I'm Making Some (Slow) Progress

Hi everyone, I want to thank those of you who have been praying for my mom and for me. I thought you might like an update on what has been happening.

Mom is still waiting for most of her medical equipment. If the word we've been given is true, she will have the trapeze and the parachute sling on Wednesday. She had the commode but can't use it just yet anyway. There are other more important things. There is no word yet on getting hospital table trays for her use. I left word with the OT about that about one and a half or two weeks ago. These tables are easy enough to get as they are on loan at the Red Cross. It just takes the OT to write something up. I guess she is too busy or something.

As for the largest need of all, the wheelchair, there have been some ups and downs on that front. The first step is to get a demonstration model. That wasn't so straightforward for the local supplier but it now seems as if they were ultimately successful but the chair won't be arriving until August 20th. Mom has already been in so much discomfort for so long that the demo chair couldn't come fast enough. Even when it arrives however, it won't be the chair she really needs. The point is to assess her specific and precise needs when the demo model arrives. Hopefully the demo model will be more comfortable for her than what she is currently using. She is in a high state of anxiety about the whole chair business. I try to keep her as calm as possible.

When mom moved into the care facility she moved into a second floor room until a room because available on the ground level. I've been dealing with the General Manager on that front and have been trying to get a move in date now for over a week. Just last Friday I was able to get a list of unassigned rooms on the ground floor but still no move in date. Then mom heard a rumour that there isn't going to be anyone moving in just yet as there aren't enough residents to fill the ward. That may be true as it requires the facility to also staff up and they aren't going to staff up until they have enough residents.

Mom is desperate to move because then she will have access to the outdoors more directly and the fresh air walks she craves. I would ask you all to keep this need in prayer.

 I'm busily preparing a bunch of things mom needs as I haven't seen her now in a month. One thing that has become readily apparent is that her wrists no longer can hold the telephone. This is troubling as she has arthritis very badly and the only real tool she has to keep her sanity, reach out for prayer and family and friend contact, is the phone. I've done some research on line to find a suitable head/ear piece for her. I'm not sure yet whether it will require a new phone. She just got a new phone within the last few months. I will let my brother look into what is really required.

Now on to me. I thank those of you who encouraged me and are praying for me too. I have to say I've been doing quite well this past week with tracking my food intake and my blood glucose levels eight times daily. I will only be tracking this extensively until I feel confident that I know what foods trigger my blood glucose spikes and by how much.   I had one scary moment of very low (for me) glucose level and day by day I see my glucose level is indeed levelling out to more normal levels.

This plane is advertising a website which I can't read because it is backwards from my vantage point. Or, maybe it is only backwards in the photo. I'm not sure.  Anyway it is probably not that important. We get bombarded everywhere it seems with commercials and advertising.

Today though I was in a lot of pain. I had to cancel a long anticipated dinner at friend's because of stomach issues. My radically new diet has caught up to me today and everything is backed up. I drank so much water yesterday but that didn't help. Today I was in a lot of pain probably caused from intestinal gas. I don't have flatulence just a lot of abdominal distension, pain and a feeling general malaise. I'm surprised by this as I've been fairly careful about the level of fiber I've been taking (not too much or too little) but I guess it stands to reason that there will be some issues arising as my body is adjusting to drastic changes being made. Yesterday  I felt rather good (normal) for the first time in ages. I hope to continue with that feeling after getting over today's bump in the road. I know it will take a lot of work and I haven't developed the good habits yet but I'm working on it.

There were some gentle colours in the northern sky last night. Usually you only get these colours (and deeper) to a western view. I don't have a western view so miss out on a lot of good photo opportunities. Nonetheless I get a great mountain view.

If you read this blog on a regular basis you know that I don't blog details about my health issues other than the knee issues I've been having.  Right now though, I feel the need to write about my diabetic challenges and blogging is what I do. Hopefully it will help me get this stuff down in writing.  Who knows it might even help someone else who is dealing with the same things. I hope also to continue writing about progress and challenges concerning mom's medical equipment (and other needs.   Updates probably won't be more frequent than once or twice a month or when there is something really good (or bad) to report.  Thanks for reading.

