Monday, September 14, 2015

Ask Me Anything: Volume 2

Welcome back! If you missed my first post, here it is! These questions are based on a /r/AMA (Reddit's “Ask me Anything”) where I did one based on my experiences as a young woman with an autoimmune disease. I got loads of good questions, and I'm back to answer round #2 of three questions submitted by users. If you have questions of your own that I haven't answered, shoot me an email and I would be glad to add them to my next post! So, without further ado...


Mollym00n asks:
“What is your diet like?”

I don't abide by one specific diet, but I do tend to avoid certain foods and eat more of others.

A common side effect of Lupus is anemia, which can be a cause for chronic fatigue. I feel less fatigued when I am eating foods and taking vitamins that are helpful for anemics.

Vitamin B12 plays a large part in my life. Taking a supplement each day usually proves effective in dealing with the energy I would otherwise lack. It's a common treatment for anemia, and it certainly helps me! However, you can also get B12 from food, especially meat. This can be difficult for some people, like vegetarians or, people like me, who like meat but have trouble digesting it. So, supplements it is!

Eating healthy is important when you have an autoimmune disease because the better you treat your body, the easier it's going to be to maintain your appetite, sleep patterns, exercise and day to day activities. Finding a meal plan that works for you is a wise decision. (She says as she desperately tries to hide her bag of hot Cheetoes.)

http://patientadvocates.com/sites/default/files/vitamin-b12-benefits1.jpg



“[...Describe] your journey from first having symptoms bad enough to see a doctor to actually achieving a diagnosis to figuring out your current ways to cope with [Lupus.]”

I can trace my symptoms back to childhood, feeling overly fatigued and dizzy for no reason. As a teen, I was diagnosed with anemia, and saw a cardiologist about a tightness in my chest and shortness of breath that they couldn't explain (which I would later come to find was a common symptom of lupus.) My back pain started as a teen, but peaked when I was about 18. That's also when the chronic fatigue began, and I found out I had scoliosis.

I didn't understand the necessity of having a PCP (primary care physician) for...well, way too long. I'd go to walk-in clinics, believing that after a course of Norco and some bed rest, it'd let up. Well, it didn't. Eventually, it became infuriating, as the pain was so bad that I was failing in college. I saw an FNP at my school, and he was the one who ordered the Xrays and bloodwork that showed that I had scoliosis and a positive ANA (and autoimmune disease.) But since he wasn't an actual doctor, my Lupus wasn't properly put in writing.

My first PCP did one series of tests himself and (mis)diagnosed me with Fibromyalgia. It wasn't long before I left him for another PCP. I was with this one for a couple years. He helped me with pain management, but he never had enough time to sit and speak with me long enough to get a diagnosis. He was so booked that I couldn't see him for 3-6 months at a time, which is not ideal for someone needing monthly medical attention.

When my PCP was booked one day, I saw a different doctor who actually sat and talked to me. She said that if I were her patient, she'd order buttloads of tests and Xrays. She also agreed that my Fibro diagnosis was likely false, and also leaned more toward accepting that it was an autoimmune disease. She is helping to solidify my Lupus diagnosis right now, as my new PCP. She is wonderful.

This PCP is a Godsend. It took me up until I was 24 to get diagnosed. In total, my search for answers went on for 6 years, and took 4 primary care physicians, along with countless other medical staff.



“What is the most significant way in which this disease has effected your life?”

Mostly it's the pain. I wake up with it. I go to sleep with it. I run errands with it. As I continue to perform tasks that I love and indulge in my favorite hobbies, it's there, sometimes subtly and other times threatening to take me out of the game for the day.

It took me way too long to understand that the pain and fatigue wasn't normal. I've had it since I was a kid. And as an adult, I feel resentful because of the adults in my life being ignorant.

In 8th grade, my scoliosis-check nurse couldn't tell if my spine was crooked or if my pants (which lacked a button) were the issue. My foster guardian yelled at me that night for having shitty pants (not that I got to choose my clothes in foster care.) Being angry with me was, evidently, more important than following up on a medical anomaly. While I was still growing, I could have had a back brace. But my scoliosis wasn't confirmed until I was an adult. I have much pain because of it.

