Tuesday, March 12, 2013

What Is Truly Normal? & How Do I Cope When It All Seems To Much?

Two stupendous subjects as I said at the end of my last post. I face these "dilemma's" frequently. When I say frequently, I mean daily for the most part. We, as being victims of chronic illnesses and/or chronic pain (which by the way usually run hand in hand) always question each day as being normal or not? We tend to think about our lives "before" this mysterious "blackness" washed over us, and up until then, we always thought of our lives as normal. We went to work, we had our family, we cooked, cleaned, went out to parties, dancing, dinners, school functions, and did all of the things that most "normal" people do. Back then I never questioned if things were "hard" to deal with. I just accepted that my life was pretty good, and I guess or may I say "I KNOW" I took those years for granted. We tend to assume nothing will ever change the normality of our lives. Other than kids growing up, going to college, and us growing older, we rarely sit around trying to decipher what might "normal" be if we were chronically ill? Not a question the majority of the population asks itself; UNTIL you are CHRONICALLY ILL. Then that seems to be just one piece of the "new normal" of the rest of your days ahead. Acute illnesses, such as the flu, a broken leg, having a surgery, and so forth, come and go. We may be very ill at that moment, and it might even last several weeks, let's say if you are recovering from a major surgery. But, you know that you WILL FEEL BETTER! It is temporary. Better is coming up.
BUT, when you have a chronic illness, such as an autoimmune disease, things such as Lupus, RA, MS, Diabetes 1 and 2, FM, CFS (it seems we have come to "letter" now for all of our diseases), you know you will NEVER HAVE A NORMAL DAY AGAIN! No matter how "normal" you want it to be, and you do have days that have a tinge of the "normality" in them you once had, but your entire life is turned right side out and upside down, with no way of ever truly finding what is "true North" again. You KNOW you life forevermore has changed. You are either going to battle with some particular illness that has many symptoms, or take lots of medications that can cause lots of issues, or pain that on some days can be relentless. No matter how you try and slice the pie on a chronic illness, that thought of it being "temporary" flies out the door, and you realize that forever more your normal no longer exists. I have attempted to try and create a new kind of normal day. Yet, there is nothing normal about my days for the most part. If I am not fatigued horribly, where I must push myself to do my errands, do things around the house and exercise it is unusual. Don't get me wrong, not every day of my life is dreadful. When I am out of a flare, which sometimes goes for even months, the fatigue and tiredness, the headaches, the joint pain, and the rest of my symptoms are "minor" compared to a flare. I can get myself going fairly easily, but now it takes me much longer to get ready than it used to. Just a few years back, I could be up, showered, dressed, makeup and hair done, no more time than an hour if I was going somewhere special, less if I was just going to town shopping. Now that has turned into more like 2 hours. Plus that does not often include putting on makeup, or really dressing up somewhere to go to like the Casino. That takes at least three hours, if not more. I usually have everything laid out, jewelry and all for the next morning, if we are going very early like usual. I have learned to get as much ready the night before. Even then it takes me at least 2 1/2 hours to get everything on and fixed! I have slowed to a snail's pace when it comes to all kind of things. Buying a large bill of groceries takes me twice as long as it used to. Of course now I coupon a great deal more then back then, but still an hour or less trip now once again is more like 2 to 3 hours. Whatever it was from cooking, to shopping, to cleaning the house, it takes me twice as long. I used to believe it was because I was lazy, or had gotten incompetent, but no, it is just that I do not get around as quickly. My body and my brain work more slowly than they used to. It takes me much longer and it is much more difficult to make decisions. I used to be able to not give something much thought, and I just did it. I did not have to contemplate over some minor ordeal, but just do whatever it was or was not and go about my way. But, even what to eat for dinner, or what to watch at night on television turns into a major item to decide upon. Chronic Illness for me is like the song "Running On Empty"... you feel you are always running on empty and also running behind. Every day of my life feels as if I am playing "catch-up" with myself or whatever I am supposed to be doing. I feel like I have had 5 years of my life on hold, and now I am trying to get back to where I was, before I fell so far behind my own life. There are days my mind may be running a million miles an hour, enough to make more people dizzy, yet it is like riding a stationary bike, or running in place, all of that brain moving gets me no where. I have just about learned, or more like found it easier to just say "I don't care", what I eat, what I watch, where we go, or when we do... just whatever suits the other person... and so forth. It is much too taxing on my body and mind to make so many decisions, thus it is much easier to let someone else lead and I follow. Yet, that gets frustrating because I find that I really DID want to choose at times, thus I am upset with myself that I did not make the effort to do so. So, normality is just not there. Not if you are thinking about your life before chronic illness. It will NEVER be back to that normal. That is sometimes very difficult to deal with and accept. Honestly, for many of us, I think we never truly accept that our forms of normal days and normal lives have past us by. We had a short ride on that carousel, the fall led us down the hill, that landslide we were not expecting, and now we have had to climb back up that steep hill, with the rocks and gravel stinging into our knees as we make our way back up, sliding back a few inches and then making a few inches further up that steep and lengthy mountain. Coping, handling, mentally trying to not give up is yet another issue we deal with frequently.
I go through days, weeks, even possibly months, that I "deal" with the illnesses. I cope with all of the medications, I do not get all that stressed over pain, and in a general context, I seem very able to cope mentally with the issues that lie in front of me. Yet, deep within our souls, all too often, we feel as if we cannot take another day of illness, pain, medications, of not feeling like ourselves. We put on a good show. Sometimes in that 4th act, scene 10 though, we are breaking down, within and then without. I find myself crying in my car, and wondering why. I find myself beating the steer wheel, parked at Wal-greens wondering why I do this anymore. We look for the "good" reasons we "stay" here, rather than drive right out to our nearest bridge and jump off. At times that feels like a much better plan, than closing our eyes, and having to open them the next morning. When you know it will just be more of the same, or what is worse, is that it could be much worse, and not the same, so you have to within find some kind of synergy and opt for taking the high road rather than succumbing to the low road, which would be that selfish way out. Yet, we feel that getting out of this life, would make it easier on our friends and family. The "burden" we give them would be lifted. I often want to play the blame game, and I do it well. I think back to my late 20's and early 30's. I think back t some of the things I did back then, like getting my first tattoo, or going out to the bars with my friends, even single. I want to