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To blog or…

Why Blog?

Be curious, not judgmental.

— Wald Whitman

I attended the Digital Architecture Design Day conference today and was inspired by one of the keynote speakers Eric Schabell who talked about sharing thoughts and ideas to educate, inspire and ignite a conversation.

This got me thinking about how i’ve always felt a tendency to help and educate people with things i’ve learned and also have a (healthy) thurst for knowlegde and understanding and simply to write things down. But i never took the time to share my thoughts and ideas to enable this in a more structured way.

So the proof of the pudding is in the eating and i’m going to use the coming year for exploring blogging and see what comes out of that.

My blogs will mostly be about my work as an Architect at bol.com, my experience with basketball and training kids, living with the auto-imune disease called ‘graves disease‘ and what i’ve done to cope with it, movies, family and my second favorite sport crossfit.

So here goes.

My Battle With Graves Disease, Part 15: Rollercoaster

It’s been a while since my last blog regarding my ‘battle’ with graves and it’s been sort of a rollercoaster with some highs and lows. So here’s an update.

Let me first show you 3 graphs of the last period with results of the bloodtests.

FT4

TSH

TRAK

Strictly looking at the numbers and range it seems everything is good (except for the last TRAK value which was a bit too much). But like many with Graves can attest, the numbers don’t always tell the whole story.

If you look at the FT4 values, it has been going up and around november this year I didn’t feel well. Same is for the TSH which has been declining for a while. At first I thought this might the result of taking a lower dosage of medication. I want from 5mg to 2,5mg around that time and it takes some time for your body to adjust. But the feeling of low energy, poor sleeping and my gut seemingly in overdrive (going for #2 at least 5 or 7 times a day) raised a lot of red flags.

So I contacted my doctor and decided to do another bloodtest to see how things are, which is 1 month after I felt poorly. My feeling was that I would get an even worse outcome seeing the way I felt. However, when the results came back I was positively surprised, the FT4 value went down and the decline of TSH was far less than anticipated.

She did ask the question if there were stressrelated issues going on. And well, actually, quite a lot: 1) selling our house, 2) geting things arranged for our new, to be constructed, house, 3) finding a new rental place for at least a year untill the new house is build, 4) my wife had sort of a burn-out related to meno-pause setting in, 5) hectic at work and 6) my father was diagnosed with throatcancer. So yeah, a bit of stress here and there to put it mildly.

As research shows, stress can cause havoc on your digestive system, which, in result, can cause you to feel really bad and low on energy. Fortunatly it has been going much better lately with all the house related issues out of the way and other things improving. The last 2 weeks I felt much better, which resulted in much better sleep and working out (Crossfit) went way better than the weeks before. Learning point for me is to better take care of my stress-levels, some is good, but this one snuck up on me a bit with many things happening after one another.

So for now I’m good, still on medication for at least 3 months, with the lowerst dosage possible. The question is, what then. I can’t take this medication for the rest of my life as there is a (small) risk of compromising the immune system. I have to stop, but then it almost feels like a countdown is starting and you never really know when it ends. The other alternative, the iodine-therapy, is still not sitting well with me. But I did come to the conclusion that if it happens again, I will take the nuclear route. For now it’s about better handling and managing stress-factors.

Luckily I am now on a 2 week holiday to get some well deserved rest and turn of my brain a bit and charging my innerbattery to get ready for the new year!

5 more ways to save water

In my previous blog I wrote about 10 ways to save water. Since it’s become an even bigger thing due to even more severe draughts all over the world I wanted to do a follow up.

For me the 2 biggest savings from the previous blog are

  1. putting a bucket in the shower and after 2/3 showers the bucket is full and we can flush the toilet 2 times or water plans in the garden and
  2. shorter showers (max 5 minutes)

But there are more ways to save water, so here are 5 more things you can do.

1. Upgrade your dishwasher

Older dishwashers can use up to 20 liters of water per usage, a really good one can do it with 9. I thought doing the dishes by hand was better and in some cases it is, but with a full load it’s just better to use a (good) dishwasher. This quote is something that is very valid for our situation:

How long are you running cold water down the drain while you’re waiting for it to get hot?

