Archives for posts with tag: self-care

This morning I woke with some effort after a night of fractured sleep. I crashed early, and indulged my fatigue and sleepiness by allowing myself to stray from my routine. Once in a while that’s not a big deal, but each and every time I can make such a choice it is a certainty there will be consequences. This is how choices work, generally. 🙂 I started sleeping easily in my new place, then a very fatiguing week drove some choices to sleep at times I wouldn’t typically choose sleep…and now my routine is disrupted such that I’m not actually sleeping well during the night. Oops. It’s a bit of a beginner’s mistake with regard to good self-care, but being a proper grown up, and living alone, I’m the only one here to remind me to take care of me well and consistently. I’m very fortunate that I learn best from my mistakes. I make quite a few.

Last night I crashed so early that I had likely gotten a full measure of restful sleep by the time I woke sometime after 1:30 am. I meditated for some time. It was nearer 3:00 am when I checked the clock. I found sleep again at some point, and I know this for certain because the alarm woke me…I was dreaming that I was awake. (One of my least favorite sleep experiences is dreaming that I am awake.) This morning I am enjoying my coffee gently and giving consideration to self-care practices that I may be more inclined to let slip than others, and what steps to take to ensure that I do not, and wondering how realistic it is to attempt to manage my self-care through awareness and intent alone (which is something I am trying to learn) – the practices reinforced with calendar reminders, sticky notes, and habit are more likely to be reliably maintained. One limitation my TBI places on me as an individual is that habits sometimes just…fail. I wake up one day and have simply ‘forgotten’ somehow some key habitual behavior. It’s quite frustrating sometimes. Add to that my unreliable memory – things that are habitual sometimes don’t leave an impression on my consciousness, and I don’t remember having done them, or lack awareness that I have not. I have occasionally been startled to realize (in some cases weeks or months after the fact) that I simply abandoned some very helpful practice without any particular cause or decision-making – I just forgot. Rebuilding a favored, forgotten, practice or habit is no easier than it was to build in the first place. The importance of a given habit, or practice, has no correlation or apparent causal relationship to the potential I may wander off and forget about it – it seems pretty random.

This morning I am very much aware that living alone requires me to be quite mindful of my self-care practices. In the excitement of making myself at home, and exploring this whole ‘who I am now’ thing, habits are very much at risk of being extinguished without intent. Small things like a ‘bed time’ that nurtures my long-term good cognition and physical health actually matter – making exceptions for this circumstance or that one is ‘high risk behavior’ from the perspective of managing my PTSD, and treating myself well. Details that are very much part of my sense of ‘being at home’ are easily pushed to the side in favor of something more fun, sometimes, especially if I am excited or fatigued, with the result that I may find myself unexpectedly not feeling at home in my own environment – because I have failed to take care of me.

Fruit ripens in its own time.

Fruit ripens in its own time.

This one is not such a complicated puzzle; I will choose to practice the practices that work for me – even those associated with keeping me on task with practicing other practices. 🙂 I don’t find any particular need to be embarrassed or critical of myself on this point, either. I feel pretty capable of taking care of me; I spotted a weakness, and I am considering how best to shore it up, improve upon it, or solve for X.

Tonight I will spend time learning life’s lessons about taking care of me, while also enjoying the company of another. There’s quite a lot to learn there. Today is a good day for continuing education.

I’ve got a solo weekend. I slept well, and comfortably, and even slept a couple more hours after waking at the usual time, taking my morning Rx, and returning to bed. It isn’t always  possible to return to sleep, and this morning it was lovely to wake slowly, much later, and enjoy the slow unfolding of body and mind as my consciousness booted up for the day. My coffee is delicious – a medium Americano, at 203 degrees, no sugar, no milk – just hot, smooth, and rich. No headache this morning. Rain pouring just beyond the partially open window; I love listening to the falling rain and smelling the freshness of the air outside. It is a very nice Saturday morning so far.

Oregon winter, stormy, and mild.

Oregon winter, stormy, and mild.

I am alone this weekend. This is not significant, it simply is. I enjoy solitude, generally, and I am feeling content and satisfied with my solitary state.

