Suicide and Facebook

Last week, something very strange happened. While out walking with Jet, I found a turtle in the middle of a long, wooden bridge, 40 feet above the creek. It was hot and the turtle seemed a bit lethargic. After all three of us stared at each other for awhile, I decided to relocate the turtle to the creek's edge. He quickly dove in and was off. I posted my experience, with a couple of humorous quips, to Facebook.

Yesterday, I shared a post on Facebook, something I very rarely do. It was a post by a woman named Claudia Herrera, and it was about Kate Spade's suicide. Ms. Herrera lamented the fact that, despite owning multiple Kate Spade designed accessories, she had no idea Ms. Spade suffered from depression. She goes on to highlight all of the celebrities whose health struggles she had heard about, Swayze, Letterman, and Nixon among them. My favorite quote, "...somehow society has made it more acceptable to talk about breasts and testicles than about the mind..." Her point, very well made, is that depression is an illness, and it deserves the same compassionate treatment as other illnesses. Perhaps then, those of us who suffer will not feel the need to hide our condition until the bitter, tragic end.

My Facebook post about a turtle received multiple comments and 45 Likes. My shared post about suicide received 0 comments and 2 Likes. We've got a long way to go, Ms. Herrera, a long, long way. Rest in peace Kate Spade. Rest in peace Anthony Bourdain. I'm sorry both of you silently suffered.

***If you or someone you know may be considering suicide, contact the National Suicide Prevention Lifeline at 1-800-273-8255.

No drama

I'm not a fan of drama.

No drama means I'm playing well with others--friends, family, and coworkers.
No drama means I'm taking care of my patients and performing the expected duties of my job.
No drama means I'm feeling well and staving off depression symptoms.
No drama means I'm exercising, eating what I should, and taking my medications.
No drama means I'm taking care of my home and paying my bills.
No drama means I'm generally taking care of myself physically, mentally and spiritually.
No drama means I'm staying in the moment and living one day at a time.
No drama means I'm not rehashing the past or dreading the future.
No drama means I'm controlling what I can and letting go of the rest.
No drama means I'm maintaining an attitude of gratitude, noticing the small stuff, and acknowledging others.
No drama is a very good thing.

I'm happy to report my life is drama free at the moment, and I'm enjoying every minute of it.

Full time?

I have a decision to make. It's been suggested I consider taking a full-time position at my place of employment. While I'm glad my employer and coworkers appreciate me enough to want me around more frequently, I'm also worried about working more hours every week. It's a big decision, but I'm considering it.

There certainly would be benefits to increasing my hours. My company doesn't provide benefits for any employee working under 30 hours per week. No insurance, no paid time off, no 401K, etc... So while working part-time allows me a lot of flexibility with my schedule, it also costs me a lot of money for health insurance, almost $700 per month, or for any days I take off. So there are some compelling reasons to consider increasing my hours.

However, I also have concerns about increasing my hours. I've had a difficult time working more than 30 hours per week for years. Ever since my depression began, I've had to carefully control my energy expenditure at work. Too many days in a row, or too many long days, and I'm shot. Putting it simply, my brain gets tired. When my brain gets tired, my overall functioning, not just my work functioning, suffers. And when my functioning suffers, I am at much higher risk of a depression relapse. I certainly don't want to do anything which may lead to a depression relapse.

On the other hand, I have been working between 25-30 hours per week for a several months now. Would I risk a relapse by working just a few more? I guess that's the big question. Of course, I won't know the answer unless I experiment. I don't want to let fear of relapse determine my decision, but I don't want to sink into depression again, either. So this is a big decision.

I'm ever so slightly leaning toward giving it a try. I would have to increase from 3.5 days per week to 4 days per week, and each day would likely be a bit longer than I currently work. But I would still have one full day off per week. I absolutely need that. My brain just can't handle 5 consecutive days. I'm worried. I'm apprehensive. But it seems like something I should try.

Perhaps I'll ask for a trial, and if it doesn't work, I'll make sure I'd be allowed to return to part-time. If my employer is willing to do that, I almost have to give it a shot. Right?

Quite a year

I passed a milestone of sorts the other day. On May 21, 2017, I woke up coughing just after midnight and my L4 disc exploded. It's been quite a year. Surgery, depression relapse and hospitalization, ongoing left leg weakness, a brief return to running, and then arthroscopic knee surgery from which I have yet to recover, followed. Yup. It's been quite a year.

I feel like I've had one battle after another over the past year. Sometimes I look back and think I handled things well. Sometimes I look back with discouragement. Certainly I'd like to be in a different spot right now. Ideally I'd like to be preparing to run the Med-City Marathon right here in Rochester on Sunday. Instead, I'll be on the Alter-G treadmill. I guess that's better than nothing.

