Wednesday, November 28, 2012

Feeling A Little Defeated

I've been working really hard at both OT and PT the past 2 weeks. I'm tired, I'm sore all over, and I just feel blah. Yesterday was my designated stay at home with the kids day, and I just wanted to cry 75% of the day. It was SO HARD. I was just so tired... and my hands and wrists are just so shot, I couldn't wrangle the kiddo's like I used to. Previously simple tasks I took for granted are now next to impossible... Picking up my little boy, snapping him in his car seat, pushing a shopping cart...

I knew things were going to be different, that I was going to have to get used to the "new normal." I lost one career, the second is hanging in the balance. If I lose my identity as a parent too I'm not sure what will be left of me...

Keeping it together... barely.

In other news, still no word on my silver ring splints. The OT's suspect that the delivery may have been delayed due to the holiday. Fingers still crossed they arrive before Christmas... Silver lining indeed!

Edit:
Of course as I'm feeling all mopey, I pop on facebook and am greeted by this:

 
Point taken, universe. Point taken... ;-)


Saturday, November 24, 2012

Thanksgiving

I hosted Thanksgiving this year and I tried to pace myself with all the food prep a couple days before. I still over did it and didn't ask for nearly as much help as I actually needed (I did a gluten-free menu this year). I've been paying for it the past couple days. Unfortunately my spouse doesn't completely understand that recovery isn't a one day deal. I still am in more pain than normal and I just feel weak. I've made the decision not to complain, as best I can, but my patience is non-existant today. It's not fair to my family.

But I do want to say that I am thankful for many things. I am thankful for a family who is trying to understand, trying to be supportive. I am thankful for a team of doctors and therapists who are working with me to get to my "new normal." It really is a blessing.

Sunday, November 18, 2012

Open Letter to Spouse/Partner*

Dear significant other,

Please understand that I am going through a horrible ordeal. I feel terrible about inflicting my illness on you. I know that you're affected by my changes, and I wish it were otherwise. I dont want to be ill.

I feel guilty about my inability to shoulder former responsibilities at work and at home, dumping more on you. I wish I could do more or know in advance what I will be capable of each day. I worry that you'll think Im lazy or trying to dodge responsibilities I dislike, but thats not it. Sometimes I just cant, and other times I know it would be a mistake to use up all my energy on a minor thing and then have to give up something more important.

I want to know that I can trust you and that you will be available to listen and try to understand. And Ill try to understand that you cant always be available.

At times my feelings are irrational. My moods are erratic, and I get angry for no apparent reason, or way out of proportion to the trigger. This is part of my illness, and I'll try to keep it under control. I dont mean to direct the anger and frustration at you, but I will sometimes fail. If my mood swings become too hard to take and you feel ready to explode, please tell me so, gently. Maybe one of us can leave the scene, and we can talk about it later when we're both calmer.

Sometimes I need to talk about these irrational feelings. Just listen, okay? Please dont tell me how to feel or how not to feel. You can't "fix" my feelings. Please dont judge them; just accept and acknowledge them. When you say such things as, "your illness must be terribly frustrating for you," I feel understood and comforted. But dont tell me you know how I feel. You dont and you cant; no one can know exactly what this is like for me. And when I cry, dont try to make me stop. Please let me cry - I'll feel better later.

I know I complain a lot. It helps to relieve tension. If my complaining strains your tolerance, please tell me so. I wont like hearing it, and may not handle it well, but I really do understand that you need to distance yourself from my complaints.

I need to work at making clear requests so that you'll know what I need. It's not your job to mind-read - its my responsibility to ask for what I want. This is difficult for me; its easier for me to meet others' needs than to admit my own and ask that they be met.

Dont try to talk me out of my symptoms or remind me that they're not as bad as they could be or not as bad as they were. I know I need to stay hopeful, but if you take an optimistic role when Im feeling pessimistic, I feel as if you dont understand me and wont validate my feelings.

I know you dont understand why Im sick. Neither do I. Lets stay away from blame and acknowledge our feelings of helplessness.

