Wednesday, October 8, 2014

Overcoming Wal-Mart Phenomenon

Today I went to Wal-Mart.  With 3 kids.  And Wal-Mart was Wal-Mart.  Florescent lights, long lines, people moving in all directions.  And my kids were kids.  Wiggles, shakes, squeals, spats.  And I... drum roll please (this is seriously big news), did not get dizzy!  I did not feel like I was going to collapse.  I never felt like I was going to have to ditch my cart and leave.  I was able to think clearly and make wise choices.  I even spent less money than usual because of that.  I didn't feel like I needed the cart for balance.  I didn't snap or yell at my kids.  When we went out to the parking lot my depth perception was normal.  I wasn't jumping at every car that in actuality was no where near me. 

Today Wal-Mart Phenomenon did not get me!  (That is an actual term that my neurologist used to describe the weird migraines that occur with POTS in large places like Wal-Mart.)

On the way home the kids screamed and I didn't flinch.  No inappropriate adrenalin rush.  We listened to music.  We not only listened to music but did so at a volume that the kids like  And I like it to!  The alternating light and shadows on the road did not phase me.  I am an emotional person, but even with all we have gone through lately, I rarely cry.  I don't have time to.  But on the way home today I was listening to the loud praise music and fighting back tears.  It just felt so good to feel good.

So with all the sad news posts lately I wanted to share some good news.  And after a day of home school and grocery shopping I had the energy to write it!  Amazing!!  Now looking at this again several hours later, I am absolutely exhausted and wished I'd rested instead of writing.  But I'll learn to balance bouts of energy. I'm just not used to having any!  Fall has arrived and I am starting to feel better.  My doc had promised that I should feel somewhat better in spring and fall and I'm thrilled to see he was right.  I am so thankful.

So with optimism abounding right now I'll share some of the perks of having POTS.
  • Salt.  Most people have to try to limit their sodium intake.  With POTS however, sodium helps.  It increases blood pressure and helps keep fluid volume up.  This gives your heart more to pump making it easier to get blood to your brain.  In fact my doc kept telling me I wasn't eating enough salt.  I couldn't possibly eat as much as I was supposed to so now I take sodium tablets in addition to eating lots of salt.  This is how much salt I'm supposed to eat a day!

  • Compression Stockings.  OK, it might be a stretch to call this a perk, but they really help.  They are hideous.  At least the ones my insurance pays for are.  It's often to hot for stockings with jeans and stockings with shorts make my legs look fake, literally.  One day I was in my yard wearing said hideous stockings, capris and tennis shoes.  (Give me a break people.  I live in the middle of nowhere and was not expecting company.)  Well, the FedEx guy caught me by surprise.  I have never seen a grown man stare so blatantly with his mouth hanging so wide open, and I do believe I was given the power to read minds for just a minute.  And this is what the FedEx guy thought, "Seriously!  How have I been delivering to this girl for years and never noticed that she is a bilateral amputee?"  I smiled, grabbed the package and darted into the house, while FedEx guy thought, "No wonder I never noticed.  She sure moves fast on her prostheses!"  (Clearly FedEx guy has some medical background.) So this uncreative girl has been forced to use her right brain just a bit. I cover them with cheep, cute tights.  Not genius but I was proud my exhausted brain thought of it.

  • Laughter and jokes.  As seen by my run in with Mr. FedEx, often there is nothing a Potsy can do but laugh at herself.  And there are plenty of jokes out there to laugh at, as well as a whole list of "You might have POTS if..."  My favorite answer is "if you have enough medical material to be a stand up comedian, but you can't stand up."  So here is a pic that makes me laugh.
Now that's funny!  (In case you don't get it, many people with POTS pass out a lot or at least come very close and spend a lot of time on the floor.)
  • Most important are family and friends.  I have a very difficult time asking for help but I have great family and friends.  Many of them recognize when I am in need and help out without my even asking.  My husband is beyond incredible and does anything and everything he can to help.  In fact, Aiden asked Greg tonight, "if you could have anything in world what would it be?"  Without a seconds hesitation Greg answered, "for Mama to be well."  My mom unfortunately understands all to well what I am going through.  And she still does so much to help.  Friends near and far have encouraged and prayed.  This means so much.  I knew what a great support system I had before, but POTS has made it abundantly clear.
  • And of course I am learning to trust and depend on God and His strength.  So often I truly have no means of my own to get through and I know it's only by His grace that I do.  That He cares to help me is the real phenomenon that I pray I am constantly overcome by.

Tuesday, September 30, 2014

Opening Up Part 2 -- The Reality (Apparently the true reality is I'm longwinded!)


