Need advice/feedback from RA veterans | Arthritis Information

Share
 

Hi all.

 
I have been experiencing some "emotional" issues due to what I think is the pending 1 year mark (anniversary) of my onset.
 
How significant was your 1 year mark to you and how many of you share this same experience I'll talk about below? What did you do or would you do to combat it?
 
It was a very severe one that caused me to be a complete invalid for about 2 1/2 months. Besides the humiliation of not being able to do for myself there was  indescribable off the charts pain for that period.
 
However I bounced back after being given a mega dose of prednisone with my MTX and have continued to do well even after tapering down to just 3 mgs. a day of prednisone which I seem to be stuck out.
 
My blood tests (although I just had one Friday to include RF and Anti-CCP this time and do not have results) have said "clinical remission" for the past 6 months.
 
Never understood this much since I do have pain everyday of my life. My first thought when I awake is OW my hands hurt- damn I have RA.
 
My pain is not bad enough that I have lost any time from work- I kind of treat it like background noise. I do believe I have a high tolerance for pain.
 
Anyway- my problem is as my anniversary date nears I have been feeling less grateful about how "well" I have been doing. I think maybe I thought I would be "WELL" by now. I used to be thankful for I could do pretty much everything for myself and not have to miss anytime from work because of RA but now I find myself irritated that my wrists, hands, ankles and feet are always reminding me I have RA. I resent not being able to wear my high heels, that I can't have a cocktail when I want one, that I have stubborn weight from prednisone, that everyone has forgotten that even though I look good I don't feel good. I'm tired all the time and my memory is absolutely horrible and I am making mistakes at work which is causing me problems.
 
So I have become very anxious and down as of late. I have never flared since my turn around and I fear it's got to be imminent. I fear it will be as bad as my onset. My problems at work are robbing me of my self esteem. I have a boss who can be very cruel and he is saying things that are making me feel stupid like "You've been here for 7 years- what's the matter with you? My brain does not want to compute math and I have to do alot of it all day. I don't want to call up the "RA" card as I don't know if that might cause trouble. How do I lose this resentment of having RA. Certainly I have a lot to be grateful for compared to a lot of people with this crap. This anxiety is really getting out of hand too- I'm am just so edgy. I take a xanax when it gets too bad but they make me tired and sometimes cause a headache I think.
 
Any suggestions?
 
Thanks
 
 
Well, compared to some I don't really qualify as a veteran, but I'm into my 7th year now so I have some experience.  I can certainly relate to what you describe.  Strangely enough it's almost easier to deal emotionally with the crisis times than the "almost feel good but... " times.  I think it's because I'm so focused on fighting to get control of the disease again that I don't have time to brood about "what if's" and ponder possible futures.  I'm also feeling pretty well now after coming out of a month long flare recently by changing meds, but still have residual pain, stiffness, and fatigue that constantly reminds me it's not over...never will be as long as I'm alive.  The constant "small" stress builds up over time and causes fear and anxiety that feeds on itself.  So here's what I do...doesn't work for everyone, of course, but it has helped me.
 
1) Exercise regularly:  It helps me physically and emotionally (...also helps me sleep better).  I walk 2 to 3 times per day; about 4 miles total, briskly when I can, slowly when I can't.  I take Joey (Jack Russell terrier) with me most of the time and we explore the world around us.  I also do yoga; 10 mins in the morning; 10 mins outside at lunchtime; 30 mins at home in the evening, usually with soft music and a candle in a dark room.
 
2) Control my diet:  I try to supplement my diet with foods that help control inflammation; dark berries, walnuts, fish/fish oil, etc and reduce amount of processed foods with lots of additives.  It's difficult to tell how much it helps but at least it gives me more of a sense of control...that I'm doing something to help!
 
3) Share openly with a support group: I have some friends that I routinely confide in that understand what I'm dealing with and care about me.  I value internet friends but need real human contact and touch when I'm feeling down.
 
4)  I'm fortunate that I have been able to be completely open and honest with my boss and co-workers...something that not everyone can do.  It really helps to relieve the pressure and ensure reasonable expectations, rather than creating a high stress environment.
 
5)  Find something you're passionate about and pursue it: for me it's writing and music.  It's a wonderful distraction from the constant presence of RA.  I play in a small, amateur orchestra and value the friendship and shared passion.  It also provides a challenge to me to be diligent about caring for my hands, in particular, as best I can.
 
6)  Avoid or reduce the amount of prednisone, if you can:  I know it's the only thing that works for some people but I do think it takes a toll on our bodies and emotional state.  The stuff really scares me and I've avoided it like a plague.
 
