Archive for the ‘Limitations’ Category

Top 10 Reminder Tools

Posted by Kelli on October 24th, 2009

Top 10 Reminder Tools for Forgetful Minds

By Kevin Purdy

Tweak your workflow and inboxes all you want, but your mental memory might always be the weakest link in your day-to-day life. These 10 tools take some of the workload off your brain, and prevent a few forehead slaps. This list is geared at smaller-scale tips for remembering those little things that you’ll regret forgetting just as soon as it’s too late.

10. Remember that thing you’re trying to think of,
Oh, shoot, what was that show? The one with the dad who worked at a robotics firm and created his own little robot girl, and she had super-strength, and it had really cheesy effects but catchy theme music? Anyways, if you’re trying to remember something that seems like it’s right there, but just out of reach, a pair of Canadian researchers suggest you stop, and either look it up right away or send yourself a note for later. The harder your brain cranks on trying to pin down that barely-there memory, the less likely you are to get it, even if you come back two days later and try running down the same mental path. In other words, your mental efforts are best spent elsewhere, and on other things, rather than tryin—Small Wonder! I knew it!

9. Automatic thumb drive reminder
At best, you leave your thumb drive plugged in at work or home. At worst, the easy-to-lose memory sticks get left in a computer lab, a far-away friend’s place, or somewhere it can be easily pocketed. Grab the Flash Drive Reminder, make sure AutoPlay is enabled on the Windows system you’re working with, and you’ll be reminded when you go to log off or shut down that you’ve still got your drive plugged in. If you’re doubtful you’ll actually respond to that kind of prompting, you could label your drive with a name and number to pop up in the “My Computer” view. For more anti-leave-behind tools, check out the comments on our original post—they’re chock full of carabiners, cap hacks, and other suggestions.

8. Do Not Forget doorhanger
You can find a retail version of the Do Not Forget doorhanger design gem at a few different places, but it’s not that hard to knock off for yourself. Put the things you need to do when you’re heading out on one of the pull-off paper tabs—like mailing a package or picking up bread—and you’ll hopefully catch it when you’re heading out the door. Since our brains can tend to get used to sights and ignore them, make sure to pull your reminder off the doorknob when there’s nothing to do. Next time you see that bright-colored hanger, you’ll know there’s something worth dropping the keys and thinking about. (Original post)

7. Always attach the file you meant to
Sending out an email promising to offer correspondents an attached document or file without that file attached is akin to showing up at a pot luck with just a plastic fork. If you’re a Gmail user, you can enable the attachment detector in Labs that’ll pop up a notification when it looks like you’ve forgotten to include your attachments. Working on Outlook? Reader Troy whipped together a little Outlook Attachment Reminder macro from a previously posted script, and Troy’s can work with signatures that demand mandatory attachments.

6. Keep your lawn and garden watered
Don’t let your faulty memory, dry weather, or a week’s vacation ruin your perfectly green lawn or your burgeoning vegetable garden. Do what Matt Haughey did and install your own automated drip system to give gardens and plants enough water at all times to get by. If it’s mostly grass you want to keep green, and you don’t relish the idea of waking up at 6 a.m. to do so, you could take a cue from Jason and assemble a DIY automatic sprinkler system.

5. Create fall-back birthday greetings
Seriously? It’s already Oct. 11, and you don’t have a card for your sister already? If you’ve got a Mac, there’s no reason to let the entire day go by without at least an email that says you’re thinking of them (even though you totally weren’t). Check out the Unofficial Apple Weblog’s how-to, and you’ll never be caught entirely off-guard. If you’d rather just get the reminders, you can have fbCal export your Facebook friends’ birthdays to an iCal feed, or enable Google Calendars’ “Birthdays” calendar (in your Settings), which pulls in whatever birthdays you’ve noted in Google Contacts. .
Personal Notes: I just pop people’s birthday inot my reegular calander asn an all day even, with the name & year of birth so I know exactly how old he or she is. Same Idea tho

4. Don’t let rebates pass you by
Retailers love rebates because a lot of people seemingly love to forget about them after the purchase. Tools that keep you from letting them pass into expiration, or sit incomplete at a service center, range from the simple to the sublime. Consumer Reports suggests immediately printing online forms and sending them in, as they can be removed from web sites after a very short period. Lifehacker reader Evan Fredericks suggests using Gina’s Trusted Trio with an old Gmail trick to keep rebates high on your to-do list. Finally, if you traffic mostly in online rebates, do as Consumerist recommends and set up a free online account at Backpack, where you can have specific rebate links emailed to you at a time of your choosing. (Original post)

3. Pack without fear
The worst part about forgetting to pack something on a long trip is that you’ll likely remember exactly what you forgot when you’re 10,000 feet in the air. Guard against your most forgetful tendencies with packing utilities that anticipate what you might need and print out helpful lists. We’ve dug on the Universal Packing List for its minimal but functional interface, Don’t Forget Your Toothbrush for comprehensive coverage of necessities, and PackWhiz as a nice alternative that sits between those extremes. Rather craft your own list? Feel free to create a reusable packing list, and peruse Adam’s Power Traveler’s Checklist, part one and part two.