If you have a parent or loved one in a senior's facility and want to share your experiences, I'd love to hear about it in the comments section. Maybe what you share will also be useful to my readers.  Or, if you are dealing with diabetes like I am and have a story to share about how you manage it and what works for you, let me hear from you.

I am still hoping to raise funds to help Elvis finish university in Kenya. If you can help, please see my gofundme button on the right of my blog. Thank you so much!

Big Changes Are Happening: Logs & More Logs

Since my diagnosis of diabetes several years ago, I've only had sporadic success with balancing my blood sugars. I've tried many different things to balance them including:  taking my medications on a regular basis, taking alternative supplements, eliminating certain beverages and foods, eating healthier, incorporating more fruits and veggies into my diet, exercise, and other things which I've long forgotten about.  None of these things has really helped me on a consistent basis but perhaps if I hadn't done them my diabetes challenges would be much worse.

I used to walk a lot until I started having numerous issues with my knees. I've since learned that I have arthritis in the knees. That was another set back.  But I rallied and am now walking much farther than I have for ages.  I'm using walking poles to help me (I do not do well with canes) and am working on consistency as it has been so long since I've been able to walk consistently.  I track my exercise on a daily basis so I can see when I am falling behind.  I can also see if this activity is helping to balance my blood sugar levels when I get an A1C test every 3 months.  One thing I can't seem to do, is control or manage the stressors in my life, of which there are several. I know I need to pray more and meditate more. I can pray often during the day but have discovered that I need far more time to meditate than I commonly have time for on a daily basis.  This is the next thing I really need to work at. 

In the first 6 months of the year, my blood sugars were balanced (that is without the walking) and after a few months of walking, I discovered my blood sugar was a little elevated again.  When the doctor called to let me know last week, I have to say that I was utterly frustrated and left feeling a little blue. I feel I try so hard and yet positive results elude me. In reflecting back on the last three months, I realized that I had become a little lazy with my diet.  In part because I had balance sugars for half of the year, and in part because I had started a regular exercise program.

To get my sugar readings back to normal, the doctor wanted me to increase one of my medications.  I was reluctant to do so.  I am fearful of adding more medications and in fact, I want to get off some of my current ones.  She also asked me to track my blood sugar levels and food intake daily as well.  Again I didn't feel hopeful about these measures.  I've made so many positive changes to my diet already that I didn't think tracking things  was going to help.  However after a day or two, I decided I must keep track of my blood sugars at least 6 times a day so I can better see how certain foods affect me.  I have to be honest and say I'd become a little slack concerning my diet due in part to my new exercise regime and because my blood sugars had been under control for the first half of the year.  I felt things were really on track.  When I got my A1C results, I had a rude awakening.  I also can't underestimate the level of stress I've been under over the last 3 months.  Though I can't control the stress, I can do some things to try and manage it better.

Oatmeal with cinnamon. I also eat some bran flakes or Fibre 1 for breakfast but porridge seems to be best.

So now I'm keeping several logs:  a daily food and blood sugar log, and an exercise log.  The food and blood sugar logs  have already been very useful.  I am learning what foods are good and what foods aren't and how little of something bad it takes to really raise the sugar levels.  My exercise log is great too because I really don't like exercising. But with a log, I can see what I've done or haven't done and try to correct it.  I also keep track of when I do much more activity around the house and whether I do more stretching or other movement. All these things add up to physical activity that can help a diabetic.

After keeping my food log for a few days, I realized that I had become complacent over the past several months about my eating habits.  I had let good habits slide a little due to the extreme heat we've been having and because I had started exercising.  I thought I had room to "play" because I was now burning more calories.  (If I had thought about it for awhile I know that wouldn't have been my conclusion.  But sometimes we turn a blind eye to things).  I also know that with the two trips I made out of town this summer, I had to eat a lot of restaurant food and that didn't help matters.  I did try to eat salads while on the road.  But that was not enough to compensate for eating out more often than usual.

