Monthly Archives: July 2011

STRENGTH OR FLEXIBILITY

            Is it more important to have strength or flexibility? This is the question most people ask and depending on who you ask the answer will be very different. I bring this up because I had this very conversation with my trainer this morning.  Everyone is different and I can only speak for myself.  We had a nice chat about how the flexibility is good for keep me loose and helping with my balance but the strength training is going to help keep my bones, muscles, posture, and overall health better in the long run.  I need both yoga (flexibility) and weight training to maintain good health. 

            He asked how my Bikram was going and I told him I was struggling with fatigue and the heat. He was not surprised at all.  Any exercise is going to cause fatigue and especially in high heat situations just the heat alone is draining never mind adding exercise into the mix.  He said he actually asked some of his clients not to exercise last week when we were hitting record temperature days of 100 degrees and higher.  I told him I was still exercising but doing it early in the morning and I too stayed out of the heated Bikram studio those days just because heat is heat and if I spend 90 min at 105-108 and come outside into 100 when would my body get the rest it needed.  As well, I was having a hard time keeping enough fluid in my system.  He saw a lot of people at the gym struggling with fluid.

            We think that if we are in the A/C exercising and drinking water everything is ok but we need way more fluid on those types of days and the A/C helps but is not a preventative for heat exhaustion.

            I got off of track a little, the main idea is do our bodies function better being limber and flexible or strong?  I think both; I believe I need a good balance of each to be successful managing my MCTD.  He did say he didn’t think I could get the same strength exercises I needed from yoga although I do feel fatigued after yoga but to really work my back muscles I need to be pulling and there is no pulling in yoga.  He said even doing body weight exercises is hard when trying to strengthen the upper back area because you can’t really pull your own weight without something to assist you. 

            We went through a vigorous routine this morning and he added more weight to my routine and said that by adding weight if I needed to decrease reps than that was ok and even good because it meant my body would feel the effects of the higher weight more than the number of reps. I was so tired at the end but felt so strong.  He is really impressed with how far I have come and is amazed when I tell him I’m dealing with fatigue because he just doesn’t see it in me.  I feel it but I guess I don’t project it which is exactly what I want. I don’t want to walk around looking at tired as I feel!

EVERYDAY IS DIFFERENT

            Literally every day of my life can be different.  Most people have different days but they probably don’t give much thought to how they feel or the slight differences they experience from day to day.  I cannot ignore it, unfortunately I wait until I wake up to really plan the type of day I will have.  This morning I woke up utterly exhausted and my hips hurt so badly I knew I didn’t want to participate in yoga and certainly not any cardio.  I also have a personal training session tomorrow so I must be on my “A Game” for tomorrow morning.  I say that and if I wake up stiff as a board I will still go to my training session but we will have to just discuss the limitations of MCTD. 

            There are no weather changes in the forecast, there is no more humidity then there was yesterday.  I have not changed anything that I can recall so this is just waking up to fatigue and stiffness.  Since I didn’t work out this morning it will probably take me a little longer to loosen up but I really felt like I needed the rest more than the exercise today.  In all honesty I probably need an entire day of rest to get back on track but that won’t happen until the weekend gets here.  Just a couple more days and in the meantime I will need to take it easy, pace myself and keep my stress to a very low minimum if I want to make sure I don’t go into flare. 

            Ironically I was suppose to have a doctor’s appointment today but changed it due to a meeting.  Not that the doctor would tell me anything that I don’t already know but perhaps my body is trying to tell me that my doctor appointments are more important than meetings and to recognize that.   I really didn’t have anything I needed to speak to him about this time anyways especially since I have decided not to mess with my medications and try to decrease right now. I want to be stronger before I do that and I just feel like I am doing too much teetering between strength and fatigue so now is not the time for that discussion.  I’m a pretty boring patient for my doctor to see which is ok for both of us.  The less I have to worry and the less he has to do the better all the way around.

MAKING AN IMPACT

            This morning I woke up feeling really pretty good and decided to head into the Bikram studio and I was so glad I did.  As I arrived one of my fellow yogi’s was there early and she was hoping I was coming this day so she could bounce some autoimmune things off of me.  Her sister-in-law is here in Maine visiting from NY and instantly she noticed that her sister-in-law was walking with stiff legs and her hands seemed stiff.  She told my yogi friend that her doctor thinks she has RA but has not been to a Rheumatologist yet to have it confirmed. She if feeling depressed with the pain she is suffering within the knees and hands. 

