Firstly, I am SO sorry it has taken me so long to get back to writing here. Life has been very chaotic, especially this past year! This is probably going to be a long post! So much has happened, some good, some bad, and some groundbreaking, it’s been a very overwhelming year, to say the least! But okay! To start! At the very beginning of the year (2023), I sought out a second opinion for my medical issues, I seriously doubted that all my problems resulted from my fibromyalgia diagnosis, and my PC at the time (Dr. L from here on out) refused to send me to any specialists as ‘there was no need’. The first examination the new doctor gave me (Dr. R from here on out) immediately told him that I needed to be seen by specialists due to the enormity of the issues I had. The first specialist that I was sent to was an endocrinologist (Diabetes Doctor) because my blood sugars were VERY out of control and what Dr. L had been giving me wasn’t doing me any good at all. My A1C had been 9.3, and Dr. L didn’t see a reason for me to see a specialist regarding my diabetes. The second specialist was my gastroenterologist (Dr. El from here on out), Dr. R felt that having anything wrong with the liver and my complicated digestion issues needed to be seen from a specialist’s point of view. My third specialist was a cardiologist because some of my conditions–like my very swollen right leg and the strange random passing out, shortness of breath, and issues with my heart beating super hard and super fast needed to be seen by someone who knows a lot about the heart and circulatory systems, (Dr. Lem). My fourth specialist was a Rheumatologist (Dr. Ebra) to check on what might be going on and to see if the diagnosis of Fibromyalgia was accurate or if something else was going on. My fifth specialist was my OBGYN (Dr. Note) because of my crazy periods, the extremely heavy bleeding, the horrible pain, and how anemic I was. My SIXTH specialist was a neurologist (Dr. Abu)–I have STILL not seen them yet, but this MAY I will finally be seen! My seventh specialist was a pulmonologist (Dr. Fle) due to my blood work showing a HIGH amount of CO2 in my blood, so they suspected sleep apnea. Whew! That’s a LOT of doctors to see in a single year! Except for the neuro doc, I saw the others multiple times last year!
So, what did I find out? Well, quite a bit! So I’ll go down a list and say what the findings so far and the treatment are for them.
Endocrinologist Dr. Lindy was the one I see, and after only doing a finger poke A1C test, she determined that I needed to be on actual injectable short-acting insulin and a long-acting insulin as well. We started off at a massive 30 units of long-acting insulin at night and 15 units of short-acting insulin with every meal (aka 3 times a day typically), then 3-5 units of short-acting insulin in between meals as a corrective dose should I still be over 250 two hours after a meal. This has changed dramatically over the past year and now I am on 76 units of long-acting insulin (38 morning, 38 evening) a day, and 22 units short-acting with my meals, then 10-15 units of short-acting as corrective doses. My A1C is now 6.5!! SUPER happy about that!!
Gastroenterologist Dr. El is who I see, after lots of blood work, sonograms, CT scans, endoscopy, and a colonoscopy, he discovered that I have chronic gastritis and chronic esophagitis, severe GERD reflux, slow digestion (almost gastroparesis but not quite–did a Gastric Emptying Study to rule that one out), IBD-C (Irritable Bowel Disease with constipation), Non-alcoholic fatty liver disease (NAFLD), and malabsorption (still not sure what’s going on with that). Recently, I had an endoscopy and a colonoscopy because I had SEVERE stomach/upper abdominal pain and couldn’t eat without suffering from excruciating pain that kept sending me to the ER. Aside from chronic gastritis, chronic esophagitis, and severe GERD, they cannot answer to me why I am having so many problems eating. They are scratching their heads, and I’m just gonna be staying in pure agony until something else surfaces. So far, since Feb when the eating problems began, I have lost more than 40 lbs. Not gonna lie, I’m happy with weighing less, but this is not the way it should go!
Cardiologist Dr. Lem is where I was originally sent to by Dr. R due to having unknown chest pain, rapid pulse, fainting spells, and other circulatory issues. He is an awesome doctor! I was given the typical exam of the stress test, EKG, and echocardiogram, and what they found was both shocking and scary. I have blood pressure issues, but not high blood pressure, rather mine is fairly low. I also have a mild leaky heart valve that regurgitates some blood flow back into my heart instead of back out to my body/lungs. I also have an alarming enlarged ascending aorta, which is basically an aneurysm at the top of my heart that moves the blood from my heart into the rest of my body. At the time of its discovery, it was large, but not quite significant enough to fix with surgery. We are going to watch it and see if it changes at all through the years, but if it gets any larger, it has to be operated on. Very scary! So I was given iron supplements for my significant anemia and a blood pressure med to raise my blood pressure.
