June 26, 2013

Where I’ve been

Posted in Food, ME/CFS tagged , , , , , , , , , , , , , , , , , , , , , , , , at 3:59 pm by Reva

I have had a crazy month or so which has kept me away from the computer. To an extent I’m paying for it all now but I’m getting by on the fact that I have a week off work scheduled for three weeks’ time. I made myself take a day off yesterday because I don’t want to be taking a week of holiday leave to sit on a couch if I can help it. The truth is it’ll probably happen but I do have a few things I do want to get done.

So where have I been and what has kept me away?

Three weeks ago there were some big birthdays in my family and I volunteered myself for cake making duties. The first lot of cakes I made were for my Dad. I decided cupcakes would be easiest because they can be easily frozen. I decided to make toppers myself and so that I wasn’t doing them all at once I tried to plan ahead and make them over several weekends. As usual I underestimated how long they would all take and spent my weekends going from the kitchen bench to the couch to rest. I’m so grateful for the stool I use at the bench because I’m sure that helped. I coloured most of the fondant myself, except for the black so ended up with lovely aching hands and arms afterwards. The last weekend before the party I also made up all of the buttercream.

photoThat last weekend before the party was also the weekend before my goddaughter’s birthday. I’d decided months ago that I wanted to make her an apron, and I already had the fabric so between rolling fondant and making buttercream I was cutting fabric. A pattern would have been helpful but I had a picture in my mind of how it would look so I played around with the fabric and hoped for the best, and I actually managed to get it in the post and to her house in time for her birthday.

On my day off the week of the party I made my brother’s cake – a caramel mud cake at his request. It was a very easy cake to make and kept beautifully until it was served four days later. I had great intentions of decorating this cake as a laptop computer and made a fondant keyboard in preparation later the same day.

The following evening I made the chocolate cupcakes – a simple melt and mix cake that made a large quantity. I had decided this would be easier than freezing them – I wouldn’t need to find freezer space, and the recipe was easy and make a large amount of cake. Or so I thought. In the end I had fewer cakes than planned so decided at the last minute to make an extra batch. I had enough of everything except for eggs (as I’m not supposed to be eating them at the moment). I replaced the egg in the mixture with “No Egg”, an egg replacement. Big mistake. All of the cakes came out with a big hole in the middle. They didn’t just not rise, there was literally a hole in the middle. I gave up for the night then.

The next night after work I drove home to my parents for the party, loaded up with cakes and decorations. I have never let myself do that drive in the evening before in winter. The last hour or so of the drive was not great but I wouldn’t exclude doing it again.

With the help of my sister we finished the cupcakes on the afternoon of the party I piped white buttercream on the cupcakes and topped them all with toppers – little red telephones, cameras and bicycles. We were pretty pleased with how they looked in the end (I did have to make an extra batch of cakes though).

The party weekend was a massive one for me between the busy lead up, the long drive then the late night, not to mention the socialising. The nodding and smiling when people kept telling me how “well” I looked. I think I lost count of how often people told me that and I still don’t know how to respond when I don’t feel “well” but I went with nodding and smiling. Easier than going into detail with EVERYONE. And it was truly not everyone’s business how I was really going.

The following night we had a smaller get together for my brother’s birthday. We went to dinner and a local restaurant then return home for dessert. By mid-afternoon the cake was still uncut and un-iced in the container it travelled in. An executive decision was made to go for something easier than originally planned. After some time on Pinterest and Google Images we came up with a plan, and hit the supermarket to stock up on snickers bars, chocolate coated peanuts and caramel sauce. We mixed some caramel sauce through the buttercream icing and lathered it all over the cake. Next we stuck chocolate coated biscuits around the edge. We chopped up the snickers bars and sprinkled them over the cake along with the chocolate coated peanuts, then drizzled more caramel sauce and melted chocolate over the top. Not too bad if I don’t say so myself. And even though I’m not supposed to be eating majority of the ingredients (wheat, cow’s milk, egg and peanuts) right now I had a sneaky little slice – so worth the stomach pains afterwards!

