Managing the diet, That's my PKU life

Depression Hurts

My name is Amanda and I have depression.  actually many years ago,  I was diagnosed with Chronic Major Depression and Panic Disorder.

On June 24th 2012 I made the difficult decision to accept my depression and to begin treatment with ant depressant medication.  I had been battling Chronic Major Depression with panic disorder and panic attacks for a number of years.  specially after my car accident in 2008. when I was hit by a car walking my bike home. I was hit while walking and had had knee surgery 15 weeks prior, the accident had a serious impact on my physically and changed my life for ever.  Between that , and other physiological troubles and trouble staying compliant with my diet, my life was a mess and the depression robbed me of the quality of life that I deserved.  My life was a constant battle with my emotions, self confidence and image. It was a merry go round of ups and downs. I could barely leave my house with out a panic attack.  spent many years being dependant on cole for everything. I refused to drive and could not hold a job.  Cole would work all day and then come home and have to drive me around because  I could not be on my own and could not drive.

Over the years I had tried managing my depression with various means such as counselling, anti anxiety meds and various anti depressants but I never stuck to any treatment and had a hard time admitting I needed help. Also Cole is against medications and being on pills so i tried to manage on my own and keep it to myself just how much I was struggling and I could not really talk to anyone about what I was going through. I felt week and like a failure.  I felt like I let my friends down, my family and coles family. I did not like myself. Could not understand why cole put up with me , or why he stuck around.

I hated myself and how my life was going. I felt so weak and when friends and family around me told me to get over it or try harder I took it hard.  telling me to do something about it or just do it was not helping.

I had talked to my pku clinic and family doctor many times about it , and they always recommended “pills” but i could not get around the astigmatism of depression and “pills”  so i tried managing on my own by pretending I didnt need help or have a problem.  The anti depressants i had tried through out the years I never stuck to , I had every excuse not to, to many side effects or not working, or when they would work id take myself off them after a while. Not being able to justify being on pills but also figuring i didnt need them any more and could manage on my own.  As a nurse I know how important it is to stay on a medication even when its working, you cannot stop. But I told myself these things anyways.

Finally in 2012 I sat down with my clinic one more time and my dieticians told me, it was not my fault and just like my brain needed my formula and my low protein diet, my body needed the pills to regulate the serotonin.  I had a chemical imbalance in my body and though my depression started with circumstances and life events, adults with PKU even when on diet do not make enough serotonin and its common for pku adults to struggle with depression.

So cole and I had a very long talk and talked about the pros and cons, just how much I was struggling to have a normal life and how my depression has controlled my life for so many years, and our relationship.  How much weight I carried on my shoulders for letting everyone down, how bad i felt about being dependant on him, for not being able to be independent and to look after myself on my own. Also about how badly the panic attacks scared me. I had a break through and realized i could not keep living my life the way I was living it. I wanted better for myself and for us. I wanted a brighter future and I wanted to be coles equal and to be independent on my own. i wanted to hold a job, to not live my life in fear and in the chronic pain I was living in. I wanted to spend my life with him , to get married and have children, to travel and be a friend people could be proud of. I wanted his family to be proud of me and my own. I wanted to deserve him and his unending love. I did not want to make him resent me or one day realize he didn’t want this life and to be held back like this.

So I went to my doctor and on June 24th 2012 I started on a 10 mg dose of Ciprelex. i had side effects for 2 weeks before i started to notice the changes.

1 year later I feel like I am the strongest I have ever been, I haven not had any panic attacks. I am more active. I feel so much more free. I drive, I have my own car, I work . I have had the same job for 10 months and I have been working in a full time night line since March.  I go out during the day on my own and visit my few new friends or even just on own. Going to the grocery store even is a big deal to me. because I can do it on my own. having my own money and my own car has opened up doors for me. I am proud of all the changes in my life. There has been so big ones to.

Moving to a new town and a new city being the biggest.  Leaving my friends and family behind and starting  a new life , a new chapter and a fresh start. This is something I never thought id have for myself. Now we own our first home and we are doing so well. I am truly happy.

We are planning on travelling this year, and we are talking about starting a family sometime in the i hope not to distant future.

I know now, I could have never made these changes on my own, it was not just the pills either. The support i have had from cole , our friends and family have gone along way. I see things differently now to. I am a much more positive and drama free person. I feel stronger and  I walk a little taller.

