Tramadol Buy Online "In order to write about life, first you must live it." ~ Ernest Hemingway

Category: Sjogren’s Syndrome (Page 18 of 23)

“What Do You Do All Day?”

“Disability is a matter of perception. If you can do just one thing well, you’re needed by someone.”  ~Martina Navratilova

follow link What do you do all day? A question that I have been asked many times by a variety of people. For those of you who don’t know me, the question gets asked because I have not worked at a job for approximately three and a half years now due to a medical disability. I am forty-one years old. I have no children. In a society where most citizens work, stay home and raise children, do both, or are retired, I am an anomaly. And yes, I am very well aware of this fact.

https://lpgventures.com/agkpdwfe3va I will be honest here. Up until recently, anytime this question was asked of me, I would get angry and defensive. The question gave me the impression that if I was not working a job outside of the home or raising kids in the home, what else was there to do in life? It made me feel that because I could not do either of these things due to circumstances way beyond my control, I was no longer useful. And that is why I would become defensive. Because for a while after I became disabled, I did feel useless. But that was MY issue, not the other person’s issue. I was in my late thirties when I became disabled and I felt like my life was over.

http://www.mscnantes.org/64wu3826t But my life was far from over. I started over and built a different type of life for myself and made my days productive and fulfilling in ways I never thought possible before I got sick. I don’t know what my future holds medically and maybe the routine of my days will change again someday. Although I am very realistic about the nature of my illness, I also hang on to the hope that maybe there is a chance that as insidiously as my work life was taken away from me, maybe someday it will eventually be returned to me.

https://www.elevators.com/65v28yje8 Very recently, someone whom I respect and care about very much asked me “what do you do all day?” I had not been asked the question in quite a while and something in me clicked. Because it came from a person who I knew genuinely cared about me, I knew the question was just one of curiosity. It was at this point that I realized that maybe people just did not understand that there can be more to life than going to work every day or raising children. That someone like me can go through their days without being bored. Or even go through their days feeling fulfilled and with purpose. Maybe people just don’t understand how much is involved on a day to day basis in managing a chronic illness.

https://www.mreavoice.org/mxfudfdjw And because of those thoughts, here we are. Instead of getting defensive when the question was presented to me again, it made me think of how I do spend my time and I would like to share that. Not because I feel like I need to justify how I spend my days or my life but because I hope that this blog entry may help bring awareness and understanding to those people who may be curious what it is like to be in my situation. And trust me, I am not alone in my situation.

Tramadol Sales Cheap First off, none of my days or weeks are typical. Sjogren’s syndrome is a very unpredictable and sometimes progressive autoimmune illness. I can have a week or even a few months without any major issues and then suddenly be unable to function for days, weeks, or months. This is the part that keeps me out of work because you cannot hold down a job when you could be out sick several days a week or even several months at a time; not to mention that you actually have to work several hours at a time, in a row! Even when I am not having a major issue that requires immediate intervention or concern, I have daily issues that need to be dealt with that have become an accepted part of my life. An example of this is the dryness issue. Not necessarily something that would keep me from working a job but it is something that requires regular medical follow up care and daily attention.

https://penielenv.com/hzf56avj OK, so what do I do all day? It greatly varies depending on how I feel. One of the biggest considerations is that I cannot do a full day of activity for several consecutive days due to pain and fatigue so I have to plan accordingly. Due to physical issues and limitations on some days, many activities can take me a lot longer to do, such as housekeeping. Before I got sick, I could have cleaned my current home top to bottom in about three hours, scrubbing floors and all. Now it can take me several days because I have to break the work up into sections. Keeping up the house, shopping, and cooking is my responsibility for the most part. I have made it my responsibility. I have a fiance (Chuck) who works about 55 hours a week and I do not. Although I do have a disability income, I feel that this is my way to contribute more to our household. Now of course this all goes out the window when my symptoms flare up but I do the best I can.

