Archives for posts with tag: pain management

This morning I am fighting off unexpected nausea. I am in more than usual pain. I am still in a pretty good mood, and mostly enjoying the morning in spite of the discomfort. It helps, this morning, that I am feeling encouraged by how yesterday evening unfolded.

Moments of encouragement or unexpected joy are some of life's most beautiful ornaments.

Moments of encouragement or unexpected joy are some of life’s most beautiful ornaments.

I left work at a good time, realizing as I walked home in more pain than usual that I had forgotten to take my mid-day Rx pain relief. By the end of the day, no surprise that I was in pain. I thought no more of it, I felt good otherwise, and it had been a productive work day. I knew I could also count on my vape pen, and medical cannabis, and I wasn’t stressed about the small miss on my medication. The battery on my vape pen flashed at me right about then, to let me know it was also done for the day. No big deal; I would just recharge it at home…

…A bit more than an hour later, and sometime after arriving home, I had determined with certainty that my vape pen’s battery had actually just up and quit. Well. In the meantime I had experienced some serious frustration troubleshooting it, and frustration being my kryptonite, here’s the part where I generally continue to talk about some serious challenge, a wrecked evening, and the efforts involved in getting a better outcome as quickly as possible… only… last night wasn’t like that. Sure, I got wrapped up in the troubleshooting of a small replaceable device that I would not be able to repair, regardless, when I could have been enjoying hanging the new wreath on the front door, enjoying a good cup of coffee or tea, having a bite of dinner, or a long hot shower… in general, I could have been taking care of me, and enjoying my evening, instead of immersing myself in some minutes of frustration. Here’s the thing, though – I didn’t wreck my evening, and neither did the frustration, and I identified the start of that damaging pattern of behavior, and put myself on pause long enough to become engaged and present in the moment I was in, and to give myself an opportunity to re-evaluate what actions would really meet my needs best, both short and long-term. No tears.

I set aside the frantic and frustrated troubleshooting. I have a back up vape pen of another brand, no problem. I ordered a replacement battery for my preferred one. I started some dinner, put on the kettle for a cup of tea, and hung the wreath on my door. I sat down to enjoy an email from a dear friend, and to enjoy a cute selfie my partner sent me earlier in the day. I took care of me, and did so with my full attention. The evening ended well. I didn’t lose my mind over some small thing, or panic because I’d missed on my medication, or frustrate myself into becoming enraged. Pretty cool.

"Welcome home" I think to myself for no obvious reason.

“Welcome home” I think to myself for no obvious reason.

This morning I am getting a slow start, and that’s okay; it’s a good morning to linger over progress, and to savor the small practices that have, over time, changed my experience so very much. Today is a good day to be the change, and to become the woman I most want to be. 🙂

The evening is a quiet one. I arrived home at the end of a busy day with a headache, which has slowly become irrelevant, ignored in the background; my back aches much more. All evening my awareness has bounced between the two. I laid down for a while with the headache. The backache got me up some time later. Yoga eased the backache somewhat. The headache became more prominent. I had a bite of dinner, and meditated later, and found that my headache was substantially eased. I am now most aware of the backache. I’m not bitching, just noticing, being aware, and taking time to monitor these states without judgment, providing myself with whatever symptomatic relief is available, and doing what I can to make the most of the evening nonetheless. It’s a lovely quiet one.

I am enjoying the evening doing quiet things, and making a point to embrace the softer sounds, and the peaceful stillness. It is rare for things to be so entirely quiet, and I find myself wondering if it is the new windows; I don’t hear the traffic. The wall clock in the kitchen, a recent addition, ticks off the seconds quite audibly. It wasn’t long ago I would not have been able to bear the ceaseless ticking reminding me of time slipping away…precious…finite… The quiet tick-tick-tick no longer resonates with finality. It’s just a quiet tick that indicates nothing more or less than the movement, in increments, of the second-hand on a man-made mechanical device that measures time in arbitrarily selected units devised by human beings for record-keeping, communication, and convenience. That quiet ticking has no relevance to my subjective experience of time. The clock does not control me. It’s a nice feeling… I don’t know when I got here. (I wasn’t watching a clock at the time, I guess. lol)

