Tag Archives: Thyroid

Vanity: The Thyroid Chronicles, Part II

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from sketchfu.com

By now you may have heard of “The Mom Stays in the Picture,” Allison Slater Tate’s manifesto that we mothers shouldn’t hide behind the camera because we are ashamed of our post-baby bodies and the ravages of aging.

“Our sons need to see how young and beautiful and human their mamas were. Our daughters need to see us vulnerable and open and just being ourselves — women, mamas, people living lives.

“When I look at pictures of my own mother, I don’t look at cellulite or hair debacles. I just see her — her kind eyes, her open-mouthed, joyful smile, her familiar clothes. That’s the mother I remember.” 

Juxtaposed with this, I read a piece on the Huffington Post on why feeling pretty after 50 is important.

What still confuses me, and what I want to explore in my thoughts, conversations and writing, is what aging gracefully means to me.

I’ve mentioned before that I don’t dress a whole lot differently than I did at sixteen and, truth be told, I don’t look a whole lot different either.  So when I have to grapple with things like that roll of fat around the middle that just won’t go away

I’m not sure whether to fight it, accept it or make peace with it and figure out how to deal with it.

“It’s inevitable. You’re getting older,” sighed my Ob/Gyn.  “It may be the perfect storm of perimenopausal hormones and glycemic sensitivity,” said my new general practitioner, who spent a full hour talking with me and listening to my concerns. “Try shaving two or three hundred calories off your daily intake each day, change your exercise routine and give yourself six months to lose ten pounds.”

My first round of thyroid tests were normal and though I don’t yet have the results of my second round of blood work, I assume those tests will also be normal.

That’s a good thing.  Though I was anxious for a concrete answer to the changes in my body and rightfully vigilant of the impact of the steroid injections I’d received, I’m glad there’s nothing wrong with me and that I won’t have to be on medication for the rest of my life.

But because I’m not ready to throw in the towel when it comes to my tumultuous tummy, at the doctor’s suggestion, I became familiar with the glycemic index, which measures the impact on blood sugar levels in the body after eating certain foods. If you feel bloated after eating pasta and wonder whether the glycemic index could be the greatest thing since sliced bread, check out the glycemic index website put together by the University of Sydney, which among other things, maintains the international glycemic index database of a wide variety of foods.  Most experts agree that the number you want to pay attention to is the glycemic load, which combines both the quality and quantity of carbohydrate in one ‘number’. According to the University of Sydney, it’s the best way to predict blood glucose values of different types and amounts of food. (This blog is not meant to be the source of medical advice. If you are curious about the glycemic index or any other aspects of your health, please consult with a doctor, preferably one who will take the time to listen to your concerns).

I’m more concerned with the life index, which I define as how quickly a meal shared with others is converted to joy,  i.e. how I can have my cake and eat it too.

I knew the day we went to eat dim sum with two Chinese exchange students that lo mai gai, sticky rice wrapped in a lotus leaf with pork, would wreak havoc on my mid-section.  I could ill afford the Michelin look, because the next day I was scheduled for a photo shoot to obtain an author photo for my book Ruminations from the Minivan:  musings from a world grown large, then small, which is coming out soon.

We had a great time with the Chinese girls, I ate leftover lo mai gai for a mid-afternoon snack and was predictably puffy the next morning.  So I ate oatmeal for breakfast, worked out and instructed the photographer to take head shots only.

It was worth it.

Despite the warmth and easy demeanor of the photographer, I still found the photo shoot uncomfortable, especially when I looked at all the images she had taken on her digital camera and saw my many nuanced poses reflected back at me in Fifty Shades of Alison.

I hadn’t until realized until then that, unlike writing a book, promoting a book means getting into the picture instead of remaining comfortably behind the scenes, and that this is just the first of many times in the coming months that I will have to put myself out there — vanity be damned.

What saved me was a recent interview I’d had with B.J. Neblett, a fellow author who was writing a profile of me for our writers’ collective website.  The morning we met, I was unshowered and wearing an old sweatshirt of Jeff’s. B.J. didn’t care that I was scruffy. We had an enjoyable conversation, which was reflected in the flattering profile he wrote about me.

