Life can be so awesome one moment, and tragic the next. My Aunt Geri,
Moms last living sibling, her younger sister passed away yesterday
afternoon after battling a rare form of stomach/intestinal cancer now
for a long while. I believe it has been at least 3 years, if I am
remembering correctly. She went through lots of chemo therapy, but we
knew for one it was not operable, and two the doctors had already said
that it was terminal. Yet, for the Grace of God, she lived to see her
first Great Grand daughter born, and then some. She lives up in
Mesquite, so we don't have any details at the moment. Even though her
family, along with my Mom and I knew it was coming, you are never really
prepared for something like this. Especially with Mom and her lower
back issues, and all we have been through and are still dealing with,
plus my own issues with my back, needing surgery, then things getting
complicated with me contracting cellulitis, no 3 weeks of antibiotics
later and the lump remains on my thigh under the skin. When I saw the
doctor Friday, he said if this last round of antibiotics does not show
signs of going away this, then I will need to see a surgeon, have the
lump removed, and then they can determine exactly what it is. It has now
gone from being about the size of a silver dollar, kind of a bit hard,
but never feverish, red, and nothing ever burst through the skin, like
you would assume cellulitis would. That is kind of the reason why he and
myself are baffled as to why it remains. It has now turned into being
about the size of a quarter but very hard, sore to the touch, plus I
developed another lump on my right leg, that is almost in that same
spot, just on top of my right thigh, and almost exactly across from the
other one. It is not nearly as large, about the size of a pencil
eraser, but sore to the touch, and like the other one pretty hard, and
does not move around under the skin. At the very first, before I even
knew what it was, it was a bit softer, and it kind of moved around
underneath the skin when I would try to check out how large it was. Then
of course, I had ran out of Orencia - now I guess it has been about 4
to 5 weeks ago. I had issues getting the insurance to get off their
butts.. I needed a new script from the doctor, which they received, so I
thought they were going to fill it and send the meds to me as usual.
Well, after going another week, no call and no medication, I called
them. I found out yes, they had the new script, and even though i had
already asked for it to be refilled before they got the new one, they
did not fill it. Instead they were waiting on me to call back and ask
for it to be shipped. In the meantime the lump formed, all of the other
stuff came up with both Mom and myself, so I have not had any Orencia in
weeks. I feared my last couple of injections may have been contaminated
somehow and caused the cellulitis. I am supposed to be on Xeljanz
anyway, did the blood work and labs, then the TB lab test came back
indecisive, thus I still have not been able to have the chest X ray ... I
was hoping to do that last week, then I came down with the stomach bug,
and I am still not completely over something with my stomach. I am
still somewhat nauseated, which I contribute to the heat, already being
sick, a headache, all of the stress about my Mom, my own things such as
the back surgery, and so forth. So, now my fingers on both hands, and in
between my fingers are swollen, my knuckles really don't want to work
correctly and I am having hell with the RA in both hands and wrists. I
have always had some issues with them, but more in both thumbs. I have
not been able to get the swelling down, and just trying to open a bottle
of coke or anything is so painful, plus my grip is really bad right
now... and then my darned keyboard that I love... it is solar, seems to
be going out on me, thus this one sucks and does not even allow me to do
a hyphen or quotation mark, and It is really irking me to no
end...PLEASE continue to keep my Mom, and the family in your thoughts
and prayers... as I had posted before, this is Moms last sibling, she
has lost both parents, a brother, a sister in law... and most of the
family on both my Grandfather and Grandmothers side.. of course we lost
Dad in 2005... and am sure that brings up things such as that for Mom
anyway... I appreciate each of you... I am thinking about trying to get
ready for church. I missed this past two weeks because of being so sick
and was going to try and go this morning... but I am still dealing with a
bit of stomach issues, and with all going on, I HAVE to go and have my
pain pump refilled tomorrow, I have no choice. We waited this time until
THE DAY my PTM shows the refill date to be. For some reason it almost
falls every time where I have to have it filled too early, for one
reason or the other... so it worked out to be on the day this time....
more later...
I
appreciate your prayers, and yes mine are with you also... this is just
proving to be "another one of those tough years".... I had so hoped
that 2015, would bring more Light, Hope and Positive things to our
lives. Yet, once again so many of us are trying to cope with all types
of chronic illnesses, pain, mental and emotional pain also, the loss of
loved ones, and this entire nation in general... I can barely stand to
watch or look at the news anymore. It is almost too depressing to see
just how horrid people can be. From harming their own family, friends,
to those who just do NOT care about humanity... the greed, corruption,
the back biting, back stabbing... those that get rich off of our own
misfortunes, from lack of care from insurance companies, to the
extremely ridiculous prices of medications, even generics now are
soaring out of the roof... and people have to almost feel as of they
always have to look over their shoulder, whether in a huge city, or a
small town... so many as I said above that have no remorse, or regard
for human life. Even all of the "election" stuff... it just almost makes
me physically sick to my stomach at the thought of just about anyone
running for President of our nation next year and anyone of those
possibly winning... we are already in a terrible condition, not just
nationally, but internationally... countries going bankrupt... people
not able to find jobs to support their families... and the amount of
ever growing medical issues... our water, air, soil... all polluted with
Lord knows what... or whether you will walk out of your local market,
or church, or movie theater and be taken down by some "home grown
terrorist"... I despise even the sound of that... hard for me to fathom
any human especially in this great nation being "home grown to
terrorize, and kill others... the insanity grows daily.... we have the
weight of our own issues on our shoulders, along with the weight of this
entire nation and world, as far as the safety, security, and welfare of
all of us.. again thank you all for your continued thoughts and
prayers... my Mom and I, along with my kids and family appreciate each
of you..
"Through my heart's work of writing, I share with you my complex journey a top the mountain, sliding down, crawling up, & living through the realms of Autoimmune Arthritic Illnesses. Taming "The Wolf" Thru each Day... One Step at a Time … Together We Are Learning to Survive. Please follow along, to New Beginnings - looking Thru the Window Pane of Pain in life where we shall find our journey leading us to - New Perspectives
Sunday, August 16, 2015
Saturday, August 15, 2015
Coping with Loss - Life changed by Autoimmune Illnesses, & all kind of other health ailments, complications, & the thought of a chronic illness taking your very life away...
Over the past several years the subject of having autoimmune illnesses, along with my other health issues.... many of them due to the AIs... a voice sometimes brings up the loss we suffer when the very life we have made is jerked out from under you.
