Sounds like we use the same fella. Mine also rides a road bike. I reckon he would be safer eating carbohydrates.My cardiologist would weigh 60 kgs provided he is wearing boots. I come away thinking about all the naughty foods he is missing out on.
The Sestamibi heart scan and other investigations is only to determine medical suitability for surgery and anaesthetic.
Surgery only puts a new knee joint in, but the outcome of a TKR is not that a new joint is put in. It is what happens to the knee function after a new knee joint is put in. When a knee deteriorates, the muscles that move the knee get used less so they atrophy. Once a new knee is put in the muscles don't magically go back to normal. Anything that can be done to improve the muscles before hand only improves the TKR outcomes.
It is also well known that High BMI is associated with poorer outcomes after a TKR.
Its hard enough to be back on your feet the day of or day after a TKR (which is the immediate goal after a TKR) let alone while carrying extra 40-50kg on your back doing so.
Therefore "Prehab" is as important as Rehab.
Outcomes can be quite positive and life changing but there is a lot to do between now and March to get there. At least there is some time.
Father needs to get his leg muscles as strong as possible and optimise his medical issues, lose weight prior to surgery in order to gain the best outcome possible.
Which is sad because it is the most effective way of getting a better result from surgery. In fact in some cases the outcome is surgery is no longer needed.
When angioplasty was first done stents had not been invented and it was balloon angioplasty. In 1992 I had the privilege of looking after the first ever proceedure done in 1962 at St. Vincents hospital Sydney in 1962. He obviously survived and had no cardiac events since. He had a negative sestamibi test. his Cardiologist though had died.
Possibly a convenience thing, if the problem is not sorted with the first course?If the required course was in the one box, why does the script have a repeat?
It's very hard. Sometimes discussions in family environment can be too confronting.How do you gently encourage your Dad to give it a try without him feeling like he'll disappoint his family if he fails?
Ok. I'll buy that. . I am in control. Unless I forget or think I can do without my pred tablets for the day.BBBut Pushka.. you do manage your fate , otherwise you would probably not be here...
Mastery of fate does not imply mastering the universe.. just managing the dealt cards well enough to live as long and as well as possible.
Lucky you didn't see what I bought yesterday. $33.92 on markdowns only. These are not low quality. These are normal packs of meat that were selling for 10x the price the day before.John I heard that many times over my career. As a mentor of mine once said The commonest cause of obesity is caloric amnesia.
Sorry I see your pictures on here about your bargain buys plus the pictures of them cooked. They certainly don't look like 1-2 salads a day.
One problem is in Australia the cheaper the meat the higher the fat content so the higher
the caloric intake.
Processed meats and hidden sugar are the things I spot in the list above, that makes some difference.Lucky you didn't see what I bought yesterday. $33.92 on markdowns only. These are not low quality. These are normal packs of meat that were selling for 10x the price the day before.
If I am not mistaken adult males need to consume somewhere between 26.4 to 39.5 calories per kg of weight per day. The lower number is no exercise and the higher number is an active person.
I am 140kg which means for me to maintain that weight with no exercise I need to consume 3700 calories day. I can assure you I am nowhere near 3700 calories per day. So what is the problem? I wish I knew.
Today is a typical day for me
- morning kids yoghurt pouch around 75 calories
- lunch a big bowl of iceberg lettuce with light mayonnaise which I estimate to be around 100 calories
- dinner 2 small pieces of boiled chicken (ribs and back), masaman curry paste, equivalent to 2 medium potatoes, portion of coconut milk, steamed rice (let's say 1000 calories but it was nowhere near it)
- snack 1 piece sliced bread with around 50g ham which I estimate around 150 calories
That's it for today. So around 1325 calories today. That is a long way short of 3700 calories?
I did some exercise. I walked 700m or so to the office. I walked back 2 hours later. The walk back was torture. Pain everywhere in lower body. This body is done. Cannot be repaired. Oh and I just walked up 30 steps with 9kg in each hand. My knees were about to give way.
Life is a struggle. I'll keep trying to lose weight. So far I've lost ~1.5kgs in 3 weeks. Not easy. We'll be in Thailand for 4 weeks which will make it even harder.
Does not sound rightI am 140kg which means for me to maintain that weight with no exercise I need to consume 3700 calories day
@Flashback I only see one small portion (50g ham) processed meat, the rest is chicken. The kids yoghurt pouch is full of bad stuff and could be replaced by say Aldi Natural Greek Yoghurt with natural (not toasted) meusli on top or replaced with natural rolled oats. This was my b'fast today.Processed meats and hidden sugar are the things I spot in the list above, that makes some difference.
That pain doesn't sound like much fun at all!
Well thats what the Japanese say - their diet has traditionally included whale....If you are Greek then that would be a Greek style diet
Only since they had the technology to build whale chase boats.Well thats what the Japanese say - their diet has traditionally included whale....
Which have existed in Japan for hundreds of years. Genetically though 800 years is less than a blink on the evolutionary scaletechnology to build whale chase boats.
Lucky you didn't see what I bought yesterday. $33.92 on markdowns only. These are not low quality. These are normal packs of meat that were selling for 10x the price the day before.
If I am not mistaken adult males need to consume somewhere between 26.4 to 39.5 calories per kg of weight per day. The lower number is no exercise and the higher number is an active person.
I am 140kg which means for me to maintain that weight with no exercise I need to consume 3700 calories day. I can assure you I am nowhere near 3700 calories per day. So what is the problem? I wish I knew.
Today is a typical day for me
- morning kids yoghurt pouch around 75 calories
- lunch a big bowl of iceberg lettuce with light mayonnaise which I estimate to be around 100 calories
- dinner 2 small pieces of boiled chicken (ribs and back), masaman curry paste, equivalent to 2 medium potatoes, portion of coconut milk, steamed rice (let's say 1000 calories but it was nowhere near it)
- snack 1 piece sliced bread with around 50g ham which I estimate around 150 calories
That's it for today. So around 1325 calories today. That is a long way short of 3700 calories?
I did some exercise. I walked 700m or so to the office. I walked back 2 hours later. The walk back was torture. Pain everywhere in lower body. This body is done. Cannot be repaired. Oh and I just walked up 30 steps with 9kg in each hand. My knees were about to give way.
Life is a struggle. I'll keep trying to lose weight. So far I've lost ~1.5kgs in 3 weeks. Not easy. We'll be in Thailand for 4 weeks which will make it even harder.
A furfy actually.Well thats what the Japanese say - their diet has traditionally included whale....
Before my daughter was born in 2016 I saw 2 nutritionists at Princess Alexandra hospital. Ham was part of my diet. Ham is filling and not high in calories. I am not concerned about processed meats or hidden sugar. 100g of Ham is 160 calories. There can't be that much sugar in 160 calories of Ham. By the way I was not eating bread and the nutrionists asked me to eat bread each day. I lost ~15kg in 5 months.Processed meats and hidden sugar are the things I spot in the list above, that makes some difference.
That pain doesn't sound like much fun at all!
NoMrsProzac is to see a Neurophyscologist in February. The introductory letter from the doctors rooms indicate "Neuropsychological services aren’t covered by Medicare or Private Health Insurance" Will the fee, $1950, will be added to the medicare safety net tally?
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