Update on the trip dilemma

September 17, 2021

Several weeks ago, I wrote about my Covid-related anxieties about attending an event for someone very close to me. I so appreciated all of your helpful feedback, and wanted to give you a quick update.

I spoke with so many friends and family. I spoke with my therapist. And you know what eventually helped me make up my mind? It was the comments on my previous post. Hearing from folks with chronic illnesses who are also extra nervous about Covid was so different from the many other conversations I’d had. And finally, I knew what I was going to do: I went to the event.

I was very nervous about it beforehand. I was nervous on the way there. I was nervous throughout the event. I kept my mask on. I only took it off twice to drink some water. I kept my distance from folks. I wanted to dance, but didn’t (which was better for my knees, but even with the knee pain, I would have gladly danced if not for Covid fears.) Of course people were talking loudly over the music, and I kept trying to keep my distance, which only made folks speak even louder. When everyone ate, a couple friends and I stood outside of the tent, away from everyone else. I felt bad. We were at the hosts’ table – an honor – and I wanted to spend time with them, but I just didn’t feel comfortable. The whole thing was stressful, but I’m also glad that I went. At the end, I briefly hugged my friend and her daughter. And it felt amazing.

Ideally, once I left then I would have felt 100% fine, but I have to admit that a tiny part of me was still nervous. I was definitely glad when a week passed without news of any problems. And then I forgot about it for a while. At one point I happened to realize it had been more than 2 weeks since the event and I breathed a sigh of relief. Everyone was ok.

Thank you so much to everyone who helped me make this difficult decision. I’m glad I went, and I’m glad it’s over. I wish I could relax at a party with friends, but I’m just not there yet. Meanwhile, another friend is planning the same type of event for next year and none of us an even begin to imagine what things will be like that far out. I only hope it’s easier to make these decisions.


Waves of relief

March 3, 2021

Waiting for the biopsy results was the longest two weeks I’d ever experienced. Why did the pathology lab have to be backed up now, of all times? I was terrified. If it was breast cancer, I wasn’t sure if I could handle it. This might just be the thing that broke me. The thing that was one thing too many. Who even knew that breast cancer could present as a skin irritation? I thought I was seeing the dermatologist for something weird, but benign, and now I was suddenly waiting for biopsy results. Would would I do if it was cancer?

That was more than a dozen years ago. The results came back negative, and I was relieved, and went on with my life. Until two weeks ago. Two weeks ago, I happened to see something weird in my peripheral vision as I passed the bathroom mirror. I looked closer. I had something weird on the side of my breast. It looked like maybe a pimple that had gotten irritated and popped, then scabbed over. Weird. I know pimples on breasts are possible, but I don’t usually get them there. I moved on.

The next day I took another look. The scab looked green-ish and the red area around it had grown larger and darker. Uh oh. I thought of that other time, more than a dozen years ago. It was after hours, but the next morning I called my nurse practitioner’s office and set up a telehealth appointment. My NP is a women’s health specialist, and really knows what she’s doing. I waited anxiously for the next day’s appointment. Then it occurred to me to send in photos. As soon as she saw the photos, the NP told me to come in, and mentioned that we might need to schedule a mammogram. Now it was Saturday, and they were about to finish seeing patients for the day. They didn’t see patients on Sundays and the scheduler wouldn’t be in until Monday. I waited. And waited.

Finally it was Monday, and I reached out first thing to get an appointment. The soonest was Wednesday, but I asked the scheduler to call me if there were any cancellations. I was a nervous wreck. For the first two days I had told myself that I was overreacting by even considering the possibility that this was anything other than benign, but when my NP mentioned a potential mammogram, I knew it wasn’t all in my head. Like I had all those years ago, I wondered if I could handle cancer. I wondered if it would be the thing that broke me. But this time, I was pretty sure it wouldn’t be. I would deal with it, somehow.

I was fairly sure that even if this wasn’t cancerous, it was probably infected. The center scab had come off, then scabbed again, then come off again, even though I was careful not to touch it. Each time the scab came off, it oozed. The center was yellow/green and the surrounding area was red. This was not good, whatever it was. But I had to wait.

