Can I do it?

March 24, 2010

Well, my disability was approved through April 13th, at which point my doctors will be contacted once again to see if they feel I’m ready to begin working again on April 19th.  I’m just not sure I want to go back!  I could see about going into long term disability (I think I’m eligible for 25 weeks at 65% pay), or I could just go back to work.  I emailed my manager and she said that if I go back on the 19th we’d discuss ways to make my job less stressful.  So that’s a definite plus.

There are things I miss about working, but I’m not passionate about my job.  I guess I need to spend some time really thinking it over and talking to my husband about it as well.  I’m pretty sure he will encourage me to go back, although the family in general runs better when I’m at home and able to focus on their needs most of the time.  Sometimes I feel l had more time to myself when I was working, and I miss that.

So, weighing the pros and cons of going back to work is my primary concern these days.  On April 12th we will also find out if my husband gets accepted into the Foreign Service or not.  Lots of changes could be afoot!

Categories: Fibromyalgia, Finding Balance.

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Waiting It Out

March 15, 2010

My disability was approved up until today, but I can’t go back to work until my doctor sends a letter stating that I’m ready.  My psychiatrist and primary physician have until March 23rd to fax in updated information and recommendations that I stay out until April 19th.  I’m pretty sure that it will be approved as long as it is what they recommend.  So for now, I’m just waiting to find out the verdict.  And I’m not sure if these days are going unpaid or if my manager will let me use more personal days.  If it is approved eventually, I’ll get the personal days back and the leave will be with pay.

I’m really nervous about going back to work.  My husband is a contractor (doing Project Management), so all our health benefits come from my job.  He’s also trying to get into the Foreign Service to work for the State Department, and is on the last leg of acceptance into that.  He has the oral assessment on April 12th.  If he passes, we will move to Washington DC and then to God-knows-where overseas for four years or more.  All of this is adding stress to an already stressful situation!  The only good thing about the Foreign Service is that I wouldn’t have to worry about working.  But other than writing I’m not sure what I’d do, since we’d likely have a maid and a cook wherever we end up going.

At least my mood is more stable now, and I go up to 60mg of Cymbalta in a couple of days.  I’m hoping that will really boost me up and I’ll feel like my old self completely then.  If that’s the case then I should be able to handle working, right?  Well, I’m not sure!  My fibromyalgia is still a fairly new condition that I’ve had to begin learning to live with, and even though it’s not nearly as bad as some people’s symptoms it does make it harder for me to do the things that I used to do without much effort.  I think the depression was what really messed me up with my job, and as far as I know things will continue to shift and change at work just like they always do at a big bank.

I’m spending my time doing mom stuff mostly.  But I’m happy to report that I have finally been able to get engaged in some reading again!  I’m reading Jodi Picoult’s My Sister’s Keeper.  Haven’t seen the film yet so it’s all new to me.  I love her books!  I’m also working slowly on a needlepoint project, but I don’t feel up to doing it everyday so it will be awhile before I get it done.  But at least it’s progress!

Categories: Depression, Energy, Fibromyalgia.

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Who is this disability for, anyway?

March 9, 2010

When I got the approval for short term disability from work I was at the lowest place in my life—barely able to function enough to care for myself.  I was given eight weeks to pull myself out of the black pit of despair and get myself ready to begin anew.  Eight blessed weeks of low to no stress.  However, my family didn’t see it that way.

In a sense—looking back—I was like a child, unable to even voice my opinions or stand up for myself.  I was weary and exhausted.  Before I knew it, I had been assigned making daily lunches for two of my children everyday and the job of taking my daughter to school (the bus had been fine before) and my son to half-day preschool and picking him up four hours later everyday…not to mention watching him the rest of the afternoons and overseeing any projects he had and weekly homework assignments.  These were things we had been paying a family member to do.  Making dinner every night was another job, and I found myself at the local supermarket nearly every single day of the week!  Yes, I have learned how to make several new dishes—some of which have even become favorites at my house and may need to become posts on “Things I Love” as soon as I have the energy to write them.  And my children have been sicker than I ever remember during these few weeks, so I spent many hours in the car on the way to and from (and at) doctors’ appointments.  Then there were orthodontist visits, a special laser treatment to expose and pull down two of my older daughter’s teeth, and visits to the psychiatrist for my younger daughter for her anxiety.