Order Tramadol Overnight Uk I sit out on an open field on a sunny day and watch my dog run free with elation. I have never had as much appreciation for the good moments in my day as I do now.

go here When I am physically able to, I get myself involved with worthy causes and other people. I volunteer with my church. I volunteer for whatever comes my way when I am able so that I can make a difference in this world, even if I am not getting paid for it. Sometimes I cannot do something like this for six months at a time and sometimes I can do something helpful several times in one week. I make it a point to never commit to anything on a scheduled ongoing basis because I have done that in the past and it just does not work out due to the unpredictability of my illness. I help out my friends with their children when needed. I also help out friends who are also facing their own health struggles.

click Unless something very catastrophic is going on with my body, I try to get to the gym five to six days a week, even if it is just to go and float on a noodle in the pool or swim a few laps. Exercise has been a salvation for me. My hope is that as I take better care of my body, it will become stronger and this will help my illness.

Tramadol Order Online Uk I am constantly doing something to sustain and nurture my personal relationships. Because I have had to slow down, I have the distinct advantage of being able to give my relationships the time and attention that they deserve.

Tramadol Online Order Cheap I have been blessed with several passions that I pursue during the week when many other people are at work and they are activities that are especially helpful when I am confined to the house or laid up in bed. Learning to cook and experiment with different recipes has been wonderful; especially since starting a gluten and dairy-free diet seven months ago. And I have also pursued my passion for writing. I truly believe that during the past several years writing has been my other salvation. I can easily spend several hours at a time writing for either my blog, a book I am working on, or for a variety of places that I send submissions to. It is through my writing that I have been able to connect with the world and help people in a way that I can no longer do as a nurse.

https://dcinematools.com/7v1pe6qf7j I spend time in a library or online learning something new.

Tramadol Online Cod 180 Last, but of course not least, I have made a part-time job out of being a patient. This is by far my least favorite thing to do but quite necessary. As I was driving to Hartford last Thursday for an appointment, I did some rough calculations in my head. In the past seven days leading up to the appointment I was driving to, I had spent approximately seventeen hours in the previous week managing my illness. I know there have been weeks where maybe this was a bit less, although not by much and I know there have been weeks where this amount has been MUCH greater. This includes: driving to appointments, hanging out in waiting rooms, the actual appointments, blood work, phone calls to doctors, getting lab results, a support group, picking up prescriptions, calling in refills, calling insurance and disability companies, dealing with social security, taking medication, managing my dry eyes/mouth, saline rinses, setting up/cleaning humidifier, and preparing medications and such for travel.

click here Seventeen hours.
Like I said, never bored.

Order Tramadol Overnight Mastercard I truly hope that this essay has shown that it is possible to have a life outside of a 9-5 job or raising a family. There is more than one way to define yourself as a person. I used to think that if I wasn’t a nurse or if that I wasn’t anyone’s wife or mother, that I could not be of value to this world. Although there are great values to being all of those things, there is also great value in being many other things as well.

https://paradiseperformingartscenter.com/34fewmxx A friend.
A mentor.
A daughter.
A dog mommy.
A godmother.
A writer.
A human being.

source As people with disabilities, we may not always be able to get out into the world every day to define ourselves. We have physical, mental, and emotional limitations that we need to work around on a daily basis. Most of our days may just be spent trying to meet our physical needs. But I also think that it is important that we allow ourselves, as much as possible, the opportunity to spend some of that time doing something in our day that allows us to define ourselves.

go to site Not just our sick selves.
But as our true authentic selves.

https://www.yolascafe.com/kosf0w8 Photo Courtesy of Chuck Myers http://myerscreativephotography.zenfolio.com/

Diet and Exercise Update

“Take care of your body with steadfast fidelity. The soul must see through these eyes alone, and if they are dim, the whole world is clouded.” ~ Johann Wolfgang von Goethe

Order Tramadol From Canada I realized this week that it has been six months since I made the drastic change to eliminate all gluten and dairy from my diet. Wow, six months! I think that is the longest I have ever stuck with a change in my eating habits. I can honestly now say that it is much easier than it was when I started back in January.

