Archives for posts with tag: pain management

It’s a rainy morning. I reach the trailhead ahead of the sun and listen to the rain falling. I watch an interesting video, and wait for a break in the rain. I pull my rain poncho from my gear bin when I get my opportunity and set off down the trail in the darkness.

Even once I get to this convenient stopping point more or less midway, I’m still groggy. I’m struggling to really wake up. It’s my own fault, I guess. I woke around 03:00 having to pee, and went back to bed although my wake-up time was only a couple hours away. As I drifted back to sleep I remember thinking I was for sure at risk of achieving deep sleep but waking too soon. Getting up at that hour wouldn’t allow for a second sleep, and would have been much too early. I’d have risked resetting my sleep cycle. I sigh to myself. Groggy it is then, I guess.

I’m in more pain than I’ve been enduring most mornings lately. It’s annoying, but demonstrates how effective the new medication really is. I’m grateful for the medical science that produces effective medication and the agencies that oversee and assure quality and safety. I’m appalled by fuckwits attacking science, medicine, and safety standards. Fucking hell, fund the right stuff you giant jackasses. Healthcare instead of bombs, maybe? Also, get vaccinated, and only vote for knowledgeable ethical people to represent you in government. (And if your response is that there are no ethical politicians, I’ll point out that this may be the heart of the problem.)

I sigh to myself. I’m cranky with pain, waiting for my medication to kick in.

I sit with my thoughts awhile. There will be more rain. That’s the sort of place we live. Rainy, often. I’m okay with that. I like the rain. Anyway, it passes. Change is.

I’m slowly becoming chilly. It’s not especially cold, just chilly and damp. I regret not wearing an extra sweater or a base layer, but it’s fine. I get to my feet and get ready to begin again. I look down the trail as the rain begins to fall, and walk on.

“Keep walking,” I tell myself silently. Over and over, step after step down the trail to my halfway point. This morning I got an early start, and I get to my halfway point just at daybreak. That’s fine. I just wish those persistent steps had carried me past this shitty mood.

Here. Now.

I sigh irritably and let it go. I didn’t get here by myself, but that’s the way of human primates; we are social creatures, and easily pick up feelings from each other. It’s not personal, it’s how we’re wired. I try again to let it go. I’m cross with myself, with my Traveling Partner, and with the fucking world. “Do better, Assholes”, I mutter to myself feeling seriously cranky.

Another sigh. I’m grateful to have remembered to shove a pack of tissues into my pocket. The tears vex me, and now my nose is running. I feel like a ticking time bomb, which seems like an unreasonable overreaction, honestly. Sitting here alone I can more easily evaluate that, and maybe gain perspective and soothe myself.

Could my seriously shitty mood be a byproduct of changes to my medication? My doctor prescribed something different to help manage my neuropathic pain, things like my headache, my occipital neuralgia, and other pain that is linked to my spinal injury. It has definitely helped with that – it even seems to have “turned down the volume” on my tinnitus, which was unexpected… but this new medication also reduces the need for other prescription pain relief, and reducing the amount of that comes with known difficulties – “the down” is rough. Is my shitty mood coming from (or aggravated by) withdrawal symptoms? It could be. Useful perspective.

I find perspective and reframing very calming. It’s a useful practice.

The Anxious Adventurer is supposed to be doing something or other for his days off, to give my Traveling Partner and I some time alone to enjoy each other. He came down with a cold, but doesn’t say anything about whether that has affected his planning. It’s honestly one of the most vexing characteristics of cohabitation with him; he’s not at all “open”, not out of meanness or any sort of reserved nature, it’s more that he seems to lack basic communication skills and has little will to improve. I still have no idea when or if he’s going somewhere, nor where that might be. He seems clueless why such things matter. (I like to plan, that’s part of the fun for me, and I discuss my plans freely, even seeking other perspectives and suggestions when I am planning something. I know that isn’t everyone’s thing, but fucking hell say something enough in advance for people around you to also plan!)

