Saturday, July 31, 2010
Thursday, July 29, 2010
Tuesday, July 27, 2010
More About PCOS- Poly-cystic Ovarian Syndrome
Polycystic Ovary Syndrome (PCOS) is one of the most common female endocrine disorders affecting approximately 5%-10% of women of reproductive age (12–45 years old) and is thought to be one of the leading causes of female infertility.
The principal features are obesity, anovulation (resulting in irregular menstruation) or amenorrhea, acne, and excessive amounts or effects of androgenic (masculinizing) hormones. The symptoms and severity of the syndrome vary greatly among women. While the causes are unknown, insulin resistance, diabetes, and obesity are all strongly correlated with PCOS.
Polycystic ovaries develop when the ovaries are stimulated to produce excessive amounts of male hormones (androgens), particularly testosterone, either through the release of excessive luteinizing hormone (LH) by the anterior pituitary gland or through high levels of insulin in the blood (hyperinsulinaemia) in women whose ovaries are sensitive to this stimulus.
The syndrome acquired its most widely used name due to the common sign on ultrasound examination of multiple (poly) ovarian cysts. These "cysts" are actually immature follicles, not cysts ("polyfollicular ovary syndrome" would have been a more accurate name). The follicles have developed from primordial follicles, but the development has stopped ("arrested") at an early antral stage due to the disturbed ovarian function. The follicles may be oriented along the ovarian periphery, appearing as a 'string of pearls' on ultrasound examination. The condition was first described in 1935 by Dr. Stein and Dr. Leventhal, hence its original name of Stein-Leventhal syndrome.
PCOS is characterized by a complex set of symptoms, and the cause cannot be determined for all patients. However, research to date suggests that insulin resistance could be a leading cause. PCOS may also have a genetic predisposition, and further research into this possibility is taking place. No specific gene has been identified, and it is thought that many genes could contribute to the development of PCOS.
A majority of patients with PCOS have insulin resistance and/or are obese. Their elevated insulin levels contribute to or cause the abnormalities seen in the hypothalamic-pituitary-ovarian axis that lead to PCOS.
Adipose tissue possesses aromatase, an enzyme that converts androstenedione to estrone and testosterone to estradiol. The excess of adipose tissue in obese patients creates the paradox of having both excess androgens (which are responsible for hirsutism and virilization) and estrogens (which inhibits FSH via negative feedback).
Also, hyperinsulinemia increases GnRH pulse frequency, LH over FSH dominance, increased ovarian androgen production, decreased follicular maturation, and decreased SHBG binding; all these steps lead to the development of PCOS. Insulin resistance is a common finding among patients of normal weight as well as those overweight patients.PCOS may be associated with chronic inflammation, with several investigators correlating inflammatory mediators with anovulation and other PCOS symptoms
Women with PCOS are at risk for the following:
- Endometrial hyperplasia and endometrial cancer (cancer of the uterine lining) are possible, due to overaccumulation of uterine lining, and also lack of progesterone resulting in prolonged stimulation of uterine cells by estrogen. It is however unclear if this risk is directly due to the syndrome or from the associated obesity, hyperinsulinemia, and hyperandrogenism
- Insulin resistance/Type II diabetes. A review published in 2010 concluded that women with PCOS had an elevated prevalence of insulin resistance and type II diabetes, also when controlling for body mass index (BMI).
- High blood pressure
- Depression/Depression with Anxiety
- Dyslipidemia - disorders of lipid metabolism — cholesterol and triglycerides. PCOS patients show decreased removal of atherosclerosis-inducing remnants, seemingly independent on insulin resistance/Type II diabetes.
- Cardiovascular disease
- Weight gain
- Acanthosis nigricans (patches of darkened skin under the arms, in the groin area, on the back of the neck)
- Autoimmune thyroiditis 
Sunday, July 25, 2010
To Become A Better Person
1. Be more firgiving and understanding
5. Give off a more friendly first impression
To Become A Happier Person
1. Reward Myself
2. Find time for my music
3. Stop stressing about Sean finding/getting a job
4. Reconsiling with old friends
5. Losing weight
I think we should all try making a list of 5 things. It is a great way to take inventory of your life, so that you can guide yourself in the direction you want to go.
Saturday, July 24, 2010
My goals for this week are pretty simple. I want to try not to cheat as much as possible. I hope to go on at least one hike this week. I also might try some yoga or pilates along with my water aroebics. Go me !
