What I Did

I see books answering why Christians suffer.

As I’ve said before, why shouldn’t we?

I don’t get why we’d assume that following Christ gives us immunity from trials and suffering and pain.

When you know your Bible, you know many good people who went through terrible things. So one thing I can tell you I did NOT do was to waste the night asking why me. Not in the sense of “But I don’t deserve it!”

What I did during those hours was try sleep, was go take two Panados and try again. Then I read a book by a British foster carer (All the ones I’ve seen have been by British women. Maybe Americans aren’t allowed to write even under pseudonyms like the Brits?)

I told myself that the parting is exactly why I preferred to adopt. I can’t. The mourning they go through, the mourning their bio children go through when the children find adoptive families or go back to their parents or into a different care system is too painful. They are stronger than I could ever be.

And it explains why the foster mom seemed so sour when we got our girl from her. Actually, I know it is because later she said she didn’t like a couple that adopted one of her babies and then said insightfully, “But I think it’s because I don’t think anybody would be good enough for the baby. I wouldn’t like anyone!” It took her a while to warm up to me. And it was only after we both had lots to say about how bad the adoption agency was. (Remember how she asked ME why she had to fetch our baby from a baby home as an emergency placement and care for her fractured arm? Why was her arm broken? And why didn’t they tell her anything? Did I know anything? And as you may recall, I only knew because a different foster mom told me the truth.)

I asked God how I’m meant to parent when He allows me to suffer so much. I also prayed for people -my friends, my children. Lots of time to pray.

I emailed the rheumatologist to ask for stronger pain meds.

I wondered if I’d done too much work during the day.

And I went to the loo a few times.

That’s what I did all night long. Then I got up and washed my hair.

And I’m typing here listening to my out of control children outside and wondering how we will survive all these days with no ADHD treatment. Last night was AWFUL. And it’s almost exam time for my teens.

I googled therapeutic Omega 3 dosages and found that it’s in dispute that high doses actually help anyway. Not what I wanted to read. So, when I go fetch my meds this morning, I’ll look for any other supplement that promises me help while I continue the Mentat and Omega.

I had LOTS to think about!

Generic No!

I regret it!

Firstly, that pharmacist was WEIRD and I need to take care of myself better. She said my needs would be expensive so she would give me much less of the Synaleve than what was prescribed. I did the baths and agreed. And honestly, I didn’t feel much difference in my body on it so didn’t mind that much. But I found it off putting because I hadn’t SAID I can’t afford it. And she said I must just take it when I need it.

I did tell her I would ALWAYS need it as I have a chronic and progressive illness and am waiting for biologics but she didn’t get it.

I didn’t stand up for myself.

Then, she offered a generic for the Trepiline. It’s a tablet I have been given before-for also issues and post-op for nerve pain. The pharmacist offered the generic because it’s apparently easier to break in half (They always prescribe only half a tablet a night.) Now, that was a good reason, and I’ve always heard that genetics are as good as the original AND cheaper.

Never again!

Those blue tablets, Veikerin, are even HARDER to break in half! I actually had to use a cutter! And, I woke up with a massive headache that steadily grew each day in intensity till Sunday when I also had a vomit attack.

I don’t know if the two were linked but both were awful. My children thought I was dying, and the force of the pulling so bad I was convinced I’d bruised a rib and turn some mesh stitches. And still had the headache from hell.

I then tried again on Wednesday, to test if it really WAS the generic. And yep, headache again the next morning.

When it comes to Trepiline I’ve learnt my lesson. No generic!

I wonder if I’d have spent my whole night awake due to pain if I had it in my system. And the pain is certainly worse than with the Synaleve.

I ordered my full dose. And spoke verbally to a pharmacist telling her I wanted my original Trepiline repeat, which she typed into the system.

Let’s hope we don’t have a repeat of tonight. I’ve never had NO sleep at all because of AS pain. Broken sleep? Yes. She only till 2am? Yes. But no sleep at all???

And no relief in the unconsciousness of sleep received m from any painkiller including nothing from the Tramahexal the rheumatologist had also given me? It’s a first.

Hands Holding Mine

I thought when my AS progresses, it would get worse only in terms of stiffness and fatigue. I didn’t realise the pain could become so bad that it doesn’t respond to pharmacological help at all.

