46 posts tagged “rjrhealth/meds”

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Monday...fun at the medical establishments.

Cousin Marn called and Helen's cardiac cath was fine.  I'm sure they all are greatly relieved.


Rich saw his Derm and I'd asked Rich to have the derm look at his tongue which is swollen, black and blue (from Plavix) and painful.  Rich bites it inadevertently quite often and this time it looks terrible.  He bites it because it was injured during his carotid roto rooter surgery in '91 when the surgeon accidentally nicked the nerve that operates the tongue.  Anyhow, the derm said nothing can be done....just stop biting it...oh thanks Doc...how?  The Derm gave a look see on the cellulitis leg and declared it cellulitis free.  Some pre cancer spots were burned off and that was that.

I had my PET/CT scan done in a trailer.  Apparently the trailer travels from place to place in the area...no one hospital has a PET scanner due to a small requirement called a CON (Certificate of Need)...apparently there is some political hassle as to which hospital could get the CON and colllect the big bucks for each scan.  So, I was in a trailer.  Hopefully I'll get my results by the end of the week.  

I told my niece Terry I wanted to make sure I got everything covered with this Scan.
1. The primary reason for the PET/CT scan is a bony prominence on my #2 rib under my collar bone...xray was neg...but what is it?   This prominence is on the same side as my breast ca and 35 or so radiation treatments...so index of suspicion went up. 
2. I have had discomfort/low grade pain in my rib cage when I lie on that same side. 

The scan was not approved for whole body, but only eyes to thighs.  I also have a swelling in my left thigh that MRI couldn't ID a few years ago, but Primary Doc also felt it.  It started to hurt again this past week and I thought geez, I wish that PET Scanner would cover that area and I could be sure it's not a slow growing sarcoma or whatever.  I asked the tech if she could scan to my knees instead of stopping mid thigh and she did....it only took a few more minutes to do it.

Also I have a painful jaw...more than likely gingivitis.... this PET scan should my mind to ease about it as well.  Heck...PET's pick up what xrays cannot.  

I guess we are in the zone for bods falling apart....I know we won't last forever, but I'd like to catch things as early as possible so we can keep right on going like the energizer turtle.  The bunny is way too fast.

Post a comment Tags: health, niece, rjrhealth/meds

Art......Rich visits PCP

I came across these two paintings while listening to a video on You Tube.  The first one takes me back to another place.  I like the color and simplicity of the painting by a Edward Hopper.  

Another Hopper painting
Another Hopper painting
This next one makes me wonder what that woman is doing there.  
If you zoom in you'll see a reference to 10-15 million dollars.  Is that what these paintings are worth? Wow!  Hope you enjoy them here for just the time it takes for you to view them.
                                   ***************
Today it was Rich's turn at the primary MD.  She said not to increase his Lasix ...again due to the compromised kidneys.  Use the compression stockings.
I asked why the Creatinine is only 1.7 when that's where it was before the stents. I was sure it would be well down into the normal range.  She said perhaps there was already some kidney damage or perhaps the stents didn't solve the problem..they just let blood flow more freely to the kidney.  When we see the Vasc Surgeon on Sept 9th....he'll have done an ultrasound and can probably give us a clearer answer. 

I asked if Rich will be a candidate for the H1N1 vaccine due to his cardiac status and she said yes.  We're to call in a few weeks to see if it has arrived.  From what I've read small children are at greatest risk and the vaccine will not be offered to the general public til children and those at risk get it.   He did get a shingles vaccine today.  I really avoided it, but yesterday Dr KF was convincing enough and so I agreed to get it.  CDC recommends those over 60 get it.  

We stopped in the commissary to pick up a few things and came home.  Tomorrow we plan to go to the movie to see 'The stoning of Sorya'

Post a comment Tags: rjrhealth/meds, art/needlework/imaging

Monday

Travis and Nick finished the powder room...why it's called such I don't know...no one powders their nose in there.....anyhow, it looks good...bright and cheery.   

It took 4 coats to cover the walls and 5 for the soffit.  No problem white on white, but when you go to cover paint with traces of red....it takes lots of coats.  

