March 12, 2016

Game changers: Rearranging the chaos

What to write?
Do I click "publish" after writing, and read it later and edit and then repeat?
Or do I click "save" in draft, and read it later and edit and then repeat and then talk myself out of clicking "publish?"

I have those thoughts most every time I blog.
I'm sure I'm not alone.

*~*~*

On my list of things to write is a timeline-update summary of my last round between epidurals, the 12/14/15-through-2/23/16 round. I don't feel like writing it yet, so it will have to wait. A lot happened that round, and I didn't go the regular 12 weeks. Instead, I only lasted 10 weeks and 2 days. It was a rough round, obviously, since I needed to move my epidural up from 12 weeks to 10 weeks. We moved it up from March 7 to February 24.

Because I didn't fare as well with the 12/14/15-50%-reduced-dosage epidural, the 2/24/16 epidural dosage was increased from what I had received on 12/14/15, but it was still lower than pre-12/14/15. That December epidural had been reduced by 50% due to my symptom improvement over the summer and fall, and due to getting sick and having to go to the ER within 24  hours after my 9/21/15 epidural. (Regarding the symptom improvement, I am now 100% confident that the improvements are due to adding Charlotte's Web Hemp Extract to my regimen in June, 2015. It has been a game changer. That said, even though symptoms have improved, I'm still a far cry from normal, and the symptoms have also continued to spread.)

I had a really rough first week after the 2/24/16 epidural. I was expecting better relief with the slight increase of medication from December. When that didn't happen, I got blind-sided. I've since adjusted my expectations and adapted. One interesting thing is that I started getting more relief a week later (on 3/03) after the 2/24 epidural. I have some theories as to why, but I'm not going to write about those here.

My next appointment with the neurologist is on April 4, at which time I'll probably get neck injections.  (I get the neck shots every 6 weeks now; it's become routine.) I guess we'll decide then if I think I can make it another 6 weeks for my epidural, or if it looks like I'll only make it another 4 weeks.

*~*~*

I've never been good at remembering dates until living in these 12-week cycles. I think I can remember the 12-week dates so well because they are like a lifeline-timeline for me.

Beginning in spring, 2015, every 12-week round I attach an 8-1/2-by-11-inch rally sheet to our kitchen refrigerator door. It's something I type from my computer and then print onto white paper.

At the top of the sheet I list the dates of the current round. Directly under the dates I type phrases or quotes or ideas that have kept me and keep me going. Stuff from a song or a movie or a circumstance, anything that has been significant in helping me to continue to put one foot in front of the other. All these things I do to help me mentally are a balancing act between symptom-reality and what could be possible in the future, a balance between hope with substance and fantasy. It helps me cope.

Under my motivational prose I list a few goals, a countdown tally to my next epidural, and my signature. As the weeks go along I put a check mark beside that week once it is complete.

However this round, I'm doing my rally sheet a bit differently. I've reduced the time from 12 weeks to 6 weeks.

I like it so far. The 6-week time frame makes life a bit easier. Instead of having to make it to Week 12, I just need to make it to Week 6 when I will receive my neck injections which give relief. Then, I'll make a new rally sheet for the next 6 weeks to make it to my next epidural (and more neck injections).

Of course the 6-weeks are accomplished one day at a time.
And each day is lived one moment at a time.

For this 6-week round, my inspirational theme is from the movie Guardians of the Galaxy. (Last round, it was from the movie The Martian.)

I wrote about my "Groot angel" in an earlier blog post. Groot is a tree-type super-hero in the Guardians story. The day after my Groot-angel revelation, I bought a Guardians of the Galaxy DVD. I haven't counted the number of times I've played that movie since I bought it, but it's been a bunch. To my recollection, I haven't watched The Martian (my other hero-therapy movie) since sometime in January.

Just like when I watched The Martian and I witnessed the parallels in that movie to what I've lived with nerve damage and then more parallels would continue to emerge as I viewed the movie over and over, the same has happened with Guardians.

In The Martian, I am Watney figuring out how to survive, step by step. Figuring out what to do next in order to keep my heavy limbs and body mobile and able to function as best they can while at the same time keeping steroid side effects as minimal as possible. I've had to calculate, tally, measure, experiment, and "science the shit out of it," in order to keep my limbs working; day in and day out.

In Guardians, the galaxy is my immune system, which went chaotic in April, 2011. Like the chaos in Guardians of the Galaxy, my immune cells initially turned on each other in confusion about what the real enemy was; ie: autoimmune. But Star-Lord finally gets all the cells working toward the right purpose. I've decided Drax represents my natural killer cells. (haha) And Groot...my friend Groot who represents phtyocannabanoids, helps to enhance my endocannabanoid system which works hand-in-hand with my immune system. [Here's a link to a free online book about our body's endocannabanoid system (ECS): Enhancing Your Endocannabanoid System. At some point, I may blog about how I resensitized my ECS. Fascinating stuff.]

*~*~*

My current focus is to do whatever I can to help my immune system. I mean, I always have that in mind, and it has been a focus...but I'm focusing more on it this round. Most other rounds I've focused more on my endorphin system and how to enhance my own endogenous morphine. (The word "endorphin" is a combination of the words "endogenous" and "morphine.")