https://alldayelectrician.com/vvaydew04 People ask me from time to time if I think that eliminating gluten and dairy from my diet has helped my autoimmune symptoms. It has not eliminated the symptoms but at this point, I feel that it has helped. On a few occasions I have intentionally eaten something with gluten or dairy in it and I have noticed a change for the worse either in my level of joint pain and/or in my asthma symptoms. In addition to that, I never have any gastrointestinal issues at all anymore and my menstrual cycle is much more tolerable.

https://mocicc.org/agricultura/u101x3e7x I have become frustrated with this eating plan at times, most notably when I came off of my last round of steroids and my joint pain immediately came back. I sat and wondered why the heck I was making my life more challenging by eliminating gluten and dairy when I was still having joint pain. The point that I was missing at the time though was that the joint pain was not as severe.

go site One of the biggest advantages that I have found with living a gluten and dairy-free lifestyle is the changes it has forced me to make in my eating habits. Changes that have positively affected my health, weight, and overall well being. For example, I have to plan out and think about what I am going to eat. Gone are the days of impulsively shoving something in my mouth because I am either hungry or because I crave a particular food. The options available to me at fast food joints and restaurants are much fewer and therefore I am spending much more time at home cooking meals from scratch which means healthier meals.

https://geolatinas.org/kiv306kuug Many people say that eating gluten or dairy-free, as well as organic, is much more expensive but I would have to disagree. Yes, my food bill is more each week but it does not compare to the amount of money I save by not swinging by Subway several times a week or eating dinner out more than once every other week. I have also found that unless it is a homemade food, gluten-free products such as bread, muffins, etc. tend to be much more unhealthy and filled with more preservatives than non-gluten products. This has resulted in eating these items once in a great while and instead I choose whole foods such as fruits, vegetables, lean meats, nuts, and whole grains.

https://onlineconferenceformusictherapy.com/2025/02/22/htp67qzsn The second big change I made in my diet was making the decision to start the Weight Watchers program. This has literally been a godsend for me. I have found the program to be much more “whole foods” friendly than it used to be and I enjoy the fact that in addition to going to weekly meetings, I can also use their online program which enables me to work the program from my laptop or cell phone. I have found a meeting I really enjoy on Tuesday afternoons. Adding a Weight Watchers program to my gluten and dairy-free lifestyle has been a challenge but well worth it. Since my birthday, which was May 3rd, I have lost eighteen pounds. If you add that to the weight I have gradually lost over the past three years, my body is now fifty-five pounds lighter. Oh yeah.

Cheapest Tramadol I continue to go to the gym anywhere from four to six days a week. Exercising has become a more difficult task since coming off prednisone and sometimes I just want to say “the hell with it” and quit. But I don’t. I am committed to changing my life and I cannot let joint pain, fatigue, and migraines get in the way of that. I have however changed some of my routine around and have cut back on the length of time I am exercising until I can get my symptoms more under control. I have started taking Pilates classes which was a big step for me and I am in love with it. Right now my exercise regime consists of Pilates, water aerobics, lap swimming, the cross trainer, and rowing. My goal is to be able to increase the time of my workouts and try some other different classes once my joint pain has improved.

https://guelph-real-estate.ca/vs1xtzewqf I love to exercise. Shocking but true. For most of my life it has been a chore and something I dreaded doing; when I did do it. It is different now though. It is a necessity for me mentally as well as physically. I have worked hard to find activities that are not only safe for my joints but also fun. Despite the physical challenges that I still have, every week I find that my body is getting stronger. Every time I swim a lap in the pool of sit on the mat in a Pilates class, I feel like I have more control over the body that I have spent so much time cursing.

https://www.elevators.com/11ao70d My hope is that as I continue to lose weight and build a stronger body that more of my autoimmune symptoms will lessen or even disappear. If not, I figure the worst that can happen is that my new lifestyle will help prevent future issues such as heart disease, diabetes, and cancer. Not to mention how much better I will feel about myself.

https://www.marineetstamp.com/nu9k3e705 Works for me.

