fear not

"One of the biggest challenges about bringing down old barriers is that sometimes old weaknesses return that you thought were long gone. But now instead of burying them, you have to learn to either live with them or control them, so that they don't control you and who you are or want to be!"  -Brian Hanks

Thank you for sharing that thought, sir.  It's quite apropo for me right now.  I don't really have much to add to it, 'cuz he pretty much summed it up.  But I wanted to do something so I'd remember it, so here I am, posting on the blog.

I was reading in Luke yesterday.  In Luke 8 there are a few notable stories.  For the past few years I've been inspired by the story of the woman with an issue of blood.  She'd spent all the money she had on doctors, and not a one had been able to heal her.  She believed that if she just touched the hem of Christ's garment she would be healed.  So she did, and she was.  Despite the throng of people pressing around Him, Christ felt it because, as He says, He felt virtue go out of him.  He asked and asked who it was who had touched him, and she finally came forward.  He said, "Daughter, be of good comfort: thy faith hath made thee whole; go in peace."  I love that story, because it inspires me to get nearer to Christ so I may be healed.

In the following versus is a related message about healing.  Right before He healed the woman with an issue of blood, a man named Jairus had come to him, asking him to please come to his house and heal his 12 year old daughter, who was dying.  Jesus was delayed by the crowd which surrounded him, and someone from Jairus' house came saying the girl had died.  Christ said, "fear not: believe only, and she shall be made whole."  There's a little more to this story, which I'll let you read for yourself, but the end results (spoiler alert!!) is that the little girl is healed and lives.  What I love is the simple instructions Christ gives us.

Fear not:  believe only, and [you] shall be  made whole

How simple, yet wonderful, is that command.  It gives me hope.  I know I will be healed from my migraines someday, it just takes time.  And frankly, to be honest, I am already being healed of them.  It's just a process.  For some reason, it's best for me to not be healed all at once, but by degrees.

One of my doctors at work the other day was asking about my migraines, how bad they used to be, what I tried, how they are now, etc etc.  I told him of how I barely passed high school, and for the year afterwards couldn't work or go to school for the severity of them.  I finally figured out a few triggers, which made it better, but not enough that I felt comfortable going back to school or working.  But then there came a time when I just felt it was right to go back to school (this was almost 4 years ago), despite the fact that my migraines were still pretty bad.  I didn't go into any detail, but I told him clearly that I can't think of anything I tried that made them better and made it so I was able to be successful in my classes when I went back.  I simply prayed and had faith, and they got better- not all the way better, but enough so that I could go for two semesters with at not quite but almost full time.  It was nice to share that simple and brief testimony as I answered his questions.

The past 2-3 weeks my migraines have been worse, I think because the Botox has worn off.  That's okay.  It just gives me more hope for when I get my next round of Botox (I'm hoping for late March).  I'm still eating more sugar than I should, but it's a lot less than I was previously- so that's good.  I did yoga 3 times last week- go me! I felt like I was going to die because it's hot yoga and I wasn't used to it, etc etc.  But it's getting better.  I've only done it once so far this week, but I'll get in one or two more sessions before the week is out.

Since realizing a couple weeks ago the miracle that I've held a full-time job for over 9 months now, I've felt repeatedly grateful for that.  The last time I did something full time for over 9 months was... about 6 years ago.  Maybe 7, actually.  (It's a marvel to me that it's been so long since I first got sick.)  Looking at things from that perspective, it's easier to not feel so bad about not having a degree yet.  Doing something full-time for 9 months for the first time in 6 or 7 years-- that is a HUGE step!!  HUGE!  As in, humungous, monumental, magnificent, fantastic.... I'll run out of adjectives long before I run out of excitement.  I am learning to choose to appreciate this for what it is-- a huge step, a big deal; and a sign that Christ not only loves me, but is active in my life- guiding me and healing me.

So, fear not.  Believe.  You will be made whole.  It just might take awhile, and that's okay.

a new year?

Hmmm.... it's a new year and I haven't posted since last year!  It's late and I should be sleeping, but we'll do a quick update.

1) work continues to be awesome and I love it.  a couple weeks ago a man passed out in the radiology department.  ER staff was called over, and I followed my doc- let's call him Fred.  They started CPR.  Fred grabbed some trauma shears, and starting cutting the man's coat off him.  Well, it was one of those coats which is packed with feathers, so when he cut into it, the feathers exploded.  All of a sudden, you had 6 people in a radiology lobby, crowded around a man, performing CPR and breathing for him with a bag-valve mask.... with feathers which appeared like snow, floating all around them.  There was something kind of magical about it, and I'm afraid I can't begin to do it justice in this description.  It was kind of like a movie... with some Sarah McLachlen song playing in the background.

