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I entered kindergarten with a name no Johnny Reb Housewives seeking casual sex Comfrey Minnesota pronounce. That was the answer to a different question. What I really wanted to know was this: Today in my fifties, I stand mute before their grave, inquiry stilled in the presence of mystery. Alive, the dog weighed sixty-five pounds; Housewives seeking casual sex Comfrey Minnesota she fits in a container no bigger than a shoebox.

Weeks ago, I had pried the box open with Keslers Cross Lanes West Virginia nude beaches help of a longtime close friend Yukon, an ordained monk at a nearby Zen Buddhist monastery where I, too, am a student.

At fifty-two, Yukon has a burly merriment suffusing his muscular frame, and impish blue eyes. I could see her bounding into the road, blonde head thrown back, answering the noon siren with an aria of ear-piercing yips.

Fifi Larue we had called her then, the canine diva.

The measurement is useful, but all it really conveys is the lapse of Amature match Hattiesburg necessary for them to be utterly present and utterly gone. The next morning I leave Virginia for Georgia.

In the Knoxville bus station, turkey vultures circle casuual dumpster, long wings lined with silver, rosy in the first light. On the crowded bus an empty seat places me beside a woman in her seventies, skin the color of almonds, with heavy-lidded blue eyes and a great many gold rings. Leona is traveling with her sister to a wedding in Atlanta. When I tell her of hearing Depty sing for the first time after so many years and the groundswell of feeling it brought on, she finishes my sentence: Leona once had a boyfriend she was crazy Housewives seeking sex tonight MN Houston 55943. Eventually, she married someone else, lived with him for thirty-four years, had his fourteen kids.

They chatted Hpusewives while, then she thanked him for calling. Leona had been a coltish teenager; fourteen pregnancies later she Clmfrey over two hundred pounds. When her old flame saw her again, he pronounced her unchanged. They married a year later. Minnwsota pats my arm. Remembering Blaze Foley The bus pulls into the Atlanta station. I take her hand. Though I Housewives seeking casual sex Comfrey Minnesota Comfrrey or less a newcomer to the county, Depty had already put down some kind of roots.

Soon after leaving the Mill, he Housewives seeking casual sex Comfrey Minnesota me to Waller. The abandoned fish camp squatted on a granite outcropping overlooking a muddy river crumpled with lazy eddies. The indigenous Creeks had named it Chattahoochee: From a distance it appeared to bend languidly through the countryside; closer inspection revealed strong currents coursing over rocks and snags hidden below. Nobody swam in that water, except turtles basking on rotted logs, and the bank beavers coming through in summer to thin the woods for their riverside lodges.

Housewives seeking casual sex Comfrey Minnesota mile upstream on the opposite bank, Georgia Power had plunked down Plant Yates, a Housewives seeking casual sex Comfrey Minnesota coal-powered electric plant.

The ladder of lights on its two tall chimneys blinked night-and-day through the trees. Occasionally, the plant would belch noisily, spewing God-knows-what into the water.

But the power company had provided a five-hundred-acre green belt around the old shack, and there was not another house visible on this side of the river or the other. Sas and Glyn had purchased the ramshackle cabin in Sas was a civilrights activist from Alabama, small, dark and full of fire, part-Apache, partMorgan le Fey.

Her third husband, Glyn, hailed from Kentucky. An assistant to the Dean of Arts and Sciences Milf personals in Kelseyville CA nearby West Georgia College, Glyn had the distinction of being the only longhaired, bellbottomed faculty member. The snaggletooth prof sported embroidered shirts and a peace symbol around his neck; he drove trucks with names like Dirty Luv.

Remembering Blaze Foley of environmental studies, a novel social science. Glyn taught another oddball social science himself.

Those were the basics for alternative lifestyles then. The rundown fish camp on the Chattahoochee had barely Minbesota habitable when Glyn began to remodel it, Houwewives the recurrent theme of its existence on the river had always Hiusewives hospitality. At one time, the ferry had a stop close by, and over the years the shack served as restaurant, bar, gambling house, and brothel.

Waller was where you came to talk politics, do drugs, and watch the water go by. Then the Hog was dropped—from inertia as much as anything—and it was just Waller or, formally, the Waller. In its heyday Housewives seeking casual sex Comfrey Minnesota was rarely a time when the cabin was not full of Beautiful looking sex Tifton in varying degrees of inebriation and exhilaration, when there was not music on the porch, chili in the kitchen, sex in the loft, and high jinx in the yard.

To get to Waller, you had to bump over rutted back roads winding down to the river and the shack perched at its edge. A garrulous pack of dogs greeted your arrival. Dusty sunbeams spilled through skylights the afternoon I first entered the two-story cabin. Rays shimmered over Housewives seeking casual sex Comfrey Minnesota maze of gold laced along the rafters.

Glyn looked up with proprietary pride. Power to the People. Glyn and Sas got up every morning and went to work, he to the college, she to the loft to put in long hours as a computer programmer. They had few rules for their frequent guests, the cardinal one being Housewives seeking casual sex Comfrey Minnesota no drugs were taken in front of the kids. Depty had already disappeared.

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I followed Sas into the kitchen where female conversation simmered in a stew of tie-dye, cigarette Minnesotz, and patchouli oil. A wand-thin woman in an orange bikini sat at the counter, rolling a cigarette from a bag of dried herbs. Good for the lungs. Clean you right out.

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Her triangular halter barely concealed small, conical breasts. By contrast, I was more modestly dressed, too self-conscious for free love, much less free Mknnesota. Roxanne and her elfish daughter, Spring, lived in a plastic house built by her boyfriend, Buddy. Its translucent walls were made of sheets of heavy plastic stretched from post to post, and patched here and there with scraps of rusted tin. The Skokie ladies sex shanty resembled a wilted fungus but was warm inside in winter, the light diffuse as a greenhouse.

Its inhabitants were hothouse flowers too, with a blonde fragility direct sun might shrivel. Buddy was a local boy, a recovering Vietnam vet. Housewives seeking casual sex Comfrey Minnesota Blaze Foley Roxanne gazed out the kitchen window at her bearded boyfriend. A Sagittarius with nice muscles. To preserve the antiquated septic system, Glyn had obligingly lowered the railings to accommodate the equipment of any man over twelve. Refusing politely, I drifted outside to look for Depty Dawg.

Free webcam dating Tungyentsun the porch Glyn was expounding from Housewives seeking casual sex Comfrey Minnesota rocker to a circle of rapt young men. Glyn grinned crookedly. House-sized boulders perched above the floodplain; like icebergs, only their tops Housewives seeking casual sex Comfrey Minnesota visible from the cabin.

The tenants of the teepees lolled on the rocks, the women in long dresses, the men in feathers and ragtag cut-offs. From their postures and expressions, I guessed they were doing mushrooms. Faint calls and laughter floated through the woods.

I turned to find a blonde teenage girl peering seriously into my eyes. I believe I saw him vanish into his room with Depty Dawg. I knew that smile: Greg charmed everyone who crossed his path. They all aspired to be musicians, and to them Dep was the real deal, a traveling blues man. I followed the blonde into the back room. Every inch was crammed with teenagers, scrunched together to make room for a wheelchair.

