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Showing posts with label fibromyalgia. Show all posts
Showing posts with label fibromyalgia. Show all posts

How to Answer "What's Wrong With You?"

We've all heard the question in one form or another.

It usually comes at a time when you look better than usual, or feel worse than usual. But either way, it makes you feel the same as usual.

"What exactly is wrong with you?" they ask, innocently...not knowing that their "casual" remark has ignited every synapse in your brain and tensed every muscle in your body into an emergency-level  "fight/flight" response.

How should I answer that? Because the disease we battle has not received the "press" or publicity of other better known infirmities, and is not as intuitively obvious as having one leg missing, the answer we give is not all that easy to come up with, and often provokes some strange responses.

The most notable example of this happened to me on a flight from Miami, USA, after arriving from South America. Through mileage I was blessed to be upgraded to Business Class,  but even before I could enjoy the comforts of warm roasted nuts and the hot towel, I was uncomfortable.  A large man in a Panama hat seated directly behind me began coughing and wheezing so violently I actually felt spray from his mouth hit my arm. I turned around to see if it was serious, just in time to get hit with another atomized burst of germs right in my face. He didn't even attempt to cover his cough, and seemed perfectly content baptizing all six of us in this tiny cabin with his infection.

Knowing how sensitive my immune system was to these kinds of airborne bacteria, and not wanting to get yet another cold or virus, especially one I was convinced came from Panama, I rang the attendant button. When the "flight attendant" came by, I said in a whisper, "Could you please ask the gentleman behind me to move to another seat? There are a bunch open in the back."

To my surprise, she said nothing, made a dismissing face, shook her head, and started to move on to deliver more hot towels to the other Business Class passengers. But because I was a pilot, and knew commercial aviation rules and regs, I had more to say. Unfortunately, at that moment, the short-term memory, brain-fog thing that hits us at the most inopportune times came over me, and I forgot what to call her in English. Coming up with the closest alternative, I now almost shouted down the aisle, "Waitress!"

I discovered immediately that, at least in the USA, "flight attendants" do not like to be called "waitresses." Spinning around like I had just cursed her, she said loud enough for everyone on the plane to hear, "What did you just call me, sir?"

As I started to explain that I meant no offense, that it was just a mix up in terminology, she interrupted me with the question.  The question that we are not loathe to answer, but the question that usually takes more than a few seconds to explain. And there it was. 

"What exactly is wrong with you?" she spat, halfway using it as a club to beat me senseless, but also seriously waiting for an answer,

With her hovering over me like a school-marm, I muttered something about having a complex disease, included some key facts about my immune system, mentioned the word "virus" I think, and then heard myself end with "but it's not contagious!"

Whatever I said, it evoked exactly the opposite reaction that I had hoped, and for the rest of the flight, I was actually "shrouded" by her and her staff.

Shrouding is a term that was made famous in the movie "The Paper Chase" starring Timothy Bottoms and John Houseman, referring to law school students who were so inept in the professor's mind, that the professor ignored the student for the entire semester, basically acting like the student didn't even exist. Playing a shrouded student, Timothy Bottoms actually sat in class with a bag over his head. 

I guess because of my weird answer, and the use of the term "waitress", for the next 2 hours, I was shrouded on that flight.  No "flight attendant" looked at me. I was not offered a beverage. I received no warm nuts. And Mr. Panama hat coughed and sprayed all the way from Miami to our destination.

I learned through that ordeal that I had better come up with a cohesive, cogent, informative answer to the question, so that the next time someone asks me "What is wrong with you?" I would be prepared.

Over time, I've cataloged a number of concise ways to answer the question, depending on the questioner, my mood, and the need at the moment, and offer a few for you here.

