Saturday, September 20, 2008

ME (myalgic encephalomyelitis) / CFS (chronic fatigue syndrome) and FMS (fybromyalgia)

I have one. or the other. or both, depending on who you ask. I find that some doctors believe them to be one in the same, and some will barely discuss it. I find that most people in general see it as a non-condition, a cop-out or laziness. The onset for me was following a viral infection. Sometimes when I just can't get anything done, or just sleep for an entire weekend, or can barely get up out of chair in the evenings, it's hard to cut myself any slack when it feels like no one around me does.

Some of the symptoms, such as the "fybro fog" and burning/tingling of extremities appeared or worsened after chemotherapy. I thought the fog was chemo fog and would go away, but it is still here. Maybe I'm permanently brain damaged from the chemo.

No reason to post this all here; I'm just sayin'.

Taken from http://chronicfatigue.about.com/, here are a couple of lists of symptoms. Symptoms I have, or had before menopause, are highlighted. The astrisked items also appear on the CDC diagnostic criteria.

Monster List of ME/CFS Symptoms:

Sleep & Energy-Related Symptoms of Chronic Fatigue Syndrome
Incapacitating fatigue*
Post-exertional malaise* (extreme fatigue after exercise, lasting 24 hours or more)
Poor stamina


Flu-Like Symptoms of Chronic Fatigue Syndrome
Pain in joints without swelling or redness* (can be constant or move between joints)
Muscle aches*
Unrefreshing sleep*
Sore throat*
Headaches of a new type, pattern of severity*
Tender lymph nodes
Chronic cough
Nausea

Other Pain/Sensation Symptoms of Chronic Fatigue Syndrome
Morning stiffness
Earache
Irritable bowel syndrome (IBS)
, as an overlapping condition (abdominal pain, nausea, diarrhea, bloating)
Numbness
Tingling and/or burning sensations in the face or extremities
Chest pains (Always treat chest pain as a serious condition warranting immediate medical care.)
Jaw pain (possibly TMJ, as an overlapping condition)

Cognitive Symptoms of Chronic Fatigue Syndrome
Short-term memory or concentration problems*
Word-finding difficulties
Inability to comprehend or retain what is read
Inability to calculate numbers
Impaired speech
Impaired reasoning
Mental fogginess


Psychological Symptoms of Chronic Fatigue Syndrome
Note: While these symptoms are generally considered psychological, they do not indicate that chronic fatigue syndrome is a psychological condition, and some or all of these symptoms may be caused by physiological abnormalities.
Depression, as an overlapping condition
Irritability
Anxiety
Panic attacks

Personality changes
Mood swings

Sensitivities & Intolerances of Chronic Fatigue Syndrome
Allergies
Sensitivities to noise, odors, chemicals or medications
Sensitivity to heat and/or cold
Alcohol intolerance

Cardio & Respiratory Symptoms of Chronic Fatigue Syndrome
Irregular heartbeat
Neurally mediated hypotension (dizziness & balance problems upon standing)
Shortness of breath

General Symptoms of Chronic Fatigue Syndrome
Low-grade fever or low body temperature
Visual disturbances (blurring, light sensitivity, eye pain, worsening vision, dry eyes)
Chills & night sweats
Dry mouth & eyes (called sicca syndrome)
Rashes
Tinnitus (ringing in the ears), as an overlapping condition
Unexplained weight changes
Muscle twitching
Seizures
Recurrent infections
Premenstrual Syndrome (PMS), as an overlapping condition
Endometriosis, as an overlapping condition

Monster List of Fybromyalgia Symptoms:

General Fibromyalgia Symptoms
Delayed reactions to physical exertion or stressful events
Other family members with fibromyalgia (genetic predisposition)
Sweats
Unexplained weight gain or loss
Cravings for carbohydrate and chocolate

Headaches & migraines

Muscle & Tissue-Related Fibromyalgia Symptoms
Morning stiffness
Muscle twitches
Diffuse swelling

Fibrocystic (lumpy, tender) breasts (as an overlapping condition)

Sinus & Allergy-Related Fibromyalgia Symptoms
Allergies
Post nasal drip
Runny nose
Mold & yeast sensitivity
Shortness of breath
Earaches & itchy ears
Ringing ears (tinitis)
Thick secretions

Sleep-Related Fibromyalgia Symptoms
Light and/or broken sleep pattern with unrefreshing sleep
Fatigue
Sleep starts (falling sensations)
Twitchy muscles at night

Teeth grinding (bruxism)

Reproductive Fibromyalgia Symptoms
Menstrual problems
PMS
(as an overlapping condition)
Loss of libido
Impotence

Abdominal & Excretory Fibromyalgia Symptoms
Bloating & nausea
Abdominal cramps
Pelvic pain
Irritable bowel syndrome (as an overlapping condition)
Urinary frequency


Cognitive (fibrofog) Fibromyalgia Symptoms
Difficulty speaking known words
Directional disorientation
Loss of ability to distinguish some shades of colors
Short-term memory impairment
Confusion
Trouble concentrating
Staring into space before brain "kicks in"
Inability to recognize familiar surroundings

