Trunk LE- Suggestions? What works for you?

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Dejaboo
Dejaboo Member Posts: 2,916
edited June 2014 in Lymphedema

Im still feeling very lost with my trunk LE.    I did see my LE therapist (certified) a 2nd time.  Still not thrilled with her.  Did not go back a 3rd time.  My arm pain has stayed about the same...Some days a little worse- some days a little better...Lifting weights or kettlebells does not seem to have an effect on my arm pain (although I have toned down my kb to about 1/2 my speed)  But I havent done them for 30 days & my pain has not changed patterns.  (still no visiable or measurable arm swelling.)

I must have chest swelling...as I bought a button dress 2 months ago...Went to try it on for my dd 2 days later with the same bra on...And it wouldnt button- wouldnt even close! ; (

I am mainly wearing sports bras...I have found a few that are ok...after trying about 20 this summer.  I have to wear a bra all day to help control my pain.  

I did buy 2 shapewaer tops...I know others have mentioned liking the brand/style- maidenform I think ...Kohls was getting rid of them-I forget them name....I have not worn them much- its been too hot.  I was going to try them soon...its goign to be 90 this week...

Do some of you wear your compression tops at night?  Might that help me- wearing something 24/7?

Because I had severe Symmastia with my 1st reconstruction (my Implants touched & lifted my sternum skin)  I have alot of pain over my sternum...Some compression garments cause this pain to increase...Anything too tight over my chest or that pushes my breast together...That is a big reason why I have not slept in them yet.

I am thinking when I try my top- to wear a soft bra I have that has a bit of compression & support- but nothing flattening...wear it under my top?

Im kind of just rambling...feeling frustrated.

There are not many certified therapists around...I think 3...One I saw 4 years ago - the one who said my swelling was temporary...The 3rd is in the same office as the one I saw.

My family looks at me like so what- You dont look like you are in pain 24/7...your just fine : (

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Comments

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2012

    Deja, truncal LE sucks, is painful, and it definitely can effect size of top or dress. Ugh. To answer your question about wearing compression tanks 24/7, that is exactly what I had to do for four months straight in summer of 2009. Sometimes even had to wear a channeled insert to provide further compression on one side. Yes, they are hot as hell in summer, but they do the trick. I wore the Maidenform regular Control It, but there is also a firm control. I haven't seem the regular for a while, but they still make the firm control. I had implants at that time, and the compression on them was often painful. I tried to find tanks with some space for boobs, but none of them fit me right. I felt like Goldilocks (still do, actually) because if it fit one spot, then it pressed on another, which aggravated that area. Very frustrating, especially since I had gone to the effort to have recon and the only tanks that fit me flattened and squashed my foobs. I remember your symmastia, as we had surgeries around the same time, but you had your implants removed and then had autologous tissue/flap surgery to create breasts, right?




    Now about the kettle bells. Even though they might not effect the pain in your arm, your chest is still working very hard when you lift weights. My LE therapist, and even the Univ Penn PAL weightlifting study trainer who worked with me said no weight lifting until LE was stable for a certain amount of time - this is all individual and truncal is harder to measure than arm, but pain and swelling are symptoms of truncal LE that is not stable. I'm sure you're trying to reclaim your life and the time you lost - I so relate to that because of the time I lost, too - but the key for reclaiming control will have to come with: first, LE stability, and, second, when you start to lift weights it will have to be very slow in progression. LE is a condition of inflammation, and if you increase your lifting in small increments it will help prevent inflammation. So, this is not a time to be gungho and try and stay on track. Not what you want to hear, but if you can have just some more patience, you should eventually gain back that control. Everyone is different in how quickly they can progress, and some will always have difficulty. You need to lay off and give your body a chance to adjust. Finding the right compression garments that feel comfortable and don't cut and aggravate an area is your priority. You may need some inserts to help with that comfort factor. Summer is departing, the heat will be less of a factor, which should work to your benefit, and clothing can be layered to help with any inserts if necessary.




