Howdy Hydrocephalus

Understanding my unique gyroscope


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Warning Evil Villain Neurological Strikes Again!

images (6)I was all prepared to wait another week then give you a great update on my personal chaos but then something important came up and I am utilizing my high dis-tractability to write about this or else I will then overthink about it and it will consume me all day until I get it out.  So here goes…this is what has been on my mind and in my heart creating me to grief since yesterday.

My youngest son wanted to play ice hockey this year. It is his first time and we had player evaluations yesterday. My oldest son’s coach from last year son was in the same evaluation group. This made my youngest son happy to sort of know a couple boys on the ice. We were looking forward to the usual casual catching up about summers etc….

However, when the Mr. S and his family walked in, I noticed the gait, constricted body movement,  grimace of pain and slight facial difference. I said “it looks like you are in pain…did you hurt yourself?” Mr. S responded “I lost a battle with a mosquito.”

All I could think was Whaaaattttttt….the……F. This is a load of crap. He is so young to be hit so bad. He is a good guy…his family is good people. Why can’t this shit happen to bad people like the asshole who stole a truck last week, caused two different high speed accidents in two different intersections and takes an innocent 18 year old’s life; then decides he wants to try to take the Police Officer’s gun in the hospital. Those are the assholes that deserve this shit not a person who works, volunteers his time and is decent. I always shake my head as to why this happens.

So apparently Mr. S is one of three people who contracted West Nile this year in Alberta. And of the three “fortunate” people who were bit by the special mosquitoes, he of course he drew the lucky wild card and was hit extremely hard with both severe physical and neurological effects.  Everyone is hopeful that the effects are temporary and not long lasting or permanent. I know I am hoping there is not long term effects. But when anything affects the central nervous system you never know what will happen. I know neurological re-wiring does happen and continues to happen with me but it is a very slow and I admit frustrating process.

images (22)I think it hits too close to home and I know the enormous amount of grief, guilt and loss person that is happening to Mr. S. I still don’t understand the family perspective entirely. But I can see the pain, sadness, uncertainty, trying to hold it together without breaking down and trying to be positive in Mrs. S eyes. I can see that the kids will grieve, be angry at times and frustrated, but the love will always be there. I see the fear, uncertainty and the ominous overbearing unknowing that lay ahead. I see the hope for continued recovery.

images (3)I also wonder if they are provided with all the resources the community has. I know we weren’t. We were not giving all the other stuff other than prescriptions, occupational or physical therapy. There is more out there but information seems to always get left behind.

  1. Get into a chronic pain management clinic rather than just Neuro or GP
  2. Occupational therapy runs out…Brain Injury Clinic can help with memory, distraction, daily activities with both an one on one sessions at BIRS and workers who can come into your home.
  3.  Mental Health in Provincial Building has people you can talk to. By yourself, couple, kids and family sessions available. This is a big stressor event and we are never taught how to hand it. Everyone assumes we can “Just Deal”. When you lose your identity quickly depression and anxiety crop up and almost go hand and hand.
  4. Medicine Hat Hospital Recreation programs are amazing and help you explore new or adapted leisure and recreations options. They have great programs such as walking, art, and others but I forget what.
  5. The Healthy Living program that is run in a building near the hospital is a great program. It was a safe place to work on building coordination, strength, and fitness.
  6. The YMCA program has an adapted fitness coordinator
  7. Community Futures Disability Entrepreneurship Program for those who are finding new career directions in life.
  8. MH Adaptive Sport is here in Med Hat with amazing people. It is for people of all abilities not just wheelchairs which I thought.images (8)

That is all I can think of for now but I am sure I have missed some very important groups that I have used and continue to use.

But one of the biggest things that have made a positive impact in my life has and is laughter.  Humour and joking is one way to break the ice with those who are uncomfortable when they see you for first time in a while, as well as with family on a daily basis. Humour and laughter just naturally cycled in being positivity in our lives. From that it spurred gratitude and mindfulness…of course I am continually working on the the mindfulness.  But as a dear friend of mine who is a two time cancer survivor and now officially conquered the big C always says “Any day I am turfside up is a great day” This so true for all of us as we take the crazy journey through life. We all often get wrapped up in the fast pace and stress of getting it all done we never really take a look around to appreciate the simple things.

