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Author: Subject: Is pain good in this situation?
Davy1
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[*] posted on 7-31-2010 at 12:01 PM
Is pain good in this situation?



Here is an interesting question that deals directly with what I am going through at the moment.

I started to do a hike here in Vancouver called the grouse grinde. It is basically 3 km straight up. It is very intense and there are no flat sections. It is just up up and up!!! It is just awesome for cardio. Your heart really gets pumping doing this thing.

After the hike the next few days are very painful all around the bars and chest area, even my back in places.

Here is the question.

Is this type of pain actually good? As in should I keep on doing this hike at a high level of intensity. Sure there is pain and lots of it. In the long run is this actually a really good thing to be doing or am I actually causing damage and I should stop this training immediately.

Any comments much appreciated.

Also I should mention that while actually doing the hike I am not in much pain at all. Its always a day or two later where the intense pain hits and mostly when sleeping.

Davy
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[*] posted on 7-31-2010 at 12:19 PM


Hey Davy

Every Saturday and Sunday I walk around National Mall. It is around 6 miles or 10 km on each day. I walk it in about 90 minutes on the soft surface. At the end of my walk I'm spent. You can call it power walk. During the walk I'm fine but at night I wake up with back pain and I have to walk around my house for about 5 minutes before I can return to bed. Usually the pain stays with me night or two. Nothing that I can't handle but it's uncomfortable. During the day I'm fine. It only comes when I lay down in my bed for few hours.
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[*] posted on 7-31-2010 at 01:27 PM


Hmmm, tough question Davy. Im not sure anyone can answer that with any degree of certainty, but I'll throw in my $.02

I say just do what feels right to you. But Being 8 months post op, I dont think you are going to cause any damage to the bar or surrounding tissue from climbing or hiking. It is so low impact. Personally, If I could tolerate the pain, Id go back and try it a few more times. Maybe your body is just adjusting.

As far as the pain being good or not, I dont know about good, but I would think that its definately expected for a first time hike that is that intense. I also think that since you are not in pain during the hike, you are probably not causing damage. I feel that if you were actually causing damage, you would feel it at the moment.

My overall gut feeling tells me its normal, expected pain and you should keep doing the hike, or maybe a scaled back version of it a few times and see how you feel after that.

Im slightly jealous that you have the oppurtunity to do such hikes. Here in Oklahoma its currently 102deg and flat as a cookie sheet. My wifes family is from Seattle, maybe its time for a visit to the in-laws :D




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[*] posted on 7-31-2010 at 03:59 PM



Hey guys.

Good job with the walks withPC. To bad you could not go on Wednesday and then on a weekend day to space it out. Must be how your schedule works. I totally understand that thing about walking around for 5 minutes. Makes things better.

I dont think I am going to do any damage to the bar thats for sure. The surrounding tissue is the question? I think since I am breathing very very heavy my lungs are really expanding. I actually kinda think this is a good thing. Sure its causing pain a few days later but in the long run I think it is doing me good.

Its interesting as there is very little pain during the hike. It only takes an hour but it is extremely challenging. One thing I should also mention. The pain I feel a few days later is not minor. Its extremely bad at night. Last night was pretty nasty. There was a fair amount of pain on my ribs right above my heart. Dont like having pain so close to my heart. My heart feels like it is pressed against those ribs. When I breath real heavy I can just put my hand on my ribs and feel my heart going a bit nutso. Kinda weird feeling.

Damage you dont always feel right away. You always here about someone working out and it seems to be fine and then a few days later they are in bad shape and need to take a few weeks off. Not sure if this is the same? Bottom line is I think this pain is coming from the expansion of the lungs.

Hiking in Vancouver is awesome. I use to live right by many hikes. Now I am near downtown so I need to drive for 30 minutes. Still close enough.

Cheers.

Davy

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[*] posted on 7-31-2010 at 06:20 PM


how often are you doing the hike and what cardio type exercise are you doing in between?
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[*] posted on 7-31-2010 at 08:38 PM


I agree that's its likely from the expansion of the lungs. I wish there were some way to know for sure.