I have heard many people talk about others dealing with difficult things in life.  Things like the death of a loved one or cancer.  People are always praised for not complaining or for putting on a brave face.  There is good reason for this.  But people grieve in different ways.  I’m sure some only “complain” to God or to their spouse.  I know personally I can be brave most of the time, but there are those moments when I just can’t do it any longer.  I don’t think that there is an exact right or wrong way to handle each difficult thing in life.  If you melt down and complain and cry out to the heavens I don’t think that means you are doing illness the wrong way.  Each person must be free to work through their emotions in the way they need.  I realize this is one reason I haven’t written before.  I don’t want to be criticized for complaining or not being strong. 

Oh, it is so strange how this all plays out!!  I couldn’t have cared less what people said or how they criticized my choice to adopt or anything else I chose that I felt to be God’s leading.  But with illness I have had no choice.  And I find myself insecure and wondering what others think.  Yet I had fully surrendered my life to God, for Him to do as HE chose.  I assumed He would choose another adoption.  That my life would settle down as the kids got older and I would begin speaking for Compassion again.  I would see hundreds of kids sponsored.  Maybe we’d foster again and never have an empty nest.  I never imagined this.  Yet why do I assume that this is not just as much His leading?

I was reading recently the book “POTS Together We Stand” by Jodi Epstein Rhum.  There is an article in it by a psychologist, Michelle Roger, who also has POTS.  She talks about the stages of grief and then goes on to say,

“But what do you do when the event that brought about the grief in the first place never leaves?  How do you deal with something that can cause little losses (and sometimes big) every day, such as a chronic illness like Dysautonomia?  Living with Dysautonomia you are constantly reminded that you are no longer the person you once were.  From the moment you wake up, each and every morning is a struggle.  Just to get out of bed and dress you are reminded every step that you aren’t like other people… 

“…perhaps the biggest loss living with chronic illness is the loss of you.  By that I mean the you, who you once were before you became ill; the picture you had in your head of you and where you fit in the universe….. It’s often not until you are faced with something like illness, that you realize that you did indeed have such a picture, one to which you were particularly attached.”

I am realizing that I was oh so attached to the picture I had of myself.  I was super woman.  I was patient and always played with my kids.  I was there for every field trip.  I’d never yell at them.  I’d speak to them about God and His goodness constantly.  I was always there when they needed to talk or cry.  I’d support my husband at all times.  I was in super shape physically.  I could hike several miles with a child on my back and barely get winded.   I was an advocate for those in poverty and spoke up for adoption.  I taught at church.   I was going to work alongside my children in food pantries.  We were going to foster again, adopt again, live overseas, do mission work, meet all our sponsored kids.

So here is the reality.  I’m not trying to be depressing or complain.  I just want to give a glimpse into what the POTS world looks like.  Reading a list of symptoms can seem so abstract.  The reality is that being my children must be hard.  I have such light, noise and motion sensitivity along with debilitating fatigue that I snap.  All the time.  Kids are a bundle of noise and motion even when they are perfectly well behaved.  It takes 3 times the amount of energy for a person with POTS to stand as it does for a normal person and mornings tend to be the worst as your body tries to get used to being upright again.  So when I stand and make them breakfast, I know it sounds utterly ridiculous to a healthy person, but I often barely have enough energy to muster a smile for them, much less speak of God’s goodness. 

When I eat, blood is diverted for digestion making it even more difficult for blood to make it to my brain.  So my heart pumps even faster.  So I eat and I feel like I’m running a marathon.  Or I don’t eat and I’m grumpy and hungry.  The days that I choose not to eat, I then eat too much when Greg gets home and then I’m useless.  Or I push myself and nearly pass out.  I feel like that is completely unfair to him to have to take over after his hard day of work.  He is completely willing and wonderful, but I don’t want him too have to do that.

Taking my kids out to play in the summer can be dangerous.  Heat dilates blood vessels, thus making the condition worse.  Thankfully I’ve never passed out but I have had multiple times where I was very close and completely incapacitated for a while.  Even running errands in the heat scares me because I get so dizzy and my heart rate becomes so fast.  Sometimes I’m insecure knowing that I could get into trouble very quickly if my vehicle was to break down or we have an accident.  It’s definitely a lesson in learning to trust and rely on God.

But yet, it’s hard to tell your kids that you can’t go see fireworks for 4th of July because of POTS.  It’s hard to take your kids to camp meeting and realize your 9 year old is afraid to go play with his friends because he knows it’s hot out.  He is afraid what will happen to you and his little sister if you are alone and pass out.  It’s hard that today I missed Carrington’s first field trip to the state fair.  I’m the kind of mom that doesn’t want to miss a thing.  It’s one of many reasons we homeschool.  I agonized over it!  I missed her pride of going with her classmates, her excitement.  She is too little to understand, “but WHY can’t you go Mama?!”