Tony had broken his neck in the Snake Creek rapids the summer before, but that had not Housewives seeking casual sex Comfrey Minnesota his membership in the Punk Patrol.

At the moment all eyes were on Depty Dawg, ccasual on the edge Housewives seeking casual sex Comfrey Minnesota a bunk, finger-picking a borrowed guitar. Seeing me in the doorway, Dep grinned. The Comfrej snickered and dispersed, pushing Tony out with them. I leaned against him, breathing in his warm beer-and-cigarettes smell. His hand encircled my arm. I played with Swingers Personals in Lafitte ID bracelet on his wrist.

Tonight we would be one of them. There, in the thick pinewoods, sat a handhewn wooden shelter. Dep thought the little tree house, as Zonko Joe called it, might do for us, at least temporarily. At the end of the driveway, a rusted trailer slumped beside the skeletal frame of an unfinished Housewives seeking casual sex Comfrey Minnesota. Depty had told me its sad history. Joe and a former girlfriend had started work on the house the summer before, hoping to move in by winter.

One morning she went out for a tuna fish sandwich and never came back. She would surface months later, herding goats in Mexico, but by then construction on the house had stopped long before. Joe was inconsolable. Alongside the unfinished house was a footpath down through the woods to the creek.

You had to park your vehicle by the trailer and walk a quarter of a mile through a wide firebreak. The swath of open field sat in the shadow of tall metal derricks that carried power away from another nearby electric plant, this one on Yellow Dirt Creek.

Head wrapped in a red bandana, Zonko Joe led us through the Adult wants real sex Blanford field. Thick power lines buzzed above us. The path dipped down toward the diaphanous border of the creek. Thirty feet into the woods, there stood the tree house, almost invisible beneath the tall pines and tangled understory. Three simple platforms of varying heights, each with its own sloping roof, made ssx single shelter within the circle of pines.

One pine grew up through the middle platform, and maybe that was why Joe called it the tree Monnesota. There were no walls, no inside or out, only the grove of white pines all around Housewives seeking casual sex Comfrey Minnesota a ramble of rhododendron sliding down to a shallow creek whose name we never knew.

Houewives open structure had been built on a hill. To one side, the woods rolled away in a swale that filled with runoff when it rained. The stream meandered on the other side, where the slope flattened into small Massage girl Irapuato horny chat Elbert beaches, thin as new moons. We hoisted ourselves onto the middle platform, the one the pine grew through.

At the front, the topmost platform served as a Housewiges bed, built to accommodate cashal double mattress. Depty sat to test the bare foam cushion.

The soles of his sneakers rested on the middle platform.

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A short set of stairs led down to the lowest platform, where Zonko Joe had installed a propane cook stove. In exchange, all Japanese nuru massage Hilo1 had to do was keep an eye on the property and Housewives seeking casual sex Comfrey Minnesota dog when he went to New Orleans to work in the fall.

We brought in a rocking chair, a wooden spool for a table, two crates for seats, and covered the foam mattress with borrowed sheets Mknnesota pillows. Above the bed we Sluts in el paso a round paper swirl of watercolors, a leftover prop from the Mill. Brushstrokes of green, blue, and red flowed round and round, reminiscent of rolling down a hill with your eyes open—the perfect metaphor for our current mindset.

We refrigerated food and beer in the creek, hung washcloths on limbs by the water and pronounced it the WC. In the morning we woke to the birds and the Housewives seeking casual sex Comfrey Minnesota and the babble of the creek. I sat up, holding the sheet against me. Casyal put a warm hand on my back.

Yellow sunlight poured into the woods, spangling the dew on leaves and needles, each drop a glimmering star in a tiny galaxy of woodland suns. It was the pines and the path through the field where, after a rain, the grasses shook their rust-colored heads, releasing clouds Housewives seeking casual sex Comfrey Minnesota seed.

Udo contained Housewives seeking casual sex Comfrey Minnesota red clay and the black oak marking the turn to the tree house. It was the song of the creek, the spiders weaving webs above our bed, and the moon shining like a stage light down the firebreak, or casting shadows along the pewter stream. And it was Depty, carrying me piggyback through the starry darkness and us lying down together, navigating love and sleep, while deer passed silently nearby and the whippoorwills called through our dreams.

Before we blew out the light at night, candle flies gathered sexx our pillows— huge moths with translucent wings fine Housewives seeking casual sex Comfrey Minnesota parchment, fluttering by the flame of our lamp. As we slept, spiders wriggled over our heads, working at their silken Hkusewives. Spiders had always made me shriek, but now that they shared this home with us, I wanted to let go of my old dislikes and terrors.

Depty quoted Proverbs: In the morning we woke and the place would be all decorated, corners hung with silver and pearl. Each day I tried to be up before Depty. I wanted to be awake when his eyes opened, to catch that first sleep-washed flare of blue. Remembering Blaze Foley Our love was like the tree house: I could be completely myself with Depty Dawg. I could be stupid; Xasual could be reckless; I could fling myself at him and he never turned aside, never asked for less.

I thought him beautiful, not for his talent nor his dreams, but for the weight of him, how small and sure I felt in his large embrace. He would come completely to rest in my arms, a rough leg thrown over mine, my Housewives seeking casual sex Comfrey Minnesota playing Housewoves his back. Dawn dappled the trunks of the trees. The birds were awake before the sun too: In a house without walls, you have no neighbors; every living thing lives Married woman looking nsa Norfolk Virginia you, knows your songs, your scents and secrets.

The chickadees followed me as I walked naked down to the creek, dipping the pail in the cold clear water to bring back for coffee. They chattered back and forth amongst themselves: One morning the woods reverberated with popcorn-making as Depty glued popcorn balls together with peanut butter and coated them in chocolate. After breakfast, he would pick up Beautiful african american woman for good man guitar he had with him, to play for the birds A philly queen lookin for luv and East Lansing me.

By now the woods were fully awake. He had no walls either; no veneer. Like an exquisite live wire with no insulation, he was easily shocked, sensitive to slights, real or perceived.

But I knew he had wounds that had not healed, and they were felt most keenly in the old childhood hymns. He waved a pick at the trees and brook. I smiled. He chuckled. Jesus saves you? I just wanna see His face. It was irresistible. In the privacy of See,ing, I could join my voice to his Housewives seeking casual sex Comfrey Minnesota know that he would make it come out all right. As the last notes faded on the guitar, he leaned me back on the bed.

Guaranteed to make you cry. Dawg with Onion.

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Sounds like the lunch special. But thanks for the vote of confidence. Dep grinned. Which is not to say my own sorrows were absent.

Or our carefree poverty, willingly entered into. I was losing all my ambition too, as if this forest universe inhabited by Depty Dawg absorbed all need for expression or the craving for fame.

His eyes sparkled. Because I also have this terrible fear that I am. The sickening hollowness my insecurities summoned could surface unexpectedly, even in paradise. One afternoon she caught up with me there. Evading her questions about my life, I could Co,frey her fear through the line. After we hung up, I walked out to the unfinished house and sank beside Depty waiting for me there.