It takes about 40-60 seconds for the water to get hot so doing that will just waste too much water every time you need it, so using the dishwasher is just more efficient in most cases

2. Skip a shower for 1 day week

Although probably not something that comes first to mind but, depending where you live in the world, it might be an idea to skip the shower once a while. This article from Bustle gives some good advice on when to skip it, mostly oriented towards woman, but the advice to skip a shower if you haven’t sweat at all is something to take notice of.

3. Take cold(er) showers

I’m not a fan of cold showers but taking colder showers is not only good from an energy perspective, but you’ll probably take shorter showers as a result. To be honest, I did start some time ago but couldn’t keep going, I just like a warm shower too much, but I did lower the temperature of the shower.

4. Skip the carwash, do it at home

Taking your car through the carwash can use somewhere between 45 liters and 450 liters depending on the type of carwash. Not arguing the quality which is often better than at home, but handwashing your car with just 3 or 4 buckets (not the hose) of water is saving a lot of water.

Good to mention that a (unknown) percentage of carwashes recycle their water, so it’s not always that black and white. More over, they are better at taking care of the chemicals being used. Which means that if you do it at home, only use environmental friendly products

5. Use a Quooker (like system)

Quookers are faucet systems that come with a tank of hot boiling water. The tank is powered by electricity which is cheaper, especially if you have solar panels. The idea is that (like I mentioned at 1) you don’t have to keep the water running from your faucet untill it gets warm. With a Quooker system you get instant hot water, thus saving valuable water.

The downside is is that this option is costly, but there are probably other option which support a similair tank.

Final thought

Writing about this subject was really insightfull and I learned quite some things. It was also very easy to start saving water without giving up too much of my ‘creature comforts’. I intend to do some more research and see what more we can do. However, having 2 kids does not make things easier. I might just have to buy a timer to reduce their shower time. Anyways, hope to get to at least 20 ways to save water.

10 Ways To Save Water

Recently I watched a video from John Oliver regarding water shortage and it emphasized what I already knew and heard many times before, humans (especially in the West) waste a lot or precious resources – in this case water – without giving it too much thought.

I looked up how a typical western person uses its water and found the following graph:

There are other graphs but they all boil down to the same, we use a lot of water daily and most of it is used on showering and bathroom use.

If you’re interested in more data about water usage and stress on watersources, have a look at: https://ourworldindata.org/water-use-stress.

This was also a very interesting graph which basically says that due to the increase in worldpopulation there’s also a large increase in water usage:

So with all the watershortage, also caused by global warming and climate change, what are solutions? We can of course look at all the industries that use large amounts of water or talk about govermental policies or the price of water, but I rather focus (this time) on simple things that us individuals can do. Here are 10 things I am doing and still can do.

Nr 1: Brush your teeth before taking a shower

Let’s start simple, taking a shower uses the most amount of water. Brushing your teeth takes time (2-3 minutes), after which you still want to washup. On average people take about 8 minutes to shower, which means if you brush your teeth before (or after) you skip 3 minutes of showering, that’s almost 40% less time in the shower: saving 20 liters a day per person. Easy win.

Nr 2: Use dampner on fosset

A simple way to save some water is to use a dampner or restrictor for you fossets. Adding a simple ring will restrict the amount of water you use, still enough for daily use, just takes a bit longer to fill a glass.

Nr 3: Use bucket to catch shower water

This one is arguably the easiest to implement, just put a bucket next to you when you shower and use that water for flusing your toilet. It depends if you have used soap or not but you can also use it to water your plants. And you will be surprised how fast the bucket fills.

Also use the bucket to catch water when turning on the shower, the water is usually still cold and it just flows away, why not use it more efficiently!

Nr 4: Time your showers

As mentioned at Nr. 1, people take up to to 8 minutes to shower. If you time that to 3-4 minutes you can save more than 25 liters (according to the graph). I know it feels really nice to take a long warm/hot shower, especially in the winter but that’s more from a comfort perspective, you don’t really need it.

