New Symptoms – new problems?

I haven’t had much to say lately.  My next round of respiratory tests and labs are in two weeks.  I did recently undergo a biopsy of endometrial material.  I won’t have those results for two  weeks also.  But,  I have noticed some of the following changes lately.  Please be advised that these may or may not apply to you and I will be bringing them up to the doctor.

  • Mosquito hands – every now and then I will have what I call mosquito hands.  What does that mean?  Well, during the process of trying to wind down and fall asleep, it feels like a bunch of mosquitos attacking my hands.  Only my hands.  This is not to be confused with the random pin pricks I normally feel as I fall asleep.  It usually takes a dose of aspirin and a valium to get them to calm down so that I can sleep.
  • Avoiding grains does make a difference –  I have  regressed now and then to conserve on time or convenience to eating foods that contain grains that are gluten – free.  This usually causes me to wake up the next morning with an achy body and/or a rash on my hands.  After two days of avoiding all grains, rash is healed and body aches are gone.  Avoiding grains does not seem to affect the amount of coughing.
  • Body breakdowns – recently I have been experiencing what I want to call body breakdowns.  I don’t really know how to describe it except that it starts with me feeling a little chilled.  Then it feels like a lead blanket (like the one from the dentist) being laid on me.  I am usually in bed before this lead blanket feeling overcomes me.  I am unable to move for about two hours.  I don’t fall asleep.  I don’t have  a fever.  But I am unable to do more than lay there and assure my dog verbally that I am okay.  After about two hours, it feels like the blanket is lifted and I am fine.  There does not seem to be a trigger or anything to bring it on.  I actually took a day off from work, stayed home on oxygen and drank about a gallon or more of liquids to see if it helped.  It did.  The next event lasted only 45 minutes.  But as soon as I got chilled, I drank a big glass of water and ran upstairs to lay down.  I can only guess that maybe I am getting dehydrated during the day causing this event.  I can’t explain it any other way.  It will be interesting to see what the doctor says.
  • Quality of vitamins do count –   I used to take a general multi-vitamin by Centrum and any generic of probiotics, calcium, biotin, iron and D3.  Well…..My labs steadily were getting worse regarding my hemoglobin.  So, I have been slowly switching to a “food -based” vitamin company.  I do admit that they are not cheap.  It has been three months since I have switched the iron, calcium and D3.  My labs in February were one point higher.  I have now added a more costly 16 strain probiotic to my regimen and a different multi for women over 50.  I have labs in two weeks to see if the hemoglobin returns back to normal.  If it does, then my investment in these particular brand of vitamins and other supplements will be worth it.
  • Remember Turmeric – I have recently discovered that taking turmeric at night is a must for me.  I forgot one night.  The next morning my hands were puffy and stiff.  This herb is great for reducing inflammation in the body.
  • Getting back social events – I have been blessed by friends and family to have scheduled once a month for me to attend some kind of community social event.  January, I saw chinese dancers.  February, my son took me to a piano concert and recently this month, my best friend took me to an opera.  Understand that the day before each of these events, I stayed at home on oxygen and rested.    It takes planning, but each event was thoroughly enjoyed.  So, if you can afford it (if you can’t- there are free concerts out there, you just have to find them), schedule yourself for something once a quarter or even once a month.  Plan ahead to get rest the day before and enjoy.

I hope these few insights help you with what you or your loved one is going through.  I am not in their shoes, so do not count this as advice.  Count this as my walk.  If anything I share helps you to feel better, wonderful.  If not, keep researching.  I am always looking for new information on treatments, complimentary medicine and psychological information to help me deal with my personal journey.

As God closes doors on what I can’t do anymore, He opens His arms even bigger to receive me and help me with what I can do.

How to spell Relief?

I remember the old Rolaids ads about spelling relief  as R O L A I D S.  I then giggle with the thought of my dad saying he spelled relief as F A R T.  Mom would always chime in with B U R P.  I know these may seem ridiculous.  And they are.  But, it is the core of my sharing today.