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[*] posted on 7-31-2010 at 08:58 PM


Davy

I seem to agree with most of the responses. Pain is the bodies way of telling us something is damaged. Like a broken bone is associated with pain. As is a burn or obsess.

Im leaning to this theory: That hike is one tough climb! Where massive amounts of cardio is required. As you breath in extremely deep your lungs are pushing against both your ribs and bars. Each breath smashes into your "Fixed" ribs due to the bars. keep in mind, both the ribs and bars will flex only a very small amount with each smashing deep breath. The bares virtually hold the ribs in position allowing little movement. Now, the bars are originally held in position by sutures, then scar tissue eventually grabs the bars and locks the bars to the ribs. As you smash your lungs against the ribs / bars, this motion and pressure stresses the scarring. It is very possible the pain you experience following the climb originates from movement or stress that has been applied to the scarring / rib connection. Add this to the equation: Im sure there is much bending, high leg lifting, twisting and overall major body movements associated with this grind. The body movements alone can cause stress on the sutures / rib connection that can lead to pain.

Why the back pain? Only a guess based of what Patino-Meyer and Dr. Frank told me at helios. They said "In young Nuss patients with the chest wall being fixed by the bars, the lungs press hard against the back ribs and actually force them to expand in a similar but less amount than the front chest ribs flex and move with out any bars" Its possible your lungs crashing into the back ribs could give some back pain. Could the plural sacks be effected by this harsh pressure? I think it is quite possible.

Over all Davy, if you want to test the theory of the lungs crashing into your front and back ribs, creating pain. You must do any type of heavy cardio for the same amount of time it takes you to complete the grind. Should you experience the same pain results, your on to the answer. Also, if you test this by doing heavy cardio 3x/wk, you must remember the pain will most likely reduce over time.

Your pain seems to give us some clues that this is more of a mechanical / physical issue and not a nerve issue.

Just my thoughts.

Randy




well, just taking one day at a time and Praying our Great Country "Gets Back On It's Feet"
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[*] posted on 8-1-2010 at 02:15 PM


Quote: Originally posted by solo  
how often are you doing the hike and what cardio type exercise are you doing in between?


Well I did it last Thursday and the Thursday before. So just started one time per week. Wanted to increase to twice per week so was going to do it tomorrow which is Monday. Problem is pain is very strong even during the day. So might wait and do the hike on like Tuesday or Wednesday depending on how I feel.

On the other days I just woke at a brisk pace. Normally there is very little pain with walking. However the next few days after doing that hike even walking is quite painful. All around my ribcage hurts with every breathe. With a bit of extra pain at both sides where the bars end.
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[*] posted on 8-1-2010 at 03:02 PM


Quote: Originally posted by Randy  
Davy

I seem to agree with most of the responses. Pain is the bodies way of telling us something is damaged. Like a broken bone is associated with pain. As is a burn or obsess.

Im leaning to this theory: That hike is one tough climb! Where massive amounts of cardio is required. As you breath in extremely deep your lungs are pushing against both your ribs and bars. Each breath smashes into your "Fixed" ribs due to the bars. keep in mind, both the ribs and bars will flex only a very small amount with each smashing deep breath. The bares virtually hold the ribs in position allowing little movement. Now, the bars are originally held in position by sutures, then scar tissue eventually grabs the bars and locks the bars to the ribs. As you smash your lungs against the ribs / bars, this motion and pressure stresses the scarring. It is very possible the pain you experience following the climb originates from movement or stress that has been applied to the scarring / rib connection. Add this to the equation: Im sure there is much bending, high leg lifting, twisting and overall major body movements associated with this grind. The body movements alone can cause stress on the sutures / rib connection that can lead to pain.

