Rheumatology rock star

March 24, 2012

My rheumatologist is fantastic!  She sets the gold standard for medical care.  She went above and beyond yesterday!

I am very picky about doctors.  Actually, that’s a huge understatement.  I’ve received a lot of poor care over the years.  There was the pediatric surgeon with no compassion.  There was the internist who lied and told me a certain test didn’t exist even though it did.  There were the several who ignored my theories of what was happening with my body (and it turns out I was right.)  There were the many who simply wouldn’t admit when they didn’t have an answer.  That’s one of my biggest criteria: every doctor I see must be willing to admit ignorance when it’s warranted.  My standards are high, and I won’t accept inferior treatment any more.

At my first appointment with this rheumatologist, I told her early on that I understood that my condition didn’t have a particular name and that I was ok with that.  She looked downright relieved, then told me how it can take patients many years to accept that.  She was glad we could move on and focus on treatments.  I knew then that I liked her.  She understood.

Over the last several years she has been helpful and caring.  She only works three days a week, but if I leave a message with an urgent situation, she’ll call me back on her days off.  She’ll call me at 7pm if she’s been with patients all day.  I can always trust that she’ll call.  When I need to be seen and her schedule is booked, she always finds a way to squeeze me in.  She tells me when she doesn’t know what to do.  She’ll ask what I want to do.  She listens to my thoughts and theories and takes me seriously.  She trusts my assessment of my body, but conducts her own assessment as well.  I can actually trust her.  That’s not something I do easily.  And, of course, she’s good at what she does.  She’s knowledgeable.  She’s worked with other patients with my unique rheumatological situation.  If I ask her about something she’s not completely familiar with, she researches it and gets back to me.

But this week she really outdid herself.  I was blown away!  I’ve been on edge about signing up for disability insurance.  To make matters worse, there will be a big gap between short term and long term disability.  This is mostly because I got the paperwork for the insurance application on the first day of my rheumatologist’s 10 day vacation.  She’d told me she was going on vacation, but I didn’t realize what the timing of the paperwork would be.  Well, there was nothing I could do.  I sent her the forms, along with a note about the timing, asking that she not wait until our next appointment to fill it out.  I know how hectic things are after a vacation, but she’s been so responsive that I hoped she might do it within a week of getting back.  Boy was I wrong!

She got back from vacation on Thursday.  Early Friday morning she responded to my email and asked if she could call me later in the day to discuss the forms.  She called at the exact time she had said and then filled out the forms while we were on the phone!  She told me what she was writing and asked me questions about the various sections.  She told me she wanted to get it done right away because of my timing issue, then she apologized for not calling the day before!  She said she had to spend that first day catching up from vacation, which of course I understood!  Plus, we had a temperature and humidity spike last week, so I’m guessing that many of her patients were calling.  This paperwork is important to me, and I’m nervous about it, but I never expected her to do it on her second day back!  Her forms will get to the insurance company before mine!  (She faxed hers and I have to mail mine.)

I’m not thrilled with my endocrinologist right now, and I need a new gastroenterologist, and I might need to see a neurologist, and I’m not crazy about my PCP, but thank goodness that the one doctor I rely on the most, the one who provides so much of my care, is so fantastic!  I wish I could find more like her.  I wish we all could!

Good luck to you all in your search for good doctors.  Let’s hope there are plenty more like this one.  We all deserve them.

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Springing past winter into summer

March 21, 2012

I don’t care what your views are on climate change, you have to admit that this has been a very odd winter in Boston.  In my entire life, I’ve never seen a winter like this, and people twice my age are saying the same thing.  We only had two snowfalls worth shoveling, and even those were measured in inches, not feet.  They even melted within a few days.

Wondering what a normal Boston winter is like?  I took this picture in January 2005.  Yeah, exactly.  And this winter?  This winter we hardly had any snow at all.  We saw clear pavement and grass almost the entire winter.  Other parts of Mass. got real snow, but not us.

Most people loved this.  To be honest, I enjoyed it too.  We still had some cold weather, but I don’t mind bundling up in my extra warm coat.  The great part was not having to worry about shoveling out my car or slipping on the ice – because there wasn’t any!  Woo hoo!  I loved not having to worry about my footing (at least, not any more than usual.)

And now I’m starting to pay the price.  When I was a kid in the 1980s, spring started in March.  I used to think I had imagined that, but then I came across an old home video dated March 1986 or so, and sure enough, we kids were outside playing in pants and t-shirts – and no coats.  But then in the ’90s we started getting snow through March and into April, and that became the new norm.  We hearty Bostonians grumpily adjusted to spring starting in April, or even in May.

