Minnesota Prairie Roots

Writing and photography by Audrey Kletscher Helbling

A bit like Alfred Hitchcock’s “Vertigo” August 1, 2023

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DVD cover of “Vertigo.” (Minnesota Prairie Roots copyrighted photo August 20230

VERTIGO.” I CAN BARELY TOLERATE reading the title of the movie, considered by many to be Alfred Hitchcock’s greatest achievement. That may be so. But when Randy pulled the “Vertigo” DVD from a shelf at the local library and asked if I wanted to watch it, my response was immediate. “NO!”

Vertigo is not something I want to see depicted in a masterpiece film by the simultaneous use of forward zoom and reverse tracking shot. No, thank you. I don’t need that visual. I recently experienced extreme vertigo in real life. And that was beyond awful.

But Randy was attempting to infuse humor into my thoughts, an effort I appreciate given all I’ve been through this summer. The vertigo I experienced back in early April returned a few weeks ago, leaving me dizzy and once again feeling unbalanced. To say I felt frustrated would be an understatement. I’d made notable progress in vestibular rehab therapy, which is retraining my brain in the areas of balance, handling sensory overload and more. All of this connects to my triple diagnoses of vestibular neuronitis, Meniere’s Disease and peripheral sensory neuropathy.

To feel two instances of vertigo and like I was living in a world once again a kilter seemed like a major setback. My physical therapist chose other words: “a bump in the road.” Ryan’s right. I didn’t lose the progress I’d made, just slowed down due to that speed bump. He’s so encouraging, one of the traits I most appreciate in a deeply compassionate and caring physical therapist.

Yet, on the Friday Ryan checked me for benign paroxysmal positional vertigo and then twice performed the Epley Maneuver to move misplaced crystals in my right inner ear back in place, I wasn’t all too happy about his action plan. It was, of course, a correct and necessary procedure. It involved Ryan turning my head to the right and holding it in place while I was sitting, then lying down on my back and going through an Alfred Hitchcock-worthy scene of extreme room spinning vertigo. I gripped Ryan’s forearm with such intensity that I later joked he should receive hazard pay. Without going into more nightmarish detail, he then repeated the procedure. The second time my vertigo had lessened. And when Ryan rechecked me for vertigo a week later, it was gone.

Now I’m trying to get back on track, rebuilding my confidence in doing the assorted exercises designed to retrain my brain. These are familiar exercises, ones I’d mostly mastered before the bump in the road. I left therapy Monday afternoon feeling absolutely wiped out, though, and symptomatic. It’s going to take time for my brain to adjust to exercising.

I’m determined to work hard, to do my exercise homework, to try and live my life as best I can while managing my symptoms. I understand my limits, when I need to take breaks (including limiting screen time) and how to help calm my system. Already my balance is improving. I’m slowly beginning to feel better, to eat better. (I’ve lost 15 pounds.) And I’m overcoming my fear of vertigo returning.

But I’ll never ever watch Alfred Hitchcock’s “Vertigo.” The title triggers too many nightmarish memories.

© Copyright 2023 Audrey Kletscher Helbling

 

Elusive sleep & a whole lot of other stuff April 14, 2023

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Coloring can be calming and therapeutic. (Minnesota Prairie Roots copyrighted file photo)

IT’S ONE IN THE MORNING and I am wide awake. My head hurts. I’m restless, unable to fall back asleep after awakening to use the bathroom. I’ve only slept 2.5 hours. A long night looms. My efforts to settle in and resume sleeping aren’t working. Randy needs his rest so I head to the living room and curl into the recliner.

I’m feeling jittery. I switch on the table lamp, pick up a thick coloring book from the floor, pull out the 64-crayon box of Crayolas. Soon I am rhythmically coloring a cat with an orange crayon that is way too reddish-tinted for a domesticated feline. Maybe a tiger. But at this hour I don’t care. I just want to feel some calm and methodically working crayons across paper helps.

When I finish coloring the cat clutching a bouquet of flowers, I decide it’s time to try sleep again. I pull two fleece throws around me, snuggle in for some shut eye. I intentionally aim to relax my body, quiet my mind. I can’t. I hear a pleated shade in the dining room click against the window frame in the gentle wind of the night. I hear the hum of the refrigerator. Every noise is amplified.

By now, I guess the time to be 3 am. I need my sleep. My head still aches. I am overtired, exhausted. I decide to move to the couch. I clear the space of Randy’s cellphone and extra pillows and yesterday’s newspaper. I hesitate to lie down, apprehensive about the vertigo that comes when I need to get up. As soon as I’m lying down, I notice the curtain is not completely pulled shut, letting in a sliver of light. I ease myself up to avoid dizziness, walk across the dark living room, pull the fabric together. Back to the sofa. The red and blue lights of a passing ambulance pulse through the room. I remain on edge, alert, unable to achieve what I most want and need. Sleep.

Blackbirds cluster in a tree. (Minnesota Prairie Roots copyrighted file photo March 2022)

THEN COMES BIRDSONG

Eventually I fall into a fitful sleep. I awaken well before dawn. Slowly, morning is rising. I hear the first birds tweeting, only a cardinal’s trill distinguishable like a solo in the birdsong. Occasionally, vehicles pass by on our arterial street, an indication that daybreak is upon us. Traffic increases as time passes. Still, I’m hoping for sleep in this morning dark.

But it doesn’t come. The rectangle window in the east-facing front door lets the spotlight of morning into the room. That light follows a direct line to my head. The head that still hurts.

Soon I hear Randy rustling, up and getting ready for work. It’s 6:45 am. Then I slowly ease myself up, conscious of my need to proceed slowly. After only four hours or so of sleep, I am up for the day.

This is kind of how I feel right now. This art was created by then Faribault Middle School 8th grader Mohamed for a student art show at the Paradise Center for the Arts, Faribault, in 2021. (Minnesota Prairie Roots copyrighted file photo March 2021)

DREADED MORNING NECESSITY

In an hour, after breakfast, I will remove the lid from a medication bottle, spill six tablets onto the counter, swallow two at a time with water, the bitter taste lingering on my tongue. These are the cause of my insomnia, my restlessness, my jitters. Prednisone. A steroid designed to calm the immune system and reduce inflammation.

My body needs calming, healing as I deal with feeling off-balance, vertigo, double vision, headaches, ear pain and fullness, tinnitus and more, likely triggered by a virus I had in January, according to my medical team. Viruses and I do not do well. I lost my hearing in my right ear in 2011 during an episode of sudden sensory hearing loss caused by a virus. Thankfully this latest virus is affecting only my deaf ear and not my good ear. Otherwise I would be deaf.

Prednisone and I do not do well together. I took it in 2011 and in 2005 during a 3-month severe case of whooping cough. I am hyper sensitive to the steroid’s side effects of restlessness and insomnia. Yet, I understand that if I want to reduce the inflammation in my body (in my 8th cranial nerve), I need to stick with the 14-day regimen. I want to feel well, to function better, to do the things I love. I hope this med works.

A neurology visit is scheduled in late May, the earliest I could be seen. Physical therapy is planned for my balance issues and vestibular neuronitis. Many times throughout the day I remind myself that I can do this. And when I’m unable to sleep or feel overwhelmed by the restlessness side effects of Prednisone, I will reach for the coloring book, pull out the Crayola box and rhythmically work crayons across paper.

© Copyright 2023 Audrey Kletscher Helbling