We went to the vasc surgeon's office to have the NP check Rich's leg.  The cellulitis is definitely improved so no more antibiotics needed....thank goodness.   The NP gave a good lecture on why he needs to wear his compression hose....glad she told him, because he doesn't listen to moi.   I also signed him up for MY CHART which is the patient's access to their electronic record....we can follow lab work and most test results from our computer.  There are still glitches, but I thought I'd pay the initial fee of $10 and then $10 annually to have easy access.  

I was disappointed to learn the Creatinine blood test he had done was still 1.7.   I was sure once the kidneys were adequately perfused with blood via the stents, the kidney function would be normal.  1.7 isn't all that bad...but I thought it would be even better.   The NP said other factors affect creatinine levels....oh yeah....I don't know what, but I'll ask the primary when he sees her on Wednesday.  The LPN applied good old Bag Balm to his legs and wrapped them in ace bandages.  We'll use his compression hose at home....yeah...I bet.  

We then went to the Navy Exchange to check out microwaves...ours is not acting right.  Rich got some stats and will make a decision on which one to order.   I then stopped in the Mini Mart to pick up some hair color and birthday cards while Rich went thru the commissary to get spinach, peppercorns, onions, etc.  

After supper we drove to the auto mechanic where Rich Jr had left his car yesterday.  He used his Dad's car while his was in the shop and tonight we switched back.

Tomorrow I will go to pottery from 1-3 PM and then I have an appt with my primary to talk about me having a PET/CT scan to evaluate this abnormal swelling on my rib...which the x-ray showed 'no bony abnormality'....well I'd feel better if I knew what is.  

2 comments Tags: house, rjrhealth/meds

Monday

I've decided not to go to NJ this summer.....why?...it's just too much trouble for what I'd get out of it.   Everybody (family and friends) is in the general area, but they are pretty much scattered....some up to an hour apart.   I know Rich would be bored if I dragged him all over visiting and I don't really want to go alone.   


Let's see ....Friday Rich saw the Nurse Practitioner who confirmed for me why she'd put him on a less than therapeutic dose of Keflex.  She didn't want to wipe out his kidneys which are just now getting good blood flow from the recent stent placements.  

I was shocked to hear her say the right renal artery was MORE THAN 90% blocked and the left was greater than 80% blocked.  The vasc surgeon didn't know the extent of the blockage until he actually did the angiogram for the stent placement.  The Ultrasound only visualized a 60% blockage which was enough to warrant stents.  I also had no idea Rich's left artery was in trouble.   Without these stents Rich would be facing kidney failure and dialysis in the very near future.  He always seems to stay ahead of the curve by 'catching' these problems right before they become acute e.g. blocked coronary arteries leading to open heart surgery....he never would have known about them except as part of a work up to fix his aortic aneurysm.  I can't say it enough.  Modern technology is superb for those needing it.   The delivery of routine health care still leaves much to be desired.  However, if you need a high tech procedure .....now is the time to have it done.   Thirty years ago these interventions were not available or at best, performed with many, many complications.  

The Nurse Practitioner put Rich on another 10 day course of Keflex at the same dosage.  I hope it works and I hope he doesn't get C Diff.  

Our weekend was uneventful, but pleasant.  We enjoy being.  We don't have to be 'doing' something all the time.  

I emailed my niece Terry who is a certified nuclear med tech about my xray report showing 'no bony abnormality'.  I asked her if she would feel comfortable asking one of her radiologists to do a second read on my xrays.   She reported back today that she talked with a radiologist, giving him a brief history of my situation.  He suggested I have a CT/PET scan which would be the most definitive test to make sure I don't have a new primary cancer or even a metastatic one from my breast cancer in '03.  He also said he'd be happy to look at any of my xrays.   Terry lives in TX and I am so grateful for her understanding of my concern.  I am also grateful for her knowledge in the field of nuclear scanning.  I will see my primary next Tuesday and see what she thinks about ordering the CT/PET scan.  The radiologist in TX thinks with my history insurance will cover it.  I hope so, because they run between $2000 and $5000.  

Today (Monday)  I did a lot of deep cleaning i.e. all of our bedclothes...sheets, comforter, blanket, mattress pad, pillows.  I wash the sheets, but just put the other things in the dryer ...they aren't dirty, but I like to kill off any dust mites.  I only do the blankets, comforter etc every couple of months.  It's not difficult, but I do have go back and forth to the dryer several times.  Then, I vacuumed and dusted.  Tomorrow I will play.  Not sure at what, but I'll come up with something. 


