Notice

The contents of this blog are copyrighted to the author, Missy (unless otherwise noted) and may not be used, reprinted, published or in any way copied without written permission of the author.

The medical information contained in this blog (when it appears) is not intended to provide medical advice of any kind. Any medical topics discussed here are as they pertain to the author and her conditions only. Do not make any changes to your medications, treatments, etc. without speaking to your personal physician first.
Showing posts with label Daily Life. Show all posts
Showing posts with label Daily Life. Show all posts

Wednesday, September 13, 2017

Day In The Life...

I live in Florida and we just had a hurricane go through, Irma. Luckily I am in the panhandle so all we got was a tropical storm in our area. Some wind, some rain, and a dent in the van where a branch fell on it from the tree. Weather definitely effects chronic pain conditions and I am no exception to that. For the last couple days I have had lots of muscle spams, sciatica, tingling/numbness, shooting pain, and a higher pain level over all. A bad few days so far.

Since this is Chronic Pain Awareness Month (September) I thought this would be a good day to do one of those "Day in the life..." type posts. I think it will be a good idea to give people information on what it is truly like to have a bad day with a chronic pain condition. This is how it effects me, but I figure it will at least give people a rough idea of how it might be effecting someone in their lives and hopefully it will promote understanding.

So lets start with over night, sleeping. (Sleep? What's that?!? LOL) Due to the increased pain and severe muscle spasms I was not able to try to sleep until 2AM. I had a hard time getting comfortable enough to try and fall asleep because when I shifted position the muscles in my back (just under my shoulder blades all the way down to mid thigh on both legs) tightened up and started to spasm. This causes extremely sharp and intense bolts and waves of pain to shoot through the entire area. When it first starts it is extremely intense and takes my breath away. I then have to mentally remind myself to breathe, slowly and calmly. Somewhere around 3AM or so I dozed off. I woke up a few times due to pain and spasms but managed to go back to sleep until 4:30AM. I've been awake since then (it is now 9AM). I have been alternating between applying heat and ice to the affected areas (alternating; 20 minutes on/20 minutes off/switch to the other/repeat). Neither helps tremendously but when it is like this I'll take what I can get. I am having to shift position every 3 to 5 minutes (instead of my normal 8 to 10 minutes) to try and stave off another episode of spasming. This is not very effective since I still get the spasms and sciatica, it just isn't as intense. I am currently sitting at an 8 on the pain scale of 0 to 10. I took my morning medications at 7AM. Right now I am watching vlogs on youtube.

To get breakfast I had to think of something to eat that would require minimal movement and preparation as standing and walking are very painful for me. With the sciatica going on it is also dangerous as my legs can give out without warning and falling to the floor is not a good thing. I decided to make toast because it required the least amount of standing, bending, and reaching for things.

It is now 11AM and I am still in bed shifting position and alternating heat and ice every 20 minutes. I've also done some very gentle stretching to ease muscle stiffness. I am having to shift between sitting and laying down every 5 to 10 minutes. I can go 10 minutes laying on my right side, but only 5 minutes sitting up. Every 5 minutes sitting up I have to shift around and change which way I am leaning (left, right, forward, back against pillows). My left side is the worst and I can't lay on it at all. This is very annoying shifting around all the time. I'm still at a level 8 on the pain scale but am grateful that it is not getting stronger and am hoping it stays this way (I don't think it will as I have to pick my husband up from work this afternoon). I keep thinking of my mother telling me, as a child, when I was restless "Do you have ants in your pants?" and it makes me giggle.

It is now 6PM. I slept from 11:30AM or so until 2:15PM. Was a restless sleep and I woke up a few times with the muscle spasms. Back to alternating heat and ice. At 4:30 or so I went and picked my husband up from work, which hurt a lot, but it felt nice to get out of the house and into the sunshine. Came home and ate dinner which my daughter had cooked. Now, while alternating heat and ice I am going to do a stitching hangout to chat with friends and stitch for distraction. Sometimes it helps distract from the pain but even if that doesn't happen, it always lifts my mood to be chatting with friends.

It is now 9:47PM and just got off the stitching hangout. Made good progress on my project which can be seen on my stitching blog. I continued to alternate heat and ice during the hangout, shifting positions as needed as well as getting up to walk around and stretch my muscles out. My pain has been pretty steady at an 8 all day, but I am grateful that it didn't go higher or hit a pain crisis (level 10). I really didn't want to be curled up in bed and crying from the pain.

Now I will continue with the heat and ice while I watch some stuff on Youtube or Netflix/Hulu until I am sleepy, then I will try to sleep. I don't know how much sleep I will get but am hoping I get more than a couple hours. Lack of adequate sleep does not do good things for my pain, it also makes it harder to mentally deal with the pain.

That's pretty much my day today. My hope in sharing this is to help people understand what it is like during a bad day. As well as to show that being home a lot due to pain is not the fun, relaxing day off that people think it is.



Thursday, January 3, 2013

Poems From Pain

I wrote three poems the other night, one after the other. They're written on the back of envelopes because when the need to write them hit, it was extremely urgent and didn't want to wait until I found my poetry journal. I used to write a lot, but lost the desire during an abusive relationship in which I was ridiculed, yelled at, and physically "punished" for writing. Since then writing has become very difficult for me.

I realize I have been gone for a very long time from my blogs and I am sorry for that. I finally have some idea as to what happened with me and as my thoughts settle down, I will eventually write and describe what happened. I am sure I am not the only chronic pain patient who has reacted the way I did, specially those who have dealt with chronic pain for many many years.

Anyway, here are the three poems I wrote the night before last. These poems are copyrighted to me and can not be reprinted, re-posted, downloaded, or used in any manner by anyone else, without my consent.


The Bottomless Pit
© M. Hull Jan. 2, 2013

Lost in the depths of darkness
The bowels of despair
This bottomless pit...
How did I get here?

Stuck,at the bottom of a deep well
Looking up for any sign of light
  none to be seen

How did I get here?
                                                                                               
Praying, wishing, hoping to be saved
   prayers... unanswered
   wishes ...a fool's errand
   Hope...fades to nothing
   nothing left here
   a barren heart
   desiccated soul

As day after day..
   week after week
   month after month
   year after year
pain tears at my soul
    ripping it to shreds
   devours my heart
   destroys what little is left of me

still I wonder..
How did I get here?

I fought for years beyond counting
holding tight to hope
   ...all for nothing

Now here I sit, deep in this pit
   this pit of despair
   with pain my only company

How did I get here?

easy...
I got here through hours, days, weeks, months...years
   unending pain
   increasing disability
It took all I held dear away from me
all abilities...gone

until all that was left...

Is this pit of despair

END


Darkness of Despair
M. Hull © Jan. 2, 2013

I am lost
   blind
   deaf
   dumb
here in the dark

Pain is all I feel

Pain I fought for years
The fight in me is no more
                                                                                   
why bother?
  I can not win
   The pain always overwhelms me
   the dark always surrounds me
   until I am drowning
   the fight washed away


Blind
Deaf
Dumb

Nothing to see or hear
my cries for help go nowhere
   for there is no help, no succor, no healing
   this pain will never end

stuck forever... lost forever
drowning in the tears of pain
deep within the the darkness of despair
END


Grip Of Apathy
M. Hull © 2013

Cold fingers of apathy
reach out and grab me
pulling me down
   into the abyss

No struggle can beat this
no strength can break it's grip
try as hard as I can
..it always fails

falling
   falling
       falling

down
   down
       down
into the deepest darkest pit of despair
                                                                           
swallowed whole

Now I live there.

END


Basically what happened is pretty simple, and so dang common for those who live with constant pain or illness. With the Cymbalta came slightly lowered pain levels. This allowed me to begin to get an actual life back. A life where I could go to the store, go visit friends, go swimming, even go away for a weekend with my DH and have a blast. I was able to cook a few nights a week, do some cleaning every day. Pain crisises became rare as the medication removed the intensity, th sharpness of my pain. Yes I still hurt, but it wasn't as sharp or intense as without the Cymbalta. I got used to this , loved it and threw myself into it with great relief and happiness.

Then came a medication screw up thanks to insurance. So I had to go 2 weeks wihtout Cymbalta. As a result my blood level dropped and my pain went back to its usual 8-10 every day, with the same old sharpness and intensity (butcher knives stabbing the joints instead of a fist in a boxing glove..sharp pain instead of dull) and I ended up back in bed. It took 6 weeks to get the Cymbalta back up to proper blood level. But even then it was too late, I had lost my "new life" even though it was still at the beginning. This hurt soooooo much, to get some back and to lose it again.

I gave up. I no longer wanted to fight back. I was tired of the emotional hurt that comes with losing the new friends you made, losing the ability to do things, losing the lower pain levels etc. etc. So I stopped trying.

It took me until yesterday to figure out what was going on, and it didn't start bothering me until a couple weeks ago. Prior to that I was perfectly happy to be stuck in apathy and doing nothing. It is safer.

That's pretty much it. Hopefully I can write more in depth about it.



