10 hour airport layover teaches me: airport showers are awesome & often accessible

If you’ve never stepped foot in an airline lounge, you might not know that some of them have shower facilities. That isn’t very important for most of us who take the occasional domestic flight, but it can be a real game changer after a red eye or when laying over before an international long haul.

img_7364You don’t need a First Class ticket to use an airport shower facility, though you’re more likely to gain access for “free” if you spent a lot more for your ticket. At DFW, for example, the Minute Suites Terminal D location–a nap cubicle “hotel” past security in the airportalso sells shower passes with no private suite rental required.

Expect to pay around $30 to buy access to a fee-based airport shower facility, or around $50 per traveler if you’re purchasing access to an airline lounge like the American Airlines Admiral’s Club I used at DFW.

I probably wouldn’t have paid for a shower during my ten hour layover in July, but, having taken one in part to kill time after I’d visited every terminal and viewed all of the public art in DFW’s brochure, I would consider paying for a shower the next time I’m spending more than a few hours cooling my heels en route.

For me–an introvert with arthritis–I got about equal pleasure from two separate aspects of this experience. First, being totally alone in a room after hours of being in public. Second, the nice, warm shower itself, which always does some good at easing my joint pain.

DFW Terminal A Admiral’s Club shower

img_7366img_7367Can you ever feel really, REALLY unhappy when looking at a pile of fluffy white towels someone else has placed for your comfort and convenience? I can’t!

Everything you need comes with the key to the private shower room at the Admiral’s Club-DFW Terminal A location. Ask at the front desk to get access.

Shampoo, shower gel, Q-tips, and cotton balls are in place in the room, ready for your use. I used my own, of course, since sensitive skin is another fact of my life, but the products offered weren’t overly perfumed. This is a reasonably safe space/experience for those of us who get headaches from strong fragrances.

DFW Admiral Lounge AA shower - 1There were more towels than I needed, enough that I might ask, next time, for just what I would plan to use to save the water/energy of washing untouched linens. The space was quite scrupulously clean. There’s also a luggage rack to keep your suitcase above* the damp, and a hairdryer if you want it.

Since I was feeling quite well, I forgot to ask if there were accessible showers, but either they all are in this Admiral’s Lounge, or I just happened to get one that was. It had a fold down bench in the shower enclosure and an adjustable height hand shower wand in addition to the rain shower head. You won’t lose out on luxury if you just need grab bars sometimes, like me.

If you can’t stand at all, you might need to ask the staff to lower the hand shower to an appropriate height on your behalf. Mine was set way up at the top of its range when I walked in.

London Heathrow AA Arrivals Lounge shower

In addition to the Admiral’s Club shower at DFW, I took advantage of the same perks included with my First/Business ticket, purchased with Alaska Airlines frequent flier miles on AA, and visited the American Airlines Arrivals Lounge after retrieving my checked bag at London-Heathrow (LHR).

LHR Arrivals Lounge AA shower - 2LHR Arrivals Lounge AA shower - 3

LHR Arrivals Lounge AA shower toiletries - 1Though without a doubt the more hygienically important shower I enjoyed during the trip, the Heathrow shower room was smaller, less well appointed with little extras, and decidedly not accessible. (Again, I failed to ask specifically for a stall equipped for mobility impairments, so this is what you get without asking for special treatment.)

LHR Arrivals Lounge AA shower - 1There was no luggage rack in the compact LHR Arrivals Lounge shower room, leaving me to wedge my full size carry on next to the sink on the lavatory counter itself. I had checked a mid-size rolling suitcase, which you can see standing on the floor beneath the counter and blocking the exit door in my photo.

Perhaps there was luggage storage somewhere else for those who pack heavily, because there certainly wasn’t space in the shower room for large checked bags!

It was as clean as you would expect, however, and made the transition from night flight to the Tube less stressful than it might have been in spite of temps in the 90’s on London’s non-air-conditioned subway cars.

 

Dublin, Ireland 51st & Green Lounge shower

Upon my return from the United Kingdom to the USA, laying over at Dublin (DUB) airport, the 51st & Green Lounge, post security, was free for USA-bound Business and First Class customers, but accessible to anyone willing to pay the €39 entrance fee.

DUB departure Lounge 51st and Green shower - 1Shower use is included in the price, but there is just one accessible stall available, and it is combined with the only wheelchair accessible toilet in the space.

img_7478 This accessible bathroom/shower—also serving as the sole baby changing space— is in a different area than the main restrooms, also off the main entrance hallway but a bit further along from the front door. Thankfully, this made it a bit closer to the lounge’s seating areas. The primary restrooms felt like a real trek as my arthritis acted up during my wait.DUB departure Lounge 51st and Green showers - 1

Knowing that no other handicapped toilets were available if I opted to use the shower made someone with generally good mobility like me hesitate to even consider taking one, though I was having noticeable symptoms even before my nine hour flight home and the hot water might have felt good. There was another passenger in the lounge who appeared to be confined to a wheelchair when I was there, reinforcing my feeling that taking an unnecessary shower would be a bit selfish.

The standard shower room looked reasonably spacious for my purposes, but it didn’t have a safety hand rail. With a knee acting up that day, it didn’t seem worth taking a risk.