So all of that was more than enough for little old me, but to top it all off there was a family wedding. Knowing that weddings generally involve socialising, late nights and standing, I took care to rest the weekend in between as best I could. For me it also involved some more travel (a shorter trip this time though). As expected it was a late night. I also slept poorly the night before – I think four hours all up – which hasn’t happened to me for ages. There was a lot of standing after the ceremony – I was trying hard to find somewhere for my Nanna to sit so it wasn’t as obvious I was doing it for myself but even poor Nanna had to stand around for a long time. I was fortunate that I could sit for most of the time at the reception though, and even ran into my prep teacher who I haven’t seen for about 25 years which was lovely (also lovely that she remembered me).

So that’s it. Clearly it’s time for a nap because I can see that I’m rambling. Things are getting back to normal now though and I promise not to stay away so long next time!

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May 5, 2013

An Update

Posted in ME/CFS, Progress tagged , , , , , , , , , , , , , , , , , , at 5:34 pm by Reva

I’ve been a little distracted these last few weeks by some issues at work. Not good, but if anything it’s made me realise that something is working. I say this as I’m sitting in my pyjamas at 4pm on a Sunday afternoon, with 4 weeks’ worth of clean washing piled up in my bedroom (I have been digging through it that pile for 3 weeks but it’s starting to look a little wrinkly), food spread from one end of the kitchen to the other (lucky it’s a small kitchen) and a pile of reading (lots of journal articles on IgG antibody reactions to food, and it’s links to leaky gut/IBS/ME-CFS).

If I ignore all of this and how it looks on the surface I have realised that for the last 2 weeks I have done all my own food preparation. I had planned to introduce this slowly after three months of doing virtually no food shopping/preparation etc but given my newly identified food intolerances I’ve thrown myself into shopping/cooking/washing up. I honestly don’t know how people with multiple food allergies do it. I am grateful that my reaction to the foods is mild and I’ve been told not to be concerned if I have trace amounts of the foods I react to, but I’m doing my best to avoid the trigger foods completely. It’s only temporary as the theory is that it can be treated (there’s an article on this in the journal pile). Anyway, I digress. Despite this sudden increase in activity I have not felt worse. Some of this improvement was starting before I made the dietary changes, I was starting to realise that as I was walking to my car after work I wasn’t focused on how many minutes it would be until I could lie down, and how much every inch of me ached. I was concerned that as I reintroduced shopping/cooking and washing up so suddenly I’d go backwards, but after a 2 week phase in period and a week of completely following the restrictions I haven’t crashed (touch wood).

My first step was to clean out my pantry and fridge. I put aside anything that was open but did not meet my new dietary needs and gave myself a week and a half to use it up. Anything that was still here the day the cleaner was expected would be binned. Anything not open has been put aside to donate. Everything else was put back in and a shopping list was written. So now everything in my pantry is safe for me to eat, except for a few staples that I’ve hidden up the back for guests (and the peanut butter which is Maisie’s)

I usually love eating out, but I was a bit worried about the first time I ate a meal out. I’m not one to make a fuss and usually I’m grateful I can have whatever I want. I figured eating out at breakfast would be a challenge. No wheat, No eggs. I was ready to just have a soy latte. But with some minor adjustments to the menu item I got this:

A vegie breakfast with mushrooms, tomato, hashbrown, spinach and avocado…minus the Turkish bread and hollandaise sauce, with a side of bacon. Yum!! It kept me full for hours too. With a soy latte of course.

I’ve also been doing my best to keep the food I cook at home interesting. Here are some of my creations:

                               
On the left I have my oat and rye porridge with stewed apples, almonds and honey which was my breakfast yesterday morning. And on the right, field mushrooms from the local farmers market stuffed with rice, zucchini, capsicum, onion ad broccoli, topped with pine nuts and goat’s cheese.

