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CTS surgery date set; big new TV bought

My open carpal tunnel release surgery has been set for March 26th, hallelujah! I’ve spent a lot of the day today interviewing possible backups for when I will be out and starting the process for benefits and the like. I will be out of work for at least three weeks. I plan to spend that time testing the brand new flat screen we bought today by watching all my Lord of the Rings DVDs (and all the extras) in giant, high-definition color.

No, we’re not rolling in cash; one incentive for purchasing our house was a Best Buy gift card which paid for the television. We’ve had an empty spot in our family room since we moved in and have been watching our old TV in our upstairs loft. My husband can’t wait to watch the ACC Tournament on the big screen, and to tell the truth, neither can I. Shopping for the TV tonight was almost anti-climatic, we’d been dreaming about getting this thing for so many months!

So now I just have to manage the pain for the next three weeks or so, until I have to manage my post-op pain. Considering that we just bought a new house and a brand new TV, talking to three people today who were recently laid off, and the recent topics on this blog, make that seem pretty damned trivial when I look at the big picture. My hands might hurt, but I have health insurance that is going to enable me to repair my condition. I might not live in a mansion, but I have a nice new home when a lot of people don’t have any such thing. I am married to a great guy when a lot of people are alone. I have a pretty great job when a lot of people are unemployed. And I am alive when I could easily be dead.

I say these things not to make anyone in pain feel worse but only to proclaim my gratefulness to the larger universe. If I don’t wake up tomorrow, I will at least have said, at this moment, I knew what I had. And for every moment, now and now and now, I will know it is good.

Run Away! and Other Perfectly Acceptable Responses to Stress

So I met the affable Dr. Wallace Andrew yesterday who told me in no uncertain terms that I could have another cortisone shot which would give me relief for a few months or I could have open carpal tunnel release surgery.

Er, I elected the surgery.

I’m not sure when it will be. The process at Raleigh Orthopaedic is that they schedule you at their first available time and then call you and let you know when that is, and promise to call you within five days of that date. Joy. This works so well with business. I have had two managers already ask me today when my surgery will be please. I understand why they are asking me. They are trying to secure someone to take over for me while I am out and it’s nice to know when that will be. I’d like to know too. But I’d also like to be at home on the couch. Being here at work makes me feel like I’m in a cage. My head pounds and my hands hurt and I want to go home. Being at home makes me feel bored to death, but my hands still hurt there too and I can’t do anything like straighten up my new house. It is exactly like being insulted by pseudo French pig-dogs and killer bunnies.

In the words of the great Charlie Brown, I can’t stand it.

Anger in PTSD: From 0 to 60 in seconds flat

The Jason Klinkenberg case has brought up the issues of anger in PTSD. Las Vegas police responded to a domestic violence call at Klinkenberg’s apartment after a friend of his wife, Crystal, said Crystal told her they had argued and Jason had held a gun to her head. Veterans suffering from PTSD often struggle with anger, and post traumatic stress research has found that their levels of anger and hostility are significantly higher than non-sufferers. Even PTSD sufferers who survived 9-11 had greater levels of severe anger, and researchers surmised that the popular notion that anger may sustain PTSD is backed up by that finding. Progression View 1 by Irum Shahid of Islamabad, Pakistan courtesy stock.Xchng 

The National Center for PTSD states that anger is 

usually a central feature of a survivor’s response to trauma because it is a core component of the survival response in humans. Anger helps people cope with life’s adversities by providing us with increased energy to persist in the face of obstacles. 

It’s been hypothesized that anger is such an issue with veterans because soldiers are specifically conditioned to hone the increased energy of anger. Soldiers are often wired to be pissed off; a lack of adequate resources and personal suffering in their lives contributes to their heightened state of arousal. Being “wired tight” keeps them on the edge they need to be on to be soldiers. But the arousal-relaxation cycle gets whacked out in cases of post traumatic stress. Sufferers cannot adequately regulate their response to stressors in their environment. Essentially, we have no low boil setting, no simmer, no second or third gear. 

We go from 0 to 60. We run hot until we run out. The only thing we can do to stop this cycle, I have come to believe, is learn anti-stress techniques like meditation. Freeing the mind by releasing its emotional connection to thoughts is the first step. Once the mind is free, “the ass will follow,” but it needs help—physical help—getting there, too. Self-medication techniques like alcohol and drugs focus on setting ourselves on 0 for as long as possible,  but they are doomed to failure. We have to learn how to develop simmer, low boil, and slow burn settings. For myself, I have found meditation, peaceful music and energy tapping for trauma techniques to be of enormous significance in my own growth. 

But I grieve for the Jason Klinkenbergs of the world. Who only burned.

