Funky Stomach + update

Ever since starting the Losartan, tummy's been off.  At first it was very loose and sudden, where I needed to be near a bathroom.  And then for a bit it alternated between constipation and loose.  Lately its been more on the constipated side, maybe because its winter and cold so I drink less water.  Still on the diuretic but don't seem as thirsty lately.  My farts have also been very smelly, a pretty bad smelly, same with the BM.  TMI? ^_^ 

Thinking about going back to the amlodipine.  Have a doc visit in about a month so I might ask him.  I think since I'm off the Lipitor that the muscle aches won't happen again.  Besides the aches, I think I felt the best on the amlodipine, even though that was the first diuretic they put me on.

Made some homemade gobo tea.  That's supposed to be a diuretic too so I might start playing around with dosage. 

Mentally, I feel fine except that I notice I omit words in texts.  Don't notice unless I go back and re-read it.  I wonder if I speak that way.  I don't think my memory has gotten any worse, though I guess I wouldn't know unless its pointed out.  But the cupboards have been getting closed.  I bet David's happy about that one.

Feels like ADD

Having problems concentrating sometimes.  Mainly when someone's talking, I drift off, though it's not always thinking of something else.  I just lose focus.  Then I come back.  The person talking doesn't seem to notice.  That's good.

Happens when I read, too.  It's like my mind goes on pause for a second.  I guess I zone out more.  Not sure if its stroke related, could just be a getting older thing.

Starting to forget to take my meds more lately.   But for the most part, my blood pressure seems good when I check.  Usually in the 120~130s.

Feeling Stiff

I haven't really changed the amount I exercise but my muscles have been feeling tight.  My joints are usually of the stiff side but its been the muscles too the last couple weeks.  The slightest stretch feels good.  I'm not sure what's causing this all of a sudden, maybe the cooler weather?  Or getting old?

The mind's not been good either.  Too much thinking.  Too much getting down.  Too much crying.  Period week just ended.  Not sure how much that played a part.  Hoping to move on.  The stress is no doubt affecting my body.   The search for peace not moving forward.

Four Months

Realized today that its been four months now.  It's getting to a point where it feels like something that happened a while ago, but four months isn't that long.  My BP reading tonite was 132/92, pulse 65.  A little high but pulse is very low.  Don't even take the BP that often anymore.  Maybe once or twice a week.  I guess I'm sliding back into my pre-stroke habits, though still cutting down on sweets.  Exercise has been the same, the biggest difference except not pigging out on sweets is the amount of water I drink.  My BM had been loose the last month but the last few days its been on the constipated side. I wonder if I don't drink enough water, or don't eat enough fruits and veggies.  In general, the bulk of my diet lately has been carbs. They are just what I crave.  I know I should eat more fruit/veggies, though I still have a banana and a salad almost everyday.   It doesn't feel like my memory is getting worse, but that could be a hard one to know.  Sometimes words jumble up when I talk but happens quickly enough that the rest of the sentence is soon out.  Don't remember the last brain fart.  Or the last space out.   Seem to be coming out of my depression, though mainly feeling just blah.  Just one of those things, time heals and life continues. 

Life going on

Almost a month since my last post... time seems to be flying.  Guess that could be a good thing, that things are returning to "normal".  I think my body is starting to adjust to the Losartan.  Still loose BM in the morning but not as bad.  Smelly farts though. Been forgetting to take the Metamucil, it's been about a couple a week that I end up taking.  There's been more and more times I forget to take my morning meds.  Even with the backup supply in my car, sometimes I forget to take those too. 

Was on the bathroom counter a couple days ago and was wiping the lights when I slipped and fell.  The counter wasn't dry because I wasn't done yet.  Was able to lessen the impact by getting a hand on the counter before falling to the ground.  Muscles felt sore and achy for the next couple days.  Not sure if I lost my sense of balance or just slipped.

Read about this guy who lost much of his peripheral vision on his right side NINE MONTHS after his stroke.  Here I was thinking that things are going to get BETTER not worse.   I have been noticing that my left side vision misses things sometimes.  Overall it appears I see the whole picture until all of a sudden there is a car or person on my left that I didn't see a couple seconds ago.   The doc in the article had suggested to that guy:

"Cells that are affected by a stroke are screaming for energy. The best thing you can do for them is to give those cells the raw materials they need to create energy. I've written about my Awesome Foursome—CoQ10, L-carnitine, magnesium, and D-ribose—and how they help generate energy in cells. I'd also suggest that you take lutein, to help with the retinal cells. You might also investigate hyperbaric oxygen therapy (HBOT), which has been shown to help stroke patients long after the event. There are quite a few around the country."

My muscles seem to be returning to normal, still some aches here and there but diminishing as the days go on.  Getting another blood test this Thursday, hoping they'll see the creatine level has gone down or is going down.  I feel a little stronger during Jazzercise though still get tired but have moved up to 4lb weights from 3lbs.  With work slowing down I should be able to workout harder, and have time to go out with the dogs more.

Couple weeks ago was feeling pretty depressed.  Coming out of it. 

Gaining a little weight, averaging about 107lbs.  Been eating more.  Not sure if that's a good thing.  Don't feel like it's healthy eating, just eating stuff that tastes good.  Having problems stopping even when full.  That same ol' issue again.

BP seems to be low for the most part.  Still peeing way too often.  Its gonna suck in the winter, that middle of the night potty breaks. 

Stomach Funky

Day 3 on the "Metamucil".  Tried taking 2 capsules instead of one.  Been taking it around 4:30pm.  Ate dinner normal.  Few hours later stomach started feeling like I need to use the bathroom.  But no actual urge to go, just tummy's acting like it.  Kinda has that diarrhea funky stomach feeling.  Tried sitting on the toilet but not much came out.

Mild headache the last couple days.  Took pain pill today, it went away.  Left side, stiff neck kinda headache.

Three Months

Today marks three months since the stroke.  Feels like the three months just whizzzed by. 

 I started the generic Metamucil today, starting off with one capsule instead of the serving size of six.  I took the capsule around 5pm, not sure if its because of it but it seemed like I got fuller faster during dinner, and dinner was basically just a big salad.  Planning on adding a capsule every couple days till I reach three.  I think that's really all I need for now.  Will try to just eat more soluble fiber instead.

Tomorrow will be one week off the lipitor.  Muscles still hurt. 

