Archives for posts with tag: pain management

Several times lately I’ve sat down to write and … didn’t write. I started with a notion, a thought, and idea, or a few words or the sight of something I could describe, but nothing came of it. This morning almost went that way, too… I sat down with the recollection of the pale pastel pink and baby blue dawn sky, and the words to attempt to share that, here, and quickly drifted to a piece of music, with a cool video. I let the music carry me away. The “eye candy” of the video filled my senses, and I lost the thread of my thoughts. LOL So human.

After my last therapy visit, I’ve been sort of “in my own head”, thinking about painful inconveniences like self-directed misogyny, and progress-yet-to-be-made, and… pain management. I wasn’t sure why with the dry summer heat, but my arthritis had flared up significantly (like, wet winter levels of pain), and until the heat dissipated yesterday with a cloudy mild day with hints of the threat of rain that it was a puzzle. Now I get it, but… fuck pain. Pain complicates things, and makes it hard to focus on what matters most (it surely isn’t the pain).

I sit here listening to music and sucking down my morning coffee with little attention. I’m doing my best to focus my thoughts on something other than the pain I am in. The music helps, but it’s not really a remedy. I’d hoped that building a habit of going to the gym and adding strength training to my fitness endeavors would do more (sooner) to reduce my pain. I haven’t gotten that far on my fitness journey, yet. Incremental change over time takes… time. I do my best to manage my pain with care, with various reminders to check in with myself throughout the day so I don’t end up like I did yesterday; at the end of the day and wrung out from fighting pain, because I rather stupidly hadn’t slowed down long enough to actually deal with it properly for hours. Fucking dumb. Very human. I got caught up in the excitement and momentum of the latest home improvement project, which is the front lawn. I forgot to manage my pain until quite late in the day, too late to get ahead of it at all.

Today I start things off similarly, and working on different outcomes as the day progresses. First, the gym, then a walk. I took my first-thing meds… first thing. lol I glance at the time. Time for the next Rx. I don’t delay, or snooze the reminder for even a moment. I take my medication. Small thing. Still progress. It’s a critical detail. This second couple of “first thing” medications need to be separated from the others, but a short-ish interval (like an hour) is sufficient. It’s peculiarly hard to get this one right (for me), and it sets up the medication dominoes for the day. lol So I keep at it. I’ll get this right. 🙂 I’ll finish my coffee, take a walk, and then get started on today’s meetings and calls. Today, I’ll take my medications 100% on time. Today I’ll manage my pain properly. Goals.

…I notice the the fingernails I broke yesterday. I don’t remember when. The rough edges draw my attention; that’ll be something to be mindful of all day, in order to avoid tearing at my fingernails absentmindedly through the day…

I breathe deeply and exhale slowly, feeling my heart beating, and letting my shoulders relax as I exhale. Looks like a pretty summer day beyond the window of the co-work space I’m in. I’m excited about my short week, and my upcoming roadtrip and camping along the coast. I’ve got my Thursday night site booked – now it’s just a matter of getting there! My Friday night is planned, too, and I’m eager to visit with an old friend (and bonus, it sounds like I’ll also get to meet a long-time reader of this blog as well). I still need to sort out my Saturday night, although I’m stuck on the route, because I have options and don’t know what I’ll want to do about it yet. Can’t really plan a camping location until I know the route I’m taking. 😀 I could proceed … without a plan… LOL

Thursday seems simultaneously “so far away” and also “almost here”. Funny. I’m already almost completely packed, which is pretty convenient. I still need to grab a couple items and my camera bag, but beyond that I’m ready. So ready. I’m looking forward to disconnecting from the world and following my thoughts for awhile.

It’s time to begin again.

Note: this is a long one (>1500 words), figured you might want to know that before you get started. LOL

I’m on the coast with my camera for a couple days solo. I definitely need this sort of break from the day-to-day relatively frequently – one of my most easily identified regrets in life as an adult is that I waited so long to begin making a point to take this time for myself. I’m fortunate that my Traveling Partner recognizes the need, too, and supports me taking care of myself. The change in my medications has been a good thing, generally, but it also seemed to have accelerated my need to “take a couple days” to pause and reflect deeply on my experience, and to indulge in some time spent alone with my thoughts.

