Heart with EKG Line POTS Charm Necklace on Organza

I had awful tachycardia yesterday…it was hitting at least 127 bpm semi-supine (I was in bed, with my upper back propped up and my legs elevated). That is NOT good. Was able to get it down to the low 100′s finally when inspiration hit me…and I designed a new awareness charm for my shop, Shae Eclectique! I really like this one. It is hand stamped, like most of the stuff I make. I can do this on other metals, too. The accent bead shown is vintage red glass with a slight iridescent glazing. It is on a heart embellished Tibetan silver bail, hung on red organza ribbon and four red cords, with a cute heart toggle clasp. At least POTS was good for something!

 

Heart with EKG Line POTS Charm Necklace on Organza by shaeleigh.

 

Measuring Spoons & Lessons on Predicting My Own Capabilities

I love Christine Miserandino’s ‘Spoon Theory’ for its wonderful demonstration of what it means to actually live with a chronic condition…the way folk like me approach every act from the standpoint of what it will cost, physically. Well, I have a sequel floating around in my foggy brain…Measuring Spoons.

I find it incredibly hard, if not impossible, to predict with any sort of accuracy what I am actually capable of doing, whether it is today, tomorrow, next week…whatever. I find myself answering and committing to things I feel I can accomplish during one of my better moments, only to realize later that, once again, I have bitten off more than I can chew. Maybe there is room for a ‘three-quell” called “Steak Knife Hypothesis”? I see promise, there!

Anyway, it has been such a frustrating battle…from the very little things, like telling my family I think I can do some dishes later today (and then realizing that is a pipe dream!) to ordering a few supplies for my jewelry making via money order, only to later find it can take me several WEEKS to make it to the store to purchase the money order…which leaves me feeling like a jerk! I don’t like to be a disappointment. Nobody does. And worse than the prospect of disappointing others is the fact that I am so often disappointing myself, and I am at a loss as to how to deal with this. One can’t live a life with zero commitments. It is not possible, and wouldn’t be very fulfilling even if it were somehow plausible.

I mean, folks…I still haven’t sent out Christmas presents! And you do NOT want to see my kitchen…the dishes situation is pretty gross.

Now, sometimes I do get it right, or close enough to it…which I chalk up to luck as much as anything else. I really need a set of POTSy measuring spoons to help me figure out how much stamina (and lack of nausea or pre-syncope, etc.) I will need for a given commitment, and a way to measure that oomph and set it aside for that specific task (in its own little oomph ingredient bowl).

This arena of predicting my own capabilities is something I have never excelled at (and I now better understand why!) and things have really rolled into that smelly brown heap at the bottom of a particularly steep hill! You know, the stuff they say always rolls downhill? Seems true enough.

So when I figure out some formula that helps…I will write up a handy little guide to avoiding that stinky pile. Meantime, I will think about measuring spoons a LOT…before I do even simple things, and ask myself what the chances may be that there will be enough ingredients left for this task I am thinking of undertaking. I don’t expect to get it right most of the time…my condition is highly unpredictable. I literally don’t know how I will feel five minutes from now. But I am going to keep looking for ways to handle this challenge better…and one of them is the simple act of saying, “Hey…I am sort of struggling with this stuff,” and hoping that at least helps others to know I am not intentionally blowing them off or being irresponsible. If I were irresponsible, this matter probably would not concern me enough to spend my afternoon spoons on it!

By the way, you can read “The Spoon Theory” at www.bydls.com – I highly recommend it!

Pulse Pressure Down…

I have a question for my POTSy peeps out there…has anyone with frequent severe pulse pressure* drops taken midodrine? Found any med that actually helps with this? I have found very little literature or research on pulse pressure drops, amd absolutely NOTHING regarding treatment of POTS with severe pulse pressure drops. Since I also have orthostatic diastolic hypertensionain’t addition to neurally mediated hypotension (HMH, also seen as neurogardiogenic syncope/NCS or vasovagal syncope/VVS) things get even more complex with regard to finding medicine that actually helps without horrific side effects.  So if anybody out there has experiences toshare, good or bad,,I would be grateful! If you don’t mind making your reply public, please do leave a comment…but if you’d rather stay private about it, I welcome your email to shaeleigh[AT]mac[DOT]com.

* Pulse pressure is the difference between systolic & diastolic…should be about 40mmHG difference, anything less than 20 is considered bad, and I have severe drops of less than 10…has been under 5 frequently, which feels rather horrible!

 

How Accurate is TSH Testing?

How Accurate is TSH Testing? | National Academy of Hypothyroidism is an excellent resource/site on thyroid testing and understanding what the results actually mean, which can be incredibly confusing. Getting accurate testing is essential for patients with chronic pain and debilitating conditions. It is also important to get the right panel of tests. This site also has an online test where you can enter your known lab values and get a recommendation.

