A Full Plate

It’s finally mid-December, which means we’re ~20 days away from this hell year being over. The FDA has approved the Pfizer vaccine with shots beginning ASAP (I think someone in the Massachusetts government was saying that the first shots would be going out on Thursday), so there’s a light at the end of the Covid tunnel; and a new president will be inaugurated on January 20 (although he’s not as progressive as I’d like, it’ll be nice to wake up without that sinking sensation of pure dread for a little while). 

In my house, things are busy and have been, to the point where my body is 100% telling me to slow tf down, but it’s like… I can’t, because if I do, everything falls to pieces. I’m not saying this because I’m being overdramatic; sometimes SAHMing feels like being the manager for an entire company. 

But I digress.

I said last time that I’d been planning to write about sciatica, and boy do I have a story. Towards the end of my partial hospitalization program, where I was feeling mentally healthy and ready to get there physically as well, I woke one day with excruciating back pain. Nothing touched it–not NSAIDs, not Tylenol, not warmies, not stretches. When I went to the doctor for it, the x-rays showed that I basically have (a) mild scoliosis; (b) bone degeneration; and (c) bone spurs in my spine, which explains why I’ve been prone to throwing my back out since I was in college. 

(it was November of my junior year, I had just turned 20, and I had a lot on my plate: finishing out the semester, providing stage manager/dramaturgy stuff for our chamber choir’s Madrigal Feast, violin lessons, pulling my act together for a semester studying abroad at Oxford University, plus all the typical late-teens/early-20s drama that comes with being a college student. Oh, and that’s when I first got diagnosed with asthma and what’s probably chronic bronchitis, so yeah. A little on my plate)

My doctor had me go to physical therapy, and I was slowly getting better, but I’d also have days where I’d get worse. The pain seemed to be doing weird things, sometimes being very calm and manageable and other times being too bad for me to get out of bed. Eventually, by about mid-November, I found that I couldn’t sit up for long periods of time. I had to lounge on the couch or in bed with my legs and back in a specific position or else the pain would become unbearable. I started using a TENS unit regularly, trying to confuse the nerves in my back and leg, where the pain had now spread, and while the massage was pleasant, it didn’t do much long term. 

This all came to a head in the days leading up to Thanksgiving. Even without the usual hubbub (read: 20 something people at my uncle’s house and baked brie and so many desserts and family for days), I had plans to bake cinnamon rolls and cookies and green bean casserole for our more subdued holiday (my parents, whom we see pretty much every week anyway, were hosting and making the pies). The Tuesday before, I had physical therapy first thing in the morning and felt GREAT, but that afternoon, we did pictures with the kids…

…which, don’t get me wrong, turned out AMAZING, but once we were done, I was in too much pain to do anything but go collapse in bed. I wanted to be at my best on Thanksgiving, so I decided to spend Wednesday in bed, recovering.

Well, silly me, because that’s the opposite of what you should do with sciatica, especially if it’s caused by a herniated disc (which I suspect mine is). Being horizontal spreads the disc material out and makes it bulge out more when you eventually, inevitably stand up (because I am not going to get a fucking bed pan for sciatica). So Wednesday wasn’t too bad at first–I spent the day lying on my stomach, doing press-ups as instructed by my therapist, and listening to hypnotherapy and guided meditation on YouTube to get my mind off the pain. 

BUT sometime Wednesday night, all the things I had been doing just… failed. And Thursday morning, I woke up in blinding agony.

I have pain rankings, and this was only the second thing in my life to hit a 10. The first was gallstones, and those rank lower if only because they’re temporary. Once the gallstone breaks up or passes, the pain fades, and you go back to your life until it happens again. With sciatica, though, sitting and standing and walking and doing anything hurt like hell, and if you don’t figure out how to take care of it well, you eventually get to the point where there is nothing BUT pain. Pain is your existence, and you can’t remember a time without pain, and you can’t imagine a future time without pain, because that’s all there is. 

