Thursday, March 30, 2017
Recuperating Phase
Thursday, March 9, 2017
Unpredictability
a day where I have a little more room to breathe;
where I may be productive.
If I had to describe my health at the moment I would use the word 'unpredictable'. One day I struggle; the next I have more energy; the next my pain is really severe; the next I start to feel like my old self again and then I am bed ridden again and all that can happen in one day. It's an exhausting place to be mentally to say the least. I don't know when I open my eyes what I am going to face and things can change within a matter of minutes which leaves me feeling really unsettled and anxious.
Three weeks ago I had an AMAZING week for the first time since I got this nasty infection. I was able to go to work three days! I thought finally I might be seeing a light at the end of the tunnel! Everyone noticed a difference in me but I was cautiously optimistic; I didn't want to jinx myself. Bring on Monday and another working week and I wake up to severe pain that made me physically sick and just like that I was brought down back to earth with a thud! I lay in bed begging the morphine to kick in and take away some of my pain. I switched back to survival mode and became quite despondent. Why? Why let me feel better then put me back here so quickly? Then by Friday I was starting to feel a lot better...see what I mean now!
To my amazement last week I was able to work my full 12 hours! Twelve glorious hours of feeling purposeful and fulfilled. For once my body was playing the game. I was so proud of myself because I knew how hard I worked to get there. If you know me by now and the nature of my illness there is always a but...by the weekend it became clear that my body had been pushed to it's limits and was not impressed with me. The weekend was spent sleeping, resting, recovering in an attempt to gain some sort of wellness for Monday. Monday came and I gave myself a little pep talk ' you can do this!' On went my brave faced as I endeavoured to hide my pain and discomfort. I struggled to focus...a mix of overwhelming pain and fogginess from the pain killers clouded my brain. I am there in person but my mind is else where. I am consumed by the battle being fought in my body. I sit there and day dream about what it must be like not be to in pain...I want to scream do you know how lucky you are that you have a body that isn't attacking itself? I ache with jealously as everyone walks around so effortlessly...do they treasure those precious steps? As fate has it as soon as I write that sentence a group of women run past my dining room window...thanks world!
I 'survived' at work until lunchtime and by the time I got into my car I burst into tears; tears of pain, frustration and tears of sadness. Everything just became hard again. Pain gets stronger, I feel weaker! I came home took some pain medication and sank into my bed. The last few days not a lot has changed. My pain is still flaring and my soul is exhausted. I am longing for those good days to come back or at the moment i'll take a little less pain,..pretty please.
I've had a few specialist appointments lately. I saw my Rheumatologist and we've hit a bit of a bump in the road again with treatment plans and what to do. My case is complicated as over the years I have reacted or found no relief from many medications. The hard thing with Lupus is that medications prescribed are used in other conditions such as Rheumatoid Arthritis,Cancer and in organ transplant patients to prevent rejection. So this leaves us in a trial and error situation. It is daunting looking at my long list of failed medications. The only medication that has ever really helped is Prednisone..again which is far from ideal. We discuss the possibility of a medication called Rituxan as a future possibility. It would not be an easy medication to get at this stage but when the time comes we will cross that bridge. We decided that for now to leave this medication as our 'safety net' which for me is reassuring to know we have an option when the time comes. For now I wanted a rest away from these nasty medication and their frightening side effects. I am so tired of putting these toxic drugs in my body when there is no way to guarantee they will help me anyway. We talked about my extreme fatigue and he stated how that is the hardest symptom to treat. There is no medication to magically take away the fatigue. So like many things I just have to ride it out....He did introduce a new medication called Nortriptyline which I take at night to help me sleep and help with my pain. It does seem to be working a treat so I am thankful for that.
Next on the list was an appointment with my Ophthalmologist to check my eyes. I had begin to notice my eyes felt cloudy and reading was becoming more difficult. As Plaquenil has given me early stage retinal toxicity I immediately made an appointment to see him. Of course this has resulted in more tests being ordered so we can hopefully identify the culprit...I am hoping I just need my prescription in my glasses changed and no further damage has occurred.
Finally I had an appointment with the Oral Surgeon to see about getting a new retainer made for my jaw. I am finding due to my high pain levels lately my jaw has decided to pop in and join the pain party. We think majority of the pain is coming from me clenching my jaw as a result of the pain and grinding my teeth at night. Yet another appointment was made to come back in and get my impressions made for my splint.
