Sunday, July 26, 2015

My Humps

A friend recently asked me what happened to my leg, and, without skipping a beat, I answered with the same explanation that I’ve used for years whenever someone asked.

“That’s a scar where I was burned when a pot of boiling water fell on my leg during a camping trip in middle school,” I said.

The scar is about the size of my hand on my right leg below the knee.  It’s smooth and plastic-like, and the center lacks pigmentation.  Usually a few follow-up questions come next, asking how it happened or how much it hurt.  I have answers ready for those questions, as well.  But this time was different.

“No, I mean your other leg,” he said, pointing.

My other leg?  I wasn't immediately sure what he meant by that.  Did I burn my right leg, too, and not realize it?  Was it bleeding?  I slowly looked down.

“Oh, that,” I answered.

What he saw was a hump (about the diameter of a half dollar) on my left shin, the largest of several on my leg, all of which are mysteriously related to Graves’ Disease.  These leg issues started approximately five years ago when I lived in Charlotte.  My burn scar, which used to be a depression in my leg, became raised.  That eventually went down, but then my lower shins became puffy and my ankles swelled to the size of softballs.  The condition is called pretibial myxedema, and doctors said the best treatment option was to get my thyroid hormone levels under control (and hope for the best).

My levels stabilized during the next couple of years, and the swelling went down, albeit much more slowly than it arrived.  But like rocks that appear when a swollen river recedes, so too did these humps.  The only difference is that these humps weren’t there before and shouldn’t be there now.  Worse yet, they themselves are not receding.

Doctors told me that pretibial myxedema occurs in a very small percentage of Graves’ patients, but they don’t know why.  The condition is so uncommon that I was one of only a handful of patients whom my dermatologist at the Mayo Clinic had ever seen with it in approximately 40 years of practice.  He asked for my permission in allowing the interns, residents, and consultants to see it, too.  I said yes, realizing that this may be one of the few times they would ever see it outside of a textbook.  The dermatologist then took a biopsy of one of the humps, and the gooey mucous that he removed was eerily reminiscent of a scene from the Gremlins.

Thankfully, the humps don’t hurt; they’re just unsightly.  Surgical removal is not an option because the mucous becomes intertwined with tissue that could be irreparably harmed by invasive digging and poking around (diggery pokery?).  The humps are fairly hard but become soft with massaging.  The problem is that a dull pain develops when I massage them too much.  I figure that has to do with the intertwining of sub-dermal tissue.

I hope the swelling eventually goes away completely.  But I fear that, like my puffy and protruding eyes, this is a condition that lasts a lifetime.  Anyhow, that is the story of what happened to my other leg.  (Bonus points if you can help me get this explanation to a one-sentence stock answer for whenever someone says, “No, your other leg”!)

Swelling on my lower left shin.  Brings a whole new meaning to leg humps. 

Tuesday, August 21, 2012

Normal, Sweet Normal

Great news from my lab tests this past week: For the first time in more than two years, my thyroid hormone levels are within normal ranges! I think my endocrinologist was just as excited as I was. She says this development is critical to my recovery because if hormone levels are normal, then body functions have a significantly better chance of being normal. Of course, the latter is not a given; I'll still need to get plenty of sleep, eat properly, exercise regularly, and manage my stressful environments closely. But all indications are that my health is improving. The eye pain has decreased for the last year, and my leg/foot swelling is less than it once was (but shoes still have a tight fit). My endo thinks the increase of pitting in the edema is a sign that the swelling is retracting--fingers crossed the eye protrusion eventually will reduce, too. And to top it all off, my weight and blood pressure have both decreased since earlier this year. Let's hope the "new normal" makes itself at home for quite a while!

Tuesday, July 31, 2012

The Dish on Domino's Gluten-Free

I finally ordered a Domino's pizza with a gluten-free crust tonight.

I'd been thinking about doing so ever since the company announced in early May that it was offering the option.  My three biggest reasons—scratch that—my only three reasons for hemming and hawing over actually placing an order were, in reverse order, the taste, the price, and the images ingrained in my brain of those two Domino's employees (from Tennessee?) who performed "unsanitary acts" on the food they prepared for delivery.

Portion of the Domino's box advertising the new gluten-free crust.

I was willing to stomach the taste, good or bad.  And the price, well, that's a double-edged sword but something that, in the end, I was willing to pay.  But that last reason...I just had to tell myself that there are some decent Domino's employees in this world.  Right?

The pizza arrived sliced in a nontraditional way, yielding nine pieces instead of eight slices.

