Wednesday, March 27, 2019

Another Day, Another Trifecta: One Detail I Neglected to Mention

During the first appointment, which was with P4.0, they were taking my vitals, and I had them do my BP manually (as I feel it's more accurate than the robots), and my number was:

110/64 

This pleases me immensely. I have many goals, some crazy to some, but trying to get my BP lowered further (when quinipril and aldactazide wasn't cutting it, sufficiently, for my goals), has been like trying to slay an invisible dragon.

 

Tuesday, March 26, 2019

Another Day, Another Trifecta

Yesterday was a day off from the office, but I kept up a pretty brisk pace and scheduled things pretty tight. Luckily, all three appointments run like a Swiss timepiece, and I was able to deftly move from one to the next, and so on.

First appointment was the follow-up with P4.0. Things went well, and there is some improvement, so the last six weeks haven't been a complete act of futility. She wrote me an Rx for more muscle relaxants so I have them on hand if I need them, and an MRI is scheduled for Friday, and the stage is being set for the hyaluronate injections for both knees (a total of six appointments total--to be repeated again six months from now), and the MRI is in preparations for the nerve ablation in my back to be done 2-3 injections each side (if I remember correctly). 

Second appointment was physical therapy, and while wrapping up my assigned exercises, I asked my physical therapist about the possibility of putting me on the leg press, as surely there is benefit in building up strength in my quadriceps. I didn't go into detail how I know my knee caps aren't "tracking right," and the machine would further enhance my physical therapy. As I said, "I don't want to just go through the motions of staying in a holding pattern--I actually want to improve." He put me on the leg press and I managed to knock out a couple more repetitions than he suggested. This appointment was to replace Saturday's appointment which was rescheduled due to some in house training for their staff, and I am looking forward to my normally scheduled appointment tomorrow, so I can continue to build on whatever progress I started on Monday's appointment.


Third appointment was my annual ultrasound of my thyroid. Looks like one of the nodules has gotten bigger--won't know for sure until I get the radiology report. I am set to see my endocrinologist in June--so depending on how much bigger it's gotten, I'll no doubt get a call from her or a message on the patient portal, instructing me on what is to come next (if anything at all). 


The day was mostly self-care, so that's a win in my opinion. 

Tonight is my weekly CBT appointment. Tomorrow is physical therapy. Friday is the MRI.

Additionally, I am feeling the effects (I think!) from the 5HTP, which I was taking before I started the muscle relaxants (and resumed once I was off them). Given that it has been so long since I've woken up feeling actually refreshed when I wake up, it is hard for me to articulate how I feel; however, I don't feel that sense of foreboding and dread, and I'm not groggy--so I'll take that as a minor improvement, and I hope to build on that.

Friday, March 22, 2019

Adding Reinjury to Insult... Thereabouts


It's a bit of a TL; DR. Cliffnotes: I hurt myself, and might be in an existential crisis.

On Sunday I re-injured my shoulder. The same shoulder I injured 5+ years ago, which sent me down the rabbit hole of trying to find a physiatrist, after physiatrist, and physical therapy after physical therapy. Recently, I finally got to the point of realizing no amount of therapy was going to help things, and the issues died down a bit, though I still have had persistent golfers and tennis elbow in both elbows for 5+ years, and the shoulder tendinopathy has persisted, but manageable. And Sunday I fucked that all up by trying to do too much and not rest or acknowledge to myself that I have limits.

If I don't rest, my body will find a way to just shut down, and it did, in spectacularly painful fashion. While, yes, it was me and my neediness and my damned ego and pride to blame. But beyond this, YES, I'll blame this on my mom. I've connected the dots quite effectively, and did so in Tuesday's session, and Tuesday's session was all talk because I couldn't write and participate in this week's exercise.

The topic involved my shoulder injury, actually. I told my therapist two distinct stories involving my mom:

1. On my wedding day she showed up at the wedding location and announced to everyone present (including M’s family members and college buddies) how M was marrying me "for the green card." I told my therapist the subtext from this is: I am not valuable enough to marry a man younger than me, handsome, educated, and upwardly mobile WITHOUT him having ulterior motives.

