A long, long update

So, let’s see, when was the last time we really talked?

Oh. Oh my.

Well, I started a new job at the end of July. That’s been going well, though I will say it is stressful compared to my last job as I actually do things and have responsibilities now. I’m working in the office of a department at a local university. I love it – and, more specifically, I like being able to pay all my bills and cut down on some of my debt!

In August, we got our engagement pictures done and holy crap you guys I have just under 8 months to plan this shizzzzzzzzz. There has been some drama (i.e., we picked a florist and then she bailed) but we have plenty of time to recover I hope. I have no idea how to pull together some of this stuff and stuff our ideas into the melting pot of love… which sounded less perverted in my head haha.

September saw me feeling the best I’ve ever felt in my entire life. I was running – sometimes up to a mile! – throughout a chunk of time at the gym. We went hiking several times and it was tons of fun… My inflammation levels were all low, and my pain was controlled! Everything looked great…

But then, thanks to my new job, I got new insurance and that required a prior auth on my lyrica – which we had to go through 2 months in a row because they don’t freaking know how to do paperwork over there. Pain levels were high, and the stress that brought (and other crap) didn’t help things. December saw me with high inflammation levels and the enbrel wasn’t doing a thing to help with it.

The last few months have seen us facing a number of high stress and scary incidents too – my mother was in a terrible car accident that she miraculously escaped with bruises and a concussion, but has her a little road-weary. My step-dad had to have further surgery for his diabetes and things aren’t looking great on that front. T’s aunt saw her breast cancer return, with a stage 4 status, and then this past Sunday suffered a minor stroke. T’s had some of his own health issues, and it has been hard to watch him deal with those. On top of all of that, we have the wedding planning and more. I just have been feeling so emotionally overwhelmed but everyone says crap like ‘be strong’ and so I don’t show it or share it.

The last few weeks have been enormously hard emotionally as well, dealing with the year anniversary of Laura’s death. I had thought it would be easier when we got to a year – that things would sink in. It would still be sad, but maybe we could all really start to heal. Now that I’m a few weeks removed from that day, I am emotionally feeling better, but still very raw.

I had a terrible dream on the anniversary of her death. T and I were on a cruise and there was some emergency that we of course were sure was just precautionary. He runs to go take a look and calls out my name in the most unnerving tone of voice, and I turn from what I’m doing to see that the boat is sinking. Unsurprisingly, my heart sinks and I have that ‘holy shit I’m going to die’ realization. When I woke up from the combination of the nightmare and my sky-high pain levels, I never had that comforting ‘oh oh good, it was all just a horrible dream’ feeling. I’m constantly on edge and, if the topic of death or the meaning of life or any of that existential crisis crap should happen to pop up, I’m incredibly sensitive to it – like in the freeze up, panic attack type way. This is the first time I’m really talking about it with anyone, but it’s also gotten better as of late for the most part. I sometimes have existential crises, but they’re often short in nature (i.e., not even a whole day) so this has been hard to deal with. I’m thankful my nighttime meds are back in force, and I can really sleep throughout the night.

The Friday after, between work and everything else, I had a breakdown the likes of which T has never seen before. I’m sure I cried for like an hour and I felt better afterwards, but damn. It was hard to be that vulnerable and I’d like to avoid it whenever possible… though I didn’t mind the nice things he said to cheer me up. I’m lucky I have him for sure.

My pain levels are getting back under control, but my inflammation is not. I’ll be switching to Orencia in January/February depending on how long it takes them to prior auth that. I just got all the info in the mail from the company that makes it. I’m nervous, but ready to just move on to something that works and hopefully doesn’t make me feel like crap when I take it like the enbrel has been doing lately.

Are you ready for the good news? Me too!

I’ve been asked to be a part of a panel on juvenile arthritis for our local Arthritis Foundation chapter in February, so I’ve been doing a lot of research on the transition from childhood care to adulthood and all that fun stuff. Oddly enough, it is fun for me to read all this info. I’ll be doing more with that here as well.

As a part of that, I spoke with a pediatrician in Ohio who deals specifically with SJIA/Still’s (and MAS). It was a refreshing conversation, and he agreed that there needs to be a focus on how to be a healthy adult for these kids transitioning. He also passed along some medical research to share with my rheumy, and has graciously opened up his brain for me to pick. I’m really quite pleased that he agreed to speak with me.

And I’m a little afraid of what I’ve just signed on to do, but I have made it a goal to run a 5k in May raising money for the Arthritis National Research Foundation, who donates 91 cents on the dollar to research. They’ve made some important breakthroughs lately, so I’m excited to help be a part of that (I think? I’m tired haha)! If you’d like to donate to the cause (or join us!), come check it out!

I feel like this totally turned into one of those super annoying Christmas letters, save that I didn’t tell you about anyone’s goiters or corns or enemas… for now.

2012: A Year in Review

2012 was an… interesting year for me. It’s not like it was horrible – and yet there were definitely times it was. It has been a tough year.