Tips for Dealing with People in Chronic Pain

I wanted to share this…I wish I knew who to credit. It is one of the better compilations I have read. When I read it, I felt a sense of relief that somebody out there ‘gets it’ mixed with a longing for more people to at least understand the gist of these words. I thought of how often I do not go out. Admittedly, most of that is because I don’t have enough ‘spoons’ (see www.bydls.com and read The Spoon Theory for this explanation) to do it; I am feeling to sick or am incapacitated to such a degree that it isn’t possible just then; I am dreading the inevitable cost of recovering from the exertion of doing whatever it is and thinking of all the things that will fall behind (even more) or that I will have to give up doing during that recovery; or I am anxiously dreading knowing how hard it can be to deal with the things that inevitably crop up during any outing. Many of those things could be addressed by this list…if every place I went or visited had at least one person there who really knew these things and was willing to act upon them, my life would be transformed! Seriously, I would be able to venture out more often. Recovery would be a little less taxing, and thus a little less daunting. And I can only imagine how much improvement there could be in my state of mind and general being if this elusive widespread understanding actually existed…so with that wistful thought in mind, I share this with you. I hope you will pass it along, make it viral…make a difference in lives like mine:)

1. People with chronic pain seem unreliable (we can’t count on ourselves). When feeling better we promise things (and mean it); when in serious pain, we may not even show up.

2. An action or situation may result in pain several hours later, or even the next day. Delayed pain is confusing to people who have never experienced it.

3. Pain can inhibit listening and other communication skills. It’s like having someone shouting at you, or trying to talk with a fire alarm going off in the room. The effect of pain on the mind can seem like attention deficit disorder. So you may have to repeat a request, or write things down for a person with chronic pain. Don’t take it personally, or think that they are stupid.

4. The senses can overload while in pain. For example, noises that wouldn’t normally bother you seem too much.

5. Patience may seem short. We can’t wait in a long line; can’t wait for a long drawn out conversation.

6. Don’t always ask “how are you” unless you are genuinely prepared to listen it just points attention inward.

7. Pain can sometimes trigger psychological disabilities (usually very temporary). When in pain, a small task, like hanging out the laundry, can seem like a huge wall, too high to climb over. An hour later the same job may be quite OK. It is sane to be depressed occasionally when you hurt.

8. Pain can come on fairly quickly and unexpectedly. Pain sometimes abates after a short rest. Chronic pain people appear to arrive and fade unpredictably to others.

9. Knowing where a refuge is, such as a couch, a bed, or comfortable chair, is as important as knowing where a bathroom is. A visit is much more enjoyable if the chronic pain person knows there is a refuge if needed. A person with chronic pain may not want to go anywhere that has no refuge (e.g.no place to sit or lie down).

10. Small acts of kindness can seem like huge acts of mercy to a person in pain. Your offer of a pillow or a cup of tea can be a really big thing to a person who is feeling temporarily helpless in the face of encroaching pain.

11. Not all pain is easy to locate or describe. Sometimes there is a body-wide feeling of discomfort, with hard to describe pains in the entire back, or in both legs, but not in one particular spot you can point to. Our vocabulary for pain is very limited, compared to the body’s ability to feel varieties of discomfort.

12. We may not have a good “reason” for the pain. Medical science is still limited in its understanding of pain. Many people have pain that is not yet classified by doctors as an officially recognized “disease”. That does not reduce the pain, – it only reduces our ability to give it a label, and to have you believe us.

AUTHOR UNKNOWN


POTS SUXX!

I feel so bad today…worst day in a while. Woke up with sweet resting heart rate of 68 bpm. When i tried to get up, POTS reared its ugly head big time! Initially, my heart rate jumped into the 140′s as soon as I was vertical. Kept climbing. Hovered in the upper 150′s as I attempted to throw the wet laundry into the dryer…and I thought maybe I needed to move a little, so I attempted a bit of light gardening for maybe fifteen minutes…nothing strenuous at all. Felt SO awful…knew I had to get inside to my bed ASAP or I was gonna pass out…grabbed coconut water from the fridge on the way. By the time I reached my bedside and took a quick pulse reading, I was at 175 bpm standing then DROPPED FAST to 36 bpm, still standing & about to tank. My pulse pressure (referring to the difference between the diastolic and systolic bp) dropped/narrowed and was getting lower. Got back in bed before I passed out and my heart rate went up to 115 bpm and then settled down to a somewhat better 88 bpm. I may vomit. I may bawl. This SUXX.

I remained in bed the rest of the day, trying to remember what the point of having this battle over and over was, exactly…trying not to bawl because that sends my MCAD into overdrive and stuffs my head up so badly it makes my ears feel like they are imploding. The night didn’t get any better, either.

