Caregivers Write Your Stories (#6) / Living with Fibromyalgia Part III

This post is the last of the series on why caregivers should write their stories, caregivers of others and caregivers of yourselves. Three reasons addressed in this series are: to keep a record, to vent (“scream your words on the page rather than hurl them into the air”), and to educate and encourage others in similar situations or who want to learn about them.

***

Hello, again! If you haven’t read Parts I and II here of my Living with Fibromyalgia, you may wish to before you continue.

I want to start with answering the question: What pain relief intervention helped me the most over the long term? One word, therapy. In the midst of my seventeen-month ordeal of crises (Part I), I got the idea from a nursing student of mine when we were talking about a psychiatrist who specialized in psychopharmacology, the branch that focuses primarily on chemical interactions with the brain. Click on the following photo to enlarge:

Regions of the cerebral cortex associated with...

Regions of the cerebral cortex associated with pain. (Photo credit: Wikipedia)

Since I’d already tried several pain medications and knew that an imbalance of neurochemicals (particularly serotonin) could be contributing to my pain, I decided to see this physician. I failed to mention that during that period of multiple crises, two people close to me died, one being my mother who passed away two days after our party for our mutual birthday. In addition to pain at that time, I was tired and teary and recognized I needed more help than my internist could give me. I had selected this internist because my insurance plan had changed and did not cover my initial rheumatologist.

The psychiatrist worked with me on medications, but then gave me a referral to a therapist. Me? See a therapist? Yes, me, the teacher of mental health nursing. I went for the workup, thinking I would be merrily on my way after a few visits.

But, having over fifty years of life behind me, I had a lot to discover, cry about, and work through. Once, the therapist said, “I have clients who have gone through much less than you have, and they’ve taken a leave of absence from work.” I quickly reassured him that nurses always show up. We do not call in sick. Ever.

After dealing with my past history, I couldn’t let go of him as a supportive sounding board. And here is the reason why staying in therapy was so helpful. I could unload my yuk stuff in his office, learn more about myself, and spare my husband and family much of my frustration of trying to act normal at home and work when I was tired, in pain, and having trouble sleeping. In fact, my grown kids often say yet today, “Mom, you say you’re having pain, but we don’t see it, so it’s hard for us to appreciate how bad it really is for you.”

In April of 2003, I wrote in my journal: “Owned up to having FMS in therapy session yesterday.” It took me that long, from 1997 to 2003, to fully accept my diagnosis. I could finally move on. But it took until February of 2011 to give up trying to get rid of my pain. I’d tracked down the rheumatologist who diagnosed me in 1997 and, after she’d treated me a few months, and after I was sleeping much better and my hot poker pains had reduced from a 10 to a 4-6, she said to me, “Lois, This may be as good as you get.”

Suddenly, I felt a sense of relief. I could stop running after a cure. I could learn how to live with a pain level hovering around 5.

I am not recommending any treatments for you, but I want to tell you what works for me now to keep my fibro flares under control. Five simple guidelines:

1. Say no (to doing anything that is not necessary for living or does not interest you).

2. Move more (to wipe out the opportunity for feel-sorry-for-myself sedentary days).

3. Eat fewer white sugar/flour foods (to increase energy and decrease fibro fog).

4. Pace activities (so you can enjoy what you do without spending a day in bed in between).

5. Use distraction techniques (to confuse the pain signals in your brain, letting you forget the pain when you’re focusing on something fun).

Being retired, I feel blessed that I have control over my time. Plus, I’m thankful to have a supportive family. I can do most everything I want to do. I’m thankful each day that I can walk, talk, see, hear, and write. And eat! I just don’t do anything too long or too fast or too often. But I do, do. And I sincerely hope and pray, if you are in a painful place, you can experience a goodly measure of relief too.

Informational Resources:

www.FMaware.org

www.fmnetnews.com

www.nlm.nih.gov (Search “fibromyalgia)

www.rheumatology.org (Search “fibromyalgia)

***

I want to say thank you to Annie for giving me the opportunity to guest post on her blog. My writing group has encouraged me for about ten years to chronicle my FMS story, so blogging for Annie motivated me to sit in the chair, finally, and get this summary down on paper and out of my head.

