September 2015 "National Pain Awareness Month" right around the corner and "Beautify in Blue Campaign" by the US Pain Foundation

I will go ahead and mention that I got our Mayor here in my Hometown to sign a "Proclamation" for September 2015 being National Pain Awareness Month! The US Pain Foundation is "hosting" a "Beautify in Blue" Campaign to bring awareness into our towns and cities. Ennis has allowed me to be a part of this event for September. I am not sure all of what my package will be from the Foundation, but I will have signs, posters, ribbons and so forth to put up around town. So, I am thrilled to be able to do something and give our town a look at just how chronic pain can "control" your life, and just how many right here in town suffer from all types of illnesses that also have chronic pain issues in tandem. Even one of the gentleman that does okay these types of projects told me he suffers from Migraines. It is amazing when you speak out about some of the chronic illnesses and pain here in your own "backyard" so to speak, how many others are also suffering too. I have two cousins, both suffering from RA, even before I was diagnosed. In fact my 1st cousin Mike, who just lost his Mom to stomach cancer (my Mom's sister and my Aunt of course) just had hip replacement, this is his 2nd replacement - (two weeks ago), he had his other hip done, about the time I was having one of my knee replacements done probably in 2008 or so. I have had "so many" and in 2007. I believe I went through about 7 surgeries or more on joints, so the dates sometimes become a blur. But, I know others that I run into in the market of Wally World and so on, that also have issues, some of them like my neighbors across the street, the Mom, and both sisters all have diabetes. I believe their Dad also suffered from it. In fact the youngest sister, and she was maybe in her 40's passed away about a year ago after fighting diabetes. She had already been on dialysis. The Mom has also been on dialysis now for several years. She "shattered" a knee not too long ago and spent weeks in the hospital and in rehab, but due to her illness, and the dialysis and age, they would not do surgery on the knee. I don't think the doctors feel she could make it through the surgery. She is sometimes so weak, they have a difficult time just getting her to dialysis. It is just sad to see what the entire family is enduring. The son, is just an incredible man. I don't think he has been "plagued" with diabetes yet. But, he also has two strikes against him on both sides of the family. You don't see it as much in men, especially the type they have, but with the family history, he certainly could succumb to it.

After all of the advocacy I do for Autoimmune Illnesses, Lupus, RA, Sjogren's, and also Arthritis the AI kind, as well as osteoarthritis, along with Cancer and Heart Disease, sometimes the issues of Chronic Pain kind of take a "back seat" in my activist roles. 

So, since Chronic Pain, which of course I know all too well, from my own personal and up close experience with it now for many years, well before the Autoimmune Issues were diagnosed, I suffered from such horrific Migraines that I was sick with them sometimes several times a month, for many years throughout the time I was about 17 years old, until about the age of 45 or so. 

They became so bad at times, that I had to resign jobs, that I had been in for years at a time. It became such a burden, yet back then there were not many answers as far as migraines went. They had very few medications, most of them of course narcotic pain medication, and even back then, the doctors were so leery about giving them. But, if I did not have my prescriptions, it never failed I wound up in the Emergency Room so many times, and even that for one got OLD very quickly, and for TWO, of course the ER doctors began to think of course I was after the "drugs" rather than having Migraines so bad. 

So, oddly enough, once the diagnosis of the autoimmune illnesses were made, and I finally found after years and years of suffering by then all types of chronic pain issues, an awesome Pain Management doctor, who has been taking care of me now for at least 8 years maybe more... and he even put in my internal pain pump in 2010. 

My migraines seemed to have calmed down, even before the pain pump. and began to change. I began to have "Lupus Migraines"... and an injection of corticosteroids, along with a step down pack for 7 to 14 days, was the only thing that helped those.


But, my chronic pain became more complicated due to all of the severe joint issues, of which some I have had surgery and others still bother me with chronic pain, which is a part of many AI illnesses.

So, I felt compelled to now do some advocacy work in the realms of Chronic Pain.

Thus my reason for helping out with National Pain Awareness Month, and the Beautify in Blue Campaign. I hope to be able to help educate others about Chronic Pain, and just how badly it can also effect your quality of life. 

Daily Life with Autoimmune Illnesses, RA,Lupus,Sjogren's, family, friends, doctors and all in between

It seems I've been almost "stuck" on this subject of living daily visits and such they come along with them.

I have found that at times I get so "technical" on my blog, I forget to just discuss daily life... my family, Mom, my grown kids, my Grand kids, and all of the medications, symptoms, side effects, and ongoing things that many of us face in our daily walk of life.

But, when you have any type of "chronic illness and/or pain" "nothing" is typical. Waking up in the morning and feeling "okay" aat times in itself a challenge. Then you face LOADS of medications that sometimes become an "evil necessary in order for you to have any type of quality of daily living.