As I told one of the hands holding mine, before, lying down gave me relief. Being able to take the weight and pressure off my SI joints allowed the pain to dissipate. My only concern was that as a teacher and therapist, I couldn’t exactly lie down as my body dictated.

But now I’ve lost even that luxury. It’s like I’m lying on bone and nerve, no fat, muscle or skin to cushion my bones. Nothing is bringing relief. Nothing. And that’s a scary place to be.

My son’s paediatrician had to see him yesterday. We are focusing on his anxiety on top of the mood and ADHD. The office manager asked me how I am. I told her I’m ok, and she said, “No, you look like you’re in pain. Is it the surgeries?”

I hate that. I thought I’d forever be able to hide my suffering from people.

Same with the pulmonologist. After he told me he believes I have pulmonary fibrosis in my right lower lung this week, I went to get a nasal antibiotic and steroid at the pharmacy. (My sinusitis is taking its own sweet time to clear up.)

There’s a store manager we’ve known for years who happened to be on duty. She asked how I am. I said my usual, “I’m fine.” And she said, “No, you’re not. There’s something wrong with your lungs. I can hear it. You need to take care of yourself as well as you take care of your children.”

Wow. I didn’t know an acquaintance would hear anything. My family doesn’t comment on it. Only one friend has commented via voice note that I sound out of breath.

This is hard. I have no choice. I can’t ‘rest’ like I should. I’m constantly researching as therapists are very hard to find. So I need to be the researcher therapist when my children aren’t around . I also need to be the teacher and mom and cook and cleaner. Yes, we have help but it’s part time on the few days she does come. It’s not even a full day’s work on the days she comes -budget issues.

It feels lonely. My closest friend in my province and church has absolutely no clue what it’s like. She has never asked what the actual nitty gritty realities are and has never attempted to understand how relentless the strain is.

And so, I have people holding my hands from a distance. One even in a different country. But..they are holding my hands even though none are home educators, have children or children with extra needs. They can’t relate, but they can LOVE!

And also, someone I’m not even close to sent a monetary gift for fuel or whatever we need. I could safely go to the paediatrician knowing I had enough money to pay his fee -R1070. Thanks to someone holding my hand.

I’m so thankful for the care, concern, trying to understand…The video watching to try enter my world means a LOT to me.

While I pray for a breakthrough in terms of my treatment and the children’s therapies, I continue to wholeheartedly pray for the best outcomes for THEIR situations.

They are God arms, holding me up when I spend over a week limping and using a cane and then stopping because the wrist pain is too great. They are His love.

Ankylosing Spondylitis is a BEAST

Wearing masks because I don’t want to catch the virus ALL my children have.

I felt on top of the world yesterday. Granted I had way too many pain tablets to even count, but I felt on top of the world.. once they kicked in.

Today, I am paying for it. I am paying for it and I want to cry. I often had days before diagnosis when I’d tell my husband, “I can’t. I just can’t do this. I wish there was a nursing home that I could go to where I could sleep, be served food and sleep through the night-unlike a hospital where nurses and patients keep you awake at night. I want to be nurtured, mothered, looked after. I can’t do this. The pain and fatigue are too much. I wonder why.”

That’s the kind of day I’m having, I know why, and it’s only just past 8am.

The loud noise of the children’s shouting to each other from different rooms, my teen daughter’s very loud laugh all set my teeth on edge. I want to join in and just SCREAM as loud as I can. Shout that I need a break. But what would that hell except to frighten them? I want to be in a quiet place, resting my weary body.

I shouldn’t have been a hero yesterday. Moving my heavy queen size bed to clean under it, vacuuming and mopping multiple rooms, hanging laundry, bringing laundry in, hanging more laundry, ironing, working out…And daring to print practice exam papers and do dishes. It was too much for the me I am today. The me I will be until we try biologics AND they work.

For it’s still a long process. I don’t even know when I will be approved. I don’t know if we will afford it. And I don’t even know that the first attempt -Enbrel- will work. What I do know is that all my joints are screaming and I know the screaming is so loud that not all the pain meds in the world will bring the volume down to the level it was at yesterday. What I also fount out this morning I s that doing glute bridges hurts too-as well as some of the other AS specific exercises I’m meant to do.