2)  I've started exercising again recently!  (And by recently, I mean-- this week haha.)  For the next few weeks, it will be hot yoga.  After that, my special groupon deal (20 sessions for $40) will expire, and then I'll probably just join a gym or something.  I made a deal with my physiatrist that I have to be exercising regularly to get another round of Botox.  And (dun dun dun!) if I don't, he has permission to give me a talking-to.  Yikes!

3)  Speaking of Botox, I got some back in October.  No, it's not for wrinkles (which I wouldn't have anyways, as I'm in my early-mid 20's), it's for migraines.  The idea is that it paralyzes muscles in the head which contribute to the migraines.  My insurance approved 2 rounds of it.  1 round usually lasts 2-3 months. I think it really helped-- the fact that I was able to work like crazy without any intense, long-lasting, or hard-to-treat migraines popping up is my testament to that.  I believe it's worn off now, as in the past couple weeks I feel like I'm starting to get migraines a little more frequently.  Another thing the Botox seemed to help with was my constant, low-grade headache.  I've had that headache 24/7 for 5 or 6 years now.  I think there were a couple points about a month or two ago when that headache was almost gone.  I remember driving and thinking "do I have a headache?"  It's a little hard to tell sometimes when you're used to it being there all the time, so it took me a moment.  I had just the slightest pressure in my forehead, so it was still there, but just barely.  Tiny enough that I almost wonder if I thought it into existence.  On a pain scale of 1-10, I would have rated it in that moment as a 0.5.  Which is awesome.  The idea with the second round of Botox is that even after the Botox wears off, the relaxing effect on my muscles will be more permanent, leaving a long-term relief.  Last time my doc only gave me shots in a few places in my head (a couple in the forehead, a couple on each side of the head, and a couple at the back of the head).  Next time we'll do a bunch of shots all over.  That will kind of suck while it's happening, but I'm positive will be more than worth it 5 days later when the stuff starts kicking in.

In case you couldn't tell, I get really excited about medical stuff and the prospect of my migraines being better.

4)  I've started thinking about Med school.  It's a long way off as I don't even have an AA yet (which fact I have accepted and is only slightly distressing to me nowadays), but the more I work at my job, the more I could see myself being a doctor.  I think it's work I would really really enjoy.  What would I want to specialize in?  I dunno.... Emergency medicine, neurology, physiatry, and hem/onc are all on my mind.  Surgery would be cool because I like looking at guts, but I have a feeling I wouldn't actually go with it.  Anyways, that's all far off, and so for now, jsut a dream.  ... Just a dream that I'll start working towards.

5)  Related to that, I'm sad to not be in school right now.  But I prayed about it, and I really feel that right now is a time to take a break from school.  Focus on my health.  Pay off some debt.  Save up some money. Etc etc.  I also think that it's been good for my pride to have my education pursue a more delayed, alternate route.  If I had graduated at age 21 or 22 like I had planned, there's a chance I might be a bit of a snoot.  Not on purpose, of course, but I think it could happen.  It's also been good to learn that God is in charge of my life- not me.  Oh, and perhaps one of the most important lessons is something along the line of Heavenly Father loves me, no matter what, and I am of value to Him even if I have not accomplished what I thought I should have by now.  One can be a good, successful person, without achieving many milestones which the world values as most important.  That whole idea is a whole other post in itself.

6)  My auntie got me a kindle for Christmas.  I've had my nose stuck in that thing ever since.  It's nice to feel like a book worm again.

7)  I'm tired from being extroverted and peppy last year.  It's time for sleep and time to myself.  And family.  And close friends.


I think we'll call that it for now.  It's super late, as I didn't get off work till after midnight.  I'll leave something amusing with you.  Was talking to a friend when he asked, "have you ever wondered how someone feels having a disease named after them?"  naturally, the conversation turned to naming a disease after him.

Meet the Rutherford Reaction: a temporary, psychosomatic reaction, usually in un-married persons, triggered by interactions with the opposite sex.  criteria for diagnosis: 1) an erythematous, non-pruritic, non-maculopapular rash of the skin over the zygomatic arch, 2) a subjective fever, 3) disequilibrium, and 4) agoraphobia.

What would the Sager Syndrome be??

