Distracted, unfocused, undisciplined and just plain lazy
I am 4.5 months post-chemo and I can't seem to get it together! On the plus side, I am healthy, generally in good spirits, and although I still have bouts of fatigue, for the most part I'm exercising, working, socializing and doing housework. On the down side, although I'm working, it's like I'm a different person than I was a year and a half ago. I work for myself, at home, which has been wonderful in terms of flexibility. But whereas I used to be very self-disciplined, now I find myself finding excuses all day long to take a break, play a computer game, stare out the window, lie down, pet the cat, check facebook...you name it. At this point I have the energy to work a full day, but most days I work only between 2 and 6 hours (although some days I also do household tasks, too).
I'm wondering if anyone else has experienced this...and if so, what have you done to get back focused again?
Comments
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cfdr, I also work for myself from home many days, and what you're describing has been an on-going problem for me as well. A few things that have helped me are: (1) Be sure to get a good night's sleep. When I'm tired, the lack of motivation is worse. When I'm refreshed I have more energy. (2) Start the day with a long walk, preferably before you even get on the computer. This helps me de-stress and organize my thoughts re. what I want to accomplish that day. (3) Be sure to make a list the night before of what you're going to accomplish. (4) If you find yourself wasting time on the computer, turn it off until you get something else done.
I think another key is to be sure the work you're doing is something you really enjoy. I think post-bc we have a natural instinct for letting go of stuff that just doesn't seem important any longer, especially if it's stressful. And if your work feels unimportant or stressful or both, I think there's a tendency to not want to deal with it. Since bc, I no longer try to be all things to all people, even if that means letting go of some business opportunities because I just don't enjoy working with those clients or the stress involved with their jobs isn't worth the income potential.
Hope this helps some. I'll be curious to see what others in this situation are doing. (((Hugs))) Deanna
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Ok, not trying to be a downer but I completed chemo summer of 2009 and I am still lazy, unfocused and demotivated!
I only want to do fun stuff. I keep thinking I want to go back to work but then when it comes to making that decision I push it off. Mostly because there are just days where I feel like crap and how in the heck am I going to force myself to go to work when I hurt like hell from the tamoxifen?
I get stressed out if I have more than 2 things to do daily and that includes housecleaning, laundry or whatever.
I think you are normal but then again I want to think I am normal also
I will say my ability to focus has drastically improved the last year. I still have chemo brain but not to the extent that I was at a year ago.
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Wish i had the answer to that too. But i will say probably the computer has been my biggest problem. Dianne had a good idea to take a walk in the morning instead of getting on the computer. (I will try that tomorrow) Also a good night sleep is a key too because if i dont sleep well im dragging all day. Like Jancie said too, getting stressed out if there too much to do then i just cant tackle it unless i have a good reason. If i have company coming and know i have to get things done i jump right on it.
There was a period after chemo probably about 6-8 months i started walking, doing the treadmill started eating healthier, i lost about 30 pounds i felt better than i had even before my cancer dx. Then about 5 months ago I got sick and didn't feel like doing anything, was on the computer all the time. My laptop is right next to my bed so first thing i want to do is check my email etc. and then dont feel like doing anything else after that. I think we just need a purpose!
hugs, Debbie
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I've been sleeping great, and this week started doing a 45-minute yoga session first thing in the morning. 90% of my work is on the computer, so it's more a matter of making sure that I stay on task and don't open up a tab for facebook or mah jongg solitaire. The odd thing is that a lot of time I'm enjoying what I'm doing, but I can't seem to maintain mental focus for very long. I'm cutting myself some slack by starting later and ending earlier--trying to stay on task from 10 to 4, with a break for lunch--but even then I'm drifting a lot. I'm thinking now what I may try is to set an alarm to go off at the top of the hour...stay on task for until the alarm, and when it goes off, get up and walk around and allow myself a 5-10 minute break. What happens now is whenever I reach a stopping point, I STOP...sometimes for 20-30 minutes at a time, rather than tackling the next item on my to-do list.
When I was on chemo I made the decision to focus on my health first and not stress about anything else. So I'm not sure if what I'm experiencing now is chemo brain, or simply having to overcome the habits I developed during chemo. At least I'm not spending the day on the sofa playing Angry Birds like I did the first week of chemo! That's progress!
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Saw my oncologist on Friday for a f/u and she suggested I get my thyroid tested. At 54 I'm in the right demographic...and I also have high cholesterol (despite exercise and good diet) and frozen shoulder, both of which are symptoms of low thyroid. Calling today for an appointment. I'm actually hoping the result is positive, because it would be great to take a pill and cure three problems in one!
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cfdr- Just saw your last 2 post, glad you set yourself a routine, like the timer idea! I actually was going to mention having your thryoid checked but forgot about it. That very well may be the problem i also had mine checked last thursday dr wanted blood tests and i said can you do a thryoid test as well. Was told that test is sent out so may have to wait a little longer to get results back.
Hope it is somthing not serious but something they can fix for you. Please keep us posted. hugs!