The Scientific Answer:  
I have a disease known in most parts of the world as myalgic encephalomyelitis. That's a lot of syllables but it describes this infirmity well:
Myalgic- by definition means muscle pains;
Encephalo- in latin means in the head, or brain; 
Myel - refers to the myelin and means spinal cord; 
Itis - means inflammation or imflamed.
So when you put it all together it means I have a disease that resides in my brain and spinal fluid, inflaming them, and giving me great pain. It also means that it's quite amazing that I could tell you this definition without lying down!

The Allegorical Answer:
Have you ever had a bad case of the flu? Did you ever drink one too many Margaritas? Do you like the TV Game Show "Jeopardy?" Well, imagine that you have a disease that makes you feel like you have the worst flu-bug of your life, with all the concomitant chills, fevers, and aches, with a tequila hangover on top of it, and Montezuma's revenge thrown in. Now imagine that when you try to get up to go to the bathroom, some college pranksters covered your bed in thick molasses, and you can't move your arms or legs. To make this torture even worse, while you are "stuck" there, immobile, your brain is giving you answers to questions no one has asked. Well, I have a disease that is like that for me all the time. And oh by the way, "What does Myalgic Encephalomyelitis feel like, for 500, Alex?"

The Symptomatic Answer:
I have a disease that makes me extremely tired all the time, but prevents me from getting more than 2-3 hours of sleep at night. It is a disease that makes me sweat in the winter, and have chills in the summer; one that often has my head red-hot and feverish, while my feet are stark white and ice-cold. It is an infirmity that makes my immune system and brain run on overdrive, but often renders me unable to find the right words, or remember your name. In fact, I often forget what I was saying in mid-sentence, and why I was saying it. Now what was that question that you just asked me again?

I have other formulated answers that I often use, but you get the idea. The point is to have at least one...well-rehearsed, on the tip of your tongue...because you never know from who or where the question will next come.

And if brain-fog hits, or the short-term memory problem kicks in, or you are just frankly tired of answering the question, there's always the last resort. You just put a grocery bag over your head, and act like you're not even there.
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7 Absurd Things I Do to Make Life Manageable


"I am thankful for laughter, except when milk comes out of my nose." Woody Allen

It was Christmas time and the jazz band on the corner was playing the requisite boring Jingle Bells music. I just completed my 17th treatment yesterday, and things are going well. So much so as I passed the corner,  I was reminded of how bad I felt when I arrived here three months ago. I had just come to the USA in the heart of winter without a coat,  to start my Ampligen treatment,  and I felt sicker than the proverbial dog. I needed something to break me out of my funk, cheer me up, and make me smile. I saddled up to the leader on the trumpet with the donation bucket in front of him, and said, "Can you play something else?" He replied "Well, the city wants us to play holiday music." I flashed him a $20, and said, "How about something by Steveland Morris?" 

He grinned from ear to ear, took my $20, and said, "Why not? A little something just for you, by the great Stevie Wonder!" His 5 piece group then lit up the block with a fast version of "Isn't She Lovely?" for 10 minutes, while I just soaked in the shower of brass therapy.

Someone in the crowd expecting "Winter Wonderland" mumbled, "that's absurd!" I just smiled and said to myself, "Yes, isn't it? I'll take absurd right now, if it helps me feel better." 

Face it- you’re special. You can’t do the same things “normal” people do, and may need to do certain things that others don't, just to survive. But there are ways to manage, even if on the surface they may seem absurd.  Here are some simple yet very effective “tricks” I use to help make the days easier, routines more balanced, and my recovery times shorter.

1. Use a checklist for Daily routines. - Pilots use checklists not because they don’t know how to start the turbines, but so they don’t forget some little detail. Because I know my memory sometimes fails me and I can forget to take important meds, or even forget to eat, I have a checklist of routine things I do each day that I use religiously. This takes the pressure off my mind and also eliminates that cycle of frustration that happens when at the end of the day I’m lying in bed wondering “Did I take my B-12 today?”  or “Did I do my exercises today?” My checklist starts with such basic things as "Turn on music" "Draw hot bath" "Take Vitamins" and "Shave." Yes, I've actually had to be reminded to shave- that's how weird this virus is.

