Sleepy in the South


What time is it? What day is it? Where do  live???

I am sorry to admit that I slept the morning away! I was so  tired last night after grabbing a bite to eat I just went to the recliner, eased myself into it and promptly found myself in dream land. I won’t bore or thrill you with my dreams (at least not this time) and I awoke a few times and dropped back to the streets of Chicago and my partner, Mickey Spillane. Ooops, almost gave that one away!

To the matter at hand… the neurologist was happy i gave myself a little stroke test each time something went numb, but unhappy with the head numbness over the hand numbness it seemed. She aksi wasn’t thrilled with the spasms. I had forgotten those, but Terry kindly reminded me and told her about them. If I have neglected to inform you, I am sorry, I really thought I had. 😦 It consists of an arm or leg taking off in a huge spasm and slamming down on the desk or the floor and hitting it hard. It hurts like fire and I holler. End of story. Can’t tell when one is coming but they sure can wreak havoc.

Bottom line, off to a brain MRI on the 15th and an appt again for the results on Feb 5th.  I will definiely keep you all finom

 

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All Sweetness and Light People…FRONT & CENTER!


It’s now time to pay your dues, you who thought you were getting away with those bags of fries, those doughnuts with powdery white goodness on top (an NO, it’s not illegal drugs. It may well be for you and I now, it’s powdered sugar. You know, quit playing dumb, that white stuff on the doughnuts that you love slowly licking off of your fingers after the doughnut is gone. mmmmmmmmmmm

We weren’t addicted, not back then, but look around you and about 30% of your friends are standing behind you, with that telltale ring of frosting at the corners of their sweet little mouths. Yep, it finally got you and now it’s payback time. Take a seat and follow along in the booklets in front of you. AFTER you take that insulin pump out of its box and hook it to that round rubber looking affair over there using that plastic tubing.

And that is exactly how it began with me last Tuesday at the training session for my new insulin pump setup. I had taken delivery of the items in a large box a week and a half before and dutifully looked through it as instructed. Then began a home course on it’s operation along with lots of information that I didn’t know concerning diabetes and its beginnings and it’s ravages on the body if not controlled. I didn’t know how quickly you can die from it, nor how persistent it can be and the numbers (growing every day) of those of us blinded, without kidneys and without limbs. A whole host of other ailments and maladies are there waiting to jump onboard also so we are lucky that we still have time.

Stars who died of diabetes

‘Sweet Joe’ Russell, singer with the Persuasions, dies 72

“Sweet Joe” Russell, who spent half a century harmonizing with the Persuasions, an influential vocal group widely regarded as the “kings of a cappella,” has died. (May 5, 2012)

Joe Russell Cause of death
Joe Russell in a Brooklyn hospice after a long struggle with diabetes.
Joe Russell was 72 years old at the time of his death

David Peaston, R&B Singer, Apollo star, dies 54

David Peaston (1957 – February 1, 2012) was an American R&B/gospel singer who in 1990 won a Soul Train Music Award for Best R&B/Soul or Rap New Artist. He is mostly known for the singles, “Two Wrongs (Don’t Make it Right)” and “Can I?”, the latter of which was originally recorded by Eddie Kendricks.

In the late 1980s, Peaston, a former schoolteacher, won several competitions on the Showtime at the Apollo television show, winning over the audience with a powerful rendition of “God Bless the Child.”

David Peaston cause of death
David Peaston died from complications of diabetes on February 1, 2012 in St. Louis, Missouri.
David Peaston  was 54 years old at the time of his death.

Marvin Isley, Isley Brothers, dies 56

Marvin Isley (August 18, 1953 – June 6, 2010) was one of the members of the family music group, The Isley Brothers and a bass guitarist. Marvin Isley the youngest of the brothers grew up in Englewood, New Jersey, and graduated from Dwight Morrow High School in 1972.

Death of Marvin Isley
Marvin Isley died on June 6, 2010, from complication of diabetes at the Seasons Hospice within Weiss Memorial Hospital in Chicago, Illinois, at the age of 56

Evel Knievel

Robert Craig “Evel” Knievel, Jr. (October 17, 1938 – November 30, 2007) was an American motorcycle daredevil, a well-known figure in the United States and elsewhere since the late 1960s, and arguably the most iconic motorbike stuntman of all time. Knievel’s nationally televised motorcycle jumps, including his 1974 attempt to jump the Snake River Canyon at Twin Falls, Idaho, represent four of the top 20 most-watched ABC’s Wide World of Sports events of all time.