I am in a lot of pain. This is significant, not because it is unusual, but because it is an element of my experience that is pretty typical, day-to-day, varying in intensity far more often than ever really going away. This morning, I am in enough pain that at other points in my life the entirety of the first paragraph could not have existed side-by-side with the pain, itself. I’ve learned a lot more about taking care of me, and over time I am building self-care practices that even stand up to the departures from routine that sometimes result from things like … having a weekend alone. Oh yeah. It wasn’t so long ago that having a solo weekend would result in over-indulging on favorite treats, not sleeping well due to staying up late to read, watch movies, or wander, overlooking timing on timing-sensitive medications… just generally completely letting myself down with regard to actually taking good care of myself. Wallowing in self-indulgence is not self-care. That’s a pretty important understanding.

I love, for example, gummy sweets. I don’t much care if they are bears, drops, fish, worms, fruits, or healthy… I love gummy candy. They are now what they must be (for me) – a rare treat, in very very small portions. I don’t respond well to quantities of refined sugar. (Your results may vary.) I also tend to overdo it on gummy sweets – I know that first hand. I also know that even casual use of refined white sugar, cane sugar, beet sugar, or any similar sugars quickly increases my emotional volatility, sometimes correlates to unexpected tantrums, moodiness, and a basic feeling of not being ‘well’.  Good self-care means I continue to avoid gummy sweets when I am enjoying time on my own, just as I would en famille – accountability can’t be the sole driver of self-care (at least for me; it just doesn’t work.) That was a hard lesson to learn.

I practice good practices, even when I am enjoying a solo weekend, these days; I am capable of learning from my mistakes. Last night, feeling restless on a mild night, I walked 5 miles in the evening air rather than walking the aisles of the nearby grocery store looking for exotic treats for an evening nosh. Instead of indulging in a rich meal of favorite treats that do me no good, I enjoyed the healthy simple fare I generally do these days. I meditated. I did some yoga. I did more of the good things that care for my body and spirit, rather than fewer. Isn’t that really the thing? Investing in my own needs when I have more time to do so is an effort best spent on what really nurtures me – rather than childishly revolting against the sensible limits and restrictions I have chosen to place on myself to meet my needs over time, simply because ‘no one is watching’.

I wish I were so perfectly perfect that I didn’t need reminders, or could simply rest gently on what I have learned, confident my good practices would never fail me… I am not so perfect. I start fresh each morning, and do my best each day. I acknowledge missteps along the way, dust myself off when I stumble and keep on walking. I got here, because I make progress over time – and the journey isn’t finished. I invest will and study in gaining perspective, finding balance, and learning good self-care practices that nurture and heal me, over time. There are verbs involved. There is no ‘easy’. There is no ‘finish line’. There is no ‘win’ that amounts of finality and acknowledgement. Those aren’t criticisms, or something to be blue about; they are my endless opportunity for change, and for improving on what is, to become the woman I most want to be, and to find wellness and meaning along the way. Choices are right there to be chosen…choosing well, and following through on intention with will, and action… well… sometimes that requires a sticky note, or an alarm, or a calendar reminder, or something planned with a favorite friend. That’s okay too; this weekend, I am practicing my best practices for taking care of me.

Brunch with a friend; a very nice way to stick to a self-care routine. :-)

Brunch with a friend; a very nice way to stick to a self-care routine. 🙂

Wow. Not a very positive start to a post, at all. Is it a difficult morning? Did I wake in pain, or feeling poorly? Am I sad, hurt, or angry? No, not really any of those things, and it is a lovely, simple morning.  I am thinking, almost happily, about yesterday’s challenges – well met, and behind me. What remains is mostly the recollection of a mostly lovely day.

A lovely summer afternoon in this city I love.

A lovely summer afternoon in this city I love.

It isn’t a perfect picture; life itself isn’t about ‘perfect’ unless we choose to make it so. That’s rarely a good choice, in my experience.  I knew as I headed downtown for appointments at the VA that it was likely to be, like many experiences, less than perfect. It’s the VA. The news articles do not greatly exaggerate the issues, and may in fact present a rosier picture than exists in fact. Just saying.

First things first – any possible calm in the waiting room was entirely disrupted by loud administrators and ‘auditors’ of a variety of sorts. Business is business, work has to be done, and it isn’t all medicine…but when a disruptive crowd of noisy people fill up the waiting room of the Women’s Health Center, and some significant portion are rather disrespectful dudes with no apparent sense that people are waiting, and possibly not feeling well, its super annoying. Distracting, too, and as a veteran with a TBI, I’d like to be able to calmly focus on my appointment and my care needs. Yep – all about me, and every other patient there. Keep the freakin’ noise down!

