The Aftermath: What I Need to Remember

Last night’s post was rough. I’m sure it was uncomfortable to read, and perhaps many people didn’t even get through it. I certainly cringed when I reread it this morning, and not just at my bad grammar. But as uncomfortable as it was, I needed to write it. I needed to try to take others to that place fibromyalgia sufferers sit in when we have these intense flareups. I needed someone else to see what it is I go through, regardless of how dramatic it looked.

Humans naturally shy away from things that are uncomfortable. Our immediate reaction is to try and fix it. We don’t want to be made to sit with things that can’t be fixed. But that is the issue. With fibromyalgia, this uncomfortable area of feeling broken and not being able to fix ourselves is where we often are. Another pain flare up just brings another day where we reach for help with no end or cure in immediate sight. And with reaching for that help, we bring on another series of thoughts in our head about how yet again we are this unpredictable burden to everyone around us.

I’ve been wanting to write another post about last night’s pain all day. I wanted it to be hopeful. I wanted it to soothe the minds of those who read last night’s post and just left the page not knowing what to think. I wanted to write a post to reach out to my friends on Facebook who saw the initial one just to say, “HEY! I’m OK now! Sorry for ranting and being such a burden and drama queen!”

But things aren’t better. I need to be ok with what I said last night (bad grammar and all) and accept that even though there is a part of me scheming to get some sort of yoga, a walk or any other physical activity in my life today, it ain’t going to happen. And there is a solid possibility that it ain’t going to happen tomorrow, either.

Life is pain. Anyone who says differently is selling something. Fibro sufferers know this better than most.

My burden took me to my knees last night. It had me mentally screaming in agony, and I seriously thought that this time, I’d be crushed by the pain I was carrying. But I did wake up this morning. I made it through a hard night, just like I made it through the last time I thought I would be crushed.

Yes, humans have this flaw that we don’t want to see the uncomfortable again and again. But we also have the amazing ability of being resilient in both body and spirit. And that is something those of us with fibromyalgia need to keep reminding ourselves of. We are stronger than we look, stronger than we feel. And just when we think we are broken from pain, we will still wake up the next morning.

Don’t get me wrong. I’m not saying one day we will wake up and the pain will be gone. It certainly isn’t gone for me, regardless of how little I’ve done today and how much I stayed down. But my pain burden is easier for having done so. And maybe tomorrow morning it will be a even better. I’m trusting my strength right now. I’m trusting that intuitively I know what is best for my body, and relying on that strength to do the things I really don’t want to do right now, which is to keep my ass in a chair or in my bed, regardless of what my head is saying.

What I’m doing today is just another facet of being your own advocate. Yes, there will be times when you feel like the pain will just never stop, and all you want to do is things that will help you cope right now because the pain is so bad you can’t think about anything else. And in those moments, we have to give ourselves the right to scream, cuss, cry, eat and do anything we can to cope. But the moment will pass. And when it does, and the pain starts to subside, we have the resilience to pick up the pieces and begin again.

Tonight, I’m not certain if I will find myself in the ‘beginning again’ part, or the ‘scream, cuss and cry’ part. But this time I promise not to write another badly edited post about it. Instead, should it get that bad, I’ll ask for help, again. And tomorrow will be another day of seeing how I feel, and doing my best to actively deal with it. So far I’ve got a 100% track record of making it through crap I didn’t think I could. I like my odds.

The Plan to Reengage with the World

With a snap of the fingers (and new CDC guidelines), for those who have been vaccinated, the pandemic seems to be over.

Yesterday, it was publicized that about 62% of the American population have received at least one vaccine. And with President Biden wanting that number to be at 70% by July 4, the world is going to open up pretty fast. That fact, along with the decision of my company waiting until after Labor Day to have us resume on-site work, has me thinking about this oncoming summer of change and what its going to mean for my day to day routine.

Part of me wants to do the same thing I see many others on my feed do; immediately embark on a plan to lose the Covid weight, install healthy habits over the ones that I got into during the pandemic, and be able to walk into my office in September stronger and more sure of myself than ever before. And overall, that is what I’m considering doing.

But I’m going to do it on MY terms, and not based on the pie-in-the-sky goals of what most media fitness junkies want you to strive for. And don’t get me started on the photoshopped-bombshell pictures of what society thinks a healthy, athletic person should look like. I need to think logically, because trying to do it any other way would only exacerbate the chronic illnesses that I’m doing my damndest to live with.

So what is the “right” way to make change?

I think where many of us get into trouble is that they feel like they are starting from a place where they dislike everything about themselves. They hate what their body looks like, and are constantly reminded of what it can’t do. They hate the habits in their life that have made the situations that they are now in, and they want to change everything, and do it NOW. I’m not going to say that doesn’t work, but it definitely is a path that won’t work for me anymore. The last time I tried that plan of action was when I trained for my last half marathon, and ended up losing almost a week of work due to the fact that I had trained myself right into a serious fibromyalgia flare.

We also have to look at our environment. This pandemic has caused trauma to many, many people, and it still continues to do so. We have to be gentle with ourselves so that trauma can start to show itself and begin to heal. Throwing a brand new diet and exercise regimen into the mix isn’t always the best thing when you still may be eating for comfort, or needing to give yourself even more mental rest to be able to get through the work day, deal with familial issues or the political craziness that still plagues the United States. .

