Pre Migration Most liked posts in thread: I'm down...but not out!

Compression stockings can help too, especially if they harvested vein from your leg. Using coffee and alcohol as a diuretic, not a great idea with venous insufficiency...

 

You're right it shouldn't be taken before bed. Lasix got it's name because it Lasts Six hours, hence Lasix. But, what you can do, if you're not in CHF, is take it at 3 pm, then you get rid of water between 3-9pm, and get rid of less when you lay down at night. I use this on my patients all the time if they have significant nocturia. It doesn't always work but it does help many. Foot elevation during the middle of the day also helps, but it's hard to get 30-60 minutes for most people to get their feet higher than their chest (unless they have a very frisky significant other, but that's a story for another time.).

You actually DO move water at night when you go to bed, especially if you have lower extremity edema. The water you take in during the day settles into your hands, feet and ankles due to gravity, it gets worse as you get older, or with any venous insufficiency. You lay down, and then it's reabsorbed into your system, gravity is no longer working against you, and you have pee like a racehorse at night. So the less water in your lower extremities before you go to bed, the less you'll get up.

If you measure your ankles first thing in the morning, and then measure them right before you go to bed, you'll notice they're noticeably larger just before bed, even most healthy people can measure a difference.

 

Sticker - Sticker - Sticker

We've still got some unmolested blue paint on the race car!

 

You don't have a MANA sticker? Heck I have a few extra, I can send you one.

 

Vertical is good, and does make for a very good day, but it's important to get some good quality horizontal time in, doesn't have to be every day, just a few minutes here and there periodically--that makes for an even better day (or night).

 

My sentiments exactly! No picture proof needed of any horizontal time Nathan.

 

Hey Nate you are doing great so keep up the good work.

Look how far you have come in such a short time.

Now it's time to make you feel even better with a little joke......:eek6:

Look back a few more years when you took out a MINI vert for a ride. :lol::nonod::lol:

 

Now that's funny right there! "Git er Done."

 

Holy crap Nathan 10+ miles a day! That's great, keep up the good work.

Sleep is over rated. :lol:

 

Yes, and I'm certainly not the one to be dispensing advice here; not only am I not a doctor, don't play one on TV and I did NOT sleep at a Holiday Inn recently so take that into account! :biggrin5:

We can all only offer our own experiences in the hope that it might help another fellow traveler on our little spaceship earth.

Doc cct1 is correct tho, a balanced approach is needed, and it sounds like Nathan is well aware of what he needs so Ima just shut up about the pills and try to be supportive, and hope for better times ahead!

I like Nathan's goals, not only are they realistic, but they look like fun - and that's the best kind of goals to have!

 

Ok I'm done with arguing with Dave, but it's incredibly frustrating doing what I do on a daily basis and get hit with a blanket statement of my profession when the fact is most physicians feel the same on this...

 

Gotta watch for speed bumps with low hanging fruit, or you voice can go up an octave or three...

 

YFM!

 

It sounds to me like you're doing great! I can identify at least a little bit with how you're feeling, both with the physical (I've been working on my own fitness goals for what seems like forever) and emotional aspects.

You're amazing!

 

MotherFu$#er... on any given day, Nathan might be lighter than me now. Dammit.

My bariatric surgery can't happen fast enough, now.
:wink:

Keep up the great work, dude. I need to walk more.