Showing posts with label Heat. Show all posts
Showing posts with label Heat. Show all posts

Sunday, July 28, 2019

Current Status, Graduate Degree and Summer Travel!

Current Status: Ok, I've had more blood work and have some answers (see March blog) as to why I've been so run-down and my body is doing weird things.

I discovered that my immuno-suppressing Copaxone shots are really taking a toll. Granted, my MS progression is halted (praise the Lord), but because my immune system is suppressed, it's leaving me open to weird things: like reoccurring mono, parvo virus, etc. Because I am a teacher, I'm constantly being exposed. My doc said that kids/teens carry many of these viruses that lay dormant--but I'm picking up on them. So, while I don't get "regular people" sickness like colds, my weakened immune system is dealing with other things. Also saw that I was anemic...so being totally run-down just contributed to depression, which is a challenge.

I'm looking into supplements and practices to build-up my immune system. I don't want to stop teaching, sigh, but I can't have another spring like the last two. Anyone have suggestions?

Summer is truly my salvation--I'm away from school and students (even though I love it) and my body can just heal. Summer is all about avoiding the heat, but I get a lot of early morning exercise, sleep a ton and just take it easy. I'm beyond sad that summer is swiftly coming to and end...sniffle.

As stated in the previous post, I started bio-identical hormone replacement, which balanced out my mood and I feel like I'm on the other side of depression for now, hallelujah! However, I'm still trying to figure out exactly when to take the hormones, I started by taking them daily, which gave me massive headaches. I'm now just taking them when I think I'd normally have a period (I've had a uterine ablation years ago, BEST decision of my life). Best news? The mystery joint pain does appear to be hormonal and I've been 2 months without pain!!!

*Hormone therapy is no joke. There is a risk. Frankly, because I take Copaxone my risks for about everything sky-rockets, so I am not too worried about risks here. Do your research and see more than one doctor to get opinions. Again, I'm not doing hormone therapy as a pre-menopause thing, but because my immune system is attacking my thyroid and I'm not secreting hormones anywhere in the realm of normal.


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Headaches led to an ER visit a couple weeks ago. Because I have MS, it's an automatic brain MRI, which was totally clear. It's crazy how telling ER staff I have MS expedites everything. They were so kind and efficient. I rarely see the ER, but always appreciate the high level of care when I do. MRI results confirmed my thoughts that the headaches were a progesterone overdose:) Sure enough, I stopped the progesterone and the headaches moved on. My neuro prescribed a headache medicine, but I opted not to take it as they faded themselves out.

Through it all, I'm just grateful. I keep reading or hearing about MS patients with far greater challenges and I give thanks I can walk, think, work, exercise, etc. I might be slow, I might have down days, but I'm still here and I'm still me--this is something I will never take for granted. It also reminds me that MS can be as scary as hell--who wants to lose physical, emotional and cognitive ability? Not this girl. So, grateful, just grateful.


May 3, 2019: Yep! That's me...receiving my graduate degree. Sadly, I was still really struggling with depression, so I didn't feel much during all the ceremony and celebration--but I do now! Being in graduate school (with internships) while working, raising a family and managing MS was hard, but I did it:) I'm hoping this will open doors later in my career and I look forward to what the future may hold for me professionally.

My Instagram post on the big day: MS gets to make a lot of decisions: what I eat, what hurts, how long I get to stay outside, my energy level, my mood, how my immune system works (or doesn’t), which events I miss...the list stretches on. Today marked the first big decision I made shortly after diagnosis—to enroll at SUU in a graduate program for Education and Administrative Endorsement. I was called to interview for the program when I was hospitalized, awkwardly explained my situation & asked for a deferment. I decided that while MS could stop a lot of things, it wouldn’t stop this. It’s been a long road, but full of wonderful experiences and support from my tight group of family & friends. I received heavenly help in abundance and I’m so grateful. Today was for my kids to show them it’s possible to do hard things in spite of harder things. Many thanks to so many of you who supported me in so many ways ❤️ Big thanks to Justin @j_robins_26.2 who sees the not-so-chipper-Rachel & always believes in me. Love to Matt, Em and Nate:) 


Now, by the end of May, I was feeling things again and believe me, I had all the feels with my big boy graduating from high school. How did I get a kid this old? Matt is wonderful: kind, smart, funny, but has also had a challenging adolescence these past couple years. It's been a long and winding road, but I love this kid with all my heart and it was awesome to be with him as he reached an important milestone:) 

Summer Travel: Washington DC & the Bahamas


  
In our family, we like to give the gift of experiences. For Matt's graduation, we went on a trip--just myself, my hubs and Matt. He is quite political and a history buff, so we visited DC. It was amazing!! We saw all the cool sites, toured the US Capitol building, went to Gettysburg, etc. My favorite part was seeing my hard-to-impress 18-year-old look impressed by what we saw, and I was delighted to finally see fireflies:) It's the little things people.