think maybe there was something I did back in those years that I am being punished for. Did I not take good enough care of my kids, family, home, job? Did I not do "something" right, thus here I am at 50 being "mutilated" in physical and mental ways due to some horrid thing I did back then? Often you hear people say that we shall pay for our mistakes later in life. So, when something like these illnesses, extremely chronic and more often than not incurable, we tend to feel we have been wrong or wronged someone else in our past, thus now the "judgement" is upon us for all of ways we were foolish back then. When I look in the mirror, and I do not see the person I was just a few years ago. I see the way the illnesses have pulled me down, to be a slower, older, and it seems weaker version of whom I used to be, how can I not feel as if something I did, or did NOT do has caused this horrible scene in my life. One that is not something to turn away from. You cannot run from Lupus, you can only run "for" it. You cannot "cure" RA at this time, but you can hopefully "put it into remission" with the right medications, or slow down its progression of damage.Yet, trying to convince your inner self to think you in some way are not totally responsible for this horrendous grief of pain, fatigue, never ending changes in medications, in your own body, your mind, hell... your spirit. It effects every single thing in your life, whether it is relationships, with yourself or someone else, or simply the way you leave the house now. Used to I would get take a shower, get dressed, do my hair. and hit the door. Now days, depending how long I will be out, I have to make sure I have my "PTM" which is the device for my pain pump with me, medications, for my stomach, for pain, sun screen, or may I say sun block, even in the CAR! The sun will blister my cheeks now just coming through the windshield. I have to make sure I have worn the "right" shoes depending on how long I may have to walk. My "emergency" bracelet so people would know about my health issues if something were to happen to me. I also have to carry cards in my bill fold that tell about my pain pump and my metal knees and right shoulder. All of the above keep me from having an MRI of any kind. The list seems to never stop. Then, if I am going away overnight, Lord forbid. Then it is another realm of "stuff" that must go with me. Mainly all of my medications, but there are other things I carry now, that I may not have carried if I were not chronically ill. In fact, to date, since I was diagnosed with Lupus, RA, and so forth, other than overnight, I have not been gone from the house on any type of vacation. We go for the day or for one night to the Casino in OK, and we have not even done that lately due to my own battle with illness and then my Mom's also having some issues. Weather held us up at Christmas. Then New Years was not much better. By the time my birthday rolled around in mid-February, I will ill with the "flu" like stuff that has brought on an entirely new set of doctors and tests. Honestly, I think my PCP maybe onto what is going on with the fatigue, the pain, etc. than the rest that have ran endless tests. He did a special blood test that found something that happens with my muscles which can deteriorate them. As that happens it creates a substance in the blood that cannot pass through the kidneys correctly. It kinds of "clogs" them up, which can cause acute kidney failure if not handled correctly. He, of all doctors, LISTENS, to me, he knows my case very well, and he knows exactly what to look for. Some of my doctors are fairly well educated about all of my complicated things, but he tends to be able to "look" for what is out of the normal when it comes to me, and what maybe wrong with me. Usually, he is right. So, each and every thing in your life seems totally different. We are all used to change. "Change" per se' is not necessarily a bad thing. But, when you talking about the kind of change as in an illness, especially something "chronic" that you know shall be with you the rest of your life, it is not an easy thing to accept, nor deal with even as the years pass by. It is almost as if you are always in the process of grieving. You grieve your lost life. You grieve for the lost person that you no longer see in the mirror. You are in a constant state of guilt, anger, sadness, resentment, jealousy, sometimes almost rage, & sometimes you find acceptance. But, it seems that portion, the acceptance, comes in tiny pieces that come and go more often than you care to talk about. Oh, I can put on a good show for those around me. I can act as if things are okay. I can put on a smile, half way, act like things are not that bad, and play the part when I need to. Yet, anyone that knows me very well, can see through that mask of the challenge of trying to "look" well, and act as if I am not ill. There is nothing easy about this crap, not one thing. I could make it "easier". I could admit and give in to the illness. I could throw up my minds, decide to allow the pain, the fatigue, the brain fog, the slowness, all of the daily symptoms that plague me to take over. I could lie on the sofa more. I could go out less, keep house less, cook even less (since it seems Jim certainly cooks more than I do), and the list goes on. I could do just the very bare minimum to keep the house straight, and he would certainly help to do the rest, even more than he does now, but, there is no way I could do him that way. Plus, I cannot do my own self that way. I can say the on occasion, not all the time, but there are times, when I am just having a really bad few days with this mess, that my Mom's stuff seems to almost be too much. Not very often at all, but if I am already having my own health issues, and let's say we have several issues at home I am having to deal with, then I have to also deal with all of her things at once, I can sometimes feel I am totally on overload and I am overloaded. I hate to even admit that because a huge portion of why I am even back in TX is to help her. But, before making the decision to come back, I was not dealing with all of these health issues. I had a few, but they were not as it is now at all. Thus, when we made the decision to move back and help her, little did I know I at times would barely be able to take care of myself, much less deal with the rest of the drama that has unfolded as I have lived here now for 7 or over years.
Thus all of the above, that you must deal with daily, yet you truly never know what that "daily" might be like when you open your eyes, on some days makes you wish you could step off the planet, and float off to wherever the place of no pain, no sorrow, no illness, no drama is. Now that does not mean I am totally suicidal, or thinking about harming myself. Yet, you do want to at times, leave all of this crap behind. We tend to dwell in that place of knowing the someday all of this WILL be over, and more than likely though it will NOT be here by any medication or physician. There is no magical cures here. Someday, I pray they will figure these autoimmune illnesses, along with many others out. When they do the will be able to "fix" those genetic issues, or cell issues, well before a symptom arises. Or for those with these illnesses, the medications will cure it all, or they will be able to "immunize" you to keep you from having these illnesses.
I don't see it happening in my life. or not even in my kids lives, possibly my great grandchildren may have a grasp of those things. For now, I just pray that my kids, and their kids remain without signs or symptoms of any of this mess.
So, yes we are never "Normal".... an Yes, I Cope, but it is not an easy thing, and there are days that coping is just not there, thus you give into it. Those are they days I am on the sofa with my two puppies, watching Lifetime Movies all day, and praying that this will go the hell away....

