Invisible Diseases

Yesterday, I reached the lowest I could reach. But then I was lifted up.🄹

Someone said something that made it patently clear that they have no cooking clue how bad this is. How the fatigue weighs me down daily. How it’s scary to feel my lungs suffering when I try exercise. How frustrating it is that things I could do easily just months ago, are impossible now. They have no clue, despite the amount of awareness posts I’ve done, how all-consuming and painful, oh, so painful this disease is.

If I DO sleep, I have nightmares that people are drilling into my SI joints with the swords. Or I dream that I’m at the hospital begging for morphine. (That’s just this week’s worth of dreams that I can recall)

I realised you can never raise awareness of everything and make it make sense to everyone. The whole point of ā€˜awareness’ for me as a Christian AS patient with other organ problems) is that people understand the reality, to know that for some people, that one step forward took much effort, so don’t except them to hike up a mountain. Awareness -for me-is so we are all kinder and more thoughtful of what we say to each other because we have no clue how many smiles are painted on but not genuinely FELT. It’s to show that I am ā€œcontent with whatsoeverā€ God allows, but I’m not well. For people to know that the happy grin is hiding a grimace of pain. I’m just trying to live the gospel, to be a living example of faith-resting in His promises instead of my present reality.

But if all efforts at awareness fail, it’s time to stop and just blog. Thats the problem with an invisible disease. It’s not as dramatic as something visible and so they act like your reality is nothing horrendous.

BUT, know my awareness hasn’t totally fallen on deaf ears. I have a young newlywed who even years ago when all she knew about were the sleepless nights due to pain and IBS, the iron infusions told me that it helped her appreciate her life of painlessness. She said she’d never been sick so couldn’t comprehend but it made her more gentle and kind to others. And more aware of suffering. Her words and the words of a mom of many keep me going when it seems those closest to me inflict the worst pain by their ignorant comments. And there’s no point in flogging a dead horse. At least now when I’m not at church, members who have my number and see my posts understand the multiple reasons why I’m not there. (Children and me) And when I AM, they can understand why I leave early. I guess my awareness job is done via that platform.

I watched a video this morning and what the AS patient said reminded me of her statements and brought tears of ā€œYES! You get it! And I get YOU!ā€ rolling down my cheeks. And this is someone on helpful treatment, but he still has bad days. It validates me who after more than a decade of actively seeking an answer, had a diagnosis in January and is still untreated. And instead of moving forwards with help, having to stop one med that definitely was helpful, and unable to keep trying one out to see if it WILL be helpful. I have every right to be forcing myself to ā€˜be’ and to expect those closest to me to understand how exhausting the mental and physical burden is.

The brain fog is an aspect I haven’t touched. I think mainly because menopause also comes with memory issues. So, I got home and was very sure that I left my shopping in the trolley in the parking lot. Then I couldn’t find my car key to go check if that was so. Then my son brought the key, telling me I’d left it in the ignition. And yes, all the shopping was there. But I can’t recall if I put the trolley away or just left it there in the parking lot for a trolley guy to find. And I hate that. I usually try go put it back safely or put it against a pillar so it doesn’t roll into a car. But I don’t know what I did.

And that’s just a bit of it. I could not find my phone. Yet I’d brought it to my room. These things seem mild, but forgetfulness and mental fatigue are bad. Especially when you have children who need to be medicated. (Did I tell you I’m on a huge ā€˜let’s limit the meds and try supplement with supplements so they don’t have to use as MUCH?ā€ And also trying to help my definitely ADHD four year old who can’t be medicated anyway. I need my brain. I need to remember all the exercises my children need for vision therapy, for occupational therapy, and to remember to plan their school work.

I was going to post this as a status, but you see, there’s lots to say because it doesn’t end with tears of heartache.( Typing while I listen to my screaming, over reacting son. There’s an emotional pain that comes with special parenting that I don’t even try to raise awareness of. A daily, constant, grinding worry and draining, gnawing anxiety.)

