Nutrition: cleaning up the taco salad

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So I don’t want to post just to write a post…and for the most part, I’m doing well.  But I also don’t want to not post.

So would you rather see cat pictures???

  

Or hear about some of the dumb things I’ve done that my rheumy would probably cringe at…

Or perhaps my space is best used by sharing some of the things that make a big difference in my personal health?

Option 1 is totally adorable.  Option 2 is…well…what it is.  Note for my rheumy: my sliding buddy in the video is an ER doctor = I was *totally* supervised.  Option 3 is probably what you want to hear about most though. 
Not that I intend to stop with the cat pics nor do I intend to stop playing in bounce house/water slides meant for children. 

For me, one of the things most crucial in maintaining my health is eating correctly. The downfall is that so many of the foods I like are so bad!  

I’m very sensitive to a variety of foods and, as I’ve mentioned before, worked with a nutritionist to identify and eliminate them.  Tops of my list are salt, processed sugars, soy, gluten, and dairy. 

So how do you still eat your faves and avoid these things? I have been trying to clean up my favorite dishes, one step at a time.

On the menu today, taco salad.

I make all my meals for the week on Sunday’s and freeze the ones for the latter part of the week.

It doesn’t take as long as you would think.

This morning, I got up, made a cup of coffee and threw 2 lbs of chicken in the crockpot with a jar of tomatillo salsa.  (Sugar free). Low for 9 hrs.  When it’s done, I’ll shred it.  I’ll put some on salads. The rest I’ll eat by itself because the flavor is that good. 

I chopped 2 green peppers and 1 onion. I browned a pound of lean ground beef and added the peppers and onions.  

While the peppers and onions cooked, I chopped three zucchini. I put them on a baking sheet, sprayed them with olive oil, a teeny tiny bit of sea salt and popped them in the oven. 20 minutes at 400.

Note: this is how I drizzle olive oil.  It’s easier for my hands and wrists to hold as well as not dump a flood of olive oil.  Available from the travel section in almost every store for roughly $1.

  
Once the zucchini was in the oven, the onions and peppers were cooked.  I added 1 can of Rotel and 1/3 cup of water.  I also added 2 tablespoons of ‘Organic Mexican Seasoning’ that I got at Whole Foods.  It’s salt free and probably pretty easy to make on your own…but it’s Sunday and I’m lazy!

Here are the ingredients:

  
I mixed everything together and covered it to cook for 10 minutes.

Instead of chips, I serve it on a bed of spinach or kale.  I topped it with some fresh cilantro from my porch.

  
I made cup of coffee #2….oh, I need to not lie.  Do over: I made cup of coffee #3 and stuffed my face!

When I was done, the zucchini were too.

  
I roast all my vegetables this way. Asparagus, brussel sprouts, artichokes, you name it. 

Later today, I’ll spend probably 5 minutes shredding the chicken.  I also have fresh spinach that I steam as a side for variety.  If I get tired of the entrees, I always have chicken sausage on hand.

All in all, I spent 45 minutes in the kitchen, most of it waiting on stuff to finish and indulging my coffee addiction.  Outside of assembling and heating meals for the rest of the week, I won’t cook again until next Sunday. 

Now…cup of coffee #4 and hopefully a good walk if it cools off some!

Note: I was not compensated for or asked directly or indirectly  to mention any of the products above. 

Shots, shots, shots

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Yes, the wild child in me is singing that god awful rap song right now.  It is awful…but dang it is catchy!

Anyways, one of the questions I am asked the most is how in the world can you give yourself shots???

Some back story: I grew up terrified of shots.  I had to get a tetanus shot right before I went to college and I *may* have slightly panicked about it.  At 18, almost 19 years old.

My sophomore year of college, I wound up requiring allergy shots.  I learned that if you are miserable enough, shots are no biggie.  I did the allergy testing, reacted to everything, and scheduled what they termed ‘Rush immunotherapy’ to jumpstart getting myself better.

Rush immunotherapy required me to be at the doctors office for 8 full hrs.  I knew I would be receiving a shot every half hour for the full day, but didn’t realize the other things they would do.  I got there that morning and the first thing they did was start an IV in my left hand.  I asked what it was for- it was in case I went into full anaphylaxis and my heart stopped beating.  They inserted the IV and capped it off…and the whole day I kept staring at it, hoping it would never be used.  

