The Secretary Got Mono
I got my COVID vaccines on February 3rd and March 4th. I had no physical side effects: no pain, headaches, nausea, etc. I’m not even sure if I had a fever. After my second vaccine I slept for at least 40 hours in 4 days, then I had severe brain fog for exactly one week. My brain literally woke up clear on March 11th.
A couple of weeks later a friend experienced a crisis and I supported her intensely for a few weeks. I felt tired, disorganized, overwhelmed, and started falling behind. Normal stress response… right?
For years I have had very mild eczema on my wrists and forearms that pops up in times of stress but never itches. In April my eczema started spreading over my body and itching like mad. For the first time in my life, my dry skin in general was itchy. I started getting extremely itchy skin-colored bumps on my face that would pop out of nowhere, last a few days, disappear, then more would come. Stress… masks… skin changes as you get older… weather changing… right?
My eyes started hurting. Not burning like dry eyes, but hurting like a sore muscle. I could feel my ENTIRE eyeball. I went to the eye doctor. My eyes were healthy and no prescription change needed. I bought blue light filtering glasses. Too much screen time… right?
I was having disgusting soak-the-mattress-pad squishy-sheet night sweats several times a week. I did not have a good rationalization for this one. If it was early menopause I would be getting hot flashes during the day, too. But bodies can be weird… right?
Throughout March most of this stuff was manageable. I was getting more and more behind, but nothing seemed connected and everything seemed minor.
But in the last week of April I started getting really tired. I am a night owl. Falling asleep before 1am is weird for me. I was needing naps at 4:30pm and forcing myself to stay awake until 9pm so I could sleep through the night. I was tired as if I had really bad flu, but I didn’t have really bad flu.
Then the confusion and memory problems set in. I am someone who obsessively finishes one thing before I start another when I’m working as a compensatory strategy for my ADHD. I started finding progress notes and other really critical documentation half done. I’d find 6 or 7 half-finished email drafts that I thought I had sent. By the time I’d find a pen and paper to write something down on a task list, I’d forget what I needed to remember. I seemed to be okay verbally, but written word was extremely difficult especially when trying to synthesize information. I struggled to take notes in meetings. When I needed to research or reference things (even things I already knew almost by heart) looking between different documents or web pages to consolidate information was literally impossible. Writing text messages was incredibly overwhelming. I looked at a menu, understood all the words, and could not hold enough information to make a decision. Driving home from an early doctor’s appointment I had to stop myself from going to 2 former and my current office, because I was going to work at HOME.
The secretary in my brain has many presentations:
When she’s burned out she shows up and fills her time with unnecessary busy work.
When she’s depressed she puts her head down on her desk and sleeps.
When she’s anxious she runs around all over the place and never manages to sit at her desk or even sort the mail.
On a bad ADHD day she has a bad attitude toward life and does everything possible to make everything difficult.
On a good ADHD day she is super focused and gets everything done and color coded.
But this. This was like she got mono, took a medical leave, and didn’t leave instructions or the key to the desk. The other staff were trying to keep up as best they could, trying to answer the phones and at least take messages, but they didn’t know the answers or find the post it notes to write down the questions.
This was not burnout. It was not depression or anxiety. It was not ADHD. But it WAS very scary.
At some point in all this a good friend of mine said that he was still really tired a month after his vaccine, and he thought the vaccine might be the reason. I was 2 months out from my second vaccine, and this had never occurred to me.
So I called my doctor in May, honestly feeling pretty silly and still telling myself it was probably just stress. Her first reaction was to yell at me for not calling her sooner. Her second reaction was to tell me that it sounded like my body was attacking me. Best case scenario was that it WAS the vaccine, which meant that it would probably just go away, but since there is no data we needed to expect that it was something else. She ordered me to take a week off immediately and sent me to the lab.
(Insert here how much I LOVE my doctor for hearing me and taking me seriously.)
I had a total of 4 video appointments with my PCP in two weeks. I had an in-person appointment with a rheumatologist. I emailed with my endocrinologist. In all, since the middle of May, I have donated TWENTY SEVEN vials of blood, about a gallon of urine (literally), and my brain had a photo shoot. We tested for everything from Lupus and Celiac to parvo and Hepatitis B to Cushings. The last time I went to the lab the COVID screener took one look at me and just said, “Any changes since last time?” And when I left he said, “Hope you get some answers soon!”
Here is what we learned:
- Several labs confirmed that there was definitely inflammation somewhere in my body, but nothing told us where.
