eftychia: Cartoon of me playing electric guitar (debtoon)
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I haven't been feeling all that well the past couple of days, and my sleep pattern is all confoozled, and every sound in my environment seems TOO LOUD. But today I am, at least, awake and able-to-fake-being-alert (sorta) during daylight, which is something.

Earlier is was playing guitar, listening to it through bone conduction because I had earplugs in to protect me from traffic noises outside -- I was playing my solid-body electric, my usual bedroom guitar, with it pressed up against my jaw -- and I noticed a rather significant amount of reverb in what I was hearing when I played it.

"Rather echo-y," I thought, "are my sinuses way clearer than usual, or is my brain missing? That sounds like a lot of echo for just my sinuses; I bet my brain is gone and the sound is bouncing around my empty skull."

Then I started experimenting with different positions of jaw and tongue to see whether the amount of open space inside my mouth affected how much reverb I heard (not significantly, a counterintuitive result) until I fell asleep again.


Speaking of how-I'm-feeling, [info] faireraven posted a reminder several days ago that this is National Invisible Chronic Illness Awareness Week. I'd planned to write more about that by now but ... with feeling scattered and feeling generally crappy and feeling as though I'm thinking in slow-motion, gee, the chronic illness that makes this personal for me has been getting in the way. Go figure. I'll try to write more about it in a while, if whatever I come up with when I focus on the issue doesn't wind up sounding too whiny when I proofread it. For now, just a couple of thoughts:

I think that by now most of my friends and acquaintences have at least some idea of how fibromyalgia affects me, and I know that at least a few of my friends really understand -- I have some friends who notice even before I do that I'm starting to hit my limits and need to rest before I wind up really hurting myself. It could be worse -- I'm still able to get out and perform, for example, and I'm not dependent on a wheelchair or a powered scooter -- but it keeps me from doing a lot of things I'd like to do, as well as some things that I really need to get done. Being able to perform usually requires being very careful about how much I try to do in the couple of days beforehand to improve my odds of having a decent day body-wise, and often means one to four days after the gig just recovering and not able to accomplish much else. I have fun on stage, but there's a price.

The thing is, nearly everybody who sees me, only sees me on my good days -- or at least my kind-of-manageable days. Sometimes I look pretty good, other times those around me can tell I'm tired, in pain, and struggling to keep going; but on the bad days I never even make it out of the house, so most people don't see that.

And although I know that many of my friends get it, even if they're disappointed when I cancel a social outing due to not feeling well enough, once in a while I still get hit with the "oh that can't be a real problem" mindset from people. Usually of the "why don't you just get a job?" variety (yeah, I'd like to, but it has to be part-time and unscheduled because I don't know ahead of time which hours I'll feel well enough to work each week -- I haven't run into all that many openings like that) ... but a couple of months ago I got dissed and dismissed by a doctor (I know this is not surprising to other fibromyalgia sufferers; the emphasis is for everyone else). I'd gotten referred to a new clinic, and was being seen by a guy filling in for the day for the woman supposed to become my new regular doctor (so with any luck I won't have to deal with him often). I'd been tryng to make it to the doctor for three weeks straight, and it was the first day I'd felt physically capable of walking that far and riding the bus. And when I said I needed some prescriptions renewed, including tramadol (Ultram), and he asked why I needed that and I said, "fibromyalgia," he looked at me skeptically snd said, "How do you know you have fibromyalgia? That's very difficult to diagnose." Duuude! You have my chart right there! I didn't self-diagnose off a checklist on a web site. What I wish I'd thought to say to him then (I was too shocked by his attitude -- there was more than just that comment -- to think of it at the time) was, "Would the opinions of five different rheumatologists over fourteen years count as sufficient expertise for you?"

I guess I didn't look sick. Or he doesn't think fibro is real. Or something. I'm glad he's not my regular doctor.

Anyhow, more on this -- more coherently organized -- later, if I manage to get to it along with all the other things I need to try to accomplish this week. And if I don't, then at least I've gotten around to writing this much.

There are 15 comments on this entry. (Reply.)
 
posted by [identity profile] faireraven.livejournal.com at 09:07pm on 2007-09-12
I know where you're coming from, hon. "But you don't look sick" is quite common around me. I can still do a lot of the things I used to do, but I'm feeling it more and more lately, and doing less and less.

I believe I've gotten doctors who say "You're too young to have MS", "Pain isn't associated with MS", "That's not a documented side effect", "How do you know you have MS?" (yes, I've gotten that one too, despite years worth of documentation plus MRIs), "You can't get those kind of cognitive issues as an adult, you must be depressed" (a woman who said ADD didn't exist in adults, and neurologically/MS related ADD apparently didn't exist at all, despite lots of documentation on the subject), and this last time around I got really annoyed at my doc because I told him I was always tired and he asked me what else was new? If he meant it to be joking, it didn't come across in his voice.

I do sympathise. Apparently I'm too young/high functioning/good looking to have MS.
 
posted by [identity profile] realinterrobang.livejournal.com at 10:39pm on 2007-09-12
Apparently I'm too young/high functioning/good looking to have MS.