It was not used, but I totally used it to get bumped to the head of the cashier line I n the hospital cafeteria because they all assumed I was there for chemo.

(Going to hell.)

Anyways, I did 5 years of weekly allergy shots.  

You would’ve thought that would’ve desensitized me to getting/giving shots but when I was put on Humira after being diagnosed, I waited a month to give myself that first shot.  

It wasn’t a real shot persay- it was a preloaded epipen type shot.  But it intimidated the hell out of me.  

One of my good friends found this out and organized my ‘give a shot, take a shot’ intervention.  Simply put, she showed up with a bottle of coconut rum that I like, and wouldn’t allow me to partake until I gave myself that first shot.

It ended up being perfect and hilarious.  She knows me well and knew I needed humor to get through it so she called the whole event like a wrestling match.

‘And AJ is unsheathing her secret weapon from its plastic casing.  The ref verified that it is not expired and therefore eligible to used to beat the bloody hell out of her opponent.  AJ is out of her corner but look at her opponent cowering. Look at her technique as she expertly jams her weapon into her enemy and presses that button. BAM- opponent is down for 1…2…3…4…5….And we have a victor with AJ!!!!’

For real. It happened. 

I have awesome friends. My A team always knows what I need.

The first time is always the hardest.  And my buddy made it so funny that I just didn’t care.  The shot of rum I took after was my prize.

Pretty sure doctors everywhere are cringing.

Anyways. So I did several years of Humira shots.  Then I moved onto Orencia infusions.  I switched to Orencia injections simply because it was easier on my schedule.

The Orencia injections were my first experience with a non epipen injection.  They were preloaded…I just had to do the stick.

The first one I did, I had to do with the nurse at my doctors office to show I knew how to do it.  I’d never done that before and I think I scared her at first.

I was all Pulp Fiction- holding it 3 feet above my leg and preparing to ram it.  I learned that day that for subq shots, you hold it gently on the surface of your skin.  You hold it like a pen, and gently insert it at a 45 degree angle.

Subq shots are boring.  I wanted to go all John Travolta on it! Complete with music.  But whatever.

Because I’m asked so frequently what it’s like, I made a quick video showing me giving myself my weekly vitamin B injection.

This is a supplement  I take and I find the injectable version is better quality for me than pills.  This is an intramuscular injection- 90 degrees rather than 45.  This is one that I also have to draw up myself, another new skill I have.  Certainly, the most difficult injection I have to give myself.

And guess what? It’s not difficult.  So for any of you who may be nervous about injectable medication, this is the hardest type of injection to do…and its simple, fast, and not painful.

Training update 1

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I worked out with a trainer twice last week as she offers two free visits prior to signing up.

I was super psyched to work out with her as her specialties are postural problems and joint injuries.  I mean, what better match could there be???

Visit 1 involved a lot of benchmarking. She tested flexibility, strength and watched me from every angle to see posturally what I’m doing.  She shared her observations with me, mainly that I favor my right side due to my left ankle problems. No surprise there…but she shared with me that there are things we can do to strengthen the left side to make it more balanced.

Visit 2 was a workout she designed for me.  It was hard but not unmanageable.  We did a lot of strength training using just body weight…of which I have aplenty right now.  Leg lifts, modified push-ups, walking while holding weights up…nothing that I’m incapable of.

It was awesome and I kept catching myself thinking ‘gosh, I miss this!’ 

And then she shared pricing.

Dum, dum, dum.

Totally not doable.  To the tune of $350 per month.  

Totally not doable.

  
With my trainer in Greensboro, I paid $100 per month.  And he was great.  And also super hot.  Which was motivating.

So…I’m kinda back to the drawing board.  While I’d love to work with her and feel that I’d greatly benefit, I just can’t commit to that number in my budget.

But I also know that I need to resume activity.  I’m mad at myself.  I remember thinking this time last year ‘I can’t believe I’ve seen so much joint mobility difference just from working out and I can never ever lose sight of that.’  And here I am…having fully lost sight of that.