Why the back pain? Only a guess based of what Patino-Meyer and Dr. Frank told me at helios. They said "In young Nuss patients with the chest wall being fixed by the bars, the lungs press hard against the back ribs and actually force them to expand in a similar but less amount than the front chest ribs flex and move with out any bars" Its possible your lungs crashing into the back ribs could give some back pain. Could the plural sacks be effected by this harsh pressure? I think it is quite possible.

Over all Davy, if you want to test the theory of the lungs crashing into your front and back ribs, creating pain. You must do any type of heavy cardio for the same amount of time it takes you to complete the grind. Should you experience the same pain results, your on to the answer. Also, if you test this by doing heavy cardio 3x/wk, you must remember the pain will most likely reduce over time.

Your pain seems to give us some clues that this is more of a mechanical / physical issue and not a nerve issue.

Just my thoughts.

Randy



I think you are right about the type of pain Randy and Sinister. I think it is directly related to my heavy breathing.

I hope the pain reduces soon.
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[*] posted on 8-1-2010 at 06:16 PM


I can do very intense cardio for quite considerable time, but it is something i have gradually worked up too. I don't experience the pain you describe so all i can suggest is possibly you did too high intensity level without working up too it. Back of the intensity next week and do it more regularly. Like Randy said do it 3 x per week. But do it at a slightly less intense level. The other days of the week do your brisk walking. Slowly increase your intensity over the coming weeks. It seems to me that maybe you went too high intensity without working up too it. I could be wrong, but give that a try. Good luck.

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[*] posted on 8-1-2010 at 07:47 PM


Davy-Boi

Let me suggest that you do the hike on Monday at all cost! Take lots of Oxy and go on the hike, You have 2 consecutive hikes under your belt, DO NOT give your chest time to "Feel-Better". Go on the hike all loaded with pain meds and then on Tuesday get out and do a hard walk where your lungs smash against the bars and ribs. On Wednesday, do another hard walk for half the time of your Tuesday walk. On Thursday, take a little less pain meds and do the grind again. Do this over and over and over and over and over, dont quit, dont stop, dont give up, keep going going going and going. You will soon notice that you can go harder, longer, stronger and still have pain but the pain will be less than the current pain. You will even catch your self when in a relaxed state, experiencing little to no pain. It will be like a light turning on in your head. Wow…. “I just noticed my pain is significantly reduced”. This will happen not because of the meds but because you are stretching your current physical and pain barrier by continually smashing your lungs against the ribs and bar. This is what I refer to as “Forced Recovery” You force your body to recovery, you do not sit and wait, you make it happen. This is one major difficult concept to understand where Im sure many will disagree with out any experience to back their disagreements. For those who may feel like this, enjoy your pain while those who physically fight pain enjoy pain freedom.

Davy, go force your recovery on Monday.

Randy




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[*] posted on 8-1-2010 at 07:56 PM


Quote: Originally posted by Randy  
Davy-Boi

Let me suggest that you do the hike on Monday at all cost! Take lots of Oxy and go on the hike, You have 2 consecutive hikes under your belt, DO NOT give your chest time to "Feel-Better". Go on the hike all loaded with pain meds and then on Tuesday get out and do a hard walk where your lungs smash against the bars and ribs. On Wednesday, do another hard walk for half the time of your Tuesday walk. On Thursday, take a little less pain meds and do the grind again. Do this over and over and over and over and over, dont quit, dont stop, dont give up, keep going going going and going. You will soon notice that you can go harder, longer, stronger and still have pain but the pain will be less than the current pain. You will even catch your self when in a relaxed state, experiencing little to no pain. It will be like a light turning on in your head. Wow…. “I just noticed my pain is significantly reduced”. This will happen not because of the meds but because you are stretching your current physical and pain barrier by continually smashing your lungs against the ribs and bar. This is what I refer to as “Forced Recovery” You force your body to recovery, you do not sit and wait, you make it happen. This is one major difficult concept to understand where Im sure many will disagree with out any experience to back their disagreements. For those who may feel like this, enjoy your pain while those who physically fight pain enjoy pain freedom.

Davy, go force your recovery on Monday.

Randy



Very interesting.