….Comfortable cohabitation generally needs shared values. Without that, someone is generally not comfortable…

I breathe, exhale, and relax. I meditate as dawn becomes day. A new day, another sunrise, a new beginning… I rely on being able to begin again.

A different “now”, a new perspective.

… Fucking hell, it’s a work day, too… I can’t say I feel like it, I definitely don’t. At all. I inhale the cool morning air. It smells like Spring. It feels warmer than I expect for early March. Fog begins accumulating, oozing up from the creek bed on the other side of the trees. It’s 7C (45F) and feels comfortably mild. There are early Spring flowers blooming: crocuses, daffodils, hyacinths. The air is sweet with the fragrance. I focus on that.

… And I’ve definitely picked up another head cold…

Fucking hell being human is complicated and annoying sometimes. No wonder we do such a shit job of simple communication or managing our emotions with care, or being considerate of others. It’s hard sometimes. It takes practice, and we mostly don’t bother to teach this shit.

We become what we practice.

The clock is always ticking. I get to my feet, reluctant to deal with the world, but recognizing the necessity. It’s time to begin, again.

It’s raining. The sound of the raindrops on the roof of the pickup truck sounds like someone’s fingers flying across a keyboard, typing out the words of some dramatic narrative very quickly. It’s just rain.

…It wasn’t raining when I left the house…

Change is. I sip my coffee, enjoying the moment as it is. Later, work, still later than that, contractors at the house for a maintenance task. Routine enough, not at all exciting.

This morning I woke to blazing bright lights; I had slept until my silent alarm went off (rare). The morning has felt a little surreal so far, as though it is only a template for an ordinary day, a placeholder for choices not yet made, experiences not yet determined, or… something.

My arthritis is bad today. My tinnitus is loud. My left shoulder hurts with fresh pain, recent but I don’t know what I may have done to injure myself there. My left foot vexes me, now that I think I know what’s up with that (a worn out boot), it just annoys me. It’s a difficult morning for pain. I look grimly out over the vineyard and sip my coffee. It is what it is, and it’s not new that the rain and chill make it worse. I shrug in response to the thought, and feel pain shoot through my left shoulder. A strained or torn muscle? Certainly possible. Meh. I let my mind move on.

Yesterday evening, my Traveling Partner commented that he thought he might have a fun solution to my challenge finding time and energy for painting, and a creative outlet that might satisfy my yearning to paint. He hands me a tablet with a stylus and an app on it specifically for digital art. I haven’t explored digital art much… Curious, I take it up a bit timidly, but I definitely did find some joy and creative satisfaction there. I’ll be exploring this more. It’s well-suited to “artistic tinkering” and has a lot of potential for more. My beloved was right; it really suits the way I approach early drafts of new ideas.

I breathe, exhale, and relax. The morning still feels like a placeholder for some other day or time, or some moment anticipated but not yet here. Funny. Strange. I stretch and sigh and prepare to begin a new day.

I woke up feeling restless and strange. Nothing specifically “wrong”, just feeling vaguely troubled by dreams already disappearing from my recollection, and starting the day in more pain than usual.

I dressed and slipped away into the darkness as quietly as I could, which wasn’t very quiet this morning. I dropped my phone, my key fob, snagged my handbag on a door knob causing my keys to jingle… It’s been that kind of morning; intention and effort rewarded by clatter and chaos.

I considered taking a seat at the local Big Coffee Chain cafe, but I seriously just don’t want to deal with people, at all. It’s pretty cold for walking (37F/2.8C). I vascillate as I drive… coffee? Walk? Back and forth, even as I pull through the drive thru and get coffee, before heading to the trailhead. I still haven’t started drinking it. I get to the trailhead before daybreak and reflect on how much I have appreciated recent later start times to my days, wondering again what woke me this morning? I sigh to myself, and prepare to start down the trail…

…It begins to rain. Steadily, and hard enough to chill me to the bone quite quickly, I rethink walking. Having lost interest in a cold rainy walk in the predawn darkness, I sit in the warmth of my Traveling Partner’s pickup, feeling loved. I’m grateful to have the use of it while my car is still at the body shop. The comfort and features have even changed my thinking about what vehicle will replace my car when it has reached the end of its serviceable lifespan. I’m not a huge fan of brand loyalty generally, any more than I think mindless partisan voting is a smart strategy. Smart for whom? Only for the brand or party, not for the voter or consumer. I shrug and let it go; it’ll be awhile before I buy a new car. Now is not that time.

