I had my second of nine supervised diet visits today. I wanted to go in anyway because I have been having trouble with my feet swelling. Not just regular swelling, but the kind of swelling that makes the skin hurt because it is being pulled so tight. I spent almost all day on the couch Saturday because my feet were so swollen and painful that I could hardly walk. So today I went in with my food and exercise logs to get my visit done and over with.

I got on the scale without taking off my shoes or coat, and so the number showed that I had actually gained a little since my last visit. My scale at home says I am holding steady. My doctor looked over my logs and said he was pleased with what I was doing. I told him about the swelling and he poked at my ankles a little bit, then said he would order a blood test to make sure that my kidneys were functioning normally. He also said that my blood pressure was a little high, and that if it was still elevated at my next visit, he would put me on a blood pressure medication and a diuretic.

I guess that the elevated blood pressure is both good and bad. Bad because, well, nobody needs high blood pressure. But good because it will probably indicate more of a need to the insurance company for the surgery - another comorbidity. I mentioned to the doctor that my blood pressure is usually normal unless I am in a fair amount of pain, which I was today and have been for the past few days. He agreed but said that he would still put me on the medication if it was still elevated next time. I noticed on the receipt that he also ordered a test for my thyroid hormones, probably because I haven't lost any more weight despite eating less than 2000 calories per day and burning from 300 to 600 per day with exercise (numbers from myfitnesspal.com) So they will call me with the results sometime later this week and we will see what they say.

Two down, seven to go. The goal is coming slowly but surely. I think I can, I think I can!