Medical Forum / Diseases and Disorders / Lupus / April 2006
RANT. Rant with me! Fatigue and meds are going to make me lose my mind!
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ChelleSmiles - 17 Apr 2006 04:32 GMT I need to vent, and just hearing from other people who can relate would help, so here goes:
I am 29. I am also a self-supporting woman, which means I am single and have a mortgage to pay, so I must work my full-time job to pay the bills. I've dealt with the symptoms of lupus for over 6 years now, but was only diagnosed as having a rhematoid condition in October 2005. Until then, I was told it must just be depression even though I had tons of other weird things going on in my body.
My lupus-related fatigue is terrible lately. I can't plan to do much of anything because most of the time I am exhausted. I barely make it to work each day, and some days I am a couple of hours late because it's so hard to get up. I sleep most of the weekends away...sleeping over 12 hours at night, usually, and still napping for 3-5 hours after only being awake for a few hours. It stresses me out because my house is becoming a disaster...I can't keep it clean enough...the floors are disgusting, the bathroom is grimey. I eat quick,easy meals when I can....I have a ton of yard work that needs to be done...and on top of all that is the stuff I WANT to do in the yard and in my house. I am sooooo frustrated with it all. To get exercise, I walk my dog pretty frequently, but it's hard to last through the walks...I skip days sometimes.
I've been on Plaquenil for 3 months now with no improvement. I took prednisone for 3 weeks with no relief. I am taking iron because of anemia. I am taking levothryoxine for my thyroid. And last week I started Methotrexate (MTX) and a Folate tablet to help 'curb' side effects. I don't know why they tell you to take it on Saturday...I guess doctors think being well means you'd prefer to feel crappy on the weekend, so you can feel well at work? I don't know. Anyway, so far the MTX has done nothing for me. I am on the low dose and fear the doctor will only increase my dosage when I tell him it's not helping. I hate the idea of taking this medicine in the first place.
People don't understand. "you're too young to be tired." I'm sure people think I've been out late partying when I come in late to work. I got an FMLA form filled out so I can have those times covered legally, but other people don't know that, and I don't think my boss really gets this anyway. He jokes with me about being tired, and I worry it's going to affect my raise when review time comes. I worry that to a lot of people at work I'm just some lazy person who can't get her butt into work on time every day like most people.
I don't have family support. My parents live 600 miles away, and my parents aren't the sympathetic type anyway. When I told my mom I had lupus and that it was really upsetting to me her response was, "well it could be worse." Yes. It COULD be. It's pretty bad now, though.
Just not having people understand is frustrating, and it's hard to get people to understand even when they want to. Some people as questions, and if I tell it like it is I feel like it's going to look like I'm throwing some huge pity party about how terrible it is for me, and I don't want sympathy so much as I just want people to understand.
It's hard calling people and telling them I can't make it to an event because I'm too tired. To most people that sounds like a cop-out. I find myself spacing out when people talk to me. I have a hard time seeming enthused about what they're saying because I'm so darn tired that it takes too much effort to be my usual perky self.
Irony of all ironies: I keep planning to go to a local support group, but I'm too tired because it's usually about an hour after I get off work and on the other side of town. I need to just go anyway.
I keep searching for information on lupus, but it seems so limited. I look to find other people feeling what I feel. I think we have a lot of people trying to tell us to cope, and I do. I really do cope as much as I can, but even when we cope, sometimes we just need to rant and let it all out.
So let it all out. I invite you to rant with me. :-)
Krista - 17 Apr 2006 10:16 GMT Hi ChelleSmiles -
I'm Krista.
I went through and am still growing through the same exact things you have and are. Luckily I had a boss who's wife had Lupus but my co-workers didn't understand and they complained so I quit. I was to a point where I couldn't even walk, and I was an investigator so I was not able to do my job anymore anyway. When I quit my boss told me he didn't know how I did what I had done being sick like I was. It was nice validation AFTER the fact. I am currently in the process of applying for SSI and Social Security Disability, I know I can get it, it just takes a while.
