Tuesday, November 11, 2014
Thursday, October 09, 2014
Today is my last day in the Pentagon, my last day at the job that I've worked since February 2012, our last full day in Virginia. I've really enjoyed this job, I've learned a TON and gotten to experience some pretty cool things. I've made some good friends, and I'll be sad to leave some of the people. Working in the Pentagon has been really cool. I know some people hate it, think its too close to the top, whatever. But I enjoyed it.
However, it was time to move on. We've been looking at trying to move to Florida for a while, for various reasons It was something we talked about from the time we made the move back up here - cost of living is so high, and it's very crowded, among other things. For various reasons it was delayed several times. But it finally worked out, and it worked out fast!! Less than a month ago, we found out that the contract had been awarded for a position that I had been offered contingent on that. It took a few days to get everything straightened out, but about a week later I had my official offer letter and a start date of October 13th.
So for the past 2 1/2 weeks, we've been packing the apartment, finding a place to live, arranging a move, trying to tie up loose ends and see everyone up here before we go, and not fully succeeding at any of them, I'm sure. But it's not like we'll never be back - I have lots of family and friends in DC, so visits are inevitable.
Today, I finish up at work and do all the admin out-processing goodness while husband and the movers load up our truck. Once I'm out of here, it's back to clean the apartment and get the cars mostly loaded and try to calm what I'm sure will be 2 very nervous kitties. His parents arrive around 4, we'll get them checked into their hotel, then an earlyish dinner with my parents and hopefully a friend or two. In the morning we wake up, get the kitties and the last few things in the car, and hit the road, hopefully by 8 or 9.
We have quite a couple of days ahead of us, and I know that someday soon I'll get to sleep all day :) It's exhausting, but the end result will be worth it. Wish us luck!!
Thursday, September 11, 2014
I remember it like it was yesterday. I mean, how do you not remember something that was so close, so life changing, not to mention not knowing where my dad was for a few minutes, and hearing all the rumored additional target lists popping up, many of which seemed to include the Naval Academy.
But I've posted about the day before. That's not what I want to say today. I woke up this morning and did my normal routine, which includes looking at social media as I'm waking up. As to be expected, lots of tribute and rememberance posts today. But then I saw someone had posted a picture of the towers burning before they fell, of course with the caption "never forget."
I understand that everyone remembers differently, and everyone pays tribute differently. But those pictures are burned in my memory forever. I avoid the news and most TV 9/11 week because they're still very hard for me to see. I haven't been able to bring myself to go to any of the memorials yet, but its still just too soon for me. I should know better than to think that Facebook is a safe place, obviously its not. But it just really bothered me to see that this morning. I know I shouldn't be bothered, or insulted at the perceived but more than likely absolutely not intentional implication that I need to see those pictures to remember. Especially posted by someone who was nowhere close to the events, physically or otherwise, and who, while an old friend, I pretty much disagree with 100% when it comes to politics. I know that everyone is different. So why does it bother me?
The answer doesn't really matter in the big picture, and I would never dream of saying anything because its just not worth it. But I would ask that anyone reading this think about it before you post anything graphic from this day 13 years ago. How you remember and how you pay tribute to those lost this day and since may be a trigger for someone else. Don't be insulted if they react to it. Today is a day that should be filled with love, compassion, kindness, and peace. In the words of The Alternate Routes, "we are how we treat each other, nothing more." And never is that more important than on days like today.
Tuesday, July 01, 2014
Wednesday, June 25, 2014
Anyway, as I mentioned in a previous post, these IH Facebook groups have really been helping me get a better grasp on the IH - understanding it, realizing that the meds haven't really been working that well for a little while, researching some possible options, and feeling like it actually CAN be better than it has been. On one of those facebook groups, a gentleman named Dean Jordheim shared this absolutely fantastic letter that he wrote for people who know / love / care about someone with IH. I know my readership isn't huge, but I figure at the very least, a few people can learn something, and as GI Joe used to tell us all when we were kids, knowing is half the battle. I've taken the liberty of adding some bolded areas to show where the IH is different with me than what he writes and to add my own thoughts, but I've left his words because what he writes about is present in many people and as we all know, everyone's different.
It's a bit long, but I greatly appreciate you reading!!
I am sending this letter because Rebecca wanted something to help you better understand some of the issues that she faces on a daily basis because of Idiopathic Hypersomnia (IH).