This week I am in charge of calling the insurance company to find out why none of my therapy was covered (therapist is not in network), and picking my 9th grader up from school three days this week so she can stay late to work on an art project she’s behind on and go to math tutoring for her algebra class she’s failing.  And that’s not all she’s failing!  What could have happened?  I’m wondering if my leave and the distress of thinking her parents might be getting a divorce has affected her grades this semester.  Last semester her lowest grade was a C.  Now she’s carrying F’s in four of her five courses!  And she hasn’t a care in the world.  We’ve taken her phone, ipod, computer access, free time, and set up a rigid study schedule for her.  I’m setting up conferences with her five teachers to discuss the issues she’s having and find out how we can get information on when tests are coming up so she doesn’t “forget” to study and fail them all.  I’ve been looking online—because one of her teachers sent an email back stating that she has trouble concentrating in class—and I’m wondering if she may have ADHD.  She certainly seems to have all the symptoms.  She has a follow up with the pediatrician she’s been seeing for years next week, so I’m going to bring it up and see what the doctor thinks.

I want to thank my sister who has stepped in to help me twice a week by picking up my son and watching him those afternoons.  Those two days are ones I know I’ll be able to breathe.

I am now in the eighth week of my disability and finally finding some relief from the drug Cymbalta, which helps both my Fibromyalgia and my depression.  I’m still on Abilify and Prozac, but taping off of those until eventually I will only be on Cymbalta.  Well, that’s the plan for now.  Now that I’m feeling more like my old self, I’m thinking that it wasn’t fair to be given all the duties either our children did just fine for themselves or that we had paid help to do.  I was on a paid leave, although the plan at first was that I might never return to the job that has caused such stress in my life.  Why was it like someone flipped a switch, and now that mom’s home, she can do…everything! 

It sounds like I’m complaining, but I have a point to make here.  And it’s not that I don’t love my children and enjoy caring for them.  I actually do, especially this week now that I’m feeling better.  But my advice to anyone who needs time to turn their lives around and who needs to start with themselves, is to keep everything else constant.  Don’t start making drastic changes to make the lives of everyone else in the family easier until you start feeling better.  Take the time you need to sleep, if that’s what you feel you need.  To meditate, sew, shop, drive, walk—whatever makes you feel better about who you are.  Then, when you can see the light at the end of the tunnel and you are pulling your feet from the black pit you’ve been sitting in, slowly implement changes that will be beneficial to everyone else.  You are worth it, and they can’t be happy if you aren’t.

Categories: Children, Depression, Energy, Fibromyalgia, Finding Balance, Support.

Tags: , ,

Do You Feel Overmedicated?

March 5, 2010

This is the question my psychiatrist posed to me yesterday when I went to see her about my drug regimine (“Do you feel overmedicated?”).  One time she told me she thought I was overmedicated, but I wasn’t exactly sure at the time what I’d said to make her think that was the case.  So I just shrugged and told her I’d been feeling sleepy a lot during the day, napping frequently and feeling lazy when I was awake.  I still have little to no interest in doing the things I normally enjoy doing, and I don’t feel like the Abilify, even at 5 mg is lifting my depression.  I also have pain in my legs, especially in the morning.

I was feeling like I needed something more or something different, but I wasn’t sure how to respond to her question.  What does it feel like to be overmedicated?  How can someone know that’s what their symptoms mean?  I still don’t quite get it.

After some more discussion, she said that maybe I was taking too much Prozac (40 mg a day).  Then she had a great idea…to put me on Cymbalta, which should help both my depression and my pain from fibromyalgia!  I’m to taper off my Prozac in two weeks and then be off of it completely.  I’ll take 30 mg of Cymbalta for 2 weeks, then up it to 60 mg for four weeks.  At that point we will see how it’s doing and if I should begin tapering off of Abilify.  She said it’s best not to be on too many medications, which I agree with.  I’ve also been taking Trazodone at night to help me sleep, and she said I could cut that dose down considerably, and possibly completely.  I didn’t take it last night and was awake at 3:00 am.

So tonight I will take a small dose of Trazodone to see if it helps me sleep without making me sleepy into the next day, too.

I wonder how many people are actually walking around overmedicated?  It’s kind of a scary thought.

Categories: Depression, Energy, Fibromyalgia.

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