It's frustrating as hell, I know. My mother has acted the same way as your parents. At least you're not dying she says. Other people are sicker than you. True, but that still doesn't invalidate my illness for petessake. But if she has so much as a headache she calls in sick to work and sleeps all day. People don't know or understand what we're going through. Thank God my sister has really made an effort to understand and research my illnesses and sympathize with me. Just a little support like that helps immensely. But the coldness and pain from the indifference or the misunderstanding hurts immensely as well. I moved 150 miles to be closer to her and she plays card games and such with my uncle and grandfather and won't barely call me or help me with anything. When I first moved here she helped but she doesn't bother much anymore. It really upsets me, because my Mom, who divorced my Dad when I was 3, always ignored me and was out doing something else. My entire life, and she still does. My best friend from high school said that her mom beat the crap out of her and my mom ignored the crap out of me. It really does hurt. It breaks my heart. My house is a mess too, it's embarassing, I'm a neat freak but I just can't keep it all clean at the same time. I takes me days to clean just one room!
Oh and the frustration, and anger!
I've punched holes in walls, screamed lounder than any horror movie victim, ( I actually impressed myself but scared the crap out of the cats), cried like my best friend died every night, slashed my wrists, called suicide hotlines, and it all leads up to one thing. There have been so many times I've just wanted to give up, to just will myself dead. I'm so alone. That's how you feel, alone, isn't it? That's the painful part. The scary part. The part that you need changed the most. No safety net.
Find a nice easy part time job and apply for social security, and if you have the money go ahead and get a lawyer, it's faster that way. You can still work part time up to a point while getting ss. Also you can apply for food stamps, and get help from a community services place to help pay your electricity bill or you can fill out a form for Public Utility Aid. There's help out there. I don't know what state you live in so I'm not sure where you'd call or start, but you can usually start with the community services at the city or town or county you live in.
And if you ever need me just holler.
Also try a supplement called DHEA. It really helps your energy, you can find it in with the vitamins.
Blessed Be.
Krista
Oh yeah, I also threw a plate through a window. The window broke and the plate didn't. Corningware, what can I say?
ChelleSmiles - 17 Apr 2006 15:09 GMT Thank you. I needed to read that someone else's frustrations are like mine. I haven't done any wall-punching or plate throwing yet. :-) I have been okay through most of it, but every little thing is chipping away at me. Last night I ALMOST burned my hand because I had a wet oven mitt (not good) when removing something from the oven. Luckily I juggled the pan up to the stove top and avoided getting burned, but it was like a breaking point for me. I'd had enough...that moment was totally unrelated to the Autoimmune disease, but I'd slept most of the day and was like a zombie. I just started crying when it happened. I'm so irritated with how things are going. My doctor is odd, and will only diagnose me with MCTD...because he wants to leave open the possibility that I may have RA, which I'm pretty certain I don't have. You know how you know your own body...and I have read all the symptoms and such. I know I'm going to end up with a definite Lupus Diagnosis, but for some reason my doctor is waiting to take that step. I have so many signs and symptoms, not to mention the bloodwork...the RF, the anemia, the pleurisy, positive SSA, high SED rate, and the ridiculous fatigue. It's nice we have this network here on google groups. I don't know anyone personally who has lupus, so it's hard to find people who can relate.
Thanks for ranting, and I hope in some way it made you feel better. :-) If anything, it was reassuring to me.
Krista - 18 Apr 2006 09:03 GMT Chelle,
Oh yeah, ranting always makes me feel better. I'm a quick temper, I yell and scream and then I'm calm. I'm that type of person. I've always been a fighter, practiced martial arts, stuff like that. I just express my frustration physically sometimes, boy does my family get mad at me! I know how you mean about the little things, and I've had a straw break my camel's back a few times. It's the smallest thing, but in a line of many other little things and yeah, I'll lose it. My cats even worry about me when I cry.
Irritation is a symptom of Lupus too, you know.
But it sounds like you may need to look around and see if you can't find a new rheumatologist. Even if you have a good gynecologist or other specialist ask them and they may be able to help you. I found mine through the lady here, Larinda, who has exactly what I do. He's amazing. Kept me in his office 5 hours, ran blood tests, x-rays, sonograms, steroid shots, and diagnosed me, and even identified which of my joints in my hands were damaged. Since he had saved Larinda's life I had alot of faith in him. They had previously tried to stick me with RA too but it is Lupus. It's hard to distinguish because it comes and goes.
