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- Crunchy Perimenopause, Part 1: when your skin is all of a sudden worse than it was as a teenā¦
I took my last birth control pill today for the next six weeks. Wish me luck š¬š¬ Iām not even off the damn pill yet, and yesterday, I get a HUGE, nearly marble-sized lump deep under my skin on the right side of my chin. Itās been awhile, cystic acne. This is after getting diagnosed with roseacea for the first time in my life a few weeks back. I have the kind where the cartilage in your nose hardens over time. Good grief. Now, you may or may not remember back in the days before South Korea started exporting their skincare lines, and long before the zit stickers everyone wears now, there was ācrunchy skincare.ā Essentially, you were one of two kinds of teen in the 90ās when it came to your skin - Neutrogena, or Proactiv. Unless you were in the much smaller third group that bought their soaps (likely Dr. Bronnerās) and lotions (likely Jason or Kiss My Face brands) from the local food co-op when they went in to buy their tofu and hummus. And the clerk at the co-op likely told you about this: Look, I didnāt name the clay š¬š¬ So, you mix a couple of pinches of the bentonite clay with a couple of drops of raw apple cider vinegar, and apply it to whatever you want to draw impurities out of in a thick paste. You then let the paste dry, usually 20-30 minutes, before soaking it off with a warm, wet washcloth. You can see that sonofabitch through a quarter inch of mud mask. That first go-around brought the lump closer to the surface, and condensed it down, made it firmer to the touch. Iāll do it again before bed, and again tomorrow morning if I need to, until itās fully drained. It doesnāt usually take more than three go-arounds to clear out a big zit this way. Not that I havenāt been known to pop a zit and use kojic acid soap on the resulting scar for the next six months⦠No one ever told me that peri/menopause was like if good Spock were puberty, and Evil Spock were peri/menopause⦠puberty in a mustache doing nefarious things. Why did Judy Blume not write a sequel to āAre You There God, Itās Me, Margaretā some 10 years ago about this? And next up, once the Pill is out of my system, is periods šš
- Updated!! Behold, my post-op meal planning menu.
I have finally figured out my meal plan, hallelujah!! Edit: I had a great initial plan, at least. This is exactly what I want to avoid if possible while healing large bone. The initial plan: Steak & Pinto Beans with Cornbread Marinaded & pan fried chicken breasts with a recipe I just realized never made it on my blog - cornbread dressing with lentils for added plant protein. Kofta-spiced meatballs with chickpea flour as my binding flour for the plant protein, with a recipe that isn't on my blog because it belongs to my friend, Chef Abbey - whipped white beans with olive oil. I also just pinned a tahini dressing recipe I'll put up to have on hand with this. Subbed with Split Pea & Kapusta Stew THE UPDATE: does ground beef smell and taste fishy to anyone else? I started noticing it about a year ago? No other (so far) beef, including cuts like round steak or stew meat. And it's only raw ground beef purchased from the grocery store, Taco Bell tacos and McDonalds quarter pounders still taste the same to me. I don't know if it's perimenopause nose, or a new preservative they're using, or what, but raw ground beef, and the food I cook with it, has that smell of slightly rotten fish washed up on the lakeshore. So, I started the pinto beans and the meatballs with a pound of ground beef from the local restaurant supply company, thinking if anyone has premium meat, it'll be them. But, I had to deep-six both - even after forty-five minutes of pressure cooking, it's just overwhelming fish smell. I have always had the augmented AuDHD senses, and sense recall - raw ground beef has never smelled like this to me before. I've been cooking with it since I was a kid, I know what it's supposed to smell like at every stage of cooking... this is not it during any part of the cooking process. I still have tons of pinto beans, I'm not sure if I want to make the dish with another meat, or leave meat out together. Meatballs are getting scrapped, and subbed with the Ukrainian Split Pea & Kapusta Stew I made with the sad, forgotten cabbage I found in the back of the fridge. END UPDATE I don't usually worry too much about breakfast, plain instant oatmeal or dairy-free yogurt with flax seed is easy enough. But I will probably make a batch of pancakes and freeze them, as well. Frozen homemade pancakes reheat really well in a standard toaster. And I will, of course, have lots of fresh fruits and veg on hand to eat, as usual. There, now I know what I'm going to make, that's half done, right? Elder Millennials know.
