Things i'm learning from a jigsaw puzzle.

I've been on a bit of a jigsaw puzzle thing lately. When my brain is not working adequately in more fruitful directions, working on a puzzle keeps it busy and out of trouble.

I've been working on this round puzzle. Notice how I've done all the "fun" bits, all the parts with recognizable shapes like flowers and buildings.

This left me with all these shades of blue pieces, nearly indestinguishable. Blecch.

Notice the big blank spot below, waiting to be filled with those same-y same-y looking pieces.

But I just keep hacking away at it,

piece by piece.

Need I actually speak the comparison to life? The fun bits are important too, and they go fast. We can be left with all the boring filler same-y same-y bits. They're important too. At the moment in this puzzle I feel stuck with the blue bits that are hard to figure out. But if I keep slogging along, eventually the whole thing will come together.

Wonder if I should have done a better job of balancing out the boring bits and the fun bits? You know, done some of the blue while there was still some of the colorful bit left to work?

I feel stalled out on the puzzle. Also feeling a bit stalled out on my Pursuit of Health as the removal of Cymbalta does seem to have left me with some agitation and anxiety even after nearly 8 weeks, along with a loss of word and creative mojo. This doesn't feel as clearcut as the decision to quit the Fentanyl. With that I KNEW it was causing more harm than good. With the Cymbalta, I'm less sure.

Cymbalta Withdrawal is the B Word.

Wow. The things they do not tell you.

Take this, they say. It will improve your life! And maybe it does for a time before your body gets used to it and you end up with only the side effects and not the benefits. What then?

If you watch television at all, you've no doubt seen the commercials for Cymbalta, one of the wonder drugs of the 21st century. Their tag line: "Depression hurts." As does Fibromyalgia, one of the uses for Cymbalta. Quite honestly, I've dealt with depression over the years, so when I got clocked upside the head with Fibro it did cause some pretty depressed feelings. Chronic pain can drag you down no matter how Pollyanna you want to be.

Apparently, Cymbalta works with the central nervous system to reduce the pain of Fibromyalgia. My doctor and I decided to try it out. And soon I actually felt a difference, a lowered perception of pain at least. One thing about a person who hurts 24/7 is that they're willing to try most anything, (as I realized about myself during the "What doesn't kill you makes you stronger" Fentanyl era) with little thought to the aftermath. Common to most of the people I attended Pain Management class with, I would like something to just take the pain away! But we don't always go in with enough information to be clear on what the medication might take away along with the pain. Sometimes we lose more than we gain--like the ability to feel life or deeply enjoy things--and the withdrawals can be a b****!

Today, for example, I see that people from Georgia, Virginia, Texas, and Brussels Hoofdstedelijk Gewest (I couldn't tell you where that last one is, let alone pronounce it) have visited my post on "FENTANYL: the Withdrawal Experiment."  How many of the people who've started out innocently and trustingly enough on a plan to reduce their pain levels have found they are now in the pit as they try to pull back out of the pain medication fog? And I'm by no means saying we didn't NEED the help or even benefit from the medication, but boy howdy, we need help getting off!

Common withdrawal symptoms from Cymbalta that I've read on message boards online etc:

• headaches
• intestinal upsets, bloating
• brain zaps (electrical feeling/sounding jolts that go through your brain and body)
• dizziness
• nausea/vomiting
• "irritability"

And that's just to name the main few. I put irritability in quotes, because would you call Jack the Ripper "just a guy with poor social skills"?

What I personally experienced:

• loss of words (it's taken me weeks to write this post)
• PAIN and muscle fatigue
• brain zaps
• intestinal upsets
• minor dizziness
• DON'T LOOK AT ME WITH THAT TONE!!
• Oh, really? You don't like what I made for dinner? WELL YOU CAN JUST BLEEPING BUY A NEW SLAVE!! *sob*
• Um, "irritability."

I'm now 5 weeks off the Cymbalta. Still experiencing extra pain and muscle fatigue. Brain zaps are gone. I followed advice from Cymbalta withdrawal online boards (such as cymbaltawithdrawal.com and depressionforums) to take extra Omega 3s and drink lots of chamomile tea, and within 3 days the brain zaps were over. The extra dizziness is gone. The words are coming back and I can actually string a few together now to make a complete sentence. The intestinal upsets resolved within the first 2 weeks.

While it has improved, I'm still working on the irritability. Has my true self merely come forward and I am really an impatient, screaming lunatic? I really really hope not. As does my family.

Picture of me withdrawing from Cymbalta.

No, not standing above, the one at the bottom.



Skimmer's Recap: Cymbalta withdrawals are not for the weak. Or for our families.