Eventually, I was screaming. Just mindlessly screaming because it hurt so much. My primary care doctor had suggested that if my pain got this bad, maybe I should go to the ER, but I’d been avoiding an ER visit because our new health insurance has terrible copays for everything, to the tune of “an ER visit before you’ve met your annual out of pocket maximum will cost you at least $3500, and if you HAVE met your out of pocket maximum, you’ll have a $1000 copay.” 

(MAN I am so glad that we pay 20% of Kyle’s paycheck to get THIS insurance instead of however the fuck much we would pay to get universal healthcare, like WOO this is so much better than living in Denmark and getting taken care of for the low low price of FREE)

But we called the ER and said I was on my way, and then I couldn’t even sit up at all, so we called an ambulance. I had to wait for the ambulance in the living room while screaming and crying and shaking from pain, and Sam had to see me like that, which I hate. I don’t remember anything about what I said or thought beyond “I hate that Sam is seeing me like this”–allegedly, I was telling the EMTs that I hoped they were going to get to have turkey, and I was really worried about making sure they’d have their turkey, but I don’t remember any of it. 

They were great, as I recall–they gave me a nasal shot of fentanyl to take the pain from an impossible place to a place where I could be transported, and they were really funny. The pain did not go away completely from the fentanyl, but I stopped screaming for the ride and managed to get to a point where I was just lying there, quietly hurting, with nobody helping me. 

That was probably the second worst part (the worst part was Sam seeing me like that)–being in the ER and nobody being there to even check in with me. They looked me over once I was there and gave me like… whatever generic painkillers they had available and eventually did prescribe me a nerve blocker called gabapentin, which has done WONDERS. BUT it also reminded me why I hate going to the ER for anything ever, because unless you’re dying or possibly dying, they sort of don’t pay attention to you at all. 

And that’s understandable–there are a lot of people coming in and out of the ER, sometimes just to get painkillers, sometimes just to get an ultrasound of their baby, sometimes just because they’re like. Itchy. It’s especially bad now with Covid and people having to go to the ER because they might have it (on my way out, I saw three rooms designated as Covid-only). And I didn’t WANT to go to the ER, but my pain just got to an impossible point. 

My therapist helped me with it this week. She told me that one of the hallmarks of chronic pain is that eventually, your body is too tired to try and fight it off, and the more you have on your plate, the harder it is for your body to work through the pain. Which was like, wow, I didn’t come here to be attacked like this, but that makes way too much sense.

There’s not much of a choice in the matter, of course. Kyle’s job doesn’t necessarily demand too much of him (he’s able to come out and help when I really need it, especially since after the ER), but he’s still working full time, and I’m full time with the kids. Especially during the holiday season, that means that my daytime hours basically evaporate, because there’s so much that I need to organize and do and make sure of, all while I’ve got three kids asking things of me at all times.

I’m not complaining. I love being a stay-at-home mom. But I think I might be reaching a pandemic breaking point, because said pandemic has unquestionably made things MUCH harder. There’s no chunk of afternoon time where the twins are napping and Sam is at school where I can just focus on getting household stuff done, whether it’s cleaning or setting up appointments or paying bills or whatever. There’s no time when I’m awake and not exhausted where I can just be

I think I’d be able to bear it much more if I weren’t prone to chronic pain, but when you add all that work to the work of bearing chronic pain, the pain gets severe that much faster. You’re already exhausted from the everything–the kids jumping on the couches and knocking each other over and batting at Christmas ornaments because they want to be kittens, the homeschool battle because even on good days it’s a battle, the trying to keep up with everyone’s therapies like ABA and speech and coordination and whatever the fuck, the socializing that starts to feel like work because you’ve been overwhelmed with people being literally ON you all day, the weekends where it used to be getting more done but are now just gasping air before being pulled under again–and then the pain creeps in. 