Wednesday, July 11, 2012

Video Blogs on YouTube

Thanks to it being more difficult for me to sit up for long periods of time, I decided to start doing video blogs (Vlogs) on You Tube. I did a group of videos that basically give my history of chronic pain and how I got to where I am today. Since that story has already been told on this blog in the post 30 Years Of Chronic pain, I won't include that videos here. However, I will post other videos to the blog for people to watch if they want to.

I did one the other day about safety with medications. I also did a written post on this blog for the same topic, so I don't think I need to link that video. However, today I started a series of videos on judgements. Since people with chronic illness and / or chronic pain are judged in many different areas, I have chosen to do this topic as a series of videos. For the first one I chose the topic of how chronically ill people and people who suffer from chronic pain are judged for their diagnoses such as being told that illness doesn't exist, it's all in your head, you don't look sick and more. I hope the video is educational and of value to people who watch it.



I also made a request of viewers and I wish to make the same request of my blog readers also. So here is the video explaining my request.


Thank you everyone!

Friday, July 6, 2012

Taking Proper Care of Prescription Medication(s)


Many chronic pain patients are on different medications. Some are for the pain and others are for the condition(s) that is/are causing the pain and or depression. Many of these medications can be controlled substances, or have a street value as addicts have found they can give the “high” that they seek. Surverys asking teenagers if they have taken medications out of a family member’s medicine cabinet have shown that many teenagers have done just that. Also there are “parties” out there called “pharma parties” (aka “candy dish” or “trail mix” ) where people dump different pills that they get out of those medicine cabinets then just take a handful in an attempt to get high. These parties have resulted in overdose deaths from heart or blood pressure medications or even narcotic pain medications, psychiatric drugs, etc. all being mixed without any knowledge of what they are doing.


It is a chronic pain patient’s responsibility to keep their medications safe from theft. The best way to do this is to keep the medications in a locked box or safe of some sort, not in the medicine cabinet in the bathroom or a cabinet in the kitchen. All medications should be stored in a locked box or safe. If more people took their responsibility seriously less thefts of their medications would occur. As a chronic pain patient here are some tips to keep your medications safe.


  1. when picking meds up at the pharmacy, be careful to not advertise that you are picking up pain medications. Always check to be sure the medications are correct before leaving the pharmacy.
  2. put the bottles in a locked box or safe and make sure that you do not share the location of the key or the combination with others. Do not leave the lock box in plain sight either.
  3. remove labels from all empty prescription bottles before throwing the old containers out (or reuse them to store small items such as screw, nails, beads for crafts etc.) or recycling them
  4. shred the labels to ensure that someone going through your trash can not read the label and know you are on pain medication
  5. shred pharmacy receipts that list the names of your medications for the same reason as number 4
  6. Do this for all medication, both prescription and over the counter

By protecting your medications in this manner, you greatly reduce your chances of having your medications stolen by a family member  or friend. You also decrease the chances of drug addicts finding out what medications you are on by going through your trash.

You are responsible for how you handle your medicine and being careless is not an excuse, especially in today’s political climate of removing pain meds from people. The more often you have to call for lost or stolen medication, the more likely you will be labeled as an addict or diverter of your drugs. Now, just a single instance will be enough to be labeled and having your pain control revoked. So take your responsibility seriously.
Anyway, these are the things I do to protect my medicines, both prescription and over the counter. If I am missing anything, or anyone has ideas on better protections, please feel free to comment, or email to let me know!




Wednesday, April 4, 2012

Taking Stock In Attempt To Change

For the last 18 months, and probably longer, my pain has been in control of my life not the other way around. When my pain got worse a few years ago I adapted and still managed to function. When it got worse in April 2011, I could not figure out ways to adapt as nothing seemed to work. As time went on, depression increased, mobility decreased and pain took control. My old methods for dealing with and living despite my pain are no longer effective with this new level of pain and symptoms (no standing/walking more than 5 minutes). So I decided to try and get some help. I can't locate a behavioral therapist who deals with chronic pain in my area, so I ordered some books.

I am currently working through "The Chronic Pain Care Workbook" by Michael J. Lewandowski, PH.D. I already knew that my coping mechanisms are not good and in the case that I've been using dissociation to deal with my pain, they have degenerated into very unhealthy mechanisms. I bought the books back in early February I believe. Since then I've read a few pages in each one (I bought 4), then did what has always worked for me. I allowed my mind to analyze and think about the ideas these books represented.

It is very hard for me to admit that my actions and thoughts are contributing to my pain. It is difficult to admit that I lost some of my ability to manage my pain effectively a while ago, and lost the rest of it in the last 18 months or so. It is hard to admit that I gave up. I wanted so much to believe that I was doing everything I could. That I was trying to function with the pain, but the truth is I gave up. The pain got so much worse, with new symptoms and the inability to stand for more than 5 minutes, no real help from my doctor, and I gave up. Now I am sitting here crying because this is the first time that I have faced head on and admitted clearly that I gave up. Instead of saying something like "yeah I've given in BUT <insert any but here>", the truth is I was kidding myself, there has been no actual "but" for a long time. I do occasionally fight back and try to do things like some laundry or housework or cooking, which increase my pain and when that happens, I give up again for a while before trying again. But those attempts are few and far between.

Why am I sharing something that to me is emotionally painful, humiliating, terrifying, and so intensely personal? I'm not really sure what all my reasons are, but the one that comes to mind immediately upon asking myself that question is that I want others who may be in my position to see they are not alone. In addition I am hoping that by sharing the truth about my own mental, emotional, and physical ability to fight/live with my pain, that those who are in the same boat as me, can see that there is still hope. I have reached a point where I am sick of this. I want my life back. The only way to achieve that is to work at it and learn new ways of coping, since obviously my old ways aren't working. Sitting around waiting for something outside of myself to give me back my life obviously doesn't work. So I guess it's time to get off my ass again.

In the book I mentioned above there are lots of exercises. These are designed to help you see where you are now in dealing with your pain. What is working well, what is not working at all, and what could use some improvement to work better. The beginning of the book, like any other self-help book or even therapy with a therapist, starts out with taking stock of where you are right now. Identifying what works, what doesn't etc. Also identifying your readiness to change, your motivations. I understand all of this having gone through it before with and without a therapist when I was dealing with healing after abuse. I've done these things in conjunction with a therapist in order to help my daughter heal from abuse. Many of these first steps are the same.

What surprised me was the fear reaction. Having the fear of facing old abuses in your past, acknowledging the damage it has done and the negative effects it has on your present all made sense to me. Who wants to face such painful memories, accept them, work through them and all that. The fear made sense.

But now, accepting this fear of dealing with my own pain means accepting that I have failed. For some reason I am finding it much harder to accept that I am afraid of trying anything. My biggest fear is increased pain and decreased mobility, followed by fear of failure. For some reason this isn't making sense to me. I keep asking myself "Why am I afraid of my own pain?, heck I've lived with it for 30 years (varying over that time from mild, to bad to worse to now [horrible]). I know I will live with pain the rest of my life. Why am I afraid? Is it really that simple as fear of change?". It isn't making sense to me why I am so scared.

And with so very little for me to look at as things I can do well (in the sense of a job or productive activities), the idea of having failed in dealing with my chronic pain in my daily life is terrifying and painful. I am feeling very vulnerable and very sacred to look at all these things, to see exactly where I have failed. What if admitting all this makes people around me decide I'm no good? What if it makes me decide I'm no good (seeing myself as no good is worse to me than others having that opinion)? What if I fail at trying to change? Heck since I've already failed, what are the chances I can succeed now? I've tried to fight over the past 18 months, but failed time and time again.

But I don't have a choice, I have to try. So I will take my anger and fear and try to harness it as a motivation to get the changes I want. To get my life back.

One of the exercises was to draw a pie chart that represents how I view the way my pain problems affect my life. Included are the pain issues themselves, then social issues and psychological issues. Here is a picture of the pie chart I drew. It clearly shows that the pain issues have overtaken everything else in my own mind; I have allowed the pain issues to overshadow everything, to take over. This ticked me off and scared me and I want to change it. So here's hoping I can do that. I will try simply because I want a life, my life, back.


The book then goes over the Stages Of Change and I am in the "Open to thinking about change, but...". I know Doc's can't fix me. I know that I will have pain for the rest of my life. I know that what I've been doing isn't working. I know my fear of trying to change and failing, isn't going to help. I want to change this pie chart, I want my life back. So now comes working through the fear and getting rid of it so I can take the steps necessary to manage my pain better.

Knowing how I tend to work, when it comes to having to fix things mentally/emotionally/behaviorally, I will probably revisit these topics a few times. Hopefully on this blog so my journey can help others, but it is possible that not all of it will show up here, depending on how personal it is or if the thoughts etc affect someone else, not just me. So most likely I will have to revisit this topic of my fears until I understand them well enough that I can counteract them with more reality based thinking.

Here's hoping that I can get my life back.

Monday, March 26, 2012

How Do You Deal With This?

This was written at 5:10AM on March 25, 2012 in my written journal. I was having great difficulty sleeping as usual and my mind was running with thoughts. I wanted to post on here but didn't want to disturb my husband who was asleep beside me by setting up the laptop in the bed. So I wrote in a notebook and am copying it here.