can't sleep, and i've never liked counting sheep

my first interesting (and inane) note, is how on commas. you see, as i was typing the title to this post, i put a comma right up there after "can't sleep".  my elementary school training tells me that's not necessary, but rather optional.  because it's coming before "and".  i believe there was some movement to take commas away from before "and". or at least be okay with a lack of them.  at least, that's what i recall mrs. bowers in the fourth grade telling me.  or was it mrs. rossall in the fifth?  anyways, when i was in training for my absolutely wonderful new scribe job, my supervisor told me i didn't put enough commas in.  she'd go over histories of present illness i'd written, and stick in a bunch of commas(an HPI the part of the patient's chart where you sum up all the stuff they told you about what's wrong with them today). we had a nice discussion about commas following this.  she's only a few years older than i, and so i wonder- did the anti-comma movement begin with my generation?  or is it just me?  so in order to make her happy, i began putting commas in all sorts of grammatically appropriate places which i had never previously done.  and i'm still doing it.  it makes me chuckle.
oh, and i'm not sure if this is related or not, but most physicians (and scribes) seem to be against double spacing between sentences.  i've observed doctors go over my HPI and removethe double spaces.  i adapt, and then remind myself that they probably didn't major in english.  oh, except there is one doctor who does use them, and i get excited because then i can type the way i'm trained to-- with double spaces after my periods.  except i think the habit might be wearing a little thin, because in writing this i'm havign to consciously remind myself to double space.
i flash back to that time in sixth grade when my mom, english major and all, reviewed an essay i wrote.  i remember her informing me that i needed to double space between sentences.  i told her my teacher didn't ask for that.  she responded that it's the proper thing to do, and even if my teacher didn't ask for it, i should do it anyways.  so i did.  and it became a habit.  and i never remember anyone else making a fuss about it during my school career, so either i learned my lesson, or no one cared.  or both.  but i'm glad that my mom taught me to double space.

now, if you didn't consider those previous 3 paragraphs a waste of your time, i'll just keep babbling.  and if you did, but you're still reading for some reason anyways, i'll just keep babbling all the same.

so it's 3am and i can't sleep.  why?  a few reasons.  the first being that i am a night owl by nature.  even if i get into the habit of waking early, it doesn't take much at all to get me back into my night owl-y ways.  second reason, work.  i worked night shift recently, and then some late nights since.  add that to the spring quarter being over and therefore no reason to be out of bed at 7am after working till midnight the previous night, and you have night-owlishness.  on top of that, i didn't really make it to my morning classes regularly for the last two weeks of spring quarter.  'cuz my migraines started acting up.
yeah, i should have expected as much.  and i'm pretty sure i know exactly what happened.  you see, i registered for classes full-time.  and then i started a new job.  and i still tried to spend some time with family, and have a social life, and date.  and go to church.  i was really excited at the beginning of all this, because i feel satisfied when my life is full.  when i am busily engaged in multiple good things, feel like i'm moving forward in my life, and have meaningful relationships with the people around me, i feel content.  more than content, actually.  i'm happy, and excited, and super grateful.
i knew before the quarter started that i should be looking for a job, and that i should be working.  i recall feeling confident about going to school full-time.  i was nervous about adding work to that challenge, but i knew the impression to work and go to school was an impression from my Heavenly Father.  i trusted that since that was what He wanted me to do, i would be able to do it.  and for a few weeks i did.  honestly, if i didn't have the health problems that i do, i think i would have been able to keep it up.  but that's what made me feel so grateful- i knew that there was no way without the aide of God and His angels that i could work and go to school.  and truly, even just the few weeks that i did do it and stay on top of things were nothing short of miraculous, especially when juxtaposed with my academic and health histories.

but let's catch up to where i am now.  the quarter's over and i still haven't finished my classes.  i have an arrangement with my teachers, so there's hope, but it still makes me nervous.  and i'm nervous about my future.  it kind of sucks not being able to count on the long term plans i make because my health problems have a habit of never resolving and popping back up with a vengeance for months at a time at least a few times yearly.  i like doing things, and i like making plans.  it's hard to feel limited in my ability to do both.
oh, and there's the whole thing about wanting to get married.  and have a family.  i don't want to rush into anything, and indeed, i find some fulfillment from simply getting to know and befriend the single guys around me.  i've been pretty happy with the state of my love life as of late.  but my attitude changes a little bit when i get sick, and am subsequently cooped up for days on end (where did that expression come from anyways?  when you break it down, it really doesn't mean anything... reminds me of a conversation my buddy stan and i had about the english language versus ancient languages).  in these cases, i really just want someone to have at home, to cuddle with in bed while i feel like crap and my hair is a mess.  and someone whom i don't have to worry about losing a chance with or dealing with those silly dating situations when i want to cancel, reschedule, or just change what we're doing for a date because i don't feel up to doing much.
and just so we're clear, i'm not saying that i'm looking for a cuddle-buddy.  those are nice, i guess, but mostly useless, and confusing.

also, i'm pretty sure i just babbled about a bunch of stuff to put on my public blog which i wouldn't have if i weren't both sleep-deprived and migraining.  like, my brain does weird things with migraines and pain.  one of them being a lessening somewhat in inhibitions.  dunno if anyone other than those super close to me would notice, but it happens.  i get to the point where i do something or consider doing something and just don't have the mental energy to decide whether or not to actually do it or say it, and then i just decide that it's what i'm really thinking and if the person i'm talking to loves me, or is at least a kind reasonable person, won't judge me if it comes out sounding stupid or crazy or childish or something.  because by rule i'm not stupid, childish, or crazy (technically speaking).

