Numbers Have Genders

Well, they do when it comes to test results.

The health management organization to which I belong lets me log on to their portal and see all of my test results. For this data gal, that's like being given the keys to the candy store! While some candies are sweet, others are tart, and still others leave a downright bitter taste in your mouth.

I was looking through the list of my pre-op labs, and noticed that the results of a test for my Kidney function, 51, fell into the mild to moderate Kidney damage zone. I decided that, although I could panic, I wouldn't, at least, not yet. Because, I got people in high places with all sorts of esoteric knowledge. I sent my buddy, who just so happens to be a practicing Nephrologist, aka Kidney doctor, a hey, "is this bad?" text. I figured that she'd set me on the path to calm or drop-kick me to the fast track to panic, accordingly.

Her initial response of "eGFR usually underestimates renal function in women" was both calming and disturbing. Calming because I took that to mean that the results, couple with my creatinine values, were okay for me, because I'm a woman. Disturbing because why wasn't the fact that I'm a woman reflected in the results? Why wasn't I given results based on my biology? How many other tests have results scaled for men but not women, and how is this male-focused scaling affecting the quality of healthcare women receive?

While the above questions go far beyond the scope of a personal health blog focused on PCOS, Insulin Resistance, Hursuitism, and the host of symptomology I've mentioned throughout many of my topics, those very questions cause me concern as to the confidence the medical profession truly has when it comes to treating women in general, and me specifically. I admit that my looming hysterectomy, which takes place on Monday, is causing me not a little angst; but maybe, some of that angst wouldn't exist if things like tests and their results were based on my biology versus that of some other sex.

With today's technology, it's a pretty simple thing to check a box to filter results by sex. Why is the medical profession lagging so far behind in gathering, standardizing, utilizing, and reporting sex-based tests?

Clawing out of Depression's Grip

Not long ago, depression had me in its insidious grip, squeezing every shred of self confidence with which I manage to shroud myself. Clawing and writhing my way out of its clutches leaves me first pondering how I found myself there in the first place, and then tending to the wounds it inflicted. These wounds, some of them merely scratches that will heal quickly; others deeper with darkening bruises, which will turn to sickening green (how I feel about them, and sometimes me), and then fade completely.

With the significant changes I've made in my diet and the increase in exercise, I definitely experience fewer depressive states. When I do have them, it seems that they are still intense and I still feel anxious, but I think that the anxiety is a result of the tachycardia I experience during the luteal phase of my cycle, which is also when I tend to succumb to depression.

After my hysterectomy in another couple of weeks, I won't have ovaries, ergo, no luteal phase. So, might it be possible that without the surge of progesterone and testosterone, I will no longer experience tachycardia? Without the tachycardia, will I no longer have that feeling of anxiety? I don't think that my depression will be eliminated completely, but wouldn't it be lovely if it were simply a shadow skittering across my mental landscape rather than the monster I described above?

Symptomology 101

Throughout these posts, I have mentioned symptoms and associated many of those symptoms with possible root causes. I've made dramatic lifestyle changes and I'm experiencing either a resolution of or a decrease in the intensity of my symptoms.

I call that success!

I decided to take a moment to celebrate my successes and speculate on which life change may have contributed to the improvement of symptoms.

Acne
Significant changes in not only what I eat, but when and how much I eat have contributed to completely clearing up acne breakouts. I'm positive that going dairy free, and eliminating potatoes, rice, and white flour, have contributed to eliminating this particular malady.

Excessive Sweating
While I haven't found the off switch for this lovely symptom, it is greatly reduced. I've noticed that the onset is usually when my blood sugar levels are high that I'm particularly susceptible to sweating. Further, when I'm exercising my sweating is within acceptable limits, so long as I drink plenty of water before, during, and after an activity. I'm fairly sure that eliminating caffeine and drinking buckets of water have been key to alleviating this fun symptom.

Assorted
Some of the following symptoms I know are addressed by using a CPAP. Others depend on my blood sugar levels, amount of daily excercise, and my stress levels. Still, significant improvements overall.

• Anxiety reduced
• Depression reduced
• Daytime fatigue reduced
• Forgetfulness reduced
• Lack of energy during the day reduced
• Loud snoring gone!
• Mood changes reduced
• Morning headaches reduced
• Sleepiness reduced
• Slower reaction time reduced
• Restless sleep reduced
• Recurrent awakenings reduced
• Insomnia reduced
• Vision problems reduced
• Waking up with a very sore or dry throat gone!
• Waking up with a choking or gasping sensation gone!

