Chore or Exercise?

Sometimes for people who have disabilities, just getting up in the morning can be a chore. Then, when you add, feeding yourself, getting clean and ‘nice’ and further, if you need to go out, putting in an extra effort to look presentable to the public, whoa just typing the words makes me tired!

My keyboard and hand. Hmm. I must get that ring out and wear it again!

But if you wish to become more able to do things, when you have Multiple Sclerosis, the buzz phrase is ‘Use It Or You’ll Lose It’, and so these days, people are encouraged to do exercise to help themselves remain mobile, if they are actually mobile, and to exercise while seated if mobility is a problem for them, as it is for many with MS.

Not all people with MS have such mobility problems, particularly these days, with better understanding, and better medications and other treatments. I am one of the more mobile people with MS, on a good day (ie, not to hot, and if I am not feeling stressed), I can walk easily up to 500 metres.

I certainly am glad about that, I like being able to get around easily in my community! So I’ve been doing more exercise, these days, simple things, that I can do at home, with minimal equipment. Walking. That is such a basic thing, many people don’t think of it as being exercise, but it is.

My main exercise thing is indeed that, walking. I’ve been making a point, a few times in a week, of walking extra steps at home, brisk steps, and counting those steps. I know that two of my brisk steps equal on metre, therefore, if I walk 500 brisk steps, I have walked 250 metres. This is in addition to any usual walking I do to walk around the house and outside, doing the ordinary everyday things we all do. The brisk steps are extra ones, they are exercise.

So I do these steps both inside the house, walking briskly from room to room, into and out of rooms, counting the steps as I go, and outside of the house. Outside, I might walk up and down the back or front veranda. Or I may walk around our swimming pool (50 steps, I’ve counted!). I feel good about having begun this plan, and while I know it would be good if I did it every day, I also know that just isn’t going to happen. Life gets in the way.

Our swimming pool

Another exercise I just thought about today, is How about thinking about household chores as exercises?! Haha, I hate housework, and am very glad that my husband does most of it, as my carer. But today, I had to, no actually, I chose to, do the washing, and hung it out. But I told myself I was going to do some bending and stretching exercise outside in the sunshine, and that way, hanging out the washing felt like a good thing to do, not a chore!

And later on today, I’ll do some more stretching, when I go out to the clothesline to bring in the washing, and some weights to carry it inside. After that, there will be some bending, to get the washing out of the basket, and stretching, to put away it all away in drawers and the wardrobe!

Hooray to exercising, and hooray to me for thinking of this cunning plan, to rename things, and find enjoyment and that needed movement! I’m definitely moving it, because I sure don’t want to lose it – mobility is my friend! If you stop thinking about parts of your life being a chore, your whole life can feel better!

NDIS and Me

The National Disability Insurance Scheme, or NDIS, is a scheme in Australia to help people with disabilities to get, and pay for needed ‘things’, including support workers, assistance with daily living, services and support. It covers things that are not supplied by other government schemes, and assistance.

‘… aim of the NDIS is to support people with disability by giving participants choice and control over their social and economic participation and their types of support and their life goals’ from http://www.communityoptions.com.au/ndis/what-is-the-ndis/

At the moment, I currently have a support worker, a cleaner, and a gardener/yard worker, to help me to do the things I can’t easily do, or that assist me in taking part in the broader community. It is a fine scheme, and I am realising now how much I have let myself down, by not utilising the scheme to the fullest.

Connecting with Nature – Lovely!

I have money allocated to me and my carer, to pay for the things I want and need, due to my disability. My chronic illness, Multiple Sclerosis (MS) is one that is going well at the moment, and I am certainly thankful about that. I do know that if things aren’t going so well, which could come at any time, the MS will hit me hard again.

Working my way through NDIS has been an interesting thing, utilising my slightly affected cognitive abilities, but things are getting organised and paid for, so I must be doing OK with things. I opted for the self-management option for organising my plan, and I am grateful for the support I have been receiving from my support worker, who has been dealing with the NDIS, on behalf of another client, and so she knows the ins and outs of things, far better than I do.

