diagnosis

New Diet, New Rules

Posted on by akiwifreund

I made the tastiest dinner tonight: chicken, carrots, ginger, garlic, brown rice flour and chicken bone broth, simmered and thickened so I could have it over brown rice.

What was missing? The dreaded dairy, gluten, soy and sugar, now possibly permanently banned from my diet. But let’s face it – those things are pretty difficult to avoid when going out to eat. Luckily I have my pocket-sized computer (phone) with internet access because there is a new app on the market that will help take the pain out of trying to socialize over a meal that may or may not be okay for me.

DineSafe is free to both the patrons and the restaurants. To participate, restaurants have to enter their menu items, which might sound labor-intensive, but here’s the great thing: they can put directly on the app which allergenic ingredients are included on each menu choice. I mean, who better would know which ingredients go into their food? This takes all of the guesswork out of the equation for the patrons.

For instance, maybe you are allergic to dairy, shellfish and mushrooms; the first thing you will be prompted to do when you enter the app is plug in all of the items you are allergic to. They have such a great list pre-programmed in, including dairy, peanut, gluten, garlic, soy and eggs, that most of the common allergens are available to choose. There is also a tab for specific diets, including vegetarian, vegan, paleo and organic. The creators did not skimp on categories! They are open to suggestions, so if you think that your allergen or diet are not represented, you can give them the feedback. I didn’t see sugar on the list so I’ll be giving them that suggestion. Sugar can hide out in simple things like salad dressings, and I’d like to make the most informed choice possible when someone else is preparing my meal.

The app can search for nearby locations according to your GPS position, but you can also ask for it to look in specific areas (great for when you’re meeting other people out and you’re trying to find a suitable restaurant). After all, most cultures have socialization built around meals; there’s no reason a person should have to give that up because of some restrictions.

The next step is to visit the restaurant on the app. The landing page has a pull-down menu that is a space where the restaurant has described its theme and atmosphere. You can go to an area that indicates which menu choices you should avoid. If you hop over to the next tab, you can see which items are safe for you to order. Lastly, there is an area to customize your order: if a dish contains mushrooms but everything else is “safe,” you can request no mushrooms on your order. By the time you are at the table and the server is ready to take your order, you’re prepared with a choice rather than having to quiz the server and send him/her back to the kitchen a few times. There is a flashing reminder on the landing page to advise the server of the allergies so they can expect a dish to be returned to the kitchen if something is included by mistake. (This leads me to another thought: Is there something in the point of sale terminal that the servers can enter to call attention to allergies for the kitchen staff, even if something like “Attention: Allergies” pops up in red above the “hold” items?)

I feel like we are overdue for an app like this. Right now I see listings for the Orlando, Florida area. What’s the best way to make sure restaurants are getting on board in your city? Load the app on your phone and talk to restaurant managers about the advantages of making their menu information available online including known allergens and diets, and consumers will feel empowered about choosing their products.

The app will also have an area built in where patrons can enter reviews. Part of my research on where to spend my money is influenced by reviews, as I’m sure the majority of people feel the same way. Now we’ll see things like, “I ordered a dry, unmarinated chicken breast, and I got exactly what I wanted,” or “We had to send the dish back three times because they kept putting peanuts on my pud Thai.”

Lastly, the U.S. is very slow about getting on board with safety – basically it’s up to patrons to be detectives and figure out if something is safe for them to eat. The UK and Europe have already passed laws regarding requirements to disclose allergens in sit-down and take-out establishments. We SHOULD have those laws here, but for now, we have to rely on our pocket computers to guide us. I look forward to using DineSafe when it reaches my area.

****This is a sponsored post for DineSafe.
******I was excited to talk about this app and its features anyway because my life is going to change drastically as a result of having these restrictions placed on my diet.

Serenity with Serenitea

Posted on by akiwifreund

I think anyone who has been reading my blog for any amount of time knows that I believe in a marriage between the hard-hitting Western medicine and the holistic approach of Eastern medicine. I am open to trying a long-term approach to feeling better if the problem is nagging vs. one that takes me down swiftly and completely. Right now I feel like the fatigue and bad sleep are more of a nuisance because I have bigger and badder things going on.

The company Premier Bioceuticals has various products to support certain areas of life, and I tried both the FibroCane Daily supplements and the Serenitea tea.

