Sunday, September 16, 2018

Incremental Musings for Today


Because I have the gift of sabbatical I am committing every day to doing  somethings that I really enjoy doing and not focus solely on work and research. During sabbatical I hope to read at least 40 books that are not related to my research or my writing and represent literature of the world, both fiction and nonfiction.  I will use this blog to  log the books that I read during my year of sabbatical. I begin today with a couple of books I picked up at a free little library and also one by John Grisham from the Public Library. 

Rogue Lawyer by John Grisham: Captivating Story of a lawyer to take some really interesting, bizzarre and dangerous cases. Relevant commentary on police brutality and other shenanigans of politicians and our judicial system.

The Whistler by John Grisham: This is a very entertaining story and quick read about an investigation into a  corrupt judge, organized crime, thugs and other colorful characters. In typical Grisham style, the book delves into  the nuances of the legal system and judicial practices. 

State of Wonder: Anne Patchett: First book that I read by Anne Patchett.  The book is a complicated scenario about medical and genetic research in the Amazon with a pharmaceutical company. I found the description of the Amazon interesting and exhausting at times. Does give some interesting character analysis and plot  given the times and what we read in the press, seems credible most of the time.  Did not care for the ending of this book and felt it was not true to the scope of the character analysis.

I am Malala: Malala Yousafzai: like many I have been intrigued by the incredible work of this young human being Malala. I can see why this book was it that a bestseller. The beginning of the book is a lengthy description of the history of the area where she is from in Pakistan called Swat. Her account of being shot by the Taliban  and her inspirational recovery and determination to continue to advocate for education for women and girls makes this an incredibly compelling read.


Friday, August 31, 2018

Renewing


This is a blog of my ruminations of an incremental nature. It has already been several years since I posted on this blog, I intend to remedy that over the next year while I am on Academic sabbatical. I find it helpful to journal and reflect  of the nuances of my own being and living.  This year I hope to take a pause and really work on my own well-being not just the physical part but the  other aspects of a healthy being including social, emotional and resiliency well-being.  I have devoted way too much of the past forty years to work.  I am eager to start to figure out what might be next for me  as my workdays start to wann.

My body is also telling me that it is time to slow down and rest.  I have a very stubborn dejuvarex tenosintovitis.  That is a type of tendinitis that I have in my right wrist caused by overuse over many years of doing work and very intense work on a laptop.  It has flared up again so that now I am in a cast.  Purple cast.  I also  experienced a long summer of digestive malaise and discomfort.  All of my tests and even a CAT scan came back as normal,  which is it course and enormous relief. I feel the universe  within my body is speaking loudly that I’m overdoing it and I need to stop and really dig in to some respite.  Thus with the help of audio to text, I hope to do a little documentation of what I try to do to slow down and really put a period for now behind my internal mental to do list. 


Tuesday, December 23, 2014

Simple play things


I spent the better part of the last two weekends with this lovely boy: Noah, my 5 year old grandson. Together we baked a few dozen cookies and some sweet breads for holiday gatherings, decorated the cabin and worked on Christmas cards. He also played with Legos while I took some time to work on my pile of grading. 

One of the best part of our two weekends was just watching him play with things he found around the house.  Like a string and a little bag with handles. The string became his “zip line” and the bag became his basket for giving his small animals a ride. He spent hours playing with a set of Santa Claus nesting dolls that we have. He made all sorts of games with these nesting dolls, including an intricate game of hide and seek for the animals. He also played for many hours with a couple of milk jugs and an old utility tub. The milk jugs and some ribbon transformed him into “muscle man.”

What intrigued me about his play is how he used next to nothing to play for hours. He was creative and thoroughly engaged in his play. It made me think about this season of giving and spoiling children with so many toys. Noah played for hours with what was available to him. Yes, he  brought a couple of his stuffed animals to the cabin and yes we have Legos, too, but mainly he entertained himself with things that he found around the house. He transformed simple things, like string and a little bag and a couple of milk jugs into a magical little world of play and creativity. It made me think that we adults may have the toy thing all wrong. Noah did not need any of the commercial toys to engage himself for hours and hours. Just a few things he found around the house. He was happy, content and learning, too.

There are plenty of wonderful toys available to children today, including toys that build form a child’s imagination like Play Mobile and Legos. Watching Noah for those few days, made me wonder if all those toys are really necessary. Toy makers would like us to believe that they are, but my evidence form one little boy, suggest something different. Simple things around the house yield great playthings for one small boy.

Monday, October 20, 2014

Migraine headache cycles and me...