I don’t talk about my depression, or what I have gone through to often, in fact, until this post, most people , friends and family probably didn’t no. Well I am sure they knew I had depression and anxiety from my actions and my life, but I have never really come out and said it , or that I am on medication. However I am no longer ashamed. I cant help it and its apart of me. Just like my PKU. But it does not control me any longer, because I made the decision to take back my life.

Its been a long journey , and a lot of work. I can see the light now. I had hopes and dreams and I know what it is like to be truly happy and I appreciate my life, my family and my friends. I am not ashamed of my past now and who I was . I had to get through that to be who I am today.

I know now, no matter what happens, I will be ok.  I have learnt to live my life and take one day at a time. every morning I wake up, is a fresh start and a chance to do what I didn’t do yesterday.

 

BC Residents and news, Events

Kamloops Walk for PKU

IMG_1784 IMG_1786 IMG_1787 IMG_1788 IMG_1789 IMG_1792 IMG_1793 IMG_1795 IMG_1796 IMG_1797 IMG_1799 IMG_1801 IMG_1803 IMG_1806 IMG_1807 IMG_1809 IMG_1810 IMG_1811 IMG_1812 IMG_1813 IMG_1814 IMG_1815 IMG_1816 IMG_1818 IMG_1821 IMG_1824 IMG_1825 IMG_1826 IMG_1828 IMG_1829 IMG_1830 IMG_1831 IMG_1835 IMG_1837 IMG_1838 IMG_1840 IMG_1841 IMG_1842 IMG_1843 IMG_1844 IMG_1847 IMG_1848 IMG_1849 IMG_1851 IMG_1852 IMG_1853 IMG_1854 IMG_1857 IMG_1874 IMG_1875

 

 

To day Canadian PKU and allied Disorders INC held there national walk a thon, to raise donations and awareness for PKU. Though we do not have any final numbers yet, The Kamloops Walk for PKU was a success.  We had 30 attendees and rasied $420.00 dollars.  The event started at 1 pm and was over by 3 pm.  We met on the field by the park and picnic tables.  At 1 pm, our local MLA Terry Lake arrived to talk to families and PKU patients. He also stayed for a group photo and gave a small speech to set us off on our walk. Once everyone had arrived, signed in and signed the petition, we began our 42 minute walk along the Westsyde parks Dike. Our gravel trail to the stairs at westsyde road and back was quiet comfortable and scenic and followed the swollen river.

After our walk we met back at the picnic area to socialize and have some low protein lunch of fruits, veggies, apple chips, juice, veggie thin crackers  low protein cookies, and low protein donuts!

Everyone had fun playing at the park on the Jungle Gym and the swings. The weather held at a balmy and some what gray 23 degrees.  Perfect for walking with a slight breeze along the river.

I met some new faces and we had 6 PKU patients attend.  Myself and PKU Adult Katie, whom I just met today after we got in touch over the telephone last night. We are the same age and have never met . We also attend the same clinic and have the same dieticians!!

Then there was Hayden ( 5 years old) Austin ( 22 months old) and 2 school age boys! ( 1 was playing in a soccer game being held across from our walk!)

I handed out our PKU awareness t-shirts with there powerful message “Worst to first”, some recipe books, pku tool kit journals, and some pamphlets for Custom PKU Jewellery!

Between Cole and I we took 50 photos and it seemed to be a really good day and well received. Earlier when Cole and I where out at Save on foods getting last minute things for the walk, we where wearing out T-Shirts and people stopped and asked us what PKU was. I had fun explaining of course. Always like an opportunity to educate someone else.

Oh! and as well, our Pennies for PKU drive was a big hit too! We filled our cambrooke foods mixqucik baking mix container. So now I just have to count and roll it LOL.

However for tonight. I am going to sit back , relax and enjoy my evening with cole.  Tomorrow I will finish up the paper work and finalize the walk a thon.

I was so anxious and nervous last night I could not sleep so I have been up since 5 am. Luckily I have been given the weekend off! back to work Monday!

 

Have a good night everyone! Thanks for reading :)

 

PKU Book Project

New Project

I am working on a new PKU project and I am looking for  individuals interested in sharing their personal PKU stories . I have made a request on my facebook page and contacted some community friends whom I think would be interested. However I am still looking for many more participants from the following categories :

1: Non PKU parents of Elementary school children who have pku,

2 : Teenagers with PKU

3: Post Secondary students with PKU ( college, university) 

4: Adults on diet with PKU

5: Adult off diet with PKU ( or recently/ returning to diet) 

6: Older Adults with PKU who where taken off diet. ( over the age of 40 ) 

7: PKU mothers who have had a MPKU pregnancy.

