Archives for category: health

G’damn I am so tired. I’m in pain, and I’m tired. I feel like I’m running in place and expecting to catch-up. I’m laughing over it, for now (mostly), because like it or not it’s largely my own doing. Self-care is hard. It requires choices and clear expectation-setting. Everyone around me seems to want something (and it is often completely expected and normal – as with paid employment for example), and I keep bumping my own needs lower and lower on my list of shit to do until… I don’t. Or can’t.

A new day, a new opportunity to begin again.

When I take a minute and put things into perspective, I know that going off my Ozempic for a few days, then abruptly back on at the dose I’d been taking (no ramp down, no ramp up), it likely fucked with my emotional stability and mood management and “sense of things” – and I may still be dealing with that. I also know that enduring pain without prescribed pain management measures can be very physically fatiguing. So, I guess I’m not surprised by feeling sort of chronically overwhelmed and on the edge of exhaustion in spite of feeling that “things seem pretty normal, though”. I breathe, exhale, and relax. I set reminders for healthy breaks. I double check that I have my medication for the day with me (I forgot it yesterday and had to rely on back ups that I keep in the office, most of which I clumsily tossed into the toilet by mistake – it was that sort of day, honestly). I make a point of taking it on time. I take my walk, but it is shortened by the pain I’m in, in spite of level pavement and having my cane. I feel like I’m working damned hard for very little result.

…The thought brings tears to my eyes, which is a level of emotionality that is unusual for me, these days…

I’m suddenly swamped by a feeling of being wholly inadequate and “not good enough”, like, at all. This is an entirely subjective emotional experience not connected to any real world event or interactions, most likely brought on by fatigue and abnormally high self-imposed expectations. Circumstances being what they are, and “good enough” being very subjective, and me being – in general – “fine” for most values of “fine”, I’m fairly certain that this feeling of inadequacy is nothing more than some rando inner demon having its moment, attacking me from within – that’s what demons do. lol I sip my coffee. It’s also “fine”. Not great. Not bad. Just… coffee. I’m okay with it. I reflect on that for perspective. This cup of coffee doesn’t have to be better than it is to achieve it’s purpose successfully, it just has to be available for me. It is that and that is enough.

In spite of the deer eating the tops of all my tomato plants, I’ll have a few tomatoes. Enough.

…”Enough” can be a tricky concept to hold on to, sometimes…

Getting caught up in chasing more, better, or other than whatever is can be tiring and distracting. Finding balance sometimes means making a point to practice a sense of sufficiency in a purposeful focused way, in spite of the to-do list, the goals, the aspirations and ambitions… all of that is immediately irrelevant once the sands in the hour glass run out, eh? The whole of the experience, the journey itself, isn’t characterized by any one achievement or detail, and exhausting myself chasing the details is probably a pretty poor choice. I remind myself to slow down and take care of this fragile vessel. Sometimes that takes more effort, or more time, or more care – or more saying “no”, in spite of wanting very much to say “yes”. I sigh to myself. It annoys me to need both more rest and also more exercise.

…”Finding balance” is largely a matter of cultivating and practicing balance… (I’m not saying that’s easy. Honestly, it’s fucking annoying.)

“Baltimore Belle” blooming in my garden.

I try to lift my spirits with thoughts of flowers in my garden. Far away friends. Upcoming camping trips. It’s not really helping much; I just feel run down. My tinnitus is crazy loud in my ears and I wonder (again) how fatiguing it may be that I make attempts to distract myself or diminish my awareness of it, somehow? (It takes real effort, actual work, to present an appearance, regardless how effective the results may be – and my need for self-care increases with my fatigue.)

…Too much bitching…

Not enough time spent looking at flowers in the garden.

I breathe, exhale, and relax. I take some time to meditate before beginning the day’s work. What next? Self-care. Seems obvious, but I’m sometimes fairly crappy at following through on it when I most need to. There are verbs involved. Practices. Consistency. Effort. Will. It’s necessary to do the things, not just hold awareness that they are needful, and not just talk about the relative importance. I sigh, again, feeling frustrated and impatient with myself. It feels like too much, and I put my head down on my desk and let the tears come. It’ll pass. It’s not important, really, it’s just a moment.