Knowing what is eligible, understanding the meanings of different words and phrases used, working out the somewhat confusing website, these things are tricky for a relative newcomer like me, but I’m getting there, slow and steady. My home is where some things will be adapted, worked on, made better, made safer for me, and improved so my quality of life is as it should be.

Living a stress-free life is a major factor in why my MS is going well for me. Stress can be a major problem for many people, causing, or at least exacerbating illness. I work hard at living my life in a stress-free manner. So though I may seem to be sitting around enjoying myself, I am actually working at being calm and positive in my life. Being positive, having a good nutritionally sound diet, enjoying my life, these all assist in keeping my MS in a calm state.

Of course, my medication is a strong factor in my current state, but who can tell which aspect causes which benefit? Keeping happy, not too hot and not too cold, peaceful, engaged with my chosen community, feeling productive (in my own ways), living a good life, these are all important factors too, I feel.

I am interested in hearing from other people with MS, or carers of such people, as well as others regarding other auto-immune diseases, to see whether others have their own ideas regarding such things. Or indeed, whether they agree with what I have written. I feel this in an important discussion to hold. Our health is our responsibility!

Recipe for My Good Life

I have known of my Multiple Sclerosis (MS) for ten years, being diagnosed in February 2010. That diagnosis did not frighten me, it actually soothed my fears. Many other people will say something similar to my response, on being diagnosed with an illness. The human mind is often capable of thinking of things far worse than the reality of a situation. So I had MS, instead of the brain tumour, or stroke that I had feared.

The neurologist, which quickly was shortened to neuro, prescribed a medication to assist with the symptoms I was experiencing, and so began my life, of living with MS. It was a very much scaled back kind of life, but not completely, I found a different life, one connected with a new cohort, the world of disability, and I began this blog, as a needed entertainment when getting about had become much more difficult.

So blogging took off, with this one, and the book I wrote, a memoir of my new life, that gave this blog its name became an important part of my writing life. It’s  good book, that looks at many of the changes there are when a diagnosis of MS comes along. It’s my personal story, as it seemed to me, and it’s real, with some very things not usually spoken of in polite society …

My medication has changed since then, from the original Avonex injections once a week, to the current Gilenya tablet take once a day. The injections lasted for two years, and while I was managing with them OK, it was a huge relief to change, and pop a pill, instead of jabbing myself in the thigh … These tablets are working even better for me too, and sometimes it’s almost like I don’t even have MS.

But there are other reasons why I doing so well too, I think. I have a good, nutritionally sound diet, I don’t over do the alcohol, I don’t smoke. And do my best to live a stress free life, whilst also staying involved in doing the things I love to do, and to have a purpose in my life, doing good things for others. I am the Editor of the monthly newsletter for the closest town, Mallala, and this role takes in my love of writing, and editing, and my enjoyment from helping out my town.

So my diet includes red wine A small glass every few days, dark chocolate  (most nights, just a little) some grains, nuts, some fruit, more vegetables, especially leafy green vegetables, all in moderation, with some exercise, also in moderation. My prescription for a healthy life! Lately, I’ve been in locked down mode, because of Covid-19, so my exercise is often just walking more than usual, up and down inside the house for 300 steps, then 300 steps on the back veranda and around the back yard, the same on the front veranda.

I’m hoping I might actually switch on the Wii Fit machine some time soon, but I just don’t feel like doing that. I know I’ve definitely put on some weight though, so I’m definitely aware that I need to do more than I’d been doing at the start of this Covid-19 time …

So that’s it. I’m not saying that’s what I always do, but it’s what I aim at doing. Having a purpose in life is important too, beyond simply existing. That can be many different things, as long as they take you further and higher than simply being.

New Normal

The new normal, what will it be? It’s the year 2020. The year I thought would be the year of Vision, for me personally, and with my writing, and for my writing group, perhaps, not sure on that one. A group is a group, made up of individuals, lead by one person, and although I am the leader of the group, it is our group, not just mine.