Oh and I'm sorry I'm not trying to be a know-it-all, I do have a degree in Biology and Environmental Science and a Master's in Environmental Science. So I actually took a few pre-med classes as electives, and am familiar with autoimmune diseases. And, it's right up my alley, considering they think it is an environmental factor that plays a big role in autoimmune diseases. I'd love to go to work for a Lupus Foundation! But you know they'd understand about me being sick! Haw!
My best friend's name is Michelle and we call her Chelle too. That's cool. If you ever need anything, we're here. I am so happy to have found this place.
Take care,
Krista
ChelleSmiles - 19 Apr 2006 14:34 GMT I know I've written a lot of replies here... :-) (just catching up and not wanting to miss anyone)
I wish I could find a great Rheumatologist. I am already on my second one since December. The first one kept poking this "pressure points" (basically she was digging in with her thumb really hard), and when I'd wince (who wouldn't wince at THAT) she'd mark it as another 'fibromyalgia' point where I was 'tender.' She was so stuck on the fibromyalgia thing that she never ran anymore bloodwork, and then told me to come back in 4 months to see if I was any worse. I'm was thinking, "this is your approach?!" So I left and found this Rheumatologist. It's such a journey just getting a new doctor. He is okay, but I think he has an odd personality. He tells me to do what I can and to let God take care of the rest, which is odd coming from my doctor. My joke with my friends is, "I hope God is good at laundry." My doctor also keeps telling me to shop at Wild Oats, a really expensive grocery store that sells organic/natural foods. I want to ask him if they're paying him to say that.
I have done so much research on my own because of having gone 6 years with an unknown medical problem, that I joke about having an honorary medical degree. The thing is I had never really considered lupus before because I had read the symptoms and it always mentioned a rash, which I don't have. So now I have a lot of reading to do...though I read everything I can.
If I ever needed a caffeine pill, it's now. I just took my MTX on Monday afternoon, and I find that the grogginess I get from it makes me write somewhat uninelligibly. :-) hehe.
That's kinda funny that your best friend's name is Michelle...my best friend's name is Kristin (not the same, but pretty darn close). :-)
This is a great place. I can come here and find people who know what I feel. It's very comforting.
Michelle
Andy - 19 Apr 2006 17:02 GMT >I know I've written a lot of replies here... :-) (just catching up and >not wanting to miss anyone) [quoted text clipped - 6 lines] >fibromyalgia thing that she never ran anymore bloodwork, and then told >me to come back in 4 months to see if I was any worse. It's probably a good thing to check for - if I recall correctly one treatment for Fibro is a bad thing if you actually have Lupus. But not to the exclusion of everything else.
 Signature Andy Taylor [Chair, N E Lupus Group] See http://www.northeastlupus.org.uk for more!
ChelleSmiles - 20 Apr 2006 20:06 GMT I agree. I don't mind someone checking for something viable, but like you said, she just didn't listen to anything I had to say because she was intent on the whole fibromyalgia thing. A coworker goes to the same doctor and said that she gets the same thing...talk about FM, and my co-worker thinks her condition is psoriatric arthritis, which runs in her family. I wonder what gets some docs on one track like that?
Krista - 20 Apr 2006 02:19 GMT Yeah, the Fibromyalgia thing. I dealt with that for quite a while. It's just so arbitrary that it's not dependable as a diagnosis or lifestyle change with the meds and supplements. All that Fibromyalgia means is muscle pain. But almost everyone has trigger point sensitivity or pain. Especially if they're digging really hard! They're not supposed to dig too hard. You can tell which ones are sore without having to dig, trust me. Mine in my hips are horrible. Anybody checks them and it's always, "yes that hurts!"... Yeeeowww!!! Check out some pain doctors, I see one who uses non-surgical ways to help pain, which include diet, exercise, PT, and nerve block, whatever you need. They are the ones who have really helped me more than any rheumatologist. I had more results with them than several doctors over the years. There are a couple of doctors who I'd like to go up and kick them in the balls and say, "does that hurt?" At least get something from all that money I spent for nothing. Damn doctors. There's supposed to be a really good institute in Dallas. Something about Environmental Medicine, and I know they have a website. I'll have to ask my doctor again and get that website. They have done alot of research for autoimmune diseases.
