FMS

Fibromyalgia and my fight against it

I used to have a bad tooth, it was finally removed a few months ago. Yesterday I went in for followup surgery to install the implant for a permanent replacement, at the time they also removed a wisdom tooth that would’ve blocked the implant. Back when they removed the bad tooth not only was I recovering from the infection caused by it, but I was still having non-diagnosed anemia issues. It kinda wrecked me for a while. This time feels different.

After surgery I had to be wheeled out of the hospital, could barely stand on my own. Some of that was due to fasting, the rest due to the anesthetic they had to sedate me with. They said 24-48 hours for it to work out of my system. By hour four I was feel semi-normal, sore jaw, but semi-normal. By bedtime I was surprised at how not horrible I felt.

When I woke up this morning I was sluggish, from the medications, but I still went and did light exercises and all my stretches. As the morning went on I performed admin work on my Odroid NAS and prepped to mod my APPJ tube amp. Successfully finished this all by 11am.

I have to wonder why I’ve bounced back so much easier this time. Maybe it’s the B12 for my anemia, my change over to healthier nutrition (plus protein) shakes, or is it the Diflunisal the doctor prescribed.

  • B12 has to be the reason I’m no longer fatigued. I don’t crash like I used to and I don’t fatigue while exercising. When I last had major dental surgery done I still suffered from crashes.
  • Nutritional shakes are a recent additional due to their daily cost. Prior to the nutritional shakes I would either eat a Clif bar or have a hemp protein shake. They weren’t unhealthy, but I was not getting all of my nutrients. I started buying the Vega One Nutritional Shakes and they are great. They provide me with most of my needed nutrition, protein, and fiber.
  • Diflunisal is an NSAID used as a very potent anti-inflammatory. The doctor prescribed it for before and after the surgery to help with any potential fibro issues. It seems to be helping as I have no inflammation I can identify. I only have a few days worth, so we’ll see how I’m feeling once I run out.

Whatever the reason, I am very happy that I’m not stuck in bed miserable. I will keep up with the doctor prescribed medications and antibiotics, continue to supplement them with probiotics and proper nutrition, and continue to exercise as my recovery allows.

Every time a doctor finds something wrong that could explain the fibro, I get excited that this might be the final piece that gets me back to 100%. When I started the B12 treatment I was very excited because of how much better I felt, how much harder I was able to push myself. I may have pushed myself a little too much. Today I woke up in a flareup, the pain is intense at times.

Yesterday was a hard day for me, physically and mentally. I woke up with digestive issues, most likely triggered by an ingredient in a packaged food I ate the night before. I stopped buying and eating that brand of packaged food before of the digestive issues it would cause, but I was out at friends’ the night before and thought “I will only have a small amount, I will be fine.”, I wasn’t. By late yesterday morning I had mild nausea and dizziness issues, this eventually turned into a stomach ache that nothing would cure. Bad digestive issues like that never come alone, they always bring anxiety. This was anxiety that could almost be ignored, until something unexpected happened. Even something as small as someone bumping into me in the hall without apologies, or a car running a stop sign, is enough to trigger a full panic attack.

I eventually made it home, anxiety untriggered. The stomach ache eventually became extreme and I had a minor IBS episode. This left me drained, but I was able to eat some dinner. Even though I did pass out immediately after dinner, I ended up going to bed by 9pm. I was hopeful that as long as I got some decent sleep I would wake up okay, after all, I may have been tired, but I wasn’t fatigued like I was before the B12 treatment.

When I woke this morning the first thought that came to my mind was “wow, I still feel like butt”. Today unlike yesterday, I ache; the joints ache, the muscles ache, the hands and fingers ache. It is too early in the day to know if I will have continued digestive issues, but I am definitely in a full fibro flareup. I am hoping that this will not be a long flareup and that the B12 will help give me the energy I need to exercise through it.

Even though I have been exercising regularly, the fatigue attacks continued to occur. At seemingly random intervals I would suddenly become extremely fatigued and chilled.  Naps would occasionally help, sometimes letting me warm up. For the longest time I assumed this was because of fibro and it would either improve or never change. Then I had bloodwork done and received the results.

