Who knew?
Last week I started thinking I was getting an ear infection, but it wasn't bad enough that I felt the need to do anything about it. Or, rather, I kept thinking I should do something about it but kept forgetting to do so, because I've been pretty spacy lately.
And then this week it got really bad, but I started thinking that maybe it wasn't my ears at all but rather my jaw and that this was affecting my ears. I tend to clench my teeth unconsciously when I'm stressed, and I often feel jaw discomfort as though I can't relax my face muscles even when I have my mouth open and thus clearly aren't clenching my teeth. So maybe I'm clenching my jaw muscles even when I'm not clenching my teeth? Is that possible?
Anyway, this was a crazy, hectic, stressed-out week, and by Thursday night my jaw was so tight, especially on the left side, that it hurt to chew. And then that night my ears hurt so badly that they kept waking me up in the night. And when I got up Friday morning, my front teeth were meeting oddly, as though my whole mandible had shifted. I haven't had such jaw pain this badly since I was at St. Martyr's, when during a particularly grim period I couldn't close the teeth on the left side for almost three weeks. And yet I didn't go to the doctor about it then, I guess since it was so clearly stress-related and I didn't think there was anything the doctor could do (other than prescribe Lexapro, which I was already taking).
But apparently I've learned something since my St. Martyr's days, because when I woke up in pain on Friday, I finally called the doctor and made an appointment for that afternoon. (And I think it's only because I'd hit all of my deadlines by Thursday after school that I could think about my health rather than the drafts-reading / advisor letters / everything else school work that had obsessed me all week.)
The good news is that I don't have an ear infection and I don't have TMJ. Yay! But the doctor gave me muscle relaxants to take at night, told me to take massive doses of ibuprofin twice a day, and instructed me to get an over-the-counter sleep guard for my teeth for immediate treatment and see my dentist next week to see about getting a custom-made sleep guard (which apparently cost around $500).
I have followed her instructions (except for the dentist, whom I'll call on Monday), and my jaw and ears are actually feeling better. The muscle relaxants pack quite a wallop but seem to do the trick. I took one on Friday night, and it was almost impossible to pull myself out of bed Saturday morning at 6:00 a.m. so that I could go proctor SATs. And then I broke out into a horrible, light-headed, cold sweat at about 6:30, which was most unpleasant! But I had a lot of chemicals in my body at that point, since I'd also gotten a tetanus and hepatitis vaccine at the doctor's on Friday afternoon in preparation for my South Africa trip in March. I tried the muscle relaxant again last night, knowing I could sleep as late as I wanted to this morning, and apparently it takes about 10 hours of sleep for it to wear off. So I don't think I'll be able to take them during the week, but the doctor said they were optional and that I shouldn't take them if I didn't like how they made me feel. I've been diligent about the ibuprofin, which she said was the more important part of the treatment. The mouth guard is fairly unpleasant, and both nights I've awakened in the middle of the night and taken it out, so I'm not thrilled at the thought of paying a dentist $500 to get one, even if it will be a better fit and more comfortable. We'll see.
What the doctor didn't say but would clearly be a good idea is to relax a little as well. Having gotten through the particularly grim stretch of deadlines last week, I actually have far less on my plate this coming week and should be able to relax a bit, but obviously the goal is to have my stress levels a little under my own control rather than at the mercy of external circumstances. I haven't quite figured out how to do that.
Here are the things that I think are stressing me out:
- D's school stuff. There's actually nothing I can do about any of this other than to be a supportive spouse, and intellectually I know that nothing is gained from working myself up into a tizzy about problems that I can't address. But being able to act on what we know intellectually is, of course, not always easy. The problem is that anxiety about her school difficulties then leads me to worry about her career and about our financial prospects and whether we'll ever be able to retire and ... and ... and. Once I start down that path, my anxiety spirals out of control, so clearly the thing to do is simply not to start down that path.
- My school stuff. Same ol', same ol' here, but it's certainly true that having a flat bunch of freshmen is making school a lot less fun than it usually feels. They are actually getting better, fortunately, but somehow my enthusiasm for them hasn't picked up much. And three preps is wearing me out, and I know that my teaching is just not as good (or at least it doesn't feel as comfortable) as last year. But I've already told my department chair that I don't want to do three different preps next year, so it's just a matter of getting through this year. And I need to be both more realistic and more forgiving about grading. One reason this week was so crazy is that I was reading drafts that my AP Comp students turned in; these were research papers, each on a different topic of the students' own choosing (although I approved them), and it seriously took me 45-60 minutes for each one; so that was 18 extra hours of work this week, and I was rushing to get them done as quickly as possible so that they had as much revision time as possible. And this particular stressor was easy to anticipate, and yet somehow I hadn't really thought about how long it would take, especially in a week in which I also had to write personal letters to the parents of my eight advisees, updating them about how their daughters were doing at the midpoint of the year. So I really need to pay more attention to the workload I'm putting on myself and to schedule that workload more carefully and be willing to spread it out a little more. I'm one of the fastest graders in the department and indeed among all of the humanities teachers, and it's okay for me to take a few more days to return work. (I wonder if I should actually consider wearing a mouth guard while I grade? I think that's when I do a great deal of my jaw clenching.) Plus, school is traditionally my sanctuary when worry over D.'s stuff gets out of control, so I need to not let stress affect that sanctuary as it did this past week!
- General adult stuff. I'm feeling less and less like a competent adult these days -- in which the definition of "competent adult" is someone who keeps the house clean, the finances straightened out, the various home projects maintained, etc. (Being an adult is not the same as being a professional; I'm very good at the latter, if fairly incompetent at the former.) I've definitely been approaching system failure ("clean all the things?"). I think my new rule on this front is that I will to do one and only one "adult" thing each day -- that's it. I must do that one thing, but I won't do any more. I think my one thing today will be to balance the checkbook.
- The South Africa trip. This I just need to calm down about so that I actually enjoy the trip when it happens. Yes, there are things that I want to get for the trip (good walking shoes, a new camera, some pants that will work well for travel but still look reasonably nice), but I'll just make each of those my "adult thing" for a day. And now I've gotten my tetanus and hepatitis shots, so that's done; I still need to go to the travel clinic on general principle (mostly to get an antibiotics prescription to have with me just in case I pick anything up), but that's no big deal. And I could always read more about South Africa, of course, but this isn't my doctoral oral exams; it's okay for me not to know everything; I've already read a lot, and if I don't read any more, I'm still in good shape to get a lot out of the trip. I think I've been putting a lot of pressure on myself with this, and there's really no need.
I have been trying to be mindful about exercise and sleep, although both of those went by the wayside this past week. But it's Sunday morning, a brand-new week, and I'll try again.