Should I go out tonight?

February 14, 2013

I think for healthy people, this question only comes up when they don’t have plans, or if they’ve been going out every night and feel that they need a night in. For me, this seems to come up constantly. I’m always weighing how I feel and how much I want to go to something against what I might miss out on in the future if I do go out. Today, the decision is whether or not to go to a Valentine’s Day singles party tonight. Yeah, I know, but it’s not as bad as it sounds. It’s a great group where I’ll know a bunch of people, and I’ve been to their Valentine’s singles party before and it was fun.

I haven’t been doing much lately. Tuesday I didn’t leave the house at all, and just had my sex-friend over for a couple hours. Yesterday I only went out briefly to a chronic illness group for an hour. And today I haven’t left the house at all. So it would be nice to go out.

Then again, I slept horribly last night. I woke up at 3am and only dozed on and off after that. And I have a day full of activity planned for tomorrow. Plus there’s the hassle of getting dressed up and having to put on a happy face. If I knew this event would happen again soon, I’d be happy to stay in and just do this next time, but unfortunately, the next one is a full year away.

Reasons I should go out:

  • I’ll see a lot of friends I really like.
  • I might meet someone interesting.
  • I can practice flirting.
  • Maybe someone will flirt with me.
  • It would get me out of the house and interacting with people.
  • I’m pretty certain I’ll have fun if I go.

Reasons I shouldn’t go out:

  • It will take away my remaining spoons, and possibly cause a deficit.
  • I might be too worn out to have fun tomorrow, which is a one-time family thing.
  • Because of the snow (and the resulting parking shortage) I can’t drive, so I’d have to risk taking the germ-infested subway.
  • I’ll have to either shake hands with a lot of people, or else come up with a reason not to shake hands that doesn’t drive away the flirtations.
  • I’ll have to answer the question “What do you do?” over and over and over and over. I hate that question.
  • I’m not ready to date yet.

I’m leaning towards staying home, but I just can’t decide. I keep thinking about all the friends who will be there tonight, so even if I don’t meet or flirt with anyway, I know I’d have friends with them. What holds me back is tomorrow. I must have energy for tomorrow. An elderly relative is in town and this could be the last time I see him, since I can’t travel and he might not be able to either after this. If I knew I could do both it would be different. But since I can’t be sure….

What would you do?


Good health news!

February 5, 2013

I’m thrilled that for my 300th post on this blog, I’m reporting on some happy news. Sure, I rant about the frustrations and injustices of living with chronic illnesses, but I also think it’s important to celebrate and revel in the the good news whenever it comes our way.

Usually, a good medical appointment is when I’m told that I’m not getting worse. That tends to be the best that I hope for. So I’m still not sure how to interpret yesterday’s appointment where I was told I’m getting better. I think I’m still in shock.

Years of traditional medicine have failed me, so last summer I started seeing a naturopath. I did my own research first, figured out the treatment plan I wanted, then called around and did phone interviews with several people. I chose someone who was reasonably priced (though far from the cheapest), more local than many others, had similar treatment methods to the ones I wanted to pursue, and generally sounded like someone I’d want to work with. It took a while to research and find someone, but it seems to have been worth it.

The naturopath put me on a new diet and some supplements. The diet clearly started working right away. The daily nausea, cramping, gas, diarrhea, and constipation went away! I didn’t even realize just how bad they were until they were gone. Then I started to notice other changes. I had more energy. I didn’t unintentionally fall asleep in the middle of the day. I could take a short walk without needing a nap afterwards. I could do laundry and go grocery shopping in the same day (I’m still amazed by that one!) I could read a book and remember most of it by the time I reached the end, without having to reread the first chapters. These were all amazing improvements, but they were relatively small. Still, my naturopath felt that my gradual improvements were better than having big improvements that could backslide. That whole slow but steady thing. She felt I’d even be able to return to work in a year (this was said several months ago, so we’ll see….) She was positive, but I had my doubts.

