Sunday, 10 February 2013

Heart Rate Monitor

For those who don't know me too well that I have a severe physical disability, I was born with my arms shortened to elbow length, just three fingers on each hand and my femurs (thigh bones) shortened to about 30cm both sides. This is as a result of the drug Thalidomide (see Google for further info on what this was!)

My left leg is about 4cm longer than my right. My lower back has slight curvature. I don't have any proper ball and socket joints in my shoulders or hips. My walking gait is severely compromised. All of my life I have been unable to walk very far (about half a mile maximum before I need to stop and rest). Of course, none of this helps with weight and my being able to exercise.


In 2002 whilst I was on holiday in France, I set off on the wrong side of the road (driving) and had a head on collision with a car coming towards me. Although we both braked and took avoiding action, we met in the centre of the road. The force of the crash was so bad, it fractured my right ankle (through the accellerator pedal) and my car was written off. My daughter (the aged 5) and my then husband were both also injured - my daughter my the force of the seatbelt on her collar bone and hip, and my ex husband (because me put his left arm out and braced himself) injured his left wrist and ankle. Thankfully neither of their injuries were severe.








 






I had to have immediate surgery to plate and pin my right tibia and fibula. Our holiday was... urrrm, extended (shall we say) and I was flown back to the UK on a private plane (thanks to the holiday insurance company).

I couldn't walk as I couldn't use crutches (because of my shortened arms). I was forced to use a wheelchair outside of the house so that I wasn't housebound. I had my (new) car adapted with a wheelchair hoist to accommodate my powered wheelchair. 


My right ankle never healed. Although it wasn't (prior to the accident) affected by my disability, it failed to regain it's full movement/mobility and I was in constant pain. Despite physio, my ankle was swollen all of the time. I'd be forced to go upstairs to bed at 6pm just to elevate my ankle and try and reduce the swelling.


About 8 months after the accident and with no improvement and after getting a second opinion from a ankle/foot specialist, I had further surgery - an arthrodesis. They remove all the cartilage from all parts of the joint and pin all the bones of the ankle to permanently fuse the joint in (approx) 50 degree angle from the leg. The aim was to get rid of the pain and to prevent any more arthritis setting into the joint (my ankle bones were all moving out of position).


Sadly the ankle isn't that much changed - I still have pain, it's still swollen.... I can't walk even one step without severe pain. I use a powered wheelchair when outside of my house, but it's kept in the car. I can manage to walk around the house and I can manage stairs with extreme difficulty (I come down in the morning and go up at night).


Doing ANYTHING for me requires far greater effort and exertion than it would for most people. Because of my short arms, getting washed, dressed, showered... takes me twice as long (at least) and possibly takes twice as much effort. I haven't really been able to walk (other than around the house or out to the car) for over 10 years. My weight increased. My (slight) asthma worsened. I was possibly even a bit depressed I am guessing (most people would have been I think!). I gave up paid work, and suddenly for the first time in my life I had to arrange for some help around the house with housework, shopping, laundry, etc – and yes, even caring for my daughter (which was really hard…)


So.... back to exercise and my HRM… the treadmill…. walking…..


I’ve been swimming once a week for about 8 months now. I go and swim for an hour on my back (can’t swim on my front because of my short arms and arthritic neck). I wear swimming fins (shortened flippers) which help me move through the water but also provide greater resistence so my legs/ankles have to work harder to power me through the water. BUT I wanted something to help me with cardio vascular exercise.


A week ago, I borrowed my ex husbands treadmill with a view to being able to start exercising regularly. Bear in mind, I’ve not walked for 10 years (in the proper sense of the word). I know because of the weight loss that my fitness has already improved. I don’t feel as if I’m having a heart attack when I over exert myself now! My asthma seems to have vanished.


I planned to start by walking quarter of a mile. However, on my first attempt, I walked half a mile. I did this at a slow pace (1.7 mph) and I had to stop every five minutes. But I did it.
I have been visiting a personal trainer (one assessment, one session last Friday), because I recognize that I need to make sure I don’t overdo it. And I bought my HRM because I wanted to monitor any improvements in my fitness levels and ensure that I was giving my heart a really good work out.  