See, I have different people for different parts of life, and that’s ok. We can’t be everything to everybody, though we can be sensitive to each other and choose our words, say things to those whose health is also intact rather than to those who wish they were healthy- a lesson to me too, to be watchful and sensitive…

She sees me. Her child suffers daily though mostly invisibly too. She knows that pain and trying to ā€˜live’ at the same darn time are not easy at all. You’re forcing yourself to ā€˜be’ when you wish you weren’t…I don’t know how long I can go through with the fake ā€œincredible womanā€ act though! My husband has certainly seen his share of tears when he’s around to see them. Busy traveling all the time!

I have a friend who’s mourning the death of a neighbour who had a very young autistic child, worried about the level of love and care the little one will have, worrying about MY little ones. She sees. She sees the totality.🄹 She too has secondary gnawing anxiety of a sort. And she worries dreadfully about the financial impact – I have to pay the hospital R4050 for the surgery and the doctor’s fees aren’t fully covered either. And who knows how much the anesthetist will charge! It’s a horrible stress to have. I think of the new father who has joined our group who wished he was dead so his family didn’t have to deal with the consequences of this stupid disease.

I don’t need everyone to get that every day is a battle. I don’t even need any one to understand how horrific every day is. Yet some do. And really, that’s most important. My terrible attempts at awareness did make a difference.

There are those who live it and share it, who I can weep with. There are those -the very same person who made my awareness feel like it has failed-who put all the pieces together (the struggling lungs when I exercise, when I wake up from surgery, when I get sick) to make what I know is a very ugly puzzle but is sadly not a puzzle I can throw away. To have parts of me seen is more than others have. Others truly don’t ever get seen at ALL.

And I am thankful. Thankful that though He is as invisible as my diseases, He is definitely as present as they are, no matter what unbelievers and doubters may say.

And He sees.

Today, I choose to be silent about me and how bad things are, like I was yesterday . It’s a bad day. Worse than yesterday, and yesterday was so bad I couldn’t even shower. My husband phoned and I tried to get out of answering his questions re my health. I couldn’t even do all my AS exercises yesterday. Just did some arms and the breathing to try slow down the fusing shut of my ribs. I can’t describe the anxiety in that thought while also not treating the disease at all. I’ve seen this kill people. It plays on my mind even when I’m not in excruciating pain like this week because it HAS to. I HAVE to do those exercises. I’ve already lost more mobility than I should have. And I will tell it to God- and whoever is unfortunate enough to be reading this blog. Sometimes I feel bad blogging about AS or kidneys or operations but then I remind myself, ā€œYour url is chronicallyyours! They know what they are here to read! Don’t sugarcoat anything!ā€ So here I am.

Chronically yours,

ā€˜Grace by any other name’

My Blessings

One of the AS patients who died this year had a wonderful mother. Yes, she didn’t see how bad things were, thought her daughter had to just buck up and get on with it till she realised she was in liver failure, but in general, she was a loving and supportive mom and an amazing grandmother.

It made me glad that my mother figure (Step mom in law) is far away. She can’t see what I go through. She already feels so desperately worried the few times I mention it that I don’t ask how she is on my worst days because I know she will ask how I am.

Then I realized that though my biological mother wasn’t the best, that I didn’t have any recent heartwarming memories, I DO have those who care about me. Who contact me purely to check on me, not to use me. Those who send messages because they love me, not because they want something from me.

I see it in their actions. In the way they study the various conditions my children have, in how they share videos that remind them of my children, in how they try give (money) because they aren’t here to do (anything for me.)

They are my blessings.

I am thankful for every true hearted query. For every well thought out sentiment. For every, ā€œOh no, that means you’ll have a terrible dayā€ after I relate something I did that will tax me or have bad consequences.

Like allowing my daughter to sit on my lap for a very long time as she made me read two books to her despite how the enthesitis in my pelvis has been raging.

My husband was saying this morning that he’s got grey hair because of me. In the past, I was sick but it was random issues, random surgeries and we were en route to diagnosis and HEALING. But now, now he knows there’s no cure at all. There’s no healing. And it gets worse… It’s knowing that we are trying treatments. Trying. We don’t even know if this Enbrel is the magic bullet or if we will have to keep trying and failing while the disease keeps on stealing my mobility from me.