Even though with all of the meds, keeping up with doctors visits,trying to take as good of care of yourself as possible... there are still errands, families, bills to pay, food to buy, and "we" as patients all too often find ourselves "overloaded" with some of the daily tasks that before we were chronically ill, would have been a breeze.

I have a "GREAT DEAL" I shall catch you up with tomorrow, Sunday morning. I HOPE that I feel well enough FINALLY that I can go back to church in the morning. Even something such as going to church can have to be 'put on hold" if you are ill, or are in too much pain... nothing is "ever" good to go, for the most part... almost every aspect of life is a challenge or gets challenged by the horrid evil illnesses.....

Here is a bit, from a post of mine on FB.. and I will continue tomorrow.... 

Lots going on and I honestly kind of just "crashed".... After everything from my own bout with whatever the hell this lump is on my upper left thigh, to not feeling well as far as my stomach, and so on... Mom and her lumbar spine issues, and we still have to go for the injections... I postponed them until next week. With her younger sister passing away with cancer, the funeral and all that we have had to do, and then neither of us feeling our best, I felt we needed a few days of down time. I've got to find a surgeon to remove this lump. It did not go away with the antibiotics, and after 3 rounds, my PCP wants it to come and so we can find out exactly what it is... infection, a cyst, or whatever it is... I also developed a couple of "sore spots" around my waistline. One right at my belly button, and another towards the left of my side at my waistline just a bit towards my back. So much has happened and I've been doing so many things around the house in between, it could be I just hit myself or strained myself and did not even realize it. I found one a couple of days ago, and then the other yesterday. We are still all reeling from my Aunt passing away... I am the kind of person who can be "strong" to get everyone else through things, and then after it is kind of settled, then I fall apart... and that is kind of what has happened to me over the past couple of days... I really did not want to do anything, see anyone, write, talk to anyone... all I've wanted to do it sit, be quiet and still, with my two pups, and watch movies... I just have needed this "down time" to gather my thoughts, and try to get a list of the "what needs ASAP" to be done in the next couple of months... Mom's lumbar stuff, my lump removed and that chest Xray - honestly, I feared taking my Orencia when this cellulitis showed up. Well, I was already having a new swelling and much more pain and stiffness in my hands and fingers... and it is much worse now. I am supposed to get on the Xeljanz, but I need the chest X-ray first, and there has just not been a "good time" for me to run and get it honestly. Besides if this is cellulitis, I don't want to "compromise" my immune system anymore, and we now have a "POSITIVE West Nile Virus in mosquito's here" actually found only about three blocks away from my home!!! So, that is another frightening situation. Anyway, I also have to get well so I can have my back surgery, which really needs to be done before the first of the year... and we will "tentatively" be having a "settlement" on the accident from 2014 hopefully in about 7 to 8 weeks, if things go okay... and then there are "other things" once that is over that must be done also... not giving details but some of you already know the score on that... so LOTS on my mind, heart, emotions, and physical realms also... I will"bounce" back... but I have to jump a few hurdles and hope not to trip and fall over them wink emoticon Hugs, Rhia

Becoming an "Active & Proactive Patient" Educating yourself & How it can surely help when you are managing chronic illnesses and/or pain... Lupus,Heart Disease,Cancer,FM,RA,Sjogrens and so many more...

In Other Words "When Patients Manage Doctors".... or at least try to...


This is something I have practiced actively all of my adult life, and especially after have several different "ongoing chronic illnesses", and now we see a different "specialist" it seems for each and every illness, unlike when you "family doctor" did it all, done your physicals,delivered babies, done surgeries etc. I recall with my 1st son being born, my regular Family MD delivered him. Shortly thereafter, he quit delivering babies, along with many of the other family doctors. Due to the rising cost for them to have insurance being doctors, they allowed those area's to be left up to the specialists. When you have for instance my situation, heart issues, so I need a cardiologist, Lupus, RA & several autoimmune illnesses, my Rheumatologist, and my PCP also works with me on the Lupus, I now have a specialist as far as my vision, due to the double vision, I have different surgeons, from a general surgeon, to more than one orthopedic surgeon, because many of them "specialize" in different joints, surgeries and so forth

Then many of us have a Neurologist, a Pain Management specialist, and ENT, a dermatologist, dentist, sometimes even a specialized dentist, and from time to time we may encounter other specialists, such as immunologists, psychologists, oral surgeons, and so many others, as time goes on. I found if I did not take an "active" approach to let each doctor know who the others are, what role they play in my health care, what meds I am on and from which physician, and I keep a list of all of my physicians and why I see them, along with lab work, any type of radiology reports, or scans etc... I have learned that all too often one doctor, may not even send the others the information such as labs, testing, imaging and so forth. So, being involved in your own health issues, taking charge of making sure everyone is put to speed on your other health issues... all of that is so critical for all of us, especially those who deal with chronic illnesses. Now the one problem with that, is SOME physicians, are not as "accepting" when a patient comes in with information, and so forth.