You begin to research, to see specialists, to try medications that can have as bad of side effects as the disease themselves do... you know that once you find out that your total immune system has been hijacked by these horrid diseases, your chances of survival becomes less.
We ALL have times we think about dying... passing away to move from this world into another, whatever you think that may be for you...
Whether you have a brush with death from a bad accident, from another disease, such as cancer, diabetes, or possibly some other issue from Mother Natures storms, to those who choose to walk into a public place and open fire on unsuspecting individuals, or crash planes into buildings, that would just as soon blow themselves up in the name of their religion... there are many ways that some of us may face whether our time is up on Earth, and feel that near death experience is often a wake up call, for us to do something different in our lives.
I have encountered more of these, than I care to admit actually. A 4-wheeler accident at 25 years old, nearly within inches as I centered the front of a car, and I went completely over the top of that car, after my mouth hitting the hood ornament, and for fortunately the momentum threw me completely on the black top behind it and not through the windshield... or I would have never made it...
Then at age 40, I suffered a heart attack, that at first the doctors thought caused severe damage to my heart muscle, and it was not until I was transported to Dallas and had an angiogram, was I told I was extremely lucky, that there was very little damage to my heart... and
in 2010 after a night of being suddenly so extremely ill that I literally could not walk, and throwing up green bile... having a gallbladder removed, which something went terribly wrong and I had to spend 6 weeks in a hospital in Dallas, and at the time again, they were not sure exactly what was wrong.. I was in and out of surgeries several times, and supposedly one issue with a cut in one of my bile ducts. It was allowing toxins to pour into my abdominal cavity, thus again I was just meant to still be here, because I finally did get well, yet before I left that hospital I suffered a 2nd heart attack. Due to all of the stress emotionally and the toll my body had been through, the felt it was more from an artery in spasms, and I have so far not had to have any type of stent etc... all so far is being treated with medications, for which I am grateful.
Till this day, even my own Primary Care Doctor tells me, that I certainly was meant to be here, because he feared for my life when all of that went down. Now, with the Lupus, RA, Sjogrens and so forth, along with medications such as Predisone, Biologics, and my other health factors, if I allowed myself to, I could bury myself under neath my bed, and not face life daily.
So, a couple of days ago, I was listening to the radio while running errands and Tim McGraw and his song, Live like You were Dying ... came on... I have always loved that song and it hit me after the ordeal recently with the cellulitis, so many antibiotics, the stomach and intestinal whoa s I have been through, along with the concern over my own need for lower lumbar/sacral surgery... and of course knowing these AI illnesses, along with my other health issues leaves me many times over of becoming ill with something that could take my life in an instant... my Rheumatologist has reminded me more than once my chances just due to the RA of having a heart attack are like 50% more than a person without RA.
I have a dear friend, and she is suffering after being cancer free for over 30 years (she had cancer while we were still in high school and beat it), it has case back and has truly shook her to the core... things for her truly have been a great deal like my own, with those people you had come to county on, suddenly just walk out on you... when you need them the very most.... and even with someone there you still feel frightened by the what if this, that or the other...
I also find myself, as well as many others, not wanting to talk about the subject - of course it is human nature to hide those feelings and try to surpress those horrible thoughts, yet they have a way of creeping in and I have found my own best way is when it comes up in thought to myself, I must work it all out and not try and ignore the facts... facing all of the possibilities for me has been a long road, but it has truly helped me to learn to deal with those nights I wake up drenched in sweat, crying out, and jumping up for night terrors.. plus for myself the more I try to keep it under wraps the more I find myself overly stressed and making myself almost ore physically ill.
So, what is the point of this post? For one, due to the complications of myself at the moment, and all that those medical issues cause, along with the concern over my Mom her back problems, and getting her the doctors and proper treatments to relieve the pain is has... I do better putting either pen to paper, or fingers to keyboard I guess you could say and writing about it... it helps to purge those feelings, of course they certainly will pop up again in the future...
Plus I DO WANT others to realize being frightened of dying, or feeling like your life could be taken away - way to QUICKLY when you still have so much more life to live is difficult to deal with.... so by my own posting of this, I hope to help others to get in touch with the reality of one of these and/or other chronic illnesses taking you away for good from your loved ones... and working through those feelings...
Here are the lyrics to Tim McGraws song....
"Live Like You Were Dyin'"
I am not quote sure exactly what point, if any that I am making as far as my readers. At the moment, a part of this posting is for myself... facing my own mortality issues, facing that my last living Aunt, could pass away at any moment, yet that is with all of us... we could be in a horrible accident, or be struck down by an emergent health problem, a stroke a heart attack, an embolism...
We could walk into a shopping mall, or a movie theater, or into your local Wally World, and someone decide to bomb it, or open fire on us, the innocent ones, even at church, it seems no one is safe anywhere, anymore... Our world is and had been tested, our nation tested and tested again... from strange and new diseases, from MSRA and bacteria that are resistant to all medications we have now... we could be gassed by something dropped into our air, or in our water... we could have a plane fall out of the sky, or a local lethal business, such as a chemical warehouse, or other flammable place catch fire and explode to rock a small town or a huge city... each day we face the fact that something could happen and so many horrible, unspeakable acts have happened over the last several years... and they will continue to happen... those who should NEVER ever own a gun, having them in their hands and putting us at their mercy...
kSo, my point for myself.. is to do the very best I can to live my life, like the next week, the next day, the next hour... the next moments could be my last... to feel prepared for the unknown... for the time, I am called upon... for the moment, I have completed my visit here, and move onto a place perfect, without hatred, without stress, without want or need, without greed, without hunger, where everyone is totally happy, and everyone loves everyone else... so for you.... and me.... think of things you might do to Live this Life as we know it, Like we were dying....
You begin to research, to see specialists, to try medications that can have as bad of side effects as the disease themselves do... you know that once you find out that your total immune system has been hijacked by these horrid diseases, your chances of survival becomes less.
We ALL have times we think about dying... passing away to move from this world into another, whatever you think that may be for you...
Whether you have a brush with death from a bad accident, from another disease, such as cancer, diabetes, or possibly some other issue from Mother Natures storms, to those who choose to walk into a public place and open fire on unsuspecting individuals, or crash planes into buildings, that would just as soon blow themselves up in the name of their religion... there are many ways that some of us may face whether our time is up on Earth, and feel that near death experience is often a wake up call, for us to do something different in our lives.
