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Showing posts with label Survival. Show all posts
Showing posts with label Survival. Show all posts

Sunday, September 30, 2012

# 136 - C. diff Danger - Protect Yourself

I am a writer, a blogger, a simple woman. What is it that has been said of blogging? That it is the graffiti of writing? Well, I've probably put out some graffiti in this attempt at what I call "Reality Writing," and my opinions are personal opinions, but my sharing is always a heartfelt effort mingled with a desire to be informative. This week, I have been reading some of Peter Eisler's writings. He is an investigative journalist with USA TODAY, and the recognition he receives for his work is for good reason.

I look forward to reading more of his work, even if it makes my skin crawl...in a good way. I often have to pause while reading his work because each sentence is a powerpunch to the brain...it has to be absorbed with a chill-wiggle before I proceed to the next sentence. You can bet that I'll be following his reports, and I suggest you do the same.

I'm passing this particular topic along because having a broad international readership provides a great spider-web opportunity to help spread information. One little thread of knowledge leads to another, around and round it goes.

Since many support boards and groups read this blog, I am hoping you can do your part to spread the word about this bacteria I have just learned about in one of Peter Eisler's articles. It's called, "C. diff" which is short for Clostridium difficile. This bacteria could be a danger to any of us, especially those of us with known chronic medical conditions. Understanding C. diff might be vital for each of us to have an added edge to avoid this bacteria and the complications it could invite into our body. I say, face the eye-popping truth revealed in the article that I am providing via an attached link. As for me, I cannot turn my back on potentially life-saving research; I must pass it along.

Since I have had my fair share of hospitalizations and have another one fast approaching in November, the information I've recently read on a hardy bacteria called "C. diff" has apparently awakened my brain to new dangers at many different kinds of medical facilities. Yet, it seems that many of these medical facilities do not want to fully address. C. diff as a sinister bacteria making an impact upon their controlled environments. It appears that many medical facilities are learning that C. diff is not so easy to shoo away with the squirt of standard anti-bacterial cleanser.

In Peter Eisler's article, he provides in-depth research to bring awareness about the seriousness of bacterial enemies, such as C. diff, and their wiliness to escape destruction. While reading Mr. Eisler's article, I could only imagine this bacteria to be the foundation for horror sci-fi movies, its ability to cling to the cracks and crannies of hospital equipment and beyond is terrifying. The way this bacteria manifests itself in the human body is no less unthinkable except that is is thinkable. C. diff exists and the realities of it being in a hospital near you is likely.

This bacteria has proven to have deadly consequences. Just as we carefully strive to be dutiful in locking our doors at night to protect ourselves and our families, it would be wise to know what is on the other side of that locked door. And who hasn't had to made an occasional trip to some kind of medical facility? Sooner or later, most of us have to make that trip, dreaded or not. Are you thinking that you are safe because of that hand-sanitizer you carry around? Think again. Do you believe all hospital-strength cleaners and hospital-strength hand-sanitizers installed every 3-5 feet will be your first-line of defense against this bacteria? Think again.

That mop that the maintenance crew is swiping down the hall might not be doing anything but tickling this bacteria.   

For me, Peter Eisler had me thinking, first and foremost, about the disinfectants and cleaners used by many hospitals...once you learn about C. diff bacteria, it is quite amazing to discover many hospital disinfectants currently used are not able to kill this bacteria. Changes in cleaners is a simple administrative decision that could be the start in saving lives. However, for a change to occur, acknowledgement of a problem must first be admitted. Unfortunately, hospitals are like the rest of society after a problem is discovered...too many think that the problem won't hit their doorstep, so the foot-dragging toward change often results in disaster.

More than anything, Peter's investigative reporting demonstrates a direct link between awareness and resulting action.

I suppose there will be many hospitals who will avoid Mr. Eisler's investigative works as if it were the plague itself. Facing it might mean accountability. His article embraces hard-hitting information which would demand an end to blind-bliss that creates lethal ignorance. However, one nurse, one patient, one resident in town can do their part to pass along Mr. Eisler's article to promote change. If questions aren't asked, everyone keeps their mouth shut, cover-ups continue and denials remain in place.

Life has continual lessons, avoiding a problem or pretending it doesn't exist won't work. Only by educating ourselves, confronting the issue and following through with an evolving plan can the problem be erased or minimized.

And the C. diff problem is ALL of our problem because bacteria is not a selective enemy, especially when you look around and believe a medical facility appears sparkly clean. It's hard to imagine that deadly bacteria can still be hiding in the midst of a sterile environment, but C. diff proves that to be the case.

However, I urge my blog readers to digest this informative article while remembering that bacteria knows no boundaries, bacteria does not require a passport to travel. This bacteria is likely to impact whatever country you reside in, and it would be prudent to at least be aware so you can question your hospital about their protocol regarding this bacteria, especially if you are a health care worker.

Regardless, remember that most hospitals are run the same as large corporations with liability as their main concern, so the downplay of C. diff statistics is often conveniently shifted with pass-the-buck techniques in an attempt to keep the bacterial "source unknown" and this gives the excuse for patient stats linked to such bacteria the lack of a papertrail. Why would a hospital want to test their patients for C. diff and take accountability for their contamination when a patient may have just been transferred from another facility already infected? If the already-infected patient is counted as testing positive for such a bacteria as C. diff, then the hospital that did not originally cause the infection might be held to the fire. Of course, this blame game comes with a high price, often paid in full by unsuspecting patients who will become infected because of this contagious bacteria being swept under the rug, so to speak. Just remember, this bacteria will happily live under the rug, it can't be swept away so easily.

Blaming another source as a possible excuse for a patient being exposed to C. diff is an obvious ploy to keep distasteful record-keeping from sticking to name of a medical facility. However, this is one problem that proves that denial is not a viable option. C. diff causes deaths that are hard to explain.

Would it really matter where the original source of contamination came from if all medical facilities were required to keep their own records to reflect each and every patient that has tested positive for such bacteria infections? Perhaps strict record-keeping protocol would lead to a better understanding of which facilities have the bacteria invasion under control and which ones need to get a handle on such serious problems.

Peter has shown that some hospitals do indeed record each and every patient diagnosed with such bacterial infections, regardless of the possible original source of contamination...simply keeping record of the number of infected individuals in their facility is giving power to the movement toward controlling contamination. It is refreshing to see some hospitals at least taking ownership for patient stats regarding this bacteria and others, while still acknowledging that the original exposure to the bacteria might have come from another facility.

Read the article and let me know what you think. I know some of you prefer to email, but just know that I am often slow to open my emails. I am very confident that Peter Eisler's work will make a positive difference in the world because his writing has brought focus to a bacteria that is apparently not as insignificant as liability-protecting entities would have us believe.

Title:
Far more could be done to stop the deadly bacteria C. diff
Author:
By Peter Eisler, USA TODAY
Publication:
USA TODAY
Publisher:
USA TODAY
Date:
Aug 15, 2012

Learn more about C. diff, spread the word, click on the link below and arm yourself with the power of knowledge.

http://usatoday30.usatoday.com/news/health/story/2012-08-16/deadly-bacteria-hospital-infections/57079514/1

Wednesday, September 26, 2012

# 135 - Being Steamrolled

To be "steamrolled" is defined by the wide-web's Urban Dictionary as to be wiped out very quickly without any pause in the attack and to face rapid or continuous destruction.

Sometimes we can feel as if life is steamrolling us.

Life is full of challenges. I am going through several simultaneously. Isn't that the way it goes sometimes? Yes, I'm stuck in a place of feeling as if I am being steamrolled. Of course, it would be easier to deal with certain things if there were more time in between each event, but all of it is rather jam-packed into the same time-frame, and that's how it is going for me these days. I come up for air every chance I get.

Regardless, I will keep moving forward while knowing that dark days will soon give way to light. I'm an eternal optimist, so I know things will end up better than ever, as long as I hang in there.

One problem I've been encountering is serious nose bleeds. In the past 24 hours alone, I have been battling nose bleeds that make my surroundings look like a crime scene. I will be completely unsuspecting, perhaps reading a book, and all of a sudden I will feel a warm trickle going down my face. My nosebleeds are so serious that I have to cup my hands to catch the flowing blood and run to the sink. Usually, it stops as fast as it began. My nose is free of any sores or irritation, the blood is coming from higher...from somewhere that is obviously under pressure and needing release.

I was supposed to get an MRI of the brain this past summer, but I never went. Actually, the diagnostic imaging place was constantly back-logged and having trouble fitting me into the schedule, then I let life get in the way. Anyway, I think it's time to get it done.

