Tuesday, March 4, 2014

ups and downs

it's been an interesting few weeks.

my rheumatoid disease activity has been up.  pain levels are increasing.  drugs are not helping.  about two weeks ago i was trying not to hate my life.  i've started being more creative - cross stitching and cooking as much as i can.  or as much as i feel like.  it keeps snowing.  and it's cold.

ah, february.  it's been a month of ups and downs.

next week i go the the rheumatologist again.  she's probably going to discontinue my enbrel and start the process to get me on humira.  it's the same kind of fucking ridiculous drug with a disgusting laundry list of possible side effects: serious infections, nervous system problems, blood problems, heart failure, immune system reactions, liver problems.  oh, and of course a heightened risk of cancer, including a rare kind of lymphoma.

maybe this one will help.

i finally went through all the hoops to get a temporary handicapped parking permit.  i hate that i have it, but it really helps with the walking.  if i go to the mall or try to go shopping, 30 minutes is my limit.  it makes it hard to go shopping other than food shopping.  and at school it will help a lot - the student parking lot is faaaar from the buildings.  i also bought a cane that i still won't use.  it's leopard print, obvs.

still, everything hurts.  my elbows still seem to be the only main joints not involved.  my very low spine hurts.  my hips.  my shoulders.  my knees.  and of course, my wrists, fingers, ankles, and toes.  my toes have been horrible this week.  my left heel is a problem as well.

interning is going so well.  i have three of my own groups - one is every other week and is a health & nutrition group.  i have an orientation group once a week for new clients and an opioid recovery group once a week.  and i'm still co-leading the women's group once a week.  that's my favorite - i'm really learning a lot by leading it with a more seasoned counselor.

and i did my first mostly solo assessment.  i took the lead with the entire thing and wrote up all the notes and filled out all the online stuff about it to be reviewed by the counselor who sat with me.  she didn't interject much at all but gave me good guidance.

then today my supervisor/mentor spent a solid ten minutes gushing over how great i am.  she kept talking about how big of a help i've been with her workload, and how much she wants me to be able to have my own caseload.  she told me they're pushing her to hire a part time counselor who is fully credentialed, which i won't be for at least another two years - i'll have a trainee certification in june and will have to do 2000+ hours of work that is reviewed by other qualified health professionals.  but she's keeping me in the loop on that so i can prepare to present myself as an integral part of the team when my internship is over and hopefully get some kind of job there.  i want to stay where i am.  i love the other counselors, i love the clients, the location isn't horrible - not too far - i mean, come on.  and i learned here - i know how to do everything the way THEY want people to do things.  i'm hopeful and confident, but i don't want to be cocky about it.

and piglet has a tooth injury.  i don't know how much i went into it already - if at all - but she'll most likely have to have one of her canines removed this friday.  she's almost 10 but she still feels too young for this to happen to.  i'm just hoping it's not one of the tooth things that cats get that will end up affecting like all of her teeth.  we'll see.

so february ends and we enter march.  we still have snow, my birthday is coming up, and spring will hopefully spring sooner rather than later.  the clocks go ahead this weekend so it will be lighter later at night.  hopefully i'll keep practicing positivity and be a happy camper too!

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