Actual X-ray of my crooked-ass spine and uneven (but still luscious!) hips.



When I went back to live with my mother, I started getting sick. Here and there, at odd times. She blamed it on stress and didn't think anything of it, but I finally got her to take me to the doctors. I saw two pediatricians. I came up positive for anemia, but my doctors continued to refer me to counselors for stress. I was having tightness in my chest (common with Lupus) and was referred to a cardiologist. The EKG caught some irregularities, but the doctors wouldn't accept them, as they were printed too dark. Instead of getting new ones, the whole thing was dropped and once again I was referred to counselors...and even God. God...was my doctor's answer.

In short, I resent that all of this happened. Nobody took me seriously, and if any of these symptoms had been caught earlier, I could have had a much different outcome. I try my best not to dwell on it and I appreciate future goals more than I do hovering over past mistakes. But it still hurts, and it still effects me.

~

Thanks for reading! Sorry this one was so depressing there at the end. Sometimes, these aren't easy questions, but they're still totally relevant. I just hope that chronic illness awareness, especially in youths, spreads from doctors to parents to peers, because young kids do get sick and if it's caught early, it can really make a difference!

See you next time!
For questions, comments, concerns or kittens, shoot me an email. Also, if you have questions of your own about my health, I would be glad to further my AMA and post them!
Contact me at NikeNicholson@gmail.com and have an awesome day, my chronic cats!


BONUS XRAY!
An X-ray taken when I had a septum ring!

I took an over-the-counter pain reliever to the butt and now I owe over $150. Oops.

Today, I opened up a bill. Expecting it to be a hospital bill I couldn't pay, I was relieved when I realized it was a bill I already new I had regarding an uninsured visit to my primary care doctor. No big deal, I knew I owed them a hundred bucks or so from when my providers cancelled my insurance. What I didn't know is that I was charged $152.00 USD for a shot of Toradol to the ass.

Ketorolac tromethamine, AKA Toradol, is a simple NSAID (non-steroidal anti-inflammatory drug.) Other NSAIDS include: Ibuprofen, Advil, Aleve, Excedrin, and Motrin. All very common, over-the-counter drugs that many of us have lying around in our cabinets. If I go to the drugstore, I can purchase a very high-end bottle of roughly 30-50 fast acting gel capsules for roughly ten bucks. If I go to Walmart, I can get bulk pills for cheaper. Yet I was charged over a hundred and fifty bucks (plus, was stabbed in the ass.)

My point is, there are so many ways that insane expenses can be tagged onto your bill. I was in pain that day, and not vigilant, when I clearly should have been. So just ask yourself, “Is being stuck in the butt by an over-the-counter medication really worth a bajillion dollars?” Probably not.

Be careful with your monies, friends!


Love, Nike.

Tuesday, May 5, 2015

What on earth is a "Pain Chameleon?" (Contest!)

Recently, a Redditor with a chronic condition coined a brilliant term to describe their pain, that term being “Pain Chameleon.”

Many of us who undergo chronic pain and fatigue eventually learn to interact with others in a fashion that is socially normal – more or less. Eclectix, the creator of the term, describes it well in their wonderful post:

I recently coined the term "pain chameleon" to describe my natural tendency to disguise my pain. I don't even think about it, and I'm not sure I could stop even if I wanted to, because a lifetime of chronic pain and illness has forced me to act like this is normal in order to interact with everybody else in a meaningful way.

If I reacted the same way people without chronic pain and illness do when they feel the sort of pain and illness I routinely feel, then I would constantly be inconsolable, morose, grimacing, weeping, complaining, writhing, and occasionally screaming. There is no way that you can go through life like this, so even as a child I learned to just act like nothing was wrong.


This way I can still manage to have friends, protect those I love from constantly suffering from my own problems, and have some sort of a life. The problem is that it also isolates me and can even prevent me from connecting or reaching out when I really need to.”

"...a lifetime of chronic pain and illness has forced me to act like this is normal..."

This term is fantastic, because it encompasses that habit we all pick up living with chronic pain or fatigue; eventually, we all adapt to some degree in order to comply appropriately with activities or social interaction. Not only is the term creative, but "social chameleon" could easily be used to describe your pain habits to doctors when they ask you to rate your pain or inquire about painful symptoms that often effect you. 

