Pharmacy closing........

Hi everyone, I haven't posted in over a week because there is a dearth of articles worth sharing on bioidentical hormones, menopause and the other issues we discuss here on the blog.  I haven't forgotten you, I promise!

I started calling Greenfield Pharmacy in Vista, CA yesterday to refill a couple prescriptions, and have gotten a rapid busy signal, indicating that the phone is not operational.  The pharmacy does not have a website.  I had to do a lot of digging and searching to find out any information at all, first I came up with a Yelp review by a customer who lives in that area:

I am not sure what is going on over there, I have been using the pharmacy for going on 3 years for my bio identical hormones, the only problem I had was that the store always opened late. The owner comes from orange county. But my meds were always ready. As of April 25th, they are closed and do not return calls, I drove over there and there is a sign on the door that says they are closed and to call and get your prescription and go to another pharmacy. They have never returned my calls. The sign said until May 4th. I don't know what to think, perhaps a family emergency? A Illness? Accident? But at least some one should return calls.

I kept searching, and finally came up with this article from the site Law of Compounding Medications.  Greenfield Pharmacy has been (temporarily) shut down by the CA Board of Pharmacies.  Viewing the decision handed down by the CA Board, the pharmacist there was practicing with a lapsed license.  

Ugh. I feel like I am cursed with compounding pharmacies.  I've had multiple issues with the two compounding pharmacies in the Coachella Valley, and this blog post from late 2011 will explain why I really, really don't want to deal with Fireside Pharmacy again (additionally, two people that I know personally have both had issues with Fireside Pharmacy, so the poor customer service I received is not an isolated incident).  I will contact Dr. Carr's office tomorrow and get new prescriptions ----- still not sure what pharmacy to use yet.  Not a hassle I need right now (or any time).  

On a more positive note, I had an appointment with the arm surgeon yesterday, and he is absolutely impressed with the amount of healing/bone growth that has taken place in the last 5 weeks:

In fact, the bone has had so much growth that it is causing what is called "crepitus" in the arm----it clicks and makes some very odd noises. It feels like the bump of bone growth is bumping against the ulna bone in my arm when I try to turn my palm up.   It is painful, and I am still restricted in what I can do, although he told me I can start using 1-2 pound light weights to work out (ugh, I was using way more weight than that before all this hoo haa started last summer.)  I still can't knit for more than about 15 minutes at a time, which is very frustrating.  It's finally gotten hot here in NC, and so I am hopeful that this week I can get back in the swimming pool to work out, my back has really been feeling the lack of workouts lately.  One step at a time, I know.  

I hope everyone had a safe, enjoyable Memorial Day weekend.  Traffic around here on Memorial Day weekend is nuts because there is a huge NASCAR race being held about 25 miles from where I live. Lots of people who don't know where they are going,  and they drive like they're participating in a race, so I generally stick relatively close to home.  I have lots to do around here..........I have some changes coming up in my life in the next weeks and months, so I am keeping very busy. I will talk some more about those changes in my life very soon!  Meantime, enjoy this first week of "summer" (even though the calendar says June 21 is the first day of summer, I always consider Memorial Day and Labour Day the bookends of summer!)  Stay safe, stay cool!

This and that--------

Good morning! Holy cow, it's a little chilly here this morning in NC, and cloudy to boot.  One of those days I could just curl up and knit all day, but I have an 80th birthday party to attend this afternoon (at a winery, but I don't drink!)

There have not been a lot of articles (correct that to say articles worth noting) about hormone balance lately, but I did run across this one from the Huffington Post.  I'm not shy about asking pretty much everyone if they have ever had their Vitamin D levels checked.  I'm astonished at the number of people who have never had their levels checked, and often it's because their doctors tell them that their levels are "normal".   I generally tell them that "normal" and "optimal" are two different things; its normal to have declining hormone levels as we age, but it certainly isn't optimal.  I've also told people that if their doctor can just look at them and tell them their Vitamin D level is normal, without benefit of blood work, then their doctor is "extra-special" or just doesn't want to be bothered with the blood work.

