• Health Beat,  LGBTSR

    Health Beat: Juicing, Zepbound, and the Importance of Lifestyle Changes

    As readers know from my post last month, I’m taking Zepbound for weight lossI just completed the first four weeks,  with two more months to go. This is not something I intend to do for more than three months. For one thing, my insurance won’t cover it. I’m on Medicare, and unless it’s for some underlying health issue, such as diabetes or heart disease, this is coming out of pocket.

    For the sake of being informative: I’m paying $1049 for four injections, per month. It’s a lot, but I see this as an investment on a much healthier future. I’ve been 50 pounds overweight for a very long time, and I can’t carry this excess poundage around anymore. It’s corrosive to my physical and mental well-being. But I also won’t use this medication for more than three months, and that means addressing the underlying issues related to food addiction.

    I made my first vegetable juice this morning in a new blender! Yum. I have not had any sweets, at all, for the past four weeks, and I intend to keep it that way. I explain this to people by comparing it to alcohol for those who are alcoholic or who don’t drink for other reasons. I have not had a drink in ten years. I will  not have sweets, either. I don’t care if it’s someone’s last day on earth, I am not having cake and ice cream to celebrate their life. And if you won’t offer me a rum and Coke, which you will not, then don’t offer me a cookie.

    I feel great. I’ve lost 13 pounds and I’m aiming for 30-40 more. I can to this. You can do this, if you want to. But face the things that make you eat destructively in the first place. A healthier future starts now.

     

  • Health Beat

    Health Beat: My Zepbound Journey (Week 1)

    Narration provided by Wondervox.

    By Mark McNease.

    One of my biggest obstacles, if not the biggest one has been my years-long struggle with what is now obesity. I’m 65 years old, 5’10” tall, and 244 pounds. That burdens me with 50 pounds my body has to bear that it shouldn’t. It increases my risk of a half-dozen illnesses, including stroke, heart attack (which killed both my birth father and his father in their 60s), and that old standby, diabetes.

    I’ve tried for at least the past decade to lose this weight, and all it has done is increase. So now, with the determination of the … determined, I’ve decided to bite the bullet. In this case it’s a syringe with a weekly dose of Zepbound. I just started this yesterday, so saying too much about it would be foolhardy. But I am committed to changing the way I eat, to making my relationship with food a much healthier one, and to inhabiting a body that both pleases me and serves me.

    A word about cost: as someone on Medicare, with a Wellcare drug plan and a Humana supplemental, these drugs are not covered. I knew that going in, and it’s one of the reasons I put it off until now. I was able to get a month’s worth (4 injections) for just over $1000. Yes, it’s a lot of money. Yes, I’m somewhat privileged to be able to do this for the next three or four months, but no, I don’t feel guilty about that. I would rather spend $3000 changing my body and my life, than having to deal with the consequences of chronic obesity now and in the future.

    I’ll be writing more about my Zepbound journey as the weeks pass and, hopefully, the pounds fall away.

  • Health Beat,  LGBTSR

    Health Beat: Coping with the Summer Heat

    By Mark McNease

    Tomorrow is the official first day of summer, and the temperatures here in New Jersey are proof of it. After some very comfortable months, the heat and humidity are increasing steadily, and we’re headed for our first heat wave of the summer (defined as three days or more of above-90 degree temps).

    It’s been okay so far here in the countryside where we live, but this morning I had to pull out the bandanna I wrap around my head when the humidity gets drippy. And I watered the vegetable garden early this morning before a trip out of town.

    We have two cats and I always think about them, too. They’ve survived before and they’ll survive again, but always keep lots of fresh water for them and hire a pet sitter if you go away.

    And now … some tips and reflections on the dog days of summer.

  • Health Beat

    Health Beat: Stiff Competition (And How to Loosen Up)

    Narration provided by Wondervox. 

    By Mark McNease

    Six weeks ago I fell in the yard, spraining my ankle and causing a small fracture in my fibula. One of the things I immediately noticed was an exaggeration of my already stiffening walk. It’s a common effect of aging we all see among those of us above a certain age: walking with a more side-to-side gait, possibly bent over some, or even a sort of waddling. It’s not just, or always, from being overweight or having joint and bone issues.

    There are many causes off the stiffening that occurs as we age. Let’s take a look at some (and check out my post about stretching HERE).

    Why We Get Stiff As We Age

    If you are over 50, you might have noticed that your joints are not as flexible as they used to be. You may feel stiff and sore when you wake up in the morning, or after sitting for a long time. You may also find it harder to do some physical activities, such as gardening, climbing stairs, or any kind of athletic activities. Why does this happen? And what can we do to prevent or reduce stiffness in your body?

  • Health Beat

    Health Beat: The Benefits of Going Barefoot

    Narration provided by Wondervox.

