The Diagnosis.

So ignorance is bliss, right? It was for me...  I went to the OBGyn yesterday for the first time in at least 5 years.  Not to get too graphic, but my monthly lady times have been really sporadic, and they haven't been... right.  I told my doctor about my thoughts about PMDD, and since I had ovarian cysts as a teenager she thinks that it's PCOS (polycystic ovarian syndrome).   PCOS can cause a lot of the symptoms that I saw in what I thought was PMDD because of hormone imbalances.  My symptoms are: irregular periods, occasional acne, obesity with extra weight around the waist, anxiety, depression, pelvic pain and light sleep apnea.  

PCOS is on the same spectrum as Diabetes, and women who get it are generally overweight or obese. so that's all just fantastic (<- and that's sarcasm).  I can't take Birth Control pills due to a blood clotting disorder, so my doctor is going to look into Mirena, which is an IUD.   She is also suggesting that I see a Registered Dietician to work on my diet.  She wanted to put me on SSRIs for the time I get cranky before my periods, but I declined.  I'll be trying some herbal remedies as well as vitamins [B-6 and Magnesium] and working on my diet and exercise.  Most doctors who have told me that I need to lose weight have made me feel like crap about it, but this one didn't.  I really liked her advice and will be taking it. 

The good news is that I don't have High Blood Pressure, nor do I have high cholesterol.  I've had tests for various reasons throughout the years, and my BP is almost never over 115/78, and my cholesterol has always been good.   Other good news is, aside from chocolate I have already cut out caffeine: soda 3 years ago and chai tea about 3 weeks ago.   

I feel like I'm supposed to be really overwhelmed and upset about this diagnosis, but I'm not.  It's good to have a diagnosis to start treating, rather than a bunch of symptoms that keep beating me up.  I just need to seriously get a grip and a handle on my diet and exercise so that I can beat this and start leading the life I want to live.  I started well today though, taking a walk with the dog for 40 minutes, doing day one of Couch to 5k, grocery shopping, four hours of cleaning the apartment, doing laundry etc.  I'm starting to get delirious though, so I'm off to bed. 

THE Moment...That Moment...The Moment of Clarity.

Stress. Anxiety. No caffeine. Depression. Irritation. Anger. Annoyance.  All here.  I told myself that when I turned 30, to put it bluntly I would "get my sh*t together".  It's been a few months and I still haven't done that much in my personal life.  I re-joined Weight Watchers and went to some meetings, but I haven't hit that 'moment' where you say "this is it. I need to change."   Two weeks ago I gave up caffeine and I feel like it was awful and terrible and yet a good thing to do for the long run.   Still, no visit from "the moment". 

My roommate and I planned yesterday to be the day we started cleaning out our apartment to move in a couple of months, as well as to clean out our fridge and begin anew with healthier eating and following WW.   As she works nights and sleep days, I did the trip to Costco for a few things.  On the way home I was thinking about my gym which I passed on the way home; I decided to go later that day and schedule an appointment with a personal trainer.  I need to strengthen my core, begin increasing my overall health. 

Upon my return home and ready for the day, I had some groceries and a purse in one hand, and as the elevator doors opened I leaned down to pick up (with my left hand) a huge package of toilet paper (on my right side) when I did the dreaded lift and twist; I felt it immediately.  Incredible pain throughout my lower back and upper butt area.  I struggled down the hall and dropped our stuff off inside the doorway to the apartment.  Putting weight on my left foot was like a knife being stuck in my left buttock and spine.

I went into my room immediately and laid down on my back with my knees up in an upside-down V.  I just kept repeating 'oh no, oh no, oh no.'  My mother, brother and sister have all had the same injuries: herniated or bulging discs.  My mother and brother required surgery and my sister required physical therapy…. Now I guess it's my turn.  I struggled to stand up, crying out as the pain was getting worse and I went into my roommate's room and woke her up so that she could take me to urgent care.  