I used to pride myself on being very physically fit.  We attempted an amusement park this summer and I was so embarrassed because I had to take a cane with a stool and sat in lines panting for breath.  When I tried to walk I got right sided weakness and slurred speak.  It took me a week to recover.  And it’s not that I don’t exercise.  I still do daily.  I’ve had to modify my workouts but I still do the best I can.   

I used to love walking the hills at camp.  I could carry a full conversation without getting short of breath.  This summer someone said to me on those same hills, “This is some workout, huh?”  I couldn’t even give a one word answer, just a weak smile.  I knew he’d said it because he felt sorry for me as I was clearly struggling to make it.  I felt completely humiliated.  (Hmm, prideful much?  Just realizing some lessons perhaps I need to learn from this.  See, writing is therapeutic!)

As for me being some great advocate in the war on poverty, well I barely have enough energy to get through each day.  Many times I don’t make it through the day.  I feel like I don’t provide well for the needs of my own children.  I have no physical or emotional energy left to tackle the needs of the world, even though they are important to me.  Live overseas?  I can’t be without A/C for a day.  Some great missionary I’d be. 

Thank God I have still been able to work.  I only work 6 days a month (besides homeschooling the kids every other day) and every time I wonder how I’ll get through it, but I do.  It is exhausting and it usually takes a day or two to recover, but I can do it safely.   That does wonders for my sense of wellbeing and accomplishment.

But it’s not just my own picture of who I am that is lost.  One of the things that saddens me the most is that my kids don’t seem to remember who I once was.  I was the one who went nonstop from morning till night, I accomplished so much.  Now all they see is the me who fatigues so quickly, the me who has to stop and rest all the time, the mom who gets so short of breath when we try to play baseball that we have to stop the game, the mom who is short tempered and is constantly asking for quiet and stillness.

So are you still with me after all that depressing mumbo jumbo?  I did say I wanted to show the reality of the POTS world, so there it is!  And if I am being perfectly honest, this only gives a small glimpse.  But I also have a little confession.  Life is so busy that I don’t have much time to process all of this.  I don’t often think about prognosis even though it has gotten worse very quickly.  I just don’t have time to dwell on it.  But I do manage to get jealous.  I know so many wonderful adoptive families out there.  Every time I hear that someone else is adopting again or someone else is moving overseas or going on mission trips or starting a new great charity, I get jealous.  Ridiculous right?!  Instead of being happy and grateful that someone I care about is living the dream, instead of being thankful that another child is gaining a family… I have a mini pity party.  I cry out to God, “Why?!  I would have done all those things!  I was not only willing but I WANTED to!!! Why?”

Reading over the blog last week I read this that I wrote about having no greater joy than living out God’s will for me.  Then I’ve been reading  ”Dangerous Surrender” by Kay Warren.  She talks about a time in her life when she felt “put on the shelf” by God when she had dreams of how He could use her.  Her husband, Rick Warren, was becoming extremely in demand.  And she was jealous.  She finally prayed to God,

“If taking up the cross to serve you means being put on the shelf indefinitely or even forever, I’m yours.”  And later she says, “I stopped fretting over what would happen to me; any gifts I had were given to me by God, and if he chose to use them in a way that was different from the way I wanted them to be used, that was his decision.  I was finally at peace.”  And later, “You see, it really isn’t any of my business—or your business—what God does in someone else’s life.  My only business is to follow him.”

Wow.  I haven’t had been able to accept my current condition because, although I never put it in words, I thought that POTS derailed not only my plans but HIS.  My joy comes from knowing I am living out His will for my life, yet I had fully surrendered to Him and told Him I’d do whatever He asked.    Did I think POTS caught Him by surprise?  Perhaps He didn’t cause it.  I don’t know, maybe He did for some divine purpose.  But either way He can certainly use it to work out His perfect will. 

But I have to stop fighting against Him… even if my dreams are put on the shelf. 

I felt such peace after reading Kay Warren’s writing.  And I must say I am sorry to all the adoptive mamas I know out there that I have envied.  It is not my business what God does in your life.  But I can truly say that God has given me peace and I am so happy for you and for your precious children and the many lives you touch with the work that you do.

So the reality is that POTS is no picnic.  Not for me, my husband, my kids, or my extended family.  But I had placed my life fully in God’s hands, so why did I assume this wasn’t for my own good?  When things went wrong I tried to grab back control, forgetting the lessons I’d learned.  I am so much more at peace now remembering that even in hard times I can have joy as long as I am fully surrendered to God and His will. 

One of my favorite quotes comes from Jennie Allen’s book “Anything”.  “You have to thank God for the seemingly good and the seemingly bad because really, you don’t know the difference.”  Now I am excited to see how God will use this “seemingly bad” for good and for His glory.