Event for Adelaide Plains Poets Festival of Words 

So this year started off well then it went crazy bad, and dangerous even. I’m OK, but that’s because I’m being good, and staying at home. Trying to get to the crux of the matter – how safe will I be if I go somewhere and encounter Covid-19? Some places say I’ll be worse off that others, other say my medication will offer some assistance in keeping me better off.

It’s still all up in the air, and no actual answer coming so I’ll continue staying at home, reaching out online when I can, hoping I stay Covid-19 free, and well … But, but, but … I am President of a group that meets every week, in a hotel. Well that isn’t happening … The group is meeting online, and that’s been good, but I’m sure I’m not the only group member missing catching up for real.

I’m a writer, being in lock down is an occasion to get more writing done. And the amount of time I’ve had, at home, just me and my lap top, and Missy our dog, often, then I should or could at least be half way through writing my first Cosy Murder Mystery book. I had it all planned at the end of last year, and it was going well. Then, the plague arrived, ruining my plans.

But the need to write is still there, and while I’m able to do it, I will write. Whether it’s poetry, books, articles for the Town’s Newsletter that I edit (Mallala Crossroad Chronicle), fiction, or blogging, I have to write. (to be honest, I have to include flaffing about on Social Media). Social Media is still writing, right? Yeah, sure …

This all feels like a strange new world, but I’d say for many people, like me, have entered a strange new world when they were first diagnosed with MS (Multiple Sclerosis). It’s new disease,and there are new words to become accustomed to. Lesions, Sclerosis, and so on, you hear them and you learn what they mean, and you live what it brings to you, as best as you can. 

And if you don’t have MS, or the diagnosis was so long ago, you can barely remember it, this current Covid-19 Lock Down life might feel similar to what those of us diagnosed with MS first felt, locked down unable to go out, unable to do many things that you used to be able to do. The new ways become your new normal, and life continues on, but different. 

With MS, there may be improvements, the relapse that lead to your initial diagnosis may go into remission, but the MS is still there, and you know it, in the back of your mind. Or like me, you may go through a couple of medication changes, and life gets better, so that your new normal has some feelings of your previous life. But the MS is still there.

So this Covid-19 is a little bit like that, but right now, none of us now when life might achieve its settled down state, and we don’t know what our ‘new normal’ might be like. But for me, as a writer, it’s a challenge, to get a hold of what is happening to us all, so I have a new challenge, one I can do from the safety of my lap top, using the skills I already had, that of writing and blogging, and encouraging other people to write, using my writer blog. 

I have decided to put together and publish an anthology about the Covid-19 things happening right around the world, using the words of writers who are living this new world. I came iup with a phrase ‘Plague Invasion’ and things took off from there. My life is changed, and I’m happy with that, my new obsession/challenge is to get this book done, and ready for the public to hear about, find, and read.

I am reaching out to writers and poets, and between us, we will make a fine book, looking at this current Covid-19 situation, as it is for all of them. From the humour of running out of toilet paper, to the seriousness of the deaths, it will all be in this book – “Plague Invasion – Creative Writing Responses to Covid-19”.

It is a far from normal time, but at the moment, working on this book, that is my new normal …

Settling My Mind

I have had enough training and life experience to know that it is important to have a settled mind if I am to get things happening in the way that is best for me. My mindfulness training certainly emphasised that it is only the present moment that is the one can effectively be in.

I can’t change what happened in the past and worrying about anything ‘back there’ can’t do me any good. And I can’t do anything about what may or may not occur in the future either, because, it’s impossible to say what definitely will happen. Stressing about future events unsettles the mind, I know that.

So the only real time I need to concern myself with is the present time, because the ‘now’ is the only real time there is. While the past and the future may feel like times, they’re effectively aren’t, the past is a fluid thing, depending on who’s talking, and the future is a thing that isn’t real, because things don’t become real until they happen. In the future is a mountain of possibilities, but they aren’t really real. They simply may happen, not will happen.