I have spent the last two weeks in agony.  I thought for a while I was in a flare up of my RA.  I started avoiding all grains.   Even still, by the end of the day, I could hardly walk.  I would wake up hurting and aching from my chin down.  I even started taking my heavy-duty muscle relaxers and pain killers to no avail.  I was about to call my doctor for advice and medication changes.  Then a light bulb went off!!!  The last time I felt this bad, it had been a long time since my last reflexology massage.  I had one scheduled in only two days time.  So, I sucked it up over the weekend and hungered greedily on Monday for my afternoon appointment.

Wow! Is all I can say.  I left the site feeling like I was going to throw up, but I was pain-free for the first time in two weeks.  24 hours later, I feel on top of the world.  I  now realize that diet, yoga and medication is only part of my treatment plan.

I receive a variety of email for all my maladies.  They all talk about complimentary medicine like herbs, acupuncture, reflexology and accupressure.  I thought the yoga would take care of it all.   It helps, but does not stop the toxic build up.

When speaking to the lovely chinese lady who owns the site I use about why it helps me so much.  She explained that the feet are at the bottom.  All the blood flows down.  But, even though we have valves that help bring the blood back to the heart, the toxins still stay in the feet.  Through the massage treatment, these toxins are moved up and out of the body.  That is why it is so important to drink water before and afer the massage, to get rid of the toxins.

I don’t know about the scientific truth of her explanation.  I do know that every time I have been at my worst, this is the only treatment that offers immediate relief.  She also stated that I would get the best results by getting a massage every four weeks.   I wish could afford that.  I can only imagine how my life would be if I was able to do that.  (I am working on a way to make it happen.)   So, every 8 weeks it will have to be for now.

How do I spell relief?  M A S S A G E.

New Year – Same goals

I just had my beginning 2018 meeting with my pulmonologist.  It went well.  I had been freaking out about my results of my pulmonary function test (PFT) because I couldn’t figure out how to read the results.   They “looked” better, but the last time I thought that, I was worse.  So I went through a week of anxiety.  I did try to control it, but it is hard to control emotions during the holidays.

Getting back on topic.

The doctor was pleased with all my results.  I have regained an additional 10% on my lung capacity and about 15% on my carbon dioxide diffusion.   He asked me what supplementary things I was doing that have helped.  I told him that I was doing…

  1. Yoga every morning, about 20 minutes, Monday through Friday.
  2. Reflexology massages every 8 weeks.
  3. Pedicure every month.
  4. Black cohosh and turmeric supplements an hour before going to bed.
  5. Reiki each night before bed.
  6. Eating Paleo style for its avoidance of inflammatory foods.

He looked at me and said keep it up.  One thing I did not remind him of was my grounding sheet.  I am sure it is boosting the efficacy of my medication.

Bottom line is that everything is to remain the same for medication right now.  Maintain other exercises and processes, but keep the yoga no matter what happens.  He says it is good for increasing lung volume and relaxation.  I knew that, but I just nodded.  He then ordered my labs for every two months, and echocardiogram (once a year) and another PFT with a walking test in four months before I return.

What a relief!!  I was so tired after that.  I had really worked myself up to hear horrendous news.

He did ask one more time about the sleep test.  I politely explained to him why I keep refusing it.  This time he understood.  (pay deductible balance up front and 20% of procedure upfront = $2000) I told him that if I ever get $2000 to waste, I will make sure to have that test done.

That week of anxiety over my test results have given me a flare up.  So,  here is the golden nugget I learned so far.  Don’t look at the preliminary results.  It is not worth the nausea and flare up.  So, in April, the results will go in an envelope and stay there until I can meet with the Dr. and have him explain.

I do understand that not all my follow-ups will be positive.  I have various serious conditions that all lead to an early grave.  It is my job to stay real and focus on Self Care this year.  I didn’t start until August of last year with that motto.  Let’s see how 2018 ends with it going all year.

