Started logging my walking with my fitbit!!! (Didn't wanna log here bc I was worried about it looking like a dramatic increase in volume, and I've never really logged my walking.) What I learned is basically that my pace is very slow! Today was about 50 min at 22-min pace. Felt ok after, no headache. Felt like a slug all day, but a solidly-ok-feeling slug :) also this morning I cheated and only took one prednisone bc last night I felt like it made it hard for me to fall asleep, so I'm hoping 1 instead of 2 will be fine.
Normal stuff, no hops or almost-jump things. Some gentle skating around in my living room.
Walk/run (1/1) 35:23 1.88 mi (18:49 / mi) +12m18:27 / mi ahr:134 max:166
I decided since the limiting factor is the fatigue now and not the achilles or foot, then run/walks would be a good thing to try incorporating! i.e., my achilles will get to toughen up for running, but the walking part will keep my HR from getting high. Also is more controlled/quantifiable than skating, plus no risk of getting kicked out of the parking lot in the middle of a session :P
Started off thinking about doing (40s)-20s for as long as I went for, but then I decided (40s)-60s was fine, but then halfway through I decided (60s)-60s would keep my HR in more of an easy-run range. The "run" portion wasn't much of a run--was more like a super-slow-cooldown-after-a-very-hard-workout-during-a-really-hard-week, with super-short steps. Wasn't planning on doing this much, but then I felt great. Also ran over some loose rocks in a drainage thing, which was fun :) Also ran around some fields, which was cool bc the ground was softer/more interesting, and also I wasn't gonna stress anyone out/add any risk by having my mask down! A few hours later I feel like I might be getting a headache though, so fingers crossed I don't!
Was feeling better when I woke up this morning, and my sleep tracker was even impressed!!!
Also feeling better about doctor stuff. Next steps are
1) Figure out stuff I can do that will maintain some of the movements my achilles can handle, so I don't lose my current progress while I'm resting 2) Rest... maybe look at my fitness tracker more since it auto-tracks walking and not just stuff I log here. 3) Already talked to my friend who's a doctor and had some pro tips for talking to doctors, so I feel less annoyed/more prepared about talking to my pcp. 4) Need to put my headache log in a spreadsheet or something bc the app isn't really working for me, and paper won't be easy to find later.
Also when I was looking at my paper timeline I realized I had a hard skating fall a few days before the headaches started, that I forgot to say in the doctor's appointments, so I messaged the doctor and he said it's probably not related and his advice is still the same :)
Physical therapy! The original plan was to do the gait analysis treadmill for like 10 min, but she'd seen all the stuff in my MyChart and then decided to err on the safe side. Did about a minute at 10:30 pace and felt pretty out of breath/on the struggle bus. But that was enough for her to do the gait analysis part, and she told me:
1) Hip instability (which she's been telling me), and I should be trying to keep my feet farther apart when I run/keep working on glute stuff. 2) I'm apparently avoiding my right ball of my foot (woops, but I understand why :P) 3) Overall she said it looked pretty good and they're pretty minor things I can work on!
Also though, pt appointments are now on hold since I can't progress till I get the fatigue/other stuff figured out so I can exercise reliably. So gonna try to see how things go and how my follow-up appointments go, and whether the symptoms stay away/come back when I start again. Then I can message her once that's sorted!
I'm kind of nervous for my follow-up appointment since I've had a hard time communicating with my pcp, but then I talked to my doctor friend who gave me tips on talking to doctors, so that might help.
Spent lots of time at the doctor today--eye roll for the time commitment, eye roll for the medical resident I didn't like, but the actual sports doctor was great, as always, and took my very vague fatigue/headaches/high-RHR/inability-to-increase-exercise seriously and explained things clearly. And also they have a really good phlebotomist who never makes me pass out :) And I got lots of stuff taken care of in one visit, and it's nice to check stuff off my to-do list! She said the stuff she ordered now is the last stuff that's in her wheelhouse and then probably it'll come back good and I'll regroup with my primary care person after. Also she said that because of the timecourse of stuff, it doesn't look like my iron supplement's responsible for any problems, so that makes my life a lot easier! Woohooo!!! Because of the long time at the doctor and needing to get work done, gonna take yet another day off most of my achilles stuff (woops). But PT tomorrow, which is convenient timing, and maybe she can help me figure out which less-intense stuff to focus on for now.
Did some easy stuff. Feeling really bad today again!!! RHR was high for me (55) but not the *highest* it's been recently. Managed to lay down a good amount. Then went on a super easy walk bc I wanted to make sure I wasn't just feeling tired bc I wasn't moving. Couldn't tell if that helped. Then I thought a headache was starting so took the migraine nasal spray and now I feel sluggish but not too headache-y, so that's good. Seeing the sports doctor again tomorrow, and I summarized a timeline of all the confusing stuff that happened so hopefully at least I'll know the answers to questions and stuff!
In other news, I saw my neighbor at the mailbox and she gave me a cat puzzle game she had, since they accidentally got 2 for xmas!!! Woohoo!
Exercise bike appointment! For whatever reason (mask sticking to my face, feeling crappy yesterday), I was feeling a bit out of breath, so I lowered the resistance and kept it to 15 min. Fitness tracker also gave me a low activity goal today since it didn't like how long it took for my lowest-sleeping-hr to happen last night. I also managed to get a doctor's appointment first thing in the morning, after the symptom-screener-follow-upper said she doesn't think my symptoms are covid-related :) Doctor said maybe my skin thing is viral and prescribed me steroids for a few days. (Not inconsistent with the sports dr's lower-probability guess that the fatigue could be related to the virus I had over the summer. Or I could've had a new one I guess.) Things are slowly getting checked off the list! But I'll be happy when all the appointments are done! This doctor still said to hold off on the iron till I have a follow-up, maybe to reduce the number of possibilities, and maybe bc she doesn't typically recommend anything for low ferritin anyway, so I guess I have to continue focusing on my food. Also! Was happy to see my HR at student health (after walking there) was about the same as my average-sleeping hr the other night when I felt crappy all day, so seems like it was a very short-lived thing!!!
Felt super tired/lying down mid-afternoon to mid-evening. Same feeling with my pulse in my head/chest/stomach--not super fast, like moderate activity I think. Got up and moved around later.