Communication Breakdown

There was a point in my climb up the career ladder that I started talking about “the email problem.” At the time, most of my job was spent “in the field” — opening restaurants, traveling from store to store, hiring, training and meeting with employees. As my shifts were mostly on the floor, observing restaurant operations, the email problem grew and grew and I would spend all of my “downtime” trying to catch up. I never sat in front of a TV or ate a meal without my laptop, I stopped reading books. Eventually, I was in an office full-time and I still could not get on top of the computer work, even being at a desk all day. This was before I had a blog and blog comments to answer or Facebook messenger or WhatsApp. This was before I knew that Facebook groups existed, before I had cultivated friendships with 100% online communication. And this was before I got sick and wanted to ingest every bit of information that might help me. I have saved, bookmarked and sent hundreds of articles, educational videos and podcasts to myself, in different places, on different devices. I have 50K+ emails that I want to deal with, but I’ve compartmentalized them into some dark room in my mind so I can function. It’s now an “information problem” or a “communication problem.” It’s unmanageable. But I do it to myself.

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My personal gmail accoount.

I’ve always had a methodical way about how I tackle life. I like to do things in order, finish them and file them away. When I haven’t dealt with something, it becomes a small weight in my mind and, though I may look as if it’s not bothering me, it is. They are. They’re heavy. My husband is the complete opposite. He can’t understand why the ripening tomatillos and our over-burdened plum tree stress me out. He has no problem with piles of disorganised paperwork and chaotic junk drawers all over the house. If he doesn’t answer emails, it doesn’t weigh on him. Come to think of it, that’s another thing that drops little lead pellets in my brain: messages that I’ve sent that don’t get replies. They don’t weigh as much as emails I haven’t answered, but they still take up room at the back of my mind. I like discourse: unfinished conversations nag at me, even if those “conversations” are links I send my husband in a PM. A month later, I’ll say, “Did you see that video? You never mentioned it.” God, my skull is full of thousands of ball bearings. No wonder my neck always hurts.

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I often wonder how I would handle this illness if I were more like my husband. He is a content person. That sentence sums up our greatest difference. He is content with our home, with his routine, with his simple diet. He is content with his body, with his habits (good and bad), with his legacy, or lack thereof. The truth is, the only things my husband wants to change are things that I tell him need to be changed for my happiness.  I have never been content with anything, ever, never. My need to experience… it’s like a rabid, ravenous hunger. New places, new people, new information. It’s like a constant electric current that makes contentment the least accessible state of being imaginable. When I’m at home, I want to be on the road or on a plane. When I’m traveling, I long for my garden haven. I ruminate on the past and worry about the impact I will have made on the world when I’m gone. I’m critical of my body and chastise myself for my bad habits. I want to watch every movie and TV show, I worry about all of the wonderful music I am missing, I collect hundreds of books that I never read. I WANT ALL THE FOOD.

More and more, I realise that this fundamental trait is the reason I don’t sleep. Every night, I put it off to do/read/watch one more thing. Every morning, I can’t wait to get up and tackle things, even if that “tackling” is lying on my back in a dark room, looking at my phone. It doesn’t matter if I wake at 6am or 11am, as soon as I am conscious, my brain is like a bullet train. A bullet train that can repeatedly dichotomize and travel down dozens of branching tracks with the same enthusiasm… but they all fall off the a cliff after a very short journey. Because that’s the real problem. This year, my worst symptoms by far are from the shoulders up. There’s still a lot going on in my body as a whole, but the truly limiting factor is my brain. I don’t have enough hours of neurological clarity to manage 1/10th… no, 1/50th, maybe less… of what I want to and what I used to. That is now my true disability.

Recently, I’ve had a few people ask how I am because I haven’t written much lately. The short answer is I’m okay. There’s so much I want to write about, I simply stopped writing. Mostly because I know if I hit that cognitive wall while writing, I won’t be able to manage anything else, like preparing food. Also, when I gained some ground, it quickly got filled with doing more chores for myself to alleviate my husband and tackling my to-do list. I read all messages and emails (for the most part), even if I am remiss in replying. I promise you, all contact touches me deeply and adds fuel to my tank. It is never not appreciated on a very conscious level. So, bear with me and, if you can tune into your psychic abilities, you’ll hear me sending my love to each of you and we’ll never feel out of touch.

