Thought for the Day:

Hope is the thing with feathers
That perches in the soul.
And sings the tune
Without the words,
and never stops at all.

- Emily Dickinson

Monday, November 25, 2013

How can I be so Sick?

I hate new Dr.s

There are a lot of reasons why:

- most are skeptical or at least ignorant about M.E.
- I don't like tests
- I don't enjoy sharing my illness story, usually opening me up to skepticism and/or ridicule and/or condescension
- I usually crash from the outing
- I have rarely, since becoming ill, actually gained any positive help or treatment from a Dr.

So, because I'd asked my NP some questions about POTS and showed her some of my BP and HR readings, the GP she works with sent me to a cardiologist.

As it turns out, he was a very pleasant fellow.  It still wasn't easy as it meant two outings (one for blood work) and another for an electrocardiogram and consult.  But he was easily the nicest Dr. I've seen outside my nurse practitioner and the M.E. specialist I used to have, Dr. Bested.

He agreed that I have major OI and POTS.  Although he didn't seem to think the POTS was more than my HR trying to circulate blood due to low blood pressure.  For once, I seem to have found a Dr. who actually, after asking a question, listens to my answer/response.  He was not condescending at all.  How is this the exception to the rule?????

He was also willing to try a number of things to help me.

I am going to try a different type of support hose, and a drug.  He said he doesn't see this condition often, only a few times over the years.  He also hasn't had much success with improving the situation for patients.  That was a little disappointing to hear.

The other negative, was that he kept discussing exercise in order to build muscle strength. He explained how this in turn would help my body pump the blood back up to my heart and brain.

I understand the concept and I explained to him about the M.E. and how activity and exercise can make me worse, in fact usually does.  I said "I would love nothing more than to exercise, I really would" (which is true).

I also shared how in the beginning with the M.E., I kept trying to go out and run, and how it just made me much much sicker.

I also explained how my specialist had me chart my activity to understand how activity makes me crash.....and how important it is to maintain that ballance of activity and rest. I told him how crashing is something specific, and doesn't just mean  "getting tired", that, in fact, I get quite ill - sore throats, increased dizziness, fevers, muscle weakness.

He listened.  Did he believe me?  I can't say. Is he going to write a report to my GP indicating exercise would cure me?  I don't think so, but I can't know for sure.

He did say I have significant OI issues.  Just in the office after only 30sec standing my Heart Rate was racing at 150.

I am going to do a 24 hr. holter monitor test which I don't mind....I just didn't want to be subjected to a stress test where I would definitely crash from the activity.  He wants to make sure I don't have any arrhythmia along with the OI issues.

So now I'm terribly crashed.  I feel so horrible, I just want it all to end...this life with the never ending virus/flu.  With a little rest hopefully I cheer up, but I'm so tired of this sickness right now I want to scream.

It's ironic to me sometimes how such a small thing as a Dr. appointment can make me so ill.  And said Dr. would have me make myself even sicker by 'swimming' and 'using a treadmill'. Can you imagine the day when physicians are versed enough in M.E. to know about post exertional malaise (PEM)?

There are scientific studies that  prove when we exercise we get worse/sicker....what will it take until this is common knowledge amongst physicians? Keep dreaming I guess.

So I end with this question....How can I be so sick?
I am not just a little ill, or a little 'off'.

How is it those of us with M.E. are SO sick and it doesn't show up in those Da*&n blood tests they run?

I realise it was the same for MS patients who had "women's hysteria" before they found abnormalities on MRI, or thyroid patients before they found the thyroid test.  But I don't want to wait anymore.  I know there is something extremely wrong in my body, I want to see that blood test or scan that shows it, that's all.

I was listening to Jennifer Brea, who is producing the Canary in a Coal Mine film, talk about how she reacted when those first Drs told her she was fine and merely had 'conversion disorder'. She thought "fine, then I'll exercise", making herself much worse, throwing herself into a relapse.

I've done the same thing more than once.  The first year I was sick, I kept going back to the local clinic to get help.  Every time my blood work looked good, I would think, "it can't be that serious then, I must somehow be exaggerating" and I would throw myself into work and exercise, inducing crash after crash.  I almost had that reaction today, looking through my blood work, but PLEASE let me say I know better by now?  I'm crashing from the appointment, I don't need to make it worse by going out for a walk or outing.

I hate M.E.