What I do know is that I’m limping and nobody in my world knows how bad today is. And why should they? It’s not like they can come take the load off my painful, weary shoulders. And they know AS is forever. So, I come to my trusty online journal and share what many others are going through with their ailments.

We will survive -somehow. Don’t ask me how, as I hear my twins screaming and crying and want to join them instead of having to be the one to find the strength to sort it out.

Just breathe. The day is not infinite. Somehow we will find a moment of rest even if it’s right at the very end of it. And we will learn from yesterday to never try again to be the us we used to be before disease took over us.

Today, I have AS and AS has me. But it doesn’t change who I am. Weaker, slower, walking unevenly, silently crying but still holding on and being the me my children deserve. So help me God.

“These Blacks..”

Insert a word that has been ruled illegal. And finish off the statement, “These Blacks are all the same…”

Or what the one guy said to us, “We Coloureds don’t like Black people. Especially Xhosas. They’re all lazy.”

Yeah, racism is built on a lie. It’s evil.

I wish I could show all the racists in our country articles such as this one from News24. A group of XHOSA residents trying to fix the mess SOME other Xhosas made during their protest. I see dignity and ownership. I see hard work and sorrow.

Do you see laziness?

I have seen sweat and tears. I see domestic workers and gardeners. I see shelf packets and cashiers. I see job SEEKERS and security guards. I see road workers and police officers. In my country, I see students who can’t finish university-out even start-because they can’t afford the fees after working hard in high school. I see street sweepers and bus drivers. I see all those Blacks. I see them working hard.

I Deserve It!

I was told that my mother and sister felt I don’t deserve my “big car” because I’m not employed. (It’s a 7 seater vehicle we got specifically because we have six children.)

I have always liked high cars. SUVs of almost any type. I just like high cars because I feel safer as the car in front of me doesn’t obscure my vision of what’s ahead of THEM.

I’ve been struggling with SI joint pain almost non stop now, even on the rheumatologist’s meds. But even before that, I had read that automatic cars are kinder for people who have back pain. The mother of one of my friends even bought her an automatic car because she has back problems.

And that’s the thing. Why want me to not be comfortable? Why want me to NOT have a “big car?” Does that not say more about you than about me? What do my goods have to do with you? I don’t borrow your money, instead, I use my money to help YOU! The irony!

More so today do I realise that actually, I do deserve a “big car.” I am not worse than any other human being who has one. And I am pretty sure I’m kinder than some who drive big cars. I want everyone to be happy, doesn’t that count? I think I’m a good person. I certainly have no ill intent and those who know me know I don’t fight fire with fire. You lie about me, I’ll ignore you. I hate confrontation and arguing and proving myself right and you wrong. I’ll just pray for you and ask why you felt the need to lie and paint me in a negative light.

Anyway, everybody who is a Christian knows that God desires good for us, but also knows we deserve all the bad. We ARE sinners after all. Christ died for us and we pay Him back with less than half the zeal He showed for us. We truly deserve the bad too. Because-guess what? We are not good. Some of us Christians are trying by His grace to be molded into His likeness. And that does count for something.

But we are still imperfect. So yes, we may be good, but we slip. And I have slipped. So no, I don’t deserve my car. But then, those complainers don’t deserve my money either, yet I give it to them.

So, God allows me to have a car. And I’m to do good with it. Like using it for taking parcels of food and clothing to the needy. I deserve it if I will use it to glorify God. And I do. It doesn’t go anywhere where He would not want me to go. And so hey, I deserve it. And more importantly, I wish everyone else who deserves it could have one. I wish all my unemployed friends could find employment so they could use their money for good. I wish we all had money. Well, those of us who won’t blow it on drink and drugs.

Back to the car. I am rambling today because my children aren’t well so they’re all needy and interrupting what should be my usual quiet/writing time.🙃I was going to say. I was in an Axial Spondyloarthritis group (umbrella term that covers AS too) and someone had asked what kind of car they should buy.

Every single AS patient said the car should be automatic and have heated seats and be high. SUV were winners as they are less painful to get into. And automatic gears means less shifting of your SI joints. And heated seats provided pain relief. I don’t have heated seats, but I definitely have a high car.