Some things are extremely likely, others extremely unlikely, and all others fit in between the two. The sun will almost certainly rise in the morning, that is true, but if the planet were hit by something huge, kabang, no more Earth for the sun to rise over, and that likely event may be taken away by an extremely unlikely one.

Photo by Sachin C Nair on Pexels.com

Thinking about these things is a bit of silliness, that I am indulging in at the moment, probably because my mind is unsettled, right now. Like other people in Australia who have MS, I have NDIS funding available to me to assist in my life, so that I can live a good life, even though MS is taking away from me some of the good things in life. This funding is good, and I am grateful for it, but the process of working my way through getting the money, oh boy!

Using a system that makes sense, I assume, to those who set it up, isn’t necessarily easy for other people, me, for instance. I went along to the NDIS website earlier to today, to do something, then left a while later, tail between my legs, with no idea really about what on earth I was trying to do … It isn’t an impossible thing to do, to work it out, and I have support to assist if I can’t work it out myself, but it is definitely unsettling for my poor addled head!

I’m going to have another look at it later, and see if it makes more sense. Another cup of coffee might help. Actually another cup of coffee always helps! Coffee is my go to support when my brain needs a boost, as it does right now! It doesn’t settle the brain, but gives me extra oomph to get the thing done, and maybe my brain will settle better once it’s all finished and done!

 

 

After Recent Neuro Visit

Today I had my annual visit to my neurologist, and I have to report I am more or less happy with the result of it. I had my muscular abilities tested (arms and legs) my eyes too. He always does these tests.

I measured up well enough that he certainly seemed perfectly satisfied with how I’m going, as I am too, for the most part. But visits to this specialist tend to leave me slightly dissatisfied, in minor ways. I feel it’s because I feel like I’m wasting his time, perhaps, and my own time too.

What do I expect from my MS specialist? I’m not sure. I do know that he is good at his job, and knows his stuff. I am on the best medication for my Multiple Sclerosis (MS), and that is because that is what he offered to me, once it came out in Australia. Gilenya has been great for me.

My blood test results are good, and I feel pretty good too. I certainly have some problems, health-wise, but only minor ones, compared to what many are faced with, who also have MS. I do feel that particularly in regards to my mobility, I’m going well. There is certainly no need for a wheelchair for me, no need at all.

Photo by Patrick De Boeck on Pexels.com

I don’t do marathons, that’s true, and doubt I could manage one, but doing marathons has never ever been on my list of things to do. If I wanted to do one, I feel that, with a good physio advising me, I could do one, (after lots of training!). It isn’t something that interests me at all though.

I’m more a brain type, not a brawn type. I only want to be physical enough to be able to walk around, drive my car, and get lids of jars if my husband isn’t around assist! If I were to lose my ability to get around, that would be a huge impact on my life, for sure. But at this stage of my life, it isn’t looking like that will happen, not for a long time yet, anyway.

The issues I have with MS that are troublesome tend to be related to incontinence, and that isn’t something that’s terrible pleasant to talk about, but we did discuss it briefly, and he reminded me it’s something we spoke of at my previous appointment. I indicated the issue has worsened a little, but when he suggested a couple of things, I let him know I was happy enough I had the problem under control, really.

When he mentioned Botox as a possible treatment, I let him know I was definitely not interested in that. I feel my problem is more a muscle related one, and doesn’t need Botox, if anything, it may benefit from training in pelvic floor muscle exercises. Apart from that, as I told my neuro, I have funding from the NDIS to assist with pads to assist with continence.

So basically, I actually have things under control, and am not interested in the things suggested. Is that why I feel that tiny bit of dissatisfaction? These visits to see my specialist are not free, and I didn’t have private health insurance, they may be less than easy to pay for. So do I feel I’m wasting my time and my money going to see him?

