Hair today, gone tomorrow...

Over the past month and a half, I've been experiencing some serious hair loss. My hair has always been ridiculously thick, so to the average observer, you can't really tell. But if you know whats going on, you can tell. And as the title suggests, my biggest fear is that it will disappear in the near future. I've been losing hair in increasingly larger chunks as time has gone on, and the question that haunts me is this: how much longer can this continue before other people start to notice and before there's nothing left to lose? Seriously. I've joked to my sister that if I could untangle the mess that I've been losing, I'd have enough to make a decent wig in about a week. It's been that bad.

Today, I must admit, has been the worst of it. When I pulled out my pony tail holder there was a tangled clump attached to the band. I've been gently running my fingers through my hair before washing it lately, trying to limit the amount that could get stuck in the drain. And today there was a lot--pre wash.... Another couple clumps while washing, and a surprising amount after while combing it out before drying, and I have to say, I almost cried when I saw how much hair was in my hand that time. But I was in a hurry, running late for church so I brushed it off (some of it quite literally...) and kept going. When I got home and saw how much hair was in the trash can next to the sink, thats when I lost it. Today, I cried because I'm losing my hair. Even writing this I'm fighting back tears. It may sound vain and superficial, but what 27 year old woman can deal with the fact that they're losing their hair? You may be a better person than me, but I'm not taking it well. At least not today.

I've been ignoring it to this point, but when my mom, the nurse, who usually tells me its nothing to worry about and its not worth bothering the dr, tells me that maybe I should call and ask if theres something that would help....well that just broke down my last bit of control and indecisiveness over there being a problem. I can certainly tell that its thinner. I'm shocked when I pull back my hair and notice how much of a difference there is in how thick it used to be. But then I'm used to what it always used to feel like in relation to what is there now. The fact that she can tell that it visibly looks thinner, not in a patchy, bald-spot kinda way (Thank God!, and I know, because I've been carefully, almost obsessively, checking) but in a loss of volume kinda way, then there is definitely something wrong that I want to try to put a stop to before its too late. This may seem super dramatic, but I'm getting desperate. I've lost a lot, and I'm worried it will continue and I won't be able to stop it.

There are many reasons why I'm freaking out right now. For starters, and the most obvious...I'm a girl. Yup. We get up early and spend hours working on our hair, trying to get it just right so we feel like we look fabulous. Ok, so I've never gotten up early to work on my hair, and I think I can count on one hand the times I've spent more than half an hour on it (its typically around 15-20 min, including washing it) but the theory of girl pride of our hair still remains. I don't consider myself a vain person, and I hope no one else would, but what 20 something woman wouldn't have self-esteem issues over hair loss? Not to mention the fact that I'm a single woman experiencing hair loss. Whats the first thing a guy notices about a girl? What we look like. And lets be honest. Theres enough to be self-conscious about when you like someone, want to date, or you are dating that you are worrying about, you don't need to add hair loss to the mix on top of it all.

I just started a new job. No one there knows that I have health problems. Theres

I'm trying to decide if I should include photos. Part of me is wants to hide the glaring details of how much is in there, a small voice piping up that hey, who wants to see the contents of my trash cans? And I quite literally started tearing up when I saw how much was there when walking by it...seriously. Its. that. bad. I've even checked the mirror a few times just to appease my own fear that yes. its still there, and I still look normal.  Maybe I will include pics....

Pic 1 is what I lost while washing my hair, 2 is from after washing, and 3 are random hair balls I found on the floor. Seriously, this is embarrassing...

