Saturday, December 29, 2012

Curious new discovery

I'm back after several days away. I decided I was going to try to enjoy my Christmas holiday with my kids. It was a great Christmas and everyone is happy.
Right now, I am dealing with sores on the roof of my mouth near my sinus and up behind my front teeth. Very painful and hard to eat. I have to be super careful. I have not been taking my Plaquenil for a while now because I began seeing black objects fly before my field of vision. These black spots would scare the life out of me as if they were objects flying at me from my peripheral view and I would jump or flinch. I was also having headaches and blurred vision. Since I stopped the plaquenil, no more black spots and very few headaches. Vision is still a little blurred but nowhere as bad as it was. So yes, I do believe it was the pills. I even went to the Opthomologist not too long ago, who said they saw nothing wrong. Yet the pills stopped and so did the symptoms. I feel I did a wise thing by stopping the plaquenil.....we shall see how unwise my rheumy thinks it was when I see him next in early February.
I am still suffering ungodly acid reflux that subsides to nothing outside of TUMS. I'm supposed to have another endoscopy soon, but as of yet, have heard nothing about the referral.
I have what seems like inflamed organs. Some nights, when I lay down on my left side, the second my middle abdomen just below the ribcage touches the matress, I curl up in pain. It feels like something in there is big and swollen and gets pushed back up in my ribcage when I lay on it. It's excruciating at times. I  just lay there and cry myself to sleep. It happens with my right side too now. Not just when I lie down though. Forget about laying on my back. That is just no longer possible.
I am still awaiting approval of the medication for my muscle inflammation (Prior Auth.) Since it's not on the formulary. Meantime, my upper arms swell to make me look like a linebacker! They're painful to the touch too. Wierd thing is....I've had that pain long before the inflammation was evident. They called it Fibro. Now it's muscular inflammation. That goes to show...(They really don't know what they're dealing with either. We are all in this together. Learning and discovering something new all the time.) What is worrisome, is that I believe the inflammation in my muscles is causing my joints to dislocate and it's putting pressure on my spine. I hurt all the time lately. When I stand from a seated position, I look like an 80 year old woman. I cannot straighten for sometime. I have also developed what seems like panniculitis on my right hip and left upper arm. It is very painful and massage is amazing. Problem is that massage is unwise for me as I am on 11mg of warfarin and have started noticing bruising on my upper thighs. I will be going in for another PT INR in a day or so.
Last night, I was terrified because suddenly my chest had a crushing pain on the left side that took my breath away. I "at first" was not convinced it was a heart attack, merely a pulled muscle. So I changed positions and waited for it to go away. It only got worse. suddenly...my left arm went numb. Not cool! I began thinking "I'm way too young for a heart attack!" Until I remembered that I was the youngest person in the pulmonary ICU ward with my embolism last June. I continued to change position until feeling came back to my arm and the pain subsided. I guess I just wanted to believe that it was nerve issues, as I've had so many times before. Better than a heart attack! I still don't know what happened...not sure I want to.
Where I used to have the malar rash on my face lightly on occasion, it now seems to be more evident more frequently. Not only my face, but my chest as well. AND please feel free to tell me if you have a clue as to why.....my face has been so itchy, I could tear it off at the neck. Every day! I wake up and my whole jaw line is itching like crazy! I've walked around my house with a Calamine "painted on" beard. I take a Benadryl in the morning and it doesn't help! Now I'm trying a new product (ointment) called TriCalm. It worked the first day, but never since. It's becoming hopeless. Now, for the new discovery. I got a Sharper Image Super Wave Oven for Christmas and wanted to use it for dinner tonight. I set it up and put the food in it. It's a large glass bowl with a lid on it that holds a high powered fluorescent light source and heated waves to cook the food. I put my face up to the glass to look at the food (which totally did not seem dangerous in any way) and immediately, I had an inflammatory response My face started to get hot and swell as did my chest (areas of exposure) and it was immediate!
Wow! So then, I look around my apartment and realize that the lighting in my kitchen, and both bathrooms is fluorescent! Could this be the reason for my chronic inflammation at home? What a find!! I think I may be on to something here! Skin cancer may not be the only thing to worry about with regards to UV exposure! So, I have a new approach to go to my doctor with on my next visit. Now, how to change the lighting in my home because it's making me sick. That is not going to be an easy feat with my property management group. They HATE to be accomodating! I may just have to buy lamps :( 
It's late now, so I'm off to bed. Here's to hoping tomorrow is a good day. Good night all.
Muscle Inflammation
Mouth sores
 