Death of Evel Knievel
Evel Knievel died of diabetes.
Evel Knievel was 69 years old at the time of his death.

Evel Knievel died in Clearwater, Florida on November 30, 2007, at the age of 69. He had been suffering from diabetes and pulmonary fibrosis for many years. Longtime friend Billy Rundle reported that Knievel had trouble breathing while at his residence in Clearwater, but died before the ambulance could reach the hospital. “It’s been coming for years, but you just don’t expect it. Superman just doesn’t die, right?” was Rundle’s reaction

Billy Henderson, Singer in Spinners

Billy Henderson (August 9, 1939, Detroit, Michigan — February 2, 2007, Dayton Beach, Florida) was an African-American singer. He was an original member of The Spinners, a soul vocal group.

Billi Henderson’s Death
Henderson died of complications caused by diabetes.
Billi Henderson was 67 years old at the time of his death

The Spinners were formed in 1954 by five friends including Henderson from a High School in Ferndale, Michigan. They had several hits, especially in the 1970s, such as “I’ll Be Around” (1972) and “Could It Be I’m Falling in Love”, “Then Came You” (with Dionne Warwick) and “The Rubberband Man”. The Spinners were nominated for six Grammy Awards and they received a star on the Hollywood Walk of Fame, the second star for a musical group consisting of African-Americans.

In 2004, Henderson had to leave The Spinners after he tried to sue the corporation and the business manager of the group for financial reasons.

Curtis Mayfield – Soul Musician “Superfly”

Curtis Mayfield (June 3, 1942 – December 26, 1999) was an American soul, R&B, and funk singer, songwriter, and record producer best known for his anthemic music with The Impressions and composing the soundtrack to the blaxploitation film Superfly. From these works and others, he was highly regarded as a pioneer of funk and of politically conscious African-American music. He was also a multi-instrumentalist who played the guitar, bass, piano, saxophone, and drums.

Later years
In February, 1998, he had to have his right leg amputated due to diabetes. Mayfield was inducted into the Rock & Roll Hall of Fame on March 15, 1999. Unfortunately, health reasons prevented him from attending the ceremony.

Death of Curtis Mayfield
Curtis Mayfield died on December 26, 1999 in Roswell, Georgia from Diabetes
Curtis Mayfield was 57 years old at the time of his death

Category: Deaths from diabetes

From Wikipedia, the free encyclopedia

http://en.wikipedia.org/wiki/Category:Deaths_from_diabetes

This is a list of noteworthy people who died from diabetes-related complications. I could go on and on of course talking of what I have learned lately, but there is time for that later on.

So there I sat with one other person in the training class with me. Her white knuckles on the table and the ruddy hue to her face along with her statement, told the story. “I DO NOT want to do this. I can’t stand the thought of wearing something that will be dispensing things into my body. I LIKE the shots, they are fine, let me continue to do them for Heaven’s Sake!”

By this time I am thinking this was her doctor’s idea and she had no part in it. I smiled at her and said “You will do fine, we just have to get used to the idea.” The low growl with clenched teeth told the trainer and myself it might be wise to move forward. So we did. Without boring you with details, we are learning how to program the monitor, how to fill the meter with insulin, how to check our blood with one meter which then relates this number to the main meter hooked to us using wi-fi, (we are techies) and then watch it go through it’s figuring and finally come up with a dosage to dispense over time called a bolus. We are wearing our new pumps which are filled with saline this week so we don’t kill ourselves 🙂 It will be changed out at the next appt. For the real stuff! That is in a week and a half. Then finally a third visit and that’s it. It’s a little weird feeling it hanging there on your waistband (or wherever you want to wear it comfortably.) It beeps at me and vibrates and is generally a fun date other than the part that is under your skin.

I will let you know how it goes. I’m taking suggestions for a name. After all something held this close to you all the time needs to have a moniker worthy of it’s position.

In other news, the right leg is giving out which means more time in the chair and also a new appt. With the dr. who is giving me a shot in that knee. He had to bail on me due to something that came up. Now I need him I’m afraid.

To all a Merry beginning of holidays soon and keep the shiny side up!!!

Kath

I Fall To Pieces…♫


I fall to pieces,
Each time I see you again.
I fall to pieces.
How can I be just your friend?