I’m not going to pretend to have given up vanity, not to be flattered when people compliment me on my youthful appearance and not to be shocked when I resemble my maternal forbears in their later years (spoiler alert – there is one poem in my new book entitled, “My Grandmother’s Thighs”). I will sporadically pay attention to the glycemic index but hopefully, as the years go by, I will scrupulously pay attention to the life index — dim sum bloating be damned.

Aging gracefully

 I had a great idea for a recipe to share with you that I thought would cleverly tie the themes in this post together.  I planned to call it “Vanity Fare.”  It comes from Dorie Greenspan‘s book Around My French Kitchen and involves slicing boneless skinless chicken breasts into strips, sauteeing them in butter and then adding a cup of creme fraiche with two LU Cinnamon Sugar cookies crumbled and mixed in.  I was going to say that when chicken breasts are sweet and creamy and comforting, nobody cares if they are pleasantly plump.

“What’s for dinner,” daughters #1 and #2 asked suspiciously (they are often suspicious when I am cooking). “Chicken with cookies!” I said, assuming they would be thrilled to have a dessert-like twist on dinner.  I was thrilled to produce such an effortless elegant meal so quickly because I had to rush off to a meeting before the meal was over. They took tentative bites and proclaimed it “too rich.”  The next day, I found some chicken wadded up in a napkin and (not very well) hidden in my office.  We had pasta that night for dinner.

 I hope when my kids look at pictures of me and I’m sporting a tummy, they’ll see the kind eyes and joyful open smile of a mother who ate carbohydrates to make them happy.

Cold Feet: The Thyroid Chronicles, Part I

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I’ll start by telling you that I suffer from latrophobia, fear of going to the doctor.  Though I haven’t undergone counseling to figure out the root causes, I think this fear took hold during childhood.  Growing up in a tumultuous household, I was a bedwetter, and I found it humiliating that during my annual physical, Dr. E felt compelled to “examine” my nether regions, looking, I assume, for signs of rash. In those days you didn’t question doctors and parents didn’t ask kids about their feelings.  Even though for many years, on the eve of my check-up I would parade around the house with homemade picket signs which read:

I HATE DR. E!!!!!!!

my mother didn’t pick up on my discomfort or, if she did, didn’t think it was worth alleviating.

It was the mid-1960s, after all.

(You’ll be happy to know this is one of the issues we resolved on her deathbed.  Dr. E was apparently a celebrated pediatrician and my mother thought she was acting in my best interests).

When I became an adult, I dreaded going to the doctor for a different reason:  the weigh-in.  In some crazy, retro, pre-feminist way, I managed to transform what is supposed to be a partnership caring for and maintaining my body/machine into a self-created moral test of my character.

Even though I’m older and wiser now, I still avoid going to the doctor unless I am in desperate need of a Z-pack of antibiotics, have a sports-related injury or am having my annual Pap smear or mammogram (they don’t weigh you for those).

In other words, I don’t get an annual physical.

When I first started noticing that my body seemed different, I assumed the ravages of age and perimenopause were taking hold.

Certain friends who shall remain nameless here have gained a bit of weight around the middle, many have joked about forgetfulness (including my dear friend C., who forgot to feed my cats over Labor Day weekend.  They were hungry for more than just affection when we got home). Broken nails, my friends have seen a few.  Let’s face it, we’re not as young as we used to be.

Reference material nerd that I am, earlier this year I felt compelled to purchase Dr. Christiane Northrup’s book The Wisdom of Menopause and keep it on my bedside table for a little light reading about hormonal changes. As I read through the section on mid-life weight control, something in Step Five:  Get Your Thyroid Checked jumped out at me.

Cold Feet

My feet are always cold, even in summer.  As I read through the rest of the possible signs of hypothyroidism, I realized most of them could apply to me. (It kind of reminded me of one of those quizzes in Cosmopolitan:  Ten signs that tell you he’s cheating.  By the time you finish taking the quiz, you are convinced that he is).

