Lack of Motivation and other physical issues

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?

Mental state is the biggest problem. Very hard to get motivated to do anything productive. The intelligence is there and once committed or forced can do an excellent job unless lack of time due to procrastination. Projects that aren’t so important are left half finished. Lack of interest to tackle even important matters, example ...Mail left unopened and bills only paid when creditors insist. Currently living on a small inheritance which will soon run out… I have been offered many good paying jobs… but no interest to pursue them. Spends time surfing the net or watching TV... Also enjoys the company of others at home or going out.


2. What other physical sufferings do you have in your body?

Winter time is bad… I often feel cold and drowsy in the evening… get under the covers to get warm and end up falling asleep only to wake up later and then go to bed
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Mornings are the worst… I wake up with a pain in my lower back…seems worse on the right side and the sensation is that there is tension from the lumber area to the top of the pelvic bone (ileum)...My clothing is also damp on waking from perspiration in the lumbar/sacral area… The pain diminish on rising, but never completely goes away...can be felt if bending backwards

I also have a stony hard lump in my neck… just below my skull and under my right ear. The right side of my neck occasionally feels like putty is under the skin…When you press on the skin an indent is made that stays a long time.

There is also crunching in my jaw when I open my mouth wide… (I hear it in my ears…seems worse on the right side) It is a crunching and not a cracking sound.

When I was 16 I had my tonsils removed… I bleed a lot and they didn’t get all of them on the right side… My tonsil on the right is still there and has crypts in it… It occasionally gets the tonsil stones of soft foul smelling material expressed from it.

As a child I used to get a lot of sore throats and had to take time off school to rest and recoup… I thought having my tonsils out would make it better…. But things only got worse.

Also medial condyle of elbow is very tender…started on right side and is now bilateral…no history of injury…no heat or redness….just very tender to touch.

Tightness felt across chest when shoulders dropped down and pulled back…tension felt in centre of sternum radiating out to auxila.
Tension felt in calf of leg and ankle… worst from warmth of bed also from being on feet.





3. What mental sufferings / feelings do you have associated with your physical sufferings?

I spent 15 years carry for elderly parents…My mother had cancer and suffered a stroke and died of a perforated duodenal ulcer….Soon after my mother’s death my father suffered congestive heart failure…Caring for them in their home it was always worrisome as to whether I would find them alive or dead… When they passed away I was too exhausted to grieve.

I feel both physically and mentally exhausted….Although I am capable of enjoying the company of others to go out and participate in pleasant activities. I have no interest or desire to attend to important business matters.


4. What exactly do you feel when you are at your worst?

Physically I feel worst upon waking in the morning while still in bed. It gets better upon getting up but I take a long time to get started….Then in the evening I feel cold and drowsy and seeking warmth I fall asleep.


5. When did it all start? Can you connect it to any past event or disease?

I think I have always had a problem with procrastination….but it is now at the point that my life is unmanageable. The loss of my parents and the stress of providing their health care have only aggravated an existing problem…. I am also involved in a bitter legal dispute over their estate. I have a sister who did nothing to care for her parents and although she is getting half the estate she is disputing my half.

I suppose I feel that a good deal of my life I have not be supported either emotionally or physically while at the same time my efforts have been minimized or not recognized at all
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6. Which time of the day you are worst?

Morning and then with different symptoms the evening



7. What are the things which aggravate your suffering and which are those which ameliorate the same?

In the morning getting out of bed…. In the evening going to bed helps with the chill I feel but then the warmth causes me to fall asleep and when I awake I don’t feel so good.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

Seems worse in the winter (Possible Seasonal Afflictive Disorder) but I doubt it is as simple as that.


9. When do you feel better, during hot weather or cold weather, humid or dry weather?

Dry weather… Cold damp weather and I feel cold…Outside I hunch my shoulders and my muscles hurt…. Hot damp weather makes me drowsy and my limbs swell or at least I have the sensation they do.

When I get warm in bed my limbs have a swollen sensation and the muscles feel sore and stiff and tight.


10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

I dislike arguments and avoid confrontation. I am very disorganized. I tend to put off doing things until I have the time to do a good job…When I do attempt something I am a perfectionist.

Mild, agreeable, quiet and lazy could describe me. I don’t consider myself lazy just unmotivated and feeling physically and emotionally drained.

- How do you feel before or during a thunderstorm?

Probably feel better after a storm… out walking in the fresh air
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- Do you like being consoled during your tough times?

Not especially… I would just appreciate some help and co-operation when I ask for it. I do not look for or want sympathy.

