18 months since I jumped: An update on healing

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I am able to recognize my blessings each day and be grateful for all I have and have hope for continued blessings in my future!

Greetings from a highly improved me!   It has been eighteen months since I jumped (abruptly discontinued) from taking Ativan 1mg daily after tapering from taking Ativan 3mg daily. I tapered over the duration of two years. My severe detox and withdrawals period was exacerbated by the fact that I had jumped off Oxycodone 10mg only two months prior to stopping the Ativan.  I had tapered off a daily dose of 45mg-90mg over a 2 year period.   What had started in 2010 as a prescription for Percocet 5/325 one every 6 hours as needed for pain, grew until it became a monster in my life that ate all the goodness up. It was just one of the numerous medications that I was prescribed over two and a half decades.

From my records dating 2010 until the fall of 2017 I had 19 pharmaceuticals prescribed to take on a daily basis. Many of them for longer than the recommendations written in those little tiny informational packets you get sometimes with a bottle of pills. Many of them were also prescribed for things other than what they were originally created to treat. Off label uses.  My PCP (Primary Care Providor) also had recommended numerous over the counter medications and supplements as well.

 

                                                                I can smile so much easier these days 
I had been quite aware of the perils of addiction as I have personally witnessed and experienced it in my life in many forms and throughout many experiences.  My own addiction (maladaptive coping mechanism for suffering) was gambling. I knew what it felt like to not only crave something, but would go to great lengths to have that need fulfilled.

That is NOT how the medications were for me. I was dependent upon them. I took them as prescribed. I was trying to check IN to life. I was trying to find a way around the pain (both physical and emotional) so that I could participate in life. Yet the conditions continued to mount until the amount of medications my PCP prescribed became toxic! They didn’t work anymore.  In fact, some of them created a paradoxical effect, causing the exact symptom they were meant to treat.

When I recognized that the use of all these chemicals was harming me more than they were helping, I knew it was time to make radical changes in how I was managing (or letting my PCP manage) my health. I took back the reigns and sought a different path
It wasn’t really a conscious choice, embarking on the journey through the hell I have been through.  It was simply the act of starting a forward movement towards change by doing just one thing differently. Then it grew to more things differently. Things like spending a lot more time outdoors. Activities such as interacting with animals and being creative with a camera. Making very conscious choices in what I put into my body. Eliminating as much negativity as I could. Yet, there were still struggles as I didn’t know all that I would face along this journey.

No one had warned me that there was a possibility that I could have psychotic episodes coming off these medications. No one had warned me that I could reach tolerance and have paradoxical effects like a severe case of insomnia that lasted for 20 years. Only now, after being off every single medication for 40 days, am I beginning to have occasional bouts of normal sleep. No one told me about excruciating bone pain that left me curled up and rocking and crying on my mattress. No one told me of the incessant need to move, the rocking and bouncing legs and full body restlessness that was exhausting and robbed me of any rest for my ravaged body and brain. No one prepared me for how shunned I would feel and how that would further the crippling agoraphobia and paranoia so that I could not tell who I could or could not trust. This further complicated the entire process.
No one else knew how bad this would be either. I know now that there was NO one in my life anywhere close to prepared for the wild and horrifying symptoms and behaviors this would create.  It was terrifying to go through and I can imagine it was scary as hell to watch! In fact, knowing many others who have endured the hell I have, some even worse, I know that very few people in the world have been prepared to be of any assistance for someone going through this type of severe and lengthy mental and physical anguish.
That first year was a doozy! Fraught with the loss of health and home and any stability I believed I had, pretty much everything was gone in my life! Friends, family, belongings, any sense of dignity was gone.  I was robbed of all hope by the Benzodiazepine demons that lived in my head. All I did was bounce where the winds took me, trying to protect myself from me, and from others who were ill-equipped to be of any help.

Unfortunately, sometimes due to their lack of understanding or skill, those I most hoped would help were only able to add to the pain and suffering by their responses and reactions to me.   Those that truly care would have done different if they had known how.  I believe this is true for all of us suffering from this.  Yet they are the ones who just mostly stood by and watched and felt helpless. They had nothing to offer except recognizing the pain was there.  Today I can feel bad for their experience in watching all of this hell.

