Sunday, October 21, 2012

To Write or Not Right Now

I've spent the last two weeks not writing a single word except for this blog. What's behind this stoppage of work? Exhaustion? Family? Uninspired? Laziness? Mental issues? Depression? How about all of the above!

Whichever one I want to blame that's the cause. This month is more than halfway over and I haven't written a single new word to my book, Don't Get Your Panties in a Wad. In fact, I haven't even opened my rough draft this month.<shaking my head> I'm ashamed to call myself an writer, because I'm not writing.

This month I'm exhausted. I stay that way no matter how much sleep I get. I'll drag in from my PT/OT sessions and crawl into bed. In a two-hour session, I'll peddle mountains for three miles on a bike, 1,000+ steps, biofeedback/e-stem exercises for 20 minutes, range of motion exercises for my arm, computerized reactions, and stretches for an hour. After a two-hour nap, I'll do more of the at home exercises and another round of electrical stimulation (e-stim). I'll lay down for another half hour, not really sleeping just doing some light bed exercises and stretches while watching the idiot box. Then I'll nuke something for supper eating it with no appetite but because I have to eat before night meds and 8 & 10 PM.

On the family front, so far this month there has been one grandchild's birthday, a day at the beach,  my anniversary, my nephew's birthday, my niece's wedding, homecoming at my home church, two baby showers, and my husband's birthday. Never a dull moment which the reason this blog is titled The Murphey Saga instead of some clever writerly name. It's the never ending story of the Jo Murphey, the writer. It's comparable to a bad soap opera.  Kind of like that night time soap opera a dozen and a half years ago with Billy Crystal "Soap."

Uninspired and laziness (see above) It seems there are more things taking away my energy spoons faster than I can replace them. So just what am I doing with my time? I find myself on POGO in between times trying to increase my speed of various games, rebuilding my vocabulary with Scrabble  and QWERTY, matching skills with Mahjong, Sequencing abilities with card games, Bingo, and Boggle. I used to find these things relaxing but now they task my brain and can get frustrating...it's work. But I'm also building my clicking speed with my mouse. If only I could draw left handed, but that's a superfine motor skills...like writing. On the hand writing front, I can write where others can actually read what I wrote. I've progressed from that large kindergarten paper to wide ruled although I still have trouble staying on the line. Maybe I'll try coloring.

The mental stress is caused from the stroke and I realize this. Having to backspace over misspelled words, seeing all the green and red squiggly lines is down right depressing. My depression stems from my not being able to write/type the way I'm used to and a whole lot of other things since the stroke. I long for the days of just 4 1/2 months ago when I could  plug away at my keyboard and finish a rough draft of 50K words in a matter of weeks. I started this book two months ago and typed 16K words and it's a mess worthy of a grade-schooler and I'm having doubts big time. You think I'm joking? You know that grade reading level thingie in the spell checker? Up until last week it tallied 5.2. But the last addition brought it up to 8.0 which is about standard although my usual for nonfiction is about 10th grade level. I keep reminding myself that I had a stroke less than five months ago, but that is getting old even to me. If you are following my other blogspot blog PastorJoSays, it goes into more detail about my rationale for my stroke. 

This is my pity pot thinking when it takes me 45 minutes to shower and wash my short hair, and another 5 to brush my teeth and hair, 20 minutes to put on clothes so they are not skewed or twisted. Forget about make-up! I've never been one of those fru-fru type of gals. Maybe some lipstick or blush on occasion, thank goodness. I've never been gorgeous and no amount of war paint will improve it. Normal was shower, dress, makeup and out the door in under fifteen minutes. Being able to cut my own finger and toe nails...maybe even polish them or buff them. Growing your own fresh vegetables. Being able to wash dishes in the sink. Fast chopping ingredients and preparing gourmet, home cooked meals. The little things in life that most people take for granted or at least I did until my stroke. Time's up! Off the pity pot.