images (2)I have always hated mosquitoes, black flies, deer flies and horse flies especially when working in a black spruce stand where you are basically a free diner with a neon sign that says open for business…free blood. You have to walk around looking like an alien in a bug suit because Deet is just an appetizer for those hunger little buggers. So I had to look up what West Nile was again because it has been a while and my mind of course is a sieve. So West Nile is a mosquito borne disease that usually doesn’t cause and symptoms or some very mild flu-like symptoms. More information can be found here. But the virus can spread to your Central Nervous System and create long-term havoc. There are aggressive treatments but there are still no stats on recovery rates which really sucks. Prevention is wearing bug spray and screens…limited which is even more suckier. I hate wearing bug spray and screens are only as effective as the amount of doors opening and closing or how many cat claw holes you have. I know we can not live in a bubble but really it just not enough.

Well thanks for letting me ramble with the keyboard. Hope everyone has a wonderful day! Remember take time to slow down, breath, feel the breeze and sun on your face and cre8te something for you!

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March is Brain Injury Awareness in The United States

It has been a very active Brain Injury Awareness month. I have read so many wonderful tweets from fellow survivors and bloggers. I was even asked by Lyrysa Smith about Hydrocephalus. She is a journalist, book author and caregiver to her sister’s ABI after carbon monoxide poisoning.  She read my blog and then messaged me some questions. What an amazing person.

It is always meet such positive advocates. People with TBI and ABI need positive advocates. We also need to have more up to date resources in smaller centres.

I hate how I have to explain what my condition is, what an ETV is and now have to explain that my hydrocephalus gets worse when something is affecting my body to ER doctors. I will voice stronger rather than be put off like I am over reacting. I have a reason to be concerned. When my Hydrocephalus symptoms increase…head pain, pressure, more right side fire ants/tingling; I begin to walk funny again. My right side grasping and coordination start to fail…I can accidentally drop or throw items in my right hand. I also have a hard time understanding people especially when on the phone. My cognitive gets worse too. My short term memory is really bad normally and it takes and extreme amount of effort and time to move items from short term to working memory to long term memory even gets worse. My perception begins to change and the world can begin to get all swirly again and off balance again. 

These symptoms are the only symptoms I have to go on if there is issues with my Hydrocephalus. I do not know when I go into the ER if my ETV hole is partially plugged and flow is disrupted or anything other. I am told to go the the ER by all my Doctors in Calgary when I experience these symptoms. But When go to the ER here in Medicine Hat. I am shoved off into the cubicle B of less serious cold, flu & malingerer section and made to wait. (I don’t mind waiting as I know people come in with serious conditions but my can go sideways quickly and being blown off all the time is not cool). By the way the same one where I sat with Stephens Johnson’s Syndrome all blistered, bloodied mouth and peeling skin) as triage didn’t think I was serious when in fact I was being poisoned by my Meds and burning from the inside out. (PPL make mistakes and that nurse made a huge one. I still have rash and skin issues to date). 

I dislike that when you have a life-long condition and that you are made to feel you are wasting the medical system, hospital system, tax payers money when I go into the ER. No my condition never gave me a huge fever and my blood pressure would always read 120/80 (which is high for me but they always ignore that with a polite tight lipped sneer of someone who fully believes they are more qualified to know my body better than me) even before my brain surgery and definitely not after. Only once was my blood pressure at 170 or higher and they stick couldn’t figure out what was going on…infection…partial blockage. No on really knows…most likely me panicking because I couldn’t stand. 

 It is not like I go in on a whim. By the time I voice my conditions to my hubby I have thought long and hard if they are serious, is it just me over reacting etc….By the time I mention to my hubby, he will usually say it is better to waste your time in the ER and find out rather than sit and wait and maybe have things get worse quickly. He always asks if we should drive to Calgary and get the on-call neurologist. I always say no, that it is too much of a drive.  I dislike that knowledge level is not that good here. I dislike that I am going to explain more and more at the hospital. And then for them to say…it is not the hydrocephalus…it is my sinuses, anxiety, in my head, i am faking. Why put me on the defensive. Do you realize how much that hurts to me mentally especially when I am so much in pain and on the last rungs of hope. But when in fact they symptoms are my Hydrocephalus increasing because my body is fighting something. My neurosurgeon explained that Hydrocephalus symptoms will increase when there is something going on in my body. That my hydrocephalus baseline should return once what ever is going wrong in my body has been addressed.