- Checklist Check-In
I'm at 2.5 weeks to New Hip Day! Officially the halfway point of pre-op. I have today and tomorrow left on The Pill, and one more week with anti-inflammatories. Knowing this, I was trying to front-load my pre-op, so I can spend as much time in bed with a heating pad as possible once the pills wear off. post-op be like... So, how am I doing with the pre-op checklist? ā Parking Placard procured. ā Surgical Optimization completed; walker, pre-op wipes, and glucose drinks procured. ā Stuff Procured - massively huge thank you to my mom and my friend Tracy, they half-and-half tackled my list, and I am SO ready to go because of them. You're both wonderful šš They know why this is the most appropriate thank you meme. true story. ā Hair products prep - I have a full quart of scalp oil, and 8oz of chebe butter ready to go! ā Pedicure... funny story. My left toes don't have any feeling anymore. It's not that they "feel numb," they just... don't feel anything. I learned this when I sliced 4/5 nailbeds open on my left foot with my nail file yesterday. Now I have a request in to my PCP for a podiatrist referral, because I obviously can't be trusted to do my own toenails. But, they're short and rounded right now. ⬠Meal Prep - I'm just now settling on a menu. Which is actually fortunate, considering like any good Michigander in winter, I was planning on keeping this in a tote in my garage and letting nature be my deep freeze. But we're in a warming trend for the next week, so putting that off definitely saved me trying to find freezer space... ⬠Cannabis purchase, which will happen within a few days, as I am running very low right now. ⬠Covid Vaxx, which I'll do when I head out for cannabis. Me about leaving the house right now. I... feel very on top of things right now. Who is this person with unmedicated ADHD??
- Putting up personal care products (with recipes!)
I just spent the last 3 hours making the personal care products I do make - namely coffee-infused scalp oil, chebe butter, and deodorant. And my phone was on the charger and not taking photos or video š š Thatās okay, Iāll give you recipes instead, probably more useful! Why do I make these three products, specifically? Cost and ingredient control, mostly. Wild Growth Hair & Scalp Oil is what got me on the scalp oil train to begin with, itās a wonderful product⦠but $10 for 4oz is pretty pricey when I can make about 5x that of the recipe I use now for the same price. Chebe butter was pure ingredient control, itās really hard to find natural hair products that donāt use nut oils. And deodorant is pure cost efficiency - I can pay $10 for a stick of natural deodorant, or 50 cents to make twice as much at home. Today was pretty chaotic, because it was āuse up the bottom of the bottleā for most of my ingredients, so there wasnāt a ton of exact measuring. But, hereās how I did it: Large Batch Coffee-Infused Scalp Oil 2 cups olive oil 1/2 cup papaya seed oil 1/2 cup avocado oil 1/4 cup whole bean coffee 2 tablespoons rosemary oil 1 teaspoon clove oil 1 teaspoon vitamin e oil In a double boiler (or glass mixing bowl in a saucepan like I do), combine the oils. Grind the coffee very coarsely, and add to the oil mixture. Allow the mixture to infuse over the boiling water for a half-hour. Remove from the heat and cool to room temperature. Strain out the coffee grounds (cheesecloth is best for this) and bottle before adding the rosemary and clove essential oils and the vitamin e oil. Shake well and let sit overnight before using. Alternatively, instead of using essential oils, you can use the same amount of dried herbs for both, add them when you add the coffee, and strain them when you add the oil to your bottle. To use: apply directly to your freshly cleansed scalp, and get your fingers up underneath your hair to massage the oil evenly over your scalp. Chebe Butter for High Porosity Hair 1/4 cup Shea or Cocoa butter 1/4 cup coconut oil 1/4 cup avocado oil 2 tablespoons Chebe powder 1/4 teaspoon fragrance oil (optional) In a double boiler (like above), add your butter and oils and melt them down together. Add the chebe powder, stir it in well, and let the mixture infuse over the boiling water for 10-15 minutes. Remove from the heat, and add your fragrance oil, if using (Chebe powder smells a lot like church incense, but the smell disappears in the butters. The end result is unscented unless you scent it). Cool to room temperature before transferring to your storage jar. To use: apply over your favorite leave-in conditioner on wet hair, concentrating especially on the ends on the hair. This works best if you wear a steam bonnet for a half-hour or so after applying, to melt the butter into the hair. So, your hair is low porosity? Try using aloe butter for your butter, and grape seed oil instead of avocado oil. Homemade Natural Deodorant Paste 1/4 cup cornstarch, arrowroot, or tapioca starch 1/4 cup baking soda 1/2 cup raw coconut oil (it cannot be refined to work) 1/4 - 1/2 teaspoon essential or fragrance oils of choice (optional) Add the starch, baking soda, and coconut oil to a mixing bowl, and use a hand mixer or whisk combine into a paste. Add your essential or fragrance oils if using, mix into the paste thoroughly, and jar or bottle your deodorant paste. Allow to sit overnight before using. Since itās Christmas and stuff, I used clove, nutmeg, ginger, black spruce, and lemon. PLEASE NOTE: lemon essential oil makes you sunburn very easily. I expect this batch to be long gone before my armpits see the sun again. No citrus oils go in my summer deodorant blends.
