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  • 2009 so far...

    A quick summation of the past six months, since I last managed to post. After reaching a point in September where I felt reliably well enough to consider approaching a return to work again, and did contact the local job centre to put this in motion, I suffered a severe relapse at the beginning of November (see previous post).

    It has only been in the past month or so that I’ve started to recover from this. This process has been slow, and I’m still only at a percentage of the strength and energy I had before the relapse. In fact, I planned to go into town to try and get my hair cut today, but my legs are very shaky, so I don’t think I’m going to make it. It was the first relapse of that length and severity I had had for several years, and it was useful to analyse my experience of it and to compare it with earlier episodes. Although, of course, I didn’t enjoy it – the experience is awful moment-by-moment, when you feel constantly overwhelmed by sensory data and pains in your body, and can neither stay fully conscious nor sleep properly – and it was extremely frustrating to be so set back after I had been improving so well and so steadily, I didn’t get as despondent about it as I had previously. I put this down partly to what I have learned over the past few years about the cyclical nature of this illness – so that, even though it was very hard to see where an end to this relapse would come from, I could more effectively convince myself that it was a question of when rather than if. The other part I put down to the change in my physical circumstances – particularly where I now live. The days – weeks, months – during which I was stuck in my home were less oppressive because I was actually happy to be in the place I was in: not stuck in a flat with a grey view and constant intrusive ambient noise, but in a quiet home in which whatever light was around flooded in, there were always pleasant views out of the windows, front and back, and the main ambient noise was warbling bird song. In addition, if I felt up to walking a few steps, I could get out of either my front or back door to get some fresh air and be in a pleasant, green environment. I have come to realise how important this has been to me since I moved here.

    Creativity has of course been curtailed to a great extent during this period, but it has amazed me how I am sometimes able to write when I cannot even begin to do something usually considered much simpler, eg understand and deal with a straightforward utility bill. It just shows how different areas of the brain are differently affected by CFS.

    My sister and mother have been great supports when I have needed it, and being nearer to both of them has been valuable in that way as well as from the social contact with family members. My lover has also been a wonderful support: very understanding, encouraging me to rest and to be active in about the right proportions, even when my perspective on how much I can do has been skewed; also showing no signs of minding that I am unable to do much – sometimes, even to converse – when we are together; and even not minding doing more of her share of chores – shopping, cooking, cleaning, etc – when we’ve been together.

    That relationship has really taken me by surprise. What I saw as no more than a bit of uncomplicated fun has blossomed into an incredibly important relationship to me, and one which has had its own positive effect on my health as well as being good for ego and soul. A real soul mate, to use the cliché. She’s been such easy company, and has really never added to my stress levels even when I’ve been feeling at my worst – when I generally find it hard to be around people for more than short lengths of time, and tend to be more irritable. We’ve not even managed to have an argument yet, and last month we celebrated a year since we started seeing each other. Even better, she’s now moved to the south coast and is only two and a half hours away, rather than six or more as previously. Last weekend I had my first trip away from home since I relapsed, to see her in her new flat. The journey was so much easier than it used to be, and it was a great boost to my confidence that I managed it without incident or setback. We had to postpone a few things I had planned to do – eg to take her out to dinner on her birthday – because I’ve still not got that much energy, but I got there, had a lovely time, and got back without any serious problems.

    During the spring I also attended a CFS treatment group at a local hospital, and I’ll write about that next time.

  • The long and winding road

    Still in the midst of a major relapse. I think I'm on the upslope now, and will have much to say about the past few months when I'm feeling a little stronger.

  • Still not so good

    Have continued to be in pretty poor health, since the beginning of November, so haven't been up to posting more blog entries. Will come back to it when things improve somewhat.

    Hope this finds you well.

  • I've been away; did you miss me?

    Haven't posted for six months, because I've been busy and have also been so well, on the whole, that CFS and this blog have been far from my mind. Which has been great. Have spent a lot of time over the past six months with my lover, which has been just wonderful and quite a change for me.

