and so then just like that you learn that you have fibromyalgia

Fibromyalgia is a common syndrome in which a person has long-term, body-wide pain and tenderness in the joints, muscles, tendons, and other soft tissues.

Fibromyalgia has also been linked to fatigue, sleep problems, headaches, depression, and anxiety.(1)

The cause is unknown.(2) Possible causes or triggers of fibromyalgia include:

  • Physical or emotional trauma
  • Abnormal pain response – areas in the brain that are responsible for pain may react differently in fibromyalgia patients
  • Sleep disturbances
  • Infection, such as a virus, although none has been identified

Fibromyalgia is most common among women aged 20 to 50.(3)

Pain in the main symptom of fibromyalgia. It may be mild to severe.

  • Painful areas are called tender points. Tender points are found in the soft tissue on the back of the neck, shoulders, chest, lower back, hips, shins, elbows, and knees. The pain then spreads out from these areas.
  • The pain may feel like a deep ache, or a shooting, burning pain.(4)
  • The joints are not affected, although the pain may feel like it is coming from the joints.

People with fibromyalgia tend to wake up with body aches and stiffness.(5) For some patients, pain improves during the day and gets worse at night.(6) Some patients have pain all day long.(7)

Pain may get worse with activity, cold or damp weather, anxiety, and stress.(8)

Fatigue, depressed mood, and sleep problems are seen in almost all patients with fibromyalgia. Many say that they can’t get to sleep or stay asleep, and they feel tired when they wake up.(9)

Other symptoms of fibromyalgia may include:

  • Irritable bowel syndrome
  • Memory and concentration problems
  • Numbness and tingling in hands and feet(10)
  • Palpitations(11)
  • Reduced ability to exercise(12)
  • Tension or migraine headaches(13)

The goal of treatment is to help relieve pain and other symptoms, and to help a person cope with the symptoms.

Drugs are also used to treat the condition, including:

  • Anti-seizure drugs
  • Other antidepressants(14)
  • Muscle relaxants
  • Pain relievers
  • Sleeping aids

Cognitive-behavioral therapy is an important part of treatment. This therapy helps you learn how to:

  • Deal with negative thoughts(15)
  • Keep a diary of pain and symptoms(16)
  • Recognize what makes your symptoms worse
  • Seek out enjoyable activities
  • Set limits

Support groups may also be helpful.

Other recommendations include:

  • Eat a well-balanced diet
  • Avoid caffeine(17)
  • Practice good sleep routines to improve quality of sleep(18)

(19)


  1. Which I absolutely deal one or the other – or several – of these on a daily basis.
  2. Isn’t that fun?
  3. Tough obviously of course it can also affect men at the age of 36.
  4. See yesterday’s pain-chart.
  5. This is true for me.
  6. So is this.
  7. And also this.
  8. My best option then is to become a kept-man to some rich woman who lives in the desert. As it happens though I am very much in love with Ashley and also enjoy living in Ohio. So that option’s out.
  9. It gets to a point at which it’s just a way of life. You understand that you’re simply not capable of sleeping more than 6.5 hours and you can either futz about it or you can get up and get shit done. Plus the cats get fed so they stop driving you crazy.
  10. Yep.
  11. Yep.
  12. Well, it’s hard to say reduced when you have zero context against which to compare it. It’s like dividing by zero.
  13. I get a headache every Monday. It’s been happening for years.
  14. And there it is. That’s what I was afraid of. I knew going in that fibromyalgia was a  possible cause for all of my pain. I was prepared for the doctor to say, “I think it’s fibromyalgia.” I’m not prepared to take anti-depressants. Or, more appropriately, I’m terrified to take anti-depressants. To take anything which has a possible side-effect of suicidal thoughts. Because no thank you I do that well enough on my own. And plus also there’s the what happens if it doesn’t work factor, in which I have to stop one anti-depressant and start on another and the whole process can really whack-out a person’s central wiring, really make things pretty janky up there, gum-up the processes, and, once again, thank you very much but I do that well enough on my own.
  15. Could use that anyway.
  16. If by diary you mean blog, then check that one off the list.
  17. Son of a bitch. Really? But it’s my friend
  18. My sleep routine is solid. I just can’t sleep more than 6.5 hours no matter how tired I am.
  19. And so there it is. The diagnosis I feared coupled with a prescription I’m terrified of. All in all, not a good day.

for katharine: sickness and health

My friend Katharine got engaged yesterday. Today she posted this:

This reminded me of the Monday after Ashley and I got engaged.

This is that post.