In the short term, I trained with my old trainer online for several months where he’d email me the workouts.  I didn’t like it because I need the accountability of showing to someone.  But it was cheap…much less than even $100 per month.

I still have all of those workouts stored in my email inbox.  I think at least in the interim, I’m going to start back at day one with him and go through the whole series again.  This time, I’ll be taking it more seriously.

Any tips on accountability to actually doing it? That is my biggest struggle.

Getting back into the groove

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When I lived in Greensboro, I laughed that I had ‘Team AJ’- a team dedicated to helping me get healthy.  After all, I spent a lot of time there by myself (both willing and unwillingly) and was able to dedicate a significant amount of time to working out and eating right.

I had: a nutritionist, a personal trainer, and a massage therapist.

BUT…I realized after awhile that the closest friends I had there were people that I paid…

 That’s no way to live.

And that factored significantly into my decision to move.

I was the thinnest, healthiest, most unflary version of myself that has ever existed post diagnosis but I was miserable. 

While I was physically doing great, mentally and emotionally, I was in a terrible place.  Between you and me, I’d rather flare a little and not have the people closest to me only be there because they’re on the payroll.

*To be fair, most of those on the payroll have remained there since I moved and they lost their income from me.  But still…it’s a hard thing to realize that the people you’re closest to may only be there for financial reasons…I’m a lucky girl*

Since moving back to Charlotte, I’ve gotten out of my clean eating, super active habits.  I’ve gained the happy 20, and lost some wrist mobility as a result of not consistently working those joints out to build muscle to support them.

I’m admittedly in a weird place.  The girl who usually needs alone time can’t get enough of being around people.  Unfortunately, being around people for me means bars and restaurants.  Spinach artichoke dip at 10pm is not conducive to healthy living.

Honestly, I’m not terribly upset about the weight gain.  Because I was so miserable personally and had no other way to define accomplishments, I took the weight loss/working out a bit too far.

To be clear, I looked like Skeletor for awhile.

   
And that’s just not a good look for anyone.

But… I was in a weird place in Greebsboro where micro managing my body was the only accomplishment  that I had.  I’m not going to shy away from the fact that I’ve always had a weird relationship with food and emotions…but I will say that in the midst of my unhappy restricting while working with a nutritionist and trainer taught me things about my ability to control my disease that I had never picked up on.

I’m sensitive to gluten, dairy, and soy products. Beans also make me flare a little which is a sad, sad thing for someone who loves black beans and rice as well as veggie burgers.

B12 shots give me much more energy during the day, which helps this insomniac sleep at night.

Soooooo….after hitting a wall last month and realizing that certain joint pains actually feel better when I use them, this RA chick is sending herself back to a trainer.

Unlike last time, I’m going to try to update as I go rather than update as I see results.  It could change but I think I’m going to focus on wrist and ankle mobility as my target areas in addition to weight loss.  

I’m excited because, for cost and motivation reasons, I’ll be sharing a trainer with a good friend.

My first session is tomorrow and for once, I will be completely open and honest about my actual weight and joint abilities.  I’ll also post what we are doing and how I modify activities to keep up with my friend who does not have RA.

Wish me luck! I’m excited!

How to: survive being in a wedding with RA

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As mentioned earlier, 3 weeks ago, my brother got married to a wonderful girl!  I was a bridesmaid, and thrilled/honored to be included in the wedding party…but living with RA brought some concerns that I’d gather the average bridesmaid doesn’t encounter!

A three hour drive to the city, and a three hour drive home on a sleep deficit.

A jam packed schedule with literally no down time starting at 9am Friday morning and going straight through Sunday.

All that standing.

All that dancing…because you don’t want to be remembered as the old stick in the mud.

So what happened?

I initially planned to drive up Friday early morning but once I saw our schedule started at 9am, I left Thursday at lunchtime.

I broke up the trip by stopping at the town I used to live in (a good halfway point) and managed to squeeze in a visit with my rheumy because I haven’t found one here I like.  And because I like the practice I’m at and may stay! And by visit, I mean poking, prodding, and blood work.  

I’m happy to report that I am being taken off methotrexate!!! That definitely pumped me up for the remaining hour or so. My left wrist was still a little ‘squishy’ but we are watching it and will re-evaluate in a few months.