11 comments:

  1. Good the doctor was willing to listen and had answers and a med to try. Bad that you feel so awful, Gayle.

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  2. glad the doctor listened. sorry you had to go through all these hustle.

    i requested and received the records from my last time visiting cardiologist. it was 12 years ago. i still remember how i could not do the stress test, so they had to do something different, which was injecting something to my body to make my heart gone wild. i was getting sicker and still had no any result (diagnose).
    i had a major crash last week, but recovered later and had a decent weekend. now i am feeling better again.

    good luck and hope you feel better soon!

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  3. It's just so hard to find a doctor who is not just good at their job but also willing to take a good amount of time listening to what the patient is saying and then looking at different ways in which to possibly help. They are few and far between, so I'm glad you got this one. Maybe over a period of time, he will come up with fresh options that you've not tried before.

    As for exercising, you know exactly what happens to you and all you can do is to keep enforcing your views with any doctor who tries to push you down this avenue. Sooner or later they will either get the message or look at the scientific facts.

    I'm hoping that you recover from this appointment soon. Take care.

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    1. Thanks for the support Rum-Punch…you are so right, these Drs are rare. I'm not sure if he will even stick with me, however, I am going to see him again in 4 months to see how the treatment has helped or not.

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  4. the thing is, the tests they do not always tell what's really going on with our bodies. a sick can get excellent report, and a person who feels excellent can get bad reports. this kind of thing happened from time to time. almost every time i did overall check, the reports were "fabulous". i personally believe, that either much part of this whole modern medicine is just "pseudo-science", medicine cannot be practised completely by scientific methods.
    i was in a discussion thread yesterday, and it was about how pretentious psychology is, that many of the mental diseases it labels are not diseases at all. i would even stretch my doubt to modern medicine.

    the thing is, for many physical diseases, the only powerful treatment is our own immune system (or our own "energy"), but modern medicine is good at to destroy immune system, that how it make M.E. worse. (to tell you truth, i doubt M.E. is a right term for my condition, or many others'.)

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    1. You know Yun Yi, having been in the sciences a little (I did a Bachelor degree in natural science), I do place some value in medical science. Especially when the contrast is every person I've ever met who seems to have some random and often strange anecdotal 'cure' or treatment for me. On the other hand I very much agree that they sure don't know it all yet (obviously, or they would know at least some of what's wrong with us). I realise all the people put in the M.E. category, probably don't have what I have. On the other hand, with a few of my fellow sufferers, it is UNCANNY how similar we are….I am sure that some of us have the same disease. Sorry for your crash recently, but very glad you had a better weekend. These 'good' or 'better' days are what get me through the awful ones sometimes. I always appreciate reading your thoughts here :)

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  5. Doctos who listen are hard to come by sadly. I´ve had one good doctor so far and she was just a temporary one at my surgery. Appointments can be exhausting. I hope you can rest and recover soon. I´m with you in that I´m bored of waiting for a test and sick of being told there is nothing wrong. Hayley-Eszti x

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    1. I agree, Hayley, they are. I really miss my specialist these days. Having treated so many with M.E. her advice was almost always spot-on. She also attended all the conferences and stuff and wasn't unwilling to try the occasional experimental treatment. I wish we could all have someone like that treating us.

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  6. Oh wow, Gail.... your post is SO very timely (well...I realize it's a few days old now but I am just getting around to catching up on my blog reading) .... as I am currently struggling with these heart issues as they relate to ME. Everything you have said rings so true with me that I could have written this post myself (only you've said it better than I ever could). I love your list at the beginning of your post....my thoughts EXACTLY, word for word.

    I have been struggling with what I should do because part of me says I should go to a cardiologist (I've had an alternative medicine practitioner recently tell me this), but the other part of me knows what will happen if I do. If only I could find a cardiologist who understands ME,,,,that would be a huge help. (I am terrified of being made to do a stress test which would leave me terribly crashed for who knows how long)

    I'm glad you were able to find one who actually listened to you and did not talk down to you. I find that a huge hurdle to get over. I hear you about the exercise thing, knowing it would be beneficial and something I am longing to do, but can't because of the consequences (which I too have BTDT). Hopefully he will offer some helpful advice to you. Please keep us posted.

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    1. Yes, I will let you know how it all pans out. I think I will try the midodrine, but after the Holter test because I want that to show what it can. He was also considering beta blockers depending….not fully sure what the plan was to be honest, but I'll keep you updated. Sounds like you could use someone to help with the POTS issues too. He seemed to know very little about it, so maybe Canadian cardiologists aren't versed on it, or maybe you would have better success.

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