Feeling better and a few firsts

First some news — I am happy to say that I am no longer suffering from constant headaches, have less dizziness, am not totally soaked when I wake up (though still sweaty) and generally seem to be improving. I still tend to need either an early bed time or a nap or both and have regular swollen and/or painful lymph nodes, but I am less dizzy, less out of breath, and generally happier with how I’m feeling. The improvement started as slowly as the original downturn, and definitely before I changed anything in particular. However it may have spread up as I began taking large amounts of vitamin D and starting the new energy-device. I can’t say for sure, and would not want to draw conclusions at this point. I probably won’t want to draw any real conclusions until I see either a total lack of symptoms (almost never happens) or I go for a year without a relapse. For now I’m just grateful for what I’ve got.

As for the firsts, I have in the last week for the first time had a doctor tell me he thinks I probably never had lyme disease in the first place, and had an acquaintance ask why I didn’t use make-up to cover up the fact that I look tired. Both of these, I am sure, are not uncommon experiences for others in the community. Neither threw me — I’ve been dealing with this long enough that I have fairly stable opinions about what’s going on and how I want to deal with it. However, they were a reminder of the ongoing mismatch between the expectations and views of the average outsider/doctor and who/what I am. I won’t even both to discuss why I think the doctor was wrong, I’ve spent plenty of time already on that in this blog.

But the use of make-up — that deserves a response, at least here if not in person. I know there are many opinions on this, and I have acquaintances with chronic illness who work very hard to make it as invisible as possible. I do not mean to criticize those choices in what I write. But for me, personally, make-up is not a solution. I don’t use it normally, and putting it on just to hide how I’m feeling seems counter-productive. My illness is invisible enough already. I appreciate the fact that people who care enough to look can see that I’m not well when I’m not. It makes it easier when I need to ask for help, or simply contribute less to an event, conversation, etc.  Additionally, while having Lyme disease does not define me, it is part of who I am. I am many things, and I don’t hide any of them. I  don’t see a reason to single this one out.

Back :(.

Although on sabbatical, I’m going to check in with a brief series of posts this month and next. I am in the midst of a relapse (severe night sweats since early january, more recently fatigue, out of breath, headaches and dizziness). After more than two weeks of symptoms that are getting in the way of daily life, the usual fears that this will stay came back and I decided to seek out a doctor (not sure exactly why, as at least the western model usual responds with a lack of solutions, even those doctors who believe that I am sick and, in principal, treatable).

The process went approximately like it does in the US. “Normal” doctors suggested specialties such as rheumatology. A relative has a friend with the long term version of lyme disease. And lo and behold, there is a doctor who specializes in tick-born diseases in Zürich. Another acquaintance has a son who was very sick, normal  treatment failed, and he found a doctor a full city away who practices “bio-medicine”. Of course the doctor’s schedule is full and he wasn’t taking new patients. But the son is apparently totally better now. Sounds tempting, if anecdotal …

In the end, I made an appointment with the tick specialist (reminiscent of an LLMD in how he reacted to me, but commented that antibiotics only work long term because of their anti-inflammatory properties, and interestingly had no experience with co-infections like Babesia, which are apparently quite rare here. A disappointment as the night sweats were making me think that perhaps that was the source of my relapse rather than the Borreliosis, as they call Lyme here). Still, he did a complete work up (blood, heart, even x-ray which I was a little concerned about). I am to go back in two weeks for the results, and partly went through with it all, after the comment about the antibiotics, out of rampant curiosity about the local patient experience.

In the meantime, I received an email from the bio-doc, who has found a way to fit me in, and on Monday no less. I’m intellectually curious about what will come of that, and perhaps because I am in a new country, wierdly hopeful given that I know almost nothing about his approach besides the anecdote of one child’s success… I made a cursory effort to research what I thought it might be (related to the Bionic 880) only to find skepticism in the blogosphere, and evidence that the company that makes the Bionic 880 is no longer partnered with the Dr. most have seen (one wonders why). Again wierdly, still feeling hopeful.