I find myself favoring a different approach to time than I did when I was younger. Relative to subjective experience in the moment, the only time that is ‘finite’ is the time that has already happened, and become ‘the past’; my future, as yet uncreated and only imagined, is entirely infinite and limited only by my imagination itself… And my present? Also infinite – infinitely now – and utterly continuous, and also a series of tiny singular moments that quickly become experienced, and past. In my thinking of it, time isn’t so different from light…sometimes a wave…sometimes particles…sometimes science…sometimes poetry. I mean, sure, I am mortal (as far as I know) and someday I’ll die – I guess at that point I will, myself, pass from the present and into the past, but from my perspective, what then? Will I even continue to know time? I have no particular thoughts on the subject of ‘things after death’, and no answers, no conclusions, no expectations, or assumptions; I am comfortable with accepting that there are both things that are known and things that are unknown…about most things.

I didn’t have any particular notions when I sat down to write. It’s hard to think past this headache, even to notice the ticking clock. Oh, hey. The headache is back. The backache isn’t so bad, though; this chair is pretty comfortable backache-wise.

What time is love?

What time is love?

I find myself just sitting, fingers poised over the keyboard, thinking over my recent conversations with my traveling partner, and feeling secure, compassionate, understanding, and very much in love. For a few minutes neither the headache nor the backache have much to say to me, while love fills my thoughts. I smile, half wondering how is it that I love this particular human being so very much, the way I do? I am not concerned with troubleshooting love.  I am grateful to enjoy any measure of sentiment so profound; it’s a complicated journey, and the good bits are so splendid in good company – the bad bits far easier to endure when shared. I noticed time passing at some point. It wasn’t the clock; my traveling partner hits send on a moment of love on his end, and my reverie ends with a smile renewed when I see the emoji pop up, a brief distraction that is no distraction at all. Love comes first.

Be love, if you can, I remind myself; it’s enough.

I am a fan of explicit expectation setting. I am also a person who struggles with some sorts of unexpected changes – maybe you are too? With both those things in mind, I figured I would make a point of saying that I will be shifting my writing from early mornings to late evenings; I’d like to take more time in the mornings to meditate, and start the day slowly, and with summer becoming autumn, and winter not so far off at this point, pain management will be enhanced by doing (more) yoga in the mornings, too.

Change isn’t so bad; I enjoy a change of perspective now and then, and I find evenings and mornings fill my thoughts quite differently. When I started this blog, I often wrote in the evenings. At that time it was a less-than-ideal fit for the needs of others in the household. Mornings were ‘easier’. That’s no longer a significant consideration and for some time to come I expect I will need a bit more in the way of self-care, just to manage my physical pain as the season changes.

I am hopeful the change in timing will be comfortable all around…this post will be waiting for you tomorrow morning, as if I wrote it at the usual time, and I will sit down to write after work tomorrow evening – perhaps with my head in a very different place, open to other ideas, and different ways of viewing life and the world than what mornings have tended to reveal?

A change of season, a change in routine, a change in perspective.

A change of season, a change in routine, a change in perspective.

Today is a good day for change, and a good day to take care of me. 🙂

 

…More practice. You knew I was going there, right? I suspect I am fairly predictable about this topic. There’s just one hitch; it’s all a bit like a game, in some respects, and we’re dealt some cards, given some pieces, or exist with some details of who we are/what’s going on, and the practice is what we do ‘on our turn’. We still each start somewhere. I’ve been a fan (and Hero) playing SuperBetter for awhile. Jane McGonigal’s book, just published, arrived last week. Like any tool, or any practice, there are verbs involved – but it is a fantastically fun, helpful, and supporting way to build a practice, and take a journey toward a goal. Better still, however many times I set one practice or another aside, it’s there for me to resume when I choose to; I can begin again.