Today I’ve done 20 minutes (with two stops, not letting my HR return to less than 120 bpm). It took me 29 minutes (20 mins walking, 9 mins resting), my average speed was 1.7mph. My average heart rate during the session was 140bpm, the highest it got to was 159. My HRM tells me I burned 390 calories.

I've compared this to what I would earn were I "normal" (hate that word, but you know what I mean!)


Regular 20 minute walking on treadmill would have earned me 53 calories. 


However, my HRM tells me I earned 390 calories during the 29 minutes – which minus background calories leaves me with 281 calories. That’s over 200 calories more than
 

So – purpose of this post is to (1) encourage EVERYONE to try and do some form of exercise and (2) to encourage people to use HRM’s to give themselves a more accurate idea of just how hard – or not – they are working themselves.

I kind of thought I was burning a lot more than an on-line exercise calorie calculator tool on the weightloss website site was giving me, but I hadn’t realized that the difference would be quite so mammoth!!!


Saturday, 2 February 2013

The treadmill has landed!

After my free Personal Trainer assessment a week ago, I started to think that a treadmill could be really valuable in increasing my stamina and ability for walking. You may remember that as my walking is VERY limited, I usually use a powered wheelchair outside of the house for any distance. So it's either walk a very short distance or use the wheelchair.  There's nothing in between for me to measure any improvement in my walking ability.

I am losing weight (2 stone at present) and hopefully this will have improved my stamina and walking abilities, but it's really hard to work out just how far I can walk or what the effect will be on me.  I can't just "go for a walk" as I have no clue how far to go before I'll need to turn back.  I'm also pretty worried about tripping / stumbling / falling over.  For that reason I'd need to have someone with me - and let's face it - if I fall, they're not going to be able to stop that from happening!

HOWEVER, ex hubbie bought a treadmill just before we parted company 6 years ago... It's a pretty decent one (cost £1k 5/6 years ago from John Lewis) so I asked if I could bring it out of retirement and make use of it. As far as I am aware he hasn't used it since he moved out.

He delivered it at midday, and it's all set up in the garage now. It's a Horizon Fitness Omega III HRC Entertainment (if anyone knows about these things....)

Once he'd set it up, I had a little toddle on it. It's far better for me than the one at the gym as there are some grab handles on the front of the machine (where the main controls are) and the speed adjustment is on the right hand rail. It also has an incline adjustment on the left handrail.

I'm only going to be able to use it for slow walking (initially) but I'll probably use a slight incline setting as I improve. I'm thinking that I'll set myself an initial goal of 500 metres (just over quarter of a mile) and decided that if I need to have a stop and a breather / sit down whilst completing the distance, then I will.

So wish me luck! Whilst Andy is enjoying listening to the footie (Newcastle game), I'm off into the garage with my ipod, some water and my trainers.

I may be gone some time :)

Friday, 25 January 2013

Bring it on!!

This morning I am dressed in...... t-shirt, leggings and trainer socks - and will add the finishing touch - the training shoes, at 11.45am, when I am off for a 30 minute free session with a Personal Trainer at the sports injury clinic where I attend regularly for physio, accupuncture and massage.

I had to go any buy the trainers, as my footwear is pretty limited, thanks to an ankle/foot injury I picked up ten years ago.  My first trainers in 20 years!!!

His challenge is to find me some sort of cardio-vascular workout that I can manage. Got a sneaky feeling this may involve a treadmill!

The problem for me is since my RTA (2002), my mobility has been (further) severely compromised. I can walk, but only very short distances so I use a powered wheelchair outside of the house. I can walk to the car and about the house easily, but the problem is when it's much further. So if I am going anywhere, unless I can park right outside the door and know how much walking/standing is involved, I take the wheelchair.

