Medical Forum / Diseases and Disorders / Arthritis / October 2006
OTP - Adelle, checking in, also. (very long)
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Adelle - 18 Oct 2006 05:31 GMT Hi, Everyone!
Just coming out of lurk mode. I read daily, but haven't had it together enough to post except when there's something 'new' to say. Have been praying for those who need it.
Here's the run down - My RA is pretty quiet right now, even though I often forget to take my Plaquenil. Haven't made my appt with the RD since he changed locations. But pain load is 85% lower after being treated for the Vit D thing. Yay!!!
IBS thing has been far more active, though. Haven't found a GI person yet. The local group had attitude issues over who could treat me. Guess the partnership has rules about not switching docs within the practice so another doc can't 'poach' a patient. But that means I'd be stuck with the ego bloated guy assigned to me when I was an inpatient with pancreatitis. He prescribed medication I was allergic to, contrary to the allergy warning on the chart. No way will I go back to him; so I am looking in neighboring areas.
Synagogue has me really hopping. We put together a very full adult ed program - lots of classes and activities. Lots of meetings. Blah, Blah!
Kids are doing really well. Ian is starved all the time and has started making leaps in abilities. After trying on and off for years, he finally learned to ride a two wheeler (just turned 9) and was able to roller skate without someone holding him up. School has gotten harder for him because they are expecting more on the personal responsibility side, as well as more writing. He hasn't made leaps in those areas (yet). He's begun to show a bit of attitude and a lot of whininess about school. But his teacher says he's only doing it at home, not there, so I think he's just struggling with the expectations of the grade and will come through it OK.
Becca (just turned 15) has thrown herself into Theatre Guild - helping build sets and run fundraisers. Her grades continue to be very good. She has also begun to create distance between herself and her friends who create emotional drama for drama's sake. (Yay!!)She also showed great poise this past Sunday leading services at synagogue. There was a large crowd, almost half kids. It's the end of the service and the hum of talking has escalated to a din. But she commanded the podium gracefully and did the last 15 minutes of the service with a smile on her face and a rather loud voice. Did better than the cantor we were auditioning the day before who threw a hissy during a prayer when just two little kids were talking to one another. The woman stopped, insisted on complete silence, and then repeated that section. Needless to say, the audition told us everything we need to know and it is unlikely she will lead a service for us again.
Doug's job is going well. As he says, the luster has worn off and now its just work.
And my mom? - Good news and bad news: Good news, radiation is working on the targeted tumors and the chemo is reducing the spots on her liver. (just found out after yesterday's scan)
Bad news: The chemo is playing havoc with my mom's blood counts and general condition. She has an infection they can't pinpoint and has needed multiple transfusions of both whole blood and platelets. My sisters and are are just praying she can survive the treatment. We know she is stage IV and is being treated for 'salvage' (hate that term) and not cure. We are simply trying to let her live as long as she would like, to finish what she wants to and to try to do so with as little discomfort as possible.
There have also been pain issues and chemo issues. She is off everything for RA except prednisone because of the chemo. At first they thought intense pain and sciatica was from a tumor near the spine. Cancer center overmedicated her twice with pain meds (the chemo multiplies how much of the pain med is absorbed). Each time required hospitalization until drug wore off enough that she could stand up and also be oriented to time place and identity. The last one turned out to be a small blessing. My sister was refusing to take my mom home because of being overmedicated. Finally, ER nurse called the senior doc on call to 'deal with her.' Senior doc turned out to be a neurologist who a.) told the nurse to admit my mom and then ordered a ct scan; discovered it wasn't the cancer causing the pain - it's a herniated disc! He did an epidural steroid treatment that day and will do another next week. Still needs to use a walker indoors and wheelchair out doors because her joints are so achy and she is weak from the radiation and low blood counts.
So if you guys could add Thea ( 'TAY uh' or Dorothy, she uses both) to prayer lists, we'd appreciate it. Not quite sure just what to pray for - maybe just strength, time and fewer complications.
Love you all!