Take care and get some rest Chelle,
Krista
ChelleSmiles - 20 Apr 2006 20:22 GMT That's the thing...of all my symtoms, pain is NOT one of them. I don't have pain in my joints or anywhere. That's why I left that one doctor, and that's why I am bewildered at why this doctor I am seeing now keeps talking about Rheumatoid Arthritis. I have no joint swelling, inflammation, or pain. Nothing hurts.
At most, some days I feel achy or sore...all muscular, but most of my symptoms are chronic fatigue/exhaustion, anemia, and the thyroid stuff I have along with my bloodwork that shows I have some kind of inflammation going on and affirms that I have some type of Rheumatoid condition...the positive SSA and RF.
I know what you mean about feeling like you don't get anything for the money you spend at the doc. Not only that, but time! All the waiting to get into the doctor, and I couldn't understand this lady (the first doctor I saw). I had blood work done with my first appointment with her...did a 2 month checkup where she breifly mentioned my Positive SSA and said something about Sjogren's being a possibility, and then she went onto something else. Had I not already read about Sjogren's I would have had no clue what she was talking about (I had to think to try to figure out what she'd even said with her accent) because she didn't bother to explain anything to me. Sometimes doctors just say things like we're supposed to be as educated as them and know what everything means...like my current doctor. He just sent my Rx to the inhouse pharmacy at the health care center, and I went to pick it up. It was Methotrexate. I had no idea what it was. I got home and read about it, and I was like CHEMO drug?!?!!? I had so many questions like how he thought it would help me, why he was giving it to me, what the risks are. It just seems like something a doctor should mention and discuss beforehand with a drug like MTX.
But I digress...I will see if I can find that place in Dallas. I'm always curious to find more info. I seem to be in some fuzzy gray undiagnosable area (along with many other people, from what I understand).
Take Care, Krista. Thankfully I'm off work tomorrow, which means I will be sleeping in !!!
Cindy - 17 Apr 2006 13:39 GMT Hugs for you both...I wish that I could help you both...But I can only offer hugs and prayers... I am indeed one of the lucky ones with a support system and good doctors and a great family...I did get my SSDI and all...I haven't gotten a Lupus dx...But I have FM.plus a whole list of other goodies. Praying for you both... Hugs Cindy
>I need to vent, and just hearing from other people who can relate would > help, so here goes: [quoted text clipped - 68 lines] > > So let it all out. I invite you to rant with me. :-) ChelleSmiles - 17 Apr 2006 15:13 GMT Thanks, Cindy,
It is great that you have a great support system...I am also waiting on a specific lupus dx. Thanks, and good luck to you, too.
Michelle
Krista - 18 Apr 2006 08:40 GMT Thanks Cindy. Hugs are always very nice and helpful. I don't think I get enough of them anymore, and I think it's I who keep everyone at arm's length now. It's kinda that thing that if they hug you or ask you how you are or what's wrong you just come unglued. I don't know where I picked that up along the way but I think I should offer up hugs myself, I'm sure I'm not the only person who needs a hug. And prayers are ALWAYS good. I never pray for myself because I feel like I'm being greedy or self-centered.
Hugs and Prayers to you and yours,
Krista
candi bowen - 18 Apr 2006 21:01 GMT Oh my gosh, Krista! You're SUPPOSED to pray for yourself! You're commanded to - no matter what religion you are. Sometimes I think that's what the 'great sin' is; thinking you're less worthy of prayer than anyone or anything else. Don't feel greedy! God's got way more than enough good to go around; you're not going to steal someone else's.
Blessed be to you too.
Candi
> From: "Krista" <kristadp55@valornet.com> > Organization: http://groups.google.com [quoted text clipped - 15 lines] > > Krista Nancy F - 17 Apr 2006 18:04 GMT Chelle, Instead of "tired", which only has that "special meaning" <LOL> to us, try using words like "fatigued", "exhausted", "I feel like the 3rd day of the flu", etc. With some people in my life I only got through when they actually *did* have the flu and I made the comparison for them. Of course, [my rant] 2 weeks later they ask if I'm "better yet", "OK now?" that show that they don't have a clue what "chronic" means!!!!!!!!!