First, the FibroCane Daily: The label states that it is formulated to help “quiet symptoms associated with pain, stress and fatigue.” For the short amount of time I was taking it, I did notice a boost in my overall energy. Almost halfway through my bottle I had to have the ingredients evaluated by my naturopath because my entire regimen was revamped after I received my Lyme diagnosis. The FibroCane Daily has all kinds of good things including vitamins B12, C and D, but I was going to be receiving therapeutic doses via my naturopath’s plan, so I had to discontinue it. Especially with vitamins that are fat-soluble (B and D) and not water-soluble (vitamin C), you have to make sure that you don’t take in too much – they can build up in your fat cells and create a health crisis on top of what you are already dealing with. The water-soluble vitamins like C can be flushed out of your system with the rest of your waste in your urine so it’s more difficult to overdose on those.
Here is a copy of the label:

premeirbioceuticals_flat-3

The label is actually quite small in real life, so I had to request a digital copy so I could enlarge it for reading. Always consult a healthcare professional when you are adding to or changing your plan.

Second, the Serenitea: This is also a “FibroCane” product geared towards assisting to ease restlessness and promote relaxation. It states that it’s “Non-GMO, Organically Grown, Gluten Free, Caffeine Free.” This is an herb tea blend that includes holy basil, cardamom, chamomile, peppermint, rooibos, and even some stevia to sweeten it up for consumption. The best way to extract the most essence is to dunk a bag in about 8 ounces of boiling water, and then cover it and let it steep for 10 minutes. (Warning: Any tea left to steep for longer than recommended, whether it’s this product or any other brand, may result in a bitter taste – adios that bag when the time is up!)

The dietary changes I am making under great protest (no dairy, gluten, soy or sugar) have made me leery of anything that is supposed to be “supportive” to my system – because usually that means that it tastes like hair coloring chemicals or shoe leather to me. However, this tea is quite pleasant, and I very much appreciate the addition of the stevia to soften the taste of some of the herbs. It certainly is a nice way to wrap up the day, though I still tend to have squirrels romping through my brain – I guess there’s no tea for that yet!

What I Know, What I Don’t Know

Posted on by akiwifreund

Okay, first of all, a very specific search appeared on my radar yesterday: “Indian sites for compression hose fetish.” Hats off to your freak flag flying proudly, whomever you are. Also, hats off to wanting your objects of desire not to have to suffer from varicose veins. I’m sorry that my mention is probably repeatedly bringing you back to my blog; I wish you luck.

Second, I got a diagnosis.

I’m going to start where I think I should, and that is May of 2009. I was living with the very controlling and very violent Drummer #2 in a beautiful 3 bedroom/2 bath on a man-made lake. My friend who is a CPA and has taken care of my taxes for 16 years as of this year flew down from Cincinnati. Drummer #2 was on the verge of nearly smashing my head with a drinking glass, but I didn’t know it. He made me feel like absolute dirt because my friend was visiting, so much that the friend had to stay at a hotel rather than in the spacious home we occupied.

My friend rented a car so that we could run around the state of Arizona, and most importantly to the Grand Canyon. We hiked down into part of the canyon; it was not easy for me because I had already had fibromyalgia since I reached adulthood, but I did my best to keep up. I was so happy that my friend had made it down to visit, even though the nastiness of Drummer #2 put a damper on things. Drummer #2 didn’t accompany us and that was absolutely fine with me. I wanted to be able to relax. My friend flew home and life went back to walking on eggshells to try to not make Drummer #2 angry – which proved impossible. The week after that trip was when everything went down with the asshole and I moved out in a hurry.

Fast forward to October of 2009: I went to the emergency room because I developed a stiff neck and excruciating pain. Every time I moved my neck I cried. I didn’t sleep for four days and was starting to hallucinate. The ER doctor had no explanation for me because I didn’t have any other symptoms like a sore throat or a fever. He sent me on my way with muscle relaxants. The pain didn’t abate for a full week.

Around the same time, the naturopath I was seeing started documenting new symptoms for me, mainly that I had a constant rocking feeling, and I was always nauseated. We tried different remedies including Dramamine, but nothing even made a dent.

Have you thought up a diagnosis yet? Just wait.

