a midsummer update

I realize I need to update this blog more. Here are some things:

I had one hardcore migraine while I was in Egypt. Triggered after drinking some wine the night before. I threw up lots of Gatorade, and slept until I felt better. She passed within 10 hours. I ate once that day.

I had one last night but hit the pillow just in time. I fell asleep with half a sleeping pill in me and a cold wash rag on my head. I had strange dreams but woke up feeling much better. This one triggered by my cycle(it's the minefield week--when all potential triggers are glowing neon and in my way, and more things than not spark the dull pain).

I've been trying a new meal plan where I eat 5 small meals a day. I like it so far. Tomorrow I leave for Florida for a week and I'm looking forward to getting some decent seafood.

I don't really drink anymore. I had some gin and tonics in Egypt(and that awful wine) but I am too petrified by the prospect of a hangover(which always always turns into a ridiculous migraine battle). The buzz isn't worth the aftermath. Because of this I'm learning to be quite careful with my intake and that makes me happy. There was a time in my life when I didn't understand limits with alcohol--I drank to get drunk, to feel it the next day. It's so much better to be responsible.

I am still taking B-Complex vitamins as well as magnesium and butterber. I'm hydrated like whoa. Even when I drink a coffee, I have water right along with it. I will have a soda now and then, but very rarely. The kicking of that lifelong habit is still such a victory for me.

I've noticed with age that my sweettooth has diminished greatly. The sweets I want are fruits, if anything. Now if only jelly beans ceased existing. Quite a few of my migraines this year have been triggered by eating too many jelly beans. Oh my delicious kryptonite.

I've been off antidepressants completely for one month. I'm very happy to report that my number of migraines has stayed very very low since then. I was worried that my head might bloom into a war zone once I stopped taking them. I believe that not working in an office has changed the game, headache-wise. It's so nice to have the freedom to treat the pain before it becomes unmanageable.

long time, no post

I haven't updated this blog in a while. I wish I could say it's because I haven't had any migraines but that isn't true. The past few months I've been hit hard with head pain in tandem with my cycle--it starts a few days before my period starts(a few days before that I start feeling very depressed/achy/anxious...it took me a surprisingly long time to connect all of the dots on this one). The migraine will flicker on and off for a week from its start date. Last month and this month were both giant pains in the ass(and head). I end up bedridden with the spins and superstrong nausea, sensitivity to light and smells.

I struggle at times to explain what it feels like to have a hyper-sensitivity to the elements when I have a migraine. It truly does feel like the world is designed to be out to get you. Yesterday I left work early with the migraine rearing its head again, and on the bus a woman sat down next to me who had perfume on that instantly upped my head pain to a 9 or 10. Or even waiting at the bus, when it seems like every other person is a smoker and the wind is blowing it right in my face. Smells of food cooking or exhaust seem to pull the vomit right from my stomach. The world becomes overwhelming. I just want to run and hide.

Today I am feeling more and more like myself. It is ridiculous--the difference in me when in pain vs. when I'm not in pain. Everything is so much more complicated under the influence of pain. I need to wash my hair and clean my apartment AND prepare for two shows this weekend--I'm trying not to overwhelm myself by tackling it all tonight, but I do worry that I may not have another chance(what if the migraine comes back tomorrow night, for example? I hate to think these things, but have to).

My diet: I have strayed from how strict I was in past months in regards to my intake. I still avoid fermented foods and MSG when possible. The soda habit is STILL kicked, which is awesome--I've lost probably 5 to 7 pounds from abstaining from that alone. I've been lapsing on my smoothie game but hope to get back to it asap.

Supplements: Every day I take: Vitamin C, Vitamin D(especially now that it's winter), BComplex, Butterbur, Magnesium/Calcium. I am still a firm believer in this combination cutting down on the frequency and severity of my attacks.

I've had less attacks in the past 6 months, but the attacks are more intense in their own ways. Perhaps because I have less of them? Maybe because they seem to circle around my hormonal monthly rollercoaster? Maybe. It is still the pain I hate most in my life more than anything.

More soon.

migraine and suicide linked

not surprised at all...

Migraine, Chronic Back Pain Tied to Suicide Risk

from WebMD

By Dennis Thompson

HealthDay Reporter
People who endure chronic migraines or back pain are more likely to attempt suicide, whether or not they also suffer from depression or another psychiatric condition, according to a new study.

"Clinicians who are seeing patients with certain pain conditions should be aware they are at increased risk of suicide," said study co-author Mark Ilgen, of the Veterans Affairs Serious Mental Illness Treatment Resource and Evaluation Center in Ann Arbor, Mich.