So off I go on Monday across Switzerland to see what happens. It’s been a couple of years since I’ve tried something new, and I’m pretty clear now that relapses are going to continue happening given that I’m on at least my third (significant) one since 10/10. Maybe this will change things. My gut says go for it. Wish me luck!

Running the Numbers (June/July, 2009)

I have entered another two month’s worth of numbers into my stats program and analyzed them. I had my best month ever in June, and it is easily visible in the chart included below.  I had many days with only one or two symptoms, and felt much better, than I have since I became ill. The mean number of symptoms per day was 4 in both of these months, as opposed to 8 or more in past months.

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Running the Numbers (Apr/May 2009)

I have entered another two month’s worth of numbers into my stats program and analyzed them. Of note is the fact that I was apparently hyperthyroid in Feb/March (and maybe before that) but went into remission in April. I’m gaining back my weight now, which apparently was caused at least partly by that.

I’ve created a new way of visualizing my data. The next image summarizes major symptoms since symptom onset (Fall ’06) through August ’08. Major events (such as the mold bloom) are marked at the bottom.

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The meaning of strength

The last two days have been trying. Yesterday, a flare up started while I was at work and quickly got so bad that I could not keep my eyes open. Luckily I was already sitting on the comfortable couch of a good friend at the time. I was able to enter that state of waking sleep that my body demands at times like that without qualms. As things slowly improved, I asked for some soup and we propped me up and ate lunch together. When I had to leave for an off campus doctor’s appointment (something I couldn’t cancel) he found a nice piece of wood and drilled a hole in it and presto! I had a walking stick. Another friend gave me a ride to the doctor’s building, and the walking stick helped me get around where the car couldn’t.

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Flares

My “bad periods” are becoming a regular companion in my experience of Lyme disease. I don’t mean the overarching up and down of my fatigue, headaches, and other symptoms, but the specific moments when I suddenly realize that something is wrong and my body’s demands overwhelm anything else.

At this point they’ve become so common that I’ve named them flares… the experience of each is unique and as a group they are becoming increasingly well defined… so I thought it might be worth documenting what I’m experiencing. Read the rest of this entry »

Running the numbers (March 2009)

I expect this will become an (approximately) monthly post as long as I am still in treatment. I have entered another month’s worth of numbers into my stats program and analyzed them. This month is of note because I switched meds half way through –Penicillin was begun March 13th. At that time, Zithromax, Mepron, and Ceftin were stopped. I also lost 12 lbs sometime between when I last weighed myself (maybe over christmas?) and now, probably due in part to Ceftin causing me to have about 4 bowel movements a day.

The news continues to be good. The charts below illustrate the change in various symptoms from last month to this (click on them to see close ups)

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Proof of progress

I did not realize how important it would be when I started, but for over a year now I’ve been keeping a daily diary of how I felt. At first it was fairly vague and subjective — overall wellbeing, whether I napped, sometimes a symptom that particularly stood out (such as headache or back pain). About 7 months ago, I met another Lyme patient who also tracked her symptoms, and she shared the chart she used with me. I’ve been using it ever since to track about 40 possible symptoms, only missing about 3 days a month. It takes 1 or 2 minutes a night to fill out. I show it to my doctor who sometimes notes trends (symptoms I had all month). I look at it when I’m asked to remember how I felt in the last week and my memory fails me. I sometimes stare at a month’s worth of X and / marks hoping to see a pattern….

Number of pain symptoms per day decreases over time

Number of pain related symptoms per day decreases over time

number of nerve related symptoms per day decreases over time

Number of nerve related symptoms per day decreases over time

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Finding Support

Last night I made my first visit to the local lyme support group (you can find information about the time and location of my group by searching for the word “lyme” on this page, but note that they don’t meet in Dec/Jan/Feb, or find a support group in your area). I’m not sure why it took me so long. It took me months to find the group (I only found it thanks to the help of someone I met through my blog) and then a couple of months to be free on the night that they meet, but I think I was also apprehensive about going.

