Saturday, June 30, 2018

Lupus


I was a colicky baby. I've had headaches all my life. Some of my earliest memories are of drinking aspirin-laced coke. My mom dragged me to specialists because I got headaches so much. I heard Elvis had died while I was laying on my bed reading on a perfect August day because the sun was too much. I had trouble in PE, as a majorette, and band for the same reason. Parades wore me out.

In my early 20s, I had trouble with my fingers. My doctor did tests, but the symptom went away and I went off to Japan. Looking back, it was in Japan when the trouble returned. It wasn’t the sun, because I had good sunscreen. It was the humidity and the heat. I remember being in karate class just emptied of all energy. It was excruciating. I had to quit. Later, I began to get the kind of headaches I get now in the sun. I lose all my energy on a hot and humid day. I joke that I'm a delicate flower. Except it's not a joke.

I came back to the US to finish my Bachelor’s degree. It was in my fourth and fifth quarters that my hands started swelling up like sausages. It took a hot shower and sometimes more than that before I could straighten them – with or without pain. It was weird. Soon, other joints became troublemakers. Before I knew it I was in pain all the time, had a hard time getting out of bed, and wanted nothing more out of life than to sleep.

I went back to the doctor, who referred me to a rheumatologist. That is how I met Dr. Spiegel. He was awesome. Told me it was probably one of three things: scleroderma, rheumatoid arthritis, or lupus. There is no downer like being told you'll have to live with some illness for the rest of your life. He told me as a student, he knew I’d research all three. Then he told me to come back in six weeks because he had a hunch I’d be feeling worse. Um, thanks? In six weeks I felt better. The next summer, the year I turned 30, everything went downhill. I spent two weeks in a fever I couldn’t get rid of. My leg kept swelling and I had trouble walking. Finally, early in 1995 I walked into Spiegel’s office and begged for help. That’s how I met prednisone.

I lived in Santa Barbara and it rained so much that night that the entire city was flooded. When I woke up my first thought was, “I need to buy an umbrella.” It was my first pain-free morning in a long time, a miracle. Well, it felt like a miracle to me. I could walk, I could move, I could work without feeling horrible. Sadly, prednisone eats your bones and so I couldn’t take it forever. If I was an addict, prednisone would be my drug of choice.

Dr. Spiegel was correct. I did my research. For the two years following my initial appointment, I had panic attacks at the grocery store so bad I had to leave my cart there and go home without groceries. I could not stand one more minute in the fluorescent lights. I had panic attacks in the sun. I had headaches from the sun. I never felt right in the sun. Are you sensing a theme? I suspected I had lupus because of the light sensitivity and he agreed, but would not diagnose it for insurance reasons. I wasn’t officially diagnosed until 2010, at the University of Chicago, DCAM. I had gone there for refills on meds and when I told the doctor I had lupus, she asked what made me think so. I gave her my patient file from Dr. Spiegel. They confirmed it. By then, it was obvious from my blood tests, though not from my health.

I now live in Cleveland, OH; home of the Indians, the Cavs, the Factory of Sadness (Brown’s Stadium) and the Rock and Roll Hall of Fame. I am one of the lucky few. Lupus has never attacked my organs. It’s my skin that gets the brunt of it. This allows me to “pass,” but not for long. I wilt even with meds and super awesome sunscreen. For a sick person, I’m extraordinarily healthy. But, I have a disability that rules my life. The passive oppression of chronic illness can be as devastating as active oppression from others. As I write this, I am having to miss marching with others against 45’s policies in Public Square.

This blog is about making lemonade with the lemons I have. No one can do anything different, healthy or not. Because of the susceptibility of the ACA to being struck down, I am currently planning my indoor life. Writing. Writing about Wonder Woman and the many wonder women who came before and are still all around us. The world needs more wonder.

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