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Mindfulness for Pain Management

June 26, 2019 //
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I’m sipping my coffee, a bit pre-occupied with this headache. It’s not “the usual headache”… new treatment seems to be providing some relief, which is so excessively awesome I hesitate to mention it, since that treatment is primarily to do with physical therapy, fitness, and… decompression. Traction. Newest round of doctors, images, and all that fuss and bother, and it apparently comes down to arthritis. Again. Fucking hell. So… I hurt, because it fucking well does hurt, and it’s going to. Huh. Okay, well, I can get my head around that (lol)… now what?

Verbs. An ever-loving fuck-ton of verbs.

I have to do the work, myself. It’s not actually about pills, or cures, or permanent fixes, at all. Effort. Routine. Practices. Skillful self-care. Observation. Awareness. Hey, wait… this is starting to sound like mindfulness may weigh in at some point… 😉 It’s probably fairly obvious that I can’t just stroll into the local gym and start aggressive strength training… I do, however, have to start somewhere, with something, and I need to persist at it, because it’s those incremental improvements over time that are going to be my best shot at relief. I’m fortunate to be able to “know that” confidently; I’ve been here before, with the osteo-arthritis lower down, in my thoracic spine. Holy hell, though, y’all… having arthritis in my neck?? Fuuuuuck…. The pain, the time taken getting to a diagnosis. The number of doctors puzzled why what looks fairly un-noteworthy in an X-ray could possible cause this much pain…? I sat down with the Physical Therapist and won the PT lottery that morning; she has direct subjective experience with a similar injury and condition, and ticked off the experiences I was having, confirming each are entirely within expectations for this condition. Empirical experience for the win. One more specialist to see, but it’s nice to feel like there is progress.

Steps in a journey; maybe every single appointment, and every doctor, and every image, were all entirely necessary to get to this place?

…About those verbs? Here’s the thing; knowing isn’t enough. If I want to feel better – any better – there’s also some doing to do. Practice isn’t going to make anything “perfect” (that’s just not actually a thing), but a lot of stuff does take practice. Including exercise. Including meditation.

Before I mislead anyone about the efficiency or efficacy of mindfulness for pain management, I’ll just point you in the direction of “the guy who wrote the book” about it, and the book, itself, and a famous place.  There are other great books, and authors, on my reading list.

Mindfulness for pain management isn’t like taking a strong Rx pain reliever. Let’s start there. It’s just different than that. Is it effective? Yes. If you practice effective mindfulness practices, and practice regularly, it does help quite a lot. Don’t attempt to force mindfulness to “be an opiate” – because it isn’t, and that’s not the way it works. Does it make 100% of all pain entirely go away? Nope. (And if you live with chronic pain, and you are honest with yourself, neither do the Rx pain relievers, including opiates.) The effectiveness of mindfulness practices for pain relief, though, actually improves over time, and mindfulness doesn’t make trade-offs with my health in other ways. Have I ever give up all other pain relief medication in favor of mindfulness? I sure have, for various periods of time, occasionally still returning to needing additional pain relief – because sometimes life fucking just hurts that god damned much. That’s just real.

…Mindfulness remains in my pain relief arsenal for all the same reasons I keep it handy for fighting my personal demons, or for maintaining great emotional resilience, or for managing my anxiety… it works, and doesn’t wreck my health in other ways getting that job done – and all I have to do is practice! 🙂 Are you good at something? Don’t you practice it? Martial arts? Hiking? Ice skating? Mountain climbing? Racing cars? Building models? Practice gets us to places we would never reach on aptitude alone, does it not? 😀

I sip my coffee chuckling a bit. I’ve gone on and on about using mindfulness for pain relief because this headache this morning is fairly horrible, and largely to due with the changes in physical therapy practices I’m now using; muscle pain, rather annoyingly at the base of my skull, and in my neck, and shoulders. Ouch. Meditation for the win, this morning. Maybe that won’t always be enough to manage every headache, every morning – but it’s a great start on any headache, any day. 🙂

…If it doesn’t work? I can always begin again. 🙂

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Categories gratitude, health, Healthy Living, Mindfulness, pain, Perspective, Practices, Summer

Even This, Beginning Again

June 25, 2019 //
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Yesterday was… hard. Tears came unexpectedly, and fairly often. Like punctuation for sentences I didn’t expect to have emotional content. My context had become emotional. It was difficult. It was strange. It is ongoing, although reduced in frequency and amplitude. It still comes in waves.