He put an arm around my shoulders. You unhappy here? Mjnnesota miss acting? Forget it. Like I have to look in a mirror Comfry make sure I exist. Money was not a problem for Depty and me. We never had any. And the whole time I was with Housewives seeking casual sex Comfrey Minnesota, I never heard that sound. Our life in the tree house was governed by simplicity, not lack. Who needed television, a dishwasher, or curtains, when we had spiders for company, no dishes, and a delicious amount of privacy?

The way we figured it, the less we had, the less we were responsible for, and we had nothing, except Casuxl. Soon after taking up residence in the Housewives seeking casual sex Comfrey Minnesota house, I got hired to cane chair seats at Mule Muzzle Antiques on Main OHusewives in Whitesburg. For fifteen bucks a chair, it was not exactly lucrative work; one seat could take two days or Minneesota to weave.

Still, I came to love how the pattern slowly emerged sefking a symmetry of bamboo hexagons. Now that he was a Zonko-trained carpenter, Depty Dawg sometimes hired out on his own. A new friend in the county was putting him to work. At forty, he was pear-shaped and swarthy, with eyes the color of Cqsual olives, and hair long enough to sit on.

His well-told tales of growing up over the Second Avenue Deli in Manhattan enthralled two homegrown southerners like ourselves. I knew a little about Brooklyn from visiting my grandparents; Manhattan was always that shining island across the water, sharper, less friendly, and therefore more glamorous.

Besides being a deft weaver of urban myth, Billy could also play a mean set of spoons. Remembering Blaze Foley steaders in the county. They had just purchased a house outside Whitesburg, commuting Hot woman want sex Jacksonville to their jobs as statistician and researcher, respectively, at the Yerkes Primate Center in Atlanta.

Georgia sweltered in late June; I was looking forward to a beer and a cold soak in the creek with Depty Dawg. At its far rim sat Minndsota patch of one-hundred, newlyplanted Housewives seeking casual sex Comfrey Minnesota bushes. The dogs barked my arrival; Margery was nowhere in Minesota. He could be so modest, I often wondered if he still thought of himself as fat. I fell into his arms. His Housewives seeking casual sex Comfrey Minnesota eyes glittered.

Pressing my face to his shoulder, I turned to sit between his Sexy women want casual sex Bradenton. We too old? Born and raised in Macon, Georgia, Margery had a no-frills approach to life.

Her long brown hair was pulled back off Housewives seeking casual sex Comfrey Minnesota features, enlivened by turquoise eyes and a flashing Lake hopatcong NJ bi horney housewifes. One wore a blue ear tag, another a green.

Margery pointed left to right. She gave me a sideways glance. At thirty-eight, sfeking was about to become a mother for the first time; whoever heard of such a thing? The women around me were pioneers Housewives seeking casual sex Comfrey Minnesota a brave new female frontier, out of the realm of those like my mother who were frozen with fear.

When the first lambs were born, Depty and I drove over to see them. They were silky white, already Housewives seeking casual sex Comfrey Minnesota about on sturdy stick legs.

Dep scratched his brow. Our life in the county was—to misquote the old song—a mix of two Williams: Hank and Tennessee. We were surrounded by a number of true characters: We retold Minmesota stories to each other, puzzling how to reshape them for fiction and song. Unless, of course, you were African-American—then all you got were the potatoes. Depty cringed when I repeated this to him. Seemed like he took Housewives seeking casual sex Comfrey Minnesota injustice personally.

The young toffee-colored woman who ran the kitchen had informed me of the policy. Selma was tall and bony, her pitted face fringed Housrwives tight braids. Momma always said I was olive-colored, unless she was depressed, in which case I was sallow. And he always stopped by the kitchen to shoot the breeze with Selma whenever he picked me up at work. One afternoon in the car going home, I tried to have a conversation with Elmo.

I hit my head on the steering wheel and we started giggling so hard, Depty had to pull over. We were still laughing when seekong got back to Udo and put ourselves in park. We sat for hours reading the dictionary, reveling in words: We punned through the days, called each other by our names spelled backwards.

At eighty-one, Mama Kate still ran a home-style restaurant Housewivee of her kitchen, serving up a scrumptious plate of ham, biscuits, collards, Comrrey yams for only two bucks. Now, bent over like a seven, she sewed a new quilt every three weeks, managed her small farm by herself, and remained eminently quotable. I was in her kitchen getting us lemonade, when she blithely informed Housdwives she was going to a livestock auction to buy a blind calf.

He was an Seekjng aristocrat masquerading as a redneck Robin Hood, a mischievous hipster with thick black locks down to his waist. Laughing, he swiped the pencil into his hand. We need anything? Depty kissed me. Bubba snorted. Godless heathens living in a Housewives seeking casual sex Comfrey Minnesota. Like Sseeking the witch, Helen knew about herbal remedies, though she preferred her coffee in a cup. She had showed me how to use alum and comfrey to heal a cut, and what teas to drink for cramps.

Helen had made us turtle soup from a resident of their lake, yelling for Bubba every time the huge snapper tried to climb out of the pot. Our seekinf were the same age as us, but to my mind they were the grownups, married and settled on land of their own, with Woolly Booger, a silky black bull they intended Minnedota eat. Remembering Blaze Foley ducks, still at loose ends. It was a case of the grass being greener. Bubba and Helen Free sites to meet lonely married women our Woodstock Nation housing, and were curious to try it out a night or two.

In return, we could play house at theirs. Their life came with a stereo, toilet, refrigerator, and baby. Antigua And Barbuda xxx porn was a toddler with stick-straight blonde hair and an ever-present pillow.

He spoke a vivid gibberish, long explanations he assumed we understood. Casial two days we tried our hand at diapering, feeding, and rocking. It was scary but sweet, and the novelty of it buoyed us Housewives seeking casual sex Comfrey Minnesota.

Afterwards, removing his large wet sneakers, Housewivds showed Seth his crimped toes. Seth giggled and hit him with his pillow. We cooked hot dogs over a campfire and lay out on blankets under the starry sky. I cuddled the little boy until he fell asleep. Then we laid him between us. Glistening with sweat, Depty stood on the path to the tree house, yelling up to me in Housewives seeking casual sex Comfrey Minnesota trailer. Gingerly, I pushed the plug of an orange extension cord into a socket.

Before I could investigate, the cord whipped out of the wall, uncoiling like a snake. I ducked. A rumpled, bearded hippie had Housewivees his head in the door. Grody Mike often seeeking by unexpectedly, spending hours in Housewives seeking casual sex Comfrey Minnesota trailer with us listening to music. Rumored to sreking a genius, in any other setting Grody Mike would have been labeled a nerd.

Here in the county, his oddness was embraced. The next morning he was discovered snoring under a pile of cans and immediately pronounced grody.

He returned Housewives seeking casual sex Comfrey Minnesota New Orleans a changed man, quit his job as manager of a zeeking of Timesaver Stores, and came back to Waller to live, possibly forever. Grody Mike had aspirations of being a painter, and one wandering eye. We been talking about having a housewarming, you know.

Maybe somebody will give you walls. Grody Mike Housewves on the couch in silent laughter, slapping his leg three times. I love doing science projects with hippies. We tromped out Newly single and wanna mingle inspect. There, under the trailer lay Sandra Jean, exhausted beside a pile of mewling puppies. I counted them: Remembering Blaze Foley name really was De-pu-ty Dog? Cmofrey did you really live in a tree house?

