Saturday, September 11, 2010

An Open Letter To Celia

Oh. my gosh, Celia your symptoms (aside from the breast infection (?)) are classic Fibro. I was going to say so, but went on to read about everything else you have going on and I felt it best to wait for that resolution. Awful as Fibro is, you are dealing with much larger issues right now.

A primer on Fibromyalgia (by CJ, my opinion, my experience only):

  • You may or may not get the impression that it is "all in your head" from the first doctors you see. There are still some doctors who believe it is due to depression, unresolved life issues, and "soccer mom" syndrome. I recently saw another neurologist who was of that opinion. RUN, do not walk, away from them as fast as you can.
  • Your GP should be able to refer you to a Rheumatologist who treats Fibro. The search for an appropriate doctor may take awhile. Be prepared and try not to become too discouraged. They can say things that can beat you down, but stand firm until you get a reasonable diagnosis and treatment plan. There are some wonderful doctors out there that truly care and want to help you manage your symptoms and reclaim at least some of your "old" life. Take copious notes! Or have a trusted family member or friend keep them for you. But, you stay on top of them.
  • There are many approaches to treating the symptoms of Fibro. Some use natural or non-traditional treatments, herbs and the like. They may or may not work for you. Before trying any herbal remedy check with your doctor. One of the problems with herbs is that they can have very, very bad consequences when mixed with traditional medications. I am not dissing a natural, non-traditional approach at all. I am not promoting a traditional approach only. My experience has been that I AM IN UNBEARABLE PAIN. But, you need to know that I have at least two other serious incurable conditions that also cause chronic pain. I personally take four medications daily to manage my pain. Note I said "manage", I am still in pain each and everyday. The meds make my life livable (most days). I have tried both non-traditional and traditional treatment and I am using a combination of the two. How do you manage the unpredictability of the level of pain from one day to the next? Well, hopefully you have a "break thru" pain med that you do not take daily, only when you are experiencing a particularly rough day. This might be Tylenol 3, Darvocet, Vicodin, or Percocet. Take notes. Keep an up-to-date list of all of the meds--Rx or OTC--and the dosage you take with you at all times.
  • Yes, the fibro drugs can make you a stumbling zombie. Try and give your body time to adjust and give any meds a fair chance (within reason, of course.) Warnings are included with all medications: READ THEM. Log your symptoms of possible side effects and report them to your doctor. The pain meds for nerves cause sleepiness. It may take a few weeks or more to adjust to them. These meds can be dosed for once a day, twice a day, or three times a day, with one, two, three, or four pills each time. As I say, it takes time. BUT, do NOT ignore side effects. They need to be reported ASAP! Take notes.
  • You will probably need more than one doctor to manage this disease. Presently I have only two, my rheumatologist and my GP. But you may also see a pain management specialist, a physical therapist, a physiatrist (a doctor who specializes in physical medicine and treats the whole patient, not just the symptoms - I had a jewel of one, then insurance and finances stepped in!), or any of several other specialists.
  • Now the hard one: "When will the pain stop?" The truth, probably never. However, you will find success stories of people who have come almost full circle and rarely experience the fibro pain. Unfortunately, these are hard to come by. The pain can, however, be managed. Some days quite well, some days not so much.
I hate, truly hate, that I have made this sound like doom, defeat, and despair. But, Celia, it is one of the most incredibly difficult, exhausting, and depressing struggles a person can face. Now, before people start throwing things at their monitors: of course there are more serious, complex, and pain inducing diseases. But, this is not a contest. There is no reason to say "You think you have it bad?" Believe me, Fibro patients heap the guilt upon themselves about this all of the time. We know there are people out there facing much more dire diagnoses with much less positive prognoses. Fibro is not fatal. We know all of that. But, Fibromyalgia is a serious condition. It is chronic and incurable. It is extremely painful and exhausting.

I am praying for you in all manner I can think of. I am here for you. I hardly know you, Celia, but you have touched my heart in a very special way. I care and I would like to help in any way I can.

Gentle hugs with fondness,

CJ


A Disclaimer to anyone else reading this: I am not a doctor. I am not prescribing nor am I diagnosing anything. I am a Fibromyalgia and Chronic Fatigue patient. PLEASE, see your doctor if you have any concerns or symptoms.

7 comments:

  1. What a great post, CJ. I need to find a rheumatologist up here. I'm so afraid of finding a dud doctor because Las Vegas has crap doctors. You may not be a doctor but this post will help a whole lot of people!!