    I’ve been ditching the socks lately and it feels great. I can move my feet around more freely, and I don’t feel any distance between my skin and the floor. It’s especially nice at my writing desk, when I can curl my toes up and type!

    There has always been something attractive for me about going barefoot, and I don’t mean the way it looks! I mean the way it feels. I can tell immediately what the surface I’m standing on feels like, whether it’s grass or the tiles on the kitchen floor.

    Our culture tends to frown on being barefoot, as if our feet are somehow dirtier than our socks or shoes. I’ve made this assumption myself for most of my life, but the past year or so I kept wanting to be barefoot. Part of this is because I never feel like I have a good grip in socks, as if I’m going to slide onto the floor with every step. And part of it is because I instinctively feel more grounded: my feet are free to experience the sensation of whatever they’re touching, and I’m not worried about slipping and spraining my ankle (again).

    So I’ve been ditching the socks lately and it feels great. I can move my feet around more freely, and I don’t feel any distance between my skin and the floor. It’s especially nice at my writing desk, when I can curl my toes up and type!

  • Health Beat,  LGBTSR

    Health Beat: Finding Ways to Deal with Chronic Pain

     

    Health Beat is a feature at LGBTSr promoting health and well-being.

    By Mark McNease

    There’s something psychologically debilitating about walking with a cane, or wearing sandals that can accommodate an ankle brace. Two sizes too large? I had no other choice if I wanted more than one pair of shoes I could wear, which has been the case for a week.

    When the mighty fall

    Chronic pain affects millions of people, and we can find ourselves dealing with it at a moment’s notice. For me, it was a very sudden fall in the yard just over a week ago. I was dragging a hose across the lawn, walking sideways, and suddenly …. SNAP, my ankle bent sideways and every overweight pound of me went falling to the ground. I’ve had this happen before, but never so seriously. I also landed on my chest, and a week later I’m dealing with both the ankle, and, to a lesser degree, rib pain.

    We’re going on a cruise next week. Between that and simply wanting to function—I don’t know how anyone stands being bed or couch ridden for more than a day—I went to an orthopedist. Now that I have Medicare there’s no reason not to, but old habits of avoiding doctors die hard.

    Chronic pain is caused by any number of reasons, such as injury, illness, aging, or stress. It can, and does, have a negative impact on your physical, mental, and emotional well-being, as well as your quality of life. There’s something psychologically debilitating about walking with a cane, or wearing sandals that can accommodate an ankle brace. Two sizes too large? I had no other choice if I wanted more than one pair of shoes I could wear, which has been the case for a week.

    Take heart: there are ways to cope with chronic pain and manage its symptoms. Following are some tips and strategies that can help, or at least inspire you to find your own ways of coping.

  • Health Beat

    Health Beat: The Importance of Stretching for Older Adults (Includes Video)

    Health Beat is a feature at LGBTSr promoting health and well-being.

    By Mark McNease

    I’ll confess – I’m not good at taking my own advice when it comes to stretching, but the older I get, the more obvious the need for it becomes. I can feel my muscles, especially in my legs, contracting and in need of get a good stretch. Maybe knowing there’s a problem is the first step in addressing it! This year my objectives including losing 50 pounds, and listening to my body when it speaks to me, which is daily.

    Stretching is a simple and effective way to improve our health and well-being, especially for older adults. As we age, we tend to lose flexibility, range of motion, and balance, which can lead to various problems such as pain, stiffness, injury, and reduced mobility. In my case, I was diagnosed with Restless Leg Syndrome. I’m convinced that stretching would be a better remedy than medication, but for now I’ll do both.

  • A Wealth of Health,  Health Beat,  LGBTSR

    Health Beat: What is Restless Leg Syndrome?

    Narration provided by Wondervox.

    By Mark McNease

    After experiencing increasing and chronic pain in my thighs, I finally went to see my primary care doctor. His diagnosis? Most likely restless leg syndrome (RLS). I’ll admit to being surprised, because I’d always imagined that as causing a visible shaking or twitching in the legs. What I didn’t know is that it can be low-grade, and it can happen while you sleep! As he explained it, my legs could be twitching almost imperceptibly while I slept, keeping them from resting and rejuvenating. The result is a pain and tiredness that was becoming slightly debilitating.

    Restless leg syndrome didn’t seem to be in the public consciousness until fairly recently, and I was one of those who questioned how prevalent it was. When I first saw drug commercials for it, I thought it might be another of the discoveries being made weekly that require another medication, helpfully manufactured and marketed by the pharmaceutical companies. And then it happened to me.  I know what it’s like to have an ailment that almost seems as if it’s in my imagination. If you’re experiencing this, rest assured it’s real.

    For me, the doctor prescribed Ropinirole. It’s commonly used for Parkinson’s (don’t let that alarm you) and for restless leg syndrome. The results were immediate. The pain is mostly gone, and began subsiding within a couple days. And a side effect is that I sleep soundly, something that has been an issue for me for years.