I have encountered more of these, than I care to admit actually. A 4-wheeler accident at 25 years old, nearly within inches as I centered the front of a car, and I went completely over the top of that car, after my mouth hitting the hood ornament, and for fortunately the momentum threw me completely on the black top behind it and not through the windshield... or I would have never made it...
Then at age 40, I suffered a heart attack, that at first the doctors thought caused severe damage to my heart muscle, and it was not until I was transported to Dallas and had an angiogram, was I told I was extremely lucky, that there was very little damage to my heart... and
in 2010 after a night of being suddenly so extremely ill that I literally could not walk, and throwing up green bile... having a gallbladder removed, which something went terribly wrong and I had to spend 6 weeks in a hospital in Dallas, and at the time again, they were not sure exactly what was wrong.. I was in and out of surgeries several times, and supposedly one issue with a cut in one of my bile ducts. It was allowing toxins to pour into my abdominal cavity, thus again I was just meant to still be here, because I finally did get well, yet before I left that hospital I suffered a 2nd heart attack. Due to all of the stress emotionally and the toll my body had been through, the felt it was more from an artery in spasms, and I have so far not had to have any type of stent etc... all so far is being treated with medications, for which I am grateful.
Till this day, even my own Primary Care Doctor tells me, that I certainly was meant to be here, because he feared for my life when all of that went down. Now, with the Lupus, RA, Sjogrens and so forth, along with medications such as Predisone, Biologics, and my other health factors, if I allowed myself to, I could bury myself under neath my bed, and not face life daily.
So, a couple of days ago, I was listening to the radio while running errands and Tim McGraw and his song, Live like You were Dying ... came on... I have always loved that song and it hit me after the ordeal recently with the cellulitis, so many antibiotics, the stomach and intestinal whoa s I have been through, along with the concern over my own need for lower lumbar/sacral surgery... and of course knowing these AI illnesses, along with my other health issues leaves me many times over of becoming ill with something that could take my life in an instant... my Rheumatologist has reminded me more than once my chances just due to the RA of having a heart attack are like 50% more than a person without RA.
I have a dear friend, and she is suffering after being cancer free for over 30 years (she had cancer while we were still in high school and beat it), it has case back and has truly shook her to the core... things for her truly have been a great deal like my own, with those people you had come to county on, suddenly just walk out on you... when you need them the very most.... and even with someone there you still feel frightened by the what if this, that or the other...
I also find myself, as well as many others, not wanting to talk about the subject - of course it is human nature to hide those feelings and try to surpress those horrible thoughts, yet they have a way of creeping in and I have found my own best way is when it comes up in thought to myself, I must work it all out and not try and ignore the facts... facing all of the possibilities for me has been a long road, but it has truly helped me to learn to deal with those nights I wake up drenched in sweat, crying out, and jumping up for night terrors.. plus for myself the more I try to keep it under wraps the more I find myself overly stressed and making myself almost ore physically ill.
So, what is the point of this post? For one, due to the complications of myself at the moment, and all that those medical issues cause, along with the concern over my Mom her back problems, and getting her the doctors and proper treatments to relieve the pain is has... I do better putting either pen to paper, or fingers to keyboard I guess you could say and writing about it... it helps to purge those feelings, of course they certainly will pop up again in the future...
Plus I DO WANT others to realize being frightened of dying, or feeling like your life could be taken away - way to QUICKLY when you still have so much more life to live is difficult to deal with.... so by my own posting of this, I hope to help others to get in touch with the reality of one of these and/or other chronic illnesses taking you away for good from your loved ones... and working through those feelings...
Here are the lyrics to Tim McGraws song....
"Live Like You Were Dyin'"
He said I was in my early 40's,
With a lot of life before me,
And a moment came that stopped me on a dime.
I spent most of the next days, lookin' at the x-rays,
Talkin' 'bout the options and talkin' 'bout sweet time.
Asked him when it sank in, that this might really be the real end.
How's it hit ya, when you get that kind of news.
Man what ya do.
And he says,
[Chorus]
I went sky divin',
I went rocky mountain climbin',
I went 2.7 seconds on a bull name Fumanchu.
And I loved deeper,
And I spoke sweeter,
And I gave forgiveness I've been denying,
And he said someday I hope you get the chance,
To live like you were dyin'.
He said I was finally the husband,
That most the time I wasn't.
And I became a friend a friend would like to have.
And all the sudden goin' fishing,
Wasn't such an imposition.
And I went three times that year I lost my dad.
Well I finally read the good book,
And I took a good long hard look at what I'd do
If I could do it all again.
And then.
[Chorus]
Like tomorrow was a gift and you've got eternity
To think about what you do with it,
What could you do with it, what can
I do with with it, what would I do with it.
[Chorus]
Sky divin',
I went rocky mountain climbin',
I went 2.7 seconds on a bull name Fumanchu.
And I loved deeper,
And I spoke sweeter,
And I watched an eagle as it was flyin'.
And he said someday I hope you get the chance,
To live like you were dyin'.
To live like you were dyin'.
To live like you were dyin'.
To live like you were dyin'.
To live like you were dyin'.
With a lot of life before me,
And a moment came that stopped me on a dime.
I spent most of the next days, lookin' at the x-rays,
Talkin' 'bout the options and talkin' 'bout sweet time.
Asked him when it sank in, that this might really be the real end.
How's it hit ya, when you get that kind of news.
Man what ya do.
And he says,
[Chorus]
I went sky divin',
I went rocky mountain climbin',
I went 2.7 seconds on a bull name Fumanchu.
And I loved deeper,
And I spoke sweeter,
And I gave forgiveness I've been denying,
And he said someday I hope you get the chance,
To live like you were dyin'.
He said I was finally the husband,
That most the time I wasn't.
And I became a friend a friend would like to have.
And all the sudden goin' fishing,
Wasn't such an imposition.
And I went three times that year I lost my dad.
Well I finally read the good book,
And I took a good long hard look at what I'd do
If I could do it all again.
And then.
[Chorus]
Like tomorrow was a gift and you've got eternity
To think about what you do with it,
What could you do with it, what can
I do with with it, what would I do with it.
[Chorus]
Sky divin',
I went rocky mountain climbin',
I went 2.7 seconds on a bull name Fumanchu.
And I loved deeper,
And I spoke sweeter,
And I watched an eagle as it was flyin'.