Sunday, March 10, 2013

The Bad Days and The Good Ones...

Ah, even though this blog is dedicated to the realms pain, fatigue, illness, and the long road of getting through the maze of medications, doctors, test, and just "living" one day at a time with Lupus, and the entire gamut of all of my chronic issues with health, I find myself having a difficult time talking about the "bad" days. I want to encourage others that they CAN have a somewhat normal life. I want to tell you that you can overcome some of the pain, with your own mind, and with much help from doctors and medications, all of that combined with exercise, taking care of yourself, trying to stay as much out of stress as possible, and having the support of family and friends, life can feel normal on many days. But, there are days, (like yesterday) for me, that I just cannot make myself get up and go. I am too fatigued to move, I am in too much pain to try to clean, do laundry, to even think about writing a grocer list, or the idea of even getting dressed is way off the beaten path. Little things, when I am so exhausted, seem like monumental tasks to me.
I have myself somewhat on a "daily schedule". I have a certain time I get up for the most part, certain things I do at certain times of the morning, from taking my medications to exercising, I try and keep on a schedule. That keeps me moving forward, rather than stepping backward and wanting to wallow around in the "pain" and suffering of it all. I hate to think I gripe too much about all of it. Lately though, I have just felt the need to really let out all of the anger and frustrations that follow you like a shadow constantly when you are plagued with a chronic illness. things other people do, and take for granted as being a part of their day, could be something for one of us, that is a task way to huge to even think about on a particular day. That is part of the reason why the deadline of my 2nd book is looming, and I fear may not make it. It is not just about my own health issues, but now I face things with my Mother, that we are not sure about. IF some of these tests come back not so great, that may mean months and months of totally tending to her. IF she has to go through a major surgery, she will be very weak and not able to do lots of things for months. So, I also have to take that into consideration. I am also facing my own dilemma, with the double vision crap. I now have seen three doctors, and am set up to see a 4th one in early April. Yet even being specialists, not one has really been able to point their finger to what might be causing me all of this new grief. The symptoms are many yet vague. When a patient comes in complaining of "severe" leg pain, down the flanks, and down the thighs, yet it is also down the backs of the legs, to the point the bottoms of her feet hurt, that in itself could be several issues. It could mean kidney stones, sciatica, my RA acting up, issues with my spine, etc. But, the key issue is that I have a pain pump. These NEW symptoms are breaking through the pain medication that keeps me out of pain, thus it is severely acute pain, as if I do not even have a pain pump, or pain medication. So, that puts the entire situation in a new light. It could be pump problems, medication issues, catheter issues, all kinds of other added problems to complicate the entire gamut. I had already been to my PCP about it, in fact twice. I had a kidney infection, that they treated me for, thus I figured there was a good chance I had stones. But, rather than go through an expensive scan, which would not do a thing but tell us if it was stones, I took the antibiotics, drank my cranberry juice, and hoped that it would clear up. Yet, the pain kept on. I chalked it up to the "flu-like" problems I had for days and days before. I felt all kinds of the typical flu symptoms, achy joints, back, tired, fatigued, kind of not really having an appetite, just general aches and pains of the flu for about 10 to 15 days. That also told me that I probably had a "flare" of the Lupus on top of it all, would only would exacerbate all of the symptoms, make the fatigue and pain in my joints and muscles worse, thus I tried to write off the more pain that came onto a severe Lupus Flare. After over 2 weeks, almost 3 of no relief, I finally had an appointment with my PCP. I told him how long it had been going on, told him the entire story about how the symptoms first came on, that I had came in and seen one of his PA's, had a round of prednisone, after an injection of Solu-Medrol, and antibiotics, yet the pain was not any better, and by then I had a Lupus Migraine. He took blood work, and gave me another Solu-Medrol injection, hoping it was a bad flare and that this would knock it all out. Well, after the weekend, I was no better. In fact, we had decided since I had made mention on several occasions, that it felt as if my pump was not "there", that something really could be wrong with the pump, catheter, medication etc... thus I called my pain specialist and left a fairly panicked message of what was going on. Well, this was on a Thursday, he was doing surgeries and out of the office on Friday, thus Monday I could see him. I could not wait to get into his office, and I was ready to sit in the floor and scream I hurt so badly. He could see that I was in excruciating pain. thus he wanted to change the meds in the pump ASAP to see if something was wrong there, and from there do a couple of tests to see if something new was wrong, which was an EMG because I have basically little to no reflex in my right leg and foot. Plus a CT scan of my lumbar spine to see if something may have happened. So, here we go. In the meantime he gave me a very strong oral pain medication because what was going in surely was not helping what so ever thus I had to be gotten out of pain. HE changed the meds out on that following Friday, yet I felt no relief over the weekend, which I should have if the medication had been the problem as far as we knew. I went through the CT scan, the EMG/NCS that did reveal I have some neuropathy, neuritis, and some degeneration in some of the mylen around some of my nerves, I gather in my legs, from what I can interpret from the tests. The CT did not really show anything other than I have scoliosis which we already knew for a long time. I can remember being very little and the doctor would watch me walk back and forth due to the "crook" in my spine. I guess it was never bad enough to brace, because they never did. I do have to wonder now if it is a little worse. I noticed they mentioned it and the degree of the way it is curved on the CT this time. I do not think any of my other CT's have said that. But, the CT of my lower spine that has been done is proper several years old. I have not had one done for any reason since probably around 2008. I had a couple done even earlier right after we got to TX. I had a really bad bout of very severe lower back pain that sent me to the ER in Corsicana something like 4 weeks in a row. I could not get easy, and they felt I was dealing with kidney stones on each side. They kept trying to keep me comfortable and flush them out with lots of IV fluids. Finally about the 4th trip there the pain started to subside. This was before I even had insurance, so it had to be in 2006 or very early 2007. My insurance came in finally mid 2007, thus I must have had that issue with the stones in 2006 I think. Talk about a nightmare. I feared going here to our ER. At the time, it did not have the best reputation, we did not have near the amount of "good" doctors and specialists like we do now. It was just not at that time a place you went if something was very wrong. Plus they also had a reputation for shipping you off to Dallas rather than help you very much. I knew the other hospital about 20 miles away would try and help me at first. Thus they did. They even I believe done "charity" on the visits, because of me not having my SS at that time, and my insurance had not kicked in, there was no way we had the money to pay for all of those visits and tests. But, they helped me out. So, that was nice, because at that time I was really ill with those stones, and probably unless one was too big to pass or began causing other problems, that would not "blast" them because of the expense back then. When I think back to some of the problems, and especially painful issues I dealt with, all of them extremely painful yet most of the time, I was not able to see a doctor that would treat the pain also, I am surprised I have even made it this far.
I know for me now, and I just read a post in FB from one of the groups I frequent) about do you ever want to throw your hands up and quit? Also, What is "normal?" Those are two stupendous subjects to write about and dwell on for awhile. I shall close this post out and dedicate my next one to those two subjects.