Second benefit of timing your showers is a lower gas bill which will help a lot of people. Give up your creature comfort to save water and money.

Nr 5: Catch & use rainwater for garden

This one is also not that difficult, might be a bit of work getting a barrel and hooking it up to a rainpipe but just let if fill up when the rain is falling and use it in times of drought.

Nr 6: Catch & use rainwater for flushing toilets and more

An extension of Nr 5 is to use a system to catch rainwater and use that for more that just your garden. There are plenty of systems and providers out there who can install this. Some even include filtering options so you can use it for showering and/or dishwasher and/or washingmachine.

It is more expensive that some of the other options but it’s a good investment for prosperity.

Nr 7: Eat less meat

Everyone knows the agriculture sector is a large consumer of drinkable water but meat from large animals is really the topconsumer. Although I’m all in favor of eating a decent piece of meat now and then, it’s not that hard to do the math: eat less (cow) meat > less cows are needed > less water is used. The graph below illustrates this well.

You could extend this to cheese, pork, chicken and eggs. And I’m not saying to stop eating them, just reduce your intake and replace with other types of food. We replaced meat a few times a week with meat-replacements which are getting better like the beyond burger. However we are a fan of eggs and use them quite a lot, but every little bit helps.

Nr 8: No swimming pool

It really amazes me sometimes when there’s news about drought all over the news and then people just fill in their (mostly inflatable) swimming pools with drink water. I confess I have done that myself, but at least we only did it once and then made sure we 1) only filled it once and kept it clear and 2) used the water afterwards for the garden. We also have just got rid of the pool as our kids are getting too big for the size we had but have no intention of getting a replacement.

A small inflatable pool for small kids when it’s really hot is ok(ish) but it seems like people are getting bigger and bigger pools, and since there are more people getting these pools, the amount of water used for this purpose is also growing.

As far as I’m concerned (local) government should be able to enforce a (temporary) ban on pools in case of severe drought, with a big fine for a violation.

Nr. 9: “If it’s yellow….”

Don’t know where I heard this first but the saying was from a person in an area (I think the US) where they have a continues drought and it was like this: “If it’s yellow let it mellow, if it’s green or brown let it drown”. If you haven’t guessed it’s about the nr 1 and nr 2 when visiting the loo 🙂

It may sound a bit filthy but the graph at the top shows us that 33 liters of water is used by flushing the toilet onm a daily basis. In a 4 person household that amounts to a lot of water (about 120 liters). We are following this credo more and more, especially in the evening (and sometimes night) and is not filthy or smelly at all (unless you ate asperges). Just try it and see if your waterbill is smaller next time.

Nr. 10 Only reproduce yourself

A bit of a controversial one, but this math is also not hard. The more people there are the more water is needed and consumed. Now the projection is that the world population will eventually stabilize and even decline at the end of the century. But it will grow untill that time, mostly in Africa and Asia where it’s projected that 80% of the worlds population will reside.

We’ve always had this in mind when getting kids, to only ‘reproduce’ ourselves and have no more than 2 kids. Luckily the overall growth of the population in the West is stabilizing but it’s my opinion that the world would be in a much better state with no more that 4-5 billion people. However since people in the West (where the U.S. is with out a doubt the top consumer) use most water per head of the population, getting them to use less (and overall give up more of their Western comfort) is difficult.

Conclusion

So lots of big and small things to do to save water from an individual perspective. We’ve implemented 1, 2, 4, 7, 8, 9 and 10 (to various degrees), and are now looking to use rainwater in some way. But it’s really easy to use less water without giving up too much comfort. Give it a try!

My Battle With Graves Disease, Part 14: upside down

In my last blog I wrote about about being back on track, well, I’m still on track but according to the bloodvalues it’s the world turned upside down. Looking at the FT4 (below) you can see it’s very low, almost on the edge of being too low and moving to a slow working thyroid.

FT4

In the graph below you can see the TSH value going way over de topline and even marked with an ‘H’, high.