I proposed to Ashley early in the morning on April 24, Easter Sunday. By early in the morning I really mean shortly after midnight because I wanted to do it on Easter Sunday yet I could hardly wait to actually do it. So like 12:01 AM. We stayed up late that night. She called her family and she and I talked about a lot of things before we finally passed out. The rest of that Sunday was pretty standard…except for her staring at her new ring all the time. We went to bed early because we had work and school the next day.

But at 4AM the morning after we got engaged, we were in the hospital.

Ashley’d woken me up a few times that night getting sick. Finally, she said she thought maybe she should go to the ER. And if Ashley thinks she needs to go to the hospital, it’s bad. We hastily got ourselves around and a short time later were in the ER. They hooked her up to an IV almost right away – they knew she was dehydrated before they knew why.

Like many nurses before her, the ER nurse had trouble finding a good vein in Ashley’s hand. One of the attempts caused a little bit of blood to trickle slowly down her hand until it covered part of her new engagement ring. Later on, Ashley would come to for a few minutes and apologize to me for that, for having gotten blood on what she said was such a pretty ring. But it didn’t matter, I said. It could be cleaned.

As she drifted back to sleep, her body finally calm and rehydrating, I pushed a couple of stools together, made a blanket of my coat, and slept a little bit. Around 6AM they sent us home. Turns out it was a virus making her sick. The doctor gave her a prescription to help control the vomiting and diarrhea, but the pharmacy didn’t open until eight.

We spent another miserable two hours at home. She was so sick that she was afraid to leave the toilet. But she was so tired she could barely keep herself sitting up. And so our engagement began with me kneeling in front of the toilet and giving her a shoulder to rest her head on while she was sick. She said it was really awkward and it sure as hell was. But it was also just what you do.

I called off work that day and Ashley didn’t go to class. I ran to the pharmacy when it opened and eventually her nausea settled. We both slept for a while and eventually were able to kind of joke about it: ‘Hey. Remember that time I proposed to you and you got sick?’ Hahaha. Hilarious to this day, right? So pardon me, Katharine, if I disagree with your statement.

But, seriously: Congratulations. I wish you and yer fella many, many happy years.

And that he never has to hold you up while you’re on the toilet.

But that if he does, you have the good sense to let him.

And again, congrats.

sometimes i think time’s healing powers are highly over-hyped

One year ago today, our cat, L.G. Nermal, passed away. What’s remarkable it that, after all that time, I still feel incredibly sad when I think about him. Just picturing him there as he was dying almost brings tears to my eyes. In fact, writing this little post is proving to be just as difficult as writing this one was.

I don’t entirely understand why it’s still so painful for me. This isn’t like me. I understand and accept death and dying. This sort of thing isn’t the kind of thing I hang on to. Yet, there it is.

You’re still missed, Little Guy. I hope you can play out there, wherever you are.

less than a million breaths away

“I’m talking about the individual US citizen’s fear, the same basic fear that you and I have that everybody has except nobody ever talks about it…Our smallness, our insignificance and mortality, yours and mine, the thing that we all spend all our time not thinking about directly, that we are tiny and at the mercy of large forces and that time is always passing and that every day we’ve lost one more day that will never come back and our childhoods are over and our adolescence and the vigor of youth and soon our adulthood, that everything we see around us all the time is decaying and passing, it’s all passing away, and so are we, so am I…

And not only that, but everybody who knows me or even knows I exist will die, and everybody who knows those people and might even conceivably have even heard of me will die, and so on, and the gravestones and monuments we spend money to have put in to make sure we’re remembered, these’ll last what – a hundred years? two hundred? – and they’ll crumble, and the grass and insects my decomposition will go to feed will die, and their offspring, or if I’m cremated the trees that are nourished buy my windblown ash will die or get cut down and decay, and my urn will decay, and before maybe three or four generations it will be like I never existed, not only will I have passed away but it will be like I was never here…That everything is on fire, slow fire, and we’re all less than a million breaths away from an oblivion more total than we can even bring ourselves to even try to imagine.”

That’s from David Foster Wallace’s The Pale King, and it hit me rather hard today whilst I was eating lunch alone upstairs at work. First it was the bit about the gravestones, which we think of as the final reminder of our footprints on our place. Then that bit about the slow fire drove it in. Maybe it was the events of last night – really thinking about the other side of organ donation – I don’t know. But when I read this today everything around ceased to matter, to even exist. And all I can think about now is how precious little time we get here, and how even by that measure I get even less precious little time to spend with Ashley…and that comes at the expense of some other family who ended up with even less precious little time with their child than they could ever have brought themselves to even try to imagine.