I sometimes get asked how much Vitamin D I take daily, and jaws drop when I tell them that from October to May, I take 10,000 IUs of Vitamin D daily, and from June through September, I back it down to 5,000 IUs daily (mostly because I am out in the sun almost daily exercising in the outdoor pool.)  Dr. Carr likes his patients to be between 70-100 ng/ml (blood work levels); mine usually runs about 75-80.  My last blood work indicated that  it had dropped to about 60, but it was taken in the middle of my arm surgery saga, and during that time my vitamins/supplements were off schedule.  The anesthesiology department told me to stop all supplements 7 days preoperatively, and with two surgeries 3 weeks apart that blew my schedule out the door.  I'm back on track now, and I am confident when my blood work is taken next time my Vitamin D level will be back to an optimal range.  My point is that the article referenced above clearly shows that it is nearly impossible to get adequate Vitamin D through food.  Bottom line, get your Vitamin D levels checked, and if your doctor gives you a hard time.....don't take no for an answer!

I've been hearing a lot about compounding pharmacies lately, mostly because of the botched executions a few weeks ago in Oklahoma.  Most of the talking heads on TV are spewing out the same line about compounding pharmacies not being regulated by the FDA (Food and Drug Administration), in an effort to portray the compounding pharmacies as a bunch of rogue, lawless entities that have to be reined in.  Compounding pharmacies, like all pharmacies, are regulated by state pharmacy boards.  The Food and Drug Administration is responsible for regulating drugs, just as their name states.  I saw an interesting post awhile back that said something to the effect that it's important to remember that every drug recalled by the FDA was once approved by the FDA.  Think about the number of drugs the FDA has recalled or ordered stronger warnings for in the last few years (Lunesta, the sleep medication,  is just the latest, it has not been recalled but the recommended dose has been ordered cut in half).

Finally, an update on my "arm saga".  Still some pain if I use it too much, my fingers are moving pretty well, thumb still moving slower than my fingers.  The scar is healing great:

Although I know the plate inhibits absorption a bit, I am pretty much back to rubbing my progesterone cream on both forearms, which I am sure is also helping the scar heal.  I can knit, but I am trying to be careful to not knit for too long a stretch and take breaks.  I am anxious to have the outdoor pool at my condo development open up soon, since that is still the only exercise besides walking that I can do right now.  My back really feels the lack of core strength :(

How did it get to be almost the end of May ------ next weekend is Memorial Day weekend!  Around here that means lots and lots of extra traffic, as Charlotte Motor Speedway is holding a huge NASCAR race.  I stay relatively close to home to get away from the madness.  Have a great week, everyone!

From the May 4, 2014 edition of 60 Minutes Sunday (if you didn't see this on TV, watch it now, it's fascinating!)

Happy May!

Good morning, and I hope it is at least half as beautiful weather wise where you are as it is here in NC! I've already been out for a fitness walk, and I think I am going to catch a little "laying in the sun" (20 minutes on each side) time after lunch.

I highly recommend a mini-vacation to reset your mind and your life. I took one last weekend, and it was an utter blast! Everything came together beautifully, I went to see Bruce Springsteen play in Raleigh, and the concert was fabulous! He played 3 hours, never left the stage for more than 30 seconds, and looked like he could do another 3 hours!  Great music and a great time!  I also got to go to a beautiful park to an arts and crafts festival, and a personalized tour of Durham and a great brunch with friends.

On the same topic of resetting your mind, this article from Dr. Karin popped up on my Facebook feed last week......it spoke to me and I wanted to share it with you.  One of the manifestations of post traumatic stress disorder (I have it from a long ago car accident, I'm much better after a lot of therapy but it still crops up occasionally) is the tendency to ruminate and focus too much on  a bad event.  I know several years ago after a bullying incident from some really awful women, I kept running it through my mind because it was so upsetting.  It took a while to get through it, although now I am ever grateful to not have those women in my life anymore.  Hormonally speaking, getting them out of my life helped to reduce my cortisol level (cortisol is the stress hormone) to near normal levels.  Right now I am struggling with elevated cortisol, but I know some of that is just the physical and emotional stress of all the arm issues and surgeries this spring.

