Upright & Locked Position

Via Insty (thankee, Squire), I saw this:

Avoiding couches and chairs might be a good way of keeping your back pain from getting worse, new research suggests.  Finnish researchers found that when people with back pain sat even a little less each day, their pain was less likely to progress over the next six months.

Well, yes, but it depends on your definition of “sitting”, and I’m not being Clintonian, here.

A couple of years before Connie discovered she had cancer, she had back problems — I mean serious back issues, along with crippling sciatica.  Basically, she had three back operations (I forget which, L1S2 or vice-versa), had one of those electrical shock thingies implanted in her butt (electrodes linked to her spinal and sciatic nerves) and of course, serious pain medication.

How had this happened?  Well, basically, as it was explained to us by her back doctor, Richard Guyer of the Texas Back Institute (the man who fixed Tiger Woods’s back), it was because her job was 95% sedentary.  But first, a little history lesson.

According to Guyer, the worst invention ever created by Man was the upright chair.  Basically, the human body was conditioned over millennia of development into two basic positions that could be held for hours on end:  standing erect and lying prone.  The first was for survival purposes (hunting, herding and farming) and rest (sleep).

What the chair did, over a relatively short period of time, was to force the body into a position it wasn’t designed for, which of course placed all sorts of strain onto it, and most especially into the back.  While early chairs (mostly stools and benches) did not encourage lengthy periods of being seated (upright backs and hard seats), the addition of cushions and the creation of non-physically active tasks (e.g. clerical) had the effect of making upright seating a little more comfortable but no less damaging to the spine.  In fact, the added length of time while seated speeded up the damage process.

This is why so many early clerical jobs took place in a standing position, by the way, hunched over tall lecterns instead of being seated at desks — it really helped, and many people in the modern era who have gone back to working in an upright position can testify to the improvement in their physical health thereby.

But what if you can’t stand up for long periods of time?  An aside:

In my case, a youth spent playing competitive sport had messed my knees up — to the point that when I went to an osteopath several years ago, he looked at my X-rays and asked whether I was in the flooring business, because they only time he’d ever seen knees in this condition was from patients who installed carpets for a living.  (I made a joke about it and said that I was on my third marriage, whereupon he laughed and said, “Oh well, that explains it.”)  But my knees were and are no joke — it’s the reason I qualify for “cripple” license plates, by the way, because I can walk a little distance with no rest and without pain, but thereafter I have to start popping pain pills like M&Ms.  My daily pain-free distance at the moment is about 100 yards, cumulatively — about the distance walking to and from the car across a large supermarket parking lot, and a long shopping trip in the supermarket itself.  After that, my knees seize up and I reach for the Tylenol.  But back to the main story…

Anyway, Dr. Guyer’s solution to both my and Connie’s problem was to eschew sitting upright altogether, or at least for any serious length of time.  But for her job (training system design and tech writing) and my writing, that was not possible.

The solution?  Anti-gravity or, as we used to call them, Laz-Y-Boy reclining chairs.

Connie’s back, as it turned out, was too far gone, although her recliner helped some.  In my case, with only a “serious” (as opposed to her “critical”) back issue, the effect was close to miraculous:  my decades-long back pain disappeared within a matter of days, and I could (and still can) remain seated all day without back pain.  (I do have to get up throughout the day for coffee, meals and the related nature calls, relax, so I’m not going to die of deep vein thrombosis.)

So yeah;  as the Finnish boffins claim, sitting down less will help alleviate back pain and -injury.  But if you have to remain seated, do so in a reclining position.  It really works.

Even if the lack of exercise causes you to get other problems, like a fat gut.

You all know how to fix that problem:  eat less, eat better and exercise.  Or pay through the nose for Ozempic, like I have.

Time For The Old 1498?

Waddya mean, Kim?

Go ahead and watch this video, and wait for this magic line to appear:

…and ask:  why not?