Glyn was our seekinb fashion guru: Quirky and redneck were the norm at Waller. You never arrived there without an ecstatic greeting from Housewives seeking casual sex Comfrey Minnesota, a nondescript mutt so named because whenever she saw you, she just went, well—ape-shit. Said to have mated with every dog in three counties, her offspring had the gene pool to prove it. Dep shuddered. Smiling mysteriously, she crooked a thin finger. The four scrawny kittens had somehow survived without their young mother, but now, unfortunately, Meander wanted nothing to do with them.

Setting the box on the porch, Sas and I had sat in the kitchen pondering their future. After a while I went out to check on them and found one missing. Searching in vain, we looked in again on the remaining three—another one gone. Remembering Blaze Foley We went back to the kitchen and staked out the box. Pretty soon, along came Ape-shit, lifting a third kitten between her jaws. We followed her and the kitten down to the stone cellar under the house, where the two lost kittens lay in the bower the dog had dug in the dusty clay.

When we brought the last one down to her, Ape-shit drew them all in, nuzzling and offering the warmth of her body. We Comfery awed. The urge to mother had transcended species.

Sas showed us how to make a sugar tit—a twisted rag soaked with warm milk and sugar Housewives seeking casual sex Comfrey Minnesota the casuxl to suckle. Housewivea annual Waller whiffle ball game was a Fourth of July tradition, played in srx floodplain beside the inlet creek.

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Dep was excited. I would be on his team too, as would a spindly young man visiting Waller for the Sweet wives want sex tonight Louisville time today. Steve stuck a hand xasual the air and left it there for us to find. But that mere detail was not going to keep Steve from playing whiffle Housewives seeking casual sex Comfrey Minnesota this afternoon, or from pitching for our team.

Steve threw two strikes, then crack! Bat and ball connected; up flew the plastic orb. The shortstop leapt into the air and came down in a heap, ball in his glove.

Now here I am, falling like Alice down a rabbit hole in pursuit of a forgotten wonderland. Am I seeing the past through rose-colored glasses, or was it truly that way? Route Highway 5. The weather is overcast and damp, typical for November. The countryside looks much the same: More houses along the highway, more Confederate flags than American; a county yet divided. Red clay hills still roll to low horizons where clouds lather over dark groves of loblolly pine.

Billy sits quietly behind the wheel. At sixty-seven, he wears his hair short and his Housewives seeking casual sex Comfrey Minnesota long, both white as salt, with the same insistent curiosity in his eyes. As if on cue, we start chattering away like the old friends we are. He catches me up on the Waller crowd. First, his son, Basil: Billy beams. Really good man. Single lady seeking sex tonight Gloucester can remember?

Sas is back in the county. Her daughters are married with kids. You knew that, right? Years ago. On the phone. At twenty-eight, he was struck in his car by a drunk driver and died instantly. Billy grips the steering wheel. Beautiful Helen, gone for decades.

Seth is all grown up, a fine Housewives seeking casual sex Comfrey Minnesota man. Who else? Married with greyhounds. They rescue abused racers. And Grody Mike? Marcus Aurelius —Meditations vi, ca. A fibromyalgia patient frequently complains of pain. The pain of fibromyalgia is different from that of a headache, stomach cramp, toothache, or swollen joint. It has been described as a type of stiffness or aching, often associated with spasm.

Housewives seeking casual sex Comfrey Minnesota the other pains mentioned above, fibromyalgia pain responds poorly to aspirin, Adelaide with teen adult hots Tylenolor ibuprofen Advil, Motrin. In fact, studies have suggested that even narcotics such as morphine are minimally beneficial in ameliorating fibromyalgia pain. Why does the patient hurt in places where there was often no injury and all laboratory tests are Housewives seeking casual sex Comfrey Minnesota What creates what doctors call allodynia, or a clinical situation that Housewives seeking casual sex Comfrey Minnesota in pain from a stimulus such as light touch that normally should not be painful?

Fibromyalgia is a form of chronic, widespread allodynia, as well as sustained hyperalgesia, or greater sensitivity than would be expected to an adverse stimulus. The brain and spinal cord comprise the central nervous system. The autonomic nervous system consists of specialized peripheral nerves.

Patients with fibromyalgia usually react normally [24] Basic Science and Fibromyalgia to acute pain. These wires are modulated by feedback loops within the nervous system. Several separate sensory pathways have been described.

A nociceptor is a receptor that is sensitive to a noxious stimulus. Nociceptors are present in blood vessel walls, muscle, fascia, tendons, joint capsules, fat pads, and on body surfaces. A noxious stimulus can be thermal heat, coldmechanical touch, pressureor chemical. Normally, the body transmits these nociceptive impulses neurochemically from the periphery to the central nervous system. One factor that distinguishes acute from chronic pain is that the perception of chronic pain is significantly influenced by the interaction of physiologic, psychological, and social processes.

Types of wiring and insulation: The ascending tract All sorts of fibers make up the wires that connect the periphery to the spinal cord. Housewives seeking casual sex Comfrey Minnesota the 3, nerve fibers in the ascending tract, some of the wires are quite heavy and insulated, while others are thin and unprotected.

The nociceptive pathway is transmitted to the spinal cord by unmyelinated uninsulated C fibers and myelinated insulated A-delta Group 3 fibers Fig. Both also carry proprioceptive signals balance, touch, and pressure. In a part of the spinal cord known as the dorsal root ganglion, a group of chemicals known as neuropeptides are released and travel up to the brain. They have exotic names that only a neurophysiologist could be proud of, including, among others, substance P, calcitonin-related gene peptide, nerve growth factor, norepinephrine, enkephalin-containing interneurons, and neurokinin A.

From the dorsal horn of the spinal cord, neuropeptides transmit information about the intensity and quality of the signal from the spine up Girl looking boy for sex Newark New Jersey the thalamus of the brain Housewives seeking casual sex Comfrey Minnesota the spinothalamic tract. Signals from pain receptors in muscles, joints, skin, ligaments, and bone are transmitted by A-delta and C fibers to Housewives seeking casual sex Comfrey Minnesota spinal cord.

A-delta and C signals are sent to the thalamus of the brain via the spinothalamic tract after exiting the dorsal root ganglion, where neurotransmitters are released. The descending tract The brain sends signals back down the spinal cord via adrenaline epinephrine and serotonin, the principal neurotransmitters to the one million nerve fibers of the descending system. Serotonin is a remarkable chemical that we will talk more [26] Basic Housewives seeking casual sex Comfrey Minnesota and Fibromyalgia about later.

In addition to nociception, serotonin is capable of regulating mood, arousal, aggression, sleep, learning, nerve growth, and appetite. The ANS consists of two types of fibers: Ladies seeking real sex Fennimore ANS also regulates our pulse and blood pressure by constricting or dilating blood vessels.

Additionally, the ANS can relax or contract muscles and regulate sweat, urine, and defecation reflexes. The ability of the SNS to stimulate sensory fibers that meld into the nociceptive pathway is extremely important. Figure 5 illustrates normal nociceptive processes. Organic sources of pain can be either peripheral or central. Peripheral pain results in muscular discomfort from local tender points. For instance, local injections of anesthetics such as novocaine or xylocaine can temporarily abolish Table 2.

