On Wednesday I saw my orthopedic surgeon for a consult on my right knee.    It's been a bad knee since my mid-20's (I've had two arthroscopic   surgeries on it, one at age 30 and a second at age 33 - both when I was   at a healthy weight).  Carrying around an extra 120+ pounds for over  two  decades certainly didn't help, and losing 126 pounds didn't cure  the  long-standing issues.  We're trying a series of three injections   (Euflexxa) to see if they will help, but if they don't, I'll be   scheduling a total knee replacement for the first week in August.
It's hard to know what kind of shape my knee would be in today had I   maintained a healthy weight over the years.  I know that the massive   amount of extra weight that I carried contributed to the deterioration   of the joint as the doctor told me that with every step we take, the   pressure on our knees is four times our body weight.  Yikes!  While   walking around at 260+ pounds, I never factored in the toll that weight   was taking on my joints.  
That was the problem . . . I didn't  receive regular updates from my body  letting me know what was  happening inside.  It would be nice to have a  series of gauges we could  check to see what's happening, wouldn't it?   Our cars have gauges that  tell us how much gas we have, what our tire  pressure is, if the oil  level is down - we watch those gauges and  respond as needed because we  don't want to wait until a red light starts  flashing on our dash.
The only monitors we have about our health are the lab reports we get   periodically, but even our blood work and other lab tests only tell part   of the story.  We are fairly clueless about anything else unless we   have symptoms - but those symptoms are the flashing red lights on our   body's dashboard.  By the time symptoms appear, things have already gone   wrong.
What's wonderful is that losing weight can shut down  many of these  flashing lights - cholesterol, blood pressure and blood  sugar levels  often return to normal, diabetes can be managed (sometimes  even  reversed).  The list of health benefits goes on and on!
Unfortunately, sometimes the accumulative damage from years of obesity   cannot be reversed, and that is certainly true when it comes to my   knee.  That poor knee was forced to support a lot more weight than it   was ever intended to carry for far too many years and the damage has   been done.
The good news is that losing 126 pounds and getting  healthy ended up  buying me time with my knee.  For most of the past  3-1/2 years, the knee  has been tolerable (with the help of periodic  cortisone injections).   Losing weight and staying active has helped and  I'm thankful for that!   The other good news is that I AM healthy, so  if I end up needing surgery  in August, I'll go into surgery in good  shape.  I shudder to think  about the possibility of undergoing surgery  weighing 260!  In fact, I  know that if I hadn't lost weight, I would  have probably already been  forced to have a knee replacement and I  would have had it as a morbidly  obese diabetic - a very scary thought!   I'm so thankful I made the  decision to get healthy and then made daily  choices needed to not only  reach my goal but maintain a healthy  weight!
Making the choice to stay on plan today is about far  more than just how  we will look and feel a few months from now.   Today's choices will  impact our body in ways we may not realize for  years to come.  Choose  wisely :-)
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