Did I mention POTS SUXX?

The Body Odd – Why would a Wiggle faint? Actors story

The Body Odd – Why would a Wiggle faint? Actors story.

Thank you, Dr. Raj, for sharing this! I also have POTS, and it is so important for there to be greater awareness about this devastatingly life altering condition. It is beyond frustrating and discouraging how often we patients with Dysautonomia are overlooked, misdiagnosed, misunderstood or outright disbelieved.

Just Sterling!

Sending off my first sterling silver medical alert bracelets today! Exciting! Seems medical alert & awareness is my hottest selling jewelry line…which is very cool with me, since it is definitely close to my heart.

Sterling silver

http://www.etsy.com/shop/shaeleigh

 

 

Bestill my pounding heart…

Just a quick thought to share today…I spent most of my life not realizing I was having tachycardia when standing. It occurred to me after my POTS diagnosis that my definition of a ‘pounding heart’ might not have been the same as it was to those asking the question over the years. To me, a pounding heart is when it feels like it is beating hard and perhaps loudly, without regard to speed…my heart more often pounds slowly than quickly. A racing heart is how I define a fast heartbeat; mi e usually feels fluttery when it is racing rather than pounding hard. I have come to theorize that the reason my heart tends to pound slowly amd race lightly is the severe pulse pressure drops I experience. Pulse pressure is the difference between systolic and diastolic pressure, and when there is narrowing between those two numbers, that is a pulse pressure drop. The difference between those numbers should ideally be about 40mmHg. Anything less than 20mmHg is considered ‘bad’ and my drops are often less than 10mmHg (I often drop to 5mmHg or below…have even hit 1mmHg just prior to passing out cold).

Anyway, the point of sharing this is that, often, how we each define or interpret a word or description may play a crucial role in communicating with our doctors.

NEW: The Driscoll Theory: Part 2 eBook: Diana Driscoll O.D.: Kindle Store

This is the new book, part two…

In The Driscoll Theory: Part 2, Dr. Diana Driscoll (both doctor and patient) proposes a complete paradigm shift for the cause and treatment of dysautonomia in the Ehlers-Danlos Syndrome patient. As a patient and mother of children also affected by POTS (Postural Orthostatic Tachycardia Syndrome), she was dissatisfied with the current treatments and the lack of answers to the cause of autonomic dysfunction. As she likes to say, she “has donated her body to science while still using it” and began retrospective analyses and clinical trials, while working with various medications.

As a therapeutic optometrist (on professional disability), her research naturally began by looking to the eyes, and progressed to the involvement of hydrocephalus, inflammatory cytokines, mast cells, and CCSVI (chronic cerebrospinal venous insufficiency). Her research also stems from a high level of compassion for her fellow sufferers. By reaching out to others, through social media, she not only came up with this unique proposal for the cause and treatment of POTS, but she also changed the way science can be conducted by speeding up an otherwise discouragingly slow process. She continues her research, while enjoying and sharing the benefits of treatment that has been elusive to sufferers for many years.

This well researched book, has over 100 peer reviewed references, and is a MUST READ for patients, their families and their physicians. Sufferers of Fibromyalgia and Chronic Fatigue will also find helpful parallels to their conditions.

About the Author:

Dr. Diana Driscoll, a therapeutic optometrist, practiced in her field for over 20 years, where she received numerous awards for excellence. Struck down by a virus while on a mission trip, she was basically bed-ridden for three years. Because Ehlers-Danlos Syndrome and dysautonomia is such an under-diagnosed condition, she found herself researching extensively for answers. When answers were elusive, she began conducting her own research to help everyone afflicted by this disabling condition.

She was thrilled to find answers and continues to work tirelessly in order to offer treatments for the cause of dysautonomia, not just the treatment of symptoms. She shares what she has learned here, knowing that it is helping so many already. Her research continues, and as science evolves, so will “The Driscoll Theory”.

Currently, her research has provided answers for numerous other “related” conditions, and she explains how vagus nerve compression and inflammatory cytokines are the likely causes for numerous symptoms in EDS/POTS, M.S., Chronic Fatigue (or M.E.), Chronic Lyme, Rheumatoid Arthritis, Systemic Lupus, and other previously misunderstood conditions.

via Amazon.com: The Driscoll Theory: Part 2 eBook: Diana Driscoll O.D.: Kindle Store.