Thursday, March 7, 2013

For the Sake of Illness, & Are Medical Professionals "perfect"? (or do we save ourselves)

I had been sitting here very early this morning, trying to figure out how I might get some of my latest health issues resolved. Or if not resolved completely at least some "answers" besides the ones I come up with online. I would like for someone to "concur" with me, what I am researching, finding out, feeling, my symptoms, etc are really what is going on. Maybe I could come to accept some of this, and not be so totally stressed out to the point of chest pains lately. I realize we all want to put our doctors up on "pedestals", view them as beyond human, and feel like they have every answer to every pain and problem, and they are always certain, and correct in their diagnosis. But, that would be in a perfect world, where everyone was right all the time, and no one was wrong. Doctors are HUMAN! They DO make mistakes, and yes they are very well educated, and take an oath to do their best to keep us well, or make us well, when we are ill. They work (or many of them) over and above the call of duty, with long hours, and sometimes little compassion when it comes to even us as patients. As long as they are "helping" us, and giving us the right answers, we praise them. But, let them not be able to give us an answer right away, or miss something in our charts, or any thing that may happen that is not perfection, and we are angry, we are let down, we are in dismay of how THEY a PHYSICIAN could miss something so critical! I have been through enough doctors over the past 8 years, and then gosh I cannot count on my fingers and toes the number over all of my life. I have had some that were just almost due for "Saint hood". I have seen some that I would not take a stray puppy to. Then I have had many in between. Much of what they do and do not do now, has nothing to do with them as doctors. Most of them would love nothing but to have just enough patients they can take great care of, make a living, not be hassled by insurance, liability insurances, and all of the bureacratic bull red tape that they go through. Most of them would prefer to spend a hour every time with a patient, going over all of their issues, symptoms, and making sure they do Listen and HEAR all. They wished they did not have to be called to do something else in the middle of our visit, or be late in seeing us by hours. But, all of that completely flies out the window, when it comes to the truth about physicians. They are overbooks, rushed, do not have time to look at charts, get to really KNOW their patients, and have time to look at what is really wrong before they walk in the room to see you. Hell, the other day, I had a "new" doctor walk in after being over an hour late, tell me he would "start" on my initial information, but he had a patient running late, and he would "work" us in together, going from room to room. He at least apologized for the situation, but even though he came in and spent a fair amount of time with me, he still honestly could not know enough about my illness, symptoms, and everything else wrong with me to try to even think about a diagnosis. He was able to make a few "guesses" and honestly he just about admitted that. He DID say if I would sign releases, let him get all of my records, and give him a couple of weeks to really go over all of those, then he may be able to come up with something that would make sense, and possibly find out what is wrong. So I admired the guy for admitting "hey" hell if I know after a few minutes, and trying to go by what I could tell him. Yet, even at that, he several times messed up and rather saying my "Lupus" etc... he said your MS, etc... so even though he was trying his best to "be in the room" with ME, he had his mind on other patients I know. I do not know if there is one doctor anymore that is truly able to "be" with a patient, physically, mentally, emotionally, and in all ways in a room during a visit now. They have their minds on 50 other patients, their nurses, staff, tests they have performed, patients in the hospitals, and lots of other things, like how far behind are they and how many are stacking up in the waiting room! It sucks, but the days of the doctors that make house calls, that really CARE and personally KNOW their patients, that do spend the necessary time on those that have lots of complications, do research on symptoms etc... that time is almost gone, and that type of doctor is so far and few between, and they are getting to be "dinosaurs", in other words, non-existent. Yet, many of the doctors get pissed if "you" say something you may have read online, in a news article, in a health magazine... they get all pissed off because you are "trying to do their job". Well, NO, you are trying to get well! I certainly DO NOT want their job! But, I would like to HELP THEM< HELP ME!!! If I can "shake up an idea" by saying something helpful, or helping to more describe a symptom, or tell about something that I did not think was relevant, yet I read something and maybe it is necessary information I am helping both of us. When a patient such as myself walks in, especially to a new doctor, and I list ALL of my illnesses, and surgeries, Lupus,RA, Sjogren's, DJD, DDD, 2 MI's, two TKR, a total shoulder replacement, hysterectomy, gallbladder out, a 4 level cervical neck surgery, a left wrist, elbow, and shoulder surgery, a pain pump internally, osteoporosis, migraines, high blood pressure, and the list goes on, along with a list just as long of medications, and my list of doctors are to where I cannot remember all of them... how can they not be overwhelmed? They walk into a room with a patient whose history is beyond what they ever thought it would be.. and here this patient is with these new symptoms, that are also very complicated, and could be something extremely serious, or may not be, but look at everything you must take into consideration! Just ONE of my current symptoms, DOUBLE VISION, in itself could be many things, and any one of those could be very serious. Now I have been to, let me think, 4 doctors, I have had every eye test, every blood test, even had a biopsy, and so far nothing shows to be "abnormal". Does that mean nothing is wrong? Does that mean that I don't have a tumor, or Myasthenia Gravis, or MS, or a TIA? Plus there could be several things going on with nerves and muscles of my eye. But, as of now, not any "test" has said so. I have issues with doctors going too much be "tests" They are great tools, but they are not always ACCURATE! They are meant to be TOOLS! They are not meant to be the one thing that absolutely diagnosis what is wrong. But, with doctors now days, if an MRI, CT, blood test, or any other scan, etc says NO, then they do NOT have time to try and just take that as a tool, and then put together everything else, and think, hey this patient does have "this, that or the other", even though some test may be negative, etc. But, if you "read", you know often times many of these tests are NOT accurate... often they are, but there are so many things that can throw them off, and so a diagnosis that might be accurate is put off, or missed, due to too much emphasis being placed on some blood work, or a scan. I know for a fact, that MRI's and CT's can be not accurate. I have had them on every joint before surgeries. I can tell you that on my shoulder, which is now replaced, and my knees, which are now replaced, that all of those scans, did NOT show the massive damage that was in them. The damage I had was "deeper" and hidden from what those scans could offer up. So, I spent 2 Years, In severe pain, just due to some scan saying it was not "looking" all that bad. It took me, griping, going back time after time, going through several doctors, and finally getting it through to one of them, after all the scans, and a nerve conduction study, and an EMG, finally he did the surgery, and we saw both my neck and my shoulder were both totally a mess, and the surgeries on both were totally necessary. But those scans in themselves, caused me to be in lots of pain, for a long time, before I could finally get it through to them, things were much worse than what any scan was showing. Often times they make you feel like you are "nuts", or stupid, or making it up, or a hypochondriac, or something, other than yes, you are right, and yes something is very wrong! Down below is more of the same discussion. I had put what is below on a FB group page, talking to one of the ladies there... thus more of what is just what we go through no matter who we are, unless we are some celebrity, with lots of money, and can have our own personal physician, we are going to be stuck with what we have here in society. My fear is, that it is only going to get worse. Our population grows, people live longer, diseases are getting worse, money and insurance is not as it was, and we do not have enough medical professionals to take care of us....