This is an important update to those of you who take thyroid medication for T4 thyroid issues, particularly if you were taking Levoxyl (brand name) until it was pulled from the market last year.  I have taken Levoxyl for over 7 years, very successfully, until it was pulled from the market last year because of manufacturing issues.  It was not supposed to be available again until Summer 2014, but just for kicks I asked about it at the pharmacy about a month ago. I was surprised to find that it is back on the market, and as luck would have it, I was due for a refill on my T4 thyroid prescription.  I asked Dr. Carr's office about it, and am now (or will be by Tuesday, I'm just now running out of my old prescription of Synthroid) back on Levoxyl.  Dr. Carr prefers to use the brand name of Levoxyl rather than its generic "equivalent", which is often not consistent in the dose of thyroid ingested.  Another benefit............Synthroid was costing me about $90 for a three month supply, and Levoxyl is only $24 for a three month supply.  That's just a little extra money to put toward supplements!

Off to enjoy my Sunday!

Hobbies.....

A very quick post this morning, but I thought this was important to share. As many of you know, I am a knitter (and I can already knit post surgery on my arm, just in very short sessions of about 15 minutes at a time.)  Check out this article in the Washington Post about the possible health benefits of knitting or other creative pursuits.

If you are wondering what this has to do with hormones.....plenty.  Engaging in a relaxing, creative activity calms the  mind, which in turn reduces stress.  I can tell you from experience that when I am super stressed, my cortisol (stress hormone made in the adrenal glands) goes way up (not good), and I burn through my hormones a lot faster (also not good because it's harder to get to my optimal levels.)

Speaking of reducing stress.............I have a fun weekend planned, including seeing Bruce Springsteen in concert tomorrow night.......oh. yeah.  Can't wait, my stress level has been through the roof lately and I'm ready to break out from the routine for a bit.  I likely won't post again until early next week, so I wish you a great weekend!

Happy Easter!

I hope this finds everyone having a wonderful day, filled with all good things and a day that will leave you with good memories.  I had nothing special planned for today, but yesterday got together with friends for lunch and catching up.....so it has been a good weekend.  Friday and yesterday were rainy and miserable here, but today the sun broke through in the early morning, and it has been a nearly perfect day weather wise.

Went to the surgeon on Thursday for a post operative visit and suture removal.  Ten days post surgery, the scar, while large and conspicuous, is healing so much better than it did when I broke the arm last summer.

(Remember, this picture was taken only 10 days post operatively)

This surgeon definitely took more time in suturing the wound (36 stitches), and he obviously took his time in bringing the edges of the wound together carefully, which makes for less keloid tissue (the red, raised scar tissue you often see months or even years after an injury.)  After I had the first surgery in August, the physical therapist suggested that I use silicone strips to aid in wound management.  I got a package from Amazon.com (the strips are commonly used post C-section by new moms), and while I think they did help some with preventing keloid tissue from forming, they did not stay on well, and were inconvenient to use.  This time I am going to stick with using Vitamin E oil on the scar several times per day, and massaging the scar gently a few times a day to prevent adhesions.

I can make a light fist, although my thumb is still a little slow to react when I bend it.  I think that will just take time for the tendon and muscles that work the thumb to recover from the trauma of being moved around during surgery.  I'm getting some of the "zinger" pain that is indicative of healing.  I am restricted to "very light" activity with the arm.  No heavy lifting or heavy use. I can knit; I took a small project with me to the surgeon's office last week and worked a few rows while I was waiting.  The muscles in my arm still have a ways to go.....so for a while, I will be knitting in short sessions, but at least I can do it. Knitting for me is very relaxing and meditative, and the lace patterns I follow to make shawls exercises my brain.