And he said someday I hope you get the chance,
To live like you were dyin'.
To live like you were dyin'.
To live like you were dyin'.
To live like you were dyin'.
To live like you were dyin'.
I am not quote sure exactly what point, if any that I am making as far as my readers. At the moment, a part of this posting is for myself... facing my own mortality issues, facing that my last living Aunt, could pass away at any moment, yet that is with all of us... we could be in a horrible accident, or be struck down by an emergent health problem, a stroke a heart attack, an embolism...
We could walk into a shopping mall, or a movie theater, or into your local Wally World, and someone decide to bomb it, or open fire on us, the innocent ones, even at church, it seems no one is safe anywhere, anymore... Our world is and had been tested, our nation tested and tested again... from strange and new diseases, from MSRA and bacteria that are resistant to all medications we have now... we could be gassed by something dropped into our air, or in our water... we could have a plane fall out of the sky, or a local lethal business, such as a chemical warehouse, or other flammable place catch fire and explode to rock a small town or a huge city... each day we face the fact that something could happen and so many horrible, unspeakable acts have happened over the last several years... and they will continue to happen... those who should NEVER ever own a gun, having them in their hands and putting us at their mercy...
kSo, my point for myself.. is to do the very best I can to live my life, like the next week, the next day, the next hour... the next moments could be my last... to feel prepared for the unknown... for the time, I am called upon... for the moment, I have completed my visit here, and move onto a place perfect, without hatred, without stress, without want or need, without greed, without hunger, where everyone is totally happy, and everyone loves everyone else... so for you.... and me.... think of things you might do to Live this Life as we know it, Like we were dying....
Friday, August 14, 2015
National Pain Awareness Month in September and more from the US Pain Foundation Summit and Paul Gileno - Chronic Pain Takes so Much from Patients, Caretakers, Family & Friends Lives
Opening remarks are underway at the Advocacy y Summit with President & Founder Paul Gileno providing attendees... http://fb.me/4lxnrkEX0
Chronic Pain can take over your life, the life of family, friends, caretakers, and even cause hardships with relationships. It is truly a "home wrecker" and we have way too many people, especially in places of government that just do not understand the ills of chronic pain.
I am trying to do my part in September to raise Awareness on just how this life altering "disease" can control every move of your life, and how we need to stand up and educate others, including those around us, physicians, the medical profession, government officials, and this nation and world for that matter about the effects of pain when it becomes chronic and out of control.
As a pain patient myself, all too many times, I've been "pointed" at and felt as if I was some kid of criminal because I wanted to stop the pain... it cost me jobs early on in life (I began with chronic migraines at 17 years old)
In fact, even though I had other very severe chronic issues with my health, that finally led me at 43 years old to file for complete disability, the disability judge ruled in my favor for the number one paint of the migraines... I either had to quit a job, or after years on a job, would miss so much work with them, it led to me being dismissed from a job...
I worked from the time I was 16 years old, and yet I suffered year after year with those horrible headaches...
Ironically, the regular migraines got better about 8 years ago, partially due to my internal pain pump, but then after I was diagnosed with RA and Lupus, I began to have severe "Lupus migraines", that nothing will touch other than strong doses of prednisone...
Yet, my "chronic pain" as with many others goes far above and beyond migraines. When you deal with autoimmune illnesses, such as Lupus, RA, Sjogren's, and many others, pain is a part of your daily life. Oh, sure, with the right medications, the proper physicians, and all out there available now for pain relief, there are numerous ways to "control" pain. Yet, nothing will take it all away. Nothing will prevent it from sneaking up on you, when it is least expected, and become "intractable" or at the very least put you on the sofa, in the bed, or otherwise blindside you, when you are certainly not ready to deal with it.
When my Lupus and/or RA; along with several other health related issues decide to come calling, sometimes there is not anything that can be a cure... it may curb pain, but at that time, that is what it can do... make it tolerable... and that is very difficult to determine, because pain in itself is a complex illness and is different for everyone. What one person thinks is totally off the charts on the "pain scale" maybe at a 5 or 6 for someone else.
Each of us have the same chemical makeup when it comes to pain, but depending on the cause, what you are taking, why the pain is coming, whether from some physical ailment, such as a worn out joint, or a migraine, or from several joint problems, muscle spasms, stomach and intestinal pain, "acute" pain from an accident or illness... all have different ways of causing pain, and all have a unique way of developing.... and being treated...
Chronic Pain can take over your life, the life of family, friends, caretakers, and even cause hardships with relationships. It is truly a "home wrecker" and we have way too many people, especially in places of government that just do not understand the ills of chronic pain.
I am trying to do my part in September to raise Awareness on just how this life altering "disease" can control every move of your life, and how we need to stand up and educate others, including those around us, physicians, the medical profession, government officials, and this nation and world for that matter about the effects of pain when it becomes chronic and out of control.
As a pain patient myself, all too many times, I've been "pointed" at and felt as if I was some kid of criminal because I wanted to stop the pain... it cost me jobs early on in life (I began with chronic migraines at 17 years old)
In fact, even though I had other very severe chronic issues with my health, that finally led me at 43 years old to file for complete disability, the disability judge ruled in my favor for the number one paint of the migraines... I either had to quit a job, or after years on a job, would miss so much work with them, it led to me being dismissed from a job...
I worked from the time I was 16 years old, and yet I suffered year after year with those horrible headaches...
Ironically, the regular migraines got better about 8 years ago, partially due to my internal pain pump, but then after I was diagnosed with RA and Lupus, I began to have severe "Lupus migraines", that nothing will touch other than strong doses of prednisone...
Yet, my "chronic pain" as with many others goes far above and beyond migraines. When you deal with autoimmune illnesses, such as Lupus, RA, Sjogren's, and many others, pain is a part of your daily life. Oh, sure, with the right medications, the proper physicians, and all out there available now for pain relief, there are numerous ways to "control" pain. Yet, nothing will take it all away. Nothing will prevent it from sneaking up on you, when it is least expected, and become "intractable" or at the very least put you on the sofa, in the bed, or otherwise blindside you, when you are certainly not ready to deal with it.
When my Lupus and/or RA; along with several other health related issues decide to come calling, sometimes there is not anything that can be a cure... it may curb pain, but at that time, that is what it can do... make it tolerable... and that is very difficult to determine, because pain in itself is a complex illness and is different for everyone. What one person thinks is totally off the charts on the "pain scale" maybe at a 5 or 6 for someone else.