Title Credit

Return of the Frog Queen

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Madison, WI

I was living in this house when I was 21 years old. My roommate from college took this photo a few days ago when he was visiting Madison, Wisconsin and posted it on Facebook. I was slapped in the face with so many memories: lying in the dark back room in the summer, the only room with air conditioning, listening to music; drinking Mickeys and playing Tetris wars; breaking plates and smashing the Atari in a collective rock ‘n’ roll meltdown; smoking cigarettes all night on that tip-top balcony outside my bedroom, having conversations I thought I’d never forget. I lived there with 5 or 6 men — boys, really, we were just kids — I think I scored the best room because I was the only girl. That school year (1994 to 1995) and the few years afterwards were the most emotional of my life. I can’t really think of a better word to describe them. It was the loneliest and saddest time of my life before this chronic illness, but also the most memorable, the most adventurous, the most creative years I’ve experienced. And all of it is inextricably entangled with music. I’d once made a sign for my Mother’s kitchen wall that said (it was multi-colored like this): NEVER BE WITHOUT MUSIC and I never was. I have an obscenely bad memory, but everything I remember from those years has a soundtrack. I think maybe the only reason I remember any of it is because there was music playing during each scene, searing them into my mind. 1995 was also the only time I experienced depression before becoming housebound and I truly, un-dramatically, credit certain bands with saving my life.

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CD bliss, 1996

I’ve tried to listen to music a few times over the last four years, but it’s been difficult. First, because I was just too sick and was always striving for the closest thing I could get to silence. Background sounds are still difficult on a too-much-stimuli level, but as my headaches got better, I started to dabble in a song here and there and discovered that, even if I could handle the noise, the emotions unleashed were too much, like a tsunami against which I’d have to quickly close the floodgates for fear of drowning. Memories of sad times making me sad for who I was, memories of good times making me sad for what I’ve lost, regrets about past situations, gratitude for past experiences and abilities — all of it makes my chest start to heave and my breath catches in my throat and I go, “Oh, no way, not going there” and quickly switch to watching happy elephant videos. What I’d give to luxuriate in my old albums, in the memories they bring up and in hours of sobbing! And it would be a luxury — it would be cathartic and fun on some level to reminisce, but the indulgence would be far outweighed by the payback. My life is about equilibrium now; I try not to rock the boat. Plus, it’s really not as fun to go down Emotional Music Memory Lane without a bottle of whiskey.

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Kristin Hersh

Having said that, 15 months ago, my brother in Connecticut told me that one of my favourite singers, Kristin Hersh, was going to be in Seattle. I thought it was kind of funny (and kind of sad) that my brother on the other side of the country had to tell me what was happening down the road, but I never look at local listings because it’s a bit torturous to see what I’m missing. I decided to go. It was a solo show in a small, mellow venue where you could sit down and eat while watching. Seemed like the perfect way to test the live music waters. And it went well. It was utterly surreal to be in a public place, especially at night. I felt like one of those animals allowed to walk outside on grass after spending their lives in metal cages. I was unsteady, gripping my husband’s arm, looking uncertainly at the steps, the ceiling and lights, eyes darting around at the crowd uncomfortably, hoping not to be seen in case one of them noticed the outsider and stood up, pointed at me and screeched like that scene in the old Invasion of the Body Snatchers. It was a wonderful night, the hardest part was gulping down the sneaker-wave of tears when she opened with probably my favourite of her solo songs. Again, that unreliable floodgate. It was the music, yes, but so much more. I was out at a show — out at anything, actually — for the first time in two and a half years. I was normal. Or, at least, doing a good job of feigning it.