Patsy dropped by again this morning and you can see what effect her morning coffee visit had on me. I told her to please head on over to San Antonio Rose’s house next time. I’m afraid one day she will show  up singing “Crazy Arms” and then another malady will be sitting at the kitchen table too.  Instead I fell again twice. On the good side, My bones have got to be as strong as steel to hold up under this many falls, crashing to the floor and no breakage results. I do count my blessings.

And now for the real reason I am here bright and early this morning, last night at suppertime, a knock on the door and delivered one day early… you guessed it, my insulin pump!! And here for your viewing pleasure is that sweet bit of equipment in all it’s shining glory. Tons of it! The pump, a heavy thick book of instructions and explanation, Tubing, a “Quick Set Infusion Set”, a “Reservoir”, a “Quick-Serter” (looks like the part that goes next to the body and holds the insertion items, and a Revel, Paradigm,Real Time Mini Med. (Looks like equipment for when you are on the go. ) Wow. And this is supposed to be easier. Doc said in my last visit to just go on as always now and when the classes start to teach me   all about it, we will be switching over to the pump. He thinks this will be a saving grace for my runaway numbers and I hope he is right. The cost of this beauty in a box?? Over $8,000. Now I am going to be afraid to breathe for fear of breaking it. 🙂 Here’s a picture of another. I also have instructions to  play the DVD that came with it  and take a small test afterward. Then, pack it all up in your carry bag and bring it to the first training session. We lined up the three sessions which are all in November and ending right before Thanksgiving, then I am on my own.

I imagine there will be lots of others there taking the training and we will all sit there craning our necks forward yelling, “Huh? I didn’t catch that! Can you talk a little louder, I NEED TO KNOW THIS STUFF!!!”  And here are the images.

 

 

 

 

 

 

 

 

 

“Coming Attractions” in the month of November…

  • Ultrasound on legs and possible surgery on them.
  • Shot in right knee and  maybe more
  • Physical Therapy with emphasis on traction
  • Training for the “Pump” and beginning to use it

Don’t Worry, Be Happy


Don’t Worry Be Happy

Here’s a little song I wrote

You might want to sing it note for note

Don’t worry, be happy

In every life we have some trouble

When you worry you make it double

Don’t worry, be happy,

Don’t worry, be happy now

Bobby McFerrin

My song today. And I have a grin on my lips. After two days of worry and stress, blood testing and phone calls with two people who are helping me get to where I want to go, I got the word around noon. It’s a go for the pump. It will arrive Wednesday complete with tubing, strips, needles and a DVD to cover the basics. I am to watch the DVD, and take a test that is in it and then bring all to my first training session. There will be three training sessions strung out over the  month of November ending around Thanksgiving. Then I will be good to go on my own. Whew! I really didn’t think I would qualify. And they are expensive. But in the end, the insurance came through for me once more.

On the other hand, I am so down and sad tonight for all those who need but can’t health insurance. You cannot live without it. I was without for so long and just plain could not go to the dr. since it would cost too much for testing, etc and I just didn’t have it. The difference is startling. One minute  you have nothing, the next you have the medications you need, the equipment to make your life worth living again, and the difference is like night and day. So as I smile and feel so good about getting the things that I need, my heart goes out to those who can’t due to high costs and no availability in their area or for their ailment. I know that dark scary feeling that there is nothing you can do and my heart goes out to you. We need to do some serious work in the Health Department of our Government.

Thanks for being here!

Kath

“One Flew Over The Chicken Coop”