- All of my organs seem to be functioning normally.
- All of my hormone levels are normal.
- My brain is healthy.
- I have hypogammaglobulinemia. Don’t ask, I don’t know. But apparently it wasn’t something to worry about on its own.
- My overall iron levels were low normal, but my platelets and hemoglobin were off. More specific iron tests showed that I was in fact pretty anemic. I bought iron supplements to start on June 14th.
My brain stayed boggled. It was getting to the point that I didn’t care if I had cancer as long as I could just get an answer.
I downloaded all of my medical records generated since May 12th for my psychiatrist: it was 140 pages.
On June 12th I woke up… could it be that this is what a clear mind feels like? I’d forgotten. But it was Saturday. On June 13th I… got things done? Really? On June 14th I woke up, cautiously wondered if my brain really was clearing up, and opened my email. It made sense. I answered a pile of them WHILE listening to and participating in a meeting. I was able to assess the situation. I freaked out. The secretary had returned and realized what an absolute chaotic mess everything was in and wondered how anyone managed to even get paid while she was out. Everything unorganized. Everything a mess. Nothing filed. Voicemail full. She thought about pretending she was still sick, but she didn’t. Because she had recovered and needed to get things back under control.
So now I’m about 10 days in and my brain has stayed clear. I don’t need naps anymore. My face hasn’t itched in a week. Eczema is still there but itching is way down. Night sweats are gone. I’m finishing my emails. I made some lists. My treatment plans will be done on time this month. NOW I’m officially burned out, determined just to make it another 10 days to my two week vacation, but I’m hopeful that when I come back I can start fresh. My energy is also much better, probably because of the iron supplements.
Anemia explains some things, but not the confusion or memory issues or night sweats or skin stuff. So what was it?
Today I talked to my doc again just to close the loop. She told me the most beautiful thing. She said that while I was her first patient who had reported anything like this to her, she has now had many more who also have. There is not nearly enough data for any solid research, but a clear trend of “Vaccine Long COVID” is developing. She said she is so glad that I called her and fought for an answer, because it could have been anything.
We don’t truly know if this is vaccine related. I will need to wait and see if it comes back. What I am sure of is this: if this was vaccine-related, then this is just a scaled model of what my COVID experience would have been like. The idea of what the actual illness would have been like for me terrifies me. The idea of losing what little control I have over my executive functioning for longer than a month makes me want to cry. I fought tooth and nail for years to make friends with the secretary in my brain, and my life and mental health would disintegrate without her. She is still healing, and I am nurturing her, but we’re okay.
I’m slowly reemerging, but with changes. In my attempt to decrease screen time, I learned that I still like to read (because it turned out that while I couldn’t read and analyze information I could just read and enjoy a story). Minimal time on social media is healthier. Going to bed when you first feel tired is actually a good thing. Stopping work at the end of work hours is okay. So I’m going to try to build this stuff in. And actually stick to it.
I really want you to know: If you’re going through anything like this: you are not going crazy. It’s very real. Trust yourself, and talk to your doctor. And don’t let them leave the room until you feel heard. Tell them you are scared and need answers, even if the answer is that you don’t have what’s being tested for. And if your doctor doesn’t hear you, find another doctor. Your doctor works for you, and it should feel like they are on your team. Donate the blood and the urine. Take time off.
And even if the answer is that you, like me, probably aren’t sick but just experiencing a taste of what COVID would have been like for you, show up to be a statistic in the research that will help others. Sign up for the COVID research apps and take 30 seconds to log your symptoms (or lack of them) every day.* Because statistics DO matter, especially now. And COVID is so very far from over. The world is desperate for vaccines because they will save our lives; we clearly don’t know the long-term effect of the vaccine, but it is much less likely to be death for ourselves and definitely will not be death to our loved ones. If vaccines are causing this longer-term effect for some people, then I want to be part of the research so that people living in countries who don’t have access to all of our specialists and labs and brain scanners can also have answers. I don’t want them to be afraid of having Alzheimer’s or cancer if their bodies are just still figuring out how to save their lives.
Take care of you. And in doing so, take care of those you love… and maybe even people around the world.