Yesterday was the appointment that changed my attitude. My pulse was better. My ph balance was normal – and you chronic illness folks know how odd it is to be in the normal range of anything. My weight was good. My blood pressure was still too low, but most other measurements looked good. There were signs that my leaky gut had healed. What really shocked me was the part I should have seen myself. As she asked me probing questions about my recent health and abilities, it became clear that I’ve improved more than I’d realized. Yes, my memory is still a big problem, but it’s much better than it was. I hadn’t really grasped that before. My final IBS-type symptoms seem to have subsided, and I’m even having bowel movements twice a day. I hadn’t given that enough thought to realize it was happening, and what an incredible improvement it is. My pain is so much better that I only think of it when I’m having a flare. Sure, I still have too many flares, but they’re not as frequent as they were, and I do so much better in between. I knew that, but hadn’t put it in context with everything else, especially since I’m still restricting my activity to avoid what I know will cause pain. Then again, I’m walking up 2 flights of stairs at a time now – a record for me! My energy is a lot better. I knew I was doing more in a day, but she pointed out that I didn’t need “recovery days” anymore. I spent last Saturday with my mother. I left my house at 11am and got home at 6pm. A year ago, I might not have been able to do that, or I would have taken a nap at her house. And a year ago, I would have spent the entire next day at home, recovering, feeling lousy. I might have even needed more than one day of feeling lousy at home before I was “reocovered.” Instead, I felt good when I left her place! Ok, I wasn’t ready to do lots more activity, and I was tired, but I wasn’t really fatigued. And when I got home, I cooked dinner. Amazingly, I felt fine the next day! It was a quiet, laid back day because I already had plans to have a friend come over and play board games, but if he’d wanted to do some light activity, like take a short walk, I could have done that. Sure, I probably wouldn’t have wanted to walk through a large museum or do anything else like that, but I was able to spend a few alert hours with my friend, without needing to lay down to rest before or after. This is HUGE!

For the first time, I was feeling positive about my health prospects, and then my naturopath told me that we are ready to focus less on stopping the damage to my body and to focus more on repair. I almost jumped up with excitement. And in an even more concrete show of how good she feels about my progress, instead of booking our next appointment 3-4 weeks out as usual, she wanted to book it 6 weeks out! Ahhh!!!!!

I still have a long way to go, so I’m trying to be patient, something I’m really not good at. There is so much I want to do, but I’m not ready for any of it right now. It’s a good sign that I want to plan for the future, especially compared to a year ago when I couldn’t even see the possibilities. Still, I need to be realistic. I’ll probably never ride a bicycle, but maybe, just maybe, in a year or two I could go back to work, and date, and go out with friends, and travel, and…. Well, even doing half those things would be amazing. And for the first time in a long time, it feels like one day it might be possible.


Who I am vs. who I want to be

February 4, 2013

After I gained a lot of Prednisone weight a few years back, I would look in the mirror and the image I saw didn’t reconcile with the image I expected to see. The weight gain was so fast that my brain just couldn’t accept it. It was as if I was seeing a stranger in the mirror. That’s how I feel about my whole life right now.

I have had a lot of time to read lately. I’m not working, I can’t do a lot of activity, so I read. I read novels and historic literature, but I’ve also been reading a lot that falls into the self-improvement and personal development categories. I’ve been reading about personal finance, minimalism, and health. I’ve been thinking about which aspects of the things I read I’d like to adopt, and which I’d rather not. I’ve been thinking about my future, including where I’ll live and what career I’ll have if I can work again. Unfortunately, too much of what I want to do just doesn’t align with my capabilities.

In my mind, I’ve gotten rid of my car and I walk where I can, take public transportation, and ride a bike the rest of the time. I have a great career in a new field. I save money by getting rid of my house cleaner and fixing things myself instead of buying stuff to do it. I travel more, but on the cheap, including road trips and camping (assuming I get over my arachnophobia first.) I take up hobbies that are interesting, fun, social, and active, like sports teams (there’s a local lesbian/bi softball team I’d love to join), biking clubs, or hiking. I’d date more. I’d date a lot, actually. And there’s so much more.

Over the years, I’ve often wondered what my life would have been like if I’d never been sick. I know that in a lot of ways, I’d be a very different person. And I’ve had to accept that I’d never know for sure. This time feels different. I feel my health improving, but I just don’t know how far it will go. Maybe one day I’ll be able to clean my own bathtub without being in a ton of pain afterwards. I doubt I’ll ride a bike, though. I haven’t done that since I was 16, and the body parts that are stopping me are unlikely to improve. Maybe I could travel more, but I doubt I’ll ever be able to sleep in a tent without intense back pain. Starting a new career sounds nice, and I’ve been gathering information from friends and people online, but is it really possible? Will I ever have a full time job again?

I think about the person I want to be, and I just don’t know if I can ever get there. I want to so badly. I have insurance companies and government bureaucracies saying that I’m healthy enough to do these things, but if I were, I’d do them. Really. I know some people would rather just take the money and sit back, but that’s not who I am. I want to LIVE my life, not just watch it pass me by. I just wish I knew how to make it happen. If it can, that is. Because the person I see in the mirror isn’t who I really am. I want to be me.