I had my third Hyaluronic Acid injection in my right knee today. I think it's improving a bit. I have a little less pain when descending stairs, so that's hopeful. I'm trying to remain optimistic and patient, but it's difficult. I'm not sure I'm being totally successful.

I'll keep doing what I can do physically. Hopefully I'll soon be writing about my return to the road, rather than rehashing a not-so-hot past year. That will be a great day.

Worried

I'm worried. Maybe that's a good thing? Things are going so well I have time and energy to worry? Perhaps. I'm not usually much of a worrier, so I'm a bit uncomfortable and trying my best to knock it off, but I'm worried nonetheless.

Like I said, things are going well at home, at work, and everywhere in between. My mood is good. My energy is good. I'm working, planning, taking care of my business. My house is even clean! But my knee... oh, my damn knee.

It's not just about running anymore. Yes, I hoped I would be well on my way to another marathon by now, well on my way, but there's more to it than that. I have a bucket list trip planned for October. I will be hiking to the base camp of Mount Everest. During a 20 day hike in the Himalayas, I will be ascending over three mountain passes between 17,600 and 18,200 feet. It will be quite challenging, but I never doubted I could do it. Until now.

My biggest concern up until now has been the possibility of altitude sickness, which would end my trip in a heartbeat. But with my knee continuing to pain me, even on a simple set of stairs, I am now more worried about the actual hiking than anything else.

I have been preparing for this trip for years. I have been saving money, researching trekking companies, learning about the culture of Nepal, and pouring over trekking blogs for information. I'm ready to go. Except for my knee. And because of my knee, except for my legs.

My legs are weaker today than they've been in my entire adult life. Where I used to have muscles, I only have flab. It's impossible to keep the quads strong with a painful knee. I'm getting frustrated and anxious, worried... I'm trying to hold out hope that I have enough time to prepare, but I can't begin to prepare until my knee doesn't hurt. And my knee still hurts.

This is not good. I need some encouragement, or better yet an encouraging sign that I'll one day have a knee I can count on. Until that day comes, I'm having a difficult time not worrying.

Injection

Despite my fervent prayers and abundant wishes, my right knee is still not right. It has gotten more sore again. Last week, attempting to run was again painful. I was crushed. I am now putting all of my hopes and prayers into the series of 3-5 Hyaluronic Acid injections, which I began Thursday. The injection was a little uncomfortable, but that's it. I survived just fine. My next injection is this Thursday.

Initially I felt a bit better, but within a day or two I again felt pain with any climbing or descending. I'm not panicking yet, though, as the injections may take up to 6 weeks to have full effect. Instead, I took my run indoors today. I began running, again, on the Alter-G, anti-gravity treadmill. Thank God I have access to such a high tech piece of equipment.

I am happy to report I was able to run without pain today. Granted, I was only running at 40% of my body weight, but it felt so good to stretch my legs once again. No limping, or cringing, or careful tiptoeing involved. I haven't felt that good running since January! In fact, I felt so free I didn't want to stop. But I did. Sometimes, I do the sensible thing despite myself.

Other than dream about running, I haven't been doing much. I'm feeling well. And besides work, I don't have a lot on my plate these days. Usually my free time would be consumed by training at this time of year. I already have missed, or am about to miss, several marathons I have penciled into my calendar. Sometimes it's tough to look at Facebook, as posts are filled with pictures of my satisfied friends and their latest marathon conquests. I'm happy for them but can't help but wish I was included. Hopefully soon. I'll keep dreaming.

In an instant

I just returned home from work. My route home includes 20 miles on a very busy commuter highway, and that's the problem. It's a highway, not a freeway, with a speed limit of 65 miles per hour, though most of us, including me, travel a bit over 70. And since it's a highway there are numerous county roads which intersect with it. It's dangerous, as the vehicles entering from the side roads do not do so at 70 miles per hour. Unfortunately, I witnessed the aftermath of the danger first hand tonight.

I knew from the number of emergency vehicles something terrible must have happened. As I approached the accident scene I saw two incredibly mangled cars in the median. It appeared one vehicle had t-boned the other at a very high rate of speed. The t-boned vehicle was without a roof. It appeared it had been removed by the emergency responders. Thankfully, I arrived after the occupants had been removed, but my heart sank.

Before I made it home I learned at least one person was killed and another was flown via helicopter to Mayo Clinic. I've had a difficult time getting the image of those two cars out of my head. I can almost see the accident in my head. But what's most on my mind is the families of these two people. This accident scene reminded me life can change in an instant. An instant...

When we were teenagers, my step sister left the house and never returned. I can still hear her chirp goodbye as she bounced down the back steps. Within 20 minutes, she was hit and killed by a truck.  I'm sure the victim in this accident did not leave their house thinking they would never return. I'm certain their loved ones didn't have such a thought either. But for at least one family, life forever changed today. I feel sad about that.