I went to work because I often find routine very comfortable and sustaining in times of turmoil and crisis. I went home early because punctuating sentences in professional conversations with floods of tears feels like a loss of dignity, feels inappropriate, and, frankly, is hard on other people; we don’t all live equally authentic lives. That’s just real. (It’s not a criticism.) My Traveling Partner was kind, supportive, and very much “there for me”.

I made a dinner of crab cakes – seasoned as my Mom would have enjoyed – with a healthy salad, and a luxurious, but quite tiny dessert. I celebrated her life, in my thoughts. I would not call it an easy evening, but I went to bed contented and generally okay with “things”, and slept through the night, untroubled by my dreams. I woke, and got through the first 15 minutes of the day before I remembered… she’s gone.

I sat down to write, with my coffee, and tried to reset my thinking a bit, to shift explicitly away from sorrow, firmly. My thinking, my recollections, and the feel of my day kept twisting out of my grip. The result was not what I expected, but I’m okay with it.

The morning ticks by, not unpleasantly. I’m just in this weird limbo; fighting the grieving without meaning to put up such resistance, struggling to “let her go” in my own heart, and unsure what I even mean by that. Was I clinging, in the first place? Who is this sorrowful hearted creature fluttering within me? I breathe. Exhale. Relax. I do a classic “body inventory” and get more comfortable with my physical experience, shifting my awareness back into “now”, over and over again. I find myself literally “twisted by grief”, shoulder aching, head aching, neck aching, less in that familiar way, and more like a reminder to be present… or else.

A favorite groove turns up on the playlist this morning, and in that peculiarly meta way I have of listening to music, seeking a useful message in the lyrics, it reminds me; it’s not all about me. I link it, and giggle out loud; it’s really not the sort of thing one would usually associate with grief, grieving, or… um… adulthood. lol I smile, and feel the ache in my face, self-conscious and strange, that results from just a simple smile. I breathe. Exhale. Relax. This, too, shall pass. This morning the words hold some comfort, and I embrace them. I feel the suggestion of a possible return to normalcy at some future point – there’s comfort in that, too.

…It’s been a while since I spent a morning listening to music. There’s a certain heavy bass experience that somehow lifts me. I chase it, track by track, feeling it in my body. I roll back years of lifetime, track by track, looking for a certain something to lift my mood, to crack open my heart and let the love pour out.

Somehow, time passes. I find my way to one more beginning. I’ll start there… well… here. A summer morning. A cup of coffee. A bit of work to do. Surrounded by love. It’s a good place to begin again. 🙂

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Categories forgiveness, Free Will, gratitude, grief, Love, Metaphors, Mindfulness, Moments, pain, Perspective, Post Traumatic Stress, Practices, Relationships, Summer, The Art of Being, women

Hot Coffee, Fresh Grief

June 24, 2019 //
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I’m sipping my coffee. My face is wet with the tears that just keep coming. The phone call this morning was brief. Heartfelt. Tender. My sister’s resolve and her will to hold her feelings in check impress me, even as I continue to weep. We kept the call brief; no doubt she has other calls she wants to make. Neither of us like crying “out loud” in a public way, and seeing as we’re so “strong”, we manage not to cry on the phone. Much. The call ends, the tears start.

I consider not writing, but… grief isn’t an everyday experience. I already feel… shattered. This, in spite of knowing it was imminent, in spite of being “well-prepared”, in spite of speaking gently and explicitly with my Mother, herself, about this moment, frankly, compassionately, honestly… in spite of spending yesterday well-supported by a loving and concerned partner… nonetheless; I am crying. Routines are something I can fall back on to hold life together, until… something.

“This, too, shall pass.” (I know, I know – I fucking know that, now knock that shit off, while I shed these honest tears for the passing of a complex woman, who gave me life. I’ll be okay, just not… right now, exactly.)

…Anyway. No idea how this amount of grief may affect my writing. I’m glad you are here. I hope you are well. Maybe I write a lot more than usual over the next several days? Maybe I find myself unable to lift my hands to type words in row at all. I don’t even know. I guess we’ll find out together, eh?

It’ll be okay. I reflexively offer myself all the comforting platitudes I can find. “We are mortal creatures.” (That’s a very real observation, at the moment. Painfully real. It offers no particular comfort. Perhaps it will later…?) It’s not really helpful, and I let it go.

…I don’t really know what else to do. So… I begin again.

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Categories Free Will, gratitude, grief, Love, Mindfulness, Moments, pain, Perspective, Post Traumatic Stress, Practices, Relationships, Summer, The Art of Being, The Big 5, women, Words

Do You Have Any Last Words?