Last night, as I laid in bed, sound asleep, I woke up with my throat full of blood and I reached my hand to my face, in the dark, and felt the warm wet sensation. Are you serious? Well, that my was first thought in frustration. In my sleep? This is ridiculous!

In a hurry, I turned on my nightlight to find my hand covered in blood. Fortunately, I had my tissue close by and was able to catch the blood as my head tilted forward off the pillow. I realized that this can't keep happening. Something is going on. Plus, the wobbly head sensation I've been having lately sure doesn't put me at ease. But, I have so many other things going on that it's hard to tackle each separate problem, which makes it overwhelming to decide which area to focus on first. Then, I remember to keep taking step after step, working to slowly diminish my list of problems with special attention to the most immediate issues.

I tried to think of what I have done differently to perhaps cause these nosebleeds --- all I can think of is that I've over-done it in the house this week to get it ready for showings, trying to get it sold. Today, I am forcing myself to stay in bed. If a vessel is under pressure, I'm giving it a break today.

On top of this most recent problem and is reoccuring and demanding my immediate attention, I have been forced to face the fact that I'm about to be admitted into the hospital, and if you are a regular reader, you KNOW how much I detest being in the hospital, for anything.

For the family members who do their part to stay in touch with me and who are interested in me as well as me being interested in them, they know that I have a hospital admission already planned for the first week of November. My doctor wanted to admit me next week, but I refused because my daughter is getting married in about two weeks. I don't want to take the chance on having something go wrong and me end up not being able to walk out of that hospital and be well enough to attend the wedding. I won't chance it. So, I asked him to push it back. Of course, he thinks I'm nuts, but it's not every day that your daughter is getting married. Also, I don't want to have anything done until she's returned from her honeymoon; if something were to go wrong, the last thing I would want is for my daughter to have her honeymoon tainted by a dreaded phone call.

If I have a choice in the matter, I will put myself on hold until after the wedding excitement and honeymoon is over. It might be the wrong choice, I realize that, but for me, it's the right choice for the time.

This wedding is more important to me than I can express. Even though I am struggling, I am determined to be present and without additional worries for this wedding. Afterward, I can be admitted to the hospital and hope everything goes well. Perhaps it will all go so well that I'll be able to breeze through everything and come right back home, but my doctor is taking extra precautions. If it doesn't go well, I won't have the added stress and pressure of feeling as if my situation is causing my kids heartache during a time of expected joy.

My sister knows of my hospital admission date and she will be by my side to make any decision necessary. My youngest daughter might be available as well and she'd be my first choice for necessary decisions regarding my health, if I happen to be knocked out and needing representation. My doctor has made it clear that I need to make sure that arrangements are made for a person to be able to act on my behalf, so I am ready. I'm doing my part. However, my youngest daughter is going through her own problems and so my sister is ready to step in and be the one to help, if needed.

For now, I am concerned that my nosebleeds might interfere with the anesthesia that I will be receiving while in the hospital. Even if I am knocked out, just like last night, a nosebleed might start and I am concerned that no one would know about it until I am in distress, especially because of the amount of blood that is involved. All I can do is make them hyper-aware of this potential problem and hope they stay alert enough to handle it, if it should happen at the most inopportune moment.

As for my hospitalization and upcoming procedures, this is following an amazing Baylor doctor taking my previous CTScans from this past June, scans of my abdomen, and he ordered a second-opinion radiology report. I'm glad he did because it cleared up some wrong assumptions by the first radiologist, but also revealed some definite issues that need to be explored further. Last week, this doctor called me directly. I can tell you that when a doctor is picking up the phone to call you on their own to discuss your radiology report and upcoming procedures and telling you that he hand-picked your surgeon, you know you better listen closely.

I got the call last week as I was heading to mediation for a lawsuit involving our house that had been destroyed by Hurricane Ike in 2008. Turns out, we had hired schemers who we were led to believe were Public Adjusters, so now I am dealing with that on top of everything else, plus a marriage that is disintegrating with threats to take away the things that mean the most to me. First, there are threats of doing what he can to prevent me from attending my daughter's wedding and next are threats to do his best to keep me from getting our acreage as part of the divorce, even though he doesn't want it, he wants to take steps to keep me from having it as well.

Then, to know that my youngest daughter is dealing with her own health issues and I cannot even make the trip to be with her during this time is pure agony.

Things seem to be pouring down, but I keep my faith and know that all of this external chaos cannot touch the peaceful joy within me that is still breathing and looking forward to better days.

I've been around the block enough times to know that better days are usually ahead, so it's good to never give up. Never!

It is regretful that so much is happening at once, but there is great joy mixed in the middle of it all...my daughter getting married is something that I have to cling to as other areas are a struggle. Getting to see her be married is one of my greatest delights, even though there is someone who would love to yank that possibility away from me. I've never had that kind of hateful thinking, so it's hard for me to understand. However, I will not let their sinister intentions interfere with my capacity to still experience joy in the middle of heartache.

I've already been able to make it past massive hurdles, so these in front of me are of little consequence to what I've already faced and conquered. In fact, a few of these hurdles in front of me now will soon be behind me and never able to present itself as a problem again.

Even though I am not looking forward to a hospital admission and am feeling a bit nervous about all that I will be facing, I am glad to be given the chance to get the worries of any potential problems behind me...the doctors will handle anything they see and I am hoping their expertise will only contribute to my increasing good health.

As for today, I better get back on top of that MRI of the brain that I was supposed to have so long ago. The nosebleeds are here with a vengeance and I don't want to go through more days of having to rush around trying to handle an internal busted pipe that is creating a mess. I hope it is simply a vessel irritated and that the irritation is not a chain reaction of something else --- I always opt for the most simple explanation!

For those of you out there who are facing your own hurdles that seem to be piling up on you, remember that you can get past all of them by facing them straight on and just doing what you can, day by day, to make a dent into the situation. It might be too overwhelming to deal with it all at one time or it might not be possible, but set your eyes beyond the hurdle, to the time when it will eventually be a part of your past. New hurdles will always come and that's why it is good to handle them as soon as you can, to prevent the pile-up. If I had done the brain MRI when it was ordered, I would have one less pile on my plate to scrape clean. As it is, I will do my best to do some catching up and to even get ahead of the game so I can be more prepared to enjoy each good day to the fullest.

And for good news, as I close out this post that is taking me FOREVER to write...I just got a confirmation that my brain MRI is scheduled early tomorrow morning, so that part will soon be finished and might help to find the source of these serious nosebleeds that catch me completely off guard. I'm taking my steps, bit by bit, to pass more hurdles!

I am wishing all of you the blessing of contentment with spurts of joy that will be so strong as to overshadow all else. To me, that is the best that life can give us.

This past Sunday, on my way to a memorial for
an old friend. Treasure life while you can!

Monday, September 3, 2012

# 131 - West Nile Virus - Getting Serious

I am a Texas resident and there have been several huge reports over the past few weeks of people contracting the West Nile Virus from mosquitoes. In fact, several people have died. I believe the first two people to die a couple of weeks ago were in the Dallas area, near where my oldest daughter, Heather, lives.

It is difficult to put this in the back of your mind when it is coming on the news constantly. I do not get overly concerned about many news stories because of sensationalism, but I know this virus is a real threat. I now hear the mosquito trucks racing down our street most every night and that is a reason to be concerned because our area rarely has the mosquito trucks running. I guess the virus is spreading so much that each city is in desperation mode to not have an outbreak linked to their city-name.

However, it became more difficult to live normal, as usual, when I catch a government-promoted commercial that was aired this evening, filmed with David Lakey, M.D., the Texas Commissioner of Health as the featured speaker. The title next to his head on the screen is, "West Nile Virus: Protect Yourself."

Dr. Lakey starts out by saying, "The West Nile Virus is threatening Texas, but you can protect yourself."

The commercial goes on to list a number of four "easy tips: to protect yourself from contracting this virus that is transmitted via a mosquito bite:

1. Always use insect repellent.
2. Wear long sleeves and pants outside
3. Stay indoors at dawn and dusk
4. Drain standing water (they show a tire in the yard being lifted so water can be drained)

The commissioner then says, "These tips are your best defense. People older than fifty or with underlying health problems are most at risk for getting ill from the virus."

Finally, he gives a suggestion to "learn more about the West Nile Virus at TXWestNile.org," which has the website also displayed on the screen. Then, the commercial comes to a close.

After seeing this commercial, I am starting to realize that this virus is much more serious than I had been thinking; it seems to have spread so much that the state government is intervening. If any of you have worked for the government, you kind of know that this is a sign that things are probably going much worse than the general public realizes.