So far I am three months of feeling off and I am not any better. The regular doctor gave me nose spray, I am taking allergy pills and I am now debating to go back to my Dr. Office and be a stronger advocate. The last time, the Dr. I saw thought I was a little aggressive. Hell yes! I am sick of not being heard. Sick of no solutions. Sick that they experts keep pawning me off saying not me…and saying I need to see someone else but no indication that a referral has been made. I am sick of the same cycle of treatment I had before my surgery five years ago. It is like they want you to fall through the cracks.

Why don’t  the Doctors and nurses just say…well your hydrocephalus symptoms are worse and that is an indicator that something is wrong in your body. Let’s figure it out so you can feel better. But no none of that. Oh hell no…no patient care…more like lets see if we can get her to go away. Truly our system is broken when you have to be a broken wheel, act like you are in severe traumatic pain (I don’t I get quieter and quieter as I focus on mindful meditative breathing and imagery) to be seen quicker and to be taken more seriously.

Thank goodness I have an appointment with the brain injury clinic in Calgary in April.  I know my Doctor there will listen to me. I am counting the days to actually be heard. Why is it that the brain injury clinic, endocrinology clinics and neurology clinics in Calgary take the time to really listen and find solutions. Why is there no out of the box thinking here in Med Hat? suggestions…the “let’s try this” type of approach. I mean really it does not take that much time to sit down and brain storm ideas. To verbally communicate, visually communicate with pictures from the computer. To take a risk and try something new.  


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Pieces of a Puzzle

I had been meaning to go to my GP doctor since September, but that all fell by the wayside as we scrambled to deal with cast boy, then holidays and of course I forgot. Finally last week I went to the doctor. Ever since being in the hospital with SJS, my skin has been so sensitive, very itchy and has had a slow healing rash that has been present on my back, shoulders, arms, fingers, and ankle. These were getting to be annoying as I had finished my cream that somewhat kept everything at bay. I had mentioned symptoms to my specialist since June, but she seemed distracted and didn’t think it was anything.

I show him the rash and get a new batch of cream prescribed. Then I tell him about my disrupted days and nights by having to pee all the time. I mean all the time if I am hydrated and not so bad when I dehydrate myself. I told him that the dry mouth and this I thought were side effects of my meds, but I wasn’t too sure but this has been going on since June and I have had enough. I know I live in a perpetual dehydrated state…or at least it feels like it for me.

So today I went for my MRI for the hydro clinic then had blood and urine testing as well. We are trying to figure out what my body is doing. Right now the symptoms are:

itchy skin, round blistery rash that doesn’t go away, cuts take forever to heal, peeing every 15 minutes, hair falling out and always a dry mouth that makes me thirsty.

My hubby had stated that my symptoms could be diabetes. I went to my computer and followed up with Dr. Google with these common symptoms they all point to Cancer (LOL) nope it was Diabetes. Unfortunately, I do not have the profile of  someone who is a type 2 diabetic. I am not obese; do not have high blood pressure (low); do not have high cholesteral or hypertension.

I did know that there was a risk of diabetes inspidus and other endocrine disorders after brain surgery and with a new TBI/ABI. I did not know that they still can potentially occur long after initial brain injury. So now I wait for results so we can put the pieces of the puzzle together.

 

 

 


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Volunteering the Next Step

I hope to take big steps in my life for 2016. I am wanting to volunteer at the hospital to help with the recreation department. I know it will be portering and just helping out, but at least I will be able to see what the job entails and how I react in a hospital situation.

I am saying that I can only volunteer five hours max a week and those five hours can not be done in one day. So I am thinking two days a week for 2.5 hours. I know I can handle that…or at least I hope that I can handle that and maintain doing it for a period of time.

I am so excited…..BUT! I had to fill out an online volunteer application. This weirded me out. For example, it asked about me. Now what do I say there…I had no clue. I am human, female, breathing, alive but a little kooky and broken at the same time. So I scrolled down to the next question. Work experience.