2. (At a time well before I put up boundaries of what I'd tell my mom) When I was applying for a job at a Court Clerk's Office, she informed me, "Whatever you do, don't tell them how much you love giving head!" (she then commenced laughing like a lunatic). The subtext from this is: I am not valuable enough to land a job of that status and standing on my own merits and capabilities WITHOUT debasing myself.

Only recently have I become aware that I have a hole in my being or my psyche, a hole that should have been filled with self-esteem, the seeds of which SHOULD have been planted by my mother, and here I am, age 50, trying to figure out how to fill that hole myself--and realizing I lack the tools to do so.

Messages I have been sent my entire life involve how I only have value as long as I am doing something for someone else--all external sources--nothing from within. And as much as I do not consider myself a “people pleaser,” yet it was that very thing which led me to injuring my shoulder.


So how does my injury play into this faulty logic or dynamic?

I foolishly thought that I got fulfillment (or something thereabouts) by taking care of M by way of providing him nourishment. Yet, I’m realizing now, 18 years into this marriage he's not filling that hole in my psyche by nourishing ME with feedback. What little feedback he gives (if at all), falls into this deep hole, an abyss, and just evaporates--his feedback will never be enough to fill that hole, and I realize how unreasonable it is for me to expect it.

I am realizing my illusion/delusion involving my relationship with food and fulfillment. I am realizing now that if I am not experiencing fulfillment in regards to taking care of M, then I have zero fulfillment in my life. And somehow I can intellectualize this without emotion, without tears. I have too much to do and lack the luxury of time for tears.

TIMELINE OF EVENTS LEADING TO MY INJURY:

Saturday was a flurry of errands: drop off car at Honda, then take an Uber to physical therapy, then an Uber to my chiropractor, then an Uber to get a massage, then walk to Honda to pick up car. At this point, I *SHOULD* have gone home to rest up, yet still managed to continue running every errand still remaining on my list for that day: Vitamin Shoppe (this counts as self-care, IMHO, because it was for tryptophan to help my unyielding sleep problems), then Korean market for groceries, then Trader Joes for some things I can only get there--only to realize one of the vital things were not in stock, then lastly, to Sam's Club to pick up M's Rx.

Sunday, I got up at 9 a.m., and was on my feet in the kitchen cutting vegetables and getting things started for Sunday’s lunch and dinner, as well as lining up the week's worth of meals. I finally sat down for a moment (after 4 hours) to ice down my feet, as my feet were BEYOND hurting, and then I recommenced vegetable cutting and planning and plating things up and getting organized for the week.

2:30 a.m. MONDAY, I woke out of a sound sleep in utter agony. The shoulder tendinopathy pain which has plagued me for about 5-6 years at this point, amped up to an unbearable level. I started to sob in agony; however, I realized couldn't even sob in response, as I realized sobbing only intensified the pain.

By 5 a.m., I forced myself out of bed,  in search of ibuprofen and in search of my TENS unit, which M decided to squirrel away. So in pain, I had to go on a scavenger hunt. I sat in my chair using the TENS, and feeling like a zombie.

Monday, I forced myself to go to work, and as the day went on, I could lift my arm less and less. At one point, I got very worried, and thought for a hot second that I might have had a stroke.

Tuesday was more of the same. Tuesday morning, I emailed P4.0, asking if she could phone in an Rx for muscle relaxants, Tuesday afternoon, I took a late lunch and went to my chiropractor (again), who spent over an hour doing everything he could to alleviate my suffering. I'd be lost without him, by the way. I went back to the office to wrap some things up, and then went to my session with my therapist. I picked up M, and went home and realized I couldn't take my clothing off, as it required to be pulled up over my head. I sat there trembling in agony, and I couldn’t control myself further and sobbed until I snotted myself.

Wednesday I called out sick from work. I managed to drop M off at the train, and then I took myself to get breakfast--driving my car one handed. I then went to the Korean market for a few items I absolutely needed. Then went home to realize M scrubbed the tub (before going to work), so I could take a hot bath and soak. I ran a bath and called my physical therapist to see if I could come in earlier than my 6:40 appointment--they fit me in for 2:40 instead.

After the bath, I sat in the chair for several hours, resting, and alternating TENS and EMS on my neck and shoulders. I managed to get myself dressed, and went to Sam's Club as my blood pressure Rx was ready, and I was down to 2 more doses in my existing bottle and needed to pick it up, otherwise I'd have to make a lunchtime run there on Friday when I would be completely OUT of pills, and would have caused a logistical headache to pick up the Rx during lunch.