And thank you, readers, for following along! You’re welcome to visit me at my blog.

*Reprinted from my guest post on Annie Nowlin’s Lupus Chronicles blog.

Caregivers Write Your Stories (#5) / Living with Fibromyalgia Part II

In Part II of my Living with Fibromyalgia topic*, I’ll be telling you about the new “career” I started after retiring early (age 58) from teaching nursing, a new career of “everything” fibro.

Starting this adventure, I read everything my library held and everything I could find online. When I started to see duplications, I quit. I took away five things: no one knows the exact cause of fibro, each person experiences fibro differently, no single treatment will guarantee pain relief, and there is no physical deterioration with fibro. And, most importantly, the fifth thing I read was that it’s possible to learn to live with fibro.

English: The location of the nine paired tende...

English: The location of the nine paired tender points that comprise the 1990 American College of Rheumatology criteria for fibromyalgia. (Photo credit: Wikipedia)

It became important for me to listen to my body in order to understand and define my pain. As a new retiree with nothing to do for the first time in over twenty years, I had time to lie on the couch and “listen”. The image that came to me was that of an iron pressing down while racing up and down each arm and leg. The iron was set on COTTON, the highest and hottest setting. The iron was causing burn marks on my extremities—I was sure of it. But, no, looking at them, they looked the same. So, I poked my index finger into every inch of my body that I could reach. Wham. The area under my fingertip felt as if it had been stabbed with a red-hot poker stick straight from the fireplace. So much for the just eighteen tender points used as diagnostic information in the literature. For me, it felt as if I’d been thrown, by order of the King of Babylon in the Bible, into the Fiery Furnace. The one he’d ordered to be seven times hotter than usual.

For the next twelve years (2000-early 2011), I searched for relief of the burning pain, making the rounds of anything promising relief. Each intervention did provide temporary relief, but only one has helped over the long term. I’ll tell you about that last.

But now, I want to list for you all the things I tried, in alphabetical order for simplicity:  acupuncture, chiropractic, cranio-sacral therapy, diet (no sugar, gluten free), homeopathy, massage, medication (trials of over twenty meds), National Institutes of Health drug study (thirteen weeks requiring  six trips to D.C.), pain management program (two weeks full time), physical therapy, physicians (six), support groups (FMS), Tai Chi, therapeutic kinesiology, and therapeutic pool.

Sound familiar? I thought so.

Now, you may be thinking I’m off my rocker. Well, I am. Not only was I trying to get pain relief and some energy back, but I’m also a naturally curious former nurse who loves to study illness and its effect on people. I became my own patient! And, to add a little more spice to my burning pain, in 2006, after a fall that resulted in a broken hip, I developed costochondritis (painful ribcage), which can happen secondary to fibro. That pain has ebbed and flowed, but mostly flowed, since its onset. I still am a “touch me anywhere and I hurt” kind of person. But, if I don’t touch myself, and I don’t feel pain, that is a very good day!

I stayed at the Bethesda Court Hotel during my NIH visits and enjoyed their cozy courtyard.

My time is up for today, so I’ll continue in Part III with the intervention that has helped me most over the long term, and the other information I promised in Part I of deciding to accept—not fight—the diagnosis, and, finally, learning to live with chronic pain.

Stay tuned. And stay hopeful! Today, I live an almost normal life. Whatever normal is!

*Reprinted from my guest post on Annie Nowlin’s Lupus Chronicles blog.

Caregivers Write Your Stories (#4)

What do you think of the old adage that misery loves company?  I’ve found that to be true just so far. For example, I want to be able to share my challenges of fibromyalgia with others who have it, but I also don’t want to get dragged down by too many pity party stories. At the times when my pain is rougher than usual, I like to hear information about how others cope, and I like to be inspired that brighter moments are possible.

So, a third reason as caregivers to write your stories is to educate and encourage readers  who are trudging through the same challenges or just want to learn about them.