I do admire the Commissioner for speaking straight-forward and no one can say he did not try to warn Texans to protect themselves. However, we just left the month of August by a couple of days and it's a pain to keep spraying insect repellent on your body after you just stepped out of the shower with clean skin and the suggestion to wear long sleeves and pants when outside is something few Texans will consider. At this time of year...most are wearing cool clothes so they do not suffer a heat-stroke. So, I think #2 on the list will be most difficult to convince people to do.

As for #3 with staying indoors at dawn and dusk, I am doing that already. However, I do step outside early in the morning to feed the chickens, so I guess I should put a can of insect repellent at the door and spray a quick burst of mosquito repellent on me before heading outdoors to spread chicken feed. Since I rarely go out at dusk, this one is covered for me, but for so many others, they are enjoying their evenings out without thinking about becoming seriously ill from this virus.

Regardless, this commercial has been a wake-up call.

As of August 30th, in Houston and Harris County combined, there have been 30 confirmed West Nile Virus cases and three deaths. The news says to wear a product with DEET as it is more effective in preventing mosquito bites. I believe the overall death toll for the West Nile Virus, as of just a couple of weeks ago, had reached approximately 17 people...I don't know exact stats, but for my metropolitan area, for there to be three deaths and then two that I know of in the Dallas area, it appears to be making its round. Supposedly, this is becoming widespread more quickly than anticipated.

I will do my best to protect myself and hope that I can convince my daughters to be wise and heed the warnings of the state commissioner for this health issue. It would be better to be safe than sorry.


Monday, August 27, 2012

# 130 - Life Ripples

Throughout the past decade and beyond, there have been times in my life when I have been forced to accept the help of others on a level I never dreamed I would need while still so young, in my early thirties. In 2001, after my diagnosis of Addison's disease that came after a serious decline, there was a time frame when I needed others to help with almost every aspect of my life.

There was a period of time when I could not drive, could not cook, could not clean, could hardly walk, could not do my children's laundry...my body had become so depleted of cortisol that it was crashing and my blood pressure remained so low as to barely sustain life. Without a diagnosis, I did not have the medications necessary to treat this life-threatening condition. In fact, I went so long without diagnosis or treatment that my organs began to fail. Going from doctor to doctor did not help because they thought I appeared healthy and strong, but my vitals definitely showed multiple issues that continually remained charted as "chronic low blood pressure," and "fever of unknown origin," and "sodium deficiency," and "potassium deficiency." In those days, as my condition remained a mystery, my body functions deteriorated so far that I could barely move without losing consciousness. Then, I began to experience Code Blue situations. Of course, at the time, I did not know they were Code Blue moments, but I soon learned the awful truth of my situation.

I dreaded going to sleep because too many times I would awaken without the ability to breathe...my lungs would somehow be paralyzed and without air. I remember awakening in a panic after realizing I could not breathe, as if someone had control of a switch for air in the room and it had been flipped to "no air." I could not gasp a saving breath. My body would convulse in an attempt to force my lungs to start heaving in and out, yet nothing would happen. Somehow, I would manage to get to my feet or I would collapse on my knees at my bedside floor with my hands clawing at my throat as I went through terror magnified by the inability to yell for help. I could not breathe...How could I ask for help?

Needing help and not being able to ask for it is one of the most pitiful situations we can experience in life...if I had been teetering on a cliff edge, I would have felt better than gasping for air as my husband slept soundly. Sometimes, I would start pounding the bed to wake him up, other times, he woke me with a sense of urgency after he realized I had stopped breathing for an extended period of time. But, during those dark times of having air kept from me, I would often nearly reach the point of passing out and my burning lungs would suddenly come back to life, opening for a raspy gulp of air.

Unfortunately, as my body went into a constant state of Addisonian Crisis due to constant misdiagnoses, this became my nightly scene. Sometimes this would occur multiple times per night. Eventually, I became terrified to fall asleep because I knew my body would fall into a state of deep sleep and the combination slumber with serious illness of my adrenal system meant normal functions would no longer be sustainable. However, with nearly non-existent blood pressure and depleted cortisol, I often had to fight to stay conscious during daylight hours.

Finally, the diagnosis came, after another Code Blue experience while in the hospital. My monitored symptoms set off alarms at my side, on the floor, and prompted a booming voice over the cardio-floor intercom to send medical staff scurrying into my room. However, I immediately realized that this body experience was similar to those that I had been having at home for weeks, without medical intervention. I do not know how I pulled out of those codes so often on my own, but my body was obviously not ready to submit to full shut-down mode. The way I see it, during that awful time in my life, my body was sputtering.

Back home, after my diagnosis, I learned that my "recovery" process would be painstakingly long and with alternating good and bad days. Most often, I would need some kind of assistance. The disappointment at not being able to bounce back, as if I had just recovered from the common cold, had been devastating.

I still felt like jello very much of the time; my vision and reflexes were not yet reliable enough to do the simplest of things, such as driving my children to school. Thanks to several of my friends and my mother, my youngest would have daily rides to and from school. Stefie didn't have the option to take a bus because the school was approximately 5-6 blocks away. This presented us with a stressful dilemma during stormy weather or on days when she was dragging from the incredible stress at home. Since she was still in elementary school, it bothered me to my core that she did not have a mom available to take her to school and to pick her up. At the Junior High level, my oldest daughter, Heather, had a bus available every day. Her bus stopped at only three houses down from our own, so Heather had reliable rides to and from school during this volatile time of never knowing whether I would be home or in the hospital from day to day. 

My eyes are closed, as was often the case for photos
and my youngest, Stefie, also has very sensitive eyes
that really NEED the courtesy countdown before the click!
But, this picture is to show the approximate time-frame
as the kids were close to this age when I became very ill
with undiagnosed Addison's disease, for too long.

My oldest daughter, Heather, was in Junior High, at a pivotal time in her life. The way I reached out to her during my physically weakest moments was to have her come into my room, to lay with me and just talk. We did talk...about school, projects, friends, boys and boys and boys. Still, she kept a careful, guarded eye on all that was happening, she did not trust her life to remain stable because she had seen things crumble too fast. Teenage girls are already in a rough spot when things are going great at home, a teenage girl is always in the middle of some personal crisis, they do not need to have a home-life disintegrating. Heather went through phases of rebellion at the world's mistreatment, but she discovered that her mother would still be her mother, whether in good health or in suffering health. She still had a mother; it did not take long for Heather to learn to handle the hardships with grace; she grew up fast while figuring out how to grab hold of a good moment and make it last.

As my auto-pilot was failing, my husband's was coming to life. Even though he moved through the day with exhausting numbness for so long, he held the family together when I could not do anything as simple as carry a feather duster. The main parts, he held together. For his kids, he morphed into a man who began to be present for his family in a different way. Even though my complete downturn didn't last for long periods of time, they caused enough upheaval to create major changes in our family dynamics.

For all of us, life changed.

My health struggles were powerful and they created a ripple effect reaching out to those closest to me. Surprisingly, those ripples would also impact outsiders who were remotely attached to our lives. I learned that every life creates a ripple effect.

One of my helpers during this time had been my best-friend. She would cook full four-course meals for my family. Kelly would come over and clean my house. During my days of being healthy, I usually walked around the house with a dust-rag in hand, things stayed clean, but when I became dependent, I could not even wipe the dust off the surfaces in my house. After I became very ill and mostly bed-ridden, I would see dust floating in the light beams filtering through my bedroom windows and those floating specks seemed to taunt me. Dusting the house...this chore had seemed so simple, it required minimal effort, even if it was boring and tedious, I always did a great job of keeping it done. But, lying in bed, unable to walk around with freewill means that the dust piles up. Day after day, the dust increased and reminded me that life was moving forward while I was forced to lay there and watch it whirl around me.

Me and my best-friend, Kelly. This photo was taken a few months ago
and I am so grateful to have a friend like her in my life.

I laid in bed and would stare at the dust on the television, on the bedroom furniture, on the picture frames...things in our lives were literally falling apart and dust was collecting. Life felt reduced...as if I were being entwined with the increasing dust in my life.

Isn't the term "dust to dust" for good reason? Was I also slowly becoming nothing but dust?

I knew in those moments of staring at the dust that I didn't have the energy or the good health to tackle something so insignificant. Watching my surfaces become coated became indicative of how serious our situation had become with my decline. The little things, all the motions taken forgranted, I mourned their loss. I could only imagine when I would be able to walk around without a care in the world as my body cooperated again to allow me to do menial things such as wipe off a bookshelf or sweep the floor.