Oddly enough, before I read your post, I was just thinking the same thing almost. I would like to find ONE doctor, that would absolutely sit down, with ALL of my records, my tests, labs, surgeries, illnesses, & everything I have along, with a list of all medications, and everything I have been going through that is "new" over the past 12 weeks, plus the double vision, which began about 10 months ago, and have them TRULY LISTEN AND HEAR everything I have to say! But, try to get that done! Even your best doctor, on his or her best day really does NOT want to do that. They have hundreds of patients to see, they have a "set" time they schedule for patients (usually if you get a whole 15 minutes you are lucky), and they do not want to get "bogged" down too much with a complicated patient, who takes up more time and effort and research. That type of patient "such as myself" and many of us due to all of our health issues, are a "waste" of money for them. The insurance will only pay so much no matter how long the visit is, probably why they max most out at 15 minutes, and if we had to pay cash for an hour visit, it would cost us hundreds and hundreds of dollars, and yet they still probably would really not like to get that engrossed. I am not wanting to put the "great" doctors down out there, because they do exist, BUT all of them now get caught up in the "system"... of insurance crap, of time, of too many patients (especially if they are a very good doctor), of people that could be so complicated, things like "law suits" could be possible, because of all the of liability involved. I know that sounds harsh, and even though I have two doctors that are incredible, and I have a couple more that are very good, I can guarantee trying to get a whole hour of even my best doctors time would almost be impossible. I am fortunate enough to have a PCP who is young, he has a great deal of energy, he truly wants to HELP his patients, he WILL (when you have a "scheduled" appointment) LISTEN and I know he must sit down "after hours" and research cases like mine for instance. He knows so much about my case, about each problem of mine, he treats me for almost everything, even though lately he has began to pick up lots of new patients, thus he gets to where now he is sending even me out to "specialists" which is where I am getting screwed around! Honestly, the "specialists" for the most part are the ones that surely do NOT want to be hung up on some complicated patient, who has a million questions, and Lord forbid if you are one of those "internet" patients who actually researches your own illnesses etc!!! Many of them hate that kind of patient! They want to be able to "tell you" what to do, for you to just take their words and "do it", and not ask questions! That cause disruption and delay if you are educated about your conditions. I ran into that more than once, and when it all came down to the "diagnosis" once everything, including surgery on me was finished, he admitted what I said in the beginning was exactly what was wrong. I was shocked he even was able to tell me that. But, he argued with me, basically told me I was stupid, I was NOT a doctor, or a radiologist, and I needed to shut up and listen! After I finally expressed my discontent with his nurse, and him... He finally got the message. After that, He was never disrespectful again. I NEVER said I was a doctor or a specialist, or anything.. all I did was try and help with my own observations, and what I was feeling, my symptoms, and things I had read and studied about... so he had to admit I was "NOT" one of these internet patients, who saw something online and thought okay I have that. Sometimes even my own PCP who LOVES educated patients, is happy when I do come in, I do have an idea of what is going on, and if it makes sense to him, honestly it makes his job easier, since I can relay what I am feeling and seeing as a patient WITH the problem!

Wednesday, March 6, 2013

The Ever ON-Going Saga of Extremely Painful Legs & Double Vision



