Breathing

Sooner or later, it all comes back to breathing.

Without adequate breath, obviously, nothing else matters. As a sometime ER nurse and continuing asthmatic, I'm more than usually aware of that fact.

I mean something beyond that, though. Something more pervasive.

Breathing, like walking, is one of those things that I keep coming back to as an interesting study -- one that's so fundamental that I forget, in between times, exactly how deeply it changes everything else in life.

I first began meditating in my very early teens, after basic instruction from my mother:

1. Think of a simple, unemotional mental image, like a burning candle flame, and breathe.
2. As thoughts come and go, let them go (sometimes, especially at first, I had to chase them off) then...
3. Bring your attention back to the image and the breath.

The image didn't do me much good – I think fire is a little too emotional for me – but simply being at home to my breath, and letting the haywire-ness of the day drift off into the mist... with my odd and beguiling little cat softly nestled against my leg under the covers... did me all the good in the world. Especially at 13.

The language of breath is interesting. Breath, spirit, life, and insight often share the same word or sounds in languages around the world. For instance, in English, "inspiration" means both a breath, and a sudden idea; the root word means spirit. There is no divide between these ideas.

(Life, breath, spirit, ideas... how can these be separated? How can a life worth living, let alone a bearable life, let alone a pulse, exist without all of them?)

As I said, I've been breathing intentionally for decades. In my 20's, I taught my ER and ICU patients a particular form of breathing which, I'd noticed, cut their pain response, lowered their blood pressure, and improved the level of oxygen in their blood -- no matter what they came in with.

In 3 breaths the difference was noticeable, and if I could persuade them to take 10, we were halfway home.

It goes like this:

1. Breathe in through your nose.

2. Draw the breath all the way down into your lower abdomen.

3. Let it out through gently pursed lips, like softly blowing out a birthday candle.

4. Repeat.

The abdominal breathing improves lung expansion. The slight backpressure on the exhalation nudges extra oxygen into the system (the importance of oxygen can't be overstated, especially in emergencies) and sends a gentle message to the blood-pressure sensors in the neck, telling them to lower pressure.

This kind of breathing activates the "calm down" part of the central nervous system, that is, the parasympathetic branch of the autonomic nervous system.

The extra oxygen helps clear some of the oxidative damage away.

It feels wonderful.

And it always works.

(Clinical note: for people with COPD, I did 2-3 breaths, and checked in. As with most adults with a chronic disease, they could generally be trusted to sense their limits and stop. Youngsters soon learn, though very few youngsters have COPD.)

Recently, I've learned a slightly different technique from the same psychologist I mentioned in my last post...

1. Notice my breathing. That's all. Let everything calm down for a bit.

2. Draw the breath into my abdomen.

3. Gradually increase the size of those abdominal breaths.

4. Let the midchest join in, getting still more air in. Exhale from the top down.

5. Eventually, let air into my abdomen, then midchest, then upper chest -- inhaling from the bottom up. My lungs are pretty fully expanded in the inhale now, and I still exhale from the top down.

6. I tell myself: My arms are heavy and warm. Soon, they are.

7. I tell myself: My legs are heavy and warm. Soon, they are.

8. I tell myself: My lower abdomen is warm and relaxed. The whole bowl of my pelvis becomes a sea of lovely calm. (I had no idea how much standing tension was stored there, at the bottom of the spine and where all the exits are -- though it makes sense, when I think about it...)

9. Then I stop contriving my breathing, and let it just flow.

After about 15 minutes, well, life is good. Really good. Talk about activating the parasympathetic nervous system.

I've forgotten what else I was going to say. I want to be that peaceful and warm right now.

Oh yeah. The point is this:

Breathing well makes everything better.

It shouldn't be that simple, but it is.

Excuse me. My limbs need to be heavy and warm... In a good way.

Back in the saddle again

The grip of the last round of the Yucks started to break right after posting my last. I hate it when I have to go that far to get past a bad spot, but hey, I'll do whatever it takes to keep heading in the right direction.

Dignity is optional. Progress is not. Words I live by.