* If you’re interested in participating in COVID research, these are the two projects that I have researched and participate in daily:
- COVID-19 Citizen Science through University of California San Francisco
- COVID 19 Symptom Study through a collaboration between Stanford, Harvard, Massachusetts General Hospital, and King’s College London
Legacy of a Cat
In November of 2004 I was a new case manager at Chamberlain’s Children’s Center in Hollister, California. I was not very good at my job yet. One of the best things about CCC is that they truly strive there to create “practice families” and expose the kids to normal life stuff, rather than “rehabilitate” in a sterile vacuum then throw them back out into the world and hope they make it. We had been talking about getting some pets, so it was no surprise when our CEO, Doreen, showed up one day with a kitten that she found alone in her neighborhood. She was bushy, with big tufts of hair on her jowls, and had an air of elegance about her from the very beginning. I wanted to name her something sophisticated, but the kids took to her tabbyness and called her “Striper.” I have spent the last decade telling people that she isn’t a stripper.
And so Striper moved in to our office. She was entertaining by day and independent by night. She had a special love for anything that made paper move, and we quickly learned to dash and protect the fax machine as soon as it started ringing. There is nothing more professionally awkward than having to call someone and ask them to refax something because your cat jammed the machine. We also learned to unplug the desk printer at night… after Striper discovered that by holding down the power button she could print test pages. We came in to work one day to find all of the paper in the printer (at least 50 pages), previously blank and loaded, strewn all over the floor describing the features of said printer. We walked in to the same disaster months later when we forgot to unplug it, which made me wonder if she tested it out every night.
When Striper was small she would climb up my executive style desk chair and take a nap behind my neck while I worked. As she got older she became less and less tolerant of grownups, but she had eternal patience with the kids. Striper had this lovely progression of irritation starting with her ears lying back, then tail twitching, then a low growl, then a hiss, then a bite or scratch. This pattern helped the kids learn to recognize nonverbal cues and modify their social behavior to respect boundaries. From them she tolerated being accessorized, carried in some very strange ways, and some fairly rough handling. The only time she looked at me for desperate help was when a two year old tried to ride her!
My boss at the time, Cheryl, is a true cat whisperer, and she and Striper had a very close bond. In June 2007, when Cheryl started packing up her desk the week of her retirement, Striper moved into her litter box and wouldn’t come out. So I was asked to take her home with me.
Playing Around
I had a cat named Onyx. Onyx was my cuddlebug and special friend. And, despite being fixed, Onyx had true carnal desire for Striper from day one. Poor Striper. But over time we developed a routine, each of them got me for a specific part of the day and had their tasks. Bedtime was Striper’s time, and she always woke me up with her rough tongue – constantly annoyed at my alarm clock that kept going off. Onyx chilled out a little as he got older, and eventually they started getting along. A couple of times I even managed to snap a picture of them sleeping within reach of each other! As Striper got older her peripheral vision became compromised, and I think her depth perception – it got to the point that she wouldn’t jump higher than a chair because she miscalculated so often that it just wasn’t worth the risk.
In September 2012 I left CCC (I was good at my job by then) and started a clinical position at a Refugee Foster Care Program in San Jose. My plan was to save enough to move to San Jose, but the commute took too much out of me so I decided to move in with a friend for a few months in between. I couldn’t take both cats with me. Onyx also had this habit of peeing on everything, a habit that I did not want to torture a roommate with, and had a not-so-secret desire of becoming an outdoor cat and I wasn’t willing to risk the vastly increased outdoor dangers in San Jose. So Onyx became an outdoor cat cared for by an elderly cat lady in my complex, and Striper came to San Jose.
I met Debbie through a mutual friend, and she agreed to foster Striper while I found a place in San Jose. Plans changed, and she ended up keeping her for 3 months instead of 6 weeks. I’m so grateful to Debbie for her care of Striper during that time. I was adapting to a job that was incredibly difficult on so many levels, and it was during that time that I realized how much I truly loved and needed my cat. I’m told that she spent most of those months perched at the top of Debbie’s cat tree avoiding her two cats – which didn’t surprise me one bit. She truly does despise most other animals. God gave us a perfect apartment, and we were reunited in February 2013.
Striper and I lived a quiet life for a couple of years, although I did learn about cat depression and learned to keep a
couple of lamps on for her in my very dark apartment. I took her to work with me from time to time, both for my own comfort and the amusement of my clients. Some of the kids had never known a domestic cat before, and she was so great with them! I left the RFC program and went back to work for Chamberlain’s in January 2014, this time at their outpatient clinic in Gilroy. My days became even longer again, and I noticed Striper becoming more depressed and lonely.