2. Capture gift ideas with Evernote
Your spouse, your parents and siblings, your friends—they tell you about neat things they’ve heard about, considered buying, or just can’t find anywhere all the time, but never when you’re looking to actually buy gifts. We consider Evernote to be a fairly universal, go-anywhere capture system, since you can send it cameraphone pics, text or email messages, or more advanced web uploads at any time. It’s also got a tagging system that’s perfect for gift ideas. As soon as someone’s done telling you about something you might want to gift them, and you can be sly about it, upload a camera pic or text note about it to your account, and add both “gifts” and a separate tag for their name. When the holidays and birthdays roll around, head to your note stash, perform a search for everything tagged both “gifts” and “Diane,” for example, and you’ve got a list that seemingly traveled forward in time. For a beginner’s primer on Evernote, check out Adam’s walkthrough, or dig on Jason’s OneNote power user’s guide if the desktop suite is more your style.
Personal note: Evernotesis great for keep track of lost os stuff on your pc.. I’ve been switching from using bits of pieces of paper here & there as reminder notes to Evernote notes that can be organized by topic. Unfortunately, Evernotes can’t so sub folders or sub-notesbooks but still very usefull!

1. Keep track of strong passwords
We’ve hit upon this tactic a few times in a few different contexts, but until webmail users stop using 123456 and other terrible passwords, we will continue to suggest this technique. Build a secure base password that isn’t in the dictionary, one that mixes up letters, numbers, and special characters. Adapt it to fit different sites and uses—use the first three letters of the site name, or only the vowels, or some other rule. You’ve now got a strong password, you can remember it for all your sites. Even better? Offload the effort altogether and securely track your passwords with KeePass. If you do go the KeePass route, do yourself a favor and check out these eight must-have plug-ins to get the most from your password manager.
Personal Note: I’ve already shared this tip IRL to someone without fms. :)

Additional tips are included in the comments of the original post by Kevin. It can be found here at http://www.lifehacker.com.

Posted via email from Kelli’s Posterous

30 Things You May Not Know (Invisible Illness)

Posted by Kelli on September 14th, 2009


Each year, National Invisible Chronic Illness Awareness Week is observed to educate the public and raise awareness about invisible illnesses. One of the blogging activities this year is a “meme,” 30 Things About My Invisible Illness You May Not Know. So, here it goes:

30 Things About My Invisible Illness You May Not Know (modified)

1. The illnesses (the big 3 at least) I live with are: Endometriosis, Fibromyalgia, Chronic Fatigue Syndrome
2. I was diagnosed with it in the year: Endo 1999, Fibro 2006, CFS 2008
3. But I had symptoms since: Endo – Highschool (late 80’s), Fibro – potentially all my life, but significantly since my riding accident in 2003, CFS – again, potentially all my life, cuz I’ve always been tired
4. The biggest adjustment I’ve had to make is: Learning limitations
5. Most people assume: That cuz I am dressed, and moving that I am having a good day & expect me to go do ’stuff’, whatever ’stuff’ may be
6. The hardest part about mornings are: going to bed. Seriously! my sleep hours are midnight to noon.
6a. The hardest part about getting up after sleep: is the cramped & stiff muscles from not moving..
7. My favorite medical TV shows are: Grey’s Anatomy, House, & I loved ER from Day 1.
8. A gadget I couldn’t live without is: My PC.. it keeps me in touch with people, and lets me research and express myself.. (not quite what I think the question was asking for but there it is)
9. The hardest part about nights are: slowing down, physically, emotionally, mentally.. night time is my best time, typically my most functional time
10. Each day I take too many pills & vitamins. 2 in the wee hours, 5 at noon, up to 20 at midnight. and others as needed
11. Regarding alternative treatments I: am on the fence.. I can’t be bothered with acupuncture, but Osteopathy works awesome!
12. If I had to choose between an invisible illness or visible I would choose: neither.. I am sick of being tired, & tired of being sick!
13. Regarding working and career: I would so love to return to work! but I can’t it takes too much a tole out of me
14. People would be surprised to know: that I once considered modeling as a career choice.. plus-size modeling, but modeling nonetheless.
15. The hardest thing to accept about my new reality has been: the loss of so many people in my life, friends and family.
16. Something I never thought I could do with my illness that I did was: meet someone who would understand and accept me for me & all the health issues I have
17. The commercials about my illness: suck. they are all older ladies who come across as complaining
18. Something I really miss doing since I was diagnosed is: Camping, hiking.. Amusement Parks..
19. It was really hard to have to give up: Friendships & the socialization that went with it..
20. A new hobby I have taken up since my diagnosis is: colouring.. I’ve done several pieces of work for family & my medical team.. I have also got several miscellaneous craft projects on the go..
21. If I could have one day of feeling normal again I would: bask in the glory! If I didn’t have to pay for it later?? Grab all my friends (past & present) and go camping.. out under the stars, in the fresh clear air, the trees providing shelter & protection.. sitting in front of a campfire, roasting marshmallows and making s’mores.. cooking dinner outside! Chicken, Veg & potatoes straight from the coals! Yum!
22. My illness has taught me: that I can’t have whatever I want
23. Want to know a secret? One thing people say that gets under my skin is: that I should be working, not on Gov’t subsidy.. I even lost a friend with that comment. He said “Are you working or are you still milking the system!? Stop using your medical shit for an an excuse to live!” We’d been friends since grade 9, so it still hurts. :`(
24. But I love it when people: Offer to help.
25. My favorite motto, scripture, quote that gets me through tough times is: “How am I supposed to recover when I don’t even understand my disease?” ~ Girl Interrupted. White not necessarily all that positive, or in reference to a physical disease (was a mental health patient), it does show the need for more research to even understand what is wrong with Fibromites, or what causes Endo, or what CFS really is..
26. When someone is diagnosed I’d like to tell them: learn to read your body and pace yourself & do everything to keep otherwise healthy.
27. Something that has surprised me about living with an illness is: the communities of support that exist are phenomenal!
28. The nicest thing someone did for me when I wasn’t feeling well was: Opened the door for me. something so simple, but thoughtful. :)
29. I’m involved with Invisible Illness Week because: I have invisible illnesses and I think everyone should be aware.. awareness bring knowledge.. & that can lead to treatments, even cures, and maybe, just maybe, eradication of some of these conditions so that we don’t suffer invisibly.
30. The fact that you read this list makes me feel: Special. Thank you. & pls, let me know you were here..