In July 2010, I developed crushing fatigue. I drove over to San Diego mid-month to spend time with a man from Germany who made yearly trips to Comic-Con, the big one. I struggled to walk a few blocks between my hotel and nearby restaurants. He was used to walking up to ten miles a day; I felt a bit ashamed because I felt as if I embodied the lazy American stereotype. I was also plagued by deep bouts of vertigo to the point where I nearly fell down an entire outdoor cement staircase.

During the last week of the semester at school in July, I had to drop out and not take any finals. Fatigue and vertigo ruled my life. My parents were concerned because I spoke like a zombie, no intonation – very unusual considering I was a theater major in school. My speech was slurred, the top portion of my face became paralyzed, and my head began to nod uncontrollably. Because my body was under so much stress, my cortisol levels shot up to ten times the normal amount.

Have you guessed it yet?

In July of 2011, I finally started getting relief from the pressure in my head because a neurosurgeon installed a shunt. However, I had a total of 10 shunt surgeries in 46 months because my body fights them, clogs them, breaks them, strangles them. I have had horrible abdominal pain since July 11, 2011, because that is the first day a drainage catheter began living within my peritoneum and my small and large intestine, and there is a war being waged 24/7.

46 doctors and two states later, a naturopath in Saint Paul suggested I get some blood tests for Lyme disease. I ended up having to pay full price for them up front because they were not covered by insurance/medical assistance. I will admit that I didn’t think I had Lyme but I just wanted to rule it out like I had done with everything else up to that point. Two of the tests had inconclusive results; the third one lit up like a motherfucking Christmas tree.

I have late stage aka chronic Lyme, and have had it for nearly seven years. It wasn’t on anyone’s radar. Why should it be? I didn’t have a bull’s eye rash. I lived in Arizona, a state with a very small tick population compared to other states. The CDC has very strict guidelines about what can be reported for Lyme and I may not fit their parameters; however, I am still going to contact the state health board and let them know I was infected while I was a resident in the state. I think that only 8 cases have been reported to the CDC for Arizona. I don’t even know if they will take my data because I was diagnosed based on antibodies specific to bacterial exposure, and they only want tests showing the bacteria, which may not be detectable because of the time that has passed.

I know that most of the doctor visits and labs are not covered by insurance, so I will truly be destitute in short order. They are not covered because insurance companies and even the government get bucky about late stage/chronic Lyme, sometimes refusing to acknowledge it exists. There are now temporary laws in place in Minnesota that allow physicians to prescribe antibiotics far longer than they have before, for years instead of months, and the law is set to expire in 2019. I feel like my diagnosis is sitting on the cusp of being dismissed and being accepted. I don’t know how they will deny that my facial paralysis ties into the positive results on the blood work, but I’m sure they’ll find a way to tell me I just need counseling. It wouldn’t be the first time I heard that.

I don’t know what will be irreversible with the neurological problems when treatment starts. I think the facial palsy and ptosis may go away. I think the tremors will take years to adios if they stop at all. The left side of my body has lost some sensation. For example, when I am descending stairs, I have no concept of the pressure my foot exerts on the steps (and vice versa) and so must go very slow. I have been doing exercises to counteract the bed rest and try to gain some of the muscle I have lost, but I always feel like my nerves are disconnected on my left side, and I tire much more easily when I work on that side. I’m also having some cognitive difficulty including word recall. As I type, I fight to spell words correctly – I have developed some weird form of dyslexia. If you knew how particular I am about spelling, you would be as alarmed as I am. Sometimes it takes me a dozen tries to write single words correctly that would have been a breeze previously. Ultimately there is a 50/50 chance that treatment will work, and it may take years to get any positive results.

Besides notifying the board of health in Arizona and Minnesota, I have decided to write letters to my team of doctors in Arizona to let them know about the diagnosis. I am not trying not to think in terms of, “Oh, if only someone would have tested for Lyme, I wouldn’t have had to have 10 brain surgeries.” Honestly, the disease has really fucked up my body, and it’s possible I would have needed the surgeries even with the right diagnosis.

If my symptoms do abate, I’m going to have a serious conversation with some neurosurgeons about removing the current shunt. It has adhered to my chest and the abdominal pain is still constant, and I just think I would have an easier time without it. However, that also leaves me more vulnerable to CSF leaks – and I don’t ever, ever want that pain again.

