Monday, April 1, 2013

Seconds and Thirds

Over New Years, there was a fairly large debacle. Overall, family was upset at my depression (which I had yet to admit to myself existed) and I was fairly upset at the idea that people who don't see me on a weekly basis would have the audacity to say they knew anything about me. Turns out, we were both right and both hot-tempered to say the least. Remember how I said I was angry a lot? Yeah, I was DEFINITELY blind with rage during a fair portion of the holiday when I really shouldn't have been. Things got worked out in a hurry though, and it ended up being an overall positive experience for everyone. One of the more positive things (though I was not happy about it at the time) that came of all this was my Father-in-Law suggesting I get a second and third opinion about my Fibromyalgia diagnosis.

Near the end of January, I bit the bullet and began looking for a second and third opinion on my so-called Fibromyalgia. The meds weren't working anymore and I was tired of being doped up all the time. Something must have caused it, so why wasn't my doctor trying to figure it out? My second opinion confirmed the diagnosis, suggested the same medications I was on, and sent me on my way. But the third opinion was the kicker.

I made an appointment with Fibromyalgia Seattle, their website claims to be able to help most fibro patients without surgery or medication. I figure why not, it can't hurt to try. Wade was rather peeved, "Of COURSE they're going to tell you you have fibro! They're called FIBROMYALGIA Seattle!!" He was right. Sort of. They told us that fibro is just a fancy name for chronic pain. It's not a real diagnosis of anything, and doesn't really provide any information on what to do or how it was caused. So "Sure" she said, "you fit into the fibro group, but I want to figure out why". HOORAY!! Someone who wants a real answer!

I often compare my previous fibro doctors to a math teacher I once had. I asked why the Pythagorean Theorem works, to which she replied "Because somebody in Mathematics Land says so" That is NOT an answer. When I ask what to do about my Fibromyalgia, "Be on medication for the rest of your life" is NOT an answer either. Unfortunately that's the answer I had been getting.

Back to Fibro Seattle: after going over my extensive medical history, taking x-rays of my spine, and doing a variety of other tests, doc tells us that she thinks she's found the problem, but that she has no guarantees. Come to find out, after all those head/neck/spine/tailbone injuries, things didn't naturally go back in place like I assumed they would. I figured since I was growing and it didn't hurt, that my bones would go back to where they belong and it would be no big deal. Not like I played sports or anything, nothing was broken or fractured, I was achy sometimes, but who isn't? So, my neck curves backwards. posterior (toward my behind) instead of anterior (toward my front). This puts pressure on my spinal column. Which says "OW" and sends pain receptors through my whole body because the nerves are angry. 

Through many sessions of chiropractic adjustment, Fibro Seattle is also the Northwest Clinic of Chiropractic, and many more to go, I'm starting to feel a ton better. I'm roughly 6 weeks in and we've gone from adjusting every other vertebrae to adjusting an average of 4. Yeah, 16 to 4 in about 6 weeks of twice weekly visits. I'd seen other chiropractors for months with a tenth of those results. My overall pain is gone, I quit taking my fibro medicine a few months ago, I didn't think they were working so I told my old doc I was done taking them and done seeing her. My posture is much improved and I don't have a visible hump at my shoulders anymore. 

Even if this is not the 100% solution, I have come so far in the last few months that every step has been worth it. I went back to work (few hours, but still working), I passed my first online college class, I'm not tired all the time, I'm not depressed, I can go all day without a nap! (trust me, that's a HUGE accomplishment) I went from sleeping an average of 16 hours a day to about 9. I've even started to lose weight! A medication I took over a year ago made me gain 50lbs in 3 months, right after I'd bought my wedding dress. I still have about 45lbs to go, but now that I'm not in pain 24/7, the thought of exercise doesn't immediately tire me out. 

Now that we're up-to-date, I'll continue posting updates on how progress is coming for pain/weight/therapy hooray!

Diagnosis 2: PTSD

Diagnosis 2: Post-Traumatic Stress Disorder

I've never been in a fight of any kind. Never lived in a war zone. Not a veteran. However, I have had a few choice experiences do a number on my sub-conscious. 2 main things have gotten "stuck" in my emotional processing system; the first is that school, a place I love, a place I want to spend the rest of my life, was not safe for me growing up. The second is that a non-blood relative conditioned me as a child in some very unacceptable ways. I could name names, I could be specific, I could tell stories, but I won't. Retelling them to the world will not change the past, will not make me feel better, and will only cause more pain to those who were affected, intentionally or otherwise. That being said, I now deal with a number of sub-conscious fears and ideas that make parts of my life very difficult. 

