A place where I can share interesting ideas and maybe get a few things off my chest

Nosh!

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I recently tried a new cafe’ in Oldsmar, Nosh!, where I got a breakfast sandwich pressed on Cuban bread. It was really yummy and I can’t wait to get back to try some of their specialty coffee drinks and other breakfast and lunch items.

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I also got one of their crumb cakes to go. It’s hard to tell in this picture, but it’s 2/3 “crumb” and 1/3 “cake”. It was pretty tasty, but I would have preferred less crumb and more cake, myself.

It wasn’t too crowded mid-morning, but did have a steady flow of traffic. It seems like a good place for future morning writing sessions.

Nosh Cafe on Urbanspoon

When I told my son I was planning shoulder surgery, he talked to his chiropractor/sports medicine friend who recommended I consult his colleague in Tampa before taking that step. I was skeptical, but I called and made an appointment with Dr. Joe Giovatto at Countryside Chiropractic. He is certified in Active Release Techniques and Graston Technique, two sports medicine modalities I had never heard of, mainly because I am not a sports person. 

The results have been amazing. Each treatment session brings less pain and increased range of motion. I have been taking pretty strong pain medication, and the times between doses is also stretching out. I have “homework” – exercises that I do several times a day. Also, as I’ve come to understand the mechanics behind shoulder impingement, I have been more motivated to improve my posture, especially at the keyboard, which seems to be the key to the beginnings of impingement syndrome, or at least mine.

I feel so much better! My husband is happy to see me happy, and my co-workers have told me it’s nice to have my animated self back. Feeling crappy and hurting all the time didn’t lend itself to much animation.

I thought chiropractors were limited to back problems and such, but in truth, most of the treatment I’m receiving from Dr. Joe in the way of ART and Graston is not what one might consider to be traditional chiropractic. But whatever it is, it’s really working.

Hooray!

My Shoulders Hurt.

About a year-and-a-half ago, I noticed my right shoulder hurt a little. It didn’t really get any worse for a long time and I mostly ignored it, but last December, I decided I didn’t want it to hurt anymore. So, I went to see an orthopedist. He diagnosed me with rotator cuff tendonitis and said, “Here’s some Naprosyn (essentially script strength Aleve). Take this twice a day and come back in a month.”

A month later, no improvement, Doc said, “Let’s try a cortisone shot.” I revealed myself as the major needle-phobic weenie that I am and said, “Let’s not. How about another 30 days of Naprosyn?”

“It probably won’t help if it hasn’t helped so far, but there’s no harm in trying it.”

In late January, I tried out for a play. The appointment I had made ended up being the afternoon of opening night. I cancelled with the intention of (since he was right and the 2nd month of Naprosen hadn’t helped) coordinating the next appointment with my husband so he could hold my hand while the GIANT needle was administered. (“It’s not the length of the needle that matters, it’s the gauge,” said Doc. HA!)

The following week, Mother fell on the sidewalk while going out to get the mail. Twenty-four stitches, five days in hospital, four weeks in a rehab facility, and four weeks of various therapies (during which I could only work half-time) later, BOTH shoulders hurt.

Then our dog got sick and had to be put down.

It was not a great spring. If I weren’t so stubborn and so Southern, I might begin to lose faith in black-eyed peas. But I digress.

I finally made an appointment in June to face the needles (yes, now multiple needles because multiple shoulders were in pain.) My wonderful husband went with me, held my hand, and I was mostly OK, not getting fainty until after the second injection. In an effort at levity, DH made a joke about the size of the needle. I did not laugh.

All the stories I’d heard about how miraculous a cortisone injection can be couldn’t even produce a placebo effect for me. My shoulders still hurt. At my follow-up, Doc said something to the effect of: “Well the next step is an MRI to see how what we need to do for surgery.” I said, “What about another set of cortisone shots?”

“The efficacy rate for a second round of shots after the first round didn’t help is only about 40%, but it’s certainly worth a try if that’s what you want to do.” Without anyone there to hold my hand, I bravely submitted myself to two more injections with GIANT NEEDLES INTO MY SHOULDERS! (I really was very brave. I would have given myself a sucker, had I had one.)

And…they didn’t help. At all.

After much internal debate, I made an appointment with my friendly, neighborhood acupuncturist. My husband said, “You know what acupuncturists do, right?” With great bravado, I told him that after facing two rounds of giant needles, I should be able to handle a few little ones.

