Foiled by my supposed medication

September 23, 2020

For a short time, I thought I had finally fixed my sleep problems. And I had. Until it all went to hell.

My entire life I have been wide awake at night. It didn’t matter how tired I was, I would suddenly be awake. Mornings were horrible. I remember my mother’s struggles to get me out of bed from a young age. There were years of snoozing the alarm, and the ensuing difficulty getting to school or work. I never understood how people manage to do anything before work in the mornings. Go to the gym? Wash dishes? Clean? Read? It was all I could do to get on clothes, eat something, and get out the door.

When I developed sleep apnea, I began seeing a sleep specialist. In addition to treating the sleep apnea, he figured out that this problem of mine was due to a circadian rhythm shift. There’s nothing wrong with this as far as the body is concerned. It is only a problem because we live in a 9-5 world. What to do about it? He had me use a blue sunlamp for a short time in the mornings. That definitely helped me to feel more alert in the mornings. (And as a bonus, I am now much less bitchy when my seasonal affective disorder kicks in every fall and winter.) Still, I was sleep-deprived because I wasn’t going to bed at a reasonable hour. I wanted to, but I was too awake.

This worked so well. I wish they still made it!

Then the doctor introduced melatonin. Most stores sold 3mg tablets or more. He had me start much smaller. He recommended a site that sold 0.3 mg tablets. I took that it knocked me out, but I had a hangover effect in the morning. I cut it in half. That was better, but I was still tired in the morning. I cut it into quarters. Ah, much better. It took a lot of trial and error, but finally I found the right dose and the right timing. If I was out then I had to skip it (which always led to too little sleep) but most nights I was home, and I took my 75mcg melatonin every night. It wasn’t perfect, but it helped a lot.

Then I started taking hydrocortisone for my adrenal fatigue. I had also recently figured out that a few of my supplements were making me sick from corn derivatives in their ingredients. Fixing these things, combined with my new sleep routine, felt nothing short of miraculous. For the first time in my life, I was sleeping! I went to sleep at a decent hour, slept with my ASV (a form of CPAP machine) and woke up feeling rested. It was a miracle! Yes, I still had chronic fatigue, yes, I still had pain and all sorts of other symptoms, but at least I didn’t wake up feeling more tired than when I went to bed. And in general, my health was much better. It was amazing!

Sadly, that only lasted a few months. I noticed I was running low on my melatonin so I went online to reorder it, and found that the company had gone out of business! I was so disappointed. This had been working so well! My doctor didn’t have any suggestions, so I went online. Finally, I found a liquid melatonin that was gluten-free and corn-free. The dose was too high, but I hoped that a single drop, instead of a dropper-full, would be ok.

I took one drop and it was too much. I diluted it with water, making a 1:1 ratio. Nope, still a hangover in the morning. So I did a 2:1. I felt better in the morning, but still hungover. Meanwhile, it wasn’t doing such a great job of making me sleepy at night. Huh. That wasn’t right.

I struggled for 7 loooooong months. I tried different amounts. I tried different times. I thought maybe something about my body had changed. Or maybe it was the stress of the pandemic (even though I started it before the pandemic and had troubles even then.) I still had a few of the old pills. I had saved them, thinking it would be easier to take them with me on trips instead of the liquid (this was just before the pandemic, when still I expected to do some travel.) I took those 1/4 tablets for a few days and felt so much better. I went to sleep earlier, woke up feeling alert, and had more energy all day long. I took the liquid again and stayed up too late, woke up sleepy, and had less energy all day. What the…..?

This should be labeled as slow-release! This hurt me so much and I didn’t know why until yesterday.

It made no sense. They’re both melatonin, right? Finally, last week, I had an epiphany: what if this is a slow-release? The assumption for all medications (or so I thought) is that they are immediate-release unless they say otherwise. In fact, many melatonin products are specifically labeled as being slow release. I looked up the old melatonin and yes, it was immediate-release. I checked the new one and it didn’t say anything on the label. Yesterday I called the company and got my answer: it is slow-release. Holy crap!

This means that for 7 months, I have been struggling, feeling worse, because my supposed medication is slow-release and wasn’t labeled as such. I was pissed! I still am, but I’ve calmed down a bit. Sort of. Ok, not really. This is inexcusable!

Now the search begins again. Yesterday I started a spreadsheet. I am scouring the web, checking all forms of melatonin. No one else makes anything less than 1mg, so I need to get a liquid form that I can dilute. It has to be gluten-free and corn-free. It has to be immediate release. I will pay anything, but I must find this unicorn of melatonin products. Because damn it, I want my sleep, my alertness, my energy back!

If you happen to know of a gluten-free, corn-free, low dose, immediate release version of melatonin, please let me know and I will be forever grateful.

Meanwhile, if anyone needs me, I’ll be at my computer, spending hours researching a product that I should have had last winter, if only the one I bought had been properly labeled.


Staying busy while stuck in isolation

September 14, 2020

One thing about life with disabling chronic illnesses is that I was better prepared than most for life at home. After all, so often I am stuck at home due to my health, or I need to do stay home in order to rest up so that I can go out later on. A lot of my hobbies and interests are sedentary ones, thanks to my health, so the transition was easy in that regard. The social part is difficult, of course, but staying busy is easy. In fact, I don’t even have time to get everything done!