The office was pet friendly, with two other clinicians bringing their dogs every day, and I received permission to bring her. Striper hated the car ride in the morning… I tried in the crate, out of the crate, kitty sunglasses, everything I could think of, but she would always scream the whole way. But when we got there she absolutely loved it! She loved working with the kids again, teaching them social skills, being cuddled, and spending time with me. The trip home was always fine, and she was definitely happier.
But Striper was getting old, and I could tell. She turned 11 and became a senior cat. She was tired and sore and seemed less able to jump even shorter distances. I knew that she was lonely, but didn’t think she’d be able to tolerate being around another cat. But I was also keenly aware that she was nearing the end of her life, that I needed a cat, and that I would never be able to replace her. So when my coworker adopted a kitten in May 2015 and was going back for another, I asked her to bring me one. And I was hand-delivered a 5-week old goddess of destruction called Persephone. Pippi looked like a little elf and was beyond adorable, but housed within her 10-oz body the energy of a typhoon. Needless to say, Striper was not in favor. Pippi got a belled collar when she started racing up behind my non-peripheral-vision cat and launching onto her back. Striper would have none of it, and I started to regret my decision.
Pippi and Striper meet
But then Pippi grew up, and out of her maturity emerged a therapy cat. I watched in amazement as she began a months-long process of earning Striper’s trust. She would put herself in Striper’s line of sight and approach until Striper began her low growl. Then she would stop and lay down and watch. Once Striper was fully relaxed, Pippi would take a few more steps until Striper growled again. Over weeks, the tolerated distance shrank from 10 feet to about 2 feet. I will never forget the day I was reading on the couch and suddenly heard bells jangling. They were wrestling. My. Cats. Were. Wrestling. Striper. Was Playing. With. Another. Cat. I cried. Striper had a friend. As their relationship progressed Striper allowed Pippi to groom her every day, and every once in a while they would sleep within touching distance. Striper turned 14 this past fall, around 72 in cat years. She could jump again, run again, she wasn’t so afraid or reactive. When we got Pippi she became “kitten” and Striper became “mama,” but Pippi was by far the caregiver. There is no doubt in my mind whatsoever that Pippi added years to Striper’s life, and that Striper was never happier than when Pippi was her friend.
When Cheryl retired from CCC she moved to Visalia. Through a series of events we developed a close friendship that merged to family, and I now spend all of my California holidays here. One of the best things is that I can load up the cats and bring them with me. Both of the cats hate the ride, and they’re not really a fan of being here, but all 3 of us are certainly happier together than with them subjected to a cat-sitter in San Jose.
So last Sunday, December 23, 2018, was no different than any other “go to Visalia” day except that we were leaving in the morning instead of late at night. Striper woke me up to turn off my alarm and gave my face and hands a nice bath with her now smooth tongue. She demanded food and even got some coconut oil out of me. She hid under the bed when the suitcase came out, and came to cuddle when I took a break on the couch. She took her travel pill without complaining, although she didn’t seem to get as drunk from it as usual (usually she’s making out with the walls, it’s pretty funny!). She was getting herself a snack when I picked her up to put her in her crate, before I went through the traumatic ordeal of catching Pippi to put her into hers. We rested a bit after that, then we were off.
Striper was quiet in her crate, but she was further into her pill than usual at the start of a trip so I was just grateful. We were all listening to the 8th Outlander Audio Book, that I had started that morning. I paused in Los Banos for a power nap, then ran into Starbucks for some caffeine. When I got back into the car I realized that I still hadn’t heard a peep out of Striper. I called her name, with no response. I poked her through the bars, no movement. I opened the door. She was curled up, sound asleep, eyes closed, relaxed. I yelled at her, I shook the crate. She didn’t move.
Striper was gone.
Striper was gone, and I had 115 miles left to drive. I called Cheryl, sobbing. She calmed me down to the point that I was able to ask for prayer on Facebook then block it out and do nothing but listen to my book and drive – with the occasional freak out about Pippi being too quiet, but she was fine. I got to Visalia, where we confirmed that Striper indeed would not wake up, let Pippi take one goodbye sniff into the crate, and put her unceremoniously in the garage. I wrapped gifts, taking breaks to come comfort a crying Pippi. I fell asleep around 4:30am with her cuddled up with me under the blankets. She’s here with me now, purring, as we share Striper’s story with you. Her tongue is much rougher than Striper’s.