It turns out that sometimes, when energy whats-its aren’t flowing properly, those little tiny needles can really sting! After my prescribed number of sessions with little improvement, the acupuncturist told me that I should have seen a marked reduction in pain and she felt it would be prudent to refer me to an orthopedist.

*whimper*

I’m scheduled for a double-MRI next week. I’ll let y’all know how it goes.

Every once in awhile, I decide there’s some item I actually want badly enough to make a foray into a department store or two. A few months ago, it was boots. I wanted a pair of non-Western-style boots to wear with skirts on the occasional colder days. I thought my requirements were pretty simple: leather, moderate-to-low heel, side zipper, attractive design suitable for work. Below is a small sample of what I found.

Here’s the “break-a-leg” boot, perhaps for aspiring thespians.



And the Harley girl biker boots.


Neither of which are made from anything that’s ever been near a cow.



And then there’s these lovely open-toed pumps in an array of colors to match any ensemble.




Ok, I realize the last couple of pictures aren’t of boots, but shoe departments any more are like sartorial train wrecks – absolutely horrible, but you just can’t look away. When I was 20-something, heels this high were referred to as “hooker shoes”. I would feel way older except that my now-20-something daughter agrees with me. 

I still don’t have any dress boots.

Banana Babies



Many years ago (damn it!), the Dairy Queen that was on MacArthur Blvd., one block away from MacArthur High School, would freeze bananas on a stick and then dip them in the chocolate shell they used for dipped cones. This process turned an ordinary piece of fruit into something of surpassing wonderfulness.

When I was extremely pregnant with my daughter (also many years ago, damn it!), I went for a check-up on a Monday, and was told something to the effect of: “Wow – you could have this baby almost anytime! Come in tomorrow for an induction so we can be sure you won’t be delivering tomorrow evening in Houston rush-hour traffic. And don’t eat anything after midnight.” The local Dairy Queen drive-through closed at 11:00 pm, so I went up there at 10:55 pm in order to have my very favorite food item just before going NPO at midnight.

As the independently-owned Dairy Queens across North Texas were closed or bought out by a large conglomerate that marketed only DQ-branded items, frozen chocolate-dipped bananas became harder and harder to find. Rocky Mountain Chocolate Factory in the outlet mall in Terrell sells them. I guess the one in Grapevine Mills probably does, too. And you can sometimes find them at county and state fairs, but it’s not a regular or reliable thing. And since I moved to Tampa, none of those places have been available. *sigh*

But – a couple of years ago, I discovered Diana’s Banana Babies! Right in the freezer at my supermarket! Half a banana, frozen on a stick, and dipped in chocolate! With choices! Milk Chocolate! Dark Chocolate! Rolled in Nuts! So yummy. So simple. And I no longer get those crazy looks from the kids at random DQ drive-throughs from my wistfully asking if they have frozen chocolate-dipped bananas.

Life is good.

I’ve still got my mug from last year.

And I’ve just ordered my t-shirt!

What’s Camp NaNoWriMo, you ask? According to the website, it’s “an idyllic writer’s retreat, smack dab in the middle of your crazy life.” The summer version of November’s National Novel Writing Month, it allows those of us who are more solar-powered to participate in a writing frenzy that coincides with being fully charged, not to mention having a full extra day and not competing with Thanksgiving.
I have a title, a mere kernal of an idea, but no plot to speak of, which, according to the founder of NaNoWriMo, Chris Baty, is actually no problem at all. We’ll see, anyway.

The goal is to write a minimum of 50,000 words during the course of the month, with the idea that 50,000 words is the size of some fine short novels, and of a size to be revised into something that might actually turn into a real thing. In NaNoWriMos past, I have gotten as far along as about 22,000 words. Anyone who reaches the 50,000 word mark “wins”. I am planning on being in the winners’ campfire circle at next month’s Camp.

When you see me in July, be sure and ask me how the novel is coming. And don’t accept any hemming or hawing or lame excuses. I need the social pressure and fear of public ridicule to keep me from kicking back and eating s’mores while watching the endless supply of Big Bang Theory re-runs on our DVR. My sincerest thanks in advance, even if I don’t seem particularly appreciative at that time.


(Please note: this is a lecture slide, not Mom’s scan.)



This past Tuesday, Mother and I headed over to USF for her first-ever MRI.  She did wonderfully, and they got very good images, which they then handed to us on a CD to carry to our later appointment at the Byrd Alzheimer’s Institute. After a nice lunch at Panera, we were able to make our noon appointment with Dr. Fargher with 10 minutes to spare.