Nancy F , SoCal, USA Christ, Chorus, Cats, Computers
>I need to vent, and just hearing from other people who can relate would > help, so here goes: janers - 17 Apr 2006 18:21 GMT Ah Chellismiles. LOVE that name. I have a niece who I dubbed as Shelliebells. your names are the same "natural" wise heheh
About your pain, frustration and anxiety, We all feel for you, have been there, are there and believe me IT does get better but it takes a many exasperating times to a doc and different drugs.
You have come a long way already but the MTX (methotrexate) will indeed help you at some point. It takes a good 6 weeks for some to feel the effects, and some it takes less, so just think positive on that. Even with a Positive diagnosis of lupus or not, many of the treatments are the same for rheumatoid problems as well. I did my MTX on a friday and believe me ruined a few sat for sure. I have heard some people feel no different "LUCKY THEM" but I had to change my day or my weekend was shot. Since for me seeing my family on weekends is a must, I went with a tuesday. Some also say taking it at bedtime or late in the day helps too. Well I really can't say about that one. I know you work full time and taking it on the weekend is the option for you, but is friday a down day at work? Meaning slower and less demanding?? Is there a reason your boss could not let you slack off then? The day after the MTX??? I think IF you tell him right up front you would be surprised the amount of understanding some of them have. So why not try that option?? Then take the shot and if you get sick at work, or what ever, they will understand. Tell them the "chemo" drug you take for your illness is NOT pretty and I am sure they will understand then.. At least a friend of mine does that and NEVER a question from boss of co workers, always "are you ok, and can I do anything for you??
Sometimes upfront is better than, OH sh.t another da.. day of this lie.
Hope you feel better. YOU did smile didn't you? I do cuss but rarely in this forum
hugs janers
ChelleSmiles - 19 Apr 2006 14:02 GMT Thanks Janers,
I DID smile. I do cuss--most often when it's just me and no one around to hear, so I don't find it offensive.
I've been taking my MTX on Monday as soon as I get home from work. Then I feel dizzy the next few hours before I finally go to bed, and Tuesday morning is tougher waking up, but I've warned my boss about this. I try to remind him that I may need to be an hour or two late on Tuesday morning, but I try to make a point of not letting it put me behind on work. I get a terrible headache from the MTX, but it is something that I can deal with at work. I am only in my second week of the MTX, so I can't really speak about it like I have a lot of experience, but this is how it's been so far. I just refused to take it on Saturday after reading how other people had said the first couple of days after taking it were the worst for them. Poo Poo on taking it on Saturday. I don't have enough enjoyable time off work as it is...I'm not about to go sabatoging my own weekend! :-)
Does anyone notice weird stuff after they take MTX like...a couple days after, my neck and upper back make "snapping" noises almost like I've been tense, and it's the same snapping I get when I rub my own shoulder to work out the tension. Also, I feel like I need to cough for a couple of days after I take it...my chest gets a little twinge in it. Of course I also have the hangover headache and the sedated feeling the first day or two I take it.
Anyway, Thanks Janers.
ChelleSmiles - 19 Apr 2006 13:49 GMT Nancy, I agree. When I've bothered to try to explain how it feels to people, I tell them that it's not just tired like I didn't get enough sleep...it's the exhausted ALL over the body feeling you get when you have the flu. I think that has been the closest thing I can get people to relate to. :-)
Sherry - 17 Apr 2006 20:14 GMT Venting is good! Almost everyone on the group has been there and done that. Some of us are luckier in the fact that we have a "support" system in our families, or our income, though missed, was not the only income in the home and we get by.
All we can do is take it one day at a time, get done what we can get done, and know that we are not alone!
Hugs, Sherry
>I need to vent, and just hearing from other people who can relate would > help, so here goes: [quoted text clipped - 68 lines] > > So let it all out. I invite you to rant with me. :-) ChelleSmiles - 19 Apr 2006 14:04 GMT pellmellwillynilly@hotmail.com - 18 Apr 2006 00:44 GMT Welcome, ChelleSmiles!