Here is a smile from the week before Christmas.

 

Procedure Happy Doctors

I have been having issues of the female nature.  I am over 50 now and it is expected.  But, every time I go to my gyno, he wants to do another procedure or lab test.  I already feel like a guinea pig with all my other doctors.

Well, today he was not available, the midwife was.  The midwife and I discussed my latest “procedure” results and the doctor’s recommendations.  I was not surprised in any way about the recommendation for a “scopy with possible biopsy”.  I said, okay, let’s talk about that…..

I explained in a nice way that I am at some Dr. office every week.  I have labs pulled every month for my various conditions ( I made sure to emphasize the last point) and that I will be having this next round of procedures at my convenience during the next section of time off in the spring.  The midwife and I agreed that since the issue at hand had not changed in a year and me being overly sensitive to procedures, that I could wait.  So, I felt good there.

Now, to check out and scheduling the procedure.  I was highly pressured to have it done in the next three weeks.  I repeatedly told them no.  I wanted to make sure to have a week where no other commitments would interfere should I need additional recovery time due to the procedure that would require a sedative, local anesthesia and someone else to drive home.  I then explained that I did not want to miss any extra work time in case I needed some extra days.  They still wanted to schedule me during winter break.  I explained I already had three doctor appointments during that time.  Then they tried explain I would only have a little cramping after the procedure.  I explained as calmly as I could that I was to only experience a little pressure during the last procedure which ended up feeling like I was stabbed in the uterus with knives and bled for two days.  I did tell the nice lady that should I have any problems or felt I could handle the procedure any earlier, I would reschedule it.

She acknowledged that I wasn’t going to give on that point.  She gave my pre-procedure scripts and directions.  She even gave me an envelope to place the information in.

I want you to know that I have decided that I am no longer going to be bullied because the doctor wants to procedures done before the end of the calendar year.  I am not on Medicare or Medicaid.  My deductible has only been met once in the last 12 years, and I am still paying off my portion of it over a year later.

I am also learning that with MCTD things didn’t normally cause discomfort or pain, now do.  So a little cramping means I will need a heating pad and some heavy-duty drugs.  A little pressure means I will want to scream.  You will feel a pinch means that it will equal being stabbed.  Blood pressure cuffs cause me to make a face.

Please understand that I prayed before I went in that I would remain calm and grateful for the staff in the office.  I know it helped.  The one lady who does check out asked the front desk to help me since I don’t speak enough spanish for her.  I was totally happy with that.  It made check out easier.  I am so glad that God kept me in check.   It would have been so easy to get nasty and bitter.

What to take away from this?  Unless the doctor expresses that the problem is urgent, do your procedures at your convenience.  Also, take the time to mentally prepare yourself for the “news” and dealing with pressured staff.

I am moving forward, but at my pace and convenience.  Like I explained to the young lady that helped me.  My time is precious.  I did not explain to her why.  It is of no concern of hers that I feel the pressure every day that it may be my last.

May you walk tall, confident and with gratitude with God in your journey dealing with doctors and your condition(s).

Just Say It Plain

I have been pussy footing around about my health lately.  I had a checkup in August that caught me by surprise.  My health has taken a turn for the worse.

Yes, it has.  I can feel it now each day.  Each day gets just a little harder.  The neuropathy that was just a prick here and there in the evenings now feels like a swarm of mosquitos.  I now take my portable oxygen to work.  I find myself needing it at least once a week or more.  I race home in the evenings to get to the continuous unit.  Every outing seems more difficult.

I went to the movies the other day with my husband.  By the end of the movie, I could hardly move due to shooting pains in my legs from the arthritus.

Lately, I am relieved to see Fridays.  I find getting up on Thursday and Friday mornings to go to work to be difficult and unmotivating.

These are just a few of the things I am encountering.