Each of us have the same chemical makeup when it comes to pain, but depending on the cause, what you are taking, why the pain is coming, whether from some physical ailment, such as a worn out joint, or a migraine, or from several joint problems, muscle spasms, stomach and intestinal pain, "acute" pain from an accident or illness... all have different ways of causing pain, and all have a unique way of developing.... and being treated...
Thursday, August 13, 2015
Updates from the Arthritis Foundation - RA, Supplements, JRA and more...
http://blog.arthritis.org/living-with-arthritis/cope-with-arthritis/
http://www.arthritis.org/living-with-arthritis/treatments/natural/supplements-herbs/?utm_source=enewsletter&utm_medium=dedicated&utm_campaign=supplements
Support Groups and the AF
Herbs and Supplements
http://www.arthritis.org/living-with-arthritis/treatments/natural/supplements-herbs/?utm_source=enewsletter&utm_medium=dedicated&utm_campaign=supplements
Other therapies
http://www.arthritis.org/living-with-arthritis/treatments/natural/other-therapies/
News and Updates from the Arthritis Foundation!
http://www.arthritis.org/about-us/news-and-updates/
Wednesday, August 12, 2015
RA, Lupus, Chronic Pain - the Complexities of Living With an Autoimmune Illness and/or Chronic Illness - How Do you Live with the all too often feelings of "guilt" of not fulfilling your destinies...
As you can see the very "title" of this post is complicated, to say the least. As I've had to succumb over the past almost 3 weeks of cellulitis, strong antibiotics that totally messed my entire digestive tract up, to the addition of a "stomach bug" that is going around here locally, I find myself full again of guilt, of shame, of feeling as if I am letting my obligations down as an advocate, a "voice" for others, of my own writing, my blog, my Mom, and everything else that I've had to "put on hold" due to once again the "arrows" of dealing being chronically ill.
There is NO EASY part to being ill with some disease that is so often "invisible", that drags you down within a few moments totally catching you off guard. One moment I maybe feeling great and within hours I can be immersed in sickness, more medications, doctors visits, and so forth that drive me to the sofa, rather than here online, or out and about doing all of the other things that are SO crucial to me in life.
I cannot even begin to count the numerous times that I have the sinking feeling of "letting these diseases" rule and ruin my life. Being ill with something such as an autoimmune disease(s), you feel as if those totally reign over and above any and all plans, decisions, and destiny that you have for your life. They control the very essence of daily living. From whether I feel like going to do shopping and errands, take my Mom out, or to a doctor's appointment, washing my car, cleaning my home, taking care of ALL the things like my flowers, my lawn, having the energy to even re-pot a plant, or give the pups a bath... sometimes just giving "me" a shower can be overwhelming.
No one ever gave us 150% PROOF from the moment we take that first breath that life will always be filled and fulfilling... and that we will live and love without illness, with out difficulties in life, and sometimes the "hopes and dreams" we have had turn into a totally different way of being, that we ever expected. I have not done a "real investigation" but I would bet the number of relationships that "withstand" the all too often complicated life of living with someone chronically ill, that remain SIDE BY SIDE together... is quite low. I am most assured, as with cancer patients, sometimes a spouse, or dear friend, even a family member can reach a place they just can't cope with all of the complex nature of constant doctors, meds, surgeries, procedures, sudden illness... is can certainly be like the "elephant" in a 12 by 12 foot square room, quite OVERWHELMING...
I sometimes see the frustration even in my physicians faces, when I come in with something that is so complicated and complex, they themselves may not be sure what step to take next.
I am not one to "gripe", "Whine", complain, or even remotely think the "my medical issues" are "worse" than other people's... Pain and/or Chronic Illnesses mean different levels of frustration than others. I have had so many people tell me first of all that I am the "strongest" person (emotionally and mentally) they have ever seen... yet, honestly I don't feel that way. What I try to do, if at all possible, is to put "my feet" in that other persons shoes... if you can remotely imagine what someone else is going through, all too often, it makes your health issues seem small - and I am NOT discounting that yes, I am have several very serious health problems, and have been through some extremely difficult and serious surgeries, procedures, medications and at times any and all of us, including my own physicians, maybe puzzled and perplexed about certain things that happen to me as far as on a medical level. "Who woulda thunk it"? that I would come down with "cellulitis".... and in fact, we "think" - my PCP and myself, that I had a case of shingles about 7 weeks ago or so... they had cleared up by the time I saw my doctor, but the small scars were still there, lined up almost in a row after row inside of my right knee, and when I explained what they had been like, he said that it more than likely had to be shingles... nothing else as far as some type of a rash would have came up in that kind of specific "pattern" as they did... and I have this uncanny "act" of I will be on a medication for one thing, and it so happens, I may come down with something totally unrelated, yet the medication I am on, will help that also. The "shingles" were that way... I had asked my PCP to be put on a daily dose of Valtrex. Since I started the journey with Lupus... I constantly am fighting fever blisters... not so much now in my mouth, but the corners of my mouth were almost a constant bright pinkish, with a bit of blistering it in. He would give me a "high dose" for 2 days, it would clear up, and then a few days later come back... well I had not even taken the "daily doses" but possibly a day, and all of a sudden here comes this "rash"... well the Valtrex would be exactly what he would have given me for the shingles... thus there you have it...
I am really down and out though since all of the illness, back stuff, Mom's back, and so forth, have kept me from writing here on my blog as much, have slowed once again my completing of my 3rd book to a snail's pace... and have just "thrown me" for a loop when it comes to ALL of the things I truly NEED to be doing... but as my Mom and I both said earlier this morning... it ALL happens for a REASON... so there must be at least a "billion" reasons that I get thrown off course, and my sails catch a wind into foreign waters, all too often.
There is NO EASY part to being ill with some disease that is so often "invisible", that drags you down within a few moments totally catching you off guard. One moment I maybe feeling great and within hours I can be immersed in sickness, more medications, doctors visits, and so forth that drive me to the sofa, rather than here online, or out and about doing all of the other things that are SO crucial to me in life.
I cannot even begin to count the numerous times that I have the sinking feeling of "letting these diseases" rule and ruin my life. Being ill with something such as an autoimmune disease(s), you feel as if those totally reign over and above any and all plans, decisions, and destiny that you have for your life. They control the very essence of daily living. From whether I feel like going to do shopping and errands, take my Mom out, or to a doctor's appointment, washing my car, cleaning my home, taking care of ALL the things like my flowers, my lawn, having the energy to even re-pot a plant, or give the pups a bath... sometimes just giving "me" a shower can be overwhelming.