I can’t quite pinpoint the ‘true starting point’ of this journey, anymore. Did it begin with a game at the dinner table with my traveling partner, and the many tears that followed that moment? Not really – I was already going somewhere with myself. Maybe it started with the break up of the previous 15-year-long relationship? No, I definitely felt I was ‘on a journey’ before that moment, too. It wasn’t when I turned 40…but it may have been shortly afterward…or shortly before… it matters what I count as revealing, and instructive. It matters what I choose to include as being worthy of the journey I am now on. Any starting point I choose from the past tends to look worthy of calling ‘the beginning of this journey’ if I open my heart to accepting that have I faltered many times along the way… and when I do that, I have to wonder if perhaps I have always been on this journey, and perhaps it is so much less significant and grandiose than I want such a profound thing to be – Is it simply that I am living my life? Starting moments, ending moments, moments of great change, moments of ennui or confusion… one being, one woman, one journey, continuous change on a journey of self-discovery?

Is there any need to deny myself the experienced profundity of the journey I am on in this time, to accept that the journey is, and has been, ongoing “all along”? Thoughts over coffee, on a lovely morning; every day starts somewhere.

With autumn comes pain.

With autumn comes pain.

This morning, the journey of this one day of many begins with pain, rather a lot of it, and I’ve done what I can to put my attention on other things, having taken steps to ease the pain, itself. Giving it a lot of direct attention makes it more prominent in my experience, and although turning my consciousness to other things doesn’t reduce, eliminate, or ease the pain in any direct way, it at least distracts me from it in some moments. Not this moment. This moment I am writing about pain, because pain is where I am. Do me just one favor today? When you find yourself confronted with elders moving slowly, or awkwardly, take just a moment to understand that they do so because they are in pain – the sort of every moment of every day pain that if you ask them about it they may answer that they are not in pain – not because they don’t hurt at all, but because they don’t hurt more than that. It sucks, and I find myself reluctantly facing far greater awareness of all those moments in all those younger years when my impatience with the slow movement of elders frustrated me excessively, and wishing I could go back in time and if not be helpful, at least not be such an impatient dick about it.

I’d like very much to move quickly through my morning, myself, with easy efficient movement – and that isn’t an option on my menu this morning. “Choosing not to hurt” amounts to taking carefully timed pain medication, practicing yoga, and yes – just being patient with myself early in the morning, before the yoga, and before the medication kicks in. Right now? I can barely move without grabbing something else to give me leverage, pulling myself upright, supporting myself for balance if I have to lean over or down, and all of it hurts. Mornings like this one are best when I think to slow way down first thing, and be extra patient with myself, letting yoga begin with the natural movements needed to get out of bed in the first place, and stretching my muscles slowly, unfolding my spine from unknown sleep postures into something more vertical and aligned before I even take a step…my bladder does not always cooperate with that idealized version of getting up in the morning…sometimes my lack of executive function on waking results in nothing at all like a morning ‘routine’ and I lurch around the apartment awkwardly before I remember to slow down and take care of this fragile vessel.  This morning I am getting a taste of what my old age might really hold for me, at least with regard to my arthritis, my mobility, and my experience of pain and movement. Taking care of me and practicing good practices to nurture the wellness of this fragile vessel seem incredibly important – a time machine would be nice right about now; I would try to persuade a younger me to take better care, sooner.

Would I really go back in time and risk changing who I am now? That’s an interesting question for another day.

Today is a good day to practice the very best self-care. Today is a good day to be aware that the people ‘in my way’ are indeed people, and they are having their own experience; kindness is free, and I can’t know someone else’s pain. Today is a good day to change the world.

 

Life is rich with eye-opening moments. Some of them are heart-breaking (like the moment I realized I was only a resource to someone I thought loved me, many years ago). Other eye-opening moments are simply moments of greater awareness than the moments that preceded. A few are literally moments at that point at which I open my eyes – like this morning, when I woke, opened my eyes, and found as my initial eye-opening experience that I am in tremendous physical pain this morning. My arthritis. It’s not a crisis of any magnitude, and there’s not much to be done about it that would be new, or particularly noteworthy; I take my pain medication, and I head for my yoga mat. After my morning coffee, I will soak in a hot bath and hope that the saturating heat will ease my pain and stiffness further.