Easy Peasy! I listed off that I worked in the environmental industry. Did contract management ranging from tree planting, silviculture, bridge and road engineering. My largest project was 20 million road to help get approved, built and inspected. I worked in compliance and enforcement where we inspected activiities and tried to work out problems without resorting to enforcement. However, I have and written crown council reports and investigation reports. I worked as a website coordinator for a government organization and had a budget for 120,000 for one website and 40,000 for another website. I took photos, worked with film crews and interviewed people. I also taught at MHC for one semester before my surgery as I experienced hydro induced dementia like stuff. (I still feel guilty for not being a good instructor…showing same video like three times) I loved my work. Work was my life that is the green in me coming out. I am a Green/Orange mix with True Colours.

However, after I wrote all that I was like wow…impressive but I am no longer that person. I can’t even pretend to fake who that person was. Although it never looked like I was organized, I was. I was able to problem solve and think on the fly. I could remember legislation and understand it when I read it. I could easily navigate, read maps, GPS, drive long distances, work long long hours and get up early and do it again. I supervised fire fighting crews and even been on nine wildfires as a sector leader. I could remember regular and scientific names of plants, shrubs, trees, soils, rocks etc… I was able to stand up for myself and hold my professional standards & practices even if it meant pissing people off. I was good at that . I would frustrate the bejesus out of contractors and companies because I would take any shit for their short cuts. I was a fierce one and passionate to boot!

Then it asked for education and awards. So I fill out scholarships,, awards, and my degree, diploma and certificates that i have earned. So now I know the meaning of looking good on paper and really sucking in real life. You know the potential hire that had a great resume and interviewed well but when they got into the job, they just plained sucked and you know exaggerated the truth…god I look like one of those people. How embarassing except I am not lying.

I am at a loss. How do I represent myself now? I have no clue. It almost feels like I am lying when I put down my work experience and education because it seems like so long ago. I struggle with so many things that used to come to me instantaneously and now requires time to think about thinks, process, work out, organize steps etc….

When the person interviews me for volunteering, I am really not too sure what to say. I really no idea how I will perform, if I will make it to every volunteer day or anything. It is like a blank slate in my head. I have nothing to go on.

But I need to go through this; it is the next step in my recovery to get back to the “real” world. I will figure it out and find out what the new me can do successfully at this time and find small goals to work for in the future. It is just today I once again realized the truth in what the Docs saying a seven year recovery time. I am almost half way where.

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Acceptance

There is a large tribe if TBI/ABI/PCS (Tramautic/Aquired brain injury, post concussion syndrom) on Twitter. We tend to like online social connecting sites becuase when we are feeling like shit, stuck in bed in a dark room these sites may be our only source of connection to the outside world. I remember, I had relied on social site for four months once. I could barely get out of bed without feeling like I would pass out.

6181aee523d4e4937731bfac6e6b48bcThere was this post “How do you cope with TBI/PCS symptoms?” yesterday. Now this may seem to an easy answer for those that are clinical…look it up on the Net and list off…rest, eat healthy, follow your medicine, blah…blah…blah. However “How do you cope with TBI/PCS symptoms” answer is not so simple. It is really a big whoop ass can of worms.

First off people who are “normal” will just say here is a list just follow it and you will get better. These are innocent, well-meaning people who really have not walked this journey before but instead are taught what to say and do.

f118d7a457ea10f91cc29d9648c1df35When you are knee deep on this new life adventure (so much nicer to write than sucky life-long condition) is to grieve. I mean grieve the loss of who you once wore. Believe me this is not easy at all. I am over three years in and I still grieve.  I still get mad and frustrated at where I am that it often clouds how far I have come.

I mean who wouldn’t want their old life back where everything was easy peasy; thoughts swift & quick; anyltical skills and crital thinking intact; planning & organizing there; coordination; strength; energy to work, look after family, have hobbies & social life at a moments notice and above all live pain free…But I am not that person anymore and I accept that I am not that person most of the time.

cf07f453bef187cb4c57a7e706c33b45So we have our pity party for a bit then I mentally kick myself in the ass & my drill sergeant tencacity kicks in. I mentally say suck it up sunshine; usually something about not quitting and other motivational stuff to get me out of a funk. I take responsibility for getting myself out as no one else can except me.