and i have no way to neatly sum up all of these thoughts.  there's a phrase commonly used by scribes to sum up HPI's.  first we say what the patient is complaining of, how long they've been experiencing it, any accompanying symptoms, risk factors or other pertinent information, and then we list a bunch of pertinent things they're not experiencing.  "so-and-so complains of shortness of breath, but denies any loss of consciousness, chest pain, palpitations, nausea, or vomiting" is important to note because it indicates they're probably not having a heart attack.  or "so-and-so complains of a laceration to his forearm after falling off his dirt bike, but denies any weakness, numbness, or tingling" is good to note because it indicates they probably don't have any nerve or muscle damage.
anyways.... after these things in the HPI, there are two magical phrases we use to wrap it all up.  "S/he is otherwise in good health with no additional complaints" and "s/he is otherwise in her normal state of health with no additional complaints."  it sums things up nicely (the latter is particularly good for people with lots of health problems who only come into the ER because they got a scratch that needs to be stitched up).

so, to sum up this post, i am otherwise in my normal state of health, with no additional complaints.

and here's a pretty picture for you to look at, just for making it to the end of this post.  i got these from my dad when i had my sinus surgery back in february.  pretty, eh?

useful babblings... gatorade, kidney stones, diet, and salt

This post is very apropos to the given name of this blog: "Constructive Babblings".  It's really just me babbling, but it's also organized information!  There's this lady I know whose daughter was throwing up like nobody's business.  We were talking about that and the question of whether gatorade is good or bad for you came up.  She said her nurse practitioner told her it's bad for one's kidneys but neither of us were sure of the veracity of that information.

So what did I do?  What Cassanndre does at all times when struck with curiosity about medical things... I went to Medscape and Google!  I read several articles and thought I would only link to one but then I did more reading... so there will be at least a few interesting links at the bottom of this post.  Check them out (some will not even be heavily laden with medicalese).

Alright, alright, to the point-- what did I learn?

Gatorade

I have come to the conclusion that, like many things, Gatorade is bad in excess.  It has a lot of salt, which is good and bad.  If you have been sweating a lot or experiencing diarrhea and lost a lot of electrolytes, the sodium (and other electrolytes) in gatorade is wonderful.  My neurologist also recommended using G2 as an abortive at the onset of a migraine.  I find that it is effective at least 1/2 the time.  Electrolytes are probably to thank for this.  [Migraine side note: I recommend drinking 16 oz of G2 with 2 magnesium supplements at the very first signs of a migraine.  If you find 15 minutes later that the migraine is still threatening to attack, then pursue your normal course of action, whether it be a triptan, painkiller, nap, or whatever.]
Now for the bad about Gatorade: if you haven't been exercising & sweating like crazy, or losing lots of fluid and electrolytes another way (eg: diarrhea), then Gatorade is not the drink for you.  Go for water.  Water is good and under regular circumstances it's all you really need to stay hydrated and happy.  There is evidence to say that Gatorade is bad for your kidneys, but according to what I've learned that is only the case if you drink too much or are prone to hypercalciuria (too much calcium in the urine).

This discovery led to some curiosity for the effect of excess dietary sodium on calcium production.  So, without further ado...

Sodium, diet, and hypercalciuria

Excess calcium in the urine can form stones and get lodged in the kidney or elsewhere along the urinary tract (kidney stones!).
First, about kidney stones and hypercalciuria:

About 80% of all kidney stones contain calcium, and at least one third of all calcium stone formers are found to have hypercalciuria when tested. Hypercalciuria contributes to kidney stone disease and osteoporosis... [1]

Consuming too much sodium (whether it be gatorade, potato chips, yummy sauces, or prepackaged foods) leads to an increase of calcium being released from your bones.  This also can be associated with lower bone density.  Here are a couple extracts from Medscape (probably my favorite place to research medical stuff):

Sodium intake is another significant dietary risk factor for kidney stone disease and hypercalciuria. High dietary sodium is associated with increased calcium release from bone, further contributing to any existing hypercalciuria.  It also causes an increase in urinary calcium excretion through a direct effect on the kidneys....  [2]

and

A high sodium intake promotes various effects that enhance urinary calcium excretion and increase overall kidney stone formation rates. These effects include a rise in urinary pH, higher urinary calcium and cystine levels, and a decrease in urinary citrate excretion. In healthy adults, a high sodium intake has been associated with higher fractional intestinal calcium absorption as well as increased parathyroid hormone (PTH) and vitamin D-3 levels.... 

Increased calcium excretion is thought to be due to an increase in the extracellular fluid volume, which ultimately results in an inhibition of calcium reabsorption in the distal renal tubule. Reducing dietary sodium has been shown to decrease urinary calcium excretion in hypercalciuric stone formers, whereas high dietary sodium is associated with both increased urinary calcium excretion and low bone density.  