Migraine headaches have been a big part of my life for the past 13 years. On January 29, 2001 I slipped on some ice at our hobby farm and landed on the back of my head. I had a moderate concussion with minor head injury, according to the doctors who treated me, over the following months. For me that concussion manifested itself with typical symptoms like fogginess, dizziness diminished cognitive clarity and a feeling that I had a blanket wrapped over my head. As time went on, though, I developed migraine headaches as a result of the injury. 
I do not remember every having migraines before my head injury. But, that head injury co-occurred with two huge professional commitments that I had at the time: full time teaching in a small liberal arts college and full time doctoral student at the University of Minnesota. I am sure it did not help that I took little time off of work and continued in graduate school (although I did miss a few classes). I persisted with both and my headaches followed me through every stage.
I started seeing a neurologist after about two years who prescribed a series of daily preventative that included a beta-blocker and an anti-depressant. There are strong results reported in the scientific literature that the regime helps to prevent migraines.  In addition, I took Imitrex, for acute migraines, injectables (which I had many) and tablets. My acute headaches persisted, although the cycle became longer in between them. When I finished grad school, my headaches became even less. But they were still there and would raise their glaring head when I least expected it.
When I started taking better care of my health in 2010, I thought my headaches would also decrease. They did somewhat. The cycles between headaches would go for many months now, but they were still there. Still there meant that I was incapacitated at times. When my headaches start up, I am incredibly sensitive to light and sound. I get sick in my stomach, too, but usually do not vomit.
            I continued to take preventative medications and of course the Imitrex when they were acute. I rarely missed work. But, I kept looking to see if there was something else that was triggering this insidious cycle of head pain. In January 2012, I went cold turkey and eliminated coffee and caffeine. My body responded with one of the longest migraine/rebound headache cycles I ever had: 22 days. Once I got on the other side of the caffeine withdrawal, the migraines decreased considerably. As a matter of fact, I went from having 6-8 a year to maybe 1. I thought I was nearly cured.
            Enter 2014: specifically summer of 2014. 2014 was a significant year for me because I had several bad bouts with asthma because of the very high pollen counts (I am basically allergic to everything outside!). The summer began with a switch to different series beta-blockers because the one that I was on decreased the effectiveness of my asthma medication. The switch began in late May. From late May until late July I was back in a non-relenting cycle of migraine headaches. I took more Imitrex in the summer months than I did since I gave up caffeine. By the end of June, the headaches had subsided, so I that I was done. But, no. I wasn’t. By the third week July they had started up again. I went to see my neurologist who prescribed a new drug for me: an anticonvulsant. I took this for three weeks, but could not handle the numbness in my hands and the dullness in my head. So, I went back to my other meds.
            As the summer progressed I began reading a great deal about migraines (specifically Mayo Clinic: http://www.mayoclinic.org/departments-centers/neurology/overview/specialty-groups/headache. From my reading, I realized that I was probably using too much Imitrex and developed what is known as medication overuse rebound migraines. In early August, I decided to stop all Imitrex for my acute headaches. It was tough, but I did it. At the same time, I eliminated Aspartame in my diet (another trigger).  I noticed that my body would go through a migraine cycle for 2-3 days with about a day in between and then the cycle would begin again. By Mid September, the cycles were getting longer and weaker. By early October, I was having only 1 or so every two weeks. Although it was very hard to power through these headaches, I was encouraged that all together as I went along each headache was less than the one before. This fact made we wonder what might happen if I started to take myself off of all medication. Would I have that same cycle?
By Mid October, 10 days ago, I decided to begin to tapper down my preventative meds. After 13 years, it was fairly obvious that they were not doing what they should have. I was also becoming concerned with some vague wobbliness that I felt might have been related to the long-term impact on my body of these preventative medications. Plus, Beta-blockers are not weight neutral. I reasoned that if I went off the Beta-blocker, just maybe I would be able to work on my last 35 pounds. After my experience of powering through the headaches without any acute migraine medication outside of Ibuprofen, I wanted to see how my body responded. 
It may be coincidental, but over the past 10 days I have not had a headache. I am now off all of my medications for migraines. It is too early to tell what will happen, but I am encouraged by how I feel so far.  After taking daily medication to prevent migraines for over 13 years, plus tens if not hundreds of doses of Imitrex, I feel it is time to see how my body responds on it’s own. So far my head feels good and clear. I am taking good care of myself and keeping up my exercise.
I have been a migraine sufferer for too long to really believe that they are gone. But, at this point, I want to continue to give no medication a try. I respect my neurologist, however, I known that if I had gone back to her in August and reported the unrelenting cycle of migraines, that she would have opted for a new round of different medications, including Botox injections. I am interrupting that medication cycle, to see what happens. I am keeping my fingers crossed that my chronic cycle has also been disrupted. 
I am not a medical doctor. Please take this overview as just what it is: a short history of my own migraines and what is working, not as advice for any reader. I will keep you posted. Michele

Wednesday, July 16, 2014

Seattle to Portland Ride, STP!