Fortunately, it was neither a blazing heat wave such as I suffered in London, nor a double digit hours layover like my time in Dallas, so foregoing a test of the 51st & Green shower facilities an hour after I’d left my Irish hotel was no real sacrifice, except to my ability to share the experience with readers here. There are few reviews of this particular shower, but most USA bound flights from Ireland leave in the morning, so perhaps the demand is simply low, and a single stall is adequate.

The 51st & Green Lounge was lovely, very new, and everything else was to a high standard, though, leading me to expect the showers would measure up.

*Though the shower drained properly and no water spilled out of the enclosure or anywhere near my luggage, I would advise travelers to always assume the worst with unknown plumbing and place all belongings somewhere high and dry, just in case.

I thought I was going to see a man laden with bags die in front of me on the London Underground. Ugh! 

Early arrival to Iceland’s KEF (Reykjavik) airport should be followed by a trip to the pool

Flights from the USA to Iceland typically arrive at KEF very early in the morning.

Though KEF is often referred to as “Reykjavik” airport for marketing purposes, it is actually 45 minutes outside the capital in the city of Keflavik. There is a smaller city airport that handles short flights from Reykjavik proper, but that is irrelevant to most international visitors except, perhaps, those from Greenland.

“Very early” on my two flights to Iceland meant before 6 am. At least in June unlike March, this was after sunrise.

Food & transport from the airport

KEF is a fairly nice airport. It is modern and well designed. Though it could use more water bottle filler fountains. Iceland, however, is a tiny island nation with a population of just a few hundred thousand people.

Keflavik isn’t New York City. This isn’t a 24 hour kind of town. Even Reykjavik itself, where the majority of the nation’s citizens live, doesn’t offer too much for the tourist before 8 or 9 am.

Sporty types who don’t suffer jet lag so badly could take a lovely walk or hike. Nature, in June, is open 20+ hours per day.

The wrong way to arrive: witless & unprepared

On our first visit, the kids and I rode the FlyBus from the airport to our hotel. Naturally, our room wasn’t ready yet just past 8:00. After all, typical check in times are in the early afternoon.

We sat in the lobby staring dumbly at the poor receptionist, and she did get us into our room by about 9:30 am. It was a miserable first couple of hours in a new place, however.

Icelandic pastry

A typical Icelandic pastry, according to our favorite tour guide, Steinthor

The kids were too tired to even go in search of pastries when the receptionist suggested a bakery nearby!

Better alternative: ready to meet bodily needs

Having a much better idea of what to expect upon arrival, I planned more wisely for our second trip to Iceland. Of course, it helped that it was just me and my now teenaged son. He’s reached a stage of offering more help than he requires, especially when it comes to schlepping heavy luggage about.

I was going to rely upon public transit options again, but decided on a rental car at the last minute.

We could have reached a public pool via mass transit and reasonable walks, but it would have been one nearer our lodging and after taking the FlyBus away from the airport.

Rental car freedom

The forecast called for chilly days (in the low 40’s F) and plenty of clouds and rain… in mid June.

There was also a museum I’d wished to visit on the first go ’round that remained just as difficult to access without a car. It was so tantalizingly close to the airport… but the city bus only ran from there back to Hafnarfjördur and Reykjavik every two hours. Missing it would mean a very expensive taxi ride, in the ballpark of the auto rental cost, or an unacceptably long wait.

If I found myself so exhausted from the flight that I couldn’t drive safely, I determined we would nap in the car for an hour or so before leaving the grounds of the airport. I felt better having a backup plan in place, even one in which I felt like a bit of a vagabond.

Even if you dislike driving a strange car in a foreign country, it is pretty manageable in Iceland. Traffic is light, eliminating the thing I hate most about driving near my suburban home in the USA.

Icelandic drivers rank, en masse, somewhere in the middle of the pack I’ve experienced worldwide for road manners; they aren’t as courteous as Oregonians, but behave less aggressively than New Yorkers. There’s none of the insanity of Rome or Israel.

While road signs are in Icelandic and can throw you for a loop, most turns on major roads are roundabouts, so you can just keep circling while your child navigator figures out the way, or rely upon the GPS who will mangle the Icelandic language for all s/he/it is worth so you can enjoy a good laugh while you are circling the rotary for the fourth time.

Between Iceland’s major airport and capital, road conditions are good. Consider that “possible weather events excepted,” of course, but, even in Iceland, those are somewhat less risky in June.

Breakfast at KEF: not many options

I’d already determined from my online research that buying an espresso and sandwich or pastry on site before heading out would be our likeliest spot for a very early breakfast. There is a Dunkin’ Donuts branded cafe after customs at KEF arrivals, co-located with a convenience store.

Dunkin’ Donuts didn’t open until 8:00. The people of New England will be outraged when they learn of this. Dunkin’ Donuts is bizarrely popular where I live.

Joe & the Juice was doing a brisk business, though, and it was also quite near the car rental kiosks. A turkey and pesto sandwich (hold the mozzarella for DS’s lactose intolerance) helped kick start our groggy metabolisms. Yeah, the espresso helped a bit, too! A packaged caramel muffin proved a necessary adjunct for the voracious teen.

