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.
Running the Numbers (June/July, 2009)
July 27, 2009 at 9:19 pm (my story, symptoms, treatment)
Tags: progress, stats, summary, visualization
Running the Numbers (Apr/May 2009)
June 3, 2009 at 11:05 am (my story, symptoms, treatment)
Tags: antibiotics, fatigue, headache, healing, hyperthyroid, progress, stats, summary, visualization
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.
The meaning of strength
May 12, 2009 at 10:16 am (symptoms, thoughts)
Tags: flare-up, headache, thoughts
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.
Flares
April 10, 2009 at 8:57 pm (symptoms)
Tags: flare-up, nausea
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)
March 28, 2009 at 8:50 pm (my story, symptoms)
Tags: antibiotics, fatigue, headaches, healing, neck, progress, stats, summary, visualization
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)
Proof of progress
March 12, 2009 at 8:16 pm (symptoms)
Tags: improvement
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 related symptoms per day decreases over time |
![]() Number of nerve related symptoms per day decreases over time |
Finding Support
October 14, 2008 at 6:36 pm (my story, symptoms, thoughts)
Tags: activism, air hunger, links, resources, support, thoughts
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 desparate 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
October 5, 2008 at 7:17 pm (symptoms, thoughts)
Tags: pain
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 :).
still not over…
September 26, 2008 at 6:16 pm (my story, symptoms)
Tags: fatigue, flare-up
This definitely counts as one of the longest “flare-ups” I’ve had (or maybe it’s just more than one back to back). For the last week, I’ve had continued difficulty concentrating, ringing in my ears that makes it hard to go back to sleep in the middle of the night, headaches galore, and dizziness (again!). To top it all off, I had a severe bout of fatigue again today that lasted for 6 hours.
It started in a meeting where I could hardly keep my eyes open. I dragged myself to my office and collapsed on a futon I have handy that pulls out into a bed. My hands grew cold, and chills and shaking ensued. 30 minutes later I tried to go to the bathroom. I made it, but with more chills and shaking. It seemed clear this was a major episode that wouldn’t resolve quickly, and I’d also had repeating episodes of dizziness at the end of the day that made it hard to get home safely, so I decided I’d better ask for help getting home from work. I managed to get my phone and IM a friend, but even the effort of lifting my fingers to type was almost too much. Two friends got me to a car (I had to lean on one to even get there) and drove me home. I asked my in-laws to take the kids (my husband is out of town, and I couldn’t have done much for them myself).
My fatigue lasted 6 long hours in which I basically couldn’t lift a finger without getting out of breath, couldn’t project my voice without getting out of breath, didn’t have the energy to hold my head up, couldn’t sleep, couldn’t think, just couldn’t. Even breathing felt difficult at times. My whole body was tingling for much of it.
When the end came, it was as sudden and unexpected as the beginning. One of my friends called to see if I needed anything. I needed company, and fluids, and asking for soup got me both :). By the time she’d finished ministering to me, I could sit up, type, talk and hold my head up. Each one a small miracle.
Several friends have advised me recently to take this one day at a time. Worrying only makes it worse. It’s not easy to do so, but in that vein, I’ll end this by saying: I guess we’ll see what tomorrow brings. For now I’m going to enjoy my breath, my hands, my voice, my freedom.
Managing Lyme’s Unpredictability
September 13, 2008 at 3:29 pm (symptoms, thoughts)
Tags: fatigue, flare-up, headache, time-management, work
One of the most frustrating things about this illness is the unpredictable nature of its flare-ups. Even without flare-ups, the illness is unpredictable: one month I am dizzy each time I stand up, almost to the point of blacking out, the next I have to wear sunglasses and a hat indoors if the lights are on. One day I feel like myself, the next I am functioning but fatigued. One hour I have a headache, the next it feels as if the clouds have lifted and the angels are singing and I can concentrate. Anind, I say, take the kids, I’m going to write!
So … the normal ups and downs are manageable by being flexible and agile and having great support at home and work. I apply the same skills that helped me when I had a repetitive strain injury that limited me to 30 minutes a day of typing, the same skills that helped when I had a newborn and was a (relatively) new faculty member: I stay organized, so that I know what is most important and most urgent (not the same thing) at all times. I also have a very good sense of what I can do in what condition. Then I stay on top of all the mundane stuff, and whatever I can do that is important or urgent. This takes planning and organization, especially when my work hours are limited, but it is possible to do. And the advantage is that when the opportunity to really think arrives I am able to use it effectively. If the timing is bad, I rearrange my schedule when possible.
But even the best organizational skills in the world (and mine are pretty good) mean nothing when a true flare up occurs. Not the rapid changes described above, but the sinking suddenness of pain, fatigue, and headache that is inescapable and complete. One time I went within the course of an hour from (literally) doing handsprings on a gorgeous spring day in my child’s school yard to laid out on the couch napping when I was supposed to be watching her. This week (2 weeks into my first attempt to teach again) I had a similar descent. After biking Elena to school and standing around happily for an hour I suddenly found myself unable to hold my head up long enough to iron napkins (a “chore” the adults help with) and had to lay down. By the end of the day my light sensitivity had spiked, I had a headache, hot flashes, back pain, ear pain, extreme fatigue, and a total inability to read or write. A good friend (Scott) observed my descent and offered me a ride home, where I collapsed on the couch and barely left it for 2 days (we’ll see what tomorrow brings). The cause? Possibly wearing an item of clothing with some dust on it, but mostly unknown.
Clearly I have the ability to write now, and in fact I am lucky that even at this nadir my experience of lyme is unpredictable — yesterday and today around 4 or 5 pm the cognitive symptoms lifted and I could concentrate for a little while, enough to take care of a few fires, and of course I was prepared and knew the important ones. Having a job and family I love helps — rather than sinking into the remaining symptoms I’d much rather focus on the things I care about when I can.
I am lucky that the first two weeks of the semester were relatively a good period (though tiring) so I was keeping up, Friday was a planned work at home day and now it’s the weekend. I’ll have to hope that these flare-ups continue to be relatively rare and confine themselves mostly to “convenient” times (i.e. days I am not teaching). Even so, with the CHI deadline coming up on Friday, losing days of work is hardly convenient and will require even more careful use of my time in the coming days.
I remember that when I first began to comprehend what I was facing, around the time I started this blog, I read some other blogs (linked off of this one in fact), and found an essay on this same topic. The author talked about embracing her flare-ups by pampering herself with time, simple enjoyable activities (like a good movie if she was up for it) and compassion. While most of the essay (above) has to do with how to maintain my job in the face of lyme’s unpredictability, her advice is worth following. When work is neither possible nor enjoyable, acceptance, compassion, and a good pampering are a crucial ingredient to something equally important — maintaining my sanity.

