The Mother of Cats has been somewhat difficult to work with lately. She has been limping all around the house, and yesterday her physical therapist finally told her she needs to use crutches for the next few weeks. HER CRUTCHES KEEP GETTING IN MY WAY!!! What is up with that? She doesn’t go outside as much as she used to, and she started knitting this simple sweater with just one color of yarn instead of the Koivua sweater that I just love. There are more colors to chomp in the Koivua, and it is now so big she can’t keep me off of it while she knits. Is she working on the sweater that I can sleep on while she works? No! She is not!! She says knitting with the one color is easier to stuff into a bag to haul around with crutches. Whatever. What is up with the Mother of Cats? A little adversity and she totally folds: I’m so disappointed with her!
Today the Mother of Cats finally let me go outside while she took pictures of all of her knitting and we watered all of the outside flowers.
While I was chasing the squirrel around the yard she took these pictures of the new sweater. It is starting to look pretty good, isn’t it? It is kind of nice to sleep on…
Now it is late in the afternoon, the squirrel has left to do whatever squirrels do, and the Mother of Cats, the crutches, and I are back in the house. I just got some yummy salmon to eat and the Mother of Cats is getting ready to knit again. Hmm… that new sweater is getting pretty big now. Maybe I can sleep on part of it while she is working. I’m so handsome and the yarn really looks nice next to my fur. Maybe she will be reasonable for once and will let me do that. IF she loves me I will get a quality nap on yummy yarn.
How ironic is it that I’m knitting a sweater called “Climb Every Mountain” while trying to master walking with one crutch?
The hip has become even more challenging. I met with the physical therapist yesterday who had printed out the notes from the hip specialist that I met with last month. Things are worse than I realized. I have IT band syndrome, inflamed tendons associated with my hip adductors, and then there is the severe hip bursitis. I need to rest the tendons as much as possible as I stretch the IT band and use the topical anti-inflammatory gel that we hope will get the swelling down. Since I can’t walk without limping and the adductors need a rest I’m on crutches for the next three weeks at a minimum. I’m truly a mess as I can’t use a cane (bad wrists), ice (thank you, Raynaud’s), or work in a pool (Sjogren’s, I really hate you right now), so things are challenging, but I’m really motivated since I want to stay mobile as long as possible and I’m a poor candidate for a hip replacement.
MacKenzie is learning to stay out of the way of the crutches, but he is taking the whole thing personally. Poor thing. I have started giving him more cookies… I have NOT surrendered any of the sweaters to him.
Koivua is waiting for the first snow fall as I rush to finish two transitional sweaters. Winter, take your time…
The Mother of Cats and I went outside to water all of the plants today and I must say that the flowers all look the same to me, and the squirrels are as frisky as ever, but there IS something going on with the trees…
I’m not sure why fall is a big deal, but the Mother of Cats is knitting faster then ever. She says crazy stuff like Winter is Coming! and I need more sweaters! The Mother of Cats can be really confusing sometimes… Anyway, she worked like crazy over the weekend and look at what she got finished:
If the Mother of Cats loved me she would let me have these socks to put in my bed, but NOPE! she won’t take them off her feet. Why is the Mother of Cats so very selfish? She says that they are for her to sleep in on cold nights, but it isn’t even a little cold and she is wearing them right now. Selfish Mother of Cats!! I want my own cashmere sleeping socks, too!! Well, I want them to sleep on, but you get the idea.
I’m such a good boy!
Can I have some cookies now?
Notes from the Mother of Cats:
These socks are a mash up of three other socks patterns. The details are on my Ravelry project page.
To MacKenzie’s disgust I haven’t started knitting the second sleeve on my Koivua sweater. I went crazy and cast on another sweater. It’s too soon to talk about it, but here’s a teaser showing off the knitted fabric and one of the stitch markers I made to go with it.
I have been really helping the Mother of Cats with her knitting this week. Look at how carefully I am inspecting this sock that she is working on. We have been listening to an audiobook every evening while she stitches away on the sock, with lots of breaks to give me attention, of course. I think that she would get bored and fall asleep if I didn’t keep standing on her and head butting her work. It is a hard job, but someone needs to do it.
The Mother of Cats is calling this another Mash-Up sock that combines elements of three other socks that she has made in the past. Whatever. Like I would remember details like that?! What I do remember is that I sent her to the store to buy me tuna flavored cookies and she came back with some kind of substandard chicken flavored ones. This is just typical of the Mother of Cats. So thoughtless. I don’t know why I exhaust myself helping her when she doesn’t treat me the way she should…
I can’t believe how exhausting all this knitting supervision has been. Luckily the sweater is now so big the Mother of Cats can’t keep me off of it any longer. Which is pretty nice since I need a nice place to nap after all of this work.