So really I’ve only been following the dietary changes for a week. I’m not sure that’s long enough to make any conclusive judgements. Actually, I’m sure it’s not long enough. But I’m certainly not feeling any worse, and these changes aren’t going to be harmful. And I’m having fun experimenting in the kitchen as a bonus!

April 21, 2013

Back to the Doctor

Posted in Journey, ME/CFS, Progress tagged , , , , , , , , , , , , , , , , , , , , at 7:36 pm by Reva

After 4 and a half years I made my way back to my old ME doctor this week. It was a big day – four hours round trip plus a 2 hour appointment and I expected to be in such a mess by the next day (especially given I was so bad last week) that I’d have to call in sick the next day. I was very pleasantly surprised. I don’t know if some of the treatments he has put me on or coincidence but I’m certainly not going to complain.

I explained to him that I think that in addition to not feeling like the treatments I was doing at the time we last spoke were making any significant difference, I had struggled with balancing my years of learning about evidence based practice, so not recommending treatment to clients that don’t have some solid scientific evidence backing it. I told him that I’ve come to accept that the reason that the evidence is so loose in our treatment options because treating ME/CFS is so new and the research is still being done.

We went over what’s been happening since last time we spoke. He told me about the citric acid cycle (also known as the Krebs Cycle) which is one of the body’s mechanisms for producing energy. It usually uses carbohydrates as its main source, however there is some evidence that in people with ME/CFS there is a blockage reducing the body’s ability to use carbohydrate and instead use protein. This reliance on protein might be causing deficits in amino acids which limits the ability of the citric acid to produce energy. He has suggested a protein powder that is 90% protein and contains a complete range of amino acids.

Source: Wikipedia

I went to a health food store after my appointment to buy the powder and they salesman was trying to tell me that I’d go through the product really quickly and tried to sell me the large tub. I assured him that the “small” 750g tub would be more than enough (hello, do I LOOK like someone who does serious muscle building?).

After the discussion about the protein powder he told me that he had growing evidence that dysbiosis was likely to occur in ME/CFS. I need to get my head around this in detail but the basis of it is there are two main types of bacteria in the gut. He is involved in research that is finding that people with ME/CFS have an imbalance of these bacteria, frequently to a point that they don’t find any e. coli in some patients. He went on to explain that this can be then causing changes in the pH of the body…this went on with further explanation that made perfect sense at the time that I can no longer remember. In order to manage this, first a faecal sample would be assessed for the ratio of bacteria and if it was found to be imbalanced it can be treated with a combination of antibiotics and probiotics.

My next stop was across the hall to meet with the practice nurse. First she did a blood test which was looking at my immune reaction to about 60 foods. This was a finger prick test. Apparently the theory is that these foods reactions are linked to the dysbiosis, and that by avoiding the limited foods there may be an improvement in symptoms. Once the dysbiosis is treated the foods can usually be reintroduced. I reacted to wheat, cow’s milk, egg, yeast, corn, legumes and peanuts. I was told I only had mild reactions so the nurse said I don’t need to be super strict, but she said the cow’s milk and egg are probably the ones to be most strict with.

Doctor wanted me to re-do the standing test I did back when I first visited him as the first I was so borderline for POTS. I didn’t get the results for that as he’d left the office for a bit when I finished. I actually didn’t get light headed through it, although my legs were extremely shaky and I felt like I was swaying.

Lastly I was sent off with a heap of papers, and blood test requests arrived in the mail the next day. I return to see him in three months and in that time I still have to have a heap of blood tests, urine tests, faecal tests (or as the doctor put it, “wee and poo tests”) and breath tests. Just to keep things fun the nearest place to do the breath tests is about an hour and a quarter away, I have to go on three separate occasions and have to arrive no later than 9am on each occasion. That should be fun.

In the meantime, I’ve started the taking the protein powder – I took it the first afternoon when I arrived home and I’m not sure if it’s behind by good recovery or if it’s coincidence but I guess we’ll see – and I’m phasing in the dietary changes. I think I’ll leave that challenge to another day.