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This last 6 months I have turned a corner. I can feel it internally and others have commented on it externally. I have been more focused on myself and finding healing and seeking the path to wellness than ever before in my entire life.  The tools and skills and interactions and experiences I have participated in have helped me have a sense of acceptance and peace.  I truly feel more equipped to deal with whatever life may bring to me from here on forward.   More than ever before in my life I have a sense of direction and purpose.
I still have much work to do. Both of my current therapists are recommending intensive treatment for Complex PTSD (Post-Traumatic Stress Disorder) including modalities such as ACT (Acceptance and Commitment therapy), CBT (cognitive behavior therapy), and EMDR (Eye movement desensitization and reprocessing). Both of them say it is imperative for me to do this work for complete healing and the ability to get past the things that haunt me regardless how much I try to not let them.
I personally have taken it upon myself to learn life skills that I have found are helping me tremendously. I have adopted the practice of meditation. I meditate at least once daily, but usually twice a day. MY meditation is very much connected to my spiritual practice and prayer time. I also do Conscious breathing, utilizing a timer to just stop and breath once an hour. These skills have reduced my anxiety tremendously and are excellent for staying in the moment which is so necessary for those with PTSD.  I eat at least an 80/20 whole foods diet, primarily organic in nature and from sources as local as possible.

Since the New Year I also have been working on having the habits of movement (exercise) and drinking more water daily. I have also begun light jogging. This I am doing still with living under the fact of pain is in my life. I have nerve pain in my feet that is non-stop 24/7. I also have pretty severe back and neck pain. Yet after a 10 week-long session at a pain clinic, I have learned some wonderful new ways of looking at pain and living with it. This is why I now am more encouraged and hopeful than I have been in an extremely long time. I feel very empowered.

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Yet I still need help. I am still homeless. I still have no vehicle.  I am still awaiting a determination on my most recent filing for Social Security Disability. I still have a couple of years ahead of me doing some really difficult personal therapies. I still have limited energy and endurance.
After careful consideration, counseling with others, and making efforts to find stability and a place to live and work both where I am and where I last came from, I have decided to go back to S. Oregon.  I have more work I can do there than I have been able to find here.  I ran an ad and I have already booked 3 house-sitting gigs. I also have a couple of clients that want me to do periodic light work around their properties (gardening and housekeeping type chores). I have a friend who has offered me the use of her trailer for 11 months, and I have a couple of possibility of places to put it in exchange for helping on a person’s property either with care taking or with farm type chores.  I am willing and able to do this. It won’t be enough to get ahead, but I will have a roof over my head and some security for at least that time period.

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I have been offered a trailer like this to use for about 11 months if I can get a secure place to park it! High living for a modest gal like me!

What I need more than anything right now is a vehicle and maybe the first 6 months of insurance paid.  Or even the first 3 months. Then I can get to the house sitting jobs and the clients who have other chores to do. Then I can earn a few pesos each month. My goal is $600, which is 30 hours a month. I will most likely have to do that many hours again where ever I end up parking the trailer in exchange for rent.  That works out to about fifteen hours weekly of being up and moving and doing some sort of physical activity.  15 hours a week is about all I can do without being where I can lie down and rest intermittently.
I know I will keep improving as I continue to do the habits I’ve created and use the tools I have obtained. I know my energy will increase as I continue to lower the stress of dealing with PTSD through the time invested in treatment and as my body continues to heal from the damages done by the medications I took for too long!


I also am involved with Vocational Rehabilitation.   They are going to help me pursue the reinstatement of my nursing license. It is my short-term goal to utilize my nursing license in creating a health and wellness mentor and coaching business. I believe I have a vast amount of knowledge and experience that can be used to help many others who live with physical and emotional pain. I believe my new-found enthusiasm and gratitude for a new opportunity can encourage and inspire others to pursue their truest selves! I have been a helper and have had a healing nature throughout my life. Now that my true self (not drugged by pharmaceuticals) is re-emerging stronger than ever, I trust that God and the Universe will allow my best self to help others possibly find their way out of suffering too!

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Participating in an online Health and Wellness coaching program. It is self directed and self paced. Perfect for me right now. As well as it is FREE!!!

I am so grateful I am still here on earth and alive. I am so grateful the benzodiazepine (and other pharmaceutical) demons did not completely destroy me. It felt like I was destroyed at times, yet here I am smiling and grateful and caring for myself….and others!

