Category Archives: Health

goals and striving

I’ve been thinking hard on all this. Today I think of ‘goals’ as associated with ‘striving’. I put them in quotes because they seem to have somewhat pejorative meanings.

I’ve long felt that the writings of the Chinese philosophers, in particular Chuang Tzu, represent how I like to look at the world and my life. Chaung Tzu speaks often of ‘striving’ in this pejorative sense, so when I think of ‘striving’ as a means to a ‘goal’, I have negative feelings.

Surely some goals are worthy, and therefore striving, or working, towards them is not a bad thing.

What are my goals?, Linda asked yesterday. I had some wordy answers, some of which I posted here. Today I’m thinking I want to live, as long as my health is reasonably good. That can be the basis for many things.

To be continued . . .

goals

I had a session today with a ‘Life Coach’. Linda is a person I met at the Compassionate Friends meeting. She lost her 4 year old daughter 11 years ago. I had complained to her that I was often feeling directionless especially since my therapist, Dr Perry, had left the area. I’ve tried other therapists but none seem to fit as well as Dr Perry had.

Her emphasis on looking forward rather than behind seemed to me to be a good approach. Bottom line after our long talk is that I need to decide what my goals are and whether I’m willing to work to achieve them. Her role would be to help me with that work so for the time being I’m on my own.

So, what are my goals? I said I wanted to be able to spend time with my children and grandchildren – to the extent that they would have me. I mentioned playing music; I mentioned photography; I mentioned riding my bike; I mentioned travel. When it came right down to the idea of working towards those ‘goals’, I foundered. What does that mean exactly? When I have the day off and nothing scheduled, why do I (often) do none of those things?

I told her that in my non-work life, I’ve always followed the path that interested me at the moment without regard to longer-term ‘goals’. That approach led to a bad marriage but also three fine children. How should my goals have been different? How could I, at age 25, made a life goal with any reasonable expectation of it coming to pass? The idea of doing that now is a big adjustment. I told her Zach had goals, lots of them, and now they’re ashes.

I tried to get her to give me an example of what she meant by ‘working’ on my goals but she dodged. She had already told me that until I was willing to work on my goals there was nothing she could help me with. That stung a little.

I promised her I would think seriously about goals and my relationship to them and we will talk again in a couple of months. I set up a new category here so I hope to revisit this subject often.

Life and headaches

Now my laundry is under way and I am thinking about headaches in the light of what I wrote earlier today. I will say that I had fewer headaches last week than the week before. I know that there is a significant tension component to my headaches. In general, when I am busier I get fewer headaches. After my episodes of a couple of weeks ago, I am quicker to take a Maxalt now along with my usual ibuprofens. At that point, I was worried that my three month prescription would run out in a month. Once I was able to go several days without having to take one, I relaxed about it. I also realized that I could  get more if I really needed them and that was better than being miserable.

The other side of the coin is the feeling I had yesterday and the day before of not having enough time to remember who myself was. The graduation speaker yesterday was excellent. I don’t remember his name, but he is the (I believe current) Surgeon General of the US. Speaking to newly minted doctors, he spoke of the diastole and systole of the heart’s rhythm. He noted that the systole is the ‘relaxing’ part of the cycle and is just important to the health of the person as the energetic part. As with all things, finding the balance is tricky.

<Edit: I went back and looked at my posts. The bad headache episode was more than a month ago. Time flies . . .>

cleanliness

For many years, I thought that if only everyone in the world could get a hot shower every morning, we would have world peace. For myself, a shower in the morning was a given before just about anything.

Recently, I’ve come to the realization that there might be another way. It started when I was visiting Sarah in Amsterdam in 2013. She had a room in a house and one of the other roomers very graciously found another place to stay for the week or so that I was there. It was winter and, although we rode bikes everywhere, I wasn’t doing much sweating in the cold weather.

Europe, in my experience, is much more attuned to the need to cherish our limited resources. The extensive train system is well known. In Holland, there are many thousands of bikes in use on dedicated bike paths. The houses are smaller in every way, except perhaps the ceilings as the Dutch are tall.

So I didn’t shower every day and I found that I didn’t get all itchy. Or, rather, my skin passed through the itchy stage into a comfortable stasis.

When I got home, it took a while to really learn this lesson. As the drought worsened in California, I eventually remembered my Holland experience and resolved to shower less to save water. I found that showering every other day, or sometimes every third day, was sufficient to keep me clean and not smelly.

