There is always a price to pay

I’m not promising, but I have started on sorting out my posts from 2012, with the possibility, that they might be, the start of that book I have thought about, so many times. I am finding it really hard because I am continually want to rewrite every single one. Yes, staying to the heart of each post, but correcting my extremely bad grammar and adding in details, that back then, I didn’t consider important. My style of writing has changed so much, that I keep finding myself both embarrassed and disappointed, at exactly what each days scrawl held. It is quite an eye opener. One thing is for sure, if it ever gets completed, I will have no problem saying that they are not an exact copy of what is already available online. That alone, for the start of 2012, will without a doubt, be for me, a total blessing.

I am still finding myself both tired, and drained, after Mondays hospital visit. What exactly did the damage, as always, I don’t have the slightest idea, all I know, is that bed seems to have been a constant thought, stuck right in the front of my mind. I hate when this happens, as I know without a doubt that that means, this is going to be a long week. When you find yourself aware of every single minute that ticks past on the clock, what other outcome could there be. Almost ironically, I found myself yesterday morning coughing up phlegm. Despite my years of smoking, I have never had what is commonly known as a “smokers cough”. I don’t have the slightest idea how my lungs have cleared themselves of all the gunk, they are supposed to produce if you smoke. Either mine never produced it, or they somehow learned to absorb it. Mind you, I can’t say that it is something that I have worried about, who, after all, actually want’s to hack their lungs up daily. I’m not actually coughing repeatedly, as I said, it’s not something I do, it just seems to be one single cough, then my mouth is filled with crud, that I don’t want anywhere near me. What is unusual about today and yesterday is that those coughs are appearing several times an hour, with always the same result. On Monday, I was at the hospital, where if my lungs were going to fill with a lumpy mouse, would have been the day to do so. Tuesday morning, I wake with that unmistakable congestions, that just kept growing. Sods law, I guess.

Between my tiredness and my submerged lungs, you would think that I had more than an unfair kickback, from daring to leave the house for a handful of hours. My PRMS doesn’t agree with that conclusion, it has been throwing different symptoms, and issues at me, almost hourly. Both large and small spasms; in any place that it fancied at the time; sensations; from mild to body stopping, on into both the imaginative and basically mundane. When my PRMS decides that I have been pushing it, it always makes me pay for it. A perfect example actually appeared just as I was ready to go to bed last night. I had, like every evening, been sitting on the settee watching TV. Adam had, as he usually does on a Tuesday evening, spent most of it in the kitchen weightlifting. It has been a hobby of his since his teenage years. Despite his desire to be a muscle-bound monstrosity, like most people, he doesn’t have the time or the money to put in the dedication required. He has settled to just staying reasonably toned and with stronger biceps than most men. He had joined me for the final half hour before I went to bed and to be honest, life seemed perfectly normal, then I tried to stand up.

The initial push upwards and away from the soft cushions appeared fine, then I got to the point where momentum ends, and balance along with muscle memory takes over. Everything felt totally wrong. Yes, I was almost upright, but not properly. My feet were telling me that I was standing on a sponge, not the floor it expected at all. My ankles, that my weight was centered and that they were being pushed over, into directions that weren’t correct. My lower legs had fire spreading over my shins and my calf muscles, had knives being sunk, deeply into them. The back of my knees felt as though someone had managed to reach inside them and were twisting and pulling all the tendons and mashing all of the muscle structure. Yet, the three inches both above and below my knees were totally numb. All of that appeared in less than a second and there was nothing I could do but launch myself forwards towards my wheelchair. I had reached out to grab the arms, but as my left hand touched the rest, I knocked my thumb joint, once about out of its socket. None of this, was possible in silence, especially not when I cracked my shin, into the foot rests of my chair, and my hip off the armrest as I span myself round, to slump awkwardly onto the cushion. I may have made it to being seated, but there wasn’t the slightest chance of me going anywhere, at least not at that very second.