It only gets better. Somehow, by mistake, although I specifically phoned and specifically scheduled an appointment with my primary care provider at her specific request, I was scheduled to see an entirely different doctor, who doesn’t know me, and has not had (or taken) an opportunity to actually review the entirety of my 20+ years of medical care for service connected injuries. She was personable enough, and educated, even fairly skilled on the VA computer system – a nice change of pace in recent years, to see doctors who can also navigate a windows OS – and I figured I’d relax and value what her perspective may have to offer. Seems fair.  My hopeful curiosity quickly fell behind my irritation.  She was quick to hand me the usual commonplace saccharine reassurances about menopause, not a glance at my records. I quickly and firmly objected to her suggestion that I may want to consider antidepressants for some of my menopause symptoms, and pointed her to the portion of my records that documents what a miserable failure that was – years ago.  She started to bring up atypical antipsychotics. I pointed her to that section of my records. Again. Again. Again. We finally get to a recommendation I hadn’t had offered before. She had piqued my interest – something that might ease the hot flashes? (They’re on/off nearly continuously these last few weeks, it’s very uncomfortable.)  No, I had no interest in spending even one moment in hospital purgatory (the pharmacy), yes mail the Rx to my home… and I made my escape.  While I waited for the bus to return me to downtown to connect with light rail, I read up on her suggestion… Um… wait, what? It’s associated with an increased risk of suicide. Not ‘a rare side effect’, nope, it has a white box warning label. Oh. Hell. No. Seriously? Why would a doctor recommend a drug with a high risk of suicide to a veteran with PTSD, and MST – who is also over 50? (Are the VA doctors unaware that veterans over 50 are, themselves, at increased risk of suicide?)

I walked away from the VA the way I often do – angry. To be fair, the state of women’s medicine isn’t fantastic, even in the civilian community.  Currently, the best medical test for menopause is… wait for it… No, seriously, that’s the test. Wait. 365 days, to be exact. Once one successfully completes 365 days of her adult life without bleeding from her vagina, it’s menopause! Very scientific, guys, very reliable… oh…what? You mean I might still have a period, or some spotting, or obvious hormone fluctuations after that? So… um… go medical precision? I think my irritation is understandable. The VA just pours salt in that wound by being more interested in Rx solutions than in practicing medicine and healing people, by rushing patient care in a very industrial and profit-oriented way (and still failing to actually be profitable), and being grossly understaffed in all roles just makes it very unlikely that anything will change – regardless who is at the top. The bottom line is still about the bottom line; no one really wants to pay the bill on all those broken people.  That shit is expensive.

It wasn’t unexpected. I headed for home, hopeful that I could just let it go and enjoy the evening.

Sometimes I have to take care of me.

Sometimes I have to take care of me.

The train was crowded. That’s a simple enough sentence. It doesn’t go nearly far enough. Wedged between a very large man who was drenched in sweat and smelled strongly of eau de unwashed humanity, and a very thin angular woman with children, strollers, and shopping bags, unable to move, pressed in on all sides to the point of being in very close contact – actually touching – I only managed one stop. I forced my way off the crowded train, gasping for breath, near tears, heart pounding – and still that residual anger. I was having a panic attack. Shit. I backed up against the building at the stop, in the shade, and closed my eyes. I took a deep breath and exhaled slowly, and another. The rush of commuters dissipated between trains. A handful of people were milling around, panhandling, chatting. My pounding heart and the rushing in my ears began to ease. A man approached me slowly, cautiously. “You okay, Sister?” He eyed me with wary sympathy. “Yes, thanks,” I replied. I made eye-contact. A homeless veteran? A veteran. Sometimes it is obvious. “I just couldn’t handle the crowd on the train, today.” He looked me over appraisingly, but without hostility or resentment, just that continued calm sympathy. “Yeah… you’re okay, though?” “Yes, thanks.” As he moved away, I contemplated his kindness. I wonder what he would have said or done if I hadn’t said I was okay? I wondered if his simple human kindness, consideration, and sympathy actually have more value than all the pills the VA has ever offered me. I sure felt better… I got on the next train and headed home.

Taking care of me still feels new.  A simple decision in favor of self-compassion, getting off an over-crowded train and waiting for the next one, really matters.  I ended up enjoying a lovely evening at home, as a byproduct of self-care.  Small changes. Good choices. So worth it.

Today is a new day, a fresh start, a different adventure. Today is a good day to be kind to strangers, and a good day to be kind to myself. Today is a good day to appreciate that we are each having our own experience, and we’re all in this together. Today is a good day to change the world.