Rheumy appointment today

timer lady

Queen of Hearts
Heather,

Witz has given you many suggestions that are full of common sense. You know that I have been fighting for a diagnosis ~ to make some sense of what is going on with my body.

I continue to have the same symptoms with no clear diagnosis. While I have many "working" diagnosis's there is nothing that fits one syndrome, disease or disorder. The last time I was at Mayo Clinic both the neuro doctor & the rheum doctor told me how ill I was but they couldn't put a name to my illness. Both of these doctors said that they treat many patients with no clear diagnosis; they treat the symptoms & track things very closely.

And that is what is happening with me. The diagnosis that fits the best is Susac's syndrome but not all the criteria is met for that diagnosis; I may have vasculitis; I may have dermamyosistis or any other number of other disorders. However, I'm being treated for the symptoms & for the pain so I can function.

No one is speaking of recovery anymore ~ we are working out maintenance treatment plans. The priority being my confusion, my vision & severe hearing loss, managing my fatigue & then building my muscular strength. I continue to do my minute laps about my living/dining room 3x daily. In the meantime, my dad & brothers are coming to help husband build a ramp for getting in & out of my home next month.

I guess what I'm saying in a roundabout way is that the symptoms can be treated with-o a clear diagnosis. You will know soon enough if the treatment isn't appropriate.

Like Witz, my GP manages the daily pain medications, the blood work & the communications that need to be handled. The specialists are willing to kick in their opinions for SS purposes if I choose to apply for disability.

I have learned to ask for help ~ I was once a woman who could & would handle any situation thrown my way. Now I need help when I drop my keys & I ask for it. I have learned to gracefully thank those kind people who hold the door open for me rather than get angry. That's difficult for me as I was always a very independent competent woman. I have designated household chores between kt & husband. The ones I can handle I do; sometimes with help, other times I manage on my own.

I have my pity parties; I despair at the stress my illness is putting on my family. I despair at the woman I once was & miss that woman. And I celebrate my good days. You will do the same.

You are in my thoughts & prayers.
 

DammitJanet

Well-Known Member
Linda...you are very wise. I struggle everyday to come to that place. I was complaining just yesterday to my therapist about what life is like living with "chronics". With an acute illness or injury you know that in a matter of time that things will get better and your life will return to normal. Once you have a chronic condition, you have to re-design your whole outlook to who you have become with your new limitations and it isnt easy and sometimes it just plain hoovers.
 
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flutterbee

Guest
I would be totally ok with treating the symptoms, but we're not even doing that. Everyone seems to think that I'm going to end up with a diagnosis and both my GP and neuro thought it would be the rheumy. The rheumy thinks either the neuro or now an endocrinologist.

I saw this guy 3 weeks ago and he was so passionate about wanting to find out what caused everything. Saying he was going to have to do some thinking and some reading, saying there had to be a common thread. And yesterday was totally different. He was completely dismissive.

So, I keep getting my hopes up - and everyone seems to keep thinking I should - and then they come crashing down. If someone would say, this is as good as it gets, then I could plan for it.

I see my GP today. Was supposed to see her at 9:30, but as I have no stupid car and need a ride I got it pushed back until 1:15. I didn't have a way to get there at 9:30. We'll see what happens. I'm afraid to even hope.

The rheumy mentioned a new NSAID called Mobic or something - I haven't heard of it. I'll talk to her about it, but honestly, if they keep saying that my bloodwork doesn't show inflammation, I don't know why they keep putting me on anti-inflammatories. They need to make up their mind.
 

witzend

Well-Known Member
NSAIDS are so hard on the stomach and kidneys. I would be reluctant to take them too much. Linda is right. One of the hardest things is to realize that when you drop your keys or whatever, ask someone to pick them up for you. I often ask strangers on the street to give me a hand going up a step if there isn't a handrail and I haven't got my cane. I just say "Can I grab your hand to help me up/down this step?" They never say no.

I hope it's not too late to advise you to talk to your GP about treating symptoms and helping with ADLs. Get those grab bars and make sure all of your railings are strong. There's no reason to haul yourself up the steps if you can guide yourself with a rail.
 