And pain is so exhausting. I remember when I was younger and used to get excruciating menstrual cramps (I found out while trying to have Sam that I had a tilted uterus, which has fortunately fixed itself since having kids, but let me tell you, it’s a for-sure recipe for very bad periods), I’d reach the end of the day and just fall asleep for 18 hours straight. There are a lot of ways to think about pain that involve accepting it and trying to help your body cope with it better, but sometimes, it really is just a battle that you end up losing.

So here we are in December. I can tell that if I weren’t on the meds I’m on, I’d be in a lot more pain, but the gabapentin is doing the excellent work of keeping the pain manageable, as long as I don’t push myself too hard and keep mobile. Sciatica is a weird thing where the more you’re able to stay mobile and keep exercising, the better it gets; but at the same time, when it’s at its peak, the pain defies belief, and all you want is for someone to just knock you out so you don’t have to deal with it anymore. BUT the meds I’m on make it possible for me to stay mobile, and I have a timer set on my phone that reminds me to get up and loosen up every two hours or so (I call it my dance break, and the twins participate, and none of us are very good dancers). 

I keep doing Everything because I have to, which is something I keep thinking whenever someone remarks on us having two-year-old twins (and also three four-month-old kittens, more on that in a second) and asks, “how do you do it?” The only answer is that we do it because we have to. We had these kids, and we’re going to make sure they thrive. And there’s a light at the end of the tunnel–as I’m writing this, the FDA is an hour past approving the Covid vaccine for emergency use. By the time the twins turn three in March, we should be well on our way to getting our jabs, and in any case, the twins start preschool March 15 (assuming all things run smoothly). That will make things easier. 

But in the meantime, I’m sitting here, feeling my leg be numb because it can’t hurt, and knowing that I can’t stop juggling all these balls or else everything falls apart.

And in the midst of all this, we adopted three kittens!

Honestly, they don’t add a lot to the load. We’ve been on waiting lists since Tinkerbell passed because I cannot go a long time without a cat, and the shelters we applied to wanted to make sure they paired us with kittens that could thrive in a house with three kids. I got the call Monday about a litter of five cats that had been raised with kids about Sam’s age and the caveat that I had to bring all three kids to meet them and the kids had to behave or else the kittens wouldn’t come home with us.

We went in wanting just two, but of the litter of five, two had already been adopted, and these three were the only ones left. And we couldn’t just LEAVE them, so. 

Well. 

They also kind of adopted us. Each one snuggled up to us and purred and rubbed against our legs and force pet us (you know, when cats bump their heads against your hand like “LOVE ME” and you’re like “I already do?” and they’re like “NO LOVE ME” so you do), and… well, they’re necessary. Not because we have any sort of mouse problem, not because I need more on my plate, but because they spark joy. A whole lot of joy.

Biggest brother is Duke Orlando Stinkybutt Catrissian, so named because he farts like an unholy terror. He’s a little fighty, but only with me or Kyle; with the kids, he keeps a respectful distance unless they’re petting him. He’s the most adventurous of the trio, most prone to getting into trouble and the murderer of at least one tree ornament. 

Then we have Duchess Oreo Zoomies the Experience, who has established herself as Sam’s Cat. He named her–he saw the pictures of the kittens and decided that her name should be Oreo because she’s black and white like an Oreo. She ADORES Sam–hunts him down wherever he is and snuggles up with him. And she’s been so good for his anxiety, too, helping him to calm down and feel safe enough to sleep, even when he’s worried about something. She’s almost as much of an explorer as Orlando and is highly prone to Zoomies at all times.

Last, but certainly not least, is Duchess Orla With the Chanel Boots…

…who is Mine. She established herself as Mine when we were meeting them and she only came out to socialize with me and Carrie. She’s the shyest of the three, only really coming out for cuddles when the kids are safely in bed and Kyle and I are in a quiet place. Once she’s out, though, she’s a party animal but very ladylike about it. She’ll mince around the covers and attack our feet with the same attitude as Miranda Priestly going after an incompetent staffer. She’s adamant about being held but will also fight me forever about the cat pouch hoodie I bought (yes, I am being That Kind of Cat Mom). 