June 23, 2019 //
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The text this morning was to the point, although not as abrupt as I imply in the title of this post. I feel grateful that my sister is right there, with our Mother. For a moment, I imagine this stern, strong, witty woman who raised me, pushing her chair back from a crowded card table, folding a less than ideal hand, and heading into the kitchen to refresh drinks. That memory is of a lifetime ago, in a far away place, disconnected from my experience of “here” and “now”. Do I want her to “hear my voice”? “Non-responsive” doesn’t sound like she’s likely to register voices… we’ve spoken recently, and regularly – is it enough?

…We don’t have a “Book of the Dead”, in our culture… It’s a strange random thought, a forerunner to intense grief.

There are tears in my eyes. I resent them; it’s too soon. Life stretches ahead of me, while I reach my thoughts – and my heart – across great distance. Imagining her as I remember her best; in her late 30s, in her early 40s. Strong. Determined. No bullshit. Rapier wit. Iron will. I observe the characteristics in myself that I most likely got from her; my tenacious loyalty. My intellect. My commitment to being a good provider. My reluctance to walk away from a bad decision. My willingness to hide my emotions for far too long. My laugh. That same laugh that her Mother had, too. I hear Granny’s laugh in my recollection. I feel, for a moment, my Mother’s warmth – like summertime in my heart. I sip my coffee and celebrate this woman who made me.

…Grieving comes soon enough. It’s important to examine those cherished moments as treasures, with great delight, and excessive merriment, and not allow the tears to wash those away. They matter so much more than the tears ever could.

Life didn’t have a map – you did okay with that, Mom. No reason to expect death to be more difficult to master; in a sense, we prepare for it all our lives, don’t we? Striving, clinging – and learning to let go. Good fold, Mom. Safe travels.

You are part of me. My journey began with you.

I sit quietly with my coffee, remembering life with my Mom. My “origin story”. Some details are fuzzy, others crystal clear. Some moments remain painful to this day, others bring me immediate joy when I recall them. One thing is certain; she will not be forgotten. Tears later. Coffee now. I wish she were sitting here, sharing that with me, right now; I have so much to ask, and now there is no time… 

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Categories forgiveness, Free Will, gratitude, grief, Love, Mindfulness, Moments, pain, Perspective, Post Traumatic Stress, Practices, Relationships, Summer, The Art of Being, Uncategorized, women, Words

XP

June 17, 2019 //
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“Life should not be a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming “Wow! What a Ride!” ~Hunter S. Thompson

…And all the new beginnings that that implies…and perhaps a few more.

I put quite a bit of time, enthusiastic daydreaming, and research, into the trip I planned to take this past weekend. I never did the one thing necessary to bring it to life; I did not begin the journey. I just thought about it. LOL There’s a lesson in there. An allegory. A metaphor. A parable, perhaps. The weekend did not lack of significant XP, however; it was an adventure, a brief journey, and an interesting progression of emotions and events, nonetheless. 🙂

I needed wide open space, and big sky – and found it close to home. There’s a lesson, here, too.

My birthday has been well-celebrated. A new year of life has been kick-started, decisively. There has been feasting, entertainment, the company of friends, and so much love! Errands were run. Housekeeping got done. The garden was cared for. A humble adventure has commenced.

My first orchid. A wee adventure with which to start the year.

It’s been a fast, relaxed, and delightful handful of days, in spite of news of my Mother’s decline. There will be time to process that in full, and there is no need to rush, or to force it down into a dark quiet corner of my heart. It is what it is; we are mortal creatures, and of all the things that will inevitably pass, our brief mortal lives are one of the most challenging to let go of… and then that greater challenging of letting go of those we love. No user’s guide for this one, either. I sometimes feel I am fumbling around in the dark with my emotions. I know that my emotions haven’t killed me yet. 🙂 I’ll get through this, too.

I think about the beautiful broad expanse of meadow, and the scent of wildflowers on the breeze.

I smile, letting the details of the weekend unfold in my recollection. What a lovely time to share with my Traveling Partner.

Life’s pleasures don’t have to be fancy to be enjoyed. Life’s beauty doesn’t have to be costly to be lovely.

I sip my coffee. It’s Monday. I shift gears to “now” and remind myself of the path ahead. The year will continue to unfold. What will July hold? What of September? And the holiday season with my Traveling Partner right here at home? What of the future? And the unanswered questions in life?

Where does this path lead?

It’s time to find out. It’s time to begin again. 🙂

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Categories Allegories, forgiveness, Free Will, gardening, gratitude, grief, inspiration, Love, Metaphors, Mindfulness, Moments, Parables, Perspective, Practices, Relationships, solo hiking, Summer, The Art of Being, The Big 5
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