ozempic – week 1

Writing this as a record for myself, and for anyone looking for info before, or on starting this ozempic path. While weight loss has already and will continue to happen I have been prescribed ozempic for diabetes T2 so my posts won’t be about some miraculous weight loss aid. As the endocrinologist said, when I mentioned side effects on day three, it’s a potent drug…

A week ago I had my first jab, mid morning. In the early hours of that night, so between day 1 and 2, I woke with extreme nausea and thew up a few times. Day 2’s finger prick on waking my bs level had already gone from 8 to 6. Appetite also gone.

Days 2, 3, and 4 mild headache, mild nausea. Day 4 running to the bathroom and since then not… It can cause diarrhea though more likely constipation. Both.

Some weight loss very quickly, bp going down but not enough to reduce that med yet.

The endocrinologist says to stay on the lowest dose for two months rather than one, and to space the jab out to Monday this week. The GP I spoke to about bp med says to space it out til Wednesday… So, it’s Sunday again – I’ll do it earliest tomorrow. Thinking of driving north this week and maybe I’ll go before the jab so that side effects can hit when I get there.

By the end of this first week I’m feeling a-ok! Blocked up but no nausea. Despite the throwing up and nausea mentioned it’s honestly been way more tolerable than metformin so far. Fingers crossed ongoing… I’ve heard / read that side effects can show up after each jab for the first month and then again when you increase the dose. I think it’s going to be ok 😉

ozempic – first dose

Here we go! Just jabbed in my first dose. Perfectly easy, tiny sting. After reviewing hbac results and retina check the endocrinologist asked me to start. Potentially nausea kicks in in two to four days. I have an appointment with the great doctor in two 😉 My own research suggests injecting it during the day and before food rather than after. I’ve done it mid morning (so, before and after! ha ha).

Hoping for minimal to no side effects however of course already a little anxious. I know that anxiety makes all things medical / health related worse for me and so I will work on remaining calm over the next few days in order to not get into a situation where – who knows which is the chicken, which the egg if you see what I mean?!

Running on very little sleep after a big party in this house last night. Not mine and just another thing that I find stressful but hey it’s done now and I can relax…and watch football on tv this afternoon 🙂

So…off to snooze for a bit now. Just wanting to document the ozempic story for two reasons. To record how I do feel on it and whether it’s helpful and in case anyone like me is out there, wanting to follow along and see how it all goes.

Recently diagnosed diabetes t2. Still getting my head around it all.

disquiet

I’m living in the updraft of a whirling dervish, or so it feels. Solitude over.

Back to being in my room most of the time and it’s hot! We’re having a heatwave. Autumn started but it hasn’t appeared yet. I’m looking forward to it. A breeze would be lovely any time now.

The hoarding disaster that was the downstairs has been transformed into there is absolutely nothing to see here. There’s going to be a party and people mustn’t see how we really live, of course. Don’t be fooled – the piles have just been moved out of sight. I expect they’ll then stay where they now lie but others will grow from next week. I need to move out of sight myself. And yet, as always, I can’t see a way out.

In good news though the cardiologist rang after checking all those tests I had and said exactly that. ‘I have good news’. All is well with my heart in terms of functionality. The cracks are sadness, and spirit beatings.

Tibetan Buddhists hang prayer flags outside to send wishes on the wind. When the autumn breezes finally come can you send some my way?

gay christmas

Hamish Macdonald, presenter on The Project (Network 10) described Mardi Gras as gay christmas. Sydney’s Mardi Gras parade is on this Saturday night. The lead up has been tainted by the double murder last week of two young men, one a former Network 10 presenter, in a house not far from here – by the presenter’s ex. As Hamish said, they should have been having the time of their lives…

The suburb I live in is one over from the parade route and the whole area has long been home to a lot of Australia’s gay community. You don’t have to be gay to be rocked by this crime, or to live locally but there’s a hush around these couple of blocks I have to say… Sadness hangs heavily.