My timing is a bit awkward for this getaway; it’s the weekend before Giftmas. My Traveling Partner’s planned work while I am away was almost immediately derailed by a fulfillment error in a part shipped for his CNC machine; it’s the wrong part, which stalls the build entirely while he waits for that to be replaced. Fuck. Furthering his frustration, a recently added (and carefully measured & placed) outlet turns out to be in a less than ideal location (even after taking tremendous care with measuring) and has to be moved. The end result? Well, I potentially should have planned ahead for a couple days after the fucking holidays, if nothing else. …But…I really was seriously struggling to get acclimated to the new medications (and change in timing of existing medications), and I was feeling very short-tempered and cross with… just every-damned-thing, honestly, and wanted to be well away from people in general. So… good timing? Poor timing? Hard to be certain.

I visited some interesting places. The gulls at Boiler Bay were happy to pose for me.

I am certain my partner misses me. I feel very loved. His attentiveness at a time when we both expected minimal contact with each other for reasons isn’t unwelcome – and it forces me to explicitly practice reasonable boundary setting with the one human being in my life with whom I most definitely struggle to do so; my partner. He can’t see what I’m up to when I’m away, so it’s entirely on me to choose to take a look at a message, or to set my “do not disturb” setting on my phone, or set expectations that I am – or am not – available to chat. That’s not even unexpected or unreasonable; it’s part of skillful adulting. Just happens that some of the emotional debris of my trauma history results in some fairly poor boundary-setting with those closest to me, and it’s something I need to practice. Kind of a lot.

Here’s one way this matters, as an example. I won’t text while I’m driving (it’s very dangerous), so if he messages me while I’m in motion, I often find myself parking the car to respond without even checking in with myself whether the conversation even needs to happen in real-time (most often it does not, and frankly when it does he calls me so we can just talk hands-free). It can add a crazy amount of “travel time” to a short errand if I fail to communicate that I’m driving and he’s not aware that I am; he will just go on having a conversation with me that feels reasonable to him, while I seek out a parking spot every couple minutes like I’m lost or something. LOL I even know this is neither necessary nor practical; it’s something I need to work on. Just one example of why the expectation and boundary setting can matter so much. There are for sure others.

…I’m working on it…

When I am reading, writing, painting – all of which require focus – I sometimes get exceedingly frustrated with interruptions. Same when I’m “at work”, at home. Interruptions wreck my focus. This is not “a me thing”, it’s true for a lot of people (including my partner, when he’s reading, or doing complex calculations, or taking measurements). Interruptions break focus. Well… who “owns” that? I think if a clear boundary and clear expectations have been set, the person doing the interrupting owns that shit, and it’s pretty rude (if there’s no actual emergency). More often than not, though, I find that I’m the one who has erred in some way, by failing to ensure that I have set a clear expectation that I’m not available, along with a reasonable explicit boundary established with regard to interruptions of specific sorts of things. It’s for sure not reasonable to be irked with someone who did not know I was engaged in focused work, or needing to be left alone awhile, if they interrupt me unaware of those details.

In more succinct terms, if I don’t silence my ringer it’s not fair to be annoyed with a person who calls me at a bad time; I had another option that would have preserved my focus!

My earliest beach walk began at “first light”.

Yesterday, in the morning, I left for the coast before dawn. I arrived far earlier than “early check-in” for my hotel room (because the prior night’s guest hadn’t even checked-out yet). I spent the morning walking beaches and taking pictures, and in between I drank coffee while warming up in my car. Chilly morning. I drank 3x as much coffee as I generally do, and I expected I’d most likely messed up my sleep, later, but… nope. I checked into my room before 1 p.m., and managed to crash twice for longish naps, and then still went to bed early (like, for real early – around 7:30 p.m.). I slept deeply, waking around 3 a.m. to pee and immediately went back to sleep.