I laid there, not being able to communicate my inner sufferings to match my outer failing; I knew things in my world would never be the same again.

Fast-forward nearly ten years to the time I discovered my neck had collapsed and that I had a spinal cord impingement so severe that it caused a spinal cord injury in the form of a large lesion across my C2 section of cord. My hands were numb; my feet were numb; I lost fine-motor detail ability...could not pick up a penny off the counter. I dropped things constantly because I thought the object was in my grasp, but I somehow lost the ability to control that grasp. My feet and legs were not moving to my brain automatically ordering them to do so...I would look down at my legs in complete confusion because they would not move forward to take the steps I was expecting. Everything felt detached. Were these body parts really mine?

Surgery would be brutal. Double-sided cervical spine reconstruction would be necessary with three vertebrae rebuilt using cadaver bone and large metal plates put in front at my neck area and in the back of my neck area, both plates were screwed into place with large screws and bolts coming from front and back to stabilize my neck. This was literally a life-saving surgery. Before surgery, with the spinal cord injury had come moments when my breathing would stop and start, as if my lungs were not functioning properly, kind of like a mechanical failure. Regardless, that old horror of not being able to breathe revisited me in a different manner...simply because that part of the spinal cord controls our breathing function. As my surgeon told me, if my neck collapsed any further onto the spinal cord, I'd stop breathing and it would be the end.

After this surgery, I was faced yet another long, painful recovery. I would need help for many of my daily functions. Granted, I am one determined woman and did many things on my own, even after surgery, but the swelling in my neck from being cut open at front and back would become so dangerous as to not allow saliva to be swallowed. If I moved around too much, the swelling would get worse and I would almost suffocate from the minimal room I had for air to get through and my tongue was swollen and grotesquely discolored after surgery. I do not know if this was from an intubation injury or from the spinal cord injury itself, but it did not help matters in the least. I had a hand-full of problems on my plate after surgery, such as the staple left in my head from the halo that had been attached to my skull during surgery so they could flip my body from back to front for the double-sided surgery and keep my neck stabilized for the change in positions. The staple remained in my head for weeks, even as I tried to remove it myself with the staple-remover from my desk drawer and when that didn't work, I pled with my husband and daughter to just yank it out. Both refused to touch it. After surgery, I had been sent home with the staple still attached to the temple area of my scalp, my blood soaked hair could not be fully washed while in the hospital due to the staff not wanting to take a chance on moving my surgically reattached spine, so the staple became my nagging buddy for a while. Into the bone the staple set deep and could not be budged.


Several weeks after surgery and I am FINALLY getting
the staples removed from my head and from the incision at
the back of my neck. I am scared, but it is such a relief to get
the staple out of my skull as my hair-brush kept catching on it.
The incision at the front of my neck is also healing nicely.

Accepting help with preparing my food, refilling my drinks, helping me to shower, to change clothes...all of it became necessary. My strong will and sense of independence meant nothing, it was left unfulfilled and floundering. A walk to the kitchen became a 500 mile marathon in the desert. Finally, I reached the point of being able to walk with my tray that held my plate and I would take it back to the kitchen, carefully balancing each step along the way since I did not have the ability to look down or sideways; I would set the tray down on the kitchen counter and have to leave it there. I could not stand upward long enough to do more than that little walk and the tray felt like a fifty pound weight that put pressure on my swollen upper spine to create pain and more swelling that I did not need.

I soon learned the swelling in my neck would be a battle that I would face for a long time...it did ease a bit, but the swelling then morphed into making my arms and hands go numb again. This probably lasted for a year after surgery. Spine reconstruction at this level is not for sissies, but even if you are a sissy and you require this surgery, you do not have much of a choice. The choice is, have the spinal reconstruction surgery or live for only a short time longer, until you become paralyzed from the neck downward with the inability to breathe on your own. After surgery, if I did too much, which was absolutely minimal movement, I would find myself with limbs that felt detached and as if hundreds of ants were crawling all over me, the same as before the surgery, and this was terrifying.

Regardless, approximately two weeks after my spinal reconstruction, my youngest daughter, Stefie, drove me to one of my business closings because I had an obligation and was determined to meet it. I put on my best clothes, with my daughter's assistance, and I went into that closing with my huge plastic neck brace around me, yet I tried to play it off by saying, "...it looks much worse than it really is." They did not look convinced. In reality, I felt humiliated at appearing weak, so I worked very hard to look "normal." With my purple, swollen tongue, this was quite an amazing feat to try to mask my condition. My clients happened to be a pastor and his wife of a local church; I will never forget their expressions and pleas that I just go home. But no, I stayed and did my job. I paid for it heavily once I was back at home, but I did my job. There would be more moments like this due to the obstinate side of my personality.

Often, I felt as if my family members were frustrated by me doing too much, but it also seemed they were conflicted within themselves because they also wanted me to get back to normal right away. All of us were struggling. All of us wanted our old idea of "normal" back, but it was long gone. Often, I would feel sad because everyone would leave for their day...just knowing that they had the luxury to be able to leave for a few hours of normal life while I was stuck inside of abnormal, well, it sometimes hurt. Those were hard moments in the beginning, but I also realized that each of us will have our own turn at being the one stuck in the body that isn't cooperating and we cannot expect others to walk in our shoes, so I let go of that feeling rather quickly, but it was powerful at the time it hit me.

However, my husband would take care every morning to provide me with at least two drinks at my bedside table...tea and water. He would put food next to the drinks and would take time to prepare quick-grab items at the ready in the fridge. My daughter would come in to see me before leaving for school and she'd make sure I had everything I needed before she headed out the door. I feel most regretful of this time because I know Stefie struggled deeply with not wanting to leave for school; she was terrified that her absence would equal my demise. However, I learned long ago, during my Code Blue moments, that the body would keep going for as long as it chose to keep going, but once it decides to stop, it has just as much power to quit as it does to continue. Stefie had not yet realized that she did not have ultimate control over my outcome on the level she imagined with a child-like quality...as if she were here and present, she might be able to ward off the worst case scenario. Yes, she might help me tremendously, but if the worst were to occur, the truth was, I did not want her home to witness it or to feel responsible for responding to an emergency situation.

My grandmother came to my house and stayed for a couple of weeks to help me during my recovery after the spine surgery. She was incredible. We are very close; she would sit behind me and even though I had on my cumbersome neck brace, she would lift the back of my shirt and gently rub my back and shoulders with such affection, as if she were trying to erase the pain. She gently took a washcloth and rubbed away as much of the iodine on my skin as she could. She succeeded in making me feel better. Her nurturing touch helped to relax my tense, enclosed, chopped up muscles. Throughout the day, she would quietly come into my room and we would lie on my bed together, she took great care to move with painstaking slowness so the bed would not move. Even though I could not talk much due to swelling issues, she would say, "I know you can't respond by talking much and you certainly can't nod your head, just blink and it will be the same as regular conversation between us."

That is love.

Me and my grandmother.

In truth, I was surrounded by people who wanted to help, but many did not know what to do. Many people and churches prayed for me, I remained on several prayer lists for a long time. Not to make an excuse to not visit someone who is ailing, but sometimes it is best to leave the person alone so they can heal. However, I now know that someone who is sick can hugely benefit from a person looking around and seeing what needs to be done without invading the person's privacy. A person like myself will put up a fight to keep from being helped, but I must say, all those years ago, after my Addison's diagnosis, my friend coming over to wipe away the dust that tortured me had been a gift beyond her understanding.

For others, it might be helpful do do such things as preparing easy to heat up food, cleaning house, running errands to get groceries, helping with laundry, cleaning the bathroom, taking the kids to the park or getting them school supplies or their favorite food to have in the kitchen, changing the bedding...just dusting the furniture...it all adds up and is meaningful.

I am thankful for those who came to visit, and I appreciate those who brought in their gentleness and their smiles. I appreciated those who didn't ask me how I was doing while seeing me in such an awful state that was pretty evident of how I was feeling. I appreciate those who still felt compelled to ask how I was doing because I knew they were struggling with what to say, but they still came. And, I appreciate those who knew that my silence and withdrawal was nothing personal against them, but it was necessary for me due to the lengthy healing requirements of my bodily structure and of my mind.

To my family, I thank you for putting up with the potentially hundreds of trays with plates of dried-up food left on them in the kitchen during the time I could not do more than leave it there for someone else to handle. It was not an easy journey during this time to make that trek to the kitchen and back, but I am walking around near normal today because of the help I received back then. I am still lack fine motor capabilities in my hands and fingers, sometimes they cause me infinite frustration at their uncontrollable nerve-jumping that makes a rogue finger tap the wrong keys while typing, but they obey me on a level that is good enough for an outsider to never know there is a problem.

