August 28, 2010
50,000 calories
aka:The Data Driven Life
I'm sure there is some psychological insight to be drawn about my desire to look at the numbers. And my desire to make them come out even(ish); I waited until I could run for about 600 calories so that I could cross both the 100 activities and 50,000 calories mark - if I had known I'd be at 419 miles, I probably would have run another mile today.
Psychological insights aside, using tools like RunKeeper and LoseIt work for me for trying to make sure I get my 30 minutes of elevated heart rate per day and don't eat too much saturated fat, doing both of which I'm told improve my odds of staying out of the hospital.
I met with a nutritionist yesterday and in preparation added up all of the calories, fat, carbohydrates, protein, etc. I've consumed since 12/31/2009. I averaged 1,936 calories, 13g of saturated fat, and 195mg of cholesterol per day over almost 9 months. More numbers. More boring.
These milestone-type posts might be sort of lame, but it's a nice journal for me.
Tuesday, June 29, 2010
Six Months
As of yesterday, I've lived six months with a stent. Which is, perhaps, longer than without, but we'll never know.
What changed in six months?
What changed in six months?
- I eat less cheese. Far, far less cheese. Including on pizza.
- I eat practically no chips and salsa. For me, that is a powerful change.
- I run 20 miles a week, or so. That's a lot more than I used to.
- I weigh 30+ pounds less.
- My blood cholesterol and triglycerides are far lower than they used to be because...
- I take more medication than I've ever taken in my life.
- I'm addicted to LoseIt and RunKeeper to keep track of all of this.
For my 6-month anniversary I went for a 10k run and had lunch with friends (lunch: Chipotle burrito, 890 calories because I splurged and got the 290 calorie tortilla).
Somewhat surprisingly, to me anyhow, is how little has really changed. Life moves on. There's a lesson in there somewhere, I'm sure.
Monday, June 7, 2010
Why not you...
To my 7 faithful readers (that's what the Google Blog Follower Sidebar Reporter Thing says, anyhow - seems high to me). I'm sorry.
I actually have content. Ideas. Words. Things I want to say. But time and focus are lacking.
I am not dead yet. Neither is this blog.
Please bear with me.
I actually have content. Ideas. Words. Things I want to say. But time and focus are lacking.
I am not dead yet. Neither is this blog.
Please bear with me.
Monday, April 19, 2010
Got away with one...
This year, I got away with one.So, Happy Birthday to me.
I thought the tibial stress fracture last summer was a bummer. It just goes to show, I guess.
Here's to getting away with one more.
And the weird photo? A tradition.
Thursday, April 8, 2010
Medical Numbers and Medical Arts
Here I am, approaching five months of living with a stent.
Because there's no peeking back inside my heart, everything is measured with, at best, a secondary view. Often it's not even that close. And I think the path from a lot of those measurements back to the health of my heart is filled with a lot of forks, branches of which are chosen for reasons that aren't always based in any sort of firm science.
Recent numbers are along these lines:
Bad cholesterol: 54 - that's a nice low number, yay for Lipitor
Good cholesterol: 43 - that's a nice high number, yay for exercise and moderate alcohol consumption
Fitness as measured by VO2 Max: 56 ml/kg/min - that's also a nice high number
Calories consumed per day: 1700-ish - this is a low number, but I'm still supposed to be losing weight
Cholesterol consumed per day: 180mg-ish - this is about 100mg/day less than the recommended allowance
All of that, I'm told, bodes well for heart health, mortality, and other things we're all supposed to want.
And this is where the art of medicine comes in. Like any art, it's subject to the skill, desires, and motivations of the artist and left open to interpretation by whatever audience the artist can muster to look at her art.
What makes 54 a good or bad number for LDL cholesterol? Some guidelines say under 100 are good. My hospital seems to think the people who think that are pikers, and that under 70 is better. But there is no published science just yet that supports that. So we're rapidly away from numbers and squarely in the realm of art.