I feel your pain. Possibly literally; I don't know -- different two-letter abbreviation. (Mine's CP.)*

I'm getting tired of having complaints dismissed because the thing I'm complaining about is "normal," even though the person I'm complaining to ought to know better than to think I'm just griping about baseline pain. For example, about 20 months ago, I fell backwards onto the power brick for my laptop, jamming my arm in an unnatural position as I went down. Three days later, I had some kind of routine checkup, mentioned that I'd fallen and was in a hell of a lot of pain, and could someone please check me out, and got a very dismissive "Well, people with CP are always sore after they fall...come back in a couple weeks if you're still feeling sore." (Yeah, like at 32 years old, I wouldn't know that already!)

Fast-forward a couple of weeks. I'm in absolute agony and can barely use my right arm. I've developed some weird symptoms, like my fingers going numb and my hand unpredictably and intermittently springing open when I try to grip something. (The first time I dropped the water pitcher on the floor, you should have heard what I said, or maybe not.) I went back to the doctor, they did tests, and said, "Oh, you've torn a ligament in your rotator cuff, and now you have an impingement syndrome. The ball is too far forward in the joint socket, and it's pinching the nerve..."

So I'm in physiotherapy for the next ever, the shoulder will probably never stop bugging me on rainy days and when I haven't done enough exercise, and my weight-lifting is seriously curtailed.

Fast-forward about another six months and I'm in my annual physical, and my real doctor (as opposed to the stupid-ass resident who said it originally) is giving me my annual physical. She's looking at my torso, and she runs her finger along my clavicle on the injured side, and says, "You have a bump right there. Did you break your collarbone once?" Judging by the timeline of the pain at the time, I bet I did.

If that were the only incident, I'd shrug, say "Fuck it," and leave it, but it's sadly not.

Also, "Apparently I'm too young/high functioning/good looking to have CP" is exactly the reason why I can't get a disability pension, which would be nice as a fallback, since I can work most of the time, but I actually seriously considered quitting my job recently if I wasn't getting any better, or at least trying to negotiate for a leave of absence, as I seem to have contracted Fifth Disease. In children, it's pretty harmless. In adults, it manifests as rheumatoid arthritis. Screeaaam! Stiff joints on stiff muscles! Two great tastes that taste like shit together!

Fortunately, I don't have the problem of people at the vet's office (even the stupidest of the residents) thinking that my disability doesn't exist. I'm pretty visibly impaired; but OTOH, it's the invisible parts of the visible impairment that really get you. The limp and the short leg aren't really a problem. The problems are the chronic fatigue, the chronic pain, the spasticity (not readily apparent to a layperson), the reflux disease and digestive problems, the proneness to respiratory infections of all kinds (including bronchitis and pneumonia)...

_____________
* Cerebral Palsy, for the Temporarily Able-Bodied or uninitiated in the crowd.
 
posted by [identity profile] faireraven.livejournal.com at 10:50pm on 2007-09-12
Do yourself a favor, don't go down to part time if you can help it, if you can get a doctor to go to court with you, go straight from full time to not working. It'll kill you in the short term, I know, but in the long term you'll actually get all the disability pay you deserve. SSDI is based on the last two years of your income, and if your income was only part-time income, then that's what it's based on.

My biggest problem is fatigue. It's been getting worse lately. And yet it's like it's totally being ignored.

I need new doctors. I miss my docs up in jersey, I had at least one who actually *listened*... It's a rare thing in docs nowadays.

I'm sorry you have to deal with all of this crap... When my MS has flared up badly I've had everything from spasticity to pain to numbness to fatigue to the "MS Hug" (feels like there's a box around your lungs and you can't breathe)... I've been lucky that in the last few years that most of it doesn't show. But it's only lucky in the respect that people don't see me as my disability. It's unlucky in that they won't take it seriously, either. Especially because multiple sclerosis is so random that I can be fine one day and suck the next. A lot of the time I'll be "fine" only because I'm borrowing spoons from tomorrow, and I'm going to pay for it later. It's the only way I've lived through recent job interviews.

Good luck. I'm really glad I posted about the invisible disability week, because [livejournal.com profile] dglenn isn't the only one who's since posted about it... And the more people realize what the "big deal" is, the better it will be on those of us whose disabilities cannot be seen.
 
posted by [identity profile] realinterrobang.livejournal.com at 11:15pm on 2007-09-12
I'm actually working part-time now, and making better money than I ever have before. Part of that is because I went from being an employee to a consultant, and now I'm charging almost twice what I was making before. It's working out well, because I only work 3 days per week, meaning that if I know a crash is coming, chances are I can put it off until I don't have to work. I've missed very little work in the past year compared to when I was working full time.