Tonight, I’m trying again. Jeremy Enigk is playing a show in Seattle and my sister has connections, so she’s going to set me up in the VIP or ADA section. I’m so excited. I had seen Kristin Hersh live probably half a dozen times before, so last year’s venture was noteworthy, but not a bucket list item. But tonight… Enigk’s band Sunny Day Real Estate’s first album Diary was part of the constant soundtrack in that Madison house 22 years ago, so it’s fitting that that photo showed up on Facebook a day before I found out about this show. I took it as a sign. I doubt I would love that album as much if I were introduced to it now, but back then there wasn’t much like it and these guys were college students around my age. And … THAT VOICE. It ripped my angsty heart out.

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my own private Idaho, 1995

I wound up fleeing the midwest in 1995. I drove alone across the country to Seattle (actually, to Bainbridge Island) during what would turn out to be one of the best four days of my life. No company, no mobile phones or internet back then, just me, a camera and my music. A year later, still lost in so many ways, I found Enigk’s solo album, Return of the Frog Queen, and, again, the timing was right and it became one of those keep-me-alive CDs.

So… tonight. I’m going to my second live show in almost four years and this time I have months of improvements under my belt. I haven’t slept well and I have a pretty bad headache (which is rare these days), but I’m not going to stay home to “be safe.” I may not know anything that he plays — I may not even like anything that he plays, that album is twenty years old, after all — but I’ve never seen him live, don’t even really know what he looks like and, if his voice can still do that heart-tug, stomach-clench wail, I might even let myself swim in the emotions for a change.
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LIVE UPDATE: He’s playing some songs I know, I really like the stuff I don’t know and his voice can still hit the sweet spot. I’m floating (not drowning).

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Jeremy Enigk

Title Credit

Love letter to my sons.

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After more than 10 months, I got away from the house. Every time I look at the grey in my dogs’ muzzles, I have a panic about time slipping by and the knowledge that Bowie is hurtling towards end of life. He is 9 and Rhodesian ridgebacks typically live 10 to 12 years. Bowie is big — the tallest ridgeback I’ve encountered in the flesh or online — I fear he’s more like a small great dane and they typically live 6 to 8 years… So, I’m bracing myself. Truth be told, I’ve been bracing myself for their ends-of-life since they were kids.

Riley was originally found emaciated to the point that he couldn’t stand up and had already been in two foster homes before coming to us. We were meant to be a foster home, too, but, after he was placed with two more families that didn’t work out (and my emotional meltdown with each goodbye), we knew he was meant to be ours. And, wow, was he meant to be ours. I don’t think any other pack would have worked so perfectly. He almost died from some gastrointestinal awfulness soon after we adopted him. I watched him lie on his side, dead-eyed, weakly vomiting blood while the vet told me he thought he might not make it. Not long after that, Bowie hurt his back at the park and I lifted his 110lbs into the car with some sort of super-human mother strength and raced to the emergency vet. I was healthy then, but, still, that’s more than I weigh.
[NB: Of course I called the clinic to verify his weight at that visit.]
[NB: Of course I made sure they weren’t busy before I bothered them with that question.]

So, losing them has been at the forefront of my mind for most of their lives. It may sound morbid, but it makes me appreciate every day that they’re here and I never take a moment for granted. I will miss this hair one day, I think as I pull it out of every meal I eat. I will miss his drool one day, I say as I almost brain myself slipping in the saliva pool on the kitchen floor. I spend an inordinate amount of time cuddling them, memorising every curve and bump of their bodies, making sure I’m always conscious and grateful for their presence.

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I will never forget the first time I took a mobility scooter to the cemetery for a “walk” with Bowie (at the time, I didn’t trust Riley to stay close off-leash, so he went to doggy daycare instead). We had been visiting the cemetery since Bowie was a puppy, but it had been a year since I was housebound and that first year was the longest and sickest of my illness. He lept like a puppy when we got there and I wept as I watched him. I think it was as important for him to see me out as it was for me to be out. Last year, both of my dogs’ mobility declined sharply. Riley is arthritic and Bowie is an old, creaky man. My number 2 wish (after getting better) is to fill their time with as much fun as possible. If I could, I would take them someplace different every day, wear them out, introduce them to novel smells and new friends (every time I’m flabbergasted or frustrated by my acute sense of smell, I think what the world must be like for a dog whose nose is tens of thousands of times as sensitive as a human’s. While a dog’s brain is only 1/10 the size of a human brain, the part that controls smell is 40 times larger. Can you fathom that even slightly? Whenever I see someone yanking on a dog’s leash, I think, imagine what he is smelling down there! Give him a minute!).