Five Things to Know About Fibromyalgia

Posted by Kelli on July 21st, 2009

Five Things You Should Know About Fibromyalgia
by Amanda Rinkel
May 5th, 2009

International Chronic Fatigue Syndrome & Fibromyalgia Awareness Day is next week on May 12th. I’m going to take a break from articles on internet wastes of time, movie reviews and news updates. Instead I’m going to take a moment to highlight these illnesses and the necessity for awareness.

Five Things You Should Know About Fibromyalgia

1. 3-8 million people in the United States have Fibromyalgia and up to 80% are women.

2. Fibromyalgia most commonly hits between the ages of 20-40 years old, at the “prime of life.”

3. It has been nick-named “the pain disease” because of the characteristic wide-spread, migrating body pain patients have. The pain has been described differently by each patient from dull aches to deep bone pain to burning, tearing, singeing, stabbing or shooting. The breadth of pain descriptions is what makes diagnosis difficult.

4. People with Fibromyalgia have cognitive difficulties, such as memory problems and attention issues, that has been nicknamed “Fibro fog” or “brain fog.”

5. Fibromyalgia is considered as functionally disabling as rheumatoid arthritis but is much less accepted and recognized by both the medical establishment, Social Security and the community at large.

To learn more check out www.fmsaware.org.

Soource: blog.su-spectator.com

FM/CFS – What Do You Miss the Most?

Posted by Kelli on July 19th, 2009


FM/CFS – What Do You Miss the Most?
By Adrienne Dellwo

It’s the rare person with fibromyalgia or chronic fatigue syndrome who hasn’t had to give up some activity. Whether it’s something little (like an occasional hobby), or something major (like a career), we’ve all made those sacrifices.

I’ve had to give up some things because I simply can’t do them anymore, and other things because of the toll they take on my health and functionality (and some for a combination of both reasons.) I’ve given up my TV news career, my gym workouts (a weight circuit plus 45 minutes on the treadmill? Are you joking?), occasional hiking trips, major home improvement projects, etc. Fortunately, I’ve been able to gain back long walks (on good days), gardening, a social life, and enough of my brain to write a few blogs and articles every week.

Some things, though, I still don’t have back. While I hope they’ll someday be part of my life again, there’s no guarantee. I have to say, I really miss long days of shopping. I used to spend hours wandering through shops, being inspired by things I saw and just enjoying the whole experience. I also have to admit I really miss being able to eat whatever I wanted. I was recently diagnosed as gluten-intolerant (not Celiac, though), and I’m especially missing “convenience” foods — have you ever noticed how much of what Americans eat comes breaded, on some form of bread, or wrapped in a tortilla? Earlier today I broke down and ate a single chocolate chip cookie, and now I have pain in my esophagus and intestines.

On the emotional side, I miss the feeling of freedom. I used to feel free to pursue whatever hobby, vocation, interest, etc. I wanted to pursue. Now, I have limits. I miss the benefits of the higher income I could have if I were healthy. Some opportunities are no longer available to me. I resent the limitations within which I have to live.

I try to keep in mind that a lot of people have had to give up much more than I have because of these illnesses, but at some moments I just have to get angry or frustrated about it. We all have to vent now and then to keep from exploding, right?

What activity do you miss most? Is it something you think you’ll be able to “reclaim” eventually? What feelings, attitudes or assumptions about life do you miss most? Vent your feelings about it here, by leaving a comment below!

Source:Fibromyalgia & CFS Blog, About.com Guide to Fibromyalgia & CFS



I miss Amusement parks & Camping the most..
I miss the friendships I used to have where health wasn’t a factor.