Look, I’m a capitalist, and I believe in the sanctity of patents.  But when the loaded cost of a product is around $5 — hell, call it $10 even — and the retail price ends up being $1,000, even my capitalist free-market mind starts turning towards government intervention.

We Americans are getting screwed, and it’s time Uncle Sam did something useful for its people, for a change.

And after all, the Danes of all people should understand the concept of government intervention in the market.

Read more

Notes From The Doctor’s Visit

I had a chance to chat to my GP yesterday about a couple of matters, and some interesting stuff came out.

First:  I’ve reached my “goal” weight of 220lbs — my weight after boot camp in the army back in 1977 — so I asked the doc whether I should keep doing the weekly Ozempic jab.  His response was that in addition to its weight-loss properties, Ozempic has been shown to lower the risk of heart disease by over 20%.  While I myself have a very healthy heart, my family (especially on my mother’s side) has had a history of heart issues (bypasses, stents etc.), and indeed several have died from heart disease.  So the doc suggested that I keep taking the Ozempic because as I’m almost 70, this would be a prudent prophylactic measure.  (This is also true of my gout medication, which I continue to take — albeit at a half-tab strength — even though I haven’t had a gout flare-up in well over a dozen years.  But as he pointed out, maybe it’s because of the daily half-tab that the flare-ups no longer occur.)

Second:  I had read in the Daily Mail  (can’t find the article, but it’s not important) that one should not take blood pressure meds (e.g. Valsartan) close to when you have your coffee.  The reason given was that caffeine takes away the slow-release coating on the drug, and instead of the magic ingredient trickling into the system over a few hours. it all gets dumped into the body in one shot.  In some people, this can be problematic.  The doc confirmed this, and suggested that I take my BP med (and all my other meds) at bedtime instead, saying that studies have shown that most drugs work better anyway when taken thus.  (The problem is that most people forget to take their drugs at night — but as I already have to take my glaucoma drops every night before bed, I can just add my meds to that routine, no problem.)

Corollary:  One of the reasons I continue to read the awful Daily Mail is because occasionally among the celebrity dreck and panicky headlines can be found articles of real value.  Among American online publications, such articles are seldom published because there’s no blood, there are no politics / celebrities and no scare headlines to be had.  (I have never, for example, got any such articles out of Breitbart or any other of the U.S. news sources I peruse on a daily basis.)  In this particular case, the information was extremely helpful.

So the Daily Mail doesn’t always suck.

“Ring”-worm

Just reading about this made a part of my anatomy itch (and no, it wasn’t my trigger-finger):

A new, highly contagious sexually transmitted infection that has been spreading throughout Europe and elsewhere has now arrived on U.S. soil.

A case report published Wednesday in JAMA Dermatology revealed that a man in his 30s from New York City contracted a nasty skin infection after weeks of travel. During his time away from home, he engaged in sexual intercourse with multiple men during trips to England, Greece, and California.

When he got back, he developed a rash on his genitals, buttocks, and limbs.

Genetic testing on skin lesions identified the culprit as a fungal infection known as Trichophyton mentagrophytes type VII (TMVII), a sexually-transmitted form of ringworm. According to the CDC, TMVII VII is a difficult-to-treat fungus that causes skin disease in animals and humans and is acquired through sexual contact.

The emphasized words say it all, really.  I’m thinking “Greek goats” as the origin, but it could equally be Welsh sheep.  As for California, it could be anything Kardashian.

I report, you decide.

That Weight Loss Thing

Several people asked about this when I revealed that I have lost over 40lbs since October last year.  My simple answer is “Ozempic” (which is true) but I need to give a little background, I think.

My long-suffering family doctor — a lovely man, by the way — has been hammering on at me about my weight for many years, yea even unto when it reached the upper-270s.  I’ve always responded flippantly to his worries, saying that I’ll do anything to address that concern as long as it didn’t involve

  • a change in diet, or
  • exercise.