DammitJanet

Well-Known Member
Good lord...he said Mobic was New????? I tried mobic years ago!

I think the hand rails are a good idea. I wonder if I could get them put in a mobile? I am going to start looking into things to make life easier for me. I want that stool Linda has. I also need a ramp for my front door because the front steps are just too much for me anymore. I have no idea if Medicare pays for any of this but I intend to find out. One of my bigger problems is getting up from a seated position so I am gonna look into seat lifts. We dont think its going to be a real long time before I will be in a wheel chair either. Especially for taking me out places.
 
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flutterbee

Guest
Well, I saw my GP and she is just so wonderful. She is really surprised that the rheumy was so dismissive yesterday. She said when she got his letter after my first appointment that she was really encouraged and even asked the receptionist if she had read it. She's going to give him a call because she's wondering if he had forgotten my case and just saw the lab reports yesterday and that was it. She has a hard time believing that I have all of this bursitis/tendonitis in so many different areas with nothing causing it.

She gave me a copy of the letter from the rheumy. It clearly showed I had tenderness and swelling. He said, "I told her that I needed to study the situation and probably see her at least once or twice." "Clinically, she does clearly have bursitis tendonitis. I do not think it is really very useful to classify her as fibormyalgia or chronic fatigue as these may obscure other diagnosis." "I think it would be good to try to clear up some of her severe musculoskeletal pain, see how her fatigue does and then see whether we could define any other problems or pathology that needs to be addressed."

So what happened between that letter dated May 29 and yesterday, I don't know.

My GP went ahead and started me on Plaquenil. It's an anti-malarial drug that is also used to treat lupus and sometimes RA. It's the only thing along those lines that she is comfortable prescribing and that the insurance will approve because the others need specific monitoring and as she isn't a specialist the insurance won't approve it for her. She did switch me from naproxen to mobic just to see, wrote me a script for pain medications, added back lisinopril for my blood pressure and there was something else I can't remember right now. I dropped off 5 prescriptions.

She's going to put a call into the rheumy and wait to hear from him before referring me to an endocrinologist.

She also wants me to see my cardiologist about something called pheochromocytoma. I'll have to look it up, but it has to do with the adrenals and will cause high blood pressure and the symptoms I have when my blood pressure goes up made her think of it.

So, that's that. I do like my GP, but as she is not a specialist there is only so much she can do. The rheumy said something about clearing up the severe pain, but he didn't say how.

As far as the ADL's...I do have my kids pick up things when I drop them. I don't have any steps in my house anymore since I moved - which is wonderful cause I really, really struggle with them. I'm going to have to get some kind of handrail for in the shower. I could really use a mobility stool, but I'm waiting on that for now. I need to get something to use to open jars.

I'm just tired and in pain and frustrated and discouraged and feeling pretty useless right now.

Thank you for the support and ideas. I do appreciate them. I'm just really not fit to be around right now.
 

Tiapet

Old Hand
Yes Janet, you can do handrails in a mobile. My grandmother had them. Medicare will pay for things you may not even realize. You can attack it from one of two fronts. Which ever you find easier or more responsive to your calls. You can call your local area on aging to find out if medicare will pay for the items you are seeking as they will know or you can obviously call medicare themselves.

Heather, I'm glad your GP is so good. Mobic isn't new and did absolutely NOTHING for me many years ago long before I was in this condition. It was like taking candy.

I swear, so many of us could have our own pharmacy at the rate we're going. Espeically with all the medications we've either tried and failed with and/or are on right at the moment combined with our childrens & families in general. Scarey thought.
 

totoro

Mom? What's a difficult child?
Considering husband still goes into remission, I feel we are still so lucky. I honestly don't know how you function some days? The clarity and compassion and selflessness that you show in your posts is amazing.
One would never know how much pain and misery you experience on a daily basis.
I have no answers, just a big hug. I am once again disappointed by our medical system.
 

witzend

Well-Known Member
I'm glad that your GP was able to help. If you are not able to access help from Medicare for ADLs, try your church, or the local Vocational Rehab, Salvation Army, or United Way.
 