Sunday March 25, 2012 5:10AM

How do you fight depression and apathy when your physical ability to move is so screwed up? I used to fight depression by doing things such as going for walks, cleaning the house, taking a drive, and similar activities. Of course there was the mental effort as well such as recognizing when I'd start thinking life sucks or I'm a bad person etc. I would consciously force my mind to think of something else then distract myself by getting up and doing something.

I am failing at fighting my depression and apathy now. I can't use physical activity as a distraction because I have to pace myself. Cleaning, for example, gone are the days when I could tackle a room and do a heavy cleaning for a couple hours in a row then move on to the next room. I used to be able to clean and rest in 10 -15 minute bursts. Now I have to clean in 5 to 10 minute bursts; clean for 5 to 10 minutes, rest (sitting down) for 10-15 minutes to gauge my pain level, clean for 5 to 10 minutes and repeat until I hit a 7 on my pain level or the cleaning is done, whichever comes first. More often than not, the 7 comes first now since I start most days at a 6 and can't stand for more than 3 to 5 minutes, and my pain steadily rises while I'm on my feet. It used to stay more constant and the cycle was more for me to be able to gauge my pain level than because I couldn't stand. It doesn't take much to make me go from a 6 to a 7, especially if I am moving around. The resting time just reminds me that I am disabled. It serves as proof of the negative thoughts that cross my mind, making it harder to fight those thoughts since they are true. Thoughts such as "I can't even vacuum the living room in one go anymore"--true. "I can't stand long enough to cook dinner anymore"--true.

Every attempt I have made to get back on a schedule has failed. I can do it for a few days, maybe, then its gone. Am I trying to fix too much at once? According to the chronic pain books I bought I am. But starting with just a small thing like taking a shower every day feels like it isn't enough, like I should be doing more. Then, because the shower energizes me and I feel I should be doing more, I do other stuff as well such as cleaning or playing with Bridgette and send my pain sky-rocketing for a day or two (sometimes more). This makes the next day's shower impossible because my pain is too high and I can't walk right, if at all and boom I'm back where I started.

Maybe I need to start with the mental stuff more than the physical? Maybe I need to change how I see only what I can't do instead of what I can do; change only seeing what I haven't done instead of what I have done and change telling myself I can't do this or that out of fear of the price I'll have to pay for the activity either through much higher pain levels, pain crisis, being unable to walk, or a combination of unable to walk and more pain/crisis. The result of this fear of the cost is that I do nothing, feel like crap about it, mentally beat myself up and the cycle continues. So how do I change this? The same way I changed my self-esteem from "I never do anything right" to a more balanced view by writing lists each day of things I did right, thus re-training my brain to see both? I'm not sure how to make that work in this situation. Yes my self-esteem has taken a hit, but I haven't reverted to seeing myself as a bad person, no good, or unable to see the things I do correctly. Maybe I just need to change the negative self thoughts to a more positive statement. For example instead of saying "I can't cook dinner anymore" change it to "I can cook dinner if I plan ahead, pace myself, and use the bar stool like I did when I cooked Thanksgiving dinner."

Changing those thoughts is so hard, in part because I hate my condition. I hate what it has caused me to become. I hate the idea of yet again having to "fix" myself. It is exhausting! I've been pretty much dissociating  from my life because it makes it easier to be stuck in bed every day, in pain, physically disabled, and unable to do much, if anything, at all. By dissociating and not really thinking I can ignore some of the physical pain (which is good) but I can also ignore everything else that bothers me. It shuts off the thoughts of being broken etc., shuts off the fear of movement increasing my pain because I'm not moving or trying to do anything as a result I don't fail at doing things and the self-recrimination doesn't start. Of course this means I also don't have anything I can look at and be proud that I accomplished it. But in a way that is also good because having pride/joy in an accomplishment makes me want to do more, so I do and my body slaps me back down hard, usually with a pain crisis that lasts at least a couple days. During those couple days Ron has to help me on and off the toilet, he has to help me put on or take off clothes, etc. This is humiliating to me so I want to avoid it.

So where is the middle ground? Is there a middle ground? How do I stop mourning for everything I've lost to this pain? I was doing okay with it until the time I fell and hit the marble topped end table and added another fracture to the SI joint about 6 years ago. This resulted in constant swelling and a large jump in my pain level. I had started to accept the new level and was doing better until I received yet another fracture line when I fell on Christmas Eve 2010. It is since that last fall that I've gotten angry, depressed, sad etc. and can't seem to get myself out of it. I know part of that is because I am stuck in bed every day and can't stand for more than 3 to 5 minutes and because I know that fall was not my fault. Like the fall a few years ago (the table one) this latest fall that resulted in a new fracture line was directly caused by someone else's actions not my own and it wasn't an accident. The fracture wasn't intentional but making me fall was. When I fell I hit the left SI joint, right at the base of the scar that is directly above the joint, on the end of the chair at my computer desk in the living room and I hit the right SI joint on the edge of my desk; both at the same time because the chair was pushed in close to the desk and there wasn't enough space for my fat butt to go between the two and just hit the floor. This chair, like the end table, is solid wood and built really well. Ron's dad built a couch, two chairs, 2 end tables, and a coffee table for Ron and his first wife many many years ago. They are very solid pieces of furniture. I can't remember how many times I have broken my toes by accidentally hitting the legs of those pieces of furniture. lol

I am terrified that I can't win this time, that I just don't have it in me anymore to put myself back together again, to keep fighting. No I am not suicidal. I mean that I don't seem to have it in me to learn how to function despite the new normal for my pain. I seem to prefer to just space out, dissociate, rather than face it and fight to get some semblance of a life back.

Everything just seems like so much more work, even the simple little things I can't just do them without thought and planning first. I have to think of every step involved in that task, plan how to best complete the task, come up with a way of doing it in a manner that causes the least stress to my body thus the least impact on my pain levels and after all that, then I do the task. This takes a lot of mental and emotional energy and often seems overwhelming. If my first plan fails I have to start over trying a different way, over and over until I find one that works. Then this is complicated further by the variable nature of chronic pain, some times what worked one time, will not work the next time which results in having to think and plan again. It is exhausting to have to do this for everything in my life from simple things like reading a book to Bridgette, taking a quick shower (HA HA no such thing as a "quick" anything anymore), doing laundry to everything healthy people do without having to think of every little action/movement that goes into an activity and plan how to do each movement. It is exhausting mentally, emotionally, and physically and even when I do manage to find a way to do something, I still end up with a rise in pain levels though that rise is not as high as it is when I don't plan things out.

What makes it worse is to have healthy people in your life who do not understand and just saw me as lazy or faking it to get attention (such as my family members [the family I was adopted in to when I was 2 years old]). On this issue I am fairly lucky because the people in my life do get it and do understand that chronic pain can vary from day to day (or even multiple times within the same day) and thus affects what I can and can't do from one day to another. Over the years I have lost the friends and family members who did not understand either because they left me or I chose to end the relationship.

I am just so exhausted and feel so discouraged, afraid, and lost.

Thursday, February 2, 2012

A good loss of pride

My eldest niece has come to live with us. She is 17 and a wonderful girl. Last night we needed to go to the store because she needed some clothes for school that meet the uniform based dress code. I'm not sure why but when she mentioned it something in me jumped up and seemed to yell "I WANT TO GO TO THE STORE!". This surprised me because I have not wanted to go to the store in a while since walking around really hurts. Also I have refused to use the little electric scooter type carts in the stores. The idea of using one made me feel embarrassed, humiliated, and afraid everyone would be looking at me. I know these are stupid reasons for not using an item that is meant to help my mobility and thus retain (or regain) some of my independence. Ron said I could go to the store but I had to promise to use one of the electric scooters and I agreed.

On the way to Wal Mart I was nervous and felt a bit defeated, but I was also so happy to be out of the house for something other than a doctor's appointment or procedure. So when we got to the store I chose a scooter and sat down. I read the directions and was happy to see how easy this thing would be to use.


This is not exactly like the one I used but very very close. Anyway, I used the scooter and at first I felt a bit embarrassed but I was surprised to find that it passed quickly. It was replaced with this wonderful feeling of freedom and happiness! I was shopping and could zip around the entire store without all that severe pain I now get when I walk or stand for more than 3 to 5 minutes! I was ecstatic! Heather and I got quite a few laughs out of it as well. They take a bit of getting used to for things like turning and backing up. I kept backing up on accident, or hitting a rack when I turned. At one point I accidentally pushed the end cap of one aisle out from where it was supposed to be. Heather put it back for me. I was a little embarrassed when I did that, but mostly I laughed at my mistakes and just enjoyed being able to go all over the store without hurting myself.

It was fantastic! Getting a taste of the freedom and independence I could have if I owned a scooter erased all my stupid reasons for not trying to get one before. Those reasons all boiled down to pride. Now I want a scooter, so I am going to find out how to go about getting one. Either a scooter or an electric wheelchair, something so I can have my independence back a little.