Today, March 21, it was 80 degrees.  I knew there was a problem within a minute of getting out of bed.  It took me a minute to figure it out.  It was early, so the temp wasn’t too high yet.  And then I realized: the dew point.  I went online and, sure enough, the dew point was 58!  That’s  too high!  At 58 I’m generally already having flares of pain, fatigue, and GI issues.  At 60 I turn on the a/c and avoid leaving the house.  But the a/c isn’t in the window yet, it’s still in the basement, because it’s fucking March!  It’s still winter!

Needless to say, this wasn’t my best day.  It wasn’t the worst, though.  I quickly closed all of my windows this morning and pulled down the shades, and the apartment actually stayed fairly cool.  Too bad that won’t work through the summer.  And I used a/c in the car.  And I drank a lot of water.  Hello Spring.

Mother Nature threw us all for a loop and there’s nothing we can do about it.  I’m glad that in a couple more days the temps will drop 20 degrees.  Everyone else has been going on and on about how fabulous the weather was today, and they couldn’t understand why I didn’t agree.  I guess you’d have to be in a body like mine to understand that.  Personally, I’m looking forward to fall already, to those beautifully crisp autumn days.  Until then, I’m grateful for air conditioners and fans!

 

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Some chronic illness benefits of sex

March 19, 2012

Please excuse my absence.  First I was busy feeling sick, then I was busy having sex.  Guess which was better?

Sex is a very controversial topic in some parts of our culture.  At the moment, some politicians are saying that women should only have sex for purposes of procreation.  They say that women who use birth control are sluts and that women who have abortions are murderers.  Since I plan to never have children, I suppose that means that according to them I should not have sex until after menopause.  If you don’t know what I’m talking about, pick up just about any American newspaper.  The stories are hard to miss.

Luckily I don’t believe in any of that.  I’m a fan of sex, and I use birth control.  If that bothers you, you should stop reading now.

I have heard, read, and been told that sex can help many of my symptoms.*  More than that, I’ve experienced it.  A few years back I
was seeing someone, and I would sometimes call him up, tell him I felt lousy, and say I wanted to come over for sex.  It was fantastic.  And it worked.  Sex is a great form of exercise.  Muscles are used in ways that we might not normally use them.  It’s a great cardio workout.  It’s a stress reliever.  It can lead to better sleep.  And who doesn’t love a rush of endorphins?*

Now, this doesn’t work for everyone.  And of course there are limitations.  We must be careful of STDs and pregnancy (or just STDs, if you’re having same sex sex, one partner is a woman past menopause, you’re having oral sex, you’re having anal sex, at least one partner is infertile, etc.)  It’s always important to be with someone you trust, but I think that’s the case even more so when health issues are involved.  If pain is a problem, then it’s important to not exacerbate the pain.  And of course it’s crucial to listen to our bodies and to stop or make adjustments if necessary so that we don’t injure ourselves or cause other problems.

Sex is a rarity for me these days.  I do not enter into sexual relationships casually, and so I sometimes go for many months without sex.  In fact, it had been so long that I had forgotten just how helpful sex can be for me.  Of course there are the obvious reasons why I enjoy sex.  It’s just that there are also additional benefits.  For me, the timing was especially fortuitous since I was having a bad flare last week.  In fact, I didn’t think I would feel well enough to have sex.  Thankfully, I just barely felt up to it, and my partner understands my health conditions well and was willing to stop at any point, do most of the work, and be careful of my painful joints.  Having a partner like that makes all the difference.

Now I’m well rested (I slept great after each time!), less depressed, and in less pain.  I can feel that I got a great workout.  And as an additional benefit, I feel great about my body.  (Personally, I always feel especially sexy after sex.)

I’m not about to go off my meds or give up my new diet, but it’s great to know that I have the option of a fun additional treatment: SEX!

*I am not a doctor or a medical professional.  I am writing about my own experiences and about those of people I know or have read about.  If you think that this may help you, please seek advice from a medical professional.

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Where’s my crystal ball?

March 13, 2012

There are so many reasons why it would be nice to see the future.  I’d love to know if I’ll ever get married.  Will I have kids?  Will I get a better job?  Will my family be happy and healthy?

But right now I want to see the future for a different reason.  I accepted certain parts of my illness a long time ago, but this current downslide is different.  This is something that I never expected, and I’m aching to find out if I will get better… or not.  If I won’t get better, then at least I can try and learn to accept it, but if there’s a chance that I could improve then I’ll keep fighting.

I came up with an action plan today.  There are a lot of -ologists involved.  I’ll try everything from an endocrinologist to a hematologist, from a psychiatrist to a neurologist, but it would help so much to know if any of them will work before I spend a lot of time, energy and money on them. And I want to know if I’ll ever go back to work, if I’ll ever have the energy to really date again, if I’ll be able to go out for an entire afternoon again.

There are no certainties in life.  Health is unpredictable.  We just have to take things as they come.  Who hasn’t heard all of this before?  I can’t argue with it – it’s all true.  But I’d still rather have a crystal ball right now.

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