- Flashback Friday šø
At the pre-op appointment on Tuesday, my nurse navigator tried to help me work out a plan to sleep away from the cats for two weeks. I didnāt have the heart to tell her that the last time I was cut open for medical purposes, it was at 9 in the morning, and by 5pm I had become the Mumma of a micro-runt from a polyesterous litter (like internet sensation Baby Corn). And that I immediately started pottying him with the incision hand. I could have worn gloves. That occurred to me about the time he litter trained. oof, lightening this picture really showed off the bruise there⦠Anyway, that was in March 2024. He grew from a little 6oz kittenlet to a 12lb floofy wide boy. He loves the Christmas Tree. I donāt know how to tell him I wonāt be able to bend over for Speedy Pets (thatās where he runs at me from across the house, and I have to be quick enough to pet him one time as he zooms by. Failure on my part gets an exasperated second try) for 12 full weeks! So much floof. So much. And considering this is how Penelope is chillinā right now⦠Yeah, sheāll be easy to keep out of bedā¦ š¤¦š»āāļøš¤¦š»āāļø
- More TMI lady stuff
I had it confirmed today that I have to stay off of my birth control for six weeks - two weeks pre-op, and four weeks post-op. Iām not just ready, Iām not fucking around. Wish me luck š¤š¼š¤š¼
- When your healing journey butts into your hair growth journey.
Left was taken 9/28/25, Right was taken today, 12/12/25. Both show my hair stretched but not straightened, and freshly cut using the Manes by Mell Pigtail Cut. I took about 4ā off in September, and 1ā off today. Thatās just 2 1/2 months of growth š„³š„³š„³ Introducing my hair: 3a/b, ringlet curls about the diameter of a boba straw (it took me a minute to think of a comparison that wasnāt āmiddle-sized vaginal dialator,ā guys), highly, HIGHLY porous, medium thickness but super fine. And I have about 8ā of shrink, no shit, especially at the nape of my neck. My hair has been a real rollercoaster ride over the years. First of all, this is not a ābiracial with a white momā thing, I got the hair from my mom, and she didnāt know what the hell to do with her own hair as a French/Cherokee person in a white neighborhood, so when she gave it to me she basically kept me shorn like a sheep. I āgrew my hair outā at 12, but in the age of covering up sulfate damage with silicones, and with a mother who just noped out of hair altogether, I had a ratās nest. It was severely damaged from the hair products I blindly used, the sun damage from spending the entire summer in the pool, and the hair dye I used to cover up the damage⦠it was bad. I found the Natural Hair Movement around 2012 or so, and while I was able to rehab my hair into a healthy curl pattern through early LOC methods, I was still coloring my hair, and therefore still damaging it, not to mention while there were Naturalistias using scalp oiling techniques at the time, I didnāt get into it. It seemed āextra.ā So, my hair was growing at around 1/2ā per month, and the ends werenāt surviving much longer than my collar. I assumed I simply wasnāt able to grow long hair. I stopped dyeing my hair in 2021, and I cut the last of the colored hair off at the beginning of 2024⦠it took me three years to grow roughly the amount of hair I just grew in the last 2 1/2 months š¤¦š»āāļøš¤¦š»āāļø It was having to get my allergens out of my personal care products that led me to finally scalp oiling, and then properly cleaning my scalp regularly to remove the oil, not just shampooing my hair⦠all of a sudden, my hair grows like nothing else. But I wasnāt working on length retention, I was working against it with some habits. I went from being well on my way to having bra strap length hair by now, to yet another ābig chopā and start over at the end of September. That start-over included scalp cleansing with kojic acid soap, scalp oiling with coffee-infused oils, a leave-in conditioner, and a chebe (apparently pronounced āSHEE-bay,ā but please correct me if Iām saying it wrong) butter for length retention. I also put a heat hood on over all of this as itās fresh, to melt the oils and