Travel is really hard with MS. I like to see other places, but I dread getting there. Frankly, if I didn't marry a travel fanatic, I wouldn't go anywhere.

Image result for ms and travelling abroad
This is a great article about travelling with MS: https://multiplesclerosisnewstoday.com/2017/11/06/simple-tips-for-traveling-with-ms/
Flights are hard with the whole not-moving around and the fact that I cannot sleep on a plane...ever. Not sleeping and not moving = fatigue that is hard to bounce-back from. I eat a very strict diet, which is a little tricky to manage outside of my home. The biggest problem though is temperature and this year we'd be going to 2 humid places.

As explained in an earlier blog post, I can't regulate my temperature. It's an MS thing and it's bizarre. So...when I'm hot, I can't sweat, I just overheat until I start to neurologically shut down. It's scary and embarrassing. Likewise, when I'm cold--I cannot warm up. I have to externally move my internal temperature and it's hard and ridiculously time consuming.

Last summer we went to LA. I was careful to wear cooling clothes, drink a lot of water, stay in the shade, but one day the temperature and humidity spiked and I started to shut down. I alerted my husband (I could barely speak or walk at that point), we left an amusement park, got me a smoothie and to a hotel room where I could lay down, cool off and sleep. I've been sketchy about humidity since then.

Here is my desert environment, 87 is my magic number! If it's 87 and full sun, I will wilt, so I can't be outside more than a few minutes. I just have to be really careful. Heat sucks it out of my like no one's business. Justin did build me a pool in our backyard which helps a lot.

Mercifully early June in DC was wonderful this year. Temps were low 80's with minimal humidity. I had no problems and I was so grateful.

Warm and impossibly turquoise with white, sandy beaches as far as you can see. 
The Caribbean did NOT disappoint:) 

Before I graduated, Justin asked me where I wanted to go to celebrate. I told him I'd really like to see the water in the Caribbean and boom: trip for 2 to the Bahamas in mid July! 

The Bahamas were unusually warm (high 80's) with a lot of humidity. However, I only had one day I was really tired, but it wasn't a shut-down. And, drum roll please, I actually broke into a sweat! I was so excited:) We were able to traipse around Nassau (with frequent beach breaks) and I handled the humidity just fine. Most days had plenty of overcast skies, which helped a lot. Full sun tends to always be worse for me. I actually felt better there than I do at home with the dry heat. Plus, my normally straight hair curls in the humidity, my face and lips are moist--I think I look dynamite outside the intense desert...totally am retiring to an island location.



So, for my MS friends...
Travel Tips for High Humidity Areas

  1. Stay hydrated--drink 2x more than you normally would. You'll need to replace any water you might lose if you sweat, AND you need to stay hydrated to stabilize temperature. I have never worked so hard to drink a ton and it really paid off. 
  2. If there is humidity, there should be water nearby. Get in the water as much as you can: pool, ocean, lake, showers, etc. Just make it happen.
  3. Don't be stupid--check the temperature, see when humidity and temperature peak and be inside or in the water during that time frame (usually a 2-4 hr block of time).
  4. Stick to your schedule with medicine, supplements/vitamins. The more homeostasis you can maintain, the better you'll feel.
  5. Utilize fans, cooling rags.vests, misters or hats to cool your body.
  6. Eat food with salt. Sounds weird, but on the days I'm a little peaked by humidity, having something salty perks me up. I'm sure it's an electrolyte thing. Also, having a lot of protein in my meals helps me feel better too.
  7. Sleep a lot. I got 9 hrs. of sleep or so per night and it went a long way into helping me feel ok.
  8. Communicate with your travel companions. Travelling with people outside my immediate family really freaks me out. My family knows I can start to feel weird and we'll switch plans on a dime. I'd feel bad expecting others to do that. However, speak up and change your environment before it gets bad and you don't have a choice.
  9. Build your day with cooler inside activities balanced with outside activities. Be aware--make sure you're sitting by AC or if you're in a boat, sit where you can get some water splashes. Plan ahead and make sure your hotel room, relative's place, Air B&B or whatever has A/C!!! You'll need it after being outside for a bit. 
  10. Utilize transportation. I love walking around, but too much walking in humidity can really wear you out with MS. Don't be afraid to taxi, public transport, even biking helps. We ended up biking almost everywhere in DC and it saved my energy! 