If you write your stories down, you can easily share them. Take, for instance, a new friend I met through blogging, Annie Nowlin. She is a nurse who writes about her life with lupus. In just under two years since she started blogging, she’s had over 12,000 hits on her blog. She tells candidly of her own struggles with lupus, gives encouraging messages, but, most of all, she strives to educate her readers about the disease and other chronic illnesses.

When Annie was “off duty” once for a surgery, I guest posted a series of three for her on my life with fibromyalgia. At that time, she said she’d gotten the most responses to those three posts, showing me that others identified with my stories and found them helpful in their own life with fibro.

So, in the hope that having written my story of living with fibromyalgia will provide information and inspiration to my readers also, I will be reprinting the series here in the next few weeks. Here is Part I of My Life with Fibromyalgia:

Fibromyalgia Awareness

Once upon a time…isn’t that the way all fairy tales start? In my former fairy-tale world, I lived the perfect life—teaching nursing, pursuing advanced degrees, working toward promotion and tenure, and flying off to out-of-state conferences. Along with racing toward an ever-expanding finish line, my husband and I raised two children and welcomed three grandchildren. Then, like Annie’s, my career fell off the track.

My fall began on a cold November night in 1997 with a 9:30 phone call from my gynecologist. Why was he calling so late? He broke the news: “Lois, I don’t believe it. This should not have happened. You’ve been active. You’ve taken your calcium. But this baseline Dexascan shows osteoporosis.”

I was forty-seven years old.

He referred me to a rheumatologist for follow-up. As she flexed my legs and poked around my knees and hips, she asked, “How long have you had fibrositis?”

“I don’t have it,” I spit out from my helpless position of lying flat on the cold steel and vinyl exam table. I knew fibrositis  was an old term for fibromyalgia, and I knew its reputation of belonging to crocks, and I was NOT a crock. I was a nurse, after all, and I was not a hypochondriac.

I left the office determined not to have fibromyalgia. But then that year everything that could go wrong, did. Murphy’s Law. Within seventeen months, nine family members and my best friend suffered serious setbacks, from cancers to open heart surgery to spinal cord injury. I began dreading the ring of the phone. Just after I’d jokingly said I was going to leave the phone off the hook, it was our turn. After a call from his urologist, my husband, standing in a frozen state in our kitchen, announced, “I have cancer.”

Prostate. He was the eleventh among his brothers, cousins, and uncles to get it. We knew the drill.

Normally super energetic, my husband didn’t recover fully for almost a year after successful surgery. And, just when I was pretty confident that I’d be granted a semester’s sabbatical from teaching, I fell, kerplop, on our iced front steps one January morning in 2000 while getting in the Chicago Tribune. Of course, as a nurse, I wrapped my tender-to-the-touch and rapidly discoloring left arm in an elastic bandage and drove one-handed to teach a three-hour class. Two days later, with the pain increasing, and when I finally had the time, I drove to the ER. Alone. Just to make sure… When the resident told me my arm was broken, and I’d have to wait two days until it could be casted, I asked why.“You can’t be casted until two days after the break.” Something about the swelling needed to go down. Imagine the flush on my face when I said, “It’s already been two days.”

Soon after the fall, the continued pain in my arm, the transient-turned-constant burning sensation traveling my arms and trunk and legs, the scary icy walk from a hospital parking lot to teach my clinical on a psychiatric unit, the incapacitating arm immobilizer I had to wear while in the classroom, and my growing and endless fatigue—all of these coalesced at once and propelled me across the finish line of my working life. My denial of having fibromyalgia was slowly unraveling.

I was fifty-eight years old.

***

Next time, I’ll tell you about how having fibromyalgia swiftly moved me into a new career, a career of  defining my pain for myself, searching for effective pain relief, deciding to accept—rather than fight—my diagnosis, and, finally, learning to live with chronic pain.

Meanwhile, Happy New Year to all you faithful readers of Annie’s blog. I’m sure we’re all hoping and praying that she can return soon!

***

Lois Roelofs, PhD, RN, is Professor Emerita of Nursing at Trinity Christian College in Palos Heights, IL, and the author of Caring Lessons: A Nursing Professor’s Journey of Faith and Self (2010, Deep River Books). She blogs about everything but her chronic pain at loisroelofs.com

Fibromyalgia Awareness (Photo credit: Kindreds Page)

Caregivers Write Your Stories (#2)

As a caregiver, you might be asking yourself, “Why write my caregiving stories?” I can think of several reasons that writing them would be good and fun. The first is to keep a record.