TSH

The good thing is this means the medication is working, but a bit too good. So in the beginning I started with 30mg of strumazol, then had to take double dosis because it’s didn’t take. Then I went back to 30mg, then 15 mg and I’m now on 10 mg on strumazol. Each change in dosis was done around 6 weeks apart.

Adjusting

Adjusting the dosis of medication for the most part went without a hitch. However the change from 15 to 10mg was a bit bumpy in the sense that my heartrate went a bit up, slept less. However other symptoms didn’t not show themselves and after a week or 2 things are slowly settling down.

In 2 weeks I have another checkup, I hope the values didn’t go up/down that much, meaning I would still be on too much medication. The goal is to go back to 5mg and stay on that dosis for a longer period as some research has shown that taking a low dosage over a longer period, and then stopping, had better effects than stopping sooner.

Apple Cider Vinegar?

I’m always trying to look up things to see what affects the thyroid and I came across a (quite popular) youtube videa about apple cider vinegar: https://www.youtube.com/watch?v=XeHl5Y7m1xM . I have to watch it again but the person in the video mentions the thyroid a few times as the cider will stimulate the thyroid. Now Graves-people don’t need stimulation of the thyroid, that’s the problem, but I think he means it in a different context.

But for now just trying to eat healthy and less frequent, doing crossfit workouts at 90-95%, trying to get enough sleep and take a stroll a few times a week to relax. Maybe a bit boring but it seems to work fine for me.

My Battle With Graves Disease, Part 13: back on track

Since my last post things have been going be the FT4 value was over 50 (when it’s supposed to be within the 9-25 range). The first check was good in the sense that the FT4 value was a bit above 25, which is down by a half. The other value which they usually check, the TSH value, was still negligible which is still a concern when it should be between 0.4 and 4.0 mU/l.

I also started feeling better and the most important change was my heart which was way more relaxed. My weight also was stable and rising a bit, after loosing 6kg in 1 – 2 months. As a result I started sleeping better as well. We cut down the amount of medication in half so now I was back to 30mg of Strumazol (a.k.a Thiamazole).

Corona

Corona also started rearing it’s ugly head in our household and I was sick for 2 or 3 days but mostly my throat was really swollen which was really painfull. I was afraid that this would impact my auto-immune system in such a way that it might trigger Graves disease and that the medication wasn’t going to cut it. But after a week I started feeling better, still pretty tired which is a common symptom. Then started picking up Crossfit again but still had to be carefull, because I was still feeling the after-effect of Corona and still getting back from almost zero after the third episode of Graves-disease (which started in hindsight after the summer of 2021 and reached a critical point in December 2021).

Second Bloodcheck

The second check last week was good in the sense that the FT4 (see graph below) was even lower which, even on the low side which meant we could cut the medication in half again.

The TSH level (see graph below) was actually too high now, also a result of too much medication. The graph below is actually not accurate as values below 0.01 don’t show up as datapoints and there were some since December. The other effect was that my thyroid was actually a bit slow, which showed in the weight gain as I am now for the first time (ever?) over 100kg. Hopefully with less medication I can cut some of that weight.

Back on track (for now)

So all in all this was good news and as a result I’m now on 15mg of Strumazol, down by half. This also reflected how I felt and slept and also the workouts were getting better in terms of strength. In terms of conditioning I still have a way to go.

So in 6 weeks we’ll do another check and the goal is to cut the medication back to 5mg and take that for a longer time. I also have been reading up on the alternative (iodine-radiation therapy) and although it still feels weird to partly destroy a healthy organ (because it’s the auto-immune and the brain that causes Graves disease, not the thyroid itself) I think I’m getting around to accepting that if things still don’t work then that is the way to go as a next step and that i’ve done everything in my power to try to avoid that. Sometimes is just about accepting things and moving on.

Hoping to write new blog in about 6-8 weeks about the progress.

My Battle With Graves Disease, Part 12: hard choices

At the beginning of November last year I wrote a post about the fact that Graves disease was back (although technically it never left but was under control) and I started medication. The ‘numbers’ were not that bad so I thought I would have it under control quite fast.