 Signature Adelle
d'huit - 18 Oct 2006 06:55 GMT boy, you've had your plate full, (((((((adelle))))))). it's good to hear that your own arthritis issues are pretty quiet now. but the ibs being more active is a bummer, though.
your mother, thea, has my prayers for strength and endurance, protection and faith, time and healing . . . as do all of her loved ones.
if there is a particular doctor in that local group that you would really prefer to have treating you, i think i'd try asking "ego bloated guy" for a referral to that specific other doctor. if he asked why, simply tell e.b.o. that you just are uncomfortable with the patient-doctor chemistry between you both. if you've already done that, then i'd ask to speak to the senior partner in the group. the "rule" is that the doctor-patient relationship has to be a comfortable one for the patient and that includes such things as having faith in the competence of your doctor. every doctor is taught this in med school and is exposed to it during residency. so, all doctors know that every/any doctor does not work well with every/any patient. there's no such thing as "poaching" when it comes to this, especially, when you are the one doing the requesting for another doctor.
becca is blossoming, it seems.<smile> ian is simply being 9. my alex did the exact same thing at that same age. so, i think you are probably right about expectations, but don't completely rule out the possibility of peer modeling outside the classroom, on the bus, in the playground, at lunchtime . . .etc. he may be just trying out something he learned from his peers.
love to all of you, kate
Hi, Everyone!
Just coming out of lurk mode. I read daily, but haven't had it together enough to post except when there's something 'new' to say. Have been praying for those who need it.
Here's the run down - My RA is pretty quiet right now, even though I often forget to take my Plaquenil. Haven't made my appt with the RD since he changed locations. But pain load is 85% lower after being treated for the Vit D thing. Yay!!!
IBS thing has been far more active, though. Haven't found a GI person yet. The local group had attitude issues over who could treat me. Guess the partnership has rules about not switching docs within the practice so another doc can't 'poach' a patient. But that means I'd be stuck with the ego bloated guy assigned to me when I was an inpatient with pancreatitis. He prescribed medication I was allergic to, contrary to the allergy warning on the chart. No way will I go back to him; so I am looking in neighboring areas.
Synagogue has me really hopping. We put together a very full adult ed program - lots of classes and activities. Lots of meetings. Blah, Blah!
Kids are doing really well. Ian is starved all the time and has started making leaps in abilities. After trying on and off for years, he finally learned to ride a two wheeler (just turned 9) and was able to roller skate without someone holding him up. School has gotten harder for him because they are expecting more on the personal responsibility side, as well as more writing. He hasn't made leaps in those areas (yet). He's begun to show a bit of attitude and a lot of whininess about school. But his teacher says he's only doing it at home, not there, so I think he's just struggling with the expectations of the grade and will come through it OK.
Becca (just turned 15) has thrown herself into Theatre Guild - helping build sets and run fundraisers. Her grades continue to be very good. She has also begun to create distance between herself and her friends who create emotional drama for drama's sake. (Yay!!)She also showed great poise this past Sunday leading services at synagogue. There was a large crowd, almost half kids. It's the end of the service and the hum of talking has escalated to a din. But she commanded the podium gracefully and did the last 15 minutes of the service with a smile on her face and a rather loud voice. Did better than the cantor we were auditioning the day before who threw a hissy during a prayer when just two little kids were talking to one another. The woman stopped, insisted on complete silence, and then repeated that section. Needless to say, the audition told us everything we need to know and it is unlikely she will lead a service for us again.
Doug's job is going well. As he says, the luster has worn off and now its just work.
And my mom? - Good news and bad news: Good news, radiation is working on the targeted tumors and the chemo is reducing the spots on her liver. (just found out after yesterday's scan)
Bad news: The chemo is playing havoc with my mom's blood counts and general condition. She has an infection they can't pinpoint and has needed multiple transfusions of both whole blood and platelets. My sisters and are are just praying she can survive the treatment. We know she is stage IV and is being treated for 'salvage' (hate that term) and not cure. We are simply trying to let her live as long as she would like, to finish what she wants to and to try to do so with as little discomfort as possible.
There have also been pain issues and chemo issues. She is off everything for RA except prednisone because of the chemo. At first they thought intense pain and sciatica was from a tumor near the spine. Cancer center overmedicated her twice with pain meds (the chemo multiplies how much of the pain med is absorbed). Each time required hospitalization until drug wore off enough that she could stand up and also be oriented to time place and identity. The last one turned out to be a small blessing. My sister was refusing to take my mom home because of being overmedicated. Finally, ER nurse called the senior doc on call to 'deal with her.' Senior doc turned out to be a neurologist who a.) told the nurse to admit my mom and then ordered a ct scan; discovered it wasn't the cancer causing the pain - it's a herniated disc! He did an epidural steroid treatment that day and will do another next week. Still needs to use a walker indoors and wheelchair out doors because her joints are so achy and she is weak from the radiation and low blood counts.