It’s scary.

But we have our blessings. And we are thankful for them.

Thoughts on Adultery

There’s a man who says he’s a Christian who’s committed adultery, been unfaithful, cheated, lied to God, Didn’t keep his vows, whatever you want to call it.

What I do not want to call it, is ā€œa mistake.ā€ It’s not like he didn’t know who he was snot to insert his manhood into when he did it. It was a sin. And this is the part I hate. That they are so quick to point out others’ sins-the American powers, the Catholic Church, but when it’s them who have sinned, suddenly, it’s only a ā€œ mistake.ā€

That is hypocrisy and definitely not how someone who has truly repented – as he claims-talks. I will judge him by his fruits. Nowhere in his speech does he say, ā€œI need to take a deep look at myself to ask why I committed the sins I committed.ā€ He doesn’t say, ā€œ I left God and went my own way. I need to go back to basics and fix my relationship with God and REALLY know Him before I come try teach you about Him.ā€

Nope, he instead says that he and his wife decided he should take a short break not from ALL teaching or ministry, but just from posting videos. Just for a while. And with that, I repeat the question someone asked. ā€œWhy do we NOW find out you’re married? Why NOW? And why suddenly mention her now?ā€

Cos yeah, if he’d just said he needed to get right with God, I’ve not have wondered about this wife. Where does she stand? Is she also acting like adultery is nothing, like her husband isn’t broken? Is she also agreeing that he should keep preaching as he did while he was an adulterer and as he continues to via his ā€˜Christian’ website?

If he glosses over his own sin, if he minimizes it and even has the gall to say it was almost a blessing in disguise as he now knows who his friends are, there is no way I will read anything on his website. Christ didn’t sin and pretend to be holy while teaching, he WAS holy.

It’s time to truly examine ourselves when we have given ourselves positions and roles that we think God has given us. Does God think we are good examples? Does God approve of us?

What about the woman/women he has slept with? Are they also ā€˜Christians?’ What do THEY think about this powerless God he teaches of who he doesn’t respect enough to be faithful to? How do THEY relate to his God? Because that’s always been my biggest concern. When a married man commits adultery, he has left God far behind him somewhere and needs to find him. He has also caused another woman to sin. And potentially brought disease to his (hopefully) innocent wife. I say hopefully because I know of the stupid revenge adultery thing too. Where you cheat because the other cheated.

Dear Cheating Wives and Husbands Who Claim to be Christian ministers- rather sit down and be quiet and cheat than to loudly profess to love a God you obviously don’t love.

John 14:15 ā€œIf ye love me, keep my commandments.ā€

Dear Minister on Video, Hush. Go examine yourself and find out why you’re a false shepherd.

Not What You Want to Hear

So, yesterday, I finally got to see the urologist. These guys are so BUSY! Told him point blank that I hope I’m imagining my problem and that there’s nothing there.

He examined me and pronounced, ā€œI see something there.ā€

Bah humbug!

For some months now, I’ve been struggling to get my pee out, and taking ages doing so. I thought maybe I was crazy, till one morning my husband exclaimed, ā€œYou must be sick. You haven’t finished peeing and I’ve started AND finished sweeping the bedroom floor! There’s something wrong with you.ā€ I cliff not ignore it after that! Plus the urine was coming out and sideways instead of down into the loo. (Sorry for TMI)

GP gelt I needed a urologist and so my ally came round yesterday. He was a very ok guy though he seemed to have never heard of diastasis recti and would not HEAR me when I told him the rest of myself surgeries. He thought I was alluding to closing a ventral hernia.

Did ultrasound, then the moment jf truth came as he checked me out visually.

Yep, there is something in my urethra. It’s caused a narrowing and blockage. It must come out, then he will be able to see what it is, and he will check inside my bladder, and then dilate my urethra. Yes, under general anesthesia.