In fact, I have again decided to start sketching...I am a former art major of Visual Arts and Design for studies in Humanities, but I have not done a sketch in years. Years of studies at the university brought me untold joy, but the spinal cord injury put a long halt to all of my greatest joys...piano playing, art, and my growing love for embroidery, but I am starting back with these things and I just gave my youngest my first real sketch since my cervical spine reconstruction...I gave it to her this past Friday for her 22nd birthday. I hope she knows how much it means to me to be able to give that gift to her, it also represents a "thank you" for all she has sacrificed for me.


While sketching, it is painfully obvious to me that my nerve conductions are still a bit abnormal because my fingers are often difficult to control during precise movements necessary to finish a sketch. This makes sketching details, such as the eyes, a great feat. Before recently, I am sad to admit that I had been trying to avoid doing too many things that would put those harsh reminders directly into my path. But, I have gone through another phase of confronting changes in my body. For me, this has been liberating. Sketching reminds me that such detailed work for my particular situation is much more challenging than it had been during my pre-spine-surgery days, but I am moving forward. I can now finally understand the reason painting had become a stressful event...paint is more unforgiving than graphite and charcoal which can be reworked with the help of an eraser. Still, as I start to sketch again, I get into the zone of sketching as I listen to music and can almost forget about my problems, but then, that finger jerks out of control and sends the pencil in a shocking motion...I have to stop, take a deep breath and start erasing.

Sketching does put me in the line of fire with being frequently interrupted by uncooperative body movements, but I also know, with awe, that I am glued together with bits and parts that will never duplicate the real deal, but I simply keep the eraser nearby and clean up the pencil scratches caused by occasional involuntary jerking movements. Maybe the longer I keep at it, the less inclined I will feel like screaming in frustration when the charcoal pencil jumps and makes a mark I didn't ask for across the page. It's a good lesson, another step for me to take toward accepting my situation and doing all that I can with what I am given. I am so grateful that at least I can draw, and I can erase.

I'm amazed at what I am capable of doing after all that I have been through...my body is held together by parts from donors, by the engineering of man and by the surgical genius of a beautiful neuro-spine doctor. I marvel at the ability to open and close my fingers and to take a step up a staircase. It is amazing to be confident that my brain can send a message to lift a leg and it will obey the auto-order for movement. I know how much these abilities mean because I grew up with a mother who had a left paralyzed arm and a right paralyzed leg. I already understood the loss of these functions in a way that a lot of people don't because I grew up in a household ran by a mother who had experienced a loss of those limbs at age five from Polio, so I could not believe that my broken neck was going to rip my ability to enjoy motion away from me, only three years after losing my mother to cancer. I guess, in a way, it is good she was not around to see my struggle with my spinal cord injury and broken neck because it probably would have been unbearable for her to witness. Even though I missed her presence during my greatest moment of need, I am grateful because I know the main part of my healing took place because I did indeed have loving people caring for me and helping me during my worst moments, the best way they could help.

In many ways, I am still healing. Many people who have gone through huge challenges in life do understand that there is more to healing than just the scar that is an evident reminder of their health hurdles...those scars often stand for deeper hurts and deeper wounds and more severe consequences that might never completely heal or never be sealed closed.

I think back over what has been given to me in the minutes and seconds of my life here on earth and it is good that I had been blessed to be prepped early in life to be a giver and a helper. I can see that growing up with a mother who was a semi-hemi-pelagic from contracting the Polio virus as a child did prepare me for the battles ahead in life. Little did I know that by watching her overcome major obstacles, I would learn to do the same for myself.

Sadly, I also know that some people cannot receive help, even grudgingly, because they are angry at needing help. Instead of allowing people to be their helper, it is easier for them to make the helper their enemy, as if the person helping is causing their problems and created their troubles.

During the past decade of my life, I have become aware of this receiving end of getting help and have learned what it means to receive help graciously. "Needing Help" is like an address to me, it is not a place I want to visit and it is probably a place you would love to avoid as well, but when I am there, whether for a short visit or for the long-haul, I have found that it is better to plant some flowers while there instead of spreading weeds. In other words...be part of the beautiful scenery of "Needing Help." Choose to add to the delightful part of being in that place instead of using the lay-over as an excuse to spread ugliness. And no, I am not saying to pretend that you enjoy the loss of independence, but I am saying to try to make the best of it. For the harsh truth is...What is the alternative?

For those who care about you, they realize that the adjustment after landing in that place of "Needing Help" will create upheaval, but do not become the person who cannot see the garden of beautiful moments because you forgot your sunglasses! I am trying to put it nicely...ADAPT. When you feel trapped in that place of "Needing Help," reach for the sunglasses, help to remove the weeds, and search for the beauty while you are there because you might leave that place with an understanding about life that can only be learned while you are visiting. Indeed, I had to do some digging to search for the beauty during times of great suffering and needing help out of the good graces from others, but there is beauty in all things, if only you search for it. It might only be a speck, but it is there for the taking. I am thankful that my visits to "Needing Help" have taught me a lot about life and about people, there is so much for me to share in this area, but I am already full with emotion from putting these few things down to share with you today.

I have faced the fact that the people I love might not be there for me at every turn in the road. Even though our lives intersect with those we love, we each have our own life to live and our own paths to take. In moments of being alone with my failing body during those hard times, I realized that my family might not be there for me during my greatest moment of need, such as when I am gasping for air and can find none. I learned that we can each be in the same room, yet in separate worlds. That was a hard lesson for me to accept. My traditional Kumbaya ideals had to get a reality tweak. In the same token, I had to admit that I will also not always be able to be there for my loved ones at every moment they need me, and this is a part of life that we all seem to grapple with, sooner or later, knowing we are put to some tests on our own. But, I will always feel that to do our best to help each other out, here and there, as much as we can, well, that is a great gift to share with others, indeed.

I am grateful to have given help to others and to have received help from family, friends and strangers alike. For that is the essence of life, to be here for each other and to give something of ourselves as a gift to others. From simple actions such as an encouraging word to cleaning someone's house that is unable to do it themselves, there is a way to reach out.

A wonderful part of life is that we can still try to help others while suffering through our own hardships...this helps keep us grounded and prevents complete selfish behavior. Granted, there were times when I could barely utter a word, but I could still give a loved one a smile. Our past struggles, of all kinds, should not be erased because those moments are the ones filled with substance and grit, those moments make us the person we are today and the hardships we have faced and overcome or that we continue to face should not be overlooked. Each step through my pain and suffering has made me the person I am today...the woman who continually tries to build a good life. A good life is always available, in the midst of suffering, it is still present, it is just harder to acknowledge. But, it is there, you have to work harder for the good moments, but once you reach them and grasp them, they are sweeter and more precious than an easy-to-come-by good moment that you once took forgranted.

Yes, I have beautiful, wonderful moments. If they do not come to me, I go out and find them. I will not give up the search for meaning in all kinds of experiences, good and bad. Finding meaning gives you reason to keep going. Do not quit searching for meaning in all things...it may be the life-fuel you need to keep going for just a little while longer and to continue sending out your ripples.

Friday, August 10, 2012

# 129 - Scars and Hurdles

One of the side effects of having Addison's disease is to have severe abdominal pain. In my case, that has been one of my hallmark Addisonian issues since my diagnosis in 2001.

For those of you who are regular readers, you might know that my gall bladder suddenly died in 2009 which led to a series of abdominal surgeries that were not pleasant. I laid in my master-bedroom with a dying gall-bladder and extremely ill because, at first, I could not tell that it was different from regular Addison attacks. However, within 24 hours, I was telling my household that I KNEW something wasn't right. This was a hospital trip I dreaded, and one problem seemed to boomerang into the next, from the gall-bladder onward, for the next several months. And here I am now, with severe abdominal pains that have steadily increased over this past year and another go-round with already knowing something isn't right.

This summer I had a CTScan that showed several potentially serious issues and today I finally met with a very experienced gastroenterologist with Baylor. Thankfully, he wants to try to keep me out of the hospital --- which I cannot express enough to others how much I detest being in the hospital --- I am beyond grateful to him for this concession. However, he spoke very plainly and straight-forward to me today about the high risks involved for the colonoscopy and endoscopy he wants to do as soon as possible. There are things he can't see unless he performs these tests. And he said he needs to get in there and take a close look around, from top to bottom, literally. At least I have my humor intact!