My new kitten has changed apparent gender twice, and is back to being a boy kitty -- not that it matters in any practical way. I was looking for a name as elegant, good-natured and playful as he/she/it, while treating an upper respiratory infection that made that left eye look like a mouse:

My cat's mouse

But then, with returning health and strength, his natural energy and violence reasserted itself. He has exactly two gears:
1. Unconscious (or nearly so)
2. Full-tilt, greedy, grasping, and spikily impulsive (as the scratch-marks around my blinked eyelashes attest)

So I've named him Siddhartha, in the hope that something will rub off.

Siddhi playing hide-n-seek.
("Siddi" is an Arabic address used towards a respectable gentleman.
Another fine malapropism from the chronically punny.)

All of his front nails are trimmed now...

In health care, we call this "desensitization"

As for my own care, I'm up to 2/3 of my reiki time and 2/3 of my basic qi gong routine, and hope to get some t'ai chi in today as well. This is tremendous progress.

Vegetables are once again a chief component of my diet, thanks in no small part to an enormous bag of frozen "Normandy style" blend from Costco and our local dollar store, which sells cheap organic produce out of cardboard boxes.

I actually did laundry yesterday.  Today, I hope to take a shower and -- gasp -- wash my hair!

 

I realize only a minority of you will find that truly inspiring, but the rest can have a good laugh... and then think for a minute :-)

For me, life with CRPS is indeed a matter of tiny triumphs and great goals. For the record, I'm still bound and determined to advance the search for a cure, and yes, I've gotten slightly more concrete in my ideas about that... More to come in time.

And now, just for the deliciously hokey yodeling at the end...

Links list:
Here is a recap and explication of the links used in this post:

• Frustration at the wall
• The Buddhist World: Gautama Buddha (external site)
• On desensitization, I linked to my post on Remembering and re-membering.
  Also see:
     The sheer activity of Espom salt
     Pushing back on neuroplasticity
• Where you can buy Lee Holden's excellent beginner routine, which gets more interesting, more useful and more inwardly complex the more I do it: Qi Gong Flow (external  site; his work highly recommended)
• An excellent blog post on the relationship between tiny triumphs and great goals: New year, new thinking from Elle and the Auto Gnome (external site, very highly recommended)

Think zebra

This title has two meanings:

• Medical students are often told, "When you hear hooves, think horse, not zebra." This means that a set of symptoms is probably due to a common cause, not an uncommon one. Zebras are rare.
• There was a popular book about chronic stress and fear that pointed out that, when prey animals like antelope or zebras are attacked, they get really upset; as soon as the attack is over and the predator is gone, they chill right out again. It suggested reacting like the zebra; respond fast, then relax when the threat is gone.

I have a rare disease -- a real zebra.

One of its many effects is to hair-trigger my fear, because of the disruption of the autonomic nervous system that regulates the fight-or-flight response and everything that comes with it.

My bf and I are dealing with a crazy ex. It's an unpleasant experience for anyone, but truly trippy for a former ER nurse (talk about comfortable under stress) who now has a CNS hotwired for the fight-or-flight response. I keep blinking to check whose life this is, anyway.

In between the bouts of crisis management, I'm doing my very best to "think zebra", do a logical assessment, and chill right out again. One must function, after all.

The daffiness of CRPS-brain (especially one that has been overtaxed with a long trip and multiple moves) means that things I need to do occur to me bit by bit, not in a tidy list. However, I do make lists, and have the backup of good friends with relevant experience: I follow their advice promptly and to the letter.

All that's left to do is keep on with my mental disciplines: meditation, contemplation, qi gong, and prayer. Studies show it works, though they're vague as to why. Doesn't matter what format or religion you meditate or pray in, as long as it's sincere.

Makes perfect sense in quantum physics -- but medicine is stuck in the 1600's, with the radiant Sir Isaac and classical physics. Maybe it'll catch up one day.

Meanwhile, here's a zebra. Time to meditate and pray, then stop and chew grass.