Again

I guess it’s good that I don’t ever go to a sunrise for no real reason, but I wouldn’t have minded coming across as a hysterical woman or hypochondriac.

Surgery next month-I booked a date to be sure the teens’ exams are finished and their dad will have traveled the week before, so hopefully he will be home that week.

Surgery number 2 of 2023

Bring on ā€˜The dementia.’ Too many operations. My sad lungs and my tired brain just can’t do this anymore.

Seriously? How many growths will we be cutting out of me? I hope we won’t need to take it to pathology for testing. I hate that waiting period, though they’ve all always been cancer-negative.

Here we go…

Seventh-Day Ironing

Two years ago, a friend who I’ve complained bitterly to about my back (Remember, I only got my diagnosis this year) came to take care of me after surgery. I asked her to watch over my children at home while I convalesced in an AirBnB which she slept in too. She remarked one day, ā€œSisi, I see even more that you need a helper. Your floor!! I started sweeping and wow, even MY healthy back started complaining. There’s no way you can do the entire floor and mop and do all the other chores. It’s too much.ā€

Very true. Even healthy moms homeschooling six crazy children would find it hard if they have my standards of cleanliness. (Quite a few have said they wouldn’t clean as thoroughly as I do.šŸ˜…)

I have a three half days a week lady who comes. But ironing is not her forte, to put it mildly. But she’s awesome with the children. My ā€˜I don’t like strangers. I don’t talk’ twin even told her big sister to ā€œOpenā€ a door leading to where our helper was sitting and eating, and even said ā€œClimbā€ to ask her to help her climb onto the dining room chair. My angel sat with her for a whole five minutes!🄹So she will stay even if her ironing is bad. But that leaves us with that bit done. I try and my back complains. I try, and I get scared I’m causing my back to fuse bending forward. Maybe I’m paranoid. But with uncontrolled AS, who knows? I think I would prefer to be fused totally straight. IF I were to fuse at all. Given I’ve lost so much mobility that my rheumatologist is amazed just can’t still turn my neck when changing lane, imagining myself being fused isn’t a step too far

So yes, here we are with a husband who wears formal shirts to work, children who play a lot and get very dirty, mainly from food they spill on themselves! And we are left with way too much ironing for me.

Enter a third ā€˜helper.’ The Iron Lady, located a few blocks away. Their prices are very competitive given you can take as much laundry to them as you want. As often as you need. And they do the job really well. And they want to know how you want it, which for an OCD man is great. (He wants the hanger to face the left with shirt facing you, the holder. And no lines on shirt sleeves – I forgot to tell them that one- and no lines on pants either. And of course, no ironing if black work pants on the outside. Which the Iron Lady people make sure to tell you they do not do.)

The owner is a wonderful lady. I told her how yes, it’s a paid service, but for me, it’s a blessing because I WANT to iron our clothes but my health stops me. She said that she’d never heard of AS, doesn’t know what it does even now, but she has two other clients who also have it. And that she would pray for me and when they iron things I wear, they’d pray over me. 🄹

Thursday afternoon, when I went to collect some ironing, she told me that it’s quite busy, so I might need to collect the stuff on Saturday. So I told her, ā€œI’ll do it Monday then.ā€ She reminded me that they do open for half of Saturday and I explained that I’m Seventh-Day Adventist. As soon as I said that, she said, ā€œAhh! I know! No work on the Sabbath!ā€ā¤ļø

And I got my washing yesterday (Friday). Which reminds me to thank her and her staff because I was really ok with collecting on Monday!

Those are the things that make life easier. More expensive, but MUCH easier!šŸ™šŸ¾

Proud Mom

It’s kinda scary. I was bent over forwards trying to sweep up into a dustpan, a mess the twins had made, and one came behind me and pushed me out her way. She’s heavy. I stumbled.

What will happen when she’s older? And bigger? And stronger? Hopefully she will use her words. Or will understand how to behave.🫣

On a happier note. She dislikes the texture of the zinc chewable supplements so I thought her the syrup. She surprised us one day this week by picking up the bottle, going to the kitchen, opening the cutlery drawer, taking out a teaspoon, and wordlessly handing her medication (She did the same with magnesium!) to her big brother to give to her.