Any time you've had abdominal surgery to the extent I've had, you run the risk of scar tissue being a problem for these tests. Due to the nature of my past three abdominal surgeries, he said that I'm at a high-risk for perforation during the procedure. He told me he'd avoid it as much as possible, but that I am definitely high-risk for this to occur and there's no way around it, other than to not get this test and go for a barium enema-style test they did 30 years ago. However, with Addison's that will present its own set of problems. Plus, he can do the colonoscopy and endocscopy under the same anesthesia. I just asked him to please use different equipment for each end!

Anyway, he was a straight-shooter and said that I needed to be very clear that since perforation is such a high-risk for me that I needed to know, if that happened, it would require immediate, emergency surgery. He said that the surgeon he is selecting will be vital because this is when experience is key to knowing when to not keep pushing the scope against resistance.

In fact, he gave me his typed paperwork upon the end of the appointment that said in writing, "Best to try to have endoscopy and colonoscopy exams with anesthesia but not certain if exam can be completed due to surgeries, increased risk of perforation and incomplete exam."

Yes, I understand. Clearly. I'm not jumping up and down, but I get it.

After giving an old-fashioned exam of the abdominal area with probing hands that could probably feel a question-mark easily, he brought in one of those "prepping" packages for a colonoscopy, which I cringed at seeing. AUGH! If you've never done one of these, don't let it stop you from having a colonoscopy, but I will admit, it's not a beautiful experience! With Addison's disease and the problems I have abdominally, he gave me two days of additional instructions for prepping, but it's been so many years since I've had one of these tests that I'm already dreading it.

It's good that I brought it a CD copy of my CTScan along with a report because he read the report and said there was a big problem with it. This is another area when an experienced doctor can be hugely beneficial. He said there was no way the dictation on the report was transcribed correctly. So, he has sent off my CTScan CD to another radiologist for a new transcription and correct report and he put this in writing to me as well. This doctor was one thorough dude. I've NEVER had a doctor do this before today. I have teams consult with each other, but never have had a doctor literally say that he didn't trust the report.

Usually, they will order tests to be repeated or will order different tests, but they rarely admit that there is a problem with the original radiology report and I've never had a doctor tell me that they are having the scans looked at by a second radiologist so a second report could be drafted on the same CTScan.

There's a first-time for everything!

Therefore, take the time to get copies of your radiology work-ups to take to any other doctors...it might be worth your time.

There were other things we discussed that were a little hard to hear, but I am taking it one step at a time. I'll wait to get my testing done and to see if I make it out of there without emergency surgery before I start to tackle the next issue.

Since I am babysitting my five-year old niece until the 27th of August, she is my shadow. Well, as she'd say, she's not just five years old, she's ALMOST six as of the end of this month. She went to this appointment with me, and I am proud to say, she behaved like a little doll. I brought along a notebook full of blank pages, and since she can read, I wrote two pages of questions, leaving a blank after each question for her to write her response. It worked out wonderfully. She kept busy with her notebook, reading each question and using the pen I'd attached to the notebook to write out her carefully written answers.


And yesterday, before the appointment, I went ahead and showed her the scar on my abdomen so she would not be shocked by it upon the exam. Thank God I did because exam time came and it was no big deal. However, I was not going to take a chance since she had discovered the scar at the back of my neck a few weeks ago, from my cervical spine reconstruction --- as I was putting my hair in a ponytail in front of her as she sat on my bathroom countertop --- and she began to tell me there was a bad "sore" on the back of my neck. At first, I didn't know what she was talking about because I didn't have a sore. What sore??? Then, she put her finger on my back and ran it along the scar that is a few inches long, "This," she said, "...it's a BIG sore."

My heart dropped. Oh well. I had to explain that it's not a sore, it's a scar, and it doesn't hurt anymore. We talked about the difference between a sore and a scar. As for hurting, at least the incision itself doesn't hurt, so I didn't fib. We didn't exactly get into internal hardware, she is still technically five years old...hardy har har. Anyway, upon her discovery of my scar, she raised her shoulders to her ears and said, "It looks like it hurts so bad!" Actually, I was the one who felt bad for HER. Needless to say, I was shocked that she paid close attention to such things, and I did not want her being caught off guard again. My sister and I discussed how to handle it...knowing she'd not understand the terminology used by the doctor and since she'd learned about scars, we knew it would seem like an ordinary trip to the doctor's office. And, that's what it seemed like to her, regular trip to the doctor.

For me, it wasn't so ordinary. However, I am moving along in life. With the support of loving family and friends, I am always ready to bounce back from the next stumble. Watching the Olympics lately has given me such inspiration...those athletes have bodies that are beyond comprehension for most people, whether you have health issues or not. Yet, many of those athletes overcome major hurdles and injuries and life's obstacles. Behind every person with a medal hanging around their neck, there is a life-story waiting to unfold, everyone has a story. Yesterday becomes a life-story.

And each person has those special people who have loved and supported them all the way through, good times and bad.

In spite of my own hurdles, although not Olympic in size, I keep going. Some days, I feel as if it is an Olympic feat for me to simply put one foot in front of the other; other days I can almost run with the wind, yet I am always thankful for each and every step along this journey.

Tuesday, July 17, 2012

# 127 - Focusing on Priorities

To follow up from the CTScan showing issues, I have an appointment with a "renowned" gastroenterologist in Houston's Medical Center that is with the Baylor Medical Clinic. The only problem is that it takes so long to get into one of his available slots, but I'm set for August 10th. Since I'm in constant pain in the entire abdominal wall, this will be an excruciating wait.

But, I can do it.

As usual, the biggest problem with an issue like this is to manage my Addison's. I am having a very difficult time getting out of the state of exhaustion; I just feel like I'm dragging badly.

To combat this, my doctor has increased my daily hydrocortisone intake another 10mg in the morning and an additional 5-10 every afternoon. Then, if I feel if I am still sputtering, I take control and administer more HC until I am feeling more stable.


I could have seen another doctor in my area sooner, but I've learned to not mess around with doctors who are mass producers and to stick with doctors who are better known for being in their line of work because they actually are diagnostically talented. And, I've learned to choose doctors who are connected to the hospitals I know practice higher standards of care and who have more capabilities at their facilities.

After you've done your part, the rest is in God's hands. All I know is that I have to be pro-active in getting myself into as healthy as a state as possible because the next big event coming in our lives around here is my oldest daughter's wedding in October. That's only a hop, skip and a jump away!

For now, until that appointment on August 10th, I have lots of things to do --- or to TRY to do! We are getting the house back in order since Stefie moved out to an apartment next to her campus.

Me & Stefie saying goodbye as she
leaves for college this year.

Things have been rearranged because of all the furniture we gave to her, in an effort to scale back our own belongings and to help her start her own life a bit easier, so now we can make things look even less cramped in this big house of ours. Hopefully, next week, the For Sale sign will go back into the yard and we'll get this big baby unloaded!

Another item on my agenda is my daughter's wedding shower here in the Houston area. That will be on August 4th and since I'm a typical mom co-hosting her daughter's shower, I have LOTS to do still. I hand-made all of her wedding shower invitations and this week I will be starting on the Alice in Wonderland themed decorations. It's been a lot of fun to cut, glue, glitter and print....makes me feel like I'm doing art projects for a really good cause! This is definitely a time when Pinterest is a source of beautiful ideas, even though I'm still lagging behind in how to exactly use this great site. I'm learning.

Heather & Henry

Heather's wedding is fast approaching and I'm so excited that I cannot express it in words how I feel! As far as Addison's Disease goes...I will DEFINITELY have to prepare myself to take stress dosages prior to traveling for the wedding and continue taking higher maintenance dosages to keep up with the physical strain and emotional strain that will be taking place in my body. There's just no way that this wedding won't have a huge impact on me...she's my baby! Even so, Heather has diligently taken great care to handle every element of her wedding and I'll be so happy to be with her the week of her wedding, to help pull it all together.

Heather & Henry - Engagement Day
I am so happy to be there for her...she's eager for me to help her with organizing for the wedding and for the honeymoon preparations since they will be traveling to Europe, and you can bet that I'll be cleaning house for her on a "mommy level" so that her and Henry can come back to a house that's without any worries. Her dad will be great as well, he'll help with ceiling fans and other things that I can't reach without a step ladder and I'm sure he'll be doing lots of cooking.

Together, we'll do our best to keep the two kiddos on track and to help remove stress from the days leading up to the wedding. I want them to relax and to focus on the sacred part of being married...kind of a quiet reverence for the huge step before God that they are about to take. We'll definitely be pulling the best part of ourselves together so that we can pray for these kids as they begin their marriage...for a mom and dad to work together to pull blessings over their children, I believe that says a lot and is critical for a young couple to get the boost to their marriage that is memorable and precious.