Meanwhile, most people I know who weren’t working full time from home and didn’t have young children at home were at a loss as to how to stay busy. As things opened up, many of them found adventures outdoors. I am still staying home, though. I would not go anyplace indoors or around other people. I do not feel that is safe in my area. As for outdoor adventures, I have no one to go on an adventure with. I live alone, and there is no one I am comfortable being in contact with right now, unfortunately. A picnic alone might be safe, but it’s lonely. A walk in the woods where people are around isn’t safe, and walking with no one around at all doesn’t feel smart. I would love to see the ocean, but I can’t drive that far right now, and I can not get into a car with someone else. So I am spending a lot of time at home.

People keep asking me how I am managing to stay busy. Here are a few of the things I have been doing. Please share yours in the comments, to help anyone who’s bored to get some new ideas.

  • House stuff. Cooking, cleaning, laundry, and all of that less-than-exciting stuff still has to be done, even during a pandemic.
  • Physical therapy. I am doing more than ever because my body is not doing well with all of this sitting in my apartment. It’s not like I was super active before, but even walking around a grocery store is exercise that I’m no longer getting.
  • Medical appointments. My body doesn’t stop having problems just because there’s a virus ravaging the world. I am having almost all of my appointments virtually, which has saved me a lot of energy and time, but I am still having them.
  • New hobbies. At the start of the pandemic, I figured I better start something new to make up a bit for all I was losing. I had wanted to try the ukelele for years, so I bought one. I have already learned a bunch of songs through free YouTube tutorials. I practice most days and it’s a lot of fun.
  • Old hobbies. For many years I have loved to read, crochet, and knit. Those are perfect pandemic hobbies. I did them daily before, and I continue to do them daily. I watch tv in the evenings, too. Before I watched tv any evening that I didn’t go out. Now, I watch tv every evening that I don’t have a Zoom call. *sigh* Oh, and this blog counts, too. Hobbies aren’t only things that are done daily, and writing here every few weeks is a great activity.
  • Volunteering. I did some volunteering before and I still do it. Because of my disabilities, I only volunteered for work that could be done primarily from home. That made the transition easy. I have taken on extra tasks, too.
  • Errands. Yup, those things still need to happen. I find shopping for groceries online to take a lot longer than going in person used to take. Dropping off paperwork at an office can still be done, even if I don’t go inside. Shopping for things online that I would typically get in person is a chore that takes ages, but it still needs to happen.
  • Social media. Some days social media is a drain that wastes my time, but many days it adds value to my life. I manage several Facebook groups and pages in addition to having my own personal feed. It’s a great way to keep up with family and friends.
  • Email, texts, and video chats. I often joke that I have a better social life now than I did before, but it’s sort of true. Meeting online isn’t the same as meeting in person, but it’s a hell of a lot easier. Since it takes so much less energy, and I don’t have the physical pain that comes with driving, I am able to have multiple social video chats in one day! I certainly couldn’t meet up with that many people in person in a single day. Plus, many people I am talking to aren’t local, and we are now realizing that we should have been doing these video chats for years. Hopefully we’ll keep them up. Email and texts take ages to answer. I’m glad for the opportunity to keep up with folks, but I do miss the ease and speed of phone calls.
  • Cleaning out…. things. Between cleaning out all of my way-too-many-what-was-I-thinking? email accounts and cleaning out physical stuff, there’s plenty to do. I’m enjoying the rewards of empty inboxes (yay for inbox zero! Even if it only lasts an hour….) and more space in my apartment.
  • YouTube videos. I have been watching lots of YouTube videos. There are opportunities to see things that wouldn’t typically be available, in addition to all of the previous kinds of content. I have been enjoying interviews with Broadway actors who were/are in isolation, cute dog videos (oh, how I miss dogs!), crochet tutorials, and so much more. I particularly like this channel for things that are disability-related.

All of that, plus random other things that I’m sure I’ve forgotten, are keeping me plenty busy. A few other things you could try would be taking online courses at a local college or through sites like Udemy.com or Lynda.com (hint: many libraries offer free memberships). You could also learn crafts online with YouTube videos or by taking classes, which are offered in many places. Try reading new books, listening to audiobooks, or trying new podcasts. Watch movies you’d always wanted to watch. Learn a language. Research your family genealogy. Redecorate your home in small, manageable ways.

I have noticed that many people are worried about taking up a new hobby or project, thinking they won’t have time to keep it up when things return to “normal.” Why start something that they will just have to give up later? But I don’t think that’s the right attitude. Instead, why not start something you can enjoy while you’re in this difficult state? Then later one, when life returns to “normal” or some other state, you can decide what to keep. You may just find that you enjoy your new hobby more than something you did before, and you will let go of the former. Or you might rotate them. There are no set rules here; you get to make it up as you go along!

So that’s what’s been keeping me busy, along with a few extra ideas for you. Please share your ideas in the comment! After all, these ideas will be useful for anyone who is in isolation during the pandemic, as well as anyone who is stuck at home due to disability and/or illness in the future.