FENTANYL: The Withdrawal Experiment.

GOOD things about Fentanyl:

• It's a cheap drug on my medical plan.
• 
  
  It's legal, thus keeping me from skulking around alleyways looking to score my next hit. (do we even have alleyways in Castro Valley?)

BAD things about Fentanyl:

• Well, so far, pretty much everything.
• Wearing the Fentanyl patch means you must not get overly hot or it will dump ALL it's medicinal goods into your system at once, causing major overload and some nasty symptoms. Ways to get hot? Have a fever. Work in the sunny garden, then get in the hot tub (with the patch carefully above the water line) to soak your sore muscles from working in the sunny garden.
• Fentanyl sedates. EVERYthing. Your pain sensors, hopefully, but also your brain, your creativity, your internal workings, your....well, things best left unsaid, since this is a family friendly website. Plus, anybody who knows me is aware i'm already no Bundle of Energy. i've always worked at a lesser speed--clean part of the floor, sit down and read a magazine. Finish the floor, sit and read some more. Start on the kitchen tidying, sit down and have a cup of coffee and draw designs on a napkin. i always thought i was a bit lazy, but now it turns out i was "pacing." Who knew.
• Fentanyl withdrawals are a bi----i mean, a trial.

i originally wanted to name this post "Fentanyl: treatment for pain, or an evil plot to kill my creative mojo?" When i said that to my hubby, i followed it with, "but i thought that was excessively long for a post title." He leaned back in his chair and said, "That's never stopped you before." i guess, given his proclivity for skimming, i would have had to do a skimmer's version of the title as well.
Just a brief overview of my withdrawal symptoms to date:

• Very sick tummy, but on the upside i've lost some weight. Granted, it was weight i'd previously lost two years ago, but what the heck. i am getting tired of saltines, though.
• Creepy feeling of crawling out of my skin. Hard to explain, worse to go through.
• Excruciating pain on some days, for instance Wednesday being the worst i've had, worse than my most painful fibromyalgia day, 9 on a scale of 10, where 10 means "hospitalize me or shoot me with rhino tranquilizers, please."
• Extreme anxiety. But then, the whole opiate experiment had that same effect. So, let's see: March, April, May, and now into June, anxious, anxious,anxious, and anxious.
• Hypersensitivity to sounds. That also came along with the higher doses of Fentanyl, and again on the withdrawal path. Yesterday was the first day in months i'd been able to listen to music (well, besides American Idol, which goes without saying.)
• Fits of temper
• Personality changes
• Zombie-ness, in varying stages and amounts.

So, as you can see, symtoms aaaaall over the charts! Dr God at the pain clinic wanted me to wean from the Fentanyl by dropping from the 125 mcg dose to 100, then 75 for 6 days, then 50 for 6 days, then just take the dive. When i did not replace the 50 mcg patch quickly enough i had a long bad day of withdrawal, so i decided to use my remaining 25 mcg for three days, then my 12 mcg for another three to slow down the process. i felt that i was Dr God's child being taught to swim by being thrown into the deep end and walking away. No support, no "this is what you can expect to happen" or "this is what you can do to cope." Just throw me in and head for Starbucks.

i grew up in Portland, Oregon, and puddles are more my size, so my plan was to wean off to the point that i could simply drop into a puddle at the end where i could still keep my head above water. If this withdrawal is a puddle, what the heck must the deep end be like???

While looking up symptoms of withdrawal at the beginning of this ride, i saw ads for private clinics where you could stay to withdraw. Basically they keep you unconscious for the worst of it. i see why it's no big deal for those actors who love their Oxycontin and such--when it becomes a serious problem, just spend a tiny portion of your fortune and check into a clinic! Virtually no pain and all gain, for a measly 10 grand or so-- BUT, if they had to go through the actual pain of withdrawing, they might think twice before popping them bad-boys again.

My state of discomfort is odd even to me. In the early days of fibromyalgia i remember trying to find a position for sleep. i arrived at sleeping on my back with a pillow behind my knees as the only way that didn't hurt. In these withdrawal days, i'm so crawly uncomfortable that i find myself in bed doing the rotisserie chicken: on my back for a few minutes, then my right side, then my stomach, then my left side, only to start the spit on its next rotation. NOTHing is comfortable! Sitting up is no better, even in my nice thrift-store LazyGirl chair, place of all comfort.

It's a curious state of being. Soon to be behind me. Then i can at least simply deal with the fibromyalgia pain again. Woohoo.


*OH--forgot to add the skimmer's recap: Fentanyl: little good, mostly bad, withdrawal is hell. There ya go, it's short, but you miss the clever analogies/metaphors--whichever they are, i can never remember. *sigh*