Re-learning how to drive

I'm either half a day ahead of schedule or half a day behind, and I'm honestly not sure which. It's roughly another 5 days to Denver, and with my sweetie's troubles slowly and expensively resolving, it's probably best not to try to rush, but to let things unfold.

Mind you, an hour's reiki this morning might be helping me think that way.

Badly as I want to be there already, snuggled up to him and brainstorming, here I am ...

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Between Richmond and Centerville, Indiana.

My room has a fog of mildew which stopped me on entering, but I paid before asking to see the room, so I'm stuck. I can't remember where the AC power cord is for the car's air filter, though I may have tossed it in a burst of mindless efficiency before leaving.

The window is wide open while I do laundry on the other side of town, so we'll see if that makes enough difference. If I wake up brain-dead, I'm sure you'll hear about it.

Despite good energy and good progress, I decided to reef it in and stop early tonight -- largely because I'm out of long-sleeved shirts, and needed to save arm-time for dealing with that.

I stopped here, precisely, because I had mail forwarded here to me at General Delivery -- a system that actually seems to work. It included my permanent Massachusetts driver's  license (which might be handy after the temporary one expires) and a really lovely card from one of the really lovely people I've met on this trip. A wonderful cherry on top of a rather good day.

It occurred to me that I haven't discussed  my accommodative strategies much. Here are a few things I've done, redone, and learned on the way:

Grabbing the wheel

Those of you who know CRPS well know that vibration is absolute hell, and a steering wheel is a big vibrating thing that's made to press against the weakest, most pain-frazzled tendons in my entire body. So that had to be dealt with.

I've learned, from all my adventures with tools when I lived on the boat, that no amount of padding will make up for harsh hardware.  So buying a vehicle with the lowest possible level of wheel-vibration in the first place was a major consideration.

My car, Henrietta, is a Toyota truck:

... but it's built on a Camry base:

This means it has a much more forgiving frame than trucks and truck-mounted SUVs (though it can still tow 5,000 pounds!) and it handles the road very gracefully.

I've learned through many years of athletics that gel provides the cushioning my body likes best. So that was the next thing to go on:

That's extra-thick gel-padded bicycle wrap on the steering wheel.

(And, incidentally, that's the driving grip I use half the time. Holding the cover, rather than the wheel, nearly eliminates vibration altogether, and it's very easy to grab the wheel if I need to dodge.)

Years of nursing and my own experiences with increasingly, um... responsive skin have made me a HUGE fan of good wool. It breathes even when wet, pads even when squashed, and if you keep your eyes open, you can find wholesale prices on new sheepskin (-- and get sturdy sweaters of cashmere, merino, or alpaca for $5-10 at the right Goodwill stores, but that's another post.)

In Massachussetts, I live near the Sheepskin Outpost on the Mohawk Trail, and I lucked into a sale there. That got me:

- The steering wheel cover, to provide more padding and keep my hands off hot rubber;

- The seatbelt cover, to keep the edge of the belt off me and keep the skin on my shoulder and chest aired;

- The seat covers, which I wound up getting for half of wholesale, because they'd just bought the stock of a company that went out of business and had more inventory than they could afford to store.


Boy, did that ever work out for me!

Covering my can

This is about traveling with disability, so here's some physical reality.

I started megadeath antibiotics a few days ago, and the first symptoms are making themselves felt. Kefir just isn't enough to save my skin.

My very favorite brand. I'm getting nothing for saying so, but I'd like that to change :)

Also, I've really been having trouble getting the circulation in my left leg to behave.

Today, in the middle of my day, I had a brainstorm that would minimize the reduction of circulation to my legs and maximize airflow to my antibiotic-ravaged sit-down.

I swapped my underpants for my white silk long-john bottoms instead, and decided I could just wash out the silk each evening and hang-dry it overnight. Besides, the extra layer kept the chill from cutting into my leg every time I opened the door.

Tonight at 6:22 pm, my left leg is feeling better than it did at 2:22 pm, when I made the switch -- despite a couple of hours in the car and far too little activity. Who knew such a little bit of material could make such a difference?

And I'm happy and relieved to say that the parts my undies have to cover are doing better, too. I had no idea that white silk was so healthful.