In spite of these things I still get down some times.  It's inevitable.  When I do, I seek spiritual comfort outside of myself and have slowly learned to let go and release some of my fear and anxiety.  I hope you are feeling better soon!
 
Alan

I have had RA for 11 years now and the only time i think about it is when I wake in the morning (as the first 3 hours are non existant for me as it takes that long to get going) and if im having a particulaly bad flare. I have never had an anniversary for my RA i take it one day to the next and dont think of it in yearly terms. Its  affected my whole life as i had to give up work but i see it now as I have a different life and adapted it to suit me and the RA . Peoples hurtful comments like your bosses dont help and make you feel more incompendant. Be kind to yourself as you are really still new to the disease and it does take a while before reality hits home and takes over the thought of denial or the hope that it will just dissapear. Theres still so much life to look forward to and as Alan said find things in life that you really enjoy doing, do things in moderation, enjoy the good days and if you are having a bad day, rest, read a book, watch the t.v.. and just pamper yourself.

Hugs x

Thought of something else that has been helpful to me...shared by someone else on the board a while back.  Darlene Cohen has had RA for many years and writes from her experience in a very powerful way.  Several of her articles are on her website under published articles.
 
http://www.darlenecohen.net/
Hi Wanttobe...............Always loved you name......I guess its what we all want from here!!
 
I wrote and rewrote a reply to you, but deleted it all anyway.......Just wanted to say I can relate to the way you feel and do hope you will feel better soon..........lots of positive vibes sending your way................Annie

First I'd like to say how terrific it is to see you on the board!!

I could have written your post.  Word. For. Word. 
 
Alan's statement as quoted by Snow Owl was "my truth" as well.
 
I'm not a long term veteran.  But I can certainly commiserate with how you are feeling.  I am feeling that I am the "same" as I was before my first big flare in June 07. I am suffering but not flaring. Dx'd in Oct 07 so, I am more than a year into it.  I had hoped to be in a better place by now.  I found my hope renewed when I started enbrel only to have stagnated again. 
 
I know the emotions you speak of.  So completely. 
 
eta:  somehow I sent that before I was ready. 
 
I find myself almost pretending to be fine.  Because we look fine.  I can do fine.  I can do more. I can be my old self.  I am better.  Only to realize I'm fooling myself.  I feel like absolute crap and I know it.  I too have difficulties taking care of me.  I act like all is fine and try to do as I always did.  I can't.  I despise feeling so frustrated.  That frustration leads to a kind of depression, where I feel sorry for myself. 
Doing something for me or something I enjoy is very helpful
I've only begun some exercising in the pool and walking on the tread mill... and hoping to move myself into a better place.. emotionally, mentally and physically.
babs102008-10-18 19:14:30Wanna - I understand, but didn't experience anything at one year or two years, so have no advice.  I was so glad to finally being diagnosed (well 1/3 diagnosed), I never even got upset about having RA.  I was so naive, knew nothing about RA.
 
Acceptance is a wonderful tool.  And writing your RA hate onto toilet paper and using it works wonders too Alan...as always you provide exceptional advice.  wannabe,
 
It was almost a year and a half or so before ra didn't hijack every thought in my mind. But, now it doesn't rule my mind and I can now do things without giving it much thought. One thing you are going to have to realize is that you are very sick with a very serious disease that probably isn't going to go away. Those that don't support you or are negative towards your very serious situation need to be kicked to the sewer drains and I don't care who it is. If I were to run into your boss, I would make him look and feel like a piss ant, he's lucky it's you and not me. Keep singing, it only gets better.
 
LEV

I'm not a veteran, but wanted to post and let you know that you're not alone in your feelings.    It's tough to get used to this new "normal" and unfair that we have to.   Try to accept it the best you can and know that while those around you may not ever understand, we do.

Take care
Cathy

WTBRAF,

I was reading your post and thinking that it could have been me that posted that a year ago.  I was the same way.  I especially related to the comment about your first thought when you woke up was that your hands hurt and you had RA.
 
Last year, I started Enbrel.  Sometime around the third shot, I noticed I wasn't in pain any more.  Not any morning pain or stiffness.  I had energy too.  I'm sorry to say that I still had memory problems though.
 
My point is that you don't have to accept feeling like this unless you have existing damage or unless you've tried all drugs out there and they have failed.  Before I started Enbrel, my RD said that my RA was "moderate to severely active" even though my labs were normal.  I never understand why sometimes labs can be normal and it's obvious the disease is active.  I'm thankful my RD treated me and not my labs.
 