The pizza came fairly quickly, well within the 30-minute time window I was promised.  Domino's only offers the gluten-free crust for its small, 10" pizzas.  Adding three toppings—pepperoni, mushrooms, and green peppers—the total came to $11.99 before the delivery charge, tax, and tip.  Perhaps it shouldn't have been a surprise, then, that the first thing the driver said to me after greeting me was, "Boy, these gluten-free pizzas sure are expensive, huh?"  At least he's honest...

The gluten-free crust is crunchy, a little chewy, and lacks flavor.

You can see from the pictures above that the look of the crust is like that of a thin-crust pizza.  It's crispy like a thin-crust, too.  I think the gluten-free version, however, burns a little more quickly than a thin-crust.  And with that crispy initial bite come subsequent chewy bites.  That crunch and chew combination was something I hadn't really experienced before.

As for the actual taste, there wasn't much flavor.  It wasn't as bland as cardboard, nor was it quite like a "real" crust.  It kind of reminded me of the crust on those cheap $1 frozen pizzas at the grocery store (at least that's my assumption; I mean, how would I EVER know what those taste like...).  There were moments when it tasted sweet, but those were few and fleeting.  After a few bites, I kind of got used to it.  I would brush it off by saying, "But you don't eat pizza for the crust," except that's exactly why I ate this pizza.

All-in-all, it's worth a try if you're curious about the first major pizza chain offering a gluten-free crust.  Otherwise, save your money.  By the way, I should point out that even though the crust is a gluten-free crust, this product is nevertheless NOT recommended for people with Celiac Disease or strong gluten intolerances.  That's because the crust is handled in the same kitchens and using the same utensils as the regular crusts.  Thus, Domino's cannot guarantee that the crust actually will be free of gluten by the time it arrives at your door.  Still, for people with mild gluten sensitivities (I believe I fall in this category due to my Graves Disease) or beginning a gluten-free diet, this is a new option on the menu.

Monday, June 4, 2012

Greater Than Graves

I recently came across a pretty inspirational adventure.  A woman diagnosed with Graves Disease in 2010 decided to raise awareness of the disease by riding her bicycle.  So last year, she rode from Anchorage to San Francisco.  This year, three friends are continuing the ride by riding from Boston to San Francisco.

Check it out: Greater than Graves

As of today, they're somewhere near Erie, PA.  They left Boston on May 26, and they plan to reach San Fran by the end of July.  On the link above, you can check out where the riders are, their blog and pics along the way, and more info about the effort to raise awareness by raising money.  Contribute if you can.  We need to find answers to this incurable disease!

Here's to wishing the riders much safety and the campaign much success!

Friday, June 1, 2012

What a Difference a Year Makes

Today, June 1, was a quiet anniversary for me.  One year ago, I made one of the biggest moves in my young broadcasting career.  I quit.

The reason was simple: my body just couldn't take it anymore.  I was at the height of my Graves Disease. My eyes were puffy and watery.  My legs and feet were swollen to the size of footballs.  My metabolism was lethargic.  My energy was drained.  I needed to make a change, and after talking with my doctors and close loved ones, I knew leaving the stress of my job was step number one.

I was scared yet hopeful.  TV news was the only professional life I'd known for the previous decade.  I felt like stepping away was like taking a step back.  What good was all the hard work in becoming an anchor in market #23 if I was just going to give it up?

Turns out it was great.  The last year has been full of a level of happiness I hadn't seen or felt in a long time...since 2008, at least.  Since leaving the newsroom, I've made my health a priority.  I went to the Mayo Clinic in December, and they put me back on the right track.  With the help of my new endocrinologist in Richmond, I'm as close to normal as I've been since I was diagnosed (blood/hormone-wise).  My symptoms have stopped getting worse and, in some ways, have improved.  I'm eating better and exercising more.  And for those of you who don't know, I've decided to go back to school.

YOU are the best investment you can make, whether it's through happiness, health, education, or all of the above.  Like they say on the airplanes, when it comes time to use the oxygen mask, put yours on first before helping others.  It's not selfish.  What good are you if you can't give a friend your all?

I'd be remiss if I didn't say THANK YOU to my supportive family and friends who've been with me on this journey every step of the way.  I love each and every one of you.  Much appreciation and gratitude, too, to my former Charlotte employer–particularly Joe and Julie–for their understanding and kindness.

I'm in a wonderful place right now, and I know things will only get better.  Don't get me wrong — there are times when I miss reporting the news of the day.  But the best is yet to come, and I'm not looking back!