Last night the Mother of Cats started ANOTHER SWEATER before she was done with this one. Something about the second sleeve syndrome… Whatever. I think that she just wanted to let me nap a little longer. I deserve it after all. Maybe the Mother of Cats does think a little about my needs after all.
I’m such a good boy.
Can I have some cookies now?
Notes from the Mother of Cats:
The sweater is a Koivua by Caitlin Hunter. My project notes are here. I made modifications to the sleeve to make it less bell shaped at the bottom and am pretty happy with how it came out. I put the details into my project notes if you want to see what I did.
Oh, yeah. That sock is a total mashup masterpiece. The top is the edging from the Geology socks. The ribbing is kind of an Emily’s Favorite socks deal, and the garter stitch heel and toe are inspired by the Om Shanti Bed Socks.
Yep. I did cast on another sweater last night. I also had to made a new set of stitch markers to use with it because a) they had to all be different from each other, and, b) they had to coordinate with the sweater. What?! Doesn’t everyone do this? There’s no problem here, people. There is, however, another post brewing…
The book that MacKenzie and I are listening to is A Better Man by Louise Penny. I love these books!!
This post is going to be something of a mess as I’m having trouble distilling all of the issues I’m having with my disease(s) into specific themes. I’ve been pondering and trying to make sense of everything for the last couple of days (while knitting, of course!) and here are the main threads of thought.
When you are chronically ill it is hard to be assertive with medical professionals upon whom you depend.
In a life with constant symptoms and annoyances, when is it time to insist that something must be done to help you?
How should I respond when medical professionals insist that test results prove that the symptoms I’m experiencing aren’t really happening?
I’d like to set the stage for the little adventure I’ve been on for the last 6 months. Actually, I need to go back farther in my odyssey for this to make any sense. It has been 5 years since I was first diagnosed with systemic sclerosis (scleroderma), Sjogren’s Disease, and fibromyalgia. For the last 3 years I’ve been experiencing painful and burning muscles, joint pain, and swollen bursa. I am just miserable and struggle to walk on some days, and I’ve noticed that I have many other symptoms on these bad days: fatigue, brain fog, edema, eczema, GI woes, hair loss, and shortness of breath. I keep checking to see if I’m running a fever, and I feel so sore and sick it feels like I must be coming down with influenza. I call these surges of symptoms “flares”.
If I break down and take an NSAID (ibuprofen) , a drug I’m forbidden to use as it might damage my kidneys, I can buy myself 2 good days as my flare symptoms fade into the background. Other supplements and medications that I’ve taken also make my symptoms subside, and when I checked they all had anti-inflammatory properties (doxycycline and tart cherry extract, I’m talking to you!). Hmmm… it’s almost like I’m struggling with inflammation, huh.
Because of my observations I’ve been suspecting that I’m in the grips of some type of systemic inflammatory event, and for three years I’ve been consistently reporting to my rheumatologist and others that I’m struggling and that I need help. Mostly I’m told that I have a chronic illness and that there is nothing that can be given to me that will not cause damage to my stomach or kidneys. I’ve cried. I’ve been bounced between doctors. I finally got a referral to physical therapy but I continued to struggle. Mostly I just maintained and accepted my fate, trying to make the best of things. My world closed in as I retreated to my “safe house” to manage my symptoms.
In February I tried to raise the pain issue with my rheumatologist again, and she just snapped at me that I was on the best medications available, I didn’t have inflammation because my C-reactive protein was normal, and that I was always complaining, and that maybe she should prescribe me some anti-depressants! Simultaneously outraged and heartbroken, I refused. I got out of there and cried in the car. I clearly needed a new doctor, but I didn’t know of a better one, and I needed more than my own observations to press my case.
Here’s the deal: I used to do medical research on, ironically, scleroderma. I’ve sat through lots and lots of presentations by physicians struggling to treat patients with rheumatic conditions. I know to be skeptical of cookie-cutter treatment plans, and to always follow the data wherever it takes you, even if it seems to be unreasonable at first. I know to remember that even if 90% of patients respond to specific medications and treatment plans, there are still the others who need something different.
Struggling to walk, in pain, and short of sleep, I made appointments with other doctors in my care team. I also began to collect data to support my inflammation hypothesis. I also began to hunt for another rheumatologist.
My physical therapist told me my joints were too swollen for me to go to the gym. Or to do yoga. Maybe I could do a stationary bike… carefully.
