Welcome back nausea

September 23, 2011

Well, maybe “welcome” isn’t the best word.

 

I started my most recent round of Prednisone back in April.  Now, 5 months later, I’m slowly lowering the dose.  I’ve tried to lower the dose three times already, but each time I had the symptoms return and had to up the dose again.  This time, so far, it’s going ok.  Except for the return of symptoms.

 

Back in April, I had tried a few alternatives with no luck, so I returned to Prednisone.  It comes with many side effects, as most of us know.  Sure, long term I may be at risk for osteoporosis or heart problems, but right now I’m focused on the short term side effects.  Let’s see… there was the hyperactivity.  I kept talking too much and too fast, even faster than normal (which is already too fast.)  I was always hungry.  I wasn’t sleeping as much.  I gained back all of the weight that I had just finished losing from the last round of Prednisone, years earlier.  But then there were the good side effects.  I had a lot of energy.  The fatigue was mostly gone.  And the nausea went away.  Oh, that was heaven.

 

As I’ve lowered the dose of Prednisone I’ve noticed a drop in energy.  This has been difficult and frustrating.  I loved being able to keep up (well, somewhat) with my friends.  I’ve been trying to adjust back to my “old” levels.  But then yesterday the nausea hit me.  After months of almost no nausea, I had started to get used to it.  I could eat whatever I wanted (within my limited diet) and feel just fine.  I didn’t have to worry about feeling horrible for no reason.  I could simply eat a meal or a snack.  Easy.  It was bliss.  Then yesterday, my stomach was bothering me in the afternoon.  It wasn’t my period.  It couldn’t be what I’d eaten.  It wasn’t the amount I’d eaten.  It felt almost like…. BAM!  It hit me.  I knew what it was.  The symptoms were back.  And, sure enough, I had a perfectly good dinner tonight, healthy and well-proportioned and conforming to my diet, and felt horrible afterwards.  Oh yeah, I’m returning to normal all right.  Too bad.  I really loved not feeling nauseated on a near-daily basis.  What a wonderful treat.

 

Still, there’s nothing much I can do about it.  So it’s time to stock up on the foods and such that make me feel better (carbs, mint, Pepto, etc.) and just deal with it.  It sucks, but there’s nothing to be done.  At least I’ll be at less risk of osteoporosis and whatever other side effects Prednisone causes.  I guess that’s a good thing.  Sort of.

 

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Great folks make it all a little less bad

September 22, 2011

For two months I had a friend’s party scheduled in my calendar.  I was excited to go.  This is a group of people I don’t get to see as often as I’d like and I knew it would be fun.  Then I had an episode and all plans were kaput.  I didn’t even get to email him about it until afterwards.

 

This is a couple I really like, and they know I have health problems, but we’ve never gotten into all of the details.  [Then again, I don’t get into details with anyone, so I guess that’s my issue.]  I really hated missing the party, but I also felt bad because I’d cancelled plans with them so many times recently.  I just can’t seem to get a handle on my health, or any sense of predictability.  This is hard for me to handle, but even harder to explain.  So I emailed each of them, apologized, explained, and included a link to the spoon theory.

 

They are such wonderful people.  He wrote back and explained that an old girlfriend had (and has) fibromyalgia and that he understood why I kept having to cancel.  He said not to worry and that he’d keep inviting me to things.  Then he posted the spoon theory on Facebook and encouraged others to read it!  His partner emailed me and said that when I show up they’re thrilled and when I don’t they’re thinking of me.  She said not to worry, that she’d keep inviting me to things.  They each said that I don’t have to explain or apologize.

 

These are fantastic people in so many ways.  They are sweet and giving and always thinking about others.  Still, you never know how people will respond, right?  I’ve certainly had people feel insulted when I skipped important events, even though it was not my fault and couldn’t be helped.  But to have people in your life who understand?  That makes all the difference.  If you don’t have people like this in your life, please get some.  Positive relationships can make it all bearable.

 

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Ups, downs, and all arounds

September 21, 2011

It started with a great fantasy.  I started daydreaming about winning the lottery and not having to work anymore.  I thought about quitting my job and fixing my health.  I’d go to the gym and do physical therapy, I’d get massage therapy and acupuncture.  I’d buy a house with central air conditioning.  Oh, how nice it would be.  When I felt healthy enough I’d do volunteer work.  And I’d feel better.

 

This was on my mind so much that I had trouble falling asleep.  Then, it was a poor, shallow sleep.  The alarm went off this morning and I was exhausted.  The shower woke me up a bit and breakfast woke me up more, and just before I left the house the sun came out.  The sun!  Suddenly I was awake and cheerful.  I love the sun.  Somehow, I stayed energized through my commute and still felt ok when I got to work. ( This is very unusual – normally by the time I get to work, I feel like I’ve already spent my energy for the day.)  Today I was strong and productive at work.  It felt great!

 

After work, I came home and moved my car.  While driving around for 15 minutes looking for a legal parking space that wouldn’t obstruct tomorrow’s all-so-important-yet-ineffective street cleaning, I suddenly lost all that energy.  It was just gone.  Kaput.  I’d been feeling good and having a great day, and without noticing, I’d spent all of my spoons.  If you don’t know what I’m talking about, read about the spoon theory here.  My spoons were gone.

 

Luckily, I found a dirty, bent spoon in reserve, and I was able to fix it.  I sat in the car for 15 minutes.  I thought about picking up my phone, but that took too much effort.  I wanted to put on a sweater, but that took too much effort.  Instead, I just sat.  I didn’t move.  After a while, I felt much better.  I’d resurrected a spoon.  That doesn’t always work, but this was a lucky day.  I still managed to meet my cousin as planned and have a lovely dinner.  After dinner, I suggested we walk.  We walked a lot farther than I really wanted to, but I knew it was important.  I needed the exercise, to build upt tomorrow’s reserve of spoons.  And it’ll help me sleep better.  I hope.

 

It was a good day overall.  The setback was minor.  But it was a good reminder to be careful.  Energy can disappear without warning, so I have to always be mindful.  Always.

 

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Getting beaten up by my job

September 20, 2011

At the risk of being redundant, I’m writing about the whole job thing again, because it’s on my mind again.  Well, still.

I used to be so grateful that I could work full time.  And I suppose I’m still grateful that I’m able to do it, it’s just that “able to do it” is defined differently now.  Before, I could work and have a life and feel good.  Now, I can work or have a life and feel good.  This is not a good choice to have to make.  I’ve accepted that I need to work part timeand having made that decision gives me some peace of mind.  The problem is, it’s not so easy to find a part-time job, even at 4 days a week, that pays enough.  I don’t live an extravagant lifestyle.  Actually, I wish I did, because then it would be easy to cut down.  I spend relatively little, and I save as much as possible so that I’ll have some money for when the day comes that I can’t work at all.  Still, I have to pay the rent, and buy food, and all that other stuff.

I’m willing to work.  I just don’t want my work to be more effort for me than a healthy person’s full time job is for them.  I figure that means I should be working about 3 partial days a week.  Yeah, that’s no good.  Maybe I’ll win the lottery.  In the meantime, back to the job boards….

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