My dogs are my kids, my caretakers, my comedy, my inspiration, my reason for pushing myself, my main source of joy.

So, this is all a big preamble (pre-ramble, more like) to the story of our recent road trip to the coast (in a future post) and why it was so important to me. I can’t fly with my dogs to India or Africa or even to different parks very often, but once a year for the last 3 years, we’ve made it to the seaside. This time was different, though. This time I was stronger, I wasn’t as crushed by poisoned pain and my husband and I were happier, not desperately grappling for handfuls of different memories within the blind freefall of sudden severe illness survival. Because that’s what it has felt like: an initial period of confusion, fear and searching, followed by 3+ light-speed years of gasping for air and kicking like mad to keep our heads above water, learning how to navigate this life. And in all that time, it’s felt like we both had faces bowed down in grimaces of pain or duty, grief or worry, eyes meeting fleetingly, but blinded by our separate burdens. So, I remember those previous journeys to the ocean as a bit desperate, slightly lonely and only partially successful. But this time was different. Not easy, not perfect, but more like real life. Like a life where I’m totally present with my husband and easily walking the beach with my sons.

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Grab that cash with both hands and make a stash.

This is a hard one to talk about. It’ll be more of a rant. And I’d like to preface it with all of the obvious about how grateful I am that we were in the economic position we were in when this illness started, how grateful I am that I had a few years of good earnings and decent savings, how grateful I am that my family is healthy and has never been bankrupted by health woes. I am, I truly am, and I think about–probably too much–what must happen to others with a severe chronic illness (that has no knowledgeable doctors and no decent treatment) who are in worse financial shape than we are, without our resources, who are in countries steeped in poverty, refugees fleeing wars… on and on… I do know how lucky I am. But, I’m scared. Mostly because I don’t know what treatment to spend money on and what to reject.

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Recently, after 6 months of immunoglobulin infusions, I got a slew of bills that I didn’t anticipate. It turns out that for my itsy bitsy dose of 5 grams each week, I pay $164 after insurance. Out-of-pocket. That’s $655 per month. If I had known this before starting, would I have done it? I don’t know. But now that this is the only treatment that has helped me, how can I stop? And I’m in this tricky spot. I have private health insurance because I was too scared Medicare wouldn’t cover these treatments (also because Medicare won’t cover acupuncture, nutritionists or physical/myofascial/craniosacral/massage therapy — some of the only things that have made a difference in my pain levels). After being told IVIG was not an option by so many doctors, knowing that I didn’t have a history of bacterial infections and a vaccine challenge is usually required for approval, and having Coram (the infusion service) tell me that Medicare hardly ever covers treatment, I was just too scared to give up the private health insurance that had already approved my treatment for the whole year. Of course, I have since heard from others that Medicare covers their IVIG or SCIG at 100%, but … how could I risk changing coverage now when my IgG levels have come up and that alone might disqualify me from continued treatment? I’ll have to revisit this next January when I’m eligible for Medicare enrollment again, but, if I’m still improving with my infusions, I don’t know how I’d take that leap of faith.

An aside for those in other countries or for those that don’t know this fucked up aspect of our healthcare system here in the U.S.: Medicare (government health coverage) isn’t free. You pay each month just as you do with private health insurance. It’s usually cheaper, but not always. It can range from $105-$771 a month, depending on your situation (the higher end is reserved for people who have not worked enough in their lifetimes to qualify. So, if you are struck down with a chronic illness as a young adult and you haven’t worked the requisite 30 quarters in a tax-paying job, you’re not married and you undoubtedly have little savings, then you get to pay the highest premium for our national health coverage– oh, but only if you’re lucky enough to be granted full disability, which very few ME/CFS/Lyme sufferers are). And don’t think that Medicare actually covers your healthcare in full, though. You will still have a deductible each year and co-insurance (the patient pays 20%, typically), you’re prescription medications aren’t paid for unless you get extra coverage and hospital stays can still leave you in horrendous debt. You can stay in a hospital for a few months for the low, low price of $1,260 (although skilled nursing facilities will be more because that price doesn’t cover people to care for you), but let’s take a pretty terrible example: 150 days in the hospital. In 2015, that would have cost you $47,565 out-of-pocket. If you had to stay any longer, all additional costs are your problem. The government washes its hands of you. But wait, there’s more! If you choose not to enroll in Medicare when you become eligible, your monthly payment when you do enroll will be higher–forever–usually 10% higher for each year you could have signed up but didn’t. In my case, if I’m covered by Medicare next year, I will be paying an extra $300/year because I didn’t enroll when I first became eligible. If I wait until 2018, I’ll pay a penalty of at least $440 that year, plus more each year as the premiums continue to rise over my lifetime. Lovely.