The dermatologist, shocked by my swollen face, immediately prescribed an anti-inflammatory ointment and doxycycline, an antibiotic with anti-inflammatory properties. Wow! Big improvement. Better than ibuprofen!
My internist stepped in and prescribed inhaled steroids and another anti-inflammatory gel to put on my hip. Wow, wow, wow!!! Huge improvement. I can breathe again!! Brain fog went out the door, energy came up, and I had less joint and muscle pain. My hair started to grow back in and my stomach pain stopped. This was just darn thrilling, people!
This week an orthopedic hip specialist that my internist referred me to told me that I have IT band syndrome and bursitis. I now need to double down on the anti-inflammatory gel, there is more physical therapy in my future, and injections of steroids into that hip bursa will happen if my immune system, already suppressed, can handle it. Because I’m on high risk medications to crush my immune system into submission these things have to go slowly, but the process is now in motion.
I don’t know about you, but it sure seems crystal clear that I’m dealing with inflammation, right? Imagine my shock (NOT) to read a research study last night that showed that C-reactive protein, the inflammatory marker that my rheumatologist uses to assess my disease, does not become elevated in scleroderma’s fibrotic process. You know, the process that made my IT band become so thickened and inflamed that it is clearly visible on my x-rays and responsible for causing my bursitis. “We can’t be sure that scleroderma caused this,” said the orthopedic specialist. “Well, I’m pretty sure I didn’t get this from knitting,” I snarkily replied. We also discussed if I might have bursitis on the inside of my hip joint. “Well, that would be unusual,” he said. “Please, you’re talking to someone with a rare disease,” I replied. He acknowledged the point. This is how normal doctors talk with to their patients.
Shame on my rheumatologist who doesn’t let me talk to her, who used inappropriate data to dismiss my symptoms, and then finally disparaged me as I pressed for acknowledgement and help. I don’t know if an earlier intervention could have saved me from bursitis and scarred tendons, but now I have a clearly established track record that documents inflammation and I feel empowered to move on to another doctor. I talked to some patients active in our local Scleroderma Foundation chapter, and I have the name of a rheumatologist who is treating several other patients with my battery of conditions.
Which takes me back to my original points that I have been pondering for weeks:
When you are chronically ill it is hard to be assertive with medical professionals upon whom you depend. Yes, it is. I forgive myself for crying in the car. I was blindsided and ill-prepared to argue with a specialist who deliberately places patients on the defensive to fend off requests for help. Who could have imagined such a thing? I now recognize that this is a defensive tactic by the physician, it is inappropriate, and I will no longer tolerate it. She took advantage of my dependence upon her to victimize me. If her test results do not account for my observed symptoms, then we need other tests and different thinking. That’s what I learned as a scientist, it is valid, and I will stick to my guns if this happens again. But not with this doctor: I’m moving on!
In a life with constant symptoms and annoyances, when is it time to insist that something must be done to help you? Sadly, things are not rosy when living with a chronic disease that has no direct treatment and piecemeal strategies for symptoms. When you can no longer tolerate the life you are living it is time to speak up!!
How should I respond when medical professionals insist that test results prove that the symptoms I’m experiencing aren’t really happening? Well, that is poppycock, right? If you are vomiting blood, so to speak, it doesn’t matter what their little image is showing them on the computer! I responded by going to other members of my medical team and securing medical interventions from them (and thereby building a cascade of supporting evidence), getting full copies of all my test results, doing a literature search on the drugs and tests the rheumatologist was relying on, and activating my network to get the name of a doctor more appropriate for my medical circumstances.
Today I am 5 days into the increased dose of anti-inflammatory gel to get my bursitis under control and I’ve started my physical therapy again. I am better: I actually lifted my leg to get into the car without assistance! Once again I need to wait a few weeks/months to make sure my kidneys and cell counts are stable before adding another drug like a cortisone injection into that bad-boy hip bursa, but I am making progress and am comfortable with what is happening now.
Believe it or not, after all of this I still don’t have a title for this post. Ugh. What was this about?
Refusing to be a victim!
Manipulating the health care system for fun and (pain-reducing) profit?
Fighting for your mojo when no one else can?
That’s it. Fighting for my mojo. Because, at the end of the day, that’s what I did, and my mojo is back!!
Days are good, my hip is starting to feel better (but I’m still taking it easy), and the cat has calmed down. Okay, I had to give him several of my little knitted projects to sleep on, but the cat trap worked and I’m knitting in peace.
With two evenings of peaceful knitting I’ve made a lot of progress on the Koivua sweater that I’m knitting. Check it out!