Gentle Hugs ~ Heidi

Thursday, December 20, 2012

Blood thinners increased

So, apparently my blood is too thick again. Had my PT INR checked on Tuesday and it came back 1.4 when it should be 2.0 to 3.0. Now, I've been increased to 12mg coumadin each night. Only 1mg higher but since I'm already considered high dose...it's a big deal. Started it last night. Been having intermittent stabbing pain in my upper right quad just under the ribs since this morning. Also, bad acid reflux. There is a stomach flu going around, so I don't want to panick before I know. I'm riding it out for now.
On another note....I had my PCP (Primary care phys.) changed yesterday. Too many issues. Especially since I got a call two days ago warning me to STOP MY COUMADIN IMMEDIATELY! She said that my INR was 4.6 (risk of spontaneous internal bleeding) so I panicked then remembered that I hadn't had a PT INR in months. I asked her the test date on that reading and she stumbled accross her response of (August 14th!) Are you kidding me?? How come nobody called me with that result way back in August?? That could have been a fatal error! So...I immediately called the site manager and voiced all of the issues I've had with this PCP and voila! New PCP. Hopefully this one sees my issues for what they are. Here's to hoping anyway.

If I don't post again before Christmas, MERRY CHRISTMAS to all!

~Heidi

Thursday, December 13, 2012

Doctors visit results...

So, here it is good, bad and indifferent. Don't like all that I heard. Some was promising and some not so much.
1. My knee X-ray was normal. This means no broken bones or swollen tissue. Problem is, SOMETHING is wrong sooo...off to an MRI for me. Now, we see if it's tendons/ligaments etc. That would mean surgery more or less. WE ALL KNOW I DO NOT FARE WELL WITH SURGERY so...not good news.
2. Abdominal CT was normal. This means, far as he can see I do not have Pancreatic, Liver, Heart or Kidney enlargement. THIS IS AMAZING NEWS! Now, because I still suffer SEVERE gastro issues, it's off to the Gastroenterologist for an endoscopy and colonoscopy. NO FUN! This will be my third time and it's not a good time whatsoever!
3. Lab tests showed muscle inflammation. Ugh! That's new and unwelcome news!! Oh...I've gained weight too. :(  We won't discuss that further. Just know that my rheumy backed down my prednisone and gave me the green light to take pure green coffee extract. WooHoo! A light at the end of the tunnel! Being overweight is a horrible thing with Lupus and when you are battling blood clots. It puts so much extra strain on your arteries and joints. No good for my bum knee now either.
4. My memory and confusion is of a serious concern and so I've been referred to Dr. Young (Neurologist) for a brain scan to see if I am developing the tell tale Lupus plaques. Let us all pray that is not the case!
MEDS Changed....I have been backed down from 20mg x day to 10mg x day Prednisone previously. Now, I am down to 5mg x day. This to help alleviate some of the side effects of the steroid. Second, my Plaquenil stays the same 200mg. x day. My Warfarin or (Coumadin) stays at 11mg. x day for now. I was told to take 1 Benadryl daily and now, he has added Azathioprine (AZA) 50mg. 2 pills daily. This is for inflammation.
Currently awaiting results of CU index for autoimmune urticaria. To rule it out I guess.
Compliment deficiencies;
(The complement system is part of the innate immune system. The complement system plays an important part in defense against pyogenic organisms. It promotes the inflammatory response, eliminates pathogens, and enhances the immune response. Deficiencies in the complement cascade can lead to overwhelming infection and sepsis.
In addition to playing an important role in host defense against infection, the complement system is a mediator in both the pathogenesis and prevention of immune complex diseases, such as systemic lupus erythematosus (SLE). These findings underscore the duality of the complement system. It has a protective effect when functioning in moderation against pathogens; at the same time, the inflammation promoted by complement activation can result in cellular damage when not kept in check.) Since my Mother died with Sepsis, this is crucial.
Amylase and Lipase;
Amylase and lipase tests are performed to aid in the differential diagnosis of acute abdominal pain. Amylase and lipase are digestive enzymes made by the pancreas. An enzyme is a protein that accelerates a biochemical reaction. Both enzymes are members of the hydrolase class, which means that they split a substrate by the addition of water. Amylase catalyzes the hydrolysis of starch forming maltose. The maltose can be converted to glucose by other enzymes. Lipase splits triglycerides, forming glycerol and fatty acids as the final product. This will rule out a Pancreatic condition or renal condition.
Being looked at for APL (Antiphospholipid Syndrome) As if I need another DX. If this is positive, I will be on blood thinners for the rest of my life and continue to face life threatening pulmonary embolisms, and stroke.  PRAYERS PLEASE.