PTSD may be to blame for Nellis AFB’s airman’s murder-suicide

From Las Vegas comes news of another tragedy that may be due to a soldier’s PTSD. Although unconfirmed by the Air Force at press time, sources who knew the couple say that Airman Jason Matthew Klinkenberg was the soldier who held what was described as “about 100” SWAT and police officers at bay outside of his apartment before he shot and killed his wife and then himself yesterday morning.

A friend who said he served with Klinkenberg in Iraq said that Klinkenberg battled post-traumatic stress disorder and had back problems that required him to have several surgeries.

The friend, who declined to give his name, said Klinkenberg was traumatized by an incident with a rocket propelled grenade and, later, when a man set himself on fire in front of him.

This information could not be independently confirmed Friday.

Klinkenberg was just 25 years old; his wife, 23. The authors of the report in the Las Vegas Review-Journal, Maggie Lillis and Lawrence Mower, wrote that a Nellis Air Force Base psychologist said last year that the base “doesn’t have a specific program to deal with post-traumatic stress disorder among active duty troops.” The base apparently relies on troops’ voluntarily reporting their illnesses and seeking help.

I guess that’s working out for them.

Officially Ow

Richard and I survived the move into our new place, which currently resembles a 2400-square foot storage unit, thank you very much. With a few nice patches of furnished home here and there. I also underwent my nerve conduction study which confirmed moderate carpal tunnel syndrome in my right hand and minor nerve damage in my left hand. I saw my family doctor today, the very young, usually energetic, very smart Dr. Jim Blount today, and he is recommending me to an orthopaedic surgeon ASAP as I have had to take a couple of sick days from work due to the pain.

So it’s officially OW. And I mean that. I have moments in which I can’t believe my right hand isn’t swollen like a football and am utterly amazed to see it is still the same size. And then there’s the nights I wake up with shooting pains in my wrist and elbow. It’s bad, like I want to cry bad, like it hurts to type this bad and I really need to stop now bad. So I’m probably not going to be around much for the next little bit. Hopefully I’ll have the surgery soon. Today I cut back on my duties at work, a thing that I was petrified to do until I spent another night wanting to scream in pain and knew that my health was more important than work shit. (No offense meant, IBM.)

I’ll be thinking about all my blog fellows, but I’m going to be typing a lot less for a while.

Not Acceptable

Jamal Butler, 29, of Durham, NC

Jamal Butler, 29, of Durham, NC

Jamal Butler, a former band director at Southern High School in Durham, NC, has turned himself in to face two chages of sexual activity with a student. The alleged victims were both 16-year-old female students of the 29-year-old baby-faced teacher.

I can’t help my visceral reaction to news like this; I want to tear someone’s face off even though the accused must be proven guilty. A band director is a bit more than a teacher. Students see him after hours, have lunches on the weekend with the guy, see him under stressful situations, see him with his family and friends, in casual clothes, and learn more about the man than most teachers. A band director is just like a coach — a primary influence on a young life. Such a delicate power must never be abused. Never. I don’t care how sexy the 16-year-old, or how much she might even thinks she wants it.

It’s just not acceptable. Butler is scheduled to appear in Durham County court tomorrow morning, and Southern High is conducting its own investigation. And then we’ll see.

“Terrifying” statistic: more Army suicides than combat deaths this January

Philip Dawdy cross-posted a February 5, 2009 cnn.com report that the U.S. Army has confirmed more deaths in January 2009 were due to suicide than combat — a total of seven confirmed suicides with 17 more expected to be confirmed soon.

The thought of these 24 souls who joined the Army with at least some hope of improving their lives through the military succumbing to the utter despair of suicide breaks my heart. Sometimes I feel as if the old me — the one who walked through her days like a zombie unable to share a moment’s happiness with anyone that didn’t feel forced and fake because the entire world seemed doused in shit — barely existed, and her feelings are a numb, distant memory, like probing the hole left behind by a missing tooth. But reports like this bring the memory of that despair back in full force. I feel the anguish. I feel the cold wall of nothing, of knowing there is no way out, of the absolute certainty that there is nothing for you.

“This is terrifying,” an Army official said. “We do not know what is going on.”

And though I know now that feeling was despair, and that it was a misperception — for I feel strongly that suicide is like a cancer of the perspective, and that if we can just be shown another view, another path, another way, we can work our way into the light — I know the feeling is real. And so I grieve for this war my country is engaged in. And I ask again, when will it stop, and when will we learn to stop the killing?

As I have mentioned before, the Army and Marines begin a month-long standdown on February 15th in which the entire corps will be trained to detect combat stress in fellow soldiers, and one-on-one intervention techniques. The Army has also unveiled a training program called Battlemind designed to prepare soldiers and their families for combat stress. I hope it’s not too little too late.