            My yogi friend said she had just the person to speak to about this, she meant me.  She said she has watched me the last year in our yoga class and that I am an inspiration to her and she just wants her sister-in-law to be able to tackle this challenge as well as I have.  I felt incredibly honored to have these compliments given my way and realized that although I have MCTD and my friend’s sister-in-law has RA so they think they are very similar and I wanted to offer my support as much as I possible.  She asked me what I would recommend for someone who is just finding out they have an autoimmune disease and instantly I said she needs a doctor she can trust.  This person and you are going to be seeing each at least 4 times a year and probably more in the beginning; you have to be able to trust them.  They are going to throw a lot of information at you and want you start taking some medications right off the bat that more than likely are going to make you feel bad.  Of course they are going to help but you may not feel good in the process.  A doctor that is willing to not only suggest but also opened to other alternative types of therapies and well as a doctor that is willing to be strong and say you need exercise and a good diet right from day one.

            Once the diagnosis comes back and you know what you are dealing with that is when you can start to control and then manage your disease.  Everyone’s level of pain is different and depending on the level of pain this woman has I suggested starting in a pool for some water aerobics and asked if her feet hurt.  When your feet are effected it is very hard to even start to think about a walking routine but if there is little pain in the feet even with major pain in the knees and hips you can walk some and start a routine.  She doesn’t have pain yet in her feet so I suggested she get a pedometer and just try to get in at least 2000 steps a day.  It is not a lot but it can feel like a ton when you don’t feel well and you are dealing with pain.  My friend is buying her a pedometer today and suggesting she just start the walking process.  The more you can move the better off you’ll be at keeping some lubrication in those knee and hip joints.  Nothing strenuous but some light walking is good. 

            I was diagnosed 8 years ago and I still wear a pedometer, because that is how I started and although it hasn’t happened in many months for me there were days right up until this year that I didn’t feel like walking and even on those types of days it is good to try to get yourself to move.  There are days that I click away 25k steps and very proud that I can do that but it has taken me many years.  Every day is a stepping stone to managing a lifelong disease.  I hope she finds the help she needs and I’m so incredibly honored to know that I’m making an impact through a friend of a friend situation.

SHIFTING FOCUS

            I was feeling kind of sluggish yesterday morning so I decided to sleep in a bit and not push myself out the door early to go to Bikram.  Instead I went up the gym very near my home to use the elliptical machine.  My trainer happened to be there at 5am training someone else and said “a little cardio this morning” yes I am shifting my focus a little bit.  I love the way I feel with Bikram but I have been so tired recently that sometimes getting in 45-60 minutes seems less tiring then the full 90 minutes and with the heat I’m even more tired after Bikram and not really able to cool down very quickly.  I’m not done with Bikram by any means but now is a good time to ease back into gym life as well as try other types of yoga.

            I have a couple of classes lined up this week that will give me different forms of yoga and hoping that helps with my fatigue.  I really need a relaxing and gentle yoga before bed in hopes that it helps me sleep soundly.  I’m just so tired and then I worry about not sleeping which just compounds the problem.  A couple of nights isn’t the problem, many nights in a row is a big problem and it takes me longer to get through my fatigue the deeper I go. 

            Now is a good time to shift my focus and just do what feels right. That might mean sleeping in and forgoing all exercise in the mornings or taking a nice walk or even using the machines at the gym.  Either way I’ll be doing what my body and mind need on any particular day and that is what keeps me in management mode.

ON THE DOWN LOW

I spent the entire weekend taking care of me and spending time with my husband as he also took care of me.  It is not easy to just allow others to help me but there are times that a little nurturing goes a long way and this was one of those weekends.  We didn’t see my nephew although my brother asked if I would watch him but I just needed some serious quiet time and took that time for myself.

The heat stuck around all weekend so my husband and I stuck close to the water.  I had such a good dunk in the water and although it was a bit cold at first it felt so good. I didn’t stay in it too long for fear of Raynaud’s
but the quick dunk was just what I needed.  We spent a lot of time talking and laughing and doing what we should be doing.  Sometimes we get caught up in everyone’s life and we forget that we are the 2 most
important people in our family. My husband can also rest easy when he knows I’m taking it easy and he needed a weekend of resting easy.