I also went through another EMG there, which was ordered by my pain doctor. I know from just what I was told Monday, there is some neuropathy, and a nerve or nerves pinched some place or places, but he did not elaborate. So, I will have to wait for the results from my pain doctor, before I really know just how bad, where and what that means. I gather my right foot, heel, etc. may be showing the neuropathy in some way, from what he said. It is like this "doctor" I saw on Monday, wanting yet ANOTHER CT, exactly like one done not even 6 months ago, but he wanted it done by "someone in Dallas". Well I realize some machines are "better" or newer than others, but if nothing is there then , then the odds are NOTHING IS THERE NOW! Besides just about every CT and/or MRI I had in the past was "wrong", or inconclusive. It took surgery to find out the truth on every one where joints were involved. From starting years ago, with a left knee issue, the MRI did not show a whole lot wrong, yet when surgery was done, it was a "total mess" per the doctor. Same thing with both knees, and my shoulder, they did not show up that badly on the CT's or MRI's, BUT AGAIN they were totally degenerated and in need of replacements. And they were all replaced! In fact with my right shoulder, my doctor finally admitted to me that he was not able to "see" all of the damage and deterioration on the scans. So, it goes to prove they may be inaccurate either way, for the good or bad. It is very difficult for me to trust any scans now since so many did not come up to show the real issues. So, I refuse to repeat tests that I feel are not necessary anymore. Yesterday I went yet to ANOTHER NEUROLOGIST, getting RIDICULOUS! I can't even keep up with them anymore and which is doing what to me!!! Anyway, I went to "appease" my PCP, who did not want me to wait this entire 5 months with the double vision situation. So, I agreed to see this regular neurologist while waiting to see the "special" optho-neurologist in April. I knew again this was a wait of my money and time basically, but I did at least find out a couple of things. First of all this one for a change is NOT test happy. In fact he admitted he does NOT like to redo tests when they have been done. He prefers to get the results, (which my other doctor did NOT send them before my visit as they were told), and he also talked to me about the possibility of the Lupus having something to do with the double vision, plus he seems to think it is possible that I may have Myasthenia gravis, which at first scared the hell out of me. What I did not realize is, that it is another autoimmune disorder. He also told me, which much of course I know from such extensive Lupus research myself, that vasculitis maybe a part of it, but he tended to lean towards the MG. I do not have the "Ptosis", the droopy eye lids, but some do not. Actually he was the first one that made sense. I have have worse symptoms the more tired I am, or if I do not get much sleep. I am always worse in the evenings. And I am not sure if that doctor in Dallas did the particular blood test for this, but even at that it maybe be "serum negative" and I still have it. Anyway, I decided I refuse to go to all of the specialists (or the new ones this doctor suggested on Monday). I am not having another CT right now. I do have updated blood work by my PCP tomorrow and I am going to mention the MG so he can decide if he wants to do the blood test for that while they are drawing blood. IF it is Lupus or MG, or they never find out why I have double vision, I may just have to live with it, as I am doing now. I live with some pain, I live with many other symptoms that are unpleasant, thus this maybe one I must add to the list. If they find nothing, then they just find nothing, and I am just about at that place to say forget it, I will live with it. And then yesterday I call my pain doctor back, and leave a message for the Head woman there that knows me very well, and knows about my entire situation, she had dealt with me and the pain pump in depth. I asked her to please talk to my doctor about his reasons for wanting to do surgery right now on the pump catheter since the pain in somewhat better, or less for sure than it was. She called me back, left a message and told me, he said it was NOT necessary if I was somewhat in less pain now, and we COULD wait, and NOT do surgery yet. She said of course the other two girls never told him I said I was somewhat better and I wanted to hold off to see what the EMG looks like, and see how I do over the next days to come. If I get worse, and I am in extreme pain again, then we will face opening me up and looking at the pump. BUT, it goes to PROVE had I NOT BEEN educated enough about all of this, I may have went along with an not needed surgery for now! So, we must educate our selves and again I so agree, thank God for the internet!