After such a dark and seemingly endless foray into the depths of psychological pain so deep I felt life wasn’t worth living, I now have hope!!!  I also am able to develop goals.  It is the first time in many years I have felt capable of even thinking of having a goal, let alone taking the necessary steps to get there.  One of my goals is to  jog/run in a 5K event the weekend of my 56th birthday.   My new walking habit inspired that goal.  I have never enjoyed running or jogging, even as a child.  Yet now, when pushing through the chronic pain, I find that I reach a point of some real clean current pain and it is a desirable experience.  Pushing past the pain to get going is worth it.  The daily steps I am taking are to keep me focused and to build my skill and strength level to reach that place of being able to complete the race.  After the race,  if I still feel it is something that is adding value to my health and life and wellness, I may try for a 10K.  It is a measurable success.  There are other goals as well so each day I purposefully do actions to bring me closer to the prize…..WELLNESS and HEALING!

I also have a great aspiration to help others like me!!! I have a big dream of someday creating a healing place (long term inpatient facility) for those like me who have suffered in their lives with DIS-ease of any kind.   People wanting to come off pharmaceuticals that have become toxic to them, especially opiates and benzodiazepines; those who suffer the consequences of addiction; those who have emotional pain that requires that they be loved on and guided and encouraged to health! I envision a place of many woods and streams and much beauty where people can rest their tired minds and bodies and take a few deep breaths for a period of time. I see gardens and animals, some of them providing companionship, others there for their food source to provide healthy nutritious meals. It will be a place where there is patience and tolerance and gentle trauma-informed guidance. People will have a time and place to explore their suffering and learn skills for finding peace and acceptance of what is.  I dream of it being a place they will also find a sense of purpose and the ability to create goals and plans for achieving them. It is a big dream. It will require a big tribe to create it. That will be a huge focus on the next portion of my journey. Creating a healing caring loving tribe that can share this vision! 🙂
oh….btw….it feels great to be able to write a bit! That is one skill that has suffered during this time and it is another sign of my healing!

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A public service announcement for Oregon gamblers.

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If you or a loved one suffers with compulsive gambling, there is HOPE and HELP!!! For both you and the gambler. Both inpatient and outpatient treatment is free in Oregon.

I am posting this as a public service. Gambling is a serious public health concern. A recent study says that 1 in 37 adults in Oregon are compulsive gambler’s. http://nbc16.com/news/local/study-1-in-37-oregon-adults-are-problem-gamblers
Genetics, psychological risks and social risk factors such as single parent home or poverty are predisposing factors. Time, money and location makes it easy.  http://nbc16.com/news/local/study-1-in-37-oregon-adults-are-problem-gamblers

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My favorite community has had gambling brought to it. I am concerned for my friends.

Gamblers have the HIGHEST suicide rate of all addictions. https://800gambler.org/quick-facts-gambling-suicide/

The statistics are probably lower than what is the real truth.  Many suicides are listed for different causes other than gambling despite the fact a person had a compulsion to gamble. Also the research is limited.  http://lanieshope.org/gambling-addiction-suicide

Reach out and get the help you deserve if you have a problem.
National Problem Gambling Help line: 800-522-4700
Gamblers Anonymous Oregon and Washington: 855-2CALLGA (855-222-5542)
Oregon Problem Gambling Hotline: 1-877-MYLIMIT (1-877-695-4648)
Voices of Problem Gambling: http://vpgr.net/
Smart Recovery: http://www.smartrecovery.org/addiction/gambling_addiction.html
For the family there is Gam-anon: https://www.gam-anon.org/
Oregon Council on Problem Gambling: http://www.ncpgambling.org/state/oregon/ and http://oregoncpg.org/wp-content/uploads/2017/09/OCPG-HANDBOOK_REV_OPT-8-14-17.pdf

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Anyone that needs direction to services may contact me through my blog https://nobetz.wordpress.com/ or my community Facebook page https://www.facebook.com/MsLadybugAndHerLayers/.  You do NOT need to face the storm alone!

2017 Worldwide Benzo Awareness Day

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On July 11, 2017 thousands and thousands of people worldwide are joining forces to educate the public and bring awareness of this iatragenic illness called Benzodiazepine Withdrawal Syndrome.  I hope you learn something from my story posted on YouTube. 2017 #WBAD ~ My story. My only desire in sharing is to help someone possibly not have to go through the terror and horror I did when I ended my  as prescribed dose too abruptly.  I do not recommend doing what I did.