On a lighter note, I'd forgotten I'd signed up for the annual Zombie Walk in Savannah next month until the email arrived last week. I'd planned to participate in full zombie regalia, do a book signing, and offer PDF CD versions of Zombie Apocalypse: Redemption and what should have been Zombie Apocalypse: Travelers. Travelers still sits on my hard drive, and since the stroke, it still needs a major rewrite. I e-mailed the sponsor back with my regrets, explaining my stroke, and although I would make an excellent zombie with a dragging arm, droop my face a bit, and twisted foot...I just couldn't sign books. Oh well, maybe by March in Jacksonville. Or next year in Savannah. It seems like I'm saying that a lot these days...maybe next year. It's not procrastination...it just is. My insurance is done for physical therapy. I'm still fighting with Social Security Disability with the help of a lawyer. But if it takes as long as with my husband's case...I won't need it. I plan to be fully recovered by then.

In the meantime, I plan to start writing again in on Monday...wish me luck.
Keep writing and loving the Lord

How do handle real life intrusions to your writing?

Sunday, October 14, 2012

A Survialist or a Prepper After the Stroke

I recently wrote a nonfiction, Are You a Survivalist or a Prepper? Since my stroke in May not many things apply  that I once could do, obviously! Since I can barely walk, use only one arm, and am speech impaired.

But some things remain constant through adaption. I can peddle my bicycle powered washing machine. It's also therapy for my weakened leg. I'm using my electric dryer because carrying an armload of clothes outside to hang up to dry impossible. Well not impossible just awkward with a cane. My solar oven and homemade Rocket stove remain unused and I bought another electric stove. It's just easier than trying to lift a pot off the stove without having to walk outside to do the task. When walking is difficult, you tend to do what is quicker and easier to conserve my waning energy levels.

While I shot expert with my 9 mm with my right hand, I'm a lousy shot with my left. I'm practicing the slide action and target practice. The rifle is a bit trickier. I've found my .38 easier to handle. By the time I get my right hand back I'll be deadly with both hands which is a plus.

My garden died while I was in the hospital and I cannot operate my tiller with one hand. But I have figured out how to grow certain things in pots, is there any thing better than a fresh, garden grown tomato? I can eat them like an apple with the juices running down my chin. Although there is not the bountiful harvest to preserve for the long term.

I find myself growing attached to items such as my mechanical chopper and food processor, a gift from one of my children. While I'm still a prepper and avid couponer, my husband now clips them. Me and scissors is like molasses in winter. For my big haul items my daughter goes shopping with me because I can carry only two light weight bags at a time. I'm thankful for my foresight in stored items. They carried us through the time I was in the hospital and beyond. I still maintain a careful inventory of what's available at home, but life has changed. I am where I was ten years ago, dependent instead of self-sufficient for the time being.

My hope of building my home on the new site and further renovation efforts on my present home have been put on hold, but the planning goes on. You see,  I still believe in the principle of being a survivalist and a prepper. I'm watching the economy, gas prices rising, the mail system on the verge of bankruptcy, taxes going up, crop failures, and everything else. With political elections next month, it's anybody's guess what the next few years will bring. I'm not worried. I'm prepared although not as prepared as I thought I'd be a few short months ago. Still I keep at it. My family is important to me.

While I may not be as able as I once was, the knowledge gained and passed on is invaluable. I've provided a storage space for my children to be able to store their supplies while adding to my own. Where they had little space to store anything before, now they have space. They now help me with items gotten cheap and preserving them for further use. They lack for nothing in the way of food or paper goods. They are learning how to prepare delicious meals from dehydrated foods with their own personal touches. I've seen growth in their own personal knowledge base towards survival.

So what's in a book? Everything.

Keep writing and loving the Lord.



Sunday, October 7, 2012

A Second Shot and No Progress on the Book

This week has been hectic with occupational therapies, doctor appointments, games, and a day at the beach.Well to start with I started occupational therapy again. I've gained some of the passive and active movement in my arm and wrist. That's the good news.It has been a struggle to gain back what I've lost over the past two months. There is now some extension in my wrist (that's being able to bend it upwards).  That's progress sort of. I had full extension when I came home from the rehab hospital ( able the lay hand flat on a surface and with elbow supported could place weight through the whole arm), that was before the fall, tone, and spascity set in.  Talk about frustration.