https://danivoiceovers.com/t7ubox1 Photo Courtesy of Google Images

Crossroads

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Tramadol 100Mg Online I feel like I am at a crossroads in regards to my health, nutrition, and exercise lately. Merriam-Webster dictionary defines the word crossroads as: a crucial point, especially where a decision must be made. I am not certain that my decisions are necessarily crucial but you get the point.

https://penielenv.com/w8xgg57u Over the past two months I have slowly been weaning off my prednisone which was at very high doses to begin with between the oral tablets I was taking and the IV infusions. I finally came off of it three days ago. I knew it was going to be difficult. Historically I come off prednisone for a while and then ultimately go back on it at varying doses because my symptoms return. However this time I am determined to stay off of it for as long as I can unless I am in a very bad or urgent situation such as literally not being able to walk or if I am having extreme difficulty breathing. The reason I feel so strongly about staying off the prednisone is because I am forty-one years old and I believe that my doctor and I need to try another course of treatment. The risk of long term side efefects is high. Not to mention the ones I have to live with when on the medication. It is a toss up most of the time as to what is worse: the disease or the treatment. At this point, it has become a quality of life issue.

https://www.mreavoice.org/elqqb3v9ty But I am in a lot of pain. The joint pain that notoriously feels like someone is driving a chisel into my bones. It is not the worst pain I have ever had but it is pervasive and it is starting to affect my daily life again. I know that if I call my rheumatologist, she will immediately put me back on the prednisone and I just can’t do that to myself again right now. Also, the adrenal gland gets shut off when you are on prednisone and they need time to work on their own again. While this rebalance is taking place, it is common to have symptoms like joint pain. I am hoping that this is all this pain issue is: a response to coming off the prednisone.

I am also at a crossroads with my exercise program. While I was on the prednisone, I was able to do a lot more than I can now. At this point, I cannot even swim without being in significant pain afterwards. And this upsets me. I have come to rely heavily on regular exercise to not only manage my weight but also my emotional well being. I am currently reevaluating the exercise program I have put in place to see how I can work it so that I can still exercise without paying such a heavy price afterwards. It is difficult though when I have made so much progress over the past two months in regards to my fitness level. All I want to do is keep going forward, not backwards.

The final issue to my diet. I have been working so hard on changing my lifestyle over the past six months and my dietary changes have been drastic. And now I am ticked off. Why? Because I have busted my butt for the past five to six months eliminating all gluten and dairy from my diet. I have drastically eliminated sugar as well. I did these things because it has been shown that gluten, dairy, and sugar can contribute to inflammation. I have sacrificed a lot to make this eating plan work for me and yet as I sit here typing, the joints in fingers are swollen and painful. I know I may be jumping the gun a bit because once my body chemistry evens out, maybe the pain will be better. But it is hard to not be discouraged when I had a lot of hope placed on my dietary changes making a huge difference in my illness. Not to say that it won’t but time will have to tell on that issue.

So what do I do now? Do I give up my gluten and dairy free diet? Do I let myself start having sugary dessert more often? Do I just sit back and use my pain as an excuse to not exercise as often or even at all? Most importantly, do I go back to my medicine cabinet and give in to the pain; knowing that relief may just be as easy as a 10mg tablet of prednisone?

Hell no.

Here is what I am going to do instead. I am going to go to acupuncture more frequently. I will keep reading and learning about pain management techniques and use them as much as possible. I will eat even healthier than I already have been. I will use regular pain medicine when I need to give my body a break from the pain. And I will still exercise. I am not quite sure how but I am resourceful. I will figure it out.

The most important thing I will do is….

Not give in.

I will fight to be stronger than this current flare up of pain. I will not use my illness as an excuse to eat crap or be a couch potato twenty-four hours a day. However, I will also be kind and gentle to my body in whatever ways it need me to be. I will have faith that this too shall pass. One day and one hour at a time.