I guess it really hit home, when I told my sister that I didn't think I'd go for a walk with her today, because of how much I lost this morning, because I didnt want to have to wash it again today and go through the whole ordeal again. And she responded with a text asking me if I was feeling alright. And the truth of it is, that I am. I feel pretty normal, aside from being a bit sore when I get up. And its really only in the back of my ankle, it feels kinda as if I over exercised and my muscle is tight, and it goes away after a few minutes of moving. Other than that, I'm just having to readjust to getting used to sitting for most of the day again. And my job really has a lot of up and down time so it hasn't really been a big issue either. So really not much physically to complain about. Unless of course, you count losing your hair as a physical issue... :) Its more of a psychological thing than anything I guess. So that about sums up my day. I've been losing more and more lately, and today I hit my breaking point. I'm feeling a mite depressed, and hoping to find an easy fix. Praying that it won't last long, and that soon I'll be laughing about this whole situation. Please??

Meanwhile, I'm going to try to end my pity-party...I think I'll start by taking out the trash....

Invisible Illness: Live it in silence? or speak up for awareness?

There's a reason they call it "invisible illness". To most everyone around us, we aren't any different than they are. We look the same. We don't look sick. They don't understand how we can beg off of doing something, because we don't feel well, especially when, more often than not, we'd done the same thing just a few days earlier. We've gotten so well at appearing "normal" and well when we're around others, that we can be sicker than they've ever experienced, and still look like its just another day at the office, or another night out with friends.

If I called off work EVERY time I was sick or felt like crap, I wouldn't have a job. I'd probably only make four or five days a month. The only times I call off work, are during serious flare ups with my ridiculously high temps and the feeling of being hit by a mac truck. Even then, half of that flare up can find me sitting at my desk at work, not willing to give up those sick days, when I know that it CAN get worse. If its between sitting in bed at home or sitting in my chair at work, I'll be at work. I may look less than healthy and popping tylenol every four hours, and move a ton slower, but I'm there. In fact, if I have another flare up, no matter what happens, I'll probably still be here. Because my last serious flare up back in January, I used four of my six sick days, and I had to use the other two on trips to the Cleveland clinic.

Added "bonus" to our lovely "friends", not only can we burn through those sick days like none other, we also have the added expense of most often having a guarantee that we'll actually hit that seemingly reasonable insurance deductible in the first six months. Then there's the copays and other expenses that go along with it all. ER visit copays, dr visit copays (during a serious flare up, can be as often as three or four times a month, sometimes per dr...) with the occasional specialist thrown in for good measure, prescription copays, lab work fees, travel fees, this list could go on forever really... In fact, I hit my $750 insurance deductible by February 4th this year. Add to that the $100 ER visit copay and countless other dr and rx copays, and you can understand why I'm still making payments on my healthcare costs from over six months ago.

So: no more sick days, equals little chance I'll actually be calling off. Because we have no more paid time off, and with all the other added, and often unplanned/unexpected expenses mean we can little afford to take a day off (or several) without pay. All that to say, we're so used to being sick, that we're experts at hiding the fact that we are. Because if people around us knew what we were going through (not only wouldn't they believe it half the time) they'd get as sick of it's frequency and limitations as we do. So we grin and bear it. Or rather, we pretend nothing else is wrong and go on with our lives. We all do it to some extent. We may like to believe we're being open and sincere with those around us about how things are going and how we're feeling, but really, even we get tired of it.

I know I get tired of explaining myself and my disease. Not at the fact that someone cares enough to ask and wants to understand, but at the fact that I can actually sense myself going into "information mode". I've explained what I have, what I know about it , and how it affects me so many times, that I know I'm reciting a speech I've told countless times before, and it bores ME. I can only imagine how the person listening to me is feeling. You start to wonder if they'll regret asking, but hey...they did ask right? Eventually you just assume everyone is as bored at hearing about your "problems" as you are the whole experience. But is that really our best option?