 

4 comments Tags: health, nieces, rjrhealth/meds

Cellulitis status.....photoshopping.....pottery tools

I called the Vasc Surgeon's office to speak with the NP who'd prescribed Rich the Keflex 250 mg BID.  I was told she was with patients and I could speak with one of the other nurses.   I said "that isn't right, I should be able to speak to the one who prescribed the medicine"....as if saying that made any difference to the automaton who simply repeated to me that I could not speak with Rich's NP.  

As it turned out the NP I did speak with put my mind at ease.  I'd told her I thought the dose of 250 mg BID was sub-clinical and that Rich's cellulitis while somewhat improved was not where I thought it should be.  It is still magenta in color, hot and edematous.  Diane (the NP on the phone) reviewed Rich's situation, and affirmed what I thought might be the reason for the somewhat reduced dose.  Because of his kidney involvement and the recent renal artery stent placement they didn't want to 'wipe out' his kidneys.  I totally agree.   However, and this may be a problem for Rich.....he'll probably need more antibiotic.  Diane said he should be seen again and for him to come to the office on Friday.  The original NP will see him.   

I know that Flagyl is used as part of the treatment for C Diff and he was on it when he had C Diff.  I'll ask if there is any benefit to taking it prophalactically.  I do have him taking Activia everyday and I hope that will have some benefit in warding off the over growth of C Diff from being on antibiotics.   When he had C. Diff 3 yrs ago he'd been on Keflex, Levoquin and then the killer Clindamycin.  Six weeks later he developed the dreaded C. Diff and was in the hospital for a week.
                                      ***************
Got my haircut and it looks great.  Not sure I can keep it looking like this.  I'll probably start pulling it back behind my ears....I can't stand hair on my face.  I colored it over the weekend and used a shade darker than my usual L'Oreal.  I must have picked up the wrong #.  It'll fade after a few washings and it'll look pretty much the same as usual.  

Check these two photos.  I took them when I got home.  The angle of the camera made my nose look so long.  I know my nose is long, but this long?  I also think I'll stop wearing these contact lens...glasses hide much of the nose.  Besides, one's nose gets longer with age and I'm almost 40, well 50...OK 60, but that's all admit to being.  70 is just too damm old.  So look at the first photo and in the second you'll see where I elimated the bottom of my nose, my wrinkles and the darkened area under my eyes plus the deep crease from the outside of my nose to my mouth.  I never wanted those creases.    That's probably what all those models have done.  I bet Angelina Jolie has a huge nose too.  Rich thinks I should just accept myself as I am....and I do...I'm only playing here.  If I really cared I'd get Botox or something. 
                                  **************
After my haircut I stopped at Michael's and found pottery tools for me and a pottery wheel for Brooke for her 7th birthday on September 12th. It's a child's wheel and will probably not last forever, but I think she'll love it.   

6 comments Tags: hair, pottery, rjrhealth/meds

Monday

My primary doc's ofc called this AM.  They aren't able to put my rib xray report on the 'electronic my chart'..which we can access to see our chart.  That's what it's called 'my chart'.  The secretary offered to send it to me, and I said, yes, please do.   

 I also made an appt to talk to the primary on the 25th (earliest date they have an opening).  I will ask her if some other test short of a biopsy can be done or at least have a second read of the xray.  Heck, she felt the thing herself. 

Health care really sucks and yet the technology is first rate.  Rich developed another cellulitis ..this time in the same leg where they entered the femoral artery for the angio. The cellulitis is in the lower part of the leg.  The Nurse Practitioner (NP) could see him last Wed....she put him on Keflex...but now I'm not sure that 250 mg BID (twice a day) is the optimal dose.....   I wasn't with him, and if I were I  may have questioned it.  

He hasn't had a fever with this episode, and the leg looks a little better, but I don't know how long it should take to look greatly improved.  She didn't tell him to come back either.  
She'll probably tell us to have it followed by the primary.  Since she (the NP) has started therapy and it's on the leg where her boss (the vascular surgeon) did the accessing higher up in the Femoral artery....I think they should follow it.   

I don't want Rich put on a series of antibiotics which led to a bout of  *C Diff following his last cellulitis a few years ago.   I will be pissed if she (the NP) doesn't have a good reason for putting him on what may be a sub clinical dose of Keflex now requiring more/different antibiotic.  