Paranoid or realistic about symptoms?

January 30, 2013

If you have multiple chronic illnesses, then you probably have a huge array of symptoms, and you probably never know if a new feeling is a symptom of an existing condition or if it’s something new.  This always leads to the conundrum: to see the doctor, or to not see the doctor.  If I went to the doctor for every new odd sensation, they’d think I was a hypochondriac.  On the other hand, I don’t want to miss something important.  It can be a fine line.

A few years back, I kept getting numbness in my left hand.  It came and went for several weeks and I just tried to ignore it.  Finally, while I was in the car with a friend who has multiple sclerosis, it returned.  I asked him for his advice and he said what I was thinking: I should get it checked out.  When I got around to it.  No rush.  As someone with a chronic illness, he understood how absurd it would be to freak out over every little thing.  I did finally see the nurse practitioner at my doctor’s office.  She declared it to be a pinched nerve and she prescribed physical therapy.  I had just finished a long round of physical therapy for my back/hips/knees and I didn’t want to expend my time, energy, or money on another round.  I asked her what would happen if I didn’t do it.  She seemed confused.  I clarified: if I do nothing, could there be long term damage to my hand?  She said no.  Could it fix itself?  She said yes, that was possible.  I decided to ignore it.  It eventually fixed itself and I didn’t have to bother with PT.

But then, there was the time I had a bad cold, with a cough that sounded horrible.  I was staying with my parents for a week in between apartment moves.  My mother kept telling me to see a doctor, but I thought that was silly.  It wasn’t until I started to cough up yellow and green phlegm that I finally admitted she might be right.  Unfortunately, by then it was a weekend, which made everything more complicated.  If I’d gone a day before, things would have been much easier.  And of course my mother was right (aren’t they always?)  I had a bronchial infection, which was helped almost immediately by antibiotics.

This week’s problem was with my eyes.  Aside from needing glasses, and not even a very strong prescription, I’ve never had any eye problems.  I see my eye doctor every year for a regular checkup, and also so he can make sure I’m not suffering any negative side effects from the years of Prednisone and Plaquenil use, each of which can cause all sorts of eye-related issues.  Then on Sunday, my eyes started to hurt.  I thought maybe I’d rubbed them too hard when they were itchy.  But they kept hurting.  I never put anything in my eye.  I can’t even watch other people put in contact lenses!  I couldn’t figure it out.  When my eyes still hurt on Monday, I was worried.  They looked normal.  They weren’t red.  But they hurt.  I started thinking about the drugs I’d taken, and I couldn’t remember if this could be a symptom of one of those side effects.  I decided to give it one more day.  I dreamed about my eyes that night and was very stressed out in the morning.  The first thing I did when I woke up was to pay attention to my eyes.  Yep, they still hurt.

Feeling like a huge ass, I called the eye doctor.  I made sure they took my new health insurance.  Then I got an appointment for that afternoon.  I drove over, feeling like I’d be laughed at.  My eyes looked fine.  I seemed ok.  The doctor even remarked on how I didn’t look like I was in pain (he said he can sometimes see the pain in a person’s expressions.)  I pointed out my medical history and my high pain threshold and he immediately understood.  Still, as he checked me in different ways and each was normal, I felt ridiculous.

And then he put something my eye and shone in a light and saw how dry my eyes were.  This level of dryness would have been apparent at my checkup just a few months ago, so this was definitely new.  And it definitely accounted for the pain.  The doctor even said that it’s a known side effect of several of my conditions, especially hypothyroid.  He told me what to do (fish oil, eye drops, set up the humidifier that’s been sitting in a corner, put pots of water next to my radiators, etc.) and sent me on my way.  My eyes felt the same, but my stomach felt a lot better as the anxiety eased.  I felt silly going in, but I was also terrified that there was something seriously wrong.  What a relief!

There’s no way to be sure which problems need to be addressed and which don’t.  It’s all a guessing game, trying to use a biased gut reaction to decide.  Sometimes we’re right and sometimes we’re wrong.  Sometimes we’ll never know.  The night I had diarrhea over and over, each time containing blood?  Maybe I should have been checked out, but an ER on a Saturday night would have been torture.  I’ll never know if I made the right decision (but it did go away on it’s own and hasn’t happened since, so that’s a good sign.)  I guess the best we can do is to make decisions that we feel comfortable with, and about which we won’t have any regrets.  If we can do that, we’re probably ahead of the game.

As for my eyes, I’m just glad I made the right decision to get checked out yesterday.  Now if I could just get the drops in my eyes instead of on my cheeks….