I'm also discovering that when my body feels a certain way, it is NOT necessarily low blood sugar.  This is borne out by the regular glucose testing. In the past, I would simply snack if I felt I was hypoglycemic.  Now I test myself and find I am not so no need to snack at that time.

Green salad with pinto beans.  I am trying to eat this or a variation of it 1 or 2x a day. Another salad I like is made of grated celery, carrot, apple, avocado with freshly squeezed lime juice.

Today I talked to my doctor again about what I'm learning through the food logs and glucose testing.  She thinks I am making great progress and we will review my progress in a few weeks time.  It is my goal to eventually get off all of my medications.  I've had this goal for a few years already and so I know how difficult it can be for most diabetics to truly do this.  I have renewed determination.

One thing I can say is that all these logs take an awful lot of time on a daily basis.  It also takes a lot of time to plan and prepare healthy meals and snacks every day especially and to take food with you when you go. One also has to shop for all the food.

Barley soup with vegetables (carrots, onion, celery and spinach). Good thing I love barley!  This is good for me for lunch or dinner along with some lean chicken or baked salmon.

For whatever reason, my blood sugar levels don't seem to drop quite so readily as other people who make positive dietary and physical activity changes.  Because of this my emotions and attitude have been on a roller coaster for some time over the consistently high sugars.  I get frustrated when what I am doing isn't working.

In the last few days though I can "see" the results of my more focussed approach.   The blood sugar level is improving.  Today though it dropped so low after lunch and I had a scary incident. My sugar reading was 3.8 and I was very irritated, unable to concentrate on a phone call and shaking.  I had to have pop for the first time in a while just to get my sugar levels to normal.

 I'm hoping to be on a more even keel soon with all the hard work I am putting in.  Replacing bad habits with good ones, or implementing positive habits on a consistent basis, will be my big challenge.It takes me a very long time to form new habits (at least the good habits).

I also signed up for a coach to check in with every week to make sure I am getting my exercise.  I am currently doing it on my own  but feel I need an accountability buddy with all my current challenges.  I hope that after my 6 month stint with the coach is done, that I will feel like and look like a new me. If I have my starts and stops and ups and downs, I hope to be able to pick up again after I dust myself off. Wish me luck.

Weather & Finances

On Tuesday night I saw some fluffy little clouds in the middle of the sky. There was an airplane making its way to the Vancouver International Airport for landing. It looks like an insect on my camera lens as it makes it's way westward.

It's been a record breaking month of sunshine and heat in this month of July. We haven't had rain for the entire month. I think that is supposed to change over the weekend though the rain is not expected to be heavy.  The persistent heat can feel oppressive to those of us who aren't used to it. It is also hard on the lawns and gardens since our plant life in these parts is used to much more rainfall to keep everything nice and green.

On my walk to the park this evening, I noticed the lawns in some places are looking a bit yellow and dry around the edges.  I took a photo of the sky from the park on my camera photo but can't figure out how to get it from there to my computer. It used to be easy to do but since I went on holiday, unlocked my phone and put back the original SIM card it no longer works properly. I think I need to reset it to the factory settings but am afraid to lose my photos. I'll have to ask someone for help first.

I notice the flowers along the streets are very full and healthy looking whereas the flowers I planted in my garden are extremely slow to grow.  The flowers only seem to do okay in containers. The vegetables are looking a bit better but the kale looks a bit skinny. I've probably left it in the garden too long now as it is going yellow around the edges.

I had a rude awakening on Monday morning.  I mentioned in an earlier post how I dislike the crows who come to my patio garden because they make so much noise, leave food and feathers in the birdbath, chase away the little birds that I like to watch and are just generally destructive.  For two weeks, I chase them away every time I see them land on my bird bath. I guess they didn't like that. Yesterday morning they made quite a ruckus and totally dismantled the bowl of my bird bath until it came loose and topped over.  What pests they are but I have to admire their intelligence.