As the Nurse that she is, she told me to stick an ice pack on it and take some ibuprofen and rolled over.  Within ten minutes I was in tears, hunched over a chair.  I had to use the bathroom, but sitting down caused intense pain.  My roommate got up and took me to urgent care and my doctor told me that it was most likely similar to my family's injuries.  The pain is mainly the soft tissue inflammation and it'll take a few days to go down. In a few days, I might start feeling better but might need physical therapy; if not at all by a week from now then I have to visit an orthopedic surgeon. 

I was sent home with pain killers, steroids and muscle relaxers.  On the way home from the urgent care all that I could think about was 'is this a sign? Is this the one that I've been waiting for?'  This is my warning sign.  "The moment" that I've been waiting for.  I'm so mad at this moment!  I have been on the couch or in bed for the last 30 hours.  I feel like a lump, especially as I have to take an extra day off of work this week, where I'm already struggling.  My stomach is again larger, I'm barely fitting into my clothes.  Is this it? 

I'm thirty years old and I've barely dated.  I have these amazing dreams and daydreams about climbing mountains and taking amazing pictures.  I think about running and rowing crew and playing soccer and skiing, roughhousing with my amazing boyfriend/husband, making out with him in a cottage in the countryside of England, sledding, playing in the snow.  I see pictures of me scuba diving in the tropics, and hiking in the highlands of Scotland.  In my daydreams I always have boundless energy and take incredible pictures. 

Caffeine gave me ten percent of that energy and I felt great for a few minutes here or there but I want it all of the time.  Quitting caffeine and making the changes that I need to make, will help.  But it's what I do with "the moment" that will decide my future.  What would you do in this situation? 

Caffeine no more.

I have been looking more seriously at the changes that I need to make. Diet, exercise, healthy living.  Everything just seems so overwhelming.  Two weeks ago I decided to cut out one thing that is affecting me: caffeine.  I'm not someone who drinks six cups of coffee per day, but I do drink a grande cup of Starbucks soy chai each morning (sometimes two in a day!).  When I don't drink it, I find myself suffering by noon.   I started researching some of the side effects of caffeine.  Anxiety is one that stuck out;  I have self-diagnosed PMDD, so in my research I saw that caffeine is pretty bad for someone with PMDD.  I also go through the "crash" during the day where I feel terrible, am groggy, etc.  So I decided to quit my super expensive habit of drinking Starbucks. 

The first day failed as I had my chai before work; my co-workers were really hard on me because they knew what my plans were.  The next day I succeeded.  I had a headache by noon, and took two naps at two hours each; it was difficult to say the least.  Day two I slept later than usual by about two hours (9:30am). I felt okay in the morning, but knew that once I was a few hours past my first normal dose of caffeine, I'd feel the side-effects.  Yep, I dragged myself to work and had an exhausting day.  My muscles hurt everywhere and I felt dehydrated, no matter how much water I drank.  I felt out of it the whole day, and my co-workers, boss and even a random customer asked me what was wrong. 

Day three was still exhausting -- all of my muscles ached, I felt tired all day and I still felt like I was in a funk.  My boss wanted to strangle me.  I was annoyed and had a shorter fuse than normal, which was tough because I've made some huge personal strides at work lately. 

The rest of the first week went okay; I found that I stopped enjoying the breakfast sandwich I normally got from Starbucks, because the two items usually go together and it just wasn't the same.  It left me with positive and confused feelings all at once; I have stopped spending $7-8 per day on Starbucks, but my routine was always to start there.  I usually start my day with a drive with my dog so that can have something exciting to do.  I do this because he used to get sick quite frequently when I took him to the dog park.  So, what now?  I substituted other things - Subway breakfast sandwich, a stop off to get a bagel, etc.  So, it is just confusing. 

I've just completed the second week of being caffeine (well, Chai) free.  The end of my first week, and the beginning of the second week were interesting. I have noticed that I'm more depressed lately and I'm much more lethargic. I kind of miss the jolt in the morning where I have a great bolt of energy, but I don't miss the afternoon lull or the sweating and rapid heartbeat if I drank chai too quickly.   I'm moving in a couple of months to another city, and my life and my job are almost up in the air which are most likely contributing factors, but I can't help but think that the lack caffeine is not helping me.   I don't want to start drinking it again, and I look forward to see how I can progress.