The bananas and strawberries? Just fruits. I’ve got some very ripe banana in the freezer for making banana bread when things cool off enough to bake – and when I’ve got the energy for it – and I recently enjoyed some delightful genuinely local (picked that morning) strawberries from a farmer acquaintance (which was nice, since the birds got most of mine this year). I suppose I’d meant to say something more or different about them when I sat down to write, but the moment took me a different direction. Very human.

I sigh again, feeling too human to get enough done. I look at the clock. Still ticking. It’s time to begin again. Again.

I got my walk in this morning, around the neighborhood where the office is located. It’s a pretty middleclass neighborhood, with few sidewalks and lots of lovely landscaping. The summer air was still and smelled of flowers, exotic and vaguely tropical. Very summery. The sun was up and the morning beginning to hint at the heat of the day to come by the time I got back to the office.

…The entire time I was walking, I had a favorite “big beat” track in my head, Fatboy Slim’s “Weapon of Choice“…

It was less about the music, this morning, than the words. I kept turning the phrase over in my head, “weapon of choice”… I’d always heard that as meaning “preferred choice of weapon”. This morning it hit me that it also means… choice, as a weapon (or tool). Huh. Words are fun.

We have a ton of choices in life. The menu of the Strange Diner is – in a practical sense – almost unlimited. (Limits we observe are often self-imposed.) Choice is an important tool in our toolbox, whoever we are, regardless of our circumstances. Volumes are written about choice and choosing and how to make choices. What are you choosing? Are your choices taking you where you want to go? Do they make you more the person you most want to be? Are you trapping yourself with foolish choices? Do the choices you choose to make tend to make the world a better place, generally, or… not? I don’t need the answers to these questions (from you) – but maybe you do? (I know what my own answers are, and I ask myself these questions often.)

…Are you even making your own choices, yourself, or are you following some talking head on the internet, or an app, or an “AI”? Are you aware that it matters?…

I sip my coffee thoughtfully. I think my thoughts, grateful for another day to make choices and to practice practices. Grateful that I was finally able to get my Ozempic refilled, and my “sense of things” feels quite ordinary once again; I’ve clearly grown used to the changes it makes in my headspace (the increased impulse control demonstrably extends even to my ability to manage my temper, as it turns out). I breathe, exhale, and relax, feeling filled with contentment and a certain feeling of internal comfort that only seems to come from feeling very “at home in my own skin”. No anxiety, and for the moment no physical pain (which is a pleasant change). No headache. No allergies. Just a pleasant summer morning and a good cup of iced coffee, and this lovely quiet moment that is all mine.

…I am momentarily distracted by the awareness that a lot of my life is captured in words: emails, fragments of unfinished manuscripts, a rare bit of surviving journaling here or there, letters written in the days of snail mail as the only option, and this blog. I find myself wondering if I should be giving thought to preserving any portion of that (the internet may not actually be “forever”, considering current world events, generally)…

I sigh to myself, and my thoughts move on. Who am I? Who was I “then“? What relationship does she have to me, now? Memory is a thin thread that connects our past selves with our present self, and a bit unreliable at times. Does it even matter? Strange thoughts on an ordinary summer workday morning. There’s value in self-reflection, though, and asking the worthy questions is worthwhile whether I answer them or not. They demonstrate thoughtful curiosity and a regard for the unknown. They light the path ahead in some way I can’t easily describe or explain. They hint at what I don’t know, even about myself. Hell, sometimes they stave off the existential dread and doubt that sometimes accompanies awareness of how precious and limited this mortal lifetime is. I hear that metaphorical clock ticking.

The weekend is coming. What will I do with it? I’ve got a camping trip planned for a couple weeks from now. What will I do with that? I’ve got choices. So do you. What will you choose?