The details are all out there in the news – and the steps the murderer took to cover his tracks are definitely detailed! – but added to the logistics, the fact that he is a NSW policeman is just so…I don’t even have words. He has been charged. Evidence that points to him is obvious yet there are still so many questions. And it’s being suggested that police from a different state should be called in to carry on with the investigation. Will that help with the current public perception of the police?

Who do we trust? How do younger ones in the LGBTQIA+ community now look to police? Yes, it was a personal crime, domestic violence but still…I find myself confronted so how more them? Should the police float go ahead in Saturday night’s parade?

Last Thursday I had reason to go past the house in question twice. The story broke in the news later that day but it was obvious something nasty had happened. The amount of police presence, news crews, crime tape etc… Only today, as more details were released, I discovered that at the exact time I was sliding in and out of the ct scan tube last Monday shots were being fired in that house between the hospital and where I live. Before I got home, feeling wobbly, Jesse and Luke were dead.

cardiac imaging

What to say, where to start? I’d like to forget and no doubt it’ll dim soon enough but even though my experience wasn’t positive maybe reading about it will help someone else. I know I was searching for info online leading up to it. For me it helps knowing what to expect even though I guess none of us will have the exact same process.

Last year I met with an endocrinologist after being diagnosed with diabetes t2. Along with ordering numerous tests she referred me to a cardiologist. Diabetes increases your risk of other conditions and vice versa. At the very end of last month I met the cardiologist and had an ecg and ultrasound that she didn’t find concerning. To complete the picture though she requested a heart ct with contrast dye. Given I have anxiety around all things medical my heart rate was very high when I saw her and that led to the ct prep…

Before fronting up for the scan I took four doses of a beta blocker over the weekend. I’m told this is fairly standard in an effort to bring your heart rate to a level that gives clearer imaging. A friend had one recently without any of what I went through though but tells me her heart rate is always low.

Felt a bit weird after the first two doses. Was that the effect on my heart, my system? or just anxious me? By the fourth though I was smiling and feeling a little chill…heart rate was at 70. I knew they wanted 60 and the cardiologist had said that if it wasn’t low enough on the day ‘they’ would just give me a little intravenously to ‘top it up’. I wasn’t worried at that point. I thought it would all be quite straight forward.

Hmmm

Some parts of that hospital have undergone amazing renovations in the last couple of years, modernisation. They obviously missed the heart clinic though which is found in the 19th century, at the end of a long corridor on the lowest (underground) floor. All the money on that level probably went into the massive donut machines. It’s a cold, soulless place – both the large, sparsley furnished prep and post room, and the people I came into contact with. I guess they see it everyday and are just trying to keep their schedule moving. Don’t engage – it’s only humans with a (dare I say) heart you’re dealing with!

I messed up the schedule that day. I should have been out before I was in. In the tubie that is. I was given three more tablets to bring my heart rate down and then, when it wasn’t in half an hour, taken in anyway and given more intravenously. It goes against everything in me that I don’t even know what I was given! I’m so med phobic I would never just take ‘something’…but I had to accept that I was in this state’s (maybe this country’s?) top heart facility and that these experts knew what they were doing. Something under the tongue, something in the arm and in and out of the tubie very quickly three times. Contrast dye for the last spin.

The actual test takes 5 minutes tops and is not scary, to me, at all. It’s the anticipation, all the drugs in my system, and now the waiting on results. I was told if there was anything terrible someone would ring me that day. The cardiologist I’m seeing doesn’t work that day so until close of business the next day I was waiting… I’m still not convinced until I do speak to her because I know at my age, weight etcetc, I’m bound to have some narrowing of the arteries, some plaque. Surely? I have a telehealth appointment with her – soonest was two weeks. Leave me hanging much?!

And the end of that story is that of course once I got home, and was calm again, my heart rate was 60 for several hours. The rest of that day, and the next were not my favourites. I don’t know how long it took to get the bucketload of meds out of my system. You can be sure I’ll be asking all that and more when I do speak to the great doctor.

smell a rat?