My situation at the moment is that the Vein and Artery surgeon who did the ultrasound on me to determine that my swelling leg and foot wasn’t caused by a blood clot, has been trying to get back with me for months. We miss each other due to me being sick or feeling bad or him being out of town. We finally got together and I was anxious to hear why he wanted another visit after he determined I had Lymph edema and moved me on to home health care for a couple of months. Come to find out, he had discovered I had some varicose veins under and around my right (bad leg) knee. You can’t see them until you pull the skin tight so I had no idea. He said it seemed to be interfering with the blood exchange up and down in that leg. He wants me back in a month and we are going to do another ultrasound to make sure and then go into his office and have a “talk”. When a Dr. says we are going to have a “talk”, to me it isn’t going to be a fairy tale, more like a horror story. To top this mess off, last night I was sitting and slowly rubbing my hands up and down on the outside of my thighs and to the back a little. Don’t ask me why, I have no idea, I guess it was just something to do.  At the back of the top of my thigh, I felt something soft and weird.  I grabbed a round hand mirror I have and put it behind me and looked. Lo and behold the entire top 1/3 of my thigh was a network of varicose veins sticking out mind you!!! I was shocked. How did I not know this??!  I then went to my husband who was lying back in his chair watching some tv show and turned around to show him. He was quiet and I turned a little to look at him and said “what do you think of that??!!” He just smiled and patted my backside and I jerked away and said “You have GOT to be kidding!!!” I am trying to get some sympathy here! I am in a motorized wheelchair!!!! I have varicose veins!!!!”  He just smiled and said “I love you.”  MEN!!!!  Truthfully, he has been working himself to a frazzle. He has been worried sick about me and wearing himself out going to work and then taking care of me when he gets home. Then I worry about him.

I am assuming that the Dr. knows they are there due to the ultrasound. When I left that day he said, “No matter you look great!” I thought, “so…. why does that matter in the big picture of things?” Now I know he probably thought I knew it and was covering up and feeling embarrassed. Jeesh. My life really has turned out to be a circus side show. Thursday I go to the diabetes Dr. and my numbers while better, still aren’t good. Then Friday to a new specialist…..what fun!! The neurologist sent me to an orthopedic surgeon because I have a knee that hurts and I can’t stand on it much. They took x-rays and she says it’s riddled with arthritis. So he is going to…get this….give me a SHOT in the knee!!!! I think I have mentioned most of this before. Well, you are a captive audience after and have to hear my stories and songs while I am wondering just where to get off this silly bus ride.

Kath

I Go Out Walkin’


♫ ♪  I’m always walkin’
After midnight
Searching for you
I stopped to see a weeping willow
Cryin’ on his pillow
Maybe he’s crying for me
And as the skies turn gloomy
Night winds whisper to me
I’m lonesome as I can be
I go out walkin’
After midnight searcin’ for youuuu  ♫ ♪

An old fave by the late great Patsy Cline. Did she sound depressed?? Before I go off on that tangent, the latest medical update straight from Dr. Kildare’s office. By
the way did anyone else notice that name and feel someone was playing little tricks on us… like do YOU want your Dr.’s name to be Kill – Dare? Not I said the little red hen.  Medical forecast from the skinny little island in the Gulf. Late next week a fun filled two days spent at the diabetes doc’s and the shot in the knee capping it off with more pain and less comfort. Sounds like a bust to me. Oh well…I will keep you informed since I shouldn’t have to bear this alone.

Now, back to the great subject to end the week on while we supposedly enter into a hilariously fun weekend – Depression & Stress. (I knew you’d like ’em) Some people cover with baking, some with mindless hours spent on the computer, (huh?), some with humor (double huh?) But stress, heart attacks, stroke and related illnesses are dropping us like flies in this fast paced (better?) world we inhabit.

Quote from:

Human Diseases and Conditions * Stress-Related Illness

Stress is an intense physical and/or emotional response to a difficult or painful experience. Stressful events can range from taking a test in school to dealing with a loved one’s death. Reacting to such events, the body’s stress response system can cause a rapid heartbeat, a rise in blood pressure, and other physical changes. Stress-related illnesses are physical or mental problems that sometimes seem to be brought on by or made worse by stress. They can include headaches, stomachaches, sleeplessness, depression, anxiety, and many other conditions.

Stress Is Not All in the Head

Imagine Alicia, the goalie on the traveling soccer team, with the opposing team barreling toward her with the ball in possession. Imagine Eduardo at 7:59 a.m., running for the school bus that leaves at 8:00 a.m. Imagine Maria, whose dog has just been run over by a car. Anyone who has been in situations such as these knows what stress feels like: The pulse quickens, the heart races, breathing becomes heavier, and muscles tense. Some people feel nauseated and start to sweat. Others freeze and feel a sense of dread.

hormone is a chemical that is produced by different glands in the body. A hormone is like the body’s ambassador: it is created in one place but is sent through the body to have specific regulatory effects in different places.

The stress response

All these changes in the body happen because stress sets off an alarm in the brain. This alarm triggers the release of hormones , which trigger the release of oxygen and glucose, which send emergency energy to the brain and muscles. This is called the “fight or flight” response because it prepares the body to fight or run.

