Medication: One Month In Reflection

I wanted to write sooner, but life has gotten busy. School has picked up again, and I have been focused on reading (lots of reading) and writing (there should be more, but I'm a little behind).
After 1 month on Savella, numerous web searches for drug interactions, phone calls to the Nurse Practitioner at my doctor's office, and two follow up visits (1 for vein health), I think the prescription is working. I've adjusted my eating habits to have a heartier and healthier breakfast: either organic oatmeal or Greek yogurt and a raw granola bar (I love Fage Peach Greek Yogurt and KIND Coconut Almond Bars- plus KIND has this amazing mission to give back to the global community, which as a sociologist, I get so jazzed about).  I drink a lot more water than I did before I started the meds and am trying to maintain a regular sleep pattern.

From my mother-in-law's garden.

I don't have much more to say about the experience other than to express my gratitude and that's it's been really positive.  I am so thankful I was able to talk openly with my doctor about what I needed and wanted to try, for the staff at the study I wanted to participate in for giving me a wake-up call, and for my husband who has walked this path me.  I am grateful that I have the clarity of mind I had before my diagnosis. I am grateful that I can function better- no sleeping on the couch after work, no naps in my car at lunchtime, and less painful steps first thing in the morning.

Now that I am better than I have been in a long time, I have a few agenda items to take care of. First and foremost, I need to get back on track with my thesis. For that, it will take reading, writing, and editing. I'm planning to do a content analysis of social networking sites, like Twitter, to better understand how social movement organizations create a sense of solidarity with their supporters, activists, and followers. It's very interesting and difficult as a new Twitter user not to skew my own data by tweeting and retweeting some of the organizations I follow. I've been called a nerd for my interests and growing knowledge on the subject, but I really don't care. It's almost funny to me now to see the look on people's face when I try to explain to them what I am doing, or what I hope to do at least. I love what I'm pursuing and that is all that matters- well that and the end result.

The second most important thing I plan on working on is my health. I've been out of shape for some time now, and I'm ready to get moving again. I've scoped out a few gyms and am planning on joining the Y; their sliding scale family rates are great and we are on a budget- so that matters. Plus the kiddos can take swim lessons, go to camp, and have a free place to hang out while my husband and I workout (or attempt to).

Finally, I need a hobby that is about me. While I love to read and have read some great books (which I will write another post on), I really want to get back to doing the things that make me uniquely me. I miss taking photographs with my dad's old camera, I miss going to yoga class, and I really miss playing the piano. I want to save up to get my piano fixed (it was my great Aunt's piano and the keys need to be refelted) and then I want to take lessons again. I tried playing the guitar, but the I can't turn my wrists the right way without experiencing some pain. I think I'd also like to be crafty too; I'd love to learn to sew, repurpose old furniture, and make our living space more organized and functional (can you tell I play on Pinterest way too much?).

So that's what I've been thinking about and working on this last month. I hope by my next reflective post I have at least started one of things things and continued it for more than a week. I'll let you know. In the meantime, if you are considering talking to your doctor about medication for your FMS, consider your options, do your research, and ask a lot of questions.  It has been so worth it for me to come out of my medication naivety, and to start taking better care of myself. It's helped me emotionally and physically, and now I can start focusing on living again.

Medicaition Week 1- So Far, So Good

Smooth sailing, Petoskey MI

I haven't had the clarity of mind that I have right now for several years. It seems odd to me that after so long, I could feel this way, and I am beyond grateful for it.
After 1 week of starting a medication to treat my Fibromyalgia, I am feeling confident that I can say I think its working.
Adjusting to the medication itself hasn't been easy; it's caused a lot of nausea while my body gets used to the meds. The first night was awful- so much that my husband invested in Dramamine, Nauzene, Pepto, raw almonds, and ginger ale all in an effort to make the nausea go away.
After my body adjusts to the increase dose (I'm still on the titration pack, and my doctor has me using two packs so that I get to the regular dose over 1 month rather than 2 weeks- which is brilliant), I feel better; I sleep better, my feet don't hurt when I get out of bed (so I'm not afraid to get out of bed anymore), and I'm finding my energy levels increasing.