After running errands at the local pharmacy on Tuesday night, I finally started clearing my desk of the many receipts that have been piling up for the last month. I have to sort them by month and date and put them in baggies until I transfer all the information to an excel spreadsheet. I'm not so disciplined when it comes to inputting all the information as it isn't my favourite thing to do.  I put this kind of work off until I really feel like doing it.  I have been  trying to keep a record of all regular expenditures for the last 4 months or so to get a better handle on where my money goes and also see how much I've saved.  This is part of my "package" of financial goals for 2013.  Although I don't track every expense, I do track most expenses. I don't keep track of meals out or stops at the coffee shop because these are not part of my usual expenditures unless I am on holiday.

I hope your week is going well and that you are making progress on your goals whatever they may be.If you haven't yet read my last post, please read here. I would appreciate whatever you can do to share it on your social networks; especially on Facebook as we need 10 connects to get this profile in the searchable directory. Thanks so much!

Elvis in Kenya - Update

Hello everyone,

I have often written about the needs of the poor and the sick  in Kenya and invited people to contribute funds to the various causes I write about and support. Today I ask a different favour.

I've been sponsoring a young man in Kenya to get his medical diploma from Kisii University.  I've tried for several years to find him a sponsor but no one else would step in and help him.  I'm happy to report that he is almost finished his education but unfortunately I just cannot help him anymore. My heart breaks over this as he is very near to completion. He needs a bit more help to finish his final year and will soon need to go on what they call an attachment where he goes out in the field for a practical placement. He will need funds for his tuition, his living expenses, travel and graduation costs.

In order to try and help him with this latest challenge, I have created a fundraising page on the gofundme site where I have explained Elvis' story.  I've also created a button on my side bar to create awareness of his need.

I am asking if you will help me share Elvis' story on your blog or on your Facebook page, through Twitter or any of your other social media platforms. You can share the story by clicking on the 'gofundme' button on the upper right of my blog where you will find a way to do that. At the very bottom of the page, you will  see several button that will help you share on Facebook and others social sites.  You will also see a small button called "embed". If you click on that you will find the code to post a gofundme widget about Elvis on your site or blog.

I am not asking you for donations (though I won't discourage you if you feel you want to help). I am asking you to help us spread the word of the need, or IF YOU KNOW how to raise the needed funds, please let me hear from you!

Thank you so much for your time.

Elvis in his lab coat.

UPDATE: - July 29, 2013 - So far we have one anonymous donation of $50 for Elvis' school fees. This is a start and we are thankful. I want to thank those that have shared the need on Facebook and on Twitter. Please continue to do so. If we can pay at least some of Elvis' fees for now, that means he can continue with his last and final year. Also if we get 10 (TEN) connects on Facebook, gofundme will add this need to their searchable directory.

Westward Views

The weather continues to be very hot for us here in Vancouver. When I go out for my walks and appointments I always have my sunglasses, my sun hat, my bottles of water and some paper towels. I also usually stop somewhere and have a cool refreshment along the way. Today I had an iced lemonade, kind of like a slushie drink (finely crushed ice). It was so cold it "froze" my chest. I have to drink these kinds of drinks very slowly.

Yesterday I had a Valencia Orange Lemonade from Starbucks. This is a new to me drink. I think I like their Lime refresher much better.  But it is nice to have the orange for a change and certainly better than feeling too hot!

Today my appointment was with the ear, nose and throat specialist. It was my first visit to one in 16 years. I think the specialist was about 45-50 minutes late in seeing me.  But she was very nice and apologetic for the wait. She was also very thorough and educational in her visit.  I return to see her in a few months but in the meantime have some ear medication and a good set of ear plugs (not the foam or wax types which I've tried before without success).

This is the view from the waiting room of the doctor's office.

This is the view looking toward Granville Street or west on Broadway.