Wednesday, April 18, 2012

Going Gluten-free

So, here's the thing.  I think I'm going to try going on a gluten-free diet.  Well, maybe not entirely gluten-free.  I probably should start out with baby steps and gradually incorporate gluten-free foods into my diet.

Why, you may be asking?  The reason is that Graves Disease is an autoimmune disorder.  So is Celiac Disease, and those with Celiac must eat gluten-free foods in order to be healthy.  Admittedly this thinking is very elementary, and the logic may be tenuous at best.  After all, those with Celiac must go on a gluten-free diet is because, according to the National Institutes of Health, "Celiac [D]isease is a condition that damages the lining of the small intestine and prevents it from absorbing parts of food that are important for staying healthy.  The damage is due to a reaction to eating gluten, which is found in wheat, barley, rye, and possibly oats."

Unfortunately for my Graves Disease, doctors don't know what I can do or eat to reverse the effects of the symptoms.  Maybe that's because there's nothing I can do or eat to reverse the effects of the symptoms, or maybe that's because doctors have yet to make the link scientifically.  For some reason, a small part of me thinks it's the latter.  Regardless, I figure it can't hurt to give this a try.

If nothing else, this "project" will make me more aware and conscious of the kinds of food I eat on a daily basis.  Thankfully the switch will be made easier by food companies making more gluten-free products and grocery stores devoting aisles to those gluten-free products.  Hopefully, too, that means the taste difference isn't quite so noticeable as it was three years ago, when a friend and former coworker of mine had to go on a gluten-free diet because of Celiac Disease.

Have you tried incorporating gluten-free foods into your life?  How challenging has it been, and what has made it so?  Or do you think there are other things I could be doing instead of worrying how much wheat to eat?  ( <-- poet and didn't even know it!)

Wednesday, April 11, 2012

Where Do You See Yourself in Five Years?

You know Kenneth on "30 Rock," the TV show?  That was almost me.

Not the role, but the position of NBC Page.  Nine years ago, I applied to the prestigious NBC Page Program.  I made it to the final round, and I know exactly why they didn't offer me a position.  I didn't tell them what they wanted to hear.

About eight of us applicants were seated around a board room table (ala "The Apprentice"), and the question was, "Where do you see yourself in five years?"  One by one, people rattled off their answers.  "I want to be a TV reporter in a Top 50 market," said one.  "I will be an editor at the Today Show," said another.  "I will have earned my master's degree, married my college sweetheart, had our first child, and begun working as a field producer for Dateline."  Pretty specific.

My answer, however, was the black sheep in the room.  Instead of something so scripted and expected, I took a more philosophical approach.  "I don't know where I'll be, and I'd be foolish to pretend like I do," I said.  "But I hope wherever I am—whether it be a small-market anchor, a network production assistant, or a position in a completely unrelated field—I hope I act with purpose, stay true to my values, and avoid regret every step of the way."  I see now how that might've seemed like a dodgy response, but I'm pretty sure I was the only one in the room who genuinely meant every word he said.

2008 Dancing with the Albany Stars Champion
Never thought I'd win a Mirror Ball trophy!
I had reason to be so idealistic, too.  If you'd asked me five years earlier, my answer probably would have been that I was going to be applying to medical school, not the NBC Page Program.  And it certainly wouldn't have included experiences like running a commercial radio station in Charlottesville, Va.  Moreover, sitting in that board room high atop 30 Rock, I had no idea that a year later I would be graduating with honors from Columbia University.  Or that five years later I would be diagnosed with a life-altering, incurable autoimmune disease.

This applies to all of us.  I've come to learn that life isn't about how well we plan for the future so much as how we make the most of present opportunities (though, just because I realize this doesn't mean I practice it well).  We don't know what tomorrow might bring, but we all know what today has brought.  Sure, there's something to be said for having a direction to follow in our lives, and I'm not advocating that anyone wander aimlessly professionally or personally.  But asking someone their career goals, their motivations, and their interests is a different question than, "Where do you see yourself in five years?"  Think about it.  Why not just ask, "What are your career goals?  What are your motivations?  What interests you?"

Needless to say, you can probably tell I don't like the "five years" question.  In fact, I was asked a similarly phrased question in a recent interview, and my answer was akin to what you're reading here.  I started by explaining my career goals, motivations, and interests, then I admitted I couldn't say what the next five years would bring.  I stressed to the interviewer that I didn't mean it as an insult or criticism of her question, but rather it was the most honest answer I could give.  She kindly took me at my word.  Fortunately I got the position.