With all of that in mind, my suggestion is not going to be to start with the end in mind. Instead, try to simply start with small things that can be done now. In my case, I’ve still been counting calorie on most days, and I have a good idea of how much calorie I eat each day. So my first challenge is going to be to drop that daily range by 100-200 calories. It won’t be much to lose weight, but it’s something to get me in the habit of thinking about what I eat. My second challenge is to add extra activity to my day. It might be walking on the treadmill for 30 minutes, taking my dog out for a walk, or doing more yoga, but whatever I do, am going to do at least one of these each day. And I’m not going to do them to the point where I’m pushing myself; if it means that I’m doing 30 minutes of chair yoga because my legs hurt too much, it’s still yoga, and it still counts. (I also have a plan for 30 minutes of yoga in bed in case I really have a bad flare, just to keep going on my commitment.)

The Next Steps

After about three weeks of cutting a little bit of what I eat and adding some activity, I will then consider to decide what I want to accomplish. Do I want to focus on weight loss, running outside or doing races again? Maybe I just want to work on core strength, or standing endurance for when I get back into the office and start to have those hallway ‘meetings’ when I get asked questions as I’m moving from place to place? Whatever it will be, I want to make those decisions based on how I feel and what I think I can do, not what I feel like I’m expected to do.

Setting small daily goals first is to allow myself to get some confidence that I can attain the larger ones with proper planning and work. And not only will I feel more confident, the two steps I outlined above will start me mentally thinking about the very things that will help me move toward loftier goals with simple tweaking. Sure, I’m not going to be one of those ‘before and after 90-day success stories’, but I’m not willing to beat the shit out of myself to become one of those stories. That’s one of the main reasons why I have the chronic illness in the first place; I pushed my body again and again to be stronger, faster, leaner and endure more, and all I did was create an environment for breaking myself.

Failure is an Option

Things happen, and there will be days when I don’t meat the two goals that I have set out for myself so far. But I’m not going to sweat it. Especially because of the chronic illness, I have to let my body lead here, not my head or what I think I ‘should’ be doing. There may be days where the weather means I have more pain. And while I have that bed yoga routine at the ready, there is a possibility that I may not even have the strength for it.

The other issue is that we aren’t all out of this pandemic, either, and there will still be stressors when dealing with Covid deniers, or those still polarized about the election. Believe it or not, both still exist. In fact, I just had one show up at my house to do some maintenance! I had no idea he was a Covid denier until halfway into the task, he asked my husband what he did for a living, and when my husband mentioned he worked at the hospital, he went on a rant about Covid and false case numbers! Needless to say, I had a drink that night, which put me over my suggested calorie limit for the day, but I didn’t sweat that too much.

Accepting that there will be times that we fail in our goals is not allowing failure to automatically occur. Instead, it’s the first start in not beating yourself up when it does happen (and it will). We are human, and we will fail, as we are not infallible. If we were, we wouldn’t be on this planet in the first place.

In those cases, you have to tell yourself that you will do better the next day, and then work to do so. By doing this, you may find that in the end you will actually have less failure overall, because instead of spending the energy to beat yourself up, you are using that energy to do better.

So those are my thoughts and plans on moving forward through the summer. I don’t have any grandiose plans of trying to run a half marathon or compete in sparring at summer’s end, but I do think that I’m on my way to being just a little bit healthier, mentally and physically, which will serve me well once I get back to the office. And not only has my documenting the plans here forced me to make a public accounting of what it is I want to do (I said it, now I have to do it!) I hope that it allows someone else with chronic illness recognize that they also can do more than they think they are capable of. It just needs to be done in small steps, and sometimes without the main goal in mind.

Have You Tried Turning It off and on Again?

Spring is finally started to come to Southeast Michigan, and with it, the expected fibromyalgia craziness.

First, mid-February’s snow storms brought pain due to humidity changes, but the solid week of snow after brought some relief. And just when my body thinks, ‘we are in the deep of winter and I’m good with this,’ the temperature rises again and all of the snow melts.

My body has now changed to the ‘what the heck?!?’ spring transitional mode early; this usually doesn’t happen until mid-March at least. These transitional periods mean that fibromyalgia symptoms can change daily. (And sometimes even hourly!)

Seven years after diagnosis, I feel like I should be ready for this. I should know that my body is going to do this until the temperature starts getting into the mid 50s on a regular basis, and I should plan my activity levels accordingly. But for all of my planning and scheming to take it easy on myself during these spring thaws, it seems something always gets thrown in that causes my plans to go out the window. This time, it’s crazy work hours, some mental health work and a low-grade infection (a UTI that I have antibiotics for because all of my tips and tricks to take care of it aren’t working anymore…if you want TMI…)

This past week, it all caught up to me. By Friday, I was part zombie, part comfort-food-carnivore; I was exhausted but would eat every bit of food you put in front of me. That evening, I didn’t just fall asleep; I passed out.

And I slept. And slept some more. 13 hours later, I finally woke up. And while I was no longer this zombie/carnivore hybrid thing, I still decided that everything that had been planned for the day was not gonna happen. Instead, I sat curled in my comfy chair watching my husband play video games the entire day until I passed out again.

And slept another 13 hours.

After the second sleeping session, I started feeling like myself again. I did a (modified) weekly run and continued to rest to shore up energy for the beginning of the work week. And looking back on things, I should have realized I was coming due for another fibromyalgia reset.

A fibro reset is exactly what it sounds like. Your body goes offline by sleeping deeply for 16-26 hours in order to reset your energy levels and mental capacity. I usually need one of these once every two months. But although I can tell when my body is starting to gear up for one, I don’t get to choose when the actual reset is going to happen. I’ll just wake up one day and either realize I’m still so exhausted I can’t get out of the bed (which is a majority of what my sick days are from), or I’ll be doing something and suddenly I can barely keep my eyes open.