DammitJanet

Well-Known Member
Im joking here so dont take me serious...but...ya know we could almost start a swap pharmacy with all the medications like tia said. I have a virtual drug store in my safe...lmao. The only thing I dont end up having on hand is antibiotics. Maybe I need to make a trip to Mexico!

I will have to keep in mind calling the area agency on aging and the United Way about the ADLs. It just boggles my mind that I have to call those places for ME! Im not supposed to be old yet...lol.
 
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flutterbee

Guest
BBK, you're so sweet. I just have to pull myself out of this funk. I'll get there.

Janet - I not only could swap out people medications, I could do animals medications, too. It's unreal the number of pharmaceuticals in this house.

Thank you all for your kind words. I appreciate each of you.
 

totoro

Mom? What's a difficult child?
Heather~ how you doing today? I was just thinking about you. I saw a beautiful yellow butterfly out my window and was thinking how I bet you wish you could just fly away at times. I was just trying to think hard some good thoughts your way, some pain free thoughts your way... did you get them???
 

susiestar

Roll With It
Heather,

I hope today was a better day for you. I know completely how frustrating it is to have a pharmacy in your home and nothing that helps.

Plaquenil is probably a good starting place. If it works it will tell the docs something about your disease. If not, that also gives them info. I am glad the GP was going to contact the rheumy. It really does sound like the rheumy got you confused with another case.

Sending big gentle hugs,

Susie
 
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flutterbee

Guest
Yes, T, I got the thoughts. I was able to sleep and it wasn't even interrupted for 3 whole hours. Thank you.

Maybe the rheumy didn't say Mobic was a new medication. Maybe he said it was 'another' NSAID. I was pretty upset at that point and with my memory issues... I remember a few years ago, my GYN put me on something...I think Ponstel (sp?)...for the abdominal pain from endometriosis. But, I remember that it really worked well on all of my other pain, too. Of course, it wasn't as bad then, but if the Mobic does nothing maybe I'll try it again.

I haven't started the new medications, yet. I have so many medications - some I take in the morning, some at night, and some both - and I'm going to read about them and decide when I should take them. If they have a chance of upsetting my stomach, then I'm going to take them at night. And I think I did the lisinopril at night before because it causes fatigue, but I don't remember. Sigh.

Thank you again, ladies. You've all been my rock this week.

(((hugs)))
 

DammitJanet

Well-Known Member
Plaguinal...what is it for again? My mind is going too...lol. Ponstel...dont think I have heard of that either. I am trying to sound it out and think of anything that sounds close...lol.

Honestly Im ready to just start cutting body parts off and see if that makes me feel any better. Nothing else seems to work.
 
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flutterbee

Guest
It's Plaquenil. It's an anti-malarial medication that is also FDA approved for treating lupus and RA - although it is used mainly for lupus as opposed to RA. It takes a while for it to start working. I read about it in the past. I think it takes a couple of months for it to work.

Ponstel, if that's how it's spelled, is another NSAID. I had no idea there were so many. It's used mainly for abdominal pain, but I remember when I took it before, I seem to remember it really making me feel better all over.
 

DammitJanet

Well-Known Member
Well Heather...dont think you want to try Ponstel...lmao:

  • NSAIDs may cause an increased risk of serious cardiovascular thrombotic events,myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk (See WARNINGS).
  • PONSTEL® is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery
 
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flutterbee

Guest
All of the NSAID's carry those warnings. But, they keep putting me on them. I'll have to see what my cardiologist says about all this.
 

Tiapet

Old Hand
Heather, let me know how Plaquenil goes. I was suppose to start Enbrel but I have been fighting them on it tooth and nail because of all the risks involved and because I absolutely have a phobia of needles. My hematologist suggested the Plaquenil as an alternative and I haven't suggested it to the Rhuematologist yet (can't seem to fit a trip into his office in). The only down side is Plaquenil, if I recall, also had a risk. I think it was for kidneys or something. Darned if I can recall now. But I do recall thinking maybe that's why Rhuematologist didn't even consider it himself on me.
 
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