I am very proud of myself for finally trying the scooter. I also feel really stupid for not trying it sooner!

Here's hoping I can get one.

Tuesday, January 24, 2012

Changes and Getting Stuff Done

As I have mentioned before my brother, Brian, lives with me along with his fiance, Stephanie, and their daughter Bridgette. Brian's eldest child moved in about 5 days or so ago. She is 17 and her name is Heather. She is a sweet, cute, lovable, intelligent person. I'm not sure why but since she arrived I have had more energy to do things than I've had lately. I've spent more time in the living room in the past couple days than I have in months. I've greatly enjoyed talking with her as well. Maybe this response in me is a result of having someone new in the house, which brings new energy. I had a similar response when Stephanie and Bridgette moved in 4 years ago, then again when Brian arrived.

I've been battling with my depression and the apathy it causes for a while now. Both got worse after the yard sale I ran in April 2011 because my pain got a lot worse. It is so hard to struggle against depression and the apathy it causes. It takes a great deal of energy and most of the time I just don't have that energy. I just can't summon the energy. Even worse, I can't summon enough emotion to actually care to do anything. I know this just makes things worse. I know that part of fighting depression is to choose to do things even when you don't want to because medication is not always enough to remove depression.

Well for the last 5 days or so it has been a bit easier to actually feel the desire to fight back and to do things. So I took advantage of it. Yesterday I went through the piles of mail that was sitting on my night stand and some on the desk in my room. Since I pay my bills online, I tend not to open the ones that have the same payment amount every month (Mortgage, car payment etc.). Since I now keep the payment information, including the confirmation numbers on the computer in word documents, I no longer write on the bill itself like I used to. (paid, date, amount, check #) So all the papers were piled up waiting to be filed. I went through all of that, filed every thing, then put all the stuff for 2011 into large manila envelopes ready for storage. I did some cleaning in my bedroom and some in the living room, including cleaning the interior of my desktop computer. I also did our taxes for the year.

Last night was a rough night, very stressful. I did not sleep well, kept waking up from pain. I also spent a few hours talking with Heather to help her deal with things that were bothering her as well as her own depression symptoms.

Today the weather is doing the "waiting to rain" thing. The sky is completely cloud covered, it is very cool and the air smells like rain.

As a result of those three things (doing stuff, stress, lack of sleep), my pain is very very high today. I've been sitting at a 9 all day. About 20 minutes ago my younger niece Bridgette stepped on my toes (one of which is infected and hurts) causing me to lose my balance and fall. As a result my pain is now rising and I am headed for a pain crisis. I took my breakthrough meds in the hope that it will keep me at a 9 and thus avoid the pain crisis, but I'm not sure it will work. It rarely works when it is a fall that causes my pain to go up, specially if I fall on my hip or buttocks as that causes intense jarring of the bones in my pelvis that are broken. Broken bones do not like being jerked around LOL

Despite the higher pain level, I still feel pretty good mentally. I felt very accomplished and proud of myself yesterday, and despite today being a very bad pain day, I still feel satisfied, proud, and like I accomplished something. Those are good feelings. :)

Another thing that made me feel really good today was a package that came in the mail. I ordered a Nightmare Before Christmas hoodie for Heather. Kind of a "welcome home" gift. She is really happy with it and it made me feel good to know she likes it.

OK I have to lay down. sitting is just hurting far too much.

I'm hoping that I can continue to find the energy to fight back, especially against the apathy.

Tuesday, December 20, 2011

Weekend Away!

A friend of mine, whom I have known for just under 15 years, has a time-share condominium in Florida. It is in the next city over from mine. He invites my DH and I to come spend the weekend with him. Some years he couldn't make it but sent a letter to the company allowing DH and I to use the condo in his absence. It is a beach front condo and the sound of the ocean is just so soothing!

It may not be very far from my home, but just getting out of my own house for a short while is nice. He was in town this past weekend (16 Dec thru 19 Dec). Ron and I were able to go for the weekend this year. We arrived Friday afternoon and came home Sunday afternoon. It was just wonderful!

The condo has a whirlpool tub in it and I got to soak in it many times. It is amazing how much help those tubs are! The moving water gently massages my muscles, which helps them relax better than a heating pad does. It really helped a lot.

The only drawback was they no longer allow smoking on the balconies. Instead they created designated smoking areas on the ground floor, outside of the buildings at maximum distance from the elevator. So every time Ron or I wanted a cigarette we had to walk to the smoking area. When it got cold we went and sat in our car to smoke. This was more exercise than I was used to and as a result I ended up in a great deal of pain. Oh but it was worth it! It was positively wonderful to spend the weekend with Jay (our friend).

We talked and laughed a lot. Just enjoying each others' company. Instead of going out to a restaurant for dinner, Ron cooked a steak dinner in the condo. It was positively delicious! On Sunday morning we stood on the balcony and just watched the ocean (Gulf Of Mexico). It was so smooth, no waves at all. It is not often that this happens, usually there are waves in the Gulf. So I took a picture with my cell phone, as I forgot the camera at home. Perfectly still, gorgeous shades of blue, and we could even see fish swimming by! The fish don't show in the picture, but you can see how still the water is.


Since we got home I've been in bed with a lot of pain, but despite the pain I am trying to keep up the exercise. This weekend showed me just how bad my muscles are and I know this is not a good thing. I need to build my muscles back up. With stronger muscles, my spine and pelvis will get more support and in theory this should lower some of my pain. However, doing the exercises hurts like hell and I am afraid of that pain, which is why I haven't exercised much beyond some gentle stretching. I don't think I have much choice now, so I've started walking to the end of my street and back home. So far I haven't made it past 3 houses down before having to go back home. I also have to sit down 2 or 3 times on this walk, but that's ok. When I can do this easily, I will lengthen the walk.

Having that short break has done a lot for my mood and I had a great time! I got the 3rd Reindeer done and started the 4th (stitching), but mostly I just relaxed and got to laugh a lot.

Thank you so much Jay for sharing the weekend with us, it was wonderful!

Monday, November 21, 2011

Little Things Really Matter & Finally feeling a bit better

Well the pneumonia finally cleared up. It took quite some time and 3 antibiotics. Of course, I was able to tell that I was feeling better, at first, because I started to feel my back pain more clearly. Now I am back to my usual pain levels and the rest of my body feels normal.  I still have a bit of a runny nose and sinus congestion, but that's it.

I've met a new blogger. She found my blog and commented on a couple posts. She started her own blog in the hopes that it would help her to have a place to vent her thoughts and emotions. She also struggles with chronic pain due to a back injury which has caused depression as well. Her name is Leanne. You can find her blog here: http://depressionandpainsucks.blogspot.com Please visit her and welcome her to the blogosphere as she can use the support of others.



I am looking forward to Thanksgiving on Thursday. I don't know if I will be able to cook the meal and that is really upsetting me. Cooking Thanksgiving dinner has become something I hold on to dearly and look forward to all year. It has become very important to me, kind of as a way to balance out the things I can't do by providing a good meal. On the couple of occasions when I haven't been able to cook the entire meal, I spiraled into depression. This year I am very worried that I won't be able to cook it at all because I am pretty much stuck off my feet almost all the time now. I will do my best, push myself (like I do every year) and probably end up in a pain crisis for a couple days. I will do as much of it as I can sitting down and have others help me with preparation for the cooking (as I always do), but I am really hoping to get through this. I don't know, it seems to have become a major deal for me. Like "See I am ok, I can still cook Thanksgiving dinner!". One meal, even though it is a large one, shouldn't be an indicator of how good or bad a person is, but this meal has become exactly that for me.

I guess it is a good example of how a chronic pain patient has to find other ways of defining themselves and other things to hold up within their own minds as proof that they are still "good". Depending on what we are physically able to do, those important things can vary widely from participating in a hobby, to cooking a special meal, to just doing some laundry to any other action a person can take. These things become the ruler we use to measure our worth and value as a person. As a result, if further injury or advancement of an illness, takes those things away from us the effect is devastating. It hits us directly in the self-esteem. It hurts and is scary. It reminds us that we are not healthy or "normal". It brings worry about the future. It bring depression.

To a healthy person having something that seems so small, no big deal, be so deeply important to a person doesn't make much sense. They often dismiss our fears, concerns, etc. because they don't understand how such a normal activity is not just a normal activity to us. I've heard "it doesn't matter who cooks the turkey. It isn't the food, its the togetherness and gratitude that matter". This is true for most people, but for me it does matter because this is something special I can still do for my family. This is a way I can show how much they mean to me, how important they are to me, that I can still do it so I am not completely useless. To be unable to do it anymore is terrifying and emotionally devastating.

Please, let me cook this year ok universe? please?

Sunday, November 13, 2011

Pneumonia...a good thing?

I signed up for some stitching related things, so of course I got sick. Seems to be how my luck runs. LOL

3 weeks ago I was diagnosed with pneumonia so I've been pretty sick. Lots of coughing, wheezing, and congestion. But I have noticed something about being sick, when I am sick I don't feel the pain in my back as much (this is a good thing). I think it's because I feel so horrible all over that it just kind of blends in or is overshadowed if I feel extremely horrible. So I guess being sick does have it's good side!