The Friday before the most recent surgery, I had hormonal blood work done, and predictably, my hormone levels are a little off.  My estrogen level stayed pretty consistent, but both my testosterone and progesterone levels had somewhat tanked.  Stress makes a person burn through their hormones faster, and not just emotional stress (which I have had plenty of with all this arm business!).  Physical stress, like elevated pain levels, will also cause hormones to be burned faster.  My testosterone level was still over 60, which is on the very low end of "optimal", but Dr. Carr prefers my level to be up around 90.  I'm not able to inject my own testosterone because it goes in my left arm (and it's my right arm that's injured), so one of my guy friends injects it for me.  He was on vacation one week, and I was in surgery the next, so we missed two doses, which is rare.  He injected me last Monday (Dr. Carr upped my dose just a bit to get me back on track) and so I am confident my levels will get back to "really optimal" within a few weeks.  Testosterone level is vitally important, as it is the "healing" hormone, and my levels being up will help the fracture in my arm to heal.  I sent Dr. Carr a file of the x-rays as soon as I got home from the doctor's office, and he said he could already see bony callous forming, which is a sign of healing.  I am absolutely confident that without the bioidentical hormone balance, my recovery would be a lot more difficult.

One of the things I have found frustrating with these surgeries is that when the anesthesiology department calls for their "pre-op" questions and "discussion" ------ they insist I have to stop all supplements up to 7 days before surgery.  I understand the need for some supplements to be discontinued, especially aspirin (I take one each day for cardiac health), Vitamin E, and fish oil (both of which can cause issues with bleeding). The only reason they tell patients to stop all supplements is for their convenience, so they don't have to go through the list and tell patients which ones are really likely to interfere with the surgery/anesthesia.  In my case, with two surgeries in three weeks, I have been off and on my supplements for more than a month, and it shows in my blood work.  My Vitamin D level went from 87 to 60, and my DHEA dropped to about 165 (optimal is 200-400....mine is usually right around 300 or so.)  Other levels were off too.  What is annoying is that, especially in the case of the DHEA and the Vitamin D levels, these are substances that promote healing.......and they need to be at optimal levels to get me back on track!  Check out this article from Healio.com on Vitamin D levels.

If you have not yet had a DEXA (bone density scan), and you are over 50, I strongly, strongly urge you to get one.  If you have one you will know if you have a bone density issue systemically, you and your hormone specialist can address it and get you on the right track with hormones/supplements and weight training exercise.  I had had three bone density studies done before I broke my arm last summer (the most recent until then being in 2009), and I asked my pain management doctor to order another on one me last September just to make sure there was not an issue of systemic weakness in my bones.  I detailed the results in a blog post from last October for your reference.  I've more than once talked about how everyone should have a one page medical history with them at all times, with surgical history, medications/supplements and hormones taken regularly, and emergency contact numbers.  I put a copy of the DEXA scan on the back of my medical history to give to the staff taking care of me at the one day surgery center.

I'm getting stronger each day (physically, emotionally, and spiritually), and outside of not being able to do workouts (which is making my back a little crazy......I need to rebuild my core strength!) I'm just about back to what I consider a "normal" schedule.  I can tell my stamina is still a little off, but I remind myself that it has only been 13 days post op.  It will get there, and we are going to have a beautiful, sunny and mild week here in the Carolinas, which is good for the spirit.....spring this year has come in fits and starts, and we even had a light frost last week.....unusual in the Southeast.    Enjoy!

She's baaack.....

Hi everyone, I am back from  my latest round of orthopedic surgery (see posts below for the full story).  I'm feeling better each day, the arm aches but it's not intolerable, and most importantly, I was able to drive 3 days post surgery.  I couldn't drive for 9 days before the surgery, and I am very independent, so being grounded was tough on me emotionally and spiritually.  I am blessed, however, to have wonderful friends who were more than willing to take me where I needed/wanted to be (never underestimate the power of a fresh haircut, eyebrow waxing, and mani/pedi to lift sagging spirits.)  I've been out for several walks around the neighborhood, and hope within a few weeks to resume at least a partial workout schedule.