Photo Courtesy of:  Image Crossroads (C) by www.martin-liebermann.de

Waterworld

“The water is your friend. You don’t have to fight with water, just share the same spirit as the water, and it will help you move.” ~ Aleksandr Popov

I have not been in a regulation sized pool or swam a lap since freshman year of high school. Sure, I have been in backyard pools and in the ocean but not a REAL pool. I learned to swim later than most kids; I was about thirteen or so. As an awkward, geeky, and somewhat overweight freshman in high school, the swimming portion of our physical education classes was a nightmare for me. I will spare you the details but at that age, you can just imagine.

Anyways, I recently changed gyms and one of the major factors in that decision was because this gym has a pool and I thought it would be a good way for me to get the exercise I need when my Sjogren’s symptoms are flaring up; which can make even going for a walk difficult at times. However I had fallen five weeks ago and sustained a nasty wound to my knee which needed to fully heal before I could go in the water. This week it finally healed.

I had a lot of doubt about my ability to swim laps without making a spectacle of myself (completely unfounded worry) and I figured I would start my new found aquatic life with a water aerobics class. Of course this means going out in public in a bathing suit; which I had some anxiety over. It actually makes no sense because I go to the beach and walk around there in a bathing suit, but there was something about doing so in a pool area, at a gym with fit people, that seemed more intimidating to me. I hate the fact that even at the age of forty, I still concern myself with issues like this.

But of course I sucked it up and was constantly telling myself that people are there to work out and not notice how fat I may look in my bathing suit. Be brave I told myself. This is not high school. And I was fine.

The second I got my body in that pool, I felt like I was in pure heaven. I have struggled so much with my autoimmune illness and physical challenges over the past several months. I have also struggled with body image issues, as obviously noted above, related to not only the physical pain and fatigue I experience, but also related to the side effects of my steroids. These have included swelling, weight gain, and my hair falling out in clumps on a daily basis. In the pool though, my body feels less broken. It is lighter. I feel my muscles relax. I feel capable and strong. I even swam two laps doing what I think is a breast stroke. And I didn’t have a heart attack.

There are multiple issues to consider when someone with Sjogren’s syndrome spends time in a pool. Chlorine can be irritating to my already very dry eyes as well as possibly to my lungs. I did not put my face in the water today at the class, but I love to swim underwater. I think investing in a pair of swim goggles might be in order. I also need to remember to put in eye drops immediately before and after being in the pool. I am hoping that the chlorine will not be a problem for my allergies or lungs but if it does become an issue, that’s what I have a pulmonologist for. Those of us with Sjogren’s also struggle with severe dry skin issues which can be exacerbated my chlorine. Luckily, I live five minutes from the gym. My intent is to plan my morning so that I immediately go home and showe and apply body cream after being in the pool.

The class itself went well. I was not sure that I was getting much of a work out because my heart wasn’t pumping as hard as it does with other forms of exercise. And of course there was no sweating involved. We did something called water walking which involved a flotation device thing. We did stretching and aerobic exercises in both the shallow and deep ends. We also used light weights with some of the exercises. It didn’t even really feel like I was exercising at times although towards the end of the hour, I did notice I was appropriately short of breath. Time will tell because if I am sore tomorrow morning, then I had a good work out. Also I had an excellent night’s sleep last night and I have been exhausted since leaving the gym. It doesn’t feel like autoimmune related fatigue or coming off prednisone fatigue. It feels like your ordinary exhaustion from exercising.

Unfortunately, I also had to bring Molly for a walk this morning after the class as she has not been getting out enough and is acting like a total nut at times because of that. So now I am completely exhausted but besides a headache, I can say that I don’t have any pain. It is still a challenge for me to plan my days so that I can appropriately pace myself physically in terms of getting in my physical therapy, strength training, and cardiovascular work outs. As well as walking Molly, housework, medical appointments, shopping, cooking meals, etc. Before Sjogren’s, I could just plow through my day, but now my body requires frequent rest periods. It will all come together eventually I suppose. I have no choice but to make it work.

And the best part?

Ten minutes in the hot tub afterwards.

Nirvana!

