Archives for posts with tag: pain management
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No Words

July 20, 2024 //
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Well… Not literally “no words”…cuz here I am, eh? Words. I’ve got a fair few of these fuckers (words) laying about. May as well use them…but… This morning I’ve nothing much to say, really.

… I’m tired, and there’s this damned headache and this ringing in my ears…

“Anhedonia”. Now there’s a fucking word. Anhedonia is more or less simply a loss of delight, of interest, of the will to engage with pleasant and interesting things. It’s not “boredom”, and it most definitely is a “mental health issue”. Sometimes it’s simply that circumstances grind me down until I just fucking give up on a “just don’t give a shit” level that transcends even irritation, leaving me without the will to resist or try to overcome it at all. Here I am this morning.

… I’m just that tired, cognitively and emotionally…

Caregiving is hard work, and I’m learning that a great deal of the work involved is in the form of emotional labor. I have profound respect for people who are caregiving a loved one for years. I’ve only been doing it for months. It’s fucking hard, and it’s draining. 8 days until my coastal getaway, and I definitely need it, but… I’ll also need to really get away from the emotional labor of caregiving to get the rest I need so badly. Most of the brief opportunities for downtime since my Traveling Partner’s injury haven’t given me the rest I really needed, because I failed to leave the emotional labor behind, and returned home to still more. I didn’t understand that I needed to put that down, and didn’t understand what a large portion of the caregiving it really is. (I’m pretty new to taking on a caregiving role, and have never had a child.) I failed myself in this way, and by extension ended up also failing my Traveling Partner – in two ways.

1. I failed my Traveling Partner by not taking care of myself sufficiently well to ensure I am up to the challenges and requirements of caregiving over time. It’s an endurance race, not a sprint.

2. I failed my Traveling Partner by not setting clear boundaries with regard to emotional labor generally, or communicating clearly when the burden is too great for my limited human capacity.

I can see how these are both also failures of self-care, too. No wonder I’m fucking exhausted.

This morning I got to the trailhead and just sat in my car weeping quietly for some unmeasured amount of time. I really didn’t feel like walking, at all. Anhedonia is a difficult challenge to overcome, but eventually I got out of the car and trudged down the trail irritably. The rising sun only annoyed me and my sour mood followed me down the trail. I spitefully didn’t stop to sit and write in my preferred location, choosing instead to annoy myself by sitting uncomfortably elsewhere. (Good grief, really?! Fucking stupid.)

I’m sitting. Writing. Feeling irritable because my back aches, my head aches, my tinnitus is loud, and my Traveling Partner is injured. From the perspective of this moment it feels very much that there is “no end in sight”, and despair threatens to rear its head. I sigh deeply, and just let the unwanted tears fall.

This shit is hard.

…It could all be so much worse…

This shit is hard.

I breathe, exhale, and relax. Eventually, I even stop crying, and even mostly stop feeling overcome by anhedonia. I clearly need to get some downtime, some relief, a real break… Which makes me feel like an asshole; my Traveling Partner gets no break from being injured and in pain and needing my help. Fuck.

… Did I mention that this shit is hard?

I’m okay for most values of okay. My Traveling Partner is, too. He’s got surgery scheduled. This is, thankfully, a temporary situation, and we’ve got the additional help of the Anxious Adventurer now (which is greatly appreciated and very much needed). I make a point to reset my perspective, my expectations, and my awareness. It’s not helpful to become mired in pain – particularly someone else’s, and especially when I’ve also got to manage my own. It’s hard, sure, but it truly could be worse, and in some respects it isn’t even as bad as it sometimes feels. We’re fortunate: I’m employed, we have health insurance, we’ve got help, and this isn’t a terminal health issue.

If I were better at this caregiving stuff, I might be more easily able to lift my Traveling Partner from his pain-focused funk, when he gets stuck there. I sit with that thought for a few minutes. I think about the many years of therapy and skilled mental health care I’ve been fortunate to receive. I think about mindfulness practices, meditation, and CBT.