I arrived in Raleigh around 4pm, just in time to go hang with my brother and then meet my parents for dinner.  The best part of the day? In bed by 9pm and slept straight through to 7.

That night was amazing and was the type of sleep I needed to get through the next two days.

Friday at 9am: mani/pedi time with the ladies! I’m in the red shirt.

  
12pm: Bridesmaids brunch

3pm: wedding rehearsal IN THE POURING RAIN.  It was an outdoor venue and I was terrified of slipping so I literally wore a pretty dress and tennis shoes that I always keep in the car.  Unfortunately, when RA is involved, function beats fashion.

4:30- Head to rehearsal dinner site to help finish set-up.

6pm: rehearsal dinner.  I wound up sitting with my cousins and the preacher…so I tried to be on my best behavior.  I tried sooooooo hard.

  

But nothing is more fun than taking awkward photos with your brother’s friends to piss him off!

  
And some cute ones with me and my cousins. Pink dress= me.  Blue shirt = my bro.

I’d like to tell you that I went back to the hotel and got in bed at 9.  I did not.  To which I will be completely honest and give some good advice: be ye not so stupid.

I arrived at the venue at 9am the next morning for breakfast, hair and makeup. Because of the lack of good sleep, this is how I spent most of the morning…

  
More honesty: that is not a mimosa.  I was tired and achy.  But do you see the yellow Tom’s on the feet in front of me? God bless my new sister in law. 

I think this is a great ‘I feel lousy but I don’t look sick selfie’ because again, I felt terrible.  Moral: sleep, it’s important!

  
The wedding was beautiful.  I was concerned about tripping walking in and out, but I hear that’s normal.  And my feet took a beating because once we got dressed, we stood until the after wedding pictures were done.  We got dressed around 3pm and the wedding wasn’t until 6.

Pictures were fun but exhausting.  And oops…we dropped the groom!

 
I was shaky when the reception finally started.  Too little sleep, too little food, too much standing.  

I fixed a good plate of food and sat for awhile.  And ended the night dancing with my adorable grandma who I learned is actually a wild thing!

  

YourCareMoments

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If you’ve been reading here awhile, you know I do not post/endorse anything lightly, as I feel that getting into a ton of that makes blogging not fun to read. BUT, I am all about some good old cool resource sharing.

Several months ago, I stumbled on YourCareMoments. I wish I could tell you where I found it, probably another blog, but the premise of answering some questions about the RA experience and making a little bit of fun money for doing so sounded ok by me. And we all know how important contributing to patient research is!!!

I’ve been doing them for several months, and they send surveys around a variety of RA issues. I’ve noticed a lot of surveys revolving around the doctor patient relationship, medication compliance, cost of medication…all issues that I struggle with. I tend to get 1-2 surveys a month and generally make $5-7 to respond.

Keith with YourCareMoments approached me to see if I’d like to share this with other patients and of course, I said YEAH!

Description from Keith:

YourCareMoments is an online survey community where patients can share your voice and get paid for doing so.

They provide insights into consumer habits, decisions, and healthcare experiences through short, online, anonymous surveys that they send to their registered patients. The surveys take 5-10 minutes to complete on computers or mobile devices, and YourCareMoments pays PER survey. Payments are sent via Paypal and take 2-3 business days to process after each completed survey.

In order to survey patients when the information is still fresh in their minds, the company keeps in contact and follows the participants whenever they see a doctor or pick up a prescription. Patients don’t need to worry that YourCareMoments might share their identities; the company never asks for names or addresses, and your email address is never shared.

You can register free by clicking here.

If you have any questions, don’t hesitate to email Keith at contact@yourcaremoments.com.

*Disclosure: I have received compensation for taking the surveys sent to me. I have received no compensation for writing this post and will receive no compensation for any readers who sign up.*

Thank you, Healthline!

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Super excited to have been included on Healthline’s list of 2015 Best RA Blogs!  I especially love that they say I’m 32…add 3.5 years to that and you have the right age. :) Healthline…don’t take this as a request to correct my age.  I’m GOOD with people thinking I’m 32. 

It’s always flattering and humbling to be included with people I look up to who are simply sharing their lives with RA! Check out all the bloggers recognized here!