  1. I read motivational pictures & quotes images
  2. I watch motivational videos. Unbroken or Why do We fall
  3. I read Motivation Facebook Group Bright Side or website Elephant Journal
  4. I focus on anxiety reducing activities such as breathing. (I do alot of this)
  5. I remember I how I have come. The challenges that I have overcome.
  6. I focus on the positive. It really becomes easy after a while. For example, the biggest positive is that I get to become a new me. I am learning what I like and don’t like. I get to experience things for the first time that were old hat for me. Trying foods to see if I like or dislike etc….
  7. I move forward.
  8. But above all I am grateful. I am grateful to re-write my life. I am grateful that I have learned alot about myself with the journey. I am grateful that I am here living. I am grateful that I have found who my true supports are. I am grateful for a new approach to living. I am grateful to explore each day with new perspective (literally & figuratively). I am grateful that my kids are hopefully learning about compassion and empathy (no zombie comments lately – LOL) I am greateful allowing myself to fall & get back up again. I am grateful that I am able to express myself via writing and art (verbally and body language not so much). I am grateful for the opportunity to start fresh each day.

So really to “cope” is not simple there are many emotional and mental steps. There is a lot of time needed. And I didn’t even include all the physical, organization, planning steps that you learn via OT (occupational therapy) that help you function. This is a vast black hole of a subject that just can’t be thrown around in a black & white fashion. It is more of a comfortable grey blanket.

 


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The Wandering Nerve

kelly dec 2014 234 I had originally been told that I had neurogenic stuttering due to my brain injury. The stuttering began at the end of June in 2012. I guess the increased pressure from my hydrocephalus had damaged my language centres enough for the stuttering to begin. When I was released from rehab, I began speech therapy at the Medicine Hat Hospital. It was there I worked with some great therapists. We worked on speech techniques, word finding, categorization and a variety of other speech related things to do with muscle control and rhythm. I remember that I learned of one the two damaged cranial nerves that was affecting my speech. The Vagus (wandering nerve or tenth cranial nerve) is important for many functions other than speech such as heart rate, sweating, digestion and blood pressure (mmm so many answers are now coming to light).

A damaged vagus nerve can cause issues with muscle control and swallowing in the mouth and neck. I am no expert at any of this but it was explained to me simply that speech comes from the brain figuring out word to diaphragm with the air flow up, to voice box (larynx) where the vocal cords vibrate. From there the sound then is resonated into nose, mouth area. Speech can be disrupted anywhere along the process. I know that I still have trouble swallowing quickly and sometimes choke on water etc…if I drink or eat to quickly. I have noticed this more since I had SJS as my mouth was so beat up and sensitive with blisters, open wounds. It feels like there is a large marble around my adams apple. I am guessing that I have muscle weakness and lack of control on the right side of my neck and mouth that was similar to every where else on my right side. As part of my therapy I had to work on my breathing, hold my hand up on my neck and face to feel certain muscle movements when I said certain words. I know that my stutter comes out with certain letters or letter groupings. It also can come out when stressed, overwhelmed, sick or if I am stuck with the cognitive process of what I wanted to say. Thus I love social media or online interaction more than in person.

kelly dec 2014 118Along with speech therapy, I also attended an Aphasia group at the mall that was run by the speech therapists at the hospital. This was a very good group because we played games and did activities that not only worked on speaking but on word finding, grouping of words and rhythm of having a conversation again.

I had started out with really one word answers of either “fine” or “good” for my conversation depth and breadth. Then I was able to pre-plan a sentence that I would knew would get a person talking so then I wouldn’t have to talk anymore.  From there the amount of pre-planned sentences went up. I would also have a stash of questions to ask. I knew if I asked questions, I would not have to talk much and lessen the chances of me having to stutter. This went on until about mid-way last year.  I stopped going to speech and began going to the Brain Injury Re-Learning Service (BIRS is a part of REDI enterprises), the big red building with paper planes flying. We began cognitive, memory, visual-spatial, awareness and attention rehabilitation. By the end of last year my speech had improved greatly. My stutter was almost non-existent and the biggest thing that no one probably noticed was that I was having conversations that were less and less planned. I was able to be more spontaneous and talk more freely. I had volunteered with the Kindergarten class to help with reading January 2014. I remember reading the Dr. Seus book “Mr. Brown Can moo, Can you?” So everything was going along just perfectly with no verbal glitches. The kids were repeating all the sounds in the book. I was having a great time until and then I got verbally stuck on a word. Here I was stuttering on a stuck word with 16 kindergartners repeating the sounds as they thought it was a part of the book.  Both the teacher and teaching assistant are cracking up at the back of the room and I am now cracking up laughing with my little parrots doing the  same thing. I had tears running down my face as it was so funny and priceless. I loved those kids, they just went with the flow, like I did!