I’ve already joined a number of email lists (my favorites include Robynns_Lyme_List@yahoogroups.com (which sends out news articles on lyme disease) and <yourstate>Lyme@yahoogroups.com (this is an activist group so you should join the one that’s specific to your state). I also subscribe to the lyme disease research database news blog. There are also some online forums that don’t go straight to my inbox, and as a result I am terrible about visiting them.

So why the apprehension? I guess it’s the fact that every person I encounter seems to have a different solution, which can be overwhelming given my own uncertainty about what to do. And maybe the fact that the few people I encounter who have been cured can’t seem to explain how in a way I can use. And finally the depressing fact that so many people with lyme are facing so many difficulties, from doctors who won’t listen to them to insurance companies that won’t pay for their treatment, even assuming they know what treatment will help. If reading about people online was so depressing, how could meeting people in person be better? But after a month of feeling worse than ever, I was desperate to find people to talk to who could understand what I was going through. So I arranged for a babysitter, and headed out to the Etna support group.

I’m so glad I went. This month’s group included two women who had lyme years ago and were better, one person I know through the blog, and a mother and her two children (who both have lyme disease). The format was simple — we all told our stories (either the whole story or the last month depending on how new we were to the group) and everyone else listened and answered questions when they could. For example, I learned about a new doctor who could help with my mold exposure, and the group was able to put a name to my most recent symptom (“air hunger“) a search term which helped google answer many questions for me later that evening. It was a very late night for me, but it was worth the time and the impact of the late night.

My anxiety was not entirely misplaced. There is no question that the stories of the people around me were as complex, difficult, and frustrating as the stories I’d been reading in my email and in books. But there is a big difference between reading such a story in brief in a news article, and being able to talk to someone in person. I could ask questions. I could see the bravery and power of the people around me. Each of them was a warrior who had taken her health in her hands and fought for her rights. Some had already won, others were just starting, but instead of feeling depressed, I left the group feeling inspired.

I also left realizing (yet again) just how lucky I am. And it makes me even more angry about the situation that I and so many other patients face. I have many many resources at my disposal, from a (twice) positive western blot to excellent research skills, financial resources that allow me to visit many different doctors, an extremely supportive family and work environment, and friends who knew and recommended the doctors I am seeing. Despite all of this, it took a long time before I was diagnosed; I have often had to “prove” to a new physician that I have lyme disease; my first round of medication was stopped earlier than it should have been (or I would not still be positive now) and I struggled to find balanced information about my disease. I still struggle to find a treatment protocol that I can completely believe in. If, like many other patients with chronic lyme, my test results were less conclusive, my finances or work environment less secure, my family less supportive, or I had less information at my disposal, these problems would only multiply.

So as patients, we are engaged in a battle for our lives, as parents a battle for the lives of our children. If we fail, we are labeled with disabilities like Chronic Fatigue, MS and ALS and told to live with it. Our disability may progress, with the many obvious consequences. This not only hurts us, but also introduces costs to society (e.g. medical; taking someone out of the work force). This battle requires us to become activists; may require us to diagnose ourselves, select treatment options, and corral doctors. In a battle this serious, we’d be crazy not to join forces. We can give eachother strength, reassurance, and validation. We can share information and plans. So if you haven’t done so yet, find a support group or form one. You’re not alone.

Pain free moments

It’s funny how sometimes you don’t truly percieve something until it’s gone. That’s how it is with my pain. Last Tuesday or Wednesday my pain finally lifted, and I realized how much pain I’d been in for the past few weeks. Suddenly I was much more understanding of myself-in-pain.

Since then I’ve been pain free for well more than half of each day, and had increasing amounts of energy as well. The first day I couldn’t stop smiling. By the third day it was starting to be routine again to not constantly feel pain radiating from my back and neck.

Let’s hope this is the beginning of the end of my recent endless flare up :).

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