Lastly, I don’t know if this is a “rare” disease. The data is poor. On a survey of health, chronic Lyme rated the worst for quality of life as outlined in this article – worse even than congestive heart failure, multiple sclerosis, fibromyalgia, diabetes and depression. In other words, I truly won the shit cookie.

Chronic Lyme Disease

 

Can You Hear Me Now?

Posted on by akiwifreund

I recorded a 20-minute interview with Daniel (“Danny”) Levine about this blog and this crazy life. I’ve only been here for six months and already the Minnesota accent is creeping back in. There were a couple of times where the sound dropped, but you get the general idea.

Duck – Here Comes Another Turkey!

Posted on by akiwifreund

The Quiz Master (previously referred to in “What’s Going On With Your Face?” post) messaged me today and wished me a happy Thanksgiving. It was not his first message to me since he signed off with a “goodbye and good day” after I told him to stop contacting me. Oh, no. I knew he couldn’t be counted on to leave me alone, considering how obsessive he is. The Quiz Master also texted me on November 15th and said, “Hey, how are you?” as if I hadn’t cut him off. As if I would come to my senses and say, “Oh, you’re the best Quiz Master ever, I don’t know what I was thinking in telling you to go away.” He, of course, told me that I was pushing him away just because I am stubborn – not because I actually want him to leave me alone. “No” doesn’t actually mean “no” and all that bullshit, according to him.

I also got a cutesy cartoon from the church guy who went radio silent in “Showing Up is Half the Battle.” This was after he sent me messages saying “happy turkey eve beautiful” yesterday, and before that a message saying his aces were up while playing poker and that he wished I was by his side as he was winning.

Don’t worry, I didn’t reply to either of these jackasses. And in perfect harmony with this post, “A Little Respect” by Erasure played on my Pandora while I was typing.

On a different note, I traded emails with one of my mom’s sisters and updated her on what was happening with my situation. She said she had contacted my cousin, who is a doctor of osteopathy (DO), and he said that the doctors are turning me down not because I’m giving them too much or too little info, but because they can’t “win” with me – there is no way they can diagnose me. As it stands right now, there are approximately 7,000 diseases out there in the world that have no name or etiology, and the majority of them are similar to mine only in that the symptoms are neuorological in nature. I have been in contact with some groups that I think should be able to put me in touch with the proper researchers, and there are rare disease groups that focus on finding resources for patients. However, I’m feeling a bit like I’m drowning again. A lot of these groups talk specifically about patients that are children. I know it’s especially troubling when children are stricken with major illnesses; after all, I was sick for most of my childhood. However, now that I’ve managed to become a middle-aged adult while this particular disease popped up, does that mean that my life is worth less? I had my chance to reach adulthood so am I therefore not worthy of assistance?

Every person I talk to tells me not to give up. I am not sure I can anyway. I mean, I had to give up my house, my car and working – what else am I going to do with my time? But at some point I need doctors and researchers to fill in the blanks. I can’t imagine going another 10 years like this and waiting for technology to catch up.

Today was the first time in about 23 years that my sister, my mom and stepdad and I were actually in the same state for a holiday, so we pigged out at my sister’s place. Yesterday and today were pretty difficult for me and I think it has to do with the temperature, air pressure and humidity; we got snowfall that actually accumulated and stayed today. I had to spend most of the time in bed because of fibromyalgia pain, but also my CSF was accumulating like the snow. I was hoping I’d be able to hang out for a few hours before my brain started being crushed, but instead I began drooping noticeably as soon as my stepdad picked me up, and I had only been upright for about 45 minutes at that point.

Wherever you are in the world, I hope that you can find things to be thankful for every day. I’m working on my list.

 

Dating Whitecoats

Posted on by akiwifreund

Trying to find a doctor is a lot like dating. I’ve gone on a hell of a lot blind dates, and I’ve gone to a hell of a lot of doctors. I no longer get butterflies for either. I no longer have a feeling before I meet them of, “Maybe this will be the one.” Nearly all of them have broken my heart.

This week started off with a trip to a new rheumatologist. He was recommended to me by a friend whose mom had seen him, and he managed to treat her for much longer that she would have survived in the hands of another doctor before she succumbed to scleroderma. I read up on him and checked out reviews, and it seemed like he would be interested in solving mysteries. He was a tall, older gentleman with silver hair and a stern face, all business. After we began talking and I produced document after document for him, he began to get quieter, except for repeatedly shaking his head and sighing. I answered all of his questions from memory including lab results. Then he started stuttering. “What – what – what about your MRIs?” I told him the problem was that I had to lay down for them, and the fluid drains off almost immediately, so I don’t feel that they are getting a true picture of what’s happening when I’m upright. Then he started the, “Gosh, I Don’t Know” song.

