Wednesday, June 14, 2017

Invisible Illness

What is invisible illness?  It is medical condition(s) with no obvious outward indicators. So, what does it look like?  Normal.

Example:



I am in a massive flare of everything and really do not feel well.  When able, I rest.  When I have to be somewhere, or do something, I go into performance mode and somehow manage to appear as if I am normal, nothing obviously wrong.  I had to give a presentation.  The setting was such that t-shirt, yoga pants, and tennis shoes (what I wear probably 99% of the time) were not ideal.  Also, I do have a few outward indicators right now--with being off all anti-inflammatory medications and all antihistamines.  My face is red and blotchy from reacting to something unknown. I have the bruises from failed attempts and the finally successful IV from a week or so ago on my arms, plus my arms have hints of rash as well.  I have a low grade fever.  I limp.  Most people have the luxury of just deciding what to wear that will look nice.  I start there....but also keep in mind what will be comfortable, what will hide the more visible issues, etc.  I ended up with a long sleeve soft knit shirt (long sleeve to cover bruises and rash on my arms), soft knit maxi skirt (cover all of legs which have hint of rash, and also turn purple if I stand in one place too long), scarf, I actually wore make-up (rare and sometimes react to it as well), and I wore comfy flat shoes (but still supportive).  But, what no one knew was the make-up was to help mask the blotchy red face and I chose a blue scarf to bring out my eye color rather than my more typical bright pink scarf, which would have drawn more attention to red, blotchy face. (I use red or pink to add color on days that I am so tired that I am pale. Today I was running a low grade fever as well as reacting to something, so had no need to add color, but more to tone it down or distract from it.)  I also had compression shorts on underneath the skirt as low back, hips, all surrounding muscles are flared up and painful.  I was also maxed out on all medications I can take and timing of the stronger pain medication had been such as to make sure at peak effect for the duration of the presentation.

I was told the presentation went well.  The biggest distractions were the technology issues that presented themselves.  Technology issues no longer fluster me the way they used to do, possibly because I am fighting bigger battles?  My mouth was terribly dry from muscle relaxant side effect, but I had brought my water bottle with me and just sipped water as needed.

Once home, I took the above photo to document that I can still dress up and be presentable even when in pain and miserable, but then changed into t-shirt and shorts--pulled regular shorts over the compression shorts. Also, back in tennis shoes prior to PT appointment later. I survived another day of pretending to appear normal.

This post was actually written late in the semester--during "dead week." Things are still not going well, I am still barely hanging on. I can still mostly hide things, but it is largely from isolating--no one actually sees me to know how bad it is.  Earlier in May one of my doctors saw through it and asked if I was doing OK--sort of, not really, but will eventually.  Asked if I had resources?  Yes, and I will be OK with time even though things are very challenging. Some days I do OK, but more often it is nearly impossible to sit, stand, or walk and I spend most of the day lying down.

I can do all this through him who gives me strength. Philippians 4:13 (NIV)

Copyright © 2017 by Steph. All rights reserved.

Thursday, June 1, 2017

11 Months: Preparing for Round Two

I am 11 months post op from surgery on my left hip and just recently saw my surgeon again, but for the non-op right hip this time.  Of course he checked left hip as well and it is doing well, no concerns. Although left hip is doing well overall, it is a bit sore/flared from compensating for a very painful, limiting right hip  We are not making much detectable forward progress as just trying to retain what strength and ability I have in spite of right hip not handling sitting, standing, walking, etc. The right hip is essentially similar set of issues as left was pre-op. Thus, we are now planning on surgery for my right hip.  This is not a surprise, but rather has been more or less suspected since around two months post op, but we were uncertain how I'd rehab from first surgery, if second hip would calm down, etc.

Thoughts on second hip surgery. I am not sure what to expect as I was told this time may be similar, or may be either easier or harder than last time.  A year ago, left hip was horrible--injection had worn off, but surgery not until July 1.  Right hip was starting to catch and was more painful than simple compensation seemed to explain.  But, I was afraid of hip surgery, hoping left hip scope was last surgery--at least for a while, and determined right hip was going to get through OK without surgery--refused to even consider it might need surgery. Although, gut instinct was it felt too similar to left.

Fast forward a year.  Left hip is doing great, surgery recovery has not been easy, but much easier than anticipated.  Left hip was pretty much back to normal ability a few months ago!  Then, injection for right hip wore off and it was back to misery.  I lost optimism of avoiding surgery on it, asked if MRI worth it in February--yes, but it took until April to be able to get it done.  By then, limping again, even on crutches one evening.  MRI confirmed the suspected labral tear, but also found a few surprises.  My initial reaction to thinking of another surgery was frustration to be facing such a major surgery again as we had just gotten me back to pretty much normal ability with left hip. It was so nice to be able to walk, sit, do things. Another surgery would knock me down again for months.  I knew pre-op last time that it was going to take time recovery and regain ability.  It did.  But, as I thought more about it, I then chose to look at things differently.  We had me back to full ability--my body had proved it is capable of healing from major surgery in spite of various complicating factors.  If it could recover well once, it can do so again. Then, as my right hip continued to worsen, I became more limited again, then left hip flared up, and I was losing ability again. Surgery became something I was hoping for and as soon as possible to try to help get things dealt with and allow me to regain progress again even if slowly.  I am no longer afraid of surgery as I have been through it, it was not as bad as anticipated, and has helped beyond what I had expected. I went from fearing and trying to avoid surgery, to hoping surgeon would recommend it and wanting to proceed ASAP.

There will be a few changes in how we handle things this time.  Even though my body is still the same, having confirmed the Ehlers-Danlos Syndrome, and still strongly suspecting Mast Cell Activation Syndrome, more precautions will be taken.  This includes greater support during the surgery itself, as well as more precautions afterward.  I am grateful for a medical team who knows how to handle these issues to support me for optimal outcomes!  Now, to figure out how to survive the next several weeks until surgery.  Prayer is greatly appreciated!

Copyright © 2017 by Steph. All rights reserved.