This past week I have been feeling somewhat more tired than usual...enough so
to very briefly fall asleep while driving home from work and also during a
phone conversation/interiew for work.  I did apologize and excuse myself re.
latter.
I am guessing that it is due to decreased exercise after working mysef up from
3-day walk.  The day after  the walk I felt okay and was able to do 30 min on
the treadmill.  The following day, I am not sure I don't remember if I did
treadmill or not but next night was when I fell asleep (for brief instant)
while driving.  I pulled off road, went into Whole Foods store, walked around
and got a light dinner to eat for remainder of drive.
I guess I need to make a decision--commitment--about keeping  up level of
exercise I was doing.  I really have mixed feelings.  My teammates--most of
them--have signed up for the L.A. marathon which is 26 miles.  They are going
to power walk it.  I figure that's a piece-of-cake after doing the 3-day.
What's another 6 miles, if you've already done 20 and you are only doing it for
a day--not 3.  I was lucky--the only difficulty I had was from blisters (after
arch of foot was wrapped).
(Speaking of blisters, after they told me I had the biggest blister they'd
seen--someone took a picture of it and put it on-line.  It looked weird but
really wasn't all that impressive as a photo).  It isn't something I'd offer
around for others to see. either--that would be even more weird).
Anyway, back to the fatigue, I am guessing my body is used to a certain degree
of exercise, and I need to do more to increase the endorphins--again.  I guess
it is a sort of physical addiction.  I am wondering how much I will need to do
to maintain an optimal level of well-being.
Last night, I experienced severe low back pain while standing still--haven't
had that as bad for many months.  Was it a delayed effect from walk?  Was it
mets--that have worsened and that Celebrex which may have helped with it is no
longer helping or need for another Zometa is indicated?
Now, I have not been dx'd with bone mets--but there have been definate changes
in bone scan and MRI (increased uptake) in the areas that are most common for
bone mets to occur since my first scan.  I had previously written that when I
asked my onc. how one differentiated bone mets from arthritic activity, he
didn't answer my question--instead said that it didn't matter in terms of
long-term survival if one treated someone for 3 years or waited a year and
treated for two--(which I think it total b.s.).  However, I do find it
interesting that the increased uptake is only reported in the areas that are
common for bone mets but not in all the areas for which I had been previously
told (i.e. other scans, xrays--taken 10 years ago after car accident) where I
had arthritic activity--such as my knees.  No increased uptake was reported
there; yet, I was told I had arthritic activity there more than 10 years
ago--probably from all the riding I've done on an exercycle.
I guess I should get off my 'duff' and go take a walk...the dog will like
that...