Initial glance at the results and everything looks fairly healthy. Started to look at the results over the past six years and at the values that are at the upper and lower end of ‘healthy’, and I started to see a pattern. Based on my current results my red blood cells were not forming correctly, a slight megaloblastic anemia. This was confirmed this with my doctors.

Many people with fibromyalgia have a B12 deficiency, usually managed with supplements or injections. When I was last tested for B12 I was taking vitamins and a B Complex supplement, which kept my levels high enough to be healthy.

I eventually stopped taking those vitamins and supplements, letting my body detox of everything. At the time my digestive issues were bad, supplements such as B complex would upset my stomach. I had been on so many prescription pills and supplements that I wanted to start fresh, give my liver a chance to recover, stop taking pills that upset my stomach.

Over time I added basic supplements such as Vitamin D, turmeric, quercetin, and magnesium back into my diet. Last fall I added supplements suggested by one of my Doctors. Since I was doing better than I had been in years, I never considered that I was missing a key vitamin. I started looking over my supplements and dietary intake. B12 was missing from all my current supplements and my diet was not high in it. There were days where I would get sufficient amounts of B12, but most days I barely took in more than half what I needed, some days almost none. My body would deplete its store of B12 I would have anemic episodes.

The day I started taking a B12 supplement my body stopped crashing. I’m feeling better, but being anemic damages the body, I’m not sure how long it will take to fully recover. Since I wasn’t completely deficient, hopefully only weeks, but even if it takes months, I’m getting stronger.

My health was doing really well, minor fluctuations, but overall the best I had been doing in a long time, and then I wore myself out. Work gave us an impossible deadline, immediately followed by another impossible deadline. While I do both front and backend development, my focus at work has been frontend. For months we have requested a middleware to handle the majority of the logic and admin tasks. For months we were told they would find a resource to build the middleware. The middleware was axed a few weeks prior to the first deadline. We rushed, working non-stop, just barely delivering a functional, but clunky and unrefined product. They gave us two weeks to implement additional features (including ones not yet available in the API and have no technical documentation) and refine the product.

It was immediately after they gave us two weeks for the next deadline, that both myself and my coworker literally fell apart. Both of us now have health issues that were not bothering us weeks prior to the deadline. I have been fighting constant flareups, unable to stop the pain that returned. At this point I am worn out, only barely able to type this post. Most recently my right arm has started hurting, an extreme pulsating pain that can be triggered by overuse/overextension of most of my right arm and hand. This is a very strong indicator that I’m worn out, it’s time to rest. It is a very good thing that weeks ago I requested tomorrow and Friday off, I have to lay off the computer for a couple of days and I might have been forced to take the days off regardless. Hopefully a couple of days of fun and not having to use the computer will help. Not sure if it will be enough, but maybe it’s also time to slow down at work.

It has been a month since the infected tooth was pulled and while I am recovering very well, it is slower than I would like. Over the past weeks my energy levels have started to return, and while I get fatigued later in the day, it has not been as severe. I still experience chills, muscle and joint aches, digestive issues, and brain fog, but less severe than I am used to. My digestive problems improve a little each week. My fevers are not as severe, barely even register as a fever, that has been one of the biggest changes. I’m optimistic that I will continue to improve. It has been a couple of weeks since my last fever and weeks is a major record for me.

Feeling better could not have come at a better time, there were two sudden deadlines at work and I need to be a rockstar programmer for another week. Being a rockstar programmer means I let myself hyperfocus for hours, working from 9am until after 6pm each night without more than bathroom breaks. I will accomplish days worth of work within hours. Without ample breaks this will burn me out, the fibro doesn’t help. I’m going to need a good rest once I’m done with these projects, I need to recharge for the next time they need me to rockstar it at work.

Back in December I acted the part of rockstar programmer and pulled 3rd place (out of 78) in a global tech competition at work. I had come up with a basic idea, found a team that helped me refine it, then coded a simple mobile app in 12 hours. Pulling third was a major confidence boost, I felt great, although the fibro was still flaring up.