SO… Last month I finished up weeks of financial slog for our 2015 taxes and was happy to see our (and by our, I mean my because my husband’s medical expenses are only about a quarter of our total and that is solely health insurance premiums because he never needs a doctor, knock on wood, toba toba) out-of-pocket medical costs had come down slightly.

2012: $14,480
2013: $19,032
2014: $19,564
2015: $17,912

That doesn’t allay the fear, however. After utilities (sewer, water, garbage, recycling, gas, electricity) and mortgage payments, we’re left with about $20K a year to live on and medical expenses have been almost $20K a year since I got sick. That means most everything else–food, clothes, toiletries, dogs, phone, internet, gas for cars– comes out of our savings. I’m trying to be healthier, place fewer burdens on my system and subdue my chemical sensitivities by eating organic food, pastured meat and buying less toxic products. All of these things are more expensive. For the last year and a half, I’ve been paying $200/month for compounded medications instead of the cheap, generic, filler-filled ones. It hardly costs anything to get sick, but the system is rigged to bankrupt those that are.

I feel very fortunate that we had saved money before this happened, but it will run out eventually and I don’t want to make all the wrong decisions now because I’m frozen in fear of the future. Our day-to-day living is all-encompassing, so time slips by in survival mode and the big decisions never get discussed. I’m happy that we didn’t sell the house when I first got sick because we’re finally not under water and it might actually be worth what we owe again. But when do we sell? And do I switch back to generic meds? Do I stop supplements (around $100/month)? Do I stop seeing my doctor who doesn’t take health insurance? Do I not try human growth hormone or hyperbaric oxygen or nutritional IVs? Do I stop my immunoglobulin infusions?? Last year, I thought a time would come when we just moved somewhere very small and affordable, maybe a foreign country, and I stopped all medical visits and we tried to exist on pittance and make our money last as long as possible… But now that I’ve found a treatment that helps my functioning, I have renewed hope. Maybe I’ll be able to earn a living again if I keep making progress. How can I give up on that? Or should I accept the fact that this is as good as it’s going to get, income-wise? My husband will get older, he’ll be able to work his manual-labour job less and less and I won’t ever recover to the point of being able to hold a job… I think that’s the reality. I know a lot of people with this illness and many have made improvements, but I’m not sure if I know any that have gone back to full-time work.

So, we beat on, boats against the current, cut costs where we can, shop the deals online, grow some veggies, sell some stuff, and pray that in ten years time, the tides have changed for the better.

Title Credit

International Awareness Day for Myalgic Encephalomyelitis

Posted on Facebook:

Today is International Awareness Day for Myalgic Encephalomyelitis (ME/CFS) and this is my small effort to educate and contribute to a larger understanding of this disease. Like I said last year, there’s not much point in continuously sharing information within the patient community, since we know the hardships all too well, so I’m asking my healthy friends to take a minute to learn a bit more about this debilitating neuroimmune condition. Only with awareness can the tides change.

Like many illnesses, there is a large range of disability. Some people can hold jobs, while the severe end of the spectrum is horrific incapacitation*. Unlike other illnesses, however, there is virtually no budget for research (male pattern baldness has 6 times the funds devoted to discovering treatments, according to Dr. Klimas).