If I have to suffer this stupid disease with no treatment in sight, do I not deserve something to ease my plight? Like..a car I don’t have to bend down into? Like the car I drive right now? Every sick person-more especially those who did not bring it down upon themselves after clear warnings they disregarded- deserves anything that will reduce their suffering.

I deserve my car. Let people say what they want. I am ‘worth’ anything positive that comes my way.

If you go and drink and drive and then crash your car, I won’t be saying you deserve a replacement. Just saying.

Pooping Where You Sleep

That’s what our taxi drivers in my country do. They poop in their own beds. They harm the very ones who need help the most. I despise the way the majority seem to behave and think. It’s mindless and it’s evil.

There’s currently a strike going on. Why? Because they kept breaking the law and getting fined but not paying the fines. So our local government started impounding the taxis when they break the law.

And that’s bad.

🙄

I first knew about it when my husband-who was traveling from Johannesburg to Cape Town-sent me an internal message stating that worker’s lives were important and to organise early home time and alternative transport. The strike had begun. And people weren’t ready.

I went to buy bread, and the cashier told me they’d been told there were no taxis so they’d have to walk home. And indeed, husband saw many people walking home from work. People walked over ten km to get home! Unplanned! High heeled shoes, tires grandmothers…Burning cars, trucks, attacking police vehicles and yesterday, stoning normal people’s cars.

The rich could get home in their cars. But the poor who rely on those lawbreaking taxis had no way to get home. Bus queues were horrendous. People waited three hours and some still didn’t get on. Some of the staff at my husband’s work had to be put up in a hotel overnight then we’re dismissed early in the morning to make their ways home. Imagine the children who were stuck at home with no parents!

I hate, hate, hate how our people ‘protest.’ And I don’t pity them. The protests are usually over the wrong things. From a sense of entitlement.

Will we ever come right?

Where Do I Start?

I had a wheeze. Then it became a cough. Then the GP did the X ray in Friday that had I posted that I would have but saw nothing. Her guess was that “the infection has not yet consolidated” so I must go on a second round of augmentin to stop it building it up.

I decided to NOT.

I knew I’d be seeing the pulmonologist and I hate meds at the best of times, to treat an invisible chest infection just didn’t sit right with me.

I went. I did the lung function tests and allergy tests. I’m no longer allergic to fur but I’m still allergic to dust. VERY allergic. So he told me to get rid of my children’s soft toys. I told him that would be impossible. So he then said I could keep one for each child, and freeze them for 5 hours once a week and someone else must then vacuum the dead dust mites off. I must also do some allergy spray for the rest of my life. 60 seconds with my head upside down so the spray goes where it should go.

Also, he could hear my cough but given my chest x rays were clear, he veered towards it being caused by a sinus infection. So he prescribed a ten day course of zinnat antibiotic. If I feel it’s not improving on day eight, I’m to go back to the pharmacy and add on a further five days.

He too can’t hear sound at the bottom of my right lung, and my lung capacity is reduced. And that’s where we worry… I must return in three weeks’ time and he will take a listen again. If it’s still off, he will send me for CT scans on my lungs and in my sinuses -my head. He fears it could be Ankylosing spondylitis impacting my lungs.

Speaking of AS. You know I’ve been waiting on tenterhooks for biologics. And you might know I emailed twice to ask what’s happening, last month. I was meant to have an appointment with the rheumatologist tomorrow but on Monday I got a text ‘confirming’ my appointment for next week. I phoned the next day to ask what that’s about, and they said my rheumy will be unavailable so they’ve moved my appointment. Thanks for DISCUSSING it with me and for checking that I’m available!! NOT!

Then a few hours later the admin phoned me back. “Well actually, the doctor has canceled your appointment. She wants you to have started your biologics first.”

Who said I didn’t have issues to discuss with her? Like, my lungs??

I asked, “Where are we with regards to that?”

My heart sank. She said they first have to submit the biologic application to SARAA which is a rheumatologist panel. Then if they approve, it will THEN go to my medical aid company for them to (not) approve! Guys, she has always said the next step was to submit to medical aid. Never did she mention this first one! I couldn’t believe it! I wanted to cry! How much longer am I meant to wait? The pain is increasing dramatically and my methods aren’t working anymore!

