Gone Viral

I’m sneezing, I’m short of breath, my nose won’t stop running, my throat is sore, my muscles ache, I’m exhausted, I have a headache, my temperature is 99.7 degrees, my face is flushed but my feet are numb, I’m pasty, and my husband says I’m “more purpley-eyed” than usual. But I don’t think I have come down with a cold, flu or new virus. Such is the life of someone with ME/CFS. That doesn’t mean I’m not scared of catching something. I don’t have an attitude of “Why would it matter if I caught a cold? I’d just feel the same.” Instead, I’m terrified all day every day of coming down with anything that could pile hellish symptoms on top of hellish symptoms. I’m terrified of how it will feel and what complications I might have (asthma, bronchitis, pneumonia) and whether it will set me way, way back in my recovery. The current media hype doesn’t help. It’s all the news is talking about! Worst flu season in decades. It’s now at epidemic levels. Virulent strains that make you sicker and last longer than the usual flu.

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I think, there’s a flu epidemic every year, relax. But it actually seems true that this season is worst than most. If you read the comments after the NY Times articles, there do seem to be many healthcare workers saying things like, “I’ve been an ER nurse for 27 years and have never seen so many patients so sick with the flu.” There is a silver lining to my current situation: I don’t have to be out in the infectious world. Of course, that doesn’t stop me from worrying. This is the first year I haven’t had a flu shot and this is the first year I have known that recovery doesn’t always happen. I have my own personal form of PTSD. I’ve alluded to it, but it’s not something I’ve wanted to get into in depth in this blog because I guess there is some level of shame attached… I don’t want judgement. I don’t want eye rolling. I don’t want anyone to say relax or don’t worry or it’ll be okay. I don’t want anyone to try to give me advice on how not to have these thoughts. I don’t want anyone to insinuate I have to get over it/ get medicated/ get help. Most of all, I don’t want anyone to think I’m a hypochondriac. Because I’m not at all. Hypochondria is very different from fear of getting sicker. If anything, I have a tendency to ignore symptoms for too long ~ from insomnia to thyroid problems to my neck injury to the more serious stuff. Now I know: recovery doesn’t always happen.

Before New Year’s Day 2012, I never really gave viruses and infectious diseases a second thought. They never concerned me. I felt pretty indestructible, impenetrable, durable… I was able to overcome anything. When my husband was horribly sick with chicken pox, it never occurred to me not to tend to him, not to touch him, not to go to the doctor with him (quick aside: my husband is 12 years older than I and looked particularly haggard after suffering for days with the pox. I was wearing yoga pants, a hoodie and a baseball cap. The doctor turned to me and said, “Would you like to stay in the room with your father?” I looked at my husband. “Is it okay if I stay, Daddy?” I found this hilarious for ages until ME aged me considerably in the past year. Comeuppance).

One of the sickest people I’ve ever encountered was sitting beside me on a plane. I thought he might die from whatever horrible illness had him coughing, spluttering and moaning ~ but it never occurred to me to change seats or even point out to a flight attendant that perhaps he was too sick to fly.

I worked in restaurants my whole life. In the restaurant biz, you only take a sick day if you can get your shift covered. And that’s a difficult thing to do. So, there are always sick employees, there are obviously going to be sick customers, I am handling a lot of cash, I might lick my finger as I count out your change. I am handling your glasses, plates and cutlery and I don’t get a chance to wash my hands as often as I should. We are all stuck indoors together and, for most of my restaurant years, the rooms were filled with cigarette smoke. It never occurred to me to be worried about catching something. If I got a cold, I worked through it. I got bronchitis regularly and would work through it. I was once in the toilet at work sniffing, snuffling, trying to deal with a nasal mucus crisis and one of my coworkers thought I was snorting cocaine. Yeah, right! Nope, just trying to avoid snot falling on my customers while I take their orders.

In college, I remember going to the campus clinic because my chest infection wasn’t going away. The lowest number on the lung capacity chart was for a 4’6″ tall 80-year old woman. My lung capacity was below that. Off the chart in a bad way. I’ll never forget the doctor looking askance and saying emphatically, “You walked across campus just now? You have asthma. You have to take it seriously.” I still don’t believe I have asthma.

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So, I’ve had a lot of colds in my life and had hospital stays for weird things like suspected meningitis, lumber puncture headache and anaphylactic shock, but they never created any sort of ongoing anxiety or trepidation. Even after three or four trips to the ER for vasovagal syncope on the first day of my period, I still didn’t really worry about it. It wasn’t until one episode when my blood pressure and pulse fell very low and stayed very low that I started to get a sense of foreboding when my period was due. I would tell one of my friends at work what to do if I collapsed. If it were the weekend, I would be sure to shower “in case I have to go to the hospital” and I started to be cognizant of what outfit I was wearing for Aunt Flo’s impending visit (ever since the EMTs had to help me on the bathroom floor while I was wearing red underwear with hearts and a 15-year old threadbare tshirt that was literally hanging off the neck band in tatters. It was incredibly comfortable to sleep in, but I’m sure, as they entered the bathroom, they were wondering whether I was on the floor from a physical assault… or perhaps a tiger attack).

