Wednesday, October 28, 2009

Iron deficiency


It's my freshman year in college and I'm sleepy all the time. I keep asking myself, why is the sun so bright? as I squint all the way to my Humanities class. Back at the dorm, I fall asleep after reading three more pages of Homer's Odyssey.
I finally decide to go to the campus clinic, where, they draw blood and then prick my finger... I feel so lightheaded and my blood pressure is so low they keep me there for a while.
Turns out I have iron deficiency anemia.
Ta-da, and like that I became my mother (I'll explain this later).
No big deal, I begin taking iron pills until... I'm so backed up that I stop taking them... off and on, on and off...
Fast forward time until about 10 years later... my third pregnancy. I get the usual blood work done except this time it's at a community clinic because I'm not employed/insured. Somehow my first labs are misplaced and I have to get them done a second time, this time I'm about three months pregnant. You'd think they'd tell me I was iron deficient after drawing blood from me twice. Nope. Not until my 8th month when I was seen by my Ob's partner, when he asked if I was taking iron. So I started taking iron again. I never took my iron deficiency too seriously. Low iron to me just meant being more tired than usual. I took iron supplements and would discontinue them once I felt better, replacing them with a multivitamin, which I figured contained iron.
The last time I had a bout of low iron was about one year ago. I didn't get my blood drawn, I recognized the fatigue and my inability to stay awake past 8 pm. I didn't want to pay for a doctor's visit to be told what I already knew and to be prescribed iron tablets that I could purchase over-the-counter. I self-prescribed myself iron and fortified my nutrition with Herbalife shakes and multivitamins. I urgently needed the energy to study for, and pass, my CSET exam to obtain my preliminary teaching credential. I began eating iron-rich foods, fortified cereal, studied..., passed the exam.
About six weeks ago, I experienced an abrupt change in energy level and overall well-being. I had so many odd symptoms that I thought for sure there was something severely wrong with me, not iron deficiency.
First, my hands bruised easily twice in a week. Closing my car door, and then carrying a 5 gallon water bottle. There was no real trauma to cause the bruising in either case. At the same time, my hair began to fall out, in chunks, while showering. Followed by the headache that would not leave, accompanied by difficulty concentrating or remembering. Then, after guest teaching for a three hour assignment, I had a very difficult time standing after leaning down to pick up trash off the floor. It was as if I did not have enough energy in my legs to lift my own weight. My legs seemed limp and powerless. When I came home, I had the same experience walking up, and especially down, the stairs. It definitely took more work. After a day of having to exert much energy in my legs to accomplish regular tasks, my legs were very sore and remained sore and weak.
The most disconcerting symptom was my absent short term memory. Everyone has, at some point, experienced going to a room to get something and then realizing once you've arrived, that you've forgotten what you came to get. Exactly like that, except constantly, and each time. I felt I couldn't carry-on a conversation, I even doubted my ability to cook a meal that required too many steps. I could see myself adding salt and forgetting I added salt one-minute later. I found myself not able to stick to a task. I felt disoriented, in a fog.
I made a desperate call to the community clinic, now just down the street from where I live. I made an appointment and got blood work done. The next day, October 6th, I get a phone call. I needed to go back soon as possible to discuss my lab work. My Ferritin Serum (iron store) level is 2 ng/mL. Umm that level should not even be single digit, much less 2. I knew it was bad, when I've been anemic before I've had a ferritin level between 7 and 10-- I had always been told it should be more than 12 for females. The practitioner tells me I probably need injections but they are costly and I don't have insurance. I'm thinking.. so... how sick do I need to get before I am hospitalized and need a blood transfusion? I am completely unable to function and have since taken nearly all the month of October off work. I am prescribed... surprise!... iron tablets 3x per day.
If I take the tablets three times a day for three months, I may be able to raise my ferritin score by ... two points. With 8 more points to go, I can just be a vegetable in the meantime. um, no.
My mom and husband, who see me fading into a shadow of myself, took matters into their own hands and have since purchased injectable iron in Tijuana. They've given me 4 intra-muscular injections so far. (Is it legal to bring needles across the border? We weren't sure, but did.)
Today I have just enough stamina to write this. Please, do not expect it to be my most insightful entry. I just want to write about my ailment so I don't feel the need to whine to my poor family who's probably tired of me being tired.
I'm also writing because today, on Oceanside's first true cold day of fall, I have a new debilitating symptom to add to my list of 'woe is me.'
My hands, and especially my fingers hurt, badly with the cold. I've never had this before.
It's like this, from what I understand, Iron carries oxygen through your blood. Without enough oxygen your muscles fatigue earlier (they need oxygen to work) and your memory won't work (also does not get enough oxygen), and circulation is affected. I have low blood pressure. Now my fingers hurt when it's cold? it does seem related.
So how have I become my mom?
My mom has always struggled with iron deficiency. Growing up, I remember my mom taking naps almost daily and we knew not to wake her. I was often late to school and my mom would often forget to pick us up. I perceived that she would forget things easily and I witnessed her pass out a couple times. She'd pull the car over sometimes to remember where she was going. Strangely, I attributed most of this to my mom's personality and never really considered her ill. I now sympathize with her condition but at the same time am determined to overcome this iron deficiency so I could be awake to see my kids grow up.... and remember it!
So, as painful as it is, I will allow my family with little medical training (my husband was a volunteer paramedic in Mexico when he was a teenager) to inject me with iron (my bottom is already so bruised it hurts to sit) and I plan to continue taking iron until my levels are at least 20 (a level recommended for performance athletes).
Did I mention my iron deficiency began to hurt my marriage?
Just think.. I am asleep by 8 pm... yeah, I think Eloy started to get resentful/ feel neglected.
There's at least 10 more iron deficiency theories/ complaints I have, but I really should go to bed. Oh- and I'm taking a B-complex vitamin along with the injections and iron tablets now.