    Come join us on the exercise thread. Carol57 has been involved with the PAL protocol and will have insight on the weights. In the meantime, I have found that aerobic exercise - again, at a slow progression - has done wonders for my swelling. You are exercising the lymphatic system's thoracic duct with the deep breathing that comes along with aerobic exercise. However, even walking for a good distance does a great job as well. It has taken so long for me to see any progress with my physical conditioning, as the truncal LE was first an issue, then the implants and surgery to remove last year, and then arm LE in Feb of this year. All is finally settling down and stable, and I have been at the pace of a tortoise but slowly progressing. I used to be incredibly fit, and I was depressed about that loss for the past few years. It was never meant to be this way! Alas, it has been this way and all I can do is respect my body and go with it. Still haven't done the weight training yet, but soon. Focusing on aerobic conditioning has kept me feeling like I am going somewhere with all this, and it has actually been very helpful.

  • June56
    June56 Member Posts: 158
    edited September 2012

    I was sent here from the 2012 girls board. I have been dealing with swelling for several weeks now. At every appt with my PS I discuss it with him. He told me two weeks ago that it was edema am he would fix it at the time of the exchange surgery. We did not do a fill at my last appt because I was so worried about how tight I was. I am just not sure where to turn. The swelling got much worse after I started taking Tamoxifen. Thanks for any insight you can share.

  • Dejaboo
    Dejaboo Member Posts: 2,916
    edited September 2012

    Thanks Tina,

    Yes- I had a SGAp to fix my Symmastia...it is about 90% fixed.  It still causes me daily pain though.

    So after I posted I decided to try my bra & Control it (thats the one I found on Clearance- I went to 4 stores in hopes of finding more then the 2 I found)  Is it normal to have it (compression) increase ones pain?   Mainly my bad Trunk side & bad arm.

    If ones pain increases...How do you know if its helping?

    Im not very patient.  Although I had been doing kb 2 times a week in the Spring...I have only done them 3-4 times all summer.  And I quit lifting my Machine weights completely...Im not happy about that since I just bought the machine in January.  Now it just sits collecting dust : (

     I have peaked in many times on kicking LE butt...I am a wimp compared to all of you.  While I do the treadmill everyday...I only run/walk about 1-2 miles...So theres really nothing for me to contribute on that thread ;o

    In my body the heat always seems to be a factor...even when it is 45 out I sleep with the window wide open & roast -poor dh he freezes (I only sleep about 2-3 hrs a night- the rest is tossing & turning)  I will give the compression a try

  • FireKracker
    FireKracker Member Posts: 8,046
    edited September 2012

    My #4 PT suggested I go to NY&Co for their workout camis....Love them.

    I must have spent about 500bucks on different bras from different PT.

    I wear it 24/7...

    Yesterday they had a sale and I bought 7 more.came out to abou 9 dollars a cami.

    I bought a size small which gives me enuf compression and its perfect.My bra size is 35DD.

    Been struggling with T/L for almost 2 yrs.

  • Dejaboo
    Dejaboo Member Posts: 2,916
    edited September 2012

    thank you Jo-5

    and Grannydukes- do you have links to the Camis that you like?  id love to see what they look like

  • FireKracker
    FireKracker Member Posts: 8,046
    edited September 2012

    you gotta go on NY&Co.to look for the camis.

    BUT

    I strongly advise anyone who wants to purchase it to go and try it on....I never thought i would be a small withe the DD but it really works and its soo easey to sleep in it....

    I wanted to kiss this PT when she not only told me about it she was wearing it.

    And the colors!!!!!!!!

    they are 92% polyester and 8% spandex.Machine washable,The id# is TW9800026.Thats all the info i have

    If you go to the store and ask the salesperson where they are you will be shown...very popular.

    good luck.

  • Dejaboo
    Dejaboo Member Posts: 2,916
    edited September 2012

     thanks Grannydukes. I looked on their website & did not find a cami.

     There is not a store real close to me.  But I will try to get to one soon & try one on

  • Connie07
    Connie07 Member Posts: 636
    edited September 2012

    AAAAAAAAH!!!! I had NO CLUE, none. The whole team only talked about the "right now". Theres been no other appts. No follow ups requested. How stupid am I? No arm exercises no prevention info, nothing. Maybe they considered me low risk. Maybe they just truly didnt consider me. This is like the whole ordeal of dx and treatments all over again.

    Now, after seeing an ortho for shoulder pain and he seemed stumped. I started reading, read,read more... putting the pieces together, by myself and these boards. Finally was evaluated last week. Heres my ignorant patient dx: Stage 1 truncal LE. Its probably (apparently) been growing for years and l would throw the pain blame to arthritis or working too hard or picking up the grandD or anything i could think of. Not a side effect from the bc event. That was five years ago, i thought i was free & clear, time to celebrate! Move into a better phase of life post-BC. Sadly, no. Cancel the party.