So if you guys could add Thea ( 'TAY uh' or Dorothy, she uses both) to prayer lists, we'd appreciate it. Not quite sure just what to pray for - maybe just strength, time and fewer complications.
Love you all!
 Signature Adelle
vickie b. - 18 Oct 2006 08:07 GMT (((((adelle))))) (((((thea)))))
It was so wonderful to hear from you. I especially liked your part about your daughter. I have a 16 yo daughter myself. They sound like peas in a pod. They both like arts! and they are their own person.
Vickie B.
Adelle - 23 Oct 2006 18:31 GMT > (((((adelle))))) > (((((thea))))) [quoted text clipped - 4 lines] > > Vickie B. Thanks Vicki!
Yes, Becca has always been her own person. And yet, at the same time, she is definitely a people pleaser. Not sure how to help her negotiate that, because I am also a pleaser and haven't figured it out for myself, yet. Worries me a bit as she approaches dating age.
Tongue in cheek, but meaning it a little bit, we keep reminding her what her karate instructor says - "When feeling threatened, don't worry about hurting feelings; your job is to *hurt that person.* " She also has permission to use her karate skills if she ever feels someone is trying to force or coerce her into something she is unsure about. I'd rather deal with the consequences of that than the consequences of her not protecting herself.
Adelle
Adelle - 23 Oct 2006 17:30 GMT > boy, you've had your plate full, (((((((adelle))))))). it's good to hear > that your own arthritis issues are pretty quiet now. but the ibs being [quoted text clipped - 24 lines] > the > one doing the requesting for another doctor. This doc *is* the senior and founding doctor (wouldn't you guess?) and his scheduling staff seems to be comprised of young dimwits; or they play dumb very well. "but we can't do that..." Have decided if this is the kind of staff he hires, and if he is too hurried to read my chart, then his medical group doesn't deserve my money. But finding someone good is the other hassle. My PCP doesn't know the docs in the next hospital area 15 miles away.
> becca is blossoming, it seems.<smile> ian is simply being 9. my alex did > the exact same thing at that same age. so, i think you are probably right > about expectations, but don't completely rule out the possibility of peer > modeling outside the classroom, on the bus, in the playground, at > lunchtime > . . .etc. he may be just trying out something he learned from his peers. Ian is working on an Acadamy award for homework avoidance. Have imposed a new consequence (starts today). For every minute of drama over homework he loses ten of 'screen time.' I'm trying to be sensitive to transition issues because he is going through some sort of maturity spurt right now (physically) and he's decompensating a bit on emotional skills. But Saturday was an hour of drama over homework that ultimately took him 40 minutes. Letting that continue is not in his best interest at all.
> love to all of you, > kate Love ya back, Kate!
Adelle
d'huit - 27 Oct 2006 08:08 GMT This doc *is* the senior and founding doctor (wouldn't you guess?) and his scheduling staff seems to be comprised of young dimwits; or they play dumb very well. "but we can't do that..." Have decided if this is the kind of staff he hires, and if he is too hurried to read my chart, then his medical group doesn't deserve my money. But finding someone good is the other hassle. My PCP doesn't know the docs in the next hospital area 15 miles away.
whoa! no, i wouldn't have guessed. that's the pits! sigh . . . the gatekeepers, yet again. somehow the gatekeepers often seem to make things harder. well, y'know, maybe they "can't do that", but they sure as heck can find/ask somebody who can authorize them to do that, "if they wanted to". so, i'd say, "ok. you can't do that. then, find me somebody who can give you permission to do that."