My anxiety is a bit elevated.  My brother is to begin radiation to his mandibular area today, but he developed a 'dry socket' following a tooth extraction in preparation for the radiation treatments.  So that may delay treatment for his cancer which is a type that metastasizes.    Me.... I'm taking Ativan to help with sleep...but I try not to take it every night.

*C Diff= Clostridium Difficile....can develop when certain antibiotics are given.  The antibiotics wipe out normal bowel bacteria and there is an overgrowth of C. Diff bacteria which causes severe diarrhea for which Rich spent a week in the hospital a few years ago.
I've started him on yogurt every day hoping it will keep his normal bowel bacteria in balance.  

Nursing questions I've had....when he's had bad pain....do I give him an NSAID e.g. aleve,  ibuprofen etc?   He's already on Plavix (a blood thinner) and baby ASA...and we know NSAIDS can cause stomach bleeding without warning.  What do I give him for pain?   I have Vicodin, but he has a paralyzed diaphragm from his heart surgery combined with sleep apnea requiring a mini ventilator for sleep called bi-pap.  

Vicodin decreases breathing....and so does the Trazodone which he takes...so Nurse...what do you give him?   And they wonder why folks wind up in the ER.   Well, I gave him Vicodin the last two nights thinking it was the lesser of two evils...his breathing machine should keep him breathing, and I didn't want to chance stomach bleeding.  I had to sleep so I asked the angels to watch over him...funny thing is....I don't even believe in angels...oh well ..it sounds good. 

































Post a comment Tags: health, rjrhealth/meds

Bump/lump/thickening whatever on my anterior 2nd rib?

Made it over to Dr K-Fs to have her check out this area on my rib.  Rich wanted to go with me so I had company for the 30 minute ride.  Had to be there at 7:50AM which required getting up at 6:30AM...not so easy when I didn't go to sleep til after Midnight.  I do like the early morning hours, but sleep does not visit me til around 12 or 12:30AM.  If I went to bed earlier I'd be lying awake for longer than recommended by the sleep specialists.  I've adjusted to my cycle....and it seems OK.


Dr K-F ordered X-rays of my rib cage.  She should have the report back this afternoon, and if she does....she'll call me.   She said it could be due to arthritis....I guess it could be.   I hadn't thought of that, but nevertheless best to check it out, since I've had breast ca on that side with 6 weeks of radiation.  Radiation can affect bones...so we'll soon learn.

I thought pottery class was today, but I got an email from LIndsay suggesting Thurs or Fri.  Brooke and I will go on Friday.

11AM: Rich went to see the Nurse Practitioner at the Vascular Surgeon's office this morning.  I wanted his leg checked to R/O (rule out) cellulitis.  If it is cellulitis it is best to get it early so that only one course of antibiotics would be needed.  After the Costa Rica experience where he bumped his leg (same leg) getting out of the bathtub, he needed 3 rounds of different antibiotics to wipe out the cellulitis.  Of course the antibiotics also wiped out his normal GI bacteria and he got the dreaded Clostridium Difficile (C Diff) which causes severe diarrhea.  He got very dehydrated and had to be admitted for 5 days.  So, you can see why I don't want to take any chances with this episode.  I didn't go with him to this visit today, so I am anxious to hear what the NP thinks.

Noon: Rich just called and the NP gave him a script for Keflex.  Hey, I diagnosed this cellulits right.  I think I recognize it when I see it...this is his 3rd or 4th episode.  When fluid collects in the lower extremities and there is the slightest break in the skin...bacteria walk right in...hey, wasn't that a song...𝄞𝄞 Walk right in.𝄞𝄞..sit right down daddy let 𝄞𝄞 etc. Here, sing along.
 
OK, I'm back....Keflex is one of the culprits that can lead to C diff mentioned above, but I'm hoping one course will take care of this.  More yogurt for him to help with the normal bowel bacteria.  Activia  will be in full swing. 

Now to get my xray results.

Well, no call back from the MD regarding my xray.  I'm sure she'll call in the AM...hope it's not too early.

Travis stopped by to go over the maintenance things I want him to address.  He'll bring his crew in two weeks....let's see if he does.  I'd wanted new screening in the upstairs window screens because birds have ripped up those screens.  I told Travis back in March, but he's just now getting here.  Rich says it's ridiculous to put new screening in now and we should have it done in the spring.  I guess he's right.  The other things will be done.