<snip>
> bills. I've dealt with the symptoms of lupus for over 6 years now, but > was only diagnosed as having a rhematoid condition in October 2005. > Until then, I was told it must just be depression even though I had > tons of other weird things going on in my body. I can relate to that. My shrinks wouldn't swerve from the depression diagnosis, although I kept telling them that I was still sleeping too much while on depression meds. ("Well, you were sleeping because of the depression, weren't you?" "Yes, and the meds have made me less depressed. Why am I still sleeping?") I was having to stop in parking lots between errands to sleep for several hours before getting out of the car to go in and run the errand. (I still keep a sheet in the back seat to pull over my head if I need to do sleep in the car.) One night around 10:15, I was going to wreck the car if the tried to drive the remaining 10-15 minutes home, so I pulled under a lamp in the parking lot of a mall and yanked the sheet up. The security guard woke me up at 4 AM as he tried to pound a "No Overnight Parking" notice on my windshield. He practically jumped out of his skin when I pulled the sheet down to see what was going on. He hadn't thought anyone was in the car.
Anyway, I was lucky. After about 4 weeks of Plaquenil, I no longer had those regular bouts of sleeping in parking lots.
Pell
Beverley - 18 Apr 2006 02:36 GMT Many years ago my husband was working 16 hour days with a 2.5 hour commute each way. Often he couldn't make it home at night due to fatigue so he'd pull into a church parking lot and take a nap. He was almost arrested for it! (Of course on those nights I'd panic because I was afraid he'd fallen asleep behind the wheel and was wrapped around a pole someplace where they wouldn't find him until morning. We lived way out in the country.) Bev
> Welcome, ChelleSmiles! > [quoted text clipped - 25 lines] > > Pell ChelleSmiles - 19 Apr 2006 14:10 GMT Pell, that made me laugh picturing a mall security guy freaking out as someone pops up from under a sheet in their car! Haha!
My boyfriend works 3rd shift as a police officer, and he just recently moved into my house. What's funny is on my days off he gets home from work about 7AM, so I sleep in with him until about 10 or 11, and then I get up for a while, and then I'm tired again by 1 or two, so then I get back in bed with him and sleep for another 2-3 hours in the afternoon. It's kinda nice that we get to cuddle a little more because I'm so tired that I HAVE to go back to bed.
Michelle
Beverley - 21 Apr 2006 04:02 GMT Hey, that sounds like a lupus advantage! That's got to be a first! LOL Bev
> Pell, that made me laugh picturing a mall security guy freaking out as > someone pops up from under a sheet in their car! Haha! [quoted text clipped - 8 lines] > > Michelle candi bowen - 18 Apr 2006 20:42 GMT Aww, I'm so sorry. Isn't it amazing tho that people will take care of their animals before themselves? I myself do that. Don't think about the dirt & all that needs to be done - that's just increasing your stress level & making you worse. Try to imagine how some people live perfectly happy lives with probably much more dirt than you think you have. Let it go! It'll be there to clean up when you feel better. And you will. I was dx'd at the same age & was a fanatic about clean. It nearly killed me. I was a single mom with a new home; ie bills bills bills. It worked out, eventually. Now I freak because my house is so nasty, but it's a bit less stressful than trying to keep everything perfect. So what's better or worse? I dunno. Try to forget about 'coping', that'll happen all by itself, with time. Just get the rest you need & ignore other people's attitudes. I had the same problem at work & with some family - 'but you LOOK so good! Your cheeks are so rosy! har har). Don't blame them - they don't understand; unless someone's been there, they can't possibly. Try to do what you enjoy, whether it's reading, playing with the dog, music, writing, art, etc. & don't feel guilty for doing it. You WILL feel better.
'Kay, does this allow me to rant when I'm feeling yucky?
Candi
> From: "ChelleSmiles" <tokatoda@yahoo.com> > Organization: http://groups.google.com [quoted text clipped - 75 lines] > > So let it all out. I invite you to rant with me. :-) ChelleSmiles - 19 Apr 2006 14:20 GMT Candi---Thanks! Absolutely, you can rant whenever you want! :-)
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