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Sometimes you just have to accept….so you can rise above!

IF you are on any benzodiazepines chronically and are having side effects that are making your life miserable, I urge you to do some research and learn how to come off the medications and how to heal in time.  This class of medication is only to be used in the hospital setting for surgical procedures or for special circumstances for no more than 2 weeks.

Listed below are some excellent resources to begin your study of how these types of medications, anxiolytics and sleeping medications (Z-drugs) cause great harm and even in some cases, death by unintentional overdose or sadly by completed suicides.

Professor Heather Ashton was has been the leading medical professional on how to taper off Benzodiazepines for the last 15 years.  There are many YouTube videos about her as well as excerpts of her writings.  The most important document for those considering withdrawing off benzodiazepines is the Ashton Manuel.  Here is a link: Benzodiadiazepines: How they work and how to withdraw

Another of Pf. Ashton’s writing includes excellent descriptions of protracted withdrawals, which occur in an estimated 30% of patients who decide they no longer want the medications or their doctors have decided to withdraw them in a much too short of period of time or they have been on them much to long than they should ever be taken.  Protracted Withdrawal Symptoms from Benzodiazepines.

The Benzodiazepine Information Coalition is an excellent starting place for learning the dangers of Benzodiazepines.  It’s time to talk about Benzodiazepines.

Dr. Peter Breggin is a leading psychiatrist and the author of many books and papers about the problem with Benzodiazepines.  He has brought the plight of patients harmed by psychopharmocology into the public eye.  Here is a link to his page titled What your doctor may not know Psychiatric Drug Facts.

That is a good starting point at least.

There is much support out there if you look around and I encourage you to utilize Facebook, YouTube, Twitter, Instagram to just see how many of your medications have a support group somewhere because the side effects outweigh the benefit.

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My wish is that NO ONE ever feels like they have to go through BWS alone!

Thanks for reading and thanks for watching and I hope you show you care by sharing!

July 10, 2017 marks 9 months my body has had to work on healing without any benzodiazepines.  I am so grateful to the entire Worldwide Benzodiazepine Awareness movement.  You are saving lives! You helped save mine!

 

 

What could I have done different?

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I wonder if there were things I could have done different, or if everything else that has happened would have happened regardless of what I have done. Things like reminding my loved ones that I have been slowly detoxing off meds for 2 years, and to please have a little more patience and understanding with me if I am more anxious. Would it have made a difference? Would they view the events as they unfolded a little differently? Or would the ugliness of my outbursts be just as scary?

I can’t undo anything that was done, so what do I do to atone for my actions? From hundreds if not thousands of miles away from one another? Especially now when many are either frightened or angry or disappointed or disgusted in me, or all of them?

A perfect storm happened and I got caught in the middle and I lost it and now I’m the bad guy. That is what it feels like. Among other things.

Of course….my feelings are all on edge. No sleep again for a few days, heart hurting, feeling alone because I pushed everyone away and now they are staying away. It is so hard to hold on to hope.

Because of me trying to get better, by getting off the damned pills, I may well have lost some of the things I thought I wanted most in my life. I mean how do you atone for throwing hatred around? How to you atone for name calling and threats and all the things I did? How will I ever be able to forgive myself??? I don’t know. I have so many questions and no answers and no one is talking and so it’s just the old tapes running and running and running.

“It’s all you fault”. I heard that so many times in some of the worst situations when I was a kid. Or, “quit wearing your heart on your sleeve, quit your ballayhooing”. Or, if you would have tried harder you could have got the award “(of course no one told me about the rewards offered until after the fact). How about “keep crying and I’ll give you something to cry about”.

So now that I’ve misbehaved, acted out in fear and anxiety with a fight/flight response brought on by multiple stressors as well as going through detox, all those old tapes play because I have nothing new to replace them with. What has happened my whole life is how it is today. I am alone. I wonder if it would be different if there ever was a time when things were so hard that if someone would have held my hand and said I will love you through this because you are worth it, maybe some things would have been different. Oh how I wish so much was different.  I am really struggling with so many emotions.