He finally dropped his pen, turned to me and put his hands on his knees and said, “Has anyone seen anything like this before?” I told him no, and that I had seen a lot of doctors. (My count is 40 to date, including all of the ER doctors that have examined me.) He said it was obvious. Then he asked if I had tried the Mayo. I told him I had been turned down five times including the most recent try on October 2nd. He said, “What in the hell is wrong with them? They’re supposed to be number one in the nation for rare stuff like this.” I told him that I was going to try other avenues, including Johns Hopkins and going to the media to try to get my story out there with the hope that someone would be willing to take my case.

We went through the obligatory motions of the rest of the exam, where I put on a gown and he prodded my joints. I laid down for part of it and he watched my eyes open, and when I sat back up he saw the effects of the CSF pooling and forcing my eyes to droop shut again. I asked him if I could continue coming to his office, even if I saw another doctor, so that I could at least get care for my fibromyalgia because I didn’t especially care for the rheumatologist I had originally seen. He didn’t say anything.

When I got dressed again, he came back in and said, “I don’t have any answers for you. Try Johns Hopkins and see if they will take you on as a charity case since you have no income and medical assistance will only cover the state of Minnesota. I can’t help you.” He wasn’t unkind and I have heard that response many, many times. As I shuffled nearly blind down the hallway, I kept thinking, “This was just another waste of time. Waste of time. Waste. Waste. Waste.” I have gotten better about not crying after every unsuccessful attempt.

So, what’s next? Well, I’ve got to find a rheumatologist who will at least treat the fibromyalgia and not be a jerk. And I have to try to get my stories on local news stations and national talk shows. Everyone keeps saying, “Ellen! Try Ellen! She’s the best!” And I agree that that’s true and her show gives me lots of laughs and smiles, but I’m not sure she is even interested in taking me on, because I don’t have a happy ending. I have sent in a few submissions already. Thanks to the help of my former flame, I’m learning to navigate Twitter and have been trying to get the attention of neurosurgeons and neurologists around the U.S. I have also been tagging the Mayo in tweets about how they determined I’m “too rare” to examine and would anyone else like to take a shot? I’ve started following neurosurgeons and TV stations. I’ve tweeted Johns Hopkins repeatedly. They have a remote referral option that I have to pay for out of pocket, but honestly, I want them to be interested in my case, not just look at me as another number and dismiss me.

I’ve also started following groups that support rare diseases, either with research, treatment or resources. I managed to catch the attention of two of them and they will be publishing my submissions within the next few weeks.

After the unsuccessful visit with the rhuematologist, I sent a message to the neurosurgeon in St. Paul who told me, “Don’t give up. I know it’s been a long time and someone will be able to help you,” asking him if he could refer me to the University of Minnesota to see if I could be studied there. I was told that my case would be sent to the complex specialty care unit; yesterday I received a call and they stated that they wanted to get me in on Monday. I was surprised because I’ve never been able to get in with a specialist without having to wait 2-3 months, but of course I said yes. So I have another “date” Monday.

I also had to talk to my case worker for my disability appeal. I told her that she wasn’t going to see anything new from the rheumatologist, and that I was trying to get into the U of MN in the neurology/neurosurgery unit so I could be studied. She has been super nice to me, but it’s still her job to turn me down for disability. I know I’m going to get another call from Maryland telling me that my case is being rejected again because I don’t have a diagnosis – but it sure as hell isn’t for lack of trying. I’m trying! Seriously, slip into my body for a few weeks, or even a few hours, and you’d cry for your mommy and then tell me to take all my disability pay plus a little extra for having such a hard-ass time.

Finally, I’d like to say in closing: Screw you, Mayo Clinic. I realize that I’m not a wealthy billionaire and I’m not the Dali Lama, but you should take my case and figure out what in the hell is going on. As far as I’m concerned, you reputation for being the best for neurology/neurosurgery is completely undeserved. You just made my life 1,000 times harder. You were my worst no-show.