(FUTURE NUT SHELL)
Knee MRI
Brain MRI
Endoscopy/Colonoscopy.
Added Medication

NOW....Doc has known my mother and I for years. Now, with the immune issues my kids are suffering, he has requested to start seeing Angelica and made an urgent request for me to get DJ's ANA checked due to a picture he saw. In this pic, DJ had a Malar rash on his face and was very sick running fevers and sores all over his mouth. These are early Lupus signs/symptoms. Also, Jelly's attack by staph every two months along with migraines, back and wrist joint pain are also symptoms of autoimmune disease. Aaron just started getting the staph last month. This is not good and we need all the prayer we can get! Please do not let my children have this!!

Symptoms from mild to severe. These are just a few.

Swelling

Paralyzed chin/dented after palsey episode

Black bumps in birthmark

Moon face L side swollen

extreme weight loss/malar rash

Blue around mouth/oxygen issues

Severe facial swelling/redness

mouth ulcers

My past med regimen

Blood clot after Embolism

Venal thrombosis

thrombosis

typical swelling

Birthmark changes

Birthmark

Moderate hair loss

Facial droop (Bells Palsey)

So tired of this

Bells Palsey

Finger distortion

Malar rash

rash & welts on chest

Blue eye mask down cheekbone

Bells palsey R side facial droop.

Swelling in jaw

Doctors today

I'm a little excited to go to my rheumatologist appt. today because I never heard anything from my GP about my knee X-ray. I'm really not suprised. That's why I had the X-ray tech add my rheumatologist to the report. I know he'll tell me what's going on today! I will also find out the results of my monster lab and CT scan he sent me to after my last appt when I had the Angio edema in his office. I'm not excited to have something wrong...but i'm excited to know what I'm lookin at so I can get the treatment I need to help. I'm tired of everything being a "mystery" issue. Those who deal with this disease know exactly what I'm talking about. Seems there is NEVER an answer. Sucks. Anyhoo....wish me luck!!

Talk to you soon!!
Heidi

Sunday, December 9, 2012

Flu-Like symptoms.

Sorry I've once again missed a few days here. Yesterday, I had what felt like the flu. But it was strange. My sinus was burning like crazy. I took a Benadryl like my rheumatologist said. He witnessed my Angio Edema during a visit and told me to start taking them to see if it's brought on by allergy. Apparently not. Usually, my face will get hot and then start to feel tight (swelling) then one side will droop like I had a stroke. My GP is clueless! He said it was Urticaria or (Hives.) HUH???? This is so clearly NOT hives. My blood pressure is directly affected when it occurs! YESTERDAY...well, that was the first time it took this strange twist on me. The fatigue was unmistakeable. I had a massive migraine and my sinus was burning like crazy! It was one of those headaches where you walk gently (toe to heal) because every jar of my head hurt so bad!! Then when I would turn my eyes from side to side, that hurt too. I thought it was a flu or severe cold until my face started to swell again...and then the right side started to droop. It wasn't as severe this time as it has been thank God. I've been to the E.R. for it before when it was really bad and they rushed me off to scan for a stroke. NOPE. No stroke. I've been told it's Bells Palsey, Angio Edema, Urticaria.....Nobody REALLY knows what it is. This time, I took a picture so I could put an image to my description for you all. For the sake of my Blog. These images are never appealing and sometimes hard to look at. But I'm trying to educate people on this disease, so I do it for the cause. One of these days, I will put together a photobog page with just images of symptoms. Anyway...I'll write again soon. I'm going to try to figure out my day now. There's quite a bit to do so I have to get it started and WRITE IT DOWN. :) Have a wonderful day friends and family!