March 30, 2013

The Brain Game

Posted in Journey, ME/CFS tagged , , , , , , , , , , , , , , , , at 11:48 am by Reva

One of my biggest concerns of late is the way my brain seems to be more discombobulated than usual. I’ve been feeling like I’m forgetting things, I feel like I’m disorganised, I have A LOT of trouble finding the right words. I know exactly what I’m saying and then it’s completely gone. I’m not game to greet people by name because I’m scared that when I say their name the wrong one will come out.

I feel incredibly lucky that I manage to work 4 days a week. One day I’d love to do some post graduate study but my biggest goal is to not have to reduce my current workload. I’m currently doing a short course for which I’ve already had an extension. I’ve never had to ask for an extension in my life before (that I can remember, but certainly not when studying). As it is, the work is due in about 10 days and I’m hoping I get there. But instead of focusing on studying my brain has decided it’s going on an organisation rampage. I have cleaned out my medicine cabinet, cleared off the papers that have been piling up on my kitchen table for the past 6 weeks, rearranged the things on windowsill above my kitchen sink, cleared off my coffee table of further papers, reorganised my bathroom cupboard and started writing a blog post. And gotten way off topic (something else my brain is doing more and more of).

Having to cut back my work is a huge fear. Without work I wouldn’t be able to pay my mortgage, I wouldn’t be able to afford some of the energy saving strategies (namely cleaner, lawn mowing man, home delivered healthy meal and groceries) not to mention some of the luxuries, the distraction from illness it provides me with and the fact it gets me out of the house. I spoke about this fear with a return to work officer at work and she suggested getting some cognitive tests done to see if there were any strategies that I could use to help me at work, and then discussed it with my psychologist who provided me with details of a neuropsychologist who she thought may be able to help me.

The Neuropsychologist was so lovely and helpful. She offered to meet with me, free of charge, to “have a chat” about my concerns and to see if there was something worth investigating. This “chat” ended up taking an hour of her time. She said that she’d like to do a range of tests as the problems I was having seemed to be broad, and as I was still able to work in a high functioning position she thought the changes were likely to be subtle and therefore difficult to find. We made plans to meet three more times. She asked if I’d mind if a final year student completed the first test. Working regularly with students myself I had no problem with this and told her it would be fine. She then told me she wouldn’t charge me for that appointment either (apparently the university paid her for that time so she didn’t want to charge me as well). I assured that that I didn’t mind paying, after all she’d still be working with the student on the analysis. She wanted to do a second lot of tests with me herself (the first time she was going to charge me) and then on the third occasion she was going to give me some feedback.

The first assessment went for two hours. It involved all sorts of tests, all starting fairly simple and gradually getting harder. It was really difficult to assess how I was doing as I expect that some of the tests were supposed to be too hard to complete. In one I was read a long list of word pairs. Some of the pairs seemed to go together, and others didn’t. Then I was given one word and had to say the word that matched. This was repeated using the same list of words several times and I actually found it fairly easy after the first round. Another that involved memorising patterns and positions on a grid was horrid. I am sure I didn’t get a thing right as I was completely guessing for the most part. My brain must have been working hard because the next morning getting out of bed was more of an ordeal than usual and I was extremely grateful that I didn’t have to go to work.

When I arrived at the second assessment the neuropsychologist told me she’d been doing some research into cognitive changes and ME/CFS and she was coming up with very little specific information. She was hoping that there would be some research that would help her guide her where to focus the tests. She’d gone through all of her references, done a literature search and had sent out an email request to all of her colleagues. She said that while it was clear that cognitive changes occur in ME/CFS, no one could tell her whether this was generalised “change” that varied from person to person, or if there were specific areas of the brain that appeared to be affected.

At the end of this second visit she told me that there were a few more things she’d really like to assess before she gave me my feedback, because once again things were not particularly clear and further information would be helpful. By this stage I had started to think that maybe it was all in my head and that there actually wasn’t anything wrong, that maybe I was just over reacting; that I really was just disorganised and not as smart as I thought. She kindly offered to come in on a Saturday and once again didn’t want to charge me for this extra appointment. In the end we combined this last assessment with my feedback session (so I felt better because I had paid for that).