As part of my immune-system-enhancement focus this round, I'm looking more deeply at the mind-body connection, specifically the impact from the Knapp-chaos. Along with the drug terbinafine which immediately precipitated the nerve damage onset in 2011, the Knapp-trauma timeline also parallels the onset. I have no doubt it had an impact on my immune system. How much? I don't know. But, it was definitely traumatic...to my very core.

To help with my mind-body approach, I'm using something I used in the past that was a game changer when I overcame previous decades of chronic illness. I'm using Dr. David Schechter's MindBody Workbook, which I already own.

Compared to sixteen years ago when I used this same Workbook, my approach this time is slightly different. Sixteen years ago, emotional suppression was the cause of the pain from my then-herniated disc. Doing the work outlined in the Workbook rid those symptoms, and they have not returned. (Knock on wood...or maybe I should say, "Tap on Groot.")

I do not think the cause of the current nerve damage was/is emotional suppression. I think the terbinafine was the cause, the straw on the camel's back. (I am not the only person to develop nerve damage as a side effect of terbinafine.) But, I do think the Knapp-trauma deeply and negatively impacted my immune system. That, coupled with the terbinafine and regular life stessors at the time, set up a perfect storm in my body.

The result was chaos in my immune function.

So my approach this round is to focus on accessing the impact of the Knapp-trauma, acknowledging it, and hopefully letting go of any continued suppression, if there is any. And in so doing, helping my immune system.

To go along with my Workbook journaling, I am rereading Molecules of Emotion, which tells the story of the discovery of the opiate receptor, which the author, Candace Pert, discovered on October 25, 1972. I had the book on my bookshelf, as I deemed it a keeper when I first read it around 1999. And indeed, it is.

[The endorphin system, which works with opiate receptors, is different from the endocannabinoid system, which works with cannabinoid receptors. The cannabanoid receptors were discovered in the late 1980s. (Link: The Discovery of the Endocannabinoid System.) ]

*~*~*

This round, one wooden bluebird magnet and one wooden red cardinal magnet secure the top two corners of my current rally sheet against the shiny, black refrigerator door. The bottom left corner is secured with a metal guitar magnet. The bottom center and bottom right are secured with two different art magnets, drawings of two different women by two different Art-o-mat artists.

The top of this rally-sheet states:

February 24, 2016 through April 4, 2016

There are no issues that can't be solved or at least managed.
I am durable.

"Fear not Carol! We are Groot. And the Guardians are on OUR side."

Ronan is terbinafine, "turd blossom."
Yondu is steroids; he gives needed relief but has side effects.
Groot is my cannabanoid angel who works closely with the Guardians.
Star-Lord, Gamora, Rocket, and Drax are the Guardians; they are the cells of my immune system.

Guardians win.



6 comments:

Denise said...

"Whatever gets you through the night, it's all right, it's all right." JL
I'm glad for the movie character comfort and parallels.
You are one of the strongest women I know and one of the brightest.
You go, Carol!
Love, peace, and hugs

oneperson said...

Thanks Denise!
<3 <3

Becky Wiren said...

I have different issues, but enjoying movies/actors etc is a way for me to escape from some of this reality. Right now it's listening to music and enjoying my fav, Rascal Flatts. Although I think you should go to youtube.com and put in 2cellos. You will hear pop, rock and classical music by 2 cellists who are musical geniuses. (Plus culture too...although I like the fact they are HOT.)

You sound like you have a deep understanding of yourself and how drugs affect you. That's really good. Some people just take whatever they are given and then suffer when the side effects are worse than helpful.

I'm so sorry to hear that you suffered more. There are too many people feeling bad! Thinking of you and sending good thoughts to you. <3

Anna Maria said...

I have never considered that emotional suppression might cause pain to be worse but I suppose that makes sense. It might be I never considered it because I rarely tried to suppress mine, I was usually telling anyone who would listen how I felt about something that hurt me or writing it down to go back later and rehash. I am so sorry you haven't yet been able to rid yourself of this cycle of pain. As you know, I too rely on intermittent epidurals for arthritic back pain and mine are not scheduled, I just call in for an appointment when I feel I need another one. Most have lasted three to four months, give or take, but this last one did not last a month. I didn't want to feel like a wimp so I've put off going for another one but decided yesterday, to heck with that. I have a fun Easter weekend planned and I don't want to have to worry about how I will feel so called in yesterday and will get the "relief" later this week. Hoping you feel much better soon. Love you my dear friend!

oneperson said...

That was fun! 2cellos. :) I'd seen them before...but hadn't thought about them in awhile. Watching them just now play "Smooth Criminal" and "Thunderstruck" reminds me of a musical group, Red Hot Chilli Pipers. (Not Peppers.) It's a bagpipe band that plays rock (among other genre); they call it Bagrock to the Masses. :D

Thanks for the empathy and kind words. And the same to you dear friend. ((( <3 )))

oneperson said...

I would have benefited with lessons from you, regarding the emotional suppression stuff. That could be a new syndrome, ESS. I'm just kidding...we don't need more syndromes!

Uugh that your recent epidural didn't last as long. Maybe we got the same batch of meds and it was somewhat impotent. Hope your next one works better and longer.

Thank you and love you back... ((( <3 )))