I made a point of snapping a picture of the holiday lights on the restaurant near the hotel during the wee hours. (It’s not a great picture; I was half asleep and never put on my glasses!)

I woke feeling quite rested, around 7 a.m. or a little after, around the time my Traveling Partner woke and pinged me a greeting. I wouldn’t have been at all surprised by how much I slept if I had felt that I was exhausted, or had felt deeply fatigued. Lacking those sensations, it caught me a bit by surprise to sleep so much. Still… it’s my time, my hotel room, I guess I can do what I like (within reason), including sleep the day away, which I definitely feel like I did, although my fitness tracker logged almost 7 miles of walking before noon. LOL

It’s been exceedingly pleasant (even luxurious) to have so little contact with other people for a couple days. The loudest sound in this hotel room is my fingers on this mechanical keyboard. (My tinnitus is infernally loud, too, but no one else would ever hear that.) The hotel staff go about their business. We don’t exchange words, just smiles; I’ve come here before and they are very respectful (and friendly if approached). I’ve managed to enjoy this trip to the coast without conversation beyond “can you fill it with regular please” or “16 oz Americano, please”. Yesterday was sunny. Today is gray and overcast. I spent yesterday sleeping (and walking and taking pictures). I’ve spent today meditating and writing (and walking and taking pictures). Time well spent all around, and mission mostly accomplished.

…I miss “home” (already), and take a few minutes to reflect with immense gratitude that I experience that feeling when I am away from the house I now live in. It’s already very much “home” – and filled with love, and memories of love, and the presence of this other human being who is so incredibly dear to me. I feel my heart fill up with my affection for my partner and spill over as “happy tears”. I am struck by how easily even the thought of this human being I love so deeply can move me with just the recollection of the love we share. That’s powerful. I miss him greatly any time we are apart – even when we are apart specifically because I just need to be alone for a while. It’s part of who I am. I am grateful that I’ve learned how to meet that need, and grateful to have a partner who “gets it”. I chuckle when I consider how often I do return home earlier than I had planned to, when I have gone, simply because I am so eager to be in the good company of my partner again. How very human. 🙂

Same location, different visit.

I watch the tides rise and fall on each of these trips to the coast. I am amazed by how much the view changes with each visit. The seasons change. The sunrise and sunset changes. The hour of the day for the high or low tide varies. The weather, too. Each detail paints the picture anew. I sip my now-cold coffee and think about that. So many variables. So many small details. I keep expecting to become bored with a single view or perspective. It hasn’t happened yet. I return to some locations with every visit just to see the view with “new eyes” on a different day. There’s something here worth understanding more deeply. I make a note on the notepad I’ve kept with me on this trip, and let my thoughts wander on.

I reflect awhile on the things that have held me back in life. Some of these were pure circumstance, others clearly my own doing or decision-making, few of them were the sort of non-negotiables that were unavoidable or immutable. I’ve had an enormous part to play in where I’ve landed in life. When I’ve chosen wisely, I’ve done well. When I’ve chosen poorly, I’ve often paid the price in consequences. This seems reasonable and “proper”, but when I reflect with care, deeply and honestly, and quite thoroughly, there have also been situations in which my good fortune “over-compensated” for my poor decision-making, and I’ve found my life improved thereby, anyway. Other times, seemingly good decision-making and actions that could be viewed as necessary, appropriate, or “right”, nonetheless resulted in… consequences of a wholly problematic sort. I have had an “enormous part to play” in where I’ve landed in life…but it’s also been a matter of “luck” more often than I can count, and some cases it’s been the help of friends or associates, or… just a coincidence that I’ve done as well as I have. Sometimes I’ve found myself standing in some unexpected moment in life struck by how unprepared I am to be there. Other times, extraordinary happenstance still manages to feel quite… ordinary. It’s hard to know in the moment which events are truly significant and meaningful, and which are simply future memories. Sometimes, when I’ve thought I was being “held back”, the passage of time has revealed how fortunate I really was to follow the path I did. Perspective has proven its worth more than once.