Though you may think it cliche, I'm going to say it anyway. Seeing this accident scene reminded me I need to tell those around me I care, and I need to do it in the moment. I have a lot to be grateful for, and there are a lot of people who make my life worth living. (Feel free to remind me of this the next time I sink into the depths of despair.) Nobody's time here is guaranteed. I need to remember that.

Running again!

Although my right knee is not perfect, with my doctor's blessing I have returned to running. Today was day two. On Tuesday I walked and ran 3.5 miles, which included running three tenths of a mile five times. My right knee was a bit sore, but it did not interfere with running. For that I am extremely grateful. I was so worried I would not be able to run, but so far so good. I walked and ran again today. I felt pretty good, and it was a beautiful day. I'm starting from ground zero, but at least I've started.

Next week I begin a series of three weekly knee injections of hyaluronic acid. Hyaluronic acid, according to my doctor, forms the matrix for cartilage. It lubricates the joint and makes cartilage more resilient. I'm missing a lot of cartilage between my patella and femur, essentially I have arthritis, so hopefully these injections will help. I'm encouraged to be tolerating running well so far. I'm hoping these injections take me the rest of the way.

I continue to feel well. My weekend in Duluth was wonderful. I hiked more than a total of 12 miles on Saturday and Sunday, most of it with my friend, which was really nice. We spent more time together chatting over coffee and good food. I also got to spend plenty of time on the shores of my old friend, Lake Superior, and I returned home feeling energized. I'm already planning my next trip.

That's all I have to report today. Grateful to be feeling well and running again. Praying both continue.

Honored again

Just returned from a beautiful weekend in Duluth, on the shore of Lake Superior, where I walked miles with my friend, soaked in the sunshine, ate some really good food, enjoyed my coffee, and decompressed by the water. Lake Superior is my favorite place on the planet. It brings me such a sense of peace and serenity. It's even where I plan to spend eternity, as all of my friends and family know, when my ashes are left to the waves. I love it. It's always difficult to leave.

My arrival home brought a pleasant surprise, however, as Healthline.com again honored me with a Best Blog Award. It is truly humbling to be included in their list of best depression blogs. I don't know how many blogs they review, but there must be hundreds of depression blogs out there, so I appreciate the acknowledgement. Thank you, Healthline.

I also appreciated what the reviewer said. In her blurb about my blog, she mentioned I post about my good days as well as my bad. I'm glad that's appreciated, because it's often more difficult to write when I feel well. I always want to offer something of value when I write, but I struggle with that when I feel well. I find my "feeling well" posts rather boring. I'm certainly more verbose when I feel like crap. Nevertheless, I hope writing about the good days gives at least one person hope that good days are possible, even when dealing with severe and persistent depression.

I certainly had a series of good days this weekend. I already miss Duluth, but it's always nice to get back to my little house, too. Time to ready myself for a busy week. I'll be working 5 of the next 6 days, and we're still swamped with patients. I'll need to take it one day at a time.

Tomorrow is the last day of April, and thus my final day of daily walks. I'm proud of myself. I stuck to my commitment, and I feel stronger for it. It's back to running (and walking) on Tuesday. I'll let you know how it goes.

Feeling well

Hello, my friends. I apologize in advance, as I'm without many words these days. Things are going well. I'm feeling well. Life is good right now. I'm not sure I have much to offer today, but I'll fill you in on the minutia anyway.

It's finally turning to Spring here. It's actually been warm enough to open the windows the last couple of days. There are still piles of snow here and there, but the grass and the trees are beginning to turn green. The days are long, which has been really nice for Jet and I during our early morning walks. The evenings are long, too, so I get to enjoy a little light after work as well. I'm feeling energized.

Jet and I have walked for 24 straight days, mostly as the sun comes up. I feel good about sticking with my commitment to walk. I've noticed an improvement in my leg strength already. I'm getting anxious to begin running, but I'm going to wait until the calendar turns over to May. There's nothing magical about May, but I committed to walking every day in April before making my return to running. So I'm again just sticking to that commitment.

Unfortunately, my right knee is still pretty creaky. I see my orthopedic surgeon tomorrow for a follow-up. I'm not sure what he's going to be able to offer. I think my knee is either going to get to a point of being pain free, or it's not. It's certainly better than it was, but I can definitely feel the loss of cartilage in that joint. And unless my surgeon has discovered how to regrow cartilage, I think I'm going to have to learn to work with what I've got.

I'll certainly know more about my future once I begin running next week. Hopefully my knee will allow it. Nonetheless, despite my physical worries, I'm glad to feel well. I hope all of you are the same.