So what am I doing in the meantime to fill the time?  Today I found a tire for the lawnmower for FREE!!!!  Now that is something to be grateful for because online they were about $25.00 and a wait of a week or so.  The weeds were driving me nuts.  So, I went and picked up the tire, changed out the bearing (it was the wrong size but I fixed it), and mowed the lawn.  Of course I also tended to all the flowers, doing my daily dead-heading.  I paid attention to the new blossoms and what is doing well and what is struggling.  Some of the strugglers…I just keep watering and fertilizing and hope they survive.  It’s all I can do, right?

I also spent some time making myself look pretty, just because.  I am typically not a makeup foo foo type of gal, but I CAN do it!

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I”m going to live through this, I know that.  But what is the cost going to be?  What will the tally be a year from now?  How about a week from now?  How long will it take for others?    Dear God I wish I had some answers or some better understanding.  I’m really doing my best.  But you know that…even if no one else does.

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Self Care for PAWS

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Up and down and up and down and around the bend and back again. Battling through PAWS (Post Acute Withdrawal Syndrome) is like being on a roller coaster ride, on the mixer, walking around in the funny house and sick with the flu at times. Add to that my PTSD being triggered and it’s been a rough couple of weeks.

To be honest, there are periods of time I don’t really remember much. I have pieced some things together from those that I’ve talked to on the phone or who saw me during those days as well as various texts and emails.  I wasn’t very nice.  I lashed out at those I love the most during the worst of it. Including myself. PAWS can be a serious medical condition. There are times I have felt very disconnected and it’s taking all my ability to maintain some semblance of “normal”.  I’m sure there are a few of my people that would have liked to see me be hospitalized for a few of those days.

While I did have a long morning in the ER after one of the most rough days/nights, (un)fortunately they let me go home. There had been paperwork filled out to put me on a hold, but I know what the hospital means if you are detoxing and/or going through PAWS. It means being stuck inside, put on benzos and who knows what other meds as well as starving because they don’t have any food I can eat. So I pulled myself together and talked with a little intelligence and very nicely and they literally dumped me out in the waiting room. They know what the PAWS crazies are like. They wanted me out of there!

I don’t want it to sound like I take this lightly. I don’t. I am scared out of my sometimes too smart mind. I just can’t see any way through this other than just doing it on my own using medical marijuana. I can’t go to a treatment facility because they will put me on pharmaceuticals and that is what has been making my life a living hell for the last few years. I can’t go to the hospital because that’s all they have to treat me also. I still am taking my anti-depressant and would be happy to consult with a psychiatrist about my PTSD if I could get a referral. I was supposed to have one over 4 months ago, but that’s how it’s been with my PCP, we talk about it and then a year or two later after me reminding her multiple times it finally gets ordered.. Right now I just am doing my best and trusting that those that love me will still be around when I come out the other side. Cuz this ain’t pretty!

 

I’ve been through PAWS before with my gambling addiction. I vaguely remember the jitters and the crying jags and the frustration with having my brain not working right. I remember getting upset easily and feeling a little “out of body” at times when I first started trying to live life without my addiction activity. What is different about this is I didn’t realize that I had any emotional attachment to my medications. Also, when I was detoxing off gambling (yes, you detox off gambling just like alcohol or drugs, it is truly miserable) they were giving me pain medication and anti-anxiety medications.   I was just doing what the doctor ordered. I was taking medications in order to be comfortable living life. Now that I have been off the opiates for nearly 60 days, I don’t crave the pills…but I wish so much for something to make all the bad feelings go away.  I am not feeling comfortable at all.

What am I doing to take care of myself through this you might ask? I admit, I haven’t been that great to myself. One thing is I have absolutely NO appetite and so making food is a challenge. Fortunately my son has been around and so I occasionally feel a motherly calling and will cook for him and then I’ll eat too.

Tonight I was finally able to drive to town to get a few things at the grocery store. I bought some good healthy foods to cook and eat, including a few easy things like soup and cheese and crackers and avocadoes. Things I don’t have to think about to create something to fill the empty spot in my belly. I also found some specialty teas to help me relax and to be positive. Additionally, I am following suit with millions of others around the world and have embraced the idea of coloring for therapy. I bought myself a coloring book and some colored pencils. Combined with a little medicine that should be a great way to be creative and reduce my anxiety at the same time.