What makes 43 a good or bad number for HDL cholesterol? As far as anyone has told me, nothing makes it good. In fact, it seems to matter so little that there isn't even a drug to raise it (and if the drug companies can't find a way to promote it and make a profit, that's surely an indicator of something). HDL apparently "clears out" LDL cholesterol, so there is no upper bound on how much of that you should have. Yet. (Also, I have this mental picture of little fatty blobs wearing white hats racing around my blood stream rousting out other little fatty blobs wearing black hats and sending them away to my gut where they are expelled ignominiously and sent to perish in the waste water treatment plant, where I'm sure they are ganging up and plotting against me, one day to come to my house while I'm sleeping and clot every artery in my body all at once the night before something good was going to happen.) Anyhow, stories aside, alcohol raises HDL, but don't have too much. One to two drinks a day is good for me, so that's 8oz of wine, two cans of beer, a few shots of liquor. The American Heart Association tells me to drink 14 drinks a week. Family Doctor says that if I drink more than 14 drinks per week, I'm at risk for alcoholism. Apparently it's a fine line between being heart healthy to being a drunk. Choices, choices. If only we had some science to help us... alas, we're still in the realm of art.
I think the calories and fitness are "real" numbers, because they are so distant from my heart health that they stand alone. Eat fewer calories, lose weight. That actually is sort of like science, or its big brother, math. Weight loss seems to be a third or fourth order measure of heart health - carrying less weight makes your heart work less. But so does Atenolol, evidently; being in shape keeps your heart rate low (which no one can say is good or bad, so there's that), but so does Atenolol. So fitness is nice, and raises your HDL levels, but it seems like no one can attribute longevity to either of those things directly, so big whoop. Speaking of the, in my mind dubious value of Atenolol, cardiologists love beta blockers. My pharmacist once said "If cardiologists had their way, there would be low-dose beta blockers and loop diuretics in the tap water." I've mentioned that to a few doctors, and they all generally agreed that it does, indeed, seem like a thing cardiologists would do.
My favorite art, though, is the art of proscribing diets. I am on a reduced cholesterol diet - not much cheese, easy on the eggs, most of what I get comes from meat. With the help of LoseIt I can tell you roughly how much cholesterol I ingest, which is right about where I'm supposed to be. However, recent studies and articles in the popular press suggest that dietary cholesterol doesn't affect blood cholesterol, at least not as much as what the guidelines were based on. I asked a nutritionist about this, and she said that's pretty true, and some eggs and cheese probably wouldn't kill me on the spot (although the saturated fats in the cheese probably would). So I asked why I was on a reduced cholesterol diet. She said "we put all heart patients on a diet like that". But it doesn't seem to matter. Art. And in this case, it sounds sort of like amateur art.
Next time you feel bad and go to the doctor, don't expect an answer. Get over it, there is no answer. And almost no amount of numbers or data or statistics or measurements are going to help. It's art. With luck, you'll get a good artist. Another MRI isn't going to help the artist any more than a digital camera would have helped Ansel Adams. The tools are useful and necessary, but the interpretive art is what you're going to get. Like all art, it takes time and adjustment. It doesn't take the greatest new tools, but good application of reasonable tools. So stop expecting an answer firmly based in science, and hope for a pretty picture. It will reduce your stress, which is good for your heart, or so they say.
Because there's no peeking back inside my heart, everything is measured with, at best, a secondary view. Often it's not even that close. And I think the path from a lot of those measurements back to the health of my heart is filled with a lot of forks, branches of which are chosen for reasons that aren't always based in any sort of firm science.
Recent numbers are along these lines:
Bad cholesterol: 54 - that's a nice low number, yay for Lipitor
Good cholesterol: 43 - that's a nice high number, yay for exercise and moderate alcohol consumption
Fitness as measured by VO2 Max: 56 ml/kg/min - that's also a nice high number
Calories consumed per day: 1700-ish - this is a low number, but I'm still supposed to be losing weight
Cholesterol consumed per day: 180mg-ish - this is about 100mg/day less than the recommended allowance
All of that, I'm told, bodes well for heart health, mortality, and other things we're all supposed to want.