… I remind myself that I can’t do the verbs for anyone else, and that we’ve each got to walk our own hard mile…

I breathe, exhale, and relax. Sometimes the best thing I can do to care for my partner is to care for myself. I think about the day ahead, and the things I’d like to get done. I think about my partner, and what he may need today, and consider how best to be there for him.

It’s a new day. The sun is warm on my back. I hear voices coming down the trail. It’s time to begin again…

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Categories Allegories, anhedonia, Anxiety, breathe, forgiveness, Free Will, gratitude, grief, health, loneliness, Love, meditation, Mindfulness, Moments, more than a little bit of bitching, Oregon Trails, pain, Perspective, Post Traumatic Stress, Practices, Relationships, solo hiking, Summer, The Art of Being

Steps

July 16, 2024 //
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Yesterday was a good day, pretty much from the time I woke until I went to bed. I enjoyed the day, my work, and the companionship of my Traveling Partner. I sit with the recollection of my experience for a few moments, at the halfway point of my morning walk.

Today starts well, though I woke with a headache after a difficult night. My sleep was interrupted by my Traveling Partner’s restlessness. I had no difficulty returning to sleep, but I woke often, and when the night finally gave way to a new day, I woke feeling groggy and stupid. S’ok. It’s fine. I’m fine.

I stepped through my morning routine in much the same dogged persistent fashion as I later stepped down the trail; one foot after the other. It’s a practice. A process. If I just keep at it, eventually I get somewhere. In a few minutes, my steps will take me back up the trail to the truck (I offered the Anxious Adventurer the use of my car for work on these hottest days, since his has no AC), and then on to work. I yawn and rub my eyes. I still don’t feel quite awake yet, in spite of the sunshine making my eyes water when I carelessly look too closely at it.

… Sometimes persistence is more useful than enthusiasm…

I sigh to myself. I glance at the time, and count the days until my coastal getaway…12 days… I watch the shadows shift as the sun rises. Pretty morning… I guess I will get on with the day. Feels like a good time to begin again.

Another summer morning, another opportunity to be the person I most want to be.
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Categories Allegories, breathe, Free Will, gratitude, health, Healthy Living, meditation, Metaphors, Mindfulness, Moments, Oregon Trails, pain, Perspective, Practices, Sleepless Nights, solo hiking, Summer, The Art of Being

The Best Advice

July 3, 2024 //
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Beautiful sunrise. Good morning to get a walk in. I’ve had the trail to myself, and watched the sunrise as I walked. Lovely.

Every day, every journey, begins somewhere.

The weather forecast indicates there is an extreme heat warning for the latter portion of the week, possibly record-breaking. I checked with my Traveling Partner about whether there were steps we might need to take to stay comfortable and ensure our AC functions properly. I’ll make a point to stock additional beverages and cold foods, so we won’t be required to cook using the oven or stovetop for long periods of time. I’ll drink more water.

…”Drink more water” is excellent hot weather advice, but there’s something quite limited about even the very best to bits of advice; it only works when actually taken. There are verbs involved. If we receive great advice but choose to disregard it, instead of applying it, our failures and misadventures thereby are of our own making. No one to blame but the person in the mirror. We for sure can’t claim we didn’t have guidance or that the advice was ineffective. lol

Why do people get great advice and then choose not to follow it? I don’t have an answer, I’m just wondering. I mean, actually, I can come up with several possible answers, but I don’t at all know which are likely to be most correct. Maybe we don’t trust the advice to be accurate? Maybe we don’t find the source to be credible? Maybe we think we’re a special case and the norms don’t apply to us? Maybe… maybe mostly… we’re just not really listening in the first place? That seems likely… people are pretty crappy at listening to someone else talking.

… Maybe sometimes there’s too much new information to process…

Are you listening to the good advice you’re given? Do you use it?

My neck aches ferociously this morning. I think I “slept on it wrong”. Ouch. The pain colors my experience unpleasantly. When the time comes, I take my morning medication, grateful to be able to add prescription pain relief, grateful to have it available, hopeful that it will bring some relief. I stopped on the trail several times trying to “work the kinks out” by practicing the release and self-massage techniques my chiropractor taught me. These are often quite helpful, this morning they are less so. I still make the effort. The headache that rises from the pain in my neck spreads like flames across the left side of my face. Occipital neuralgia. Fuuuuuuck. “Just kill me now”, I snarl quietly to myself, though I don’t mean it literally. I just hurt. I stretch. I breathe. I keep walking. This too will pass.

