April 26, 2016

Happy anniversary to my vertigo: a year of imbalance

Just over a year ago, I woke up one morning with a new companion: Benign paroxysmal positional vertigo (BPPV) or just plain old vertigo. I leaned over to pick up a sock. Suddenly I felt like I was being hurled violently toward the ceiling, then back at the floor, then back at the ceiling. I quickly sat down and assessed the situation. Earthquake? No. Bus crash into the Love Shack? Nope. Had I somehow been dumped on a trampoline while I was sleeping? Nope. Conclusion: a localized disturbance has infiltrated my inner ears—aka, vertigo. Bummer!

For most people afflicted with vertigo, the cause is unknown. After doing some research online, I hypothesized that the ear crystals (ocotonia) in my middle ear canals had somehow come loose from their usual location (possibly from banging my head against the door jamb of my mother's car) and were now freely gallivanting around the canals on an extended sightseeing tour. Fun for my ear crystals, I presume; not so fun for me. As the ear rocks swirled, my sensitive ear nerves told me that up was down and down was up. The floor was spongy like a trampoline. I was flying!

Walking without falling over became a challenge. The inside of my head quivered constantly. In the beginning, before I learned how to live with the vertigo, I felt shaky and weak. People who saw me said I looked pale and ill.

Of course, I scoured the web resources for information. I read some disheartening tales: vertigo could last days, weeks, months, or years. Luckily, the type I had was subjective BPPV, not objective. That meant I felt like I was doing the moving, rather than feeling like the world was doing the moving. (The difference between the two is profound.) I learned about the Epley Maneuver, which uses head positions and gravity to entice the crystals to return to their proper location. I started treating myself in an amateur fashion several times an hour, desperately seeking a cure.

During the first month of my affliction, I visited a doctor, who said there were some exercises I could do to desensitize my ear nerves and gave me a referral to an ENT. The ENT put me in a space chair, twirled me over and around, and sent me out dizzier than I'd come in. Clearly, there would be no easy cure for me. I've come to believe I actually have roving ear rocks in both ears, which makes it more difficulty to treat with a gravity-based maneuver.

Sleeping was a challenge. Lying flat on my back caused waves of pressure to roil through my head. I could map the ocean of fluid in my ears as the waves sloshed slowly back and forth, front and back. I was on a boat, but the boat was in my head, rocking on waves that scraped the inside of my forehead like surf on a rocky coastline. The waves felt loud, but were silent, like a wall of soundless air pressure lacking actual decibels. I couldn't make out any noise, but I was bludgeoned every time I tilted my head back even slightly. (No more crying to heaven for me.) Sleeping on my side after performing the Epley on my head seemed to help. I confess, I wasn't willing to sleep sitting upright for the 48 hours recommended by some practitioners.

Over the summer, I fought the vertigo by staying active, determined to outlast it. I went running to spite it. I found out jogging was more comfortable than walking. I guessed that jogging kept the crystals floating above the nerves; they came back down with a vengeance soon after I slowed to a walk. As fall swept in, I stopped running, and then stopped walking. As the air got colder, I didn't want to move much, because movement stirred the sludge in my ears.

Winter came; my vertigo and I reached an uneasy truce. I agreed not to move, and it subsided to a dull but silent roar. There were a few good days interspersed with the tedious unbalanced days. The trampoline walk gradually calmed. As the months went by, I gained some weight, but I began to think maybe the vertigo was starting to fade.

Enter this spring. Almost a year to the day I first felt the vertigo symptoms, I suddenly was back in the rocking boat. Surfs up!

The ocean in my head has been active these past few weeks. My hope is that this activity means the winter sludge in my ears has finally broken up, like Arctic ice in the spring, and the crystalline icebergs in my ears are on the move. I do the Epley whenever the symptoms threaten to swamp me. I hope the waves are starting to calm. They are intense, but don't last as long, leading me to imagine fewer crystals are touring my ear canals. I wish the cruise would finally end, but like any cruise, you get on and you don't get off till it's over.

I've tried to frame this year as a metaphor for the imbalance of my life, but after a while, day after day, it's hard to buy in to the notion that things are any more precarious than usual. The same conundrums plague me; maybe by now they've lost their capsizing potential. Mom lives. I struggle. Life goes on, tra la la. If my metaphysical imbalance were responsible for my vertigo, it ought to have dissipated by now, because after a while imbalance becomes the new normal.