And, well. It may have been biting off a lot, but I feel like the joy and stress relief they give with their cuddles make up for the buying food for three cats and scooping a litter box again and “what are you chewing on???” and “GET OUT OF THE TREE” and “Isaac, it is REALLY ADORABLE that you’ve decided to pretend you’re a kitten, but if you try to climb the Christmas tree, nobody will end up happy” and the “yes, Carrie, the kitty is sharp, have we learned a lesson?”

They’re necessary. They don’t feel like more on my plate. They feel like they’re individually taking the stress of having so much on my plate and dissolving it, and that’s a nice feeling.

November

This month has been here for roughly two weeks, and it’s already established itself as wild, even by 2020 standards, and as a month that nobody understands why it’s here already, as if the rest of 2020 hadn’t lasted for 70 years. But here we are, November 12, and I’m overwhelmed with all of the things I’ve accumulated in my mind this month.

(the arrows are the things I’ve accumulated in my mind this month, for reference)

We’ll start with the end of last month.

On October 26, I went in for laparoscopic surgery to see if I had endometriosis and, if I did, remove as much of it as possible. The surgery didn’t make me nervous in the least; when you’ve been through as many cycles of IVF as I have, things like anesthesia or the usual surgery worries kind of roll off you like water off a duck’s back. I was actually kind of looking forward to all of it, because it meant a day where I wouldn’t have to juggle the kids and everything about the house but could just rest and heal.

The surgery itself went about as well as I could hope, though my doctor didn’t find any endometriosis. He did find a non-zero number of adhesions in my abdomen—basically scar tissue glueing my organs together—from a previous surgery, probably my C-section, and he removed those. And honestly, that seems to have done the trick? My only pain right now is from sciatica, which is a BITCH, but the abdominal pain seems to have utterly vanished, and I’m LOVING it. It’s a good step on the road towards eventually yeeting my uterus and ovaries into the sun, because those bitches have been nothing but trouble for me. Couldn’t even manage their biological function without scientific intervention, stab and crush me on a monthly basis for the past 25 years… fuck them utterly.

Even though my adhesions likely came about as a result of my C-section, I’m still glad I had said surgery, and I still look back on it with a lot of fondness. It was a really good experience, genuinely—from it being 100% my choice to the way I was cared for before, during, and after the procedure, I wouldn’t change a thing. But that’s a rant for another day. 

So I’ve been recovering from that surgery for about two weeks now. I’m at about 85-90% functional most of the time, though I still get tired way more easily than I did before the surgery. I also have had to get creative with twin parenting, since I wasn’t supposed to pick up anything heavier than 10 lbs for the first two weeks after the surgery, and the twins are much more than 10 lbs. And they’re two, which means they’re getting into EVERYTHING and living life on the edge. Isaac’s latest game has been getting as close to the television as possible, despite the playpen fence we have around it, and my only tactic for dealing with that is to pathetically holler for Kyle until he’s able to come and rescue our son from trying to pick Donald Duck up from the TV screen.

Carrie, meanwhile, doesn’t need to be picked up because she merrily plops herself right in my lap at all times, sometimes to disastrous effect. The other day, I was sitting on the couch, minding my own business, and Carrie pranced up to me and proceeded to throw herself—elbow first—right on top of the incision at my belly button, popping it right open. Fortunately, it’s since closed back up (laparoscopic incisions heal pretty quickly, and I got on it with a bandaid right after), but oy. Recovering from literally anything with one toddler is difficult; recovering with twins is basically impossible, and it’s a miracle that I haven’t been eviscerated.

In the midst of all this, an election happened. 

Fortunately, Kyle and I had requested absentee ballots when our state offered them to everyone in light of the pandemic. We voted sometime in mid October, with me telling Sam how important it was to choose political leaders with good character (because we were studying good character in social studies and still are—citizens with good character are respectful, responsible, kind, and honest, per his curriculum). And then the surgery happened, and wouldn’t you know it, I was sound asleep at 11:30 a.m. on Saturday when the election was called for Joe Biden. 