I did an additional repeat of the knit/purl textured section at the bottom of the sweater and then decided to do corrugated ribbing and an I-cord bind off instead of the all white ribbing that the pattern called for. The ribbing at the top of the sweater really pulled in, and I decided that I didn’t want that going on in my sweater since the patterned section is going to try to balloon out and misbehave as it is. Hopefully the corrugated ribbing will tame things once I’m wearing this baby.
I’m now tacking some sleeve modifications as I’m not sure that I want them to bell out as much as the pattern has. Stay tuned for more pattern trickery!
My hip is in full rebellion these days and I am spending a lot of time off my feet trying heal up. For reasons beyond my understanding MacKenzie views this as an invitation to make constant demands: Pet me! Feed me!! More cookies! Let me go outside!! I must be on your lap!! You exist to serve me!!!!!
He stands next to me as I knit crying sadly, trying to move onto my lap and into the yarn and knitting. It is sad. So sad. Right up to the point when the yarn chomping starts and the claws start flashing. Sigh.
Caught between a ill behaved hip and a demanding cat I have abandoned the sweater that I’ve been working on and switched to small projects that are easy to move away from chomping teeth and flashing claws. Projects that can be worked on in bed, outside in the garden swing, and downstairs by the television. Projects that can be easily moved to safety or stuffed into a project bag.
Do you remember the light blue ribbed socks that I made a couple of weeks ago? They were just simply ribbed socks based on my rote 64 stitch vanilla sock that is basically the Dave sock by Rachel Coopey with a different rib that I liked when I knitted the No. 5 Union Street socks and then saw again in the Emily’s Favorite Socks pattern in the book “Knits About Winter.” Hey, when you are immobilized by a cranky hip and hounded by a demanding cat, you start to just invent new combinations of socks, right? In this circumstance it is just frankly impossible to have any charts or patterns involved in the knitting, so it is “have some fun” time. Anyway, there was some yarn left over from the socks, so I kept knitting…
To make the wristers I just kept expanding on my theme of stealing design ideas from other projects and smashing them together to make something that works for me. I had made some Geology Socks recently, and the top edging was a nice use of the feather and fan pattern, so I re-used it for the top of these warmers. Then I knitted the body of the wrister using the K3P1 ribbing and finished off with an I-cord BO.
These wristers will work well this winter under sweaters and over long sleeved shirts in my usual struggle to keep my fingers warm, but I’m wearing them alone right now whenever I get exposed to air conditioning. Pleased with my sock pattern inventiveness I cast on another sock last night…
This is another mash-up of ideas and patterns that grew from my earlier projects. This yarn, Fancy Monkey sock, is another cashmere blend for my cold feet. The edging is the same one used for the wristers, but I’m making K3P1 ribbed socks again once I’m past the edging. I’m debating putting on garter stitch heels and toes like the Om Shanti socks. It will be fun! It’s a knitting adventure, I tell MacKenzie.
Isn’t it cute that MacKenzie still likes his mouse? The tail has been chomped off at this point, but he still likes to bat it around.
Hopefully my hip will start behaving better in a few days, MacKenzie will become less needy, and I will be able to get back to the Kouvia sweater. I’m getting adventurous with that project, too. I can’t wait to blog about the sweater, and I’m working myself up to a couple of hip/scleroderma posts as I’ve been racking up adventures in that part of my life also.
The heat here in Colorado has been unbelievable: we hit 100°F on Monday and it is still hot. My garden, however, is recovering in the lower light intensity and flowers are starting to bloom again. Feeling pretty good about things I’ve taken to knitting outside in the garden again in the cool of the mornings and late evening.
Today while knitting and sipping my morning latte I got my latest pair of socks done.
The yarn I used is from Western Sky Knits and I’m really becoming a fan of this smooth sock yarn. I still have enough yarn left over for some arm warmers. I think that I’ll put an interesting lace edge on then and use some Icord, but keep that simple ribbing. Adventures in knitting, people!
My latest audiobook has been wonderful! Seriously, I knit way too long into the night because I had to get to the next chapter to discover what would happen next. It’s a book about family, ghosts, dreams, invisible ties, and, of course, a tiger that isn’t all it appears to be. The audio is done by the author and that made things even better. I loved it.
I do love the colors of fall, but right now I’m really enjoying the bits of pink going on in my life. There is pink in my garden right now…
Today is the last day of high heat for awhile; a front is pushing in and tomorrow will be much cooler. Okay, it will be hot, but not blazing hot. Hopefully there will also be some rain. There’s lots of time yet for roses, knitting in the garden, and days watching bees.
Oops. A flock of geese just flew over my house at the treetops, honking like crazy. It’s like they are laughing at me. No matter what is happening right now with the weather and in my garden, autumn is coming, and the first snow is on the way.