Chronic Pain

Is it Friday, yet?

It is currently lunch time on Wednesday, and when I add it up, I have spent approx. 9 hours in doctors’ offices, and 3 hours at the dentist so far this week. To be fair, 2 hours of the doctor visits were for my oldest daughter, and the dentist was for my youngest daughter, but I am still one tired momma.

When you throw in “normal” everyday activities like showering, dressing, food prep and consumption, I feel like I have used up all of my spoons very early in the week. So for the rest of today- or at least for the next few hours, this is my view-

(Notice the ears of my always faithful, comforter in chief.❤️)

To summarize the result of my appointments, I have to consult with a pulmonologist because a sleep study showed that I am losing oxygenation when I sleep (not like apnea when you stop breathing). My rheumatologist also suspects an auto-immune response in my body- though she hasn’t pinpointed what, yet. My bloodwork is negative, and she suspects seronegative arthritis, a form of rheumatoid arthritis. This is all a bit nerve-wracking to me as my mother passed from auto-immune disorders three years ago. Knowing that the brain injuries can lead to disruptions in ALL areas of the body, I have legitimate reason to be concerned.

I am also being referred to a OMT Physical Medicine and Rehab doctor to treat me for allodynia and other pain issues. The lucky part of that is the doctors I was referred to are former co-residents with my CURRENT PMMR doctor that I see for concussion management– but I have to be honest, it’s completely overwhelming to think of adding two more doctors to my mix- not to mention that the therapy docs are 45 min away. I am already going to one medical massage per week and one-two physical therapy sessions- along with whatever other appointments come my way. It would be overwhelming for a person with a healthy brain and body to navigate this all, but for a spoonie like me, it feels like I am standing in front of a mountain that I need to climb, and the terrain goes straight up the face.

My head is spinning, and I am employing all of my “just do the next, right thing” beliefs, ala Glennon Doyle, and that is the only thing making it possible for me to crawl out of my bed each day. I WANT to spend my time and energy anywhere but in the doctor’s office or on my couch, but that seems to be my path for the next few weeks, at least. (Did I mention that my daughter ALSO has to have PT twice a week for a shoulder injury?)

It’s all a bit much, and it’s time to bring in the reinforcements. So I would like to know, what is YOUR best spoonie tips for surviving when doctor and therapy appointments are adding up?

(Bonus points if they don’t cost a lot of money- it’s easy to outsource cleaning, laundry and meals when money isn’t an object, but when facing some high out of pocket expenses, that has to be factored in, as well.)

I hope to have enough energy to finish my post about vestibular therapy, soon- so be on the lookout!

#pcs, Chronic Pain

The question of rest

How do I determine when to push ahead, and when to listen to my body and rest? These are questions that I struggle with daily. Each morning, I wake up not feeling refreshed. I put one foot in front of the other and rely on the scientific theory, “An object in motion will stay in motion.”  I rely on this mantra as I push through the initial fog, reach for my medicine, and begin to fuel my body for the day.

After the hustle and bustle of getting the kids out of the door for school; I take time to assess my body and brain for how they are feeling each day.  What hurts most today? (Unfortunately, for the past 7 + years, it has never been ‘Does anything hurt?’) I also need to assess how alert I am. Am I following conversations well, or am I feeling confused? Is there any part of me that needs to be addressed before I can start my day?  Sometimes, my medicine will kick in and I feel more alert and capable after a half hour or so. Other days, I feel like my energy and focus are nowhere to be found. It can be incredibly random and therefore difficult to predict- all which can lead to more frustration if I let it. With it’s myriad of symptoms, there is no getting around it, living with Post Concussion Syndrome (PCS) is challenging.

 I check my schedule for the day to see if there are any appointments or errands that I must attend to, and if not, I typically take that time to sit on my couch, peruse social media, and flip between Good Morning America and the Today show as I continue to take inventory of myself.

Some days, I have non-negotiable appointments set up- and they can be both good and bad for me.  When I have to be out of the house, I typically get ready and go- no matter how I am feeling- and I deal with the consequences later. Doctor’s appointments and physical therapies can be both motivating and exhausting at the same time.  I rely on adrenaline to see me through, and I crash when I get home. Those days, I get frustrated because I feel like I have spent all of my “good energy” addressing my health and not doing anything fun or fulfilling- but I also can find solace in the fact that I have ticked concrete items off of my to-do list, therefore “earning” the exhaustion I feel.  The equation is balanced in that occasion. Other days, I may not have anything concrete on my schedule, only a list of tasks I would like to accomplish or things that I “should” do. These days can be trickier to navigate because logically, I know that my body DOES need more rest, so how do I balance what I would like to accomplish and what I should do?  How can I tell what would be best for me in the long run- to push or to rest?  Seven plus years into this journey, I still struggle daily with how to answer that question.  Sometimes, I even wonder if someone should be making that decision FOR me because it feels like too often, I have a tough time finding balance between the person I desire to be and the person I now am- and I still have a very difficult time accepting that fact. One day, I hope to be able to accept myself as I currently am, not who I was.