Unfortunatly – as these things go – it wasn’t under control. I started feeling worse, slept worse, started loosing some weight and had that stressfull feeling. I have no idea why the medication didn’t take, neither did the doctor.

As you can see in the top graph below at the end that the dot just above the horizontal ’25’ line was the moment I started medication. A few weeks later we did another check and the numbers were again higher – around 35 – but it could be still be a downward trend, we just couldn’t see it because we didn’t have enough measurements. But I started feeling worse and at the end of the graph you can see it got really bad (<50 when normal value is between 14-25). So at that moment the advice was to double the amount of medication.

Below is the graph of the TSH value which was so low the last few measurements that it doesn’t even show up in the graph.

Again this was another disappoinment stacked on top of the others.

Foot Inflammation

Just before Christmas I was feeling some pain in my left foot, couldn’t stand on it in the beginning but after a while it went (almost) away so I thought nothing of it. However the next (Christmas) day it was back but way more intense. I again couldn’t stand on it but even in rest I had that shooting and throbbing pain. It was quite bad and had to take some Ibuprofen to relieve the pain.

In hindsight I had this almost exact issue the previous episode. That was during our vacation to France where it occured as well and I couldn’t walk for a few days. Don’t remember it being that bad. But even now, a week and a half after the height of the pain it still not completely away.

We read up on it and it indeed seems to be related to Graves diseasem here’s the paragraph from the link:

5. Foot pain and cramping
Muscle, joint and nerve pains are not usually stressed as primary symptoms of hypothyroidism, but after years of hearing from hypothyroid patients at Hypothyroid Mom, there is one thing that I am certain about. Full thyroid testing should be conducted on every single person that presents with chronic pain or fibromyalgia.

The number of people that write to Hypothyroid Mom about plantar fasciitis, the pain along the bottom of the foot especially the heel that shoots through them especially when they step out of bed in the morning, can’t be a mere coincidence. In the case of Hashimoto’s thyroiditis and Graves’ disease, the immune system can also attack the joints and muscles frequently in the feet and ankles. Like carpal tunnel syndrome, thyroid patients are also more vulnerable to develop tarsal tunnel syndrome.[9] Add to this the increased risk of developing gout [10], burning feet from painful neuropathy [11], and plantar fasciitis [12], and the incidence of foot pain in thyroid disease becomes very clear.

So mystery solved. I first thought it was about stressing the feet to much with a workout but with the timing it’s just no coincidence. I think i took about 2 ibuprofen a day the first week and then 1 before bedtime, just to subdue the inflammation. Good thing it almost gone but running, burpees or jumping rope still have to wait a bit

Hard choice

So, now that i’m in my third episode of Graves disease it’s time to consider the facts and choices. Not just about my own body but also what it does to the family. I can try other things to see if I can live without medication but always with Damocles’ sword over our heads that I get another episode and stress my body and family. And stress the body it is really what it does, your heart is pounding 24/7, you loose weight, loose muscle, it really takes a toll on your body.

The other tactic is to reduce my medication to the minimum and take that the rest of my live. However, with Graves disease, the thyriod will die out sooner than with ‘normal’ people. So there comes a time when things will go the other way and there’s no guarantee that you’ll notice it in time.

The third tactic, and one that is coming closer, is taking the iodine-radiation therapy to destroy part of the thyriod. This basically means that you can decide when your thyriod will (partly) die out in stead of waiting for it. The main problem I have with this is that it does not solve the problem of why the auto-immune system does what it does. But it does solve the problem of not having to worry about another episode and that can put the family and my relation at ease as well. Which is worth something.

So for now I’ll let the medication do it’s job to get into more tranquil water. But I’m also reading up more on the therapy and talk to some people who’ve already done it. However, tt sort of feels like a failure of not being in control of your body. And one of my main concerns is that you’ll be dependent on medication. I hate being dependent on things I can’t control but I guess that’s part of life.