The Driscoll Theory: The Role of External Communicating Hydrocephalus, Mast Cell Disease & CCSVI as the Cause of POTS in Ehlers-Danlos Syndrome eBook: Diana Driscoll O.D.: Kindle Store

Dr. Diana Driscoll’s new book is out (I got mine on Kindle)…this one pulls together some crucial comorbid conditions…

The Role of External Communicating Hydrocephalus, Mast Cell Disease and CCSVI as the cause of Postural Orthostatic Tachycardia Syndrome in Ehlers-Danlos Syndrome

The author explains how pilot studies indicate that External Communicating Hydrocephalus appears to be responsible for the autonomic symptoms “POTS” – Postural Orthostatic Tachycardia Syndrome found in 50-70% or more of the Classic, Hypermobile and Vascular Ehlers-Danlos Syndrome patient populations. Retrospective examination of head circumference growth in babies who were later diagnosed with EDS Ehlers-Danlos Syndrome and POTS, indicates such hydrocephalus is evident.Furthermore, External Communicating Hydrocephalus, often in conjunction with CCSVI chronic cerebrospinal venous insufficiency, is hypothesized as the cause of the constellation of cranial nerve signs and symptoms, endocrine abnormalities, personality changes, cognitive decline, extreme fatigue, left ventricular diastolic dysfunction and brain atrophy in the Ehlers-Danlos Syndrome patient population.Finally, Mastocytosis or mast cell activation syndrome appears to be a common condition found in patients with EDS and POTS, potentially exacerbating brain fog, dementia, personality changes, and fatigue. Although it is presumed that mast cell disease is secondary to POTS, the potential for congenital mast cell disease causing POTS and hydrocephalus cannot yet be dismissed.

via Amazon.com: The Driscoll Theory: Part 1, The Role of External Communicating Hydrocephalus, Mast Cell Disease & CCSVI as the Cause of POTS in Ehlers-Danlos Syndrome eBook: Diana Driscoll O.D.: Kindle Store.

World Class CFIDS & NMH/NCS

This is such an excellent article…I relate very deeply to Michelle’s words and feelings. I was certainly never any kind of world class athlete, but I used to pride myself on fitness. I was once heavily into martial arts (really gung ho). I was once a soldier, and good at it. I still ‘train’ in the pool six or more months a year, treading water vigorously for hours. But even so, I often can barely make it to the bathroom and sometimes go days or even weeks barely leaving my bed, only to fight my way back to fitness afterwards each time.

In the summer, especially, I am tan and lithe, glowing with what looks like health. I am fit but chronically and incurably sick, but no one can see this; I fight skepticism and outright disbelief. Once, I went to the store to get a bunch of those foam noodles to use in my pool. Others line with me and the checkout clerkengaged me in small talk. One gestured to the pile of blue and pink noodles in my cart and asked if I was a physical therapist. I stood there, tensing my legs and core so I would not pass out, fighting hot flashes and nausea, looking muscular and trim and fit in my yoga top and shorts, skin aglow with the sun…and I answered, “Nope. I am the patient.”

I, too, have CFIDS and NMH/NCS, like Michelle. I also have EDS and POTS and MCAD and a whole list od comorbid crap…seems those of us cursed with this sort of disease never get off with just one or two diagnoses. I know what she felt like when Michelle describes episodes and symptoms. I am moved by the support of her teammates…we should all have a ‘team’ like that! Our doctors are supposed to fill part of that role, but more often than not, we struggle for diagnosis, for treatmentfoams we are judged constantly.

On good days, I will often park near the back of the lot and enjoy a chance to walk a little, with my cane(s). But more often, I make use of my handicap placard. You would not believe the looks I get when I emerge from my little red convertible, tan and fit looking, a cane the only visible sign that anything is amiss. People glare. If looks could kill…yanno? I have learned to ignore all that, but once in a while, it niggles at me a bit in spite of myself. How could they possibly know that standing…the mere act of standing…sends me into severe tachycardia and puts me at high risk of doing a world class face plant into the cement? They can’t know, even when I wear my POTSy Girl tee shirt.

A quick excerpt from the article:

Michelle had conquered adversity most of her life. It had to be hard to ask for help.

“It killed me. It’s changed me totally, as a person. I was someone who held her emotions tight, nothing hurt me. I said to myself, J can handle it, I can do it myself.’ For me to have to say to one of my good friends, ‘I can’t do this on my own, I can’t make myself better. Can you drive to the store for me? I can’t do it,’ killed me.

“What I’ve learned is that, by opening up and letting them in on your struggles, you’re helping them, too. They see you struggling and they want to help. By saying no or not asking them, you’re slamming them in the face and you’re hurting yourself, too.

“My teammates ask me, ‘what can we do for you?’ I say, ‘if you’re going to the store, ask me if I need anything. If you’re going to a meal and you notice I’m not there, bring something back.’ They do these little things that make a huge difference. They call me and ask how I’m feeling. It’s like, ‘Oh! They remember me!’ Because you feel so alone at times, and that’s frustrating in itself, to be alone and to feel that bad and then to be on the road and feel that bad.”

Read the article here: CFIDS. Read it. Share it. Become part of the solution.

 

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