I know it's all crazy deliberate--part of what stresses me out when travelling--but it's all good, because when you can feel well and travel with MS, it's pretty awesome! Life is short, travel while you can and enjoy the beautiful world God created for us.











Friday, July 13, 2018

The Heat is ON!

Opening monologue
The heat is on: cue the music, you know you want to sing along.
So, heat intolerance is common in MS patients and effects us all differently. The scientific explanation is heavy, so don't even ask...
Ok, since you asked, because of the lesions (in my brain and on my spine),
heat causes my CNS to slow down or speed up and misfire.
The lesion areas interrupt neurological signals, so it's a hot mess.
Because of this, I don't really sweat--which is weird.
Weird like I don't even wear deodorant anymore because
nothing happens in the deep recesses of my arms.

Image result for ms and heat
Word. 

Sometimes a girl just wants to sweat...but she can't
Our bodies cool down by sweating--moisture comes off of us and evaporates around us to regulate our temperature. MS, on the other hand, causes extreme sensitivity where even a 1/4 of a degree rise in my core temperature can flare symptoms.
My nervous system can't send those signals quickly enough and I start to overheat.
For me, due to some, uh, "field research", I start to overheat around 87-ish degrees in my beloved desert home. Visiting humid places is exponentially worse.
Heat causes the lesions to get aggravated, causing a pseudo-exacerbation.
This means that all the symptoms from prior flares/relapses come again! It's like a fun trip down memory lane with your lesions. Kidding, it's not fun...at all.

Image result for pseudo-exsaperation

In my case, I usually start to lose feeling in my right arm and calves down.
I feel extraordinarily heavy and weak (there really aren't words to describe what this feels like).
The fatigue is almost debilitating.
 I may get facial numbness and said face is usually 50 shades of red.
It's draining and scary, all at the same time.
Oh, and the cog-fog.
I'm a brainy kind of gal, it's the core of my identity.
What I lack in beauty, I totally compensate for in brain power & stunning personality.
Yeah, heat makes me stupid.
My brain slows down, as does my mouth.
This might be troubling, or relieving, for those who know me well.
I have a hard time forming a coherent thought. It's embarrassing.
The good news is I can recover fairly quickly.
I have to either submerge myself in water or go inside and start drinking cool water/shower to drop my temperature.
It makes me so very tired that a nap is essential, which is cool I like naps!
It will slow me down, stop me in my tracks and ruin my day...so I have to be careful.
I manage really well at home in my highly-controlled environment, travel, on the other hand, is hard.

Image result for ms heat

Home base
At home?
I have to exercise daily--it's a must with MS.
I wake up early, between 6-7am and I'm inside around 8-8:30am. In my desert life, that timing is about right. If I stay out longer, the heat will start to affect me.
It's a ridiculous balance. I must have vitamin D to manage this beast, vitamin D is best absorbed through direct sunlight, but direct sunlight kills me softly.
I'm also super-white and don't tan...not fair.
There is NOTHING about my body that even hints I'm meant for heat, yet I need it.
It's like a bad romance.
A really, really bad romance.
And I live in the desert of Southern Utah where it's no big deal and everyone still functions when it's 112 outside. It's like a slightly cooler Phoenix.
But it's dry heat, so it's all good...ha ha.
I drink...a lot, between 120-150 oz a day in the summer to keep me cool and hydrated. I also love watermelon, tepid baths and a/c.
All errands are done quickly, the earlier the better. I can manage walking to my car and back, that's about it with the heat here.
My hubs is building me a pool to help me through the summers. Super excited about that. I feel like I should have been a mermaid because I LOVE to be in water. A mermaid with MS? Sounds like a horror show...