Wednesday, August 26, 2009

Victor Ayala

Talent in Ensenada!
Talento en Ensenada, Baja California!

Estamos muy anciosos de ver el gran por venir de Victor (y de sus amigos) con este increĆ­ble talento que Dios le ha dado. 

Toda tu familia te apolla Victor :o)

Saturday, August 22, 2009

fall o9

LOts to write about.
Today were J & E's first soccer games of the fall season. J had the opportunity to play goalie for his team and E made a goal for his. Uncle T showed up to watch the second half of J's game- a great surprise.
My brother's second son, baby j, was born on wednesday (Aug 19 at 5: 50 pm). I had the awesome blessing to witness the birth alongside Twink (my sister). j was born six weeks early and is still in the NICU but thriving. We expect him to be home very soon.
I have been filling in as apartment manager until the complex owner (where I live) finds a replacement manager. I only plan to keep the position until September 1st and then return to substitute teaching. While the rent reduction incentive plus income is appealing, I do not like being on-call 24/7. Also, if I intend to be hired as a teacher, substitute teaching might help me get my foot in the door.
Not finding a full-time teaching position for this school year has been discouraging. I know that in hindsight I am always able to see God weaving His will through my life, even in the small things-- like my job, so I'm learning to be humble, to wait, and sit-back to see how He makes everything in my life work out for good.
J and E begin school this thursday. E begins kindergarten. My babies are growing up. I anticipate it will be tough for me to see them go.
They will wear uniforms at the school I transfered them to. I can't wait to see them wearing them on their first day. Uniforms may be cuter on a kinder and second grader than they will be when they are in 5th grade -- but, it sure made back-to-school shopping a lot easier.
What else is new?
I am tweeting! with approximately 0 followers ... when you round down :o)
It has been a great way to stay in touch with my sister and know what she is doing.


Tuesday, August 11, 2009

love for a child

Many times well intentioned and otherwise loving people suggest to me that losing an older child is more difficult than losing an infant. Those same people often conclude that I should move on, be at peace with my loss or even that her death was for the best-- God's will. They pity my resolution to hold on. They do not understand why I would put myself through the pain of seeing the face of my beautiful missing child on my refrigerator, in my digital frame. Out of sympathy for me you wish I would forget her, begin a new and bright chapter in my life where I focus entirely on... the living? right? I understand, except my reality is another one. What I have omitted when I smile, even nod, is that I know I can still love my daughter. In Christ I mourn my separation from her, not a loss. I cannot see her, but she continues to exist. Like a child on a trip, or a child that goes to college, a mother loves her distant child as much as the child on her lap. The love a mother feels for her ten year child is not twice more than the love she feels for her five year old child. Mothers of miscarried children often feel so alone, unable to share the deep love they hold on to and carry with them all their lives. The love I feel for my daughter remains the same now, as when I held her, as tommorow.

Tuesday, July 21, 2009

11th wedding anniversary

Last Saturday (July 18th) marked our 11th wedding anniversary. EB and I usually leave the kids somewhere to go out. This year we brought E and J along. The picture shows J (left) and E (right) playing at La Jolla shores beach. EB had wanted to take us kayaking for some time and we finally did it.  We took a tour along La Shores to the Cove. We had a great time. J and I shared a kayak and E went with EB. I was a little nervous about not being strong enough to paddle us out -- or about flipping over on our way back to shore. Neither happened. We saw caves, sea lions, snorkelers, and we were supposed to see tiger sharks but I had to concentrate on keeping up with the group and didn't look down. I felt a sense of accomplishment when it was over, it took more work and skill than I had anticipated.
After our Saturday afternoon church service we did leave the kids with my brother J. EB and I went out for sushi, coffee and rented a movie (the title is irrelevant, we both fell asleep during the first ten minutes). 

Tuesday, July 14, 2009

cheering for judge Sonia Sotomayor

Go See full size imageLatina! 
Tuned into the confirmation hearing today. I am not a democrat but we can definitely use a fresh Latina (female + minority) perspective in our judicial system. Some of the republican senators questioning her are badgering her unfairly. She is standing up to the questioning so well and responding very intelligently
Nothing wrong with saying that she has the disposition to put a face on many citizens who have been historically disregarded in many ways.
Latinos everywhere are smiling!

Sunday, July 12, 2009

Checking In, finally

I haven't written in a while. I took a break from reflection in order to be more functional.
 
Clean laundry/ 1 1/2 cups of flour/ 100 uses for vinegar and some for baking soda/ washing the same glasses/   trips to Ralph's.... milk, eggs, bread, Advil/ ed-join twice a day (job search)/ E & J & board games to turn the set off/ dinner at five-- occasionally anyways/ bedtime stories

I already knew how to be a recluse but being a mindless recluse is harsh. 
I ordered three books to read last week-- on teaching, to prepare for the possibility of employment. The first one arrived three days ago and I devoured it. I had purposely starved my mind.  It's amazing that I can put two sentences together. Most detrimentally, I stopped my daily bible devotions for a season. I even stopped taking pictures. My sons' picture albums will skip a year.
Ignorance took over.
If I stop thinking will I stop hurting? 
no.
I could have told you that before putting myself through the agony. 
Idleness wether in action or mind is aging me faster than time.

It's my birthday today--  happens once a year.
Like Lucy said in a Peanuts episode, "Stop the world! I want to get off!."

I began reading through the bible during my pregnancy with A, I plan to pick up where I left off.
Cheer for me. Or, if you are a co-believer, pray for me.
:o)