Though body aches on someone who suffers from chronic pain seems monstrously unfair. It's like "Ohhhh give her body aches, she doesn't have enough pain!". LOL I try to find amusement in things, it keeps me from going too crazy.

I'm not feeling as depressed as I was, which is nice. I'm hoping this improvement isn't just because I'm sick. I don't think it is because I am finally starting to feel better and the overwhelming sadness isn't returning.

Other than being sick, nothing else is going on. I am feeling a bit better today so I am going to try and stitch a Christmas Ornament for the challenge I joined. I was hoping to have at least 2 ornaments stitched by now, but no such luck. I'm going to try a simple design because my concentration isn't as good as it normally is and I'm afraid if I try something more difficult I'll just end up having to rip it all out.

Just wanted to let everyone know that I'm still around. I hope everyone is doing well!

Wednesday, August 17, 2011

WOW a post that doesn't sound like the end of the world

Today is a pretty good day. I'm hurting but not too bad (around a 6 right now). I can actually move a little bit, which is nice, YAY!

I know that when I do write on here it tends to be depressing and very down. Sadly that is usually when I need the write the most, to vent. I probably should get in the habit of writing on days like today that are not too bad. Or at least write during the short periods of time that aren't too bad during any day. But when I feel decent, I am more focused on enjoying that feeling than on babbling into the ether. lol

I may need to have an adjustment made to my medication because the depression hasn't gotten a lot better. It was when I first started the medication but the energy etc. that I felt then is now gone. Maybe my dose is too low? I'm not sure. I will have to look the drug up to find out if my dose was meant to be a starter dose or what.

I just wanted to post that today is a pretty decent day so far and I am happy with it! Now to go start a load of laundry, whoo hoo! I get to do laundry! YAY (weird thing is, I am actually happy to go do something I normally dislike)

Friday, May 6, 2011

30 Years Of Chronic Pain

In pain..hiding from the world
Alone...frightened..suffering
scared...exhausted

I have been having a real rough few weeks since the yard sale. I've been stuck in bed every day, with high levels of pain and unable to stand for more than 3 minutes. To explain what I mean, the other night I went into the kitchen to get a glass of water. My bedroom is 25 steps from my kitchen. When I pulled out the ice cube trays (the ice maker in the freezer is broken LOL) I noticed the top one had 3 cubes in it, so I decided to refill the trays. So I quickly emptied the four trays into the ice cube compartment in the freezer (total time maybe 1.5 minutes if that long, its easy to empty these trays??) I then refilled the trays (4 of them) with water at the kitchen sink, which is literally 4 feet away and directly across from the fridge. By the time I got the 2nd tray filled all the muscles in my lower back were all knotted up real tightly, my pain had risen from a 5 to an 8, sciatic symptoms started (shooting pains down my legs), and my legs started shaking. By the time the fourth was filled I was at a 9 and my legs were shaking real bad with the left going numb and I knew my legs were about to give out any second. I managed to put the trays in the freezer without falling and then I had to sit on the floor of the kitchen. It took me 5 minutes of sitting on the floor, laying on my back, before I could get up and limp back to my bed.

This devastated me, hurt me emotionally and mentally, and made me feel totally useless. Which caused me to start thinking back over my life. This looking back has focused on my experiences with back pain and it made me realize that I have lived with chronic pain issues for 30 years now. I started having intermittent back pain around 11 or 12 years of age and it was made much worse when I was raped and the guy threw me up against a radiator (a metal heater) which I hit with my lower back. After that, the pain became more frequent but still wasn't every day. When I started working at 14, it became even more frequent and by 18 it was daily. By that point the only thing that varied was the severity of the pain and whether or not I got sciatic symptoms (numbness, tingling, shooting pains down the legs). The weeks of my period were always the worst, as were days where I worked on my feet (which was a lot).

I honestly don't know how I've made it this far and I don't know how much longer I can do this. The pain gets worse every year and I've lost so much from it. I have very few friends in r/l. I almost never go anywhere. I spend significant amounts of time stuck in bed due to pain and being unable to walk. I'm just so tired of it and terrified of what my life will be like 2 years from now, or 5 or 10. The desire to just give up and disconnect from life completely (not suicide, but unplug my mind..catatonic) has been extremely tempting and strong these past couple weeks.

I've become something I fought against for so long...I've become a burden to others.


I hate it.


I want my life back, any life. I want to be able to clean my house (not heavy housework, just dust a shelf or do a load of laundry without a pain crisis as a result), cook dinner, watch tv in the living room, sit at my computer at my desk (instead of daughter's old laptop in bed), make love to my husband (without crying after or having to stop half way through because my pelvis snapped) hell or to just be able to cuddle with him for a while (just the touch of his body against mine sleeping hurts too much, so no cuddles which sucks), go grocery shopping or even just run to the Dollar General down the street to pick up milk when we run out. I want to be able to drive my car (My Mustang) even just around the block. And a million other things healthy people take for granted every day. I want to be able to take a deep breath and not have muscle spasms from it. I want to be able to sit up in a chair and not have my pelvis feel like it is full of broken glass.

Hell right now I'd love just being able to get into and then out of the bathroom by myself. Without my husband having to either carry me in and out (including putting me onto [and then picking me up off of] the toilet) or having to walk behind me holding my waist or under my arms to make sure I stay upright.

Today I took a shower (with hubby's help and my shower buddy [shower chair], of course) and when I was clean and dry I went to get dressed and he had to hold my underwear and shorts for me to step into and pull them up most of the way for me while I held onto his shoulders because bending over (even from a seated position) just was not an option (and with kids in the house neither was sitting around naked). I almost burst into tears from humiliation, embarrassment, and just feeling like such a burden to him. Feeling broken and hopeless.

I want to be able to fill 4 ice cube trays without having to lay on my kitchen floor afterwards.

There are so many similarities between chronic pain patients and patients who suffer from chronic illnesses (Dysautonomia, POTS, Lyme Disease, etc.) yet even amongst other chronic illness sufferers, chronic pain patients can be excluded, judged, or dismissed as drug addicts. I've had chronic illness sufferers tell me that they do not want to associate with a chronic pain patient because they are afraid that their doctors will think they are drug seeking. Or the other person will think we are an addict, or judge us for using pain medication. This really bothers me so much more than having a healthy person dismiss me in this manner because I stupidly think that people who suffer from a chronic illness should have a better understanding of and more compassion for other people who suffer every day from some medical condition or injury that causes permanent pain. I've had people who are chronically ill tell me to just "suck it up", "it can't be that bad", "you just want to get high", "you're not positive enough", "but you don't look like you're in pain" and the ever popular "you're just an addict". It is disheartening to know that there is so much ignorance out there and it is only made worse by the misinformation being disseminated by the government and media.

I've mentioned before about the statement that was in my son's 6th grade science text book for school and what one of my daughter's science teachers told her class in high school ("No such thing as chronic pain", "no existing medical conditions that require daily use of pain killers" and " anyone who takes pain medication daily is a drug addict") and that is just one source of misinformation. News stories (on television, radio, and in newspapers) that say things like pain clinics are nothing but free drug clinics for addicts and similar things make things so much harder for chronic pain patients. It utterly amazes me as well as disheartens me when those judgments are stated by someone who is chronically ill.

But the worst ones of all are those who suffer from a condition that causes pain and choose not to use pain killers to help them deal with their pain yet they can still function fairly well. As a result they believe that this *is* true for everyone, and it just isn't true for everyone. They can often be quite rabid about their opinions, similar to how some people get when they quit smoking. Once they've quit they jump all over someone who smokes, and dismiss the smokers statements of how hard quitting is for them by saying things like "If I quit, then you can too. It's not that hard!". They will often lecture the person who is still smoking. In a similar manner, some people who can manage their pain without drugs will say things like "I don't take pain medication for my bad back so you shouldn't need any either". I naively think that someone who lives with a condition that causes frequent, constant, or chronic pain should have developed more understanding of living with chronic pain, and have more compassion for other chronic pain sufferers. They should know that not everyone has the same pain tolerance, and not everyone has the same pain responses to the same injury. For example, some people have little to no pain with a herniated disc in their back, whereas other people can have intermittent pain and still others have constant pain. Then the pain itself varies from shooting pain, to throbbing, to stabbing, and more. Some get sciatic symptoms, some do not. Some people will even have their disc return to normal over time, while others' discs will never be normal again.

Being judged, dismissed, or outright attacked (verbally) by another chronically ill or chronic pain patient is the worst. It is more mentally debilitating than receiving the same treatment from a healthy person. It is completely isolating and causes so much self-doubt and damage.

Even 12 years later, I still hear the words of my ex-husband when he told my why he was choosing his girlfriend over me and ending our marriage.."she's not broken like you are". I don't think a day will ever come where those words never repeat in my mind again.