Rheumatologist Dr. Ebra is where I was sent to see if I have any further issues aside from fibromyalgia. She did a cursory look at my overall health, then did a small physical exam where I said I had a majority of issues. She noted that I had ‘significant’ swelling of my hands, ankles, and other major joints, so she had me do x-rays to see if there were any other signs. The X-rays proved to be somewhat insightful. They showed that my bones were closer together than they should have been, and also revealed signs of arthritis. I was given an MRI of my mid-lower back, hips, and pelvis, where I was told I had significant arthritis in my back, several herniated disks, and some bone loss in my spine. The blood work that was done proved that I had significant inflammatory markers, and through further testing, it was ruled that I have Rheumatoid arthritis (RA) and have now been on immunosuppressive medication, and another that is specifically for swelling for quite a while. Still have issues, but now at least I know it’s not just ‘fibromyalgia’. Though I DO have it, it is not the SOLE reason for all my problems!
OBGYN Dr. Note first saw me for my issues with having problematic periods. I did multiple tests and ruled out all the horrible things, and at first was given birth control to see if that would solve my issues. After several months of birth control giving me little to no relief, a final pelvic sonogram revealed that I had quite severe Adenomyosis, which is often called the evil sister of Endometriosis. The decision was made that I would be much better off with the removal of my female reproductive system (except for my ovaries) and then at the very end of May, went through my hysterectomy. Recovery was difficult, but happened quickly! After six weeks, everything was healed and I have been remarkably pain-free!! I still have the three-day pain of ovulation, but that’s nothing compared to the three weeks of agony every single month! I am very grateful for the loss of all that pain and the horrible expense of buying special heavy-flow pads every month!
Neurologist Dr. Abu is one that I have waited so very long to see, but I will finally have my chance this coming May!! I don’t even know what types of tests or things will be done to see what is going on, but their focus is going to be mainly on my chronic headaches and migraines, and maybe on other neurological issues if they deem them significant enough to investigate.
Pulmonologist Dr. Fle is the doctor I was referred to when my blood work started to show a high CO2 level to rule out sleep apnea. I was sent home a test to use that night and turn in the next morning, it was relatively simple and while I didn’t get to do the entire 8-hour test–I sleep around 4-6 hours a night–when I returned the test (after 4ish hours of sleep), I was told a few days later that I needed to come get fit for a CPAP mask and that I had severe sleep apnea! I had several events in that short amount of time and one of those ‘events’ had been me not breathing for almost 2 minutes! So, after a short fight with my insurance company, I got my CPAP machine and have been using it for quite a while now and can definitely feel a difference! Though…I still have high CO2 in my blood work…so this might not have been the reason? We still don’t know…
So…that was my past year in a nutshell! Crazy hectic and ended up with massive burnout from the crazy amount of appointments, tests (some of them very invasive), surgery, and multiple severe illnesses as well!
When I went in for my Pre-op appointment at the end of April for my (original) surgery (hysterectomy) date of May 3, I ended up catching pneumonia from someone there at the hospital! I ended up in the ER with severe difficulty breathing, severe cough, sore throat and just overall feeling absolutely like shit! When they told me I had Community Pneumonia (there are two types of pneumonia, community pneumonia which is a virus contracted through the community at large, and hospital pneumonia which is typically caused by a procedure (aspiration pneumonitis) or through prolonged anesthesia causing fluid to build-up in the lungs due to ‘auto’ breathing through intubation). It was devastating because now I had to reschedule my surgery and focus on just surviving this new development! The three weeks of fighting pneumonia were absolutely the worst! I had just gotten cleared of it being gone on the 25th of May, and my surgery was then scheduled for May 31st! Word of advice though…if you are recovering from pneumonia do NOT get surgery immediately later. Coughing after an abdominal surgery is common, but still having the pneumonia cough on top of the recovery cough is not fun. I had to carry a little plushie pillow (my husband gets me little plushmellow stuffies and I love them so much!) and hug it tightly any time I needed to cough. That was a lifesaver!
I also developed severe respiratory illnesses several times over the year, only one of them was COVID-19 (which was the lesser of the illnesses, ironically). I do have asthma, so I am very susceptible to respiratory viruses and so it’s not out of the ordinary for me to have several in a year. Now that I know I have a confirmed autoimmune disorder (RA) getting sick so often has taken on a new sense of the word, especially since I am now on immunosuppressants, which I started in October, I am getting sick so much easier, and needing to take so many new precautions and whatnot to not get severely ill every time I get sick. I did end up getting pneumonia again in November, and then in December, I caught COVID-19.