Fast forward a couple of weeks, the start of the new year, an old problem starts to act up, a tooth ache. I haven’t been to the dentist in years, not since I maxed out a couple of credit cards five or six years ago having dental work done. This tooth was the first one I had worked on, almost eight years ago, but never finished. It was time to return to the dentist. The tooth deteriorated over the past eight years, it was infected and had to go.

I went on a strong round of antibiotics, my fever shot up, I became very sick. I was out of work through most of this. The one day I go back I rockstar it, solve multiple issues, then the sickness got worse. After that I slowed myself down, forced myself into a slow pace while I recover. After a full week of antibiotics and rest, I was starting to feel better. Additional dental work was done, infection was dead, then I scheduled to have the bad tooth pulled.

Tooth has now been pulled, that was the easy part, and I am recovering. Right now I don’t feel my best, two days of a purely liquid diet and some strong medications have left my head in a balloon. I’m certain part of it is that it was a molar that had to be extracted, another part is that the infection has damaged the jawbone. The damage is going to take time to heal and the even through the infection is no longer active, it has to be flushed out of my system. I am definitely not rockstarring it right now, but I believe I will be once I’m recovered.

I’m feeling hopeful that once I’ve recovered from this, my fibromyalgia will be easier to manage. I won’t be cured of the fibro, there is no cure. I am hoping that this stops or minimizes the reoccurring low grade fevers, and it may even resolve a percentage of body aches. I have read reports of other fibro sufferers seeing a significant reduction in flareups and symptoms. Depending on how bad the infection was, it will take my body roughly three months to detox and recover. I look forward to seeing how well I’m doing come end of April, I have plans to do some rockstarring haxing in May.

Fibro has completely changed my life, yet I still try to live my old limitless life. I was having a really good streak the other week and pushed myself until my body basically shut down Saturday afternoon. It has never been unusual for me to crash on a Saturday afternoon, but I used to be able to recover from those crashes. This latest one I partially recovered from the following day, but I overdid it again, leaving me out of commission for a couple of days.

Fatigue loves to come around a corner at full speed, crashing me when I least expect it. It starts off with me feeling tired, I start to feel slow, then I start to get cold. If I keep on pushing through it I will eventually end up chilled with heavy brain fog. It is the chill that usually forces me under the covers, even if I try to stay awake, I’ll usually pass out. Waking up is not pleasant, usually involves headaches and fog, but there is one good thing, I usually wake up warm. Napping helps me break chills, sometimes it is the only way I can warm up.

I have searched for alternative methods of staying warm. I’ll bundle myself up in blankets, gloves, cardigans and sweaters, but not everything always works. Spirits will only warm me when I’m not drinking to warm up. I’ve tried various alcohols, some work very well at helping with pain and sometimes they’ll warm me up, but it’s not worth the physical or mental damage drinking can do. Alcohol and fibro don’t always mix well, in some people they trigger flareups and hangovers are nightmareish.

My body temperature seems to be in a constant flux, some days I will stay warmer than others. There are times when setting my AC to 80 leaves me freezing under blankets, yet I’ll be outside in shorts and a tee in 72f weather. My bedroom temperature stays relatively static, but I will go to totally comfortable, wake up freezing or boiling, constantly throwing blankets on and off trying to find an equilibrium. Some days I will wake up nice warm with only one blanket on me, other days I’ll wake up freezing with all the blankets on me.

The constant flux in body temperature limits what I can comfortably enjoy. Restaurants often feel freezing cold to me, even the office I work in is too cold for me. The constant exposed to the cold causes my hands and fingers to become stiff, I have trouble typing or writing. It is not unusual for me to leave an air conditioned business shivering. It makes me not want to go out, makes me want to head immediately home. In the mornings it can actually be hard for me to motivate myself out of bed because I will get a chill in the few feet between my bed and bathroom. Changing into exercise clothes can leave me frigid, even if I’ll be sweating in the same temperature an hour later.

I’m trying to find the patterns, but they’re hard to identify. I am working on software that I believe will help me identify the patterns. I believe that finding the patterns are key to getting fibro under control. I have kept health and food diaries, inconsistent and paper based. It has allowed me to identify some health patterns, such as the fatigue/chill link and fibroflu and rain links. I’m certain there are more patterns, complex patterns that require excellent monitoring and pattern matching to identify.