And I am sad for them. And yet grateful. And while those two emotions mix readily in a person’s heart, it takes the mind significantly more time to catch up.

fifth-third spank

For a few years now I’ve banked with Fifth-Third. I’ve had a rewards-checking account with which I earn points for spending money and for direct deposits and can use these points for various things, like a nice fifty clams deposited right into savings. The account has a $3.95/month fee, but I did the math before I set up this account and figured out that I’d come out far enough ahead that it was worthwhile.

Today I logged into my account online and got a notice that they were raising the point levels required to earn the fifty clams. This reduces the margin enough to compel me to enquire about switching my account to a no-frills free-checking account. All I really need is a debit card and online banking. I don’t earn enough to spend enough to make any other type of account necessary.

So after putting in my standard eight-hours-per, I drove to my bank and asked about switching account types. I spoke first with a teller who assured me that someone could help me. She directed me to an office and asked that I have a seat outside. Brittany would be there in just a minute to help me. As I crossed the lobby, some woman stepped out of her office and said that she could help me, rather than Brittany. I did a quick turn and made my way towards her office.

Though, I’ll admit…I felt like what this woman had just done wasn’t strictly how things were supposed to work. Nothing concrete…just a feeling, like when you’ve just eaten something with a lot of cheese and you feel just fine but suspect that’ll come back to haunt you at like 3AM.

I sat down in her office and shed my coat because it was warm. She said if I thought it was warm in here that I should go into the women’s restroom when we were done. I didn’t really respond to that because why the hell would I go into the women’s restroom? Instead I told her exactly what I was after: a free checking account. I said, “If you guys don’t offer anything like that, just let me know now and I’ll look elsewhere.”

She said, “Oh no. We definitely do.”

“Great,” I said.

She said, “I’m a personal banker and so I’m something of a financial planner. I’m going to look at how you spend your money and see if I can find ways to save you money. And I won’t suggest something to you unless it will, I’ll stake my name on that.”

“Great,” I said. “Free checking would save me money.”

We went through the basic identity stuff and she asked if I wanted overdraft protection. No, I said, I don’t. If I’m about to spend money I don’t have I’d much rather you decline my card than let it go through for a fee. She said okay, but she hesitated. I said, “It’s my right to decline that. It’s a law that you give me that option and I can decline it if I choose.” I wasn’t confrontational about it, just trying to address the hesitation I heard in her voice by showing her I know what I’m doing. She acquiesced to my decision and went back to looking at her computer screen, which I assumed had my account information up but much have had a list of things to offer that I didn’t ask for.

She said, “Do you have a credit card?” I said, “No.” She said, “None?” I said, “No. I’m not terribly interested in having a credit card.” She said, “Okay.” I said, “But I am interested in free checking.” Because so far we hadn’t talked about the only thing I came here to talk about. Heat? Check. Women’s restroom? Check. Overdraft protection? Check. Credit cards? Check. Free checking….not in the least.

She futzed around for a moment and said, “How do you guard against identity theft?”

I said, “I change my passwords frequently. I use different passwords for different sites. When I generate passwords, I view the strength-meters as a challenge. And I win. I encrypt my backups. I require a password to log into my phone. I use different passwords for my computer and for my home Wi-Fi. My home Wi-Fi password is the most complex password I’ll bet you’ve ever seen. And I have it committed to memory. It’s not even written down anywhere. “

She said, “And do you get your credit report?” I said, ‘Yes. About once per year.” She said, “Because we offer a checking account with identity-theft protection and with it you’d have access to a free credit report 24-hours per day.” I didn’t even get into why the hell anyone would need all-hours access to a credit report. She said, “It costs $7.95.”

To translate: she was meeting my desire to divest myself of my account’s $3.95 fee by offering me an account that cost twice as much. It was like I shot her down when she moved in for a kiss and so she tried reaching a hand between my legs. That seemed to be the logic she was operating under. I could have told her from high-school experience that it wasn’t going to get her anywhere.

Instead I said, “Wait…I don’t feel like you’re listening to what I’m telling you.” I want to stress that that is exactly what I said to her. If you’re a customer-service person and someone comes right out and says that to you, you need to be damn sure you start listening right away. She, however, tried a different tactic aimed at getting me to see her point-of-view.

She said, “Well you see, banks are like any other business. We’re for-profit.” I said, “Yes.” She said, “And since the Obama situation…”

I cut her off. “Obama isn’t a situation. Obama is the President of our country.” This is the only moment that I visibly lost my cool.