Not so long ago, on March 21st, I had my double-scope procedure, a re-do of my first endoscopy back in October which was a ‘failure’ due to my stomach still being full of food, even though I had not eaten for the 16 hours required before getting the scope. When they did it just a few weeks ago, they had me intubated to prevent me from getting any food or liquid aspirated into my lungs, as I was very lucky last time to not suffer from that! So I had my endoscopy and colonoscopy while intubated and immediately upon waking, I knew something was wrong. My throat was way more sore than it should have been and three hours after getting home I was starting to cough up a lot of thick mucus. By the next day, I was having severe issues with all the thick mucus in my chest/throat, even being nearly suffocated as I tried to bring some up through a coughing fit…and by the time I got to the ER later that day, I had a fever and was very ill. After getting a CT scan to check for complications (they saw my intestines were VERY inflamed, but maybe not unexpected for just having a colonoscopy and getting biopsies taken from polyps found in my small intestines) and then an X-ray of my chest, which showed a shadow in my right lung, and I was told I had aspiration pneumonitis. So the very thing that they were trying to avoid by doing the intubation, happened. Though, ironically, when I did a follow-up appointment, the PA for Dr. El was VERY thorough in explaining that I did not get aspiration pneumonitis and that ALL the tests that were done that Friday were clear of anything wrong. Nice try, my dude…but I have a copy of those tests too, as well as the information sent on the results and how to care for myself…AND the antibiotics that were given to clear the bacterial infection that causes aspiration pneumonitis. I don’t know if he was trying to cover their asses in case I was going to sue? Because, my dude, that was never on the table, shit happens, and they did everything to try to prevent that from happening. Not going to blame them, though now I wonder if I should be looking at it differently, given the extreme response from Mr. PA…
Anyway, so here I am today, fresh out of yet another ER visit. This time, I went due to extreme back, pelvis, and stomach pain. I was certain I had another Kidney Stone. If you’ve ever had one, I’m so sorry, they really suck, and if you haven’t, then know that it is accompanied by VERY bad back pain–typically where the kidneys are located and down to the pelvis near the ureter and bladder. This was exactly where I had my severe pain, and I even had difficulty with urinating just like when I had a stone. BUT what I found out was surprising and frustrating. There was nothing wrong with my stomach, no signs at all of any current infection or even the beginnings of an infection, no kidney stone at all anywhere, and all they DID see was that my herniated back was now very bad and was pressing upon my spinal cord in such a way that it was causing the mimicry of kidney stone pain, and causing the nerves in my bladder to have difficulty in letting me urinate and making my abdominal muscles contract in a way that was creating the massive pain! SO, now I have to go see Dr. R to see what my options are, as the ER thinks I am now no longer eligible for the spinal epidurals due to how the disks are herniated. So only time will tell what the next step on that one is…so I’ll have to update when I know more next week!
Also, I am finally getting approved for the hand MRIs that will show why my hands are virtually useless, my thumbs are in so much pain all the time and I can barely use my fingers as they are numb and pretty swollen all the time now. Hopefully, this will show if anything is going on that can be helped and if this is another action of the effects of RA on my hands. OH! I did find out that my bowel problems, my heart issues, and even my fatty liver are likely caused by the RA going on for so very long without being controlled. Dr. Ebra believes I’ve likely had RA my whole life, as the earliest medical records that recorded the elevated markers started when I was 18 from Dr. L!!! So even though he saw the markers, he never thought to send me to a specialist!
Also, I lost my cat, Crystal, in May…I had to finally let her go because she was blind, mostly deaf, and had become senile, often standing in the kitchen completely lost and just staring at nothing. Her entire being had changed, she wasn’t herself anymore, and after getting some bloodwork done, we found she was also suffering from kidney failure. So we decided to let her go peacefully and to end her suffering. It was so very hard! She was almost 17! A few weeks later, we were getting our surviving cats their updated rabies vaccine due to the massive bat infestation in our building (yes…we had bats getting INTO our apartment, and we were terrified of them getting rabies from any interactions, though we were told they were protected, we still had them get more current shots to make sure it stayed that way!). When we were there, a woman stopped us to ask us questions regarding the vet and if it was a good place. We were talking when we heard a sudden tiny crying in the parking lot! A small kitten had jumped down from inside a recently parked vehicle and was so very scared! My husband and the lady we were talking to managed to catch him, and while he was desperately trying to get away, I took him and held him, he immediately stopped his struggles and just cuddled close. My heart just ached! He was badly burned! His little paws were all blistered, the top of his head was burned and his little head whiskers were badly singed! We took him inside to get checked out (the clinic was closing, but the vet saw him immediately, she’s such an awesome vet! Didn’t even charge us when we said we’d be adopting him, and even gave us free flea treatment!), we found out that we couldn’t get him shots because he was suffering from severe heat exhaustion, his little temperature was 106!! So we took him (it was 103 outside at the time) and turned the a/c WAY up to blast on his little hot body for the trip home, he was a little skittish of my husband holding him, but when he saw I was right there, the little guy relaxed and just enjoyed the safety and coolness of the rest of the trip home. We ended up naming him Spyro, and in a short few weeks, he went from weighing just 3.8 lbs to a whopping 7 lbs and was stable enough to get his kitten shots, rabies shot, and get neutered! So we did it all and now, at almost two, he is an insanely big boy! He is nearly three feet long without including his tail! He weighs 22 lbs and is NOT considered overweight! They believe he has bobcat in him or his direct family bloodline, due to his personality, his massive build, and some of his features. Though he just looks like a cute tabby that is dipped in cream to me! He is such an amazing little cat! So affectionate and loving to us, enduring Serena’s dislike of him without following up on her aggressiveness towards him, and just being so unique!
So, that’s basically been my year, I know I’m probably forgetting a lot, but this past year has been very insightful. So ironic that my Word of the Year last year was Discovery! This year my Word of the Year is Unstoppable!
I’m sure I’ll find more news that I didn’t mention to say later, but until then, everyone stay safe and have a blessed day!
In Love and Light,
Tricia