Pain Classifications Relevant to Fibromyalgia I. Acute pain—usually reacts normally in fibromyalgia II. Chronic pain A. Psychogenic pain—not part of fibromyalgia B. Organic pain 1. Location a. Localized—observed in regional myofascial pain b. Central—observed in fibromyalgia 2.

Source a. Neuropathic—not part of fibromyalgia; due to damaged or injured nerves, as in diabetes, trauma, and herinated disc b.

Nociceptive—includes features of fibromyalgia see Glossary for definitions i Hyperalgesia ii Neuroplasticity iii Causalgia iv Hyperpathia c. Non-nociceptive allodynia —can function Housewives seeking casual sex Comfrey Minnesota nociceptive fibers with chronic stimulation in fibromyalgia Why and How Do We Hurt?

Chronic sensitization of A-delta and C pain fibers leading to the thalamus and B fibers leading to the limbic system alters the normal system of releasing chemicals that enhance or fight Housewives seeking casual sex Comfrey Minnesota. Exercising a muscle can lead to pain in that muscle, as shown in Figure 6.

On the other hand, pain can emanate from brain and spinal cord pathways without any peripheral tissue or nociceptive input or stimulus. Let us say that a patient has had a leg amputated below the left knee but complains that the left ankle hurts. This seems impossible, but it happens all the time. This is due to a phenomenon known as neuroplasticity, where the brain has the adaptive capability to modify structure or function by growing nerve fibers, activating previously quiet nerves or creating hypersensitization.

Finally, chronic organic pain is either nociceptive, as in fibromyalgia, nonnociceptive, or neuropathic. Nociceptive pain occurs with chronic, repeated [28] Basic Science and Fibromyalgia stimulation and can potentially produce tissue damage. In this circumstance, nonnociceptive fibers can act as nociceptive ones. Neuropathic pain results from a direct nerve injury Newly single and wanna mingle leads to nervous system dysfunction.

Hyperalgesia is an exaggerated response to a painful stimulus. Inappropriately increased hyperalgesia results when repeated stimuli from areas within tissues lower the thresholds for activating nociceptors. As a result, seemingly innocuous stimuli such as light touching can cause severe pain. For example, lack of oxygen to a capillary beneath the skin in the presence of a low pH or acidic environment is capable of activating, exciting, and sensitizing nociceptors. Another study has shown that fibromyalgia patients react to pain after stimulation with a carbon dioxide laser with greater nociceptive-evoked electrical activity than do healthy people.

A summary of what goes awry in fibromyalgia will now be reviewed. Small C fibers in the skin are easily activated by chemical, mechanical, or thermal energy. Even without noxious stimuli signals Wi porn girls black Kansas City arise spontaneously, which are converted into a neural impulse.

Once sensitized by an inciting stimulus, various signals are sent through Housewives seeking casual sex Comfrey Minnesota nerves to the dorsal root ganglion of the spinal cord. If there are too many incoming signals, the spinal cord Housewives seeking casual sex Comfrey Minnesota have a hard time sorting them out and filtering them.

The constant bombardment of noxious inputs by C-fibers leads to central sensitization central refers to the spinal cord and produces a wind up phenomenon. During the wind up process, pain is enhanced Housewives seeking casual sex Comfrey Minnesota each painful or nonpainful stimulus. Large A-delta fibers, which usually only transmit very noxious impulses, start carrying some of the signals usually carried by the C- fibers.

Light touch is thus misinterpreted by the spinal cord and brain as hyperalgesia. Even the autonomic B fibers start carrying nociceptive stimuli to handle the overload. At this point, nonnociceptive fibers start to carry nociceptive signals. Known as allodynia, its maintenance becomes dependent upon continued central sensitization.

In the dorsal root ganglion, increased discharges of Housewives seeking casual sex Comfrey Minnesota and third rung neurons in response to repetitive C-fiber stimulation takes place. Substance P facilitates nociception by altering spinal cord neurons nerve cells to incoming nociceptive peripheral signals. It migrates up and down the spinal cord, which ultimately leads to the generalization Housewives seeking casual sex Comfrey Minnesota fibromyalgia pain to other areas.

Enhanced electrical depolarization causes calcium influx into nerve cells, which makes them more excitable. NMDA-related signals ascend to the brain and are processed in the thalamus and B Housewives seeking casual sex Comfrey Minnesota in the limbic system.

To clarify these complicated actions, we will now elaborate upon some of the chemicals we mentioned and others in more detail. Important chemical 1: Substance P Substance P stands for pain. Consisting of 11 amino acids building blocks of proteinit is a neurotransmitter released in the dorsal root ganglion of the spinal cord, which results in Housewives seeking casual sex Comfrey Minnesota pain perception Lehigh Florida fuck buddies promoting blood vessel dilation and extravasation leakage into the plasma of a host of irritants, proinflammatory chemicals, and white blood cells Fig.

Blood levels of substance P are normal in fibromyalgia, but four research centers have shown that its levels are increased in the spinal fluid of fibromyalgia patients. Sustained activation of substance P along with neurokinins lowers the pain threshold. Therefore, agents that block substance P may help patients with fibromyalgia.

Nerve growth factor chemical 5 is Serious orax lover for the production of substance P, and serotonin chemical 2 inhibits it. Important chemical 2: Serotonin is also the major descending neurotransmitter of Housewives seeking casual sex Comfrey Minnesota to nociception from the brain back to the spinal cord. Normally, an amino acid known as tryptophan is metabolized to serotonin.

For many years, L-tryptophan was available over the counter as a sleep aid. However, a contaminant in the manufacture of L-tryptophan produced a variant of the autoimmune disease scleroderma, and it was taken off the market in Unfortunately, in some patients, L-tryptophan travels via an alternate route, known as the kynurenine pathway, rather than via the serotonin pathway, which promotes anxiety and irritability.

These include less hypothalamic-pituitary-adrenal or hormone-stress axis activity see chapter 6poor sleep, increased pain perception, alterations in substance P, and lower levels of growth and sex hormones. Important chemical 3: Excitatory amino acids Dr. Russell and others also found that a group of branched amino acids Housewives seeking casual sex Comfrey Minnesota addition to tryptophan are decreased in the spinal fluid of fibromyalgia patients.

These receptors are usually inactivated, but Housewives seeking casual sex Comfrey Minnesota activated in sleep deprivation and chronic pain but not in acute pain. An anesthetic known as ketamine selectively blocks NMDA receptors and produces the most dramatic fibromyalgia pain relief ever reported. Pain produced by NMDA receptors is only slightly blocked by opioids morphine derivatives.

Important chemical 4: Their blood and spinal fluid levels are normal in fibromyalgia. The administration of morphine near the spinal cord modestly decreases pain levels in fibromyalgia. We still know very little about this opiate. Nerve growth factor According to Alice Larson at the University of Minnesota, spinal fluid levels of nerve growth Housewives seeking casual sex Comfrey Minnesota are four times normal in fibromyalgia patients.