Thank God. Like I am not religious, but thank God.

It’s hard to emphasize how difficult it’s been the last four years to raise kids to be proud Americans, to be citizens of character when the leadership in this country was so desperately lacking in it. I imagine it was similarly hard when Bill Clinton was off being a sleaze bag in the 90s (before anyone gets on me for “tribal thinking” or what the fuck ever). You want to tell your kids that character matters, that it’s important to be respectful and responsible and kind and honest, but then you look at the leadership in your country, and the people in the highest offices are the opposite of those things and, what’s more, so many, so VERY many people who voted them in have merrily embraced hatred and spite to the point where they’d rather see their fellow citizens die than listen to them. How can you teach your kid not to be a bully when the bullies seem to have all the power? How can you teach your kid the power and value of respect and responsibility and kindness and honesty when the world seems to reward the opposite?

Joe Biden wasn’t my first choice of candidate, but it’s refreshing to see someone who’s treating their colleagues and fellow citizens with respect, regardless of political belief, who’s responsibly planning his transition into the presidency despite all of the obstacles being thrown in his way, who goes above and beyond to treat individuals with kindness, and who, while not 100% honest, is at least not telling me that my eyes and ears are the ones lying. It feels good to be able to envision telling Sam about the president next year and not biting my tongue. 

But I don’t want to dive into it too much, mostly because I just don’t want to deal with the people bitching about this whole thing. They can all go hang out on Pander or Parlor or whatever-the-fuck, and I’ll be over here, sleeping a little bit easier these nights.

And there’s light at the end of the pandemic tunnel! I was already feeling better because of the election news, and then boom, the Pfizer vaccine is over 90% effective. I’ve been reading up on it, and this translates to only needing about 60% of the population vaccinated for herd immunity—how awesome is that? My biggest fear with any vaccine was the sheer number of people who wouldn’t take it—not from justified concerns but because it might give them 5G or something (ha! I wish! I could use a personal hotspot!)—negating its benefits. But here’s another area in which I’m breathing so much easier.

I’ve been thinking so much about what I want to do once things have cleared up, and I think one big thing will be taking the kids down for a three or four day weekend in Philadelphia. It’s educational, what with the Liberty Bell and all; it’s close to Sesame Place, with its autism friendly atmosphere; and I 100% need to find and hug Gritty, avatar of chaos that he is.

And then, I think, a road trip down to Texas again, with stops in Philly and Atlanta. Let the kids see their grandparents again, finally, see more of the country again—GOD, how I’ve missed being outside this little bubble. 

The twins are past due for their first trip to Boston, so that’s on the docket. We’ll take them with their stroller, probably down by Quincy Market and the Harbor, and we’ll ride trains to get there. Sam wasn’t old enough to appreciate being on a train the last time we took one into the city, but he definitely is now, and I can’t wait to take him. 

We’ll go to the mall again, eat in the food court, get truffles from Godiva, and browse the shops slowly and without worrying how crowded they are. The kids can go to the indoor playground and run around to their hearts’ content; they can go to the new outdoor playground down the street and do the same, no masks or worries. 

Kyle and I will have a long overdue anniversary date at the Melting Pot, and maybe another date at Chili’s, not because it’s exactly fine dining but because those are our places.

In September, the kids will all go back to school, Sammy to second grade and the twins to preschool. I’ll have precious quiet hours in the house to write more, to clean up more, to feel my own skin again. I’ll run errands without wondering if I’ve got enough masks or enough clean masks. We’ll go to the movies and eat popcorn and not care if the theater is packed. 

(…well. We’ll care a little)

We’ll see our extended family, my aunties and uncles and cousins that we’ve missed since last Christmas. I’ll see my cousins’ new little babies, and we’ll celebrate being together again with Feasts. 