No one ever gave us 150% PROOF from the moment we take that first breath that life will always be filled and fulfilling... and that we will live and love without illness, with out difficulties in life, and sometimes the "hopes and dreams" we have had turn into a totally different way of being, that we ever expected. I have not done a "real investigation" but I would bet the number of relationships that "withstand" the all too often complicated life of living with someone chronically ill, that remain SIDE BY SIDE together... is quite low. I am most assured, as with cancer patients, sometimes a spouse, or dear friend, even a family member can reach a place they just can't cope with all of the complex nature of constant doctors, meds, surgeries, procedures, sudden illness... is can certainly be like the "elephant" in a 12 by 12 foot square room, quite OVERWHELMING...
I sometimes see the frustration even in my physicians faces, when I come in with something that is so complicated and complex, they themselves may not be sure what step to take next.
I am not one to "gripe", "Whine", complain, or even remotely think the "my medical issues" are "worse" than other people's... Pain and/or Chronic Illnesses mean different levels of frustration than others. I have had so many people tell me first of all that I am the "strongest" person (emotionally and mentally) they have ever seen... yet, honestly I don't feel that way. What I try to do, if at all possible, is to put "my feet" in that other persons shoes... if you can remotely imagine what someone else is going through, all too often, it makes your health issues seem small - and I am NOT discounting that yes, I am have several very serious health problems, and have been through some extremely difficult and serious surgeries, procedures, medications and at times any and all of us, including my own physicians, maybe puzzled and perplexed about certain things that happen to me as far as on a medical level. "Who woulda thunk it"? that I would come down with "cellulitis".... and in fact, we "think" - my PCP and myself, that I had a case of shingles about 7 weeks ago or so... they had cleared up by the time I saw my doctor, but the small scars were still there, lined up almost in a row after row inside of my right knee, and when I explained what they had been like, he said that it more than likely had to be shingles... nothing else as far as some type of a rash would have came up in that kind of specific "pattern" as they did... and I have this uncanny "act" of I will be on a medication for one thing, and it so happens, I may come down with something totally unrelated, yet the medication I am on, will help that also. The "shingles" were that way... I had asked my PCP to be put on a daily dose of Valtrex. Since I started the journey with Lupus... I constantly am fighting fever blisters... not so much now in my mouth, but the corners of my mouth were almost a constant bright pinkish, with a bit of blistering it in. He would give me a "high dose" for 2 days, it would clear up, and then a few days later come back... well I had not even taken the "daily doses" but possibly a day, and all of a sudden here comes this "rash"... well the Valtrex would be exactly what he would have given me for the shingles... thus there you have it...
I am really down and out though since all of the illness, back stuff, Mom's back, and so forth, have kept me from writing here on my blog as much, have slowed once again my completing of my 3rd book to a snail's pace... and have just "thrown me" for a loop when it comes to ALL of the things I truly NEED to be doing... but as my Mom and I both said earlier this morning... it ALL happens for a REASON... so there must be at least a "billion" reasons that I get thrown off course, and my sails catch a wind into foreign waters, all too often.
Tuesday, August 11, 2015
Cellulitis, Antibiotics, MRSA, Catching Up, and what "normal" is when you battle with autoimmune illnesses
Gosh
Lord knows I need all of the prayers I can get for sure... I did find
out yesterday that this stomach mess that began last Friday maybe a
"stomach bug" going around. I spoke to my pharmacist about a medication,
and they told me that lots of people had been in over the past week or
so, with the same thing... really nauseated, feeling lousy, and be
"sick" to their stomach... I kind of thought that maybe what it was
after I spoke with Mom Sunday over the phone and she was sick Sunday
morning with about the same thing. I believe mine was a bit worse just
due to the fact, I had already had such severe intestinal issues from
the antibiotics, and I am just "worn down" from the cellulitis, not
sleeping, the heat does not help and so forth... hopefully I will NOT
encounter any more of that mess for awhile. I am still NOT at 100%
though. Yet, at least I am COMPLETELY THRU with the antibiotics. I
officially took the last 2, yesterday evening. Although the "lump" is
still not completely gone away, I think I will just see what happens
over the next couple of days. I certainly do not want another round of
antibiotics, especially since they are some they use to fight really,
really tough cases of infection. I do not want to become "immune" to
them and then not get what I may need, if so happened I did come down
with some type of very bad infection... MRSA always remains in the
background when I think about having to take antibiotics. Although my
PCP does not just hand them out for anything, but with me being more
prone to having an infection, I have had to take more than I really want
to over these past few years. I GO TO the Cardiologist this morning.
Just a routine follow up, but her appts are always too EARLY... this one
is at 11AM so not too bad, but I always prefer to have appts. very
early afternoon about 1PM... that way I have all morning to do things
and get caught up on stuff, and I don't waste time having to get ready
for a doctor in an appt that is way early... Then the rest of the week
is actually pretty quiet as far as going to doctors etc. I STILL NEED to
go have the damned Chest X-ray done... I got sick and had to postpone
it again... and I know my Rheumatologist is really wondering what the
heck is going on. Anyway, I will be playing catch up on lots of stuff
over the next few days... so I appreciate everyone and your well wishes
and prayers... and I hope things "settle" a bit now, and I will feel
better over the next few days, get my strength somewhat back, and be
able to get back to "life" rather than a sofa and movies 24/7... Hugs to
all... Me
It SUCKS big time, when you feel your life is totally out of your own control, and you have no way to "fix" things... you just have to succumb to the sofa, resting, and putting a whatever you could call "life" on hold.
This past 6 weeks or so have been a total nightmare. Combine all of the issues with the lump on my thigh, cellulitis, high powered antibiotics, my own lower back, pain, stiffness, and a seemingly "worsening" of RA symptoms. My hands and wrists, along with fingers and thumbs are really bothering me worse than they ever had. My right hand has several swollen joints and even the cartilage between my fingers seems to be swollen, puffy and very stiff.