I ended the call.

Then I phoned back again. I told her I was in extreme pain and was there anything they could do for pain relief while waiting for biologics. She was shocked, “So you’re not on any pain medication? No NSAID??” I told her how the doctor took me off them at the end of May as they weren’t helping and my disease was progressing so no, I’ve been on NOTHING!

She said she would chat with the doctor and see if they could send me a script.

Then she phoned back. “Alright, these are the meds we will prescribe. Tramadol and StilPane. But you do realise these won’t slow the disease down, right? You do realise you need biologics for that?”

No kidding! Why else would I have emailed twice, and asked TODAY where we are in the process of getting them?? And my knowing doesn’t help. It’s not like the delay is because I’m not coming to pick my injections up!

I asked in a Facebook group about timing. Two replies said the panel has no set schedule and one of them said they are slow to meet. And they might need a certain number of cases before meeting to discuss.

I feel so helpless and abandoned. I finally got a diagnosis in January. But here I am in August with no treatment and no idea when I will start it.

And meanwhile, the disease continues to kill me slowly.

And this is PRIVATE HEALTHCARE!

I thought I’d be able to be the teacher and mom that I want to be. I thought the hiccup would be medical aid saying no and then when that would finally be sorted, the next hiccup would be it perhaps not working and needing to move onto a different biologic.

I didn’t know it would take unknown months to get nowhere.😭

Is Your Life this Crazy?

Tomorrow is my daughter’s birthday. She turns 17.

On the 16th of this month, was my birthday. As I reflect on how I want my children to know we appreciate their lives..and on how I need to find cake, I thought of what my husband said on my birthday this year, given my mother no longer is alive.

“Well, at least I don’t have to worry about how she hasn’t wished you a happy birthday this year!”

Ouch! But it made me laugh out loud! True. Dead men tell no tales. Nor do they continue to make us feel less than. I didn’t realise what it meant for him over the years to get home from work, or be home with me and at the end of the day, ask me, “So, who phoned or texted to wish you a happy birthday?”

And have me reply, “Well, so and so did.”

Him, “Not your mom?

Me, “Man, I’d roll over and die of shock if she DID!”

I didn’t know it hurt him on my behalf till this year. It never registered. And I feel sad for HIM. His mother still wishes him a happy birthday and she has FIVE children. I am my mother’s first and she stopped probably a decade ago if not more. Probably around the time she accepted that I had adopted my children for life and was going to educate all my children myself.

Ouch.

But if I was in jail, and happened to steal from my job, she’d have visited me and wished me a happy birthday, happy anniversary and fair Sunday visit.

Believe me, I am sure of that. I just can’t tell you how.

So, I prepare to celebrate my daughter. To encourage her to follow God all her life. To implore her to live right and give us genuine reason not only to be grateful she was born, but to be happy she lives-by living a life of grace and kindness. That’s all I want.

And yes, if she landed up in jail, I’d visit her. But I’d be ‘upset’ about that and not if she adopted and remained a homeschool mom.

PS. I am scared. I had blood tests to check baseline numbers before my rheumatologist moves me onto a weekly biologic injection. And I saw that my kidney function is suddenly at stage 2 kidney disease. They say online not too see a nephrologist till stage 3. And I thought maybe it was due to the pain meds I started in December last year.

But then I went back to old blood results and found a few other kidney numbers and my function has been declining all along. Not only that, my creatinine (in rough terms -how much junk my kidneys are NOT able to filter out my blood) has been steadily increasing. 61, 64 and now 81. After 89, alarm bells start ringing in the medical field.

Given this is a trend and not just one set of bad numbers out of normal ones, I’ve decided to see a kidney guy next week.

Also, my right lung either has so much infection that it’s clogged up fully and has no space for air, or it has collapsed. I’m on antibiotics-sound familiar???-and must go back to the GP on Friday even if I feel better. My cough sounds like the cough of someone with COPD. A chronic lung disease.