(I feel like all of our third generation kids need “cousin crew” shirts for that inevitable meeting)

Sam wants to go to the beach, and of course we will, and build sandcastles and not mind that it’s crowded on a summer day. Maybe I’ll even wear a bathing suit this time. Like, it’s not LIKELY, but it’s possible. 

In other words, November has done to me what I never expected any month in 2020 to do: it’s made me back into an optimist, someone who’s looking forward to 2021, not just because it’s no longer 2020 but because it seems like it may bring something good after all. 

…but we’ll see. Until next time!

Breathe Again

2020 is still garbage, but at least the garbage is starting to look like nice garbage instead of a complete dumpster fire on a personal level. 

(globally, the dumpster fire still rages and leaves us with a LOT of work to do once the flames die down in the hopefully near future)

My time in the PHP has drawn to a close, but it ended on a pretty positive note. I actually stayed a week longer than anyone had planned because I started back on my birth control to try and calm some of the really wretched pelvic pain I’ve been dealing with for years now (still no idea when I’ll be having the laparoscopy to look at that, by the way, which is annoying). Back in April/May, we wondered if my birth control had contributed to my depressive downswing, so the psychiatric RN for the program wanted me to stick around another week in case she needed to make immediate changes to my antidepressant in response to my altered hormones. 

BUT so far so good where that’s concerned, so my last day in the program was on Friday the 18th, and I’m now readjusting to the world. One of the biggest ways the program helped, I found, was that it kept me from getting super overwhelmed by the sheer volume of STUFF on any given day with twin two-year-olds and a six-year-old, because the program is over and I’ve found myself feeling overwhelmed again. Not like I’m drowning but just like parenting three kids, two of whom are two years old, one of whom is autistic, another of whom has a tentative diagnosis of ADHD, plus homeschooling the oldest, and all of that during a pandemic… is a little much. 

Nothing has become less since I finished the program; if anything, it’s become MORE because the twins have to get used to me running ABA again and have been super clingy since I finished the program because MOMMY DON’T GO BACK INTO THE OFFICE AGAIN AAAA. The biggest difference has been that I recognize what’s going on and am able to stop it in its tracks with a bunch of techniques I’ve learned. It’s all dumb stuff that mostly relies on me recognizing that I am feeling overwhelmed and that I have a right to feel overwhelmed (and that, in fact, most people would also feel overwhelmed in my shoes), and that’s the hardest part. Depression is a sneaky monster, and it uses whatever looks even slightly like it to gain a foothold, and that’s the danger with it. 

BUT BUT BUT

I’ve also got a lot of things in my corner now. Like a better dosage of my medication (same meds, just more of it, which has slowly but steadily been helping me get to a better place), and like tools to help me recognize when I’m feeling garbage (all written down in the now very FAT notebook), and with all of that working for me, a weirdly genuine optimism. 

It’s weird to have optimism in 2020, but I do. The world is a garbage place right now, but there are still stars, and there are still Octobers and Novembers. Despite it all, people as individuals are good. The pandemic isn’t forever; even if things go horribly in November and incompetence persists past the point of overwhelming sense, pandemics eventually end. An overwhelming majority of the world agrees that climate change is an emergency that needs immediate tending. People care about each other. Vaccines are coming. And time passes so fast these days, which is how aging works, so by the time I’ve blinked twice, it’ll all be over and hopefully better for it.

I wonder if some of the optimism isn’t also because Kyle got a job.

Finally.

No details here, because details there are still being ironed out, BUT the long and short is that it’s a FANTASTIC position that will not only help our family financially (our primary criteria) but will also look AMAZING on his resume, and I’m really proud of him for getting the position and persisting through these last ~5 months where it all seemed really hopeless. 

The only downside is that the job is just north of Boston, an hour commute without traffic (lol no traffic going into Boston, bless). We’re going to drive the route as a family sometime in the next week, just to see how it looks and how stressful it is to get there and back again, like unto a Hobbit. The higher ups are pretty okay with Kyle working from home (since it means fewer days with hours lost to an exhausting commute), but it’s still a schlepp. 