Five Simple Words….

Posted by Kelli on June 28th, 2009


Five Simple Words to Keep Chronic Illness at Bay
by Madeleine Parish

When I was diagnosed with Chronic Fatigue Syndrome seven years ago, my illness began to consume my thoughts and time. Questions taunted me like unrelenting harpies: What will I do? How will I manage? Who will take care of me? To try to keep fears and symptoms at bay, I studied up on my diagnosis, and chronic illness in general, became fluent in the language of disability, medical research, and insurance claims. I even started to find that, if I met someone new, my illness became my calling card. Not five minutes into a conversation with a perfect stranger, I would hear myself quoting study results, describing in clinical terms, suspicions about retro-viruses and other prospective pathogens. I talked about my illness all the time! Gradually, I noticed the glazed look in the eyes of friends and strangers as I reviewed the latest research findings, or described in minute detail the effects of my recent treatments. My illness had become my identity! Over time, I realized I would manage just fine, even within the framework of chronic illness, provided I took responsibility for my mental, physical and spiritual well-being, and made health and healing my first priorities. In doing so, I learned to change my attitudes, behavior, lifestyle, even my vocabulary. These five words helped me do just that:

Please

Before chronic illness withered my penchant for independence, I took pride and refuge in self-reliance. Independence protected me–or so I thought–keeping me safe and invulnerable to rejection. Then, when I couldn’t get out of bed for days, or when pain wouldn’t allow me to negotiate stairs, I needed help. With my back against the proverbial wall, I saw self-sufficiency for the prideful defense it was, and that it no longer served me. So I dug inside for some courage, dusted off untested humility, and asked for help (PLEASE!) And when I did, I learned four things: First, some people are not only willing to help, they like helping and feel honored to be asked. Second, some people say no for reasons that have nothing to do with me. Third, whether people say yes or no, asking them doesn’t kill me. (I admit to some emotional bruising when I felt rejected, but, hey, I survived.) And fourth, by asking without shame or embarrassment, I learn to help others when they need or ask. Eventually I found that the family and friends who wouldn’t or couldn’t help no longer bothered me, and I appreciated more deeply those who did. As a result of their responses, I began to get a different vision of myself, vulnerable, but still loved, respected and valued.

Thank You

On, how I loved it at first! The way people scrunched their faces in sympathy when I said I had a chronic illness! I had what I wanted most: their attention. It didn’t take me long to learn that, while I had their attention, I didn’t have their interest. Unless, of course, they were chronic rescuers, people given to latching onto someone’s misfortune as their mission, their justification, their hook into unhealthy co-dependency. Self-pity is a turnoff to healthy people, and it keeps ill people so focused on themselves and fence in by illness, that they fail to see that, outside the fence, life goes on. What is the best, most effective antidote to self-pity? Gratitude! Thinking myself grateful doesn’t seem to work when I’m most shaky and self-pity is knocking for permission to enter. I have more success using gratitude as a wellness tool if I take action by writing a list of all the things I’m grateful for. The act of writing, plus the tangible, undeniable list seems to work better and faster than a mental checklist. The list doesn’t have to be long or complex. It can be as simple as the fact that I can feel the sun’s warmth on my face, or smell the honeysuckle’s perfume drifting over my neighbor’s fence. (That’s not to say the big things, like family, friends, food and shelter don’t count!) If I’ve cultivated an “attitude of gratitude” on days when I feel good physically, when I’ve accomplished something I’ve worked toward, and when I’m surrounded by loving family and friends, I find it easier to come up with a list when my symptoms are raging.

No

One of the difficult lessons I’ve learned through chronic illness is how to set limits on how much I allow other people, even those with good intentions, to interfere with my health. When I first got sick, I wanted people to like me even more than when I was well, because I was afraid my health challenge would ruin my relationships. That I’d be left alone and miserable for the rest of my life. Trying to prevent that possibility, I accepted invitations and kept commitments even when I was concerned they would affect my well-being. To avoid disappointing a hostess, for example, I said yes to a party, even thought parties, in particular, zapped my energy and required two or three days recovery time. Eventually, I learned to be more selective, and that I had choices. One, I could say a gentle but firm, “No, I’m sorry, not this time.” Two, I could go and leave when I had to, and before I was exhausted. Three, I could attend just part of the party, or just stop by for dessert. It was important that I participate as much as possible, because I didn’t want to lose touch with my social network. Over time, a few “friends” couldn’t accept my limitations and stopped inviting me. Those who understood my necessary boundaries, though, stuck with me, and our relationships are that much stronger as a result.

