good day turned bad

I was pretty excited this morning and energetic for the first time in I don’t know how long. But pain kept me from doing all that I set out to do today. I really got depressed and cried for almost an hour because I had plans to go to a movie with a friend and had to cancel on him. This is the second week that I had to do this to him because my pain levels were high. I wanted to make cupcakes today and that was a flop because after I went to the store to get the ingredients and supplies, I was just in too much pain to stand, let alone do much else. My sister had a BBQ today so I tried to attend that and just sit and rest but sitting caused me more pain. And it was hot and muggy today. Even though my sister had the AC on my fricken stupid aunt got “cold” and made me turn it off. I got so pissed off as I can’t stand the heat. This condition (CES) has left me so heat intolerant it literally boils my blood and my temper. I had to go back to the confines of my room where I have been for the past several hours. I had to stand for a few minutes to take my night time meds and now I am in wicked bad pain again. I feel like such a loser because things were going so well and now I am hurting and am a sobbing mess. I have been looking forward to doing something, anything, since I got the recipe for these cupcakes and now they will have to wait. I hope they come out good when I finally make them. I just don’t know when that day will come. I am so tired of hurting. All I did today was shower and go to the store. Day was done after that. And I am so pissed off. I can’t stand myself right now. I have feelings of overwhelming sadness that I just can’t shake. Surprisingly, I am not suicidal, though I just want to stab my ankle repeatedly.

writing is difficult at times

I went to my “happy place” (Starbucks) today to sit and write. Unfortunately, all I did was sit and check twitter on my phone. I decided to write an introduction for the book I was writing. Nothing came to me. ZILCH in over an hour. What I did write was the shortest and most boring introduction to a book. I might as well just have written the word INTRO and call it a day.

I have set what I think will be an impossible goal for me, to write four pages a day till Sept 20th in my book. I have found that once I start, I have a hard time stopping. But the thing is, to get GOING! Lately, even with my blogs, I have been finding that I have to turn off my phone so I am not bothered with incoming text or email messages. I don’t get phone calls anymore. If I do, I usually have the MP3 player going so I know when I have a call. I actually have tracked my phone calls since I left work. Hardly any minutes go for landlines anymore. I get like 700 minutes a month and at least 70 minutes will be used. I have unlimited mobile to mobile so it doesn’t matter how many minutes I use. I kind of hate it because I am paying 450 minute for nothing, get 300 bonus minutes, and I don’t use it anymore. I just pay for my data plan, which is reasonable I guess. I never use more than 2GB of data a month, but then I have unlimited data so it doesn’t matter. I am paying for a tablet that I don’t use data for. I would love to cancel the contract but it will cost me $200 to break the contract. I have until March to cancel it anyways. Not like I use it much. I just use it for the Kindle app so I can read, but I have so many hardcover books that I am reading, I hardly use the tablet anymore. It got old a month after I bought it so I am not sure anyone will want it. I do use it for email or something when I go in the hospital. But I don’t know if they will allow it anymore. Some places are going all no technology. Even using a cell phone is prohibited.

I am kind of feeling pressured to write these four pages a day. But I added some stuff to the document last night from a previous version of my book. Taken together, I have like 150 pages of stuff. The first version is just a compilation of my first few blogs and some other stuff I wrote that I think should be included in the book. The thing is, that I have become such a condensed writer that for me to expand is difficult. Sometimes I feel like I write and just go on not making any sense.

I have been having waves of sadness hitting me pretty hard today. I don’t know why as I had such a good day yesterday. I think it is because my foot has been bothering me today. Since this morning, my foot and leg pain has been bad. I literally had to force myself to go out today. Even putting on my sneakers today hurt, which almost made me want to go back to bed. After getting my latte, I was really hurting even though I was just sitting in Starbucks playing on my phone. I tried to come up with something to write but it was impossible. The sadness was so palpable.

Tomorrow is my BFF from childhood birthday. It just is another reminder to me that I am getting older and I don’t like it. I never imagined that I would make it to my thirties, let alone past my twenties. Pretty soon I will hit the big 4-0 and I am not sure I can take it. I just want to die now so I don’t have to spend my days in bed withering in pain.

I meant to go to the grocery store today. But after getting out just for my coffee, I couldn’t bear standing anymore. I will try tonight when my brother-in-law gets home so I can take the car. I got a pumpkin cupcake recipe off the internet that I am dying to try. I love pumpkin! And this will be the perfect snack for me to have or even a good breakfast. I just don’t know if I can stand to do more today or not. But I am getting hungry and have not had dinner yet. I am debating on making pasta or reheating the left over Chinese food I got last night. I just don’t want a repeat of what I went through last night if I have the Chinese food. I got really bloated from the grease. I should have ordered from my usual place but I wanted to try another restaurant. Now I know better!

loss of self

Today I broached the subject of grief with my therapist. She hasn’t received her packet of letters that describes my grief and how I think I should address it. I couldn’t bring myself to tell her that I think the reason for my craziness the last few months has to do with my grief and not dealing with it. Course, I didn’t think much of it until I asked if grief can cause psychosis. Then I just shut down. And thank god, it was the end of session. She wanted to see me tomorrow but I told her Tuesday was fine. It will give me more time to think about how to approach this.