Friday, July 23, 2010
Yesterday the strangest thing happened to me. Sean and I decided to go out to dinner. We sat down, ordered our food, and were just sitting there talking. All of a suddon a young woman, about my age decent looking and dressed fashionably, walked up to our table. She says to me: "I know that you don't know me, and I don't want you to think this is rude of me. My husband already thinks I am crazy. But, I saw you walk in and I had to tell you that I think you have the most beautiful body. You have perfect porportions and you are not too skinny. Do you do something like work out?" Ok you should have seen my face. I sat there silent looking around the resteraunt for laughing kids, or someone who had put her up to this. But there wasn't any. All I could mutter was "actually I just recently gained 80 lbs, but thank you" Maybe I should have said " yes in order to get this body you must eat like a pig drink like a fish and smoke like a chimney" but I didn't. She smiled and apologized again if she had emberrassed me and returned to the table with her husband. I didn't know what to do. I thought about crying. I thought about leaving. I surely lost my apetite. I don't know why I had that reaction. I guess in all my self loathing, I have somehow convinced myself that I am such an abomination that to have a person tell me the complete opposite just throws my wolrd off of its axis. Even when I was skinny and in great shape, I never had a stranger come up to me like that.
I guess what I have realized is that beauty really is in the eye of a beholder. I talk a lot about perception. How everything is how you frame it in your mind. Two people can experience the same situation and tell two different stories. Now when I feel bad about myself, I will always remember that woman in the resteraunt. She covets what I have, even though I hate what I have. The women I see that I wish I could look like, very likely wish they looked different. Everyone wants what someone else has. Maybe part of the secret to happiness it to learn to love what you do have. Stop comparing yourself to someone else. Focus on yourself and achieving what is possible for you, and loving yourself every step along the way.
Monday, July 19, 2010
Now we are in this together. We are going to try and go to a city park once a week. We might even make trips to other parks in other cities like Landa Park in New Braunfels or Zilker park in Austin. We will pack a healthy lunch and then go for a hike and I can take pictures. Sean brought up that this is a great habit to pick up for when we have kids someday. I agree. I am also going to try and do the water aroebics 2-3 times per week. I want to work up to exercising 5 days a week. Change happens one day at a time.
Sunday, July 18, 2010
Each morning when I open my eyes I say to myself: I, not events, have the power to make me happy or unhappy today. I can choose which it shall be. Yesterday is dead, tomorrow hasn't arrived yet. I have just one day, today, and I'm going to be happy in it.
- Groucho Marx
Saturday, July 17, 2010
it was horrible
i left in tears
they made me drink 32 oz of water
and then hold it for 1 hour
well it went over an hour
and I was in soooo much pain
so I tell the nurses I have to go to the bathroom
so they got all mad
and one of the nurses refers to me as
that little girl
to my husband
and then when i got in the room to do the ultra sound
the tech told me not to talk to her
it was un real
but I haven't gotten the results of the lab work
I am still waiting.
I might still have to do more blood work
but according to the dr they had me do the ultra sound b/c my hormone levels were way off
Wednesday, July 14, 2010
"I don't know the key to success, but the key to failure it to try and please everybody." - Bill Cosby
"People are always blaming their circumstances for what they are. I don't believe in circumstances. The people who get on in this world are the people who get up and look for the circumstances they want, and, if they can't find them, make them."
George Bernard Shaw
Sunday, July 11, 2010
Saturday, July 10, 2010
Probably not what Bhuda had in mind, but its my own version.
People have all different kinds of superstitions and opinions. I have heard that bad things come in 3's. (but I have also heard that celebreties die in 3's so I think that knocks some vailidity off there) When it rains it pours. You get what you give. So basically we are all a little bit Bhuddist. Just kidding.
I do though strongly believe that your life is a direct result of your own actions and thinking. The attitude you have and the perceptions you make are just about as important as the choices you make. And, of course, it goes both ways. I see people (not unlike myself) who constantly go on and on about how un-fair life has been to them. How they can't catch a break. Or, they can't figure out why their relationship is going no-where when they want more so bad. Perhaps, really , life isn't that un-fair ....perhaps we just see it that way. And maybe, if we brought more positive choices and thinking into our lives we would see more positive outcomes. What is that corny BeeGee's song lyric - "if you give a little more than your asking for your love with turn the key " Ha Ha sadly that grossly high fallsetto voice does speak the truth. We aren't going to get from the world more than we put in. As soon as we realize that, and change our thinking, the world will respond.