I’ve found resets to be a lot like turning your computer off and on again. And it’s only until after the reset takes place that you realize how much things were starting to slip. You start to see the laundry piling up, tasks at work not being done completely, your diet and exercise regime going out the window, and other surprising things like a kitchen starting to look like the hubby created four different new recipes and none of them were ever cleaned up. And after you get over the shock of missing things, you can slowly start to pick up where you left off and get on with daily living.

I’ll admit, I’m not a fan of fibro resets because of their frustration factor. It seems like you just start getting into a new habit or routine when one happens, and it means you lose most of the momentum you’ve gained over the past two months. This is especially true with the diet and exercise. Even two days where you don’t keep moving or eating to your appropriate plan will take away months of work, making you feel like you are going backwards. Still, I can’t stop them from occurring. And I have tried everything I can think of to do so.

So thanks to the reset, I’m going to have to be spending this week figuring out what I’ve lost. So far, I think it’s just my stamina that has taken a big step back as I’m recognizing I’m pushing myself more to get normal chores and my exercise done. I’ve also noticed the daily stretches have become harder to do again, which makes me wonder if I need to bump back my stretching to easier exercises.

Yes, I know – To the average person, I’m sure it sounds like I’m being ridiculous. How could 48 hours of being out of commission cause anyone to lose strength, stamina or flexibility?

Welcome to the exasperation that is fibromyalgia.

The good news is that I had some good habits established before the reset. So that will help make up some ground. In the meantime, I’ll also do a quick revisit to my diet and exercise routines to see if they need an update, or if there is something that would work better for me. So at least the check-in actions will be something good that comes out of this.

Overall, I’m sure it’s a good thing to have a regular reset, much like resetting your computer or phone every now and then. At least on a computer or other electronic device, they function better (or at least more normal) after a reset is complete. If that was the case with a fibro reset, I’d be marking the calendar and counting the days toward the next one.

After this week’s check in, I’ll move forward again with modified plans, and see how far I can get toward my stamina and strength goals. I have to keep moving and stay positive about all of this. After all, gardening season is coming up and I have plans for my beautiful gardening space.

Living with Fibro: Exercise

Since I am currently altering my own exercise routine, I thought it might be a good time to talk a bit about exercising with fibromyalgia. I’m dedicating a post to exercise because it is very important that people with fibromyalgia move every day in some shape or fashion. If we don’t move, even for a day or two, our muscles will start to feel thick and gummy. Go three or more days without movement and our muscles will feel rigid to the point where we lose range of motion and strength, which leads to an increase in pain. Yes, it is a true ‘use it or lose it’ scenario.

Endurance and Current Fitness Levels

Before I talk about my own routine, I want to say that the level of exercise that I strive for is my choice. Before the fibromyalgia, I was an athlete. I did martial arts, I was a runner and a dedicated yogi. Therefore I believe that because I had a high level of fitness back then, I can maintain a higher level of exercise than others with fibromyalgia. It isn’t that someone who has fibro cannot get to the same level of fitness I have, I’m simply saying the ‘route’ to get here and their overall exercise regimen would be significantly different than mine.

Regardless of the level of fitness I have, I still have to be choosy about what types of exercise I’m doing, thanks to fibromyalgia’s limit on my endurance levels. Running is currently my choice for what I burn the most energy on. I love being able to run a 5K, and I’m not ready to give that up. So I’ve accepted the fact that I have chosen running as my main exercise, for now. I can’t do that and do other extended work in another sport. That means advanced yoga asanas like handstands, extended strength training sessions, or any type of martial arts practice are all out unless I stop running. I am trying to build additional endurance so I can do more, but so far, I’m not having much luck.

I am bringing the endurance issue up to remind non-sufferers that people who have fibromyalgia have a very specific level of energy and endurance they can use each day. It doesn’t matter what fitness level you are at; you still have to choose what you spend that energy on. I choose to use my energy by doing more exercise (as I have no kids and a desk job), another fibro sufferer may have to use their energy in a work position where they must be more active, drive a longer commute distance, or tend to young children. I am absolutely certain that every fibro sufferer wants to do more than they currently are, we just can’t because we are limited by the disease.

My Current Exercise Routine

My current schedule is a 5K run on the weekends, usually on Sundays as I don’t have much else going on during those days and can sit for most of the day afterward. I also try to walk at least 30 minutes 4 times a week. This isn’t a fast walk, just something that can keep my heart rate up for a general period of time. I do 30 minutes on an elliptical machine once a week, and a 15 minute routine with a strength training system called TRX once a week on a day I’m walking. All of that together means I’m exercising 6 days a week. If I don’t make 6 days of exercise, I don’t beat myself up. It is all dependent on how my body is feeling, and I’d rather err on the side of caution than cause a flareup of pain. It took me 3 months of work to get this current level of exercise into my regimen and not cause a flare. And it still isn’t without a tradeoff. About 6 or 7 in the evening on most days, I’m done. Other than crocheting, watching TV or reading, I can’t do any other activity. So the husband gets to cook, drive us someplace if we have something scheduled, or do any necessary cleaning. He’s OK with that (so far).

Currently, my own personal goals are to try to extend the 5K into a 4 mile run and include an extra 20 minute martial art practice into my regimen. That isn’t going too well. On weeks where I’m feeling awesome, I can get the martial art practice in, but not the extra running. But I’m still going to continue to try for another month or two. Regardless of what high impact work I’m doing, for those few moments, I feel like an athlete again, and that means a great deal to me.

My Exercise Recommendations for Fibro Sufferers – Bare Minimum

For the average person with fibromyalgia/CFS who doesn’t have any other underlying conditions, I highly recommend at the bare minimum some sort of stretching routine to keep the range of motion that you currently have. If you haven’t been doing anything, it’s going to be hard to get started, and I’m not going to lie, it will hurt worse for the first week or two, but the extra pain that you will receive from the exercise will be the type of pain can be dulled by icing, over the counter pain relievers or with muscle ointments. And even with the extra pain, to me it’s worth it. I’ve found that even 4 minutes of gentle stretching a day will allow you to start feeling more comfortable overall, and possibly reduce the amount of daily pain.