People assume that pain management means taking enough pain medication to get rid of all the pain and be pain free. That is NOT what pain management is. Pain management is using different methods (of which medication can be one of those methods) to help the patient lower the pain to a level they can live with and still function fairly well. The patient still has pain all the time, it is just lowered enough that they can still do things despite the pain. Not everything they want to do, but enough to at least function.

We use methods such as diet, exercise, acupuncture, massage, meditation, chiropractic care, procedures such as steroid injections or radio frequency ablation and more in addition to pain medications to try and achieve pain management. For many of us, we try many different things before taking pain medications or along side of medication. Also for most of us, when we do take pain medication, we take the lowest dose we possibly can that will lower our pain enough that we can still function despite the pain we still feel, enough to take the edge off the pain not to make it go completely away.

Think about the worst pain you have ever felt in your life. Think about how that pain affected you at the time you were suffering from it. All the things you couldn't do anymore while feeling that pain. All the things you now had to do just to function such as planning out every activity to make allowances for your pain (showering, cooking, seeing friends etc.), or figuring out a new way of doing something because you had no choice. Now think about feeling that same pain every minute of every single day for the rest of your life. Now think of how that pain will continue to get worse over time. Now add in times where the pain spikes up real high to a point that you can not function as a result. Wouldn't you want relief from that pain? Wouldn't you want something to help lower the pain enough that you could function better? Wouldn't you think you deserve relief from that pain, that you should not have to suffer every single day?

I am not weak, addicted, a hypochondriac, or crazy. I am a woman who has permanent injuries to two of the worst areas of the body to have permanent injuries in as far as pain goes, the lower back and pelvis. There are NO positions that I can sit or lay in that do not put pressure on the injured areas of my body, and that pressure increases my pain. Sitting, walking, kneeling, crouching, and laying down all put weight and pressure on the pelvis. Even being hung by the wrists or ankles will strain the pelvis by pulling on the muscles that support the pelvis. As if having multiple permanent fractures in my pelvis and a sacroiliac joint that is bone on bone are not bad enough, I also have injuries to my lower back and nerve damage. (ligaments and tendons are removed from the inside of a joint when a fusion is attempted, so if the fusion fails the natural cushioning is no longer there, leaving the raw bones to grind against each other whenever they move) There are absolutely no movements that my body can make that do not use the muscles of my lower back and/or my pelvis and movement increases pain. Even the simple act of breathing uses the muscles of my lower back, specially if I take a deep breath. Go ahead and try it. Put your hands lightly on your lower back and take a deep breath, you should feel your back muscles move as your lungs expand. You can even feel movement on your hips, and sacrum/sacroiliac joints which are on either side of your sacrum (triangular bone that ends in your tail bone [cocyx]). Now think about how that would feel if your lower back was in constant pain and movement makes that pain worse. Breathing causes movement of those muscles, thus increasing the pain. Breathing, soemthing we do thousands of times every single day; something that we must do just to live; causing pain.

I am not weak. I am not crazy.

But.......

I am tired.


I feel alone.


I am so fucking tired of hurting so much. I really really need my pain levels to go back down. Please Goddess, please I'm begging you. Please, please give me a break. I'm really at the end of my rope and I am trying so hard to hold on but I feel like I am starting to lose my grip.

Its just so hard.



Love
Helps With Everything

I know that this post is depressing, sad, and probably whiny. I know it sounds like I am in a complete full blown depression and that it looks/reads like I can't find a single good thing in my life. However, that is not true. Yes I am depressed, in a great deal of pain (currently at "do not touch me" mode, means pain level 9.9 and no touching my torso or legs because it will bring a crisis on). My daughter put Lidocane patches on my lower back and left SI joint. These do not help with the real deep down pain that the broken joint gives me, but when I'm in "don't touch me" mode, it does help a lot by numbing the skin a little bit. This decreases some of the pain and can sometimes prevent me from hitting a full blown pain crisis. I'm just so glad that she was awake at 3AM because I needed the help, though I am sad that she is awake at 3AM because I know she's awake due to her own back pain.

Anyway, I do know that I have good things in my life and the biggest and best good thing in my life is LOVE. I have the love and support of my family. My husband, daughter, son, sister-in-law, brother, and niece; all of whom live in the same house as me. My husband, Ron, is the best thing in my life. He is supportive, understanding, compassionate, so very helpful, and he doesn't judge me or dismiss how I am feeling. When it comes to the vow "in sickness and in health" of our wedding vows, he meant every word. In the past 10 years (June 21st will be 11 years living together, Dec. 4, 2011 will be our 11th wedding anniversary) he has always been there for me. He has helped me shower, dress, use the bathroom, cuddled me, massaged me, listened to me, held me when I cried, made me laugh, hugged me and every thing in between. He is often where I find the will and the strength to continue fighting my pain when I can't find any inside myself. I honestly did not believe that there were men out there who would not only be willing to live up to the "in sickness" part of wedding vows, but are capable of doing so without coming to resent or hate their ill partner. Ron has shown me, over the past 11 years, that I was wrong. That despite all the people who failed me, abandoned me, or replaced me due to my disabilities there are still people out there who truly know the meaning of the words "I love you" and "partner", "spouse", "best-friend". Without Ron I probably wouldn't be here today and I do not take him for granted. I am honored, grateful, and so very lucky to have him in my life. He makes everything better. I love you with every fiber of my being Ron and I look forward to every single day with you, no matter how much I hurt. Thank you for being who you are and thank you for choosing me to be your wife, lover, and best friend.

In addition to Ron, I have the greatest kids. Having grown up with a mother who suffers from constant pain, my kids tend to be compassionate of others. They are understanding of differences in people's physical abilities. They are helpful, kind, and supportive. I am so proud of my children and I love them so very much. I know how lucky I am to have such close relationships with my kids. My daughter, Sam, and I are the best of friends. We talk about everything! We help and support each other during pain crises, and (better yet) we do so during good days as well. Sam has already had to overcome so much in her life (she will be 23 on the 13th), yet instead of becoming distant, cold, and bitter, she healed and even thrived. I am so very proud of her! My son, Kyle, is 14 (will be 15 in June) so he has some of those teenager behaviors that arise from the normal pulling away in preparation to become an independent adult. However, we are still very close and there is not a great deal of rebellion, acting out, or arguments like can often occur during the tumultuous teenage years. I know this is a direct result of his being raised by me. He had to learn compassion, empathy, understanding and physical limitations at a very young age as it was my pregnancy with him that resulted in the permanent compound fracture of my pelvis (2 failed fusion attempts on left SI joint). I am so very proud of Kyle, he is an amazing young man.

So yes I do know that I have many good things in my life and I am blessed with wonderful people to love and who love me unconditionally.

I'm glad I chose to come back and edit this post to include this because I feel a little better mentally now. I guess I just needed the reminder that despite being in extreme pain and immobile right now, I still have the greatest gift any human being could ever ask for..and something every human being deserves...love and acceptance.

Thank you Ron, Sam, and Kyle for everything you do for me, for being in my life, and most of all for loving me through thick and thin. I love you all so very very much!

Monday, March 28, 2011

Day Of Uselessness

Today is going to be one of those days where I can't do anything. I woke up this morning and all the muscles in my back (from shoulders to entire buttocks and upper thighs) and pelvis (buttocks, hips, abdomen) feel like someone took a tiny tiny crochet hook and knotted all the muscles together so they don't move. For those who don't know what a crochet hook looks like, or how tiny they can get, here's a picture:


The one I marked is 0.75mm (the size of the hook at the tip). Itty bitty tiny little knots. Ohman. My muscle relaxers don't help much when the knots are like this either.

When my muscles are like this, and thankfully since I got my sleep number bed days like this are rare rather than common, moving in any way is difficult and doing things can be downright impossible. This causes my guilt to go way up, specially now that I am trying to raise money for my son's best friend's medical bills. I had planned to put out more fliers today and to try and get to Estate Treasures downtown and pick up the items she has for the yard sale (she says there are A LOT), but there is no way I can do that. I can barely make it to my bathroom without using the walker, so there is no way I can move boxes of items. I know I'm not the only one raising funds for the family, but I also know how badly they are hurting.

Sadly today is going to be a bed day when I can least afford one. Man I hate this.

Thursday, November 18, 2010

Struggling To Be Normal

Most people sleep at night, get up at a certain time each day then go about doing their daily activities, be it work, school, play etc. For me, my days and nights are all mixed up. Due to pain I have a difficult time sleeping at night. By the time I manage to do so, it is usually early morning (4 to 6 AM). I may sleep 4 to 6 hours, sometimes less. This goes on for a few days until my body reaches pure exhaustion from lack of sleep and I end up sleeping 12 to 16 hours which means I wake up somewhere around 4PM to 8PM. Now I'm wide awake and there is no way I will sleep at night. This cycle of sleep disturbances can be triggered very easily. One single night awake due to pain, can take me 2 to 3 weeks to get back to sleeping at night. Each additional day/night of inability to sleep or stay asleep only makes it take longer to get back to normal, hence the 2 to 3 weeks.

Right now, I am struggling with trying to get back to sleeping at night since my pain is in good control. I am not doing very well because my body is used to being awake at night (from the weeks spent in bed watching netflix) and only sleeping when exhaustion hits. This means that I have a difficult time sleeping.