She didn’t notice the loss-of-cool. She said, “Yes…and since the Obama situation…” And she went on to explain the new law that limits how much they can charge businesses per-transaction for accepting their debit cards. She talked with a smirk, as though we were both conspiratorial Republicans, or at least plutocrats in waiting. ”And cutting those fees cost us trillions of dollars,” she finished up. Trillions, because apparently Fifth-Third alone could bail out the national debt.

And I said, “So you’re hoping to recoup some of those costs by tricking me into signing up for an account that costs me twice as much.” She said, “Okay. I don’t think I’m explaining myself very well.” I said, “That’s because you’re not listening.” Again, I stress that those are my actual words. For the second time I flat-out told her that I didn’t think she was listening to me.

She said, “Maybe this will help.” And she pulled out this laminated placard that really looked more like the menu/place-mat thing at Waffle House than anything else. It was essentially a poorly designed graphical representation of Fifth-Third’s accounts and their features. A fourth-grader working with Microsoft Paint could have done better.

She said, “You don’t spend enough money to make this one worthwhile. And you’re not old enough for this one. So that really only leaves you with the one you have or the identity-theft option.” I said, “So you don’t have free checking?” She said, “Well since you use direct deposit your current account is free.” I said, “No. My account costs me $3.5 per month.” She said, “Okay. So I’ll just set you up with a new debit card. Would you like us to wait until your new card is activated before we deactivate your current card?”

I shook my head, trying to clear the confusion that’d set in with her last statement. I said, “Wait wait. Hold on. Why are you getting me a new debit card? No one said anything about debit cards.”

She said, ‘It’s not your account that’s costing you money; it’s your debit card.”

I said, “That doesn’t make any sense.” And maybe it does. Maybe she’s right. Maybe that’s something no one told me or that I’d forgotten. The point is, though, that she didn’t bother explaining this to me. Instead she said, “We’ll just set you up with a card and you’ll have free checking.”

I said, “You know what? I’m just going to go.” I gathered up my coat and said, “I told you I wanted a free checking account and so far you’ve talked about everything that isn’t free checking. I said, ‘I’d like free checking and if you guys don’t do it just let me know and I’ll look elsewhere’ and you said, ‘Oh we most certainly do.’ But you don’t want to talk about free checking. So I’m just going to go. I’ll do my research and make my choice.”

She seemed surprised, though how she could expect this would end well after the Obama comment was beyond me. Not that I’m President Obama’s biggest supporter or anything, but it’s just stupid to assume that your customer would conspire with a statement about the “Obama situation.” And I found that label to be exactly as disrespectful as I was trying very hard not to be.

I said, “Thanks for your time.” She said, “Do you want a brochure?” I said, “No, thank you. I know how to do research.”

And I left. Within an hour I had a new, free, checking – and savings – account at a different bank. In two weeks, once my direct deposit is set up to that account and I have my new debit card for my sweet free-checking account, I’m walking into that Fifth-Third bank and withdrawing all of my money. Then I’m going to talk to that woman and tell her why I’m withdrawing all of my money. Then I’ll talk to the branch manager and make sure they know they’ve lost a years-long customer because of one specific person. And if that woman happens to be the branch manager, I’ll set up a meeting with the regional manager.

Between now and then I’m involving myself in a one-man anti-Fifth-Third social-media campaign called Fifth-Third Spank.

Spank-site one: Twitter.

Spank-site two: Customer-service rep one.

Spank-site three: Customer-service rep two.

Spank-site four: Yelp.

Spank-site five: Google maps.

Spank-site six: Foursquare.

Anywhere I can talk about this online, I’ll be there. We no longer live in a world in which corporations can screw-over or be insensitive to their customers and not have that voice lost in the masses. I intended to teach them – and this woman – exactly that lesson.

new year’s hopes

I remember when I was a kid and we were all up late on New Year’s Eve and as the moment got closer and closer I found myself filled with anxiety. At all of eight-years-old, somehow I just couldn’t take the thought of living through another year. As the ball slowly dropped(1) and grew more and more sad. I pulled a blanket over my head and said that I didn’t want it to be 1984. That I had no reason to believe that 1984 was going to suck any less than 1983 and that without any kind of promise I would prefer that time just stop right there.

How many of us have thought that?

How many of us have wanted a promise of something better before moving from what we know?

How many of us want reassured that the word change isn’t fraught with peril?

But much like end-of-the-world predictions, wanting that sort of promise is a waste of effort. Time will move on; change is the way of things. We know this, just like our bodies are instinctively aware of the force of gravity.