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  2. CJ, I am so glad to hear that you are still with us. I have been really worried about you. I had RLS just a couple of times and it was pure hell. I got it on Cymbalta and when I was trying to come off pain meds. Truly horrific is the only way I know to describe it. Please keep trying to find something to help. I know you are all alone. I will look around and see what I can find. Please take care.
    Maryn

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  3. Oh, Maryn your kind words mean so very much to me. Thank you.

    Thanks, Rose, as always.

    CJ

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  4. CJ -

    I didn't know you had posted this until I read your comment on my blog. THANK YOU so much for answering my questions so clearly!!!!! I thought it sounded like classic fibro symptoms...So do my GP. We are trying Savella for 2 weeks. If I need another med, Ultram (Tramadol) is on the table.
    He was really blunt about saying, "There are no tests for this, but your symptoms fit the bill". I am going to see how treatment with him goes, since I would rather NOT add a doctor if I don't need to, but I do have the name of a recommended rheuomi if needed. The pain is worse towards the end of the week when my infusions are due for immune deficiency, so I know that plays into it.
    I go back to my oncologist who handles that Thursday, so I will run it all by him too.
    I agree - it is not fatal, and believe me, I have considered that and am grateful, but, in my experience, the pain I have had makes it difficult to move some days, so it DOES affect quality of life.
    I think it also affects mood. I know that when I am in pain, I try hard to keep from getting snippy or irritable. I honestly wonder if some people believe this exists and that it causes pain, so telling anyone seems pointless.
    Thank you again so much for your being so open and honest in your response. I really appreciate it. I am just trying to be thankful that this pain isn't my imagination!

    ((((Hugs))))
    Celia

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  5. I am so glad you found this, I am sorry it took so long!

    Your doctor sounds like he knows just what he is doing. The two drugs that have been recommended to you are two that have had much success with Fibro pain. I have yet to try Savella, as I am on another anti-depression medication for severe depression. Savella is an anti-depression med, though it is not used to treat depression (I don't quite understand that one myself). It is the same classification (SNRI) of anti-depression med as Cymbalta (also used in the treatment of Fibro). It is one that you MUST be vigilante about paying attention to your mood and any changes in your mood. It can cause suicidal thoughts. (The reason why I am not taking it or Cymbalta, as I have a history of depression and we have bipolar disorder in my family - two things counter to using them. I tried Cymbalta, unknowingly, and did indeed have genuine suicidal thoughts and plans - was lucky to find help just in time, as I did not recognize it as a side effect of the Cymbalta!)

    I can definitely understand wanting to keep the number of physicians down to a reasonable number. Our lives seem to end up revolving around doctor appointments, tests, and drugs.

    I would imagine another reason your pain is worse around the time of your treatments is because Fibro is very much affected by stress. Those appointments are, I would assume, not only physically stressful but mentally stressful, too.

    The pain and fatigue cannot help but affect your mood. No one is chipper when they hurt. And, no matter how hard we try our patience can get quite thin when we are so tired we can't stand it and we are hurting morning, noon, and night.

    Fibro affecting quality of life? No question. You are already familiar with the affect chronic illness has on your life. Fibro is most definitely a chronic, never ending, incurable, soul messing, relationship messing, mind messing illness.

    Fibro Sucks! You may quote me. :)

    Hugs,
    CJ

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  6. Hi CJ!
    I'm so glad I finally made it to your blog. Actually to anyone's blog but came here first to try and get back into keeping up with people. It's been so hard, like I'm just plain stuck in one spot. I hate it.
    This was a wonderful post. It is kind but also informative. You would make a wonderful counselor/talk therapist!
    I'm sure sorry to hear about Celia, and I must go to her blog to let her know I'm thinking of her.
    I hope you are fairing okay. I had one pain free day the other day. Amazing. I received a note from a ex-in-law who I haven't seen in over a decade. I told her about my pain free day. She said it was because people had prayed for me.
    Well, I wish their prayers would work the other
    99.9% of my life.
    I agree with everything you said. I also agree that it is very hard to tell someone who has been diagnosed with fibro what a tough road ahead they may have. But it is true for most of us.
    You have helped more than one person with this post!
    Thank you.

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  7. Hello, Miss Dogkisses! It is so good to see you up and around. And, you came to me first? Wow, what a warm fuzzy.

    I can relate to your comment about being stuck in one place. My place is limbo. Isn't that one of the stages of hell?

    Funny you say I would be a good "talk therapist". I am ABD with a masters in Family Counseling. ABD--"all but done", or "all but dissertation" I am both. Had a nervous breakdown (another fun period in my life) and had to quit school -- never had the courage to go back. I think I am the one who needs therapy!

    So good to see you back. I MISSED you.

    CJ

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