I reach my halfway point and keep walking, lost in my thoughts and preoccupied by my pain. This trail is a loop. Though I often walk out and back, a shorter distance, the full distance of the loop isn’t unreasonably far. I laugh at myself; looks like I’m going the distance this morning. I have time. Anyway, I’d be shit to be around this morning, and my Traveling Partner was already up when I left. No reason to rush back with my bitchy cross mood intact. I sigh as I walk.

… I should probably begin again. That’s pretty good advice…

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Categories Allegories, breathe, Free Will, gratitude, health, Healthy Living, Love, meditation, Metaphors, Mindfulness, Moments, more than a little bit of bitching, Oregon Trails, pain, Perspective, Practices, solo hiking, Summer, The Art of Being, turning 60, women

Treading Water

June 24, 2024 //
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Busy, productive weekend. Even feels like my Traveling Partner and I connected more deeply in some important ways than we have in a while. That feels pretty good. Fucking hell, though, life is a bit stressful and I am so tired. It’s just ordinary human fatigue of the sort that results from pushing one’s self too hard to do too much for too long. It’s a familiar feeling, though it has been awhile since it could “so easily” pull me down like this.

… I woke disoriented, unclear about when or where I was this morning, confused by the clothes I had laid out for today (“Where’s my uniform…?) and feeling the purposeful “relaxed tension” of military readiness – until I moved, and my aching back reminded me that time has passed and I am not that strong, aggressive, laser-focused, mission-driven, can-do young woman who thought she understood who the good guys are, and what the point of it all might be. lol Weird way to wake up. I feel exhausted before the day begins, and there is already (still) so much to do… I could definitely use the energy of that younger self!

…and also? Fuck this headache.

Emotionally, I feel like I am treading water, not yet at risk of drowning, but too fucking far from shore to feel secure facing this predicament. Life is “a lot”, right now. I’m doing my best. Sometimes, maybe even most of the time, it’s enough, but I sure don’t feel like I can count on that.

It’s fine. I’m fine.

Work is fine. Love is fine. Life is… complicated. 2 out of three in the “wins” column? I probably shouldn’t bitch, I’ve had it much worse. Hell, life isn’t bad, just complicated right now. There’s a lot going on, and change is in motion (some of it I chose myself, and while I can certainly question my timing, I can’t really complain about getting what I asked for).

I breathe, exhale, and relax. Self-care becomes huge at times like these, and I tend to do well if I already have firm reliable self-care practices in place that are habitual and just part of everyday life. I’m kicking myself a bit over self-care failures over time, recently, but trying to also be kind to myself. “Just begin again. Keep practicing.” I remind myself.

The morning feels chilly, though it’s a mild 51°F this morning. I don’t need a jacket as I walk, but quickly notice the cool of morning when I paused to take pictures. Sitting here at the halfway point, I regret the sleeveless top I’m wearing, though I know it will feel like a good choice in the heat of the afternoon, later.

I sit with my thoughts. I won’t sit for long. I’m filled with restless energy that needs an outlet. That’s okay, it’s a work day, and my to-do list is rather long, presently – there’s no shortage of shit to do, or things that need my attention. I’m presently faced with a to-do list that continues to grow slightly faster than I am working it off, so running out of shit to do? Not a challenge I have to deal with. lol I guess I am grateful? I probably should be.

The sun rises above the hills on the horizon, golden and bright. A new day ahead. What will I do with it? When night comes, will I be satisfied with how I spent my time? How will I care for this fragile vessel? Can I tread water long enough to reach the shore? (Metaphorically speaking, swimming might be a better choice…)

I breathe, exhale, and relax. Soon it will be time to begin again, to face the next challenge, the next moment, and the expectations of the woman in the mirror. I’ll do my best – that will have to be enough.