    About six weeks ago, however, I went rapidly downhill, and have been extremely unwell since then. I think this is because I caught the bug that's doing the rounds, and it seems that my immune system is not currently as strong as it had been earlier this year, so I have been feeling the symptoms of CFS rather than of the bug. But as it is (I think) caused by the bug rather than being a relapse for any other reason, I've not been too worried about it.

    My sleep has continued to be a major problem. I'm still suffering badly from insomnia, and lie awake for hours with my body itching, aching, throbbing etc. The sleep I get tends not to be refreshing. This seems like a last bastion; if I can find a way to conquer it, it should help me move towards better health in the long term.

    It has been quite a shock to the system to be so limited again, after such a sustained period of good health and activity. I've been confined to my house for the past few weeks, bar one day last week when my mother came over and took me for a drive through the countryside, which was invigorating and refreshing. I was feeling a bit stronger yesterday and managed to go for a walk around the block, but again today my knees feel extremely wobbly, and I'm not sure I'll make it out at all. Will try in half an hour or so.

    I had got to the point just before this happened where I had been feeling well enough for long enough that I was confident enough to start making enquiries about getting back to work. I hope I'll be able to achieve this in the new year, once I've got over this bout of ill health.

    I'll aim to come back to this blog more regularly now, and muse on some of the issues and questions CFS brings, some of which I’ve raised before.

  • Just a quick update

    I haven't posted for a while as I've been pretty busy with various things and have, on the whole, been in pretty good health. Once my focus isn't so much on other things, I'll start posting again.

    Hope this finds you all well.

  • So little time, so much to do...

    The past few weeks have been extraordinary. I have been more active than for several years, and I have also been travelling more than I have done for a long time. The main reason for this is that I have taken a lover, which has been just wonderful. Always a good boost to a flagging spirit, but we have developed a real rapport as well, and it’s been really good to have someone I can talk to about just about anything. It’s the first time I’ve been in a sexual relationship for 3 years, and I have found difficulty maintaining erection and orgasm, but I’m working with my GP to see if we can discover what the cause of that is. It does seem to link closely with my sleep – when I am rested and relaxed things are much better than when I’ve not been sleeping and am therefore tense. Symptoms of CFS seem to relate to this too: when my system is in the state I described previously as ‘physiological anxiety’ it is difficult to become physiologically aroused. Anyway, this is all fascinating stuff, but I don’t want to frighten my more sensitive readers, so I’ll leave it there.

    My lover lives in another part of the country – we met when we were both visiting London a few months ago – so I’ve been travelling up there a few times, visiting other friends too, sometimes – and she’s been down here too. Some visits have been a week or more, yet it’s never felt too long, and we seem to find each other’s company very easy. So we’re both enjoying it as much as possible while it lasts.

    Another thing which has given me an enormous amount of pleasure – and, I think, contributed to my general sense of well-being at the moment – has been my garden. This has flourished in recent weeks, and I now have a lovely herb garden with ten or more types of edible herb in it, some lovely lettuce, and tomtatoes on the way. I have a few non-edible plants too, but am far more interested in ones which I can use. This week I made a salad with lettuce, loveage, sage, parsley, thyme, marjoram and coriander. A bit over-the-top, taste-wise, but it was lovely to eat something which I had cultivated – the first ever time for me, if you don’t count mustard and cress seeds on the windowsill when I was a child – and which had food miles totalling less than ten feet.

    Off up north again tomorrow for ten days, should be utterly blissful.

  • Sleep – the continuing problem

    Apologies for absence – I’ve had internet problems again. Have just managed to sort them out.

    I have continued to feel pretty well overall, and to enjoy life in my new home, but my sleep has continued to be fairly abysmal since about two months ago. Much of the time I would spend 4 to 6 hours trying to get to sleep, even after trying various relaxation techniques; more recently I will get off to sleep in perhaps an hour or two, but then wake several hours before I wanted to, in spite of the sleep medication I’m currently taking. For example, last night I settled at about 11, after taking a temazepam and reading for a while, and drifted off by about 12.30. But I then woke at 4.30 and couldn’t get back to sleep. (I did eventually get an hour or so’s dozing from about 8–9.)