I have found that a couple of my physicians, even though in the end, what I had originally thought and told them was true about a particular health problem of mine, they much prefer an "uneducated patient"... I know that is hard to believe, most of mine are thrilled that I take an active role, and I "know" my own body, and I research medications, treatments and so forth. But, I have a couple of them, especially one in particular that gets almost "mad" when i come in and tell him what I think could be wrong. He has told me before that "I was not the doctor" etc... then he had to apologize a couple of times, because what I had said in the beginning was exactly right! So, he had had to "swallow his pride" and in his own way, make amends for calling me "stupid" basically. Yet my other doctors love it when I can walk in and possibly tell them what I fell maybe going on. It allow them less time in testing etc for things that may NOT be wrong, and to concentrate on what is so we can get right on to "fix" the problem.... Times have dramatically changed in the medical world even over the past 10 years or so... and you truly need to be an "educated patient" whether your physician likes it or not... YOUR health and well-being should be #1 for you!

 

Here is an article from the Wall Street Journal

 

"When Patients Manage Doctors"

http://www.wsj.com/articles/when-patients-manage-doctors-1439228028

Sjogren's and Just How We Lack Professionals in the Medical Field that truly Understand all of what Sjogren's can do....

Such an important thing - there is certainly NOT enough education, even with the medical professionals when it comes to Sjogren's. I in fact even after trying everything in my power to fight the autoimmune illness, lost ALL of my teeth to Sjogren's. It was a very hard ordeal to go through and even today, it remains something I feel "odd" about,although my dentures are very pretty. But, each and every one of my teeth were "eaten" from the inside out, and no signs of Sjogrens appeared to be causing issues, until suddenly I had 3 or 4 teeth completely break off at the gum line. I went in to see my dentist, who actually sent me to another dentist due to my own having also issues with horrible arthritis that is not allowing him to do nearly as much dental work. He had been a dentist here locally for gosh 30 plus I am sure... anyway, I was given a "full round" scan... and inside just about every tooth, you could see that basically all I had was a "shell" left... thus after over a year of pulling them all, and allowing all of that to heal, along with a couple of dry sockets, then one of the tiny cartilage bones between my maxillary sinus passage was  pulled and thus a tiny hole that they call a "communication" happened. This I had to have that "repaired" two times, then allow it to completely heal over before I had the final teeth removed, and the dentures put in place. After that, I had to wait another almost 3 months for the bone and all to heal. Then I had the "mini implants" put on the bottom dentures to hold them in place... besides all of the time... the COST is ASTRONOMICAL!!! And even though it was caused by a "medical illness" I could never get a dime out of my insurance for any of it... just insanity... and at the very LEAST that type of thing is in the ballpark range of $12,000.00 and usually much more depending on which dentist and what your complications and so forth could be...

Here is an article that gives some answers to questions about Sjogren's...

http://www.niams.nih.gov/Health_Info/Sjogrens_Syndrome/default.asp?WT.mc_id=social_niamstwitter

Corticosteroids and Severe Asthma.. Clinical Trial by Cure click

http://curec.lk/1MAcSXQ

New Study for People with Severe Asthma and on Oral Corticosteroids

One of the few treatment options for severe asthma patients who are uncontrolled despite standard treatment is the addition of oral corticosteroids. However, regular intake of these oral corticosteroids can decrease the quality of life for such patients. The purpose of this research study is to see whether the investigational drug can reduce the use of oral corticosteroids in patients with severe asthma.
More about the study:

• The study drug is Benralizumab
• There will be 210 participants in this trial

If you are interested, please find the full study details and eligibility criteria listed here.
Eligibility Criteria:
Participants must:

• be between 18 – 75 years old
• have asthma diagnosed by a doctor at least a year ago
• have been treated with inhaled corticosteroids + LABA for minimum 12 months since today + oral corticosteroids for at least 6 months since today
• have had at least 1 exacerbation (worsening of your asthma that requires medical intervention, emergency room visit, an inpatient hospitalization or a change in medications) in the past year

Participants must not:

• have severe lung disease other than asthma
• have HIV, Hepatitis B or C

Please complete the online questionnaire to check if you’re eligible for the trial.
If you’re not familiar with clinical trials, here are some FAQs:

What are clinical trials?

Clinical trials are research studies to determine whether investigational drugs or treatments are safe and effective for humans. All new investigational medications and devices must undergo several clinical trials, often involving thousands of people.

Why participate in a clinical trial?

You will have access to new investigational treatments that would be available to the general public only upon approval. You will also receive study-related medical care and attention from clinical trial staff at research facilities. Clinical trials offer hope for many people and an opportunity to help researchers find better treatments for others in the future.
Learn why I’m talking about Clinical Trials