Thursday, December 6, 2012

Extreme Fatigue

Today I suffered the most extreme fatigue I've ever experienced in my life. It scared me. I literally called my hunny and told him that I was unable to stay awake and I was afraid if I fell asleep, I wouldn't wake up. I crawled out of bed at 7am and woke up my boys for school. It was pouring down rain so I didn't have the heart to let my daughter stand and wait for the bus and my middle child to walk to school. I took them all. My oldest had to be to College by 8am and so did my oldest son. My little guy had to be to school by 8:30. My bestie JoAnn offered to take my oldest son, so as soon as I dropped off DJ (my little guy who's 6) I headed over to NorCal Imaging for an X-ray on my left knee. I cannot wait to get those results! I want to know what's going on with my knee! I can't walk and I'm not sure if it's part of my disease or if I actually hurt myself. But it kills me! Anyway, as soon as my X-ray was over, my eyes got so heavy and I really had trouble staying awake. I really felt like I was going to fall out. It was scary. I hadn't even the energy to breathe! It hit me hard and fast and I just had to hurry and get home and go to bed. I was scared. Never experienced fatigue this bad. It was like I had been drugged. I told my hunny to please call me and check on me by 1pm to make sure I was okay. When I awoke, I was swollen and pale and pasty and sweating like crazy. Like death! It's been a freaky day for me for sure. I feel it coming on.The bad thing is, I never know what "IT" will be. I've had some bad luck this year...lets hope the worst is over huh?! Well, i'm gunna get some rest now. Talk to you soon.

~Heidi

Tuesday, December 4, 2012

Each new day.

Good evening all and sorry I've missed a few days. Occasionally I feel well enough to get out and enjoy my life :) I'm being silly. I've been decorating my house as best I can. I'll include a picture of my front room.
This morning was a tough one as far as my back and left knee are concerned. My back decided to go on strike today, and my left knee is being a complete pain. I got down to my GP's office and picked up a referral for an x-ray of my knee. The wait was an hour, and since my back was hurting so bad, I decided to try back tomorrow. I have a suspicion that I may have injured it at some point. It's horrible pain and nothing like the usual jopint pain I suffer. Hopefully it's something that can be bandaged or soft knee braced up till it heals. Not lookin for any more surgery!
So, on a lighter note, my 12 year old son received a referral for a mammogram today! YUP! You read right! A MAMMOGRAM! That is how jacked up my doctors referral center is....not the first time either. I get other peoples referrals all the time. This was just too funny not to mention. LOL.
My crock pot is cooking dinner for me tonight. I flash seared some rubbed ribs and threw em in the pot. They smell AMAZING right now too :) MMmmmmmm. I will have to get up and fix the sides here pretty quick. But I've learned how to manage with this disease so far. As long as it doesn't take me completely down, I should be able to maintain. I've got one child on her way out the door, and one whos got another 6 or so years with me at least. Then there's my little guy. I get a ton of help from his Dad though....he's fully covered. My son is helpful when he needs to be. Even after my daughter goes off to U.C. this fall, I think we will manage okay. She thinks my house is gunna fall apart when she leaves. LOL. We'll let her think that for a while I guess.
Have a pleasant evening....and thanks for hangin in for my Blog posts.

Peace,
Heidi