    I have identified a state of being in which I currently seem to be stuck: my body and mind seem to be on constant alert. I’d call it ‘physiological anxiety’; physiological because as far as I can ascertain (and I’ve wracked my brains) there is nothing about which I am anxious; it’s just that my body’s in the state it gets in when one is anxious about something. I’ve felt symptoms like those of panic attacks (dizzyness, nausea, shortness of breath, pounding heart) but I find that they come even when I’m at rest, and I even find that I wake up in that state (which isn’t pleasant).

    I went to the doctor again yesterday, but saw a locum as my GP was away. He was sympathetic and understanding but advised me to wait and see. Unfortunately it has got to the stage where it is affecting my quite badly in other areas: my concentration is right down, and I’ve noticed sexual dysfunction (difficulty maintaining an erection or reaching orgasm). This is somewhat ironic as I’ve just started a new sexual relationship in the past couple of weeks, which is wonderful in all other ways, and while this isn’t a problem as such (she’s being very understanding), it is annoying.

    More than that, though, I’m keen to identify and deal with the underlying cause, whatever that might be. Does anyone have any experience of this – anxiety without cause/object – and any ideas what I might do to be able to rest and sleep again?

  • Catch it if you can

    An online conversation with someone else who has CFS yesterday sparked this thought.

    I had noticed how since getting CFS (7 years ago, now) I had never had a single cold, when prior to getting the illness I used to have them regularly each winter, sometimes several in one winter. I thought this was odd, paradoxical, although very welcome.

    Someone I knew a few years ago gave an interesting perspective on this: she explained that this was likely to be because my immune system was not up to scratch, and therefore was not fighting off these viruses effectively. Apparently it is the body’s act of fighting a virus which produces the symptoms of a viral illness rather than the presence of the virus itself.

    When I reflected on this, I realised that I did have periods, often when there was a bug going around, in which I felt unaccountably rubbish for weeks, sometimes months, on end. So it does seem that in my case, viral illness would present in this way, rather than with the classic symptoms. This was the first evidence I had that my immune system was not working properly, which is considered by many to be a part of the CFS spectrum.

    Since moving to the countryside in November, I have been extremely well. The only blips have been on two occasions when I caught bugs from my young niece and nephew (one of the hazards of living closer to family!). The first time, in the new year, I was laid out for just over a month in the way described above – no real symptoms, just feeling utterly spent. The second time, last month, I actually got the classic cold symptoms – sore throat, streaming nose, cough, etc. I was delighted to have caught a cold! It suggests that my immune system is currently in better health than it has been for years. Apart from the wooziness brought on to anyone by a cold, I didn’t feel particularly bad. And the symptoms cleared up in about a week and a half – far better than the month plus I would have expected to have been laid low beforehand.

    Does anyone else have a similar experience when it comes to bugs and CFS?

  • Ugh

    I'm still having serious sleep problems - the one thing I've really not had any success in dealing with. I’ve tried a few melatonin capsules over the past few days, given to me by a friend who swears by them, and have got two good nights, but the others have been lamentable. Will have to go to the docs to talk it through again; I’d like to find a solution which doesn’t require me to take any more pills.

    I’m really pleased at how I’ve borne up, considering how bad my sleep has been, but it is amazing just how debilitating a lack of sleep can be.

    Just off to the docs now, in fact; I’ve been asked to take a new round of tests in preparation for a referral to the local CFS service here.

  • Getting creative

    Even though my sleep hasn’t been much cop recently and I’m therefore pretty tired, but even so, I’ve been able to do quite a lot of writing over the past week. It’s been wonderful to be able to create, and a good feeling to be productive as well. Although it’s been cold, with the sun out it’s been warm enough to sit out in my courtyard, which is a wonderful atmosphere in which to think and write, and also something I so badly missed when I was in London – my own bit of outdoor space to which I can go even when I’m not feeling that strong. I feel really lucky to have it.

    I also managed to get to a friend’s stag do in London, and was pleased with the way I handled it – went to the first couple of stages and then came home before things got too late (and boozy). Had a lot of fun, and my friend was delighted that I was able to make it, so it worked out well.

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