Sodium intake among stone formers is equal to or higher than the intake in control groups of non–stone formers. Enhanced renal calcium excretion from high dietary sodium is thought to be due to an increase in the extracellular fluid volume, which ultimately results in an inhibition of renal tubular calcium reabsorption. Sodium and calcium share common sites for reabsorption in the renal tubules. Patients with recurrent nephrolithiasis and hypercalciuria are also the most sensitive to the hypercalciuric actions of a high-sodium diet. Finally, in postmenopausal women, high sodium intake has been directly associated with low bone density in calcium stone formers. [3]

What the heck does all of this mean?  Um... give me a moment to reread it and jot down a few notes so I can figure out how to explain it in layman's terms...  Alright, here's my sparknotes version:

Regularly eating a lot of salt increases your chances of getting kidney stones and having too much calcium in your urine.  Doing so also affects levels of other chemicals, such as calcium, cystine, parathyroid hormone, vitamin D-3, and even urinary pH; in your digestive and urinary systems.  In regards to calcium, medical evidence suggests that a high-sodium diet leads to extra released calcium from your bones and so if you have this kind of diet, not only are you more likely to get kidney stones and have hypercalicuriea, but you're also more likely to have lower bone density, which leads to osteoporosis.  

Isn't that interesting?  And a little bit frightening?  Footnote [4] takes you to this awesome slideshow which tells you things you never knew about salt.  It tells you some things that have a lot of salt in them (like TV dinners, cereals, vegetable juices, canned veggies, packaged meats, soups, spaghetti sauce, spices, headache and heartburn medicines, and more) and how to keep yourself within a healthy dietary sodium range.  It's kind of fun, I highly suggest checking it out.

So there you go-- all you may have never wanted to know about Gatorade, salt, and kidney stones.  Yay.

[1]  "Hypercalciuria: Overview of Hypercalciuria" from Medscape Referance
[2]  "Hypercalciuria: Overview of Dietary Factors" also from Medscape Referance
[3]  "Hypercalciuria: Dietary Management of Hypercalciuria" from the same article as the above two
[4]  "Salt Shockers Slideshow: High Sodium Surprises"  a very neat photo + commentary.  I highly recommend it.

those holes in my head

This is a picture of my face from the front.  You know, if you had CT-vision and were looking at me head-on this is what you would see.  I will explain some of what you are seeing.

The two big black holes in the middle are my maxillary sinuses.  You can see pointing to these sinuses a green captain saying "pus (yay!)".  The pus is from inflammation in my sinuses & nose and mucus not being able to drain.  My understanding is that the mucus turns into pus under these conditions.  (Don't take my word as law.)

Do you see the green captain that says "more pus?" ?  The arrows are pointing to my ethmoid sinuses.  I'm wondering if the gray splotches (not the lines- those are just dividing walls between sinuses) are pus, too.

Ah, "deviated septum".  That is one of the key features in this CT.  Notice the dotted line marked "A" by the radiologist?  That's the line my septum (the white line the green arrow points to) should follow, but doesn't.  Thus why my septum is called a deviated one.  See the blue circled part labeled "bad"?  I believe that is where my Dr said the septum is making contact with the bone or the turbinates or something.  Anyways, it's not supposed to happen and when it does it can cause pain along the trigeminal nerve pathway.

Which brings us to the trigeminal nerve.  I drew it for you since it doesn't show up on CTs.  As you can see, the trigeminal nerve has 3 major branches- one to the temples/sides of the forehead, one to the nasal area, and one to the jaw.  This nerve is a major player in migraine headaches and you can see why sinus or jaw problems might cause migraines, or why a migraine may involve facial pain and/or jaw stiffness.  This is because if something painful happens at one branch of the trigeminal nerve, the pain messages can get sent all along the other branches.  Youch!  This is the reason why my Dr thinks my sinus problems might be the problem that is sending my migraines and headaches over the top.

One last note, look at the yellow arrows labeled "R&L nasal passages".  You can see how the L nasal passage is half the size of the R one.  This is the reason why my mucus can't drain and also the reason why I get short of breath more easily when I'm breathing through my L nostril.

The abnormal size of my L nasal passage, plus all the collected mucus/pus in my sinuses aggravates my asthma and sleep apnea.  Since this picture (CT scan) was taken, I believe the pus in my R maxillary sinus has decreased... I wouldn't be surprised if it had disappeared.  This is because the magic Dr treated me for sinus infection and the R side of my face can actually drain, whereas the L still has problems.

I will note an interesting Cassanndre-Sinus-Migraine factoid: I can tell if a particular migraine is triggered by sinus problems because the pain is localized to the L side of my head (the side to which my septum deviates).

Fascinating, eh?

For a real lesson on sinus anatomy, see the American Rhinologic Society here.


UPDATE:  on account of the crazy snow storm which hit the seattle area, my surgery on the 19th was cancelled.  it is now scheduled for weds, feb 1st.  :)

mission accomplishment before personal safety

My brother had his first ever migraine last night. He said "I'd rather get kicked in the nuts."

I got to advise him a lot on what's good and bad for migraines and what they actually are. That was fun. I always like talking about the pathophysiology of migraines.