274c75c7-e926-442c-947c-68e020e95d2b-1-1In my own case, I have made a lot of improvement since starting immunoglobulin infusions 7 months ago. Facebook reminds me that this time last year I was bedbound, in pain, with flu-like symptoms, which still happens, but with much less frequency. Things are more stable, payback isn’t as vicious. I still use a mobility scooter in the dog park, but I have more than doubled my daily steps and I’m able to do more. Today I went to the bank.🙂

More information:

Jen Brea on TED Blog
Occupy CFS: Very Very Aware
Learning to Live With ME/CFS: Today is International ME/CFS Awareness Day

How you can help:

On May 26th, MEAction has organised the #MillionsMissing project, which will take place in multiple cities across the world, with a coordinated campaign of demonstrations and demands. Learn how you can support it here.

Sign this petition to increase funding to find a cure.

There is very little funding for research for treatments, so, if you have the inclination and means, donations are sorely needed:

U.S: Open Medicine Foundation
U.K: Invest in ME

In the U.S:
Tell Congress to Increase Funding for ME Research.
Send your congressional rep Llewellyn King’s article on The Hill’s “Congress Blog”.
Buy a “Congressional pack“.

*More info on severe M.E.:
Severe M.E. and Invisible Illness Video
JK Rowbory: All the things that you never wanted to know about my life with an acute chronic illness

Plants that clean indoor air.

I just made this list for myself, so I thought I’d share.

Based on studies done by NASA  and others, these two plants filter the most chemicals from indoor air. They help rid your home of benzene, formaldehyde, trichloroethylene, xylene, toluene and ammonia:

Peace lily (Spathiphyllum‘ Mauna Loa’)
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Florist’s chrysanthemum (Chrysanthemum morifolium)
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These next three plants filter all of the above except ammonia:

English ivy (Hedera helix)
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Variegated snake plant, also called mother-in-law’s tongue (Sansevieria trifasciata‘ Laurentii’)
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Red-edged dracaena (Dracaena marginata)
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All of the above plants are toxic to dogs and cats. For nontoxic options, try Lilyturf (Liriope spicata) or Broadleaf lady palm (Rhapis excelsa), which filter formaldehyde, xylene, toluene and ammonia, or Barberton daisy (Gerbera jamesonii), which filters benzene, formaldehyde and trichloroethylene.

NASA recommends 1 potted plant per 100 square feet of indoor space. Here’s a 2009 TED talk on the subject. For more plant options, check out this table.

Crutch

This morning, I’m without internet for perhaps the first time since being housebound and I’m embarrassingly out-of-sorts. I’m online doing something pretty much all day. Whether it’s reading articles, talking with people on WhatsApp, ordering things I need, paying bills, connecting with the outside world on Facebook, streaming shows to our TV, podcasts, music– it all requires an internet connection. My calendar is online, my to-do lists are online, my newspapers are online, I have commitments with a neighbourhood group and we communicate solely via FB Messenger, Skype is down and I don’t have international calling on my phone… It even took me a while to figure out how to type this because I don’t have a laptop with Word and I usually just open an email to write blog posts.

I realise this is a privileged problem–I’m not complaining about the internet being down, I’m complaining about how dependent on it I have become, how empty my daily routine is without the World Wide Web. But empty is an ugly word–how open and full of possibilities my day is without my crutch. And just how incredibly grateful I am for that crutch. If I were too sick to look at a screen or be near wi-fi, or if I had gotten sick years before I did, this would have been a far more harrowing and isolated experience. The internet has told me what doctors couldn’t, my symptoms are less scary and things are put in perspective, I’ve made wonderful new friends, stayed connected with some old friends and traveled the world with them through photos online. But today I might do exactly what I longed to do when I was a workaholic — laze at home and read a book. Pity I already feel antsy and am losing focus one page in. My brain needs some serious retraining.

Title Credit (when I was trying to decide what to call this short post, I realised it would be an excellent opportunity to share Ren’s new song, featuring his girlfriend. He is someone I know online who suffers with M.E. and Lyme disease. He is also an incredible musician. This song brought tears to my eyes (of course, it’s not about the silly interent, it is about the much more important crutches in our lives–our loved ones).)