I started to get more cautious in 2011. I hadn’t come down with ME/CFS yet, but something was going on. I was having dizzy spells, but I chalked it up to low blood pressure. I was having bad neck problems that were giving me a hard(er) time sleeping. I had a collapsy episode in Ireland that had nothing to do with my period. My tongue swelled up for days, which hadn’t happened in a decade and was not alleviated by antihistamines. I had bronchitis and then a bad diarrheal sickness. I was under constant stress at work and it was taking a heavy toll. I became aware of sick people around me, not wanting to sit beside someone who was coughing, knowing ~ almost subconsciously ~ that my immune system wasn’t quite up for it. But I continued to push myself. Then I got the flu shot and the rest is history.

Which brings me to the point of this post. In those first few weeks of 2012, I developed what I affectionately call my Brain Virus because it happened so quickly and consumed my thoughts so thoroughly (let’s hope I don’t actually ever get a brain virus like the one I saw on Monsters Inside Me last night). I’d been diagnosed with malaria and told that I needed long-term drugs that could be dangerous to a sensitive system… but then they left me in limbo for two weeks while waiting for a second confirmatory blood test to come back. I was so sick and so spooked by my symptoms. I spent those two weeks in abject fear, ruminating about the anti-malarial drugs and thinking, What if it’s NOT malaria? What the hell is wrong with me? During those few weeks, the Brain Virus ran rampant and suddenly I was scared of anything that might make me feel worse. Flu, colds, food poisoning, MRSA, flesh-eating bacteria etc. I didn’t become a germaphobe ~ I didn’t start cleaning obsessively or stop rolling around on the floor with my dogs or anything. In fact, I stopped using antibacterial soaps to try to make my immune system more robust. But my brain was talking a foreign language, sounding warning bells. Mr. Fear was on high alert ~ he was going to protect me, come hell or high water. I imagined him sitting on top of my head with an arsenal of weapons, peering frantically through night-vision glasses and binoculars, whispering warnings in my ear: Watch that cut on your finger that isn’t healing! Wash the outside of that avocado in case the knife carries the E. coli into the center! Hubby is sneezing, don’t kiss him goodnight! Having never thought twice about being in enclosed spaces with people, I started to sit in the far corners during management meetings at work. I watched a mother teach her son how to push the hospital elevator button with his elbow and I thought, why didn’t that ever occur to me?  And then quickly on the heels of that I thought, Jesus, hospitals are where sick people are! I know: duh. But I’d always thought of hospitals as places to make me better, not get me sick. So, I started wearing masks.

It’s not that bad anymore. Mainly because I have done a lot of meditation and worked hard on stopping the circular thoughts. Mr. Fear is an educated and protective friend when he’s not panicked, so I tell him: I hear you, dude, but I’m okay. There is no point in being worried until it actually happens. And even then, worrying won’t help heal me. It’s been almost one and a half years since I was sick with something besides ME/CFS. Maybe it’s because I haven’t been working and haven’t been out much. Or maybe it’s because my immune system is activated and attacking everything that comes near me ~ including me.

Another silver lining in this situation: It has quashed my old fears. My fear of flying has vanished. I am now afraid of breathing the air in a plane, but I’m not afraid of a plane crash at all. I’d welcome the chance to get on a plane. And I’d sleep in a tank of spiders for a month if I could feel unbreakable again.

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Simple Pleasures (+ amazing gluten-free, dairy-free, seedy cracker recipe)

A few great things happened this week.

First, today, the sun came out.

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Second, birds finally found my feeder:

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Third, after all these months, my husband has given me back the joy of texture:

I was dying for some sort of crunch, some bite ~ but not like raw celery… Something heavier, something that could stand in for bread or a substantial cracker~ that could hold a piece of salami or almond butter. I have had it up to here with soft foods, fruit, raw vegetables and nuts. My husband, bless his helpful soul, has perfected a recipe.

First he tried this one (beware: if you make it, use half the salt or less), but I didn’t want to rely so heavily on oats since my doctor doesn’t even want me eating any and is only making an exception for my breakfast granola/porridge since I whined so much.

Then he tried this one, minus the garlic powder so it could go savoury or sweet. However, they were quite… pungent. That was the only way I could think to describe them. … Too earthy. I was afraid they would overpower a simple topping like jam.

Third time’s a charm! He melded the two to make his own recipe. He promises they are quick and easy if you own a food processor (I have to go to a different floor, close the door to whatever room I’m in and hold my hands over my ears ~ that’s how ridiculously loud ours is). I have them with almond butter and banana and a bit of honey in the morning or avocado and chicken and some olive tapenade for lunch… They’d even be delicious with Nutella, but I’m staying away.

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1 cup gluten-free oats
1 cup pumpkin seeds, raw and unsalted
1 cup sunflower seeds, raw and unsalted
1/4 cup sesame seeds
1/2 cup raw almonds
2 tbs coconut flour
2 tbs flax seed meal
1 1/2 tsp salt (you might want a bit more, say 2 tsp)
1/2 tsp baking soda
8 oz water
5 tbs olive oil

Preheat oven to 350 degrees. Blend all dry ingredients in food processor until mixture resembles flour. Add water and oil to “flour” and make dough. Roll out to 1/8″ thick on parchment paper on two baking trays. Score the dough into squares or rectangles or whatever and bake for 30-35 minutes.