Overall, I feel pretty good.  BP is low, seems to be consistent for the most part, some days dips a little lower but still nothing lower than 100/80.  Not noticing brain farts, though mind drifts off, even when driving sometimes which is a little scary.  I think once the muscle pains go away, my body will start feeling "normal" again.  Hoping to feel stronger so I can start exercising with the dogs a little more.  School has started, work is supposed to slow down a little.  Would like to go hiking again, especially as the weather cools down.

Not sure if I'm just tired from working a lot lately but energy level seems on the low side.  Just doing what needs to be done.  Nothing extra.  Not feeling up to accomplishing things, not feeling productive.  Feeling lazy.  Feeling blah. 

Metamucil... Soluble vs Insoluble Fiber

Gonna try Metamucil, a Psyllium, a soluble fiber.

Psyllium is a bulk-forming fiber laxative. Psyllium works by absorbing liquid in the intestines and swelling to create a softer, bulky stool that is easier to pass.
Psyllium is used to treat occasional constipation or bowel irregularity. Psyllium may also be used to treat diarrhea and may help lower cholesterol when used together with a diet low in cholesterol and saturated fat.

The two types of fiber, soluble and insoluble:

Soluble vs. Insoluble Fiber

Soluble fiber dissolves in water. Insoluble fiber does not. To some degree these differences determine how each fiber functions in the body and benefits your health.

Soluble fibers attract water and form a gel, which slows down digestion. Soluble fiber delays the emptying of your stomach and makes you feel full, which helps control weight. Slower stomach emptying may also affect blood sugar levels and have a beneficial effect on insulin sensitivity, which may help control diabetes. Soluble fibers can also help lower LDL (“bad”) blood cholesterol by interfering with the absorption of dietary cholesterol.

• Sources of soluble fiber: oatmeal, oat cereal, lentils, apples, oranges, pears, oat bran, strawberries, nuts, flaxseeds, beans, dried peas, blueberries, psyllium, cucumbers, celery, and carrots.

Insoluble fibers are considered gut-healthy fiber because they have a laxative effect and add bulk to the diet, helping prevent constipation. These fibers do not dissolve in water, so they pass through the gastrointestinal tract relatively intact, and speed up the passage of food and waste through your gut. Insoluble fibers are mainly found in whole grains and vegetables.

• Sources of insoluble fiber: whole wheat, whole grains, wheat bran, corn bran, seeds, nuts, barley, couscous, brown rice, bulgur, zucchini, celery, broccoli, cabbage, onions, tomatoes, carrots, cucumbers, green beans, dark leafy vegetables, raisins, grapes, fruit, and root vegetable skins.

How Much Dietary Fiber Do You Need?

Most Americans get only about 15 grams of fiber per day in their diet. But the 2005 Dietary Guidelines for Americans recommends about 25 grams for women under 50 and teenage girls. Teenage boys and men under 50 (who consume more calories than women) require upwards of 30-38 grams of dietary fiber daily.

 

Don’t worry about what kind of fiber you are taking in unless you are seeking a specific health benefit, such as eating more soluble fiber to lower cholesterol. Instead, focus on eating a healthy diet rich in fruits, vegetables, whole grains, legumes, nuts, and seeds. This will provide a variety of soluble and insoluble fibers and all of the health benefits.

 

As you increase the fiber in your diet, you may experience more intestinal gas. Increasing fiber gradually will allow your body to adapt. Because some fibers absorb water, you should also drink more water as you increase fiber.

Top Soluble Fiber Foods

• Purple passion fruit, 6.5 g of soluble fiber per 1/2 cup
• Psyllium husk, 3.5 g per 1 Tbsp
• Metamucil, 3.4 g per 1 Tbsp
• Oat/Oat bran, 2.2 g per 3/4 cup
• Some Beans (1/2 cup)
  • Black beans, 2.4 g
  • Navy beans, 2.2 g
  • Kideny beans, 2 g
• Soy
  • Tofu, 2.8 g per 3/4 cup
  • Edamame, 1.5 g per 1/2 cup
• Vegetables (1/2 cup)
  • Avocado, 2.1 g
  • Brussels sprouts, 2 g
  • Sweet potato, 1.8 g
  • Asparagus, 1.7 g
  • Turnip, 1.7 g
• Fruit
  • Dried figs, 1.9 g per 1/4 cup
  • Orange, 1.8 g, medium size
  • Fruit with skin, like pear, apricots, and nectarine, ~ 1.2 g
• Flax seed, 1.1 g per 1 tbsp

Bye Bye Statin!

The last blood test showed I still have high protein levels.  They were going to stop the statin and put me on another cholesterol med but since it was too expensive we are going to try Metamucil instead.  The pharmacist recommended this, cheaper and its natural.  Still has some side effects, gas, tummy ache/cramps, nausea, so will start on low dose and see how it goes.  I am hoping going off the statin will make my muscle aches go away.  And I can have grapefruit juice again, yeay!

Not Thirst but Dry Mouth/Throat?

Couple days ago I realized that I drink a lot of water, not so much because I'm thirsty but because my mouth is dry and throat is irritated.  Kinda like when you sleep all night with your mouth open.  At first I thought it was the diuretic making me thirsty.  Which at first it probably was.  I don't remember my throat having that irritated feeling, which I notice more now.  I wonder if its the losartan.  Maybe I'll try sucking on hard candy.  Though drinking more water is probably a good thing. 

Memory getting worse?

My memory has always been kinda sucky.  So I try to make notes and lists.  But sometimes I forget I have a list, or forget to look at it.  Times goes by and I remember again what I need to do.  It goes on another list.  Sometimes I look at the list but just feel really lazy and unmotivated to accomplish the task.  I'll do it tomorrow...  which turns into a week later.  Sometimes it feels like I have less brain cells.  Whatever is supposed to connect isn't connecting.  I don't feel myself.  I don't feel normal.  I don't like it. 

Another brain fart & High Heart Rate

So David noticed that sometimes I act like I'm on caffeine when I haven't had any coffee.  I talk fast, talk alot, and don't stop.  And sometimes I move around fast.  The meds have been raising my heart rate.  Sometimes it's 90 when I first wake up, when it's supposed to be when I'm most at rest.  I wonder because the heart's pumping faster and it's "speeding" me up.  I would think a higher heart rate is making my heart work harder, and that's not a good thing.  If my heart works less, doesn't that lower blood pressure?