butters down, and lock it into the hair follicle. Otherwise, I find the chebe butter just kinda sits on top of the hair, being needlessly greasy. I also started wearing silk/satin bonnets to bed every night, with silk scrunchies if needed. Another thing that I thought was āa lotā (like, really, I have to wear them over my ears, and that legit kept me from wearing them for years. Itās a dumb neurodivergent thing), but makes a huge difference in length retention. So, how am I planning on maintaining my hair growth while Iām healing a titanium hip joint implant? I make the scalp oil and chebe butter, and Iāll make a triple batch of both within the next couple of days. Iāll keep up my usual every 2-3 days routine with my hair up until the night before surgery. Thereās also an internal component to my hair growth - I take daily collagen peptides, electrolytes, iron, buffered vitamin c, and omega 3-6-9 supplements to support a lot of things, hair growth and health included. I can do that until one week before surgery, so Iāll be diligent about taking them until I canāt anymore, and get back to them as soon as I can. Iāll give my scalp and hair a good cleaning as Iām taking that pre-surgery shower, and use a light leave-in and vegetable glycerine to seal it in (my summertime humectant go-to). After itās dry, Iāll put it up in āboxer braids,ā the easiest way to get it under a surgical bonnet. Once Iām out of surgery, Iāll switch to a satin bonnet. For upkeep in the days immediately following surgery, my friend Elfie came in so clutch buying me a Tangle Teezer and spray in detangler/conditioner šš¼šš¼ That and a water spray bottle will keep my hair from turning into the Gordian Knot in the back, and I can do it all from bed š«¶š¼ Once I can get back into the shower (which really depends on my post-op pain levels, I have a transport shower chair, so I can sit in the shower all day), Iāll start up the scalp maintenance and chebe length maintenance again⦠and likely make it my post-op hobby. Right now, my hair is shoulder length, which is where Iām used to it being. I realize that makes me look like the girl from Encanto: When the first trailers came out for Encanto, everyone who ever met me said āwhy is Katrina in a Disney movie??ā Iām hoping to be cleared from post-op with armpit-length hair, have it bra-strap length by by my birthday in early June, and celebrate my big chop anniversary with waist-length hair š¤š¼š¤š¼š§æš§æ Mind blowing, seriously.
- A reflection on anesthesia's continuing evolving view on cannabis' interactions, as a decade-long MMJ patient & multiple surgery-haver.
What the title says. My first encounter with major surgery and thus with general anesthesia as an adult was with a double laminectomy (at T10-11 & L5-S1) in June of 2021. At that Surgical Optimization pre-op, I was told to stop using THC products of any kind two weeks prior to surgery. I went back in for some scar damage work on the L5-S1 site in October 2022, and the THC requirements before surgery were the same. When I had to go back in again in March of 2023, however, a new study had come out that had cut that recommendation down to about five days. Which was good, because I had three weeks from MRI findings to surgery with that one. Nearly three years later, they're telling me to "try to cut back some in the days before surgery." She was very specific that I don't have to quit, just be mindful about my intake. That sounds like a plus towards legalization to me, if it's harmless enough you can use general anesthesia with some in your system. I'm debating putting a j in my dopp kit, for the ride home... Artist rendition of me heading home from the hospital with my new hip. Disclaimer: I'm a Flower Girl. Sometimes I'll do wax dabs, but for the most part, I'm smoking small bowls from glass chillums. This has actually improved my lungs, my voice went from non-existent to a whiskey alto real fast after I started french inhaling. So, none of this applies to vapes. I have COPD in my family history, I care too much about my lung health to use them.
- Surgical Optimization Appointment, Calendar Updates, & TMI about lady stuff.