I don’t know Rebecca personally but I don’t have to. There is some variation in how the disease affects people, but there are a lot of similarities. The first thing I can promise you is that she hides as much of her suffering (I hate this word, I really do. But the point is true) as possible because showing it would drag everyone else down. This is commonly referred to as our “game face”. You need to understand that if you ask “How are you?” the response you get is relative to how she feels all the time so it doesn’t mean the same as when you use the same words. If the response is “Good!” it probably means that she is really frickin’ tired but is dealing with it well enough to almost function like a normal person. There is also a pretty good chance that it is a flat out lie. If the response is something like “ok” or “fine” she is struggling and needs your help. If the answer is “tired” she is on her last leg. Something more like “Crappy” is an indicator that, if you really care, you need to send her to bed and keep the kids quiet or take them outside or somewhere else so she can sleep and she probably actually needs more than that, but everyone needs to understand that you are only human too. (This is mostly true. I will almost always say good or some variation thereof. If I say something else, it means I'm having a rough go of it. Mostly, I probably just want you to cut me a little slack that day.)
I can tell you that for her just getting through the day takes way more effort than the average person has to accomplish throughout that day. I can tell you that doing the dishes, making meals, keeping the house clean, mowing the lawn, and even things as simple as folding laundry take two or three or four times more effort than anyone who doesn’t have IH. If she isn’t doing enough to help keep the house clean I guarantee she feels like a failure because of it but just doesn’t know how to handle it any better. (Yes, yes, a thousand times yes.) When you have IH your standards for how to do your job and take care of your home and kids don’t drop, but living up to your own standards can become almost impossible. (Again, yes. I am not lazy, I promise. I WANT to do things. I really do.)
When you have IH your body usually gets plenty of sleep, but your brain is in a constant state of sleep deprivation. Institutions don’t do experiments involving long-term sleep deprivation because it causes physical and emotional damage. People with IH carry a significant amount of sleep deprivation which only gets worse over time because sleep doesn’t provide relief. The most common symptoms of sleep deprivation are forgetfulness, memory issues in general, difficulties with concentration, decision making, and overall ability to think clearly. This happens because sleep deprivation directly affects the frontal lobe of the brain where these things take place. (Note: Even though I should be able to easily list these things because I talk about them on a regular basis, I had to flip back to my list several times to get them all included.) The extra effort required to focus on the issue at hand makes it very easy to forget about things that are out of your field of vision, causing problems with anything that resembles multitasking. (Hence my heavy reliance on pop up reminders and lists.) The emotional results of sleep deprivation are probably the easiest to see though. I am sure you are familiar with how easy it is to get cranky when you are tired? Now imagine fighting off this crankiness every minute that you are awake.
Most normal people are accustomed to linear thinking. In planning an activity, a day, or just getting ready to go somewhere they have the ability to think of each thing that needs to be done in order and automatically add up how long each step is likely to take, establish an expected time frame, and build in some extra time for things that take longer than expected or other things that pop up. When you have IH your head is often a blur of thoughts and instead of mentally lining steps up in chronological order everything just blurs together like your grandma’s once-around-the-kitchen casserole so nothing goes as planned and you wind up being late for things regardless of how important they are to you and make time management in general ridiculously difficult. (I don't always have too much trouble with this, as long as I stick to the same routine. When things change or I get flustered or I have to deviate from the norm, that's where I have issues. Like this morning, when my husband said he would take the car in and I had planned on doing it and realized that I needed to get moving or miss my shuttle and left my wedding rings on my dresser. Luckily, I was able to get back in and grab them and still make my shuttle. Sometimes, this involves silly things like forgetting to wash my face in the shower if I do things in the wrong order, or forgetting to brush my teeth in the morning if I wake up late or realize that the shirt I had pulled out to wear the night before has a stain or a hole. Sometimes, I forget to take my medicine on the weekends because I always take it at work during the week. Lots of examples of this... Some of it is OCD, but some if it is having to stick to the routine so I remember to do everything I need to do)
Another issue which is probably related to both the lack of focus and lack of linear thinking (or maybe not) is the tendency people with IH have with finishing things before moving on to something else. Yep, it is pretty normal for someone with IH to have a house full of unfinished projects. (If you've been to my house, you know this is me.) Nagging them about it won’t help the situation. Anticipating it and helping them stay on track will. (My husband has gotten pretty good at this - giving me that push I need to get through. He rocks.)