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I am really proud of myself for driving to town. Driving has not been a good thing during this particular time in life. I either find myself extremely anxious while driving or I get road rage. These are new things for me. So, I have not drove much at all the last couple weeks. But, I needed groceries and food for the plants and animals too!

The other things that are keeping me grounded are my furbabies and the other wildlife around here and my gardening. I have my dog who is the best. I freaked her out a little the night things got so crazy for me, but she came around in no time after she saw I was home and okay. Then there is my partially feral kitty that was indoors but escaped just about the time everything else took a dive for me. I am slowly encouraging her out of her hiding spot under the deck. I also love keeping the hummingbirds happy by having their feeder full and water nearby for them to drink or play in. They are so beautiful and I love to hear them buzzing around. Then there are the butterflies and the snakes and lizards that catch my eye. They are beautiful and I thank them for letting me get so close to take their photo. Watering the gardens and tending my first few medicine plants helps keep me focused outside myself also.

Many of the things I have growing were started from seeds. I love watching things grow. It gives me hope. Even the flowers that are less than perfect or the cilantro that bolts before I can get any of it…..they all are such a support and source of encouragement to me. They give me some purpose when I am feeling so out of touch with the rest of the world. The living things that rely on me for their care give me so much back. I am so grateful that II have been able to stay here, where I can grow things and be in nature.

It’s the end of the day now. I have much to be grateful for. I know I have a number of people that are praying for me. Thank you. That is another of the challenges with PAWS and the PTSD.  It seems to darken the spirituality part of my life. I trust your prayers will be sufficient, for praying is a challenge for me right now.  I still have hope and I know that comes from something outside myself.

I thank those who have not been scared away but have said “I love you, how can I help?”. I’m grateful for being able to drive myself to town and for a full fridge and pantry. I will do this!!! If there is one thing I know about me, I perservere! I don’t know what it’s all going to look like on the other side, but I choose to view the future as very lovely and peaceful and full of promise!

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A time to write

https://nobetz.wordpress.com/2015/02/

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I had to gear up to do some writing. It’s been too long. Part of it has been time management and part of it has been deciding what I want to write about. Just now, for inspiration or a jumping off point, I went back to rereading some old posts. I find it interesting that just last year I wrote about how I’ve felt this last couple weeks and am just coming out of it. Years of this winter struggle.

Years of this struggle in the winter, so I go into my hole….my winter hibernation and yet I continue to be denied disability. I’m penalized because I don’t go to the ER or to the psyche unit where I know what happens and it’s all about medications. No…I go within and therefore don’t cost the tax payers money and really am not bother to anyone. I know that is what happens, when you get indigent care or some kind of charity.

That is the wrong way according to the judge. I’m better off letting myself go bat shit crazy or go to the ER every time I have an ache or pain. Because I didn’t go to the doctor for two year other than to the Emergency Room only two times, apparently I can’t be that health challenged. Ummm, those were the two years I didn’t have insurance. Although I don’t think Obama care is the answer, I am grateful that I did at least start getting some answers to my conditions after I got healthcare in 2013.

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By pushing my PCP, I found out about my food allergies and I changed my diet. I don’t prescribe to their answers for treatment and that also doesn’t get me any support for getting disability. For me, it’s not all about their pills. It’s about what I put in MY body. In the last few years, I’ve done a better job at making myself healthier physically and emotionallythan the present health care system ever has, and mostly without medications . All they gave me was band-aids. I ran out of being willing to just use something to cover it up years ago.

I have health issues. Some affect my physical body, and some affect my mental abilities.  Just like every other human being. I have found that eating healthy (or at least something your great grandparents might have ate) and mostly at home and using as natural as possible treatments in conjunction with some medications that do really seem to help over the long term and their side effects are tolerable is the best way for me. It is sustainable if healthcare isn’t available.

I think that is another of my major concerns in why I treat my ailments more in a natural way…or doing some hibernating…is better overall for me. It’s sustainable. I have conditions that have affected me in life changing ways over a LONG period of time. Sitting in an ER for 6 hours only to have them say things like “it’s just …” or “just take this xyz pill” is not my solution for the long term.

Anyhow…obviously in re-reading last February’s post I had to refer to it. It was appropriate. I read it and just started writing. There you go. Finally a post in 2016!!!!

It is going to be a GREAT year….up on the hillside! I don’t know what it’s going to look like and I don’t have any unimaginable expectations. I just choose for it to be good~

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