When something as significant as depression hits, it ought to be obvious, but frequently it isn’t. Instead I manage to deduce it from outside evidence days or weeks after the mire begins. The trickiest part of mental health is that a flare up actively interferes with my ability to identify and manage the flare up. So it is this morning when I realize it has been four days since I blogged when I blogged almost every day for the month prior. I suppose some of that pause could be the Pandemic settling in and therefore requiring less processing. Yet there are other signs, the day I spent mostly in bed for instance. I am tired. I feel silly for being tired and depressed when my current existence is so close to normal. I have my house. I eat food that is pretty close to what I ate before. I still mail packages when orders come in. The things I can’t do are things which I didn’t do often anyway. Yet the not doing of them seems to accumulate.
Howard’s breathing was bad yesterday. Since his illness in January he’s been on daily asthma medication and taking hits on his inhaler multiple times per day. Some days this regimen puts him in a place where he can do light exercise. Yesterday he got out of breath standing and doing a puzzle. Then sitting and doing a puzzle. We were scheduled for a pulmonary function test in mid March. It got rescheduled for last week. Last week it got rescheduled for June. I know the decision is smart, that we must act as if Howard has not had Covid 19. Because if we stack Covid-19 on top of whatever is going on with his lungs, it would kill him. So taking him to a hospital (which probably has Covid-19 patients in it) for a test is ill-advised. But it means we don’t know what is going on. We have no way to know if it is getting worse or better. We can’t be certain if our treatments are optimal. We can’t even consult with a pulmonologist until May 19. That was the earliest appointment they would give me when I called in early March. I’ve ordered a pulse oxymeter so we can see what his blood oxygen levels are, but that won’t arrive until April 17-29 because Amazon has slowed down deliveries of “non-essentials.” (Or possibly because demand for oxymeters has gone up.) So I stand next to Howard, working on a puzzle together, and I listen when he suddenly takes several extra deep breaths in a row because his body has suddenly realized it needs more air. I wait when he has to pause mid-sentence to breathe and try to remember what he meant to say.
I ran cross country in high school. I was never particularly good at it, but I learned a lot about perseverance from doing it. I learned how to keep going even when I wanted to stop. At the beginning of a race there was something of a rush as people tested their speed and tried to get at the front of the pack. (Or in my case drop to the back.) That first pace was always too fast to maintain over the long run. After the first burst of energy, all the runners would settle in to a slower pace, one that they could keep up for two or three miles. That’s where we are with the pandemic. We’ve had our first month’s sprint where everything is jostling around and shifting. We had to adapt and adapt again to changing circumstances around us. Now events have spread out and it is time to settle into a pace we can maintain over the long haul ahead. The finish line is not even in sight, all we can see is the path ahead. All we can do is take one step after another. I remember settling in at the front end of a long run, feeling my body already start to be tired, yet knowing how much longer I needed to move. It frequently discouraged me to the point where I stopped running and started walking instead. The thing which cross country taught me was how to run when I felt like walking, and how not to defeat myself by letting discouragement win. Time for me to dredge up those lessons again. The path is long and I need to keep moving.
Edited to add: Howard has good breathing days and bad ones. The problem comes and goes. There are still more good days than difficult ones, but we’re tracking it.