The museum was only 15 minutes or so from KEF, but it didn’t open until 8 am. Even taking our tiiiiiiiiime at the airport, we would be at least an hour earlier than the door opened. Plus, I knew I’d feel grungy and sore after sleeping in a cramped Icelandair Economy seat.

Note: the seats have really gone downhill on Icelandair between Boston and Keflavik. I think this was the worst seat I’ve ever had for legroom. I was disappointed, remembering this otherwise nice airline as much, much better a few years ago!

Does jet lag wash off?

The solution was the local pool, Reykjanes Swimming Center/Waterworld. It was only about ten minutes from the airport, and that includes time spent driving around a construction project that barred the GPS’s suggested route. Note: this is easy driving, too, with very light traffic. I hate using rental cars, but hardly minded it, even jet lagged, stiff and sore, and in a city I’d never visited before.

Americans, take note: this is more like your local YMCA pool than the “Waterworld” name might imply. Yes, there is one waterslide and a children’s activity room indoors, but both of those were closed during our 7 am visit. The facilities were quite nice and up to date, but nothing like a theme park.

There are a few major benefits to hitting the pool first thing. For me, having a chance to wash my hair before sightseeing was a big one. My morning shower is an integral part of my waking up ritual. It helps me to feel like myself.

Next in importance to me is having somewhere to go before I can check in to my hotel anyway. I’m not a skulker or “see what I can get away with” kind of a person. I’m careful and rule abiding. I don’t want to nap by the side of the road or in an airport, but I’m also not up to much more than a good nap after a night flight.

Visiting an Icelandic city pool offers a great insight into what regular, everyday life is like for people here. It isn’t just hardcore lap swimmers and toddlers taking lessons like I’d see on a weekday morning at my local YMCA. Icelanders are socializing and meeting up in the water.

There were more retirees represented than any other age group at this hour and in this neighborhood, though.

The abundance of cheap geothermal energy from the volcanic activity underfoot means outdoor pools are heated to comfortable temperatures no matter how cold the air temperature is that day. In addition to a moderately warm heated pool (cooler on the lap swimming side), there have been multiple hot tubs (locally translated as “hot pots”) at each facility I’ve visited as well.

Waterworld had three: 36-39 C in both shallow and deep varieties and 41-43 C with the deeper sitting depth.

I believe there was also a cold plunge pool, but the object I guessed to be such wasn’t labeled with a sign and there was no temperature posted to help me confirm my guess. One guy climbed into whatever that was, however.

Having traveled with so much discomfort up front that I failed to raise my arms high enough for the TSA cancer inducer body scanner to clear me as a terrorist threat, I was less than limber upon arrival. I spent every minute past the safety briefing of my too-short-for-a-night’s-sleep five hour flight in fitful sleep, but it wasn’t restorative. I struggled to reach my feet for the required soapy shower before going into an Icelandic pool.

At that point, the hot pots offered unmitigated bliss.

While our two night stopover in Hafnarfjördur, Iceland, was designed primarily to ease my travel related pain and jet lag (i.e., it wasn’t intense or highly scheduled), I do believe that hitting the pools provided a soothing balm to both of these maladies.

Warm water is obviously going to ease joint pain. So does reducing one’s experience of gravity due to buoyancy, of course. But the effect upon jet lag was just as profound and somewhat less expected. I suppose the combination of light exercise and being outdoors under the sun in the morning explains most of it.

Read more about what foreigners should expect at an Icelandic public swimming pool, especially for those of us with mild mobility impairments who wonder about handicapped or otherwise accessible accommodations in the facilities.

Have Segway; will travel… into the Alps

My first Segway tour of San Francisco’s Golden Gate Park was a lot of fun and well worth the fairly high hourly cost. My second Segway tour, along an Alpine trail from the Austrian resort town Seefeld in Tirol, was positively magnificent.

At €78 per person for a two hour tour, the cost of entry was lower. With the option to follow a scenic trail to a kitschy-charming Alpine inn otherwise closed to me due to pain and fatigue, the experience turned out to be invaluable.

Training to use Segway

Segway training before a tour takes between five and 20 minutes

My teen said this excursion was the most fun thing he did during our two weeks in Europe. And, by the way, I let him select most of our activities after I chose the cities we would visit.

Maybe I shouldn’t tell the friendly owner-operator Maximilian this, but I would have paid a lot more for such a wonderful experience. If you find yourself in Seefeld, definitely give him a call and take one of his Segway scooters for a spin!

I discovered Segway Tirol on TripAdvisor, but here’s the website and contact email: info@segway-tirol.info *

I’m extolling the virtues of the Segway today because I live with chronic pain as part and parcel of an autoimmune condition. Aside from arthritis, I also broke a bone in the sole of one foot many years ago… and now it feels like I’m always walking with a pebble in my shoe. I.e., annoying

Before my foot injury, my major occupation when visiting new places was to wander. I could happily lose myself for hours along the twisting byways of an historic city. I don’t enjoy driving, and I hate doing it in an unfamiliar, crowded place.

Public transit is hit and miss for me. I’ll use it, but unfamiliar fare systems provoke anxiety. Did I stamp my ticket correctly? Do I have exact change? With buses, I fear taking the wrong line; on subways, I compulsively check the map at each stop to confirm I’ve headed in the correct direction.