…My mind wanders on…

When I sat down with my notes this morning, I had some specific things I wanted to consider. I walked the beach with my camera and my little notepad, thinking, walking, pausing now and then for a tidepool, a bird, or an interesting rock. I don’t know that I “got anywhere” specific – but I wasn’t following a map, or hiking a trail with a destination, or running an errand. I was, frankly, as much as anything, just giving myself the space and time to really “hear myself think”. Was I successful? In every way I that I needed to be, sure, I think so. Is this bit of writing the outcome of all that? Mmm. Doubtful. Not in any clear cause & effect practical sense. I wasn’t seeking to develop a plan of action, or practice a specific practice, or write an essay on a topic. I just needed, rather earnestly, some solitary time to hear myself and to just be, quite as I am, without any sense of needing to chase a change or measure up to a standard. In that sense, it’s been a wildly successful bit of time away. Would a get away of this kind do wonders for you? No idea, honestly, and I’m sure it kind of depends on how well (or poorly) you are able to enjoy some solitary time – maybe that’s not your thing? Maybe you hate being absolutely alone? Your results would surely vary. Hell, my results vary and I greatly enjoy my solo time away, any chance I get make.

I breathe. Exhale. Relax. I check my oxygen. 99%. Nice. I take a moment to “feel where I’m at”, physically. Headache? It’s there, but not distracting. Arthritis pain? Managed. Posture? Yeah, okay. I notice it’s not great and “pull myself upright”. I gaze out the window across the mud flats of Siletz Bay – the tide is pretty low. There are a variety of water birds enjoying that, including a couple of larger birds – some kind of crane, and a heron. The gulls have taken their fun elsewhere for now. The water is flat, smooth, and very calm (what I can see), though I know if I step to the patio door and look out toward the ocean, I would see the waves gently kissing the shore.

I take a moment to reflect on a past that no longer wholly defines me (or holds me back) and to wonder what the future may hold, without becoming stranded in either. I sit quietly with my thoughts, poised in this “now” moment feeling fairly prepared to just “go with it” – whatever “it” may turn out to be. It’s a nice alternative to catastrophe, chaos, and despair. I breathe. In, then out. Then again. Some minutes later, I realize I slipped into meditation, fingers still poised carefully on the home row of the keyboard, expectantly. I’ve got a book (a couple, actually) that I also want to spend some time (reading)…

…Seems like a good time to begin again. 🙂

I’m sipping an iced tea. I took part of the day off due to lack of sleep and waking up on the edge of a migraine, and struggling with pain somewhere around my sciatic nerve, between my spine and my hip. Uncomfortable. Tired. I was not up for a day of heavy cognitive workload, and would have been irritable and error-prone. No one needs that shit. Not me. Not my colleagues. Not my Traveling Partner. Light duty – just the essentials – and an early out made so much more sense.

The day is an odd one. Not “sunny” or “rainy” in any definite way – certainly a considerable portion of both, without a theme or pattern to grab hold of. Spring in the Pacific Northwest.

…Damn, my Traveling Partner makes a wicked good iced tea, I must say… 😀

I’m very fortunate. Not just for the iced tea, but for this life, this job, and this house in the suburban countryside on the edge of a large-ish small town. I sip my tea and think grateful appreciative thoughts, reflecting on the distance traveled in this one lifetime. I’ve certainly had it worse at other times in my life.

I think about “home” – and how very much at home I feel here in this place, secure and safe and wrapped in love; it’s not just a building. It’s not just a place I reside. It is “home”. It’s not perfect. It’s not spectacularly large or unusually luxurious (beyond those luxuries my skilled Traveling Partner has added to enhance our comfort, ease, and quality of life)… just a modest little house in a commonplace suburban neighborhood. Still home. Our home. My home. It’s comforting to feel so settled and secure, here. I yearned for this for so long… I’m grateful that it has more than met my (probably ludicrous) expectations of what “home” could be.