One of the tests she did on the last Saturday involved me having to say out aloud words starting with a specific letter. This was done with three different letters. I had a minute to say them, and there were to be no proper nouns, no numbers and no repeated words, or words derived from the same word (eg. If I said bite, I couldn’t then say biting or bitten). For one of the letters I could only come up with 6 words, and in the last 30 seconds I couldn’t come up with any!! Surely not normal.

After finishing off the tests we went through some of the results that she’d already analysed. The results showed that I most definitely had a slowed processing in my brain. When she had tested my IQ (I didn’t even know she’d tested it) my knowledge was quite high, but my working memory and processing were really slow, quite below average. She said that what she believes is happening is that the brain fog really is slowing my brain down. The electrical impulses that occur when we think have slowed down and this actually explains a lot of my cognitive symptoms. It takes me longer than it should to come to the right answer, but the answers are definitely in there. What I see as “forgetting” is really me not allowing myself enough time to remember, as it takes longer than it used to. The word finding is difficult for the same reason. If I’m not planning what I’m saying ahead of time the words get lost. I am losing things because I’m either not giving myself the time to initially absorb where I’m putting things, or I’m not allowing myself time to remember where it is before getting flustered an confused. She asked me if I’d mind if she discussed my case with a group of her colleagues to see if they interpreted the results the same way (which I am more than happy for her to do) and has assured me if they come up with anything different or new she will let me know.

And what can I do with this new finding? Not much. Unfortunately processing is purely biological. All I can do is compensate (I interpret this as – allow more planning time) and, well, be less tired. And if I knew how to fix that one I wouldn’t be having the problem in the first place. But there is an element of relief that the information is actually in my brain, I’m not stupid and I’m not forgetting things I’ve learned of the years, and most importantly, it’s not all in my head (well, it is, but you know what I mean).

March 22, 2013

More Sleepless Nights

Posted in Crashes, ME/CFS, Progress tagged , , , , , , , , , , , , , , at 5:29 pm by Reva

For months I’ve been trying to work out what might be increasing my symptoms these last 9 months. One and a half years ago I started taking low dose amitriptyline to help me sleep. Before taking it I had no trouble falling asleep but I’d wake on and off throughout the night, sometimes lying awake for hours. Once I started taking it I still would wake once through the night but I would fall straight back to sleep.

Recently I wondered if maybe it might be behind some of my fatigue. Maybe it was causing me to be foggy through the day. A few different people have suggested that at the dose I was taking it really shouldn’t be causing problems. Amitriptyline has other uses and when used as an antidepressant it is given at much higher doses. At the low dose I was taking there shouldn’t be any issues. I was still curious. I don’t think I have any issues with tolerating medications and chemicals that other people with ME/CFS have but maybe the reaction for me is subtle.
imagesCAT7UHT2

I had a chat with my GP, and I also asked about high dose melatonin. She was more than happy to prescribe it, however given that melatonin works by resetting the body clock and I’d been sleeping well for 18 months I shouldn’t need it. My body clock should be reset.
That night, and the following six, I cut the amitriptyline tablets in half to reduce my dose. I was sure I was on a winner. No change to my sleeping pattern. I was falling right to sleep at night, then waking once through the night and then waking up with my alarm. The waking was as difficult as ever, but it was no different.