My husband had two doctor appointments and I had one. Have you ever noticed a sign in your doctor's office that basically says, "If you are fifteen minutes late for your appointment you need to reschedule your appointment." I've definitely seen it more often. These are the same doctors who keep you in the office waiting room for 45 minutes or an hour, in the exam room 15-45 minutes in the exam room, breeze in for 10-15 minutes and are gone. Now not all of our doctors are like this. Some genuinely care about their patients and listen...these kind of physicians I don't care about waiting for...they are giving individualized care to each patient...I have several who fall into this category. Which I don't mind waiting for.This week. I spent three hours in the orthopedist's office to have all my concerns brushed aside and told I needed another steroid injection in the shoulder. When I asked about the recent meningitis scare with steroid injection (now in 22 states)...answer- he was dealing with my shoulder not my back.

Now I have previous injections in my spine and other places over the years. I know initially  it can take a week to work and it may not be injected in the right place, but when the pain increases after that...there is something wrong. Besides the fact I was practicing medicine since before this guy was out of high school. I had my first spinal fusion and joint reconstruction while he was probably in med school. I'm not the type of person you can brush off. I made him listen! Not only about options, answer my questions, and I him realize I was more than a case number in some computer. I've had to remind quite a few nurses, physician's assistants, and doctors over the years about me or my family are people. Remind them that a major part of their job is people skills. He listened and injected the proper spots as well as the one he needed to...I can't tell you there was instant relief because steroid shots feel like you've been hit in the joint injected like a sledge hammer! But now 48 hours later there is improvement.

Yesterday, I spent a few hours with most of my children, their spouses, and my grandchildren at the beach. It was the most sunlight I've had in months! We had so much fun! I think it's the first fun, relaxing day I've had since my stroke. Even my husband took off his oxygen and waded in the ocean looking for seashells for my #4 grandson. We had a blast. This is us with five out of  eight grandchildren. Missing was Savannah (who was busy building a sandcastle), Sabrina and Skylar whose family couldn't make it. While I know it's a long trip with children from Savannah, Ga down to Jekyll Island, my other daughter made the same trip with my youngest grandson and their daughter. Plenty of pictures were taken of the event. With a terminally ill husband and me post stroke about 4 1/2 months ago, it is probably one of the last events we can have like this. At least with my husband around that is.

 So basically this week I've played hooky from writing. While I used to carry printed off sheets of manuscripts to the doctors appointments for editing, I haven't been able to do that juggling acts yet with writing left handed. But as you all know I'm the master juggler. It will just take more practice before I perfect my technique.

Practice makes perfect after all. Well, maybe not perfect but more proficient. The more you blog or write the better you do it. Even writing a journal is practice for a wanna-be writer. I'm taking it slow, because I have too.  Everyone after this picture was shot rushed in to help me up from the sand dune we were sitting on. I simply said, "I'll do it." With three children, their burly spouses, six grandchildren waiting to catch me if I fell. I dug my braced foot until it was level in the sand, kneeled, and stood without any assistance. Of course my eldest grandson was standing by with my cane. I walked over to the paved area where my wheelchair waited and sank gratefully down in it with a sigh of pride and relief. He wheeled me back to the picnic area. See practice does worked.

Nothing is impossible with learned or relearned skills. Back in the picnic area I watched my youngest grandson do the same thing before he took off runny after his sister and older cousins....we've come full circle as a family unit. Keep practicing new skills until you become proficient at them.

Keep writing and loving the Lord.  

Tuesday, October 2, 2012

Well It's Wednesday Already~Writing Real Life

Well it's Wednesday instead of my new usual Sunday post. The days simply got away from me. Mainly I was down with pain. I finally got a call back from the orthopedist who is treating my shoulder. It wasn't conclusive, encouraging, or much of anything. It was a cop-out answer. Now, I'm due back in his office this Friday. The corticosteroid shot didn't work in fact it made the pain worse further limiting my mobility in my arm and shoulder. I can't bend forward to pick anything up because the pain jumps to fifteen on a ten scale. The only thing that temporarily relives the pain is light massage and Biofreeze. I try to limit my time in the sling because it impedes my progress in elbow stretches. I am limited to times my husband is awake for massage...there are long stretches in between times. My other option for relief and a bit more relief is getting into the shower and putting the water as hot as I can stand with the massage sprayer going. That at least alleviates  the pain long enough to get my over the shoulder boulder holder on. I really miss my masseuse who moved to Tampa. No, there is nothing humorous about it. It's just pain. Nothing stymies creative juices more than pain. In a previous blog I mentioned three main reasons people who don't write and what's holding them back, but for a writer not much holds them back, but for me this does!