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Turns out that my thyroid is normal, but my B12 is not. My levels were in the very low normal range, and even in that range they can cause fatigue. I got a second test to determine if I was just deficient (and could take B12 pills) or actually have pernicious anemia, which occurs when the body is unable to metabolize B12. Turned out to be the latter; I got my first B12 shot this week. I'll get one a week for another 3 weeks, then go on a once a month schedule.
Hoping this will be the magic bullet for my fatigue and lack of focus. It's so easy to point to the cancer treatment as the source of all ills, it's easy to forget that other things can go wrong, too.
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RE: "normal thyroid: TSH/thyroid stimulating hormone." Also, important to check T3, T4 if TSH is high.
Several labs still use a "scale from .5 to 6" for normal" TSH. Since 2003 the American Society of Endocrinologists have said a TSH blood test should be BELOW 2.5
From my experience - I would NOT ACCEPT a report of "normal" on a TSH test. Ask to see the actual lab results, see the NUMBER reported for a test. My first TSH test was 5.9, and report just said "normal" - thank goodness I'd been warned by friends, and checked it further ( and got another doc!)- all this information is online now too.
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My test's stated normal range is .35 to 4.5; mine came in at 1.084. But the bottom normal range for B12 is 211, and mine came in at 212.
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cfdr
don't underestimate the SE of being on an AI - and that's fatigue. When Arimidex was only a brand, Astra Zeneca, the FIRST on the list of SE's was Asthenia ( and it wasn't alphabetical order) - I ggogled it. It covers too much to put into one word, but when I posted in on the AI SE thread started by lowrider in the Hormone Forum, some wise woman defined Asthenia = "Greek for feels like crap."
Exercise, lots of Vitamin D, Fish Oil, and more exercise, seems to be the way most of us on an AI are trying to deal with the fatigue, after all the other tests, which you're wisely doing, are done.
Good luck with the B12 injections. I take it pill form, from the health food store, sublingually, seems to work for many. But good you've found out your need for the injections. Seems like SO MUCH we have to stay on top of, doesn't it....
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The frustrating thing for me has been that exercise makes the fatigue worse instead of better. I have always been active, and intended to become even more so post-chemo, so becoming exhausted by a 15 minute walk is beyond frustrating. I'm eating well, cut down on alcohol and will likely cut it out entirely before long, taking fish oil, calcium & vitamin D, doing yoga, meditating blah blah blah. Fortunately the mental fog has lifted a lot, so I've set myself a lot of work-related reading; when I'm too tired I lie down and read and at least feel like I'm still being productive.
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cfdr
the only factor we haven't mentioned is - TIME. One of my nurses in oncology who also had bc, said she thinks it takes at least 3 years to get back to our "pre bc" levels of energy. I can't remember, but I know at about 8 months from starting, which it seems you are, I was still VERY VERY VERY tired. I refuse to say age might be a factor, but I was 62 at diagnosis. Really think, from what you're saying, it is a matter of TIME, TIME, TIME...be gentle with yourself - lots of healing to do. best wishes
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Once again i'm so glad to come to these boards. I'm so tired, i can't get going and i am sick and tired of being sick and tired!! Everything hurts too, i just don't know what to do. I really thought a year and half out from chemo i would feel better. I have been on Arimedex for about 6 months, after trying 2 or 3 different ones. Is that whats causing this? Please help, some days i don't even have the energy to get ready for work. Thanks, just reading your guy's post makes me feel a little more normal.
Pam
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Pam- Just about everyone i talked to that is taking arimadex or any of the hormone therapy drugs have said the same things as you, i had to make the decision myself to quit them because of not just the energy problems but severe bone pain. Also have you had your iron checked could be your anemic but i bet the problem your having may be the Arimadex. Sorry you are feeling this bad. Best Wishes.
Hugs, Debbie
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The time window I've heard for post-treatment (not counting hormone therapy) fatigue is anywhere from one month to five years. My MO seemed to think I was unusually fatigued 5 months out from chemo, but I've found that the oncologists tend to view side effects as an annoyance. I was very patient with myself during chemo, and didn't stress about it if I spent the day on the sofa. Maybe I just need to be more patient...I'm not sure if I have 5 years' worth of patience!
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Pam, cfdr,
It our oncologists think the SE's are an "annoyance" - PLEASE remind them, that COMPLIANCE, women continuing to take the medications that may be saving their lives - is one of the factors many GOOD oncologists work so, so, so, so hard to deal with, help their patients. Sorry about the RANT, but I just get so furious, sad, when women don't get the support they need.
It was my ONCOLOGIST who suggested I try ACUPUNCTURE for the SE's - joint pain, weakness - and it was SUCH a positive experience. For me, the first year on Arimidex was the most difficult, and I thank every day, the wonderful women who post in the Hormonal Forum, SE's of the AI's started by lowrider.
Please check out that thread - it really is a goldmine of information, I know it's long, but valuable. I'm sure womone has already asked the question you might have - how to help with the SE's. Really - it DOES get better.