- Are you sensitive to external stimuli like smell, noise, light etc?

Mentally I feel better on bright sunny days….so I think I am sensitive to the light.

- Do you have any typical habit or gesture like nail biting, causeless?
Weeping, talking to one self etc?

I bite my nails….As to other personal habits… I am not particular about personal hygiene although I am never so bad as to be offensive.
As to my house…I have no desire to clean it and it shows….Because of my disorganization I also don’t want other people touching it…because at least I have an idea where to find what I need.

- How do you feel about your friends, family, your children and especially your husband / wife?

I have few friends but I enjoy their company. My only family is my sister and because of her attitude about my parents and handling the estate with the legal nightmare she is putting me through I have no desire to ever see her again. I was never married and have no children.


10. What are your fears and do you dream of any situation repeatedly?

I have no specific fears but I do avoid starting any sort of work…although once started I am usually fine.

As to Dreams…. I seldom if ever remember my dreams…and never anything repeatedly


11. What do you crave for in food items and what are your aversions?

I really don’t have much of an appetite… Seldom eat breakfast or lunch….Dinner almost always contains some meat.

I crave sweets or sweet drinks such as colas or fruit juices.

No strong aversions.


12. How is your thirst: Less, Normal or Excessive?

I am not a thirsty person… I like pops served cold but also like juices and teas hot.
I probably consume less than 8 glasses of fluid a day.


14. How if your hunger: Less, Normal or Excessive?

I have never had a big appetite. I am 5’8” and use to weigh 140 lbs. Now I weigh 180.. the extra weight was gained over the past year with no real change in eating habits.

15. Is there any kind of food which your body can’t stand?

I seem to have a delayed reaction to beef…Usually 72 hours after eating it I find I get very tired…as if I have taken a sleeping pill. I am not sure if I am reacting to the protein in the meat or the chemicals the animals are fed.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

I never used to sweat much… Hot humid weather may get me sweating around the chest.
Now I am sweating on my back in the lumbar sacral area most nights and wake up with pain in my back. I sleep on my back
.

17. How is your bowel movement and stool type?

I tend to be constipated with a soft bowel movement.


18. How well do you sleep? Do you have a particular posture of sleeping?

I sleep on my back and wake with back pain….I never feel well rested….I also periodically wake between 1 and 5 in the morning (the exact hour varies) my back is painful and I can’t get back to sleep until it is time to get up.


19. Do you think you are able to satisfy your sexual desires in general?

No… Physically I am too tired.

20. What peculiar or strange sensation do you have in any part of your body at times? Do you sometimes feel ‘ as if…..’ in some part of the body?

When warm under the covers…my limbs (especially ankles and wrists) feel swollen and tight (or they may actually be swollen)


21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

I dislike taking medications of any kind….I take Vit C and Magnesium oxide for constipation


22. What major diseases are running in your family?
Mother had psoriasis, diabetes, high blood pressure, stroke, and stomach ulcers.
Father had heart and stroke and an allergy to wheat gluten.


23. Describe, how do you look like? Describe your overall appearance

I am 52 yrs old. Female, 5’8” tall. Slim most of my life. Now weight 180 lbs. Weight is evening distributed…recent weight gain has been in fat on abdomen and enlargement of breasts. I am fine boned with short gray hair. (used to be dark brown). My heritage is Scottish. My eyes are grey/blue/green somewhat deep set and framed by an expressive brow. Nose has a slight bump in the middle. Lips are thin. Physically I would describe myself as average.

24. (ONLY FOR FEMALES)

If you are not having normal menstrual cycles, please answer the following questions:

- Are the periods early, regular or late in general? How long do they last?

Periods are irregular and last only a day or two being very light.
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?

Periodically extreme fatigue before the period starts

- Is the flow scanty, normal or excessive?

Scanty…. I attribute that to my age and stage in life

- Is the blood thick bright red or pale watery?

Usually starts off thick and brown, then turns bright red and then back to thick brown


- Do you notice any clots in the flow?
- No clots

One unusual symptom I have is a petechia of the labia. At one point I would get a small pea sized lump filled with blood…which would eventually break and scab over and heal…Now it is just multiple small areas a little larger than pin heads…these petechia spots come and go….other than the discoloration there are no other symptoms and they are not related to any irritation or trauma, nor is there any dryness associated with it.

I have had some medical tests done which included an abdominal ultrasound which showed both a kidney stone and cyst in the left kidney and a small polyp in my gall bladder. None of which requires treatment.