All caregivers know that part of caregiving is keeping track of medications, treatments (changing dressings, taking blood pressures), doctors’ appointments, lab tests, x-rays, scans, procedures, and maybe chemo and radiation schedules. As a friend of mine who is undergoing all of the above right now said, “Lois, we’re not medical people. We have no idea what we’re doing.”

Keeping a record helps. Do it on a calendar, smart phone, diary, or journal. AND carry a small notebook or iPad to appointments to take notes.

Keeping a record has saved my sanity. Six years ago, I felt something pop in my right groin as I stepped off a treadmill. Three months earlier, I had fallen and fractured my right hip. I was healed from the surgery and feeling fantastic until that fateful step.  What has followed is a six-year quest to determine the cause of the resulting pain, a pain I describe as a serrated knife sawing away night and day around the bottom of my rib cage.

Two years after my new life of chronic pain began, I was admitted into a four-week, full-time pain management program at the Rehabilitation Institute of Chicago. Luckily, I’d kept a record of the tests done, and I’d asked for copies of the results and filed them. So, for the history that RIC required, I made copies of my copies and typed up a table of contents that listed dates and names for the tests: five series of lab tests, four x-rays, four scans, one ultrasound, and two MRIs.

For one test, my patient gown was a bit large!

But there’s more. Keeping a record is fun because the list validates my experience. These things happened. Really. And the record affirms for me that I have not allowed myself to surrender to the pain.

So many people have said, “Lois, I don’t know how you live with it.” Well, this isn’t the life I’d hoped for, but…everyone has a story of some sort and this happens to be mine. And I’m happy the pain is not worse, and that I can pretty much do what I want to…at a measured pace.

Plus, I have other records from the last six years that give me joy – my daughter’s  wedding, births of two grandchildren, a road trip to the West Coast, high school graduations of two grandchildren, Chicago excursions too numerous to mention, and our now annual trip to Aruba. And, of course, publishing Caring Lessons: A Nursing Professor’s Journey of Faith and Self and meeting so many appreciative readers.

Think about why you might like to write your caregiving stories, and next time, I will address a second reason for doing so.

Caregivers Write Your Stories (#1)

So, you’ve thought about writing your stories, but you certainly don’t have time. And you have no idea how to start anyway. Excuses.

Last Wednesday at the Palos Heights Public Library (IL), participants in Caregivers Share Your Story learned they could start writing their stories in only ten minutes. Caregivers can include all of us–we all either care for someone or ourselves.

First, they made a list of ten things they thought was important in their caregiving roles. These could be events, feelings, characteristics…whatever came to mind.

Second, they circled the one item that felt most important right then.

Third, they wrote nonstop (called a “free write”) for ten minutes. No thinking, no editing, just keeping the pen moving on the page.

Ten minutes later, each had a rough draft of a story. Something they could go back to some day to revise and refine. But the story was out of their minds and onto the page. Simple.

A photograph of a 2 month old human infant, hi...

A photograph of a 2 month old human infant, his mother, his maternal grandmother, and his maternal great-grandmother.

Do a ten-minute free write every day, and you will have a book length manuscript in no time to revise and refine. Think in the future how your grandchildren will enjoy reading how you gave their grandpa Old Spice every Christmas because that’s what he was wearing the day you met, how you took your temperature daily for years in your effort to get pregnant for their mom, how that new baby nearly drove you over the edge as she  mushed her peas time after time into the crevices of her high chair, and on and on. The little things. The family traditions. The things that make us human. The things that make us family.

I have just a few writings from my folks and maternal grandmother. I wish I had many more. I want to know about their ups and downs. I want to know them better. But once they died, their stories died too.

So, don’t wait. Start now. Write from your heart. Your grandkids will appreciate it…some day.

Next time, I’ll talk about why it’s good (and fun) as a caregiver to write our stories.

