Tag Archives: exercise

changes-aheadI have fallen woefully behind in posting updates to this blog.  I’m happy to report it’s for the most excellent of reasons.

Shortly after I posted last, I was contacted by a recruiter about a job with a large local hospital network.  It took a while to get through the rounds of interviews, get and accept the job offer, and get on-boarded.  But it all worked out, and I just finished my third week at my new digs.

I am, as some people say, happy as a pig in slop.  (Isn’t that a mental image? LOL)  The Mister says he hasn’t seen me this excited and animated about work in a long time.  This is exactly the kind of position I dreamed about and worked so hard on my master’s degree for.  I feel a bit like Melanie Griffith at the end of Working Girl.  Though my new workspace is “Apple-esque” (read: open office concept) instead of an office with a door.  Though not my preferred environment, it’s a minor gripe, especially compared to all the awesome things about my new job.

My new group functions as a technology think tank for the network.  I’m a program manager, which really means I project manage a bunch of related projects that make up a program.  We’re looking into all the ways we can extend care from our physicians and hospitals into the digital space through mobile and web technology and such.  It’s really exciting, and though I have a lot to learn about project management, the team is fantastic and incredibly supportive.

So I’ve been learning to navigate downtown Dallas and Central Expressway, and parking downtown means I’m walking almost twice as much for my routine activities than I used to.  So of course, my body thinks I’m punishing it, and the fibro is trying to fight back.  Most evenings I crash, and right now my weekend activities are limited to one physical or outside the house activity and the rest of the weekend is resting and recuperating to do it all again the next week.  I believe I’ll adjust to the increased activity and be able to start doing more things, but I’m listening to my body and resting when I need to so I can be effective at work.  The Mister is awesome about looking after dinner and other things that have to be done, which is awesome.

chachaIt seems like every time I think I’m starting to make real forward progress, something sets me back.

I mentioned a few weeks ago that I was pretty sure my rheumatoid disease was not, in fact, in remission as Dr. B seemed to think.  My joint pain had been steadily escalating since spring, with some new joints joining in the fun.

However, my blood tests show zero elevation in any of the inflammatory factors, and there is zero visible swelling in my joints.  So I asked the nurse who called with the results what Dr. B thought might be causing my now 5/10 pain level.  She called me back later to let me know Dr. B thinks it’s “the fibro”.

The WHAT?

No one had ever talked to me about a fibromyalgia diagnosis.  I knew that I probably met the criteria for it, but it fully depends on self-reported information about pain and impact on daily activities.  So pretty much anyone who reports widespread pain with a  negative impact on daily activities without another diagnosis found, gets a fibro diagnosis.  It’s the bucket we all get thrown into if we keep insisting we hurt and the docs can’t find anything else.  Medically speaking, it’s a trash-can diagnosis.  It doesn’t help that frankly some people take advantage of the self-reported nature of the diagnostic criteria in order to gain sympathy, pain medication,  and even disability income.

At any rate, the nurse said the doc wanted to put me on Cymbalta and Gabapentin.  I’ve had trouble with Cymbalta in the past and told the nurse that I’d been on Savella for fatigue because of my past issues with Cymbalta.  She brightened up and said that Savella was even better, and since I’d been on it without issue, we’d just start it up again.  After I got off the phone, it occurred to me that I’d tapered off the Savella right about the time the pain started up, so it lent credence to Dr. B’s assessment.

So I’m ramping up my Savella doses again, and the pain is lessening.  So I guess that I really do have fibromyalgia, and I’m lucky in that there’s a medication that helps.  It’s a med I tolerated well, which given my history of side effects and adverse reactions, is a minor miracle.

I’m also finding that if I can drag my happy butt off the couch and go swimming or walking, I do feel better as long as the exercise is not overly strenuous.  It’s the dragging myself off the couch when I feel like hammered dog poo that’s the challenge.

I even managed to finish my first 5K with my new weight loss surgery support group.  The Mister did it with us, and my time actually puts me in the acceptable pace rates for many of the popular 5K walk/runs.  Part of me wants to start doing them periodically, but part of me doesn’t like the thought of joining huge crowds of people to walk 3.2 miles.  Once grad school is over, we’ll see what I have the time and energy for.

This forward and back pattern is discouraging but as the quote says, if you look at it right it’s a Cha-Cha.  I guess the trick is to keep finding ways to move forward, while finding the right music for the dance.

A few weeks ago I got to take a week long business trip to Irvine, California.  I took advantage of the opportunity to go out to the beach a couple of evenings I was there, and walk in the sand.

I lived about a year and a half in Hawaii when I was a child, and it's been that long since I've been in real surf.  (I maintain that beaches in the Gulf of Mexico do NOT have real surf.)

It was awesome to walk on the beach in the edges of the surf.  It was awesome in a different way to get reminded of the sheer power of the ocean when I didn't pay attention and got my feet yanked out from under me by one of the larger waves.  (No serious damage was done, just Mother Nature reminding me that she'll knock you on your ass if you don't respect her.)

As it was, I walked a LOT further down the beach and back than I originally intended to.  I had forgotten that walking on sand at an incline is a LOT more strain on the legs and feet than on level ground.  So I was incredibly sore when I got back to my car (not to mention having sand EVERYWHERE) but it didn't appear to flare my rheumatoid disease any worse than it already was.

Yes, it appears that my RD/PsA is not in remission as we had hoped.  We're currently waiting on blood test results that will inform our treatment decision, but just from my pain levels and where the pain is, I can definitively say I am *not* in remission.  It was a nice thought, but now it's time to reassess, remake the plans, and move forward.  My pain levels are reaching the point of interfering with good sleep and trying to keep me from moving.  But my week in California taught me that moving actually lessens the pain - at least after the first few minutes.  I was

My pain levels are reaching the point of interfering with good sleep and trying to keep me from moving.  But my week in California taught me that moving actually lessens the pain - at least after the first few minutes.  I was in a situation where because of parking costs, I had to walk about 2 city blocks each way to get lunch every day.  This is in addition to my evening forays to the beaches.  Once I got up and started moving, I felt better.  (The weather helped because it was drop-dead gorgeous the entire time I was there.)  So I'm committed to stay on my exercise program.  Right now I'm focusing on water walking/swimming twice a week, and plan to start adding on light weight training soon.

I also went to a meeting of an in-person weight loss surgery support group, and found that I like them and the format very much.  They even convinced me to join them in a 5K walk later this month.  So the Mister and I are going to start walking as much as we can in the Texas heat to prepare for it (he's doing the 5K with me).  I may not finish, but I'm going to give it my best shot.  I have told my friends who are runners that this is NOT a gateway for me to start running.  They just laughed.

So that's where things stand in TheAntiChick's world.  Not perfect, but doing OK.