By: Revanche

Living in the time of pandemic: COVID-19 (194)

February 19, 2024

Year 4 of COVID in the Bay Area.

Year 4, Day 321: (TMI for those of you who don’t track your pets’ every movement, literally.)

Sera and I had the weirdest morning walk that we’ve ever had. She was wearing her “on a mission (to poop, probably)” face at her “on a mission (to poop, probably)” trotting pace. But she’d already pooped, twice, even! She even did the weird boy-dog attempt to squeeze out a few more drops of pee. She’s never done that before, nor has she basically decided that she was going to go for a much longer walk and I could come along if I wanted but she was GOING. I had to coax her to turn back around to go home. She trotted most of the way back, too.

*****

Every Monday takes a bigger bite out of me than the last. I was grinding my teeth by 10 am facing down the mountain of nonsense work added to my usual overflowing plate. That doesn’t usually happen until I’m asleep. This isn’t a good development.

A friend reminded me that I’m only one person. Then I reminded me I am terrible at pacing myself when faced with a giant list of things to do, maybe work on that by not trying to vanquish everything before noon? I hated my suggestion but reality bites.

I was also having a sensory thing. My fingernails were apparently two millimeters too long, and the way they landed on the keys irritated me beyond all reason. I clipped my nails and that helped a little.

*****

Given my tizzy last week, this was ironic: Sitting down to dinner, Smol Acrobat requested “a call”. A call with whom? “A call wif Wee’s school!” They wanted to listen to a PTA meeting! šŸ¤¦šŸ»ā€ā™€ļøšŸ˜…

Year 4, Day 322: 3 hours of sleep last night thanks to painsomnia. There’s something really insulting about knowing you’re in too much pain to sleep, but also knowing that for every hour you can’t fall asleep, that sleep deprivation will drive the pain higher.

Plus 3 hours of my day taking Sera šŸ¶ to her consult. Utter and complete wipeout sort of day. I wanted a nap when we got home. I got another hour to work before school pickup and an hour to work before after school activity. I’m so tired I could cry but the pain has ridden with me all day so that’s not a good prospect for a good night of sleep.

JB leapt to be extra helpful when they understood just how depleted I was after we picked up fast food for dinner. They helped prep the rice and my meds and set the table and played with Smol Acrobat as soon as they came home, keeping their spirits up so they didn’t dissolve into the usual post-homecoming sulks because they want to play but it’s dinner time. (Fried chicken on the table won the little one over, truth be told.) They and PiC did their best to pull the nighttime duties from me so I could try to rest. For my part I tried not to feel guilty for needing accommodations / help, and worked on breaking the pain cycle. My bones have increasingly felt like lava for three days, usually it kicks in at night but it lingered all day today, so I used heat and massage gun and heat again. When that didn’t shake it, I turned to my last resort of pain meds cocktail.

Year 4, Day 323: I can’t recall if I shared this article link with y’all but it has been on my mind since I first read it: A discovery in the muscles of long COVID patients may explain exercise troubles. My fatigue has always puzzled me. I could feel the differing levels so clearly and it always bothered me that I could walk up a hill one day and the next day, be winded halfway up the hill. And the next day, even more winded. It made me feel like I was deconditioned.

I’ve always used the analogy that my tank is never full. Sleep and rest never bring my tank back up to full, they just pull the indicator back up to slightly above the red empty line. It’s clear my body gets depleted over and over at a faster rate than others but what else can you do to refuel it if food and sleep hardly do anything?

These bits hit home:

Among the most striking findings were clear signs that the cellular power plants, the mitochondria, are compromised and the tissue starved for energy.

In his own research, Systrom has found evidence of abnormal oxygen uptake by the skeletal muscles during peak exercise in both long COVID and ME/CFS patients, which indicates there’s a problem with oxygen delivery to the mitochondria.

Most nights I’ve been feeling unbearably tired, dragging myself through the last hours of the evening to collapse into bed. Most mornings I’d roll out of bed because sitting up was too hard, I felt too heavy and exhausted, and I was existing solely through sheer willpower despite my desperation to just quit. Some of that was the weight of some incredibly fraught family conflicts. Finally facing up to them in therapy and out of therapy literally took some of that weight off my body. I could breathe more freely. But I was still, am still, fatigued from things that wouldn’t have fazed old me ten times over. This is now a largely imaginary memory of old me, I guess, of a young me with youth and vitality?

I’ve experimented with increasing my dose of coQ10, one of the supplements the ME/CFS people advised me to add for a few weeks now. I probably should have documented this a little better than just blogging about it but it does seem like the weighty feeling of fatigue overall is a touch lower these days even despite the higher than ever stress levels and feeling like I’m juggling too many balls for any one person at work.