Can't remember the last time I had a brain fart but I had one a couple days ago.  I was washing dishes and I wanted to turn off the water.  Instead of reaching for the knob on the faucet, I reach for the light switch.   Not sure if my brain just registered "off".  I caught myself right before I flicked the switch, and just made me think of what just happened.  These little glitches scare me.  They are small now so no harm done but what if the degree of mess-ups increase?  I hope I don't start acting like an alzheimers patient. 

Losartan

Been off Lisinopril for three weeks.  Cough almost went away.  Three days ago, started Losartan.  Been noticing a cough and spotty muscle pain that jumps around the last day or two.  Muscle pain mostly in right arm at first.  Now travels to left arm and even back.  It's a mind pain, it's uncomfortable but not a whole lotta pain, then all of a sudden goes away.  Feels more like overworked muscle soreness.   Another blood draw in a week.  Funny thing, Baba's on the same med plus amlodipine.  Never thought we'd be on the same med.

Losartan (Cozaar) belongs to a group of drugs called angiotensin II receptor antagonists. It keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow.

Losartan is used to treat high blood pressure (hypertension). It is also used to lower the risk of stroke in certain people with heart disease

Call your doctor at once if you have:

• a feeling that you might pass out;
• pain or burning when you urinate;
• pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating;
• wheezing, chest pain;
• drowsiness, confusion, mood changes, increased thirst, loss of appetite, nausea and vomiting;
• swelling, weight gain, feeling short of breath, urinating less than usual or not at all; or
• high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling).

Common losartan side effects may include:

• cold or flu symptoms such as stuffy nose, sneezing, sore throat, fever;
• dry cough;
• muscle cramps;
• pain in your legs or back;
• stomach pain, diarrhea;
• headache, dizziness;
• tired feeling; or
• sleep problems (insomnia).

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with losartan, especially:

• a diuretic or "water pill";
• other blood pressure medications;
• lithium;
• celecoxib; or
• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

Elevated Creatine Kinase Levels

Lab test done on July 10 showed that I have increased levels of creatine kinase.  My reading was 224.  Normal range is 24-173. 

What causes elevated creatine kinase?
Elevated creatine kinase levels are present when there is destruction of cardiac or skeletal muscle. Creatine kinase levels can also be increased in brain injury, such as stroke. The elevation is detected through a simple blood test.

Causes of elevated creatine kinase
Elevated creatine kinase may be caused by conditions including:

• Brain injury
• Delirium tremens (severe alcohol withdrawal)
• Muscle diseases such as dermatomyositis, polymyositis or muscular dystrophy
• Myocardial infarction (heart attack)
• Myocarditis (infection of the middle layer of the heart wall)
• Rhabdomyolysis (muscle destruction)
• Stroke
• Trauma

What are the potential complications of elevated creatine kinase?
Because elevated creatine kinase can be due to serious underlying diseases or conditions, failure to seek treatment can result in significant complications and even permanent damage. Once your doctor has determined the underlying cause of your elevated creatine kinase, it is very important to carefully follow the recommended treatment plan in order to reduce the risk of potential complications including:

• Brain damage
• Disability
• Heart failure

Creatinine levels measure how well your kidneys are working. Creatinine can be measured in your blood or your urine. Low creatinine in the urine usually points to a decreased kidney function. So do high blood levels of creatinine. What do abnormal creatinine levels mean? They only mean that your kidneys are not working optimally. If this is the first time a doctor has ordered a creatinine test, you probably don’t experience any physical symptoms yet. However, it is important to restore normal kidney function quickly, because all kidney diseases, including CKD and renal failure are progressive in nature.

Creatinine is a waste product made by the muscles. While healthy kidneys remove creatinine from the blood, impaired kidneys are less able to perform this function. When the kidney function falls below approximately 50 percent because of chronic kidney disease, creatinine levels start to creep up, because the kidneys are less able to remove the creatinine from the blood. Creatinine is not necessarily bad in itself, but it is a good marker of advanced kidney disease.

 

Man, its bad enough that I'm having problems with my meds.  Now this too?  WTF...

 

Benecar

Called the doctor today and told him about the coughing and the continuing muscle pain.  He took me off lisinopril.  In two weeks start taking Benecar.  Benecar, aka Olmesartan is an angiotensin II receptor blocker (ARB). It works by relaxing blood vessels.  Just need to watch BP for the next two weeks, hoping it doesn't go up.

Angiotensin II receptor blockers (ARBs) are medications that block the action of angiotensin II by preventing angiotensin II from binding to angiotensin II receptors on blood vessels. As a result, blood vessels enlarge (dilate) and blood pressure is reduced. Reduced blood pressure makes it easier for the heart to pump blood and can improve heart failure. In addition, the progression of kidney disease due to high blood pressure or diabetes is slowed. ARBs have effects that are similar to angiotensin converting enzyme (ACE) inhibitors, but ACE inhibitors act by preventing the formation of angiotensin II rather than by blocking the binding of angiotensin II to muscles on blood vessels.

Common side effects of this medicine include:

• Dizziness or lightheadedness.
• Sinus problems, such as a stuffy nose or a runny nose.
• Stomach problems. diarrhea
• Headache
• abnormal taste sensations (metallic or salty taste)
• cough (though occurs less than an ACE inhibitor)

Lisinopril Cough & Shingles

Day 5 on Lisinopril.  Started having a tickle in back of throat, causing me to cough.  At first I thought I just swallowed water weird and caused a reflex but it wouldn't stop the rest of the day.  It's not a constant cough, so far a cough every minute or so.  Coughing is a common side effect of Lisinopril, a lot of people seem to complain about it. Often the doctor will say it is caused by something else and will not take you off it.  I hope Dr. B will see it for what it is.  I'm going to give it a day or two, if cough persists I will let him know.  Next blood draw is Thursday so hopefully he will do something by then.

Another weird fact about ACE inhibitors... it was developed from snake venom. 

Also been reading people gettin shingles after being on Lisinopril.  That's bad.