No matter what is going on within family dynamics, the important issue right now is that these two young adults be given every bit of support that can be reasonably given to them as they begin their marriage.

The good thing is, in the face of hard times, good times, I-don't-think-I-can-stand-it times, and the most connected times...both of these kids come from parents who have made it together, in spite of problems. Marriage is something that can't be discarded without major consequences and that is something you want to pass on to your children. Marriage is something that takes a long time to build, but can be demolished fast by doing unloving things and saying unloving words...as long as they put the goal of being kind to one another as a priority, they'll find more joy together. I hope they get this concept down into their bones as they start their marriage. As long as they care about the feelings of their partner, there is a good marriage to be had.


It's a serious thing to have a wedding...it's not an event to be treated like a party because it is so far above any "party" that can be imagined. Yes, it should be a celebration, a reverent celebration in the joining of two people as one in marriage while witnesses watch the moment the couple goes from single identities to two joined as one. A wedding day is a pivotal day to be marked in their history as a day that can never be erased. It's a day when a single person with an singular identity becomes melded by vows to another person in a manner that should last a life-time.

If anyone can do it, these two kiddos can. In my book, they've proved their love and determination to be together and to build a life together. Oh, there will be rough times ahead, but there will also be beautiful moments that will make it ALL worthwhile.

Yes, marriage is to be respected and to be honored from the moment the "I do" is said until the moment no more words can be said.

October 13, 2012 will be the day these two will be joined in Holy Matrimony. I will be honored, touched and overjoyed to help them get to the altar!

Saturday, May 19, 2012

# 121 - Consequences of Life Impact 100% of the Population

Dealing with a chronic medical condition opens you up to a host of other issues that might want to tag along behind the main problem. It's often part of what happens after your body starts to have a medical problem, for so many of us, it's just the beginning.

As for me, when I fell critically ill with Addison's disease...I discovered that many "lay" people will instantly gravitate toward pointing a finger with laughable "educated" guesses as to what could have caused you to "come down" with that condition. I've discovered that it is often human nature to display this lame attitude that spouts "I can't get that disease because I didn't do x, y, and x!" It's as if they believe an invisible protective barrier can be put between them and such a medical condition because they have lived in a way that has guaranteed their inability to be inflicted. Well folks, there are no guarantees out there. Many conditions have links to suggested causes, but some disease are completely without rhyme or reason for who gets it and for what age it can sneak up on you. With Addison's disease, for my situation, it sort of went like this...get in line and be forced to draw one of 100,000 tickets stuffed in a barrel, it seems nearly impossible to end up with the unlucky Addison's disease ticket, but you reach in, grab the ticket and turn it over to find it's the Addison's disease ticket. And there's no turning back.

Many people battling various health issues along with people who suffer sudden terrible injuries can find themselves holding one of these unlucky draws. You wish to be able to do it over again, but life can put into our hands a circumstance that we didn't want to find ourselves holding. However, if you are finding yourself staring down a bad situation, you must confront it with knowledge, courage and with as much endurance as you can muster.

As for Addison's disease and adrenal disorders, so many afflicted do become very ill. Their lives are often altered, permanently. Others feel fine one day and the next are flat on their back. I guess my point is that very few people diagnosed with this disease are living in a body that feels the same as it did in their pre-Addison's days. For those who have not been impacted much or for those who were "diagnosed" prior to their body going completely kaput on them, well, those people are very fortunate, they lucked out on drawing that particular ticket. However, I can tell you, unequivocally, that my body going into a Code Blue due to being undiagnosed for so long was not a pleasant experience and many others with adrenal disorders have also found themselves very ill, struggling day by day. My Code Blue is what grabbed the white coats in the hospital by the collar and forced them to look in places for a solution that had not yet been searched. My treatment for Addison's did not come until after complete medical testing had taken place to confirm or deny Addison's disease. However, the suspected diagnosis was so strongly supported by symptoms and available test results that the doctor had the meds ready and waiting to be administered as soon as all testing had been completed. They closely watched me, ready to act, but they didn't want to burden me with an Addison's disease label, without having testing to back-up the diagnosis. This is a hard line to walk...dangerous...but I was in the hospital and hooked up to every machine imaginable. The suspicion was confirmed and I appreciate this strong stance so I wouldn't be taking drugs that my body really didn't need for the rest of my life. I can tell you that an Addison's Crisis is not the same as having a bad day with low energy levels...left untreated, it is INCAPACITATING. Period.

As soon as the testing was complete, the miraculous treatment began...before the results were in, they believed they had found a solution and it was confirmed in an upfront manner as soon as those drugs were put into my IV and I began to again be able to hold my head upright by myself, to sit up in the hospital bed and to even begin walking again! FINALLY, I could withstand moving into an upright position without passing out. They sent a physical therapist to my hopsital room and they placed a "walking/stabilizing" belt around my waist so they could hold onto the loop of the belt at my back as I walked. I was 33 years old, getting help to walk again, but having to use a walker. The nurses were clapping. I felt amazing. Little did I know that a long, hard road would be in front of me. Those first few triumphant steps after receiving treatment for Addison's disease would not be a "cure all" equivalent. Hard lessons would remain in my path to become stabilized. My condition had become "brittle" and that is not a good thing; it is more difficult to become leveled out if your condition is brittle.

But, for the record, I wanted to make it known that I had been in great shape prior to becoming terribly ill with Addison's disease. I never smoked, was NOT a drinker, never did drugs...my life had been squeaky clean. I ate great, worked out...even had a membership at the YMCA with my entire family, I played racquetball, biked, hiked, camped and led a very, very, very active lifestyle. I worked and lived for my moments outdoors. My children grew up outdoors because both my husband and I cherished every outdoor moment. As most other families were inside, trying to avoid the heat and playing video games month after month, we were taking weekend trips all over Texas...truly LIVING life and experiencing nature first-hand.


Then, my body shut down, literally. It shut down. I can look back and see how the symptoms were creeping up on me, such as the sluggish walking-through-mud kind of sensation I'd feel during a simple walk, but I still feel as if the big Addisonian crash hit me rather fast.

Since I'd lived such a healthy, active lifestyle, the doctors could not figure out what had happened to cause my body to be impacted by this disease.

There was a tracing back to my teenage-hood of moments recorded with extremely low blood pressure, high heart rate and low sodium, but the racing heart moments always passed and happened sporadically. Once my body went into shut-down mode at 33 years of age, I found myself trapped, like a ragdoll.

For the record, my doctor told me that he was certain I would have not survived this critical state of illness UNLESS I had been in such good physical condition when the worst happened. My strong physical state and life-time of active living definitely helped me to survive the worst of times, precious time as world-renowned doctors were given a bit more time to scratch their heads and to finally find an answer.

Therefore, I'm grateful for my random good choices that positively impacted my situation with this rare disease. Making the personal choice to not drink had probably saved me in a huge way...alcohol depresses and relaxes our muscles, my lack of cortisol would have created a lethal mix with alcohol during those times. If I had drank during those months of my life disintegrating, I would have contributed to a faster downfall and probably would have lessened my chance of getting that life-saving diagnosis in the nick of time.

Regardless, I have been through major testing by all kinds of doctors in Houston's Medical Center in an attempt to find an answer. I've found it highly interesting that one of the suggested links was that my blood-work had tested positive for the Epstein Barr virus and it is believed that my body's response might have gone haywire in the attempt to battle the virus. Lately, I've been reading of other Addison buddies who experienced smilar suggestions. If that had been the case, then my adrenal glands had been mistakenly assaulted by my own system trying to heal itself, kind of like the adrenals were unfortunate victims of friendly fire.

This is auto-immune chaos at work. Perhaps that is what happened. I don't know. A solid answer was never found to this perplexing question for my particular situation with Addison's disease. There are other suggested reasons for me developing Addison's disease, but no one really knows an answer.

Yes, it would be nice to know what went wrong so that we could all learn from it, especially since this is not a common condition. For my own children, I wish I knew the reason this rare disease picked my body as a permanent residence. However, it is important, to me, that I keep moving forward and continually try to live the best way possible so that I can enjoy the few good days per week that I am given.

Going down the rapids with my friend, Stephanie.

For those of us who watch someone battling cancer of watching people struggle with heart disease...we cannot be so eager to point fingers of judgment for their condition. I always tell people to be careful because those fingers might be pointing your direction, next week. You never know.