Related Links

• How lifestyle, daily routine affect blood sugar
• Patient information: Diabetes mellitus type 2: Alcohol, exercise, and medical care (Beyond the Basics)
• Pre-Diabetes&Lifestyle Changes to Prevent Type 2 Diabetes

Agnsty, Not Only for Poets and Teens

I love that word. When I looked it up, I found this definition in the Urban dictionary:

Generally it involves the feeling of not being understood by anyone and that the person is alone in the world.

The Merriam-Webster free online dictionary has this nugget:

feeling, showing, or expressing anxiety, apprehension, or insecurity

My teens are in the former group, which makes total sense, because, well, they're teens. I'm in the latter group, my guess is because I'm neither a poet nor a teen (although there are times when I act like one). Anxiety and its cohort, depression, have been my companions for quite some time. Probably about the time I started infertility treatments. (I am blessed with three amazing kids. More on that story, later.) However, anxiety and depression have been particularly present in the last few years. Probably about the time insulin resistance reared its ugly head, unbeknownst to me. The good news is, now things make sense in ways that baffled me before. The bad news is, I must take better care of myself. I mean, you know, like put myself first sometimes. How bad can that be?

I'm curious, though. How much of my anxiety and depression are health related? As I ease into a healthier lifestyle and continue to put myself first in positive ways, will my depression and anxiety lessen? Will I be in a position where I can cut back on my "happy pills?" These are questions I hope I'll have answers (in the affirmative) to in the near future. It looks like, by continuing down the path of eating healthy and exercising, I could very well reverse insulin resistance and its unsavory symptoms in about a years time. I tend to be a rather goal-oriented individual, so of course I'm writing the goal of eliminating the whole prediabetes thing in gold letters on my bucket list.

I have found that sleeping better, thanks to the CPAP machine, has improved my over-all state of being. I'm positive that exercise is also responsible for helping smooth out my rough edges. Therefore, it must be possible that eating well, and managing or eliminating the massive levels of insulin wrecking havoc on my body, may very well contribute to reducing my angsty depression, as well.

That's my story, and I'm stickin' to it.

Related Links

• Serum androgens and depression in women with facial hirsutism.
• Severity of depression and anxiety in obstructive sleep apnea syndrome
• What's the connection between diabetes and depression?

Name that Syndrome

I'm waiting for the result labs to confirm my suspicions. During my wait I've been reading up on everything Polycystic Ovary Syndrome (PCOS) related. Yup, all signs point to that loveliest of all female, hormone-related disorders. 

In a word, it sucks.With a capital Uck.

There is much out there on the interwebs discussing all things PCOS. From symptoms, to lab work, to current medicine practices. I spent the last couple of weeks scouring the medical sites and various forums and blogs looking for information. I think that I really wanted to just find the thing that said "THIS!' Which I would do, and then all of my symptoms would miraculously disappear and I would be healthy. End of story. 

Try as hard as I did, I couldn't find anything that looked remotely like the THIS thing. What I did find is that there are a lot of women who have PCOS. Further, many of these ladies blog about their journeys, documenting their symptoms, doctors visits, test results, pain, and courage. Pages and pages filled with stories that are so different from my own, yet remarkably identical. That's the weird part. I, too, feel the need to share my story. I'm hoping that the more stories there are out there, the easier it will be to spot and aggregate the disparate symptoms for any women seeking relief from theirs. 

Honestly, the symptoms range from embarrassing to humiliating, to downright scary. Seen individually, each and every symptom can be swept under the "oh, it's just stress" carpet, except for the few that can be swept into the "it's genetics, just look at your mom" pile in the corner. When others dismiss your symptoms that makes it easier to dismiss them yourself. And I did, mostly, despite the tiny, nagging voice in the back of my head that insisted that something bigger was wrong. Frankly, I didn't want to be a hypochondriac. So, I silenced that nagging voice, pasted a smile on my face, and presented to the world the happy, positive facade that serves me well. 

Soren Kierkegaard said that "Life can only be understood backwards; but it must be lived forwards." In understanding PCOS and how it relates to me and my experiences, that quote is spot on. Let me show you what I mean, read on...