Then to wrap it all up I had a letter from my GP asking me to go to MedLab to get bloods taken so she can just check my levels again. I texted Dan from MedLab saying 'I feel like looking after my health is a full time job!'. The more I think about it the more it is true. Living with a chronic illness IS a full time job. Except for the very obvious difference that you don't get paid, you don't get time off, there is no holiday leave and you cant just hand in your resignation when you have had enough. Twenty four hours a day, seven days a week, 23 years living with Lupus has been my full time job.
I always want to bring you a cheery, happy blog post as recently they have understandably been difficult reads. I know it breaks my family and friends hearts to read about this pain and a big part of me feels guilty for that. I just feel that there is healing in me being able to write down my experiences. I struggle to talk about this pain to people...my automatic response is usually 'I'm okay'. I can't sugar coat this though the reality is living with this illness is hard, emotional and raw. I've said it before and I feel like I need to say it again. I don't want you to feel sorry for me or pity me. I strive so hard every day not to let Lupus rule my life. Maybe if anything I just want you to really treasure your gifts you have and don't take a single step for granted. I just want to thank you all from the bottom on my heart for all your kind and support comments. These are the little gems that I hold on to when things are tough.
I guess the beauty is that there is always still hope; hope that tomorrow I will wake up and the pain will be less; hope that this flare will burn itself out quickly; and hope that soon things will be looking up again. That's the nature of this illness you never know what is going to happen. I am extremely thankful that I have had some good days though. It is encouraging that my body still does remember how to have them. For once I am going to be greedy and ask for some more!
I've got a beautiful life that I want to fulfill and live preferably without this pain!
Thursday, January 19, 2017
Recovery and Healing
Wednesday, January 11, 2017
Hospital happenings
It is currently 5.30am on Tuesday the 11th. I was awoken at 4.15am and promptly buzzed my nurse for more pain and anti-nausea medication. I have my blood pressure, pulse and temperature checked for what feels like the 100th time. The dim lights have been turned off so the light streams through my curtain. The other patients are starting to stir and I can hear the nurses swiftly walking up and down the hallways checking on other patients. Thankfully I am on the quiet side.
I decide to put Spotify on random and listen to some music to block out the noise and in the hope to drift back to sleep. The first song that ironically that comes on is Coldplays 'Fix you' - 'when tears stream down your face; i will try to fix you'.
The last twenty four hours doctors, nurses, my family and friends have all been trying to fix me. Whether it is in the form of medication, blood tests, IV drips, hand holding, distractions, encouraging words and texts, hugs and kisses.
So let's start at the beginning. I guess you have worked out that currently I have been admitted to the medical ward in the hospital. Like usual, their is a story, the lead up to where I am now so here we go....
About two weeks ago I was feeling off and I couldn't quite pick up what it was. My joints hurt (normal) I was sleeping a lot more (nothing too unusual) and I kept feeling clamy and feverish (not so normal). On Tuesday the 3rd all day I was clamy and became pretty unwell. Then on Wednesday morning around 5am I woke up in severe pain in my left side which reduced me to tears. Dan put the shower on and I sat under there for about an hour trying to gain relief but I knew this pain was different. Still a sobbing mess I rang mum around 7am who decided to come and get me to take me to ED. It was that awkward time that I couldn't quiet wait to be seen by my GP. We didn't wait too long and after peeing into a cup it was ruled I had a bladder infection which had travelled up to my kidney. I was diagnosed with Pyelonephritis so was given morphine and antibiotics and discharged. We naively thought that would be it.
Over the week i didn't improve very much even with the antibiotics. On Friday I saw my GP who stated 'you still do not look very good'. 'I don't feel good' was my reply. We decided to switch my antibiotics again in the hope to kick this infection.
As much as I willed myself that I was feeling better and that the antibiotics were working I did know I was still feeling very unwell. However I was not quiet expecting what has happened to happen next....
On Monday I pushed myself to work...maybe if I got there I could take my mind of everything? Again I was greeted by you don't look well! I was fooling no one. All day I felt naseuous, had a whopping headache and my body ached. Every now and again I would either be cold or boiling hot. After work I went and celebrated my cousins birthday with the family. Put on my brave face again fooling no one. My nausea was increasing and I grew pale (or paler should we say).