Adam had jumped to his feet and was standing in front of me, in less time than the whole thing took. He was desperate to do something to help, anything. I was too busy inside my head, trying to sort out what had just happened and what was happening then. The numbness was spreading, all the burning and stabbing had been replaced, but more than just numbness, as it felt like a thunder cloud. The numb feeling was the cloud, and electric shocks that were firing off all over the place within it, the lightning. Adam was desperately holding onto different parts of me, asking questions and trying to help, but I was too confused by it all, to make much sense. I knew he wanted to help, but I just wanted him to leave me alone and definitely not touch me. I knew I was snapping at him, it wasn’t meant to sound the way that it did, but I had to stop him from possibly making it worse, as he couldn’t possibly know what was happening inside my body. When you are tired, confused and in pain, it is hard to make sense and even harder to be considerate for others. My snipes and demands weren’t supposed to be that way, it was just how my body felt, appearing in my voice. When I wouldn’t let him touch me, he offered to push me to the bathroom and to help me do what was needed before bed. Again, I answered badly, but he left me at that moment to do whatever I needed to do by myself.

I know that Adams intentions were well meant, but he, like everyone else who isn’t in a wheelchair misses. My increasing agitation wasn’t all coming from how I felt, there was much more to it. I was sat in my chair, in a position that is firstly, like parts of most homes, difficult to maneuver in. If I had been on my feet, I would have just quietly moved both out of his reach and out of the room, without any sniping. He had me trapped, I couldn’t move at all, not even by an inch. It doesn’t matter how much you love someone; that sort of position; plus the invasion of personal space; especially when you are already distressed; is never going to bring the best out of any of us; add in everything else, and I hope the picture is clear. That, though, is a side issue, it was the everything else, I am supposed to be writing about. The last thing I said before Adam moved out of my way was, “I have to do this myself”, I kept on saying it all the way into the bathroom and in my head, the whole time I was there. When I emerged again, I was both calmer mentally and physically, I was also able to explain to Adam, what had been going on.

I didn’t have the slightest doubt, that it was the fatigue that sparked all the sensations. Sensations aren’t dangerous, it is rare that I have fallen because of sensations alone, especially when I am already aware of them all being heightened. If I let sensations stop me, I would do practically nothing. Yes, I could have let Adam take me to the bathroom and help me, but that wasn’t really in the long term going to help me at all. I am bitterly aware of the limited use that I make of my physical strength and remaining abilities. If I were to give in, stop using them and letting him do everything for me, well, the long-term result, would be a body that is less and less able, to do anything for itself. Sensations, don’t stop me from taking a couple of steps, from chair, to loo, or anywhere else. They can be painful, upsetting and unsettling, but they don’t do any real harm, I have to treat them that way, I have to carry on as though everything is normal, or I’m giving in.

If, on Monday, I had just spoken to that doctor on the phone, something that could have easily been done, as I didn’t go through any tests or examinations, I wouldn’t have been going through this or the hundreds of other things that have happened because of it. The medical profession is blinkered to the conditions they specialise in. I have been frequently asked by consultants what PRMS is, they don’t understand even the effects of MS and PRMS is a bigger and badder version. The majority of hospital visits aren’t necessary and people like me, aren’t just like everyone else, annoyed by wasting time, we’re actually made ill by it. Our healthcare systems don’t understand that, and neither do our specialist unless it’s within their specialty. Today is Wednesday, I don’t know when this will end, but I’m sure, the doctor I saw hasn’t even given me a seconds thought after I left.

Please read my blog from 2 years ago today – 11/11/2013 – A night of note

I seem to be in a run of bad evenings, I was fine all day yesterday during the day, other than when I went for my nap, lying down seemed as it often dose to trigger my lungs into complaining, but that’s nothing new. I often wonder how it is that pain can be slept off, I know it can, as I do it all the time, but you would…..

Side effects or just life?

The final bag of meds arrived yesterday afternoon, I now have the supplies to keep me going for a whole month for the new ones and two months for the rest. All Adam and I had to do in the evening was to work out how to use all the new equipment. Yes, I did say all, something else arrived with my meds. I have a vague memory of seeing someone in a hospital a long time ago using one but had totally forgotten about it. It’s called a Volumatic Spacer Device and is a rather odd looking clear plastic canister. Two cones that you slot together and put one end in your mouth and spray the inhaler into it, rather than straight into your month. It is supposed to ensure that the drug is being delivered deeply into your lungs and belongs to the new steroid inhaler the consultant ordered for me no Monday. He never mentioned that it came with this strange looking object. Between it and nebulizer, my drug routine has grown ten times in length and has become a real palaver rather than a couple of tablets. Anyone in the past seeing me taking my meds might have wondered slightly at the array of different tablets, seeing me now, they would have only one conclusion, this person is really ill. I suppose that is partially what has been getting to me over the last few days, now it’s all real, my imagined picture is reality, I am really ill.

