RD Awareness Day… believe me I’m aware.

It’s raining here. It’s been raining here for 2 days. I love the rain, the sound it makes, the smell of it, the way it cleans the earth and gives us water to drink. Fill those aquifers! I love thunder and lightning. What I don’t love is the aches the rain brings with it. My hands and feet feel like someone sat on them all night while I was sleeping. My knees are like that squeaky door in the horror movies (the one everyone yells for the girl not to walk through, but she does anyway). My shoulders would really prefer to be immobile. So believe me I am FULLY aware of rheumatoid disease today. Thank you G-d for man-made hips, which never ache!

How aware are you? Here are some facts put together by the Rheumatoid Disease Foundation.

* RD is not “just arthritis” (as if that wouldn’t be bad enough!), but arthritis is one symptom for people with RD.

*  Other symptoms can come and go (called flaring) or be constant. They include fatigue, joint pain, stiffness, swelling and fevers, among many others.

* RD is a progressive immune system disorder. I tell people that I have an over-achiever immune system. It gets bored easily and attacks my body.  My doctor says RD is in the blood and attacks anything the blood touches… so yeah, that’s joints, cartilage, organs, everything.

* Almost 2/3 of patients have 20% or less response to treatment. Many people must have surgeries to repair damage. There is no cure.

* About 1% of the population has RD, but arthritis conditions, including RD, are the number one cause of disability in America.

I still have kids to raise, meals to cook, commitments (although I always know that a flare, a fever or exhaustion can waylay any commitment I make), things to do. I have to shop and go to school functions. My life didn’t stop with RD, but it sure feels that way sometimes. I still want to have fun, laugh, travel, spend time doing all the things I’ve always loved. Be aware of RD, but remember those who suffer from it are still the same people they were before it hit. I’m still me, just at a much slower pace.

Going to cook and eat and watch the Super Bowl today. Even with the pain.

 

Welcome to my rheum…

How about if we start out with an introduction (always a good beginning, am I right?). I’m Lisa. My life as a Midwestern girl and then woman, wife and then single Mom, sports car owner to crossover mini-van driver has been great, but maybe not so unique.

BD (or before diagnosis) I had two small boys, a job and I was pursuing my PhD. I also had a terrible limp, which caused a lot of pain. I went to see a couple of different doctors, had some treatments that did no good (they were excellent at lightening my wallet though), before the doctors decided I needed a hip replacement. All that limping had ruined my joint. A new hip, and I’d be as good as new! I was 46 and getting full joint replacement.

Surgery went well (I had a great surgeon) and recovery started fabulously. Then, about 4 weeks in, everything started to hurt. My new hip worked well, but everything else was breaking down. Around 5 weeks in, my knees became contracted (I couldn’t straighten them out any more, and I couldn’t bend them all the way either). I couldn’t straighten out my elbows all the way. The pain in my body was worse than before the surgery. (I know now that I was in a full rheumatoid flare, but back then I had no idea what was happening.) My surgeon was stumped.

He did more x-rays. So much joint damage in a lady so young, he said as he shook his head. He sent me to a rheumatologist. I asked my friends and found one who came with a good reputation. We’ll call him Dr. Jerkyl. I sat on his exam room table and waited for nearly an hour (at a 9:30 AM appointment). I told him about how I couldn’t move very well, had constant pain, couldn’t go back to work or school. I told him about being a single Mom, in need of income. I should have become suspicious when he asked why I divorced my ex, but being a trusting sort, I simply answered that he was emotionally and verbally abusive. Dr. Jerkyl crossed his arms and said, “Sounds to me like you make terrible life choices.” He then went on to berate me for waiting so long to see a rheumatologist. After I explained that I had only just been referred to one, he told me I was much too smart not to know that I needed to see one with or without a referral. He told me it was my own fault I had so much pain and rheumatoid disease. He was mean. I started to cry. He actually smirked and asked if I was crying so he’d feel sorry for me. He carried on berating me for my “bad choices.” I told him I couldn’t change the past. I was here now and wanted to begin from that day to learn what I had and what to do for it. Dr. Jerkyl then informed me that he did not want me for a patient. He handed me 3 names of other rheumatologists and asked me to leave. I couldn’t believe what had just happened. A doctor my friends respected and recommended had just humiliated and blamed me for everything. I sat on a bench near the bathroom in the hall outside his office and called my sister. I started crying again. Dr. Jerkyl walked by to use the restroom and actually laughed when he saw me. I fled to my car.

That’s how I found out that I had rheumatoid disease, but I still wasn’t sure what it was or what to do about it. Dr. Jerkyl had given me a prescription for an anti-inflammatory, guilt and a lot of fear. Luckily, he also gave me the name of another doctor, lets call him Dr. Dreamy, not because he is handsome (he’s nice looking, but not Patrick Dempsey… then again who is?), but because he’s a wonderful rheumatologist with a kind bedside manner. When I told him what happened, he laughed and said “I hope that guy has severe consequences for every bad life decision he has ever made. Also, you cannot give yourself rheumatoid arthritis.” I knew then that I had a good doctor and an ally.

Dr. Dreamy started me on an aggressive regimen of drugs. I had now been out of work for 8 months from a surgery with a 6-8 week recovery time. I tried to go back, but the doctor appointments, side-effects from the medications and weakened immune system kept getting in the way. After a couple of months back, it was clear to everyone, this wasn’t working out. I talked to Dr. Dreamy, who responded “Why haven’t you applied for disability yet?” Welllllll…. I didn’t know I was that bad.

My GP, Dr. Dreamy and my surgeon agreed. I needed to stop working. Great, I thought, are you going to support me? So while I applied for federal disability (with amazing help from Jewish Family Services), we lived on child support, charity, generosity from friends, a wing and a prayer. It was rough. It took about 8 months from when I quit my job to when the application was approved. I have been on disability now for 3 years. (My ex tells me I am a succubus abusing the teat of a welfare country… seriously, he said that.)

I’ve learned a lot about my disease. The most helpful place on the web was RAWarrior.com. Kelly is fabulous. Whether you are a patient or love one, she has scads of information you need. I’ve learned a lot about my limitations. I’ve learned a lot about joint replacement (I have a fully bionic pelvis now and am going for bionic knees soon). And I’ve learned that laughter and joy are the best options.

Welcome to my rheum. Tell me about you if you want in the comments. All I ask is no profanity or spamming. I’ll delete any comments of this nature.