I also fear not getting a seat and falling down on lurching trains and buses. At times—sometimes unexpectedly—my weak hand and wrist joints won’t cooperate with my clinging to a post. Then again, I don’t appear deserving of special treatment or priority seating. Autoimmune conditions are often invisible to the casual glances of strangers.

I prefer the freedom and pace of walking… but I can’t go very far by foot any more.

Riding a Segway scooter does require one to stand. It wouldn’t be suitable for anyone with major foot or knee, or ankle problems. My pain seems to be exacerbated by the striking motion of stepping, however, so standing on the Segway is pretty much all right, most of the time.

I do have days where even my knees are affected by my arthritis, but most of my issues, most often, involve the small joints in my hands and feet. I wouldn’t try to ride a Segway if I were having a major flare, but the fatigue would probably stop me before joint stiffness anyway.

Stepping aboard a Segway scooter is like stepping back to a healthier, more able time and condition for me. It feels like freedom.

Mobility is a key component of personal empowerment. That’s true for the ability to afford a car in many American suburbs, and even more so for the giant leap from total dependence upon others or being housebound to the liberty of self-conducted, autonomous activity for those who can’t walk in the average way.

You get a taste of the utility of curb cuts, ramps, and automatic doors as a parent pushing a baby stroller, but it is hard to appreciate all the little motions a healthy body allows until some aspect of “what’s typical” is removed from your arsenal.

I didn’t stop grinning for a single moment I was aboard Segway Tirol’s scooter. The scenery was beautiful. The guide was kind and accommodating. Mostly, though, I was exhilarated to be conducting myself along an Alpine path without pain or fear of going too far and then succumbing to fatigue in an inconvenient place.

Some people think Segways are goofy looking toys for nerds; others consider them a sidewalk nuisance that should be banned. I’d guess most of those people are fully physically able and have no idea how poor the options are for those who aren’t.

For myself, I will be spending more time on two low, gyroscopically balanced, electrically powered Segway wheels in the future. I will seek out tours and rentals of these stable, easily controlled mobility devices. I may look goofy, but I will be grinning like a fiend.

It’s hard not to be happy when you’ve been set free.

Around $150 pp for 90 minutes, if memory serves.

*I booked our tour just the day before we took it. Maximilian was quick to respond and very flexible. Our “group” was just the two of us. There was no upcharge for the creation of a tour at our convenience!

Kvikk Cafe at KEF airport is not so quick, but the server may fill your water bottle if you ask

Maybe Kvikk is Icelandic for, “Learn patience, grasshopper.”

I timed it: 13 minutes waiting in line to pay for a coffee drink I then needed to make myself at an automatic espresso dispenser at the Kvikk Cafe in KEF (Keflavik airport serving Iceland’s capital city, Reykjavik.)

It wasn’t the best cafe experience I enjoyed during my second visit to Iceland.

At least a Kvikk Cafe purchase earns you a seat nearer to the C gates.

Like many European airports, there is no seating at most of the gates themselves. Presumably, you’re expected to wait and spend lavishly in the large commercial hall you pass through after the obligatory* Duty Free Cathedral Promenade.

Customer service in Iceland is usually very good and seems always to be given with courtesy and a warm smile. Servers at Kvikk Cafe may also fill your water bottle from their tap behind the counter if you ask nicely after the crowd thins out.

Tap water is Iceland is some of the best tasting water you will ever enjoy. Mysteriously in light of this fact, the Icelanders overlooked installation of bottle filler fountains when they upgraded their major airport in recent years to meet the demands of the tourist boom.

Perhaps they thought they weren’t needed since filtering wasn’t a requirement? But I saw no drinking fountains in KEF, either. I avoid buying bottled water on principle most of the time; in Iceland, the idea is positively outrageous.

If anyone knows of a drinking fountain anywhere in Keflavik airport, please share this information in the comments.

water fountain bottle filler - 1

Water fountain with bottle filler

Update: We found one bottle filler on our return flight via KEF! Look near the toilets in the food court.

Your alternative? The bathroom taps, but they are the automatic style and only dispense heated water. It will probably still taste better than what comes from my faucet at home, but isn’t what I want to put in the plastic water bottle I chose for my traveling convenience.

*Seriously so, IKEA floor directional arrows style. The direct route from security to gates is via the Duty Free Shop with its stink of imported perfume.
Note: I find almost all perfume to be merely a source of expensive, unpleasant odors, but I’m very chemically sensitive. I suppose local, organic Icelandic perfume would be no better.

Accessibility notes by a visitor to Iceland’s awesome public pools with hints for proper locker room & swim protocol

Icelanders expect you to follow the letter of their law when going for a swim: wash, naked, with soap before entering a public pool or hot tub.

I’m shocked by how many Americans post comments about washing first not being required at home. Actually, at my local YMCA in New England, a sign clearly states that “soap showers are required” before entering the pool.

It’s just that, at American pools, nobody enforces the law.

We have laws against jaywalking, too, but you’d never know it in most cities based upon enforcement.

Also, our instructional posters are plain English language ones without the helpful “red zone” graphics employed in Iceland.

Cell phone or camera use isn’t allowed in locker rooms thank God! so I’ll point you to others’ mysteriously captured photos for illustrations. Follow the links to pool etiquette articles, below.