I started meditating before bed. Using breathing and visualization to help my body relax and feel sleepy. It helped a bit, but not perfectly. I still didn't sleep until 3 or 4AM, and woke between 10 am and 1 pm. But that at least gave me some daylight hours. Then came the last two nights when I just couldn't sleep until 6AM. (Today was 8AM). Yesterday my alarm clock woke me at 11AM like I had asked it to, and I did not take a nap. I was very tired when I went to bed at 10:30pm. I really thought I would sleep all night. No such luck. I was still awake at 6AM, and then at 7 and 8. Somewhere around 9AM I finally fell asleep. My alarm was set for 12:30 in the hopes it would be just a nap, so I could sleep tonight. No luck, I apparently turned it off in my sleep (when it went off) and did not wake up until 4:30PM. ARRRGGGHHHH!!

This is so frustrating because now I am wide awake and I KNOW that there is no way I will sleep tonight. I've tried forcing myself to stay awake until the next night, but it doesn't work. I end up falling alseep where ever I happen to be sitting (my lay-z-boy, my computer chair etc).  So I end up going to bed trying to take a short nap of 2 to 3 hours. Nope, when someone comes to wake me up I just can not wake up and then I'm out for 8 hours or more and wake up that night or late evening.

I just want to be normal. Like I was before the additional break to my SI joint, back in 2000 through 2003. I want to be awake during the day, sleep at night, and do things. But no such luck, not for me.

Now comes probably being awake tonight and struggling to stay awake all day Friday, so I can maybe sleep Friday night like a normal person. Here's hoping I can do it!

Saturday, November 13, 2010

It has been a while..Radio Frequency Follow Up

I realize it has been a month since my last update and I will explain why. The first radio frequency procedure, which I blogged about on the 13th of October was done after I had already spent 6 weeks in bed. Sadly the insurance companies are who decides who these procedures are doled out. I don't understand it because it seems, in my case at least, that their way of doing it is a waste of money and saves no one any time or money. I've had these procedures 5 times, and they have worked every time (this one included thankfully!). Yet the insurance company insists that I have to have the diagnostics done at two week intervals, followed by the radio frequency procedures (also at two week intervals). Before these can commence I have to return to a condition that requires these procedures. What this means is I have to return to being pretty much unable to function due to pain. Since I live in a part of the country where prescription abuse is pretty high, raising my pain medication during these times is not an option. This leaves me in extreme pain, all day long, for at least 2 months before they will even schedule the diagnostics. After the diagnostics I have to do a follow up with the doctor, who will then schedule the radio frequency. All told this means I was stuck in bed for almost 3 solid months, most of it spent in extreme pain without adequate pain control. All so I could go through hellaciously painful procedures, to control the pain. I get to repeat this process every 8 or 9 months or so because the insurance company demands I allow the radio frequency procedure to wear off completely, to see if my pain is as bad or worse than it was before.

The weeks spent in extreme pain are depressing, debilitating mentally and emotionally, and cause muscle loss due to inactivity, which can also increase the chances of a blood clot and other diseases. This is NOT good. Then comes the multiple appointments of painful procedures that increase the already high level of pain. These procedures cost in the thousands of dollars each time. There is no exception made for patients like me. Meaning patients who have a history of successful radio frequency ablation in their pasts, no new injuries and the same pain caused by the same conditions to just skip the diagnostic steps and save the insurance company 5 thousand dollars per test. (this is the amount listed on my EOB, explanation of benefits) for each diagnostic procedure. The radio frequency itself comes in at around 15 thousand. By demanding these diagnostics every time the insurance company is billed for 40 thousand dollars at the end of each cycle, when they only NEED to be billed for 30 thousand. (Trust me, they don't pay even half of the billed amount!)

Anyway, what happens when I am forced into such extreme levels of pain, and pain increasing procedures is I withdraw. All my mental and emotional energies are focused on making it through each day, and on many days making it through the next hour or even the next 5 minutes. I have no extra energy for anything else. Of course this triggers a depressive episode, which does NOT help the situation at all. End result, I get real quiet. This is why I was not posting here or on my stitching blog. I did manage to keep up with some emails, read a few blog posts from others, but not much more than that. I did do some stitching, but mostly I watched Law and Order on Netflix with my son's laptop and just withdrew from everything.

This time, after the radio frequency was done the Dr. decided to do toradol injections in the SI joints. I wasn't expecting it to help much. I was hoping to do radio frequency on both joints, but he preferred these injections. They use toradol on me as I can no longer do the steroid injections. Surprisingly this has brought decent results. So far they have only done the left side, but it has made it possible for me to get back to cooking dinner, doing some housework and laundry. My pain is A LOT lower than it was and I am out of bed.

However, coming out of that shell that I retreat into is more difficult. It becomes a matter of forcing myself to do things, whether I want to or not. Eventually the excitement and happiness of being able to do those things without paying for it with extreme pain, makes me realize that I am, once again, back to myself. Oh not the self I was years ago, but the self I was a few months ago. That realization and those wonderful feelings make it possible for me to continue to do things without as much mental effort of forcing myself.

But I have noticed that this gets harder every time I have to go through it. I am tired of having to return to a place of severe suffering every single day, just to satisfy some stupid insurance "rule" that really doesn't make sense in my case. I'm tired of having to live with extreme levels of pain, all day long, because I live in an area where prescription drug abuse is higher than in other areas. I have proven, over years and years, that I do NOT abuse my medication. That I am no addicted to it. Yet no exception can be made in order to try and control my pain better during those months that the insurance company demands I suffer through before they will allow the cycle of procedures to start up. I have a lot of anger over this and it is difficult to let this anger go because I am not the only one who suffers. My entire family suffers right along with me. They don't get the attention they usually do. And let me tell you a 3 year old child does NOT understand that pain is what is preventing her aunt from playing with her the way she usually does. To a 3 year old, I'm just ignoring her. My husband doesn't get the cuddling, discussions, support, etc. that he would normally get because I just don't have any extra energy to give to him. Same for my son, who also suffers in his school work because I can't sit at the table and teach him. Instead he is stuck pretty much learning on his own. My sister-in-law is stuck doing all the cooking, laundry and housework that is generated in a household of 6 people and 4 cats.

I resent that my family members have to go through this. I struggle with guilt, shame, fear, and anger..all of which combine into depression. Thoughts that if I weren't so "broken" I could be a better Mom, Wife, Aunt and Teacher. I struggle with fears that they will get tired of this and leave me. It gets harder every time I have to go through this to recover from the emotional and mental aspects, as well as the physical.

But I am still around and I am still fighting. Right now I am focusing on getting back to where I was 5 months ago. Here's hoping I can do it.

Wednesday, October 13, 2010

Radio Frequency Procedure

Warning: Graphic Image and Specific Language about a medical procedure. If you are upset or bothered by reading about or seeing a picture of said medical procedures being done! then please do not view this post.


For those who may not understand what radio frequency procedures are, I asked for a picture from the flouroscopy (almost like an x-ray) view so that I could scan it in and explain about how it is done and why it sends me to bed for a couple days after it is done, as well as why it helps so much making me willing to keep repeating such a hellaciously painful procedure. As well as to discuss it and other topics with my son.

I will be referring to this picture:

You may need to click the picture to view it full size and read the labels.

You can easily see the main part of the 6 inch screw that lays horizontally through my left sacroiliac joint. It starts near the hip (I can actually feel the screw head under my skin if I press the right area) and goes through the entire illeum, across the broken joint and ends about halfway through my sacrum. This screw was supposed to hold both sides of the SI joint together while it fused to solid bone. It did not fuse so the screw now acts to stabilizing my sacrum so it can't move as far as it is capable of. The area underneath the ridges of this screw is my sacrum itself.

In the lower left area of the picture it gets pretty dark. This is because the surgical steel plate and screws cast a shadow on flouroscopy (they do the same on x-ray and cat-scan). The plate can be seen though, along with the screws that go back to front holding the plate in place.

For background knowledge, the plate and all the screws are loose. (so not only am I permanently screwed, all my screws are loose too! ROFLMAO) There are visible spaces around the threads and length of all the screws on cat-scan review. It is these spaces that have allowed the affected bones to be mobile again. When I walk they grind together and you can sometimes hear them pop, crack, or snap very loudly. Also, the second attempted fusion resulted in pseudoarthrosis which is a thin bone covering over an attempted fusion. An uncommon side effect that results instead of a complete solid fusion that would have removed the SI joint and left the illeum and sacrum connected as one solid bone. This thin covering makes it appear the fusion is solid on an x-ray, but the spaces of the original joint are still visible on cat scan {as cat-scan takes slices, that can see behind the bone covering}. When this covering broke, and a subsequent fall was endured (which caused further fracturing of the bones), the end results is a permanent compound fracture of the left SI joint and bone fragments are floating around. It is the plate and screws that make it possible for me to continue to walk, but since they are loose the bare bones do grind together and new bone fragments can be chipped off if I were to further injure the area through falling or a car accident or something.