He even made a comment about having more sympathy for me now. My response of "yeah, I felt that for about 2 years straight" was the closest I came to saying "I told you so". He was very nice about it and laughed. It's nice to have someone in my home now who has had a migraine. He agreed that you truly don't understand what they're like until you've had one. Now, he had whopper of a migraine which involved a night long of dry heaving, but I'm grateful he understands now. It's encouraging to me.

He was a little worried about them coming frequently, but he doesn't have a family history of migraines so I think he's pretty safe. he seemed relieved to hear that.

Part of my routine when I get a migraine is to stop. Just stop. And take care of myself, so when I'm feeling better I can get back into things full swing. This is mostly bred out of self-preservation-- I tried the keep-going-with-a-migraine thing and the result was constant migraines for a long time, failed classes, lost weight (muscle mass, unfortunately), couldn't eat much.... you get the picture. So to avoid total incapacitation, I generally don't "push through" a migraine. Rob is now sitting and reading a book, per non-doctor's orders, but that was only after doing some work on chores. I told him he really should sit down and take care of himself before doing all that so it didn't get worse, but the movement seemed to help the muscular component and he proclaimed the USMC mindset of "mission accomplishment before personal safety". I admire that, and so long as he doesn't get recurrent migraines, that will work in his favor (and given his family history, I don't think he's likely to have recurrent migraines).

I don't think that mindset would work for me, but then again, maybe it would? I think the key is in following the prophetic counsel of King Benjamin,

And see that all these things are done in wisdom and order; for it is not requisite that a man should run faster than he has strength. And again, it is expedient that he should be diligent, that thereby he might win the prize; therefore, all things must be done in order. (Mosiah 4:27)

So, don't run faster than you have strength. But use the strength you have-- discover it, increase it, and diligently pursue your dreams.

me, as of late

Well, as you can probably tell by the time of this post, I have had some trouble sleeping lately. Actually, you could just as easily think that I woke up early, and that would be true.... sort of. I woke up really early. I was doing pretty well at that during summer quarter, but then there was that 3 week period or so between the end of school and the beginning of my job with the school district. I'm pretty sure that wrecked my nice new habit. [note, i began this at about 5:30am... then finally fell back asleep for awhile, then went out and took some pictures. thus why it wasn't submitted at the early time i was talking about. just in case you actually checked the time down at the bottom here and wondered...]

anyways...

First we'll cover the latest on Guyana. (If you don't know what I'm talking about when I say Guyana, please go here.) My fundraising page is up! I'm almost halfway to the $2500 I need to raise! (The fundraising page only says 2,000 but I think that might be because they took my deductible out of the total or something.) I'm amazed at how quickly people have offered their support and how generous so many people have been (whether they have a lot of money or a little). We've still got a little ways to go, but I'm not worried. I truly believe this is what Heavenly Father wants me to be doing right now and I know the the opportunity has come straight from Him. Since this is the case, I am not very worried about it working out. I think of 1 Nephi 3:7~

"I will go and do the things which the Lord hath commanded, for I know that the Lord giveth no commandments unto the children of men, save he shall prepare a way for them that they may accomplish the thing he hath commanded them."

I also like the words from the Children's Primary song about Nephi:

"The Lord commanded Nephi to go and build a boat.

Nephi's older brothers said it would not float.

Laughing and mocking they said he should not try.

Nephi was courageous and this was his reply:

I will go, I will do

the things the Lord commands

I know the Lord provides a way

He wants me to obey."

So I finally took the leap and decided to try hot yoga. I LOVE it. Every time I do it I like it even more. The heat/yoga combination is particularly helpful for my angry, trigger-point-filled muscles in my neck, shoulders, and upper back (they are large contributers to my headahces & migraines). Hot yoga helps the muscles to loosen up and calm down enough so that I can work out the knots and also strengthen my muscles without freaking them out and making it worse. It feels sooo good!

Also on the healthfront, I have a deviated septum with a dust mite allergy resulting in chronic allergic rhinits.... an ongoing sinus infection. The amazing doctor of magic, Dr McBride, has done an awesome job of diagnosing and treating me. But because of my pretty marked deviated septum (my left nostril is half as big as my right), we can't cure the sinus infection completely without my getting a septoplasty... a surgical procedure where they fix my deviated septum... aka a "nose job". Because of the trigeminal nerve which hangs out around your sinuses, your forehead, and your jaw, there's a possibility that my headaches are caused by sinus/nasal problems. I am, in the words of a wise YSA Relief Society President, "cautiously optimistic". I am hoping to have the nose surgery before the end of this year, but that'll depend on my doctor and my insurance.

And... the sun is beautiful this morning! With beautiful fog! I just went out took some pictures. I am uploading them now :)

jumping into a rabbit hole and letting go of the wheel

"Question: how does a girl who falls- no, actually jumps eyes wide open, down a rabbit hole, plummeting into chaos come out unchanged? Answer: she doesn't."