Yes

Back in the ’80s I had a boss who talked a lot about “creativity within constraints.” When she did, I nodded doing my best to look wise, or at least intellectually agile enough to know what she was talking about. But I didn’t. Sure, I knew what the words meant, but I couldn’t apply the concept to myself. Creativity? That was easy back then. After all, I was young, healthy, enthusiastic, ambitious. But constraints? What were they? A few years later, illness taught me a lot about constraints and the importance of saying YES to the opportunities I found within limitation. My first months of chronic illness were spent in such pain that I hadn’t time, energy or mind enough to consider creativity. Survival was my mode. Pure survival. But gradually my health began to improve. At first an occasional hour or two of feeling better, then back into the pit. Then the better times grew more frequent. Then one day I surprised myself by saying out loud, to an empty room, “I want to DO something. What can I DO?” One day I was bemoaning my conundrum to a friend. He listened patiently, nodded in all the right places, and when I finished he looked at me as if I really wanted to hear what he had to say. Sensing a moment of truth on its way, I sipped from my cup of tea and braced myself. “For years,” he said, “you’ve told me how you’ve wanted to write. And all I heard was how you didn’t have time. NOW YOU HAVE TIME!” Yes, I thought, HE’S RIGHT. But after I thought about it, I shook my head. I couldn’t imagine sitting at a desk and typing for hours on end. But I could envision working on a laptop that could travel from table to sofa to bed, writing a paragraph or a page as my muse and body allowed. When my friend left, I picked up the phone, called a local office supply store, and ordered a laptop. Two days later it arrived. I signed for it, took it from the delivery man, and carried it inside, holding it like a sacred vessel that held my future. It was! Some days I couldn’t think. Some days I could think, but not write. But some days I could tap out a few sentences then paragraphs. Then I wrote an essay. And another. A piece of fiction. And another. Chronic illness may have imposed new constraints, but I always have the power to learn to live creatively within them.

Enough

Desire, the Buddhas professed, is the route of all suffering. NO WAY! Desire got me promotions, new cars, nicer clothes, a better tennis serve. It’s what keeps me striving, aiming higher, trying harder, running faster… Desire also kept me thinking that what I had wasn’t good enough, that I wasn’t good enough and that the only answer to “not good enough” was MORE. After I became ill it became apparent to me that, if I wanted to live at all peacefully, I needed to learn the difference between wants and needs. Because if I lived in a state of unmet wants, I would be not only chronically ill, but chronically miserable, too. The reality is that, even if I am in physical pain, or I don’t otherwise feel or look as I would like, and even if my bank account is dwindling, or my wardrobe isn’t up to snuff, if I stay connected to my spiritual source and to loving family and friends, my basic needs ARE met. I don’t want to be sick. But I don’t need to be physically well to be happy. When I hear the MORE MONSTER rearing his head, when I feel his self-effacing steam trying to wilt my confidence, it’s important for me to say one word, clearly, firmly, confidently: ENOUGH!

© 2009 Madeleine Parish

Madeleine Parish is the author of “A Pilgrim’s Way–Meditations for Healing”. She lives and writes in Fairfield County, Connecticut.
Source: www.healingwell.com


This is something I really need to think about…

Jazz Pharmaceuticals to Present Data From First Phase III Study of Sodium Oxybate in Patients With Fibromyalgia

06/09/2009

PALO ALTO, Calif., June 9 — Jazz Pharmaceuticals, Inc. (Nasdaq: JAZZ) announced today that data from the company’s first Phase III clinical trial of sodium oxybate (JZP-6) for the treatment of fibromyalgia will be presented this week during the Associated Professional Sleep Societies (APSS) 2009 Annual Meeting in Seattle, Washington and also during the European League Against Rheumatism (EULAR) Congress in Copenhagen, Denmark.

Following are the details on each of these data presentations.

– At APSS on June 10, 2009, Dr. Todd Swick will be presenting a poster entitled “Impaired Sleep and Daytime Functioning at Baseline in Subjects with Fibromyalgia: a 14-week Randomized, Double-blind, Placebo-controlled Trial of Sodium Oxybate” in the 10:15 am-12:15 pm poster session.

– At APSS on June 11, 2009 at 9:00 am in Ballroom 6E, Dr. Swick will also deliver an oral presentation entitled “Sodium Oxybate Improves Pain, Fatigue, and Sleep in Fibromyalgia: Results from a 14-week Randomized, Double-blind, Placebo-controlled Study.”

– At EULAR on June 12, 2009, in Room C2 from 5:30-7:00 pm, Dr. I. Jon Russell will be presenting “Sodium Oxybate in the Treatment of Fibromyalgia” at a UCB-sponsored Symposium entitled: “Fibromyalgia: How Much More than Pain?” The symposium will be chaired by Dr. Ernest Choy and also features Dr. Gilles Lavigne and Dr. Michael Spaeth as speakers.

Jazz Pharmaceuticals has completed a second Phase III pivotal clinical trial of JZP-6 and expects to announce top-line results from that study in mid-2009. Assuming positive results in the second study, the company anticipates submitting a New Drug Application for sodium oxybate for the treatment of fibromyalgia to the U.S. Food and Drug Administration by the end of 2009.