The next week I cut out the tablets. For another week things continued on the same. Wake once, then straight back to sleep until my alarm went off. I even slept well through the heat when everyone around me was complaining of sleepless nights.  But last Saturday morning I woke at 1am. Then again at 4am. And then I didn’t go back to sleep for an hour and a half. The result – complete overwhelming fatigue and pain. The kind that makes you feel nauseous, that sits there in the forefront of your mind stopping you from being able to distract yourself with anything else. The next night I was back to my usual “wake once and go back to sleep” routine so I decided one night of poor sleep isn’t enough to change go back.
tumblr_mipsg2IzKK1ruk7t3o1_500

Then Tuesday morning I had a repeat of Saturday morning. Not so easy to cope with the overwhelming fatigue at work. It reminded me why I’d gone on the amitriptyline in the first place. This used to happen so frequently that I was struggling with work; but one day I should be able to get through.
It was the second replay on Thursday morning that changed my mind. Three sleepless nights out of six compared to I think one in 18 months is pretty clear that the amitriptyline was doing some good. Even if there is a little fogginess (which I don’t feel reduced at all, but I don’t know how long it would take for it to completely get out of my system), the fogginess is actually easier to work with than the severe fatigue, nausea and radiating pain I feel after the days is a thousand times harder to live with.
funny-sleep-comic

So last night I put myself back onto the amitriptyline. I had a good night’s sleep and I think given a few more I should be back to my normal, or at least my most recent normal, and I’ve crossed one more theory off my list.

March 11, 2013

A Week in Review

Posted in Crashes tagged , , , , , , , , , , , at 12:44 pm by Reva

I’ve had a busy week, which has been both good and bad, and with the current heat wave and humidity my brain is just not working.

  • I think I have a new symptom.  Nausea.  I’ve had it off and on for a week now.  A friend who works in chronic pain management tells me that nausea is often decreased if you can manage to distract yourself with thing you enjoy.  Makes sense – the worst of it has been during long meetings.   Nausea
  •  I had to work for a day on the other side of the city in preparation for some students we have starting with us in a few weeks.  It’s a 1½ hour drive one way if you get a good run on the freeway.  Instead of putting myself through 3+ hours of driving I took the opportunity to have a catch up with a good friend who I’ve been trying to catch up with since Christmas.

 Traffic slows to a crawl on the Monash Freeway...

  • I had the opportunity to spend some time with some academics in my profession.  I’d really love to do some further study, it’s something I’ve looked into off and on over the past 5 or 6 years; but I don’t think my brain would let me, especially at the moment.

how to title your thesis

  • I finally took the step of calling the office of my specialist.  I was expecting to be told that either they weren’t taking new patients (and given that it’s been at least 4½ years I expect to be a new patient) or if they were there would be a 6 month wait for an appointment.  It turns out that I was right that he isn’t taking new patients, but I’m still in their system so they booked me right in…in a month’s time!!

 

February 16, 2013

The Versatile Blogger Award

Posted in Award tagged , , , , , , , , , , , , , , at 12:54 pm by Reva

I want to thank Mommabel from True Life Is Stranger Than Fiction who nominated me for The Versatile Blogger award and apologise for the fact that it has taken me so long to sit down and respond.

versatileblogger113

The rules of this award are:

• Thank the person who gave you the award and include a link to their blog (see above)

• Select 15 blogs/bloggers that you’ve recently discovered or regularly follow

• Nominate those 15 bloggers for the Versatile Blogger Award

• Tell the person who nominated you 7 things about yourself

• You can find more information and other winners here

Here are my nominations – a combination of blogs I’ve been following regularly for a while, and a few ones I’ve recently discovered:

1. Lethargic Smiles

2. Musings of a Dysautonomiac

3. Momentary Solutions

4. Rag And Bone Shop Of The Heart

5. Knocked over by a feather

6. Hope For Heather

7. Oh What A Pain In The…

8. Throughhikerlife

9. Does Your Journey Seem Long?

10. Debauchery Soup

11. decimawho

12. Disorderly Chickadee

13. neveraloneblog

14. The Nerves Prick

15. Do I look Sick?

To my nominees: Please don’t feel obliged to follow the rules if you aren’t into awards, have already received the award, don’t have the strength or for any other reason– I just hope that I’ve sent some extra traffic your way xx

And finally, seven things about me:

1. I love the colour combination of pink and green

2. I hate being untidy but I can’t seem to overcome it

3. My cousin introduced me to wine (fruity lexia from a cask) at my Confirmation BBQ when I was 10. We broke the news to my mum about 10 years later. A further 10 years on she’s still getting over it.