I added getting my thyroid checked to my mental medical to-do list, along with the colonoscopy I should have had last year, but of course, I didn’t do anything about scheduling either one of these important, potentially life-saving tests. (No, JDM, I have not had a shingles vaccine.  No, sister-in-law D., I have not had a flu shot either).

On vacation this summer, I awoke each morning, more bloated than the next.  It felt like more than an excess of tequila and tortilla chips, and, as I thought about it, the problem had been worsening for months.  Was I suffering from cellular inflammation or an overabundance of fat-accumulating hormones, such as insulin?   Was my thyroid the culprit?

Even dogs can suffer from hypothyroidism

There was only one way to find out.  Feeling very mature (in a good way), I called my Ob/Gyn’s office to schedule my annual Pap smear and mentioned that I also wanted my thyroid checked.  The young receptionist wanted to verify my insurance coverage and gave me the name of an insurance carrier we haven’t used for years.  “No,” I said.  My carrier is C**, the same one I had last year.  “You haven’t been here for three years,” she said coldly.

I felt like Ingrid Bergman in Gaslight.

I had to wait till I got home to comb through my insurance documents, call my insurance company and check all of my calendars for the past three years to prove that I had seen that doctor last year and the year before that.  When that turned out to be fruitless, I called the doctor’s office again to ask them to check my physical file.  This time the receptionist was more understanding when she informed me that there were no notes in my file after 2009.  “I know how you feel,” she said sympathetically.  “I was born the same year as you.”

I was not surprised to learn that a faulty memory is another symptom of hypothyroidism.

The plot and my waistline thicken

The weeks I had to wait for my appointment felt interminable, but I tried to make them productive.  I gave up alcohol, tried to stay away from carbohydrates and made sure to adhere to a regular exercise regime in spite of my achy joints (another symptom).

I researched doctors and made an appointment for a physical with one who looked promising (in my own latrophobic defense, apart from my Ob/Gyn, whom I have seen for seventeen years, I haven’t been able to find a doctor or a practice that impressed me with professional, high quality care).

One day while out for a run, I tried to pinpoint what had changed over the past six months to make my symptoms, especially the weight gain, worsen.  I’d started making and eating granola on a regular basis, but it seemed hard to believe a cereal mix could be so potent.  Then I remembered.  Around six months ago, after being diagnosed with a herniated cervical disc, I received two epidural steroid shots and also took oral steroids. Because I have trouble remembering things, I made a note on my iPhone to do some research.

At home, a quick search on the Internet suggested there could be a link between the steroids and my thyroid. (Searching for things on the Internet reminds me of writing high school essays: combing the available research materials for snippets of information to support my thesis).

Next week I will see my Ob/Gyn and hopefully be that much closer to figuring out what, if anything, is wrong with me.  Who knows, my symptoms might just be the normal by-products of aging, which require a change in my behavior, nothing more.

But at 51,  I think I’ve finally learned my lesson.  Now, more than ever, it’s important to stay on top of your health, if for no other reason than to have a baseline to work with if something is really wrong.  Perimenopause and menopause can cause some surprising symptoms (remember pregnancy nosebleeds?).  It’s worth talking to a doctor about them, instead of suffering in silence.

Check back with me in a few months to see if I’ve scheduled that colonoscopy.

This week, four diplomats were killed in Libya and my nephew was deployed to Afghanistan. As a proud former member of the Foreign Service, who served in the Near East and South Asia bureaus, my heart is with those who dedicate their lives to promoting international understanding.

In their wonderful new book Jerusalem, chefs Yotam Ottolenghi and Sami Tamimi, a Jew and a Muslim who grew up in the western and eastern part of that city, talk about food’s ability to break through religious and cultural boundaries.

Twice this week I made Ottolenghi’s recipe for Figs with basil, goat cheese and pomegranate vinaigrette from his book Plenty.

Historically, figs have been revered as a symbol of peace.  I can’t think of a better thing to eat. And they’re good for you too.