About Sodium Oxybate

Sodium oxybate is the sodium salt form of gamma-hydroxybutyrate, an endogenous neurotransmitter and metabolite of GABA. While the precise mechanism of action is unknown, the effects may be mediated in part through interaction with GABA(B) and GHB receptors. Sodium oxybate is the active ingredient in XYREM(R), approved by the FDA for the treatment of excessive daytime sleepiness and cataplexy (the sudden loss of muscle tone) in adult patients with narcolepsy. The American Academy of Sleep Medicine recommends sodium oxybate as a standard of care for the U.S. Food and Drug Administration-approved indications. It is also approved by the European Medical Evaluation Agency for the treatment of narcolepsy with cataplexy in adult patients. Most commonly reported adverse drug reactions in narcolepsy patients are dizziness, nausea and headaches. Sodium oxybate has the potential to induce respiratory depression and neuropsychiatric events. Sodium oxybate has not been evaluated by regulators for the treatment of fibromyalgia and is not approved for this use.

About Fibromyalgia

Fibromyalgia, a chronic condition characterized by widespread pain, affects 0.5% – 5% of adults worldwide. Fibromyalgia is believed to be a central nervous system condition, resulting from neurological changes in how the brain perceives and responds to pain. In addition to pain, the main symptoms are fatigue, disturbed sleep and morning stiffness. The exact causes of fibromyalgia are unknown. It may be triggered by physical trauma, emotional stress, chronic pain or infection. Genetics, neurochemicals that affect pain modulation, neurohormones and sleep physiology abnormalities are thought to play a role. Research also has suggested a relationship between sleep and pain. Fibromyalgia patients experience a high prevalence of sleep problems, including a reduction in non-restorative or deep sleep.

About Jazz Pharmaceuticals, Inc.

Jazz Pharmaceuticals is a specialty pharmaceutical company that identifies, develops and commercializes innovative treatments for important, underserved markets in neurology and psychiatry. For further information please see http://www.JazzPharmaceuticals.com.

Jazz Pharmaceuticals “Safe Harbor” Statement under the Private Securities Litigation Reform Act of 1995

This press release contains forward-looking statements related to the development of Jazz Pharmaceuticals’ sodium oxybate (JZP-6) product candidate for the treatment of fibromyalgia, including the timing of results from the second Phase III pivotal clinical trial and the submission of a New Drug Application to the FDA. These forward-looking statements are based on the company’s current expectations and inherently involve significant risks and uncertainties. Jazz Pharmaceuticals’ actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties, which include, without limitation, risks related to the outcomes of the company’s second Phase III clinical study of sodium oxybate for the treatment of fibromyalgia and the timing of the announcement of clinical results, and risks that a New Drug Application may not be submitted, or may be delayed, and that sodium oxybate for the treatment of fibromyalgia may not be approved for marketing by regulatory authorities. These and other risk factors are discussed under “Risk Factors” in the Quarterly Report on Form 10-Q for the quarter ended March 31, 2009 filed by Jazz Pharmaceuticals with the Securities and Exchange Commission on May 7, 2009. Jazz Pharmaceuticals undertakes no duty or obligation to update any forward-looking statements contained in this release as a result of new information, future events or changes in its expectations.

(C) 2009 Jazz Pharmaceuticals, Inc.
SOURCE Jazz Pharmaceuticals, Inc.
CONTACT: Willie Quinn, Executive Director, Corporate Development of Jazz Pharmaceuticals, Inc.,
+1-650-496-2800, investorinfo@jazzpharmaceuticals.com
Web Site: http://www.jazzpharmaceuticals.com

Brain Fog

Posted by Kelli on June 2nd, 2009

Brain Fog
By Kristy Bassett

Brain fog is possibly one of the most frustrating symptoms I have, not being able to think clearly can lead to major problems. It can not only be embarrassing not being able to think clearly, it can be dangerous.

The first thing to learn when you suffer brain fog is to never participate in any activities where you could be a danger to yourself or to others while it’s there. For me this has meant avoiding cooking and driving when the brain fog is a problem, this may be unavoidable at times, but where possible stick to this rule!

So what can be done? Unfortunately there are no miracle cures to lift the fog, but it can be managed. It’s worth investigating what is causing the fog in the first place.
Possible causes:

  • poor sleep
  • autoimmune disorders
  • hormonal imbalance
  • chronic fatigue/fibromyalgia
  • pain medication or the pain itself
  • allergies
  • iron deficiency and other nutritional deficiencies
  • blood sugar drops
  • dehydration
  • If you are able to pinpoint the cause, it may be possible to treat it simply. For others, the cause may not yet be known, or if it is known there may not be any more that can be done about it.