Well, it all caught up with me when after studying the results of my last blood tests, he informed me that I was developing Type II diabetes.  He wasn’t kidding this time — I’d also developed the irritating-but-not-critical feelings of partial numbness in the soles of my feet, which is a symptom of diabetes and of advanced age (which is why you so often see old geezers wearing slippers around the house and sandals with socks outdoors — bare feet, apparently, are no longer an option lest one step on something sharp and doesn’t notice it).

Anyway, I still wasn’t interested in changing my diet or doing exercise, so he prescribed Ozempic.  It’s a once-weekly self-administered jab in the stomach.

What it did for me was reduce my appetite by about 60%.  Now I have to say that since my gastric surgery all those years ago, my appetite hasn’t been all that great anyway, but my food choices have been… deplorable.

What Ozempic did for me was reduce all food cravings — not eliminate them altogether, but make me less likely to eat (say) a whole slab of Dairy Milk over three days, and take two weeks to consume the same amount instead.

On regular foods, my portion sizes were reduced by about two thirds, and breakfast disappeared altogether, replaced by (maybe) a piece of cheese, a couple of grapes or a small handful of Honey-Nut Cheerios, and only if I felt really hungry.  (“Peckish” disappeared completely.)  I found myself becoming totally disinterested in feeding myself, much to New Wife’s concern.

Here’s the good part of all this:  I have been feeling better.  More energy, more stamina, and much less effort in just doing stuff like getting out of chairs or even just sitting up in bed.  Some people have reported that change in body shape has also resulted in change of personality, but that’s bullshit.  If your personality is going to change just because you’ve lost weight, then you have bigger problems to worry about.

Losing all that weight was a salutary event, but I was warned by FamDoc (and Doc Russia) that I needed to do at least some exercise because one of the side-effects of such radical weight loss is concomitant loss of muscle mass.

I’ve pretty much ignored that advice too, because to be frank, I’m heartily sick of my muscles.  I’ve always been a beefy kind of guy, even at Army weight (210lbs) — and I’m quite frankly sick of having to find shirts with an 18″ collar (since leaving high school), trousers that look like bell-bottoms (calf muscles) and shirts with sleeves that squashed my arms into stovepipes.  Cowboy boots?  Oy, I’ve been forced to get boots that are a half-size too big just so I can get my calves (again) into them.  Less muscle?  Fine.  I’m still as strong as I want to be — just this past weekend I helped Daughter pack some heavy stuff into her SUV, without any problems.

And so on.  My clothes fit better and feel more comfortable, and I’m using the first hole on my belts rather than the last one.  I may have to get some smaller clothes when I lose the last thirty-odd lbs I’m targeting, but then again maybe not.  Whatever.  If I end up walking around in baggy clothes, I don’t really care.  New Wife, however, may feel differently about it, but I have enough clothes that I bought when slimmer (and never threw away) that I shouldn’t need to change much.

It’s not all sunshine and light, however.  Belly fat has turned from a basketball into folds (okay enough under shirts, but ugh when uncovered), and my face has also become… well, droopy would be the best description.  (I know I know, exercise… shuddup.)

Anyway, that’s the story of the film so far.  Appalled by the cost of Ozempic, by the way, I switched to Rybelsus, which is a (foul-tasting) once-a-morning tablet, but it hasn’t worked as well, and I felt my weight starting to creep up again.  “Never mind,” says FamDoc, “I’ll just up the dosage of the Rybelsus.”

Except that the increased dosage of Rybelsus is more or less the same cost as Ozempic (~$220 per month ugh) so as of this very morning, I’ve gone back to the weekly jabs in the stomach.

(As an aside, I should point out that I am easily one of the least-squeamish people on the planet, and sticking a microscopically-thin needle into my own gut every week doesn’t bother me in the slightest.)

I really don’t care what people think of how I look, and maybe this is why I’m so blasé about this whole Ozempic/weight loss thing.  It was never about losing weight;  it was all about dealing with Type II diabetes, and that’s about it.

As with all activities of this nature, what has worked (or not worked) for me may not be the same for you.  So be my guest, if this is the road you want to walk down, but be careful.