While I waited in the lobby, Dr. Fargher escorted Mother back for an MMSE and evaluation. Afterward, it was my turn in the doctor’s office to talk about the results. Mother scored higher on the MMSE this time than she did when we visited two years ago. This does not usually happen. What made the biggest difference was one item that last time Mother didn’t even try, saying “I can’t”, that this time she attempted and got 4 out of 5 points for. I told Dr. Fargher that when we had visited before, Mother had only just started going to the Neighborly Care Network senior center, and for the past 1.5 years or so, she has been attending three days per week.

With the report Dr. Fargher had received from the imaging lab, and the CD I had in hand, we looked at the brain images together which showed some overall shrinkage (not uncommon given Mom’s age), very little shrinkage in the areas of the brain normally connected with Alzheimer’s, and a couple of spots indicating small strokes (ischemic incidents, for you medically-oriented family members). This indicates that most of Mother’s dementia is actually vascular in origin.

We also talked about Mom’s hearing loss, and the doctor mentioned that she had to resort to using a pen and paper to clarify some of the questions, and Mother was able to easily understand and answer, even doing fairly well on remembering a set of three words, after they were written down. The doctor suggested we keep a whiteboard handy at home for times when Steve or I didn’t feel like we were getting an idea across. We decided that Mother’s current meds were all good, and that there was no reason to set up regular appointments, but to call if any additional problems arose.

This really changes everything! 

The length of time from diagnosis of Alzheimer’s to death is usually 3-7 years, depending on what stage the person is when evaluated. Since Mom’s initial diagnosis for Alzheimer’s-type Dementia back in 2007 (no MRI done at that time), I’ve been worrying about how I would handle her inevitable decline, starting with having to work part-time so I’d be home with her anytime she wasn’t at the senior center, and of not being able to leave her alone even for short periods of time. I’ve been waiting for the horrible eventuality of Mom deteriorating into some mere shell of herself, not remembering anything or recognizing anyone.  

For vascular dementia, if the stroke risk is addressed, then relatively normal functioning can be maintained indefinitely. All this time, I just thought that her meds were working really well, as the decline we’ve seen is really minimal, and the memory loss patchy and not interfering that much with her daily functioning. (You don’t really need to remember what a hush puppy is in order to fix yourself a sandwich for lunch.)

With the realization that a lot of Mom’s seeming inability to grasp what we’re telling her is probably directly linked to her hearing loss, my falling-off-to-sleep self wondered last night about the possibility of us all learning some basic sign language. I already know how to sign “thank you” and “good morning” – maybe Mom and I will start working on that today.

 

Morning Walks

Low energy. Low mood. I know, as a mental health professional, that the first, best offense against depression is to get one’s heart rate up over 120, at least 3x per week. But I really enjoy being sedentary. I’ve actually developed a bit of a reputation among family and friends as being particularly exercise-averse. Partly due to all the icky sweating involved. *shudder*

Anyway, the mental health advocate in my head somehow overcame the websurfer office-chair potato and I found myself donning sweatpants, one of Steve’s old Buc’s t-shirts and my sneakers, with the crazy notion that a little exercise might not do me any real harm and could perhaps do me a little good. Bella heard the sound of the velcro on my shoes and came trotting in to see if this might be a dog-walking opportunity. Why not, I thought. I prepared a Responsible Pet Owner Dog-Poop Pick-Up Kit (a plastic grocery bag and 4 paper towels) and we headed out.

Day 1 of Walking with The Dog: 4/10 miles to the park, 4/10 mile back, brisk walk. My walking mantra: “Come on, Bella!” I worked up a little sweat and Bella was puffing a little by the time we made it back to the house. And no poop to clean up! Hooray! Maybe she does that at night!

Day 2 of Walking with The Dog: This time I decide to take a little longer walk, around the block and along the Mobbly Bayou walking trail, probably about 1.4 miles total. Shortly after we leave the house, she wraps her leash around a tree, and when I try to pull her back around it, she puts her head down and slips out of the harness. I pick up the harness, and after only five commands  to “Sit!”, I get the leash attached to her collar. Before we are halfway through the walk, dog poop happens. Darn it! That’s ok, though – I have my RPODPPU Kit from yesterday. I quickly clean up after her, we’re off again, and I’m able to deposit the bag in the trash can at the beginning of the walking trail. We make it back to the house as Steve is getting ready to leave for work. I get a hug and a kiss and an “Ew! You’re all sweaty!” I love you, too, dear.