Picture the typical men’s room sign “guy” infographic, then add big red circles glowing around head, armpits, groin, hands, and feet. Those are the parts it is mandatory to wash with soap before entering an Icelandic public swimming pool or hot tub.

I’m reinventing the wheel here, but it bears repeating again! since every Icelander seems to know that Americans (and Brits) arrive unprepared for proper Icelandic pool protocol. I read about a dozen “how to use a public pool in Iceland” posts myself, and yet, here I am reiterating much of the same advice.

IHeartReykjavik.net posted my favorite for average travelers (make sure to read some of the 133+ comments); IcelandWithKids.com is also very thorough, especially with information for families and parents traveling with children.

Those posts helped me, so I hope to offer the same to another reader. Good travelers respect the places that they visit by following the rules.

Access for visitors with mild physical impairments to Icelandic pools

Another, perhaps less common, thing I want to address is accessibility in Icelandic public pool locker rooms.

I did find one blogger who writes about access from the perspective of a wheelchair user, but he only seemed to visit the swanky Blue Lagoon spa. For over $40 per person, it darn well better be fully accessible!

I was looking for an affordable, family-oriented experience more akin to what average Icelanders might enjoy with their own kids.

Also, my needs are far less intensive than those of a pool user who requires a lift (hoist) to access the water. I have arthritis and chronic pain due to an autoimmune condition. My accessibility needs are variable, but often minimal, and most relate to twisting and pushing with the hands.

Sometimes, however, hip or knee joint stiffness makes it hard for me to reach my own feet. Heck, I couldn’t get my arms high enough overhead (shoulder stiffness) for the requisite TSA scan when I departed from Boston the night before I visited my first Icelandic pool.

Some days, aside from morning stiffness in my fingers, I bend like a healthy person; other days, not so much. This is a big part of what drew me to the famous geothermal hot pots of Iceland during even a brief stopover.

When my joints are stiff, I’m also more prone to balance issues and potentially falling. My limbs don’t always respond the way I’m expecting to the commands sent from my brain.

I had questions before my first visit to a public pool in Iceland to which I couldn’t find answers online. I’ll try to enlighten those of you with similar concerns according to my own experience as an English speaking tourist with about two weeks’ experience in that country.

Continue reading

Reboot your router: protect your home network & help catch criminals behind VPNFilter malware

Have you rebooted your home and/or small office router yet?

Once again, sleazy foreign agents are making inroads into stealing your private information. Here’s the official FBI Public Service Announcement from May 25, 2018.

The threat this time is called VPNFilter. Rebooting your router won’t cure the problem, but it will restart the process by which the criminals get into your system.

A simple reboot is quick, easy, and harmless. It’s the same thing every tech support person you’ve ever called has had you do first to try to solve connectivity issues.

Electronics circuit board - 1I like the Popular Mechanics explanation of what to do after your reboot. You’ll need to perform a factory reset to fully remove the VPNFilter malware.

The Cnet coverage included a list* of the routers known to be affected, which is nice information to have.

A factory reset may take you a little time, but it should remove the malware.

Reporting on this subject suggests that the FBI wants everyone to do a simple reboot first even though it is a patch, not the solution.

Why? Because it will lead a lot of internet traffic directly back to the perpetrators when their rebooted malware runs home to mommy asking what it should do next.

I like the idea of shining a light on Russian hackers who want to steal my stuff.

We’re still going to do a factory reset as soon as one of us has got the time and while no household member is in the middle of a mission critical online activity.

Contact phoneI also told my retired parents to push that button on the back of their router. They are unlikely to notice this kind of news coverage, and they wouldn’t be clear on how to address the problem without my phone call. Consider passing on this advice to reboot home routers to less technically proficient friends and neighbors.

Reboot your router right now. Get around to the factory reset as soon as you can.

*Per Cnet:

… manufacturers are as follows: Linksys, Mikrotik, Netgear, QNAP and TP-Link. However, Cisco’s report states that only a small number of models… are known to have been affected by the malware, and they’re mostly older ones:

Linksys: E1200, E2500, WRVS4400N

Mikrotik: 1016, 1036, 1072

Netgear: DGN2200, R6400, R7000, R8000, WNR1000, WNR2000

QNAP: TS251, S439 Pro, other QNAP NAS devices running QTS software

TP-Link: R600VPN

Considering antidepressant medication? Try vitamin B-12 first.

This isn’t medical advice. I’m not qualified* to offer that.

Vitamin bottle B12 - 1I am simply a self-educated consumer who lives with a chronic health condition. I’ve drawn my own conclusions from research done as an intelligent lay person, tempering it with common sense. I invite you to do the same.

Many of us diagnosed with autoimmune conditions, degenerative neurological diseases, and chronic pain will be prescribed antidepressants. There are fine reasons for this.

Some chronic pain responds positively to antidepressant medications. Given in lower doses than those prescribed for psychological reasons, side effects are often less as well.

Here’s a link to a (long, almost 2 hrs!) YouTube presentation by Dr. Dan Clauw, M.D. that offers a great explanation for the current understanding of why these drugs may help certain types of pain.

Depression is also a normal human response to learning you can expect to spend the rest of your life with constant pain or in a rapidly degenerating physical condition.