I do have some suggestions for starting out. I personally like Joe Yoon’s Better Stretching as a starter book as the exercises are very easy, yet effective. He also has a great Instagram presence and demonstrates many of the moves in the book there (or you can buy his application Better Stretching if you want a more structured regimen). Other options include Miranda Esmonde-White’s Essentrics program, which was created out of the “Classical Stretch” TV Program on PBS (which I believe is still available at some libraries). She also has written a book called Forever Painless, which is a good introduction to both Essentrics and the TV program, however, if you choose the online Essentrics program or TV show to try first, realize it moves faster than Joe’s videos do.

Of course, this being the beginning of the new year, many people are seeing advertisements for dynamic stretching programs like Pvolve, Kalisa Fit, GMB Fitness, ALO/Barre Strong and Functional Patterns. Pvolve, GMB, ALO and Functional Patterns require extra equipment, so those are a ‘no’ for me, as I’m not going to make an investment in equipment if I don’t know up front whether a program can be adapted for a fibromyalgia sufferer. Kalisa Fit is nice, but even I had a struggle just getting through her 10 minute warmup. I also didn’t see any way to modify some of the moves, so although the stretching exercises were very good, I could see someone getting discouraged very quickly (especially with some of the leg and hip stretches that could hyper extend the knees or cause significant weight on the joint).

Yoga is also another option, but it is very hard to find any yoga apps that show modifications of poses, which is a huge need in the fibromyalgia community. We just can’t make our poses look like the ones portrayed by teachers and social media personalities and we shouldn’t try. But there are some options out there that I think are good. If you are brand new, I suggest starting with the book Yoga for Pain Relief by Kelly McGonigal. Yes, the poses look very simple, but they are all very effective when done regularly. Or, find a yoga teacher who works with chronic pain sufferers and who will help modify the poses for you. I will say it again as it was a sticking point for me at first – yes, the poses with modifications may look over-simplified compared to what you would see a more experienced practitioner do. (In fact, my own mother refuses to do yoga because she doesn’t think simplified poses like cat/cow do anything.) But they are still very effective at providing the same type of benefit as the ‘professional’ looking pose, and this is a fact I really wish the yogic community would express more often.

My Exercise Recommendations – Moving Forward

A stretching routine will ensure you keep your range of motion and lower your pain regimen. However, I did notice an increase in my endurance and energy by adding a gentle, low impact exercise like walking to my exercise regime. This is why I also recommend starting some sort of small exercise habit if at all possible.

If you want to start a walking regimen, besides getting a good shoe, I would recommend starting slowly; maybe 15-20 minutes three times a day. You don’t have to power walk to get started. Even walking your dog (which is what I do three out of 4 times I’m walking a week) is beneficial. And the dog will love it.

If you are ready to add more time, the general rule of thumb I’ve heard is to add 10% more time or mileage to your walking regime each week. I personally feel for those of us with fibromyalgia, that’s too much. Instead, I recommend adding 5% more time or mileage every 2 to 3 weeks. Anything more than that will cause additional stress and pain which will force you to do too much in one day, and that leaves an opening for a huge flareup of pain. I learned this ratio by my own trial and error; I trained for a half marathon using the 10% method and ended up losing the entire last week of training as well as ended up being sick from a flare of pain for an additional week. So I changed to the 5% addition and have found that it works well for both my running and walking routines.

I recognize that this can be looked at as circular reasoning; here I am suggesting something that will cause extra pain for a fibromyalgia sufferer in order to reduce the pain. This is what doctors don’t realize when they recommend fibromyalgia sufferers exercise. There WILL be pain. It WILL hurt. And if I may be blunt, it fucking sucks that it hurts so much. I simply want to be able to move and do the things I love without the pain. But for fibro sufferers it’s a trade off. If you want to do more, you have to find that balance of how much pain you are willing to put up with in order to get to the chosen level of activity. If there is one thing about this disease that hurts the worst (and the one I’ve cried about the most), it’s this fact.

Regardless of my own personal goals and venting, my hope is that readers of this post realize that it only takes a little bit of exercise will go a long way to helping sufferers deal with the disease. And since there is no cost effective drug, medical device or therapy that can take out this disease, finding any little bit of comfort to me is worth trying.

Living with Fibro: Sleep

It occurred to me that when people ask what fibromyalgia is like, the answers that they receive can be very general, pending on how the person afflicted with the disease is feeling that day. That person may or may not start to detail the challenges that we face on a daily basis. So because of this, I’d like to start 2021 out with a series of blog posts that describe how a typical day in the life of a fibromyalgia/CFS sufferer would look. In this first post, I’d like to discuss what a typical night of sleep is for me, as well as talk about how it is for me to get up in the morning. When reading, keep in mind that although my story is typical, it is not going to be exactly the same for all fibro sufferers, especially those who have additional fibro symptoms or other illnesses to contend with on top of the fibromyalgia.

Prepping for Bed
I know it sounds funny, but yes, I do ‘prep’ for bed. Depending on whether or not the fibromyalgia is flaring, and what the time of year it is, I have several go-to pajamas I can use. I have joggers (sweat pants with elastic cuffs at the ankles), and 3 nightgowns that I either wear with or without the joggers. All of the items are the softest ones that I can find, with the gowns being various sizes so that if I have tactile issues, I can pick one that is more fitted so that I’m not dealing with a wrinkle that wakes me up in the middle of the night.