My arthritis is in my spine. I rarely think much about how I rely on my spine until I find myself mostly unable to make use of it in any sort of flexible way. This morning getting out of bed was complicated by both the stiffness and the pain. I rolled off the side of the bed, letting my legs drop to the floor, and leaning on the wall to slowly stand. Sitting and standing maneuvers are difficult today, even after yoga eased some of the stiffness.

The pain is another matter. Even after easing some of the stiffness in my spine, I am hurting too much to find joy in the day, so far, which makes me cross. I reach out to my traveling partner and cancel plans to hang out. I am in no mood to be in the company of others, and for the time being, all I can think about is the pain. While that may change as I practice good self-care practices, I can’t really rely on being able to hold on to a pleasant demeanor long enough to be certain of treating others well. Solitude is a good choice when I am in this much pain. I don’t mind the solitude – and I definitely dislike finding that I have treated my traveling partner poorly over something as trivial (and commonplace) as pain. It was an easy choice to make, and my traveling partner does not complicate such things with manipulation, tantrums or drama; he appreciates being treated well.

Summer flowers are everywhere; I only see them when I look. Awareness matters.

Summer flowers are everywhere; I only see them when I look. Awareness matters.

The weather forecast is for a hot day. I take a moment to appreciate the existence of air-conditioning, sip my coffee, and pretend to plan my day in some way that isn’t centered on the pain I am in – but I keep finding myself accounting for the pain in a very frank way as I figure out what I want to do with this day – I keep having to remind myself that some of the things I might like to do are going to be damned difficult if I can’t bend, reach, lift, carry, get down on the floor and back up, sit in one place, or generally move with any ease. I am irritated to be stalled by pain. I remind myself to be kind to myself; this fragile vessel can only do so much on a day like this, and there’s nothing lazy about that.

I sip my coffee indifferently, contemplating just going back to bed…but that won’t work either; it was the pain of being in bed that woke me, earlier. I frown at myself for a moment; I am not making taking care of me easy, at all. I pause and put the focus on the good qualities of the day, the pleasant features of this moment, just beyond the pain…

Clematis on a summer morning is lovely even when I hurt.

Clematis on a summer morning is lovely even when I hurt.

…It’s a lovely morning, in spite of the promised heat of the day. The early morning sunlight is clear and bright, and filters through the blinds casting interesting stripe-y shadows that I enjoy greatly. The coffee I have been sipping with such disregard is quite delightful – a darker roast than I have been drinking (I tend to prefer darker roasts, myself). I am enjoying the warmth of the mug in my hands when I pause to take a sip.  (I nearly always finish my coffee in sips, consuming it well before it cools off, most days.) The a/c kept the apartment quite comfortable through the night, and I slept well and deeply, and woke feeling alert and clear-headed. Most of the housework on my ‘to do list’ for a Sunday can be done with relative ease, even when I am hurting, and occupying my time in that fashion will quite likely take my mind off the pain for a time. I have a couple new books to read, and it looks like a great day for that, too. I can choose from  Pablo Naruda‘s “Twenty Love Poems and a Song of Despair”, Thich Nhat Hanh‘s “Anger”, or Naomi Wolf‘s “Vagina”. Taking breaks between chapters to do yoga will help ease my pain and stiffness if I find myself sitting too long.

It’s admittedly easier to focus on the pain; it shouts at me within my consciousness in a way that the pleasant details of the morning simply don’t compete with easily. It is worthwhile to patiently choose to be aware of more. Like so many practices, it does take practice, and there are verbs involved. My results vary. 🙂

The heavy scent of summer jasmine reminds me of my childhood home. I wonder why I haven't gotten a potted one for my patio yet?

The heavy scent of summer jasmine reminds me of my childhood home. I wonder why I haven’t gotten a potted one for my patio yet?

Today is a good day to practice exceptional self-care, and to treat myself well. Today is a good day to make choices that result in not treating others badly. Today is a good day for good choices, good practices, and an awareness that there is life beyond pain. Today is a good day to enjoy everyday moments of delight, and to practice self-compassion. This fragile vessel can only do so much, and there is no rush to complete living as though it were on my task list; the journey is the destination.