Ok..radio frequency step by step.
I am brought into the flouroscopy room at my local outpatient surgical center. I am laid face down on the table and prepped. A grounding pad is placed on my right thigh when they do the left side. (everything is the opposite when they do the right side) Iodine is wiped over the area to be treated and sterile drapes are placed over my body with the opening in the cloth showing the lower back and pelic area on the left.

I had an IV for the first time this was done, with mild sedation using versed. In some people versed makes them very emotional. That is the reaction I had. When I started crying from the pain, I could not control it or stop even when the procedure was over, and instead of just crying for a moment or two I was sobbing (I hate crying from pain btw). This caused a nurse (who was later let go) to insult me and call me names. As a result the next 3 times I went through this procedure I did it without an IV or even mild drugs as that nurse (who was still there for the next 2 out of 3) told me only Versed could be used (Which was wrong by the way). However the last time I had this done (Aug. 2009) the nurse assigned to me asked me why I did not want an IV and medication. I told her how versed affected me and that I was told it was the only medication they could use, so I chose to suffer through it rather than be humiliated. She was the one who told me that versed can do that to people and that they can use a different drug instead. She told me to give it a try with the different drug and see if that helped at all. It did. The procedure still hurt like hell but it was not as bad as it is when I am not medicated. So this time I was again given an IV and a low dose of medication right before the procedure started.

For the first part of the procedure only my skin can be lightly numbed. The doctor then proceeds to place each needle with the assistance of the flouroscopy. This is to help ensure proper placement of the needles, and to ensure they are not going into areas known to carry nerve roots for a mobility nerve (sciatic nerve and its roots which are present at all lower lumbar disc levels).

The needles for L4-5 and L5-S1 hurt the most because it is those areas that have a degenerated disc and a herniated one (in that order). There are areas of scar tissue and bone fragments which make it difficult to just slip the needle in. This is further complicated by the presence of the surgical steel screw. One needle goes above the screw, but the other one has to go underneath the screw. This takes some maneuvering on the Dr's part. While these needles were being placed all I can do is cry and try to breathe through the very sharp pains that are shooting across my entire lower back and pelvis. It hurts a great deal.

Once all the needles are placed, they must test each one. This means they send the waves through the needles, one at a time. This stimulates the areas and thus exacerbating my pain. This is the part that gives the reason for not numbing the entire area first and the reason I must be awake for these procedures. As each needle is tested, it is my job to feel the waves and where they cause pain. If I can't feel the waves, they adjust them until I can. In addition to that I must be able to tell them if I get any sciatica type symptoms. This means any numbness, tingling, sharp pulling sensations, or sharp pains going down my leg. If those symptoms are there, the needle must be withdrawn and replaced because those symptoms mean the waves are hitting the sciatic nerves.

Once all the needles are in the correct places and tested, they numb me. But it is not completely numb. I can still feel the waves as each needle is activated, run for a little while, then move on to the next one. The only difference is it is nowhere as intense and sharp a pain as I feel during the testing section. Part of the reason is that I am numb, but because the waves are now at the correct frequency (thus stronger) I can still feel it. Again, L4-5 and L5-S1 are the worst. Once the proper time has passed for each level, the needles are removed and a dressing is placed. I am moved back onto a gourney and into the recovery area. This is where I am watched for about 20 to 30 minutes, then sent home.

Radio frequency procedures damage the nerves around a painful area, thus preventing them from sending pain signals to the brain and lowering how much pain the patient feels. I call them middle nerves because I can never remember their proper names LOL. These are not the surface nerves that allow you to feel sensation through your skin. Nor are they the nerves that lay near your bones and handle movement, bladder and bowel control etc. (Sciatic nerve in lower back and pelvis). The nerves being deliberately damaged lay in between those two areas (surface/skin and mobility nerves near bones) hence I call them the middle nerves and usually explain them to people as the filling inside a sandwich. This scarring interrupts the pain signals that, in a chronic pain patient like me, are constantly being sent to the brain.

The longer a person is in pain, the better their nerves and brain get at feeling that pain. (I guess practice makes perfect is just as apt for the human body) The nerves become overly sensitive and send pain signals to the brain constantly. The brain gets better at reacting to the pain signals received from those areas because the more often it works, the better the brain gets at noticing it. In a chronic pain person what this means is that they will feel pain constantly, and even minor fluctuations in that pain are perceived as more intense by the brain. This can also distract the brain from noticing minor pain relayed from different areas. This is part of the reason I do not always feel the muscle aches that accompany doing too much right away. Instead I only feel those after I have stopped doing whatever it was, sit down and relax for a while. It is while I relax that my brain starts noticing the signals from other areas, as well as from the injured ones. This is why I clean house in 10 to 15 minute bursts, alternating with sitting down for 10 to 15 minutes. It is those resting minutes that allow me to guage my pain level and realize that I am reaching my limit and must stop even if I am not done.

The scarring/burning of the nerves lasts for quite some time. I get about 9 to 10 months of lower pain levels out of it. Some patients can get up to 2 years from this procedure and apparently a few lucky people get permanent results. But for the majority of patients these nerves do regenerate and when they do the original levels of pain return. For some it happens quickly, for others it happens over a period of time. I am one of the latter people.

Side effects vary but for about 2 weeks after the procedure I experience odd sensations, which are signals the damaged nerves are sending out. I get pins and needles sensation throughout the affected area, these little zinging shoothing pains that shoot every which way a few times an hour, a burning or heated sensation in the treated area, or a sensation of tingling as if I had a tens unit on. These sensations start out frequent for me and lessen over time, usually stopping within 2 weeks. They can be greatly alleviated through the use of medications such as Lyrica or Neurontin during those two weeks.

This is what was done to me on Monday the 11th. It will be repeated on the right side on the 25th. In addition I will be scheduled to have the procedure repeated two more times, this time to the sacroiliac joints themselves, which I erroneously thought was already being done and it wasn't. I'm not looking forward to the procedure on the left SI joint, which is the broken one, because I am expecting it to hurt even more than the left side of my lower back does. I am expecting that because it is the part of my body that causes the most severe pain. But I will get it done because I know how much relief these procedures do give me, and by adding the SI joints it is possible that I will be able to lower my pain medication for the first time in the many years I've been stuck having to take such medication on a daily basis. Ohhhhh I am really hoping and praying that this will be possible!! It is also possible that with the pain of my lower back and pelvis under much better control, that I will be able to do a lot more physically and thus rebuild some of the muscle tone I have lost due to immobility. (and maybe lose a few pounds too!)

I originally had the picture printed out to show to my son and give him a little science lesson on nerve conduction, bone structure, and the issues facing a chronic pain patient such as dependency, tolerance and the differences between those two things and addiction. There is a lot of emphasis being placed on prescription drug abuse. As I have stated in older posts, these political views even showed up in his science text book for the 6th grade. The book flat out stated that anyone who takes pain medication on a daily basis is an addict, that there are no medical conditions that cause chronic pain. With those messages coming from so many different sources (friends, family members of his friends, teachers, school books, television, newspapers and radio) I was expecting him to eventually have doubts and start wondering if I was an addict or not. So I took the opportunity of homeschooling and the time to explain these things in detail to him.

So we spent some time discussing tolerance, dependency and addiction and the differences between them. We spent some time going over the behaviors that are present with an addict and how they differ from a non-addicted chronic pain patient. The biggest one being: no addict would put themselves through the hell of such painful procedures as radio frequency, steroid injections or more because their goal is not pain control, it is to get high. Whereas a chronic pain patient will attempt those procedures (and repeat them if they work) because their goal is pain control, not to get high. I didn't even have to point that out to him, he got it on his own. He understood that I continue to suffer through these procedures because they help me and they make it possible for me to deal with my pain without having to increase my medication every year or so. (I took the same dose for 6 years before the pain got so bad that I had no choice to but to increase my medication, even with the injections and RF.

So that is how radio frequency is done on me. For more information about this procedure here are some links:

http://www.spine-health.com/treatment/injections/radiofrequency-neurotomy-facet-and-sacroiliac-joint-pain

http://www.medscape.com/viewarticle/718292

http://www.neurotherm.com/

http://www.webmd.com/cancer/tc/radiofrequency-lesioning-for-chronic-pain-

I do feel lower pain in the treated area, but since it is only 1 area out of 4 it isn't enough to affect my ability to move around or to be out of bed for more than a couple hours at a time. Still it is nice to have a lower pain level in that area and I am looking forward to how it will feel when all 4 sections have been done.

For now I am still stuck mostly in bed because it is the most comfortable place for me to sit, and still stuck with pain levels at a 7 or 8 on a daily basis. This high level makes it a lot easier for me to hit a pain crisis simply by doing normal every day things. So for now I am still having to take it extremely easy with small windows of freedom (freedom meaning I can sit at the dinner table for an hour or half an hour, or sit in my recliner and watch tv for an hour or so, or take a shower without my shower buddy [read hubby] and more.

I hope this long rambling disjointed explanation of radio frequency helps you understand things a bit better. If you hung in and read it all, thank you!