So I am “clincally well” and to be honest I mostly feel pretty good! My full blood count is all pretty fantastic given everything I’ve been through less than 6 months ago! ( HB 118, platelets 103, neuts 2.43 ) And at my last biopsy my bone marrow was showing remission!! Whoop whoop!! (Now just got to try and enjoy this remission rather than sitting and waiting for the numbers to drop and the next relapse to come!!)
I have good days and bad days with fatigue, most days I hit some form of a wall at some point. It might be that I just have to go for a lie down for a bit, or it might be that day is a bit of a wash out. Its all about getting the balance right with my daily activities, and despite having experience dealing with fatigue in the past I still never seem to get it quite right.
My friend shared “the spoon theory” a few months back and it resonated with me (See image at the bottom). I seem to frequently use too many spoons in one day (or over a few days) and then end up with less and less spoons for the remaining days of the week.
Take this week as an example; This has been my first week properly getting back into work, now my laptop is finally sorted. I cycled into work doing 2 half days on Tuesday/Thursday, planning a rest day in between. Now did I actually rest on my rest day? Of course not!! I still went and walked the dogs, met my mum for coffee, went to the hospital for a blood test, etc. Consequently I’ve got to Thursday and I’m exhausted. I know I have hardly any spoons left for tomorrow, so aside from my occupational health appointment I doubt I will be doing very much. This then frustrates me as I hate a wasted day!! I need to find a way of balancing things out over the week, and learning that even things like meeting someone for coffee drains my energy.
Having said all that despite not feeling any more energetic in myself, I am doing loads more with my time. Meaning that my fatigue must have reduced, I’m just overdoing it slightly!! So with this build up of work time occurring I have to allow for how that is going to affect me and reduce my activities on my rest days accordingly, even if psychologically I find this tough!!
Returning to work and teaching 1 yoga class a week has been interesting over the last few weeks. My cognitive processing has slowed down massively!! I have to think about what I’m about to say so much more, had sometimes words just fail me!! I seem to forget things really easily too. One thing that I’ve really noticed is whilst teaching in yoga I just can’t find the words for body parts, or I mix them up (call a knee an elbow for example). Now I’ve always done this occasionally but its happening several times in a class and even more times I nearly say the wrong thing but catch myself before I do it!! I try to laugh it off with the class, but it is frustrating and a little embarrassing at times! My therapist has assured me that this should improve with time, as my brain gets back into work mode, and as I spend more time communicating with people. We believe it to be “fatigue brain” rather than purely “chemo brain”. Also a “you’ve not done much with your brain for the last 12 months” syndrome too!! Just shows that although I put a lot of effort into trying to keep my body strong, I wasn’t doing quite enough to keep my brain strong too! Do any of you have any tips for improving this?
It also surprises me what things can be daunting about returning to work…. I’ve found lots of it anxiety inducing!
- Have I forgotten how to do everything? How many stupid questions am I going to have to ask of things I should know?
- How many new people have changed?
- Are people going to think I’m stupid when they realise it takes me longer to learn things now?
- What do I say to people when they ask me how I am? What do I say to people that don’t know where I have been the last year?
- How can I stop myself taking on too much work too quickly?
- What work can I do that won’t be too high pressure? etc etc etc