4. Sometimes I just want to run and I hate my body for not letting me do it.

5. I love the TV show Scrubs. It’s my go-to section of my DVD collection when I’m having a bad day

6. I have conjoined toes. My swimming teacher told me it would make me swim faster. My swimming teacher lied.

7. I think my dog is hilarious, but accept that I might be biased.

February 9, 2013

Stuff

Posted in ME/CFS tagged , , , , , , , , , , , , , , at 11:35 am by Reva

So much has been happening in the last week or so, and I’ve had so few spoons left to write about it all; but I have a week off!  When I scheduled this week off (it was the next available week when I realised I desperately needed a week off just before Christmas) I planned to head interstate to catch up with my closest friends.  When I got sick at home at Christmas time I decided to return home for part of the week instead, to catch up with the friends I usually meet up with at Christmas and missed out on because I was sick.  Now, 6 weeks on, it has turned into “I’m going to hang around my house and do stuff”. 

By “stuff” I mean things like put away the washing.  For the past four weeks I’ve been living out of my washing basket (clean washing – I at least manage to clean it).  When I can’t find what I need in the washing basket I go to my dryer, which has the most recent clean washing in it.  The dryer gets emptied only when I’ve completely run out of enough clean clothing (or I can’t find it) to dress in an acceptable way to go to work and I have to do another load of washing.  This system has been working for me.  It’s let me get away with doing a few things that I probably wouldn’t have managed had I stuck with previous systems.  For a while I felt a little guilty about using my dryer when the weather has been so warm and the washing would have dried in half the time out in the sun but I got over it.  But my goal for today was to hang the washing on the line, and I’ve done it!  I’ve also emptied the clean washing basket and folded the washing.  AND I’ve taken the washing out of the dryer and folded it.  It’s all on my bed but it is closer to being put away than it’s been for weeks.

More “stuff” I plan to do is to go to Ikea and buy a set of drawers I’ve planned to buy for the past 4 years.  Yes, that’s right, 4 years.  Ikea is a 2 hour drive and there is no way I’m going to Ikea on a weekend so I haven’t managed to get there when I’ve felt up to driving that far for just a set of drawers.  I’ve decided that under the current circumstances doing a return trip in one day would be ridiculous so I’m turning it into a holiday.  I’m staying in a hotel about 10 minutes away, right near a friend, and catching up with a few friends for a casual dinner at one of their homes.  It means that I can stick to my new morning routine (which I’m still perfecting but will write about soon), miss the morning traffic, buy my drawers and be back at the hotel before afternoon traffic and have a good nap before dinner.  Then make my way home the next day as quickly or slowly as I feel (I’m picturing a leisurely brunch in the sun but we’ll see how that pans out).

I also have a heap of phone calls I need to make (somehow my brain can only cope with one a day of those so they tend to build up), baskets of stuff to put away (does anyone else tidy the house by sticking everything in a basket to “put away later”? I think I’m up to three baskets) and other general day-to-day stuff that seems to have crept up on me.  The best thing about all this “stuff” is that it’s been waiting so long to be done I really am not worried if I don’t get it done.  No pressure. 

What I’m really looking forward to is sewing my quilts and even if the other “stuff” doesn’t get done I plan to do some sewing and writing every day.

February 2, 2013

Fighting the Sleepless Nights

Posted in Crashes, Strategies tagged , , , , , , , , , , at 10:43 am by Reva

Sometimes when it feels like everything around you is falling apart, when you are playing things that are frustrating you or you feel like you aren’t doing properly around in your head instead of falling asleep.  When it feels like these things that you feel like there is no solution to these things but you’re determined to find one, or work out where you went wrong, I think it helps to take a step back and remind yourself of the good things you are doing or have achieved, and of the bigger picture in general.