I have actually missed my Orencia now for the 3rd week (in fact I usually take it on Tuesdaus - but after all of the issues with cellulitis on the top of my left thigh in a place that seems where I usually do the Orencia Injections, first of all, with the infection I feared taking it, and 2nd of all, I am not through researching it, but I feel I may have gotten a "contaminated" needle giving myself the injections... I am a stickler for the skin being very clean, and make sure that the alcohol swabs get all in the area, and I always have clean hands, and usually put a bandaid over that spot at least for a day... and I realize with any type of autoimmune issue, I am more apt, more prone, to have these types of issues, but when you get so ill, that your entire life goes on hold for several weeks, it is surely difficult to deal with.
Anyway, I just completed two 7 day rounds of Rifampin and Bactrim - I hope and pray after 14 days total of these two powerful antibiotics, this cellulitis is gone, and what small "lump" that is left, will just take a bit of time for my body to "absorb" it. I've never had to deal with cellulitis before. So, what portion I do know about it, is what my doctors, my pharmacist and my own research has told me.
I don't want to have to take anymore antibiotics if I can avoid it. I already have infections at times like pneumonia twice in the past year or so that require them. Thus, I worry so much about getting "immune" or something mutating to where the antibiotics do not work. Actually that scares the hell out of me.
But, I must be sure that all signs of infection are gone. I can't take a chance for sure. Plus I feel if this does not do the trick, I will have to be hospitalized and put on IV antibiotics, which I don't have time for, and is surely NOT a convenient situation for me financial wise, time wise, and due to me being here, with the pups, and no longer having another person here to help out, I just can't be gone several days to the hospital. Of anything that sucks about being alone, to me is just that. I can deal with "alone", like many of us do. What I can't deal with is the times I need to be gone for more than a day... then that requires so much change. I must find someone to watch after the pups, and that is not an easy thing... fortunately there is a young woman, along with her sister and Mom that do come to your home and watch after them. But, mine are both so totally ruined, they have a hard time with a stranger, or with me being gone for any time over a day, or a day and a night... so it is like having kids... you can't just leave them at the house for a few days, run off to the hospital... you must have them watched over... My Pug, is really get very stiff herself... she is up in age and has a difficult time getting around... can't jump up on the sofa anymore by herself... and she requires a bit of extra attention, plus I give them both medications daily and so forth...
Even though some may not comprehend how an animal or animals can be so much of your life, but they are... anyone that is an animal lover, and has or had a dog(s), cats and do forth totally "get it"... they become a part of your family and for me right now, they are my family...
Even though I think I should have "more time" now, I feel as if somewhere my time is being "sucked" away... the days feel shorter, and the number of things that need to be done, longer... and I never seem to be able to find enough energy to complete the tasks that I should be able to... I've tried everything... lists, organizing, I multi-task, although not as well as I used to be able to... but it is like life goes into overdrive... and rather than slowing down, and things getting "less" all needs are more... whether it is my own health, my Mom's, the house, the pups, everything seems to suck time away... I spent over a week more or less on the sofa... so I have all of this stuff piled up... and all of it important in its own way... but it is impossible for me to handle it all anymore... the age, the autoimmune illnesses, along with everything they bring and take away... my body feels "worn" out rather than better....
It SUCKS big time, when you feel your life is totally out of your own control, and you have no way to "fix" things... you just have to succumb to the sofa, resting, and putting a whatever you could call "life" on hold.
This past 6 weeks or so have been a total nightmare. Combine all of the issues with the lump on my thigh, cellulitis, high powered antibiotics, my own lower back, pain, stiffness, and a seemingly "worsening" of RA symptoms. My hands and wrists, along with fingers and thumbs are really bothering me worse than they ever had. My right hand has several swollen joints and even the cartilage between my fingers seems to be swollen, puffy and very stiff.
I have actually missed my Orencia now for the 3rd week (in fact I usually take it on Tuesdaus - but after all of the issues with cellulitis on the top of my left thigh in a place that seems where I usually do the Orencia Injections, first of all, with the infection I feared taking it, and 2nd of all, I am not through researching it, but I feel I may have gotten a "contaminated" needle giving myself the injections... I am a stickler for the skin being very clean, and make sure that the alcohol swabs get all in the area, and I always have clean hands, and usually put a bandaid over that spot at least for a day... and I realize with any type of autoimmune issue, I am more apt, more prone, to have these types of issues, but when you get so ill, that your entire life goes on hold for several weeks, it is surely difficult to deal with.
Anyway, I just completed two 7 day rounds of Rifampin and Bactrim - I hope and pray after 14 days total of these two powerful antibiotics, this cellulitis is gone, and what small "lump" that is left, will just take a bit of time for my body to "absorb" it. I've never had to deal with cellulitis before. So, what portion I do know about it, is what my doctors, my pharmacist and my own research has told me.
I don't want to have to take anymore antibiotics if I can avoid it. I already have infections at times like pneumonia twice in the past year or so that require them. Thus, I worry so much about getting "immune" or something mutating to where the antibiotics do not work. Actually that scares the hell out of me.
But, I must be sure that all signs of infection are gone. I can't take a chance for sure. Plus I feel if this does not do the trick, I will have to be hospitalized and put on IV antibiotics, which I don't have time for, and is surely NOT a convenient situation for me financial wise, time wise, and due to me being here, with the pups, and no longer having another person here to help out, I just can't be gone several days to the hospital. Of anything that sucks about being alone, to me is just that. I can deal with "alone", like many of us do. What I can't deal with is the times I need to be gone for more than a day... then that requires so much change. I must find someone to watch after the pups, and that is not an easy thing... fortunately there is a young woman, along with her sister and Mom that do come to your home and watch after them. But, mine are both so totally ruined, they have a hard time with a stranger, or with me being gone for any time over a day, or a day and a night... so it is like having kids... you can't just leave them at the house for a few days, run off to the hospital... you must have them watched over... My Pug, is really get very stiff herself... she is up in age and has a difficult time getting around... can't jump up on the sofa anymore by herself... and she requires a bit of extra attention, plus I give them both medications daily and so forth...
Even though some may not comprehend how an animal or animals can be so much of your life, but they are... anyone that is an animal lover, and has or had a dog(s), cats and do forth totally "get it"... they become a part of your family and for me right now, they are my family...
Even though I think I should have "more time" now, I feel as if somewhere my time is being "sucked" away... the days feel shorter, and the number of things that need to be done, longer... and I never seem to be able to find enough energy to complete the tasks that I should be able to... I've tried everything... lists, organizing, I multi-task, although not as well as I used to be able to... but it is like life goes into overdrive... and rather than slowing down, and things getting "less" all needs are more... whether it is my own health, my Mom's, the house, the pups, everything seems to suck time away... I spent over a week more or less on the sofa... so I have all of this stuff piled up... and all of it important in its own way... but it is impossible for me to handle it all anymore... the age, the autoimmune illnesses, along with everything they bring and take away... my body feels "worn" out rather than better....