Essential for the survival of sensory and autonomic neurons during fetal development, nerve growth factor produces chemical and thermal heat hyperalgesia and stimulates the production of substance P in nerve endings. Important chemical 6: Nitric oxide Substance P and excitatory amino acids promote the release of nitric oxide. A potent blood vessel opener dilatoragents that block nitric oxide also block NMDA Housewives seeking casual sex Comfrey Minnesota.

Nitric oxide levels are increased when serotonin levels are low. It can increase muscle pain by decreasing the amount of ATP energy packets in muscle cells and cause muscle cells to die. Important chemical 7: GABA promotes sleep and inhibits pain reflexes by blocking calcium channels and excitatory amino acids.

Many of the drugs reviewed in chapter 22 promote GABA. Completing the cast of characters: Other important chemicals Other relevant chemicals are listed here for the sake of completeness. Prostaglandins, bradykinins, and histamine promote inflammation. Neuropeptide Y is a small breakdown product of norepinephrine that constricts blood vessels.

Its levels are decreased in fibromyalgia and stress. Acetylcholine, norepinephrine and epinephrine are also part of the autonomic nervous system and are reviewed in chapter 7. Somatostatin which blocks growth hormone and angiotensin-2 also play bit Lady seeking sex tonight AL Cropwell 35054 in the nociceptive process. C-fos is a protein involved in the memory of pain. Can psychological and sociological factors affect pain perception?

Chronic long-term pain, in turn, leads to decreased self-esteem and a reduced feeling of personal control. Figure 6 illustrates some of these interactions. Patients with fibromyalgia hurt when and where they should not. Pain amplification could be the result of the release of neurotransmitters where the sustained release of certain chemicals results in more pain.

Some of the possible disruptions in pain circuitry have been reviewed, but we still know relatively little about what really goes on. The human body. Herman Melville — Since most fibromyalgia patients complain of aching and spasm in their muscles, common sense suggests that there must Naughty housewives wants nsa East Syracuse something wrong with the muscle.

This is easier said than agreed upon. For the last 80 years, researchers have been Housewives seeking casual sex Comfrey Minnesota for the key to muscle pathology in fibromyalgia. As of this writing, there are highly respected investigators who feel that there is little if anything wrong with fibromyalgia muscles. However, other Hot new Southport goddess neighbor regarded researchers have presented evidence that abnormal muscle metabolism is the linchpin for what goes awry in the disorder.

Why are there such discrepancies? Our body has different muscles, which constitute as much as 40 percent of our weight. When physicians look at muscles of fibromyalgia patients under a simple microscope, they generally appear normal. In fact, muscles must be looked at under an electron microscope which magnifies the tissue thousands of times in order to find any consistent abnormalities. Some investigators have shown that magnesium levels are low in the muscles of Housewives seeking casual sex Comfrey Minnesota patients.

So where are the disagreements? Fibromyalgia patients are generally deconditioned. In other words, they are out of shape.

Of course, many more people are out of shape than have fibromyalgia, but studies of muscles from out-of-shape people also show some of these alterations. Nevertheless, people who are out of shape also have decreased muscle strength. Muscles are fueled by oxygen, which Housewives seeking casual sex Comfrey Minnesota supplied and carried by arteries.

Some muscles in fibromyalgia do not get enough oxygen. The heart is a muscle. Angina is cardiac chest pain brought on when not enough blood is supplied to the heart muscle via the coronary arteries.

A Housewives seeking casual sex Comfrey Minnesota of this is the release of chemicals including histamine, prostaglandin, and bradykinin, which can further sensitize afferent nerve endings. An enzyme involved in the production of ATP in muscles may be defective in fibromyalgia. Muscles become slower to consume glucose to produce energy, which diminishes energy reserves. Additionally, several researchers have examined the biochemistry of muscles by using a magnetic spectroscope not too different from the technology used in magnetic resonance imaging MRI scanning.

Electrical activity in muscles can be assessed by an electromyogram EMG. Microtrauma creates a sequence of events leading to muscle spasm and not enough oxygen getting to muscles, which produces pain. Some of this pain could be due to microscopic muscle tears resulting in leakage of chemicals that produce discomfort. In fibromyalgia, the soreness and stiffness become chronic. When a focal injury affects a muscle fiber, it contains both relaxed and contracted units, or sarcomeres.

Housewives seeking casual sex Comfrey Minnesota ensuing hyperexcitability of spinal cord neurons sensitizes second-order neurons. Nonnociceptive impulses produce allodynia, and nociceptive impulses hyperalgesia. In turn, a calcium-ATP or energy pump is activated, unleashing events that produce a taut band. Housewives seeking casual sex Comfrey Minnesota, growth hormone and its liver by-product, insulin-like growth factor 1 IGF-1are made during deep sleep and promote repair of Waitress at old Coxwold tonight damaged by microtrauma.

When patients sleep poorly, this repair is interfered with. Tender points occur at muscle-tendon junctions, where Casual Hook Ups Ashwood forces produce the most injury. This is discussed further in the next chapter. SUMMING UP Although muscles usually look normal in fibromyalgia, and although many Housewives seeking casual sex Comfrey Minnesota the changes described in muscle tissues reflect being out of shape, there are probably certain unique self-perpetuating events that produce muscle pain and spasm through the interplay of microtrauma, pain, chemicals, and unrefreshing sleep.

Which weighs upon the heart? William Shakespeare — Nudist seeking nudist Talleyville, Macbeth, 5: They spend a few weeks on the heart, then the lung, followed by the gastrointestinal tract. Eventually the whole body is covered. This enabled physicians to devise improved strategies to help fibromyalgia patients. Table 3 and Figure 9 show how thyroid, cortisol, insulin, breast milk, and growth hormone are made along the hypothalamic-pituitary axis and the hypothalamic-pituitary-adrenal HPA axis.

Even though CRH levels are normal in fibromyalgia, CRH responses stress responses to different forms Looking for a smart nice nerdy guy stimulation are blunted. Its expression can be increased by stress, serotonin, and estrogen. Endorphins promote the secretion of CRH.

The answer is not clear. However, these studies suggest that fibromyalgia patients do not respond normally to acute stress and do not release enough adrenalin. This leads to a chronic stress state to which the body reacts by making things worse, creating a vicious cycle that perpetuates the unwell feeling.

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Jean Kerr — Somewhere between 60 and 90 percent of fibromyalgia patients have difficulty sleeping. They might be in bed for 8 hours but do not wake up feeling refreshed, a condition termed nonrestorative sleep.

Work done by Dr. Most of the time is taken up by a deep slow wave sleep, characterized Hiusewives delta waves on the electrical tracing. Approximately 20 percent of Dating in Billings Montana time is spent dreaming, which is termed rapid eye movement REM sleep. Alpha-delta intrusion fasual have a startle effect and Housewives seeking casual sex Comfrey Minnesota the person.

Sometimes, it may cause one to turn Housewives seeking casual sex Comfrey Minnesota, shake a leg, grit the teeth, or open the eyes. After a while, it keeps one from falling into a deep sleep.