I do wash my hands often as that is a disease vector, and I keep my face clean. I have a filter on my shower head that is supposed to be good for 10,000 gallons. The paperwork that comes with it says it should be changed ‘with normal use’ every six months. I did a calculation. If I use 15 gallons of water in a 5 or 6 minute shower, I can shower 667 times before changing the filter. At, say, 200 showers a year, that’s 3 1/2 years of use!

cleaning teeth

I went to the dentist about a month ago. That’s news because I hadn’t been for 2 1/2 years. The last dentist I went to insisted on ragging on me about not flossing. This even after I warned them that I wasn’t going to start at age 60 after being nagged by dentists for at least 40 years. And I told them not to do the thing where they poke at my gums and hum and haw over the depth of my pockets and talk like it’s a miracle I haven’t gotten gangrene or something and all my teeth fall out. They did it anyway! Screw them!

The dentist before that I got mad at for announcing that she was giving away candy at Halloween. Really?

But I went back to her because Teresa was still going to her and I did think she was a good dentist. I had actually gotten an email from her office telling me I was due for a teeth cleaning so I went ahead and made the appointment. It had been 4 years since seeing her. Persistence pays off sometimes.

I did it all through email. I have a sig on my email that has a link to this blog. I didn’t think much about it but when she came in through the waiting room the day of my appointment she immediately said she had read the blog and how sorry she was over my losing Zach. That night I sent her an email in which I said, ‘I want to tell you how moved I was this morning when you offered me sympathy for the loss of my son. I could go to 100 doctor’s offices and not have that happen.’

Best of all, when I told her and the hygienist about not flossing, they rolled with it. How nice, to be treated like an adult! So then I  agreed to the deep cleaning they wanted to do.

So the hygienist suggested that, since I wasn’t going to floss, I try a Water-Pik. I bought one on the way home and I’ve been using it ever since. The procedure is to do a regular brushing, then go through the teeth with the Water-Pik. What is remarkable to me is that every night, I can see bits of stuff dislodged by the Water-Pik and landing in the sink. It’s pretty undignified, leaning over the sink with this thing stuck my mouth, essentially drooling, but my teeth are cleaner. And I don’t have to floss!

Now the deep cleaning is done and I’ll be going back in 3 months. Finally  I can feel good about going to the dentist. How weird is that?

more on headaches

The thing about headaches – my headaches – is that after a couple of days of bad headaches I get to where the slightest twinge has me thinking it’s a big one again. And I find that I’m walking around with the expectation of a headache instead of a light heart. I took 4 ibuprofens between noon and 2 o’clock today and it’s now 5. I just noticed that I feel better than I have most of the last week.

We’ll see if it lasts . . .

annual physical

I had my long-awaited annual physical today. Long awaited because I had a bunch of questions that I’ve been holding on to for several months now. None of them were critical enough to call the doc but they were nagging. No, I’m not going to say what they were except that one was about the headaches.

Dr Amara did not seem worried about my recent spate of headaches. She re-upped my Maxalt prescription without a peep. She ran down the results from my blood work. No surprises. My cholesterol is a little high but my Vitamin D and my Iron are back in the ok range (I’ve been taking supplements). My PSA is low. I’ve lost a little weight since last year but I could lose ten more pounds. And get more exercise . . .

She referred me to a specialist a couple of years ago about my blood counts which have been low. That specialist is out of town this week and I haven’t seen that part of the test results.

Sometimes I think the headaches are more situational. If I’m busy at work it’s less of a problem. If I’m sitting around at home or not too busy at work, I feel that’s when the afternoon headaches creep in. Was I subconsciously worrying about this physical all last week? Or about Sarah being in New York? Or . . ?? I just can’t think of anything obvious. I know I think about writing in this blog a lot and yet I don’t do it very often. There’s some guilt there on slow afternoons. The last few weeks it seems that most of the posts I’ve done are often forced and not as good as I’d like. I put ’em out there because I want to put something out.

I have to accept the fact that this is a blog about feelings and I write about the feelings I have at that moment. Maybe after I do this for ten years or so I can edit it all down to a nice book. Sort of like the guitar solos we hear on records. They sound fresh and improvised but almost always are a result of much trial and error and practice.

SoundBox starts tomorrow for our last go ’round until December at the earliest. I had a meeting with the curator a week ago and hopefully there will be no technical surprises this week.

more headaches

I re-read my last post on this subject and now I’m even more concerned. This time it’s only been three days but it was the same story as far as the headaches not responding to medication.

I was so pleased over the weekend in Portland to have been able to sleep without taking sleeping pills. Monday morning I woke up with a sort of pre-headache that I’ve come to recognize. Normally I would have taken a couple of excedrin but I was going to have my teeth deep-cleaned that morning. I thought any aspirin or similar drug would contribute to bleeding. I did have a cup of black tea which helped a little.