The timing was odd. I had my first period in at least a year. I was taking antibiotics for SIBO, a gut issue. Those antibiotics target the gut, though, and wouldn’t help this. I hadn’t been indoors anyplace in 5 months. But if ever there was a time to go indoors despite the pandemic, this was it. This all ran through my head for days. Then on Tuesday, as I sat at my kitchen table sewing masks, the phone rang. There was a cancellation at 1pm. I looked at the clock: 12:21pm. I live 35 minutes away. I took it without hesitation. I shut off the sewing machine, threw my things in a bag, and ran out the door. I ate my lunch in the car with my hands, thankful that I had leftovers available. A cold hamburger patty, cold roasted potatoes, and cold salad never tasted so good.

Even while highly on edge about the thing on my breast, I noticed and was grateful for the office’s excellent Covid protocols. The assistant took my vitals. Then I sat in the room while my NP called me on my cell phone (which I’d been instructed to bring for this purpose) and asked me to explain the situation. This minimized our time together in the room. She came in and washed her hands carefully while clearly trying to distract me with neutral conversation. Then she came over to examine me. It was my first physical contact with a human in months, but I didn’t even notice that part. The only thing I processed was her response: she was relieved. It wasn’t cancer.

I left that office with a prescription for antibiotic ointment and with the confidence that that open sore was not indicative of breast cancer. Then I celebrated. The day before I’d baked cookies, which I ate as comfort food because I was stressed out. Now I ate them to celebrate. I blew off all responsibilities and spent the afternoon playing computer games, taking walks, and relaxing. I happened to see a neighbor’s adorable puppy on one walk, and had a lot of fun playing with him. What a joy!

The next day, I woke up and remembered it all immediately. Again, I felt relieved. Again, I had a relaxing day with few responsibilities. It was just what I needed after such a harrowing week.

Of course, responsibilities can’t be held at bay forever, and I am back to doing the things that must be done. Still, I am hugely relieved. As I put the antibiotic ointment on my breast three times a day and notice that the scab has not reopened and the redness has continued to shrink and fade, I feel the relief all over again. This could have been so much worse. So many times, my body has defied the odds and given me some new terrible condition, but not this time. So this time, I’m celebrating.


Symptoms, spreadsheets, and connecting dots

December 30, 2020

When did I start feeling crappy? Was it two days ago? Last week? When’s the last time I was glutened? When did I last need to use a cane or crutches to get around my apartment? When did I adjust that medication? These things would be hard enough to remember under the best of circumstances, but add in brain fog and days on end without with the structure of a full time job and suddenly it feels impossible to remember with any accuracy. Thankfully, I have my spreadsheet.

It feels like I started the spreadsheet recently, but actually it was September 2013. (Wow, 7 years already!) I had been researching how to treat my various health conditions, and tracking symptoms and medications was recommended so strongly in multiple books that I finally gave in and did it. There are many apps that can be used, but I like my spreadsheet. Everything is in there, I don’t have to worry about an app being discontinued, it’s easy to search for any words or phrases I want, and I can use my laptop’s keyboard to type everything out (that’s much easier for me than tapping on a phone.) When I have random thoughts about things I want to add to the spreadsheet, I record them in the to-do list app on my phone, then later put them in the spreadsheet. Every morning I check my email and look at Facebook. While I’m at my computer, I update the spreadsheet. Easy. Occasionally I’ll pop in some information later in the day, too.

I started with a lot of categories which, to be honest, I never consistently used. There are some blank days, too. Interestingly, as of now (December 2020) there hasn’t been a blank day since March 2019. During the pandemic it’s easier to stay on top of this, but clearly my tracking improved long before that. Still, while blank days are less helpful, I try to remember that making notes sometimes is much better than making notes never.