I have REAL difficulty with standing still, so queuing, etc. This causes severe pain in my lower back and hips, as well as in the ankle which was damaged in the car accident and was subsequently fused.

BUT I know with the weight loss and the hours swimming I am doing once a week that my mobility has improved - as has the pain. The problem is measuring how much more improved my mobility / stamina is. I need someway to measure how far I'm able to walk, but I can't do this by simply "going for a walk" because if I run out of steam or start to have a lot of pain - I still need to get back or sit down!

Okay, okay.... I have to admit that some of it is confidence and the fact that since the accident (which affected my already very weird way of walking) I have been more prone to falls. When I fall, I usually hurt myself really badly (because of my shortened arms, I throw my head back to prevent my face from hitting the ground, thus giving myself whiplash!)

Last Christmas I had three falls whilst we were staying in a cottage in the Lake District. The first two were little trips and I was relatively unscathed. But the final fall was whilst I was coming (at some speed because of the rain) through the doorway of the cottage. The stone step of the cottage was covered in green slime from a leaking gutter/drainpipe. My feet just shot out from underneath me and I landed with my full weight on my right arm. I thought it was broken, and could hardly move or lift it for the next few days.

An x-ray revealed it wasn't broken, but I was unable to drive safely, and as Andy isn't a driver himself, we ended up stuck in theLake District for a few extra days waiting for the arm to recover enough for me to do the long drive home... and even then I was terrified I'd not make it home safely (I was driving on my own).

Bit of a long tale, but the long and short of it is that I have realised that any more accidents or falls may leave me unable to continue to be as independent as I am - I can dress and wash (with a struggle, and it takes me 1.5 hours flat out) which is my little keep fit regime every morning!

I want to carry on being relatively self-sufficient.  I want to be able to continue to do those things I am able to do without help.  I don't want help from someone I don't know with my personal care, and I don't want Andy to have to do any more for me than he already does.

But then that is what this weight loss journey is all about right? Preserving the health and the abilities I have!

Will up-date you on how the assessment went at some point over the weekend!

Friday, 7 December 2012

Five a day.....????

I've always loved my fruit and vegetabled. But since joining Weight Loss Resources my intake of fruit and vegetables has slowly risen..... and risen..... and RISEN!!!
Today, my weekly shop (for two/three people) contained:

1 x pack of pak choi
2 x red onions
4 x brown onions
1 x button mushrooms
1 x chestnut mushrooms
1 x portobello mushrooms
1 x pack of stir-fry veg (ready prepared)
2 x cauliflower (to satisfy my new "cauliflower rice" craving)
1 x pack of greens
1 x lettuce
1 x pack of vine tomatoes
2 x yellow pepper
1 x red pepper
5 x carrots
1 x aubergine
1 x GIANT butternut squash
2 x courgettes
2 x bags of potatoes
1 x cucumber
1 x pack of parsley
2 x avocados
1 x pack of shallots
1 x fennel bulb
4 x pink lady apples
3 x bananas
2 x lemons
1 x lime
1 x bag of brazil nuts
1 x bag of walnuts

Now you may look at this and think - there's no way she's gonna get through that in a week.....???

That's what I always think whilst I am putting the shopping away - but I do, and each week I order more!

In fast we are now storing veg in a crate in the garage (with a lid to stop rats/mice/squirrels).

Can anyone beat this????

Friday, 30 November 2012

Just a little hiccup!

Had a nice and very healthy dinner tonight of sea bass fillet, sauce made with low fat creme fraiche and lemon slices, boiled potatoes, pan fried samphire and fennel - in total about 450 calories.
Then ate 100g of mango with low fat creme fraiche and bran flakes. 


Then 60g of tortilla crisps.... 

THEN 50g of sugar puffs with milk..... closely followed by 5 Jacobs cream crackers with goats cheese, half an apple and some grapes..... 

This additional "snacking" all added up to 1,000 calories!!!   Sad
I was doing so, so well..... but at least I stopped after just a very small glass of white wine!!!