This morning there was an attractive earth-tone pottery planter half-filled with soil in a stand by the front door. It used to have my creeping thyme in it. That thyme has traveled with me awhile (one might say “a lifetime” lol), and it was a small sort of big deal to plant it into the front landscape, in the flower bed, on the other side of a favorite rose, near the large river rocks that used to be in my aquarium as décor. Doing so left that planter mostly empty of soil, and definitely empty of obvious life. Today, I planted a geranium in it – one with showy leaves that will have merry orange and red flowers. I don’t think I’ve ever grown a geranium, before. It wasn’t that I disliked them, I just… never did. I’d thought to plant a begonia in that pot… but the plant I saw, that pleased me most in that moment was a geranium.

So here I am. Settled and at home, on a rainy-sunny day, sipping iced tea… smiling about a geranium in a pot by the front door. 🙂 These are the sorts of things that make “home” more than an address. I mean… sure, I could have had a geranium in a pot on my patio at some other place/time… It’s not even about the geranium, itself. For sure it’s not about the pot. I’ve had plants in containers for a long while. It’s the choice. It’s the ability to plant into my garden, just anywhere I’d like, and know that it is mine, and will be mine tomorrow, and the day after that, and next year, and on into an unpredictable future. At least for some unmeasured while. That’s enough.

What matters most?

…This is good iced tea…

It’s time to begin again. 🙂

I’ve got this headache plaguing my every minute again, today. It sucks. It’s a small irritant in a generally good experience, though, and things could be far worse. Weirdly, “things seem strange” – the ratio and size of this window looks somehow wrong. The font seems small compared to my expectations. I check that I’m wearing the right glasses. I find myself clenching my jaw, and make a point to breathe and relax my face. Where is this stress and feeling of aggravation and enduring frustration coming from? I feel a bit… generally peeved. Did I miss the mark on my morning coffee…? No, I definitely had two cups.

I increase the magnification on this window, and let that go. I take an OTC pain reliever for the headache, and let that go, too. I breathe, exhale, relax – and take a minute to savor the excitement of the upcoming job change. There’s a moment of satisfaction in each piece of paperwork in that process that is completed. I give myself a moment to feel the sense of satisfaction that comes from finishing the tax paperwork for the year, and let go any lingering stress left behind from that process, too. Small details. Life, lived.

…This headache, though…

A couple weeks ago, my lack of enthusiasm for vacuuming found itself notably worsened by the earnest-but-inadequate efforts of the wee cheap plastic upright vacuum I’d purchased back in 2015, when I moved into #27. Tiny apartment – it didn’t need an expensive feature-packed vacuum cleaner, just a vacuum cleaner sufficient to keep up with one women in less than 700 sq feet of space, one third of which wasn’t carpeted. This house is bigger than that, and although only the bedrooms are carpeted, it’s still quite a bit of vacuuming each week keeping up with two busy adults venturing in/out, onto the deck, into the front yard, out into the shop (in the garage)… and, I can’t say I was successfully keeping up, at all. Neither was that vacuum. It did its best, and it got me by for… 6 years. Wow. Not bad. 🙂 Just not enough, anymore. My Traveling Partner and I talked it over and decided a new vacuum cleaner would be the next quality of life improvement, and did some pre-shopping, settled on a make/model, determined the likely date of purchase (if available). That was two weeks ago. This morning, I was up early, and out the door between my first and second coffees, heading up the road to the retailer with the vacuum cleaner we’d selected.

…It rained the entire drive there and back…

This is not an exciting tale of adventure. I bought a vacuum cleaner. Not exciting. It’s a good one, though, and I’m delighted with the results. I mean… the rugs in the living room actually look clean, for the first time in quite a while. Satisfying. I make room to savor even this small emotional victory. (This headache sucks so much, truly, that contemplating a good result with a quality household appliance feels like real greatness. lol)

…I let go of how irked I am with myself that I hurt too much to aggressively persistently vacuum every inch of flooring across every square foot of house; I can only do my best, and still need to care for myself. I definitely do not want to be the sort of human being willing to make myself cry over the vacuuming. I mean… seriously. It matters so much more that I am in pain. I give myself a minute to consider next steps to care for myself well.