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Some fibromyalgia patients have alpha-delta intrusion hundreds of times during an evening. Figure 10 illustrates alpha-delta sleep intrusion patterns in fibromyalgia patients. Most growth hormone is produced when we are in slow delta wave sleep. Levels of a product of growth hormone known as IGF-1 insulin-like growth factor, also called somatomedin C are decreased by 30 percent in fibromyalgia, especially in the early morning.

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CRH also promotes the release of a chemical that blocks growth hormone secretion. What does this mean in a practical sense? Also, sleep can be [42] Basic Science and Fibromyalgia augmented by the production of chemicals such as interleukin-1, tumor necrosis factor-alpha, acetylcholine, nitric oxide, and a hormone made by another part of the brain pineal gland known as melatonin.

Moreover, fragmentation of sleep occurs with menstruation, stress, pain trauma, infection, or a change in the weather. The thyroid hormone level is normal, but its responses to hypothalamic stimuli are blunted. A subset of fibromyalgia patients have elevated levels of prolactin, a hormone responsible Housewives seeking casual sex Comfrey Minnesota the secretion of breast milk, which may affect the immune Housewives seeking casual sex Comfrey Minnesota and muscles.

Cytokines Gallupville NY milf personals a role in the growth and developTable 4. How cytokines can influence fibromyalgia Cytokine Association IL-1 beta IL-2 IL-6 IL-8 IL TNF-alpha hyperalgesia, fatigue, Housewives seeking casual sex Comfrey Minnesota, muscle aches, blocks substance P muscle aches, cognitive dysfunction fatigue, hyperalgesia, depression, activates sympathetic nervous system production stimulated by substance P, mediates sympatheric nervous system pain blocks pain produces sleep, allodynia, increases NMDA activity, regulates substance P expression Stress, Sleep, Hormones, the Immune System, and Fibromyalgia [43] Fig.

Cortisol, estrogen, pain, chemicals, muscles, sleep, stress, and the ANS all interact with each other. Even though cytokine blood levels are normal in patients with fibromyalgia, the administration of cytokines to treat diseases such as alpha-interferon to manage hepatitis or interleukin-2 for advanced cancer induces or causes fibromyalgia.

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Table 4 lists how cytokines can influence manifestations of fibromyalgia. As the first doctor to document this in the medical literature, I was amazed when my patients with advanced cancer at the City of Hope Medical Center developed fatigue, muscle aches, and difficulty connecting their thoughts within days of receiving interleukin These fibromyalgia-like symptoms lasted for several weeks and then disappeared even if no further therapy was given.

How does Laquey MO cheating wives relate to fibromyalgia? Jay Goldstein at the University casula California, Irvine, has expanded upon these observations and developed the limbic hypothesis of Housdwives and Hoysewives syndromes. Goldstein feels that the limbic area of the brain regulates these interactions.

Limbic encephalopathy, or pathologic changes in the limbic system of the Naughty Personals Santa Fe New Mexico local pussy, could cause fibromyalgia, and chemicals that decrease the influence or effects of interleukin-1 beta worsen [44] Basic Science and Housewives seeking casual sex Comfrey Minnesota the syndrome.

Figure 11 illustrates some of the disease interrelationships of hormones, sleep, and the immune system. Abnormal Housewivss brain waves interrupt normal sleep patterns, Housewives seeking casual sex Comfrey Minnesota this may influence normal responses of growth hormone, which, in turn, affects muscles.

Administering cytokines can cause or improve fibromyalgia, and these chemicals are interconnected with hormonal and pain pathways. We now are ready to add another piece of this puzzle to what has already been introduced. Absence of psychoneurotic illness may be health but it is not life. Part of the peripheral nervous system, the ANS consists of the sympathetic nervous system SNSHousewives seeking casual sex Comfrey Minnesota consists of Miinnesota from the thoracic and upper lumbar spine, and the parasympathetic nervous system PNSincluding outflow from the cranial nerves emanating Housewives seeking casual sex Comfrey Minnesota the upper spine and also from the mid-lumbar to the sacral areas at the buttock region.

These include epinephrine adrenalinenorepinephrine noradrenalindopamine, and acetylcholine. This chapter will focus Housewives looking sex Cookshire-Eaton how abnormalities in the regulation of the ANS cause many of the symptoms and signs observed in fibromyalgia.

These ANS sensors perform a function known as autoregulation. Because the ANS instantly constricts our blood vessels peripherally and dilates them centrally. They can secondarily contract and relax muscles, open and close lung airways, or cause us to sweat.

For instance, ANS sensors can tone muscles, regulate srx, and regulate bowel movements, as well as dilate or constrict our pupils. Tilt-table testing, in which patients lay down and are tilted upward on an examining table shows normal baseline pulse and blood pressure but an exaggerated rise in blood pressure in many fibromyalgia patients.

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Some fibromyalgia patients have neurally mediated hypotension, in which decreased sympathetic activity lowers blood pressure, leading to dizziness and fatigue. See chapter According to Dr. Termed autonomic dysregulation, or dysautonomia, this loss of autoregulatory or local control causes a variety of clinical problems associated with fibromyalgia.

How do the ANS sensors lose their fine-tuning control? Autonomic signals are carried by B fibers to the spinal cord and ascend Horny women in Sandwich Massachusetts the limbic system of the brain via the spinoreticular tract. In fibromyalgia, however, repeated incoming signals from unmyelinated C fibers to the dorsal horn of the spinal cord may also create nociceptor hypersensitivity. Nociceptive stimuli are now transmitted through normally nonnociceptive transmitters.

When this leads to the appearance or sensation of swelling, it is called neurogenic inflammation. Here, sensory afferent end-organ stimuli causes SNS and neuropeptide release, which produces plasma extravasation, or swelling edema. Further, substance P can activate SNS receptors in the dorsal root ganglion. Dysautonomia produces reactive hyperemia, or redness in the skin after palpation.

One of the procedures used to diagnose systemic lupus is the lupus band test. In the early s, some investigators reported that this skin biopsy was giving false-positive readings in fibromyalgia patients.

Most of these conditions are discussed in detail in chapters 13 and 14 and are listed in Table 5b. They include mitral valve prolapse, noncardiac chest pain, What is the Autonomic Nervous System?

Infrequently, serious derangements of the ANS leads to prolonged stimulation of pain amplifiers, which results in chronic neurogenic inflammation. The most important complication of this is a condition of sympathetically mediated pain known as reflex sympathetic dystrophy, which is reviewed in chapter It has been postulated that a hypervigilance is associated with dysautonomia, which results in fibromylagia patients becoming acutely aware of normal bodily activities.

Autonomic dysregulation can mimic some features observed Hot housewives want real sex Mumbai autoimmune disease and is often mistaken for them.

Many commonly observed complaints in fibromyalgia, such as irritable colon, mitral valve prolapse, edema, reddish discoloration of the skin, and tension headaches, are due in part to abnormalities of the ANS. My rheumatic pains leave me no rest. I suffer stomach Housewives seeking casual sex Comfrey Minnesota most of Housewives seeking casual sex Comfrey Minnesota time. My headaches are so terrible that life seems filled with bile. It is possible that I am more seriously ill than my doctors think.

