The impact of chronic illness on young kids

Those of us with chronic conditions spend a lot of time wondering how to manage their impact on our own ravaged bodies and spirits. But along the way, it’s hard to ignore the impact they have on our families. I know that has been a concern with me in my own family. Unlike the extended family which may or may not grasp what is really happening, the impact on the immediate family can be very direct. Even for them, though, a condition like Lyme disease can be confusing and invisible. How this affected my husband and our relationship is a topic for another post, but what I want to concentrate on here is how it affected my children. I have a (now) 4 year old and (almost) 6 year old in addition to a husband who have journeyed through my chronic condition with me over the last three years.

I have found myself writing about this more than once in the past few months, often in impassioned emails supporting friends or acquaintances suddenly thrust into a form of mothering they neither wanted nor planned for. For myself, perhaps the hardest part of this is finding the balance between putting myself first and protecting my children. Here is what I have learned over the years, and some details on how I coped. Read the rest of this entry »

Letter to the editor

Our local paper had an update about Lyme disease this week. The impression it left the reader with was that there is “nothing new here”, there will be a small number of new cases this year in Allegheny county (20-30 I think the article said) and generally not to worry. Considering that this same paper had some relatively comprehensive articles about Lyme disease (e.g., this 2001 article), it ticked me off to see them waste space on something so uninformative rather than discussing tick safety education or talking about the real impact of Lyme disease on the region. I decided to write a letter to the editor of the paper.

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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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Drawn in by false hope

I was hesitant to even write about this experience, because who wants to admit it, but I wasted a lot of time and hope on something that I shouldn’t have. The reason I am telling you this is that if you are ill you have probably faced the same temptations I do, and maybe we can all learn something from my experience.

What exactly happened? I desparately want a cure, and I fell for the promise of one…

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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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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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When it rains it pours

It’s been a while since I posted anything on this blog … when things are good I’m just less motivated –there’s so many other things I want to do, and when things are bad, I suddenly don’t have the time. That’s certainly been the pattern in the last month…

Almost immediately after my last update, I started a major downslide (the beginning of it is described in that post). The whole experience was highly hormonal, with wild emotion changes, extreme fatigue, heat, cold, and so on (and, interestingly, coincided with my period). I ended up leaving early to see my doctor just to get away from it all, and spent a lovely weekend with my 1 month old niece in Philly before going to NY. I arrived at the doctor’s office right around the end of it and was given a new antibiotic (Ceftin).

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Update and mold remediation

This is a radical topic change for a moment, but I want to give a quick update to folks about how the past few months have been. The more distance I have from last September/October the more aware I am of just how sick I was in that period. I didn’t write much about how bad I was feeling, but a few details can be found in the posts from that period (e.g.,still not over…” and “Highs and Lows“) and perhaps their topics are most illustrative — I made my first visit to a support group; wrote about how the people around me could best help, and reveled in a few pain-free moments.  Rather than dwell on the details, I’ll just say that that period of my life makes me even more grateful for what I have now. It took only about 2 days from the switch from Minocyclin to Zithromax for my improvement to start, and while I think I have plateaued, I am definitely doing well.

Last week was one of my best since February 2008, with about 5 or 6 good days and 3 days in a row feeling like my healthy self (boy can that get addictive!) except for the early bedtime. Looking back over my very sparse notes from last Spring I’d say I’m doing about as well as I was right after the IV antibiotics ended. On the other hand, I also still have bad weeks, and this one definitely qualifies. Hot flashes (sometimes every few minutes); nausea; naps (twice a day sometimes); that heaviness in the limbs … time to hole up and rest.

Interestingly, my improvement also coincided approximately with the installation of a device to dry out my house a little more than our basement humidifiers could. Read the rest of this entry »

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 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.

still not over…

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.

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