That is a depressing situation for any rational person to contemplate. Treating mental health problems is important, and I do not sit in judgement of anyone who takes pharmacological steps toward better self care.

If you are a danger to yourself, please seek immediate, aggressive care. Do whatever it takes to get well. Your life matters.

That said, I’ve recently learned that the major physical symptoms of depression mirror almost exactly those of a vitamin B-12 deficiency. Hmm…

Even patients with valid diagnoses of other conditions—here’s a study about multiple sclerosis, for example—often have other stuff going on in the body that can make symptoms worse. Large numbers of hospitalized, depressed patients have measurable Vitamin B-12 deficiencies.

It isn’t known yet whether B vitamin deficiencies help create conditions that allow us to develop disease, result from lifestyle responses to living with chronic illness, or are direct side effects/symptoms of disease processes.

I’d argue that the underlying mechanism doesn’t matter so much when we’re talking about supplementing with vitamin B-12.

Why? There is no known upper tolerable limit for safety for supplemental B-12. Say that in plain English? No one ever “overdosed” on this vitamin.

Here’s a link to a more reputable (than me) resource, a state university, for detailed mainstream medical information on the subject of Vitamin B-12. And another to a US government fact sheet on the vitamin for American consumers.

B-12 is water soluble. If you take too much to be used by your body, it will leave your system naturally via your urine. You might “waste” the vitamins you’ve bought and paid for, but odds are tiny** that they will hurt you in any appreciable way.

If someone is ready to prescribe antidepressants to a patient, that patient must have at least one medical doctor who could also be consulted about taking vitamin supplements. Ask your doctor before starting a new treatment, including Vitamin B-12, but, odds are, you will be told this is safe to try.

You may also hear that vitamin B-12 won’t help you. But, then again, antidepressants aren’t a guarantee either. They include a long list of side effects, some of which are very unpleasant. Those prescription pills can also be expensive.

Also, it’s just as unscientific to assume the vitamins won’t help you as to assume that they will.

I’ve come to realize that no one cares as much about my health outcomes as I myself do. With good insurance and caring doctors, I’m still left with unanswered questions and a merely tentative diagnosis for what causes my chronic pain and fatigue. Where stakes are low and scientific certainty is lacking, I choose to perform nutritional experiments upon myself.

If it is highly unlikely to hurt you, and it could help you, why not take some extra vitamins for a while and see if you feel better, too?

Assuming your doctor said such a trial is safe, the only possible barrier is cost.

I picked up a bottle of store brand vitamin B-12 at wholesale giant Costco with 300 pills for $19. Each offered thousands of percent (20,833%) of the RDA***, making a bottle good for the better part of a year taking one per day.

That works out to $23.12 annually. Costco typically offers very good value.

At an expensive local vitamin specialty retailer, a three month supply (of 16,667% RDA pills) cost $16, coming out to about $64 per year. I suspect it would be hard to spend much more than this for these vitamins.

vitamin-bottle-b12-2.jpgThere are several forms of B-12 available, and both of these offerings are for the most expensive type, Methylcobalamin.

Some users have reported that the most common, cheaper form, Cyanocobalamin, doesn’t resolve their symptoms, but the Methylcobalamin form does. At less than $20 per bottle, it seems within financial reach of most Americans to do this self experiment with the potentially most effective version of the supplement.

My two sample bottles also both contain dissolving lozenges to be held under the tongue rather than swallowed and processed through the digestive system. Again, some argue that a sublingual or injected B-12 is more effective than a swallowed dose. I went out of my way to test this type of supplement, just in case, though science tends to think it is irrelevant for most.

In all of this, note that my primary interest is in clinical results, i.e., how I feel. It will be great if research comes to understand why and how B-12 or any other supplement improves patient outcomes. But I am not a working scientist.

The bottom line for how I make a decision about self-treatment comes down to whether or not I feel better, and at what risk.

The “clinically small” improvement of a group of MS study participants quoted above may be of only slight statistical significance, but when your function or your sense of well being has descended to, say, 25% of your old normal, well, then, 27% or 30% represents a win.

I don’t know what you should do to help yourself live a healthier life. I do have some opinions about which alternative health practices represent good risks worth a try for a person in pain. Perhaps this little experiment can ease some of yours, too.

Your body; your choices. Make them in good health.

*My education in both Biology and Chemistry ended in high school as my college science classes were limited to Physics courses. My major was Mathematical & Physical Sciences with a concentration in Computer Science.

Make no mistake that the side effects can be significant, however. They are also likely to affect your offspring, not just yourself. There are studies showing this in very obvious and less direct ways.

Powerful drugs are appropriate to treat significant illness, but I’d argue that they should be employed after milder alternatives have been tried and found insufficient.

Other sources, regarding. depression.and .neurological and psychiatric disorders

**There are some instances of allergic reactions to vitamin B-12, but I only read of such response to injections (shots), not over the counter vitamin pills. Reports of acne or skin rash in response to large dose vitamin pills do occur with some regularity.

You decide whether temporary skin issues are something that would stop you trying a larger dose of this vitamin for yourself.

***In most cases, we do NOT know the “optimal” level of vitamin intake. Vitamin B-12 reference ranges vary from 180-914 ng/L in the USA, 135-650 pmol/L (183-881 pg/mL) in Australia, and 500 – 1300 pg/mL. (ng/L=pg/mL, so no conversion necessary there.)