I did submit a resume to another job prospect before my doctor’s appointment in August.  I am now being asked to follow through with an interview.  I had to tell a close friend why I have not followed through for the interview.  I had to tell them that I was not comfortable working so far away from home.  I also had to explain that my condition had gotten worse.  Nothing has hurt me more than explaining to a close friend that I am even closer to dying than previously.  I told this friend very frankly.  I was going to sugar coat it.  Let’s be honest, sugar coating this issue is not going to help anyone.  So, I kept the discussion to the facts and how I felt.  My friend accepted the news better than I thought.  Of course my imagination takes everything to the worst level.

Now, let’s talk about what I am doing to help manage this decline.

  1.  I do yoga every morning Monday through Friday whether “I feel like it” or not.  At least 20 minutes.  I do try to fit in another 10 minutes in the evening.
  2. I allow myself an alcoholic drink in the evenings when I want one.  Usually about twice a week and only one serving.
  3. I take the dog to work once a week with me.
  4. I make sure to walk the dog every morning.
  5. Take my medications as prescribed.
  6. Avoid the news.  It just makes me more depressed
  7. Allow my friends to help me.
  8. Keep my volunteering commitments.  I have continued to volunteer at a food bank every Sunday.  It helps distract me from my problems.  I do wear the portable oxygen while doing this.
  9. Get help from Customer Service when grocery shopping.  I wear the portable oxygen when shopping.
  10. Take time with my friends as precious and a priority.
  11. Take time off if needed to recoup and recharge to handle the rest of the week.

I have been diagnosed with further complications with regards to female problems.  I am going through the process of diagnosis and surgery may be possible in the near future.  I find this a little scary because sometimes I heal fast and other times I heal slow.  Since my bruises are taking a long time to go away, I am assuming I am in the phase of slow healing.

My only conclusion at this point is that I am in a flare up of my condition.  I am hoping that it will subside and or go into remission.  I have further testing in December.  At that point, it will be decided if I need to transition to retuxin drips for my condition.

I told my doctor in August that God knows my date and time, a transplant won’t make any difference.  Also, after doing a variety of researching, my chance of survival is around 20%.   I am sorry, that is just not high enough for me to risk it even if I cleared the process.

I am grateful that my friends have accepted my condition.  My daughter still gets tears when I cough excessively.

God has provided for me greatly these last few months.  Things have been a little easier financially.  I am grateful.

I do not know what is ahead nor how much time is left.  I place my hope in God that He will walk me to the end gently.  He gives me good days and good moments.  I enjoy each second.

May your journey with these conditions be as blessed as mine.

Hurricane Irma – Prep, During and After

I am happy to report that our family made it through the hurricane with little to no damage.  Having MCTD and a dog sort of forced us to stay in our apartment.  So, to give you guidance, I am going to share my preparations, what I did during and what I am doing now while waiting to return to work.

Preparation-

  • Gathered all medication in one area.  I put all extra stock of medication in a rolling suitcase in case we had to leave.
  • Placed all important documents in the same area as medication next to an empty sterlite container.
  • Filled all containers I could with filtered and tap water.
  • I even made some sun tea should we lose electricity.
  • Charged up all batteries for all electronics and medical equipment.
  • Made sure everyone was clean before high winds hit.
  • Had a contingency plan on how to use portable oxygen concentrator in the event of loss of power.  I figured I could use it as a minimum of two hours a night for a week (about 13 hours of battery) until we got power or I could charge it at someone’s residence.
  • Made food for my specific diet that could be eaten cold.

During-

  • Made sure to keep regular sleeping hours.  This storm was over two days long.
  • Keep exercising.  I did yoga every morning at my normal times.  I had memorized the moves due to consistent practice.  Played chase with the dog.
  • Had coloring books, crafts, books and knitting ready in case of loss of power.  I actually did a cross stitch piece when bored and lost internet.
  • Kept electricity use to a minimum.
  • I did use my oxygen during the night as prescribed.  I am grateful that we did not lose power.