People with IH typically get meds to help them with energy, mental clarity, etc, but they rarely do the entire job because there is no replacement for restorative sleep. Healthy people can’t stop sleeping at night and take a pill in it’s place and people with IH are no different. These meds help some people gain mental clarity but they are still struggling to stay awake most of the time. They help some people stay awake but do nothing to help with clarity and in many cases actually make it worse. A very good friend of mine says: “My meds just help me do stupid stuff faster.” and this is really a great description of how they affect a lot of us. They may provide the energy to do things, but they take away a person’s ability to channel that energy properly. Have you ever pulled an all-nighter and relied on high doses of caffeine to get you through the next day? Yes you made it through the day and you accomplished some stuff, but do you remember how you felt all day? Were you really you? How many days in a row do you think you could do that? That is just about exactly how I feel when my meds are working their best. (Welcome to every day of my life right now. Hopefully when the new meds get here that will change a little bit...)
The meds also tend to multiply any existing weaknesses a person has. Some of those weaknesses are physical ailments, but more common it is mental or emotional issues and sometimes they create new issues in people who have never had any. They commonly create or multiply issues like anxiety, and they can mess with the rewards system in the brain to cause obsessive or compulsive behaviors causing a much higher percentage of people on stimulants to struggle with issues like compulsive shopping or hoarding than normal people. Because of some similarly described symptoms, people with IH are often told that they are tired because they have major depression. Yes it is a fact that a lot of us have some depression, but that’s because it’s pretty tough to feel like total crap all day every day without letting it get you down. (My OCD mostly existed before the meds, as anyone who knew me pre-2009 will tell you :))
On top of all of the internal difficulties people with IH face they have a regular flow of external difficulties because other people just don’t get it. As a disabled workaholic the thing that really gets to me is the way people tend to think we are lazy. (Yes. See this post.) I am constantly judging myself on my productivity (or now typically my lack thereof) and Rebecca is probably the same. Sshe has probably become accustomed to being criticized for not trying hard enough by people who aren’t putting forth nearly the effort she is. When she appears to be sitting on the couch doing nothing she is probably wondering how it will be possible to accomplish everything that needs to be done. If he is still employed she is probably struggling more to keep up at her job than she lets on, and if she is no longer able to work she needs more emotional support than you can possibly imagine. If Rebecca is like almost every one of the 1,000-plus people with IH I have talked to in the past couple years she is constantly beating herself up for what feels like constant failure. Getting criticized for screwing up or not trying hard enough isn’t a slap in the face, it is a kick in the ribs when she is crawling because she doesn’t have the strength to stand.
I have often been told that I just need learn to cope like other people with other diseases do so I can function like a normal adult. The problem is that when you have IH the disease lies right where a person’s ability to cope is supposed to come from, so getting irritated with them for not functioning right is like getting irritated with a paraplegic for not being able to walk or someone with emphysema for not being able to breathe right.
There are many things that are very simple for healthy people, many of which are done with little or no thought at all, which are very difficult for someone with IH and no matter how hard you look at them through your own eyes, from your perspective, these things aren’t going to make sense. That’s why you need to step out of your perspective and look at things from another angle. When people are told about something someone else is dealing with they have a natural tendency to find something in their mind that they are familiar with and use it as a sort of reference point. When someone says they have a headache you probably think about how it feels when you have a headache and continue the conversation with that in mind. When someone describes a problem that you have never experienced you probably think about someone else you know or have heard about with a similar problem and set that person as a reference point for the difficulty the person you are talking to is facing and compare everything you are hearing to that other person. The natural responses those two scenarios tend to make it more difficult for us to really understand what someone is going through if they are dealing with an extreme case of those symptoms because we want to try to put ourselves in their shoes and it just doesn’t work because regardless of how sincerely we want to understand we don’t know what it’s like and we can’t really imagine it. That is why if you are talking to someone with IH you have to push aside everything you know about how it feels to be tired based on your experiences, accept that you don’t and hopefully never will know what it’s like to be IH-level tired all day every day, and take what that person says at face value because the chances of it being exaggerated are very slim.
In closing I have one request - I ask that you try to remember this letter next time you are at a family (I include non-relatives in the term family, of course) gathering. Try to remember to watch Rebecca here and there as she is sitting and talking to friends or relatives for hours. Has she held a smile on her face a lot of the time, and displayed interest in what everyone is saying and doing? If so she probably deserves an Oscar because to sustain that act and hold back all of the tired crappiness inside takes a hell of an effort and it should not be overlooked.
If this still leaves you thinking that Rebecca should be trying harder or you still might have a tendency to look down on her for her lack of performance look at it this way - How tired would you have to be to act the way she does? It would have to be bad, right? You would suck it up and give it every last bit of strength you have before admitting you couldn’t do it anymore? Do you really think Rebecca is less of a person than you? It is a pretty safe bet that she has already been to that point and beyond. Please go back and review my first promise to you.