The very tall building next door is full of doctors, dentists and other kinds of office. On the side facing downtown, most of the employees and their clients have a stunning view of the waterfront that is called "False Creek", a short inlet in the heart of Vancouver. It separates the downtown core from the rest of the city.

This is the view looking northwest. You can see Granville Bridge in the far distance and all the boats on the water.  This is where I took a water taxi or aqua bus last week. The high rises in the distance are in the city's West End (or downtown).

These are my sky views for Skywatch this week. You can see that there is very little cloud cover.  More beautiful skies can be found  here.

Enjoy your weekend.

Moving Forward in Kenya

Hello friends, it has been awhile since I updated the happenings in the Kenyan Missions of Hope.  My friend Jonah is currently still on break from voluntary missions as he is working on other things at the moment. However he has finally seen the fruition of working with a community near Marigat, Kenya. This is a project in which I had a (very) small hand by funding the geologists report and finding the first funder to drill the borehole.  It has taken a very long time to progress from that point but I'm happy to see that the project is now complete! 

Please continue to keep Jonah and his future in your prayers. He is earnestly seeking paid work in his field of training and passion.

You can access the full story of the borehole at Jonah's blog by clicking on the link beneath the photo. If you can visit there and leave a comment too that would be great!

God bless.

Jonah washes his hands at the new borehole.

Kenya Missions of Hope: Answers to Prayer: Years ago I brought different friends to this place near Marigat, Kenya,  to see the need for water and a borehole. We prayed mightily for w...

This & That

(It's a long post today.)

Weather continues to be very warm here and life continues to be busy.

Yesterday I was catching up on laundry, going to the Diabetes Clinic, meeting a old friend for lunch and making countless phone calls concerning my mother's medical needs. There are many things she needs that are not supplied by the new facility amd we have to go through insurance to get them.  The facility where she now lives is privately owned and very new so they have absolutely nothing on hand to properly look after someone with complex care needs.  I was not prepared for that and no one told us that before the move so that things could be properly prepared.  When mom moved in, I learned that the Occupational Therapist (OT) was not yet on board and so that meant mom had to wait several weeks to get a proper assessment in order to get the medical supplies that she really needs or uses. Needless to say she has been in tremendous pain and discomfort since Day 1 and sadly, I've seen her health and state of mind begin to deteriorate rather rapidly.

The OT started last week and she is moving as fast as she can on getting a new wheelchair but there are many other things that mom needs and so I've gotten involved.  Please keep us in prayer and especially my mother. I'm hoping we can alleviate some of her distress and discomfort very soon. I'm working with multiple parties to try and make it so. At least if mom can see some progress she will feel encouraged and her spirits will be lifted. Trust me, it is taking all my time and stamina at a very busy time and when I am not feeling entirely up to it.

But I thank God that today things seem to be moving in the right direction.  I needed this day as I've been feeling quite stressed and struggling to pace myself, get adequate reset and stay grounded.  First, I talked to a pastor that mom asked me a few days ago to call.  I couldn't call sooner because I had a guest earlier this week.  The pastor wanted me to call her and explain what mom is dealing with so she can pray more specifically.  I've talked to this pastor once before and she is such a kind and down to earth woman.  It was a delight to speak with her again and  to know that we have her prayer support at this stressful time.  She said she would like to call my mother every week and I was overjoyed! Mom will love that since the new facility where she lives has no Sunday church services.

Flowers from a community garden.

I was also able to make contact with the insurance provider to determine what they need in order to approve  new electronic wheelchair my mother needs.  Since electronic wheelchairs are incredibly expensive, it requires all kinds of paperwork and reports to be in good order before such a device is approved.  If everything is properly done, approval can be done within a week which is quite rapid.  But if things are not done right, it can delay things considerably.  Fortunately the person I spoke with today told me exactly what is required and hopefully the OT will not be offended when I try to work with her to ensure that all goes smoothly.  I feel I must get involved for my mother's sake.  I know from experience of getting mother's first wheelchair that I had to get involved then too or mother never would have gotten her wheelchair.  Despite the reports and recommendations that were made on her behalf at that time, it took me writing a letter on her behalf to justify why mother needed such a wheelchair.  Once we got the approval, it still took 8 months to get the wheelchair from the provider.