So I decided to make this change and it is more than just losing some weight. It is about the journey to try and become a better person. Already I have seen positive things happen in my life for really no obvious reason, and I can only believe it must be karma. In fact I got a call on my day off from work, from my manager, saying I was getting a promotion at work. How awesome is that ? I am so thankfull. When your attitude changes, the world around you changes.
Friday, July 9, 2010
And as I am eating this cream of wheat I looked up some nice quotes about change .......
"Be the change you wish to see in the world" - Ghandi
"Change is the essence of life. Be willing to surrender what you are for what you could become "
"Change is inevitable. Except from a vending machine." - Robert Gallagher
"Any change, even change for the better, is always accompanied by drawbacks and discomfort." -Arnold Bennett
“We cannot change our past. We can not change the fact that people act in a certain way. We can not change the inevitable. The only thing we can do is play on the one string we have, and that is our attitude." - Charles Swindoll
"Things do not change. We change." - Henry David Thoreau
"Other things may change us, but we start and end with family." - Anthony Brandt
"Life is change. Growth is optional. Choose wisely."
"Change is the only constant"
Thursday, July 8, 2010
ok so here goes......
Goal # 1
To lose 50 lbs by my next birthday July 4th.
1 weigh in each week on Sundays with incremental goal of losing 1 lb per week.
Motivation : to be healthier.
Plan: clean eating. Little to No red meat - just fish or chicken. Little to no processed carbs. Lots of fruits and vegitables. Little to no fast food. Cook meals fresh daily. Lots of lean protein, beans, fruits, and vegitables. Eat when you are hungry, don't starve yourself, but also be concious of portion sizes. Very basic. Also - Exercise. (gradually work up as your body allows)
Inclined to bold or confident assertion; aggressively self-assured
1. confident and direct in claiming one's rights or putting forward one's views
2. given to making assertions or bold demands; dogmatic or aggressive
In being an assertive person you must do 3 things ....
1. Act supportingly
2. Act proactively
3. Act fairly
I think I am good at acting proactively and fairly, but need the most work on acting supportingly. I've always had the kind of mentality that if it isn't getting done the way I want it or if I think I can do something faster or better, I tend to just do it myself. But really, in doing that I am not truly helping the person I am trying to help. Instead, I am doing it for them and they are not learning or growing. In the end, I end up doing it because I am too impatient to let them try and learn.
Now when it comes to contructive critisism I am the worst. I hate getting critisism and I hate giving critisism. Well at least out loud. I am not much for confrontation. I think in order to be able to give contructive critisism and be more assertive, I need to first learn how to take it. If you look at it more from an angle of respect, that it is hard for a person to confront you to tell you something with good intentions, then maybe it will be more easy to accept.
I think that all of this really does go beyond the workplace. Being more assertive and less aggressice and/or passive should be the goal overall, not just the workplace. Listening to family and friends - supporting them. Offering constructive critisism when it is asked for and usefull. Being honest and fair. Standing up for yourself, not enabeling anyone you love or care for to continue in any kind of path of self destruction. There is a whole lot to being a better person, but I think this is good information. Thanks skill soft. =)
So far after 3 days of healthy eating I must say that I do have a noticeable increase in energy. However, today my stomach is really bothering me. It is like a slow burn in my gut. It could have been the coffee I had this morning, I am not sure. I do have Gastritus. Who knows.
So I wait. wait. wait. wait. wait............
Wednesday, July 7, 2010
Last night I tried to make sweet potato fries, but I over seasoned them. But I did find that if you sprinkle them lightly with salt and sugar it is really good. Somehow I added to much spice.
Tuesday, July 6, 2010
I am also trying to be more aware of how I react to people. I have noticed that I often times get much more upset than I should over little things. I am trying to make a concious effort to let the little things go. Now that doesn't just mean not reacting negatively, but also not letting them bug me. When I begin to have a thought that is not productive I simply say stop. Keep saying stop until the thought goes away. See we really can controll our own emotions. We are not a by-product of our enviroment -- we have controll and can choose to be happy.
well my lunch break is almost over .........