Every choice is a new beginning – even if you choose to stand still and do nothing.

One day I will not wake to begin again… It’s how mortality works. There is much to savor in each waking moment, and less to struggle with than I sometimes choose.

I’m sipping my coffee contemplating the busy work day ahead. I’m okay with it. I’m fortunate to have a job I enjoy. I’m grateful for that; I know too well what it feels like to be trapped in some day-to-day grind because the paycheck is necessary and the options are few. I’m sneezing, though – allergies – and not really looking forward to interacting with people all day. Another hot summer day ahead, too, and the AC in the office already sounds like it is “working too hard”, which does not bode well for comfort. Add to that, my pharmacy has still not been able to refill my Ozempic, and now I’m 3 days overdue for a shot that should be done weekly at about the same time each week. On top of simply being annoyed by that, I’m starting to “feel effects” of going without medication that does so much more than provide a little help with weightloss. This medication, for me, successfully manages my blood sugar, my blood pressure, and helps with certain consequences of my brain injury, too (which was unexpected but very much valued and at this point, relied upon). I sigh and drink my coffee – at least I’ve still got coffee in the morning, though I wonder how long that will last?

I breathe, exhale, and relax. The lack of my medication is not likely to become life-threatening (I hope), but I’m angry that the medical needs of real people matter so little, in comparison to profits, or supply chain efficiency, or systems and processes within large corporate hierarchies. (Looking your way, global pharmacy systems, and fuck you for not caring about the people you serve.) Another breath. Another slow steady exhalation. Another attempt at relaxing and letting small shit stay small. It requires practice.

I’m not in a great mood this morning, and I remind myself again (and thank my Traveling Partner for his patient reminders yesterday evening) that this abrupt change in my medication is going to affect things like mood (and mood management) and impulse control, and all sorts of seemingly unrelated “little things” that taken together don’t always feel small at all. Knowing I’ll be “dealing with people” all day, I calm myself with meditation, and a few minutes of quiet reflection on the moment and the day. Things are fine for most values of “fine”, and I’m okay in most practical senses of that word. This will pass.

I did try to arrange to have my prescription filled at a different local pharmacy within the pharmacy chain I generally use, and that looked do-able from the perspective of yesterday. This morning the pharmacy app indictes that my refill remains “delayed” with no expectation that it will be filled before tomorrow at 3 pm – an availability commitment that continues to be pushed back every day. The pharmacist said, yesterday, that they just haven’t been receiving this medication in their orders, in spite of ordering it repeatedly. “It’s not available.” (I wonder if it is the heat? It is a temperature sensitive medication, and degrades quickly once not refridgerated. We’re in the middle of summer heat that comes with a hazard warning, although it isn’t being discussed as a “heat wave”… I could see that potentially stopping shipments of some kind, but g’damn, we’re talking about fucking medication here!)

Another sigh. Another cycle of breath. Another attempt to get my mind (and mood) to move on from this irritation… my results vary. My coffee is tasty, though, and I focus on that pleasant detail, here, now. A breeze tosses the branches of the trees beyond the window, and the lush green leaves flutter and twist. Pretty. There’s a clear blue sky overhead. The morning is already warm. My head aches. My tinnitus is loud. This room is quiet, aside from the woosh of the AC in the background. Breathe, exhale, relax… repeat. I still feel bitchy and cross, and I’d really like very much to complain about… something, but I’m aware that it really could be worse, and that as things go generally it’s fine. I think of my Traveling Partner at home, probably still sleeping, and I smile to myself; just knowing he exists in the world is a thought that fills me with love and delight. I’m fortunate. Perspective.

Choose your experience; we’re live and unscripted.

We can’t necessarily change the circumstances we find ourselves in, but we can change how we react and respond to those circumstances. We can make choices that improve our experience. There’s a lot of power in that. I sit with that thought awhile. How would I respond to these circumstances if I were indeed the woman I most want to be? Can I make that happen, in these circumstances, now? What would that look like? What practices can I count on to get me there? We become what we practice.

