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Showing posts with label JA Conference; arthritis. Show all posts
Showing posts with label JA Conference; arthritis. Show all posts

Friday, July 1, 2011

6 more days!




The days are flying by somehow as we continue to prepare for our trip to Washington D.C.!  We are so excited!  I can't wait to meet so many of my JA "family" from Facebook!  There are so many people that I am anxious to meet!  There are several that I wish could be there and won't be.  :(  Maybe another time I'll be able to meet people like KW and SBH!  The conference should prove to be wonderful experience for us all.  Not only do we have 4 days of the conference to look forward to, but all of the museums, the National Zoo, and meeting people outside of the conference like LPM!  People that haven't connected to anyone via social media such as Facebook probably wouldn't understand, but in situations like mine, these people can become closer than your family, and certainly more understanding in many cases.  (I am blessed to have a very understanding family, but many others don't.)     These are people that I hear from daily.  I worry if things are quiet on the other end for a day or two.  I can't wait!

We are also anxiously awaiting Emily's infusion.  Let me just say right now what a dork I am.  I tell ya', I have spent a very large amount of time over the past few years researching Em's various conditions.  I can tell you very specific things about her diseases, certain antibodies, what they mean, and even in some cases how they use them to test.  However, sometimes things that I really know just don't become obvious to me when they apply in our situation.  My husband pointed out something to me the other day that was a really big "Oh, DUH!" to me.

Every month for the past six or so months, the week before her infusion Emily gets "sick".  Every month we take her to our pedi, and every month she has been put on antibiotics.  Oh, for sure she has had a sinus infection or two in there.  Normally she would have her infusion this Friday.  So, it really shouldn't have surprised me that Tuesday she had a fever.  I'm not really used to her having fevers.  She was on Enbrel for 2 & 1/2 years without ever having a fever, including when she had H1N1.  Fever to me has still had the "sick" stigma attached to it.  While on the one hand I know that many RA patients have fevers when they flare, this has never been a trademark for Emily, so I never even considered it.  Until my hubby pointed it out.  Wow, how did I miss that one???  She's flaring big time right now.  Her elbows are better but her knees are giving her a very hard time.  She's trying not to walk.  The fever lasted one day; it's gone now, but she's still hurting.  One more thing to bring up at her next appointment.  And I was so worried about her being sick all the time.

This week has been pretty special for me for little reasons.  I don't post my religious views very often, as I understand that not everyone believe that Jesus Christ is our savior.  I try to make this blog for everyone to learn from, but I have to say this.  I don't believe in coincidences, and I feel I need to post how I feel right now.

If you asked me back in 2007 if I thought that I was a good person, I'd have told you that I didn't know how to answer that.  I wasn't a bad person, but I didn't particularly like myself.  I was very quick to point out my flaws, but not so much with my good points.  I know that I have said before that Emily's diagnosis changed our family significantly.  Yes, it's very sad, and yes, sometimes I still cry for her, & I seem to cry when I try to tell people what's wrong with her.  Overall, I'm actually very blessed, very happy, and very much at peace.  Learning to let go, let God has helped a lot.  Knowing that it's out of my hands and up to God helps.  I believe that He has a plan for us.  I see evidence of that daily.  It's really cool to know that I'm being used.  I know that, no matter what, He has a purpose for me.  I know that I help people.  On the flip side, I know that many, many people have helped me.  I feel that my contributions are small, but important nonetheless.  I go out of my way now to find ways to help, something that I never thought about before.

I had two conversations this week that made an impact.  Both were at work.  I had someone tell me that, thanks to a conversation that we had, she found out that her daughter has Graves disease and thyroid cancer.  She's ridiculously young.  I think she said 11?   I had told her get a second opinion if your gut tells you your doc is wrong.  It's easier to get a second opinion and find out you're wrong than it is to find out when things go really bad.  Her pediatrician insisted that there was nothing wrong with her.  It was her second opinion doc that found out why her daughter was acting so tired and different.