Okay, so, some things to get out of my mind...
Firstly, today's Sunday...
I've noticed a focus on integrity today in my lessons at church. It was good for me- refreshing; edifying; etc. One of those days when pretty much everything you hear seems to be directed directly at you (thank you God).
watched a movie that maybe i shouldn't have watched-- esp. on sunday
and yet it's making me think
because it's one of those that would be a pretty good ice cream... if it weren't for all the bugs in it.
i went on a walk with three of my bestest friends-- so fun.
almost... well, we won't go there, but someone did honk at me.... yikes.
I had a dream in which a Fish was telling me about 1 Peter chapter 1. So I read it. There's some good stuff there. Among other things, I learned that obedience (to our Heavenly Father) increases our ability to love. Awesome. I love the scriptures. And dreams. And dreamy guest stars...
So, there are things I'm wondering and would like to get straightened out in my mind... but I'm remembering the Guidance-- take it easy about those things for another month; focus on what really needs to be focused on right now, and then figure out those other things. Prepare yourself in the meantime.
And so, the questions, I will think about a bit, make my peace with for now, and work out the answers when the time is right.
Sounds like a plan, Stan. (Who is this "Stan" anyway?)
Okay, time to do bedtime (and pre-bedtime) stuff.... like dishes.
Tomorrow's a doctor's appointment. I want to swear off triptans.... we'll see what the doctor says.
It's time to say my prayers and go to sleep.
TTFN. :)

"You know, life's funny that way. Once you let go of the wheel, you might end up right where you belong."

"I believe we write our own stories and each time we think we know the end... we don't."

(the qoutes are from that little black book movie; pictures are from google searches- gotta love google)

learning and growing experiences

A few things are bouncing about in my brain tonight. Firstly, is an idea I had while listening to FBI Agent O'Riley talk to us in FHE ("Family Home Evening"-- I've started attending the local singles' ward's FHE) about self defense. Secondly, are some lines from the hymn God Speed the Right. And lastly, some thoughts about peace.

So, first off-- Brother (I'm 95% confident he's Mormon) Agent O'Riley was talking about how adrenaline affects us in situations where we need to defend ourselves. He drilled into our heads the fact that there are inevitable physiological reactions to psychological experiences. Physiology and psychology go hand in. When someone comes after us with a knife, we naturally get kind of freaked out- that is a psychological reaction. Along with it, comes the adrenaline rush (physiological). Tunnel vision. Exaggerated gross motor skills, but poor fine motor skills (don't even try to play the flute when being attacked). And so on. He talked about using those physiological reactions to our advantage and not letting them take advantage of us. (Punching, kicking, and shoving an attacker however you can will be much easier than trying to contort their fingers or strategically land a ninja-style kick.)
Related this same statement he made, was the statement which I wrote down (in the little notebook that travels with me everywhere for just this purpose): We cannot control our physiological reaction, but we can (at least to an extent) control our psychological reactions. I found that piece of advice particularly applicable to me.
I cannot change that fact that when I get really anxious, I also get really nauseous. I can't change the fact that stress- whether it be actually "stressing out" or merely mental or physical exertion- results in a pronounced physiological response for me. I get migraines; I throw up; I become (easily) exhausted; I get sore all over; I can't think clearly; I end up doing nothing but staying at home.
These things I cannot change. That is just how my body and mind are wired togethor. Maybe, over time, that will change, but for now, that's my reality.
What I can do, however, is control (to a significant extent) the psychological triggers for these unpleasant physiological experiences. I can train myself to be more calm. I can manage time better. I can learn and then abide to my limits. I can change those limits by slowly adhering to and then pushing them ever so slightly, yet steadily. I can change the way I think, and thusly, I can change the way I physically feel.
I'm not saying that I can cure myself of my nausea, migraines, IBS.... by changing the way I think-- by changing my instincts-- but I can definately put myself in a much better position. Emotional and Spiritual health are much more important than physical health. Of course the three are related- tightly interwoven- but notice how if one were to take physical health out of the picture it is still possible to be emotionally and spiritually healthy. But a removal spiritual health results in a disintigration of emotional health (and vice versa) and often results in a decline in physical health as well.
Strengthening ourselves emotionally and spiritually gives us the power to deal with physical struggles.
Having the Spirit in our lives can do so much for us in so many different ways. Being spiritually healthy on occasion will cure ailments, but more importantly- it always provides strength to endure. I think, also, that it can help catalyze medical treatment. Let me explain.
Recently (in the past month or so) I have begun to feel better. It's amazing. I keep waiting for this upswing in my health to stop, but so far it hasn't. I still am sick much of the time. I still throw up. I still get migraines. But they affect me less. The migraines are less often and less severe. The nausea is still constant, but less noticeable (yes- thanks in large part to the lovely zofran). I have, overall, been able to do more (I'll post more about that sometime soon, I guess). I have been able to see people more often, stick to commitments, etc. etc. It's been amazing. I was trying to figure out last week or the week prior what might have triggered this change. Was it a change in medication? Diet? Exercise? Routine?.... Something had to trigger this change.
And then I figured it out.
I started feeling better (gradually yes, but still noticeably) right around the time I seriously committed myself to having the Spirit in my life more. In making my spiritual well-being a priority, I was blessed by an improvement in my physical (and emotional) health.
The "little things" (reading your scriptures, praying, going to church, keeping Christ in mind) really do make all the difference. They open the door for the Spirit, and allow us to be influenced and blessed by it. I am so grateful for this. I understand that my physical health will fluctuate, that's just the nature of what I have to endure, but my ability to cope- to deal-, with health problems will continue to improve; as will my happiness and peace.