The ocean is my favorite place to be:)

Wanderlust 
Vacations?
So hard and I hate it.
Our family likes to travel  and I feel terrible that vacations turn into a
"watch Mom monitor her MS" sideshow.
If I have to be out in the heat, I'm sporting cooling rags (these don't help much in humid temps) and drinking a lot. The cooling rags look goofy--like I'm wearing a
brightly colored cape, like I'm Captain MS.
Yes, there are MS cooling vests.
No, I haven't been able to go there yet.
They look like bullet proof vests, are bulky, look labor-intensive...just no.
I will at some point and you can all say "I told you so".
Outdoor outings have got to be short.
Somewhere to crash for naps is critical.

On not going to the Midwest
We were supposed to go to St. Louis this summer. My kids haven't seen the great midwest and we're Mormon, so we were going to do Nauvoo too--think of it as a Mormon Mecca. It's rich in our church's history and beautiful.
However, I started following the weater and the high humidity started stressing me out.
I wanted to go badly, but I knew it would be a bad choice.
I talked to the hubs, who is so very understanding.
"No big deal, want to do San Diego instead?"
Yes, please.
San Diego is my home away from home.
Ocean, sea lions, Cheesecake Factory? What's not to love?
So, he cancelled hotels, switched airlines and took care of everything so I could go to the beach and Legoland (on-site water park!) and Universal Studios (pray for me) to see the Wonderful Wizarding Wworld of Harry Potter that I've been dying to visit.
All I want is my own wand...with a real unicorn hair in the core.
It's the little things people.
They have frozen butter beer, so there's hope for me.
Best part? We're doing Nauvoo in October.

#blessed
I'm lucky that my husband is so accommodating and keeps an eye on me.
I know he's got my back...and my MS and he never, ever complains.
I'm forever grateful.
My kids are chill, they laugh about it all and blame the brain lesions for everything I do.
They do keep harassing me to get a handicap sticker for better parking. Selfish buggers.
I actually make more jokes than anything, it's a coping mechanism
I use to hide my real feelings...says my therapist.

MS sucks in the summer and sucks in the cold winter.
I'm one of the special MSers with both heat and cold issues--upcoming post on that one.
Frankly I'd take the heat any day.
I actually dream of fire a lot. Probably need to cover that in therapy too.
That reminds me of my favorite Robert Frost poem!
{English teacher moment},
and since you're reading my blog, you can go there with me.

Image result for fire and ice poem

Dang I love poetry.
Anyway, the heat is on and I'm basically hiding in my home 
...or a pool.
Grateful for the ability to manage it, for amazing family and friends.
Really grateful to my God who continually teaches me how to manage this. 
Peace out. 

Image result for ms heat intolerance
HOLY COW!! This is insane.

For my MS friends...
Rachel's Quick & Dirty Tips for Dealing with Heat

  • Know your limits--have an idea of what you can tolerate, check temps, dew point (this is a thing by the way--I'm currently researching), etc.
  • Have a way to cool yourself down: fans, cooling rags, water, cooling vest or cooling clothes, mister, ice cubes, whatever works.
  • If you do have to be out in the heat, have a back-up plan: find shade, escape to a/c in a car, store, restaurant, etc.
  • Plan accordingly-even though I don't like to admit it, my day is planned around not being in the heat. It does make life manageable. 
  • Communicate-don't be afraid to speak up if it's too much, don't apologize or worry about what people will think. You have MS and you have to do whatever you need to do to be well. Help educate your friends and family as to what you need. 
  • If you react--cool yourself down as soon as possible. The symptoms you are having should subside. If they don't after 24 hrs. call your neurologist. My worst pseudo was the spring after diagnosis. I got into a hotel hot tub and ended up having my entire left arm numb for about a week. Lesson learned: no more hot-tubbing for this girl.  
  • Nap when you need to and practice good self care.
  • Remember humidity tends to be worse than just heat because if you can sweat, the moisture around you won't let that sweat evaporate and you'll overheat rather quickly. 
  • We do need sunlight--make sure you have a good 10-15 mins. of sunlight without sunscreen so you can absorb. Frankly, I go out when the sun first rises without sunscreen and rarely burn. I'm usually soaking up a good hour or two of sun.
  • Cheer up, Fall will be here before you know it! Fall is my happy place: can't wait!

Out on a sunny day with hubs...in the shade...for about 5 minutes:)