The city beyond the horizon illuminates the cloudy sky above.

I breathe, exhale, and relax. The morning quiet here is well-suited to meditation. I feel calm and centered, ready for a new day. It looks likely to be an ordinary work day. My Traveling Partner invited me to work from home today, and his welcoming encouragement had me seriously considering it when I went to bed last night, but here in the darkness with my pain and somewhat antisocial feelings, I’m inclined to head to the university library once it opens and take a seat in one of the quiet study cubicles in the back. I’ll be close to home if anything urgent arises, and my beloved will be unbothered by my bullshit. Lest it seem I’m being overly considerate, this is quite a self-serving decision; I will be more easily able to focus on work without having to juggle consideration of my partner’s needs, too. Generally easier on both of us.

I sit with my thoughts, avoiding the news. The rain continues to fall. I don’t need to scroll through the news feed to know the world is a messy terrifying place right now. Genocide and violence are ongoing. American democracy is at risk, with key positions in government filled by grifters, and wholly unqualified unethical assclowns. Big tech companies are continuing to go about the business of making shareholders and CEOs rich at the expense of the sanity, health, and resources of everyone else. Human primates continue to be vicious, petty, greedy, and unkind to one another. It can be a pretty awful place, this peculiar mudball hurtling through space.

…but…

There is beauty here, too, in every sunrise and sunset, and every smile. I focus on that, this morning, as much as I can. I owe this to myself! The choice where to put my attention is my own. Drowning my consciousness in global misery does not make me more effective at making useful changes, or speaking my mind with clarity. We all need a break now and then,  a chance at rest and opportunities for joy. I breathe in, filling my lungs with rain-fresh winter air. I exhale slowly, thoroughly, letting go of anxiety and concern and worry over things I can’t control here, now.

Daybreak comes. The rain slows to a dense drizzle. I still don’t feel like walking, this morning, too much pain for walking in the rain. I sigh contentedly; the solitude is enough. A few more minutes, and then I’ll begin again.

I slept poorly. Well, that’s not entirely accurate. I slept well and deeply until sometime after 02:00. My Traveling Partner was awake, in the other room, coughing. The coughing woke me. I went back to sleep, but from that point my sleep was shallow and interrupted, and I didn’t get much rest. I’m not even bitching, I’m just mentioning it as I sip my morning coffee and try to sort my thoughts into some kind of coherent bit of consciousness. I’m not “groggy”, exactly, just…disconnected and stupid. I’m feeling cross and out of sorts, and the morning is off to a somewhat poor start, but only because of the state of being in which I find myself. In the most practical ways, it is an ordinary Monday morning.

The font and type size look weird to me in the visual editor this morning, and I fuss with trying to figure out if they are actually different somehow, or if I “never noticed before”. There seems to be a lot of that kind of misleading bullshit going on these days; changes being made without notice to users on all sorts of apps and platforms. Updates pushing new integrated AI in a coercive involuntary way. Updates that impair user freedom and control over purchased hardware and software. Other similar shenanigans seeking to harvest just a bit more data (or money) from users. Having the cognitive quirks that I do, I definitely do notice. I dislike that I find myself trying to talk myself out of seeing what I think I’m seeing. That irritates me. I let it go altogether, because in this instance it does not matter at all that the font looks like a different one, and the type size appears smaller and more compact.

I sigh to myself. I’m vexed by pain this morning, on top of fatigue (they are ultimate related; I am less able to manage my pain when I am fatigued, and likely to feel it more intensely). I sit more upright, hoping that good posture will give me some relief.