And this is where the art of medicine comes in. Like any art, it's subject to the skill, desires, and motivations of the artist and left open to interpretation by whatever audience the artist can muster to look at her art.
What makes 54 a good or bad number for LDL cholesterol? Some guidelines say under 100 are good. My hospital seems to think the people who think that are pikers, and that under 70 is better. But there is no published science just yet that supports that. So we're rapidly away from numbers and squarely in the realm of art.
What makes 43 a good or bad number for HDL cholesterol? As far as anyone has told me, nothing makes it good. In fact, it seems to matter so little that there isn't even a drug to raise it (and if the drug companies can't find a way to promote it and make a profit, that's surely an indicator of something). HDL apparently "clears out" LDL cholesterol, so there is no upper bound on how much of that you should have. Yet. (Also, I have this mental picture of little fatty blobs wearing white hats racing around my blood stream rousting out other little fatty blobs wearing black hats and sending them away to my gut where they are expelled ignominiously and sent to perish in the waste water treatment plant, where I'm sure they are ganging up and plotting against me, one day to come to my house while I'm sleeping and clot every artery in my body all at once the night before something good was going to happen.) Anyhow, stories aside, alcohol raises HDL, but don't have too much. One to two drinks a day is good for me, so that's 8oz of wine, two cans of beer, a few shots of liquor. The American Heart Association tells me to drink 14 drinks a week. Family Doctor says that if I drink more than 14 drinks per week, I'm at risk for alcoholism. Apparently it's a fine line between being heart healthy to being a drunk. Choices, choices. If only we had some science to help us... alas, we're still in the realm of art.
I think the calories and fitness are "real" numbers, because they are so distant from my heart health that they stand alone. Eat fewer calories, lose weight. That actually is sort of like science, or its big brother, math. Weight loss seems to be a third or fourth order measure of heart health - carrying less weight makes your heart work less. But so does Atenolol, evidently; being in shape keeps your heart rate low (which no one can say is good or bad, so there's that), but so does Atenolol. So fitness is nice, and raises your HDL levels, but it seems like no one can attribute longevity to either of those things directly, so big whoop. Speaking of the, in my mind dubious value of Atenolol, cardiologists love beta blockers. My pharmacist once said "If cardiologists had their way, there would be low-dose beta blockers and loop diuretics in the tap water." I've mentioned that to a few doctors, and they all generally agreed that it does, indeed, seem like a thing cardiologists would do.
My favorite art, though, is the art of proscribing diets. I am on a reduced cholesterol diet - not much cheese, easy on the eggs, most of what I get comes from meat. With the help of LoseIt I can tell you roughly how much cholesterol I ingest, which is right about where I'm supposed to be. However, recent studies and articles in the popular press suggest that dietary cholesterol doesn't affect blood cholesterol, at least not as much as what the guidelines were based on. I asked a nutritionist about this, and she said that's pretty true, and some eggs and cheese probably wouldn't kill me on the spot (although the saturated fats in the cheese probably would). So I asked why I was on a reduced cholesterol diet. She said "we put all heart patients on a diet like that". But it doesn't seem to matter. Art. And in this case, it sounds sort of like amateur art.
Next time you feel bad and go to the doctor, don't expect an answer. Get over it, there is no answer. And almost no amount of numbers or data or statistics or measurements are going to help. It's art. With luck, you'll get a good artist. Another MRI isn't going to help the artist any more than a digital camera would have helped Ansel Adams. The tools are useful and necessary, but the interpretive art is what you're going to get. Like all art, it takes time and adjustment. It doesn't take the greatest new tools, but good application of reasonable tools. So stop expecting an answer firmly based in science, and hope for a pretty picture. It will reduce your stress, which is good for your heart, or so they say.
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