In January, I officiated a wedding between two good friends. It was wonderful to be a part of their special day. I always knew they would end up together. I also had a good ophthalmology appointment, thankfully, after dealing with some more uveitis off and on in the end of 2011. I also started MTX injections to see if I could handle them better than the pills to help boost Humira. It seemed like it was okay, until the back spasms that still plague me today started and the MTX had too much of an affect on my energy levels and my body function. I was coming to terms with the fact that this semester would be my last in graduate school, as my illness was worsening enough to cause too many problems.

In February, I learned that I was on the verge of getting fired because of misunderstanding poorly explained attendance policy information at work. I brought a note from my rheumatologist about the flare up nature of my disease and stated that I shouldn’t be in as much trouble as I was because I wasn’t missing days to go dick around or go to concerts – I was missing days with illness. I got to play the waiting game. I also saw a PT a number of times for my left knee and back.

With March came the JAM walk in Minneapolis at the Mall of America. We took a long weekend and drove up there, enjoying experiencing the shopping and food nearby. I also had been taking Arava instead of the MTX – but even with that, Humira was definitely not working.

By April, I had run out of my free shipments of Humira from Abbott anyway and it was as good a time as any to make an appt with my rheumy about switching to Enbrel. Even though we decided on switching in April, it would be May before I could start it. I set up a new GP since having one at the university I was no longer attending wasn’t helping anything. I also got to see one of our favorite musicians, Eric Hutchinson, right before my birthday.

May brought with it another arthritis walk, where my sweet boyfriend got an ‘arthritis hero’ sign for me. Doing the whole walk was really tough, as my hips were definitely not excited about a 5k. I had a bone density test, which came back perfectly normal. I participated in the first ever World Autoimmune Arthritis Day (WAAD) by preparing a number of documents and a presentation on living life to the fullest with autoimmune arthritis. The same weekend that was going on, the fiance and I got to go try out for Jeopardy. I have literally been training for that since I was very little and it was great great fun to be a part of it. I had to stop Enbrel after my first injection for about a month due to a sinus infection that got so bad as to swell my entire face. At the end of the month, my rheumy’s NP cleared me for Enbrel again and I got to spend some time with a few friends in town running a marathon… which turned into a half instead because of the horrible hot spell we were having.

By June, dealing with the mental issues of having an illness caught up with me. Though I wasn’t suicidal by any means, I was having thoughts that scared me and I had my first appt with my therapist. The Enbrel was working well enough that we decided I should try it without the Arava as it was upsetting my stomach. The boyfriend and I also went on a wonderful vacation, seeing some sights associated with the Civil War and Abe Lincoln, taking in a Cincinnati Reds game, and meeting one of the best spoonie friends I have ever had. I was able to do so much more physically than I thought I would because of the Enbrel. I also had some dental work done.

As a result of that dental work and taking antibiotics as a precaution, July saw me dealing with C-diff – an infection that is one of the leading killers in hospitals every single year. I dealt with it for 11 days before seeking treatment, thinking it was just salmonella or food poisoning. I am very lucky I got better and didn’t have to face hospitalization. I did drag the boyfriend to Urgent Care on his birthday though, and scared the crap out of him when the nurses came to get him to bring him back to the exam room where I was getting my first IV of fluids due to terrible dehydration. This meant another month with no Enbrel. I got to see Dave Matthews Band, one of my favorites since I was little. I could’ve done without the copious amounts of drugs being done around us but it was neat nonetheless. I went with my sister to her last prenatal visit, and tried to talk to my GP about pain meds. He sent me home with ten pills total. UGH. But I also got  a nice haircut and color, and saw the new Batman movie all by myself.

August started off with a bang. On the 1st, I was lucky enough to get to be around for the birth of my niece Marissa Mae. I got to spend time with my best friend when she came along with the boyfriend and I to the Irish Fest Arthritis Walk in Milwaukee. I wasn’t able to walk all of it and almost had to break out the cane to retrace my steps. It was a tough tough day. The next day though, I got to see my idol Hugh Laurie in concert playing the blues. It was one of the most amazing things I have been able to do. I cried out of happiness and being moved by his music. We finished the month off with a Milwaukee Brewers game and spending some time with the boyfriend’s dad.

And then came September. We started the month off with a friend’s wedding and then having to miss Marissa’s blessing because of horrible fibro and rheum pain. It was a horrible day pain wise, but even worse knowing that my family maybe didn’t understand and thought I was an atheist freaking out about going inside a Mormon church again. We went to a Juvenile Arthritis Family Network meeting, along with Megan and Mia and Megan’s sister who deals with AS. It was wonderful to get to meet them after talking so much with them since June when Megan found this lovely blog. I had an appt with my rheumy’s NP, only to get diagnosed with fibromyalgia on top of my Still’s. On the 20th, the boyfriend and I had our 5 year anniversary and headed out to Dubuque to celebrate for the weekend, where he proposed 🙂

In October, I got to spend some time with my best friend and now maid of honor. I was also finally granted FMLA at my job which has made things a lot easier. I babysat Marissa for a while so my sister and her hubby could go out on a date for their one year anniversary, and we found out Marissa likes ukulele music.