Boy, did I fool myself tonight.  We couldn't think of what to have for supper and Rich suggested hot dogs and baked beans.  Yes!  I'd sauté some spinach, make him a salad and I'd finish the Quinoa (keen-wa).  I assumed  ...there's that famous word....assumed he had low fat dogs.  When I took a bite of my hot dog...I had two of them...I thought I'd gone to heaven.  They were soooo good.  After a few bites I said "it's hard to believe these are reduced fat".....to which Rich laughed and said "let me assure you they are not".  Damm.  Well they were already on my plate and soooo good, I finished them.  Each one had 170 calories, 15 gms of fat and 0 fiber.  I calculated that to be about 5 points.  Since I had two of them....10 points were easily consumed.  I'll have to do some exercise tomorrow or something.  I think I'm still in my allotted points.  I get quite a few because of my height and wgt....thank heavens for that. 

Gotta get offline....torrential rains sounding like hurricane weather.  Loud, crashing thunder and sh zam lightning.  ttyl,

Later:  I don't remember a lightning storm like the one we just had.  Power was out for 2 hrs.  I was feeling like I was back in Pensacola.  Seems like there are more than the usual # of storms for this area...it's still raining with light thunder and lightning now at 11:46PM.  Nitey night.

Post a comment Tags: health, home repairs/renovation, rjrhealth/meds

Monday

I googled 'throwing clay on a pottery wheel' and found an excellent tutorial plus two 'you tube' videos demonstrating the correct hand placement.  Having taken a few classes I was able to get a better grasp on what Lindsay is teaching each week.  I wish I had a wheel so I could practice.  I'm seriously considering the purchase of one.....probably a used one.

Last night I downloaded 'Carbonite' to try their 15 day free trial where they will store everything on my iMac at an off site location.  I like it because it's automatic and requires nothing from me.   

Made a batch of gaspacho which is a mainstay for us during August.  It's chilling at the moment, and tomorrow we will begin to consume it.  Yum!

While Rich went food shopping I vacuumed the great room and that was my exercise for today.  Gave myself 2 activity points for my effort which can be used when I go over my allowable points.  I'm still losing, but oh so slowly...I've been doing this WW program since June 1, and so far have lost 10.5 lbs.  

Rich has an area of concern on his lower leg...same leg where the surgeon did the angioplasty.  The area in question is dark pink.  He's had cellulitis twice in this leg and I get nervous when I see this 'pink' coloration.  We still haven't gotten a call from the surgeon's office telling us of an appointment for a follow-up visit.  So, I called to get an appointment.  He can see the Nurse Practitioner on 8/24.  The surgeon is not available til 9/12.  The young woman on the phone said a one month f/u is the usual.  I told her of my concern about possible cellulitis...she said he can see the NP Wed 8/5 for her to look at it.  I feel much better having another pair of eyes evaluate the leg.  Rich's leg is very discolored...bluish....all the time.  His circulation is fine....so it must be the superficial veins that  make it blue.   I hope this pink area is not cellulitis.....he developed C Diff after 3 rounds of antibiotics when he injured his leg in Costa Rica.   That was a more serious injury and this episode seems to have come up spontaneously.  I don't know if it's related to the angioplasty or not, but I don't want to take a chance.  Not all antibiotics lead to c diff (Clostridium Difficile), but Rich was on three of the bad ones after Costa Rica.  Hopefully if this is cellulits he can get it resolved on one of the less threatening antibiotics. 

Tonight we had Quinoa (pronounced keen wa) with our dinner.  I'd never heard of it til MaryJane and I were in 'Fresh Market' last Friday.  She said it was very good.  What we had tonight was a blend of quinoa and brown rice plus spices.  I liked it very much...it has sort of a nutty flavor.  It doesn't look all that appealing on a plate, but it tasted quite good to me, and I'll be eating it again.  It's very nutritious and filling which is good for  my WW program.  Rich thought it was OK, but not something he'd request.  
 

Post a comment Tags: rjrhealth/meds

Brooke skipped pottery today

Brooke was going to go with me.  Lissa brought her over here around noon, but she decided she didn't want to go.  When I got back from pottery Brooke called and said she'd probably go next week.