    Reading in here, even your comforting words are freaking me out. I am emotionally

    floored. Tears for my pity party are all too close to the surface. this feels like the biggest, nastiest kind of improper insulting practical joke EVER. .. And add the fact that l think l let it happen by omission and so did my med team, im just in shock.



    And it HURTS. Damn it hurts. More after the drainage massage. A LOT more. The thought of having to wear compression garments is freaking me out. Its already SO hot here... Year round mostly. And so humid you can break a sweat walkin out to get the

    mail!!! I will be a prisoner in the coolest room in the house for weeks.



    REACHING OUT...

    I need some more support with all this, so any and all suggestions are welcome.

    Like how to pay for all the PT and necessary garments, discount but quality brands, websites to order from. im on 40% of the income i made 4 years ago. And medicare.



    And this sux.

    None of this post is intended to offend, apologies if it did.

    ~Connie



  • hugz4u
    hugz4u Member Posts: 2,781
    edited September 2012

    Deja- Hi, I haven't seen if you have posted on the exercise kick butt thread but I sure hope you have joined us there.

    Reading your post I see you are worried about only exercising a limited amount of time and feel inadequate to post your exercises. I am here to tell you I have very limited exercise in my schedule right now as I am slowly working back into a exercise schedule. I have to break my excercise up into 10 min segments due to pain issues.   It doesn't matter how much you do as we are all at different levels. We just are hear to encourage one another. We have no competition on the thread and you will benefit greatly doing what you can.

    Since I had to slow down on my walks (use to walk 3-4 times a week for 45-1 hr) I find that my trunkal has kicked up a notch. If I walk and pump my arms like a race walker my trunkal is minimal. Since I have had to slow up my exercise I now wear a swell spot that covers my breast and around my underarm. This I wear at night with a cami and it greatly improves my situation.

    I also take deep belly breaths when I remember and especially when I walk. I raise my arms straight in the air above my head and pump my fists for about 25 pumps especially when I walk. All this seams to control my trunk.

    Once I can get back to walking I am hoping I won't need the Swellspot.  It was about 50 dollars. If you find it presses too much on your breast causing pain then try the Swellspot that just fits under your arm pit. This is helpful also for your trunk. They both fit into a cami that should be snug.

    So we want you to post on the kick butt thread even if you only can do deep breathing. Anything that improves your life is postable! COME ON. JOIN US! We are a nutty fun bunch that will lift your spirits.Laughing

  • hugz4u
    hugz4u Member Posts: 2,781
    edited September 2012

    Connie. I haven't read your intial post but you have come to the right place. This Lymphedema thread is probably the best place to be for good support and help. We have some wonderful girls with great ideas that even the pros don't know about, because we deal with it daily!

    Hang on girl. We are here for you!Wink

  • carol57
    carol57 Member Posts: 3,567
    edited September 2012

    June and Connie, I am wondering if there are some LE support groups in your areas.  Connie, check out www.lighthouselymphedema.org, which is centered in Atlanta, but I believe the wonderul Joan White, director, is well networked and might be aware of a support group in or near Savannah, or other resources. Lighthouse Lymphedema is a very good and strong organization that I feel certain can help plug you into any Georgia resources for help with garments.

    June, one of our LE forum members, BeckySharp, started a lymphedema support group in the Knoxville area, which seems a bit far from Signal Mountain.  But you might PM her and ask if she knows of any support group resources out your way.  I know that Becky has met some amazing people who are very well regarded in LE circles, so networking may help you find some identify a very good LE therapist who can evaluate your symptoms.

    In the meantime, have you both spent time at www.stepup-speakout.org? It's a treasure trove of patient-centered support, with tons of very practical information about garments, LE treatments, and especially how to find a qualified therapist.

    Connie, no one here is going to take offense at anyone's frustrations with LE.  Feeling frustrated and left to your own devices to figure out what to do is all of our shared experience.  I'm sure others will be by here before long to give some suggestions along the lines you are asking.

    Hang in there.  This is not easy, but it's not impossible, either.