After-

  • Unpacked all medications and put paperwork back.
  • Checked the apartment for damage, threw out garbage from two days being inside.
  • Continued yoga, Reiki and Bible reading.
  • Go outside and enjoy the sun.
  • Made food for meals and lunches for work.
  • Try to avoid driving around since limited gas for a while.

I have to admit that Daisy has enjoyed me being home these days.  Personally, I was ready to return to work a day after the storm was done.  But, I am one of the few with power and no children to worry about.

In the mean time, I am playing games and doing jigsaw puzzles on the computer  (we didn’t lose internet either.)

I hope this helps.  Again I am so grateful that the storm avoided us.  I was prepared in the event it did hit us.

The biggest tip I have to give you regarding seasonal natural disasters like hurricanes, typhoons, blizzards, etc. is to have the necessary supplies at the beginning of the season.  It was nice to know that we already had a case of bottled water and canned food to last a week or more.  I bought those at the beginning of the season with my first paycheck in June.

I know God was the one who protected us.  Due to that end, those that live in the building with me were also blessed.  The surrounding buildings had all lost power.

I will confess that I did break down and cry before the storm hit because of stress.  Before the storm, I did notice that my coughing did get worse two days before the storm, then returned to normal once it hit.

I never stopped believing that God would provide for me no matter what the circumstance.

Arterial Blood Gas – Just say NO

I have recently done my 4 month respiratory tests as scheduled.  They included oximetry and a spirometry.  Because I was sent to a different lab than before, they threw in a blood gas draw in the event my carbondioxide qualified me for it.  I figured it would be a normal blood draw.  I was very mistaken.

I did have the technician confirm with the lab that my health insurance would cover it.  It does since it was part of the respiratory testing sequence I was scheduled for.

The next part is graphic.  If you are squimish, stop reading now.  Understand that 5 days later, my wrist still hurts.

The procedure includes numbing your wrist with a lidocaine injection.  That stings.  Then they go digging with another syringe to find your artery.  My technician had a problem and wanted to move to my other wrist.  At this point, I was already dizzy and thought I would pass out.  I told them that if they could not get it from the already numb wrist, they were out of luck.  The facility was able to get one of their artery specialists to get the draw. (I have to admit that arterial blood looks very pretty.  Almost Christmas red colored.)

My results are in and I do not know how to read them.  One of the results came back low and my iron is low.  The iron being low is normal considering my myriad of problems.  Only one point is great as far as I am concerned.

I return to my rheumatologist next week and his partner the pulmonologist the following.  I will update you as to my progress then.

My suggestion, talk to your doctor about this test.  I was unaware it was procedural as part of the respiratory testing.  The technician suggested that I ask for it to be waived for future testing if the doctor says it is okay.  This was my first one, and as far as I am concerned, my last.  Also, make sure that the rest of the week following this draw you have nothing major to do with your arm.  I have had a busy week.   That probably did not help with the recuperation of my wrist.

The good news is that I did not pass out.

Remember you are in control.  If you are unsure of a procedure, get clarification before you go.  If something is sprung on you, say NO until you can speak to your doctor.  Learn from my mistake.

 

Fatigue Follow-up

I am happy to report that my energy levels have finally returned to what I consider normal.

At the time of the last post regarding this subject matter, I did two Reiki treatments and a reflexology massage during that week.

It helped immensely.  The biggest energy balancer was the reflexology massage. I came out of the massage feeling nauseous as usual, but with energy.  After the nausau wore off, the energy stayed.

I also made sure to avoid all my food allergens and any food that causes inflammation or phlegm.   I have continued that food restriction into this week and feel great (well, as good as I am going to get).

Those food restrictions included all tomato, peppers (green, red, orange, jalepeno, etc.), dairy, legumes (beans) and grain products.  I increased the amount of green vegetables and protein to compensate.

I now know that I have to schedule reflexology massages every 12 weeks to help keep my energy up.  I also have to be very selective about my food choices.  I knowing that I have to return to organized chaos in the next 5 weeks, I will probably set up an extra reflexology appointment just after work starts up again.