On the book front...Don't get Your Panties in a Wad is officially at 16,000 words. Still disjointed in parts and in serious need of editing. But the words are flowing from my mind to the keyboard...not to mention the zillion back spaces and spell checks. It it easier to write real life than fiction for me. Not because I lack the imagination, but it is concrete and I started off as a nonfiction writer. I guess I'm a nonfiction writer that dabbles in fiction especially of late.

I'm actually farther along than what I expected to be. I feel I'm accomplishing something I did in my pre-stroke life which is satisfying although a s l o w process. Frustration has it's moments on the pity pot session, but that aside, it is a work in progress. Ready for another exceprt?

Don't get Your Panties in a Wad by J. L. Mefford (c) 2012 all rights reserved
"Realities and the Oops Factor"


 Excerpt begins

While I call my physical therapists terrorists even to their faces, I know they are only pushing me for my own good. Yes, I asked for this. I wanted to recover what I had lost with the stroke. In my previous experiences with therapy, I coined the phrase physical terrorists because of the torture they can put unyielding joints and muscles through. They work hard for you and often do not get much gratitude for the work they do. They are miracle workers. If I had any chance to return to a life I once knew these people would be responsible for it. Not to mention my positive attitude and hard work beside of them. Every day they taught me new exercises that I could do on my own and I could repeat in my room. My hamstring and peroneal nerve were where most the deficits were centered. This was compounded by previous back, knee and hip surgeries on the same side which the stroke affected. I hear many stroke survivors say they don't want to have joint replacement because of putting undue stress on their knee and hip.

 I did this in reverse. I empathized and encouraged every joint replacement in the place, I'd been there and done that twenty plus years earlier. By the way my replacements are old and worn out. Average life of replacement joints is fifteen years before it needs to be done again and I'm way overdue. I have put up with the joints slipping and sliding in and out of place for the last ten years because I was basically able to function still with minor modifications.

During the physical therapy part of this intensive rehab, I learned to walk using an AFO and walker. Although in the hospital for liability reasons I was not allowed mobility with these items unsupervised, I made good use of my wheelchair and foot power doing laps around the nurse's stations. I even went down to floor's dining room for most of my meals after the first week. Sadly, it wasn't until my last few days there was another stroke patient other than me...mostly joint replacement. I take that back. There was elderly woman who was noncompliant with the program and went to a nursing home. I had the therapists at the TCU unit wishing all their patients were as gung-ho as I was. But all this bravado came at a price of sheer and total exhaustion, and increased tone issues. I only missed one session of PT and speech therapy in the three weeks I was there. The spirit was willing but the body shut down with the increased dose of muscle tone relieving meds. It totally threw me for a loop and in bed.

I've been through physical therapy with some of the best in the business. I learned what not to do and what works. Times have changed. Technological advances with all their bells and whistles have been added, but the basics are still the basics. But each new therapist brings in new ideas even students teaching old timers of new techniques. What may not work for someone else may just work for you. If you have a problem with a therapist talk to them. Make your point of view count. You are paying their salary. Would you have an employee tell you its their way or the highway? Of course not. You are the boss. It is your body. It is your choice. If you don't understand make them explain it to you in a way you understand. If you have a conflict with one therapist, use your voice and demand another one. I personally interview mine like I would do with any employee. What are they doing and why? How will this help? What will be the outcome or hopefully be the outcome? What are their beliefs  about alternative forms of therapy? E-stem, computer generated responses, experimental treatments such as massage or herbs, or acupuncture? At least get a basic idea of their experience level. Ask questions and demand answers. Yes you might have a damaged brain because of your stroke, but your recovery depends on it. I believe in informed consent. I had one therapist ask me once if they were hired. Yes, they were and they were paid.