I don't think there's an easy or clear answer to that question. Sadly, we're still in a world where employers, despite EOE laws and restrictions, are combing the net and looking for reasons you may or may not be a great fit. And even if you had to choose between two qualified people, we're still likely to be passed over because the other guy/gal will likely not be taking full advantage of the benefits package. Even in our personal life, we're tempted to stay silent, because we're afraid our friends (as well as those coworkers) will treat us differently. I absolutely HATE pity. Can't help it, but it grates on my nerves to see that look dawn on someones face when you know they're connecting with what it all means (or rather the worst case scenario playing out in their head) and they tell you how sorry they are. I think we all are super sensitive to it, but really, if you learn that a friend/relative/whomever got sick, etc don't you feel bad for them too? I have to remind myself that most peoples reactions are not pity. There's sympathy and the occasional empathy, and we can't take it too personally when a persons natural inclination is to apologize. I mean really, its not like they gave it to me...sorry, one of my pet peeves... :)

On the other hand, and this is the important part, if we stay silent about what we have and how it affects us, we're cheating ourselves as well as those around us. For starters, as much as we'd like to insist that what we have plays no part of who we are, we're not being completely honest with anyone. It may not be an important part of who we are, but everything that we experience plays a part in molding us into the person we become. It's just life. Our past and the happenings of our current circumstances all shape our personality and the way we act, react, and interact. We can't change that. It's going to happen. And if we aren't sharing the parts of us that make us who we are, no matter how insignificant we believe they are, or how little we wish to acknowledge them, are people really getting to know us? Do they really know who I am?

They certainly can't understand why I choose not to push myself physically, when it seems to all around me like I could do it if I really tried. They can't understand why I could possibly need to see a dr and visit a pharmacist so many stinking times a month, or how/why the top of my dresser or the bathroom counter looks like a shelf at your local walgreens. They won't understand why I can practically quote medical information, symptoms, drug facts, doses, interactions, what they're used for etc. Seriously, I'm a walking encyclopedia...be impressed. :) My sarcasm becomes more distinct and comes into play more often when dealing with uncomfortable topics or to joke around with my friends/coworkers or whoever when discussing the "facts". Its how I cope. Its a part of my personality. And if we're talking about how I'm doing and how I feel, and you can almost feel the sarcasm seeping into the conversation, don't feel bad you asked, don't feel like you have to stop asking. You should actually feel flattered that you're not getting the canned/recorded version of my explanation, and if you feel like you're getting it, don't be offended, I probably just feel like crap and am operating on autopilot.

I'll leave you with one last reason we need to share. A majority (probably most, but I'm gonna be careful here) of autoimmune diseases are unpredictable, play out differently in different people, and are occasionally rare. Not even Dr's and scientist have figured them out completely. There's still a world of unknown and if we keep things to ourselves, we're only hurting ourselves. We need to be open about things so that progress can be made. We need to be honest and share because while we may feel we're a walking encyclopedia, there are people out there searching for information, and we're the best informants out there. (And quite frankly, its healthier to let out our frustrations and feelings and sharing with those around us. Stress just makes things worse, and life has enough stress.)

I started this blog, because I was searching for a way to vent and let out what I was feeling about the mess that my disease was making of my life. I was holding it all in, and it was driving me crazy. I didn't think anyone wanted to hear it. I didn't want to push people away because I was complaining about my problems. So I created a place where I could unload and work through what I'm going through and what I'm feeling. But then it morphed into something else entirely. Don't get me wrong, if you follow my blog, you know I still do all that, but it's become about something more as well. I'm hoping that the time I've spent poring through information, and the things I'm experiencing, will help someone else going through the same things I am. Because we can't do this alone. We need to know we aren't alone, that someone out there knows and understands. And we need to be that source of information for them as well. If someone else can benefit from our hours of reading and sifting through library titles why shouldn't we share it? Believe me, I've loved finding that in others here as well. Its an invaluable tool.

So please. Don't be silent. Be aware and spread awareness so that you can benefit from someone else and be a help to others. Lets make research and progress in treating/curing autoimmune disease something that is as important to science as it is for us, and lets work at making it a thing of the past.

Doctor Drama!