The pain will not go away. Letters of Alfred Bernhard Nobel — Fibromyalgia is known for its diversity of symptoms and signs. This part discusses the more important symptoms and signs reported by fibromyalgia patients. This page intentionally left blank 8 Generalized Complaints Complaint is the largest tribute Heaven receives.

Jonathan Swift —Thoughts on Various Subjects, Housewives want nsa Bath NewHampshire 3740 is a syndrome rather than a disease, and as such has a variety of features. Any part of the body can be involved, especially when fibromyalgia is Come suck me dry or aggravated by multiple factors. This chapter will review some of the generalized complaints expressed by fibromyalgia patients and place them in perspective.

Complaints can be subjective and hard to verify or quantify. They consist of symptoms, or expressions of what is bothersome, and signs. Physical signs are observed during a physical examination, such as a rash or an irregular heartbeat, and are easier to Housewives seeking casual sex Comfrey Minnesota.

Constitutional symptoms or signs are generalized and do not belong to any specific organ system or region of the body. Fatigue Jane was an anthropology graduate student. In addition to carrying a full load of classes, she moonlighted as a waitress 20 hours a week. This pace was maintained until Jane caught what seemed to be a bad case of flu with a sore throat, runny Housewives seeking casual sex Comfrey Minnesota, cough, fever, aching, fatigue, and swollen glands.

The fatigue and aching became more pronounced, and Jane had to quit her waitressing job. She forced herself to go to class and was so exhausted that she spent most weekends in bed. Despite all of the bed rest, Jane never slept well and began noticing stiffness and spasm in her upper back and neck areas. The Student Health Service referred her to an Older attached male seeks older mature woman, who ordered tests, all of which were normal.

Even though Jane is still unable to work, at least she did not have to drop out of school. Fatigue is still a major problem, but its level of intensity seems to be slowly diminishing. Between 60 and 80 percent of fibromyalgia patients complain of fatigue, which is defined as physical or mental exhaustion or weariness. However, there are many reasons for fatigue. In a recent survey, 20 percent of the women in the United States and 14 percent of the men rated themselves as being significantly fatigued.

Some of the basic causes of fatigue include emotional stress, depression, physical illness, poor sleeping, and poor eating. The majority of patients with fibromyalgia and chronic, otherwise unexplained fatigue in whom a primary psychiatric diagnosis has been ruled Housewives seeking casual sex Comfrey Minnesota also meet the criteria for chronic fatigue syndrome see chapter A fun massage in Raleigh fibromyalgia patients run fevers?

Amber was having difficulty explaining what she meant. Until she was diagnosed as having fibromyalgia, she told doctors about her fevers. She related that it Housewives seeking casual sex Comfrey Minnesota as if she was burning up or breaking out into a cold sweat. Physicians would obtain a normal temperature, look for infection, and inform her that they could not find anything.

Although she never took her temperature during these episodes, Amber recalled her mother Free hot sex in oswestry that However, if her temperature was higher than Everybody has a temperature, but few people run persistent fevers.

A fever is defined as a body temperature above Therefore, the normal temperature obtained at examination is a fever. Many, in fact, feel feverish. Verifiable, chronic fever is not a feature of primary fibromyalgia but an indication that another condition is causing fibromyalgia-like complaints.

An infection such as a sore throat can lead to swollen lymph nodes in the Housewives seeking casual sex Comfrey Minnesota area. Chronic poor circulation can produce edema from poor lymph drainage or varicose veins in the legs. Most lymph glands are enlarged when we have a local infection, an inflammation, or a malignancy.

Twenty percent of fibromyalgia patients complain of having swollen lymph nodes. Many who have a postinfectious fatigue syndrome start out with swollen glands, but Housewives seeking casual sex Comfrey Minnesota glands are no longer enlarged by the time a fibromyalgia specialist is consulted. Those who are thin also have relatively prominent lymph nodes, a condition not associated Teacher ms wanting sex tonight from women sex with field any disease.

As with a fever, if the doctor can feel the lymph nodes in a given area, this is not due to fibromyalgia but represents a circulation problem, allergic reaction, infection, inflammatory process, cancer, or simply bodily thinness.

The glands themselves are not enlarged or abnormal under the microscope. Hormones probably play a role in pain perception. It has been suggested that healthy males make 40 percent less serotonin than healthy women.

Weakness, myalgias, arthralgias, spasm, lack of endurance, and stiffness are prominent features of fibromyalgia that Housewives seeking casual sex Comfrey Minnesota be difficult to differentiate from other conditions. The prominence of complaints in this area is what frequently brings patients to a musculoskeletal specialist such as a rheumatologist, as opposed to an infectious disease expert, general internist, or endocrinologist. Abigail saw the chiropractor she Housewives seeking casual sex Comfrey Minnesota consulted three or four times over a five-year period for similar backaches.

However, this time the pain did not go away and Housewives seeking casual sex Comfrey Minnesota to the right side. Trying to exercise was extremely painful. Innocent movements such as washing her back in the shower caused her muscles to tighten up and go into spasm. Over 80 percent of fibromyalgia patients have muscular symptoms or signs.

Aching in the muscles, or myalgias, is common in the upper or lower back and Musculoskeletal Complaints [57] neck area. Myalgias are usually present on both the right and left sides and present as a dull, throbbing discomfort. Housewives seeking casual sex Comfrey Minnesota aches tend to worsen after exercise and activity and as the day wears Housewives seeking casual sex Comfrey Minnesota. As discussed in chapter 5, the muscles are weak only if deconditioning is present.

Areas of taut bands may be felt as tender points. Postexertional pain occurs when arteries in the muscle constrict and not enough oxygen gets to these areas. Exercise requires increased oxygen to the muscles, and the lack of oxygen produces muscle pain.

This leads to deconditioning and produces a vicious cycle that promotes a fear of exercise. Myalgias should be differentiated from inflammation of the muscles, which is known as myositis, and other conditions associated with aching muscles.

Common Housewives seeking casual sex Comfrey Minnesota medications infrequently induce side effects affecting muscles, which leads to aching or weakness.

Examples of this include certain cholesterol-lowering preparations e. Her mother could always tell when it was going to rain, and now Janice seemed to have this meteorologic prowess. Janice began noticing aching with pain in her shoulders and the back of her neck, particularly if she was premenstrual or had slept poorly. Janice felt much older than her 40 years. Her family doctor could not find any evidence of arthritis on examination or blood testing, and X-rays of her neck and shoulders were normal.

Ultimately, it was concluded that Janice had a mild form of fibromyalgia that became evident when the weather changed, just before Housewives seeking casual sex Comfrey Minnesota period, and when she did not get enough sleep.

The International Association for Adult seeking hot sex Peabody Kansas 66866 Study of Pain has defined pain as an unpleasant sensory and emotional experience. The pain usually emanates from the soft tissues, muscles, and joints. Soft tissues include the supporting structures of joints such as tendons, bursae, and ligaments, as well as the myofascia.

The nature of the pain is highly variable. Some patients use descriptive terms such as aching, burning, Comffrey, smarting, or throbbing. Pain can change sites and often gets better or worse on its own. Flora - Allendale forest woman seeking hot granny sex. Seeking real dating sexy married women searching Housewives seeking casual sex Comfrey Minnesota women. Emma - Springfield Swingers, kinkycouples sex.

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