Remember, if you know you are going to be stressed out for a particular activity or time frame… Prepare yourself and listen to your body.

Traveling with MCTD

It is with great joy that I was able to spend the weekend in another city to receive the acknowledgement of finishing my degree.  But, that is neither here nor there.  I am writing to let you know about how my physical traveling went with being as ill as I am.

I have to first give credit to those who helped me get the POC (personal oxygen concentrator).  I would not have been able to venture beyond the confines of Miami without it.

Here are some of the things I noticed….

I started having extra coughing attacks about two weeks before the trip.  I am assuming that the increased anxiety about the trip caused a flare up of my symptoms.

Of course, the day before leaving, I had the nervous stomach and my period started.  Don’t you just love stress.

It took a little longer to get through the ticket counter.  This is due to the fact that not all airline agents are familiar with the new portable systems.

  • Do request wheelchair assistance at all phases of your traveling.  This can be done after purchasing your airline ticket.  You will get a phone call a week before explaining the limitations of the use of the particular machine you are using.  I happened to have a unit that has no limitations during the flight.
  • Do get to the airport early (2 hours) as suggested.  Some airports provide a wheelchair immediately, others make you wait in a designated area.
  • Do dress comfortably with easy slide on shoes, yoga type pants and a sweater.
  • Do have your medications in the top of your carry on in their prescription bottles in a zip lock.
  • If traveling with a POC, make sure all batteries are at a 100%.  Pack all batteries and chargers.  I packed an additional nasal canula hose in case there was problems.  The POC does not count as a carry on.
  • If you have dietary problems, pack snacks in your personal carry on (purse) near the top for inspection.  The airline I chose did not have gluten-free snacks.  I was grateful I packed my own.
  • If you are staying at a hotel, at time of making the reservation, ask for a room with at least a refrigerator and foam pillows.  If you are in a wheelchair or using mobility equipment, you may want to ask for a handicap room.  This reservation should be made well in advance and any specifications (refrigerator, pillows, etc) should be reiterated in the comments field.  Call the day before and confirm reservation and check in times.
  • Pills, eye drops and the other medications.  Take two-day extra supply.  With using restasis, the prescription label is on the outside of a fairly cumbersome box.  I was able to tape my supply to the lid and use that as the prescription instead of carting a whole box.  I did not need my extra days of supplies, but it was nice to have them.
  • Stock up on baby aspirin.  I had three little bottles of  baby aspirin in my personal item.  I was not questioned, where I saw others with bigger bottles of pain killers were examined.
  • Do expect to have extra body aches if suffering a related condition.  Aspirin and I were best buddies during the trip.

The one thing I did find I had a hard time with was staying hydrated.  Once in the wheelchair, you are taken straight to the gate.  So, bathroom break and getting any drinks is out of the question.  Upon arrival on the other side of your destination, you are taken directly to arrivals section to be picked up by your chauffeur.  I was fortunate that I had a friend who met me at my destination and took me grocery shopping to get snacks and water for my room.

I did take advantage at the restaurants of any free refills.  I also used the coffee maker in my room for tea and coffee.  Be advised that the water in other cities may taste different.  I found brushing my teeth unusually ucky at my destination due to the different mineral composition.

Eating can be a challenge.  Of all the places I ate at, only one waiter announced that he would be more than willing to help with selections for food allergies.  I was impressed.  It was an upscale setting though.  Most others, you just have to read the menu carefully and ask if you are unsure.  I did not have to starve through anything.   Five Roses PubGraduation At the Green Burger without the bun and fresh made fries.

As you can see, I wore my POC for the event I was in and during all outings. Sometimes I needed it when eating, sometimes not.  Most times I had the oxygen going anyway.  It just made talking all that much easier.  I did have a couple of coughing attacks.  But nothing like I have in the past.