Things have been seriously crazy in my life right now. So you may see a few updates in a row. Don't be alarmed, its just the flow of random thoughts and posts I had in my head for a while and waiting for the actual time to put them down on "paper". And instead of creating some super ridiculous rambling post, I'm gonna break it down for you. :)

So...back to Dr drama. I've never really liked my Primary Care Physician. She tends to overreact to labs/symptoms/situations when my other Dr's roll their eyes and tell me I'm being paranoid when I ask them about it. No...sorry, not me...just got a little freaked out about the phone calls and referrals to specialists that apparently are not necessary. Before you go into a lecture on why I stayed with her for so long, let me explain...

Now don't laugh...but I saw my pediatrician until I was 17... I know right? Stop laughing. She was awesome! She's actually the Dr I was seeing when I first started getting sick and having symptoms of RA. She narrowed down the field a bit and sent me on to my rheumatologist to figure things out. That's when she decided it was time for me to find a regular PCP; it also coincided with me leaving shortly for college. So I took the first name off the list of those she suggested that would agree to take me (first mistake...always check into it before making a blind leap into the unknown. Professional referrals are good, but patient opinions are occasionally more accurate.) I saw her a few times and discovered different things I didn't like about her, but as I was leaving soon for Ohio (I live in Pa) it didn't seem like switching Dr's again was top of my priority list...I wouldn't be seeing her much anyway right?

So...red flags in my details of Dr drama:

• When discussing a possible medication addition for cramping she tells me: "well you're already taking Peroxicam, which is what I prescribe for that all the time. Let me look, I'm not sure what the highest allowable dose is..." Not even kidding...right there, looked it up. Gotta give her props for admitting she didn't know, and yes I am aware there are hundreds of medications out there and she can't know them all by heart ( I worked in a pharmacy for 4 years, believe me I know...) But seriously? If you prescribe something ALL THE TIME wouldn't you think she'd know the maximum allowable dosage?? Does not instill a lot of confidence. 
• Whenever I got sick, had any kind of infection, flare up or other medical problems she would test for anything that could even remotely be related to my symptoms. I mean everything. I can't begin to tell you how many times I've been tested for mono. I've never had it. But I've been tested for it at least 10 times, probably more. I have a chronic inflammatory disease. One of the main complaints of RA sufferers is fatigue. Seriously...if I'm achy, sore and sleeping all the time...I'm having a flare up, I don't have mono. Every time my glucose level has been a little on the high side, she'd have the tests redone. I've had the fasting time delayed glucose test twice. Both came back negative. She tells me I have occasional hyperglycemia, my rheumatologist (dr mak) tells me its normal to be elevated while I'm sick/during a flare. 

So I try to avoid going to her if at all possible, and try to only go when unrelated sickness occurs when I'm not having a routine appt with dr mak (my rheumatologist) However, not even that works all the time. Because she's my PCP, all of my test results, etc automatically get sent to her. So I'd get phone calls because she didn't like the results of blood work that she didn't order, nor did the other physicians deem necessary to report or consider a problem. And she would then insist I come in to see her about them, get additional testing, or see a specialist. However, other than the fact that she tends to be an alarmist, and lets be honest, that's not a trait I want in my Dr, (how bout you?) there are the other "little" things that completely bug me about her office.

• For starters, her receptionist is extremely rude, second only to the billing lady at my dentists office who insists that she can't separate my dental billing/info from my moms (can we say HIPPA violation?). But that's another story... 
• Also, EVERY SINGLE TIME I've gone into see her I've had a wait time of no less than an hour and a half...and that's before even being taken back to the exam room to wait some more...And I'm not just talking those sick visits she would fit me in for, these are also routine scheduled appt's. It's ridiculous. And seriously, the last thing I want to do when I feel like absolute crap, have a fever of over 101, sinus infection, etc is sit in her waiting room for two hours just to have her tell me she doesn't know whats wrong, order a bunch of tests, and tell me she'd rather refer me than prescribe anything for me. Thanks, that was an awesome use for my time, glad I woke up, drug myself out of bed, into your cold, uncomfortable office for that...yes, thank you. 

