My heart is better!  I got the results of my 6 month echocardiogram earlier this month and not only is the enlargement of the right chamber caused by Covid gone, the flow rate in the left chamber has gone from 45% to 55%, which is where it should be in a normal human heart.  So I have healed my heart.

I mean, I will have to keep up with the dietary changes, the weight loss, keeping my sodium low, and stay on the diuretics, but that has more to do with my hereditary condition of microvascular dysfunction (tiny veins and arteries).  I may come off all but one of the diuretics if I hit a normal weight one day.  Possibly even the high cholesterol drug, even though my cholesterol is fine and has been for several years.  Probably not the high blood pressure because that is still linked pretty hard to the little veins and arteries.  Even the skinny people in my Mom's family have had it.  But so much better over all.

I've officially hit the 20 pound weight loss mark. Technically, I've seen 21, but it is bouncing between 20 and 21, so I am calling it 20 until it stops doing that.  My clothes are fitting a lot better.  Well, my pants always fit fine, but my shirts are fitting a lot better.  The funny thing about my pants is they seem to be getting longer even though they otherwise still fit right.  Maybe because my stomach is getting smaller.  Anyway, the weight loss goes well.  I've been kind of in a holding pattern this week to give my skin a chance to catch up and then tomorrow I will start back into the next phase of lowering the carbs again back down to 90 grams per day.  When I want a rest I do 120 grams.

I've been too exhausted to do much lately.  It's the new medication for rheumatoid arthritis.  One of the side effects is excessive tiredness and all I want to do is sleep and I have been.  Like 18 hours a day.  I'm up for appointments and to make sure people get fed and otherwise I am out cold.  It started when I started the drug.  Like the day after I took it first.  It is the worst every Tuesday since I take them Monday nights.  I can barely get out of bed the next day.  I am making sure to keep my Tuesdays clear as I am in no condition to drive that day even with caffeine.

I have an appointment with the doctor soon to see if I'll need to stop this one or adjust some of the other ones I am on that also cause drowsiness.  I may try on my own since two of them are just for pain with drowsiness as a side effect.  I'll try dropping one out first and if I don't hurt too much, then the other and see if I can stay awake again.  I've only been on it for 5 weeks so I don't even know if it is working yet.  Shots like these usually take 2 or 3 months to build up in your system.

Maybe doing the infusion might be a better way to go, even if my veins are tiny.  That's only once a month.  We'll see.  I'll call the doctor tomorrow and leave a message.  I don't want to not take the shots, though.  They are so expensive.  Fortunately, the company has a co-pay card so they are covering the part the insurance doesn't, except $5, but I still feel bad about it if I end up having to throw it away.  Even if it did come from big pharma and they make money hand over fist, I don't like wasting things that could have helped someone else.

If I can get the sleep thing sorted out, I really need to start seeing a chiropractor again.  My hip is killing me.  The thing that has been holding me back is cost.  My insurance only covers 80% of chiropractic after the deductible is met.  I can have as many appointments as I want, but 20% of what they charge nowadays is a lot.  And if I go, everyone is going to want to come.  Four people is a lot to be paying for, especially before the deductible kicks in.  Or maybe I just need a massage, which is the same, 20% after the deductible kicks in, but massage prices are more reasonable than chiropractor prices.  I guess we'll see with that, too.

I wish taking care of my medical needs was not so expensive.  I wish I hadn't had so many medical needs when I was young and fit that ended up getting me to this point where I was far from it.  But if this past six months has shown me nothing else, it is that taking my life back was necessary, no matter how expensive.