The first day of Tramadol did not go well, because I slept badly and then got woken up several times an hour and a half apart each time by poor well-meaning Pol. This left me wiped out on Sunday. I got poor-quality sleep in the afternoon and of course stayed awake all night. Then I had to get up to host Ruthi (a person of much, much shininess). My first painkiller of the day was HFCC again, but, on being reminded I have Tramadol as an option, I took one tonight.
The headache's still there but I can think clearly through it and the pain is somehow ignorable. I have no idea why opiates help me the way they do. They clearly do help, but crivvens if I can see why. I'm not addicted to them and every doctor going says they don't help alleviated migraine symptoms, so why do they leave me able to follow thoughts in a straight line?
To give an example, just now before finally dropping off, I've finished the process of getting back on MSN and Skype and I've uploaded my preferred icon, which will end up here when I find out how to do things with pictures. Part of the uploading involved installing an image converter and using it to convert a gif to a bmp. I kept getting it wrong, which is the sort of thing which makes my migraines spike massively, normally. Trying to problem solve and stay on-task like that is very, very hard with a migraine. Just now I have a humdinger but I've still done all that and even remembered to blog before I go to sleep.
The five months of unremitting pain have left me without any fear of the worst migraines can throw at me painwise, so in a good world I won't get into a despair spiral when the headache gets sore. Tramadol being a very effective painkiller, I think I'll notice the pain more when it wears off, an effect I'd seen already with cocodamol. I was convinced that Tramadol had helped me think more clearly back in late 2006/early 2007, during which time I learned a good chunk of Spanish, moved to Seville for several months, found a good (very good) hostel as a temporary measure (Hostel Oasis in Seville is a very, very good place), rented a flat and dealt with flights back to the UK (although I did need help with booking a train). I wasn't happy, and I was too unreliable to be fit to work, but I was functional. Unhappy, in pain but still feeling like a person.
Contrast to my time without, which was spent more or less doing nothing. Forgive the self-pitying tone here, but it was a crappy second half to the year. My social life dwindled because I couldn't stand to see anyone and, worse, can't remember from one conversation to the next what has been discussed. Trying to concentrate to remember is a migraine spike, usually. Not right now, when drugged on Tramadol, but usually. My old skills all fell away and I lost the ability to learn new things. I tried to plan a Solstice meal and couldn't, until I started back on cocodamol.
Magical opiates allow me to think, reason, remember and plan. I can without, but such cognitive efforts are always fragmentary and disordered. I lose the thread of what I am trying to do and the inevitable frustration that engenders causes a small vicious circle of pain until I drop what I was trying to do and go back to lalala butterflies again.
It was a pity that the first day left me an insomniac wreck, but I'll see how it goes from here.
It's 2am, later than I planned on sleeping, but it's still within my definition of 'night' since I am generally a 3am-11am sleeper when healthy. I think I can drop off and even if I don't, there are strict instructions left to let me sleep it out tomorrow so I can get my head straight. Pain is base five, spiking eight.
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