Well one thing at least so far. I have not had any more oxy yet. Trying hard to avoid that crap. Its just in the cupboard. 15ft away from being pain free........ The torture. I mean the oxy is right there and 15ft away I am in pain.

About your advice.............. Not so sure on this one. You dont think by doing that I will be doing any damage??? I am not so sure. One thing for sure is I need to push it at least somewhat so I think what I will do is go for the hike on Tuesday or Wednesday and keep having less days off as time goes. I want to be doing it twice a week very soon and maybe even 3 times. It is very intense. It is your style of intensity. You would love it and if you get off you A$$ and come visit me we will do it!!!!!!! :):)

If i feel quite a bit better tomorrow then I will do it then. Just have to wait and see. If I new 100% that I would be doing myself good by doing it, then I would. I just dont want to go backwards in this game of trying to get healthy.

Thanks for the post!
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[*] posted on 8-1-2010 at 07:58 PM


Quote: Originally posted by solo  
I can do very intense cardio for quite considerable time, but it is something i have gradually worked up too. I don't experience the pain you describe so all i can suggest is possibly you did too high intensity level without working up too it. Back of the intensity next week and do it more regularly. Like Randy said do it 3 x per week. But do it at a slightly less intense level. The other days of the week do your brisk walking. Slowly increase your intensity over the coming weeks. It seems to me that maybe you went too high intensity without working up too it. I could be wrong, but give that a try. Good luck.




Hey Solo.

You might be right and it was to intense to quick. I will try to work up to it. I want to work up to it at a fairly quick pace though. Years are flying by now. I need results quick.

Davy
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[*] posted on 8-1-2010 at 08:08 PM


Davy

Just go grind Monday, only do your max for the level of the day. Walk on tuesday and wednsday,, Grind on Thursday. Forced Recovery! It only works for those who are willing to violently fight against the pain, until the pain is brought to submission. This is a fact, so go get it and prove to your self pain will yield to Davy-Boi!

Randy




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[*] posted on 8-2-2010 at 05:40 AM


I tend to disagree with Randy's type of advice. No need to feel intense pain and no need to take the oxy. Work up progressively. Do the hike, but not at full intensity so soon. Make sure you back it up the following days with your walking.

Slow and steady wins the race. Progressively work your way up to doing it at a higher intensity. Use common sense and listen to your body. When you feel sore and know in your head and heart you need to do a brisk walk do it. But don't smash yourself too soon.

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[*] posted on 8-2-2010 at 06:40 AM


You have foreign objects in your chest. They aren't very smooth. At the ends they are supposed to be especially rough to help create scar tissue that holds them in. The soreness in your chest sounds like just a bit of rawness from the bars rubbing around from vigourous breathing. The reason your back is sore is because the chest muscles get very tight when they move your dent out. This tightness causes an effect on your back muscles and stresses them out a little bit which makes them work harder and spasm.

All of this is in my opinion and experience is completely normal. If the pain isn't too great, then give your body time to heal, and then go do it again. Giving your body time to heal is important, that is what will help keep the bar in place in the long run. Once you don't feel the post workout pain you can do it again.

I must admit, I'm pretty jealous. That was one of the things I didn't get to do when I visited Vancouver.
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[*] posted on 8-2-2010 at 10:01 PM



Thanks for the responses.

Well I did not do the grind today like I was hoping. Last night was super intense pain once again. This time it was at both ends of my bars. The pain got so bad I said screw it this is it. Oxy time. I reached over from my recliner and at the very last second I decided against it. I said to myself pop 2 aleves and some Ibuprofen. So I did that instead. These pills did absolutely 0 for me. So I just suffered till morning. Let me say it was a long night.

Bottom line is, there was 0 chance of me doing the grind today after that. Last night I went for my usual walk and to my surprise the pain was mild. I was absolutely shocked at how bad the pain was when trying to sleep. The ups and downs of this thing are unreal.