I managed to go to physical therapy, and then I picked up my new reading glasses, and talked myself out of the impulse to go back to Sam's Club for a rotisserie chicken (mind you, it's 2/10th of a mile from my house, my street literally ends where Sam's is). I did what I needed to do, and just went home to rest for another hour or two before I had to retrieve M from the train station. 

So, even on a day that should have been complete rest, I still managed to do four errands/tasks, not including taking that hot soak.

What people might possibly see on my exterior is someone who is strong or resilient; however, in my interior, I am resentful and angry and exhausted and feel weak with this unending series of painful challenges.

Thursday I felt the tiniest bit better, and went to the office, and the director acknowledged my existence (or specifically, my absence the day before), and asked how I was doing.

My chiropractor texted me to see how I was doing—as he is the only one who really knows to what level I was in crisis. Given his schedule for the next week is going to be demanding, he was able to fit me in for another treatment Thursday night.

Here it is Friday, and I’m able to lift my arm a wee bit more than I could all week—and even manage to pull my pants up with my left arm. I’m not 100% back to where I was before, but there has been some improvement.

And it was a good thing I picked up my Rx on Wednesday—remember what I said about logistical headache? Well, today (Friday), I will be picking up my orthotics during lunch. Had I opted out of doing so on Wednesday, that would have meant going 2.5 more days without the orthotics until Monday’s flurry of appointments and running around.

Wednesday, March 13, 2019

Six Days Later...

In general, I'm holding my own. No new dramas or traumas. And after using my cane for a week, I'm feeling a feeling that is unfamiliar to me: a diminishment of my pain in my lower extremities. I'm still feeling like shit, but it's not an agonizing 7-8 on the pain scale, and perhaps even a smidge lower than my routine/baseline 5. Something (probably EVERYTHING combined) I'm doing is working.  

Orthotics haven't been received yet. 

I'm staying the course.

More PT tonight.

Lather, rinse, repeat.

Thursday, March 07, 2019

10 Days Later...

Dinner party went swimmingly. Everyone left roughly 11 p.m., so no luck on getting on my bike, nor getting that hot bath as I had hoped.

I loaded the dishwasher, and tidied up as best as I could before hitting the hay.

The next day, I had an appointment to get molds of my feet taken for some custom orthotics. So I have one more week to go until they are ready.

I've been "keeping at it" with physical therapy 2x a week, and between the orthopedic shoes and PT 2x a week, I've felt a shift of sorts, until last Wednesday, when the therapists had me do exercises involving me standing full body weight, and balancing on one foot at a time--not something ideal for someone with a Morton's Neuroma. That unleashed more pain, gradually the next day, and that evening the pain was so bad, I could not attain any sleep whatsoever, and Friday I called out sick at work because I was exhausted and in pretty severe pain.

Saturday, I informed my physical therapist for the day of what transpired, and the cool thing about this PT group is, I am seen and treated by a team of therapists, so there's several different perspectives factored into my treatment and care, versus one person treating me throughout (as is/was the case at my previous physical therapy group).

Two nights ago, I had the distinct sensation that I didn't toss and turn as much, and at one point, I may have been aware that I was laying on my right hip longer than I have in a long while.

All this week I have been walking with my cane for assistance, until my orthotics come in, and also because the snow has made it challenging, and also? It's handy to have it on hand to give me a sense of security. ALSO? At work, it is a useful prop to remind some people that HEY! I HAVE LIMITATIONS!

I have continued with my CBT too, and it is really challenging me and my thought processes. I've said it a thousand times and will probably say it a thousand more, that I've spent a lifetime of repressing/suppressing unpleasant, negative, or traumatic things, so it's really a difficult challenge to try to tap into my feelings on a deeper level.

Coming up this weekend is my (now routine) Saturday physical therapy appointment, and an eye exam. 

Tonight, I will rush around to get some grocery shopping done. And tomorrow before work I hope to get my laundry dropped off/picked up, and maintenance check dropped off, so then once my eye exam is over on Saturday, I can run home and relax. 

That's the plan at least.  

Progress is still being made on a molecular level.

Projected date orthotics will be ready on/about 3/12.
Follow up with P4.0 is on 3/25.
Follow up with the foot specialist is 5/1.