On top of having little to no will to live due to physical pain, I was also very angry. Angry at everything, everyone, and eeeeeeveryone knew it. No one understood my pain, people said I should just get over it, that I should stop being depressed and live my life. Some said I'd never get better, and I started to believe them. I still struggle with that thought. It's what made me consider suicide in the first place. I wasn't going to get better anyway, why should I have to suffer? Wouldn't my family and friends understand and be glad that I didn't hurt anymore? Sure, dying would suck, but then I'd be free and no one would have to worry about me or feel bad that I was ill. Wouldn't that be better than this hellish prison I was calling life? If I hadn't gotten help when I had, I don't know if I would be here now. I understand medically assisted death so much better now. Not that any doctor in their right mind would have helped me do so, I'm not terminal or anything like that, but I know better now how it feels to want OUT. When your quality of life is so low that simply being awake is a painful chore, you really start to question the point in living. Even if someone had said "give me 2 months and you'll feel 50% better" I'd have called them a liar.

Once I started EMDR therapy, I started to feel better after a few weeks. Honestly, I'm positive it had more to do with the pills they had me on than anything else. We didn't really start the hand-wavey part until about a month in. I started to be less angry, Wade and I didn't argue so much, I didn't see everyone as combative anymore. We started an argument we'd had before, probably along the lines of why dishes and/or laundry hadn't been done in an eternity (my words, not his). I stayed calm the whole time, I didn't throw petty insults and it stayed a discussion instead of exploding into a screaming match. I apologized, I needed to get better about doing my share around the apartment, I wasn't going to feel better if I truly did nothing all day. I agreed that I should probably start looking at going back to work, I also agreed that I had been majorly slacking on my school-work. I'd gotten into an online college months prior, and not done a single assignment. Conversations stopped going the route of yelling, we started to TALK to each other again. Though there were only a few months where things were very terse and my depression was really bad, it had still taken its toll. 

I don't share every little thing with my therapist. I don't need to. I know how to manage most of my life mentally. He's there to help me through my sub-conscious, the things I wasn't aware were affecting me. Some days are harder than others, and I fully intend on there being a day when I don't need to go back. In the mean time, there's no shame in getting help. Therapy can be like a GPS for your brain, warning you of potholes and road closures so you can arrive at those locations expecting delays and work instead of running into them by surprise and being caught off guard. I'm very proud to say that after about 6 months of therapy, I'm off almost all my mental-medications. No more anti-depressants, no more sleep aids, I'm not having nightmares anymore and I'm not suicidal. Sometimes I get anxious, and we're working on that, but my medication amounts are at about an eighth of what they were 6 months ago. 

Diagnosis 1: Fibromyalgia

Instead of cataloging all the minute details of every injury or illness I've experienced, which would be an utter waste of both your time and mine, I'm only going to go into further detail when it's necessary to understand the fuller scope of things. That being said, lets start with my diagnosis of Fibromyalgia...

In late 2012 I was diagnosed with Fibromyalgia, a relatively new issue with a lot of buzz around it. The Department of Social Security has recently listed it as a viable disability IF you can prove you have it. Now, fibro doesn't really have a specific test, it doesn't some up in blood work or x-rays. Wikipedia says that to diagnose Fibromyalgia, these 2 things must occur: "1. A history of widespread pain lasting more than three months—affecting all four quadrants of the body, i.e., both sides, and above and below the waist. 2. Tender points—there are 18 designated possible tender points (although a person with the disorder may feel pain in other areas as well). The patient must feel pain at 11 or more of these points for fibromyalgia to be considered."

So, fibro is pain. Everywhere. All the time. AKA a fancy name for Chronic Pain. But WHY and HOW are the big unknowns. There is much speculation on why or how how it's caused, but very little about how to fix it other than with medications. So when I was diagnosed, my Rheumatologist prescribed a variety of medications specifically for fibro. I took them as directed and after a few weeks I could function a little more regularly, but I was by no means pain free. 

Being in that much pain for as long as I had ended up taking it's toll. I quit working, I stopped trying to get into college for my Masters program, I gave up on trying to live any semblance of a normal life. Eventually I told my husband, Wade, that I didn't want to live. I had thought of all the ways I could possibly kill myself, narrowing it down to the ones that were the least messy, most possible, and least traumatic for others. Thankfully, I still had the desire to not bother anybody with my death, or at least as little as possible, this left very few options. Once I told my husband, he conspired with my big brother to come visit me, hoping to cheer me up. Even then, I slept most of his visit and wasn't interested in going anywhere or doing anything. At this point, Wade made a deal with me: I could only end it all if I agreed to talk to my parents and siblings face-to-face about it first. I had to tell them why, and I was not allowed to do it without him present. I agreed. This prevented me from driving across the state without him and claiming I had spoken with them when likely I hadn't. This also made it possible for him to continue going to school though he did offer to drop out until I was better. I didn't want him to drop out and he didn't want me to die. We had an understanding. 