I got really sick to my stomach post surgery this time, and I have no idea why because I have tolerated anesthesia well in the past.  I started getting sick about 6 pm (we were back from the hospital by about 1:30 pm......the minute I opened my eyes in the first phase of the recovery room, they were trying to get me out of there post haste.)  The nausea lasted through the late evening, and although I was able to keep a little bit of ginger ale down during the night, I lived on toast and vanilla protein bars (I like Power Crunch vanilla, no nuts, 13 grams of protein, and only 4-5 grams of sugar) for several days post operatively.  I have found the bars to be less expensive ordering through Vitamin Shoppe, and free shipping over $30.  My stomach still feels sort of off, but getting better each day.  I think if they drew blood on me right now, it would come out the colour of ginger ale and be bubbly.

I received a "care" package from my wonderful friend Katie. She knows a thing or two about nausea, as she is undergoing chemotherapy for breast cancer.  She had mentioned to me a while back that a lot of her friends used "Gin-Gin" candies to help with morning sickness nausea, and that she kept a bag of them in the knitting bag that she takes to chemo.  A week before the surgery (the most recent surgery) she sent me a great package from Amazon, and included in it were three bags of these "Gin Gin" candies.  I tucked them in the drawer next to my favourite chair, and asked my friend Karen (who has taken care of me all three times I've had surgery in the last 8 months) to bring me a bag of them Monday evening.  The Gin Gins are a hard candy, about the size of my thumbnail, and three pieces are only 35 calories.  They really, really helped with the nausea, and I am going to make absolutely sure I have them in the house at all times!  They are delicious too, and with such a low calorie count, a non guilty treat.  Each piece comes individually wrapped (I had to cut open the little wrappers as my hand movements were limited and they were tough to open), so now I also keep a few in my purse.  This is what the bag looks like:

And they are available through Amazon.com.  I hope none of my readers ever need them for nausea, but I wanted to share this tip!

I will be back later in the week with a "hormone" related post, I have a couple articles to share with you.  I know a lot of folks, particularly here in the Southeast, are really suffering with what I heard termed as "Pollenocalypse" (pollen apocalypse)....very bad seasonal allergies.  I have said it before, but prescription strength progesterone has all but eliminated my seasonal allergies.  I haven't taken allergy medicine in almost 8 years now, and when I first moved to North Carolina, my allergies got worse because the foliage and flora here is more abundant and different than it was where I grew up in Central New York.  Dr. Carr explained it to me that allergies are a form of failure of the immune system, and that the progesterone strengthens the immune system and is thus better able to fight off foreign substances like pollen and other allergens. I will attest to progesterone strengthening the immune system; I have had maybe two very light colds in the last 8 years, and that is it.  I'm out and about in the world nearly every day, touching doors, grocery carts, gym equipment (God, I wish when people are sick they would stay home from the gym.......it makes me crazy to see people sneezing on the equipment) so I am certainly exposed to a variety of germs.  I haven't gotten a flu shot in 8 years either, and have had no problems with the flu.

For those of you who observe, Happy Passover, and for those of you who observe, blessings this Holy Week and may your Easter be wonderful (and include a little chocolate!)

Gym policies................

I have repeatedly talked about the benefits of exercise, and the importance of both aerobic exercise and weight training (particularly important for strong muscles and strong bones.) For the last 9 years, I have been a member of the Lake Norman branch of the Greater Charlotte area YMCA.  They are the closest facility to my home that has a pool, and water aerobics is good for strengthening my back, and also for flexibility.  

As of last week, I am no longer a member of the Y............their corporate bureaucracy and incompetency  intolerable.  Below is the email I sent to cancel my membership:

On March 14, I called the Lake Norman branch of the YMCA and asked that my membership be put on hold because I was having surgery on March 17.  I was told I had to come to the Y in person to put my membership on hold.  I found out about the surgery late in the day on March 13, and I had workmen at my house ALL DAY on March 14.  I called in because it was not possible to come in that day.  When I was told I had to come in, I  decided to  just waste the two weeks of membership fees to save myself a hassle. By the way, I wasn't able to use the pool facilities for two weeks before that because I got a skin rash from one of the  Lake Norman Y's pool area's disgustingly moldy water noodles, so that's four weeks of wasted dues.  Yes, I reported it to the front desk, and I was given the customary corporate line about how "we will certainly look into it."