So what do I record? As much as I can, here’s what I like to track:

  • The length of time I use my ASV machine each night. (An ASV is a form of CPAP machine, used to treat my sleep apnea.) Every morning when I wake up, the machine tells me how long it’s been on. This is also a fairly accurate record of how long I slept.
  • Any delays to taking my medication on a given day. Maybe I forgot. Maybe I ate a meal late and so I had to alter when I took a medication. This doesn’t usually matter, but sometimes I feel off and it helps to be able to look back and see if this was the reason. I’ll also note if I took it early for any reason, but this is rare.
  • My period, and how heavy it is that day. (I also note this in my calendar, for easy access during medical appointments.)
  • Any changes to medications or supplements. I note names of medications and supplements, doses, and times of day that I take them.
  • Any unusual symptoms, or changes in the degree of my symptoms. I’ll note if my right knee hurts one day, and what makes it worse. I’ll note if my fatigue suddenly hits me hard. I always note gastrointestinal symptoms.
  • Any other changes that I want to track. For example, I use a blue light every morning. These are commonly used to treat seasonal affective disorder (and it’s definitely helped mine!) but I use it primarily to adjust my sleep cycle. At my last appointment with my sleep specialist, I mentioned my recent difficulty going to bed at a reasonable hour each night. He suggested that I adjust when I use my blue light in the mornings, moving it earlier by a few minutes each day until I reach the target time. This is a huge struggle for me, as it means I need to get out of bed earlier. That’s not something I’m good at. So now I am writing down what time I use the blue each morning to be sure that I’m more or less on track. It’s taking me ages to move the light, but I look at my notes each morning to get encouragement that I’m moving in the right direction. I can also use it to see if the change in time (and hence a change in my sleep schedule) is impacting how I feel in other ways. Once I reach my goal, I will stop tracking this, but those notes will remain in the spreadsheet for those days. There are many things I track temporarily like this.
  • Unusual activities and overall symptoms levels. I’ll note if today felt like an especially productive day, if I was out at friend’s house all day without getting tired (pre-pandemic, of course), if I took an unusually long walk and how it made me feel, if a short walk made me tired or caused pain, if I stayed up too late the night before and how I feel as a result. I will also note outside factors, like if it’s a dark and dreary day, I will note that because it impacts my energy levels (remember the seasonal affective disorder I mentioned before? Yeah, weather is a big one) or if it’s hot out and I had to spend time outdoors then I’ll note it because that increases my inflammation levels.

As you can see, there are certain things that I track regularly, and others that I track temporarily. Some things are obvious (a change in medication) and some less so (the weather.) The key is, over time I have been figuring out what tends to impact my health and those are the things I note. This has been incredibly helpful.

Recently I was fatigued. It hit me suddenly, which was odd, but I figured maybe I’d been doing too much. I blamed my adrenal insufficiency, which was a reasonable assumption. After a few days I knew that wasn’t the issue, but didn’t know what was happening. Eventually I realized I’d been glutened. My symptom tracking showed me that the gluten explained my previously unexplainable knee swelling and the intense brain fog.

And then there was the time that I suddenly realized that I was having less brain fog. My thinking had been clearer for several days than it had been in a long time. I looked at my symptom tracking and noticed that, based on the timing, this was probably due to stopping some supplements. I had stopped taking those vitamins because they contained corn derivatives in the fillers, and I had recently decided to get more aggressive about cutting corn out of my diet, since I knew I reacted badly to it in larger quantities. It had been immediately obvious that cutting out those smaller bits of corn was helping my digestive issues, but it was only thanks to my tracking that I realized its impact on my cognition.

I could give you dozens of examples of my symptom tracking spreadsheet helping me over the years. It’s not perfect, but for me it works. Ideally I would like to track a lot more information, but I have found that when I try to do more, I get overwhelmed and end up doing nothing at all. Something is better than nothing, so for now, I will continue to do this.

This works well for me, but I know it’s not the right approach for everyone. Please share what works for you, too, because it may give others some useful ideas. Do you track your symptoms? If so, what do you track and what program do you use? What would you recommend to others? I hope that everyone who wants to track their symptoms can find an approach that works well for them.


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.


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