2. Open up the creative side. - I’ve found that when I read short poetry, look at modern art, or rotate photos in frames, my day goes better.  My daughter the psychology major tells me I am exercising other parts of my brain by doing so. My Pastor reminds me that I am not just "body," but "spirit, soul and body." All I know is reading a Psalm, listening to Supertramp, or playing the piano makes me feel more at peace even while the virus is raging.  For example, since starting on Ampligen I have put over 30 photos of friends and loved ones around my apartment and they make me smile.

3. Play “Soundscapes” music.
- The cable TV company I subscribe to has over 100 channels of music, and I’ve found a “new age”  or “ambient music” one called “Soundscapes” that I like- it is just like the stuff they play at spas and when you get a massage. Slow, gentle, almost invisible music plays in the background of my apartment almost all day. Sometimes I fall asleep to it. The AMTA says that the ambient music therapy can positively affect all sorts of cognitive and behavioural changes. 

4. Plan to do half. - My NeuroTherapist gave me this idea. She says it’s better when I think I can do 2 hours of shopping, to actually only do one hour, and then get horizontal. If I think I have energy for 15 minutes of walking in the park, I should do 7 or 8 minutes, and then quit.   I’ve also found through trial and error it is better for my head and my body to do things in short bursts. If I write a letter I might do it in 3 paragraphs, spread throughout the day. To do my income taxes, I am doing just one page a day, for the next 100 days. A good friend of mine while sick with this virus got her law degree one class at a time, over a 7 year period.  Jazz great Keith Jarrett, also an M.E. survivor, sat at the piano in 10 minute bursts, wrote a couple notes, and then went back to bed when he was really sick.  When we push it, we usually set off the cascade of symptoms- and that is not good. So take in small bites.

5. Connect with others. – If I didn’t have my wife and daughter, some close friends to talk to by phone, my online forum friends, Twitter, and some fellow patients who understand what I’m going through, I would have gone nuts a long time ago. It helps when I am honest with these folks, and if I’ve had a bad day to admit it. If you are fortunate enough to have a fellow-patient in your life who can encourage you and say “You are going to make it. You’re doing great!” then you will find they make up for all the lost friends and toxic “friends” that are poison.

6. Get horizontal, often.
- Whether it’s because of our orthostatic intolerance, our immune systems on overdrive,  the toxins in our systems, or any of the other things we battle,  we need to take breaks. My Doctor says that the definition of a “break” is actually getting my legs and head parallel with the floor, or it doesn’t count. I’ve found that 5 minutes horizontal “recharges” my tanks. I do this in shopping malls, in restaurants, whenever I need the break. When I travel I am shameless. I lay down in the airport all the time, on the dirty carpet, waiting for airplanes, boarding times, whatever. It's amazing how contagious it is. Once other passengers see me on the floor, others do it too! No one likes standing around an airport when there aren't enough seats...even "normal" folks.

7. Laugh. - There is something medicinal about the endorphin release when I laugh that always makes me feel better. Many researchers have found that laughter helps the immune system. Since starting on Ampligen I have purposely chosen not to watch Glenn Beck, Keith Olbermann, or really any news show apart from local weather, because it depresses me. Instead I watch The Comedy Channel, and literally laugh my ass off. When I am with a patient friend of mine I make it my goal in life to make her at least guffaw or chortle, because when she laughs I laugh more! Sometimes when I can’t sleep and I don’t feel like laughing I’ll force myself to “fake-laugh” and after 10 seconds I actually feel the giggles turning to reality. Probably because it’s so ludicrous, I actually find myself the funniest guy I know at those moments, and I sleep like a baby. 

Three months ago I arrived in this town to try to get better, and I started my therapy that day with the absurd idea that a little Stevie Wonder music would make me feel better. It was. And it did. And I still keep doing absurd things for that reason.