The final simple pleasure is: I found heaven in a fatty jar. I bought this coconut oil based on the Amazon reviews. I didn’t think my husband had even seen it yet. One night, he made some chard and fish. I said, “Why is this chard so good?” I was worried that he had sauteed it in butter because it was far more flavourful than the food I’ve been eating lately. “I used that coconut oil,” he says. “Why is the fish so good? Did you use a different seasoning?” “Coconut oil, again.” The next night we (he) cooked chicken breast in it… freakin’ delicious! Now I’m going to go slather it all over my skin, too, like the reviewers on Amazon recommend. Not really. Well, maybe.

Gratitude for the little things. 🙂

Happy Birthday to my Mother!

Today, my friend C.V. reposted this blog called, “Top 6 Orchestra Flashmobs — Acts of Robust Hit-and-Run Culture in Public Spaces“. I insist everyone watch ~ at the very least ~ the top video of Ode to Joy and the Canadians singing Handel’s Hallelujah. It turns out, one of the few things that can take me out of the pain and the grimaces and the fear is music… and I have a soft spot for flash mobs. I was moved to tears almost immediately, but smiled from ear to ear through every video. There is something reassuring about a group of people preforming together for free, in a public space ~ it shows a generosity, takes us out of the cerebral, reminds us to pay attention to beauty in all places.

On that note, happy birthday to my Momma, who performed in her own Hallelujah flash mob in Dublin in 2011. See it here.

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Don’t say all this rubbish and stop thinking.

Thank you for letting me rant, dear readers. You’ll be happy to know that I just lay down for my morning meditation and the annoyance and frustration at the doctors has dissipated. Their reasons for not wanting to do new blood tests are logical and I actually agree wholeheartedly that there are too many tests being done and that the discovery of harmless anomalies lead doctors and patients down a rabbit hole of more and more invasive tests and more money spent and time wasted… I get it and I agree. I am desperate for a discovery, though. Because I had a false positive malaria test, I keep wondering if one of the other tests I had was a false negative. I’m desperate for a eureka moment.

And, when it comes to all those physical tests that the doctors didn’t do, I will choose to see that as generous. I’m not sure what all the tests entail and what conclusions can be drawn from their results, but I do know I’m not worried about my balance (except insofar as I get dizzy every time I stand up, which I’m used to) and brain fog is about 10th on my list of symptomatic concerns. So, CF Doc, thank you for being generous enough to not subject me to tests. Thank you for noticing how slumped I was in that chair and understanding what that must mean and choosing not to subject me to any energy-draining diagnostic tests.

Oh, and thank you for caring about my mental well being. Meditation is doing more than your psychotherapist ever could, but I’ll still go to see her in case she has some special insights into coping with chronic pain.

There. My Zen moment. See what quiet introspection can do?

How long will you think about this painful life?
How long will you think about this harmful world?
The only thing it can take from you is your body.
Don’t say all this rubbish and stop thinking.
~Rumi

Just Like You Said It Would Be

Well, my summation of the visit to the Chronic Fatigue Clinic changed in tone a little when I received the paperwork and called to make a follow-up appointment. The next available opportunity to see the main clinic doctor is not until the end of April. After he asked me no questions and spent only about 20 minutes with us, I can’t ask my questions and get some advice on how to live for another 3 1/2 months? That’s almost a year from when I first picked up the phone to call them. What if I didn’t have an amazing GP and she hadn’t referred me to the Good Doctor? Would I just be floundering on my own all this time? I’m disgusted. The system is broken. There are no options for us. I guess I would have gone to specialty clinics and alternative medicine practitioners that don’t take insurance… So, I’d be in an even worse financial situation.

You can see below why I was annoyed (murderous) when I got the paperwork in the mail today. Only one of the boxes has a check mark because they didn’t do any blood tests and they didn’t touch me. They checked “‘tender points’ on your muscles” because I told them my muscles are sore. I haven’t had a blood test done in a year. They never said anything like, “There are these tests that we can do, but it’ll have to be the next appointment” or anything that might reassure me that they’re not either lazy or skeptical or both. Or the system just does not work.

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And the referral to see their therapist says, “Patient with fatigue. Please evaluate for CBT. Also depression and anxiety.” My bubble is burst. It’s just like all the ME/CFS patients online said it would be. Graded exercise and CBT for depression and anxiety. I’m depressed my life is gone and I’m anxious that I might never have a good quality of life, but I’m not depressed and anxious clinically. So, why should I go back to see him? Is he at home in the evenings pouring over the medical literature and the studies like I am? Is he reading one after another personal story on blogs and in forums? I know more than they do and, more importantly, I know my body more than they do. I’m on my own in this.

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PS: Our appointment was January 3rd, 2013. Idiot.

I can see too many mouths open
Too many eyes closed, ears closed
Not enough minds open