I'm feeling so much better today! Part of it, I'm sure, is mood. I went to the rheumatologist (finally! There was a long waiting list) and after a thorough interview, a look at my blood work and a full body exam he gave me some GOOD news:
I do not have lupus.
I do not have rheumatoid arthritis.
I do not have ankylosing spondylitis
I *probably* do not have any other autoimmune disease
What a relief! Of course, there is still the puzzlement of why I have bilateral foot pain that has not gone away in 10 months. He did say I *may* have psoriatic arthritis, but if so it is mild (with only a bit of what may be psoriasis) and he would not change my treatment at this point whether I have this or not. There is no definitive test for psoriatic arthritis. I do, of course, have osteoarthritis, which affects my hips, hands, and knees at times... but not lately, and not when I eat sugar free.
So the good doctor (and he was good) gave me a script for meloxicam, a strong NSAID, to take for a month while I continue stretching and icing. He confirmed that I should discontinue PT at this point. He wants to see me again in a month to determine whether the medication has helped and what the next steps may be.
I flat out asked him if my weight was a likely cause of the plantar fasciitis or a contributor to it not healing. Medical professionals always look a bit surprised when fat people mention that they are fat. It's almost like it's a taboo subject. No fat person going to the doctor for anything other than weight loss wants to get preached at about their fat. We know we are fat, they know we are fat, they write things like "large" or "well nourished" or "obese" in our chart notes but in general I have found they just don't mention it. Even when my blood pressure was consistently high, no doctor ever suggested weight loss or told me that my morbid obesity could be a contributing factor. But every time I've mentioned to a doctor that I know I am fat and I think my weight has contributed to xyz condition, they look surprised, look me in the eyes, and then agree with me. They seem almost relieved that a fat person is willing to talk about their weight and how it is negatively impacting their health. And so it was with this doctor, and he told me that while my weight *may* be a contributing factor, he has seen many, many thin patients with the same problem. However he told me that it was great that I am reducing my weight, and it can only help my joints and perhaps even help my feet to heal.
Last night's dinner was simple: six ounces of Rotisserie chicken breast and one cup of cooked baby spinach that I'd sauteed in a pan with chicken broth. I already had eaten a half cup of broccoli with my lunch (Medifast mac and cheese) earlier, so that gave me the three required veggie servings for the day. I'm still enjoying my coffee black... with a limit of 2 cups with caffeine, and no limit on the decaf (I usually have a cup or two, plus a cup or two of herbal tea.)
I also treated myself to a haircut at a new salon this morning. She did a fantastic job! She took off a few inches and then layered my hair. It looks so much thicker and healthier! I feel great about myself right now.
Off to do laundry and run errands!
Friday Update and Reality Check
2 days ago