8: Men with PKU

9: Siblings , close friends or spouses of someone with PKU

10 : Medical professionals who treat PKU , like nurses and dietitians.

If you fit any of these categories and are interested in sharing your story or would like more details please  email me at amandacosburn@gmail.com There is a lot more spaces available.  I am looking for at least 5 or 6 for each group. 

Levels, Managing the diet, That's my PKU life

When my levels where high

When I was a pre teen and teenager I struggled with my PKU so much.  I am not exactly sure why I had such difficulty now. I just did not care. I didnt listen despite my parents pain and despite the education my clinic tried to enstow on me.  I didnt want to hear it. I was hungry all the time. I started cheating at 13. My mom made menus for me every night and put them on the fridge about what I was suppose to eat that day. I hated having those decsions made for me , and I was picky about the foods she choose. I am still picky and I go through phases and cravings. Sometimes you just want what you want.  I also was always told never to trade my food with my school mates also; pretty much drilled into my head. But At that age I wanted to try things.  I had to learn the hard way, food that you cant have when introuduced into your body become like a drug addiction. You want them and crave them and would do anything to eat them.  My first ” addiction” was Mr. Noodles , chicken flavour. It started in grade 7. I traded my fruit roll ups for a hole year of Mr. Noodles and when my mom gave me notes to go to the coner store as a treat I bought Sour cream onion sun chips, and mr. noodles.  I would eat it all.  My levels spiked so much in those years. In to the 20s, i think as high as 25 at some point.  I lied about it too. I didnt want to get in trouble, grounded, have privileges taken away or be yelled at.  Specially by my clinic staff.  I always denied it and said it had to be from something else. I did not realize how sick I was making myself. I started having so many side effects but I swore up and down they where not side effects and something else was wrong. I also truly truly believed this! I eventually ended up in BC Childrens’s hospital for 6 weeks while I was in grade 9 . I had so many tests done and was on my own. My mom could not come with me as I had young brothers and sisters at home.   While in hospital I was educated and taught about managing my diet on my own, taught about PHE and high levels and how to track my intake and measure my food. I got a scale and a food list binder to learn about the different values of food. I was also started on many different pills to treat my symptoms that I was getting from the high levels.  By the time I left the hospital my levels where stable and I was on 19 pills. It lasted for a while but then I started eating badly again. My second “addiction” was to minute rice. Something that stuck with me untill this year. I swore up and down they would never break me of that addiction. I was so sick of potaotes and pasta. I just love rice and it really was an addction. I litterly had to “quit” and then I would get withdrawls. I have tired to quit 3 or 4 times now. This is the longest I have lasted.

Though out the years I have also gotten “addicted ” to oreos, cookies, yam and avacdado sushi. I am still addcited to sushi and for the past 6 months i have been going out for sushi almost once a week. Well untill april. I went once in april , and twice now for may.

I only eat rice now as a treat if im out for dinner. But I cannot have it in the house. I had to get rid of it all. Cole hididng it on me did not work.

I was also admitted again for high levels at 17 years old. for 2 weeks. To be withdrawn and to drop my levels down. Each admission that I underwent they would drop my levels in the first 3 days , but not allowing me any food and just formula on the 1st day, on the 2nd and 3rd day I would only have my formula for breakfast, and then for lunch and dinner I would have formula and applesauce. I was so sick and hungry. I could not cheat cause they controlled my food and there was not food on the floor or aces to fridge. I could not just help myself. I had daily blood tests from my arm and tests. After my levels where at the lowest they would slowly start introducing food again untill my levels raised up to where they wanted them at.

 

Luckily those are the only admissions that I remember.  I can still remember how sick i was. The migranes, the anger, the low attention span, fatigue. Heightened emotions, vision problems, hair loss. Bleached out hair. Gastro intestianl issues like IBS and gastro reflux.  Then the anorexia, not because I wanted to be skinny but I did not want to eat anything. I would have such horrible stomach pain after eating that I stopped eating . In highschool I dropped down to 109 lbs at my lowest and had bleached out blonde hair down to my waist. I started to get alot of attention and it went to my head. I was also taking laxatives every day to help with the IBS but the hospital never told me when to go off them and i stayed on them for over a year untill my dr. caught the “oversight” so i was always malnutrioned and de hydrated.  I was bullied so much , pretty much every form of abuse I suffered at the hands of my peers atleast once and on an on going basis. I was so misrible and unhappy. The lowest self esteem and I hated myself.  There is no worse feeling then looking in the mirror and hating your own self. I do not no how I got so lost or how I let my self get to far away from myself. i am ashamed of my past and who I was.