Most Common Shingles Symptoms

1. Pain and sensitivity – the initial shingles symptom is unusual feeling of sensitivity to pain on a particular side of the body. It could be a heightened feeling of pain, constant aching, burning sensation, itching, tingling and sometimes sharp shooting pain described as a thunderbolt. The area affected is often only a section of the body like any quadrants of the head, the left or the right shoulder, the right or the left side of the abdomen and so on.
2. Flu-like symptoms – as heightened sensitivity is felt, there may also be fever, chills, headaches and unusual itching on the affected area. It’s important to seek medical help if you feel these symptoms to determine the need for shingles treatment.
3. Rashes – after two to three days, there is significant pain on the affected area with localized rashes. These rashes are described as raised, red, blisters which become filled with pus. These are very painful and very sensitive; there are people on the other hand that do not develop rashes but only pain on the area. Rashes often break and ooze, these become scabs after 10 to 12 days, this is the most significant of all shingles symptoms.
4. Scabs formation – in adults, there is scarring after scabs fall off. In children who develop shingles, there could hardly be any scar formation only pain and sensitivity on the affected area. Children may also be unusually tired, may refuse to eat and may become irritable due to moderate to high fevers and chills.
5. PHN – rashes disappear completely or leave rashes after three to four weeks. Some people develop a condition known as post herpetic neuralgia or PHN. This is a condition wherein there is localized pain and sensitivity on the area affected long after rashes are gone. It is estimated that as many as 15% of adults who develop shingles suffer from PHN and most of these happen in adults who are 50 years old and above.

Seeking help as soon as possible is very important to get an effective treatment for shingles. Physicians recommend taking antiviral medications 72 hours before rashes appear; these guarantees faster recovery from the disease, reduced duration for the illness and milder shingles symptoms. In some cases, treatment may not be necessary; but strengthening the immune system is still the best treatment option for all patients with shingles.

Cholesterol

How to raise HDLs and lower LDLs...

• Exercise.  Duration better for HDLs, higher intensity better for LDLs
• Eat more fiber
• Increase MUFAs, omega 3s
• Alcohol, mainly red wine
• Green tea, Vit. D, dark chocolate (^_^)
• Nuts
• avoid trans fat
• cranberry juice

Day 3 on Lisinopril

BP going up.  Last four readings... 126/90, 128/86, 130/101, 130/96.  But heart rate going down... 78, 78, 68, 69.  Muscle aches almost gone.  Same with joint pain.  Minor, minor discomfort, more like minor stiffness rather than pain.  Not tired today as was yesterday.  Didn't work as much either, but didn't have to lie down.  Though I'm sure if I did I could of easily fallen asleep. 

Had coffee today.  Tasted good but didn't like the head jittery-ness.   In comparison, tea seems to be a "cleaner" caffeine kick. 

Had a speech "glitch", words just came out all jumbled and slurred.  At least I can hear it come out bad, though the thought was clear in my head. 

Lisinopril Side Effects

Two days on Lisinopril.  Arm and joint pain going away.  Yesterday, was tired and muscles felt weak.  Seemed like I was walking real slow through the stores.  Today, still tired and muscles not as week.  Felt like taking a nap during work.   Hoping its just another adjustment phase.  No cough though, that's good.

Working alone give me time to think.  Sometimes that can be bad.  Today was one of those days.  Started to feel down and close to crying.  Turned on some music, distraction helped.  Was starting to feel alone. And antisocial.  Just want to stay home and not deal with people.

Lisinopril

Lisinopril is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme.  Lisinopril works by relaxing blood vessels so that blood can flow more easily.

To make sure lisinopril is safe for you, tell your doctor if you have:

• kidney disease (or if you are on dialysis);
  
• liver disease;
  
• heart disease or congestive heart failure;
  
• diabetes; or
  
• a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis.

Lisinopril side effects

Get emergency medical help if you have any of these signs of an allergic reaction to lisinopril: hives; severe stomach pain, difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• a light-headed feeling, like you might pass out;
  
• little or no urinating;
  
• swelling, rapid weight gain;
  
• fever, chills, body aches, flu symptoms;
  
• tired feeling, muscle weakness, and pounding or uneven heartbeats;
  
• psoriasis (raised, silvery flaking of the skin);
  
• chest pain; or
  
• high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling);
  

Common lisinopril side effects may include:

• cough;
  
• dizziness, drowsiness, headache;
  
• depressed mood;
  
• nausea, vomiting, diarrhea, upset stomach; or
  
• mild skin itching or rash.

Some common complaints seem to be join pain.  Muscle pain and swelling, in shoulder, arm, elbows, ankles.  http://www.medications.com/lisinopril/53428

Follow-Up

Had my first doctor's follow-up today, about 7 weeks after the stroke.  Saw the cardiologist in Palm Desert.  I was hoping to get off the cholesterol med so I can enjoy my wine again.  He said he's going to keep me on it, my LDL needs to get lower.  But he said it was ok to have a glass of wine, two if I'm at a party. ^_^  Also said its ok to drink coffee and green tea, so happy about that.  My arm muscles have been hurting, plus joints have been achy this past week.  He thinks it's the Norvasc interacting with the Lipitor so he's taking me off the Norvasc, a calcium channel blocker, and putting me on Lisinopril, an ACE inhibitor instead.  Still keeping the HCTZ and baby aspirin.  In a couple days I'm getting tested for cholesterol among other things.  Next week getting labwork to see if the new med is working ok.  Next appt in three months. 

Was a little bummed he wouldn't let me switch to natural alternatives.  He says its because I had a stroke.  Need something that works consistently, to avoid another one.  I was just hoping for something without side effects. 

So some good news, some bad news.

Joint Pain

Noticed having some joint pain the last few days.   I didn't really think much of it since I often have joint pain in the mornings.  But these come and go all day.  They hurt last night, almost considered taking an ibuprofen to see if that would help but decided against it.  Read that the BP meds can cause joint pain.  So that's another one to mention at my appt on Monday.  The list is getting longer.  BP has been low, averageing 120s/high 80s-low 90s.   So something is working.  But also not eating as much sugar, not drinking, etc which could be helping too.  I hope the pain is just not my arthritis getting worse but the BP med.

First "Beer"

Today my BP was 102/78.  The lowest its ever been.  Actually, that seems very low.  It wasn't quite Low Blood Pressure, I think it has to be 90~100/60 or lower.  Yesterday was 113/83. Later today was 118/84.  Resting heart is still a little high for being "resting".  Something I need to keep watch.