Yesterday morning was my Pre-Op appointment with Surgical Optimization, and I don't remember one of these being so difficult to personally process. If you've never done this before, you go in to meet with a bunch of RN and NP's to go over general health and fitness, get fitted for your mobility aid, get your pre-op instructions for carb drinks and itchy body wipes, and get told when to stop taking what medications before you go under. I told you this would veer pretty quickly into TMI territory - my birth control pill is a clot risk. I have to stop taking it two weeks before surgery, and I have a question in on MyChart as to how long I have to stay off of it, considering I'll be on baby aspirin for a month after surgery to make sure my blood stays nice and thin. Now, I'm a 43 year old asexual person with hypermobile joints, I am not worried about any babies happening in this time off the pill. But I am on the pill because the fibromyalgia and the hypermobile joints made even the lightest menstrual cramps a disabling agony. And since the Possibility of Baby does not concern me in the least as an asexual person, with my gynecologist's blessing I have been skipping the placebo pills and taking the hormones constantly to stop my periods altogether. I have basically tucked my uterus away and let it gather dust while I went about my life effectively uterus-less. I did have one notable bleed experience after my last spine surgery, as I had a cerebrospinal fluid leak at the surgery site as well, and that was the last time I had to worry about a period. But now, I get a period for Christmas. In an ironically full-circle way, I got my first period on 12/21/93, at 11 years old. How do I remember this so precisely? One, that was also the day we got pet bunnies for the first time, and two, it was the winter solstice, which I'm pretty sure my mom made a point to mention as a science thing to her homeschooled brood as we were heading home in the dark before dinnertime with our new rabbits, that that was the darkest night of the year. Also, definitely still bleeding on Christmas morning, poor little me. How am I doing one of the most stereotypically "old person" things ever, and yet I feel like such a young teenager about this part? I just desperately hope Santa hurries up with the delivery if it's going to happen, because I have to go off all anti-inflammatories on 12/27, a week later. Meloxicam is the only thing keeping my pain reasonable right now. Before I doubled my dose, tho? A constant 8.5. This is not the kind of pain that comes and goes, or gives you any kind of reprieve, otherwise. If my uterus decides it wants to join the pain party then , I'm fucked. I also have to give up the Naltrexone three days before, which my friend just texted me to let me know counteracts opioids, which she found out through some awful personal experience. Knowing that, I might just drop it with the NSAIDS... They give you a big ol printout that they highlight with you about everything you take and when you need to stop taking it before surgery, as well as all of your post-op appointments. My advice: choose a color in your calendar app for everything about surgery, and enter it in with alerts. When last dose day comes (mark THAT, not the day after), put the now-verboten med out of reach, out of its usual spot after you take your last dose. I'm sure everyone has some version of "place where I put my daily meds" and "place where I store overstock until I get to it," I usually move said med from the former place to the latter. Also, put your post-op appointments in. It's nice to look at your calendar and be able to see at a glance, by color, when you have an action day. It also means you can eyeball appointments you should cancel and move, like I had to do with my next spine injection. tbh, I'm hoping this implant will re-align my lower back to where I won't need the injections anymore, but we'll see. My urinary checkup may need to be moved, too, again, I'm hoping a new hip joint fixes that, too... we'll see.... Also, name suggestions needed for the new walker, which I got yesterday. It's older brother, a rollator, is named Kevin. I'll be using it for six weeks post-op. So, basically, don't expect me to be going too far too fast for six weeks.
- I forgot about this part šš
Iām watching the Joint Replacement Class video⦠no Meloxicam for 7 days before surgery. That was bad enough before spine surgery, without Meloxicam right now, Iām at a constant 8.5 pain level with my hip. Deep breaths, deep breaths⦠Also, no pets in bed with you the night before surgery. Again, someone needs to inform Penelope of this, sheās not going to take it very wellā¦
- Paralyzed by choice šš
If only. I need to start meal prepping. Yes, this early, I want to make sure I pace myself so I donāt wear myself out - my battery drains real fast right now. Iām aiming to put up 4 portions of 3 meals, for a total of 12 meals⦠I donāt need to put up for the entire recovery, my family does know how to cook to my diet, but I want to have some convenience comfort meals ready anyway. If you follow my other blog , you know that I canāt eat dairy, egg, soy, peanuts, tree nuts, or tomatoes. You may think this limits my diet, but if you follow my other blog, you know that I eat Very Well. Iām also thinking about the nutrient content of the meals, and making sure they have lots of ingredients high in things to help me recover, like iron and calcium. Not too hard, the way I eat. So, letās play a game. Pick 3: Smoky pinto beans & cornbread Cajun-style red beans & rice Lentil āmeatā loaf with a baked potato Mujaddara with lentils, rice, & caramelized onions and a side salad āBuddha Bowlā with rice, grains, beans, and roasted veggies. Coconut curry chicken & spinach over rice Marinated chicken in the cast iron skillet w/ cornbread stuffing Kofta kebabs with a rice pilaf Sardine & white bean croquettes with a side salad You see my dilemma. Seriously, comment your 3 below, I need advice here.