I hypothesis that monitoring/recording the mix of activity (or lack thereof), diet, sleep, weather, and medication will reveal patterns which contribute to flareups. Over the past months I have been designing the software to accomplish this. I have recently began programming the backend, which will accumulate and process the data. Soon I will start work on the frontend user interface. I look forward to blogging more about this as I progress on the project.

I stopped gaming when the fibromyalgia became strong. The wrist and hand pain was too extreme, especially if I wanted to continue my career. That pain has improved significantly since then and I have have started to game again. I started off light with turn based games, such as Endless Legends, and the city builder Cities Skylines. I will easily lose myself in one of those games for hours, completely losing track of everything else, hyperfocus (an ADD/ADHD trait) is a curse and a blessing. I have tried some 3rd person shooters, I cannot play those nearly as long before my wrists need a rest. Most recently I started using a controller for racing games, allows me about an hour of game play before I need to rest.

Six months ago I wasn’t even able to use controllers. Within a few minutes my hands would become too stiff, and if I tried to push through, they would become weak. There have been major changes in my life since then, mostly exercise and treatments. The following has helped:

  • Yoga shoulder stretches to relieve tension
    • I found three stretches that help me, I encourage people to find ones that work well for them.
    • Be cautious if you have hypermobile joints, it is easy to overstretch and hurt oneself.
  • Icing the muscles
    • I ice my shoulders, arms, and wrists, multiple times per day, often working from home on days where I need it more often.
    • I don’t use an actual ice pack, but a cold pack that I keep in my fridge. Ice itself is too cold and will cause more harm than good.
    • 15-30 minutes seems to be a good length for keeping a coldpack on.
  • Therapy
    • Chiropractic and massage therapy, seeing my chiropractor has helped me significantly. I went without a chiropractor for two years and it was steadily downhill. Restarted chiropractor therapy and my body is much happier for it.
    • TENS Unit – Transcutaneous electrical nerve stimulation – I have two
      • Electronic Pulse Massager – inexpensive, but is very useful for spot therapy.
      • Quell – a wearable, I keep it on 24/7 except to charge it. This device helps my entire body, and while expensive, it is worth it to me. It runs an one hour long session every other hour. It communicates over bluetooth with my smart phone, allowing me to change settings see basic statistics. There are negatives, it takes at least a month before it’s completely effective. It also doesn’t work for everyone, but it the company website reports that it works for around 80% of the users. If an inexpensive TENS unit works for you, then a Quell or similar device should also.
    • Medical/chemical
      • This requires a doctor and lots of experimentation. This is not easy, but a good doctor will help. Mine prescribed me a muscle relaxer that I take as needed (usually not more than a couple times per month). Sometimes my muscles will become tensed up and never relax, they forget how to un-tense. The muscle relaxer un-tenses them, allowing the muscles to remember how to be relaxed. This is not a preferred therapy choice as it also relaxes the brain, fogging my thinking, but sometimes it is necessary.
  • Ergonomics (with hypermobility in mind)
    • Monitors at eye level, keyboards at the correct height, and a decent chair, all help a little.
    • As a software engineer I’m on the computer all day long, a good ergonomic keyboard is necessary to reduce the wrist motion. While I use the ergo keyboard for programming, I still use a standard keyboard for gaming.
    • Minimizing laptop use as looking down at the screen is not ergonomic.
  • Rest
    • Many days I am unable to game, probably the majority of days, and that’s okay. I rest on those days so that I can game or pursue personal coding projects on others.
    • A good pillow. Mine came from my chiropractor, it has helped significantly and I tend to sleep an hour longer with it.
  • Exercise
    • When my shoulders and wrists don’t feel strained I am slowly building strength by lifting dumbbells. I just got a new set that allows me to increase weight by 2.5lbs. Small increments are crucial.
    • Walking, I power walk. Power walking is great cardio, but I have to be careful as the arm motions can worsen the shoulder and arm pains. Walking in general helps to build the core and may reduce joint hypermobility.