Well sort of, to some extent, but not really. I think it’s good that there is feedback between my GP and my specialist. My GP does the getting my blood tests organised, and has the results sent to my neuro. My bloods are good, going by my most recent tests, no negative affects on my liver, etc. All good.

So really, going to see my neuro annually is fine. If and when I have any more pressing issues, I know he’s there to investigate things that are beyond my GP. Do I need any more than that? No, not at the moment. Maybe my whinging is because most of my health issues are simply because I am getting older, and I don’t like that fact?

Yeah, that’s probably that, as well as my neurologists less than soothing ‘bed-side manner’. He is blunt, not rude, or anything, just straight forward and honest. Ah well, such is life, I’ll suck it up and be grateful for my good fortune, and stop being such a sook!

 

 

New ‘Normals’

One thing many people don’t realise is that people with a disability or injury, may never return to how they were ‘before’. How they are right now, may be as good as they’re going to get, and that is their new ‘normal’. Expecting them to be how they were ‘before’ won’t help and is likely to be a hindrance, bad for them, for you, for everyone.

I’m not writing this as a woe is me thing, because in fact I’m going well, compared to some other people living with what I have, but that is not something I can rely on staying that way, and I am a lucky person, with plenty of people who help me to live a good life, with Multiple Sclerosis.

Many other people with this disease are struggling, with no real help from anyone, and I feel for anyone trying to live their life like that, because if you have MS, stress can make everything so much worse. I have my husband, my family, many good friends, and some absolutely great friends. I also have the NDIS which I will be using more often, later in the year.

I am able to do do many things I love to do, and this is definitely an important aspect of why I’m doing well. If I had had a full time job when I was diagnosed, particularly if it had been a job I loved, but was getting harder and harder to do well, that would be a very stressful thing.

I had more or less retired from ever having a full time job and have been happy doing volunteer things related to writing, as well as being a freelance writer in a (very) casual way. This means if I don’t feel up to doing something, I don’t have to do it, almost always. I can make a bit of money from my books, or from doing online surveys, which I have a silly love for! These little bits of money help me to feel worthwhile, financially, and my volunteer things help me to be useful in the broader community.

These are good things for a person with a disability. Feeling useless never helps anyone, and doing things (as long as they are still enjoyable and feel good to you), this is a great positive thing, that brings on feel good chemicals in your body, endorphins. When you help other people, or when others help you, you can have a release of these good chemicals in your body, and feel good, for hours afterwards.

And while these are good things, they are not going to bring back to where you used to be, if, for instance you have MS, as I do, or have for instance an acquired brain injury. The best way to go with people dealing with these things is to talk with them and listen, actively pay attention, and try to understand what their ‘new normal’ is. These people will know themselves better than anyone else will, to a large extent.

If someone says they can’t do something because they’re not feeling like they can, believe them. Don’t cut them off, but don’t harass them either. Just because they did something one, day, doesn’t mean they can necessarily do it another day. And just because they didn’t couldn’t do it one day, doesn’t mean they won’t be able to do it another day. Just ask, they will know better than anyone.

So I have a good life, I understand my abilities and my limitations, and I do my best to extend my limits as much as I can. I am living a good and worthwhile life!

Doing MS Meds Differently

It always surprises me when I read other people (usually from countries other my own, which is Australia), don’t understand that there is a protocol regarding the MS medication Gilenya, regarding how long you can go without taking it, before you have to go through the initial process again.

That process isn’t an onerous one, but it takes most of a day, from beginning to end, with regular checks on the heart rate regularly over the 6 hour process. I don’t think you need to go through the eye checks the second time, before being allowed to begin taking it again.

Whether you do or not, I would certainly not consider stopping taking Gilenya, not unless there was an extremely bad effect from it.

The Strange Things I Know About

Call Me the Poo and Pee expert!

I had a session today, with one of the people at the MS Society, in their new venue. Because I’d never been there before, I left in plenty of time, and found the place easily, so was early. My phone ‘told me where to go’, politely of course!

