I wanted to say thank you to all the folks who reached out to me after my last post, most of whom I didn’t even know were reading the blog. It meant a great deal to me. That post sat in my drafts folder for over a week before I decided to publish it.
I’m away on a much needed break with my family. On top of all the mood stuff I was going through, I was also burning out from work. Or maybe it was the mood stuff causing the burnout or vice versa. Hard to know at this point. Being present for patients is really hard when I am barely present for myself.
I tell my patients that they have to talk about how they are feeling with friends and family when they get depressed or anxious. The old adage that doctors make the worst patients is true.
I didn’t take my own advice. I wasn’t talking about how I was feeling. There was guilt about my parents. Guilt about not helping my brother enough. There was shame for wanting to crawl into a hole and never come out. Shame for feeling weak and paralyzed; shame for the thoughts of death and dying I was having. And then there was the anger toward myself for falling into the black hole to begin with. I did it to myself. I was the one who weaned off her medication a year ago. I was the one who was arrogant enough to think I didn’t need them anymore. I had been feeling good for so long. Work was great, I was running and life was good. I didn’t need those pills anymore.
I had it all figured out.
But I forgot one thing.
Depression runs in my family. It wasn’t my first time getting sick. I should have known better. That’s the real kicker here.
I should have known better.
Now I have to sort through my ego and arrogance. It’s time to take a long hard look and regroup.
It’s so black you can’t see anything around you. You can’t see the love, the happiness, the light, the strength. When you fall inside, it wraps you up in a blanket and squeezes so tight you feel like you’ll never break free.
Even the thoughts are black.
“You’re not good enough.”
“They’ll be better off without you.”
“You’re bringing everyone down.”
“There’s no point in fighting it anymore.”
Only there is a point.
It’s called life; and it’s messy and hard. It’s unpredictable and it’s amazing.
It’s embracing the suck, asking for help and getting on with it.
For months I was slipping deeper into the black hole; ashamed to admit I was there again.
I finally asked for help and talked about it.
Now the time for reflection and self-healing begins.
This weekend I ran my 3rd half marathon race. Grossly undertrained, I might add. My longest run had been 17k a few weeks prior and I would be lucky if I got one training run in during the week. I considered switching my bib to the 10k but I couldn’t bring myself to do it.
Finished another half just sounds better, right?!
I had no time goal other than to finish but if I’m honest with myself I knew I wanted to finish under 3 hours and certainly under 2:50. By some miracle or more likely sheer force of stubborn will, I crossed the finish line in 2:46:58. A minute slower than my previous effort last October and almost 10 minutes slower than my debut race in 2015.
About 10km into the race the outer aspect of my left knee started talking to me.
ITB. I haven’t experience ITB pain in several years. Uh oh. Not a good sign. A sign of undertraining in my opinion and poor post run stretch and foam roller etiquette.
But really, should I have expected anything different?
Oh and I probably needed new running shoes 6 months ago.
Now, on a training run I would pause my Garmin and stretch out my hip flexors but there was no way I was stopping on course. I knew that if I stopped moving to stretch I may not get started again. So, I just took extra walk breaks after 15 km or so. Before that I was sticking pretty well to my 1 km run and 100 meter walk intervals. After 15 km it was more like run 400 m, walk 200 m and repeat.
Looking around me, though, I saw other runners struggling too. I asked if they were okay. One runner had his hamstring seize up. For another it was her ankle. Others were just walking. Eventually I found the power walker I had been chasing unconsciously for most of the race and passed her. Yes! Not gonna lie. That was pretty awesome. All told when I crossed the finish line and before they gave me my medal, I burst into emotional, cathartic tears.
Recently I’ve had several new followers and I feel compelled to start writing again to earn that follow-ship. Yes, I clearly just made up that word.
I have no excuse for not writing other than the fact that I work two jobs, have 3 kids and elderly parents and am currently having the life sucked out of me by all of that. But really, I shouldn’t complain. My immediate circle – my kids and my husband – are healthy and generally pretty happy, I like to think. My daughter is thrilled to be making slime to share and trade with her friends. My almost-7 year old has learned how to ride his bike with no training wheels and has started swimming lessons. And the 4.5 year old is just … well, he’s happy tumbling around and being himself.
I, however, am overwhelmed. 950 patients in my family practice, a second job at a private health care clinic which is more demanding that I thought it would be, and an elderly declining father who has be move into a retirement facility because he is “too healthy” for a government long-term-care facility but not safe enough to continue to stay at home. The decision to move him comes right before his 83rd birthday and 50th (FIFTY YEARS!) wedding anniversary. It is not how I thought we’d be celebrating.
And to top it all off, I feel like I am not present for my kids enough and when I am I am often tired, frustrated and giving them shit for being kids.
It’s that time of year for resolutions, those things you decide you want to change or improve about yourself over the coming year.
1. Run more and farther.
I ran a good amount in 2017, about 750 km (give or take) over the year. I had a few minor over-use injuries which isn’t new to me. I ran a half marathon and had a 10km PB (personal best) race. I joined a running team (more about that in a future post) and met a lot of extraordinary people, many of whom are survivors in one way or another and who run to stay mentally strong. They are an incredibly inclusive group of people from all walks of life who all love to run. I feel lucky to have found them.
2. Yell less at my kids.
Being a parent is hard. Being a parent who doesn’t raise her voice is exhausting. I found myself in a cycle of yelling and saw its impact on my kids, my eldest in particular. Over the past 6 weeks both my husband and I have made a huge effort to lower our voices and I know with myself in particular, not yelling is hard to do. After asking my child to do something 3 times and not having it done, the only recourse I had, it seemed, was to raise my voice. It got their attention, but in a negative way. When I started hearing how they related to each other I realized they were emulating my behavior. We sat down with all the kids one day and acknowledged the tension in the house and told them that their mommy and daddy were going to do better. We asked them for help and it seems to be working. Oh, I still find myself yelling – I’m not a saint – but it is less than it was before. I’m a work in progress.
So, my husband was finally able to get back to the Christmas shopping now that all the kids are back in school and not sick anymore.
After multiple texts back and forth about what stuffies to get the kids, being unable to locate the one we know they all wanted at the Disney store, my brilliant receptionist spent all of 10 seconds on Google and located what we needed at the Showcase store.
Every year, without fail, my kids get sick around the holidays. Last year was the worst, at least for me. I ended up with what was probably a Norwalk virus on New Year’s Eve. We were with friends, without kids and I ended up in the guest bedroom for the rest of the night while my friends rang in the New Year.
This year, the little one (4 years old), developed a high fever (39.5C or 104.5F) that lasted the better part of 6 days. Eventually we took him to his doctor for a throat swab but it was negative for strep. Husband got a small dose of it for 2 days and I got a head cold that lasted 3 days. After a week, the boy’s fever broke and he went back to school, none the worse for wear.
Then his older brother (6.5 years old) came down with a fever. For another 6 days, my husband (the stay-at-home parent) had to deal with a sick kid who was home from school for a week.
Meanwhile, the eldest, was beside herself.
“How come the boys got to stay home from school?”
“It’s not fair!”
“When will I get sick? I want to stay home for a week too!”
Well, my dear; be careful what you wish for.
The same day the 6.5 year old’s fever broke, his older sister started shivering and complained of a headache. Honestly, I thought she was faking it. But then I felt her forehead.
Here we go again.
On the bright side, she should be just fine for Christmas. However, I have no idea how husband is going to finish our Christmas shopping with another sick kid at home.