I was worried about starting the medication when I did; my cousin was getting married the Sunday after I had just started and I was nervous that I would be out of sorts for her wedding. I think the trip actually helped me adjust more. I slept a little longer, had home cooked meals (we stayed at the Bay View Inn, in Petoskey- go there, you will thank me), and walked around town. I went to Walloon Lake, where Ernest Hemingway spent his childhood summers and even went on a ride in my cousin's speedboat. I was afraid I wouldn't be able to toast my cousin on her wedding day, but found that the alcohol didn't effect me that way I thought it would (I thought I would be instantly sick).

What I have found is that eating right before taking the medication helps reduce the nausea, and drinking plenty of water throughout the day helps reduce dry mouth (which I found increased when I started the meds). There are still some wonky side effects I haven't gotten used to: increase night sweats, and some mild irritability. I imagine these will pass with time.

Overall, I am relieved. Next up- adding exercise...and that pesky little thesis!

Medications: Day 1

That's my girl on her dad.

Whoa, so not prepared for the first evening on the new meds. Savella is the type of medication where you have to introduce your body to it slowly, and let it build up in your system.
My first mistake was thinking I could eat a Frosty from Wendy's and then take the first dose and be fine. Such was not the case.
About 30-45 minutes after I took the first and lowest dose, I had some nausea and dizziness. It was so uncomfortable that I had to lay down in my car (we were out grabbing dinner and running errands) while my family finished dinner and made a grocery run. I was definitely out of it, so much so that I was slurring my words and not making much sense.
When we got home, I chowed down on some ramen noodles and felt so much better. The combination of more food, quiet and rest helped a lot. After that, I did feel better. I rested better too. I have to say it was one of the better sleeps I've had in a long time.
Tonight will be the second time I take the lowest dose and I will be better prepared. I have over the counter, anti-nausea chewable tabs, almonds, and more ramen.
I start classes tonight, so I'll have to wait till later to take my second dose, but at least I know better how to deal. The first night side effects weren't great, but I know I have to keep trying so I can get better and I am still trying to be positive (although more than anything I want to go home, skip class, and curl up in my sweats with my dog- see photo- and a good book).

Best and Most Uneventful Tuesday

From my Instagram Album

Today has been great. Seriously, I have never felt better. I mean that in the sense that I actually feel like I know where I'm going with my life. That still sounds weird...I don't have any life altering plans. I don't even know what I'm doing for dinner tonight. But after today, I feel like things are headed in the right direction.
I saw  my primary care doc today- she is the best, by the way and I'm so glad I finally found a doctor I like in a healthcare network I like- and now I feel like things are going to sort of go back to the way that they were or are at least back on track.
I went asking for a referral to a rheumatologist and what I got was a plan of care that is going to work better for me- which is what I need. Since I have already been diagnosed with FMS and I don't have any serious complications or autoimmune diseases, I don't need to see a rheumatologist. Instead, I can see MY doctor. I don't have to get to know anyone new and I don't have to pay the $40 specialist co-pay. What is even better is that my doctor listened to me and came up with a plan of care with me, instead of just for me.
So here it is:

• I start a new prescription for the Fibro called Savella (I will post about what it is and where to read about it).
• In one month, I go back to see how I'm doing. 
• She is going to treat my ADD (my last doctor insisted I see a psychiatrist once a week and would not prescribe a thing- so we were talking a psych visit once a week plus the cost of a prescription, and reporting back to my PCP. Yeah, that did not go over well). 
• If I need to see a counselor (which I may, because oh my goodness, I have never actually dealt with the emotional impact of being diagnosed with a chronic pain condition), I can.

All of these things, plus the sunshine, the fact that it's almost Labor Day weekend (read: long weekend) and I start classes again has made me hopeful. I hope I can get back on track with my health. I hope I can regain some control. I hope I can once again focus on my degree. My doctor did exactly what I needed: she listened and came up with a plan with me. Now I feel like I can have [most] of my life back (clearly without the somewhat self-destructive behavior of my early twenties).