Everything always seems to be back and forth. I was very sleepy this evening, so I thought it would be a great idea to go to bed "early." Well, in the first 15 minutes of drifting off to sleep, my body jerked 5 times. Steve was sitting in bed next to me, reading some papers. So he saw it happen each time. And boy, does it hurt! Right now, my most painful spots are my left shoulder / upper arm and my left lower back. So when I jerk, that is what really hurts. The jerking in my sleep began while I was in the hospital. It's very painful, and like I said, it really hurts the areas that are already really sore -- which always includes my left shoulder. So now I am up while I wait for more medication to settle into my system and take effect before I attempt this great ritual of trying to go to bed yet again. Oh -- and it is sometimes quite a trick to even get out of bed, especially when I'm really in pain, like tonight.
Steve has been talking to a nurse daily to adjust my pain medications since leaving the hospital (and even before I entered the hospital). We gave up on the pain patches on my back (which we began in the hospital to replace the epidural), as they seemed to give bad side effects, such as anxiety attacks. I also had a lot of trouble sleeping and falling asleep, as I couldn't stop talking about nonsense and didn't even know what I was saying. It was like I was hallucinating and just could not settle down to go to sleep, despite my exhaustion.
As of Monday, I have a new oncologist (the specialist at Duke) -- and along with the doctor, that means I have a new nurse, whom Steve has been working with on pain control. Her goal is that I not be in pain at all. Hooray!! I like that goal! ;) So they switched me off the patch and onto a different medication. I have a long-lasting narcotic and a short-lasting narcotic for "break-through" pain. I am also allowed to take Advil along with them. Each day this week, my dosage has been increasing on each of these. Now when I go to bed, you would not believe the pile of pills that Steve hands to me to swallow. But this pile does include a few other items aside from just pain medication.
For instance, I'm also taking anti-anxiety medication. And as of tonight, we have determined that it apparently takes 2 of these pills to keep me from painfully jerking in my sleep. On the 2 previous nights, I had taken 2 pills and fell asleep beautifully! Tonight we decided to only do 1 of them...and well....here I am at my computer instead of asleep in my bed.
The side effects have definitely improved since switching from the pain patches. I don't do all the crazy rambling anymore. But I am still getting VERY sleepy during the day, where my eyes get sooo heavy and I can't keep them open. I also start talking and then I slowly stop making any sense. Steve deciphered today that the anxiety pills are causing this. So although they are doing great things at night, they are not so great during the day. So hopefully tomorrow, the nurse can get me a different daytime option. Because I am still having panic attacks during the day.
And if you know anything about narcotics, you'll know that with all the narcotics I'm taking, I'm also taking a pretty hefty dose of some OTC medications to counteract their side-effects too. ;)
Please pray that we will get the medication sorted out quickly. Please pray that I will finally be out of pain.
I do have periods of time when I'm out of pain, but I also go through painful periods each day. There has been so much change and confusion over the past couple weeks that it takes awhile to get this all right. My lower back pain today started simply because some grape juice went down the wrong way and I coughed. I had to cough several times - and hard. And WOW did that hurt!! So afterwards, I couldn't even walk. And it was time to leave for my radiation appointment. So somehow, I had to get down the stairs with Steve...then onto the radiation table and off again at my appointment, which was very painful, and I screamed. ugh. Back at home, I didn't go back upstairs again for a couple hours - until my pain medication had kicked in enough.
I hate to sound so depressing, but this is what I'm dealing with right now. My incision isn't actually causing much discomfort though. My pain is mostly in my left shoulder / upper arm, where there is cancer around the bone. This has caused some fractures in this area. This pain sometimes extends further down my arm as well, such as to my wrist. So I have been wearing a sling on this arm for most of the day, which tends to help (until I start to feel claustrophobic).
The other main area of pain is my lower back / bottom. And this extends down either leg. Right now, the back of my right thigh is throbbing. This pain is caused by the 4 tumors found in the pelvic / hip region. These tumors are touching bone and/or nerves. So I have 2 pinched nerves and a fracture in my lower back (in my last vertebra). No wonder I hurt!! Ouch!!
Soooo.... yesterday (Wednesday) was my FINAL DAY of radiation on my left shoulder!!!!!! HOOORAY!!!!!! :) :) :) And tomorrow (Friday) will be my FINAL DAY of radiation on my pelvic area!!!!!!!!!! PRAISE GOD!!!!!!!! :) :) :) However, they told us from the start that the pain will not end when the radiation ends. They have repeatedly said that 6 weeks after radiation ends, 80% of patients are pain free!
Please pray that I will soon be pain free!! Please also pray that this radiation will have been effective in eliminating those tumors!!
Now that we have been dealing with cancer for 4 weeks, we have finally hit a week with fewer appointments. Hooray! But amazingly, neither of us is able to get much done. We both have so much that we want to and need to accomplish, and it's hard to understand where the time goes. But we've determined that the main problem is pain. Pain keeps stealing our time this week. For instance, it took me until last night, when I was unable to sleep at one point, to finally open a HUGE pile of cards!! They consisted of both birthday and get well cards, and the pile had been growing and growing -- starting from when I was in the hospital! I really enjoyed finally being able to take the time to read through the rest of these cards and feel so loved and blessed by them!!!! :) :) Soon I will also need to find the time to experience the joy of opening the 14 birthday presents that have been sitting in my bedroom since Sunday!!!! Some had been delivered by mail and were saved until Sunday, and some were delivered to my birthday party. I definitely did open a lot of gifts already!! But this collection of 14 remains -- including gifts from my own husband!!!! So far, he has given me an iPhone -- which is awesome!!!! But apparently he bought me some smaller items as well. But I was in so much pain after my party on Sunday night....and then the pattern has just continued this week. So I really look forward to the joy of having a little gift opening party on the floor here very soon!!!!! :) :)
Wednesday morning, I was feeling better, so I extended myself a bit more. For instance, I actually went downstairs 4 times in the early part of the day (before our 2pm radiation appt), but always assisted by Steve. I went down for breakfast, lunch, the appointment, and to play with Kien. My mom had to take Kevin to the orthopedist for his broken arm, and I thought it seemed reasonable that Kien should stay with me and Steve while she goes to the doctor. This was my idea. Well, Steve had to go downstairs to take care of Kien, or he would have attacked our whole bedroom. ;) I didn't want to stay upstairs alone...so I decided to come too (one of my unnecessary trips downstairs). This experience led to some of my extreme pain of the day -- but I must say that, at the time, I had a fabulous time!! Steve, Kien, and I have a wonderful hour of bonding! Kien is just sooooo darling, and he definitely still loves his Mama!!! :) But I do miss taking care of him and playing with him, so I really enjoyed this special time. But I will now be more careful.... because the combination of activities of the morning (including the 4 trips on the stairs) did me in. I was in the most pain yesterday afternoon of any day thus far!! It was just awful. I cried and cried. So Steve called the nurse, and then I was shocked to see the pile of pills in his hand when he came to me after getting off the phone. Wow! And after a couple hours, I felt so good that we were even able to attend our small group at church in the evening for the first time this fall!!!! Praise God!!!!!! :) :) :)