So, I had a private lesson.  I worked the whole time on the wheel with Lindsay (instructor) giving me gentle guidance.  I had my first collapse of the wall of my sculpture.  Apparently this is a common occurrence with novice potters.  It takes practice to apply just the right amount of pressure with your hands.  

The pieces I've made so far are only about 3 inches in height and I told Lindsay today I wanted to make something taller...like a pitcher.  Ha Ha...it's much more difficult to get the walls to raise, so I settled for a bowl...well, it's more like a plate.  But I am learning.  And it's hard to hold that pressure.  My hands were hurting and I had to take breaks.  I need to learn to use my body more and lean into the wheel as opposed to trying to do it all with my hands.  

Lindsay is the perfect instructor.  She can forsee problems long before I recognize a bubble or whatever.  She instructs and gives praise.  I like her and I have a feeling she'll leave in the fall to go back to graduate school.  Hopefully by then I'll know if I want to purchase my own wheel and pursue this hobby.  
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I called the Vascular surgeon's office to discuss the area on Rich's leg which is blue and purple from his inguinal area (where they entered the artery leading to his kidney) to his knee.  I wanted to know if this was expected and whether he should stay on the Plavix and baby aspirin.  The nurse said it's due to gravity.  The same thing happened after his eyelid surgery last year.  If it is swollen and hard it would be a hematoma (clot) and need to be removed.  The area on his leg is discolored and there is no lump.  Again it might be nice to have this on the discharge instructions so the care giver would know what to expect...grrr.
                                  *****************
I've been playing around tonight with a collage maker I found on the internet.  Here are two of my practice creations. 
The heart above comprises all my photos I scanned to the computer and this next one is pictures of me from age 21 -70. 
21 to 70 collage of moi
21 to 70 collage of moi

Post a comment Tags: brooke, rjrhealth/meds

Monday

Good weekend.  Rich had no problems following the procedure on Friday.  Today there is some hematoma present in the upper thigh, but I think it's OK...will monitor it to make sure it doesn't increase in size. 


Last Wednesday the Cardiologist suggested I wean Rich off the Trazodone he takes for helping him sleep.  Cardiologist said it could be contributing to the irregular heart beat.  How come I had to raise the question?  He had a list of the meds and why didn't he crank that into his diagnosis?  Grrrr. 

Anyhow, I knew this would present a problem for Rich.  The cardiologist had said Benadryl was the safest for the heart to use as a sleep aid.  Well, I looked it up, and it has many side effects that can compound other problems Rich has......so, I decided since this cardiologist did not think it necessary to initiate any treatment at this time (for which I am most happy), and the fact that Rich doesn't have any symptoms to speak of.....I think we'll just cut his Traz from 3 pills each night to 2 pills.  We did that last night and he says he thinks he slept better than he did with 3.  So if that helps him sleep and his heart rate is not in the danger zone....I might just let this slide. 

I talked with my brother Jim tonight.  He and Carolyn met with the oncology team at Pennsylvania Hosp.  Today was such a good visit for both of them.  #1 because chemo was not in the recommended treatment plan.  Secondly all questions were answered in a relaxed atmosphere.  There was input from the entire team and they were at the hospital for several hours. 

Jim learned the cancer was not in the sub mandibular gland but next to the gland.  No cancer in the gland itself, yet so close..they removed it and part of another gland.  More good news was the fact that there were no positive nodes.

He will have to do 6 weeks of radiation ...5 days/wk.  He needs a dental eval prior to radiation.  He knows the radiation will not be a 'piece of cake', and he is prepared for his throat to be quite sore.  I told him to fatten up prior to the start of radiaton as eating may be a problem.  He and Carolyn both feel they are in good hands and ready to proceed at Pennsylvania Hospital. 

Talked with other SiL Pat yesterday and I was pleased to hear they are going to get another dog.  I think this will be so good for my brother Frank...he loves dogs and felt so bad when their last one had to be euthanized.  I'm hoping this will be a good thing for the both of them.

Is anyone watching 'Hung'?  It is soooo funny.  I thought it was going to bomb, but there are some darn good writers for this HBO comedy. 

I lost 10 lbs as of last week on WW....nothing this week...but that's OK...I'm committed.


    

4 comments Tags: ww, rjrhealth/meds