Tuesday, March 5, 2013

Wondering Just How "Special" these "Specialists" are? Tired of being put through the same test 20 times...

I am to the point, that I have decided some of these doctors just do tests over and over again, and they really don't "listen" or look at what we already have had done. I went to have that EMG and NCS(Nerve Conduction Study) yesterday. I was under the impression that is ALL this neurologist was supposed to do. I had shown some issues with lack of reflexes on the right side with all of the horrid leg pain stuff, and I also felt like my right leg may have been hurting worse, plus it felt somewhat weaker than the left side. Anyway, first of all this doctor was EXTREMELY LATE! My appointment was at 3:00pm, in Dallas, and he did not even come into the room until 5:00!!!! We waited on him in the tiny exam room that was cold and uncomfortable for two hours. It was nuts. Then he comes in, asks me a little about what is going on, and I explained a little about the pain, and then my pain specialist wanting to check with an EMG to see if I have some nerve issues that could be contributing to the pain. Well, he begins to do a total exam on me, and that takes 20 minutes or more. Then he says he will be back in a few minutes, and he finally comes back with the EMG/NCS equipment, and begins those tests. That takes at least another 25 minutes or so. Meanwhile I think the entire building had just about gone home! Anyway, he then does explain I do have some "neuropathy" and possibly a pinched nerve, but does not elaborate on where or how badly etc. But, does say he will get a report to Dr. Campos. Then he begins to tell me he wants me to have ANOTHER CT BRAIN SCAN! (I JUST HAD ONE LESS THAN 6 MONTHS AGO), that he did finally get the report on just before we left, and he wants me to see these "specialists" in PAD! Then we wants more blood work, that all of it but one thing which is a test for gout, my PCP just done two weeks ago, and he in fact is repeating it this Thursday due to the myoglobin stuff. When I said I already have a rain CT that is with and without contrast, was done less than 6 months ago, and shows there is no sign of stroke etc, (which is what he was looking for, and I feel has nothing to do with my leg issues), he said no he wanted a "different" one and wanted it done at some place in Dallas! WEll, that is a crock of bull! Why do these doctors have to always think they have to have all of their own testing, when these tests have been just performed??? Why should I go through another round of a CT, I just had one last week on my lower spine!, and then each on of them costs me $200.00 each!!!! It is insanity. Plus I have a cardiologist I see next week. IF there are issues with any sign of "PAD" Periphial Artery Disease" she can test that for herself. Why should I go to yet another set of doctors I don't know I thing about, that are again in Dallas, when gas it already so high, I do well to see the couple of doctors I need to in Dallas? He wants to put me through all of the same stuff I have just been through, and he has no clue, that I am facing all of this stuff with my Mom and her heart, I have a life, I have other issues and I cannot be running to Dallas every 5 minutes to repeat tests I have had just done... I was so angry when I left.... yes he is a good doctor from what could gather, and I did get the EMG and it got sent to my pain doctor, which is the reason for the visit anyway, but I refuse to go through any of this other mess. I told my husband, other than ask my cardiologist next weeks about the PAD stuff, I am NOT going to go through any of this, and I do not feel I have the need to see this doctor again. Then while we were headed that way, I get a cal from my pain doctor's office saying that he wants to reschedule the surgery to look at the pain pump catheter, again, on Friday! I just had left a message with his nurse a week ago, that the pain was somewhat better, and that I did not want to be "cut" on unless he knows something else that I have not been told, I prefer to wait, and let's see what all of these other tests show. As far as I know the CT scan did not show anything that they could see wrong with the catheter. Of course they can't get a really good look other than see it is where it is supposed to be and not pulled loose or kinked. But, why when I was headed to have this EMG done anyway, would they once again want to try and do surgery on me on Friday? Anyway, I just called the "head" woman over all of this and left her a message. I asked her about why the "urgency" of this surgery to "look" at the catheter? Why if he does feel it necessary to do it now, rather than see if the tests along with me just getting somewhat better could be that there is nothing wrong with the pump at all, or maybe whatever was happening did "fix" itself with the pulling out of the old fluid and putting in new fluid. Anyway, I am fed up with all of them. They will not work together, they want to send you to 50 new "specialists" that you do not know, and they are 50 miles away, plus they want to repeat tests you have just been through and that is just not necessary. It hurts our insurance premiums by raising them up with unnecessary costs, it hurts us by putting us through tests like that over and over again, it costs us out of pocket a ridiculous amount, and it takes out of our precious time in a day, when he is not something that had to be done. I am to the place that I am going to just start analyzing this stuff and if I feel I really do not need it done, that I am going to just refuse to have this crap done.
 