No more elastic around these legs. It's too bad, because I'd just stocked up on undies. But of course, I got them on sale. It could have been worse.

Gratuitous toilet humor...

I stopped in a gas station that had the kind of bathroom I grew up thinking of as a gas station bathroom. It's not chair-accessible (in fact, there's hardly room for a standing person to turn around in) and the tile might be original with the building.

However, in a totally novel approach to graffiti, this gas station found a new use for the wrongest possible shade of brown paint:

There's really nothing to add, is there?

I'm awake now

After an obnoxious 4am pop, not surprising after a cortisol-saturated day like yesterday, I dozed until 7 when I could persuade my body to take consciousness seriously.

Thinking in terms of an early start. It was great. Then I tried to move.

So I spent a little over an hour on qi gong, stretching, and PT exercises. Much better.

I used my hot pot to make tea and my self-important Oster blender to make my shake, not with kale but frozen spinach, a soft mutzu apple and slushy blueberries.

It burned out the blender.

When I tried to take a picture of the really impressive clouds of smoke, my phone declared it needed updating. I took it as a cue to move forward rather than stand there gawping.

But I needed to get it off my chest. The scary negative crap can stop any time now.

"Plan" is a 4-letter word

Last night, in an effort to give my autonomic nervous system a chance to calm down, I turned off my lovely hostess's wifi while I slept. Eventually, I did sleep, after several hours of meditation.

Why the insomnia?

People change with time. My sweetie is discovering that in the harshest way. A friend of 20 years is sinking into the pit of addiction and her transformation has put him at considerable risk, due to the company she now keeps and what they think of him.

I hadn't heard from him since midday yesterday, and since we had agreed to call twice more that day for different logistical reasons, not being able to get hold of him was deeply worrying.

I followed my inner prompting to head away from the coast (where another storm is heading in, this one bitterly cold) and get to Cleveland, with the option of flying out from there to get to California to do whatever was needed for my sweetie.

I took off at 9:30 (woefully early for me) after plugging the router back in and forgetting my jacket -- which my lovely hostess chased me down to my parking spot to return.

Worth a thousand words

Dr. Goyal and White Plains Urgent Care were a small parking lot and two buildings over from where my nav device had placed them yesterday. /sigh/

She was saddened and intrigued by CRPS, making notes in the margins of my sheet.  She was initially somewhat dismissive of my description of the bite, because this morning it was being coy, hardly red at all.

I said, "I knew I should have taken pictures. Let me draw you a picture."

Despite my having explained its vacilating nature clearly, I know from long experience that they need to see it to believe it.

So, using the big white paper sheet they have you sit on, I sketched the bite when I first noticed it, half a day later, a day after that, and so on. I wound up drawing a series of concentric circle patterns, growing, then shrinking, then growing, then shrinking.

I finished by drawing an arrow from top to bottom and saying, "Would you trust that pattern? Because I wouldn't."

I walked out with a prescription for 3 weeks of doxycycline and having promised to follow up with my CRPS specialist.

I know it'll take 3-6 months just to get my insides back into any kind of order. Could take up to a year. I had a bad feeling about this bite, so I'll consider it time well spent.

 When people talk about Mercury Retrograde, this is what they mean

 While I was in there, my lovely hostess texted me: "Internet still not working - what to do?" An hour (and a lot of non-Mac behavior from her Mac) later, my best answer was, "Call the cable company; it's a hardware problem."

Doing unsuccessful telephone tech support for one dear friend behind you, for a problem you might have caused, while driving at highway speeds on strange roads, when you're sick with worry over another dear friend ahead of you, is not something I would recommend. In fact, now that I can check it off my bucket list, I think I'll try not to do it ever again.

Her life depends on the internet even more than mine. It's not optional. I wanted to whip around and ride back to save the day ... but for the lashing in my brain to go on, and the fact that her hands work better than mine and I know the interfaces by heart, so there was nothing -- in practical terms -- that my presence would have added.

I had a fierce feeling that, if I could get far enough away from the tangled vibes behind me, both of these problems would resolve themselves.