 Had me a non-alcohol beer today.  Alcohol was less than 0.5% but I still got a litttle head buzz.  Around 8pm I just got really tired and laid down and couldn't get up till 10:30p.  People tried waking me up but I couldn't.  Not sure if it was the beer, the low BP, or was just plain tired although I only worked 3.75hrs today.  But did about 2/3 of Ernie Maxwell before work.  Hiked up, ran down.

Feeling Good

I don't know why but yesterday I felt really good.  I mean, "normal" good.  Jazzercised in the morning, worked a couple hrs.  Hiked and even ran a little with the dogs for about 45 min at the Hub, and went for a walk at night with Emi.  And wasn't really tired.  And didn't even have coffee.  No coffee in over a month. :(  Miss coffee.  Miss wine.  Oh, but dropped a glass dish and broke it.  Sometimes I wonder if it's the arthritis that weakens my grip, not the stroke.   Joints have been stiff in the morning this past week.

Bye bye lipitor?

Picked up my medical records yesterday.  Lots of pages of reports but one of lab results.  Was looking at the cholesterol numbers.  Happy to see they weren't really that high at all.  So maybe, I'm hoping I can get off the lipitor.  That would be nice.   Been missing wine. 

One Month

How time flies, it's been a month now.  Overall feeling stronger.  Did low-high impact at Jazzercise today.  Leg muscles felt a little weak but cardio felt fine, not out of breath.  Worked about four hrs after that.  Did feel tired in afternoon and took 1/2 hr nap.  Running out of meds in under a week.  Starting to ration every other day.  The side effects of the lipitor wasn't pleasant so went off it for two days just to see.  Mind actually felt really clear yesterday, no brain fog.  Starting to think the brain fog was due to medication, not stroke, which is good so if I get off the meds I can go back to being normal.  Mild headache though and some neck and upper back stiffness which probably contributed to the headache.  Been noticing that I'm thirsty more.  Probably due to the diuretic.  But not really noticing that I pee any more than usual.  Been sleeping better, not waking up every few hours like the first few weeks of being home.

HCTZ (Hydrochlorothiazide)

Function

This medication is in a class known as thiazide diuretics, or electrolytic and water balance agents. According to "Prentice Hall Nurse's Drug Guide," HCTZ is effective in decreasing the absorption of sodium in the kidneys, causing excretion of water, potassium and bicarbonates. Excretion of these substances reduces swelling associated with heart disease and lowers blood pressure. Therapeutic uses include treatment of congestive heart failure, hypertension and kidney failure.

 

Foods That Are Natural Diuretics

• A number of foods are natural diuretics that can produce the same effect on the body as hydrochlorothiazide. Natural diuretic foods include asparagus, artichokes, juniper berries, melons, watercress and parsley. Coffee and tea also act as diuretics but contain high amounts of caffeine, which can cause some people to become jittery if consumed in large amounts.
  A simple diuretic diet limits the intake of foods that are high in salt or sugar. The diet should consist of fruits and vegetables and at least eight glasses of water per day. Carbohydrates such as those found in breads and rice should be eaten in small amounts.
  Ginger and dandelion have diuretic properties, along with juniper and fennel seed. These can be taken in a capsule form that contains the extracts of the herbs. Watermelons, beets, oats and cucumbers naturally increase the removal of fluids and toxins from the body. Apple cider has a cleansing effect and is highly recommended as a natural diuretic.

Apple cider vinegar -- is a natural diuretic and helps maintain potassium levels.
Artichoke -- natural diuretic
Asparagus -- contains asparagines, a chemical alkaloid which helps flush the kidneys.
Beets -- attacks floating body fat and fatty deposits.
Brussels sprouts -- cleanse the cell and stimulate thought kidneys and pancreas.
Cabbage -- breaks up fatty deposits.
Carrots -- speeds up metabolic rate and helps remove fat and waste from the body.
Cranberry juice -- aids in the removal of excess fluid from the body.
Cucumber -- stimulate the kidney and aid in the removal of uric acid.
Dandelion And Dandelion Leaf -- natural diuretic, and leaf key aides in the detoxification of the urinary tract.
Green tea -- natural diuretic and has been used for centuries in China.
Fennel -- has a calmative and diuretic property.
Horseradish -- speeds up the metabolism and helps eliminate fluid.
Lettuce -- aids in metabolism and flushing of toxins from the system.
Nettle -- has natural diuretic properties.
Oats -- contains silica in natural diuretic.
Tomatoes -- are rich in vitamin C that aids metabolism in the release of water from the kidneys.
Watermelon -- natural diuretic helps increased urination.

 

Side Effects

Been having muscle aches now and then.  When it first happened I thought maybe I had overworked but it was the left arm so I thought it wasn't so.  And then the pain went away.  Several days later it came back on my right arm.  Was there for an hour or so then moved to the left arm.  And then moved to my right thigh and then went away.   Seemed like a week of no pain. Then today it was back, came around dinner, on my left arm.   It's not really painful, but enough to notice.  On a scale of 1 to 10, it may be a 2.  Tolerable.  And then I felt really tired.  Did work today but only four hours.  Work was pretty easy today, actually felt good when I was done and coulda cleaned another unit.  Didn't want to fall asleep at the table so went for a walk around the block which helped.  The pain on my left arm was back so I touched it.  Felt like there was a bruise kinda pain. 

Also been noticing the last few days my neck's been kinda stiff.  Mild headache today, back on head, started on right side, left side now. 

So I went back and read the sheet on meds I got upon discharge.  The lipitor page said, contact your doctor immediately if you have unusual muscle pain, cramping or weakness.  I had thought the weakness was because I was recovering, although it was a brain thing, not a body thing.   So now I wonder if I need to get off lipitor.  Carter's wife, Sandra was on it, had issues and switched to crestor and now she's ok.   I hope it's not a big deal.  I don't really have a doctor now, really don't want to see Vachhani so going to call Begheri and see if he could tell me something or at least move my appt day up.  So for today, didn't take lipitor, getting low on meds and have to ration anyway.  Appt with Begheri not till July 8, meds run out on the 23rd.  Vachani won't refill unless I see him but asking if he could at least refill for two weeks. 

Drugs.com has patient reviews on the meds.  Similiar complaints on the lipitor, also some on HCTZ about muscle pain and tiredness, plus coughing seem to be very common.  Norvasc's main complaint seemed to be swelling of ankles mainly and feeling dehydrated and needing to drink more.