It’s me! I was born in the year of the rat and, along with me deciding 2024 started Feb 1, it really is new year now. Lunar New Year – Wood Dragon.

I recently read chinese astrology on the changing year – the rat and rabbit clashed last year but this year I’m bound to bounce back. The rat is an ally of the dragon and I am very happy to hear that! As long as I’m proactive and strategic (and you all know I’m working on both!) I’ll have dragon power backing me.

The offspring and grands celebrated in Chinatown with dinner and sent me a video of the dragon dance inside the restaurant. The grands tickled as eyelashes were batted against them in thanks for red packets. The beat, the joy in that video…I felt the dragon’s power through the screen.

May the health of the rat continue to strengthen so that when dragon gives way to snake I’ll join them for the festivities. 😉

happy new year :-) , it’s february!

As I’ve written about before I decided 31 January was New Year’s Eve for me given I was out cold with covid for christmas and new year. It’s not like there were fireworks or celebrations last night but I’m looking forward to a happier month and so this is where 2024 starts for me. Begone 2023 and take your memories with you.

The other person who lives in this house is away all month. Sadly I do realise it’s not long enough to sort myself out but I’ll take the reprieve at the very least. I need to be much stronger to claw my life back, my health! back. And after four years of being (verbally, emotionally) beaten down that would take more alone time than I have on the horizon. Working on shifting from survival to recovery mode.

I went to the cardiologist, I picked a card and a focus for February and I’m trying out a more visual daily to-do list/habit tracker after reading Maddie’s post.

I was a ridiculous nervous wreck with a very high heart rate at the cardio appointment. Long story short she says ‘your heart looks good’ but then orders a ct scan with contrast dye and I stupidly read the form and think…everything is not alright. I’ve yet to have the scan scheduled. ‘They’ll ring you’. I’m anxious thinking about it so trying not to. I feel like I’m on some stupid medical roundabout and I really want to get off – but with only good results ha ha!

For February I’m continuing to focus on meditation (you’ll see why when you see the habit tracker) and adding walking to it. I didn’t love the card I picked out of Wayne Dyer‘s deck but I’m committed to going with the first pick so…

And finally the habit tracker. For a long time I’ve had a daily list on my phone notes app where I tick things off but reading Maddie’s blogpost I realised I’m more often doing the minimal just to tick them off. I don’t know why a physical/visual chart would be any better but I liked the idea and wanted to try. I have great gaps as you can see but the things I am getting done I’m being more intentional about. Not just a page per book to tick it off, really focus and read. Not just a line of knitting to tick it off. I’ve finished a blanket square while we talk… Connection is important because I hardly see many people lately and so I’m not counting messages, emails etc it has to be a face to face chat. Doesn’t have to be a long chat. Can be an interraction in a shop. Smiles are involved and can be completely random, unexpected chat. Pushing myself. One sentence, one smile can make a difference in someone’s whole day.

Today I was tempted to tick it for messages as I had conversation with old friends from my childhood home town. A long ago employee of my dad and her adult daughter. Their grandson, son, was diagnosed with cancer yesterday. Despite that all being in messages it felt like a pretty significant connection…

So…

February – any plans, hopes, dreams on your side?

anyone else have a phobia?

Blood pressure. BP readings. Said it.

This post may be temporary, fair warning, as seeing the words freaks me out. Saying them. Hearing them. Absolutely having it taken! White coat syndrome means it’s always high when taken these days. A previous doctor talked me in to taking it at home myself and that can be better.

Today where I live it’s predicted to hit 40 degrees celsius. That’s about ten degrees passed bearable for me! That’s fainting weather probably even if you’re not on bp meds! It’s another thing I don’t like hearing about and I realised these things I like to avoid…are all about numbers!