He also went with me to see my psychiatrist, ensuring that I told him how I was feeling. My psych suggested I try therapy again, which would be my third attempt and something I had no hope of having help. Not that I'm anti-therapy, quite the contrary, but I'd never been to one that had helped me. They were nice, they listened, they said all the things I would say if someone came to me with similar issues, all things I knew and had told myself already. However, the therapy he suggested was one I'd never heard of, EMDR.

EMDR sounds ridiculous. It really does. Here's how it works: you talk about what's bothering you, therapist waves his/her hand back and forth in front of your face, you focus on hand-waiving, after 20 or so seconds they stop, you then say the first feeling/thought that comes to your mind, repeat. REALLY!? Sounds amazingly silly and not at all productive. Crazy thing is, it works. Now, it's not for everyone, and the science behind it isn't clear yet, but for whatever reason, it seems to help people with PTSD, like myself. 

Prior Information for the Purposes of Reference

Ok, so, time for some back-story...

Between the ages of 12 and 18, I had some rather traumatic mental & physical things happen to me. 

 - 6th Grade: Metal fence post hit me in the head (total accident) & had my appendix removed on Christmas. 

 - 7th Grade: Lost all my friends (no, really, none of them would speak to or be seen with me because I was "too annoying"). Classmates would cheer on days I missed school. The 2 people I invited to my 13th birthday party asked to go home early. Had my face shoved into a rotten banana creme pie. Got suspended for falling down an icy hill.

 - 8th Grade: Pushed down a hill - likely injuring my tailbone. Got suspended for a fight involving 2 other people that I wasn't aware was happening. Got suspended again for asking fellow student to stop petting me. 

 - 9th Grade: Freshman Year was actually pretty awesome though I did get suspended for being throw in the bushes. Apparently I "deserved it" according to the teacher who suspended me.

 - 10th Grade: Became seriously ill out of nowhere, never did figure out how/why/what was wrong - 3 weeks of complete bed-rest, suddenly better, no idea why, never happened again. Received a death threat for standing up for a friend wrongly accused of rape. Had a fellow student throw me down a hallway for yelling in his ear (he picked me up while I was wearing a miniskirt) thus causing the top 3 vertebrae in my neck to compact and landing me in the hospital for 4 days for my 16th birthday. I got in suspended for yelling (cursing I think was the larger problem), the thrower received no repercussions. These things together almost caused me to fail 10th Grade.

 - 11th Grade: Pushed down a flight of stairs (accidentally). Had a chair yanked out from under me causing me to hit my head twice and land twisted - got in trouble for yelling but chair-puller got off scotch-free. Best friend committed suicide (at school) right before Christmas. Expelled illegally 10 days before end of the school year as a political move to convince my father to quit working for our school district. It worked.

 - Summer between 11th and 12th Grades: Traveled to the UK and France, was almost killed twice in 3 weeks. Lost 15 pounds in 3 weeks (going from 110lbs to 95lbs). Got locked in a woolen mill in Edinburgh during the Edinburgh riots. Left Heathrow Airport 20 minutes before it was closed due to a bomb threat. All-in-all, I had an AMAZING time! :D Let it never be said that I dislike adventure, danger, or thrill-seeking.

 - 12th Grade: Expulsion erased, I got to finish Primary & Secondary School with my friends. Attacked by ex-boyfriend the weekend prior to school starting, landing me in the hospital for my first day of Senior year, injured tailbone, kidneys, and bottom 3 vertebrae. Suspended again, but I don't remember what for.

 - Summer between HS ending and first year of college: First job goes terribly, Brother-in-Law dies suddenly in car accident, & best female friend leaves for college across the country, beginning the year from hell.

 - Freshman Year of College:  I get chickenpox (FINALLY), diagnosed with arthritis in my spine, take medical leave from school, brother and his wife split up, live-in boyfriend tries to cheat on me, best male friend leaves for the military on my birthday, worst break-up ever, new roommates all quit their jobs leaving the whole rent to me. BUT... I meet my husband <3 :D thus ending the year from hell.


WHEW! So, there's the rough (truly) back-story of how I got so messed up. During those years, I had no idea it would all stack to create problems. All I saw were individual incidents that I could deal with later. I had a great home life, a supportive family, and pretty amazing friends. Everyone struggles in Jr High, no one escapes High School unscathed, and I didn't feel particularly singled out most of the time. I still have no ill-will toward any students I went to school with. If anything, I have issue with the many adults that failed to make school a safe environment. I also never felt "alone" I knew I wasn't the only person to get picked on, or to have teachers I didn't like, or to have to deal with crappy situations sometimes. I figured all these things were just helping me be a better, more relatable, and understanding person. Unfortunately my sub-conscious did not share the same sentiments.