    Managing Brain Fog:

  • Try to avoid activities that are beyond your capacity, if possible rest is advisable
  • Caffeine: If there is no choice but to be able to function, it is the one time where stimulants such as tea or coffee may be a good idea to get through. This shouldn’t be a routine, but can be a crutch if necessary. Remember that once the caffeine has worn off you will likely feel worse than you did before the caffeine consumption. Warning: regular caffeine consumption is not recommended for those with fatigue.
  • Supplements: MAY help if there is a deficiency to improve energy: the most beneficial to energy are B vitamins, iron and coq10.
  • Manage your pain: (if this is the reason) as well as you can
  • Make notes as reminders: if you have to remember a lot of things in a day, it may be handy to write a list on a notepad to carry around with you, so things can be ticked off and not missed
  • Set reminders: this can be in a calendar, or diary, or through a computer program, whatever is going to be something you check often. Reminders can be for events such as a birthday, or when a bill is due as an example.
  • Take regular time outs: even if you are busy, it’s possible to take 5mins to shut your eyes, or do some stretches. This can help clear your head and stay focused; if your mind isn’t well focused the last thing you want is to overwhelm it.
  • Be sensible with your activities: Finally tackling some great written work may not be the best idea at these times, reading can be a good idea, but keep it something you can easily focus on, don’t add to frustrations just because you’ve always wondered if Dickens really is that good.
  • Work when you’re at your best: If it’s possible, try and work at the best time of day for you. Some people may find that the brain fog is worse earlier or later in the day.
  • Eat regular meals: avoid high sugar meals when you eat. A sugar spike means your sugar will drop. You don’t have to be diabetic to have sugar spikes and drops.
  • Avoid known allergens: both environmental and food allergies.
  • Drink plenty of water
  • Avoid chemical exposure: If you are chemical sensitive, be sure to avoid chemical exposures from creams, cleaning products, etc. Those with chemical sensitivities may find exposure triggers brain fog
  • Open a window if in the car: I cannot actually explain this, but even being a passenger in a car has been a trigger for brain fog for me personally, opening the window a touch can help this.
  • Deep breathing: It could help to clear your head just to do some simple deep breathing, it helps to swing your arms above your head as you breath in, and slowly lower them as you breath out, the action will help open the diaphragm and allow for deeper breathing.
  • Exercise: This recommendation comes with a warning, for some people with certain conditions this could be a very bad idea. If the fog is a side effect of extreme fatigue, physical activity could make it worse, in these cases rest is what’s needed. For others a short walk may clear the head.
  • It may be helpful to keep a diary; this is helpful to monitor any symptoms. Keeping a record of when the brain fog occurs can help identify possible triggers. It also allows you to identify what makes it worse and what makes it better. A little trial and error of techniques to manage it such as those mentioned above will be needed to find what works best for you.

    Source: The Recovery Room – http://www.recoveryroom.com.au


    My own comments:I agree with most of What Kristy has said..

    Pace yourself at all times, and rest as needed. Rest is taking at least fifteen minutes to relax, preferably laying down with your eyes closed, otherwise you are not truly giving your body a break.

    Water is awesome – it helps clean the toxins out of your body, a natural flush so to speak. 8- 8oz glasses of water. Myself I can stomach that much straight water..  I half juice with water when I can..  Makes it easier..  But not too much cuz juice can be high in sugar & calories..  An alternative to crystal light or other 0 Calorie powder if you can tolerate the sugar substitute.

    Skip the caffeine.. In addition to the crashes & everything Kristy mentions there is also the fact that if you drink too late (& how late is too late depends on the caffeine & sugar content) it will keep you up and be detrimental to your sleep..

    Eating regularly is my biggest problem. The recommendation is three small meals a day with three snack in between..  This allows your sugar levels to be more consistent over the day that sparatic eating, as well as the simple 3 squares a day. You are also less likely to snack. If you are going to snack, try & make it veggies..  Keep pealed carrots & celery in the fridge and have a stock of fresh fruit around. I usually avoid raw veggies, ignore the fruit & go for cookies.  I do find it easier to make salads at night with dinner than a 2nd veggie because I keep a greens salad mix in the fridge that is ready to go & you can add more if you want; cucumber, radish, pepper, apples, celery, or cheese are options here.  Just a tip to make things a bit easier.

    Reminders are necessary for me..  We’ve tried also of different plans and tricks to help with this. We’ve used a white board. We’ve used an automated to-do list on the web. We’ve used an online calendar, as well as a local (on my pc) calendar – this helps keep my appointments organized as well as birthdays/anniversaries, but not daily stuff around the house. We tried post-its, and notebooks but I’d loose them or start a new book/list. I currently have a written to-do list that we re-evaluate daily or every other day to keep me on track, to adjust for pain & fatigue, and to prioritize tasks.

    Avoid allergens – I think this is a no brainer..  gets tested if you haven’t already. I have my environmental testing done..  need to get my food testing done.

    Exercise, in my opinion is necessary, despite what Kristy says. I try to do yoga & aqua fit regularly..  I agree that some are not able to do that much, so even a walk around the block, or one of those exercise videos specifically for Fibromites. I have one and it’s all based in a chair. There is also chair-based yoga in some areas that are available, usually for seniors.

    Kelli

    What do I do?