The Covenant Prayer introduced by John Wesley and credited to Richard Alleine

I am no longer my own, but yours.
Put me to what you will, rank me with whom you will;
Put me to doing, put me to suffering;
Let me be employed for you or laid aside for you,
exalted for you or brought low for you;
let me be full, let me be empty;
let me have all things, let me have nothing;
I freely and heartily yield all things to your pleasure
and disposal.
And now, O glorious and blessed God, Father,
Son and Holy Spirit,
you are mine, and I am yours.
So be it.
And the covenant which I have made on earth,
let it be ratified in heaven.
Amen.



Thursday, September 25, 2014

Opening Up Part 1


Greg and I are away for a few days for our 16th anniversary without the kids.  It has given me some much needed time to think, pray and process all that life has thrown our way recently.  One of the things I have done is read over some of my old journaling, including our blog.  The blog that I have not written on in over 3 years.  Yes, I started it to keep friends and family updated on our adoption.  So it makes sense that it went dormant.  But there were many times that I wanted to write and couldn’t.  Life has just been to busy.  There is so much to say, where would I even start.  And I feel awkward because what I want to write about isn’t about adoption or Compassion.  It’s about me.  How narcissistic is that?!

Those who know me know that I’ll tell you anything that is going on with me in person.  But putting it on face book or blogs just feels weird too me.  However, writing has always been therapeutic for me.  (Didn’t say I was good at it, just said it was therapeutic.)  And I am encouraged to speak out because awareness needs to be raised for what I and my family are going through.

Life has changed in so many ways.  For starters, my babies aren’t babies anymore (sob).  So our days are no longer filled with swinging in the backyard and playing on the floor.  We homeschool.  For many reasons it is just the best fit for our family currently.  Secondly, one of my kids has a multitude of health issues.  Between work, homeschool, therapies and doctor appointments I had a completely full plate.  But I was so confident and joyous.  God had worked so mightily. (He’d even saved me from melanoma.  But that’s another story.)  As I’d written on this blog before we fully planned to adopt again.  I had big plans for what I was going to do with my life.  Yes, I had even blogged about God’s plan always being best, but I still had MY plan.

And then dysautonomia struck.  Don’t know what that is?  How about this, POTS (Postural Orthostatic Tachycardia Syndrome).  Still nothing?  Don’t feel bad.  Spell check doesn’t even recognize it.  I’d say about 90-95% of the people in the medical community that I have talked to have never even heard of it.  I’m a PT and Greg is a PA and you could include us in that statistic until I was diagnosed.  We were clueless as to what it was. 

Dysautonomia just means malfunction of the autonomic nervous system.  The ANS controls pretty much everything you don’t think about, your organs, heart rate, blood pressure etc…  POTS is due to dysautonomia.  Quality of life with POTS is compared to living with Congestive Heart Failure or COPD.  In my case they believe that my blood vessels do not constrict when I stand like they do in normal people.  So my blood actually follows the law of gravity dropping into the lower half of my body.  When I stand up my heart rate goes from 60 (being paced by my pacemaker that I have thanks to dysautonomia) to anywhere from 120 to 165 beats per minute.  It does this in an effort to get the blood back to my heart and brain. It takes 3 times the amount of energy for someone with POTS to stand as it does for a healthy person.  This causes a lot of crazy symptoms.

  • Dizziness
  • Fatigue
  • Migraines
  • Ringing in ears
  • Light, noise and motion intolerance
  • Nausea
  • Right sided weakness
  • Imbalance
  • Slurred speech
  • Pain in legs, back and neck
  • Blurred vision
  • Numbness, tingling, cramping of hands, feet, legs, and arms
  • Inability to sweat, causing inability to regulate your own body temperature
  • Sick sinus syndrome requiring the need for a pacemaker

It was quite a process to find out what I had.  So many doctors.  So many tests.  No one really knew.  They thought I might have Meniere’s Disease, MS, ALS, strokes.  They threw out a lot of scary stuff that fortunately I did not have, but I have the symptoms.  The most insulting was a neurologist who didn’t have a clue, so he told me that I just needed to learn to deal with my anxiety.  When I told him I had no history of anxiety, he said it didn’t matter, that sometimes anxiety presents suddenly and causes stroke like symptoms.

So my point is that the medical field, and the public in general needs to be made aware.  Fortunately I did eventually get referred to a doctor who is very knowledgeable about POTS and he has been my lifesaver.  Thank you God!  I would not be functioning right now if not for the right diagnosis and the right treatment.  I know a lot of medical people, so please, take some time to research it.  It’s not that rare, it’s just rarely diagnosed!   Here is a good link to get you started.  http://dinet.org/index.php/information-resources/pots-place/pots-overview

I will write more soon about how POTS effects our daily lives.