But. We’re going to make it work. 

And with him working again, I feel like I can breathe again. 

*

In other news (in bullet list format because I take my antidepressant at night now, so I find myself being completely useless well before I want to be): 

  • I’m seeing a physical therapist for my everything. I went to the doctor about two weeks ago to see if I could do anything about my back pain that was coming along with the pelvic pain, and my doctor referred me to a physical therapist after taking an X-ray and seeing that my spine has a slight left curve and some minor bone degeneration (which is wild because I’m 36 and that’s not supposed to happen yet?). I’ve been doing those exercises for about five days and (a) ow, but (b) I’m already feeling an improvement. Essentially, the therapist found that my core muscles are a disaster area (no surprises here), so most of my exercises are focused on getting those working again so that the other muscles related to making me upright don’t dissolve from overuse.
  • Homeschooling Sam has been mostly good. He does better on days when we vary up how we study–read a story, get up and run around, watch a video, do some math. There are still more than a few days where he’s not interested in doing ANYTHING, but those days are becoming fewer and farther between. This week will be weird, since he’s having to wait to start until Wednesday (he had a doctor visit today and has a dentist visit tomorrow), but mostly, he’s blowing us away with how clever he is and how even things like third grade math are a breeze for him. 
  • The twins are talking up a storm–parroting (Isaac) and making up the most hilarious sentences (Carrie), and it’s a delight. 
  • And Isaac kept us up until 4 a.m. last night, so I’m going to cut this off here before my writing ceases to make sense. 

Until next time…

Hysteria

I have no idea how long this is going to end up being, but I wanted to get it down on “paper” just in case someone else is going through something similar and wants to know if anyone can relate (because yes, I can). 

About 18 months ago, I started having vague pain in my lower left abdomen, just a faint, bruise-like pain as I was trying to fall asleep. I could mostly ignore it except that last October, it got so bad that I couldn’t function, and I spent a morning in the ER over it, only for them to do a CT scan, observe that I hadn’t yet pooped that day, and diagnose me with a case of constipation that I should follow up with my gynecologist about (a.k.a., they had no fucking idea). 

And I did. I’ve mentioned here before that my gynecologist is awesome. He’s one of those doctors who believes you when you say that you’re suffering, and offers you whatever avenues could possibly exist to alleviate that difficulty. When I was pregnant with the twins and started getting the really bad itching that led to an ICP diagnosis with Sam (albeit, at the very tail end of the pregnancy when I was ready to deliver anyway, and my body just said, “listen, get the kid out of me or I am going to turn myself inside out”), he believed that it was a real problem, even if the lab results didn’t reflect that, and referred me to whomever he could in order to get me treatment that worked.

(in the end, it didn’t matter a lot because not long after the itching started, Isaac decided that he was done with being stuck under his sister and I delivered them)

So his initial steps were (a) to get me a consult with an endocrinologist because my ovaries showed signs of being polycystic; (b) to get me a birth control prescription to try and regulate my menstrual cycle some; and (c) to get me a breast cancer risk assessment as an added bonus. And, admittedly, with the birth control, I wasn’t having as severe pain. It was still there, but it didn’t have the highs and the lows it had without the birth control. The problem was that I got super SUPER depressed (remember that?) and didn’t know if the birth control was to blame, and anyway, I was having so much breakthrough bleeding that the whole thing just seemed silly. I thought he’d said that I should stop the birth control when I saw him back in May/June for the depression, and he thought that the endocrinologist said that I should stop the birth control, but ultimately, the birth control stopped.

SO.

Now we’re getting into July/August. Early August, I suddenly had agonizing pelvic/abdominal pain, like the kind of pain where you feel like you can’t see or think or breathe when it’s happening. It lasted for three days, also around the time that I got depressed enough to need the partial hospitalization program. Well, tl;dr – I got my period on day three. A nasty period. One of those ones that’s just… 

Yeah. 

