Still home, still wet

Tim off to the doctors

Thompson’s pies arrived at 6.15am

Tim has a split shift

A new month

Dawson’s birthday

Leo here

Leo super excited to see Papa

Friday and not going out

Leo doing school work

Tim off today

A warm day

A cold start to the day

Groceries came at 5.15pm

Risk factors and precipitating events

Based upon limited and inconsistent data, potential risk factors or precipitating events for FMD include previous injury, infection, surgery, higher rates of childhood trauma, a history of sexual abuse, and major stressful life events. In an uncontrolled retrospective study of 50 patients with FMD, a physical event occurring within three months of the onset of the FMD was reported by 80 percent.

The physical events involved an injury in 11, infection in 9, a neurological disorder (ie, severe migraine, brachial neuritis, Bell’s palsy, carpal tunnel syndrome, restless legs syndrome, and pituitary hemorrhage) in 8, pain in 4, a drug reaction in 3, surgery in 3, and vasovagal syncope in 2 subjects. Symptoms fulfilling diagnostic criteria for panic attack during the physical event were present in 36 percent. These findings suggest that FMDs are commonly triggered by physical events, sometimes in association with symptoms of panic.

The nature and timing of stressful life events may influence their role as risk factors for FMD in adulthood. In a case control study that included 322 adults with FMD and over 600 controls with other psychiatric diagnoses, childhood physical or sexual abuse was reported with similar frequency between groups, but childhood bullying and drug use before age 18 years were more common among those with FMD.

In adulthood, patients with FMD were more likely to have workplace, school, or university problems compared with psychiatric controls (23 versus 7 percent), more likely to have sexual relationship problems (32 versus 23 percent), and more likely to be involved in legal disputes (7 versus 1 percent). Thus, adult relational and occupational disruption appears to be an important risk factor for FMD.

The flowers appear on the earth; the

time of the singing of birds is come

The Song of Solomon

❌🦠 IMPORTANT ANNOUNCEMENT! ❌🦠

NSW IS OFFICIALLY Stage 3 *LOCKDOWN*, as of 12am on 31 March 2020 until 29 June 2020 (90 days) unless the order is revoked earlier.

This means it is ILLEGAL to leave your home without a *reasonable excuse*, unless you:

No aqua pool is closed

Leo saw Dr about his ear

Jess has no work

Leo at school

Blain is home

Sydney-May & Summer at schoolc

Leo at school

I am worried about Tim

Leo has finished school for the term

Had a bad day

A cold wet day

Leo here all day

Tim did shopping

Mum is sick.

Tim is off work

Tim’s foot still sore

Underlying psychiatric disorders

—Conversion disorder is probably the most common psychiatric diagnosis among patients with a FMD. Coexisting personality disorders may predispose to FMD. Other psychiatric disorders and diagnoses among patients with FMD may include factitious disorder, anxiety disorders, and depression [43]. Malingering, though not a psychiatric disorder, is probably an uncommon cause of FMD. An awareness of these conditions is important for the clinician caring for a patient with suspected FMD.

●Conversion disorder (functional neurologic symptom disorder) is characterized by neurologic symptoms (eg, weakness, abnormal movements, or nonepileptic seizures) that are inconsistent with a neurologic disease, but nevertheless cause distress and/or psychosocial impairment (table 1). While a psychological factor is often associated with conversion disorder, it is not necessary; a psychological factor is not always readily apparent in patients with nonphysiologic neurologic symptoms. There is no age restriction for onset.

●The commonly used terms “somatization,” “multiple somatizations,” or “somatoform disorders” are used to describe a syndrome of physical symptoms that cannot be explained by a known medical disease and are associated with substantial psychosocial impairment. However, the term “somatization” is not used in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) [43]. For patients with prominent somatic symptoms that cause distress and impair psychosocial functioning, DSM-5 has replaced the category of somatoform disorders with a category called somatic symptom and related disorders. The different terms and diagnoses used to describe somatization can be confusing (table 2), a problem discussed in detail separately.

●While factitious disorder and malingering are both intentionally feigned or deliberately induced, they are distinguished by motivation.