It’s odd the games that we play with ourselves. The way that even once I was housebound, I somehow shuffled it into the normal box and got on with it. How could anyone go through all the things that I have and still be able to think of their health as “normal” on the scale of human health? Give me a couple of months and I will probably be shuffling this into the same “normal” box. Right now, I am still feeling rather overwhelmed by all of it and it’s not just me, as Adam the other night said that it felt as though this week was never ending. It just all feels like it has been one thing after another and none of them has just happened simply. From Sunday evening on it has all felt like it’s been an ongoing fight, Adam and I against the world and not because we wanted it, but because that’s just how the world had delivered it. Even when the last bag arrived and I dared to think well this is it, all over, that front door is now shut and normality can settle back in, was shattered in second when I unpacked and found the Volumatic. I had everything new on the counter and I was sat on my perching stool looking at it, all that stuff, where was it going to go. The cupboard that I took over several years ago to store my meds is already packed tightly, here is even more stuff, loads of big boxes with nowhere to call home. It appears that I don’t only need to change cupboard around, I need to clean out anything that isn’t needed and make space for the invaders. No matter how much I love Adam and appreciate all that he does for me, he isn’t exactly a domesticated person who cleans out the kitchen cupboard before the shopping arrives. For years, he has just kept adding without really checking, what can go. Out of date stuff, not too bad, but unused, never will be used again, total failure.

I don’t normally read any of the leaflets that come with my meds, as I am a great believer that most side effects are imagined, thanks to people panicking after reading those sheets of doom. But the sheet that came with the Volumatic was as always in print only a spider could read, so I had to go online to find out the correct way to use it. To my surprise, it said that it wasn’t just to get the drug into you properly, but to help avoid some of the problems that these drugs cause with the inside of your mouth and that to be safe, you should clean your teeth straight after use. Part of me wanted to find the drug next and read all it had to say about it, but I again thought better of it, but I was glad for the warning. 8 pm came and the first round of new regime. It was Adam who suggested one change that I hadn’t thought off, instead of my going to the kitchen to take my drugs, he would sort them out and bring them to me here in the living room. That way it meant that I could sort out the two breathing apparatus and get on with taking it all. I sat with the nebulizer on for the about the same amount of time as I did on Monday at the hospital, then stopped it to see how much more I still had to go, I wasn’t even half way through it. Clearly the nurse had been in a hurry, as I remember thinking that her 15 minutes I was supposed to have resting had been on the short side. The biggest problem I had was saliva. Actually, I think it was that plus a large dose of the mist turning back to water in my mouth, either way, I kept dribbling, not exactly comfortable or attractive. A full ten minutes of sitting with a stupid blue tube in my mouth and machine so loud that it drowned out the TV, at least the other one was silent, stupid looking I am sure but silent.

Over the next hour, instead of my breathing getting easier, it was getting more and more stilted and small sharp shallow breaths, ones that sitting on the settee I was finding impossible to control. I was also aware of something else, my heart seemed to be thumping like mad. To me it was all wrong, wasn’t the whole point of the all of this that it was meant to make things easier, not harder? I didn’t say anything about it to Adam as I couldn’t help thinking that I had wound myself up and just put myself into that state. All I needed was to go to bed and rest and it would all settle down, it didn’t. I had been in bed for more than 15 minutes and my heart felt like it was trying to escape. I attached my monitor and was shocked to see that my heart was beating at 118 bpm and my blood gas was just 84%. Clearly you don’t need to be a doctor to know that that just wasn’t right, I, though, just went to sleep. This morning I decided to try taking the Nebulizer and the steroid inhaler the other way around. It worked to an extent, my heart rate an hour later was at 98, my normal resting rate is 84, but any movement just standing to read the TV screen can throw it up to 110. I’m not sure, but I don’t think this idea of putting three different inhalers into my lungs all at the same time, isn’t exactly a good idea. I think they could be mixing and causing problems. So tonight, I am taking my Seretide at 7 pm, my Nebulizer at 8 pm and the Aclidinium just before I go to bed and splitting the morning dose in just the same way. Oddly I remember apologizing to both my heart and lungs last night as I drifted off for putting them through all this.