The stress hormone response: When the brain perceives stress, the hypothalamus releases corticotropin-releasing factor (CRF) (1), which triggers the release of adrenocorticotropin (ACTH) (2) from the pituitary gland. ACTH (2) travels through the bloodstream and (along with signals from the brain sent through the nervous system) stimulates the adrenal glands to release cortisol and epinephrine into the bloodstream (3). Cortisol and epinephrine (3) help provide energy, oxy-gen, and stimulation to the heart, the brain, and other muscles and organs (4) to support the body’s response to stress.

The hypothalamus is a part of the brain that produces hormones. When the stress response begins, the hypothalamus sends a hormone called corticotropin-releasing factor (CRF) to the pituitary gland, which then sends a hormone called adrenocorticotropin (ACTH) through the bloodstream to the adrenal glands. The adrenal glands produce cortisol (in response to ACTH) and epinephrine (in response to signals sent from the brain through the nervous system), which help the body produce emergency energy and support the “fight or flight” response. As long as the brain perceives stress, it continues to produce CRF. The body’s stress response ends when the brain relaxes, allowing hormone levels to return to normal. Scientists think the “fight or flight” response developed because it helped primitive humans deal with such threats as attacks by wild animals. In many cases, the stress response is still helpful—it may help Alicia react more quickly to block the ball and Eduardo race to the bus stop in time. And a certain amount of stress helps keep life exciting and challenging. But in other cases, like Maria’s grief over her dog, the natural stress response may not be helpful at all.

Chronic stress

Events that trigger the stress response usually do not last for very long. When long-term problems with school or family or illness create chronic stress, however, they keep the body’s stress response system activated over too long a period of time. This can contribute to many psychological disorders. Doctors think it also can lead to physical problems, such as chest pain, headaches, and upset stomach. Researchers suspect that, over time, high stress levels can contribute to more serious illnesses, such as high blood pressure and heart disease. They also suspect that chronic stress may suppress the immune system, the body’s natural defense against infection, leaving people more prone to illness, perhaps even to some forms of cancer. Much work must still be done, however, to determine whether those suspected links are real and to unravel the complex relationships between physical and psychological factors in health.

chronic (KRON-ik) means continuing for a long period of time.

Which Illnesses Are Stress-Related?

It is hard for researchers to establish a definite cause and effect relationship between stress and specific physical symptoms or illnesses. Not only do people’s minds and bodies react differently to stress, but there also are other factors at work when someone gets sick. The following conditions are known or believed to be stress-related (as opposed to stress-caused):

  • Pain caused by muscular problems, such as tension headaches, back pain, jaw pain, and repetitive stress syndrome. Pain of many kinds seems to be caused or made worse by stress.
  • Gastrointestinal (gas-tro-in-TES-ti-nal) problems, such as heart-burn, stomach pain, and diarrhea.
  • Insomnia, or difficulty sleeping.
  • Substance abuse, including smoking, drug addiction, and heavy drinking of alcohol. Substance abuse, in turn, can lead to other ill-nesses, including heart disease and cancer.
  • Asthma attacks in people who already have the condition or who are susceptible to it.
  • Post-traumatic stress disorder, a mental disorder in which people repeatedly relive a terrifying experience in dreams and memories long after the event has passed; and acute stress disorder, in which they have similar symptoms immediately after the event.
  • Other mental disorders, including eating disorders, anxiety, depression, and possibly schizophrenia.
  • Cardiovascular (car-dee-o-VAS-kyu-lar) problems, such as irregular heartbeat, hardening of the arteries, and heart attack. Stress makes the heart beat more quickly and increases blood pressure temporarily. Although long-term effects have not been proven, many scientists suspect that they exist.

The Mind-Body Connection

Why do scientists believe that stress plays a role in causing illness? Although they still are unraveling the complex relationship between physical and psychological health, many studies suggest links between stress, illness, and the immune system’s ability to fight off illness. Some examples:

Studies have found that people who recently lost a husband, wife, or other loved one—which causes intense stress—are more likely to die themselves, from a wide variety of causes.

Workers who reported high levels of stress were estimated to incur nearly 50 percent more in health care expenditures.

Researchers reported that two groups of people under stress—medical students taking exams and people caring for Alzheimer’s disease patients—showed decreases in their immune system activity.