We become what we practice. Feels like a good day to practice maintaining perspective, and non-attachment, a good day to practice kindness, compassion and consideration. I’m definitely going to need the practice… I’m very human and my results vary.

…Change is. Are you ready for it? Time is short, and the clock is ticking…

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Categories Allegories, Anxiety, art and the artist, Brain Injury, breathe, Free Will, Frustration, gratitude, grief, health, Healthy Living, Love, meditation, Metaphors, Mindfulness, Moments, more than a little bit of bitching, Oregon Trails, pain, Perspective, Post Traumatic Stress, Practices, Relationships, Sleepless Nights, solo hiking, Summer, The Art of Being, The Big 5

Breathe

June 23, 2024 //
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Stress complicates things. Letting it go, when I can, makes sense for a lot of reasons. Ruminating about past events that can’t be changed isn’t very helpful. Worrying about future events that have not occurred is also not helpful. Learning from past mistakes and being prepared for future events or decisions are both excellent strategies, though… Finding balance between the extremes is a worthwhile endeavor.

I breathe, exhale, and relax. I purposefully let go of my stress. I make a point of not exploring deeply what may be driving it. Honestly, it’s just too easy to make it much worse by giving my thoughts over to it, so instead I focus on here, now, this moment – a very useful practice.

… And anyway, the things that cause human primates stress are pretty commonplace, aren’t they?

I breathe the scents of summer as I sit at the halfway point of this morning’s walk. The air smells like rain and the sky overhead is obscured by dense clouds, dark and stormy gray to the north and east, and a smooth homogeneous wash of paler gray to the south. The sky was a clear mild blue across the western horizon at daybreak, but now it’s a soft neutral gray, too. I listen to birdsong and the sound of traffic on the nearby highway.

…My mind wanders to my to-do list, and my anxiety surges. I’m reminded that my Traveling Partner’s health challenges are worrisome, and I struggle to calm myself, briefly. Life has some difficult moments. I feel fortunate to share many of those with my Traveling Partner. I breathe, exhale, and relax, again. I allow myself to acknowledge the legitimate stress that results from my partner’s injury last fall, and the challenges of getting him a skilled diagnosis and the care he needs. (He’s right; our system is badly broken and it shouldn’t be this hard.) Another breath, another attempt to let the stress go. It’s not particularly helpful to get wound up and angry, or to become mired in frustration, feeling beat down or hopeless. Perspective can be hard to achieve. I keep at it. Practicing.

…Breathe, exhale, relax…

Sitting here, the tallest meadow grasses obscure me from the trail. I watch the grass sway in the gentle breeze. I enjoy the solitude. My tinnitus is loud in my ears. It vexes me, but I get some sense of relief by turning my attention elsewhere, listening to the sounds around me: distant traffic, chirps and birdsong of the early birds, the sound of rustling leaves. Quiet sounds, but audible when I turn my attention to those.

… Breathe, exhale, relax…

My background stress day-to-day has reached a point where my morning walks fuel just about enough resilience to carry me through the day, but rarely further. Nights are sometimes difficult, restless, wakeful, and full of troubling dreams. This time I take for myself is now pretty necessary, just due to circumstances, instead of being a pleasant luxury. My Traveling Partner sees it too, and frequently encourages me to take care of myself as a priority. The challenge is that the whole messy business has a certain “failure is not an option” feel to it that is a major cause of my stress. Yeah… That’s a thing. I sigh out loud, missing my Dear Friend acutely; I would benefit so much from talking all this over with her!

… Breathe, exhale, relax…

Just moments in a lifetime. This too will pass. Change is.

I brush the bits of leaves from where they’ve clung to my jeans, and stand and stretch. There’s a list of things to do and time is short. I turn to the trail, to head back to the car. It’s already time to begin again.

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Categories Allegories, Anxiety, Brain Injury, breathe, Free Will, Frustration, gratitude, grief, health, Healthy Living, Love, meditation, Mindfulness, Moments, more than a little bit of bitching, Oregon Trails, pain, Perspective, Post Traumatic Stress, Practices, Relationships, Sleepless Nights, Summer, The Art of Being
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