Having multiple pillows and blankets are a must. Right now I get by with having 2 full size pillows and three smaller ones. The larger are for my head and in case I need to have pillows between my knees while laying on my side, and the smaller ones are to ‘brace’ my body should I have to deal with extra pressure from the mattress on one of my joints. I usually start the night using only one or two pillows, but may end up using more should a sharp pain in a joint jolts me awake.

Finally, I have a variety of foam earplugs in my bedside drawer. the slightest noise from my husband or the dog will also wake me up, so the earplugs are a must. Unfortunately I can’t use them all the time as my ears get sore from them, but when I can use them, they are a Godsend.

Sleeping Through the Night
The nights go one of three ways: Either I sleep like a log, I toss and turn the entire night, or it’s a combination of the two. If I’m sleeping like a log, it means that I probably took some pain medication in order to allow my body to sleep. And while I prefer to sleep deeply like this, it also has it’s consequences (as you will see later).

At least one night a week I toss and turn the entire night, regardless of whether or not I have taken medication. It’s these nights that are the hardest, because it could be caused by a multitude of reasons. I do toss and turn for some general reasons, like stuff going on in my head, being sick, dealing with allergies, having a flare or the hubby needing to get up or change positions. However, thanks to fibromyalgia, I can also toss and turn for some really crazy reasons. It could be because the fitted sheet isn’t properly on the mattress, and I’m laying on a wrinkle from the sheet or my pajamas. Last night, there were even wrinkles on the sheet that was laying on top of my feet and legs, and the skin in those areas started to hurt. I’ve been jolted awake by my legs and arms going to sleep, even though I was sleeping on my back with my arms at my sides. I’ve also been jolted awake because of the elastic in my underwear has become uncomfortable. Other reasons I could wake up include a new pressure point from my fingers, hips, knees and feet laying a certain way. I could even start to have a flare up due to my body being too cold or hot, or because of a weather change. Regardless of the reason, during these these nights I usually only get 3 or 4 hours of sleep.

A majority of nights are mixed. The first 3-4 hours are where I’ll sleep like the dead. Then something will wake me up, and then I’m tossing and turning for the rest of the night. To deal with this tossing and turning, I have 5 different medications at my bedside along with some water. Sometimes I can take a medication and go back to bed, but if there are times when multiple issues are keeping me awake, I have to choose the worst offender and take the medication for that since some of these meds interact and make one or the other ineffective.

Mornings
Mornings are the times when I see the most difference in myself from when I didn’t have fibromyalgia and now. The biggest difference is that every day is much more of a struggle to get up than it used to be. If I have slept very deeply, I will wake up and not be in pain for the first moment or two upon waking. But the minute I move, the pain becomes excruciating. Every joint, bone and muscle scream at me all at once because I dare trying to wake them from such a deep sleep. The more I toss and turn at night, the less excruciating the pain will be when I wake up. Yes, you read that right, and the issue is very common in fibromyalgia sufferers. The reason it hurts worse when I’m in a deep sleep is that my muscles stay in one position for a prolonged period of time. The longer they stay immobile, the harder it is to move them out of that position. This is one reason why shavasana (the ending corpse pose in yoga) is so hard to get out of after a longer yoga session.

After some of the first pain of the morning subsides and I have gained some movement, I face the trickiest part of the morning, which is taking off the blankets, standing and walking the first few steps. I try to be gentle with myself while I do this piece, but I must confess that it’s a fight each and every morning with myself due to the pain, because it’s multiple types of pain all at once. The difference in temperature from the removal of covers causes tactile pain, the swinging my legs off the side of the bed hurts my muscles and joints, and finally putting weight on my feet makes me feel like they ‘scream’ as they start to bear weight, and it makes it hard not to cuss for those first several steps.

This wave of morning pain will last about 10 minutes. Sometimes it’s longer should the weather be really cold, or if the ceiling fan in my bedroom is on. It is because of this last round of morning pain that I no longer schedule any exercise in the mornings. I also find that having to do any immediate decision making (like picking out clothes) or putting together any collection of items that I need for the day is incredibly difficult. So I try to get all of that done the night before if at all possible. I also don’t allow my husband to attempt to wake me anymore. Even though he means well, I’m afraid I’ll simply scream and cuss at him, and he doesn’t deserve that treatment, regardless of how much pain I’m in.

So that is as far as I want to discuss for this post. I hope that there will be those that read it and realize that there truly is a difference between fibromyalgia and someone with the occasional pain. One of the things that bothers me a great deal is someone without fibromyalgia trying to compare my pain with their arthritic hands, bum knee or the pain they still have from an old joint injury. They are not one and the same. Everything I’ve written about up here is something I have to prepare and deal with almost every damn day. I’m not saying your pain isn’t something that needs to be considered, but ultimately, this disease is so much more complex than people realize, and your bum knee or your old injury doesn’t compare.

For those reading this who don’t have the disease, I think the best advice I can give to you when dealing with a fibro sufferer is to give them space to talk about their pain. Don’t compare it with your own, simply listen to them and ask them what they need. Ask them if you can help. Just because we may look like we are feeling OK doesn’t mean that we truly are. And even if we don’t need the help at the time, we will feel we are being heard and supported – something most fibro sufferers desperately need.

Thanks for reading.

New Year, New “Resolution”

I hate the concept of a New Year’s Resolution. For years I faithfully made them in an effort to be better than what I was the previous year. But while the idea of a ‘new start’ is a good one, marketing tactics and low self worth can blow the concept out of proportion; making you feel like you are ridiculously fat, lazy and stupid (sometimes all three at once) which makes you give into the product du jour that will help you “live your best life.”