After all, each of us is doing SOMETHING, day by day, that could possibly produce tragic results. Heck, a good friend of the family is running every major marathon within a 400 mile radius that she can enter, while knowing her joints are in serious jeopardy from the constant impact...it's not necessarily a good thing FOR her, but she's kind of addicted. She feels as if the act of running is good for everyone, but that's become a moot point, even for her own body. I stood by her the other day as she pointed to people with a big gut while she made ignorant comments about their diet causing problems and I just shook my head as I wondered if she even realized that her own acts were about to put her down a very "hard" road of premature joint replacements. For those kinds of people, you can't really reason with them. As my husband always said, "You can't reason with the unreasonable."

I guess each of us should do what we feel we need to do or want to do, within reason, without excuses for "bad" choices, embracing as many healthy boundaries as we can, but do it while embracing compassion for others who are trying to make it in this world. Taking responsibility for our lives is extremely serious, but there are, for ALL OF US, consequences down the road awaiting us, in one way or another. Some of us rush to meet it, on purpose, while others are ducking and dodging, doing their best to avoid life's punches. As for me, I'm ducking and dodging; it's not as easy, but I keep moving! Regardless, I CAN guarantee that 100% of us will eventually meet the end of this life with final consequences...just because we have been a living being. Living and dying go hand in hand. I'd prefer to put off the dying part of the equation for as long as possible, but I can't say that I'm a "perfectionist" at being a human being. I've not met anyone else who has been either, except for the guy who advertised for drinking home-made veggie juices, but he couldn't avoid the final consequences of life either. My point is...if you brag about your strong legs today, they might be gone tomorrow from a car accident; if you feel smug about your strong physique today, you might find yourself with a funky virus tomorrow that causes muscle wasting; today does not guarantee tomorrow and our choices do not always guarantee a life free from complications, in every area of life, including our health.

Willing minds, eager for deeper understanding in life will get it faster than the next...a pointing finger is always attached to another imperfect human body. Becoming more compassionate and alert to the suffering of others is always a good stance for us to take, especially if we hope to receive the same from others. Our choices do have an impact on us directly, heck, I have already touched my fair share of public door handles this week. How about you? Are you living recklessly!?

Thursday, March 1, 2012

# 113 - Up and Down and Up and Down

The thing about Addison's disease that irks me to no end happens to be the ups and downs that come with this disease. Of course, those ups and downs have a good side and a bad side to it.

For some, there are more downs than ups. There are people with Addison's disease who have been severely impacted, even with brain damage from the lack of oxygen that takes place during an Addisonian Crisis as blood pressure plummets. If this happens during the night, there can be little prior warning to an oncoming crisis.

Unfortunately, I've been in the position to have an Addisonian moment during the night or in the wee morning hours and that time-frame can add even more challenging difficulties in getting the right help in fast order. Keep your medicine bedside is the lesson I learned off the bat with this disease.

Most of us know that there are many people who lose their life to this condition, so it is imperative that we people with a "brittle" condition, which means we are more subjected to difficulties managing the disease due to other uncontrollable circumstances or conditions, we who struggle with this disease must stay extra vigilent in doing our best to ward off an impending crisis.

For me, it was difficult to realize that I needed to up my medication for ANY kind of stressor...did I know that physical exertion would be necessary in my foreseeable future? If yes, then up that medication. Did I know that a big emotional event is on the horizon, such as a child's graduation, getting a call that your teenager has been in a car accident, having a loved one require your care during their own illness, or was I facing the imminent death of a loved? Yes? Up those meds. There are so many areas that can tax your body---don't be unprepared to up the meds.

Of course, life has a habit of throwing curve balls, so there won't always be a ready-answer for upcoming hardships and stresses, just be prepared to take extra meds as fast as possible. It should be the first thing you do...before freaking out about a car accident, before you start mourning, before the shock sets in and before you decide do something unusual, such as paint a room in your house. Be aware. The little and big things in life should prompt your attention to first go to your medicine bottle and then continue on with life's ups and downs.

A couple of months ago, I had to drive my youngest daughter and I back to the southside of Houston, all the way from the Dallas area...a five-hour drive. To make matters worse, we were traveling with THREE dogs, one of which was extremely car-sick and vomiting frequently, in spite of every kind of remedy. Topping it off, we had to make the trip late at night and it began raining on us as we were driving down the black-top slick two-lane highway in-the-boonies of Texas, without street lighting. The danger of a deer or stray animal running out in front of our truck remained in our minds in this country-setting. Then, we hit horrible road construction that had less than ample signage. Soon after beginning our trip, I began to experience "adrenaline dumps" on a regular basis; it soon became clear that my condition would make this drive a horrendous experience.


To combat this constant adrenaline rush upon my body, which Addison's disease prevents us from being able to confront without medication, I was required to do something I'd not experienced on this level ---- in over ten years of living with this disease --- for the five hour drive, I was forced to take a couple of lump boosts of my Hydrocortisone up front, then keep taking 5mg of Hydrocortisone approximately every 15-20 minutes for the entire trip to ward off the clear signs that I was going into a danger zone because of the constant stress while driving.

For two hours straight, there wasn't even a safe zone to stop at, not with us two gals. We decided that I could pull off the road and get into real trouble with my Addison's, in the middle of nowhere and without a hospital in sight, or keep going and keep trying to feed the disease with increased meds. My injection was out and ready to use.

It took a long while to get to a safe point on the far outskirts of Houston. Even then, we knew we couldn't pull over to sleep in a hotel for the night because of the three dogs. A strange hotel would certainly mean barking dogs. We debated the possibility, but it would not be easy to sneak a Collie/Boxer mix, a Black-Tri colored Australian Shepherd and a Yorkie into a hotel room. Even more unthinkable would be to try to keep all three quiet for the duration. It was another recipe for misery.


So, we plugged along and kept heading for Houston.

However, I learned that even though I have great driving abilities, I discovered that the stresses of driving under difficult conditions for a prolonged period of time is definitely a time of trouble that requires increasing my medications significantly. I have always driven all over the planet...no problem. But, I had to admit that times are different since I developed this disease. You can't avoid some conditions on the road, such as a sudden rain-storm or construction that is ever-changing.

I can guarantee that I won't be ready to drive at night any longer. I won't be taking long distance trips with a dog that is a vomit bag and makes me worry about whether or not she will survive the trip due to severe dehydration. And I won't necessarily be able to always escape rain during a long trip, but I will continue to depend on weather reports...hoping they will be more accurate than not. Anyone who knows Texas, knows this is the 50/50 rule of the weatherman, which means, "I just don't really know." Texas is subject to isolated rain showers at any moment. Period.


Plus, during any travels, I'll continue to be sure to keep large amounts of Hydrocortisone on me, in 5mg tablets because they gave me the most perfect increments to consume. I'd initially begun the extra steroid dosing when I first felt the wavy head and the vision blurring...taking 30mg, then another 15 mg, and when my symptoms began to fade, but the adrenaline dumps were clearly still taking place, I then continued to take another 5mg every 5-10 minutes to replace the synthetic amounts I was expending for each stressor.

Not knowing the roads didn't help. Once I reached those lovely far out-skirts of Houston, I began to relax and man-made lighting from Houston's city limits brightened the entire sky, as if a huge flash-light were being shone from a giant hand. All the city conveniences, especially the wide roads, not having to drive next to concrete construction barricades for miles and miles and the concrete highways instead of asphalt made the trip much less stressful.

This was a very different experience for me with Addison's disease. My youngest daughter had known how dangerous my condition had been and she kept volunteering to drive, but my condition was still a better option with driving than her inexperience on highways would've been for both of us, especially on wet roads that were under construction and doggie distractions. Experience can indeed make-up for many short-comings. If I had found myself going too far into an Addisonian crunch, I would've immediately pulled off the road and put my hands in the air. I very well came close to doing this several times. If we hadn't been so very alone on the roads, I might have considered it more easily.

Photo of a Texas highway during the day.
We were on more narrow roads, without another
soul in sight, in the dark.
To tell the truth, I didn't want to "give-in" to my condition...I wanted to keep battling and taking the meds that would force my body to behave more properly under stress. Regardless, I was amazed at how much extra HC it took before I began to feel "normal" again. It probably took an easy 80mg for the entire five hour trip, and we didn't make one stop, we drove the entire way through in our desperation to reach home.

In the end, I learned a valuable lesson about traveling...from now on, I will personally take extra meds up front, perhaps an even higher dose than I believe is necessary before the trip commences. I won't mistakenly think that traveling, just because I've done extensive travel my whole life, will be no big deal.

It's better to be safe than sorry.