Pain and other challenges: The big reboot

Posted: June 5, 2012 in Exercise, Fitness, Health, Obesity
Tags: , , , , , , ,

I alluded to my recent health issues (well, more than “alluded” in some) in recent posts: Pain and other challenges, Pain and other challenges: Part 2 and Pain and other challenges: Part the third.  The problems kept piling up, and the key feature to improvement, consistency, has eluded me. I think I’m now on the way to surmounting the problem.

One of the issues that is only tangentially about me is that my migraine specialist, Dr. Robert Nett, died in a car accident back in February. His death was a loss to the medical community, as he was both a researcher and a practitioner, an M.D. and a pharmacist, and very attentive to his patients. It was, of course, even more of a loss to his family and friends, but I’m sure all of his patients felt the loss as well.

I found out when in a different specialist’s office. I’d listed Dr. Nett as the doctor treating me for migraines, and the doctor’s assistant asked me a couple of times who was taking care of that. I repeated the answer a couple of times, a bit confused. Then she realized I hadn’t been told.  When she told me, my first thought was “What a waste!”  My second was “His poor family.”  And my third, I’m a bit embarrassed to say, was “What will I do now?” Selfish much?

But there’s been some validity to the concern. I’ve been heavily medicated to prevent the migraines, and I was developing some sporadic and odd side effects. He had planned to reduce them at some point after they’d done their job of resetting the sensitivity of my brain to stimuli. However, you basically had to audition to get an appointment with him because he was in such high demand. Now that he’s gone, pretty much everyone here in San Antonio that specializes in migraines is slammed and we’re looking at, ohh, August, maybe, before I actually see one of them.

So my internist (whom I’ve called “wonderful” several times, and realized I use “wonderful” way too often, so let’s say she’s amazing — because she is) has been temporarily dealing with my migraine meds as well as my grab bag of assorted illnesses. I had an appointment with her because of a hacking cough I couldn’t shake and managed to have one of the side-effect “spells” that  periodically plague me. I won’t bore you with the details, but she sent me straight to the ER, and on the follow-up appointment said that I was acting as if I’d “had three bottles of tequila, and [she] knew [I] hadn’t done.”

So what with the actual migraines, the recurrent hacking cough, and the spectrum of light-headed to stoned beyond belief, I’ve been extremely inconsistent with my exercise.

So at said follow-up, I talked to her about reducing all of the drugs to zero and asked her if she thought I was being overly simplistic in thinking that diet and consistent exercise would take care of the problem. She nixed reducing everything, even over a lengthy period of time, and pretty much told me I could expect to be on X, Y and Z for the rest of my life. On the other hand, she was in favor of reducing to eliminating some of them.

But we both knew that the ones that were first on the chopping block were those which were preventing the migraines, as they’re also the ones probably responsible for my problems. So I kept thinking, well, what about the exercise if I’m in the middle of a migraine?

She did agree that exercise and weight loss would/could eliminate (or at least ameliorate) most of my medical issues. But I was stuck on the “How can I be consistently exercising if I’m having all these problems?” and not expressing it well and we kind of went in a circle for a bit.

It took me a while to formulate the right question (because of all the foggy brain problems), but I finally came up with it: Is there any reason I should stop if I’m having a migraine, feeling wobbly or hacking like crazy — or do I just need to suck it up?

She smothered a chortle (or at least that’s what I think it was), and said, “Well, basically, yes. Suck it up.”

Fair enough. My fear has been that I’ll make things worse. Now, if necessary, I’ll go workout with my earplugs and sleeping mask, and if it makes any one migraine worse, I’ll deal. I plan on having the hubby coach on standby, of course, but as far as the pain, well, it’s just pain. I don’t mind suffering in the short term if, in the long term, I’ll actually get better.

So, sports fans, the race is back on.

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