Every time she shows some kind of planning and thought, our hearts swell. Remember, we couldn’t even tell how delayed she is both times she was assessed. We know the delay is there. So seeing this makes our day.

It’s the little things.

Like trying to engage with her and not getting any ā€˜response’ but when hugging her good bye, she looks at me and gives me a gentle kiss. And another when I praised her for it.ā¤ļø

And no, there’s NO day with NO word anymore! Thats another thing. The words might not match the situation, she might mostly be looking deep into our eyes before suddenly saying ā€œefuntā€ (elephant) or lion, but she’s saying lots! And sometimes it totally matches the situation, like when she burst into my room and I was resting and I told her to cuddle with me, ā€œNo, No, No.ā€

And she certainly meant each of those.šŸ˜‰

Too Many (for AS patients)

Alright. This is for AS patients who are still actively trying to figure out if they’re on the right biologic. Those who are new and not sure of what they’re experiencing is normal, and don’t know if they’re the only ones dealing with random issues.

This is my bit to speak for all the patients who write in groups that the medication is working BUT the side effects are unsustainable. Here’s why it’s hard for ME. This post is for all the people who wonder what actually CAN happen?

So, Enbrel is not going to leave me unmarked -internally. It’s a lot going on and I have not been telling anyone the extent to which it’s impacting me.

Damned if you do, extra damned if you don’t.

Fatigue. AS already is a disease marked with extreme exhaustion. The day after my injection, I suffered a lot but today that aspect is gone.

Just know that some problems you might have had before starting Enbrel (or any other biologic) can spring up worse and more often. I’ve had a problem that began 24 years ago and was bad enough for me to get help many times, but no real answer except to be told it’s going to stay with me forever and will keep flaring up, and to be told only total deep surgical excision would get rid of the problem. (Hint- staphylococcus bacteria is sometimes impossible to get rid of)

Just know that sinusitis can do weird things when you have Enbrel in your system. Like your nose pouring out what might as well be water uncontrollably.

Just know that you can have gastrointestinal problems that also last days. Think the opposite of the IBS I have. (Mine is constilation dominant.)

I don’t know, warriors. They say side effects get worse the more you have it in you. I don’t know what that will look like for me. I don’t know if I’ll settle down instead. I’d like to give this a real chance to work.

Back to the staph issue and what the dermatologist said about deep surgery…It would mean I’d also need reconstructive surgery and skin grafts given how widespread the problem is.🄹 And you have to quit your biologic if you’re due to have surgery. So even if I was contemplating it, stopping AGAIN before Ive found out it if it works is not something I’d do unless it’s a matter of life and death or permanent disability. We need to know if this is even the right treatment.

It’s one thing to be told, ā€œI had to try so many meds before I could find one that didn’t impact meā€ to actually live it. How bad is bad enough to try something else? And now I can understand the patient whose rheumy changed her meds because of her side effects, a change which which made her upset as she felt the biologic was helping the AS so would have preferred to weather the side effect stork and control the Azs. Uncontrolled AS is awful. Worse (for us) than the side effects sometimes. But the side effects can kill. And maybe the rheumy knew what was ahead…

And so… we walk on blindly. Nobody who has lived our specifics, nobody we tell our specifics to. Just hoping for a break.

That’s AS reality when your disease is not yet under control and you’re still new to a biologic.

On the positive side, my skin hasn’t reacted to the injection. No site reactions. Some people have to quit because of them as they spread and become thick, permanent and get painful and… So though I almost forgot to add it in, it’s important to note. At least that’s not a possibility I’m dealing with.

Celebrations and Lamentations

Monday was a happy day. And the twins certainly enjoyed their fourth birthday.

But of course, those who live in the valley can’t help but think of said valley. I didn’t know I had AS when they (and my other two) were conceived. I have heard NOW that patients are told to first have their AS under control, and THEN fall pregnant as AS seems to be dangerous for the unborn babies.