    Carol

  • BeckySharp
    BeckySharp Member Posts: 935
    edited September 2012

    June--There is a support group in Chattanooga--I think at Siskin.  I am meeting with a fellow LE friend who has attended their group.  She was showing me their program for last month a few weeks ago.  I am getting with her today to plan our next support group meeting so I will get the actual info from her for you.  I know you are a couple of hours away from us but you are more than welcome to come.  We do a noon session every other month.  Will get back to you.

    I do not know about Savannah, GA.

  • Dejaboo
    Dejaboo Member Posts: 2,916
    edited September 2012

    Thanks Hugz4u- You made me laugh, I needed that.

    It was a few months back when I posted on the Kick butt thread.

    its hard to remember to do the Deep Breathing...I will do a workout session of them & post my accomplishment : )

    So I slept with just my soft but still has some compression bra last night -I wore my compression top all day yesterday & my arm pain tripled- I dont know if thats ok/normal or not ?

    Connie it does suck- its surprisingly Very Painful : (

    I didnt sleep but it wasnt because of the bra....so I will try this for awhile at least & see what happens.

  • carol57
    carol57 Member Posts: 3,567
    edited September 2012

    Becky, since this is a thread about truncal LE, I'm wondering if the hootcha-hootcha quickie MLD you learned in one of the NLN sessions would be of interest?  I challenge you to describe it here!!!

    ( I realize they suggested that for all LE, but this is still a good place to describe it.) (Or start a thread with what I put in bold as the topic?)

    Carol

  • BeckySharp
    BeckySharp Member Posts: 935
    edited September 2012

    Will review and see if I can describe.

  • Connie07
    Connie07 Member Posts: 636
    edited September 2012

    Thanks ladies, i am a mess today, had LE massage yesterday and the pain afterwards wasnt nice at all.

    I thought i had enough info to not be afraid, and i like my PT gal. Shes very nice and listens well but. ... I am very unhappy. (selfishly).



    I have been on the stepup- speak out site, but need to delve deeper. Also visited the LNL site. They showed no support groups here. But i will check the others. Thx.



    Damn, damn, damn. I want to scream, "Why, why me?" and NOW? Why now? My life is crumbling all over the place just when l was starting over. Joined the Y and was this close to buying underwire bras again.



    The long term outlook seems awful too and here come the tears again. Boy, am l a buzzkill or what?

    Just change my name to SadBitch.

    C

  • Binney4
    Binney4 Member Posts: 8,609
    edited September 2012

    Connie, I hear you. Please know this is definitely the place to vent and share the tears. We all get it. This is a grief process, and grieving is hard work. There is nothing selfish about being unhappy. We're here for you.

    Not sure why the reaction to MLD is so much increased pain, but ask about it and expect an explanation you can understand. None of this is easy, but the treatment should not be painful.

    The emotional aspects of this are no small matter. Here's an article about that that has been helpful to a lot of women:
    http://www.stepup-speakout.org/patoconnorcopng.htm 

    It gets better, honest,
    Binney

  • FireKracker
    FireKracker Member Posts: 8,046
    edited September 2012

    Binney---i am so glad to see you here..

    do you know anything about those workout camis I am wearing now?

    If you do i was wondering if you had any opinion on it.You know the problems I had with those damn bras....And how i was sooo misled.....

    Im in heaven now...24/7 and no complaints.

    What do you think?

    I think lots of sistas could benefit from your input.

  • Binney4
    Binney4 Member Posts: 8,609
    edited September 2012

    Grannydukes, the whole idea is to find what works best for both LE control and comfort--both are important. It sounds like you've found that happy place, and it's absolutely wonderful to hear that. This calls for some serious chocolate!Cool

    And on the other hand, it pays to keep our eyes open, because you never know when something new will surface that is even better.

    Be well!Kiss
    Binney

  • Quail
    Quail Member Posts: 21
    edited September 2012

    Connie,

    I echo Binney here, Connie--we ALL feel your pain. Those first weeks were, for me, more depressing than the cancer diagnosis--not more scary, but more hopeless, especially because I was where you were, just ready to think that I could "put it all behind me". But hang in there, woman.  Even though I'm still quietly (and sometimes not quietly at all) grrrrrr-ing, I am not crying or sad all the time.  I won't say my grief is gone, but boy is it less gutting.  That mental anguish DOES get better. Also, if those camis don't fit the bill, the Underarmour compression tops work for some of us. LE does suck, big time, but this board has been a real lifeline for me when I was completely lost.  I'm still feeling my way, but at least I have a place to go for answers (I know I have truncal LE even if the rest of my health team keeps telling me it's just "fat"), encouragement (I WILL buy that pedometer) and even a laugh from time to time (keep posting those photos, Gma!) Thanks, heartfelt to all of you.

