I have great news. My fatigue levels have been going steadily down, my left leg has become way more responsive, and as of today, I am feeling zero nerve pain on my back! I can cautiously say I am back to my previous “normal”.
I first noticed the energy levels coming back a few days ago. I had been walking around the house, originally for accomplishing only necessary tasks like using the restroom and drinking coffee. But somehow along the way I realized I was *also* picking things up and putting them away, cleaning small problem areas in various rooms. It was only when my daughter said to me, “you need to sit down”, that I realized I had been doing anything extra. I thought she was telling me to sit down so I wouldn’t spill my coffee (as I often do), but she said it because she noticed I was audibly out of breath from walking up the stairs. That was the moment it dawned on me. I had been cleaning, and that walk up the stairs to my bedroom was the last straw for my lungs, apparently.
Let me just pause the update right here and share with you the poignant realization that came to me at this time. What dawned on me was this: I am not a lazy person. I do the things that need to be done, when I am able. Even more surprising, I don’t often have to think about it; I just do it. This realization gave me such pause because one of the things I’ve been struggling with over these several weeks of constant fatigue is the feeling like I’m not measuring up because I’m not doing the things I normally do. I was feeling like an unproductive and lazy person. I don’t know why the voices in my head tell me such awful lies, but they do. So while I was happy to have some energy creeping back, I was also sad to think that all that time when I could have been resting peacefully and allowing my body to heal from this wretched attack on my nerves, instead I was beating myself up for not being more productive. I think we like to call this, “stinkin’ thinkin'”, and it’s got to stop.
So I’m putting this here for two reasons. One – so that I can come back to it when those awful thoughts inevitably come back to haunt me and two – so that you can learn from my mistakes and be kinder to yourself as well.
Now back to my health update…
When I realized all these symptoms that had crept up weren’t going away, I had reached out to my neurologist’s office. They ordered lab tests, which all came back normal. They would have liked to see current MRIs to check for active lesions on my brain and spine, but since I have cochlear implants that’s not an option for me. Some newer cochlear implants are safe for certain MRI machines, but not mine. I would have to have them surgically removed first. Not happening, that’s overkill. So, since they couldn’t get updated MRIs, we just moved forward with treating my symptoms. The nurse practitioner talked with me for over an hour in her office, discussing diet, exercise, sleep, stress levels. Through our discussion I think we landed on two possible culprits, poor sleep and high stress.
We’ve addressed my poor sleep quality with a small nightly dose of gabapentin. I have taken this in the past at a higher dose for nerve pain in my legs, but never on a consistent basis. She wanted me to take a small dose every night to let it build up in my system, knowing it would help me sleep but also may help with the nerve pain in my back (the technical term is dysesthesia, if you care to look it up.) The gabapentin did not have a noticeable effect on the dysesthesia. However, it is absolutely improving my sleep quality and I think that has been the #1 factor in the abatement of all my symptoms.
Sleep is an easier fix than the second factor. One of the first questions the neurologist’s assistant had asked me was, “Have you had an increase in stress level?”. Big Fat Sigh. You could say that. I told her we had recently lost a close friend to cancer. Our friend Dave passed away in January, after fighting an aggressive cancer for five months. Five months that felt like both an eternity and a blink of an eye. Dave had been like a brother to us for 25 years. His family is our family. He was only 47, and he’s left behind a beautiful and amazing wife and two grown children. He was my husband’s best friend. His wife Sarah, one of my best friends. His absence is still felt daily in our home.
I shared with Sarah shortly after his passing that I didn’t feel like I had the right to be so sad because he wasn’t MY husband. He wasn’t MY best friend. But she – so graciously and that’s why I love her so much – told me we all had the right to grieve. We all grieve in different ways, and that’s okay.
I didn’t intend for this post to be about anything other than my health update, but it has taken this turn and I’m going with it. What I’m acknowledging is that Dave’s illness and passing was more stressful than I realized. Prior to this I was fortunate to say I hadn’t dealt a whole lot with death. I hadn’t lost a lot of people I was very close with. My immediate family and close friends are all still living. But Dave was close, and I know this because his absence is still felt here in our home. Reminders of him are everywhere. When we were searching for old photos of him for his memorial service, my husband and I joked that we had more pictures of his kids than ours. We have so many great stories, memories of time spent with him. We will never forget him. We are sad, heartbroken, but we know he is now at peace and no longer suffering. And if he were reading this he would say let’s move on Mel, this is depressing.
Okay? Okay. Back to the health update…
So, externally, I can acknowledge that my grief changed the way I was eating, drinking, sleeping, exercising. All the normal, healthy habits I had worked to establish went out the window. And internally, I was holding in a lot of emotional pain. I still am somewhat, but I’m working through all that with prayer, journaling, therapy, connecting with friends and family. My heart is healing.
I have been getting back to my healthy habits, but the reality is that my body tends to delay in its reactions to stress. I am generally a slow processor – “don’t rush me!” – and this translates neurologically as well. In fact, when I had the BIG relapse in 2013 that left me deaf and half blind, it all started one week after I completed my last college class to complete my bachelor’s degree. I had been under a lot of stress, and my body held that in until after it was over. So I think that’s kind of what has been happening now. I was holding in a lot of that stress and grief and when I started to let go of it, my body reacted. Stress and M.S. are a really bad combo. I need to remember that moving forward and be more mindful of my stress levels. Know better, do better. Be kind to yourself, and rest when you need it. That lesson is for both me and you. Do you hear me? It’s for all of us. Shalom, my friends. Shalom.