Also, I did find myself feeling light headed at about 30,000 feet when the plane levels off.  I checked my hands and lips, they were normal color.  I put the oxygen on and the light headedness went away.  So, feel free to oxygen up as needed.

When we were in a park area, I actually saw someone else with a POC.  It is nice to see people allowing themselves to not be contained by the limitations of the 25 foot cord to a machine.

I will admit that after two days my back was spasming something awful.  But, I am not used to wearing it almost all day for days in a row.  I guess I will have to work on that this summer. (So, I look like a mini tank.  At least people will get out of my way.)

I only had two people ask me about my need for the oxygen.  I explained that I had a condition  that affected my lungs from working properly.  They were fine about it.  They then congratulated on me being mobile and taking on the world.

I even met a gentleman getting his doctorate after suffering a brain aneurism two years ago.  He was told he would never talk, walk or eat alone again.  He walked to get his doctorate and plans on getting another one soon.  He even has plans to start something to help people like him and me to continue our education even despite our physical limitations.  Also crossing the stage was a woman with a walker and a gentleman in a scooter getting their master drapes for their bachelor’s.

What is the bottom line…..plan head accordingly for travel.  Be prepared to be a little dehydrated.  Try to have a connection at the destination to help with dietary and hydration needs.  Don’t be surprised if your hormones and conditions flare up before the event.  Do pack light.  (I wish now I had used a slightly larger carry on and put my purse in it to make things a little less cumbersome.)

Most of all, thank God that He has allowed you the opportunity to travel.

Exhaustion

As you recall, I have lowered my steroids to 2.5mg for the last three weeks.  I did the labs over a week ago  to see if my adrenal glands are ramping back up.  I did review my lab results myself.  From my perspective, I need to bring the steroids back up.  But, I am not the doctor.  Now I just have to wait for his call.

I am experiencing never ending tiredness or fatigue or exhaustion.  Pick whichever name you want.  I have also been having more rashes again.  So, I did some more research. This is what I found….

  • I could be having a flare up of the Lupus symptoms.
  • It could be my body continuing to go through withdrawals from lowering the medication.
  • The Sjogren’s could be flaring up.
  • Rheumatoid arthritis could be flaring up.  I have been more stiffer this week.
  • I might need oxygen more often in the day.
  • Seasonal allergies could be wearing down my immune system causing the symptom.  The fruit trees bloomed early due to a mild winter.
  • I could be depressed.
  • I could anemic again.

Even with my portable oxygen system (POC), I am still extra tired than I was before when working full-time and doing homework until 11 pm each night.  Right now I am lucky if I can hold my head up past 8:30 pm.  As for yoga in the morning and after work, nope-not happening this last week.  In fact, for the first time in over 4 years, I have used the snooze button.  That is so, so, so unlike me.

Then comes the reality check.  I remind myself that I am critically ill and that this just may be the progression.

I look around at my living quarters.  I see the dust bunnies in the corners, the curtains that need to be changed, furniture removed and boxes from years ago that need to be gone through and disposed of.  All of these make me tired just thinking about them.  I guess the most sad part is that I know I have to do these things alone.  My husband is unable to help and asking strangers (to him) in to help me is just a no go.

I am doing some minor things this next week during spring break (thank goodness I work for the school system) and the bigger stuff will have to wait for the summer break.  Hopefully I can tackle a box a day or at least a week during that time.  I have a respiratory test again this week.  I will let you know later how it goes.

In the mean time, I will continue to tackle each day with grace and thanksgiving.  I was supposed to die already.  It didn’t happen.

I know God will give me the strength or helping hands when it comes time to tackle these daily chores that seem so daunting to me.  He has allowed me to work and provide for my family still.  I am grateful.  I remember that God took a little boy’s lunch his mom packed for him and fed thousands.  Who am I in the grand scheme of things?  Maybe somehow in my perseverance, I am encouraging others.

I shall continue on.  As for my exhaustion, it could just be God telling to me lie down in green pastures for a while.  He knows I have walked through the valley of death many times these last couple of years.