  • Health Beat,  Health issues,  LGBTSR

    Health Beat: Is Cannabis Right for You?

    Narration provided by Wondervox.

    By Mark McNease

    Once Upon a Gummy

    I’ll be honest: I’m a cannabis guy. I haven’t had a drink for 9-plus years, but several years ago I wanted something to help with stress management. A friend gave me a cannabis gummy, and I took half of it. After years of apprehension, I discovered the sky did not fall, I didn’t want to run off to the nearest drug dealer or bar stool, and I quite enjoyed it.

    After years with a clear head, I do not like feeling intoxicated by anything. I did that for decades as a young person, even having a reputation as a pothead in high school. That kind of misuse, of the psychotropic components of marijuana and of my own mind and body, holds no allure for me at this age and hasn’t for a long time.

  • Health Beat

    Health Beat: Alternatives to Using a CPAP Machine

     

    By Mark McNease

    I’ve been using a CPAP machine for over five years now. I got lucky, as far as I’m concerned, by only needing the nostril pillows. It’s not uncomfortable, and I quickly got used to having a hose coming out of my face onto a machine set up by the bed. But I would still prefer not having to use it. It’s especially inconvenient when we travel and I lug this thing around with us wherever we go. There’s the added hassle of either taking sterilized water, which is used in the machine, or buying it when we get to our destination.

    My machine recently started making bag-motor noises and I need a new one. However, I was told I have to be tested again, and to get a new prescription from my “sleep doctor.” I have an appointment to see him in October, when my Medicare kicks in. In the meantime, I thought I’d take a look at some possible alternatives to having your life tied to a CPAP. I don’t know if the weight loss suggestion will work for me, since I’m perpetually trying to lose weight. Hopefully we’ll find out soon. In the meantime …

    Possible Alternatives to a CPAP Machine

    One alternative to using a CPAP machine is an Oral Appliance, also known as a Mandibular Advancement Device (MAD). This type of appliance fits inside the mouth like a mouthguard and helps to keep the airway open during sleep by bringing the lower jaw slightly forward. Oral appliances are typically adjustable, allowing users to find the most comfortable setting.

  • Health Beat

    Health Beat: Now That You Have Your Medicare Card

    By Mark McNease

    It finally happened: the great reward for living almost 65 years! I’ll be passing that milestone in October, and I just got my Medicare card in the mail. It was like Christmas in June. The good news is I made it this long, the not-so-good news is … I made it this long. While that means I have fewer days ahead of me than behind me, it also means I’ll soon be able to enjoy healthcare as a Medicare recipient. No more ‘paycheck jobs’ for the sake of having medical coverage. And let’s face it – that’s why I worked for most of the last ten years.

    The instructions for what to do once your card arrives can be confusing. There’s Original Medicare (Parts A & B), Part D (prescriptions), and what is called Part C, Medicare Advantage – more on that in a moment. I am opposed to Medicare Advantage because it is not Medicare. It is private insurance that is allowed to bill Medicare for its costs, with the ultimate goal of privatizing Medicare and eventually bankrupting it as a government program. I know, I know … millions of older Americans love their Advantage plans! So much so that half of all Medicare enrollees now have them. But I will not be one of them. I want to make sure Medicare is around for the generations after me, and I trust privatized health insurance as far as I can through the nearest Social Security office. I will be buying a supplemental plan instead, which covers the percentage original Medicare does not. And I’ll be getting prescription drug coverage individually as well. You will need to consider all your options, preferably with someone who can walk you through them and who does not have a vested interest in you taking an Advantage plan. Be aware that your premiums will be deducted from you Social Security if you’re receiving it (I took it at 62). If not, you’ll have to pay them separately.

  • Health Beat,  LGBTSR

    Health Beat: 5 Years with a CPAP Machine

     

    I’ve used a CPAP machine for five years now. I consider myself one of the lucky ones: I’m able to use the ‘nostril pillows,’ which is probably the least invasive, most easy-to-adjust-to option available. Still, there are adjustments to using a CPAP that don’t go away. Traveling is a big one. Every time we leave for a trip, whether it’s overnight or a two-week cruise, I have to lug this thing around with me. That means I’m also usually taking a gallon of sterile water, since that’s the kind you’re supposed to use to keep the machine from being damaged by minerals. It feels like a dreaded appendage, or a third traveler I would prefer to drop off at the nearest crossroads.

    Having said all that, the machine has prevented me from waking up with the headaches I often got from being oxygen-deprived. That’s one of the more serious side affects of sleep apnea: stopping breathing dozens of times a night creates health risks that can lead to stroke, heart attack, and those awful headaches. By keeping your breathing open and free, a CPAP machine is an effective way to prolong your life and avoid all these medical issues.