20 Foods to Cleanse your Arteries

Turmeric
Atherosclerosis is when the arteries harden which is caused by inflammation. Now turmeric or haldi has anti-inflammatory properties. This spice works in favour of reducing heart diseases. Curcumin that's present in turmeric reduces inflammation in the arteries and the deposits of fats or blockages.

Orange
Orange is a powerhouse of vitamin C that can fight common cold. But this fruit can also fight heart diseases, here's how. Oranges contain fibre pectin that lowers cholesterol; vitamin C strengthens the walls of the artery and sweeps out blockages. Orange juice can improve the functioning of the blood vessels.

Pomegranate
Fruits rich with antioxidants improve the walls of the arteries. Pomegranate is especially heart-friendly due to the presence of phytochemicals that are an antioxidant. Pomegranate ignites the production of nitric oxide that improves the flow of blood and expands the arteries.

Broccoli
Broccoli is a good source for proteins for vegetarians. Broccoli contains vitamin K which is beneficial for bone formation. Vitamin K also protects the arteries from damage. Besides vitamin K, broccoli is rich in fibre, which can lower cholesterol and high blood pressure.

Whole grain
Incorporate whole grains in your diet to reduce cholesterol. Whole grains contain fibres that push out the blockages.

Fatty fish
Seafood is beneficial on various levels - mental health, brain, vision, building muscles and pregnancy. The truth is that Omega 3 fatty acids are the remedies for these problems. Omega 3 can also protect your heart and reduce blood triglyceride levels.

Nuts
Almonds, peanuts, walnuts or hazelnuts are heart-friendly nuts. These nuts contain vitamin E that can protect the walls of the arteries. Nuts also contain fibres that also help to reduce cholesterol in the blood.

Olive oil
Olive oil is known to have several health benefits, but it is the best oil to prevent a build-up of cholesterol in the blood. Besides cholesterol, olive oil can also reduce high blood pressure. Olive oil comes under monounsaturated and polyunsaturated fats, which are both beneficial fats for the body.
CinnamonThis spice should be brought in the limelight for the several health benefits it caters to overall health. Cinnamon is used as a spice as well as for dessert. This versatile spice lowers fat in the blood preventing blockages in the vessels.

Coffee
Even though drinking coffee can have negative health effects, it can improve your health as long as you drink coffee in moderation. If you consume no more than four cups of coffee per day it can improve your heart health. Drink coffee in moderation to reap its benefits.

Cheese
It is important to lower high blood pressure to avoid stroke and heart-related diseases. Calcium rich cheese is the answer to bring down blood pressure. You can choose from cheddar, Parmesan and Gruyere cheese, these have good source of calcium.

Tea
Chai as it is popularly called, can increase your metabolism for weight but it can also improve heart health. Tea contains an antioxidant called catechins that acts like a shield to the artery wall. This antioxidants also prevents blood clots that can be fatal.

Watermelon
Watermelon works great for skin care treatment, as a detox and a weight loss food. Amino acid found in watermelon helps reduce high blood pressure. But watermelon also contains nitric oxide which opens up the blood vessels to improve the flow of blood.

Spinach
This is another fierce ingredient to fight heart diseases. Spinach contains carotene that prevents cholesterol from getting clogged in the arteries. Spinach can reduce high blood pressure to due to the nutrients and minerals present in it.

Tomato
Like in pomegranate and tea, tomato too contains antioxidants that protects the arterial walls. In tomatoes, lycopene keeps the cholesterol levels low. If the tomato sauce for your pizza is prepared from fresh ingredients, then it is a healthy pizza.

Beans
Beans contain fibre and folic acid that prevents arteries from getting clogged. Beans are also a good source of carbohydrates.

Apples
Like oranges, apples too contain a fibre called pectin that absorbs cholesterol from the blood. Apples are a great way to reduce cholesterol as you can have it anytime, anywhere and you consume it the way you want. Slice them or have it as a dessert, apple is an all time favourite to improve health.

Grapefruit
The pink grapefruit is rich in antioxidant, lycopene which is also present in tomatoes. Pink grapefruit helps prevent damage to your arteries. Grapefruit is also a great fruit for diabetics.

Corn
Protect your arteries by consuming corn or maize. Corn contains fibre that protects your arteries by flushing out cholesterol.

Garlic
Garlic can keep vampires away, but it can prevent a build-up of cholesterol too. The compound thioallyls present in garlic helps fight blood clots.

Source: http://timesofindia.indiatimes.com/life-style/health-fitness/diet/20-Foods-to-cleanse-your-arteries/articleshow/20490232.cms

Effects of Right Hemisphere Stroke

Left-Side Paralysis

• The most obvious physical symptom of a right-side stroke is paralysis or weakness in the left side of the body. Each of the two hemispheres of the brain controls muscle function on the opposite side of the body, so someone who is having or has had a right-brain stroke will experience weakness or paralysis on the left side. However, the right side of the face will usually be affected too, often causing that side to have a saggy, drooping appearance.

Spatial Cognizance Problems

• The right side of the parietal lobe controls visual-spatial functions, such as judging the distance, position, size and speed of objects. This means that people who have had a right-side stroke often have trouble with depth perception and with judging where they are in relation to objects in their surroundings. This makes it difficult for these patients to reach for and grasp objects, to walk up or down stairs, to bring food to their mouths, to get dressed and to perform a myriad of other everyday functions. Some patients may even try to read a book without realizing that it is upside down.

 

Difficulty Reasoning

• The right side of the brain is also responsible for analytical thinking. People whose right hemispheres have been damaged by a stroke may find it difficult to reason clearly or to solve even simple problems.

 

Personality Changes

• Some stroke victims experience personality changes. While survivors of left-brain strokes tend to become introverted and meek, those who have had right-brain strokes may become more impulsive and inquisitive. This impulsivity may lead the patient to insist that he or she can still function just as normally as ever and attempt to drive, do difficult tasks by themselves or attempt to walk unaided. This can lead to further injury and can be a very difficult and distressing problem for caretakers to deal with.

 

Memory Loss

• The right side of the brain also controls short-term memory and visual memory. People who have had a right-side stroke may experience short-term memory loss. While they may be able to recall events and song lyrics from decades ago, they may have little or no memory of what happened just a few days ago or that morning. Also, victims of right-brain stroke may have trouble with visual memory. This means that they will have difficulty recognizing faces, places and the names or functions of objects.