Dan and I picked up some takeaways on the way home and several times I felt like I was going be sick. The downfall was just beinging. I managed a bite of dinner but couldn't stomach anything else. Dan suggested I go get into bed and lie down so tucked me in leaving a bowl next to me. Sleep didn't come but before I knew it I couldn't stop being sick. I grew so weak and shaky. My joints felt like they had battery acid running through them ( I was in trouble!). After about my eighth time being sick Dan said he was taking me to the hospital. In true Liv style (yes I know I'm stubborn) I said all I wanted to do was go sleep but if I was sick one more time I would go in. I tried so so hard not to be, surely I was done? Well we all know what happens. Dan bundled me up and drove me to ED then put me in a wheel chair because by this time I could barely stand. We arrived around 11.30. The waiting room was quiet. I was distressed my pain was very out of control. Next thing dad arrived to be there as well.
Once I got my room in ED a cannula was promptly inserted and bloods were taken. Of course it was still my infection raging a war in my body. I couldn't stop shaking from the pain.
This is was the night i pulled my 9 card on the pain scale!
I was in absolutely agony. It's only now i realise how extremely distressing it was for Dan and Dad to see me like that. I kept apologizing to them I felt so bad but couldn't be more thankful to have them there to comfort me.
I was started on IV morphine, fluids, paracetamol and antibiotics. Plus more morphine, more morphine and more morphine. Severe pain and severe nausea don't make for a very happy Livvy. I still don't think I have processed how unwell I was. Dad whispered in my ear you don't need to be brave this time hunny.
I was seen by a junior doctor who due to my complicated medical history and the state of me said I needed to be seen by the medical registrar so the wait began. The hours slowly ticked by. Dan and Dad went between trying to sleep in the hard chairs, reading trashy 1990 magazines and walking around the ward.
The Registrar came and did an in depth assessment on me. After his assessment and the results of my bloods it was decided I was to be admitted for IV antibiotics and pain and nausea management.
By this stage again my nausea became uncontrollable and my blood pressure was scarily low. The doctors had to have a meeting to rearrange the beds so I could be in an isolation room for my own safety due to my low immunity.
I was transferred up finally around 9.30am a whole 8 hours after we arrived. I was so thankful for my own room! I was still feeling gravely unwell with crippling nausea and a scarily low blood pressure. I was seen by the medical team. They were wonderful and talked me through what was going to happen. Plus my nurse was just the sweetest! It is such a comfort when you are so unwell.
Mum came up to be with me and assisted me in showering to see if that would help freshen me up. I felt so dizzy and shaky I had to use the shower chair and mums help. Even at twenty six I needed Mums help to shower me!
After getting changed I lay in bed willing myself not to be sick. My daily medications had just arrived and if I could only achieve one thing that day it was to hold down those beauties. I lay on my back taking deep breaths being so careful not to move. Thankfully I can say that they stayed and that was a huge step in the right direction (it perhaps could have been the increase dose of prednisone).
After a rest mum even managed to convince me to try some soup for lunch. She told me it was chicken soup which I love so I gladly decided to try it. I thought it tasted so delicious then out of the corner of my eye I saw 'creamy mushroom soup!' My sneaky Mum knows I don't like mushroom soup and would have even touched it so she told a little white lie. Soup really helped (even if it was mushroom!)
Then over the afternoon as I napped I had Dan come and visit me; then Dad, Joe and Rhi and finally Mum came and sat with me while I had my antibiotic. My spark was slowly coming back.
At 8pm I began my anti-biotic Gentamicin. Before that I had had fluids running for 10 hours!! Mum said goodnight and I settled down for the night. Thankfully sleep came easily.
The next morning I managed some breakfast and generally did feel a lot better than I had. Dan came up and sat with me as we waited for the medical team. It was decided that I could go on 'leave' and return to the ward till Friday at 8pm for my IV antibiotics. I was so thankful to be allowed to head home to recover both physically and mentally.
I think I'm still in survival mode and haven't properly processed what an ordeal this has been. I am still very unwell and know it will take a while to come back from this. I just had a shower and have been recovering back in bed for over an hour! It's going to be hard but I can do this; somehow I always do.
Thank you to everyone who has texted or messaged me and for all your prayers and get well wishes. Special thank you to my family who once again have been my pillar of strength and comforted me through some dark days. Blessed is an understatement I couldn't do this without them.
So in the words of Chris Martin:
'Lights will guide you home
And ignite your bones
And I will try to fix you.'
Friday, December 30, 2016
The unwelcome guest
Friday, December 16, 2016
Hippy, Hoppy Christmas!
two diamante crutches, one visit to the surgeon!!!
AND THE BEST PRESENT OF A CORTISONE INJECTION