So, with solid logic on one side of me, and crystal-clear intuition on the other, I charged ahead.

I crossed the New Jersey/New York state line. Then my lovely hostess texted me to say that she had found a second loose connection -- and that the internet was now working fine.

How to search for someone who's gone missing

I crossed into Pennsylvania. I'd been stopping every hour to stretch and breathe, but I couldn't stop mulling my sweetie's situation, so I pulled over to start the legwork of searching.

Here's the drill. The order varies depending on what you think the situation is, but, when someone has gone missing and you fear the worst, I find it's very soothing to rule out the worst as soon as you can bear to:

- Contact the police in the area you last knew them to be in. (Use the non-emergency number; the goodwill is worth the effort.) Have they had any dealings with that person? Car accident, fight, anything? One of the first things cops do is ask for ID, whether it's appropriate or not, so they're likely to have records of even minor events.
- The police can connect you to the morgue. Rule out the worst, breathe a sigh of relief, and move on.
- Call the hospitals.
- If they aren't admitted to the hospital, ask for the Emergency Room admissions, which may be a different number.

If all of those turn up negative, count your blessings and wait for them to get back into signal range or to realize they let their phone's battery die.

First, I surfed the police logs to see if anything was reported. If there was any violence, then it's a small enough town to turn up on the online blotter. Nothing matched.

I mulled whether it was worth calling the non-emergency number to see if they'd had any other dealings, and I decided to go straight on to calling the hospitals, on the grounds that any police involvement in the situation would be blotter-worthy.

Then the phone rang.

And it was him.

I really think there were gouts of steam poufing out of my ears. My eyes closed and I dropped against the door, so I'm guessing, but it felt like it.

He was slightly shaken, but intact, and maybe beginning to really "get it" about how some people change.

He told me emphatically to be careful who I trust, not to pick up hitch-hikers, and be careful who I talked to.

Naturally, I promised him that I would.

Just for the record, I have really great friends who always have my back to the best of their ability. I am one lucky human, and I know it.

Kylertown, PA (don't blink... No, really,  don't blink, or you'll totally miss it)

After sorting out some logistics and stopping for a quarter of hot roasted chicken (definitely a local bird -- tasty!) I came to the sinking realization that Motel 6 doesn't go along I-80, and I can't afford the ones that do.

Garmin is no help, because they just list the upper scale lodgings. Lots of B&Bs, but no cheap little roadside doss-houses.

I don't need much, and can afford slightly less. It can be a problem.

I stabbed "Kwik-Fill Motel" on my phone's map. What the heck, truckers know a thing or two about cheap dossing.

I spoke to a woman, which was reassuring; when I blew past the exit (# 133, if you're curious, and it's right after a wooded curve) she did a swell sales-job that convinced me to drive the 10 miles to the next exit and come back... and it turned out to be a good decision. 

This place has been in business since the 1970's and has only raised its prices $10 since then. It skips the kitsch, thank goodness. My decent-sized room has the tasteful modicum of furniture with classy Colonial lines, with just the occasional bit of '70's carpentry or carpeting peeking around the edges. Decoration and color schemes are quite tasteful, for a motel, and -- most importantly -- the heater works.

A total find.

Next time you want to come to the wilds of Western Pennsylvania, you might as well plan an overnight at the Kwik-Fill; you can't do any better, but you could do a great deal worse.

The only downside is, I wasn't prepared for Pennsylvania water. I'd intended to bring a case of bottled for PA, but it was just like I didn't have time this morning.

I'm going to run the bath and the fan, and give the whole thing time to clear the copious chlorine. If it doesn't smell bad after that, I'll have a nice bath at the end of this roller-coaster day. If it does, well, I'll let it go and be grateful for the rest.

Tern to the present

This is the third major purge of my possessions in 7 years. 

The first time, I decided that anything that I was keeping for sentimental value had to trigger only good feelings; I'd keep nothing that made me unhappy.

The second time, I moved onto the boat, so everything had to have at least two uses.

Now, I'm eliminating everything that isn't easy to handle, as well as being useful and pleasing.