    Quail

  • Connie07
    Connie07 Member Posts: 636
    edited September 2012

    Knowing it gets manageable, and that lm not faux-sad/mad/grieving helps a lot. I'll share this with family and maybe it will help them too.

    A BIG disappointment in regards to the medical teams, esp the rads staff. They need a personal experience before treating any more souls passing thru their depts. They dare to call your swelling ---fat? I have plenty of fat, but OMG, thats incredibly ignorant in this day.

    Its possible that trying to do MLD by myself that l was too aggressive, but also that the backing up of fluids has been going on for years and will take a while to get going again. I can half understand the pain after massage.



    So, this is a rest-of-my-life condition? And l'll be wearing these garments everyday til l die? And at night? Oh geeze.

    And the pain mostly is in my shoulder, weakness in arm, visibly swollen breast. I see therapist again today. She checks everything, measures & answers questions. Med staff that arent docs or PAs seem to have a lot more compassion.

    Im sleeping long again. Depression? Very,very sad, it shows on my face. I dont want to get up, or go or do anything. I know its bad when l start thinkin of visiting my grandmothers grave, to tell her how unhappy i am and cry.

    Poor, poor pitiful me. Lord have mercy.

    C

  • FireKracker
    FireKracker Member Posts: 8,046
    edited September 2012

    My #2 onco did see the LE....and finally so did the BS.

    And

    with my new bras that I love i think im doin ok....in that dept only.lol.

    Thanks Binney for all you do for us.

    xoxoxoK

  • Binney4
    Binney4 Member Posts: 8,609
    edited September 2012

    Connie, LE is a rest-of-your-life condition, but we're all different, and not all of us have to use compression all day every day, or at night. It really varies. It's hard enough to get used to the idea of "chronicFrown," but you don't have to deal yet with a verdict of 24/7 compressionSmile.

    Sadness, yes, for sure. Does your cancer center have any counselors that know how to deal with chronic conditions?

    You can do this! Tell us how we can help,
    Binney

  • Connie07
    Connie07 Member Posts: 636
    edited September 2012

    Hi awesome ladies of LE,

    OH, Good to hear that. Yes we are all different, Yet so much alike. and I was a low risk patient, no nodes.



    I went to PT again today. Some swelling has retreated, my breast feels like its engorged and im going to have to find a way to get some more comfortable bras. Limited small income is a challenge.

    Also, i was told to go compression garment shopping. I prefer Womens sizes. If/when i find one that works, how many to collect? Suggestions for reasonably priced and decent quality shopping?

    my anger is dwindling, the docs that treated me dont even know, how could they care?

    I'm angry at a nothing. The only person that might have prevented this is sitting Here on her back porch on a cool summer night writing to you. I might visit the ca center, I will ask about that, a counselor for chronic conditions, and if they do I'll make an appointment.



    Going to my PCP tomorrow, will ask for pain meds. Maybe I'll go visit the shop that fitted me after tx. Sweet little shop that moved half way across town. They carried all sorts of garments.



    Thanks to all,

    Connie



  • garnet131
    garnet131 Member Posts: 64
    edited September 2012

    Oh Connie, your posts put me in mind of where I was a year ago, and I want to tell you that it does get better. When I finished therapy and found out I needed to wear day and night garments forever, I was an emotional wreck for weeks or months--reminder crying all the way home and then running into my condo neighbor when I got home still crying.  But it does get better.  I can even say "I love my Tribby!" (night garment) Never would have imagined that.  Of course, I don't love it so much at bedtime in hot weather--I'm not one to run the A/C much or very low.

    The SUSO web site and this board were the lifeline that got me through that rough time.  Hang in there--it does get better.  There is a definite adjustment period to the "New Normal," and there are always highs and lows, but we can meet the challenges of living with LE~!