I was not able to use the gym for two weeks post surgery.  Last Friday, I re-broke the arm the arm that was operated on, I am now in a heavy cast, CANNOT DRIVE, and am not  having surgery until April 7.  Since the Y is so inflexible about putting a membership on hold, I decided to cut down on the amount of money I am wasting on dues and  I would just cancel my membership.  I called the corporate office, and (why am I not surprised) told that I have to go in person to my local branch to fill out the paperwork.  Before even allowing me to explain that I am not able to come in because of my injury, I was transferred to the Lake Norman branch.  Whoever I spoke to told me that I needed to call you between 10-2 and also email you at this address.  The person on the phone stressed that I need to do both, because apparently I have nothing else to do except jump through the YMCA corporate hoops.

I AM UNABLE TO COME INTO THE YMCA BRANCH AT THIS TIME.  I can't drive, and while I am blessed to have a number of people drive me while I am injured, they are busy driving me to doctor's appointments, the hospital and other NECESSARY appointments. This fiasco ( I find it astonishing that I am the first Y member to have an injury that prevents them from coming in to a branch to fill out corporate's precious paperwork) is simply not worth the unnecessary stress this has caused.  

I am cancelling my membership effective immediately.  I want the paperwork either mailed to me, or scanned and attached to a return email for my signature.  Please do not bother me with a telephone call, I have grown weary of the time wasted listening to the corporate pablum spit out by branch directors/administrators.  I clearly understand that the YMCA's mission is to make it so difficult for members to suspend/cancel their memberships that they will give up and just keep having the dues taken out of their bank accounts, but I live on a fixed income ... and cannot afford to pay for something I cannot use.

(signed)

I sent the email to the membership coordinator, and the next morning I received a return email from her telling me she had cancelled my membership.  No paperwork for me to sign.....so all their bureaucratic run around was nonsense.  Despite my request not to be called........yep, Friday morning I received a call from Ben, the "executive" director of the branch.  It was corporate pablum, and a stress I did not need or want.  I tried to explain to him that I did not want to take the drastic step of cancelling my membership, I just wanted it put on hold while I was recuperating.  I had very much hoped to be back to gym workouts by the end of April at the latest. What a mess.  

The point of sharing this with you is that if you belong to a gym...........be damn sure of what their corporate policy policy is regarding suspension and/or cancellation of membership.  This has been an utter nightmare for me, and since I was never given the paperwork the Y insisted was so important, I have absolutely no proof (beyond the membership coordinator's email) that the membership really has been cancelled.  Most of you reading this blog will, at some point, need to take time out from the gym for medical reasons, and I would hate to have one of my readers go through a similar hassle.  

This and that......

I have surgery scheduled tomorrow morning to repair the (re)fracture of my right wrist.  Details in the posts below on the saga of my right arm.  Needless to say, I am frustrated and beyond upset (I can only imagine how my stress level is affecting my hormone balance right now-----I had hormonal blood work done Friday, but I'm having hot flashes indicative of low progesterone.)   I wanted to post today, since I'm pretty sure I'm not going to be doing much at the computer this week!

First up, from The Age.com, an  article about the progress on a genetic blood test that will predict the age that a woman will reach menopause.  This could be immensely useful not only for women trying to plan families, but also for women who wish to start (bioidentical) hormone therapy before they reach menopause. Often a woman can predict their menopause transition based on when their mother experienced menopause, but if the mother has had a partial/complete hysterectomy, is dead, or is not the daughter's birth mother, or several other factors, daughters are left to guess at when they will go through the menopausal transition.

I'm so stressed out right now I want to eat everything in sight, and much of it isn't healthy.  I'm craving Brach's malted milk Easter eggs (and Brach's is the only acceptable brand.....I'm picky).  I know that music can calm me down or wind me up, and right now Pharrell William's song "Happy" is one of my favourites. Check out this article from Huff Post Healthy Living about using your iPod to help manage your emotions.  During my "downtime" this week, I need to hop on iTunes and listen to the songs on the sample list.