Summer comes and goes quickly and we are desperate to get as much in as possible since the season is so short but this was not one of those weekends, this was a be grateful for what we have and that we have each other and remember the love the laughter we have together when it is just the 2 of us.  We did however, start packing for our upcoming “camp vacation”  this is not camping in a tent but instead renting a house on a nearby lake, not our lake as that would not be a vacation so we do travel but then we unload the many cars that arrive with food, drinks, toys, music and people. This year we will have between 10-12 people at any
given time for the week so we need to pack a lot.  We spent most of Saturday just going through all the stuff we wanted to eat and drink while we are there.  We eat like kings and queens at camp, not that
it is all that healthy but it sure tastes good.  This will be the first time in a long time that I’m going to camp and not eating gluten free.  It will make shopping, cooking, preparing meals, and sharing food so much easier. I have always had to pack my own stuff and be careful.  This year I’ll just be fun and fancy free and just eat all the stuff that everyone else is eating too. 

This vacation is so good for us because we both get to unplug together.  Granted it isn’t quiet with all the people but the idea is quiet and the lake is quiet.  The mornings are quiet, the evenings are quiet and we get to do the thing we love most which is getting out on the lake early in the mornings and kayaking all day.  We don’t really know what happens in the rest of the world the week we are at camp but it doesn’t matter, real life is always there when we resurface back into life afterward.

THE HEAT IS ON

    I woke up this morning and left my house at 4am, it was already 82 degrees. This is probably nothing new for many of you around the country but this is unheard of for Maine. The air was so warm and yet so thick I knew I was not going to have to worry about Raynaud’s this morning. As I was headed to gym for some cardio, and weight training I also decided I would jump in a class this morning over at the gym. However, just like life I changed my mind. I saw one of my yogi’s at the gym and she said let’s go to Bikram there won’t be that many people there since most everyone is staying away from the studio during this heat wave.

            I got to Bikram and it was hot, the heat was turned way up before the bodies even started to enter the studio.  There turned out to be about 30 of us that were all thinking the same thing that not that many people would be there on a day as hot as this.  Well the bodies started to pile in and the humidity and temperature went up and went up fast.  I actually laughed to myself and just decided to enjoy this practice as much as possible and I wouldn’t worry if I was still hot and sweaty after class I would just sit in my a/c car for a while cooling down and feeling the effects of Raynaud’s with the a/c.  That is the problem with me and a/c is that I don’t have to be in it but a minute and I’m in full blown Raynaud’s with purple fingers. 

            I actually had a really great practice.  The people that were there were all the regulars that exude incredible focus and energy and I just fed off of that energy.  My postures were so balanced and strong probably because my body was so warm it was willing to be twisted into any posture I put it in.  I also hadn’t been to Bikram much this week due to the heat so it felt good to be back in there.  I didn’t want to push it too much since I haven’t been feeling like myself but once I was in it I was pushing through it and watching myself do incredible things.  I do enjoy seeing my body make the changes and strides in healthy ways and thankful that my body is even able to perform like this.  The heat is on and as much as I love this I know a lot of people don’t.  My husband would prefer it not be so hot but he knows I would take this any day over cold.

FLAX SEED BENEFITS

Nothing like the sound of snap, crackle and pop first thing in the morning. As I climb out of bed I have been feeling my lower body, especially my knees and ankles cracking as my body starts to wake up. This doesn’t happen every morning but it certainly happens on those mornings where there is a threat of a thunderstorm or high humidity. The weather could turn at any moment and my body acts as a barometer and things are a bit stiffer.

My hands tend to be stiffer on mornings like this as well. The difference is that my lower body will loosen up pretty quickly where as my hands can stay stiff all day if there is a lot of moisture in the air. I read in my one of Ayurveda books that taking 2 Tbsp of flax seed oil daily can actually lubricate the joints. It comes as no surprise to anyone that I in fact bought flax seed and I’m trying it. If it works I’m all for it. The problem is I never know how to long to try something before I decide if it is working or not. Sometimes I just have to have faith that things are working and that I’m getting the benefits even if I don’t feel effects right away. Honestly the taste of the flax seed oil is pretty good. You can certainly add it to foods if you don’t like just taking it by spoon but I don’t mind drinking down 2 Tbsp quickly and getting it right into my system. I need some lubrication and willing to try this at least for a while.

MAKE CHANGES NOW

I realize now that between a couple of sore throats last week and this sadness with fatigue today I’m in a downward slump.  My body for whatever reason has had enough and is telling me that if I don’t start listening soon I’ll end up in flare.  I have gone 240 days without a flare however, I have not had any physical therapy in the last couple of weeks either and I have been doing more weight training and even incorporated some cardio back into my daily routine.  My guess is that this is just too much for my body to handle right now.