Photo credit: Wikipedia

Walking humbly…

Caring Lessons Now #6

In Chicago today, it’s important to be Irish. We’ll leave soon to watch the greening of the Chicago River. The streets below my study window are filling with dots of green T-shirted people.

At the same time, people close to me are dealing with severe illnesses. Recently, a recipient of supposedly the best health care in America, told me an x-ray tech had said, “If you’re going to faint, I’m not doing you. My job is on the line if I don’t get good pictures.”

Not a good scene. When a patient is anxious, which is most of us undergoing new procedures, we don’t need to feel like we’re responsible for our technician’s job. After this tech walked out a second time, increasing this patient’s anxiety even more, a tech came in who gently and quietly said, “Everything’s going to be alright. I’ll going to go slowly and walk you through this. Now breathe in…”

The procedure took two hours instead of fifteen minutes, but the technician recognized and responded to the patient’s needs and protected her dignity.

Full of  thoughts about persons suffering at this time, I awoke this morning to this blog post about people’s use (and misuse) of the word God.  And then I landed on the final thought that Micah 6:8 says, “…And what does God require of you? To act justly and to love mercy and to walk humbly with your God.”

I think the second tech understood this text. Far fetched? I don’t think so.

God is watching…

Lou Mitchell's

Lou Mitchell's (Photo credit: Diorama Sky)

Caring Lesson Now #5

“Are you okay,” said the waitress at Lou Mitchell’s this noon.

I looked up and saw her face. I was seated at the counter, omelet half eaten, reading the emails on my phone.

“I’ve just gotten devastating news,” I said, and explained an unexpected illness of  my dearest nursing mentor.

She gasped, patted my arm, and was off. Every time she flew by, she glanced at me, as if to see if I was okay. Pausing once, she said, “You look like you’re in shock.” After patting my arm, she whisked off again on her rounds.

When she came to give me my check, she bent over again, right in front of my face, and asked gently, “Would you like some ice cream?”

I believe God puts people into our lives at just the right time.

Say Something Nice to Someone Today

Caring Lessons Now #4

Yesterday, on my way to the radio interview in Elgin, I took the bus to Union Station where I presented my Reduced Fare (seniors) CTA card, sporting a photo ID, to the ticket agent.  He looked at it, glanced up at me, and said, “You pickin’ this up for your ma?”

I wasn’t sure of what he said through the glass. “Excuse me?”

He repeated, “You pickin’ this up for your ma?”

Now I got it. I laughed. “No, that’s me, believe it or not.” I took a breath. “Hey, I needed that comment. Just last week someone called me elderly, and I don’t see myself as that.”

Pushing my ticket through the tray under the glass, the balding man said, “They’ll find out someday. It happens to the best of us.”

As I scooted to the terminal, I wondered, Does he know he made my day?

Say something nice to someone today! And, later, I’ll have more about the fascinating  experience I had being a guest on The Laura Dion-Jones Show.

Friendship – A Thanksgiving Gift

Thanksgiving oven

breathe in, be calmed, be thankful (source: Wikipedia)

Caring Lessons Now #3

In your rush to thaw the turkey, find the family’s favorite pecan pie recipe, and email your address to your guest list for their GPSs, have you taken a second to name what you are especially thankful for this year?

It’s easy about this time to get enmeshed and overwhelmed with the “be jolly” nature of the holidays. But, right now, take thirty seconds and complete this sentence: This Thanksgiving, I am thankful for ____________________________________________________________________.

While sitting this past week with a friend that is facing losing two members of her family to illness, we came up with something in the here and now for which we were thankful. That we could get out of bed, walk to our meeting place, and talk with and listen to each other.

Friendship. Caring for each other. And it costs nothing but time. Would this work for you?

Fresh Shrimp / Milk Crate Picnic

Caring Lessons Now (CLN) #2

In sixty-two days, I’ll be seventy. No longer do my peers talk about babies, weddings, and marital fights. It’s much more likely that we talk about our latest doctor’s appointment, medical diagnosis, and health insurance rate.

That’s why, in this phase of my retirement, I want to actively seek out good times. And I have a wingding to tell you about.