Don't get me wrong, I do TRUST my "regular" physicians that have been taking care of me for years. My PCP I trust and would have done anything he said. I feel that way about my Rheumatologist, and usually my Pain Specialist, other than this business about having this surgery on the catheter done so quickly, rather than wait. Surgery is surgery... and I feel it needs to be done just if it is truly that necessary. But, when you are hauled off to some "specialist" that you no nothing about, (like my nightmare with the "neuro-opthamologist" that turned out to be nuts and possibly a quack), I just do not feel I HAVE TO go along with each and every expensive test they decide to do, and especially when I JUST HAD THE SAME TESTS DONE, and they just decide they want their own. That is one of many huge issues with the medical world. They will NOT many times work together, but rather want to do their own thing, and then the patient gets caught between 10 doctors, 20 tests, that often times are repeated, and we do not know who is who, and whom to believe. I have just had more than enough.
 I face this business with my Mom, depending on the outcome next week with her 2nd Echocardiogram (which this one should be repeated, it is for a very good reason), and my prayers are that this one looks much better than the first one. So, these doctors just don't know (because they do not care about our lives as a whole) what the rest of our lives are like. They decide they want something and to hell with what else is happening with us. It is insanity, and it is enough to drive many of us insane...

Saturday, March 2, 2013

"Sequestration"? Has Anyone Really Found Our Exactly what this Term Means to Ua at the People?

We have so many "terms" we hear over the media, that we are to the place I do not think we even really "think" about their meaning. We have had "names" for this, that and the other, "made up" by media, by politicians, we heard our dear Texas Governor talk about "Sequestering" TX from the Union, and so forth, has anyone really given over the time to look up what this word as far as the "political" meaning is "Sequestration"? Well, it goes a long ways over from anything to do with "pulling away from the union". And the the ramifications for us, the People of this nation are going to be severe. Yet, that bunch "WE ELECTED" TO DO a job decided to walk off, leave a day early, for some totally unknown reason on Thursday, while "Bone Head" runs his mouth, and leave the halls of Congress empty, allowing this "Sequestration" business to move right along. How can anyone that is sworn in to live up to "taking care" of our government, and the people that support him or her, walk out in such a dire strait time, and more or less say to "hell" with it? The "playing of politics" has went way too far, and we need to be telling them we have had a belly full of their games. I hope that with elections of these officials coming up soon (although not soon enough in my opinion) all of us are truly giving thought to the way this bunch of "so-called Senators and Congress Men and Woman have acted, or I might as well say Not-acted_ during their terms. They have sat on their laurels, they have mouthed off at one another like a bunch of 1st graders, they have argued, pitched stupid lies back and forth, allowed the media to just have a hay day with their schemes, and bull, leaving us hanging in the gallows of the worst recession, to almost the extent of a depression, and it is not over yet folks. Take a very good look around at your home town. Mine is just in self destruct. As I drove around a couple of days ago, just about every store in our "down town" area is closed and up for sale. Or there is a "check cashing" or "title loan" place on every corner. Even our Old Sonic is now a car title loan spot! I count MORE check cashing and car title loan places, along with pawn shops than I do actual real places of business just within 20 square blocks of my town!!! Yet, they can walk the hell off their "jobs" and (might as well since they don't do a damned thing) and get PAID TO DO NOTHING!!! Tell me, if you acted that way at your place of business, would you continue to have a job and get a check??? I think NOT! Yet, they do!!! There is not a damned thing right about anything that goes on anymore within what is called a fair type of government. We take away from the poor and the middle class, and make them ever more poor to the place they cannot pay their bills, take care of their kids and eat, yet we call that "democracy"? We allow that bunch to threaten our entitlement programs, the only thing most of us have for retirement these days, and where are they going to get that money when us or our kids get ready to retire? Tell me how "the greatest nation in the world" has the worst ratings of kids graduating? Then we send them to college, they have to take Loans out to pay for it, and if they are lucky enough to land a job after college, they spend 10 or 15 YEARS PAYING OFF LOANS they had to get to go to college????? There is NOTHING right about that!!! I sure as heck don't see any of them cutting "the fat" off their checks!!! It is insanity to hear just how uncaring that bunch up there are. Unless you have a big corporation, with lots of money and power, where you can line their pockets in one way or the other, you are nothing in their eyes. As much as I love America, I in ways despise the way it treats our citizens. We must fight, scratch, scrimp and beg for every dime. I have been through situations as of late, due to illness and also helping out a Mom who is getting up in age, and the "hoops" you must jump through to get a "job" done, and done well are ridiculous. It appears that people have gotten so displeased with their life, their employment that they literally do not care if they do a job right or not. It would take me both hands and all of my fingers to name all of the things I have had to do to get people to do what they are supposed to do. I have to wonder why that is. Not long ago, people were PROUD of doing a job well done. American People took pride in whatever they did, whether it was in a bank, digging a ditch, farming, working in insurance or whatever, you could depend on them to do it, and do it well. Not any more. I have been treated like a fool, basically called a liar, had to have numerous conversations, that have taken months and months to get an insurance claim paid correctly, to get a freezer warrantied correctly, to get a doctor to do his job right, and the list is endless of things I have done, because others will NOT do their jobs!!! I have to ask myself why is it. when jobs are the most scarce now, it is so difficult to find someone to do it correctly? Because of the non-caring attitude of our government, and the way we are treated, the attitude has trickled down to each of us, and people are sick and tired of it. They have fought the battle for too long, and when you finally have battled to the point of fatigue, you just throw up your hands and say, I have had enough!!! And that is what we are a nation and society have had IS ENOUGH!!!

Friday, March 1, 2013

Can't Allow Budget Cuts to Interfere with Lupus Research

Here is an article and the place you can go to send a letter to your Senators and your Congress People to let them know you do NOT want funds cut for further Lupus Research. WE already are in much more need of funds to move forward, tus we surely do not need cuts.

http://lupusresearchinstitute.org/lupus-news/discoveries/13/02/27/help-lri-petition-against-federal-budget-cuts-research-diseases-lupu