Now, my personal self worth is much higher than it was during my years of countless resolutions. However, I’m still not one who is inclined to try to change my personal habits during this time of year. Winter is hard enough on someone with chronic illness and pain. Instead of trying a new routine, I need to spend my energy trying to get the daily work and chores done, then spend what little is left seeking out warmth and rest.

At least, that is what I used to do in a normal winter. This one, feels like I will need to do more than that to ensure I don’t fall back into what I can only call the despair of the past summer.

But I don’t know if I want to call my new tactics a resolution. I simply have realized this past year that I am still not taking care of myself the way I need to. Now that isn’t to say that I haven’t been doing a decent job trying. I have been, but I wouldn’t be honest with myself if I didn’t say that with my current self care tools, I barely got through this past summer. And since some of the stressors summer are still in place, I need to find better ways to handle things. And I think I might have stumbled on something that would help.

This past week in the mornings, I started to ask myself a question. The question was, ‘What could my body and state of mind accomplish for the day?’ Sometimes the answer was that I could complete everything on my mental to do list. Other days, I couldn’t do as much. But either way, the question was really forcing me to focus on my own personal needs. And focusing more on my own personal needs may be a game changer when dealing with the rest of this winter.

Thinking logically, it makes perfect sense. Someone with a chronic illness has limited physical and mental energy, and I have to ensure that every last bit of it is utilized effectively, and is used in my best interest. The former, I do very well. The latter, not so much. Yet thinking about my own best interest is in some ways more important than what I can get done during the day. Thinking about myself means I will be healthier overall, where as a completed to do list coming at the expense of no mental energy means I’m more susceptible to panic attacks and depression. Sure, I have medications for the anxiety and depression that I could rely on, but one thing I know for certain is that I can’t fully rely on medications. When it comes to mental health, medications are a great aid, but they will never fully cure the issue. This is especially true with the root cause of your anxiety and depression are a physical chronic illness.

So, here’s the plan, or the ‘resolution’ for the new year: After getting up in the morning and becoming fully awake, I’m going to gauge what physical and mental strength I have, and then figure out what can be done on my mental to-do lists for the day. Then I will arrange my day around that. There will be days I may have to push a little (I still have to go to work regularly), but on those days, I can find other things that will bring some comfort.

I still have the tools I talked about in the last post that I continue to use, and to some, it may sound like I’m simply adding to my mental to do list for each day, which may become overwhelming. But I think asking myself what I can accomplish will simply help sharpen my perspective on the day. Perhaps the answer to the question will mean that I have to do some easy form of yoga for 30 minutes instead of trying to walk in the cold weather with the hubby and the dog like I had planned. Perhaps it means I need to consider taking a stronger medication for pain, or be extra gentle with myself and my work load. Sure, I may not always be able to rearrange the things I need to do that day (there is still a full time job that I must do), but by becoming in tune with what it is I really need, I can end the day more comfortably than simply collapsing on a couch for a couple hours and then painfully walking up the stairs to bed.

And now that I’ve written and re-read this, I might as well call this question what it is. I have a new years resolution. But for once, this one has me looking toward the new year with a bit of hope.

Reintegration Into A Changed World

Since my last post, things have been dicey. Some days I’ve done really well while others have gone to total shit. It seems like there has been no in-between, either. I’m either really good, or starting to wonder to my husband if I need to get my primary care physician involved.

Still, in the past two months, I have accomplishments to be proud of. I haven’t gained a huge amount of weight, even though I’m a stress eater. My husband and I have done a spring cleaning of the entire house. I have my gardens planted, and have setup a new workout space that I’m looking forward to using in the coming days. I’m proud of these things because they mean overall I’m doing just a little bit more than just existing in these quarantined times.

But just as I’m starting to get used to this new quarantined normal, the world changed again. This time the changes smell of chaos and revolution, pain, unrest and downright white-hot anger.

I’m not going to discuss the specifics here as these emotions and the reasons behind them are overflowing out of every possible electronic and paper outlet in the world. Everyone feels them, regardless of whether or not they choose to believe it. Not only is everyone in the world feeling these emotions, they are changing their lives because of them.

With the fibromyalgia and hypersensitivity issues I have, the world has become a very, very painful place. Any sliver of emotion from any source easily becomes my own, unless I happen to have enough mental energy that day to stop it. But, because I am already in a reduced energy state thanks to the quarantine and virus, stopping those emotions from invading my body is becoming much harder each day. Some days I become totally powerless, and everything comes flooding in so much that I can’t even think straight anymore. Meanwhile, the fibromyalgia has accepted this new energy and uses it to create more pain and problems. This means I now have to expend more energy to deal with the fibromyalgia symptoms, which then means I don’t have enough to protect myself from the emotions of the world, which means the fibro gets worse. And around I go in this horrible cycle until I either muster enough strength to put a stop to it, or I start considering other ways to get out of the damn thing.

But there are even more things that stick in my mind about the current environment. Right now, the entire world is getting involved in the outrage and are trying to bring change through revolution. And while that is going on, I sit here in my little home office, typing this and being upset with myself that I cannot get involved. I can’t go out to a rally. And although in my head I’ve come up with a thousand and one different things I could say on multiple social media platforms to show support for the communities that have been hit so hard from this brutality, I’ve rarely got the energy to even attempt to open my computer. And even considering doing so sends me wheeling toward a panic attack.