That meme is extending into the realm of perception. Images and events that used to trigger emotional cascades, because of memories and associations, are finally losing their sickening zap. Associations fall away, and images and events stand out  in simple splendor as just what they are: unlayered, transient, colorful, done.

For instance, I used to hate terns, because their cry sounds exactly like a drowning cat. I blame their awful caw for my not being aware that my cat was in jeopardy when he died. For a couple years now, I've gotten snarly at tern-time, when they come here to breed. But, with this shift in my perspective, a tern is just a tern. My excellent companion was still an excellent companion -- and, obviously, a kindred spirit.

A tern is not about the past or the future. It's here now. It's just that, at this moment, one is floating past with its strange sharp wings twinkling; then it hovers and wiggles for a moment; twists, plunges, spears the water; bobs up again, looking smug, with a little fish in its mouth; takes off and disappears.

Usually, there is no fish. But right now, there goes a pleased tern, enjoying the moment.

It's just a tern, and it's doing tern things in a ternish kind of way. Tomorrow it will do tern stuff in a slightly different, but still ternish way. Doesn't matter. It's just a tern -- nothing more nor less.

There is no furry friend dying alone.

There is just a bird.

Gorgeous photo: Geert Wilders at http://www.freerepublic.com/focus/f-chat/2426290/posts

And I want credit for resisting the obvious urge to make a crack about taking a tern for the worse.

Oops...

Anyway.

I stumbled across a quote that seemed shiningly appropriate:

"To live here and now, you must train yourself: in the seen there will be just the seen, in the heard just the heard, in the sensed just the sensed, in the thought just the thought. That is the end of  sorrow." - Gautama Buddha

I don't know about the end of sorrow, but it's true that it is far easier to manage my moods, notice my body's signals, and do what I need to do, when I keep things in this charmingly simple, deceptively rigorous perspective.

It's rigorous because it goes against all my socialization about the importance of hair-trigger reactions and emotional responses: Am I an ice-queen? Don't I care about things? Aren't I human? What's wrong with me?

I've gotten all of those remarks in my time, when I strove for calm in former years -- especially from mere acquaintances and random strangers, which always shocked me. How I, and those around me, survived my 13th-23rd years is unimaginable at this distance of time and self-certainty, but falling into the reactivity trap was one good way not to get verbally assaulted.

One advantage of being plumply middle-aged is that, for one thing, people watch you less; for another, a degree of equanimity seems to be less ... annoying.


Exqueeze me?!?

I've had it up to here with emotional reactions. CRPS is a roller coaster par excellence, for emotional reactions. I'm quite done, thank you, and I'd like to get off now.

Actually, I think I just did.

And now, a tern is just a tern. For better ... or worse.

Getting it right

H'mm... Struggling with the recurring message from the world around me that I can't do this, I can't cure this case of cold chronic CRPS. It's twinned with the message that, whatever I'm doing, it's wrong. I'm not interested in whining, because, as my CRPS cohorts know, this nonsense is par for the course... but every now and then, it's good to step back and do a reality check.

Let's take a good look at this thinking:

- On the conventional medicine side, I walked into a new doctor's office with my tabulated timeline of years of a complex case, pictures showing the evolution of the disease in this body, and documentation about what works and what doesn't. The response: "You spend way too much time thinking about this!"

Don't waste time trying to find any upside to that remark. It surprised me especially because most of my docs (the best in the biz) loved my documentation. Now I know that the really good doctors love it, and the ones who don't love it are either one-trick ponies or second-rate. This one was a one-trick pony, and once he'd done his job, I was gone.

Let's back up and pretend this guy asked, "Wow, that's a boatload of well-crafted, thoughtful documentation. Why did you go to so much apparent effort?"

I'd say, "I was a nurse so the concepts are easy, and I was a tech writer so the structure is even easier. This is a cakewalk for me. If I CAN'T document what's going on, check for a pulse!

"Moreover," I'd go on, assuming the doctor cared about my well-being, "tracking this stuff frees up my attention by letting me plonk it down in black & white and then put it out of my head. That leaves the rest of my time free for meditating, friends, bathing, housework, and so on.