Moneyluke I think you are correct in what has happened with me. I never thought you could over do things with cardio but now it is obvious that you can. Also you mentioned the bars are ruff at the ends and create scar tissue. That is exactly where the pain was last night. I was probably in pain in more places but there was so much pain at these places that the other pain would of been irrelevant.

I just got back from doing a half normal walk. Did not even do my entire normal walk. Just had to take it easy. I hope tonight is better but I was in a fair amount of pain during the day today that I am afraid what the night has to offer. I want real bad to get healthy. What a fight.

Thanks for everys opinions and ideas. Yours is very interesting Randy. I do believe at times it is good to push yourself. Not sure if this is the time for me. Dont get me wrong. If the doctor told me to stick a knife six inches into my leg and that would make me better I would. I have sacrificed so much so far that I am willing to do whatever it takes. I am not afraid of pain, I just do not want to be going backwards is all. It is probably a fine line and I need to find what works best for me. Problem is I want results asap. I feel 8 months is quite awhile and I have been patient.

Frustrated.

Davy
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[*] posted on 8-3-2010 at 08:29 PM


when i first started gyming and running about 4-5 months post op, the area where my bar is would turn red and swell a little.

sometimes i would see some broken capillaries. but i dont think the pain i experienced is anything as intense as yours. mine slowly diminished as my muscles got used to the movement.

as monkey luke said heal up and try again. it should get better as the weeks progress.
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[*] posted on 8-3-2010 at 09:04 PM


Quote: Originally posted by solo  
I tend to disagree with Randy's type of advice. No need to feel intense pain and no need to take the oxy. Work up progressively. Do the hike, but not at full intensity so soon. Make sure you back it up the following days with your walking.

Slow and steady wins the race. Progressively work your way up to doing it at a higher intensity. Use common sense and listen to your body. When you feel sore and know in your head and heart you need to do a brisk walk do it. But don't smash yourself too soon.


Solo

You suggested to Davy-Boi the exact suggestion I gave. My over-all tone is more intense, but close to word for word as your suggestion. Just to clarify my thinking what part of my advise do you disagree with? I can easily be to aggressive.


Randy




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[*] posted on 8-3-2010 at 09:19 PM


Quote: Originally posted by Davy1  

Thanks for the responses.

Well I did not do the grind today like I was hoping. Last night was super intense pain once again. This time it was at both ends of my bars. The pain got so bad I said screw it this is it. Oxy time. I reached over from my recliner and at the very last second I decided against it. I said to myself pop 2 aleves and some Ibuprofen. So I did that instead. These pills did absolutely 0 for me. So I just suffered till morning. Let me say it was a long night.

Bottom line is, there was 0 chance of me doing the grind today after that. Last night I went for my usual walk and to my surprise the pain was mild. I was absolutely shocked at how bad the pain was when trying to sleep. The ups and downs of this thing are unreal.

Moneyluke I think you are correct in what has happened with me. I never thought you could over do things with cardio but now it is obvious that you can. Also you mentioned the bars are ruff at the ends and create scar tissue. That is exactly where the pain was last night. I was probably in pain in more places but there was so much pain at these places that the other pain would of been irrelevant.

I just got back from doing a half normal walk. Did not even do my entire normal walk. Just had to take it easy. I hope tonight is better but I was in a fair amount of pain during the day today that I am afraid what the night has to offer. I want real bad to get healthy. What a fight.

Thanks for everys opinions and ideas. Yours is very interesting Randy. I do believe at times it is good to push yourself. Not sure if this is the time for me. Dont get me wrong. If the doctor told me to stick a knife six inches into my leg and that would make me better I would. I have sacrificed so much so far that I am willing to do whatever it takes. I am not afraid of pain, I just do not want to be going backwards is all. It is probably a fine line and I need to find what works best for me. Problem is I want results asap. I feel 8 months is quite awhile and I have been patient.

Frustrated.