Dont give up your whole life for me. Please continue to do the things that are important to you. I wont always be able to do them with you, so do them alone or with a friend. Sometimes I resent my limitations and your freedom, but I'll try to keep a healthy perspective. If you put your life on hold because of my illness, I'll feel guilty and your resentment will build. I appreciate your invitations to do things as a reminder that you still value my company. Please dont assume what I can or can't do; ask, and I'll answer you honestly. I hope you will understand that when I say "no," its not because I dont want to but because I can't or shouldn't.

I know I'm not the way I used to be. I'm trying to learn from my illness, from these changes, and you can help. We can't pretend that things are the way they were or that they'll ever be the same again. But as we change and grow, I want us to grow together rather than apart. Lets keep the lines of communication open. When I need to withdraw, I'll try to let you know so you wont take it personally. Please do the same for me. Don't just pull away; explain to me that you need distance temporarily so I'm less inclined to feel abandoned.

Because we're both experiences losses, we need to grieve. Some of our grieving will be solitary and some of it shared. Lets acknowledge what we've lost by mourning together.

Please dont try to make my decisions for me. If you see me wearing down and think I should rest, I value your observations and suggestions, but dislike being told what I should do. I need to take care of myself and you can help, but dont try to take over. Your encouragement helps me to do a better job of taking care of myself.

When you acknowledge my difficulties and my strengths, I might have trouble believing what you say, but I do need to hear it. Tell me you think I'm brave, that I'm fighting hard, that I'm weathering this calamity well.Tell me you still love and value me, and why. Small tokens help - a flower, a phone call, a card.

Sometimes I may be unable to hear you or I may even push you away when I'm hurting, especially at times when I cant love myself. I'll try not to hurt you, but if I do, please understand that Idont mean to reject you.

I know our sexual relationship has changed and that we both miss the way it was. My lack of energy and sexual interest is a result of my illness and not a rejection of you. I need to remain close with you in every possible way. Hugs are comforting and reassuring to me.

These are rough times for us. I appreciate the efforts you've made to help me cope and to be comfortable. I know I've been difficult to live with. At times you have been too. If we can get through these times together, our relationship will become stronger.

*From Chronic Fatigue Syndrome, Fibromyalgia, and Other Invisible Illnesses by Katrina Berne, PhD

Saturday, November 17, 2012

Seriously??

Dislocated a toe tonight. That was NOT fun. Apparently my body didn't get the memo that we are only blowing out one body part at a time. That was really annoying. Taped the toe to the next one over for stability. Perhaps I should look into toe splints too as my toes tend to bend over backwards...

And now I'm going to bed.

Annoyed...

Friday, November 16, 2012

New Wrist Brace

Today started my new schedule with OT and PT. I spent a whole hour in the pool today and I am SORE. But sore in a good way. I'm hoping I learn enough excercises in PT to keep supporting my sloppy joints after my visits run out for the year.

At OT I was fitted with a new wrist brace (finger splints should be arriving in the next 2 weeks). The new brace supports the distal head of my ulna and there is a secondary strap to force my thumb into flexion at the MCP joint. We learned today that my left thumb hyperextends and locks if not supported. This is kind of new for me, but it's been a while since my thumb was really worked on/looked at. Here's a couple pictures:

Back of wrist:


Palm (as best I can):

My wrist is REALLY sore this evening, but I'm assuming that was from 1.5 hours of therapy and a new brace that doesn't act as an immobilizer. We shall see how I feel tomorrow. New PCP told me to avoid taking NSAIDS and other anti-inflammatories. I think I'm due for one tonight. ;)

Thursday, November 15, 2012

It's Been A Good Week

This week really has been good! I have "hired" a new primary care physician whom I REALLY like(she spent an hour talking with me... an HOUR), I was approved by my insurance for my silver ring splints, the OT is actually ORDERING my silver ring splints (yesterday, actually), I will be spending more time with my PT in the pool as of Friday, my car should be fixed by Saturday (Monday at the latest), my OT is also making me a custom splint for my L wrist so I can ditch this stinky dirty old brace - it will support my EUC, hold the distal head of my ulna down, and give me more mobility.

Heck yeah, a good week!