I cannot even begin to start explaining how hard this is for me. Thinking about what I could do to participate causes painful twists in my gut, tears to form in my eyes and I start to lose all energy in my limbs because of the overall pain growing in my body. The more thoughts on participation I have, the more the pain continues to grow to the point where I’m not sure I’m even going to make it to the closest chair or my bedroom to lie down. In the lucid moments I do understand my body is truly sick, that these are real symptoms and I DO need to take care of myself. But when I’m not lucid, all my mind tells me is that I’m faking to get out of participating; that just sending donations, prayers and having hard conversations with family who decide to bring the situation up to me is not enough anymore. My mind says I’m sitting on the sideline and my inaction is simply causing things to be worse. And trying to look away for a fresh perspective simply means my privilege is showing, because there are others whose whole world is in turmoil and they don’t have any way of escape.

During this revolution, my company has started the process to open its doors and have workers come back into the office. So with this new transition looming I remain in what I can best describe as a state of shock. Logically, I know I’ve done everything I can during this quarantine period, and I’ve even gained some ground on things that needed done around the house. As far as this revolution, I’ve sent donations where I could, and signed up with groups that will help funnel that money where it is the most needed. And because my company is opening back up, I need to start focusing energy back to my job. So when I can stop my mind from yelling at me, I know I’ve done everything I can, because anything I do still needs to be done in the perspective of my own health and wellbeing. Posts like the one below I saw on Facebook today help. I’m grateful I saw it, because that is the inspiration for why I have written all of this out here on this blog. I AM doing everything I can, and that gives me some comfort. I just wish others would understand and acknowledge it.

Image originally posted by author Christopher Penczak

I truly hope that those who are screaming the loudest about people being complacent because they don’t understand why we are idle realize that those screams hit a nerve with those of us who are on the same side as they are. There are those of us here who could very well lose our lives by trying to take excessive action. Our bodies and minds just can’t handle what we wish we could do right now.

I have no doubt that I’m not alone; that there are probably thousands out there right in the same boat as I am. And I’m sure that I’m also not alone hoping that I am indeed making some sort of difference. But when the only things that you can truly do is to give thoughts and prayers, you simply have to hope that they haven’t been diluted so much by those that offer them in false sympathy that they don’t mean anything anymore.

Where Did I Go?

For a little over a month, I was writing two posts a week regularly. And after that, As those of you who are regular readers realized, I disappeared.

No blog posts, no updates, no comments. Nothing.

What happened? The realization that I could not continue to keep things at the same speed when I went back to school.

I am currently in a Masters degree program with the Boston University. It’s a great program, but it’s also an accelerated program. A normal 14 week class is cut into 7. Add the proctored final exam to the course and you’ve got a situation where you are spending all of your free time studying, doing homework, working on the term project and prepping for that final.

This is all about deciding what I need to spend my limited amounts of energy on. The program means a lot to me for many different reasons. So it is where I’m choosing to put my time right now. To try to do any more than I am would simply bring on another panic attack, and I just don’t want to do that.

My goal is to have two posts done next month (not including this one). So expect to see me back.

My final is August 24. I’ll see you then if I don’t meet my goal.

Fibromyalgia and Mental Health (Confession Time)

I’ve been wanting to do a post on mental health and fibromyalgia ever since I started this blog, but wasn’t sure where to start. I can say without a doubt now that there is a significant connection between the diseases, and that the one disease exacerbates the other. I don’t need to have any study to tell me that is true; just the past several years experience is enough to make me realize the connection.

Mental health has been an issue in my family. I can name multiple family members who have depression and anxiety that they have to deal with on a regular basis. I myself was hospitalized for major depression in 2002 (I told you this was confession time). However, prior to the full onset of Fibromyalgia, I was dealing with that depression very well through diet, exercise and positive coping mechanisms.

That all changed when the fibro hit.

I think the connection has a lot to do with the things you start thinking about when you have fibromyalgia; the ‘what ifs’ if you will. ‘What if what I’m doing right now is going to cause a flare up of pain?’ ‘What if this flare stops me from doing <fill in the blank>? ‘What if this flare stops me from going into work tomorrow?’ ‘ What if I get a flare up and can’t attend <insert event here>?’ ‘What if my friends get mad at me for constantly cancelling on them?’ ‘What if I can’t fulfill the tasks I volunteered for?’ These are all legitimate concerns that people with fibromyalgia have to consider.

And there are more, especially in today’s day and age where we have very few remedies open to us to help with flares. ‘What if my doctor stops giving me the low dose opioid that I take as a last resort?’ Or even, ‘What if my use of Cannabis to help my fibro gets me fired from work?’ (Yes, I live in a state that does have legal Medical Marijuana- but they also still allow people to be fired from work if they use it.)

When you suffer from fibromyalgia, ALL of these things are very possible situations you may face. You have to change your entire life to ensure that you remain as flare-free as possible. It can be done, but not without significant struggles and frustrations as the fibromyalgia flares come without warning, which makes trying to put together some semblance of a life even more precarious.

Have enough of those plausible ‘What ifs’ come in your head come true and the stressors of those situations become palpable. You will have flare ups of pain that make you take sick days, cancel plans with friends or even cancel chores you had scheduled around the house. Friends will get mad or frustrated, things you thought you could handle become overwhelming. And all of this does mess with your mental health. Even the mentally healthiest of individuals are going to start to buckle and start worrying.

And as those worries happen more and more, they turn into anxiety. Soon, you start having full blown panic attacks.

My first fibro-induced panic attack happened about 4 years ago. I did everything I could to push through it, and just keep moving. Since then, I’ve changed my supplement regime, added additional mindfulness practices, prayers, mantras, and used my German Shepherd Natasha as an emotional support animal. Those have all helped, but they are never enough.

Today, as I write this, I’m painfully reminded of how everything I do to prevent anxiety attacks is never enough. Here I am, typing out this post with another full blown panic attack brought on by a fibromyalgia flare. This flare was caused by a significant change in the weather here in the Midwest (a 20 degree increase in heat almost overnight,) and the possibility of a deep friendship with someone I cared about being torn apart because of unsolvable issues (another relationship that had some of it’s issues within the root cause of fibromyalgia).