I don’t know why, but I had this odd feeling in the back of my mind that this wasn’t going to be as easy as it should be. I think that the idea that closing the doors to the chemist delivery driver yesterday was the return to normality was more a wish than a belief. At least for once, I suppose because Adam is here right at this second, I have spoken to him about it while I have been writing. Adam decided to read the possible side effects and found out that it could actually be caused by there Seretide, raised heart rate is a known side effect. We are in agreement though that I should split them up and then wait for a few days to see what happens if it settles down, then fine, if not, I will call the doctor. I am honest enough with myself to realise that I might be winding myself up about the whole thing and causing all if it, although I am normally a very level headed person, not prone to panic or anxiety. But there is only one way to find out, put it all to the test. All I want is a nice quiet weekend and a touch of normality, a chance to feel like myself rather than some ill person who isn’t able to cope with it all. That is what I would like, but I know for a fact that what I have to do is sort out the kitchen. I also know that at some point over the next few days that the doorbell is going to ring and the bag for my wheelchair is going to arrive, yet another piece of equipment to add to my collection.What I want from my life in the next days just isn’t going to happen. Yes, I could put it off, I could just put it all to one side and take a few days out, but all I would be doing is making the monster ahead of me even bigger.

Please read my blog from 2 years ago – 11/09/2013 – Sod law or spelling out the future

The pain started to build again after I finished my post yesterday and I decided that I was going to try again with my GP, after all I had little to loose. I don’t know if I put it to him in a different way or if it was I simply had it all sorted and clear in my own mind, but to my shock the call didn’t go the way I expected at all. In the past the fact…..

Side effects

I’m still not really back to normal or anywhere near, but there are windows when I can share a laugh with Adam and I don’t think about my legs or the pain my my torso or anywhere else. I have to say with all the upset on Friday I totally forgot to mention the new symptom of pain in the center of my chest, which no Adam has nothing at all to do with my heart! I really think it is all part of what is wrong with my digestive system as it is always connected in time with eating or drinking, mind you I drink all the time, one of those things anyone who is on tablets all the time will tell you, you have too.

I actually a couple days ago sat and read on line what the side effects of some of my meds are as it had been said several times that the MST can cause problems with digestion, which I know could be part of it but I wasn’t on MST when all this started and switching didn’t make it any worse. I landed up laughing at all the things that could go wrong, just because of the tablets I am on and how many of the actually cause side effects that are actually normal to MS, and nearly all of them say they could make me sleepy. In the past I was on a med that was supposed to keep me awake, in layman’s terms it was speed, it didn’t effect me at all but I used to laugh at the result as I worked them out on a score system was I should have been on the ceiling asleep. These days the result of all my meds is I should be asleep and that’s it in simple terms, it works as I already sleep 12hrs a day. What actually made me read it, was something that was said to me in hospital. They raised a concern as to how effective any painkillers they could give me on top of what I already take. I know that I still feel pain, there is no doubt about that, but I have been left wondering what would happen if I say fell and broke a leg badly, what would they be able to do for me? You don’t think about these things until something happens, but I have been given a warning of the future. From what I can make out because I am on such high levels of painkillers, they really wouldn’t be able to give me much more, so finger crossed that I never need any higher levels for acute pain, as I’m going to have to manage it myself.

Teressa phoned me this morning on her way to work just to see how I am but I have been left worrying a little for her as things are just not going to plan with getting John over here in time for the wedding. I had been worried she was rushing making all the arrangements for the end of January, they thought he would be here for Christmas but that is not going to happen, all the details they thought they had sorted out for immigration has turned out to not be complete and they are now trying to obtain all the other documents as fast as they can, as with most things in life it isn’t as easy as they thought. I am not sure what they are going to do if there are anymore hitches, if they had to move the wedding she is going to be in difficulty as like everyone else there is a limit to the money they have, I’m not in a position to help either. It is great that she is back in the UK and wonderful that it means I get phone calls out of the blue, as well the cost doesn’t matter so much, but I really just hope that moving back here isn’t going to turn in to a nightmare.