My Battle With Graves Disease part 11: battle lost, war not over.

As mentioned in my previous blog I started noticing some symptoms related to Graves disease (hard pumping a bit harder, not sleeping to well), but I thought it was more due to stress and a bit of time off would be good. However, having gotten 2 more measurements, the results were not good. As in, Graves disease is rearing it’s ugly head again. The results were not that extreme as previously (see below), but bad enough so that after meeting with the doctor, I started with medication again.

This was a huge setback and very frustrating. Because, why did I put all this effort in eating healthy, especially gluten and cowdairy free, taking supplements, etc… Was it all really a waste of effort? All the money you put into to it and this is the result… Unfortunalty you can’t A/B test yourself, because it might have been worse if I didn’t do all those things.

Another aspect is the COVID-19 vaccination. Before the summer all my bloodvalues were good and seem to get stronger. Then I got my 2 vaccinations during the summer, and a few weeks later i started feeling some symptoms and the bloodvalues have been declining ever since. So is that a direct result? The doctor couldn’t really tell, they just don’t know, but acknowledged that it is a possibility since the vaccine trains the auto-immune system so it could have been a trigger. It could also be stress related, but it’s just too easy to blame something without actually knowing.

I was reluctant to meet with the doctor, not just because of the possible ‘I told you so’ but also because I still don’t want to take iodine treatment which destroyes part of your thyroid through radioactivity. Although it’s overall quite safe, it still feels weird to 1) take a radioactive pill to 2) destroy a good organ, because it’s the auto-immune system that’s acting up, not the thyroid. My hesitancy was supported by this research with the following summary:

Overall, patients with treated Graves’ disease had worse thyroid-related quality of life scores than the general population. Among the three treatment groups, patients who received radioactive iodine therapy had worse thyroid-specific quality of life scores than patients treated with antithyroid drugs or surgery, as measured by ThyPRO. The radioactive iodine therapy group had worse scores for goiter symptoms, hyperthyroid symptoms, tiredness, anxiety, depression, emotional susceptibility, impaired social life, impaired daily life, and impaired sex life than the antithyroid drug and surgery groups. In addition, the radioactive iodine therapy group had worse scores in hypothyroid symptoms, eye symptoms, and appearance than the antithyroid drug group. A similar pattern was found in general quality of life measures as assessed with the SF-36 questionnaire, with worse scores in radioactive iodine therapy group compared to the antithyroid drug or surgery groups.

So not a very attractive thing to look forward to. However, when meeting the doctor things went quite okay. She was understanding, acknowledged the posssibility that the vaccination could have triggered things and again, that they simply don’t know what the cause is of Graves. When I said I don’t want to do the rediation therapy, she explained the potential side-effects of the medication, which are rare (bonemarrow not making enough white bloodcells) and went along with a more extended titration therapy (reducing the amount of medicine to a minimum for a longer time).

She did mention that eventually the thyriod will ware out, sooner than with ‘normal’ people and then you would end up with hypothyroidism, which also requires medicine. But when this happens, differs per person. The radioation therapy ‘simply’ makes this moment come sooner. But for now, it’s taking a higher dose for 2 weeks and after than reduce it and see how my body reacts.

As you can image, a disappointing time and I have to deal with this mentally as well. However, I tend to look on the positive side, without the diet and supplements I think I would be worse off. Because i’m in pretty good shape for a 46 person…if I say so myself.

So I’ll write an update in a few weeks/months about how things went, for now i’m trying to come to terms with what feels like a ‘failure’, but is likely just a genetic pre-disposition to this type of auto-immune disease.

My Battle with Graves Disease, part 10: here we go again ?!

The months before my vacation in August were hectic and stressfull both at work and at home. As i mentioned in my previous blog we started looking for a house and i was looking for a new job, which i took. So i was really tired and very much looking forward to a vacation.

I also did not sleep well that much and during the vacation, almost right after an intense workout a got sick for a few days, fever like symptoms . Following that i also started feeling certain symptoms again, like being nervous, lost a bit of weight, tight chest, etc… Normally i would ascribed that to stress but in my case it could also be something else. So right after i got back from vacation i thought i’d do a checkup (bloodtest) of my thyroid values just to make sure nothing was wrong.