I’m breathing deeply, made myself a drink (another last resort for me with panic attacks) and am sitting in front of the TV after working in the garden this afternoon, which also helped some. I’ll probably have to use some visualization and breathing techniques to get to sleep tonight, but I’m still pretty certain I can. If needed, I’ll ask the hubby to allow my dog on the bed for the night.

I will want to touch on this subject further, but probably won’t do it until I’m settled some. Until then, if you are reading this and going through any semblance of anxiety or depression over your Fibromyalgia, chronic disease or any other issue, just recognize you aren’t alone. I’m right in the same spot with you. And if I can breathe and push through just this one night of anxiety, you can too.

To be continued.

Cleaning with Fibromyalgia: Tips and Tricks

After talking about how my husband and I continue to adapt to our ever changing schedules and to the fibromyalgia, I thought I’d also share some of the tricks that I’ve figured out over the years to help keep things clean and comfortable in our home.

Don’t look for perfection
This one is hard for me. I admit my obsessive compulsive tendencies make things even more frustrating at times on this issue. If I happen to walk into the house after a hard days work and feel litter under my bare feet, or happen to catch a whiff of a litter box I can go a little crazy. But I have to come to the realization that our house is not dangerous, bacteria isn’t growing in places it shouldn’t be. Our kitchen stays clean and every room is tidy. If people came over unexpectedly (except for Grandma of course), I can be OK with it now.

Write out a Plan where everyone gets a part
Now that he’s back in the office, my husband has a list of chores, and so do I. I do mine immediately after I get home from work so that they are done quickly and I can rest without worrying about more I have to do that night. My husband does his chores in the early morning before I get up, so we aren’t in each other’s way while we are cleaning. I also picked specific chores for him that I wouldn’t mind how he did them. That settled some of my OCD, and allowed him to feel less like he has someone watching exactly how he does something ready to criticize his every move. I also took on chores that I was having a problem with him doing. It meant taking on more strenuous tasks, but I chose that so that I would feel better overall about how the task was done (there will be no litter on the floor if it’s the last thing I do!!)

Allow the Plan to go out the Window
Even though you spent a significant amount of time in this plan and organized everything, expect there to be days when you just can’t get to everything. You come home, and you have NO energy to do anything but rest, and that is OK. Perhaps the vacuuming gets skipped a week, or the dust starts to get a little thick on the shelves. Make sure the basics are taken care of (dishes, clothes for work, you stay as clean as possible) and leave it for the night. There will come a day when you feel good enough to pick up the chore again.

Put a cleaning station on every floor, and in all the bathrooms
A canister of cleanup wipes can go anywhere. I especially have them in every bathroom in our house. If I’m feeling OK in the morning, I’ll pull one out and wipe the sink after I finish getting ready for work. Toilet bowl cleaner and a brush by every toilet helps as well (I don’t do automatics because I’m afraid an animal will drink the water and get sick). You don’t have to scrub with most toilet bowl cleaners. You simply just leave it covering the bowl for 10-15 minutes and most stains will come right out.

Most of the litter boxes in our home are on the second floor, but I used to keep all of the cleaning products just in the kitchen, which forced me to go up and down the stairs, which caused significant pain on flare up days. Now, I have small boxes of trash bags next to each litter box in the house, along with carpet sprays, paper towels and bleach spray. This allows the litter boxes and any sick-ups or other messes to be cleaned up quickly. And having the trash bag means it is very easy to take it out to the bin outside instead of leaving the resulting smelly mess in the main garbage until that became full.

I didn’t stop there with the cleaning stations. I also now have a vacuum on each floor of my home. Now while this sounds like an expensive tip, it doesn’t have to be. The vacuum upstairs is a refurbished model and it works just as well as the one downstairs. But now I don’t have to hike one upstairs every time I vacuum.

Get the extra help from buying the better products
I just purchased a new floor cleaner from Bissell. It has the spinning mop heads. Now instead of getting on my hands and knees to clean up my kitchen and dining room floor, I can easily get out this gadget and let the spinning mop heads clean the hard floors for me. It saves me significant amounts of time as well as energy, since all I have to do is move the cleaner around on the floor.

I also do my best to use the vacuum cleaner on the hard floors instead of manually sweeping with a broom. It may not work as perfectly well as a broom, but it gets my nemesis-cat-litter off the floor so I don’t feel it underfoot, and that is all that matters.

For years I also refused to purchase the swifter dusters. Why spend extra money on a gadget when dusting spray and a cloth would do the same thing? That might be fine, but when you have fibromyalgia, you have to find easier ways of doing things. I purchased my first swiffer duster about two months ago and I am very happy I did. What once took me a half hour is much faster now, especially because it dusts around the few Knickknacks that keep out.

Figure out what you can live without doing
As much as I loved the feeling of the house after spring cleaning was completed, I no longer plan the extravagant spring cleaning weekends that I used to. Last year all of my closets got the spring cleaning treatment. Two years ago it was a complete and total wipe down of the kitchen. This year, spring cleaning has moved into summer and (maybe even) fall cleaning, with the kitchen, basement and garage again on the cleaning hit list. It’s all going to depend on how I feel.

When it comes to fibromyalgia, you have to let how you feel dictate what you are going to do that day. But that doesn’t mean you can’t figure out ways to get what you really want done. It takes a lot of trial and error, and maybe a little bit of leeway about what doesn’t have to be perfect. And even though it’s a lot of work, and there are still days I have to push myself, I’m still pretty proud of how my home looks.