I am praying the time will be reduced as she is dire need of proper support.  I was told by one service provider employee today that it should never take 8 months and that the longest he has ever seen a person wait is 2 months.  This was good information  and gives me a guidelines.  Of course the order for the new chair will not go through the service provider who took 8 months the first time round.

In addition to a wheelchair mom needs several other items (parachute sling, trapeze, etc.) to help the staff help mom in the daily work of getting her ready for the day and for bed at night.  Private facilities don't seem to have any equipment for their residents. I guess everyone has to buy their own unlike government run facilities which provide a lot of basic things like trapezes, commodes, over the bed table trays, etc.

Other needs include finding an over bed table or two and an appropriate mattress topper to prevent pressure sores. These items do not seem to be covered by the national insurance plan and so I'm exploring other options.  For example, I learned that the Canadian Red Cross can loan over the bed tables but so far I haven't found out where I can get an appropriate mattress topper.  The insurance plan seems to classify mattresses as "furniture" even though some of them are medical devices to prevent pressure sores.

I do not want the insurance plan to purchase everything because I do not want to have to deal with them when mom no longer needs them.  Also if I end up having to move her again, I really do not want to have to move all the medical equipment with us. It would be better if some things could be rented though the wheelchair will probably be purchased.  I may be asking too much as the OT and supplier are used to doing things between themselves and not involving family in whether to purchase or rent items. I will interject myself as much as I can since I am the one who has to deal with the aftermath. It would be so much better if these places could simply involve family members but they don't seem to unless you call them. Even then it is "touch and go" as to whether they will actually listen to you.

I've had to learn a lot about facilities and medical suppliers, insurance policies and multi-government regulations since mom first became incapacitated and needed more support than I could provide.  I've learned that this whole area is a very complicated field.  I've also learned that everything that a senior person needs by way of medical devices is astronomically priced and the industry must be raking in the money with all the seniors and baby boomers who are going to be retiring in these kinds of places.  Seniors have very little say in what goes on even when residence claim to put "resident's first".  There are also a lot of appalling things that go on in these places.  If I can avoid going into one of these homes myself in future, I will but sometimes it cannot be helped.  Therefore, I now try to help other aging friends facing these kinds of decisions in the next few years. Most people don't want to even discuss or contemplate such moves while they have the capacity to do so.

Though I spent a lot of time on the phone today on medical things, I also did other mundane things. I made dinner and found some time to replenish the vegetable bins. If I'm up to it, I like to wash all the vegetables and peel what I can before storing them in the crisper for use. I don't do this task every time I purchase vegetables but it makes so much of a difference when I do. I also eat more raw carrots and celery sticks when they are already clean and stored in the crisper.

Special crispers I purchased for vegetables since I often have too many for my one big crisper.

This is my one large vegetable crisper. I use the other one for fruits and vegetable "overflow".

I washed my spinach in the salad spinner.  This helps to get the excess water out before I dry them off with a towel and put them into my small crispers.

It is now the weekend and I have to get some bloodwork done tomorrow. I hope to be able to get some cleaning done too so next week I can catch up on things and friends outside of the house and continue to deal with mom's medical needs.  It is still very hot here so I don't feel like doing too much in the heat of the day. It is cooler at night and so I am now about to wash my kitchen floor. It will be good to wake up to a nice clean floor.

I'm tempted to stop off for a foot massage tomorrow if I can get an appointment with one particular person who I've found is the best so far. If he isn't available, I will save my money as the cost adds up. I've had three massages already this month! Only 1 of them was really worth it.  In case you are interested I'm posting a chart of the different areas of the feet that correspond with different parts of your body.

Image from Acumats which sells mats you can stand on to massage different parts of your feet.

I hope you all have a wonderful weekend.