Go me!

So I was at my new PCP's office (my old one is retiring after 51 years in practice, and about 25 years as my doctor 🙁), and the resident [the doctor, who I've seen as my weight management doctor for three years but is also an internist was running late because another patient came in late (I saw her come in, and that's fine, she was in a wheelchair and looked like she needed a lot of help, and the resident was really thorough)] upon doing my history, went over my recent labs that were done at my pre-op appointment. I asked about my hA1c because, you know, that's always a concern for diabetics and it had been much lower than in the past before the last surgery, 6.4%, which was amazing, and this time it was 5.96%!!!!!!! And if you look below it is in the 'high, but in the 'increased risk for diabetes' range if I didn't already have diabetes. Go me! And go Mounjaro. It's been doing so well with my blood glucose that I've been taking insulin of either type about two or three times a week at most, if that--basically if my blood sugar goes over 200, and my endocrinologist is fine with that. She said I could probably go off the insulin if this keeps up.

Unfortunately, I did go off the Mounjaro a little early for the next surgery since I'd last taken it a week before I found out about the next one, so I didn't take it at the two-week mark, and if you go three weeks, they start you back at all over to prevent side effects. I didn't know that. I think I only missed two weeks last time. Anyway, she's put in a lower Rx, but that won't control as well, so I may need to go back to using more insulin for a while. And it's possible I can get the same control on a lower dose of the Mounjaro, too, so I'm not taking the highest dose like I was. I'm down to 217 lbs. I'm not sure how much weight I need to go down to. 200? 180? Certainly not to 145, my supposed 'target' weight. I don't know. That's something I need to start thinking about. With all the adjustments, I may not lose any more for a while anyway. I'm eating very healthfully and not very much right now, and not losing, mainly, I suspect, due to all the swelling I've been having due to my surgery. It's finally coming down to pre-surgery levels. Anyway, I'm thrilled about the hA1c. At my highest, in October 2018, I was at 9.1%, which was awful, out-of-control, and damaging.

It's just too big

My primary care provider is retiring after 51 years in practice. He has been my doctor for about 20 years of that. We had what we thought was our last appointment in May, complete with petties with his standard poodle Murphy, but then with all this and with the swelling in my legs before my surgery I was referred back to him the other day post-surgery, since I haven't met with my new doctor yet (that appointment is next week with the lady at UK whose is an internist who's been handling my weight loss journey, who has graciously agreed to take me on). I signed my paperwork while I was there to have my records transferred over. The other day. I received a message that they went to upload the records to UK's portal, but the file was too large, so they were providing them to me as a password-protected PDF so that I could take them to UK myself either before my first appointment or I could take them with me.

Folks, that PDF is 91 MB and 1,949 pages long.

I can't e-mail it (even if that were possible securely with their system, which it is not), and I can't print it. I can (after inquiring) burn it on a CD and they can read it [I wasn't sure, as a lot of places don't have computers with disk drives anymore]--if I provide the password. I did just check, and we do actually still have some blank CD-RW discs (and I have a portable drive that hooks up to my laptop for just such occasions, yay!) It's good to be a techie/gadget girl who hangs on to everything. And I didn't even have to go to my storage unit. :) So that is the way to go.

Whew!