It's been a while since I posted last because to be honest, life is just difficult at the moment.
Stress has been a massive factor. It's amazing to me that I don't feel stressed but others can see the toll its taking on my body and even my soul.
Things are harder now that I'm very underweight. I'm struggling to maintain a weight over 45kgs at present and dealing with all the outcomes that come along with it.
The control that I use to maintain some sense of structure, organised chaos has resulted in me restricting to the point of not eating at all as the more I did the better I felt. Gone is the pain that wakes me from my sleep. The chronic fatigue, the brain fog, the constant severe cramps and bloating. My body felt calm, my energy felt up and it was so easy just to drink my nutrition, but little did I know that the E028, even with the added Calogen (hi calorie additive) was not enough to sustain my lifestyle. Things went downhill from there.
I never thought I would find myself in an assessment for an eating disorder but there I was. I don't see what they see and they don't feel what I feel. I was honest, I filled in the form truthfully and sat calmly in the office with the Psychiatrist and medical student and let my self be assessed.
Anorexia Nervosa. I couldn't believe it. I had sworn it was ARFID, but no, based on my long history of restricting, binging (well I called it stress eating) and purging using laxatives, here I was. Mid-aged and so in control I had made myself ill.
It really didnt sink in until I saw that my liver was showing signs of distress as well as my kidneys and my body was starting to digest it's muscle. Ambulance at the bottom of the cliff. Border between comprimised choices and critical illness. Kgs away from inpatient.
Im currently in a very slooooow recovery process. I swear im being treated for AN-SE (severe enduring) but both my dietician and my psychiatrist have told me nothing thus far.
I have been under the service now for 5 months and have managed to climb slowly up a couple of kgs, to start having a regular breakfast and starting to enjoy eating again. Have the ANTS (Automatic Negative Thoughts) gone? No. Am I progressing as fast as they would like? No. Will they kick me off the service for losing weight? Probably.
The therapy I am under apparently works the best with adults, its weird to be even getting therapy considering I don't feel unwell enough?
Specialist supportive clinical management (SSCM) we are hoping will be the slowest and best path forward for now. I realise what the issues were, where I have ended up and where I need to be, there are just too many roadblocks.
Stress
Kyphoscoliosis
GI issues
POTS symptoms
MCAS reactions
Vascular Compressions
All of the above may or may not be contributing to my constant adverse affects from eating. What I have learnt is to eat in small amounts, standing up where I can and at times when I feel hungry or in the right mindset. I need to work, look after the kids, organise my life and I can;t do that when I'm overcome with pain and discomfort and can't think through the fatigue.
I have a cardio appointment in a couple of weeks to check out my POTS symptoms, I am seeing an osteo to address my pain. My family have attended an information evening, I'm reading books about recovery. I'm doing what I can to avoid inpatient admission, mechanical refeeding and heading in the right direction. Im starting workbooks soon on long term recovery, I believe I will get there eventually, I struggle to comprehend how I got here in the first place.
All I know that I am not the only one, I don't feel alone, I feel supported.
Why is that not enough though. Why can't I just be all that they need me to be. Just like them. Newsflash. That's never going to happen. The only one that understands that the best is DH. Without him I absolutely know I would not be here doing as well as I can be.
EDS is hard work. But I've got this.