If you think this is an important thing for people to know, write to your government representatives and tell them you support basic nutrition research. Private companies have very little motivation to pay for this kind of work; there’s no resulting drug patent to fund the endeavor.

There’s a reason some public services, like infrastructure and basic research, are paid for by taxation. Otherwise, they simply aren’t available to all of us.

Business Premier eases chronic pain on 13 hour Air New Zealand long haul flight: Part 1 (OneUp upgrade bid win)

On the economics of getting into business class for members of the 99% with chronic pain: how I did it for 37% of the paid fare with an upgrade bid, and why every penny was totally worth it.

I didn’t know until I arrived at LAX for my 13 hour flight from the USA to Auckland that my bid for upgrade to business class had been accepted. Air New Zealand might surprise you with such information at the very last minute. Luckily, this is the best kind of surprise.

I am a frequent flier in US domestic economy who occasionally splurges or upgrades with miles/status to first class. I also live with an autoimmune disease and chronic pain.

In spite of this, I continue to indulge my love of travel as often as I can. Now, however, I must sometimes make adjustments to accommodate my body’s varying demands.

What follows is my assessment of a very long haul flight in the Business Premier cabin. I’ll try to specifically address the experience of a traveler with chronic pain.

While I’ve found a plethora of reviews sharing the opinions of healthy business and luxury flyers, my own sometimes odd and very specific wonderings are rarely addressed.

Air NZ awards upgrade bids up to the last minute

Last year’s Swiss International Airlines (SWISS) upgrade from economy to SWISS Business was awarded several days before my flight. SWISS may even have provided a full week’s notice.

This time, I received a “too bad, you lost” email from Air New Zealand in the days before my trip. I took off from an intermediate stop at PDX with no knowledge of the highly beneficial change of plans.

Try to imagine my delight upon receiving a text message of congratulations for having my OneUp Business Premier upgrade bid accepted by Air New Zealand at the last minute. I learned of it as my Alaska flight touched down in Los Angeles and I resumed cellular connection to the world.

Having chatted with my nearest seatmate about our respective travels during lunch on Alaska 568, I couldn’t help but turn to her to share news of my good fortune:

“I just got the upgrade from Premium Economy to Business Premier for the long flight to New Zealand!” I crowed

“That’s great!” She replied. “Now your husband won’t have to feel guilty or to share his better seat.”

Air NZ Business Premier pix - airport espresso

It was reason for both DH and myself to celebrate, indeed. He is a gentleman, and he worries about me.

Of course, a man who will wait in line to buy an espresso for his tired wife in a busy airport even though he thinks caffeine is a pernicious addiction like heroin that shouldn’t be catered to or socially acceptable will always give his seat up to a lady.

To be crystal clear, however, on our return, when we were seated in different classes of service, I never did ask him to shove over or swap with me. I spent 13 hours in Premium Economy flying AKL-LAX towards home. I’ll add a link here to my post on the subject once I’ve finished writing it.

Continue reading

Craft a travel capsule wardrobe color coordinated with key accessories

An unexpectedly useful feature of my Ahnu Sugarpine sneakers—which usually boast one main and two contrasting colors—is as a guide for crafting well-coordinated travel capsule wardrobes.

Wardrobe quick August escape shoes - 1

Ahnu Sugarpine in soft blue, peridot, and coral mesh

It may be easier to stick to a neutral palette or always wear black, but my personal style is more ebullient. When you want to wear lots of color, and your outfit artfully combines three vibrant hues as shown on your shoe, you can look really pulled together* instead of clownlike.

I learned this trick as a crutch for home decorating: buy a beautiful patterned object or fabric first, then match paints to your well-designed piece instead of vice versa. It’s easier to get a certain shade of paint than an exact tone in a fabric, and often a lot cheaper, too. Every shade of paint costs about the same per gallon.

Why do I start with the shoes?

Along the same lines, since my choice for shoes is limited by practical circumstances, it is often much simpler to shop for the rest of my clothing to go with the footwear. A simple t-shirt or scarf in a particular shade is also much cheaper than a pair of shoes, and the color selection is almost always wider.

Living with chronic pain—specifically joint pain in the small joints like toes and a foot that once broke and healed funny—means I require custom orthotic inserts to take the pressure off the sensitive parts of my feet. These inserts demand to be worn with a supportive, enclosed shoe.

My podiatrist recommended New Balance sneakers, but I felt constantly sad when forced to wear them as my primary footwear.

I was always aware of my feet; they were blazing beacons of my infirmity. Most tennis shoes are so… sneakerish. Sporty ones made me feel like I was wearing a costume. Plain leather ones struck me as a weird joining of the geriatric with the athletic. They are not me.

Understand that I owned zero pairs of lace up athletic shoes from puberty through young adulthood. My leather walking shoes were Mephistos or Clarks and trended classic/European. After I had kids, I wore leather Merrell Encore mules because they slipped on faster.

None of these high quality brands have worked for me since my feet became problematic. In my old shoes, I can’t complete a trip in and out of the bank, say, without triggering pain that will bother me for days to come. I really must now wear a shoe with comfort features most often found in athletic styles.