Human beings, for all our failures, never give up hope. This is why we make New Year’s resolutions. We can’t extract the promise of a better year from some external locus, so we dive into ourselves for it. They are essentially magic feathers in a land of draconian gravity.

Because we are not meant to fly, and because, at least in the U.S., we bring in the New Year by cheering on something as it falls, our resolutions set up us for failure. We want to be happy; we want to be healthy. In America, those to prospects are almost diametrically opposed. So many of our pursuits of happiness are pursuits of self-destruction.

This is why I make New Year’s Hopes. These aren’t things that I’m resolved to accomplishing…because were I resolved I would have already done it. Or I wouldn’t need to promise myself that I will. These are things I hope to accomplish and things that give me hope for the upcoming year.

In 2012, I hope:

To marry the loveliest woman I’ve ever met.

That’d be Ashley.

To be more active in my day.

Just 30 minutes per day is all I’m asking of myself. I’ll go for a walk. Play Wii Tennis. Whatever it is. I might not lose any weight, but I’m betting I’ll feel better.

To replace internet-meme-site reading with reading more blogs.

I use internet-meme-sites as a quick five-minutes-of-downtime at work. The problem is that I’m sure these sites have exactly the same effect on the psyche as reality TV. Good blogs, on the other hand, are enlightening and funny and remind me often of what it means to be human.

To write more, including here.

Pretty self-explanatory.

To be more creative every day.

I have an iPad upon with I can draw and sculpt and even try my hand a vector graphics – which I in no way understand, by the way. I have a Mac with which I can create songs and movies. I have a spice rack and cupboard of raw materials for cooking.(2) There is no reason I cannot create something new every day, even if it’s terrible.

This is how I hope to make 2012 a wonderful year, for myself and for others. To make the effect of gravity somewhat less imperial. To make myself not want to cover my head and worry about 2013.

I also hope you have hope of your own.


  1. And this was N.Y.E. ’83/’84 and the ball didn’t drop so much as it was dangerously lowered. The pole wobbled. The ball’s descent wasn’t a constant rate. It made you worry about supposed constants like gravity. I always felt we were seconds away from watching a horrifying disaster on live television, with Dick Clark suddenly trying his hand at real news.
  2. And yes, cooking – real cooking – is a creative act. I learned this when I invented a glaze for Ashley’s family’s Christmas ham.

bangers & mash

A friend of ours has her British feller here for the holidays. We met up a few days before Christmas and he spent a fair amount of time complaining about American food. He said burger in roughly the same tone you might use to describe the contents of a used handkerchief. And his description of Taco Bell was…well rather accurate, honestly.

So as we sat there in an American pizza joint fattening up on breadsticks stuffed with cheese, I invited the two of them over for a classic English meal: bangers and mash.

Image courtesy of the BBC. Which seems like it should be obvious.

For those of you on this side of the pond, bangers & mash is just pork sausages and mashed potatoes, usually served with onions and gravy. Though don’t feel bad if you assumed it was some type of sexual trick and/or position you hadn’t heard of yet. I thought that too.

The problem was that I didn’t exactly know what I was talking about. I knew just enough to know it’s basically the English version of fried chicken and corn and that an English fellow complaining of American food would probably love a little taste of home. But I’d never made it before and had never eaten it. I’m sure the only reason I knew about it was buried somewhere in the volume of English and Irish novelists I’ve read. I couldn’t have told you what makes for good bangers, though I did think about messaging an English couple I know for a few pointers. In the end, however, I decided to accept the challenge on my own if they decided to take up my offer.

So I was delighted when they did just that. And yes, I’m pretty sure it’s a law that when you’re talking about cooking for someone you have to be delighted as opposed to excited, thrilled and especially pumped.

A good culinary challenge is certainly not something a 300-pound man passes up, but let’s face it: bangers & mash isn’t precisely tricky. You fry up some sausages. You make mashed potatoes. You make a little gravy and sauté some onions. Big deal.

So I took it a step further and used our friend’s recent birthday – and her allergy to chocolate – as an excuse to bake a cake. And then, I guess because I just wanted one more challenge…but also maybe because I hadn’t really done anything in the last few days…I decided to top the cake with real buttercream frosting. All of which was made from scratch.

And it was good. The cake, the frosting. The bangers & mash. The varieties of English beer we drank. But what made my day – even though it was the easiest thing I made – what made my day was listening to our English guest sit back and moan just a bit with pleasure at his first bite of banger. He even went back for seconds, though I recall him complaining about the size of American food-portions.

It’s one thing to concoct some buttercream frosting for the first time. It’s another to make another culture’s food and have it vocally approved. To that I say: CHALLENGE, ACCEPTED!