Last Friday night my husband and I were having dinner and I was trying to explain my stress at work.  This is not a new topic just a more intense topic because the stress is more than I can handle right now and he is frustrated that I won’t learn my lesson when it comes to stress.  I understand his concern and honestly I was feeling pretty strong and a bit cocky so I really didn’t think that I was in any jeopardy until I became sick Friday night and have really been sick ever since. Yes, I’m still getting up early and working out as well as performing my very best at work like I always do but trying to take in food makes me feel terrible.  I’m also walking around with a constant head ache thinking to myself, don’t think too much it just makes it worse.  What am I doing?  Who do I think I am?  When will I learn that my body does not want to function the same as a strong, healthy, 20-year-old and I can’t continue to think that I am this superwoman who has it all under control all the time.

I am superwoman some days and other days I’m just sad, sick, tired, and a woman who has gone 240 days without a flare-up which by itself is worth rejoicing over.  I just need more and more until my system says you literally can’t have any more.  We have nothing left to offer you but bed rest.  That is where unfortunately I’m heading if I’m not careful.  I’m straining my relationship, I’m leaving everything I have at my desk at work and coming home on empty.  I’m feeling like I’m too tired to even talk about it with anyone so I write. I write my feelings out in my blog and just let it flow.  This type of therapy helps me more than anything else.  Blogging allows me to see where I am at and if I really want to be at this point.  After this entry I am already thinking about how this day will be different.

FEELING SAD

Ever just wake up feeling sad? I am feeling that way today. I’m not upset about anything in particular just feeling out of sorts and trying to focus that energy into more positive areas. This doesn’t happen to me often, thank goodness, but it is happening now. I have not changed or increased any medications. I do have a lot going on and feeling slightly stressed but I usually get other stress symptoms not sadness. My body is feeling good so I just need my mind to feel good again.

Even people without MCTD have to feel sad for no apparent reason. I can usually contribute it to a change in medication or if I try to decrease a medication too quickly I feel this type of sadness. Perhaps this is just life hitting me and making me aware that I need to take better care of myself mentally as well as physically.

My Bikram practice was designated around me this morning. I usually set an intention or send my light to someone else that I think needs my positive energy and today that person is me. I went to Bikram this morning instead of my new Tuesday morning power yoga class so I could just fall into a focus of a yoga I’m very familiar with and leave my sadness on the mat. As the sweat was dripping off of me I was saying good-bye to all the things that are in my brain this morning. I was not crying but I certainly could have. I wanted to leave all emotions on my mat this morning and let all those feelings just pile up on my towel in one big wet heap and then not worry about them again for the entire day. It kind of worked but I still have some residual feelings that were left behind that I need to deal with as the day goes on.

Work is not the place to be dealing with these types of feelings and issues but I can get more out at lunch time perhaps I will need a stress reliever of a good solid hour of heavy sweating again on the elliptical or maybe even a run through Portland. I haven’t done any running this summer but I’m ready to just lay it all out and get back to feeling normal, content, happy, and ok in my own brain.

TOTAL SILENCE

Many months ago I wrote about doing a Bikram silent practice and haven’t had the chance to do one since until today I arrived for my 6am class along with one other person. Yes, only 2 of us showed up for the morning class. The instructor sadly told us she was going to have to cancel class. I was prepared to just head over to the gym and get my work out in any way when she quickly changed her mind and said we would do a silent class together and she would join us.

A silent class is just what you would think. Once you have been going to Bikram for a while the sequence is the same, the postures are the same and the timing is the same. Once you know how to do the postures the instructions are helpful but sometimes it is just nice to flow through the sequence with quiet and hear your own breathing. This is what we did and I felt so good. Our instructor will say begin and end between postures but really she didn’t even have to do that, the 3 of us were flowing nicely and feeding off of each other’s energy.

I actually felt like I was able to push myself more in each posture and maybe that was because I wasn’t distracted by words or noise or other people moving around. We didn’t take water breaks or towel breaks. We did take savasana between each pose, but there were a few postures that we decided to do the advanced version instead of the beginner version. The typical Bikram routine is for beginners and really for the first 10 years of a beginners practice but there are some more advanced versions that we don’t get to do in class with other students here it was us 3 and we have been doing this a long time so we advanced together that was really fun.

I was so tired but felt so accomplished. I was pleased she didn’t cancel class ended up giving me even a better class then if 20 people would have shown up. I don’t know the next time I’ll be able to do a silent class since they really don’t happen often for me but it was fabulous. I have the Bikram workout at home and should practice my own silent practice at home, only my room won’t be 105 degrees or these days it is even 110 degrees in there. I don’t mind the heat but my husband will never go for our room being that hot.