    Posted by Kelli on May 30th, 2009

    For my fibromyalgia, I currently take the following Medications/supplements

    • Multi-vitamin – Naturapathy Dr does not recommend Centrum or most pharmacy brand multi’s
    • Calcium & Magnesium with vitamin D – Calcium cuz Women with Endo are more susceptible to Osteoporosis. Mg & D to help absorb the Calcium. The Magnesium also to help with muscle spasms & charlie horses. I have found that it has helped.
    • Fish oils – Generic fish oils, minimum 1000mg a day .. Well, I try to. Naturapathy Dr recommended 1000mg-3000mg daily of the EPA+DHA to help with mental acuity. I’m still waiting for the fog to lift, but I’m not usually getting enough to impact because I fog up & forget.. Lovely catch 22 there.
    • B complex to help with stress and ensure that I get enough B’s. No, I don’t take a stress formula. Just a normal B complex.. either 50mg or 100mg
    • Codeine Contin for maintenance pain.
    • Tylenol #3 for breakthru pain
    • Oxy codone for severe breakthru pain
    • Flexeril (Cyclobenzaprine) as a muscle relaxer. I find it better than anything OTC..
    • Probiotics to help regulate my digestive track – it works, ‘cept when I have an IBS flare or food sensitivity
    • NSAID, but it’s for my Endometriosis, so I don’t really know if it does impact my FMS or not.

    For my fibromyalgia, I currently participate in the following exercise:

    • Aquafit, really carefully – I’m just getting back into exercise, so I am trying to get to the gentle classes. My local YMCA gym has a class or arthritics and for osteoporosis. Aquafit is a good choice because of the buoyancy of the water, it doesn’t impact my knees, and it’s a gentle eardio
    • Seriously, right now that’s it. I need access to a hot tub to do further exercise to keep my body warm.

    For my fibromyalgia, I intend to return to the following exercises:

    • Yoga with the hot tub – Yoga provides gentle stretching while working on core strength and balance. The hot tub helps to keep muscles relaxed afterward.
    • Keeping up with Aquafit – see above :)
    • Walking the track to music with the hot tub – I got into walking when my nieces were born, walking with my sister. After I joined the Y and my nephew was born, I would take him in his stroller to walk him around the track. He’s too old now, but I have found it enjoyable with my MP3 player (or CD player back then). I sometimes dance a little bit and my pace changes with the music I’m listening to. It’s hard to overexert myself. :) The hot tub helps to keep muscles relaxed afterward.

    A benefit from the exercise is that I tend to be tired out afterward and relaxed. This makes evening workouts idea in that I go home, go straight to bed and will sleep well, with a decent amount of healing rest. This improves me, physically, emotionally and mentally for the next day.

    For my fibromyalgia. my spiritual side is limited. I don’t go to church often, however I do find solace in my home church’s sanctuary. I’ve moved away from my home church and have yet to try out the sanctuary here. I also find the same ’state of grace’ from music, especially my churchy music :)

    For my fibromyalgia, because of my physical limitation, I am limited socially. Most of my social interaction is via the internet on Twitter, Facebook, Email, etc.. The alternative to that in real life is with my SO and his friends. Most of my friends no longer talk to me, or are too far away for more than email. The classes as the Y present a new socialization source, which I hope to be helpful. With the improvement of my health I would like to return to scouting in some sort of part-time or limited capacity.

    For my fibromyalgia and my cognitive abilities, I am starting this blog. It will help keep me thinking and requires research. It also provides a creative outlet. I also enjoy doing word searches and have, on recommendation on my therapist, started to colour and have other crafts options available to me.

    For my fibromyalgia and an emotional aspect, I have a councilor and have beep placed on anti-depressants. While my time with her is limited I do find that I feel better asfter I speak with her. Additionally I have the support with my SO. While sometimes he can not understand and becomes frustrated, I know he only has best intentions where I am concerned.

    How do I cope? Not well. Other than the limited exercise mentioned above, the odd screaming match and the rarer still church visit, I have no real outlets..  Which sucks. Before I got sick, my outlets for frustration and anger and stress were physical. With the fibro, I have lost that. Any suggestions are welcome :)

    Categories

    Posted by Kelli on May 24th, 2009

    The sole purpose of this post is to create, and potentially modify categories for this Blog. Initially, I had this categorized list.. Three columns, each with the appropriate title.. That was until I realized, well, I needed a new category.. I don’t have room for 4 columns, so I gave up on that idea . I’m just gonna put ‘em in alphabetical order and then add later as needed.

  • Ability/Disability, Allergies, Alternative Medicine, Alternate Treatments/Medications, Articles, Assisting Devices, Auto-immune disorders, Awareness Ribbons, Anger
  • Behaviour
  • Chemical Sensitivities, Chronic Fatigue Syndrome/ME, Cognitive Limitations
  • Depression and Mental Health, Disability funds [CDN], Disability funds [US]
  • Endometriosis, Exercise, Emotions
  • Fatigue, Fibromyalgia
  • Goodsearch.com, Grooming, Gender
  • Hypo/Hyper-Active Thyroid
  • Intro, Irritable Bowel Syndrome
  • Legislation [CDN], Legislation [US], Links
  • Medications, Memory Impairment, Music
  • Non-medical
  • Pain, Personal, Personal Activities, Physical Limitations, Physicians, Possibilities, PuppyDog
  • Quotes
  • Relationships, Research, Restless Leggs Syndrome, Rest
  • Spirituality/Faith, Spoon Theory, SleepSupport, Stress, Supplements
  • Tips, Twitter
  • Vent
  •