kelly dec 2014 396I think the reasons for my improvement are re-connection of brain pathways due to neuroplasticity, lots of practicing in front of mirror, breathing exercises, word finding exercises, luminosity, word puzzles, boggle, volunteering, helping my kids read, helping my kids with their homework (last year I found some grade two homework hard), speech therapy, Aphasia group, BIRS, becoming slightly more cognitively aware, not giving up, not being afraid of failure, time (as slow as this process is), getting pissed off, frustrated and not settling for a brain injured status quo. I am have also been helped by the wonderful support that I have found on Twitter. There are so many people that I have connected to. Just supporting one another with ideas, suggestions and strategies has been very meaningful for me. Some days my fellow #TBI #ABI tweeters are the only people outside my family I connect with. I was fortunate to meet up with the founder of #ABIchat. This is an online support group on Twitter that I have participated a couple of times to.  I just need to find out when the chats are again (in the brain and out the brain syndrome). I really think healing and recovery of the brain is being re-defined.  Hearing from other high-functioning brain injured people has given me hope that I will find my niche and happy place being a productive member of society again. It really bothers me of the negative stereotypes and judgements that happen when you are labelled disabled and on disability as a form of income. The flippant comments and the poor treatment is often jaw dropping. I know that I shouldn’t let the comments hurt but they do. And it is often just general comments from people who do not even know that I am on disability. I have kept that mostly to my self and immediate family until today. I have to just shake my head and wonder what education level and knowledge where the people with these comments are coming from. I have to remind myself that it is not me but them that is broken.

 


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3-2-1 Blast Off

IMG_0928-0.JPGOn my quest to find more energy and to nip my fatigue into a more manageable piece of my life. I read numerous articles such as Feed Your Body, Feed Your Brain – Nutrition to speed brain recovery. Then I began to read a book about an elimination diet to help your body heal and reduce internal inflammation. This spurred my brain and I remembered about my allergy testing I had done a long long long time ago.

I was having IBS and allergy issues when I lived in Fort Nelson, BC. The doctor there put in a referral to see an allergist. Chris and I drove the six hours to Grand Prairie, Alberta to have allergy tests done. I really wish I kept the list. I had reacted to a whole bunch of things. I was to avoid, eggs, wheat, potatoes, tomatoes and a bunch of other food I can no longer remember. I had also reacted to dust/dust mites and snow mold. I really wish I could remember more. However, I do remember looking at the list and wondering what the heck I could eat there was so many food items on it. The Doctor didn’t have any help for me on that. So I basically said thanks for the info and continued on eating as I normally had always done.

Skip forward 14 years and the options for food choices for people on an elimination diet are amazing. There are meal ideas, recipies, hints, tips and all sort of wonderful stories on the web.
He won’t Know it is paleo blog
The Urban Poser Blog
Gluten Free Goddess Blog
Purusing these blogs and other websites gave me inspiration and the knowledge to be able to test run a 21-day elimination diet. I put word out to friends and found out that Costco carried a gluten-free pancake & waffle mix, cup for cup gluten-free flour mix, organic palm sugar and gluten-free pasta. I went there and stocked up. I already had coconut oil and olive oil and flax seeds.

I began my peanut-free, dairy-free, soy-free, corn-free, egg-free, gluten-free, refined sugar-free and nightshade veggie-free diet. It really does sound very overwhelming but so far it has been pretty good. I fell for one-day and ate refined sugar so I had to set the clock back and start again for that one food category the next day.

I have successfully made home-made blueberry/raspberry gluten-free muffins sweetened with palm sugar. Palm sugar is a low glycemic sugar.
I then made tortillas. They were not round but free-form. I had a turkey wrap with spinach and strawberries and it was divine! Bread for me – Yay!
I have been drinking smoothies with Greens and hemp fibre, coconut/almond milk and lots of fruit for breakfast, lunch or snacks.
I have been having fun exploring and enjoying making dinners the most. Tonight I made a pesto pasta with sautéed beet greens, beans and a bit of chicken.

I am tasting so many amazing natural flavours. Thank goodness for lots of amazing options that I can experiment with. I hope that I will be able to notice changes by the end of three weeks. Here’s to blasting of with energy and increased attention span.

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