The pain was bad enough that I could’ve probably gone to the ER for it, but here’s the thing: when you’ve been dismissed in an ER for pain you’re dealing with, you don’t trust them anymore. What were they going to do–give me another CT scan, tell me I was constipated again, tell me to go see my gynecologist? That would be $250 that we didn’t and still don’t have thrown towards an exercise in futility, so I just… skipped the middle man. I called my gynecologist again and said, in essence

I went to see him last week and had an extensive ultrasound, both transvaginal and abdominal. He found nothing on ultrasound but did notice that every time the probe or someone’s hand pressed on a specific spot on my left side, I would writhe in pain. Even if it wasn’t showing up on the ultrasound, something was clearly going on, and he decided that it would be a good idea to do laparoscopic surgery to investigate.

I haven’t had the surgery yet; it’s not for at least another three weeks, maybe more, since his calendar for the month is booked solid. BUT basically, it’s an exploratory surgery to see if I’ve got any endometriosis hanging out. 

Endometriosis is a condition where bits of your uterine lining (called the endometrium) somehow end up other places in your pelvis and abdomen. They don’t die there, though, and instead grow and shrink with your cycle like the rest of your endometrium. And it’s extraordinarily painful. If you’ve gone through childbirth, think about the pain of transition, and that’s about where I am right now. If you haven’t, imagine a giant bull has driven its horns into your lower abdomen and is using them to pin you to a wall. Every time you start to get used to having giant bull horns in your abdomen, he wiggles a little bit, just to make sure you know that yes, you have been stabbed by a bull. 

Or at least that’s what I’m feeling. The other fun thing about endometriosis is that you can’t really diagnose it without getting elbow deep in someone’s abdomen or giving them an MRI, and the surgery is kind of the more helpful step because if the doctor sees endometrial cells while poking around, they can just remove them right then and there and give some temporary remission of pain. 

(they can do this either with a knife or with fire, but a knife is the preferred method because fire can make your organs stick together, apparently, which sounds roughly as unpleasant as what I’m going through now)

So THAT is going on, and I’ve been having this specific bout of pain for five days now–my usual pain relievers haven’t been cutting it at all, so it’s this frustrating mess of misery, where I’m feeling mentally in a place where I want to get out and walk, I want to walk for 30 minutes, I want to hop in the shower and get clean, but I can barely stay upright for more than 2-3 hours at a time. I’m frustrated because this is depression behavior and would/will make it so easy to slide back to a bad place, but I’m just physically having such a hard time right now. 

And THEN, since I’m on day five of being stabbed in the abdomen by a large bull, I went to see my primary doctor today, and she pointed out that while she definitely agrees that it seems like endometriosis (we purposefully didn’t bring that up to see what she’d say, and she said it, so I felt validated), she also thinks I’ve got some sort of wonky thing going on with my hips/spine, because when she pressed on my spine to see how it was doing, it made me scream and writhe and also because I couldn’t lift my left leg very far without it shaking because it hurt so much. 

SO.

Now I have Xrays being processed, a prescription for horse tranquilizer levels of ibuprofen, a physical therapy consult, a laparoscopy to be scheduled, a partial hospitalization program, and a partridge in a pear tree.

AND I’m homeschooling Sam. 

Honestly, occupying a physical form is so dumb and pointless, and I would be much happier, I think, as a being of pure light and energy (that could still eat, because let’s be real, brownies almost make the horrifying ordeal of being mortal worth it). 

I’ll hopefully have updates on all of this hot mess soon. Right now, I’m feeling just barely well enough to sit up and spew words on a page because the huge ibuprofen hasn’t worn off yet, but it will fairly soon, and then it’ll be back to wondering if my uterus really is wandering my body while possessed by the devil. In the meantime, please enjoy Sam’s back-to-school pictures and the knowledge that, despite everything, he’s done really REALLY well with the first two days of homeschool.