With the good must always come a twinge of bad. Last night I couldn't sleep as my hips, knees and ankles hurt so bad. It was pretty awful. But I'll gladly take all the good things that happened this week if I've only had one kinda poopy issue. The good FAR outweighs the bad. :D

Tuesday, November 13, 2012

Meeting a Potential Ring Leader...

I'm heading in to meet a new Primary Care Physician today. I'm really really hopeful that this will be the beginning of a great relationship. I contacted the rheumatologist that was previously recommended, but he's not accepting new patients until February 2013. I'm just hoping that she will be willing to help be my ring leader. I'm trying to compile a list of all my symptoms and issues and see if she can help with connecting the dots. Fingers are crossed! I'm sure I'll update later with how it went.

I also contacted my insurance company and they will cover my silver ring splints 80%. So that has saved a TON of money! Hoping to get those ordered and shipped asap! Since the weather has taken a turn for the colder, I've been in more pain lately.

I'm also contacting a lawyer to discuss social security disability benefits. Its worth a shot to at least talk about it. I can't do massage any more. I can't type effectively with one hand, nor can I do filing. Kinda makes my 2 career backgrounds obsolete. Looking into additional careers that don't involve your hands is HARD. So far I'm looking into energy work - reiki, craniosacral, etc. My OT's also suggested becoming a COTA (certified occupational therapist assistant) as they said I have the right personality for it, and the money is good. I'll look into it. :) I just don't know what to do in the meantime...

Friday, November 9, 2012

Finger Splints pt II

Got the rest of my knuckles measured for my finger splints. Now the battle begins to get them ordered/paid for by my insurance company. I have a back up plan if that doesnt work out, but I would rather not go down that road. So fingers gently crossed for insurance coverage. Orthopaed is 100% in support of the splints and said she will write the prescription for them. I may have picture updates in a couple weeks of my newly splinted fingers!

She has also given me the recommendation of a couple other rheumatologists whom she feels would be more appropriate. One of which is the same name that my moms PCP recommended (the same PCP I'm meeting with on tuesday!). I'll give this new guy a call and see what he says. Hoping he's more supportive and less of a shit than the last one.

Told both the PT and the ladies in OT about my verbal boxing match with poopy-rheum. They were all so proud of me for speaking up and not settling. I'm pretty proud of me too. :)



I also talked with the PT a bit today about the different types of Ehlers Danlos. She suspects I may have type I or type II, in addition to hypermobility type, but as she's not an MD, she can't diagnose me (which I knew, its just been nice to pick someone elses brain who knows a lot about it!). I think I'll do a couple posts on just the different types, just for knowledge sake.

Thursday, November 8, 2012

Boxing Gloves Are ON

Last night I finally got a hold of my rheumatologist and really gave him a piece of my mind. I was polite, yet firm that "Oh well, nothing I can do" was not acceptable to me as a patient. I reminded him that he works for me, and that through my own research, I was not willing to let go of the possibility of Ehler's Danlos just because I don't have excessively stretchy skin. That is ONE symptom of many... ONE. He attempted to blow me off again and said "Even if you do have it, you don't have the terminal form and the treatment is the same - physical therapy. What does it matter?" I told him it matters to me to put a name with the face I've been dealing with for the last 20 years - that I wanted closure and to seek support from others with the same syndrome. That I wanted validation that there really IS something going on other than just a classification of a possibility. Joint Instability Syndrome is a classification... I want to know WHICH ONE. I also said that I wanted to know if this is genetic, if I should be watching for signs in my children, and WHAT I could/should be watching for. I wrapped up my piece by saying that I am young, and being told "nothing I can do" takes away hope and invalidates my fears and concerns as a patient. "Nothing I can do" means YOU'VE given up looking into it further. Sometimes all people have is their hope, and by saying that, you strip them of that hope. If you're not willing to look into it further, have the respect for your patient to tell them so. "There's nothing I can do, but lets look into who can" would have gone WAY farther with me, and I would respect you more as a doctor for admitting your limitations. There's no shame in not being a specialist in my weird anomaly  but for heaven's sake don't just blow me off!