"Besides," I'd add, if the doctor looked like one who could take a joke, "most docs find this case hopelessly confusing, and I don't need you wasting my time by asking the same questions 3 times and still getting it all wrong in the end, just like the one other doc who refused to look at this!" Ha ha.

Seriously, physicians, that's how to handle an expert patient: Ask, then listen. Saves time.

- The alt-health folks are liable to tell me, first, that I'm sick because I think the wrong thoughts; then, if they ask about my mental habits, it's obviously because I eat toxic foods; if they want to get straightened out about that, it's clear, dear, that you're too attached to this disease and there's nothing anyone can do to help.

My fellow CRPSers are thinking exactly the same things as me right now.

Besides the sheer cruelty of that response, the fact is that spontaneous remission from CC-CRPS (cold chronic CRPS) after the first 3 years is even rarer than spontaneous remission in cancer or AIDS. I've heard of it happening once as late as 7 years; I've had it for roughly 10; average survival is 30 years after onset. If any of you has more optimistic data, I'd love to see it!

Here are some things I've learned about how what you think and what you do REALLY affect the course of your CRPS:

- Those who stick exclusively with the conventional model and submit to their doctors without question, especially when they have noxious drug reactions (as I do), tend to suffer much and die young.
That's what happens when you're a passive patient with a disease that few doctors understand.

- Those who become well-informed and educate their doctors, have better results and do considerably better for much longer.
That's what happens when you open your eyes and take initiative regarding a very rare and complex disease.

- Those who research and implement changes to diet and lifestyle most vigorously, have the best results from their care and use a lot less medication with much better results, higher function, and lower disability.
That's what happens when you shoulder real responsibility for what you do and how it affects your life.

- Those who are active in the online communities, seeking support and providing support to others and sharing information, tend to beat the odds.
That's what happens when you constructively engage with your community.

(One day I'll have an open-source database that lets me pull up all the articles I've read over the years to support those statements.)

I'm looking for something I'm not doing yet. I will figure it out, hunt it down and I will do it.

CRPS is an incredibly hard disease, in every conceivable way. Where there is any spontaneous remission at all, there is something to work with. I just haven't figured out what yet.

I can't help thinking that Norman Cousins was an amateur! If he was looking for miracles ...

Since I still have CRPS, I find those recurring messages a little intimidating. I  don't yet have hard data to throw back against the key message. I can see that, when others say I'm doing things wrong, the statements tend to be presumptuous and ill-informed, but the fact is, I still haven't cured my own case of CRPS ...

Yet.

Gluten exposure and recovery - Testing myself (silly me)

Gluten: really is that bad

Yesterday, I walked past the bread display at Trader Joe’s three times, breathing deeply. It smelled good, but not as good as I remembered. That was odd.

As I left the store about ten minutes later, my face turned beet-red and puffed up, my brain went into a deep white fog, colors faded to pastels, and the pain left my arms and foot briefly to return, five minutes later, to every joint in my body.

I was in full neurological gluten reaction. From inhaling near a bread display!

I did that in the first place because I just could not believe I was that sensitive to something I’ve eaten – and really enjoyed – all my life until last summer.

I know there’s a difference between the kind of food sensitivity where, if you avoid that food most of the time, you can tolerate a little now and then with no trouble; it’s about keeping the contact down below a certain minimum. Then there are the sensitivities where, if you eat a bit on a regular basis, your body retains an ability to deal with it and you don’t get a reaction (vegetarians who go back to eating meat are familiar with this – it takes awhile for the body to readjust.) And then there are the sensitivities that amount to true allergies, where any contact causes a reaction and the reaction can get intense enough to create a crisis.

That was an intense reaction. I’m not interested in seeing how much more my face can inflate.

It’s true that I used to eat wheat regularly and experienced nothing as dramatic. Would it be less dramatic if I ate a little on a regular basis?

Considering how quickly my health was slipping while I was eating gluten, and the fact that I continue to get sicker but I appreciate that it’s at a slower rate, I don’t see any real point in making the experiment.