 

Visual Impairment and Left-Side Neglect

• Signals from the left eye are sent to the right side of the brain, so people may experience visual impairment during and after a right-side stroke. This may range from blurred vision to blindness in that eye. Due to loss of vision in the left eye, some right-brain stroke patients may ignore or forget about people or objects that are on their left sides. This phenomenon is called "left-side neglect."

 

Also:

• Decreased levels of energy and motivation.Right hemisphere stroke syndrome may be extremely disabling, and may cause frustration for stroke survivors and caregivers alike.

Feeling Stronger

Three weeks since I've been back home, one month since the stroke.  Seems like its been longer.  Getting used to work, although it's been slightly shorter days.   Not noticing brain farts much, except one a few days ago.  Wondered why the vacuum cleaner wouldn't turn on, it wasn't plugged in. 

Today I went on a short hike up Ernie Maxwell.  Walked about 1.5 hrs.  Overall felt pretty good, excep the last 30 min or so David noticed my left side was drooping a little.  Had stumbled a few times on the hike, all with my left foot.  Back started to feel tired at one point.  Guess not at strong as I thought.  Went to work afterwards, put in about 3 hrs.  Came home and had to take a nap around 4pm.  Slept 1.5 hrs, was pretty hard getting up. 

Made an appt with the cardiologist, though my one month is coming up, there wasn't an opening till July 8th.  Hoping Vacchani will refill my prescription for a couple weeks.

2 weeks

It's been about two weeks since I've been home.  BP is getting lower somedays, still days in the 130s/140s.  This morning was a record low, 106/88.  Not sure if that had anything to do with it but I felt so weak today, ended up napping for about three hours, and still I felt tired.  Had a headache today, just a mild one so took a tylenol.  Overall feeling better as the days go on.  Jumped on the trampoline for about 10 minutes, wasn't drained as I thought I'd be.  Legs still weak but upper body seems ok.  Been trying not to overeat, this eating healthy thing I'm getting used to.  I could see myself continuing this diet even if they take me off meds (though that may be a while).  Just wish I could drink.  Even a little here and there.  Miss wine.  Been trying not to eat meat either. 

Feeling Better

Was at a signal light today, for some reason I thought it was a stop sign.  Looked both ways, was going to go and right after I passed the line I realized it's a light.  So I stop, back up.  Light turns green, but had forgotten to put it back into Drive, so I go back, just a little cuz I braked right away.  Just good no one was behind me. 

Drove the kids to XC practice at 6:45 in the morning.  Then walked around walmart for an hour.  Worked for a couple hours afterwards.  Was a little tired, but not like I have been.  Overall felt pretty energized, legs didn't feel weak. Didn't feel like I needed to lie down.  I wonder if its the english breakfast tea I had this morning, haven't been really drinking anything with caffeine so I might be a little sensitive.  Or my body is getting stronger, or getting used to the meds and the side effects aren't as strong.

Something got lost

Was talking to Emi and apparently I didn't verbally finish my sentence when it was completed in my head and I thought I said it.    That was a first of something like that.

Glitch

Feel like there's a glitch when I type.  I used to be a pretty good typist so I notice it when I mess up.  There's more frequent typos plus sometimes I type a whole different word entirely, skip words, sentences that don't come out how I've thought them.  So I proofread everything now, and I catch so many mistakes.  Seems to be on both hands, not one side exclusively, but I'll have to stay aware of that.

Jazzercise

First day back at Jazzercise.  Already had planned on doing the low-intensity but was surprised how tired my legs felt after the second routine.  Upper body felt fine but didn't think I was this weak.  Need to work on this.  But it was good to be out among people, and will continue to be good for me so although it's a little hard, I'll keep going instead of asking for a break.  I wonder if its the meds or if my body really got this weak.

Could get frustrating

I know I know it but just couldn't recall the numbers to my cell phone.  Just drew a blank.  And thinking about it more just made it worse.  I hope its not any sort of aftermath of the stroke because if this continues often, it would be very frustrating.

Muscle Pain

Have been noticing muscle pain.  Usually isolated in one arm/leg. At first I wondered, did I over use it?   And then I forget about it or it goes away.  This morning it was my right arm.  During work it shifted to my left arm.  And then to my right thigh.  Then gone again.  I'm thinking this may be a side effect of the cholesterol med. Lipitor.   I don't like that medicine at all.  Want to get off it asap.

Mind & Body

Walked on the treadmill for about 45 min tonight.  Had my ipod on.  Felt like my mind wasn't connected to my body.  I feel my legs moving, I can hear the music, but my mind seemed to be somewhere else.  I catch myself zoning out a little, even moments where I look around, look at things like what I see is not registering.  Just seeing, that's it.  Head still feels fuzzy at times.  It's like that moment you wake up where your eyes are open, you see things, but the mind and body is still not quite awake yet, but you can hear things, and you can think, that half awak state.  I seem to have moments like this periodically throughout the day.  Where if I were to close my eyes, I could fall asleep.

Statins/Lipitor (cholesterol med)

Common side effects of statins include dizziness, headaches, nausea, pain, sleep disturbances, muscle weakness and liver problems

In addition to serious muscle and liver problems much research has shown that sexual dysfunction and performance problems, as well as memory loss, personality changes and irritability, may result from taking this medication.

Other concerns regarding prescription cholesterol lowering drugs:
1) While cholesterol lowering drugs do lower LDL (bad) cholesterol, they have limited effect on HDL (good) cholesterol, and no effect on triglycerides (fats), an equally important heart disease risk indicator.
2) Statin medications decrease your body's supply of CoEnzyme Q10 (CoQ10), which is an essential nutrient for heart strength and function.
3) There are natural cholesterol lowering ingredients, some of which have been shown to outperform statins in lowering cholesterol, without the possible side effects. Take a look at these natural ingredients below.