Learning to Deal with Stress

Stress is inevitable, but people can learn how to cope with it. Doctors sometimes suggest the following strategies for managing stress:

  • Exercising takes the mind off stressful thoughts, and causes the release of chemicals called endorphins (en-DOR-fins) in the brain that provide feelings of calmness and well-being.
  • Making time for hobbies and enjoyable activities outside school and work can decrease stress levels.
  • Relaxation techniques such as deep breathing, visualizing pleasant images, meditation, and yoga can lower the heart rate and blood pressure while reducing muscle tension.
  • Scaling back on activities and responsibilities and managing one’s time effectively can head off stress-causing situations.
  • Participating in support groups or sessions with professionally trained counselors or psychologists can help provide an outlet for emotional stresses.

Using drugs, alcohol, and smoking to cope with stress can make stress-related problems and illnesses worse.

Relaxation Meditation

Many people find that relaxation meditation is a good way to relieve some of the stresses of everyday life. People who meditate regularly recommend the following:

  • Finding a quiet room or place away from disturbances.
  • Sitting in a comfortable position with the spine straight.
  • Repeating a special word or phrase throughout the session.
  • Keeping eyes closed or eyes focused on an object.
  • Clearing the mind of distracting thoughts, repeating the chosen phrase, and concentrating on the chosen point of focus.

Read more: Stress-Related Illness – body, last, causes http://www.humanillnesses.com/original/Se-Sy/Stress-Related-Illness.html#ixzz27lgV7lXw

Where does this leave us?? I feel we are standing in the middle of the road, headlights bearing down on us and we are in the “fight or flight” mode. We need to get a handle on all of this stress and take back control of our lives. Do you know how once in awhile we remember something we did as a kid and how it makes us smile wistfully wishing we could have that peace and fun again? That is because our lives at that time was short a basket load of something. What were we short on? “Ya got stress, my friends, stress right here in River City. With a capital “S,”
And that rhymes with “Mess” and that stands for STRESS!” (Forgive me for butchering a song from “The Music Man”.

What can we do?? I think the starting place should be “Simplying” our lives. Just give a good old heave ho to the complications in life. Don’t feel like going to Aunt Bessie’s for a huge meal and hours of mindless babbling after? Don’t go. Don’t feel like getting upset over your co-workers smirking at the water cooler over how you lost out on that promotion? Whisk them away like yesterday’s dust bunnies under the couch. Kids in too many activities at school or out and they have you doing a road race to get to all of them on time?? Cut them back to 1 or 2  a ctivities that don’t require instrument fees, miles of travel that YOU have to do, sessions held during the dinner hour. And speaking of the dinner hour, and I was, make it a point, as in have a family meeting and lay down the law, no radio, no tv, no ipods, no cel phones during mealtime. We will all attend all meals unless otherwise excused by YOU and YOU alone. We will not bring up any touchy subjects that are sure to be the Prologue to a fight of the year. Now, that is just a start. Will you be the most favored parent of all time or will you be the recipient of dirty looks, tongues sticking out and “the hand” up showing they do not want to engage in anything with you. Isn’t the peace and quiet at mealtime a dream come true??? Ahhhhh………….

Kath

♫ ♪ She’s so Vein, I’ll Bet She Thinks This Song is About Her. ♪ ♫


Well, here we are home from the medical house on the beach. This was the vein and artery surgeon. He wasn’t happy when he saw that poor swollen lower leg and foot. Neither am I Doc. I have been worried about my discolored foot, it’s almost black in spots, but when you look closely it’s tons of tiny blue red and purple veins. He said it isn’t caused by the diabetes, but by the lymph edema and then he reached up and pulled the skin tight above and below my knee and as I stared at it with disbelief, there were large blue veins that had shown up. He said those were varicose veins and they had played a part in the problem of the incoming and return of blood since it was obviously involved. End result, on the 8th of Oct. he will do another ultra-sound and make sure and then we will go into his office to talk. He sounded like he was pretty certain that it would end in the leg surgery.

As a second thing, he wants me to get a stationary pedal contraption at Wal-Mart which costs $25. It is so good for people who can’t get out and exercise and walk and even losing weight. He has patients that have lost as much as 60 lbs. a year by just using it once a day during a tv show. Pedal through the commercials and rest during the show or vice versa. It probably will help after the surgery for getting the legs to heal inside and out. So if you are limited in mobility, check one out and use it, this Dr. says it works. 🙂