…G’damn I’m in a shitty mood this morning…

I have The Clash “Know Your Rights” stuck in my head. In spite of making committed efforts to stay away from “the news”, I can’t help knowing that the masked government thugs besieging Minnesota have murdered another citizen, an American, a patriot, a legal-to-carry gun owner with his “paperwork in order”. His apparent crime? Well, apparently that’s not a requirement anymore, at all. The assault on our rights grows, and if it weren’t so incredibly terrifying (and depressing) I might find some measure of humor in the fact that this shit is coming from a Republican administration. It’s not about Republican and Democrat, it never has been, it is about power and greed on both sides of the aisle. Sometimes the scales tip briefly in favor of “the people”. Don’t expect it to last when it happens.

…Oh, yeah, really dreadful mood…

I cue up my playlist for trying times. I add a couple more tracks to it. I definitely don’t want to listen to pop songs or muzak this morning. My heart aches for fallen heroes, and those among us willing to speak truth to power – and pay the price. Dark days, America. Get your shit together before you lose everything.

My phone rings. Unexpected at 05:30. I answer it reflexively; I have been caregiving for a couple of years, and any time I step away from the house, I feel uneasy and alert for some need that may arise that requires me to hasten home. The voice is familiar, but I don’t place it immediately. An old friend from my years on active duty, calling to let me know he’s reached a breaking point, himself, an just… can’t. My heart pounds. (G’damn, surely he’s not calling me to tell me he’s going to end his life? I don’t think I could bear it.) No, it’s not that bad, but it’s a big enough deal that he wanted to tell someone, and somehow that someone is me. He’s moving to New Zealand. “As far as I could go away from here, before someone burns it all down,” he says. He asks me if I think he’s overreacting? I don’t think he’s overreacting at all. I might do something similar if my circumstances permitted it, and just yesterday my Traveling Partner and I were talking about maybe selling our lovely cozy home and going…somewhere else. Quieter? Fewer neighbors? More space? All of that, and a few other things besides. Maybe we will… I find myself wondering how many citizens have emigrated out of the United States since the first Trump presidency, and whether that has accelerated since he was re-elected?

My work trip to San Francisco unraveled, doesn’t much matter why, and I’m not alone in it. The winter storms have thrown transportation into chaos. Can we agree that a late January travel date for a work event was predictably short-sighted? lol

I’m realizing it is likely to be the sort of day on which I am prone to discontent and finding fault. That’s not going to be a particularly pleasant experience. I sigh to myself and ask the question “are you going to stew in it, or are you going to make a change?” It’s an important question and wants an answer. I feel myself set my jaw, full of resistance and irritation, like a kid asked to clean their room on a beautiful day. I don’t want to have to be bothered with being accountable for where I am with my experience, right now. I’d rather be peeved and pick at my grievances as if they are wounds. Ridiculous. Now I am both the woman in a bad mood, and the woman irritated by a woman choosing to be in a bad mood. lol Layers of irritability. It’s pretty silly, but acknowledging that isn’t getting me off the hook for the work involved in changing it – or the choices or practices required to do so. My black mood feels justifiable and vindicated…but it’s honestly just a bad mood. I’m in pain and I didn’t sleep well. It doesn’t need to be anything more than that.

Another sigh. Another sip of coffee. I ask myself where would I be and what might I be doing if I had the means to go anywhere at all and do anything I cared to do? Moments fill my recollection; morning coffee on the shore, or near a beach, or out among the trees in some silent ancient forest, or a quiet cafe in the 1st arrondissement in Paris… I like to enjoy my coffee with a bit of a view and some solitude in the morning. In that sense, generally speaking, I’m pretty much already doing that thing, eh? I sip my coffee grateful for the moment of perspective, even feeling a tiny bit less cross. I guess that’s progress.

When what we’re doing doesn’t work, doing something different just might. I think about that, and enjoy my coffee before the work day. Soon enough, I’ll begin again. It’s not world-changing stuff, but if I can improve this experience in some small way, that’s still an improvement.