When i got the results my first thoughts were: “oh no, not again” and “was all this effort a waste of time and money?” Below are the results of TSH, FT4 and 1 extra check of the T3 requested by the doctor.

TSH results

This what was scary, my TSH values were extremely low when i did the check on 26 august. The normal range is between 0,4 and 4.0. Although the FT4 (below) value was within range of 9-24 it was still rising compared to previous

FT4 results
T3 results

So i called the docter myself as i wanted to see what they said. Because the FT4 is still in the right range, there was no panic (on their side) but it was cause for concern. They wanted me to do another bloodtest including a T3 test. The results ( 3 september) were, at least for me, even more reason for concern as the TSH was even lower and the FT4 higher (but still within range). However because the T3 value was OK, the agreement was to do another bloodtest in 6 weeks.

I also called the orhtomoleculair doctor i was seeing and wanted his input. Although he wanted to see what the results were of the second test, he did adviced me to double the dosage for gypsywort as it seems to have a natural effect on thyroid hormones.

So quite a big scare and especially on the day i saw the results my body really started acting up, most likely the result of a psychological effect from seeing the results. However, in the days after the results i slowly started feeling better and better. I did take it a bit easy in my workouts and tried to go to bed earlier. But i am now at a point where i feel quite OK, (almost) none of the symptoms are present anymore so i’m quite interested in seeing the results in a few weeks.

Impact of Stress

My personally believe is that stress has a bigger effect on me, or at least my auto-immune system, than i thought. You can find lots of resources for this. And taking away the stress of my current job, choosing a new job, vacation is a big reason why i’m feeling ok now. Don’t know for sure how much the doubling of the gypsywort dosage contributed, but i’ll take it.

So next step is to see how i can incorporate more stress-reducing activities like simple breathing excersice and longer walks. Another aspect is sports and for me, sport is stress reducing. But it can also cause a lot of stress on the body, especially when doing Crossfit which is often high intensity. So i will also start reducing the intensity a bit by not going all-out all the time, which i already started doing a more of lately.

To summarize, a long period of stress is what likely got me even more stressfull when seeing the result, but reducing the stress is what likely contributed to feeling OK now. I’ll let you know if 6 weeks what the results are.

Choose Wisely…

Indiana Jones fans know this phrase by heart as Indy had to choose the ‘cup of life’ from an array of cups in the movie ‘Indiana Jones and the Last Crusade’. A great movie with a great cast. The phrase is currently top-of-mind as sometimes in life you’re given certain opportunities of which it’s not 100% sure upfront that it’s a good one. So I thought i’d write a blog to help me think about it. So what are my choices?

A new house

Currently in the Netherlands, and pretty much all over the world, prices of the housemarket is really high (and too high in my view). And although we just renovated our house (which we’ve had for 15 years) the last year we already had that feeling that we wanted something else. Something a bit more out of town, stand-alone house, own parkingspaces. So we had a 5 year plan……. However, when you start looking for something, the chances are that you’re going to find something.

And we did, a really nice house, quiet neighbourhood, with a bigger garden, stand-alone, own parkingspaces, etc… The price was not bad, and we had to consider that we will sell our house for way more than we’ve paid for. The conudrum that we face has to do with our kids. If we buy the house, it means moving half-way through the year to a new town and environment. Anyone with kids knows moving is already a burden, let alone half way a school year. So we really struggled with the choice to make an offer.

What we did in the end is ask for a later date so our kids could finish the year. We got a voice-mail from the realtor saying they would not accept the offer as-is, but were open to negotiate. Unfortunatly the realtor got sick so it’s now up in the air as to what they expect. We can’t afford more that the asking price so it’s now a waiting game. And dependent on the answer we again have to choose if we want to move forward.