Peace is very interesting. I have a tendency to freak out. I don't get panic attacks all that often any more, but my anxiety level is still higher than the "average" person's. I usually think of myself as having it under control, but lately, with all the things I've had to worry about, my anxiety levels have been a bit higher than my own average. I have even had a few panic attacks. Nonetheless, I have found that it is still possible to have peace. (I wrote about a particular experience here.) I realized after FHE (and commented on it to Excellent Friend) that I was feeling peaceful. Today has been up and down for me (feeling crappy, but then not too bad; worrying about school, but then having some things resolved; stressful things with family....), and I have a good amount of things that I could be worried about. It wouldn't be unexpected if I had a panic attack as a result. I was definately worrying about these things earlier today. But, once again, I found that Heavenly Father and our Savior- if I let them- can instill in me a sense of peace- a knowledge that everything will turn out alright, even if there appears to be no possible solution. With this peace, I am reassured. I am given the extra boost in faith and strength that I need to endure. The resolution, or Happy Ending, may not happen for quite awhile, but it will happen. That's what matters. And even though there are many reasons for me to "freak out", and even though it would be very reasonable for me to worry, in this moment I am able to be calm and assured.
I understand that this feeling will leave me. But I can find comfort in knowing that what that feeling testifies of will not change. If I get distracted from that feeling and start to freak out, it doesn't change the Truth. Everything will be alright. Christ will take care of me. All I need to do is live my life so that I am allowing Him to.
While talking about this to Excellent Friend, I realized something else about it. I need to actively seek after that feeling of peace more. Instead of waiting to be in a spiritual setting that gives me that peace, I need to adapt my life so that I am bringing that peace to it. I know that I can do this, and I know I'm on the right track to doing it. That's so nice to know. I also know that I will be happier and able to accomplish more and become better by bringing that peace into my life.

E. Friend had a tough evening, and I surprised myself when I sat down next to him by not questioning him about what was on his mind. Normally my curiosity gets the best of me and I try to get people to talk to me. I want to know what's wrong, and how I can help. Tonight I was thoroughly curious and concerned. But somehow, I managed to heed the prompting that I didn't need to ask him all about it. I have recently begun to be more patient. Slowly this new wisdom has been planting itself in my brain. People will tell me things when they're ready to. I just need to let them know I'm there to love them, and that I'm willing to listen IF and when they are ready to talk. If they don't talk to me about it (and I have made sure they understand that I am there for them whenever they need me) then obviously it doesn't need to be talked about to me. So for the most part, I have recently been more able to curb my curiosity. It's fascinating.

So, as I sat with my Friend, I decided that while I let him think, I would do some thinking myself. I prayed. I pondered. And I asked for help and guidance.
Randomly popping into my mind were lines from a hymn. Thankfully (since I could only remember the first two lines), a hymn book was right next to me and I was able to look up the song. God Speed the Right. Part of the second verse caught my attention.

Ne’er despairing, though defeated,
God speed the right.
Like the great and good in story,
If we fail, we fail with glory.

I'm going to be thinking about those lines for the next couple of days. I believe that it's possible to be defeated and yet not despair. To fail, but fail in glory. It is a very intriguing idea to me, because that perspective is not one that comes naturally to me. Man, and especially, I think, the American Culture, has this idea that winning is glory, and to loose, fail, or be defeated-- is awful. We must, at all costs, avoid failure. The idea that failure might not be that bad- that idea is so completely foreign. It is very difficult for me to wrap my mind around it. It just is not how I have been conditioned to think.
Ideas about this are beginning to come to my mind, but they need some serious thinking and time to develop enough for me to come to any conclusion. I want insight from other people.
So, dear readers (yes, that means you, Magnificent Friend; and...- do I have any other readers?), I'd like some feedback. How does it work? --How can we be defeated, and yet not despair? How can fail, yet fail with glory?
It's an intriguing notion. I think that understanding this concept might just be part of "[putting] off the natural man", and coming to see and understand life and everything else as God does.

Those are my thoughts for this evening. Good night, and I'll try to start posting regularly again.

jon arbuckle has migraines....

From the lovely Garfield Minus Garfield website.