Moreover, the literature on gluten allergies does not support that. The science indicates that, if your body has trouble with that particular protein, then the further you can stay from it, the better off you are.

I called my acupuncturonaturohomeopath. He gave me a recipe for gluten exposure, which is mostly about buffering the heck out of the molecule. I cobbled together a gluten exposure kit from my talk with him and my nursing background.

Gluten Exposure Kit:

-          2 Alka Seltzer tablets,
-          4 Tums,
-          500 mg body-friendly Vitamin C (not more),
-          10-15 capsules of activated carbon, to soak up any toxins in the gut. (More for eating it by accident, but it can’t hurt. I think it cleared a few things up, in fact.)

Just add water! And plenty of it.

Keep it in snack-baggies in key places: glove compartment, purse, first aid kit, desk drawer.

I turned normal Isy color almost immediately and then had a great, rippling burp every 10 minutes for about half an hour – feeling considerably more human each time. A day later, I’m not quite up to where I was before exposing myself, but am LOTS better than I’d expect to be, without that treatment. A reaction like that usually puts me down & out for about three days. Drooling Barbie doll. It’s awful.

Why so little Vitamin C? Doesn't your body just wash away the excess?

Actually, if you take in excess Vitamin C, your body washes away all of it that it can still get hold of. 500 mg seems to be the sweet spot of maximum absorption and minimum waste. I used to megadose it, but with a frail system, that's intolerable. 500 mg lets me take in and use every bit of it. If I need more, I just take it 3 times a day instead of twice.

Meditation and Reiki: really is that good

Today, I had to test myself on the value of my mental disciplines. I’m not sure why I’m testing myself so much; I doubt myself, perhaps. There is something surreal about what this disease does to you; I suppose the occasional reality check makes sense.

I didn’t meditate last night or this morning. The emotional surges are quite noticeable, but I’m well aware that they are what they are, which is not me.

After my gluten experiment, I feel no need to push this farther.

I’m now perfectly convinced that my relentless internal work does keep the rudder in line, the engine tuned, the brake pads operational, etc. Basically, it keeps CRPS from taking over my brain.

Dammit. I wanted to be normal again. Though, to quote the fabulous Stockard Channing in Practical Magic, “Darling, when are you going to learn that being normal is not a virtue? It rather denotes a lack of ambition!”

Mind: more useful than you think

The power we have over our own minds is so often underestimated -- or misinterpreted. The "you're sick because you obviously don't think the right thoughts" frame of mind makes me livid -- it's inexcusable.
But mental & emotional discipline is absolutely key to my function and survival. I know every moment I take to notice enjoyment, my brain gets a shot of pain-reducing endorphins and decision-improving dopamine. Every time I grab my brain when it wants to go to pain-lashed catastrophizing, and stop and do a reality check and look for good things, I know I'm cutting the pro-inflammatory cycle and reducing a pain-spiking dose of cortisol.
It's bloody hard to remember to do at times, but practice makes perfect and I do get better the more I work at it.
... Speaking of neurotransmitters ...
I've been meaning to write a primer on brain chemistry and neurotransmitters. It's so convoluted I don't know where to start. I'm thinking of setting up the table (or 3-d matrix!) of chemicals, body parts & functions, then writing about one segment of that at a time. As my Mom says, cut large tasks into bite-sized pieces, then go after them one by one.

Leaping

I'm finally putting a book together for publication. I sent the first part out to readers for feedback, coasting that post-prep phase of being certain it's practically perfect and totally wonderful.
Unlike the delightfully daft P. G. Wodehouse, I only think my work is perfect for about half a day. Then, with no warning, everything changes: my heart hits my feet and I become certain that what I've just thrown out all naked and unprotected into the world, is nothing more than a puerile squall which will soon be riddled with well-deserved flaming arrows.
I'm eating too much sugar (for which I'll pay the price in pain, don't worry) and trying to settle down for a bit of brain-soothing meditation. Then a bit of light boatwork, maybe some laundry ... and then a couple of hours on the next part of the book. Because what I think of it doesn't matter.