November was a hellish month though. I had four appts between the 8th and 9th, one of which was a sleep study. I had to stop Enbrel AGAIN (seriously??) because of an issue with my throat and all doctors involved not wanting to see that end up as an infection. I gave a speech at an Arthritis Foundation fundraiser and got a hug from a Heisman Trophy winner. I also celebrated the 19 year birthday of my Still’s on the 14th and we made a cake. In two years, I am having a 21st birthday party all over again I swear. I also started seeing 2 PTs for my neck/spine, one being pool based therapy.

December has been an incredibly tough month. Cold weather always makes Arthur an ass, and it is definitely doing so now. I’m mid flare as I type this even. And what’s worse for sure is losing someone that I was so close to, that always had ideas and advice and help even if she was going through worse. Losing Laura has made the rheum community come together in a way I have never seen before. She was truly an angel and I am grateful that she isn’t hurting anymore, but I am so sad not only for myself and our other friends but for her fiance and families. As so many others have put it, her death makes me feel numb and I know that I am having a hard time dealing with it. There is a void left by her absence that will never be filled.

While I was lucky enough to go through some amazing once-in-a-lifetime kinds of things this year, I am ready for it to be over and to start anew. Dear 2013, bring a bunch of kick ass things like 2012 had but can you leave the crappy parts behind? I could really really use a break.

Savor the Flavour

So last night the fiance and I went to the 14th Annual Savor the Flavour event to benefit the Arthritis Foundation. It was pretty cool, especially with it being a wine tasting.

Mmm wine.

What? Oh sorry.

I had a great time despite feeling very under-dressed, under-money-ed, and under-prepared.

I wish I could go back over my speech and that I could have made it better. I should have prepared by reading it out loud more. Oh well. I got a lot of pat-on-the-backs for even speaking so that was nice. I also am pretty sure I’ve made a few great friends as a result of going.

And also the wine.

We ended up winning a few things from the silent auction and Ron Dayne, former Wisconsin Badger and NFL football player totally initiated a hug as he was leaving.

It was really hard to come home and not feel cocky. But then this morning Arthur reminded me I had already been cocky enough by going in less than comfy clothes and shoes.

I stayed home from work for the second day in the last two weeks. I hate doing it because my paycheck just gets smaller but I just – I had no choice really. I was already dealing with a spasming back upon waking up and my knees and ankles were just killing me. Surprisingly my right knee is the most angry, but my left side is always the worst. Huh. All those things only get worse if I’m at work though. My hands are pretty poofy today too unfortunately. Blech.

Hopefully tomorrow is better. The more removed I am from the speech the better I feel, but if I speak again at an event I totally need to not freak out when I say ‘um’ or feel the need to go over my note cards really meticulously.

Oy.

JAFN & Meeting Mia

Today I had the wonderful ability to meet up with two other families and another young adult affected by juvenile arthritis. I met Nathan, a 10-year-old with uveitis, as well as Stephanie, a young woman about my age who was lucky enough to be working the JA Conference in St Louis this year.

We all shared stories about our experiences with JA and offered each other advice. It was a small group, but I think that helped for us to really spend time together. It was one of the most wonderful experiences I’ve ever had. When I was diagnosed, the internet was pretty new and to be able to connect with kids who I can identify with was really cool.

The other family I was lucky to meet was one that I’ve gotten to know better over the summer. Mia is a sweet little girl, a toddler, who has been dealing with Still’s for so much of her life. She is so cute, holy cow. Mia brought her mommy Megan and her auntie – who has AS – along for the ride too.

I have met a few other people from my blog in person, but not many. And no one that I have met has systemic/Still’s – or has been this young.

She is so cute, ohmigosh

The five of us (I brought the boyfriend along too) went out to lunch and had a really nice time. I think it was great for all of us. Megan’s sister and I were able to talk about dealing with changes as adults and the difficulties there, while Megan and I were able to talk about Mia’s rashes and fevers. And I think Mia just loved making faces at me 🙂

I cannot wait to be even more of a part in the lives of Megan, Mia, and their family. I think it will be a good thing Mia and myself. I will be able to watch the disease from a more outside perspective, which will be interesting. And maybe I can be kind of a mentor and help her through the tougher times (that I just really hope she doesn’t even get to face and I can be just a fun friend).

This all just helps to hammer home for me the importance of the raising awareness and keeping up the search for a cure. She is so young and full of life. I want her to be able to accomplish all of her dreams and not feel held back by her illness. On a related note, I’m applying for a job with the Arthritis Foundation that I found out about this morning. Ohh yeah!

Thank you Megan and Mia for coming down and visiting with us! If you want to learn more about their story, please check out their blog here.

2011 Run/Walk to Irish Fest in Milwaukee

HEY YOU GUYS!

Do you want to do something awesome?

Good!

Please click this fun link here and take a look my team’s page for the 2011 Run/Walk to Irish Fest in Milwaukee, Wisconsin. If you’re local, consider signing up for my team! If you physically cannot – or are too far away – think about donating, eh? If you’re not in the position to do either, then just root on my team and try to spread the word 🙂

The event is sponsored by Abbott Immunology and we all know how much I’m in love with Humira – especially now that I figured out stomach shots are SO much better than thigh shots. Yay!