Did I mention I was an overachiever and stubborn? This bump in the road in my life wasn't going to beat me. I had survived cancer not once but three times. I had survived vehicle crashes where the doctors professed I'd never walk again. I survived the "oops factors" during surgery. Don't know what the "oops factor" is? It happens when the surgeon says "oops" during surgery when he cuts a nerve or artery he wasn't supposed to. Or in my mother's case...the surgeon who had been treating her for a thyroid goiter for six month operated and found a spreading cancer. She wasn't as lucky as I was. I survived my "oops factors." Doctors and surgeons, although they think they're God, are just human beings. For me this time was a doctor which pulled me off of Plavix to prescribe a medicine for an upper G.I. problem. My stent formed and released a clot into my brain, but I survived. Isn't it funny when you have multiple specialists treating various health conditions...there always a possibility of an "oops." The more that are in the mix the more complicated it gets and the more possible of the "oops factor."
End of excerpt

 While Don't Get Your Panties in a Wad is supposed be be a humorous look at stroke recovery there are certain passages like the above that must be stressed. So many people don't use their God given voice or feel the person working on them knows it all...they don't!

Keep writing and loving the Lord.

Sunday, September 23, 2012

Typing with One Hand Tied Behind Your Back

As many of my regular readers know I had a stroke back in May. I figured two or three months of really hard work would give me at least some use of my arm back...WRONG! Just like before, the possibilities for stories in my mind are filling with characters and story lines, etc now being put on the back burner. I can't help it...I'm a writer and LOVE doing it.

My major malfunction this week was extreme pain. I rarely take any pain medicine at all, but awoke in tears one morning and had no choice. Now top this with the maximum dose of Baclofen you can take orally, Zanaflex ( another potent muscle relaxer), and Valium for my spasticity plus pain meds, and you have a real live zombie in front of you. I could almost be the cover of my next horror book. No, not really. I mean it should have been pain-free considering I had much easier movement with the Botox injections. I couldn't figure out why my shoulder hurt so bad.

A light bulb went off in my head. I had taken a fall outside onto my concrete walkway a few months back right after I got home from the hospital. One of my cats had zipped between my legs and set me off balance. At the time I assessed my condition like any trained nurse and paramedic would do as I lay on the concrete. Everything worked that had worked before the fall, no severe pain anywhere...okay so get your butt up and continue life as the new abby normal. With considerable effort, and trial and error, I got back up on my feet, brushed off the debris from my body, and went inside. The next day I was sore, but that's normal considering my age. I didn't think twice about it, but did tell my therapists and doctors that I fell.

Now it was a couple of months later and I was still in pain. I called my neurologist because I wasn't sure whether it was stroke related pain, or something else. I asked whether I needed to see an orthopedist. I wanted my new occupational therapy regime to work, but not irritate something undiagnosed.   Well x-rays were taken, an MRI performed...don't you just love being in a metal tube with someone beating on the outside with a hammer? The results were I indeed had hurt my shoulder in the fall. They called it an AC separation. It's the ligament that holds the clavicle to the shoulder. A painful shot of steroids into the joint and my arm in a sling while exercising except for therapy. Shots to be given every two weeks until healed. Time-up to four to six months without surgery. I'm not a huge fan of surgery since my heart stopped twice during my last major surgery.


This is me trying to type one handed. Okay so the picture is of a woman with a fax machine, but it amounts to the same amount of effort. I've researched various sites and youtube videos of typing one handed trying to make typing with easier and faster. The finger positioning feels unnatural with your fingers centered on the f,g,h,j keys on a qwerty keyboard. I investigated a one-handed keyboard to buy ouch! The prices between $600-$2,000. I still hope to be typing with two hands again and couldn't justify the expense in my mind so I muddle through.

As many times as I've told writers to turn off their grammar and spell checker I'm finding I had to turn mine on again. My brain just isn't capable of doing those processes yet, but I'm hopeful. I'm using my writing as therapy for both cognitive and speech therapy. I'll write a sentence and read it aloud. I've caught a lot of errors that way. I'm still searching for words that I know are in the file cabinet in my brain. My writing is semi organized. It's mainly getting the thoughts into my computer. Time to organize it into coherent sections later.

I typed my 10,000th word yesterday. Try doing that with one hand tied behind your back! Now, only 60,000 more words to go. LOL This book will possibly go to the standard publishing route. Anyhow I'll shop it around. While it holds no images the visual imagery of the words is hilarious. Another excerpt soon.

Keep writing and loving the Lord.