I encourage you to talk to your RD about another treatment.
kweenb thanks for posting that your Rd wanted you to go with the Enbrel even tho your labs were normal, I'm also have normal labs but experience pain,myRd wanted me to go to Remicade I questioned this,but decided to trust my Rd, glad to hear others have the same issues.
 
WTBRAF,
hope you're feeling bettter. glad to see you posting again.......
Thank you ALL so much!
 
I have received a lot of good advice and the validation you have given me means so much! Reading all the responses really lifted my spirits.
 
I am printing out the responses for a couple of reasons. I want to read them all thoroughly again so I can digest and make good use of all the suggestions, visit the link. As I mentioned my memory is for crap so that will help me to follow through. Also when I am feeling low and alone I'm going to read them to remind myself I do have people that understand.  There are people who are actually experiencing these same feelings or have been down this road at one time.
 
Also I am thinking of finding a counselor experienced in chronic illnesses. I'm pretty sure it would help me to talk these things out. Also, as was noticed I have people in my life that are having a really negative impact on me on top of having RA. And yes it was both before and after. I know that I am allowing it. No one can make you feel bad unless you let them. However I need to learn how to believe in myself more. I kind of feel like a beaten down dog- instead of feeling like How dare you! I am feeling like Something's wrong with you! Buck up, why should anyone have to put up with you and your RA side effects? Do you think anyone feels like dealing with your feelings- it's your problem, no one elses. Get a handle on it! I know it's wrong but I don't know how to make it stop. When I stick up for myself it seems to get worse. People are used to me being the nurturer, the easy, breezy one, the one who gives comfort. That's me and I like me. Sometimes I need people to be that way to me. When I speak out about not having these things reciprocated people don't like me. They get angry. Then I start doubting myself. Did I come off too nasty? Well...I probably sounded like they do...but that's not "me". Then I don't like myself.
 
Oh my- I am going on & on I need to stop! Save that for the counselor
 
From the bottom of my heart thanks again!
I have this book and I love the author's attitude (someone with RA, very realistic but upbeat and positive):

The First Year: Rheumatoid Arthritis: An Essential Guide for the Newly Diagnosed (First Year, The) (Paperback)

by M.E.A. McNeil (Author),
You received some wonderful advise. I don't have a date, as it took a long time to get diagnosed. I was suffering so long that date (the month of February) is still a celebration to me. Perhaps there is a way to not focus on that date or change it to a happier day. I know the day my father died was very sad for a long time but I've tried to focus on his life rather than is dealth, now it is just that day not the weeks before too. But that isn';t something that doesn't happen over night anyway.

Its over 5 years for me, and getting family, friends, co-workers to adjust to the new me has been impossible. From mentioning every pound increase-which fluxuates with prednesone, not mentioning it when the pounds fall away (off pred, yeah). Finding someone who understands, be it a therapist or friend in a similar situation will be a big help. We can't force them and we just end up blaming ourselves. Don't blame yourself, its like being hit by a bus. An accident that is not your fault. It is easier to be brave when we are suffering and we drop our guard when we feel better. Sorry.

Finally, I don't think you are getting enough treatment or being treated for brain fog. Brain fog comes from chronic pain. It changes your brain chemistry and causes muddled thinking and depression. A half dose of an anti depressant really stops the brain fog with in two weeks. I know making mistakes at work are a real moral killer, makes you feel like an idiot. I recommend NON generic antidepressants. The generic don't work as well and add on the pounds. If doctor prescribes one, try the full dose to knock out the brain fog and then see if lowering it to once a day (for twice a day normal dose) does the job. The more expensive non generic med would be two months worth and cheaper and still stop the brain fog.

You are very smart to catch all the nuances of this terrible disease. You are double smart to recognize and write so well the position you are in (and many others just not as articulate). Like someone else mentioned, finding something that is yours to be passionate about and exercise really really do help.Bird Girrl2008-10-20 05:34:35Thanks for the new responses. I'll see if my library has that book.
Birdgrrl how funny you should mention the 1/2 dose of an anti-depressant for the brain fog. I just had a physical on Fri and my GP suggested just that! She thought it would help with the undue anxiety I am having...
I turned her down. Maybe when she calls with my blood results I'll tell her I've reconsidered.
 
For anyone reading this please throw some good vibes my way- I have a VERY complicated estimate I'm working on today at work that has a multitude of variables. It is also includes materials and methods that we don't usually use/do here. I have to get a ton of outside prices and mark them up. My poor little head is swimming! AND Boss Man is in a bad mood!
 
I'm on lunch taking deep breaths....
you got the goodvibes
 

Copyright ArthritisInsight.com