All day long it lurked but by the late afternoon it was pretty much gone.

Tuesday was a different story though. It started out the same but grew as I tried one drug and another without success. I was planning to go to the bereavement group in Santa Clara that night and stay overnight with Mom & Dad. JJ called and asked if I could come in that night as his other replacements had various problems. OK, I’ll give it a try.

I went right to bed and slept fitfully for a couple of hours. By 4 pm, I was better enough to do the whole shift.

Then yesterday it was the same thing again! The same pre-headache in the morning, the same obstinate refusal to yield to any medication. Mom had said the pollen was everywhere and maybe it was allergies. I tried some of the sleeping pills (which are the same as Benadryl) without any relief.  I spent the whole afternoon in my darkened bedroom. I remember finally taking 4 ibuprofens about 2 in the afternoon along with a Maxalt and that finally got me back to somewhat normal by dinner time.

Now I had not taken sleeping pills at night for 5 straight nights. Last night I took the two pills and this morning I have no headache. Is this coincidence? Was I having some kind of withdrawal from the sleeping medication? I’ve certainly had headaches – last week even – after I had taken the sleeping pills.

I have my annual physical scheduled for Monday. This will be at the top of my concerns for Dr Amara.

headaches

I’ve gotten headaches for a long time. Not just garden variety headaches, whatever those are, but really nasty headaches. Despite the fact that these headaches have been serious, I’ve never been comfortable with the idea that they were migraines. I was usually able to control them with ibuprofen. I never had to go to a darkened room for three days or anything like that. There were difficult times, to be sure, but mostly I soldiered on.

I remember keeping track of my aspirin and ibuprofen for a while during my Opera days in the ’80’s. Somewhere in a box there is a calendar with those notes. Thinking about this post this morning, I remembered a particularly nasty one that had to be in 1977. Eventually I stopped using aspirin and took ibuprofen only. It worked sometimes.

I was never a coffee drinker but I knew about caffeine. What I didn’t know was the effect it had on headaches. It wasn’t until I was talking to my doctor in Grass Valley sometime in the mid-90s that I found out how caffeine could stop my headaches. What a revelation that was!

That was good for a long time. I had to be careful not to take Excedrin, my drug of choice containing caffeine, for the nasty headaches, too late in the afternoon or I wouldn’t be able to get to sleep. Nor could I take it in the middle of the night unless I was prepared to stay awake.

About two years ago, I was talking to my doctor here about my nighttime headaches during my annual physical. When I told her about the efficacy of caffeine, she immediately said, ‘Migraines!’ She gave me a prescription – Maxalt – that has been helpful for the times when caffeine is contraindicated.

There are basically two times of the day when the bad headaches show up. One is in the night, usually waking me up in the wee hours, one or two in the morning. My strategy had been to take ibuprofen and hope for a couple of hours more sleep to get me to 5 or 6 am when I could take Excedrin. Now I can take the Maxalt and (usually) sleep better. I always felt these headaches were due to some kind of reaction to food. Maybe some kind of spice as they often came after a dinner of Mexican food. They didn’t always come after such a dinner, though. I couldn’t pin it down. I didn’t stop eating Mexican food, either.

The other type usually started coming on in the middle part of the day. These I believe are tension headaches. I can sometimes identify what is contributing to it and try to deal with the source, as it were. Sometimes . . .

This is my subject today because I’ve had headaches now in the early morning for the last 5 days. It seems unlikely that food is causing them. My diet isn’t great but I haven’t been eating particularly spicy foods. I’ve taken Excedrin at variously 4, 5 or 6 am but it hasn’t knocked the headache out. I’ve had to take the Maxalt at around 8 and a couple of days that didn’t even work. I suspect an element of tension.

I have my annual physical scheduled for two weeks from yesterday so I will definitely be discussing this with Dr Amara. I have some theories about what is causing the headaches this week but that will have to wait for another post. One more day of work today then a couple of days off.

sleeping

I worked last night. The show got done on the early side. I was home before 11. I felt like I could sleep so I went right to bed without taking any medication. Instead of a book, I picked up the ipad again and fooled around on guitar forums and played solitaire. Soon I was not tired but actually restless in bed. After about an hour of that I went in and took the sleeping pills (ibuprofen PM).

Back to bed and the ipad. Another hour and a half. Not feeling sleepy. Finally I got up and worked the jigsaw puzzle for a bit. Back to bed and the ipad but this time I was sleepy. that was around 2:30. Woke up a little before 7. I have the day off so I can take a nap later if I’m still tired.

I’m going to hide the ipad for a while. It’s not like I don’t have books to read.