She encouraged me to write about this stuff and how I am thinking about it but I don’t know how. Just thinking about my losses just makes me extremely sad. It’s like knocking the wind out of me. I mean, I used to be able to work two friggen jobs and now I can’t even work one. I was stable enough to work in one job for fourteen years and then I messed it up because my foot got messed up. I don’t know if I could work again at the same job. I would like to. But I can’t be all running around like I used to. Thing is, being a lab assistant, you sometimes have to do phlebotomy (draw blood) and I was never keen on drawing blood. Even the easiest of veins I blew and I don’t want to go back to it ever again. I was lucky my department didn’t have to do that. There was a separate department for blood draws.

It still hurts that after fourteen years of service I was just not accommodated by my job to do my job. It really hurts. I never told anyone how bad it is losing my job. Even though it has been almost a year and a half now. It also sucks I can’t do my other job of driving around Boston picking up samples because my driving record got messed up. I got a speeding ticket one morning because I was too sleepy to notice I was over the speed limit. But a State trooper noticed and I got fined. Then because I couldn’t pay the fine, my license got suspended. It took me almost a year to get it all cleared up. But it is going to take a while for me to have a “good” driving record again. And that kills me. I know it doesn’t matter now because by the time I have a car of my own again, I will be “good” again. But the fact that I can’t get a Zipcar to have some independence just kills me. I can borrow my sister’s car to go places but mostly her husband takes it and I hate driving the truck. I know I should conquer my fears and learn to get used to it but I have a peripheral defect and I am just afraid I am going to sideswipe someone or something. And I HATE backing up in the drive way because my sense is not great. Even with the car I hate it, especially when there is a car parked across my driveway.

I really have other deep losses such as the loss of myself and the loss of my abilities. Walking used to be my joy. I was able to walk long distances and think nothing of it. It never bothered me. Sometimes it did when I used to get Charlie horses if I walked too far and didn’t drink enough. But other than that, I really enjoyed walking to the train station which is about a mile away. I used to do the Walk for Hunger, which is a 20 mile walk around Boston. Haven’t done that in years but I am determined to do it one year, long as I go slow. I will have to do mega training to work up to it as right now my limit is four blocks .

Then I have the loss of my bodily functions. I never thought that at the age of 36/37 I would have to wear diapers to events that last longer than a few hours. This is because I no longer get the signals to my brain that my bladder is full. Once I am full, I start leaking excess until I do go. It isn’t until I feel wet do I ask myself the last time I went potty. The number 2’s are a different story. I can’t feel myself went I go unless my stools are hard. If you are the squeamish type, I would stop reading right now. This could be disgusting to you. If my stools are soft I don’t feel them as they move out. If I have the runs, I can quickly have an accident as I can’t hold them long, though I have been lucky the last few times in holding them in by not letting loose my farts. If I lose control of my farts, I lose control of my stool and well, you got it. A nice number 2 in the pants. It has only happened to me a few times, the worse was when I took too much fiber pills and thought I was farting but really I was shitting myself. That was a lesson learned. I usually take senna because I find that it is the only thing that makes me go without too much trouble. Too much however can cause very bad cramps and possible accidents. Every time I have an accident or have skid marks because I didn’t wipe myself well enough, I lose it. I really go into a darker place and usually want to kill myself. Same with when I have a urine accident but I am getting used to them. Having stool in my pants is a real downer. And I don’t think anyone can get used to that. It makes you feel so small. And people take it for granted that their bodies will tell them these things. My body, because of the nerve damage, no longer does. And it is a HUGE loss. Again, not something I have dealt with nor wanted to.

Then, of course, there is the loss of where I should be now had my mental illness not shut me down and forced me to stop school once again. I call this the “if onlys”, such as if only I didn’t have a psychotic breakdown in 2008, how different my life would have been. If only I went to a four year school instead of getting just my Associate’s degree I would be better off now than I was back then. If only I had decided to work part time and go to school full time would I have been better mentally than I am now. Or would the financial strain of not working been too much? Or would the strain of going to college full time really be my downfall? Either way, I can’t change any of it, but it is a HUGE loss to me not being able to go back because I fucked up. I should have just made a simple phone call to put my loans into deferment and I would have been able to go back now that I am just sitting on my ass doing nothing most days. I think me not going to back to college is the most hurtful to me because I loved my studies, didn’t matter what they were. I just loved being in academia. Psychology is really my thing. And I know I could have been a good therapist. But I don’t think those dreams are ever going to come true. Maybe if I win the lottery.