Truthfully, Striper did it right. One of my greatest fears was that she would get sick and I would have to make the decision to euthanize because I couldn’t afford medical treatment that would only extend her life by months. I’ve never actually seen a dead pet before, since only one of mine died when I was at home and I was too young to be involved. I don’t know what I would have done if I had to pick her up her body and transport her. This would have been so much more tragic for me and Pippi if we had been home, alone, if I had to go back to work the next day. Instead, Striper picked a day when she was healthy and happy. She was already in her crate. For all I know, she died before we even left the apartment. We were on our way to Cheryl, at the beginning of a 2 week break. Her death was free to me, since her cremation was covered by my friends as a “condolence gift” (whatever that is). I can spend all the time with Pippi that she needs. Striper was truly a mama cat in her final moment.
I could never replace Striper. But here’s the thing: Pippi is lonely. She has never been alone before. And she truly IS a mama cat. It’s like a calling for her. And what I want most for her is to have a life with a cat who can reciprocate all the love she has to give. So yesterday I went to the Valley Oak SPCA and adopted a beautiful kitten that I will pick up on Monday to begin the process of adding her to our family.
I think most pets are very special to their family, but it stays there. Because of how Striper started life, she has been so special to so many. So many kids have been loved and impacted by her! She has made so many smile, taught them things. And she herself finally learned how to allow herself to be loved. This is a legacy that cannot be spoken about many cats. And I am so grateful to have been her human.
Striper
October(ish) 2004 – December 23, 2018
The San Jose Pop Up Choir
Up until about 2 years ago I had only had one truly close friendship since college that I didn’t meet at work. One of those work relationships developed long past that job, but the others all ended every time I transitioned. Friends I had from college and after pretty much all got married and had families, leaving more and more married to work. When I moved to San Jose almost 6 years ago I ended up in a work environment that did not really harbor any friendships for me, and I became desperately lonely. My doctor had been recommending a website called meetup to me for several years, and I was lonely enough to start considering the possibility of facing my social anxiety to try something new. I really missed singing, but all of the local choirs I could find were very “official,” requiring auditions, money, strict attendance, and musical skills that I really don’t have. Then a coworker told me that she had once visited a meetup group called the San Jose Pop Up Choir, a small group of people that get together to sing karaoke at a little studio. I had never sung karaoke and, despite my love of performing, the idea terrified me. I checked out the meetup and the next one was going to a Sound of Music singalong at a movie theater. Now THAT I could do!!
I met Teresa and Kathleen at that theater, and the rest is history. The San Jose Pop Up Choir is now my family. I have found people like me there… single, professional, mid-30s, overworked and lonely in the Bay Area. I have found people a generation or two above me who are living proof that aging doesn’t have to be boring. I have found “kids” a generation below me, and been able to observe just how special and unique and admirable these beautiful snowflakes truly are – they endure a life far more rigorous than I ever have! I’ve watched people come to meet a New Year’s Resolution to overcome stage fright and a year later belt out Whitney Houston by themselves. I have found the friendships that I never expected in my tiny subgroup called Quarter to Ten. I have found family.
I love the tagline on our new website: Making friends one song at a time. Because, really, that is our priority. Honestly, we don’t care if you can “sing” or not (whatever that means). All we care about is that you will support an environment where people can make music with their voice and laugh together. And, shockingly (or maybe not so much), as people who think they can’t sing relax in a nonjudgmental environment, they suddenly discover that they CAN sing.
Because we are such a wonderful group, we are growing. This year we have grown a lot. When I became a “serious” member almost 2 years ago, we were lucky if 20 people showed up on a Friday night. Last night was special because it was the last karaoke night in our current space, but there were about 40 of us! We are performing more, putting on our own showcases, singing at events and fundraisers. We have never charged for a performance, unless it was to cover expenses; in those cases it is usually US that pays so our guests can enjoy the evening for free. Last year we raised over $3000 for victims of hurricane and fire disasters. Our stage is small, making rehearsals cramped and difficult, and it’s increasingly easier to trip over cables these days. We keep buying more equipment as we grow and become more active, but it’s expensive and breaks down. Some music can’t be performed at a formal event unless we can purchase licenses (Even songs like White Christmas!).
We’re in the process of moving to a new location (Well Sinohui is – we’re along for the ride), and we need to make some upgrades – a bigger stage, some better equipment, promotional material like business cards and postcards, things like that.
Will you help us?
Click here to read Sinohui’s story and watch a video of our signature song (in which for some reason I can’t keep my chin down).
This holiday season we will be doing lots of caroling – a toy drive and downtown Campbell to name two – and would love for you to join us!
Here are our two upcoming big events – we’d love to see you there!!
(Turn your sound up) – Free Holiday Concert