I can’t explain the dismay I felt. She had been listening through the stethoscope over my vest (vest in South African, not American. The light underwear you wear when it’s cold.) But when she heard nothing, she got rid of it and my bra. And still-nothing. Seeing a worried doctor is not fun.

But I must say this. I’m thankful to a friend in Kenya. Last time, my friend’s daughter asked me, “Mum, why do you sound like you’ve been running? You know you’re meant to be resting after your op. Why do you sound too busy? You can’t even breathe!” But I did not do anything about it. I didn’t HEAR it. I was just walking. I shouldn’t have sounded so bad. I think though, I thought my body was reacting to the pain. Only when things got so bad that I couldn’t sleep for a few nights, did I see a doctor. and the doctor was angry at me for “waiting so long” to be seen.

This time, I was telling my friend via WhatsApp voice note on Friday, that I thought I had a chest infection as the symptoms were all piling up as usual, and when she wrote, “I can hear the lack of breath” I took it seriously this time. I saw the doctor on Monday. And I’m glad I did.

I return to the GP on Friday. Maybe for chest x-rays if things aren’t bad. I see pulmonologist on Monday who will do lung function tests as I need to figure out WHY it gets this bad. I see the rheumatologist on Thursday morning next week, who I hope will be able to start me on treatment as I had such a bad attack that despite oral and pain patches, I almost went to Emergency for the pain. And then that afternoon, I meet the neurologist who I assume will be aiming to keep an eye on my failing kidney (s). I had small cysts on both kidney and liver in 2020. Did they grow? Do I have Polycystic Kidney Disease? Is it AS related?

Can we halt the decline?

I hope so.

Madhouse

I hate that I homeschool.

Scratch that.

I hate that I’m so sure that I SHOULD homeschool my children. I hate that I’m so aware of my principles and values and of how there’s no affordable (read-government) school that has such values or principles.

I hate that I’m sick.

I got my results back from last Friday. We are meant to be moving me to Enbrel injections (Anyone with any experience, chime in!) and I had the tests done for baseline. And I’m sure to make sure I’m healthy enough to begin.

Now, last week, I told my friend that my kidneys felt sore.

Yesterday, my results returned and I have mild kidney function impairment. I thought maybe I was crazy last week, but it seems you CAN feel pain when your kidneys start struggling.

I won’t even go into the emotional and mental ramifications of that result. I was expecting the one result -and therefore happy that my inflammatory markers were high as it would reinforce to medical aid that I really do have an inflammatory disease going on STILL since my first tests in 2011. But the kidney one was a shock. Yes, I had kidney pain last week but…And I’ve had it before and brushed it off.

Till Google claimed you DO or CAN indeed feel pain.

I don’t know what that means for the Enbrel.

What I do know is that I’m so tired. I thought it was purely AW fatigue but I read that struggling kidneys can also cause fatigue. And I’m not able to fake energy as well as I used to. The cashier today asked, “How are you?”

I told her, “Ag, I’m fine. And you?”

She replied, “Well, you don’t look fine…”

I thought about it and thought to myself, “Well, I’m actually not ‘fine.’ Can anyone with a chronic illness ever be fine when they are sick for life? But when I say I’m sick, I mean the flu etc. When I ask my friend with cancer how she is, I mean above and beyond the cancer, which is always lingering. (Thankfully, it’s CML and basically has been undetectable for YEARS. )

The cashier then adds, “You look tired. But hey, school holidays are over. You can go home and rest now that the children are back at school.”

Me, “Well…”

It’s been a bad day. Pain. Fatigue.

And the silver lining? The twins are both napping! I got to iron a few things and I’m going to mark. I get a breather of sorts.

But sjoe, I really wish I could come home and rest. I know a few people who have had to take disability due to their AS. They get to rest at home. I can’t.

And honestly, even if I wasn’t married to the home education idea, the meds I’ll be on are too expensive. We will never be able to afford them AND school.

So what will I hope for?

I’ll hope that I stop wheezing, and that my meds provide the amazing relief other patients have had.

I’ll pray that the fatigue and pain disappear.

In the meantime, I’ll chuckle the day after another mad day in my crazy house, where all the children go nuts either in teen rebellion or autistic meltdown or have gone plain old ‘angry throw non matching things up in the air because I can’t fit them into each other.‘