Then you take into account all the times I have been suicidal. It is a loss because I am still having to piece back my life and I don’t like it. I rather be pushing up daisies for eternity. But as past blogs have talked about, I can’t kill myself anymore than I can make a gourmet dinner. AND it hurts to go on living like this.

answers about Cauda Equina Syndrome

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***Material on this Website is provided for informational purposes only. It is not a substitute for medical care, rehabilitation, educational consultation, or legal consultation. This Website contains general information which may or may not apply to individuals. This Website can not and does not address each individual’s situation and needs. I encourage all persons with chronic illness, their family members and concerned parties to seek professional advice for any specific questions and concerns. I have made every effort to insure that content is accurate, correct and current and am not liable for any unintentional errors. Links to other Websites and contacts have been carefully chosen, but do not imply endorsement and I am not responsible or liable for their information and contents. Under no circumstances, shall the authors and publishers be liable under any theory of recovery for any damages arising out of or in any manner connected with the use of information, services, or documents from the site.***

The information in midnightdemon is not intended to substitute for medical professional advice but is to be used only as an aid in understanding this condition. This site is not maintained by physicians. No medical decision should be made based on information in this site. A physician should always be consulted for any health problem or medical condition. This site is a compilation of CES patients’ thoughts, ideas and discussions, which we hope you will find useful, but it is not medical advice.

My doctor is an idiot at times, especially when it comes to treating CES. He thinks that because I have no back pain, I should be ok. What he doesn’t realize is the damage is in my foot/ankle and that is what is causing me the most pain.

WHAT IS CES?

The syndrome arises through nerve damage to the cauda equina, the horse’s tail of nerves that come after the spinal cord.

There is a specific pattern:

Severe pain in radicular (nerve root) pattern: back, buttocks, perineum(saddle area), genitalia, thighs, legs.


Loss of sensation: often tingling or numbness in the saddle area.


Weakness: in legs, often asymmetric (one side)


Bladder/bowel/sexual dysfunction: incontinence / retention of urine; incontinence of feces; impotence/loss of ejaculation or orgasm


Loss of reflexes: knee/ankle reflexes may be diminished, as may anal and bulbocavernosus. (a muscle of the perineum, the area between the anus and the genitals)

Any of these symptoms arising suddenly is a medical emergency and should be treated as such. These are the red flags of CES. You do not need ALL of these symptoms to have a case of CES. Any compression of the Cauda Equina nerves (shown through an MRI) IS CES!

I have had CES, Cauda Equina Syndrome, for the past 12.5 years. In the first few months it was difficult. I didn’t have supportive people in my life I could go to because there was no one I could find that knew what CES was. Recovery was slow. Painfully slow. It took almost a week till I was able to move the toes on my foot after surgery. It took almost three months to learn to walk with just a cane. Luckily the first go round did not affect my bowels or bladder. I had some retention of the bladder but this was thought to stem from my use of opioid medication. My surgery was at the L4/L5 level on the left side.

My second surgery (yes you can get CES twice) was at the L2/L3 level and it really caused me to become disabled five years later. At first my left leg was affected and still is. I still get nerve pain in my thigh at times, especially if I sit too long. My ankle/foot is another matter.

When I first got CES, I fell and sprained my left ankle while it was numb. Because I had no sensation in my foot/ankle I didn’t realize the extent of the damage until feeling came back, weeks later. Then I resprained my ankle in 2010 and again in 2011. This invariably lead to a condition known as CRPS (complex regional pain syndrome).

I have what I term CES-Lite. I didn’t have the textbook case of CES, where you lose function of your bowels and bladder, sexual function, weakness in one leg or both, loss of sensation in the saddle area, etc. I just had leg and back pain. My CES was caught within the 24-48 hour window. Anything greater than that risks permanent nerve damage.

It is possible to recover from CES. You just have to give yourself a LOT of time and perseverance. What one goes through is not going to be the same for another, even if they have had the same surgery at the same level. It is possible to walk again but you need to work hard at it. Going to a physical therapist that has had nerve damage experience is very helpful. Typical recovery time is anywhere from 9 months to two years or longer. It all depends on the circumstances the individual has faced and if the surgery itself didn’t cause more damage. This is all my opinion and I am not a medical professional. I am just writing this to inform those that come to my site looking for answers to these questions.

See my page about CES 101 to help with nerve pain and other complications from CES.