As I have detailed before, I take estriol cream for vaginal dryness.  The medical term is atrophic vaginitis, and here is a list of symptoms from The Mayo Clinic.  I got a new prescription for the cream a couple months ago, and when Greenfield Pharmacy sent me the cream, they neglected to send the adapter for the jar, which is necessary to get the cream from the jar into the vaginal applicator.........and Greenfield forgot to send the applicators too!  I called and very sweetly and politely asked for the supplies needed to administer the estriol.  Got them in the mail a week later.  I called Greenfield Pharmacy to refill the prescription a couple weeks ago, and it never occurred to me to ask them include the jar adapter (mine has a tear in it from putting it on and off the jar every time I use it) and some syringes.  The bottle arrives Tuesday, and......you guessed it.....no supplies.  I called the pharmacy, explained the situation.  First person either had no idea what I was talking about or didn't want to be bothered, so she switches me to another person.  I explain the whole issue again and the tech says "well, we'll see what can be done."  I was furious, and I called them back five minutes later and told them not to bother, I would get the supplies elsewhere.  The compounding pharmacies tout their superior, personalized service, but it has been my experience that they are no better than the big box pharmacies, and in most cases, are worse.

I have a couple more articles to share with you, but this post has taken me forever to type, and I need to go ice my arm again (story of my life this week.)  Enjoy this first full week of April.......I hope that it's spring wherever you are!

I haven't disappeared......

But in the continuing saga of my right forearm (check posts below for full story).......I rebroke it on Friday morning......picking up some papers off my desk.

Obviously, the bone was not as healed as the surgeon thought it was..........I will update as soon as I can.

Must. Remember. This.

Quick Update

Hi everyone, typing is still difficult, so this will be a quick update....

I had the plate taken out of my right forearm on Monday morning (see the post below this one for details!) .........all went as expected. My pain level was far, far more tolerable than when the plate was put in last summer (to repair a fracture).  My friend Karen took me to the hospital, and we were home by 2 pm.  I slept off and on after I got home, and was able to manage the pain pretty well. I didn't sleep great last night because I had to keep the arm elevated (and I am a flipper when I sleep), but took a nap late this afternoon.

I can drive a bit tomorrow, it will feel good to get out and about (I do not do well being cooped up, and OMG, daytime television is AWFUL!) Stitches come out in two weeks, but I can take the bandage off Thursday.  Putting my progesterone cream on is a pain right now, but I'm managing pretty well.  I injected my estrogen on Sunday, and one of my friends will inject my testosterone into my left arm on Thursday (he has been doing that for me since I fell last summer, as my right thumb has some limitations and using a syringe is one of them!)  I'm very glad this is over, and I can already tell that I have less pain in my hand and fingers than I did before the surgery....the tendons were really getting irritated by the plate and it definitely needed to come out.

Hope to be back by the weekend with a "hormonal" post.  Oh, by the way, in the post below this one I talked about putting together a one page medical history......I took mine to the hospital for inclusion in my chart, and the nurses and  anesthesiologist were very impressed with my efficiency!

Those are the breaks (sorry, bad pun!)

The regular readers of this blog know about the continuing saga of my right forearm.  I broke it at the gym last August (I had an existing plate in the arm, fell on it and the titanium plate was stronger than the bone, and so the bone broke).  Had surgery three days later to remove the old plate, repair the fracture and put in a new plate.  The bones in that arm have some localized osteopenia, and the fracture seemed to take forever to heal.  I started having pain in the wrist and into my fingers not too long after the surgery, and it was determined that the plate would have to come out of the arm.  The goal was to make it six months after the original fracture, and I made it to seven months one week. 

Started having increased pain last week, so I called the doctor's office for an appointment.  Got in the next day and it was determined that we couldn't wait any longer, so my St. Patrick's Day will be spent having surgery to have the plate removed from the arm. I am assured that this surgery will not be as painful as when the arm was fractured (thank goodness, that was AWFUL!) and that I will be able to start using the arm almost immediately.  I will have a soft bandage on for at least several days, which means wrapping my arm in a garbage bag for showers and washing my hair with one hand.  I will be tough........I can endure anything for clean hair!

While this news is only peripherally related to hormones (my testosterone  and Vitamin D helped the fracture to heal!), today I was updating my PDF file of my medical history, and I thought it was a good time to remind you to do the same. 