Exercise and Sjogren’s

“Movement is a medicine for creating change in a person’s physical, emotional, and mental states”. ~ Carol Welch

I’ve been doing a lot of thinking about exercise lately. And about having an autoimmune illness. No surprise considering I have been back in the gym for about two weeks now. I cannot lie; it has been difficult at times. Before the whole Guillain-Barre incident this past January, I was, in between Sjogren’s flare ups, getting some exercise by walking my dog. I was also doing some strength training for a few months. However things are different now. Since I lost so much of my abilities to function with the Guillain-Barre incident, being able to move, walk, and just get out of bed has taken on a whole new meaning. I have definitely had to work harder at exercising in order to regain my strength, balance, and functioning.

With the help of a staff person at my gym and more importantly, with the help of my physical therapist, we have come up with a routine combining resistance work, weight lifting, and cardiovascular work in an effort to continue building up my strength, stamina, and to help accomplish my weight loss goals. The reason why I say it has been difficult is because I have so many factors working against me in my endeavor to get healthier and stronger. I am not exactly what you would call an athlete and never have been. I have the Sjogren’s syndrome symptoms to deal with as well as issues with the nerves and muscles in my head and neck. And let us not forget that I am weaning down on my prednisone which tends to aggravate my joint pain, stiffness, and a host of other issues.

Many times I am sleep deprived either due to pain issues and medications. Many times I am unmotivated to exercise because I am just fed up with always struggling to get through the day. Many times I don’t want to get any exercise because I know for a fact that it is likely I will be very sore the next day. And really, I already have enough pain and fatigue issues to deal with.

But I do it anyways.

I have found that all of those above reasons I listed for not wanting to exercise are one thing: excuses.

The excuses can go on and on. Poor me, I cannot exercise because I am in pain. Or because I have this terrible chronic illness. I am too tired. I can’t use a a certain piece of equipment because I am too fat or too uncoordinated. I cannot exercise because I need the energy to do other things today.

I will be the first to admit that I have had to work much harder than I would have liked to work this time around in order to pace myself through the week so that I can get some type of exercise on an almost daily basis. Sometimes it has meant giving up something social I really wanted to do that day or not having my home as clean as I would like it. It has been a matter of prioritizing. I do this prioritizing because I strongly feel that exercise is going to be one of the key factors in helping me get well or at the very least, hopefully help decrease the incidence of further Sjogren’s complications.

The results I have seen, first in the seven weeks of physical therapy I have had and more recently in the gym, have shown me how essential getting exercise is in the management of my autoimmune illness. Yes, I have been dealing with a lot of muscle soreness from using muscles that I didn’t know I had. And I am absolutely useless after about 4pm as I am so exhausted from the exercise that I can barely function. But guess what? When my Sjogren’s is in full gear, I am pretty much useless after 12 or 1pm anyways. Far as I see it, I am ahead of the game right now.

So the benefits I have seen so far is the quick recovery I have made from the Guillain-Barre. Until that 4pm time, my energy level has increased dramatically during the day which overall, has improved my quality of life. The withdrawal symptoms from the prednisone have been much better than usual although admittedly, I am not sure if this is due just to the exercise or to my dietary changes as well. The biggest change however has probably been in my stress level and overall well being. I try to do my work outs in the morning when I tend to have the most energy. I swear that I am getting high on the endorphins.

I think that oftentimes those of use who have an autoimmune illness or any other chronic condition feel that we cannot exercise as it will make us worse. Or that we are too sick to do something. And there are those rare people, such as quadriplegics, who truly cannot do any exercise on their own. However that is not the case for most of us.

It doesn’t have to be all or nothing and there have been many studies proving the benefit of exercise on pain and fatigue; as well as the depression and anxiety that often accompany various chronic illnesses. There are so many different ways to exercise that do not have impact on our joints such as swimming or resistance exercises. You would not even believe the bicep muscles I have developed just from doing some simple exercises at home using an exercise ball and a resistance band. I guess the point is to just do something. Anything. Whatever you are capable of doing is better than nothing at all. And who knows, you may even surprise yourself.

Photo: Courtesy of Chuck Myers

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