Bottom line, I bust my ass to power through this condition. I don't think I'm suffering from IH - I'm living with it, and I refuse to let it define me. Does it suck, quite often? Absolutely. Do I have breakdowns sometimes because I'm so frustrated? Had 2 last week. Do I feel like I'm letting down the people I'm closest to because I don't have the energy to do everything I want to do, or go to everything I'm invited to. Do I feel like a real a-hole when I bag out of something at the last minute because I am just too tired? You bet I do. But hopefully this gives a little bit of perspective. Thanks again to Dean for putting it all on "paper."
Tuesday, April 01, 2014
(Yes, I am actually posting about the same topic two posts in a row. Crazy, right?)
For my entire adult life, I have called myself and allowed myself to be called lazy. I don't work out enough because I'm lazy. I sleep extra on the weekends because I'm lazy. I'm not a good housekeeper (for my own house) because I'm lazy. I'm perfectly happy in a desk job because I'm lazy. I want to go to bed at 9 on a Friday night instead of going out because I'm lazy.
It has taken the facebook group and the website and seeing that not only am I not alone, but that I don't even have it as bad as many people with IH to realize that it's not necessarily that I'm lazy, it's that I'm sleepy, and that it's not just in my head. Who knows if I would be lazy without the IH. Maybe I would. But I kinda feel like I wouldn't be. I like going to the gym (as long as its not running. I hate running.), I like going out, I like coming home from work and doing more than plopping onto the couch counting the hours til bedtime. I am a master at powering through physical pain, and slightly less masterful but still effective most of the time at powering through the sleepiness. Take this weekend, finishing the move. Especially yesterday, which was finishing getting the last few things out of the house and cleaning the whole place.
I am not lazy. I am sleepy. There is a difference. I am not making it up. I am not just trying to get out of things. Well, 99% of the time I'm not just trying to get out of things. I don't secretly hate hanging out with you. I really DO want to do all of those things. But my body is telling me it wants sleep more. And the validation that I've gotten over the last few days that this is normal and that, in fact, I'm better off than a lot of people with IH, is AMAZING.
Most of the time I absolutely would like to tell my body to go fly a kite, as my mother says. Sometimes I can. Quite often I just can't. But please believe me when I say I wish I could.
Friday, March 28, 2014
When I was first diagnosed the doctor wanted to prescribe a specific drug, but I wasn't comfortable with some of the side effects. I'm in a different place now, so I was ready to talk to my doctor about making the change. In doing my research, I discovered that my crap "insurance" would make that drug $500 A MONTH for the GENERIC, so obviously I'm sticking with my current meds for now. But also in my research, I found a website called Living With Hypersomnia AND a Facebook support page for people with IH and similar disorders. Overwhelmed, relieved... I can't even put words.
Funny thing is, I KNOW how important support groups and things like that are. I have a sister with juvenile onset rheumatoid arthritis. The first time she went to a conference and met other kids like her, even at age 6 she was moved. But I haven't been to a sleep doctor since 2009, and it never even occurred to me to look for something like that for IH. But in the past 2 days, reading other people's stories that sound so similar to mine, and being able to compare some notes, and just be able to vent a little bit and have people understand.
Because that's the thing. People close to me know I have a problem. It manifests itself in several ways, but two of the biggest are excessive daytime sleepiness and the ability to sleep seemingly well for 8+ hours and still not feel refreshed. I am ALWAYS tired. The end. I have to take medication every day to maintain some level of alertness and not fall asleep at my desk. I don't care if I got 10 hours of sleep, it's how it is. Waking up is hard, especially if I'm being awoken and not waking on my own. Yet I still get asked how I can be tired when I slept for 9 hours the night before, or why don't I just take a little nap? I tell them I take Ritalin and they ask if I have ADD. They think I'm joking when I say I have to take pills to stay awake.
But on these forums, and on this Facebook page, THEY GET IT. And it is probably one of the best feelings I've felt in a long time. I have learned more in the last 2 days than I did in the entire last 5 years since I was diagnosed. I almost want to cry, in the best possible way. I can tell my whole story and not have people get bored or not get it or try to make excuses for my exhaustion. There is really and truly something to be said for a support group, even if it is on Facebook.
With all of the stuff going on in my world right now, this has been a little ray of light. It's also helped me not be really angry over the medication thing - I've seen a ton of people say that it didn't work that well for them anyway, or it worked for a little while then stopped, or that the side effects really were unbearable. Just needed to share :)