  • BeckySharp
    BeckySharp Member Posts: 935
    edited September 2012

    Connie--I was too like Garnet a year ago.  I thought I would be in compression garments forever since my LE was Stage 2.  But a year out I am so used to them they do not bother me anymore.  I don't know if I "love" my jovipak night sleeve but when my therapist said to try going one night a week not wearing it I could not sleep very well because I did not know what to do with my free arm!  She is saying I may be able to eventually go without my daytime sleeve/gauntlet except for exercise and heavy lifting.  I again can't imagine what that would feel like.  If I do have to stay 24/7 or a large part of it I can now live with it.  I was not so sure a year ago.  Stay with us.

  • BeckySharp
    BeckySharp Member Posts: 935
    edited September 2012

    June--I have not forgotten about the Siskin info.  My friend says she has their last flyer and is going to email me the info.  I will post here in case there are others in your area.  Becky

  • Connie07
    Connie07 Member Posts: 636
    edited September 2012

    Im so depressed. Had a reg. Visit w PCP and was turned down for pain meds of the narcotics type. He gave me Tramodal. I didnt feel bad but felt nervous and anxious, they didnt like my heart rate and bp were (he said) through the roof. Bring in the EKG machine. The tech thought the thing was broken, kept moving the electrodes around and ran the test three times. Not encouraging. Called in another nurse to help but they kept getting the same results.

    Im sick of other people messing w my body. Esp the chest. My bras dont feel right. All i have energy for is moving around a little or fixing some tea.



    What do you do when you need a boost to your self esteem?

    Or if you have depression and fall deeper in, to a new low and its really dark?

    I hate feeling like this. Most of all l despise using the word "hate".



    Its good to know this gets better, i just can't see the light right now.

    ~Connie

  • purple32
    purple32 Member Posts: 3,188
    edited September 2012

    RE:  " I started reading, read,read more... putting the pieces together, by myself and these boards. ..."

    Wow!
    Why does this sound so damn familiar?!  Maybe we should get the DR FEE$!

    I go to a Harvard trained dr.  and when she looked at this 3 weeks post op she just shrugged.  The RO said it was nothing much ( didnt have rads) and the MO " Couldnt see it"

    Its been driving me nuts for 5 mos so I finally called today because I am going for  a DX mamo next month and  want to know if this will make it worse if it is breast LE.  I can picture dents!!!!

    ONLY got to speak to the NP  ( not thrilled with that ) but she said it most definitely sounds like breast edema OR breast LE.  Hmmm... is there a difference ? Surgery was 5 mos ago. I had no post op instructions.  I put an icepk in my bra once , dozed off and woke with these pink marks.  They have never gone away.  Did I CAUSE this then ?

    I have NOT been wearing a bra.  She told me to start with a good sports bra and also put  a maxi pad in it to add compression.  Should I wear one at night or NO ?????

    Does this sound right ?  PLS let me know,

    This sucks.  I am feeling like I was at an incredibly early stage with a great prognosis and now I feel like I am at higher risk for IBC  or recurrence . Is this true ?

    I only had 2 nodes/ SNB and all looked good as far as results go.

    WHY didnt the BS say it looked like LE 3 weeks post op???!!!
    Maybe it was soemthing she though still might resolve ?
    I dunno'.

    PLS reply...or PM.

    Thx for your support.

  • Binney4
    Binney4 Member Posts: 8,609
    edited September 2012

    Purple, what a struggle you've had with this!Frown

    JMHO, but a maxi pad in a sports bra sounds like a really bad idea to me--too much possibility of cutting off lymph flow with the uneven pressure. You don't want to crush the lymph vessels in one are, you want an even compression. 

    What you actually need is an evaluation by a well-qualified LE therapist. Any chance you can push for that?

    Connie, I think you nailed it with your mention of self-esteem. LE really bruises that, and it's hard to recover. But that would make a really good focus for your efforts to move forward out of the sadness. What DOES help your self-esteem? For some women it's a pedicure or a hair cut, or a special date night with their DH. "Retail therapy" helps some, but for now keep it simple and not centered on upper-body garments--new shoes, slacks, or a skirt maybe? Others find a new kitten or pup a boost (but you need some energy for that!) Or consider a gym or pool membership. Journal writing, jewelry-making, painting or other artistic endeavor. Or a new hobby: star-gazing, bird-watching, spelunking--whatever makes you feel new and centered. Very hard to undertake any of those when you're depressed, so maybe look around for someone to share the experience with who can encourage you to go for it.

    Be well! And keep us posted, please,
    Binney

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