Tuesday, 27 November 2012

Cauliflower rice... the love affair begins!

I have made a really amazing discovery!

I read a post on the forums (on Weight Loss Resourced) a couple of weeks back in answer to someone asking about alternatives to rice (with curry, etc) and it suggested cauliflower rice.

I looked up how to make this, and it's basically whizzing some raw cauliflower in a food processor until fine (and it really does resemble rice!) and cooking it (without any added water) in a microwave. I placed my cauliflower in a microwave steamer, and cooked it on full power for 2.5 minutes.

It was served with a Quorn bolognese, and was actually surprisingly tasty and a really good, low calorie, low carb alternative. 46 calories for 150 grams of cauliflower, as opposed to 50g of white rice (that I'd usually have) is 177 calories..... so that is MORE for a fifth of the calories!

It even looks like rice! It absorbed the flavours of the bolognese when mixed in, and had all the same properties that I crave from rice (soaking up the juice, filling, etc)





Cauliflower rice with Quorn bolognese and stir fried pak choi and peas.

Sunday, 11 November 2012

Middle Aged Spread....

Thalidomide.... or Flid.......

For those of us accepted by Thalidomide, the term "Flid" is an accepted word.  It's non-offensive, easier to say, and most certainly easier to spell!

All now in our fifties.  As we get older, this is probably the one single thing that is likely to cause us serious health problems, side effects and ultimately send us on our way..... is being overweight..... obese..... morbidly obese.


I am really interested in the whole weight loss for flids debate, as I am nine months into monitoring and changing what I eat.... and shock, horror, it is possible to loose weight without exercise/walking.

The only exercise I have done is swim for an hour about 6 times in the nine months....  I have managed to loose 22 pounds, in nine months just by monitoring what I eat and the calories it contains, and limiting myself to about 1,500 calories a day.

I have been educating myself about calories in foods.  It is possible to eat very well and loose weight.  I thought I did eat well, and didn't eat that much, but by logging everything I eat and working out the calorie content, I have discovered that I was probably eating about twice the number of calories I needed to in order to loose weight.

Sadly, certain things I have had to eliminate from my diet more or less entirely.  Pastry, red meat, pork, alcohol, sweets, chocolate, sausages, mayonnaise, bread, butter or spread… these are all things that contain far too many calories for me to use my 1,500 allowance to enjoy routinely, so they are now rare treats.

The other thing I discovered VERY quickly is that there is very little flexibility in my calorie allowance to let me eat out…. I DO eat out, but it is now an occasional treat rather than the usual things to do, and when I do eat out, I am careful to choose wisely.  I also have to work harder for the remainder of the week to stick within my calorie allowance if I’m still going to loose weight.

Takeaways wasn’t something I had regularly, and in the past nine months I have had just one.  Fish and Chips and is definite “no no” as a small portion of fried fish and small portion of chips would be my whole calorie allowance for the day (plus some).

The other discovery I have made is that I can’t expect to loose all of my weight in a short space of time.  This is going to take me a few years.  BUT, on the other hand, the longer I am calorie counting, the easier it becomes.  It has become ingrained into my very thinking.  I can manage to go to a coffee shop and have a coffee without cake.  If I want cake, I have a bite of Andy’s.  I am eating MORE now, I have to shop every week, and it’s costing me more, but I am cooking a lot more from scratch.  I am thinking about food more, as I have to plan what I am eating ahead of eating it and working out how to stay within calories each day.

The result of all of this (if I manage to do it) is that I loose a pound a week.  I like it because it’s that easy.  1,500 calories in each day = one pound loss at the end of the week.  A pound doesn’t seem to be a lot, but for me that’s what is achievable, and I don’t feel as though I am missing out too much.

Actually, I’ll re-phrase that.  To start with, I really felt as though I was missing out, but as time has gone on, that feeling has been replaced with a determination to loose weight!  This has been helped with loosing inches, and finding how much easier it’s become to carry out my own self-care.  Going to the loo, getting dressed – are all becoming much easier.