- The Stuff is starting to come in.
Violet, Michael Myers, and my new panties TW: weight loss, weight gain, weight loss medication. The problem with learning you need surgery in five weeks on literal Black Friday is that shipping isnāt any ātwo daysā like it usually is. This is why we order early! As long as itās here by January 4th, weāre good. Iām getting an anterior hip replacement, so my surgeon will be going in from the front⦠and I need Hi-Cut panties that wonāt sit the leg seam right on the incision. But I need new panties in general right now. Buckle in, this oneās a story⦠The only thing I can think of that would ruin one hip, the left one in particular, is that days, literally an amount of days you can count on one hand, after graduating from my local rehab hospitalās outpatient Fibromyalgia Pain Program at the very end of 2017, my left piriformis muscle spasmed so hard, it triggered about 30 more muscle spasms down my left leg, that all had to be released in sequence before the piriformis muscle would relax. That took nine months, and one more go-around through the rehab hospitalās program. The program is a lot of strength training, and I started taking it really seriously as I started healing my muscles after that flare. The result was a 50lbs and 29ā total loss, and me being in the best physical health of my life. Of course, that was until the ruptured discs in 2021, at spine levels T10-11 and L5-S1. Between not being able to exercise two hours per day like I had in my strength training days, and comfort eating, I gained that 50lbs back pretty easily after all those surgeries and nerve/spinal cord injuries. Until the food allergies were diagnosed in early 2024, after I went on the AIP diet in late 2023. Iām allergic to both dairy, and all nuts, two of the fattiest foods in the American diet. Cutting those out of my diet, along with basically every pre-packaged convenience food out there meant I dropped 30lbs with very little effort. Hereās where the panties start to come in. At the time, in the pre-tariff days, I had a bit of a dopamine issue with the Shein app. And since I fully expected to drop the other 20lb, I bought a bunch of panty sets in what is my current size. Thing is, I was a lingerie model at the time, so thereās a lot of flesh colored thongs⦠But then, the migraines and the comfort eating set in, just as the cortisol and perimenopause started to work together to pack a bunch of fat around my organs, and my weight went right back up again. My doctor decided that the solution was Wegovy in late 2024, I was one of the early users. The solution was not Wegovy. I have been in a gastrointestinal nightmare that shows no sign of ending since taking Wegovy. So, I tried Contrave in early 2025, which is a combo of Naltrexone and Bupropion, which, when powers combined, work on addiction in the brain. Itās like the dopamine handed the āIām hungryā button back to my body, and Iām actually eating for the calories and nutrients now. Iām naturally eating small portion sizes, not snacking, and intermittent fasting. But now, down that 50lbs again, we are in the days of tariffs, and I cannot believe the price of womenās panties! I remember being able to get a 12 pack of cotton panties on sale for $8, that 6 pack was $9 on sale marked down from $20! WHAT THEE ACTUAL FUCK?? So, I now have two panty drawers (heh, two drawers for my drawers), one for āhighly polyester but cute enough to wear to the doctorās appointment where multiple people will see themā and ātwo sizes too big and getting holes but I have a moral objection to buying more at the prices right now.ā Getting a new hip and new panties, what a day! Iāll keep them boxed (as they may be) until I do the surgery laundry, and after that I guess I can finally dump the old ones⦠Funnily enough, a big reason I wanted to lose the weight this go-around is because you wonāt be considered a candidate for a breast reduction unless youāre at a 29 BMI or under. I just got the referral to plastic surgery for a reduction mastectomy about a month before I got the referral to orthopedics⦠but unlike orthopedics, it takes a full year to get in for a consult, and another year after that to get in for the surgery. That puts me firmly into Medicaid work requirements Iām not physically capable of meeting, so weāll see if I ever get to ditch my literal Barbie doll proportions. Meanwhile, my Total Joint Replacement Handbook recommends aiming for a BMI 30 or lower by surgery date. Already there, baby! And so, so grateful for being so, this is already pure agony, I canāt even comprehend what carrying another 50lbs around on this hip would be like. And Iām very glad I donāt have to.