The other happened after I brought something in to help someone.  I just love this lady anyway, but she has fibromyalgia and she's having a very hard week.  I told her that I would remember to bring something in that I knew would help.  I see when she's having a hard time.  I'm in tune.  She took me aside later to tell me that she could see how God was working through me, and He gave me a good heart to help people.  That meant so much coming from this person because she is someone that I look up to a lot.  She is one of two people that I really feel a spiritual presence around all of the time.  She & Lita seem to radiate a peace and love that I am drawn to.  These are the types of people that make me want to be a better person, and they are both so loving, so accepting.  I feel this is how we were all supposed to be.  Anyway, the whole conversation was just so unexpected and deep.  I love having deep conversations with her because she gets on a roll and starts spouting scripture.  I learn so much when we really talk.  No matter what in life, I know that I have a lot of love.  That is all that I could ever possibly ask for or want.  Love is so much better than anything material that I could think of.  "Love is not proud, love does not boast.  Love, after all, matters the most."



Thursday, June 9, 2011

The elbows, labs & PFT

I've had some concerns.  I had a list of things to bring up at our last infusion, but since the doctors weren't in, I thought I'd wait until our next appointment.  Also, her labs were only 2 points out of the high range, so I was concerned that it could be a flare starting or it could be that her dose of Methotrexate was too high.  She was hoping that would be it.  Emily has always been the child that actually liked her Methotrexate shots, but she says that she isn't as fond of it at her current dose.  Well, I guess I worried for no reason on that note.  When I called to discuss a few things today, the nurse practitioner said that her labs look great!  I had thought her liver enzymes looked high, but she said that everything is right where it should be.  We still had other things to discuss, though.

While we were at Occupational Therapy yesterday, her therapist looked at her elbows again.  She determined that she has tendonitis in both elbows, her left being worse than her right.  She and the nurse practitioner both agree that it could be regular tendonitis or it could be from the Dermatomyositis.  The current plan is to increase her NSAID (Mobic) to the correct dosage for her weight.  Until that kicks in, we should double her Prednisone for 3-5 days.  We can use ice or heat, and rub in BioFreeze as needed.  We will also pay attention to what her appetite does during this time.  She said that her poor appetite may be direct result of the Prednisone taper; it may be a sign that she isn't ready to taper down any more.  We should monitor her appetite on the increased dose, then monitor it again on her current dose when we go back down.  

My last concern was how often she's been getting sick.  It seems like she's been sick constantly.  Every month she's been on at least one, sometimes two, antibiotics.  Granted, she's on 3 immune suppressors, but she was on 2 for years and didn't get sick as often.   I have been concerned about the Pulminary Hypertension risk (23%)  that she faces from the Mixed Connective Tissue Disease.   She has asthma.  I worry about this more, especially considering that every illness that she has had in the past 6 months is from an upper respiratory, or a direct result of asthma.  The ARNP said that it could be that her immune system needs a boost from all of the suppressors.  That could be determined through labwork, so they will add that immuno- panel to her list for next time.  I requested repeating her Pulminary Function Test.  Her last PFT was on her last day in the hospital.  She just wanted to go home, she didn't want to be there, she was scared, and she was simply not having this.  Needless to say, her test results came back "inconclusive".  Since pulminary hypertension may not be picked up on during regular exams, I think this is a great idea, and should give us peace of mind.


All of this together *could* mean she may be starting to flare.  I have no idea what to think at this point.  I had thought that her arthritis was flaring, until I saw her labs, which made me believe that it was the JM flaring.  Since I read the enzyme labs wrong, and the ARNP says even the inflammatory markers (that I didn't see before) came back great, it no longer looks like the labs point to it.  But I'm still confused on the elbows.  And the tummy.  <*Sigh*>  We'll get it figured out.


So, we have a full boat next appointment.  What will we do to top that?  Drive straight to DC for the Juvenile Arthritis Conference!  This works out better, actually.  Our appointment is on the 6th and the conference is the 7th.  We'll be 2 hours closer from the hospital, this will save us a trip in a way.  And we can stop somewhere overnight, taking our time.  I think it's perfect.  This way we won't be in a hurry, we have some down time, stopping time, and we should get there in decent time.  All the way around I can't wait!   So many people that I can't wait to meet "in person", so many questions that I have, and so many historical sights that I can't wait to show my children!!!  This is going to be so wonderful!  :)  Thank you, Arthritis Foundation!!!