Because I was there early, I was able to have a cup of coffee and an apple. They were both free, which is always nice, when you’re living on the Disability Support Pension! The apple was there in a delicious looking fruit bowl, to help to promote Bowel Cancer Awareness Month, and because I was at the MS Society to discuss continence issues, it was completely pertinent.

Continence, or more correctly perhaps, incontinence, can apply to both the bladder and the bowel, and it means when, what I’m going to call pee and poo, arrive too fast, when we don’t want it to, then the resulting unpleasantness can occur.

And of course, we all know just how unpleasant poo and pee can be, when you’re not actually sitting on the toilet seat, (or squatting outside in the bush). And unfortunately, it seems to be true that people with MS are more likely that other people to suffer from these embarrassing issues.

Getting help

The reason I was at the MS Society, was to look into the best options available to assist with dealing with any potential messy problem. Incontinence isn’t a really big issue for me, but it is a sometimes problem, for sure. If I can get a pad/liner to help me, I want to get the one that suits me the best.

I have been approved for financial assistance from the NDIS, and I am glad that I am able to be reimbursed for my money spent to keep things nice! The MS Society worker is looking into method of payment for continence support items for me, and will get back regarding it.

And I wanted to discuss the whole incontinence thing. From how the discussion went, I’m doing the right things, to assist my own body with these things. I drink plenty of water, and have a good amount of  fibre in my diet. The correct amount of water is 30ml for every kg of body weight.

How Much Water is the Right Amount?

So my weight is around 56 kg, so I should have around one and a half glasses (250ml) of water. This amount of fluid can include two cups of coffee in a day, but after that, the caffeine causes excessive urination. So it looks like my current amount of water/fluid taken every day is about right.

I usually have 2 or 3 cups of coffee every day, with about 4 or 5 glasses of water. Another way to check on whether intake of water is sufficient, is too check the colour of your urine. It shouldn’t be the colour of cider, or apple juice it should be a lighter and clearer straw colour. So, if you want to check your situation, just take look, before you flush!

Drinking enough water can assist with preventing Urinary Tract Infections too, and that is not a pleasant thing to suffer from at all. Since I began drinking more water over the past couple of years, I haven’t suffered with one of those nasty infections, and I am very glad of that.

In summer, especially if you spend time out in the heat, your sweat will take away some of your water intake, so you must remember to drink more water. Also if you are working out, running, or being active working in the garden, the yard, and so on, then you must keep up your water intake.

There are many kinds of drinks for sale to ‘keep you hydrated’, but simple tap water is the cheapest method, so really, you don’t need any fancy drinks, just water. If you want water with a bit of kick, try a squeeze or squirt of lime of lemon juice, delicious!

Feeling Fine, with MS

A friend posted a comment on my Facebook page recently, mentioning that I seemed a lot better now than when she met me years ago at a particular event. I’m not sure exactly when that event was, but I suspect it was probably in the early 2010s.

I’m certainly better than I would have been back then, physically. I was just diagnosed with MS, getting used to injecting myself once a week (ouch!), and wondering what on earth was I going to be doing with my life. Emotionally, spiritually even too, I’m am going much these days.

There’s a common little phrase used by some people who have Multiple Sclerosis = I have MS, but MS doesn’t have me. I certainly agree with this idea, in my own case. Yes, I have that chronic illness, but I also have so many much more uplifting and heartwarming things in my life.

I have wonderful caring family and friends, I have a sense of purpose in my life, I have a lovely community I work for. All of these things keep my heart warm and beating strongly. And I have my creative writing, this blog (and others), my books, poetry, works in progress, and the newsletter I edit, the Mallala Crossroad Chronicle.

These things are there, they are going along well, and I am in such a good space in life. With the medication I am on for MS working well, sometimes I can almost forget I even have MS, and that is a good thing for sure.

And as I live in the country, Nature is always there with me, trees, birds, other creatures, and the sky with clouds, I love them all, and I feel they love me too!