In the trip that we took a few weeks ago to Louisiana, we started our second leg from South Dakota and took three days to get there, meandering through states we’d never driven through before. Joplin, Missouri, a year after their tornado, deserves its own story. The rest of Missouri was a blur because it rained all day. The beauty of Arkansas’s hills and trees was a total shock. And when we went to bed in Shreveport, Louisiana, after eating our first fried fish of this vacation at Crawdaddy’s, I was well into enjoying the sunshine and light shirt weather of going south.

read on -- and join us for an outdoor street corner "experience"

In the morning, I slept in, while Marv went down the hall to the Comfort Inn’s breakfast. That’s our routine. I wake up slowly, turn on CNN, and am totally versed in the day’s news when he returns from breakfast, having read the newspaper. “Did you know…..”, he’ll say. “I already heard about it,” I reply.

So imagine my surprise when he entered the room, stood in the entryway, peeked ahead at me in the bed, and said, “I have someone here for you to meet.”

Now what. Had he befriended the concierge? Housekeeping? Maintenance?

I pulled up the sheet to cup my chin and, before I could say okay, he ushered in the person behind him. His brother! Of all things. Talk about surprise. We knew that Marv’s brother Rog and wife Marilyn were going to the same wedding. But they had started out from a different city at a different time than we had and what’s the odds that we would end up in the same motel and the guys be at breakfast at the same time in the far away city of Shreveport? Nil.

Some would call this fate. Some happenstance. Some serendipity. Some coincidence. I call it providence. I always feel that God is watching. Whether I like the outcome or not.

We arranged to have them follow us down Interstate 49 to Lafayette. The only plans we made were stopping for lunch. Rog wanted something LOCAL.

Of course, we did a gas stop once and Rog spotted an Eddie’s Barbecue Smokehouse across the access road. We sauntered over in the sunshine and thought with a bit of southern twang while buying barbecue sauce and spices.

After that stop, our LOCAL lunch depended on our GPS. And the insistent woman with the British accent took us off the highway into Natchitoches (population around 17,000) and down a side street of bumpy pavement and somewhat tattered homes to a large paved corner lot that appeared at first sight to be vacant. “This can’t be it,” I said to Marv. “But pull in anyway.”

Rog and Marilyn pulled up beside us. By this time, I’d seen a small Dairy Queen-like building in the far corner of the lot where  we could walk up and order our LOCAL dinner at the window. And then stand there and eat it.

We, or I should say, Rog, decided we should try it. It was indeed LOCAL. We swiveled our cars to park in front of the shanty. The man at the window gleefully shouted, “Illinois. Minnesota.” Our license plates had excited him.

I captured the rest of our LOCAL lunch in pictures. A memorable FUN experience. A time of caring for ourselves while capturing a rare few moments of sibling togetherness.

the men wonder why they always pay - women know to leave their purses in the car

fresh shrimp and fried rice on folding chairs and milk crates

fresh shrimp, in all their glory, with bulging black eyeballs

shelled (with a plastic fork) and eaten

"Don't eat," our owner/waiter said. "Wash hands. Get rid of smell."

the view from our makeshift restaurant

We may have been the only seated customers of this owner’s day. But he hustled back and forth with items to make us comfortable. Even, after the tea water in the jello mold, a roll of paper towels.

As we walked our Styrofoam dishware to the trash can, I said, “Was this LOCAL enough for you, Rog?” We all agreed we would forever store this fun picnic at “Jim’s”  in our aging memory banks.

Note: I could not find Jim’s on Natchitoches website. The city itself is the oldest settlement in the Louisiana Purchase Territory, founded by the French in 1714. Until just now, I did not know the city is famous for the filming of the 1989 movie, Steel Magnolias, and is the Bed and Breakfast Capital of Louisiana. I guess we could have seen so much more!

PS: Big correction! Thanks to help from my LA niece, I remembered we stopped in Opelousas, not Natchitoches.  But, alas, I still could not find Jim’s on their website. Opelousas, I found out, is the Spice Capital of Louisiana, and also has a long rich history, one of which is having a name, I regret to say, that didn’t stick in the head of this Midwesterner.