"Although undoubtedly psychiatric factors are important, there might be aspects of the pain that in and of themselves increase a person's risk," Ilgen said. "There might be something about someone with significant pain that puts them at increased risk."

The wide-ranging study, published online May 22 in the journal JAMA Psychiatry, involved more than 4.8 million people who received care from the U.S. Veterans Health Administration during fiscal year 2005. Researchers identified those suffering from chronic pain and tracked them for the next three years to see if any died from suicide.

The research team then looked for associations between suicide death -- the 10th most common cause of death in the United States -- and clinical diagnoses of chronic pain conditions, such as arthritis, back pain, migraines, neuropathy, headaches or tension headaches, fibromyalgia and psychogenic pain.

They found that all pain conditions except arthritis and neuropathy were associated with elevated suicide risk. But when they took into account the mental-health problems that chronic pain patients also had, the associations reduced for all but three types of chronic pain: back pain, migraines and psychogenic pain, which stems from psychological factors.

Dr. Elspeth Cameron Ritchie, a retired Army colonel and psychiatrist living in Washington, D.C., said the study clearly reinforces the anecdotal link between pain and suicide.

"It makes sense that pain is a risk factor for suicide," she said. "Often, suicide has several different things going on, but pain can be the straw that breaks the camel's back in terms of a person's decision not to go on."

Therapists performing a suicide-risk evaluation should consider adding a question regarding pain to the standard questions aimed at suicidal thoughts and planning, she said.

"It's not a standard question: 'Are you in pain?'" Ritchie said. "I would ask, 'Are you in pain?,' or 'Is pain an issue for you?'"

Psychogenic pain increased people's risk of suicide the most, followed by migraines and back pain. Psychogenic pain is chronic pain caused or exacerbated by mental or emotional problems, and Ilgen said it is a rare and not well understood condition.

"We think that's not so much about psychogenic pain per se, but the fact that the pain itself is poorly understood and may be poorly managed," Ilgen said. "There's not a clear treatment plan for that type of pain. It's likely that patients with this type of pain may be frustrated with their care and more hopeless and more at risk for suicide."

link to rest of article:

snapshot

(a Monday)

At the bus stop shifting my weight from foot to foot, constantly fidgeting, head leaning to the left, trying to read the book in my hands but failing. I am fighting for my composure, praying for my bus to appear. I have a migraine and I want to go home. I made it all day at work and now it's time to truly die.

Or no, maybe not death. More like I am on my way to the gallows, not yet gone. As if I'm leaving to go abroad for months or years and with each hour passing I am saying goodbye quietly to everything I know to be familiar. I am about to spill into the looking glass--this is our moment before the leap.

I look up, panicked. Someone is smoking nearby. The scent takes my head in heavy palms, cracks it in multiple places before shoving it back down on my neck. A smell that goes right to the pain and squeezes it. I try to move without making a scene. The sick part of me wants to confront the smoker but there is no use. They have no way of knowing.

And on the bus. I move seats three times on the bus just to escape triggering smells. Two are perfumes, one is stale cigarette and booze. These smells bring tears to my eyes. Life feels completely unfair. Everything in the world hurts me. I do not understand it. In my growing migraine delirium I start to assume that these people were sent to be my obstacles, life's cruel way of handing me much more than I can hold. When the truth is these are normal scents for the most part, there on a daily basis but never noticed until they become trouble. How snobbish a nose grows from well to sickness.

As the pain grows and throbs and curls and spits on the left side of my head, I try to construct descriptions. What is this pain exactly? I think of Andrew Levy's book, how exact he manages to describe attacks. At least somebody can say it. The pain is...blank space. Wherever the pain is, there's the blank. But the blank, of course, isn't blank. The blank is hot white. It is looking at the sun. It is all I know of storms, crammed into a segment of head. It is everything dark and wrong. It isn't me. It turns me into a shadow of self. The wrong side. Hence looking glass. It feels like madness--drill bits, canker sores, infection, mallets, nail beds, banjo pluck of nerve endings, the removal of balance, speech, movement. The idiot company of nausea, the clinging to things. It takes me away. It brings me back. This happens until I start to wonder which is normal. I don't understand being homesick for both.

white nailed on the wagon

Life's been good. Really good. Spring is here, and that always helps to boost the mood. And a boosted mood means less tension emotionally and physically, which means I can relax more, which means less pain. Which is a very very good thing.

I am still taking my supplements every day. Still reading the label of everything I ingest. This month I fell off track a little bit, in regards to taking care of meals myself. I get busy and/or I get home late and feel too lazy to cook meals ahead of time. This needs to change. The guilt of it is already eating at me. I haven't had a smoothie in a week. But if one falls, then one must simply get back up. So definitely starting the day off with a smoothie tomorrow.