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Thanks, Debbie and Sunflower at least i don't think i'm crazy, because that's what i was thinking. I just don't feel like doing anything. I just got in a huge argument with my best friend about going to her house, it sounds stupid, but i don't want to. I have two little dogs and it makes it hard. I invited her to my house, but she doesn't get it!!! I just feel like screaming, nobody gets it!!!! Just because we are done with chemo and rads we should be our normal self again, and it's just not working like that. I know it's been talked about before, but i just had to rant. Thanks for listening and i will check out the hormonal se thread. Hope you guys have a great day!
Pam
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Oh, Pam, I HEAR you. Really - I think it gets better in time, but I don't think being on an AI is ever easy. I'm not sure what "normal" means anymore, I kow that some days are MUCH better than others - and the fact we've had about 3 weeks of RAIN, RAIN, cold rain, is not making it easier.
Never worry about ranting - I'm sure someone of us is about to join you, at any given moment. Also so important to KNOW in the depths of our respective hearts that we are NOT "making this up" - and any oncologist who doesn't GET IT, really, should, have to take an AI.
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I am not even 1/2 the person i used to be as far as productivity.. i don't really mind tho. I still seem to work when i am not resting. ha ha.
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Ok, so i called my MO this morning and asked if i could stop taking them for a little while. I know he is going to want me to try a different one. So far i have been on arimedex two times, tamoxifen and femara. I could barely walk out of work last night and when i got home i went straight to bed. That's a first for me. I keep trying to tell myself i feel better then i did when i was doing chemo. lol
Apple, I think you are a great inspriration at whatever % you are fuctioning at!! I am your secret stalker (just kidding) but i have read many of your posts and have always learned something from them, or i have come away with a smile. I hope you are feeling good now and for many years to come.
Pam
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I'm also on the Femara discussion. So far I've been lucky, not much joint pain to speak of, but I do get fatigue and sometimes dizziness, especially after exercising. My 2nd B12 shot seems to have made a difference...I worked a full 8 hour day yesterday for the first time since August 26! And I'm one of those people that friends used to call a workaholic...not so much these days.
I've found I can tolerate doing yoga in the mornings, and now walk at day's end, that way if it tires me out I can just lie down or go to bed early. I'd been trying to walk in the mornings or mid-day, and I'd be useless afterwards.
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I am not on any hormone therapy and can totally relate! It has been almost 3 years since my prophy BMX but now my BS codes all my stuff as breast cancer I guess due to the ADH and papillomatosis that has plagued me for 5 years prior to the BMX. I have had multiple surgeries and reconstructions and it has been 9 months from the last procedure and I still have no energy and easily get distracted.
My work situation has created extreme anxiety and depression and now I am seeing a counselor and my GP who have me on Anti-depressant therapy which may be beginning to work some. My Mother is a hoarder and her house is a disaster and I can see my condo as becoming her house so I must find some energy and focus to clean it up. My DH is of no help and fortunately can overlook my laziness and clutter (he has his own clutter).
Talk about unfocused - I am off today for a personal day and just got a work related phone call because somehow I put my home phone number on the form instead of my work number and the sad thing is it's not the first time it has happened since work and home are in the same phone exchange with the same area code and first 3 numbers. At least I was home to take the call as DH can sometimes be rude on the phone when it is someone he does not know (has some anger issues associated with alcoholism).
Hang it there you have been through a lot and it takes time to heal physically and emotionally and it will eventually get better.
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Delilah, the multiple surgeries must be difficult. I must say my lumpectomy and reexcision were the easiest part of this journey, but a BMX is a whole 'nother ball game. We moved right between radiation and chemo, which I'm sure didn't help my stress level, but being in a bigger space with more storage helped a LOT. The clutter in are old house drove me nuts. Now my husband's clutter is confined to the rec room, mine is in my office, and the rest of the house actually stays relatively neat.
I was so happy working 8 hours on wednesday...but since then I've been dragging. Oh well, B12 shot #3 is in 4 days, maybe that one will be the magic cure!
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Had a lovely 2.5 week vacation...got lots and lots of walking in. I thought I was mostly past the fatigue, but the fact that I didn't have to do anything most days may have disguised it. Now I'm back 5 days, and realized I am not only tired, but getting depressed about it, too.
Part of that is self-imposed work stress. I work for myself, so I can make my own hours, but it also means that 100% of what happens is on my shoulders. I have a business plan, but have not managed to work full time for almost two years now. It will take a lot of effort to do what I aim to do, and I'm constantly second guessing every plan and decision I make. I hit the wall today with my post-vacation to do list, and instead of doing, curled up in bed and felt sorry for myself.
Oddly enough, just typing the phrase that I felt sorry for myself makes me feel a little better. Yes, I've been having a little pity party. I've been swimming upstream for a long time, health-wise and work-wise, and making very little progress. I'd love to flow with the current for a while, but bills must be paid, and to do so I need the energy to do what needs to be done. I'd love to be one of these women that re-evaluates her life post-BC and goes off to do what she's always wanted to do. I had even planned to do so, but then I did our household budget and realized that it was simply not going to happen.
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