My medical history includes:

• Name, address, phone, date of birth, email address
• Current medications
• Current list of names and dosages of bioidentical hormones
• Current list of all supplements
• List of all previous surgeries (and for me this takes up most of the page, this will be my 17th orthopedic surgery, most of the surgeries were due to a car crash back in 1992)

I make it all fit on one page, and I have it as a PDF file that I keep on my phone. I have printed out two copies, one for my purse, and one to give to the staff at the hospital on Monday morning.  It just makes everything more efficient.  

If you don't have a written medical history, then take this post as a gentle reminder that you need to have one.  If you have one, take a look at it this weekend and update it if necessary (mine was up to date except for one dosage change on one supplement).  

Have a great weekend, everyone, and Happy St. Patrick's Day! I hope to be back online by Wednesday of next week, although I may be typing one handed for a few days.  

Tackling Menopause’s Side Effects

Good morning! Just a brief post here, I wanted to share with you this article from the NYTimes.  The article was posted about a month ago, but I had trouble linking it at that time (not exactly a computer expert here!)  First of all, that the American College of Obstetricians/Gynecologists took this long to actually come out with guidelines about the care of menopausal women is absurd.  The article is an interesting read, but paragraph 14 particularly caught my eye:

"Data do not support the use of progestin-only medications, testosterone, or compounded bioidentical hormones".

First of all, I am living proof that testosterone not only help with libido, but also increases bone density.  For those of you who are new readers, I had a DEXA (bone density scan) in 2006 that showed I had osteopenia.  I started the bioidentical hormones shortly after that scan, and had a repeat test done in 2009.  Not only did I no longer have osteopenia, but my bone density was comfortably in the normal range.  I strongly suspect that the carefully worded phrase "data do not support" means they simply weren't studied.  Mainstream medicine would rather fill patients up with expensive medications (all of which have side effects) rather than simply replace (bioidentically) what is in our bodies that we lose as we age. Frustrating, to say the least.

This and that---Happy March!

Hi, everyone....from rainy, icky North Carolina! We had an ice storm last night, and while everything is fine at my house (except for not being able to go to the quilt show today in Charlotte...temps above freezing but very heavy rain, and the venue had a terribly potholed and gravelly parking lot) over a quarter million people are without power in the state. Keep them in your prayers!

I haven't forgotten you, but there has been a dearth of "hormone" articles lately.  However, a few articles are popping up that caught my attention:

Vitamin D Increases Breast Cancer Patient Survival  A subject near to my heart lately, as one of my friends (who is 10 years younger than me!) is battling breast cancer.  A  UC/San Diego study of over 4000 breast cancer patients shows that higher levels of Vitamin D in the blood are associated with increased rates of survival.  I still have way, way too many people tell me that their doctor says they don't need a Vitamin D test because their levels are normal, and when I ask the person how they know their level is normal, they tell me because their doctor says so.  And, by the way, normal and optimal are two different things, it's normal for post menopausal women not to have any/many hormones in their bodies, but it sure as hell isn't optimal!  My Vitamin D level is a nice, healthy 78 ng/ml, which is well within the optimal range of 70-100 ng/ml.  I swear, a healthy Vitamin D level has helped keep me sane (relatively speaking) this winter, I am so, so ready for spring!

New testosterone drug is out called Aveed........it was rejected THREE times by the FDA, who now has declared the drug safe.  Seems simpler and safer to just take bioidentical testosterone (I do, as do several of my male friends----obviously we take it in vastly different doses). I inject it once weekly, with no side effects other than the occasional pimple.

Bioidentical Hormone Health.....if you are not already subscribing to this newsletter, why not?  Check out this great article on myths and facts about progesterone.  Way too many people (including health professionals) try to tell patients that synthetic progestins (sometimes called progestegens) are the same as progesterone, and they are not.

That's it for today, and don't forget-----turn your clocks forward Saturday night! It's worth losing an hour's sleep (or in my case, just sleeping an extra hour on Sunday morning) to have it light longer in the day, I crave longer days this time of year. Have a great, healthy weekend!