Next time you describe this to someone, use the term "pain chameleon" and get the word out that just because you've learned to carry yourself well doesn't magically take away the pain!


Design Your Own Pain Chameleon!

Design your own "Pain Chameleon" via crayons, paint, digital media, whatever!
Submit the new face of the pain chameleon to:
NikeNicholson@gmail.com
All chameleons will be posted, and a winner will be chosen. Please keep the drawings appropriate. Send all submissions by May 31st. A winner will be declared on June 1st along with the posting of all the awesome chameleons y'all send!

Ask Me Anything: Volume 1

An avid Redditor, I recently posted an “Ask Me Anything” regarding my condition in order to prep for the launch of my blog.

I've found in situations where people don't understand chronic illness, people tend to be afraid to ask serious questions in fear of offended the person with the condition. It's true that some people are touchy due to idiot remarks like “you don't look sick” or “when will you get better?” And admittedly, sometimes we can appear guarded because of this.

But ignorance and earnestness are not the same as stupidity – I know that people have relevant questions. I wanted to create an angst-free environment where people could feel comfortable to ask anything and everything.


The questions I got were pertinent, legitimate, interesting and very thoughtful!



DalkonShield asks:
“What is your autoimmune disease?”

Systemic Lupus Erythematosus, AKA, “lupus.” An autoimmune disease happens when the immune system sees good cells as foreign cells and attacks the body. Each autoimmune disease works differently. Someone with Crohn's will have more gastrointestinal problems, and a person with Thyroiditis will have trouble with their endocrine system, hormones and glans.

Lupus is unique in that its symptoms are pronounced yet very strange, seemingly random at times. This can make lupus terribly difficult to diagnose. There is no one test for lupus. Doctors often times rely on observing their patient's symptoms. Common lupus symptoms are: butterfly rash, hair loss, mouth ulcers, icy fingers and toes (Raynaud's Phenomenon,) breathing/chest problems, and kidney trouble. See? Very strange symptoms!

waheveH asks:
“How do you tell people you have a chronic illness? How do they react?”

Usually, it comes up eventually in conversation. This is a good example of it coming up naturally, resulting in further inquiry:


Idle conversation is usually how it comes up, focusing on one topic or another. Living with a chronic illness is just so pertinent that it applies to lots of normal situations, like hair, food, sleep, etc.

Most people respond simply by being interested. A lot of people don't really know about lupus, but seem curious about it. I never mind explaining. Knowledge is power! Though sometimes, people don't know what to ask, or don't want to pry.

There have been a few people who reacted badly, but these people were clearly set in their ways and very obviously couldn't imagine being sick each day. I'll usually do my best to educate them. If they still don't understand and refuse to try, then I walk away. People acting negatively due to ignorance is one thing, but purposefully propelling one's stubbornness in lieu of trying to understand others is simply irresponsible, with no dignity, and I don't tolerate it.

truewire asks...
“What are your day to day struggles living with Lupus?”

There are 2 types of struggles I deal with: physical and emotional. The most influential day-to-day physical symptoms often include chronic fatigue, back pain, inflammation and sleep problems. Sometimes, getting up to work or play isn't an option. But there are good days too, and I cherish each one! I also have to properly manage my medications daily.

Emotional struggles often feel more tiresome than the physical symptoms. Sometimes, I feel guilty for not being able to do things normal people do; if I can't work or help others, I feel bad about it. But feeling judged is one of the worst feelings of all, especially when doctors or “friends” are the ones doing the judging.

In short, I have to learn to manage my symptoms in the most effective way possible and come to terms with having a lifelong illness. I have to be okay with myself as a person, too. Basically, holding onto hope and faith becomes essential, because some of the daily struggles of lupus would tear a person apart without a balance of good in their lives.

~ Fin

Doing this AMA was a life-changing experience, because suddenly, people were coming out of their shells to ask the big questions or talk earnestly about their own problems. It became a safe environment for people to express their problems and keep from judging others based on things like the severity of their pain or how they look on the outside.