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Ampligen - Double the Dose Double the Redundancy


Treatment #5

Today's infusion took longer than any prior, because they doubled my dose. As promised, my Ampligen quantity was upped from 200ml to 400ml, which veterans tell me is the "full dose." So as not to stress or shock the body with the increased chemical or the quantity of fluid going into my arm, Gwen reduced the drip rate to about 70 minutes in total. That was followed up with a bag of saline, so I was sitting in that chair for about an hour and a half.

This morning there were three of us all getting the "juice" along with two or three nurses. One of the reasons that Gwen or a nurse stays with us at all times is precisely for that reason- to monitor and adjust the drip rate in order to conform to a predetermined speed. For example, today Gwen said my BP was a little high, which corresponded to my being a little nervous when I arrived. As a result, both nurses told me that they would have to "open up" the valve to help the Ampligen flow correctly- because higher blood pressure, stress, anxiety and a variety of other seemingly unrelated factors can affect one's veins, and their ability to accept an infusion drip.

Today Gwen must have adjusted that drip rate a half dozen times. Once I settled into my chair after about five minutes, she actually said "whoa, cowboy, I need to slow that baby down. You've really relaxed." I asked her what that meant and she showed me how the drops in the bottle were moving at like two per second- too fast. "It's very normal after you get relaxed for your veins to open up" she said. "And you have killer veins," she noted.

Normally I'll take any compliment directed my way, so few did I receive as a child raised by parents who read Dr. Spock. But lately, as I've been humbled by this disease, I've recognized that everything I have is a gift from God, and He made not only my big veins, but my big nose, my big feet, my big belly, and pretty much everything else that is big on my body. So I just smiled and said sincerely, "Thank God."

The reason that these "big veins" are worthy of thanksgiving is, some patients aren't blessed with visible arteries at all, and the job the nurse or doctor must go through to both find the vein, and get the flow, can be arduous if not sometimes impossible. I kid you not, one sweet patient who I met with baby-like skin told me that sometimes on rare occasion it has taken as many as SIX attempts. But my experience is almost always, first time is a charm.

I talked to my Doctor briefly after the infusion and he said "Now be sure you get horizontal, take it easy today, because you'll probably feel a few side effects, and tomorrow, you'll be good as new!" Did I mention in previous posts that my precious Doctor has a very positive, upbeat personality, with a contagious grin? I personally am a guy who responds well to that kind of motivation, but I also know that if he casually mentions "a few side effects" that it probably means the "caca" is going to hit the fan! (Please excuse my Spanish.) Like the Brits in WWII who called the bombing of London a "very illuminating fireworks display," these undersold comments of his usually forewarn of something potentially bigger than the soft words indicate, so I've been on guard ever since.

In reality, it hasn't been bad today. Yes, I do feel the larger dose of Ampligen producing more side effects today. They include:
  • A twitching in my left leg near the sciatic nerve;
  • A slightly sore back near where my kidneys are;
  • Mild ringing in the ears;
  • Sort of a spaced out head.
It's the last one that is most noticeably unique. I've had twitches and sore parts of my body before... but this cognitive fuzziness I feel today is new, and different. It's not that I can't think- I'm doing fine typing and expressing my thoughts on this blog. It's that it is taking me just a little longer, and when it comes to verbal skills, let me just say I can tell today I am no Christopher Hitchens or Peggy Noonan. I'm also finding myself being redundant. I'm no Peggy Noonan that's for sure! (OK, I'm joking now, but it is true!)

For example, I just met a neighbor outside and I said: "Hey, how ya doin?" He replied, "great, and you?" Here was my answer, verbatim: "Good, thanks! And you?" He sort of smiled, and when I realized my redundancy I said, "I guess I asked you that already, didn't I?" He was a good sport, and said, "Yeah, but I'll tell you again anyway, I'm still great!"

So double the dose, double the side effects, but none that I can't handle. And if my personal motivation champion aka my Doctor is correct, well then tomorrow I'll be "good as new!"

Did I mention that already?







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