As I’ve mentioned I’m going through a crash that for me is one of the worst I’ve had.  I am feeling like I am not doing my job properly as a result and that I don’t have the support of my direct manager.  I acknowledge that some of this is because I’m yet to find the courage to sit down with her and fully explain to her what my “fatigue thing” is (and that no matter what response I’ve had with regard to this in the past, it’s a conversation that has to be had).

Last night as all of the contradictory comments, the emails that contain underlying complaints certain people don’t feel that they are not getting what they expect from me and how they could do a better job, the conversations I’ve had and wished I’d handled better and the conversations that I want to have but am too scared to have were playing in my head when I should have been sleeping I turned on a light and started to write down the things I am doing well and have achieved.

  • I have acknowledged that I’m not getting better like I used to and have started to take steps to improve my health.
  • I have ordered a meal program where all my meals arrive pre-prepared to my door once a week.  This has helped my save energy that I would normally use on supermarket shopping, meal preparation and washing up.
  • I have started to reintroduce previous treatments – I am doing my best to drink my electrolyte solution every day.
  • I’ve spoken to our HR department about my options and now have avenues to pursue.  Plus I know I have people who can support me when it comes time to have the above conversation.
  • I’m doing reasonably well at keeping my new year’s good intentions.  I’m doing a reasonable job of leaving work on time, I’m sticking to my timetable but trying to be flexible if I can. I’m colour coding my day and my patient list so I can quickly identify the priorities.
  • I am accepting I need help and researching the best way to get it.
  • I am starting to stand up and state when I believe that something I see is affecting those around me (now to start doing it when it’s just affecting me!)
  • I am realising that if those around me are also stressed, anxious and exhausted, it is not me and my medical condition that is the problem.  It is the environment that I am in that is affecting my medical condition.  And while I think the above points are going to help bring my health back on track, I think this point is key to solving the problem.

January 20, 2013

Chocolate Chocolate Chip Biscuits

Posted in Food, ME/CFS tagged , , , , , , , , , , , at 2:16 pm by Reva

Today I tried to work on an assignment which has a due date that is zooming towards me. I managed my initial 45 minute goal, took my 15 minute scheduled break, and couldn’t get back into it. I took an hour or so to just lay and had another go at the assignment. This just confirmed that my brain is pretty much mush at the the moment so I decided to bake. I’ve had a rocky couple of weeks and baking makes me happy, even if it can use nonexistent energy. I decided to bake my favourite chocolate chip biscuits. Super easy and I had planned to make them for the past two weeks as a part of a (belated) Christmas gift for a family friend.

choc choc chip biscuits

I love these biscuits because they are so easy and I always have the ingredients on hand; coming from a Women’s Weekly cook book, they never fail. The ingredients are also listed in weight so I find that I’m also saved a tonne of washing up because I just just pop the mixing bowl on the scales and add everything straight in.

I decided today to do something really crazy and replace some of the flour with cocoa powder; what can I say? I like to live dangerously 😉

chocolate choc chip biscuits

Overall it was a success. The biscuits were crispier than the original version, but in a good way. They were very cracked on top, so I might have to play around with the recipe or oven temp next time. There was one small almost-disaster where I was trying to unload one tray onto the cooling rack, and load the next tray on my too narrow kitchen bench tops, and the cooling rack toppled off. Fortunately the batch was saved from the floor by my buffet, all but one anyway. And only one third of that one was demolished by Maisie.

Ingredients

250g butter
165g castor sugar
165g brown sugar
1 egg
1 teaspoon vanilla extract
300g self raising flour
30g cocoa
1 teaspoon bicarbonate soda
300g dark chocolate chips

Method

1. Beat butter, sugars, extract and egg until creamy.
2. Sift in flour, cocoa and bicarbonate soda and stir until combined.
3. Stir in chocolate chips. Refrigerate for an hour.
4. Preheat oven to 180degrees
5. Roll level tablespoons of dough into balls and place on a greased oven tray 3cm apart. Bake for approximately 12 minutes.

supper

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