There was no anxiety when I was a child, as a pre-teen it was slight, and a teen, barely noticeable. As a young adult anxiety existed, but I was able to manage it. After the fibromyalgia hit it became uncontrollable. I used to blame it on the trauma I experienced, but over time I noticed how much the fibro affects it.

When the fibro is not flaring I have excellent control over my anxiety, often not even noticing it until I’ve been out in a crowd for too many hours. As long as I can remember I was only able to handle large crowds for so long, if a friend was with me I was able to last much longer. Even places like super markets and large home improvement stores would eventually overwhelm me, if I was alone. I rarely went out alone, it was not until I started going out alone that I noticed that something was wrong. To work around the “weirdness”, I made sure to never go out alone.

Fast forward to the fibro flareups that began in 2011, then the trauma of 2012 which worsened the intensity of the fibro. Beginning in 2011 I only went out with friends to events and gatherings, or alone to the grocer on the way home from work or early on the weekends. Depending on the day of the week and the intensity of the pain I would not go out at all. After the trauma, I began having multiple panic attacks per day. It was not fun and the flareups correlated with the worst of the attacks.

The anxiety has faded heavily over the past few years, but I panic easily, and anxiety is a primarily a daily annoyance. Over the past couple of years I noticed that on the rare day where the fibro was not affecting me, the anxiety was also easy to manage. Exercise and the rare days where I have the exactly correct mix of meds, I have complete control over my anxiety. I still feel the anxiety, except it is completely managed.

The problem is that I am in a flareup more often than not. In my opinion it sucks a lot, never knowing if tomorrow is going to be one of those rare good days. Each month it is easier to control the anxiety, although at this point the improvements are lesser and lesser.

Living with anxiety is mostly manageable: make time for extra (useless) bathroom trips, avoid stores and bars during peak hours, and avoid any large crowds. The bathroom trips are easy to deal with, it is avoiding people that is hard. Living in a vacation destination makes it hard to avoid people. This past summer tourism records were broken, and my anxiety noticed it. The more time I spend around people, the worst my anxiety gets. When I avoid people, stay in for a few days, it becomes much easier to go out, although it fades quickly. I really look forward to the days where the fibro doesn’t flare.

Anxiety does more than trigger bathroom trips and make going out a horrible experience, it also causes muscles to tense, the neck to become painful when turned wrong, and that horrible sensation that everyone out to make my life horrible. Logically I know that the people out in public don’t care about me, but if I do something wrong my mind makes me believe the worst. The best days are those when fibro doesn’t flare, I have zero issues being out in public. Those days don’t trigger any negative or bad thoughts. Getting the fibro under control would be wonderful, it would make life much easier to manage, and with far less restroom breaks. It is something I dream about.

A few weeks ago, while out for one of my morning power walks, I slipped on wet grass and fell hard. I was trying to avoid a women and her dog, and didn’t realize that I would have no traction on the curb. I did not need help getting home, but it would have been better if I did. I limped for days after the fall, and my hands were in extreme amounts of pain, but I still managed to work.

Now, nearly three weeks later, I still have dull hand pain from that fall. Each day it feels a little better and I expect it to be completely faded the next day, instead the pain just becomes a fraction of one point less. The doctor I see to help with my scoliosis and shoulder/neck pain informed me that I’m experiencing a minor whiplash.

Since the fall I’ve slacked on my exercising. Some stretches, yoga here and there, a little tai chi, but no cardio. Monday night I started cardio exercise again, with some light DDR (Dance Dance Revolution, a video game that uses a dance mat). I felt great that night, but the next day my body was in all sorts of pain, especially the hips and thighs. I still have some of that stamina I’ve been building, but my muscles have weakened and are now out of shape.

Building myself back up, rebuilding what I lost over the few weeks, will not be hard, but there will be pain and aches. The hard part is not over-exercising, which I always seem to do. I’m also hoping that as I rebuild what was lost, my hands will continue to improve. The better my hands feel, the more often I can update my journal. I have some fun hardware projects and software projects to talk about, plus updates to my Aerogarden projects.