After that he was quiet for a moment, then thoughtfully asked me what he could do for me. "If you come across a specialist or geneticist, you let me know and I'll get a referral written up immediately. If you need any changes to your PT script, please let me know and I'll do it. If you come across alternative medicines that you'd like to try, bring in what you've found and we'll discuss if it's appropriate to try or not. Also, who is your PCP? Make a list of all your symptoms and weird stuff in chronological order and lets get your recent lab reports over to her. You still have concerns about vascular type Ehlers Danlos in addition to hypermobility type? Your echocardiogram looked good. But huh, your blood pressure is really high, isn't it? Make sure you bring that up to her - we'll need to get that under control."

I feel like I was finally a part of my medical team. You know why? I was rooting for me and DEMANDED that the doctor start rooting for me too. I've been very lucky - My Orthopaedic Surgeon is a saint, my Occupational Therapists and Physical Therapist really listen to my concerns and offer suggestions - it's a shame this rheum was not as excited to be on my team as everyone else. I'm hoping my new PCP (I see her Tuesday) will be as excited to work with me as my current team and maybe she can offer a referral to a different rheum who will be more attentive and I won't have to do his job for him and pull teeth to get the care I need.

Wednesday, November 7, 2012

Finger Splints

Today was another day of measuring/sizing for my finger splints at OT. She gave me a set of cheapy plastic ones to try on one finger to see how they feel and see if they are effective for me. The difference I feel already is SIGNIFICANT in just the few knuckles I have braced. So now I just need a script from my Orthopaedic Surgeon (no prob there, she knows I'm an anomoly and will do just about anything I ask to make sure I am comfortable) and to run it by my insurance company and convince them it is a medical necessity. I think I'll send them the following pictures and see what they say...

Without Splint:

With Splint:


Do you see the difference? Because I sure as hell do. Plus I FEEL a difference. Typing right now doesn't hurt in that finger. I'd forgotten what not being in pain felt like... If this is it, sign me up. I'll start selling my plasma NOW to get my hands taken care of.

Monday, November 5, 2012

This Circus Needs a Ring Leader!

I mean that in all seriousness - the circus that is my current medical condition needs a ring leader - someone who can keep track of all the different specialists I'm seeing, open the lines of communication a little better and be able to point me in the right direction with what to do next.

A General Practitioner.

I don't have a home base to go to inbetween specialists. Someone who can really do the research for me and figure out the next best thing to try. I have essentially been acting as my own ring leader and quite frankly that shit is exhausting. I have a hard enough time scheduling all these appointments with physical therapy, occupational therapy, orthopaedic surgeons and rheumatologists... But now that I'm feeling a little stumped (and annoyed as hell), I'm not sure where to go next.

Hypermobility can be really frustrating. Some doctors will just claim there is nothing wrong with you, others will tell you it's just an inconvenience... I need to find someone who will actually LISTEN and then WORK WITH ME to connect the dots.

I'm going to call the rheumatologist right now and see what he says about getting a second opinion.

I will not settle for "I can't help you" anymore.

Friday, November 2, 2012

Pool Therapy

Today I went to OT and discussed silver ring slints for my fingers. The therapist was more than enthusiastic about it and got me sized for 4 fingers. She said she would discuss it with my other therapist and get them ordered for me. I think I'll have them measure my pink fingers on Monday. They sized my ring and middle fingers. We shall see Monday what the other therapist says. If insurance doesnt cover it, they are $81 per knuckle.

All I had to do was ask.

All this time I haven't been advocaing for my own health. All this time I haven't been complaining because I just figured it was "normal" to be in pain... in pain to the point I don't feel it anymore. Not good. And I hate being the center of attention. I didn't want

But I'm on the right track. I am not accepting the rheumatologists "there's nothing I can do for you" to mean this is the end of the road... it just means hypermobility disorders are out of his wheelhouse and I need to look into a second opinion, or find someone who knows more specifically about hypermobility. Someone who won't just shrug and say "you're skin isn't stretchy, can't be Ehlers-Danlos." My physical therapist was encouraging me to really push for more information/answers and not to accept "Sorry, nothing I can do" as a final answer. I told her I didn't even know finger splints existed until I saw her hands and a lightbulb went off in my head. She seemed genuinely pleased that I asked for them in OT.

Finally. Some people on my side.