So after the last flare-up landed me in the ER with rapid heart rate, pneumonia, chest pain and irregularities in kidney function on blood tests....and I got that phone call of overloaded concern...I asked my rhuematologist for a referral for a new PCP. He of course wanted to know why I was unhappy with my current physician, but promptly gave me information upon hearing my reasons. So the search was on for a new PCP, I'd finally had it. Check for my next post on how I actually made my decision...its an interesting story... :)

Raining, ranting and more...

Alright, so I gotta warn you, I'm about to whine for just a little bit....

Do you ever find yourself trying to explain what you're feeling and how you compensate and try to avoid flares to family and friends just to have them completely disregard what you are trying to tell them...that you know your body, the reaction that you're experiencing, the progression that is inevitable and the steps you have to make to avoid complete disaster...just to have them shake their heads, give you some "helpful advice" and think they've solved your problem? I know...if you've experienced any type of chronic illness, it happens to you all the time. In fact, it may be so common to you that you just nod, maybe say a less than sincere thank you and move on to something else. I've had that conversation at least four times in the last month or so and have gotten increasingly annoyed at every conversation. It's not that I don't appreciate the fact that they care and want to help--I do! But seriously? I've been living with this for NINE years....I know what I'm feeling, I know what it means, and I know what works. And the advise given is usually something any normal sane person would find a reasonable suggestion, but again...I know what works, and believe me...if simple and reasonable worked, I would so be there. However...it does not. Let me explain...or complain...you can decide later. :)

As I've mentioned a couple of times on here, my sister and our friend Elizabeth (my one and only follower! Thanks E!) have been trying to be proactive about getting our exercise lately and have been going down to the peninsula to walk almost every day...if it's not raining (or Wednesday) we try to make it. It's also been raining off and on for the last two months...which has been KILLING me... seriously... its ridiculous... and it needs to end already...but anyway, back to my story... We're walking one day and we get to talking-somehow, I'm not sure how- about my standard Saturday morning routine. I'm a late night person, have been for years, and try as I may, I can not fall asleep before midnight. Can Not. I've tried...believe me, I've tried, I end up laying there for hours just waiting as the time slowly passes and I give up and move on to something else. Unless I'm practically out of my mind in a flare, sleep before midnight does not happen.

I've read many blogs about fellow RA and Lupus sufferers having to take naps during the day, go part time or stop working in order to compensate for the extra stress and fatigue chronic illness brings along as our constant companion. However, as a young professional, with a mountain of school loans, I don't have the luxury of sleeping in on a weekday, or taking daily naps, or even cutting my hours--also, as a single person, I need the full time status to keep and have medical coverage--and we all know how crucial that is... So to compensate for all of that, and because at the end of the busy week I'm usually exhausted, I use Saturday morning to sleep in and "recharge". I make up all the sleep I needed throughout the week and push back the clock on that countdown to flareups that inevitably comes if I overdo it. It may not be normal, but then nothing about my health has been normal in the last nine years. It works for me.

And so I'm trying to explain why I sleep in and why it works, and I get the standard answer--I get it from my mother and sister all the time, and no matter how many times I try to explain it, it still seems to be their miracle answer. "You just need to go to bed earlier..." I know...WHY didn't I ever think of that?? Seriously... And so I explain, again...why that doesn't work. But for some reason, they don't seem to get it. And I don't understand why. It's my body and while they've recently change my diagnosis, I've still been living with the same thing for the last nine years. I know what it feels like when I'm overdoing it, or about to. I know when I'm about to go to far or I need to slow down. I know when I need to take the time to sleep in, to avoid getting sick or completely mess up the way I've been feeling. I know. It may not make sense to anyone else, but it does to me. Because I live with it everyday. And I think that should count for something....don't you?

I'm just sick of having the same conversation, having to defend the fact that I don't usually get up before 10 on a Saturday morning...sometimes later if its really been a bad week, and getting the same old advice about what I'm doing wrong. Again, I know they're trying to help, and I know they want to understand and help me out, and they are some of the most supportive people I have in my life, but sometimes it just gets way too annoying.... And this concludes my ranting of the day... :)