Earlier this week I woke up with a pretty gnarly migraine. I knew I couldn't miss work--I was filling in for the receptionist and I'm out of time off for the month. At first I was really worried about getting to work, and making it through my day AND through my plans in the evening. I decided to give the whole "don't panic" thing a shot and breathed my way through the early a.m. I suited up for the ride and took the bike into work instead of the bus. The fresh air and exercise is often a wonderful help when it comes to my head pain. Blood pumping, lungs filling. It works for me. Before I hopped on the bike I took an Aleve. I drank water throughout the day and avoided all my food triggers. And I couldn't believe it: by 3pm I had shoved the pain completely out of my body.

That simply...never happens to me. If I have it, then I have it. It's hard for me to override the progression once it starts...especially if I find myself waking up with a migraine. But I did it.

I am feeling like a different person these days. I had a bunch of dead hair cut off my head and it feels pretty damn good. I've also been writing a lot these past few months...the truth is, with less migraines each week, I can get more done. It truly feels like I am blessed with extra days. I used to never have a Monday night wtihout some sort of head pain. Now, for the past 2 weeks I've been able to get out and do things on that evening. I find myself with all of this extra time and...opportunity. I can commit to social things, see people I adore, and workout every day like I want to. Less frequent pain means I have more free time, and it also means I am generally happier and less tense. My anxiety is starting to feel much more manageable. I fear these suckers so much...I'm not surprised in my new found level of calm.

My next goal is to find a therapist that I click with. I'm ready to tackle the emotional triggers. I've been in a push-me-pull-me state with it for most of my life...now I feel like I am ready to let all of it go. Getting my hair cut last weekend really triggered something in me in regards to being lighter. That lightness. I deserve it. I want it. I'm ready to fight for it and make it mine.

I have also started to reread A Brain Wider than the Sky, by Andrew Levy. I love ths book so much, more than any other text/literature written about migraines. I am maybe 3 pages in and already I have had tears in my eyes while reading. It feels like a miracle to read about this illness in a language that I can understand and relate to.

Bottom line: I am feeling less and less like an illness and more and more like a person. Someone that can function and can make plans AND take care of myself. So far so great.

scattered complaining

Another discovery with this new diet of mine:

if you run out of the right stuff to eat, go back to the store and restock.

Simple, right? Not so when you're on a tighter than tight budget. This was my mistake for the past week. Not having the right stuff in my pantry meant cutting corners, which meant eating more of the "not right" stuff. Which, you know, end result: stupid headaches. Migraine, headache. Refrain refrain. Add the cycle of hormones to this and boom: first class in hell.

I have no one to blame but myself for this. I'm kicking myself hard for it, despite my best efforts not to. Tomorrow I go to the grocery store and properly redeem myself.

It's the guilt. The guilt, guilt guilt. Bonecrushing sometimes, the shit we pile on ourselves for not being strict enough, for not being able to follow through, etc etc. The migraines pull all of it to the surface. How can one feel guilty for being sick? It's real easy when you find yourself being sick more often than not.

These are just thoughts. I'm just spilling em.

Other things on my mind:

I'm not a huge fan of public transportation, but I'm glad it's there when I need it. Lately the weather has been too shitty to commute in by bike, so I'm stuck riding the bus to/from work. Little things(but big things to me) drive me bonkers about public transportation--nothing makes me see red faster than a crowded standing room only bus with one or two idiots taking up two seats by placing their belongings in the empty one next to them.

The bus is also a trigger for migraines...more frequently than I care to admit. There are individuals that wear heavy, heavy perfume. People that slather it on as you're sitting next to them. Or someone sits down in front of me that just hotboxed a cigarette at the bus stop. These smells can send me straight to hell if I'm already hurting. What do I do? I change seats. One time the entire bus smelled like exhaust, I had a migraine, and the combination of that drove me off the bus half a mile from my usual stop so I could throw up.

I know what smells trigger my pain--know it as soon as it hits my nostrils. I wrap my scarf around my mouth or I bury my face in my hat. There is nothing you can do about these public triggers--when people get ready in the morning it's not up to them to know if their perfume will make my head hurt. I am well aware of that which isn't in my control. One can never tell what the person next to you or behind you is going through. I know this and yet I cannot express how angry I get when I realize that someone's scent of choice is going to put my head in the toilet. I catch myself getting angry in the moment even though there is nowhere to direct that emotion. It's better to stay calm, keep breathing, and covering the nose.

This particular post has no point really. I've had a migraine hanging around for over 24 hours now and I'm just hoping that it will move on like a storm cloud.