Safer alternatives:


Policosanol - a natural extract from sugar cane which has been shown to lower LDL (bad) cholesterol levels as well as raise HDL (good) cholesterol. More importantly policosanol has been proven to be free of side effects, unlike Lipitor and other statins.
Guggulipid Extract - an ancient herb from India recently shown to lower cholesterol levels and also reduce triglyceride levels, another risk factor for heart disease.
Green Tea Extract -- green tea is widely used for many medicinal purposes, and has been shown to reduce triglycerides as well as LDL cholesterol, and increase HDL (good) cholesterol. Green tea also has antioxidants that can prevent heart disease, cancer and other illnesses.
Tumeric Extract - much evidence points to the fact that tumeric may lower cholesterol and triglyceride levels, in addition to its antioxidant and anti-inflammatory properties.

Natural remedies and cures for normal cholesterol levels

Natural remedies and cures help maintain normal levels of cholesterol without the need to take pharmaceutical drugs that produce dangerous side effects.

Red Yeast Rice

Chinese red yeast rice helps balance normal levels of cholesterol. Red yeast rice contains substances called monacolins, which are naturally-occurring and converted by the body to make a chemical inhibiting the production of cholesterol. One monccolin in particular, lovastatin, has been extracted and used in popular statin drugs, thus causing the FDA to view natural red yeast rice as an unproved drug and banning it in the USA. Consuming moderate amounts of natural red yeast rice as part of an overall diet helps maintain normal cholesterol levels. Extracting the active ingredient from the rice and using it in a drug formulation amplifies its effects, and may produce both muscle and kidney injuries. Supplies of red yeast rice supplements sold in the USA at this time do not contain any of the active ingredient to reduce cholesterol levels.

Green Tea

Green tea contains various compounds that lower LDL cholesterol levels. A study performed in Brazil where people consumed green tea extract in capsules resulted in a 4.5 percent lowering of LDL cholesterol levels.

Nuts

Eating nuts regularly, especially walnuts and almonds, may help reduce cholesterol levels of LDL cholesterol.

Niacin

Niacin, or vitamin B-3 helps lower LDL cholesterol levels as much as 10% and raise HDL cholesterol levels by 15% to 30%. Because of its many side effects, niacin should only be used under the supervision of a health practitioner.

Artichoke Leaf Extract

Artichoke leaf extract my help lower cholesterol levels by limiting its synthesis in the our bodies. Additionally, the extract may increase the flow of cholesterol excretion from the liver.

Soluble Fiber

Slow the absorption of cholesterol in the intestines by consuming foods such as oats, legumes, prunes, apples, carrots, broccoli and yams, all high in soluble fiber. Five to 10 grams daily can produce a 5 percent reduction in LDL cholesterol.

Policonsanol

Policonsanol is a dietary supplement made from Cuban sugarcane wax. It is not readily available in the US; however, non-Cuban products are available here which are made from beeswax or wheat germ. It is used to regular total cholesterol levels and is touted to be as effective as statins and red yeast rice. It may produce mild side effects such as digestive upsets, headaches and insomnia and can take two months or longer to show results.



Learn more: http://www.naturalnews.com/035653_statin_drugs_natural_remedies_cholesterol.html#ixzz2V2OeEa1R

BP

Been home for a week now.  Blood pressure is coming down.  Yesterday was my all-time low, 120/82.  I wonder if they will continue to go down or level off here.  It'd be nice to get off at least one of the two meds.  The HCTZ, the diuretic, I'm not sure is working or not, haven't really been peeing any more than usual.  It's been warm so I've been drinking more too.  Still feeling weak, especially after working a few hours.  Not sure if its the Norvasc since one of the side effects is tiredness. Or body is just still recovering.   Really would like to get off the cholesterol med.  That one says I can't drink.  That could really suck when I'm at the summer concerts. 

Overall, I'm feeling healthy.  Still sucks that I can't eat or drink anything I want.  But at the same time some of my cravings aren't as strong and when I see a cookie or a cupcake, I don't even want it.  Also have been noticing that I don't eat at much.  Sure, I still get hungry, but I don't pig out as much.  Being in the hospital for a week and only getting the three meals per day, no snacks, I think my stomach shrunk.  I get fuller faster, and when I'm full I kinda stop eating, instead of stuffing myself like I usually do, to the point of discomfort.  The next time I make spaghetti will be a true test.  :) 

Not sure if its because the BP is down, but haven't been getting the tingles in my face that I get when I close my eyes for a short period of time.  Headaches seemed to go away too. 

No recognizable brain farts the past two days.  Good, good.

Brain Farts

Having a brain fart almost daily.  I think maybe just a couple days when I didn't have one, or didn't recognize it.  One night I couldn't find my door to the bathroom.  Was standing a foot off to the left and feeling the wall looking for the door knob.  Have forgotten to close my car door.  Said something that doesn't make sense.  Reached for the door in daylight but left hand was about 6 inches off and I'm grabbing for it on the wall.  And the mini brain farts that I used to have before anyway, like forgetting that I had tea and leaving it on the counter. 

1.5 Weeks Later

Went back to work today.  Was hoping for a easy load which didn't happen.  Ended up working about six hours.  So, so tired.   Maybe I wasn't ready after all?  I know my body is weak, doing nothing but sleeping all day for a week will do that to you.  I feel like I need to move, bring my strength back up.  Maybe that'll help the overall feeling of well being and hope for going back to "normal" life.   Having stronger legs will help me feel stable.  Noticed when I walk down stairs my legs feel unbalanced.

Mind still seems fuzzy at times, I catch myself zoning out.  Driving is getting more comfortable, not as scary though I really got to stop looking at my phone when driving.

Been reading a lot on the internet.  So much information. 

The Day My Life Changed

May 18, 2013.  Age 40, I had a TIA (mini stroke) and an ischemic stroke.  Slurred speech, sudden headache, drooling were the symptoms.  Lucky I was among people.  Someone called 911. The next seven days are one test after another, checking my brain, arteries, heart, kidneys.  Nothing is wrong.  Except high blood pressure and high cholesterol.  I go home on a diuretic, a calcium channel blocker, cholesterol med, and baby aspirin to thin the blood and prevent clotting.  No paralysis or immobility of motor skills, no cognitive deficits, so far, except a brain fart here and there.  Very, very lucky.  Was a right hemisphere stroke, not sure yet exactly what part of brain, I need to get that info from the hospital so I can do more research on that.  It was a small~medium stroke, affected four centimeters of my brain.  Thought I should document what goes thru my head, what I experience, and the various information I find so I don't do the same research twice, knowing that could very well happen since the memory part might of been affected.  I just hope I remember this blog exists and keep posting. ^_^