Day 3 of Walking with The Dog: I get dressed, and Bella comes running when she hears the velcro on my shoes. She is impatient and starts talking to me about how slow I’m being. It takes 3 tries to get the harness on because she won’t sit still long enough for me to complete the process. Short walk again this morning, to the park and back. I’ve replenished supplies in the RPODPPU Kit, which is good because just as we turn around at the park, doggie nature calls. All four feet on the grass, but with her butt hanging over the sidewalk, I give her a swift nudge to change the target to the grass, and just totally interrupt her mojo. Now she’s spooked, won’t be still while I clean up after her, and has grass hanging out of her butt. I think/hope that on the walk back to the house, she will get the urge again, but no, it’s gone, and once we get home, I get to exhaust paper towels in my RPODPPU Kit wiping her and pulling the rest of the grass out so I can let her go in the house. She does not seem to find this any more amusing than I do. And I think I’m getting shinsplints.

These walks have really not been the meditative experience I had hoped. Maybe we’ll both get the hang of it soon.

Travel Help Epiphany

I like to read. On long trips, I would like to read in the car. But until our most recent trip, I was never able to do so due to motion sickness. If the car is moving, I can’t even look at the map for more than 30 seconds before getting queasy. As we were preparing for our recent Thanksgiving Trip To Texas, I remembered the medication I had gotten for a bout of vertigo several weeks ago.

Bonine is an antiemetic marketed to combat motion sickness. It worked beautfully. I was able to use my cushion-backed lapdesk for my daily journaling and also read almost all of The Huffington Post Complete Guide to Blogging on the drive home. I may never get to drive the truck, but when Steve and I hit the road next spring pulling the new travel trailer, I’ll have lots of time for reading.

Soaking Up A Little Culture

Last June, Steve and I joined the Tampa Bay History Center when we went to see a traveling exhibit about Spies In America. We were somewhat underwhelmed by the Spies exhibit, but we had time to see part of the permanent displays before closing time, and had a nice experience. 

Today, we returned to see their traveling exhibit about coffee:



As we entered the building, I started up the stairs ahead of Steve, and he noticed that I was exposing more than my thirst for culture and knowledge.


We made a hasty entrance into the gift shop and bought something to remedy my overexposure.


With the tail of this “Ladies 2X” (that my shoulders barely fit into), I was able to recover some of my dignity as I covered my flanks.

We proceeded to the Columbia Cafe that is inside the History Center building, just outside the exhibits entrance, and had a nice lunch while we watched the cruise ships move along Channelside. 

The Coffee exhibit was small, but interesting. I had always thought coffee was a new world crop, but it is actually native to Ethiopia and was imported to South America as part of the triangle trade. We also learned how very labor intensive it is to bring a coffee crop to market. Coffee plants don’t have a specific harvest period, with plants bearing flowers, green berries and ripened berries simultaneously, necessitating hand picking of ripened berries on a near-daily basis. The berries are then fermented to remove the fruit exterior, then dried, then shipped around the world to be roasted at destination. 

There’s probably more to it than that, but I was already distracted by the next display, which was some kind of electronic scent module in coffee bags. When you squeezed the coffee bags, the scent of that particular kind of coffee was emitted. There were only two bags, but one was for Ethiopian coffee and one for coffee from some other part of the world. It seems that the soil and growing conditions play a great part in the flavors of the different coffees. I am afraid that that distinction would be lost on me in my normal coffee consumption, however, as I add flavored syrups and a lot of half-and-half to my coffee cup each morning.

On our way out, we stopped in the gift shop again and I bought a small bag of dark chocolate- covered espresso beans, at which point I found out that our membership allowed a 10% discount on gift shop and cafe purchases.

It was too late to get the 10% off our lunch, but the young woman kindly offered to refund and re-ring my emergency t-shirt purchase in order for me to get my discount. As members, we also get parking validation 3x per year, which saved us an additional $5 in parking.

As we were leaving the History Center, we decided to have a look at all the little vendor booths set up along the river walk. It turns out that today was the Third Annual Tampa Bay Veg Fest sponsored by Florida Voices for Animals. Several animal rescue organizations and groups promoting vegetarianism and veganism. We spoke to no one of the bacon-wrapped filets from Surf and Turf Market we had waiting at home for dinner.