A new job

I recently starting looking around seeing what kind of companies and jobs are out there which are interesting for me, mostely product owner/manager roles. I’ve worked at the biggest e-commerce company in the Netherlands and Belgiums as an architect and product manager/owner. And right away I found a few interesting ones. But I also found that >11 years working at my current company, especially as an architect, made me very expensive as a product owner/manager.

Last weeks i’ve been in contact, and basically applying for a job, with a company which is really cool and vibrant, with a small number of people (+/- 50 compared to 3000) in an e-commerce environment and a few familair faces. It sounds like a great opportunity. But then I got the offer, which basically comes down to a salary gap of 400€ a month, and less pension. Now it’s still a good salary and opportunity to grow, they have ‘unlimited’ vacation days, a really nice central office and 50/50 office/home work.

So what do you do? My current job is not bad and I can see myself staying there for a while but am I really happy there? Or is the corona pandemic causing me the ‘flee’ and make a poor decision too fast? Or is it a great oppotunity i disquise. Especially when we also have the new house possibly to look forward to much with also a higher mortgage.

Conclusion (or not)

I really have no idea, and i wish these 2 big choise wouldn’t come at the same time and have such an influence on eachother, but I have to choose soon. The new job won’t wait forever but we also probably won’t get a definitive answer really soon regarding the new house. And even if we did, it’s really hard to estimate what the new montly expenses will be. So it’s a ‘gut’-feeling vs a pragmatic/safe choise.

I am leaning towards taking the job although my salary will be quite less. However, I see opportunities in a small company growing rapidly, including salary. And I know salary isn’t everything, but when you also have a family, it weighs heavily. I’ll update this blog when choises have been made 🙂

My Battle With Graves Disease, part 9: check-up

In my last blog told about the fact that i was no longer under medical supervision and once again on my own. Hoping that the symptoms will not return and keeping up with my diet and lifestyle.

I still am a bit anxious because after the first time i was ‘fired’ i had a relapse about 1 1/2 year later. So now that i’m in my second ‘fireing’ for almost the same period it starting the gnaw at me, feeling like the sword of Damocles hovering over me.

When you are fired from medical supervision the statement is that you should do a bloodcheck (for THS and T4) every year through your local doctor. From my perspective this is not enough and i would say that you should be able to do it every 3 or 4 months. With once a year you are almost always too late to detect changes. Good thing is that with a little ‘white’-lie you can get more….so i did.

Checkup

The result of the bloodtest was encouraging:

  • TSH 1,21 mU/L
  • T4 18,9 pmol/L

Below is a table of my previous results so as you can see i was worried that (free) T4 value would be higher again, but it actually went down a little but. TSH is much better as it’s now more in the middle

Although it’s still early in the process and people have been known to go for longer periods without a relapse, i felt good about the results. It would seem that, but i can’t scientifically support that, my gluten- and cowdiary free diet combined with specific supplements is working for me. Even with the extra stress that comes with the corona-situation.

Magnesium (shortage)

What’s bothering me more is my struggle with is my magnesium levels (need to be between  0,7 en 1,0 mmol/liter and i’m structurally below that) and i have been taking various types of supplements but none seem to take. I measure this through bloodtests and although there’s some critisism as to the value of a bloodtest for magnesium, if you get enough bloodtest then you should be able to detect a pattern. My orthomoleculair doctor told me that some people just won’t absorb certain variants of magnesium and that it can take some figuring out what the right type is. Sure, but i’ve been at it for a few years now…so patience is running out.

Why am i worried about my magnesium? Well, because it’s important for a lot of things but for me my it’s important to help support a healthy sleeping pattern, auto-immune system, (as an athlete) support performance when working out and helps prevent cramps which i regularly have in my calfs.

So right now i’m on my fifth or sixth variant (there are quite some variants) which is a liquid form a Magnesium. I have a testresult coming up in a few weeks so hopefully i’ll get some good news. But seeing as i do get cramps in my calfs (and other places) quite often i’m not too hopefull. If you have any tips, let me know! But i’ll let you know what comes up including results from a second thyroid related bloodtest in a few months (already working on an excuse for that one).