Wedding shoes - 1

My wedding shoes were white leather ballet flats with purple ankle ribbons to match my bouquet

Before foot problems, when I dressed up, I wore simple ballet flats in nude, brown, or black. I wore white ones under my wedding gown. I have only rarely tolerated heels as it isn’t in my nature to accept pain for beauty.

I didn’t find self-expression through my shoes. I chose to draw attention closer to my face, hoping to draw the eye to where the brain makes me really interesting.

Anyway, that was the core of my style for most of my adult life.

Today, most of the time, and any time my feet are in pain, I wear Ahnu Sugarpine sneakers or boots.

Ahnu shoes sneakers

Ahnu Sugarpines: back row, waterproof; front row, mesh

I’ve got quite a few pairs now, even more than are shown in this photo from last year. I most often wear the five pairs on the right, especially when I travel. Either a neutral (grey or taupe) or colors found in a peacock feather (teal, yellowish green, purples) best suit my typical travel capsule wardrobe.

Though these particular sneakers suit my need for a flexible yet supportive shoe as dictated by my podiatrist, it is the joyful combination of the Sugarpine color schemes that makes them my favorite. If I’m going to wear a bulky athletic shoe, at least make it an exuberantly colorful one.

Travel capsule wardrobes inspired by Sugarpines

Following are examples of how I let my shoes direct the rest of my wardrobe.

This first is one complete outfit I chose to wear aboard a plane for a long flight. It emphasizes the purple in this often worn pair of waterproof Sugarpines. I have teal in both airy mesh and waterproof versions; I wear this color a lot.

travel outfit

Travel outfit to wear on plane: lightweight jeans, tank, cardigan, puffer vest, pashmina

This second combination pleases me best when paired with my peridot/acid green Sugarpines, but also works with the teal shoes shown above pretty well.

capsule wardrobe CA SF autumn - green wrap tops Twilly - 1My trusty teal Sugarpines have helped me coordinate outerwear, as well.

This woven straw Sunday Afternoons. special edition hat is a favorite for sunny summer travel in the city where a big brim is more of a museum/restaurant hindrance than protective shield against strong sun. They’re an Oregon company, to boot.

You can also see that I have both a lightweight down coat (purple, above) and a water shedding Duluth Trading Co soft shell† (teal, below) to literally. cover me for any kind of inclement weather during my travels.

And here’s a very different color scheme that I might employ when I want to be a little less vibrant during a journey. These Sugarpines were brand new, so I still had the box with the specific color name to share: Alder Bark, a.k.a., taupe.

I have a pair of Ecco boots in a similar taupe/mushroom color. While not something I could designate as a walking shoe at this stage of my life, they are sufficiently comfortable for me to wear them out to dinner or in other situations where I might prioritize style over support.

The Angelrox.gloves paired with the shoes are showing two of their colors: Cacoa and Nude. I’ve written at length about how much I love this woman owned, made in the USA clothing company in Maine for color coordinated, comfortable pieces. Combined with a few touches of vibrant Violet, this is a palette I’m just starting to explore for travel. No small part of it is my joy at having the boots to wear when sneakers aren’t appropriate!

Here’s a close up of Ahnu’s purplish rubber sole together with an Angelrox shawl peeping up at the bottom of the shot in the shade they call Violet. Those are the mesh Sugarpines in teal on the right.

shoes for capsule color coordination alder taupe Angelrox - 3

Though the wardrobes I’ve shown demonstrate very different levels of “energy” in terms of brightness and how aggressively I’m exerting my enjoyment of colorful clothes, a surprising number of accessories can bridge them both. For me—admittedly no fashion maven—it was beginning with my wardrobe of Ahnu Sugarpine shoes that guided me toward my now heavily traveled set of useful yet stylish accessories.

Of course, a favorite scarf or shawl—or an even more vital health related accessory like a wheelchair or walker—could represent one’s starting point. The key point I’m trying to make is to make the best of what you must keep about your person; if you’re fortunate enough to have a completely whole and healthy body, you get to enjoy the privilege of starting with anything you love.

My own grandmother employed a shiny, dark red walker toward the end of her life. It was a beautiful color, and, if I required such a device, I’m pretty sure I’d be shopping for accessories to complement it rather than trying to make the thing blend in.

Is there anything worse than drab, putty colored computer, medical, and office devices? Not in my world.

Color makes me happy. I believe that surrounding myself with the colors that I love improves my health, mentally, at least, and probably physically, too. Following your bliss can be taken both figuratively and literally.

Travel can also be stressful, no matter how much one loves it. One way I’ve found to focus on the joys of the journey is by making things pretty where I can. My bag feels just a little bit lighter over the miles when I love it and everything inside.

Colorful travels!

* A family friend exclaimed about this when I saw her during a recent visit home: “The lining of your bag even matches your outfit!”

Yes, yes it did. I’m tickled every time I pull that level of coordination off. It pleases me greatly. If I can even match my underwear to what’s on the outside, I feel like a downright fashion genius.

Hey, we all need hobbies. This happens to be one of mine.

I wore them happily enough for exercise! It’s a fine brand.

Once you’ve started gathering a travel wardrobe that adheres to a particular color scheme, it gets easier to snag deals on pieces you want or need when they’re available in your palette. My rain jacket was a closeout at about 50% off its retail price.