> becca is blossoming, it seems.<smile> ian is simply being 9. my alex did > the exact same thing at that same age. so, i think you are probably right > about expectations, but don't completely rule out the possibility of peer > modeling outside the classroom, on the bus, in the playground, at > lunchtime > . . .etc. he may be just trying out something he learned from his peers. Ian is working on an Acadamy award for homework avoidance. Have imposed a new consequence (starts today). For every minute of drama over homework he loses ten of 'screen time.' I'm trying to be sensitive to transition issues because he is going through some sort of maturity spurt right now (physically) and he's decompensating a bit on emotional skills. But Saturday was an hour of drama over homework that ultimately took him 40 minutes. Letting that continue is not in his best interest at all.
<smile> i'm so glad alex is 29 now. been there, done that. not fun; in fact, there's more fun to be had in having dental extractions done. (we did the "you cannot touch anything electrical, including things with batteries" thing.) but that's soooo typical of boys that age. are you getting the "it's tooooo hard" soap opera? i cannot tell you how many of alex's 4th & 5th grade schoolmates i've heard utter those words. take heart, the turnaround does happen, when they suddenly discover, "it's just a challenge, like in any other game boys can win at", which was what alex told me, in the 7th grade. his grades bolted upwards and stayed there. ian will get there, cuz you're on top of it. hugs, kate
> love to all of you, > kate Love ya back, Kate!
Adelle
Cindy - 18 Oct 2006 14:45 GMT Adelle, Praying for you today...You do have alot on your plate. Your Mother...Praying that God will spare her the suffering and let her finish what she needs and live and leave with as much dignity and least pain as possible. And that he gives you and your family the strength to bring you through. Your Children sound like they are doing well...Sounds like you are doing a very good job there... Lots of hugs and prayers Cindy
> Hi, Everyone! > [quoted text clipped - 79 lines] > > Love you all! Harvey R. Stone - 18 Oct 2006 15:04 GMT Thank you Adelle and may God bless you and yours. Harv
> Hi, Everyone! > [quoted text clipped - 81 lines] > > Love you all! Kelly C. - 18 Oct 2006 16:03 GMT Adelle, it's so good to see this update from you. I probably need to do the same, but not on your thread.:P
Becca sounds like she's really coming into her own, and deciding who it is she wants to be. She sounds like a lovely young person. I'm sorry Ian seems to be struggling a bit, we certainly have that in common. Rachel can be the sweetest thing, then turn on you with 'that face'. *shudders*
I'm glad Doug's job is still going along. Sadly, that luster doesn't take long to tarnish, does it? Best of all is the state of your Arthur. So good to know the Vit D issue helped resolve some of the pain!:)
My heart and prayers go out to you all in dealing with your Mom's cancer treatment. I'll continue to pray for good, quality time for her, and for all of you.
Hugs, Kelly C.
> Hi, Everyone! > [quoted text clipped - 81 lines] > > Love you all! Squirrely - 18 Oct 2006 18:32 GMT Adelle,
Prayers coming that way for all.
Glad to see your update. Glad the RA is pretty quiet for now. Hope it stays that way.
Ibs stuff is a pain to live with. I am sure you have been doing bran. Stuff like metamucil helps after several weeks too.
I sure hope that you can find a good GI person to help you out. It really ticks me off when drs don't see your allergies and then give you the meds anyways. They are not the ones that have the serious reactions.
Sounds like you sure are busy.
Glad the kids re doing so well. Shows what a great job you have done with them.
Glad Doug's job is doing well.
I will be praying for your mom in all areas.
It really ticks me off when someone has a chronic or terminal illness and they don't look further to see there is another issue that is going on like the herniated disc with your mom. There was no reason for her to have to suffer more with that. I could go on and on about this one, but will not do it now. I feel for all that she has had to go thru.
Thanks for putting in her name. She is now on my prayer list as are your family members who will be affected by this also.
Take care and drop in when you can to update us again.
 Signature Love and hugs Jo
(\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _&
> Hi, Everyone! > [quoted text clipped - 81 lines] > > Love you all! ladylove77 - 18 Oct 2006 19:31 GMT Prayers on the way already, Adelle. Gwen
> Hi, Everyone! > [quoted text clipped - 81 lines] > > Love you all! Rosemarie Shiver - 18 Oct 2006 22:38 GMT {{{Adelle}}}
Good vibes and wishes for your Mom. Congrats on the kidlets and their activities and glad to hear the RA has let up for ya right now.
Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> Hi, Everyone! > [quoted text clipped - 79 lines] > > Love you all!
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