Submit your own question!
If you have a question about my condition, whether it be a question about health, lifestyle or something more personal, you can send your questions to:
NikeNicholson@gmail.com
Or, send your name, email address and question in the "CONTACT NIKE" box on the left menu of this blog. Don't be shy! Every question helps fuel the blog and rally support!

Stay hopeful and fight the good fight!
- Nike

Monday, May 4, 2015

"Chronic Illness Cat" A Meme for Us!

I cannot emphasize enough how much I adore cats. So when I found out that this meme existed, I just about shat my pants...which for some of us, is just something that happens on occasion. But now there's a cat to encompass that!

You can find the meme's page HERE. Here are some pictures of this godsend from the interwebz! Happy browsing!

Chronic Illness Cat - Morning: 6 cups of coffee to wake up Evening: Take Sedatives to go to sleep

Chronic Illness Cat - Can remember Phone # from Childhood Can't remember what i just walked into this room for

Chronic Illness Cat - 'you can't drink coffEe now, you'll be up all night!' ahahahaha.

Chronic Illness Cat - Break down at dr office because of pain DIAGNOSES: Depression

Chronic Illness Cat - Phone Rings. Triggers Panic Attack. Every. Single. Time.

Chronic Illness Cat - you know you have fms when... every conversation ends up like a game of pictionary

Chronic Illness Cat - I don't give a flying spoon No really, I don't have any left To give today

Chronic Illness Cat - my body is staging a violent rebellion

Chronic Illness Cat - diagnosed with fibromyalgia nobody believes me because i'm a guy

Chronic Illness Cat - Mother in law gets you bunches of cozy fleecy things for christmas you quickly decide you now truly love this woman

If you'd like to show some support for their creators, check out the website and spread some upvotes. Or create your own and send it in!

"May the 4th be with you."
Nike


Friday, May 1, 2015

Happy Lupus Awareness Month!

Happy Lupus Awareness Month!

It's estimated that over 5 million people worldwide are living with Lupus. Participating in Lupus Awareness Month is a great way of celebrating the life of everyone with this disease!

The international symbol for Lupus awareness is the purple butterfly. Purple is a color commonly used in awareness campaigns. In some cultures, the color purple represents sacrifice. The butterfly is used due to malar rash, or “butterfly rash,” a common symptom among those with Lupus.

Whether you have Lupus or you know someone with Lupus, there are a ton of ways you can show your pride and support!
  • Get to know your friends with Lupus
    • Respectfully ask what they deal with, and what day to day life entails
    • Make an effort to understand their mind and body in order to offer positive help should they ever need it
  • Don some purple! Wear some butterfly jewelry! Make your support loud and proud!
  • Learn more about this disease and other illnesses; visit reliable websites and read up!


Remember, May 10th is Lupus Day. But awareness doesn't end with the 31st! Awareness can happen any day of the year. If it fancies you, get a shirt or a bracelet to show your support for everybody in the world with Lupus!

Here are some ideas as to how you can get your purple on:

Purple Awareness Ribbons
http://www.elegantmedicalalert.com/assets/images/lupus-awareness-purple-lavender-ribbon-charm-key-chain.jpg

Awareness Bracelets
http://ep.yimg.com/ay/yhst-65361177377116/support-lupus-awareness-purple-wristband-15.jpg



Jewelry

https://img1.etsystatic.com/019/1/7723834/il_570xN.473220885_ekw6.jpg

Tattoos

http://fc05.deviantart.net/fs71/f/2014/037/b/5/lupus_butterfly_with_lotus_tattoo_by_xorn01-d75d6ea.jpg

Shirts and Clothing

https://s-media-cache-ak0.pinimg.com/736x/58/a2/93/58a293cd215c7dcbffe93c94825ab400.jpg

Stuff for your Website/Page

https://s-media-cache-ak0.pinimg.com/236x/9c/66/c1/9c66c137f8f5a74719f4fc073d2eafe5.jpg

http://www.pagecovers.com/user-covers/05-17-2013/lupus_awareness.jpg


You can show your support for The Purple Moth by recommending this blog using the icon on the left side of the page. Also, feel free to add me to Google + to keep up with TPM, or bookmark or share this blog with your friends and other supporters. Help spread support!

Stay strong!
- Nike