Friday, August 7, 2015
Orencia - CELLULITIS - and other known biologic medications, for RA, Lupus and other Autoimmune Diseases"....
OF course all of us know that "biologics" in total can cause infections, cancer, especially lymphoma, TB, and other some "serious" side effects. But, I NEVER have had "CELLULITIS" before in my life. I "thought" originally this cellulitis on my left thigh (top) was from possibly a sliver of tree bark that I thought happened about 8 weeks ago or so while I was cutting some branches up. But, the more I think about it, the more I "see" that both thighs at that particular place is where I usually take my Orencia Injections. It is so happens, about 3 day ago or so, I noticed a "small" (like possibly pea size) "lump" on my right thigh almost in the same spot. Of course it could be any number of things, but I am beginning to wonder if the injection type of Orencia that I had in that last "box" may have no been contaminated... because having "bacteria" on the skin OR on the needle in itself, can of course cause cellulitis... and the "medication" in itself, can also cause it also. I am almost "overly" cautious when it comes to my weekly injections. I use a couple of alcohol preps, wash my hands first with antibacterial hand soap, then make sure I clean the skin well around and out from where I put the medication. Yet, I am leaning towards the possibility of the "injection" needle in itself as I said above possibly being "contaminated"... anyway, the huge lump is definitely going down now. It is now about the size of a "little smokie" LOL... or I guess the very top portion of my thumb to the first knuckle size approximately. NOW though, after having the severe intestinal issues with the antibiotic I had here, while waiting on the doctor over last weekend to call me in the two for a 2nd round, which is Omnicef, that is the culprit of causing me to have SEVERE problems with not being able to "keep" anything in my digestive tract. I FINALLY thought I had the "gripes" I think as it can also be called, have basically stopped (I pray) BUT I woke up very nauseated this morning. I took some of my meds for it, and thought I would be okay in a bit... but a bit earlier I began to be sick to my stomach and was "throwing up" and all I had at the time in my stomach was some green tea iced... so if it is NOT "ONE" end, it's the other... Gosh I am so sick and tired of being so SICK< SICK< SICK!!!! Anyway, I am trying to get myself back on schedule with everything, but getting so nauseated this morning put another damper on my schedule returning to whatever "normal" is for me.... If YOU or ANYONE you may have heard talk about getting "CELLULITIS" from "Orencia" or another biologic, please post and let me know... I would like to see if there are others here that may have had the same type of issue...
Thursday, August 6, 2015
US Pain Foundation September Pain Awareness Month & our Local Mayor signs Proclamation & is allowing me to do the "Beautify in Blue" Campaign for Pain Awareness!
I am totally psyched over our city Mayor signing the Pain Awareness
Proclamation for September! Also, they are allowing me to set up the
ribbons, signs and so forth for the "Beautify in Blue" campaign by the
US Pain Foundation! I am so elated to be able to bring this "home" as
far as awareness about chronic pain, and just how much it effects so
many people's lives... and so forth. The city has just been very
receptive in helping me, so that makes it even better! Here is a pic of
the signed Proclamation!
Trying something new - A "daily" Online "Paper" about Autoimmune Illnesses, Writing, Chronic Pain, Family, Coping, Surgeries & more
https://paper.li/ravishingrhia/1438808814#
Autoimmune Arthritic Systemic Life Daily – Rhia
A "Daily online Newspaper" I am "Customizing" for my own interests, advocacy, activism,Ambassadors, Illnesses, Family and Coping...
This is new for me.. not sure if I will keep it.. it depends upon time, and all in between. I don't want to begin yet another "tool" since I really need to put my efforts into finishing my 3rd book and my blog, advocacy etc. But I thought for the moment I might give this a try.
Life with Autoimmune Illnesses, Lupus... back sugery, dealing with chronic pain, US Pain Foundation and September Pain Awareness Month, Proclamation, family and coping
Things here are still really insane... it "seems" that my intestinal tract "maybe" improving... I hate to say that and jinx myself... but yesterday and last night and so far this morning it is much better than a week ago... but I still have Mom and her injections to deal with, I still need to get the chest X-ray.. I hope and pray that is 2nd round of antibiotics will completely rid me of the cellulitis... I found another "lump" on my right thigh a couple of days ago, and I was praying it was not more - but I am on the Rifampin and the other one (can't think of the name of the moment) LOL.. but between lack of sleep for nights and nights... and the heat, and stress, worry... my mind is about null and void anyway... Good news!! I am okay for the City Of Ennis to go ahead with the National Pain Awareness Campaign in September "Beautify in Blue"!!! Our Mayor signed the proclamation, and the man that I needed to speak with about signs, ribbons and so forth told me it was fine to go ahead and put those up for next month!! I am truly thrilled to be able to get "my home community" involved in this... even he said he suffers from migraines... so he totally gets chronic pain... I will keep you informed, make photos and post them etc as I get the stuff and get it up here in town... other than that, I HAVE TO GET WELL so I can have this back surgery... I will more than likely switch Medicare Plans for next year and that probably means I could lose my surgeon, so I have to get it done before the end of the year... all of that has been a nightmare also... to find out that my own HOSPITAL does NOT take the Medicare Advantage Plan, after I was told they did... but it is a huge ordeal and AARP should be ashamed of themselves for even sponsoring Untied Healthcare and what they have pulled on their clients... it is all over the internet how they have really messed so many of us up on our providers... I am still very concerned about Mom and all of the "memory" issues and things I've seen over the past several weeks... although I know from experience, lack of sleep, pain, new medications, stress can all be huge factors in our memories etc - it seems to be over and above all of that... anyway, I am playing catch up after being ill for so long and I am still not at my best (whatever that is anymore ) ;) just wanted to touch base with everyone and let you know I am still "alive" and not really "kicking" at the moment...
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I really have SO MUCH to try & catch up here on, so I am going ton"Post"n some of my ongoing chronic health issues, things abo...
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How can our kids feel safe when WE as adults don't???? I fear Wal-Mart or just walking across the parking lot at HEB in my small lo...
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I finally made a trip to Urgent Care with what I feel is a very bad Lupus and RA flare, but there are several "symptoms" strange t...