I try so hard now to stay healthy but we all have our “ups” and our “downs” its a constant cycle. For me its very related to either my mood or my finaces. IF i am not working, then I dont have money for food, if i dont have food then eat it wrong foods or to much food because I cant satisfy my hunger and then I suffer and cant work. Making it into a cycle where I have to hit bottom to stop and build myself back up.

I have learnt alot about myslef and what happens to me when my levels are high. i learned to read my body and I can tell instantly when I have had to much of something. I am very sensitive now.  However even still I tend to over induldge or eat to much or the wrong foods even when I know I should stop. Like with Sushi, and about a year ago with Brown sugar oatmeal. That was an addiction for me as well that I had to ban from our house. Poor cole, having to put up with my food bans because I cant trust myself to have them in the house.  I had cravings for weeks after i “quit” that one too.

So now I am very careful about introducing new foods. I do go though patterns though where I only want certin things. Right now my pattern is corn pops with almond milk and low protein pasta salads for dinner. I think I have had pasta salad every single night that I work a night shift for the last month or more. However my last pattern was mashed potatoes, that lasted about 6 months. every single night…. cole really is sick of potatoes now and would be very happy to not see them anymore. But i keep them around to eat on my dinners when I am off and have more time to cook something nice.

I think I have an addictive personality with these cravings and bad habbits. I wonder if anyone else with PKU experiences this? Would it have ever happened If I never cheated or introduced new foods into my diet. Atleast I can say and be proud of the fact that I have never eaten MEAT!!! or anything that would be way way to dangerous for me liek that. I do no better in some areas. My problem is eating to much of what I can have .  I have never tried dairy, or meat, sea food or anything like that and I NEVER EVER willl! I have never really been off diet, even though I didnt drink all my formula as a teen I have drank all my formula every day for the last 8 years. I feel it soo very much if I miss it even by a few hours.  I feel so sick when I miss a formula that it seriously scares me. I have damaged my body in some ways perminity. I am told I lost atleast 1 IQ point from my high levels, I have more white spots in the grey matter of my brain but I think I am doing pretty good , im not slow and I went to college and now I am a nurse.

I still have problems with my stomach and insensitivities  I still have IBS and I still struggle with getting in enough water so as not to be dehydrated. I dont weigh or measure my food. I eye ball it. I have my ups and downs but I think im pretty on track.  Well atleast I am making a real effort to be. I am setting goals and working to be compliant and lower my intake and my levels. I am working towards low enough levels for pre conception diet and for my future. One day at a time. Every morning I wake up a fresh start. I will get there! I am way more positive about that.

I really feel for all the adults out there like me that I have met who have come off diet or are not on diet I do not now how they can survive on a day to day basis. I am so sensitive now I can pick up the changes in my body and I really do not like it. I do not like how it feels. IF anyone can learn anything from me or if I could teach any PKU family, new diagnosis or child it would be to not cheat.  TO listen, to be educated, to embrace it as a life style, do not be ashamed or feel left out. And to the parents , it does happen, its not your fault. Its our own. You did your best trying to teach us , but sometimes we have to learn on our own. I share my story because I hope to help those who have lost there way or those beginning out so they don’t make the same mistakes I did and heart it from someone like them that its not worth it! Dont make food scary or  punishment or take away the fun from good food! And make sure there is a variety. Maybe if I learnt to cook and bake ealier on then I would have done better. I had no variety and felt left out and hungry. I also ate alot of my meals alone. In my room. I cooked all my meals myself to.. Dont do that! make meals social family time! I enjoy cooking now and sitting down to eat with cole. Even if we are not eating the same. We eat similar he just has meat added to his. I like having choices and a say in what I eat. I like to be able to go to my low protein cupboard and decide what ” i feel like” so involve your PKUer in meal planning. Dont plan to many days a head. For me its easier to plan meal by meal then its not as overwhelming. If i plan out the day then get there and its not what I want I either wont eat it or I change it. Another good tip is to make a list of meals with values ( phe and calories) for each meal and place them on a fridge and then when its time to start cooking, pick one of those meals or see what you feel like from the list! I find this very helpful and makes it easier for me to stay on track :)

So thats my message for tonight, thank you for reading!

I hope this post helps even just one person!