I breathe, exhale, relax… and I feel my irritation resurface recalling that I confused “W-4” with “W-2” in conversation with my partner – which, after a tax-paying lifetime as an American adult, one would figure I’d have mastered as just too fucking basic to get wrong. I let it go. Small mistakes are common enough for people. Even the sharpest, wittiest, most educated, most well-spoken, most erudite, most fluent human beings make mistakes when they speak. Wrong words. Mixed metaphors. Poor choice of verbiage. Slips of the tongue. All too human. I happen to be prone to those things as much as anyone… maybe the tiniest bit more because of my TBI. I’m likely far more sensitive to my errors than other people are, and more so in these later years when I am more prepared to be authentically myself, and less likely to rely on a “script” that conforms to social norms and expectations. Still, I find it awkward and embarassing, and I take a moment to wonder what drives that, instead of focusing on the mistakes that are so human, themselves. It’s the expectations, isn’t it? It’s not the mistake that is the “problem”, in this instance – it’s that I have expectations of myself that don’t allow for those mistakes. That seems like a bit of a dick move… I certainly don’t treat other people that way. Another breath. Another moment to relax. I left all that go, too. I can treat myself better. 🙂 Clearly I need practice.

I review my writing for grammatical errors – a particular sort that is specific to my issues, which is to say, messed up suffixes, opposites, and missing words. They’ve gotten to be pretty common, unfortunately, and I wouldn’t bother about it if they weren’t the sort to entirely change the meanings of sentences. I mean, rather a lot, actually. I look over my writing, correct the mistakes I find. Breathe. Exhale. Relax.

…Fuck this headache…

I’m fatigued from fighting my pain, and managing my mood. I feel tears well up over nothing at all – just the frustration of being in pain. Still. Again. (“Other people have it much worse,” I remind myself, “It’s just physical pain. Just the arthritis and the chill and the damp. Let it go.”) Another breathe. Another moment.

…Time to begin again.

The rain comes down. It’s been raining now for a couple days, with the one lovely break on Sunday, suitable for a long walk on a trail I’d not previously explored.

The view from the house was pretty nice, too. 🙂

I walked the muddy trails filled with delight. No particular reason. I like walking forest trails. 🙂

There’s something about walking a new path…

I breathed the forest air. Listened to the birdsong and breezes… and the aircraft. These trails skirt the runway of a local municipal airport. lol

It’s a big sky. There’s plenty of room for an airplane or two. 😉

Today isn’t that day. It’s this one. It’s not bad… but it’s no walk in the forest. lol The rain continues to fall. The twilight of a winter afternoon begins to descend, already. I don’t mind either of those things. I smile, recalling the gentle delight of taking a break with my Traveling Partner (who considerately asked me to join him, noticing I’d not taken a break in a long while). An unexpected, warmed up, slice of leftover pizza was a good lunch bite, as I headed back to work.

Now it’s me, this spreadsheet, this rain-spattered window onto a tiny slice of the world outside, and some time. One more meeting.

I feel the tension of a busy workday beginning to twist my neck and shoulder into knots. My back has begun to ache. I stand, stretch, and resume working only after I feel things “really start to relax”. Self-care is so… continuous. I slept poorly last night, but have been sleeping well generally, of late, so I’m not much feeling the fatigue yet. It’s a trap; I may feel it later, when I’ve forgotten my short-night. I make a mental note to be patient with myself, and mindful of my long day, and to be honest and self-aware about my fatigue when it begins to build.

I sigh out loud. Breathe. Exhale. Relax. Begin again. 🙂

Stay on the path, yes, and also remember to take breaks! 🙂