Oops.

Also, research has shown that AS patients have a flare up in their second trimester. That is ME! I always had horrible morning sickness till week 16. Then two weeks where I bloomed and blossomed and felt happy. No more threatened miscarriages that always happened in the first trimester, no more sickness all day. Then week 18 would come, and like clockwork, all hell would break loose. And I didn’t know why. I’d have to take breaks when shopping because the pain was horrendous. My rib cage felt like it was breaking. I feared I’d never be able to walk again. I wasn’t able to exercise- leading to insensitive women complaining about how fat I became instead of celebrating the healthy babies. Pregnancy was torture.

We had a lovely birthday Monday.

But today is Thursday. And today, I had to go repeat my kidney function bloods. I had a moment in the shower. I was (am) feeling much more fatigue than normal- I assume it’s the effects of yesterday’s Injection number five. I had to drag myself into the shower and I just wept. I didn’t ā€œWANT to go get my bloods done. I don’t want to have to wonder how gentle or rough the person will be. I don’t WANT to keep doing this. It’s been 43 years of being chronically ill. I’m tiredā€¦ā€

But I went anyway.

And a very talkative gentleman came and sat next to me. He started by talking about how full it is for so early in the morning. He told me how he’s TIRED of being pricked all the time. He knew he’d never be cured, so why not just let him die? He didn’t want to be there to be pricked often and he’s lived a full life at 80 years old. Boy could I relate to him.

David, Isaiah, Jeremiah, many lamented the state of things. The church, their lives… Their heads were bowed with sorrow and their eyes were heavy with tears. Lamenting is nothing new, and nothing God can’t handle.

And, like those Bible warriors, we keep going anyway. Tired but aiming for triumph. Sad, but accepting. Wishing for better, while appreciating the good. He has lovely children, he has delightful grandchildren… His life has something worth celebrating.

Thank you to my faithful commenter who celebrates and laments with me. We are in this world, we sadly can’t have one without the other, right? But, we soldier on.

Smiling and hiding it. Like all good mothers and grandfathers.ā¤ļø

Where Are They?

AS is like many other incurable diseases, it manifests differently, can be mild, or can be incapacitating. I have tried to find other blogs, but the people are either very well and stronger than I am, or they just..disappear. One had liver problems and other issues that were getting worse and she just..disappeared. One’s blog did have a conclusion- when she died due to her ribs not expanding and her not being able fight off an infection.

We lost an eight AS patient this year.

And I can understand what can go wrong.

I can’t do this particular exercise. Well, there are a few I can’t do. But this one is scary impossible. It’s like there’s a huge weight standing on my shoulders and back pushing my arms down. They are bent and I can’t breathe and I can only stay up for about 6 seconds before running out of air and energy.

I wish I could describe how scary that is. Does that mean my back has fused? Does that mean I’m going to end up with a hunchback and this is just the beginning of my body not going in the direction I am trying to move it to? Or will I have the ā€˜privilege’ of at least remaining ramrod straight?

I did the shoulder extensions after the failed back stretch, and then tried lunging. I couldn’t. I lost my breath after five steps. That’s two one side, and three on the other leg. And then I could not breathe.

It reminded me of yesterday morning. Before going to church, I recorded a Bible story segment and the nature story for the children to watch in my absence. I went out to pick two flowers, and became breathless. Just.from.picking.two.small.flowers.

Something is very wrong and I don’t know if it’s enough to know I have atelectasis (partially collapsed lungs) that seem to have caused fibrosis in one lung. It seems extreme all of a sudden. Or is it a symptom of the extreme exhaustion that comes with AS? Do your lungs also feel too tired to work?

I really don’t know. It’s just worrying when you see your outside not behaving, and you feel your inside also not behaving. I don’t know where I will be when my blog comes to an end. I am hopeful that it won’t be an abrupt end after noting that my organs are in trouble. I hope against hope that this will all get sorted and that it will improve.

As I plan to go get my kidney function looked at and a colonoscopy done…