Sensory Fibromyalgia Symptoms
Sensitivity to odors
Sensitivity to pressure changes, temperature & humidity

Sensitivity to light
Night driving difficulty
Sensory overload

Emotional Fibromyalgia Symptoms
Panic attacks
Depression
(as an overlapping condition)
Tendency to cry easily
Free-floating anxiety (not associated with situation or object)
Mood swings
Unaccountable irritability

Heart-Related Fibromyalgia Symptoms
Mitral valve prolapse (as an overlapping condition)
Rapid, fluttery, irregular heartbeat
Pain that mimics heart attack, frequently from chostochondritis (as an overlapping condition)

Skin & Nail-Related Fibromyalgia Symptoms
Pronounced nail ridges
Nails that curve under
Mottled skin
Bruising or scaring easily
Tissue overgrowth (non-cancerous tumors, ingrown hairs, heavy and splitting cuticles, adhesions)

Wednesday, September 10, 2008

Tightening the Belt

No, I didn't lose weight. I wish. In my dreams.

Our company had layoffs last week. 10 people were laid off. I'm very thankful to have not been one of them. Also 14 people were reduced to part time hours. 32 hrs instead of 40. I was one of the 14.

Additional responsibilites, more to do, less time to do it in, and less pay for doing it.

That's the "glass half empty".

I have a job and they still pay me for it!

That's the "glass half full".

Ends will not meet and I may have to get an additional part-time job.

That's the glass drained with only backwash in the bottom.

So, now to come up with ways to save money. I've had a few thoughts:

- Don't fix the dryer. Continue to hang underwear on hangers. Or dry clothes at someone else's house.

- Be the last one gone from work and do a big "elimination" job before leaving, to save on toilet paper at home.

- Put the endless copies of the phone book that arrive on the doorstep, carport, front yard, sidewalk to good use...as toilet paper.

- Use cloth panty liners. Don't laugh. I'm already doing this. Got 'em on etsy.com.

- Hypnotize the dog and cats to convince them that they are herbivores, and plant alfalfa in the back yard.

- Teach the cats to use the toilet, to save on litter expenses.

- Sell the cats to Filiberto's as "organic" meat.

- Do the dishes by hand (read: make my son wash dishes) thereby saving electicity by not using my beautiful stainless steel dishwasher that I've only had for a year.

- Convince my son he is an herbivore, and send him out back with the cats.

- Cut my own hair. I've done it before. A lot.

- Cut my son's hair myself. He can wear a hat if I leave any bald spots.

- Stop coloring my hair. Gray is attractive, right?

- Wear even less make-up and only buy the cheap stuff.

- Cancel Netflix

- Cancel internet

Hey, let's not go overboard: the internet stays.

When the layoffs and hour reductions first happened, I was amazingly calm about it for about 3 days. I'm going to take that calm as a peaceful assurance that everything will be fine.

When this Monday rolled around and the work-week started, I began to panic. Then after panic comes paralyzed inaction. I have to be careful not to let that happen, because that is often how I deal with crisis. Sometimes "Catatonia" just sounds like such a nice place to be!!

Surely they have a beach there where cabana boys bring you fruity drinks and adjust your umbrella so the sun doesn't shine in your eyes.

Tuesday, September 2, 2008

Bringing IT to The Table

From the beginning of our lives, one of our most basic goals is to "belong". We seek first to find our place within our families, and later, as our horizons expand, within a social group, society at large, and the world as a whole. We all want to find our place.

Having recently been welcomed into a small social group, I am again, as an adult, experiencing that search for my place. Like a child seeking identity within the structure of birth order, I search for what makes me special within the family of these friends.

I made salsa, but there is already a "good cook" member, as evidenced by the amazing mango tacos we had for desert. AND the Leader doesn't like cilantro, which she politely didn't tell me until weeks later.

I wrote a clever poem, then found out that the Pictionary Artist Guy is also the Clever Poet Guy.

Amazing Mango Taco guy also has a corner on sarcastic wit and orneriness bordering on mean.

There's a Funny Guy already too. I'm running out of skills and qualities.

I'm neither the youngest nor the oldest, nor even the "middle child".

I am cynical and have been called arrogant, but those aren't really marketable items when it comes to social niching.

I have the biggest butt in the group, but again, not promisingly noteworthy. And thanks to the last 50 pounds, I don't dance so well anymore either.

Am I to be relegated to the status of Expendable Ensign? Quietly contributing nothing, but enjoying the company of others until the time when I am subtly dropped from the group for lack of input? Politely laughing at the jokes of others and trying not to guess every picture in Pictionary? Not losing card games every time but never winning? Attending but not contributing, appearing but not belonging.

I just know I am going to be picked first for the next Away Mission.

I do have one thing I am good at. Really good at. Karaoke. But I haven't done that since I switched social groups from Bar-Hoppers to Church-Goers. I doubt there will be a group function after 9:00 in a bar with karaoke and a good sound system anytime soon.

And if there were, I'd probably find out that Artist/Poet Guy is also opera-trained and lead singer in a rock band...