Davy


Davy, at 8 months you cant hurt a Schaar-Bar, so no worries. You can make pain in your body but it is highly unlikely anything damaging. An internal small fractorl tear of .05mm (very small) can cause intense fire pain, but absolutly no body pain. Your walk on Monday was fantastic. If you want to force your recovery then walk harder each day. I can define what "Harder" means when we chat. Each training period must build on the previous period which translates to "more" work. When you smash your lungs against the bars and ribs each day your pain will diminish daily, so do cardio each day and grind (at half pace) 2x per week. In 60 days you will not believe the difference in both body stamina and pain reduction. Just go do it. Also, if you have the man power to not take the oxy, you are one strong minded human. Since you are so strong minded it takes the exact mental force to do heavy cardio when in pain as it takes to not take the oxy. Both are equal, neither are physical bot rather mental! Now get to smashing and force recovery.

As strange as this suggestion may seem, once you successfully practice the above, you will come to say "Yah, all that cardio has made my pain reduce" just as you made a similar statement above in this post.

Randy




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[*] posted on 8-4-2010 at 11:14 AM


Hey Davy,

I post this only because I care about you. I can't advise you on what to do but just really hope you find a way to releave your pain and get on with the things you really want to do. You obviously love to be out hiking and just living life and only wish and pray that you get there.

All my best..........................runs
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[*] posted on 8-5-2010 at 10:10 AM


Maybe get the wedge pillow out to sleep on when the pain's bad. The incline might take weight of things that are causing pain, since lying down is what seems to start it off.

And, I hate to harp on it, but - did you try "cold" packs on your sides when they were hurting, oh stubborn one?

(You may as well try it - I'm not able to let it rest until you do:)
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[*] posted on 8-6-2010 at 08:26 AM


On Emanonva's Back Pain thread, Bimmer 15170 wrote this:

"back pain was the majority of issues I had. I still do 18 months post nuss but what I have found to work the best is icyhot. I have tubs of tigerbalm, icyhot spray, rollon and deodorant sticks and i like the deodarant sticks the best. I used to apply it everynight before bed and sometimes in the day when the pain was bad. It was a life save for me, just dont make the same mistake as me and put it on after a hot shower...or you will feel like a fire has erupted on your back"

I've never used the above mentioned 'stuff', but maybe Bimmer could tell you whether he thinks it might help you, and your sore sides?
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[*] posted on 8-6-2010 at 11:33 PM


Quote: Originally posted by Randy  

Solo

You suggested to Davy-Boi the exact suggestion I gave. My over-all tone is more intense, but close to word for word as your suggestion. Just to clarify my thinking what part of my advise do you disagree with? I can easily be to aggressive.


Randy


the bit about taking lots of oxy, not giving your chest time to recover and smashing your lungs against the bar. I prefer to think a slow and steady progression is a better option.

Davy how is it all going?
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[*] posted on 8-7-2010 at 05:15 PM
Unreal Update



Well I am sure you guys are probably sick of my whining. I know that I am. Things were starting to get a tiny bit better. Not anymore.

Currently I am in tons of pain even during the day. Last night was my most painful night. With the amount of pain I am in currently I think tonight would be my most painful night ever. Now the pain is on my right side not my left side near where the bar ends and also going through into my back on that side.

My electric patchy thingy is useless with this now. More pain is caused just by sitting down and trying to get the patches on. I am going to go for a slow walk soon. Moving around now I am like a 100 year old hunched over Grandpa. This pain is bonecrushing. Last night was the first night I broke down at around 5am and took my first oxy in months. It did nothing. I already know that I will be taking oxy tonight. There is no choice.

I am just starting to get really scared. There is something really wrong here. Chelle I will buy some icyhot when I go for my walk but think there is little chance of it helping. Oxy is the only thing that might help and I will need to take enough of it. The only thing that has changed where I am is the weather. We have clouds and rain for the first time in a long time. Has been raining all day. Not sure if that could have something to do with this.

Also I am usually able to keep a level sound head most of the time. I never get depressed. However I currently feel like I am depressed. Depressed, so over tired and fed up.

No idea what to do.

Old Man.
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