On July 12 and 13, I rode 207 miles in the Seattle to Portland Ride with my son Sean. I trained for months for this event, starting in February. It was a tremendous accomplishment for me that would never have materialized if I had not started taking better care of my health. Before it slips from my memory, I decided to write out my own notes about each leg of the trek so that I can prepare better for the next time.

U of WA to Lake Washington (4.7) was a well-marked section, with a few short hills. Sean and I arrived at 5:15, got in line and off we went! The route around Lake Washington was glorious; Mount Reiner and a full moon off to the East with the skyline of Seattle across the lake. 

This part of the route was excellent where Sean and I averaged about 16 mph. Oftentimes (because of the flats around the lake) we were able to draft at about 18mph. Our first official rest stop was in Renton at REI headquarters. They had a polka band, which make the atmosphere festive.  They also had wonderful burrito type wraps with peanut butter.

The next leg took us up to the hill (mainly flats until the hill). The hill was hard, but doable. I maxed out my gears. I was not the slowest person going up the hill, but one of the slowest. After the hill, the terrain became gentle rollers all the way to the Spanaway, where Anne and Jan met us (which was awesome). I had a flat right outside of Spanaway which Sean fixed lickety split.

After Spanaway the temperatures starting getting really hot. I am guessing it was about 90 by 1pm. The route was not too hard, mainly rollers, but the heat was problematic, especially for me. I had a hard time eating anything and drinking did not work either. Our mistake was not stopping every 10 miles to eat and drink. Somewhere around McKenna or Yelm, we found a Wal-Mart where I bought a yogurt, which I thought correctly, might settle my body down. Just walking trough that immense store to find the yogurt cooled my body down. Once I realized how my body was responding to the heat, we began taking many breaks, plus we stood in the misters, too (which were fabulous).

Around mile 72, we started riding on an old railroad trail. For the most part this trail went slowly downhill, which made it great for riding in the heat. The air circulation was not as good here as on the road (bushes and trees blocked he slight breeze), but it was heavenly to be off the road. We entered Centralia around mile 95. We rode about 4 miles into town to get to Centralia Community College (where there was great food!). Our average for day one was just under 14mph!

Day 2
We got up early and left by 5:30am on Sunday morning (along wit a few hundred other riders with the same idea. Centralia to Winlock featured many rollers, with some flats. We again averaged in the upper teens (17-18 MPH) by drafting. The route from Winlock to the Kelso/Longview areas were perhaps the most scenic of the whole trip. Plenty of rollers, some with some grades to climb, but beautiful farmland and open fields. Anne and Jan met us at Lexington Free Food Stop, which was one of my favorites. We stayed there about 40 minutes and grabbed many snacks for later. The weather stayed cool all day (upper 60s. from a predicted 90ish).


We were escorted in groups of 500-700 riders over the Lewis and Clark Bridge. There was a steep grade initially on the bridge they gave way to a long descent. After crossing that beautiful bridge we started one of the most tedious parts of the route US Route 30 through Oregon. This is a heavily traveled route with two lanes of traffic in both directions. The shoulders were sometimes very narrow or nonexistent. The lumbering traffic was noisy and unpleasant. There were plenty of places to stop for food though, including a DQ and coffee for Sean. This part of the route also featured some light rain, which made us both cautious as we rode. Road bikes are not meant for rainy conditions.



That last part of the route crossed one more bridge over the river near Portland. Probably the longest 10 miles of the ride was riding through the various neighborhoods in Portland. I was tired and there were a zillion stoplights that we had to stop at. But we made it. When we were about two blocks away from the finish line, I saw the banners and started to get emotional. It was a LONG two days, but Sean and I had done it (Day 2 averaged about 13mph). 
Four years ago, I could never have imagined doing a ride like this. Even three years ago when I did my first organized ride (the Tour De Cure) for 27 miles, I did not envision that I would do back to back centuries. I still have about 30 pounds that I would like to shed, but that extra weight has not stopped me in becoming more fit that I have ever been in my life.

I also could not imagine four years ago that my adult son Sean would ride this event with me. He was a great supporter and encouraged me when the route or the heat became hard. I think there were times when I surprised him at my stamina (like riding by him when he was trying to keep a slower base). He drafted me across many parts of the route which saved my energy for when I needed it (the hills). Plus, he was just good company. I would never recommend riding an event like the STP without a companion. You need it. Sean, you were the best! Thank-you so much for doing this with me! I will remember this for a long time!