Vertigo doesn't have to mean anything, symbolically speaking. Last year, I hit my head on a car door jamb, which probably knocked loose some ocotonia, which settled into sludge in my inner ear over the winter. Gradually, my body will assimilate the annoying little travelers. Eventually, most likely, the cruise will end. The ocotonia will head back to port and stay there, and I'll be able to do things other people do, like lean forward and backward. Like sleeping flat on my back. Like dancing (when no one is watching, of course) and jogging and walking... things I used to take for granted, not realizing how precious they were.


April 15, 2016

A life in the day of the maternal parental unit

Earlier this week, I took my maternal parental unit to the dentist for a teeth cleaning. Maybe I should say tooth cleaning. I think she only has one or two still holding down the fort in her jaw. (She reminds me a lot of Granny Clampett from the Beverly Hillbillies.) When we walked in the door at the clinic, a horde of white-haired old ladies sat around the waiting room, attended by walkers and canes. My mother marched up to the window, muscled one old gal aside, and pulled a wad of knitted blanket out of a paper shopping bag.

“Here's what I've been working on!” she declared in her foghorn smoker's voice. For a second, I got a glimpse of what my mother used to be like before dementia started to narrow her world.

The two receptionists and a hygienist rushed over to admire her work. A few patients toddled over to look, too. Mom has been knitting lap robes (or baby blankets?) out of leftover yarn. She donates her handiwork to a charity. Her color sense is unique. I have a particular garish blanket I'm rather fond of: orange and red stripes. Whatever you are picturing, it's worse. Today's blanket was tame by comparison: lavender, purple, turquoise, plus a variegated yarn that mixed all three colors. Stripes, of course. I think that's all she can remember how to knit.

“It's beautiful,” gushed Amy, the receptionist. Then she winked at me. I wasn't sure what that meant: It's ugly? Your mom is the bomb? I shrugged my shoulders, as if to say: I know? I don't know, this nonverbal body language is like Greek sometimes.

The door to the inner sanctum opened. The smiling young hygienist was ready to take Mom back for her cleaning. I was astounded: With all these people waiting, she walks in the front door, and the entire place rolls out the red carpet for her? No waiting, plus heaps of praise...I guess there are a few benefits to being 86.

While Mom was having her two teeth polished, I went to the store nearby to forage for food for myself. I bought my usual four vegetables: onions, zucchini, broccoli, and mushrooms. I got some cauliflower for good measure, and then, because I was feeling peaked and stressed, I got some organic chicken breast and a package of organic beef chunks. I don't eat beef very often, maybe once or twice a year. I heard Dr. Tony's maniacal laughter in my head: eat beef, it's good for you! This is the same guy who thought back-to-back colonics was the answer to all life's problems. (I'm here to tell you, it's not.) Beef, though, might have some nutrients I could use. I loaded up my bag of groceries and went back to the dental clinic to pick up Mom.

I was early, or she was late, so I had time to sit in the empty waiting room and wonder how long my groceries could survive in a closed car in intermittent sunshine. Eventually I heard my mother's voice coming closer. I pulled out her checkbook and paid her bill. As I wrote the check for $151 (with the discount), I thought, they should charge her by the tooth. By rights, the bill ought to be about $44. But dental school loans are massive, I know. And all those dental hygienists who went to those nasty for-profit career colleges will be paying on their loans for the rest of their lives. Someone's gotta help them, I guess. Might as well be the elderly... let 'em feel useful.

She lollygagged, saying goodbye to everyone. Who knows if she'll still be alive in six months? Hugs all around. As we were strolling out the door, she turned and said, “Let's stop at Bi-Mart. I need some bath soap.”

At Bi-Mart, she was waylaid by the displays of flowering annuals, arranged enticingly in the sun along the path to the door. She told me to grab a cart. I followed her along the wall of flowers, thinking about the $30 worth of chicken and beef sweltering in the trunk of my car and looking at her scrawny backside, noticing her thrift store denim jeans were at least two sizes too big for her tiny frame. Her pant legs seemed to be two different lengths. Her butt, hidden in folds of faded blue denim, looked like a little round rock. Suddenly, trundling after my scrawny pepperjack mother seemed hysterically funny. For a moment, everything aligned and life was good.

Boring story short, eventually I dropped her off and made it home. The meat was fine. I made beef stew and ate it with mixed feelings: I wish my health did not depend on occasionally eating the cooked flesh of dead animals. And boy, did that stew taste good.