Year 4, Day 324: Enervating day. Ran JB to school, then ran Sera to the vet for bloodwork (1 hour), then worked briefly before diving into 2 back to back conference calls. I just wanted to curl up and nap or cry, or both, when I got off the calls. They weren’t difficult calls, it’s just the amount of energy it takes these days to TALK to people and keep up that professional front takes more than I’ve got in the tank.

Because I’m completely pandering to Sera’s demands these days, I moved my work into the bedroom and worked from bed after hours so that she wouldn’t have to come stare at me in the office, asking me to go to bed, late at night. Somehow 9 pm turned into 10 pm and then turned into 11 pm before I called it quits but it meant that there was a little bit less pressure when things happened to cut into my working hours. As they keep doing.

*****

This year JB has a whole week off next week, instead of two long weekends, and they were going to do a weekend trip to visit family except everyone they meant to visit came down with COVID. We’re scrambling to figure out how to schedule next week, now, but I’m so relieved we heard about it before they left.

*****

PiC gleaned info from a parent volunteer thing he attended: the pair of parents in JB’s year who have been the most prominently active in the PTA until this year were actively recruited for some committee for the fourth grade year and they bowed out saying this is their last year, they’re burned out. I guess that answers one of my questions!

Year 4, Day 325: JB had a fun field trip today but sadness strikes (elsewhere) again. After only 4 hours at daycare, I got a call that Smol Acrobat wasn’t feeling well, had a slight fever, and needed to go home. I dashed out to pick them up and after a long wait while they napped, we made our slow and sad way home. They settled in to read a book with PiC and got a second much needed nap while I worked.

Then found out that a person I respect, though I only knew her online, Fiqah, had died. She’s been ill a long time from Long COVID and suffered greatly in her last months, having to crowdfund for housing and medical care. I’ve known her for… must be over a year?

She was a friend of a friend, when I started to contribute to her crowdfunding regularly for care and other needs, and I developed my own relationship with her directly over time. I never got to know her at her best, only in the worst year and change of her life when she was ill, terminally so, and suffering greatly from the effects of Long COVID. Yet even in her last days, she was still smart, kind, empathetic, and rightfully furious at a world that’s failing all of us. She was a lovely human with incisive wit and intellect, and she deserved so much better. She wished to die housed, and she was when she went, and I’m glad for her but it’s such a basic thing that a person shouldn’t have to HOPE or wish for.

I hate how this world keeps failing good people stuck in the margins while the evil people keep thriving. I hate that we have to continually do the calculus of how many people we can help, and how much, and how often, without endangering our own financial health because we have kids and who has a safety net at the other end of things if not of our own making? I had to decide which of several mutual aid needs we could assist with every month and how much, while still paying our bills. It’s a demoralizing calculation. How do we balance people’s very real needs today against our very real future needs that we have to assume is entirely our own burden to carry? Who knows if anyone will be able to help us when our time comes. More than ever, I feel bereft of community and feel/know we’re on our own when disaster or problems befall us. But these precious people are here, today, and deserve to live and thrive, too. It’s heartbreaking.

2 Responses to “Living in the time of pandemic: COVID-19 (194)”

  1. I went and read that Nature Comm paper on mitochondrial function- very interesting but I’m not sure it says what the summary says. Yes, there is less mitochondrial function after exercise, but there are a lot of things going on. Decreased lung capacity, decreased oxygen uptake in peripheral muscle, decreased capillary density in muscle, altered muscle structure, more of the less efficient/lower endurance muscle type.

    The only data suggesting that the mitochondria are actually functioning worse is figure 2f and the numbers are all over the place. And in 3B the post exertional SDH difference is actually not significant! I don’t find it especially convincing, and there could be more lactate due to having more glycolic muscle fibers. They also don’t look at mitochondrial density at all, though they speculate it may have an effect. They also don’t directly measure SDH activity in any way- it’s all derived. A stain is not a biochemical activity assay.

    There are a lot of weird immune cells present, that part is pretty convincing.

    All those criticisms aside, this is a very thorough and careful study. I just don’t find the mitochondrial activity part as convincing as the rest.
    Jenny F Scientist recently posted…Adulting, Latest RoundMy Profile

    • Revanche says:

      Thanks for doing the deep dive! I appreciate the more educated and expert insight. I hope they will keep digging and exploring the possible root causes because I know this is only one bit of the puzzle. I’d like to feel like a whole human again someday.

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