When I hear it’s going to be that hot, when I see the weather segment of the news flashing those numbers on the screen I start to panic in anticipation!!! What the?! So this morning I clicked on the weather app cos I actually wanted to see how much cooler it is where the littlest one lives (way down south) and bingo, you win, it flashed up immediately with my city. 30 degrees at 7am and up and up it’s going to go. I can’t look again! I’ll just be over here under the aircon, ok? Oh and yay for the Australian Open – I’ll be watching the men’s semi finals 🙂

looking forward to February

I’ll have the house to myself for the whole of February and I can’t over emphasise what a difference that will make. I have a scary-to-me medical appointment next week and no doubt I’ll have some tests to tick off in Feb but nothing too anxiety provoking. I want to get some solid work on myself done so that, by the time my alone time is done, I’m feeling stronger physically and mentally. I know it’ll go fast and I do not want to rest the days away…

Although I’ve said I’m counting 31 January as new year’s eve, due to being completely uninterested, semi conscious even, with covid on firework night, I did choose a word for the year that I jumped all over in January. The word for 2024 is health. The focus for January has been meditation. I’m holding out on February’s theme til after next week’s appointment – I’m going to continue to focus on meditation til I’m happy it’s rolling along nicely on it’s own but I may add a focus on exercise.

To the left of where I sit there’s a tiny wooden desk I bought years ago to be my writing desk. It barely fits a laptop with elbows winged out to the side… It’s absolutely beautiful though – reminds me of a dark, old rectory. You? If I wasn’t feeling last night’s lack of sleep I’d clear it off and get a good photo…

On the desk is a box – Wayne Dyer’s The Power of Intention Cards. I randomly picked one early in the year and it so perfectly fit my intention that I decided to do that each month as well.

Card for 2024 – In order to optimise your health, begin noticing the frequency of any thoughts that support the idea of sickness as something to be expected – and eliminate them from your mind.

Card for January – Highly realised people learn to think from the end – that is, they experience what they wish to intend before it shows up in material form. You can do the same by synchronising with the power of intention.

I’ve been visualising / dreaming about a little house of my own, control over my living environment again, that farm I’ve long wanted… I’m itching to pick the next card but patience little one, it’s not February yet!!

another medical high point

When I first met the endocrinologist the whole appointment lasted over and hour and was quite overwhelming. The questions, the information, the tests and sideways appointments requested. She was thorough. She’s about 12 and speaks at the speed of a bullet train but I had no reservations about putting my health in her hands. She has a passion for all things pancreas and her confidence is catching.

In the days following I scheduled the gazillion requests but then…gut issues from the med (metformin xr) which thankfully she ditched after a month; heading up to christmas etcetc I cancelled / postponed some. More about my mental health – pacing myself.

And then whammo – covid. Thanks for that.

So today I had my second appointment with her and at some point since November I contacted her office and asked for a telehealth one. That’s one pro to come out of the covid era for the health anxious like me. I can be a rational human being from my spot here, much closer to one anyway ha ha, whereas in a medical setting the old white coat syndrome can be extreme. First positive of the day. Second positive was the appointment itself. I’ve lost some weight and given covid and associated things going on while I recover PLUS my numbers being good she’s happy for me to remain med free at the moment! What a relief not to add more and new side effects at this time! My gut needs a break.

‘My numbers’ means that I do the diabetes finger prick test last thing at night and first thing in the morning and it’s at a low 7. She asked me to let her know if it goes above 8 but for now the Ozempic stays in the fridge. Woooo. Possibly only a brief reprieve but I’ll take it.

A couple more tests added to my backlog, and in a couple of weeks an appointment with a cardiologist which, if I think about it, terrifies me. It’s because diabetes raises your risk and she wants a baseline check up. Me saying (writing) that out loud is a bit of progress. But don’t talk to me about it til it’s done 😉

So…another two months til the next appointment. She prefers face to face and asked me to come in for it. Okay… and then unless something needs eyeballing you can bet I’ll make the next one telehealth.