…No AI anywhere can help you with that; you’ve got to practice the practices yourself, and do the verbs…

Practice the practices that take you closer to being the human being you most want to be.

It’s a new day. Another chance to be the woman I most want to be. Another opportunity to live well and treat others with kindness and compassion. Another day to do my best. I make a note on the notepad beside me, a reminder for later. It’s time to begin again.

I got fairly caught up in the work day, even forgetting little life details (like what to make for dinner) and errands that I need to run later (pick up a prescription, drop off a return). It wasn’t so much that work was that engaging or pressing for some reason, but more that my anxiety was relieved and I regained my focus.

…I almost forgot to take a break…

A ping from my Traveling Partner checking in on me pulled my head out of my work long enough to recognize I hadn’t had a break in a while. I got up and made a cup of tea, and made conversations with co-work “colleagues” (about our gardens and the heat, mostly).

The plant on my desk

I sat down at my desk with my tea, and rather “unfortunately” without my feeling of momentum. lol Ah, but this break isn’t over! I’m often fairly bad at taking a proper break; I get sucked back into work too quickly, without drinking the tea, or allowing my mind to really do something different. 😆 This time I’m struggling to return to work (which tells me I really need this break!) and happily embrace a moment of quiet over a cup of tea that is still too hot to drink.

I breathe, exhale, and relax. Remembering that I need to pick up an Rx reminds me also that my Ozempic wasn’t available on time, and that I’m now two days late on it, and potentially beginning to feel the effects of not taking it (for the first time in more than a year). I’m annoyed about it. I submitted my refill request fully a week before I needed it, but the pharmacy didn’t have it in stock, even days later after ordering it. They told me to come back Monday, but didn’t have it then and assured me it would be in on Tuesday (today). I’ve lost trust and I’m vexed. But, I guess things could be worse. (Nearly always.) Another breath becomes a sigh… I take a sip of my tea and think my thoughts.

…I really want a nap… Or noodles… 😂 Or… something.

The glare of the midday summer sun reflecting into my eyes from the parking lot below gives me a headache. I get up and close the blinds. There’s work to do. I sip my tea and consider beginning again.

I’m thinking about moments. So many moments make up a lifetime, eh? Opportunities. Chances. Choices. Sometimes I stumble down life’s path, sometimes I stride down the path feeling confident that I am heading in the “right” direction. Wherever the journey takes me, it is my own.

Stuck in summer construction traffic, I take in the view.

I watch the mostly full moon setting as I lace up my boots. I’m at the trailhead. I remember that I have an appointment this morning, and that timing matters. I add things to my shopping list; that matters, too. Small details. Steps on a path.

Trying to capture the full moon as I head out this morning, a mostly unsuccessful endeavor; it’s the wrong camera for this shot.

Sirens in the distance remind me that life is fleeting, and moments pass quickly. My tinnitus is loud in my ears. In an instant, I am aware of my mortality, and the passage of time. These precious mortal moments so often pass by unnoticed, uncelebrated, and unshared. “Is there anyone even out there?” I wonder to myself. I think about bots, algorithms, and attempts to create artificial intelligence…to what actual purpose? “Efficiency?” Profit? I don’t think these things are actually meaningful or worthy, really, and it is so human to get that shit so very wrong.

I keep walking.

How long does it take for the moon to set on a summer morning?

I sit at my halfway point thinking my thoughts and considering my path, “in real life” and as a metaphor. I breathe, exhale, and relax, enjoying this moment, right here, now. It’s a fleeting fragile thing, a moment. It exists, and then it is gone, leaving behind only a memory (and sometimes not even that).

I watch little birds for awhile. Swallows so swift in the air, and little reddish birds on the fence rail chirping merrily. I wonder if they are aware of moments? I sit with my thoughts and my breath, on the edge of this path, between moments.

Soon enough it will be time to begin again, in some other moment…