•Factitious disorder (also known as Munchausen syndrome) refers to intentionally feigned or deliberately induced physical or psychological symptoms in order to assume the sick role in the absence of external rewards. That is, the motivation for factitious disorders is attention for illness.

Hello Friday, what a week its been, I for some reason have had zero motivation to do nothing much at all. The weather here is all over the place in the last 7 days it has been cold, wet and hot, hot enough for the air con which is on again today.

The empty shelves in the supermarkets is distressing for many older people and annoying to others. I have not been to the shops since last Friday, as I usually only go out once a week but this week I am confined to the house.

Yesterday Tasha had to go to 3 different supermarkets to get my groceries as well as having to go back this morning to get a couple of things but not toilet paper, thankfully I still have some.

Tim has been told to keep at least 1.5metres from passengers on his bus this is a little difficult to do also they are not suppose to handle cash but most still are.

I am not sure if I will be going to aqua on Monday, will see what happens.

Up at 7.30am dressed and ready for the day. A cool day here, I was busy with vacuuming done it twice, did a load of washing and ironed Tim’s work shirts and a top of mine.

Mum said that Dawson had a good a good time at the show yesterday one of his friends paid for him to get in.

Up at 6.15 when my alarm went off, Tim got up at the same time.

At 7.30 I received a phone call from someone telling me that they they are coming to see about doing the modifications to the house that I need.

So no aqua today.

Men turned up at 9am and started work removing the lattice work at the front door.

They didn’t put in a ramp but instead a large step and I am now unable to get the scooter in or out of the house. I should have realised but didn’t I feel like such a dill.

So now Tasha and Tim will have to make phone calls to see if it can be changed into a ramp.

The handrails in the bathroom are good.

A horrible start to the day, didn’t make it to the loo in time and had to have a shower in order to feel clean.

Then I thought I would have to use wheelchair to take Leo up but Tasha came down and lifted the scooter over the door so I could take it outside.

After Leo left I left the scooter outside till after he gets home this aftternoon.

Jess turned up after work wanting soft boiled eggs but I didn’t have bread till Tasha got here. When Tash arrived she also wanted soft boiled eggs too. So I did eggs for both of them.

Jess made fun of her sister not being able to cut her egg’s top off.

Having them here bickering lifted my spirits

This afternoon Leo managed to bring the scooter inside on his own.

Awake before the alarm but laid in bed till it went off.

Had to wake Leo this morning, he looks like he may have conjunctivitis but I am unsure. He went to school as per usual.

Leo & Tasha took the scooter outside for me this morning.

Workmen came back and installed another hand rail in the bathroom.

Tim went and bought a piece of wood and placed it inside the door making it easier for me to get in and out.

Leo’s eyes are ok now turned out to be a small pimple on the bottom of his eye.

Up and dressed with the alarm this morning, Jess & Leo didn’t get here till 7.30am she said she had a late start.

I wasn’t sure I would be able to get the scooter out because Jess is parked on the lawn. However, Leo managed to get it out and slowly explained to me how to get back inside.

We were half way up the driveway when Leo remembered he wasn’t wearing socks and ran back to get some on.

I was awake at 4am, I could hear Tim saying goodbye to Leo when I went to the loo by the time I went back to bed I could hear Tim drive off. Anyway I was unable to get back to sleep.

Saw Kelli and Freya at Charlie and they came back here for a while. It was great to see them.

Blain not going to his dad this weekend because he has been sick and his dad doesn’t want risk his 2 other children Daemon & Freya) getting sick which I understand.

Leo’s new driver started today while Brian is off for a week.

Tasha is sick but still running around after other people.

Had a shocking night because I forgot to take my night time meds. I was awake on and off all night.

It is Kelli’s birthday today, I sent her a birthday text.

Jess is working and Leo is here for the day.

Tim & I went and put in my passport renewal then we went to Lake Fair and we took the scooter and I was able to get around great.

We get home and Kathy turns up with my shopping, running in and out saying she was super busy and couldn’t stop.

Leo had his hair cut as Jess found that he had head lice again, it is pretty short but it will grow back.

Been bloody cold today and wet, rained most of the day.

It is not the

outside riches but

the inside ones that

produce happiness

BY: Daniel Orcutt