SSDI is based on the last two years of your income, and if your income was only part-time income

Not a problem: I live in the jolly old Province of Ontario, so disability is around $1000 a month regardless of whether I was making minimum wage before becoming unable to work, or what. Thing is, I can't keep the doctors from giving me these nice, positive reviews: "She can work if she can find suitable employment." The problem is, it has taken me eight years or so to find it, and I've been pretty much destitute in the interim...
 
posted by [identity profile] faireraven.livejournal.com at 01:15am on 2007-09-13
Ah, with canadian healthcare, you can afford to do the consultant thing... I would do it as well if it weren't for the fact that I'd lose my benefits, and my husband's prescription benefits suck (only does a max of $1500 per quarter, and Rebif costs about $10,000 per year).

Nice to know how the canadian system works, though... I didn't realize that's how they do disability up there.

Good to know you can work as a consultant, though!
 
posted by [identity profile] realinterrobang.livejournal.com at 02:16am on 2007-09-13
One other nice thing about being on disability is that my prescription drugs would be covered. As it is, I have times where I sort of do an end-run around the system. I'd vote for someone who'd put pharmacare on the provincial health services in a heartbeat, as would likely 90% of everyone else.

One nice surprise -- because I have strabismus (which is considered a "medical condition"), my recent eye exam was covered by the province. The "free checkup every two years" thing stopped for some reason or other, probably largely to do with a series of antigovernment Premiers we've had around here...
 
posted by [identity profile] dglenn.livejournal.com at 11:43pm on 2007-09-12
Interrobang's in Canada; I'm not sure how similar/different their closest paralel to SSDI is.

And I hear you regarding the mixed blessing of invisibility: I hate being treated as fragile or crippled (even when I need to be treated that way, as folks who've tried to care for me can attest), so I'm glad to be able to pass for able-bodied -- especially since my self-image, after nearly a decade and a half, still hasn't caught up to my medical reality. At the same time, when people a) fail to believe and accomodate my disability, or b) understand when reminded but forget often because there's no visible reminder constantly there, the invisibility is a liability.

Yeah, I want to eat my cake and still have it. But I'll try to make the best of the hand I'm dealt, I guess, and hope spreading a little education helps. Where I get bitter about it is when it's the doctors ignoring or trivializing things.

The example I'm most annoyed about was more than ten years ago and still upsets me enough that I have trouble mentioning it without ranting. (Short version: if I can no longer do my job because of it, you don't get to tell me I "have nothing to complain about".)


Fatigue seems to be even harder to get people to take seriously than unexplained pain. There seems to be a lot of "oh, everybody gets tired sometimes," balanced against roughly the same amount of, "well you must be depressed". (Yes doctor, I am aware that depression can cause fatigue -- and pain -- but the timing of the symptoms doesn't match that diagnosis <verb> you very much.)

As for the "not listening" thing, there's that whole "we want you to try antidepressants again" refrain that keeps comin' around again on the guitar (whether they think I'm depressed or not -- antidepressants are often used to help regulate sleep in fibromyalgia patients). Gee, you'd think that my having explained nearly offing myself due to drug-induced depression and a whole collection of paradoxical reactions to psych meds would make that obviously a bad idea ...
 
posted by [identity profile] realinterrobang.livejournal.com at 02:18am on 2007-09-13
There's another difference between me and you: I can't pass, and I try hard. On the other hand, the fact that I do try hard means that everyone thinks I'm "basically normal except for limping," and it ain't so... That's more or less what I meant about "visible/invisible" up there. Yes, it's obvious that I have a disability. What's not obvious are the insidious, genuinely trouble-causing effects. :(

Of course, I'm preaching to the choir, if not the clergy here.
redbird: closeup of me drinking tea, in a friend's kitchen (Default)
posted by [personal profile] redbird at 12:10am on 2007-09-13
Frankly, I think you have a malpractice suit--the resident refused to examine you when you reported symptoms, with lasting and dangerous effects. And I think you should bring one, not just for any money, but because it might get a point through: if you don't sue for malpractice, he'll never even know he fucked you up.
 
posted by [identity profile] realinterrobang.livejournal.com at 06:22am on 2007-09-14
I actually wouldn't be interested in bringing one. I don't even remember the name of the resident, for one thing. If I could have anything related to the incident, I'd like about ten minutes to talk to him and say, listen, if you're going to be a competent doctor at all, you're really going to have to learn that if someone who already has chronic pain tells you they're really sore, check it out. Maybe it's nothing. So what? Doctors should always operate on the "better safe than sorry" principle.
 
posted by [identity profile] dglenn.livejournal.com at 11:53pm on 2007-09-12
"I know where you're coming from, hon."

Yah, I know you do, and better than most. *HUG*
 
posted by [identity profile] starmalachite.livejournal.com at 09:06am on 2007-09-13
Same here!

Are you enjoying the signs of fall coming as much as I am? The cooler days, the vivid blue skies, the aching hands...
 
posted by [identity profile] faireraven.livejournal.com at 01:51pm on 2007-09-13
See for me, I'm in the opposite condition. summers slaughter me, since MS symptoms tend to go up when the heat goes up. I started a new job this past summer, and I'm already looking for something new because the heat killed me with the fatigue and concentration issues so badly I haven't been able to properly survive the 90 days.

Mind you, I'm also an asthmatic that gets triggered by mold and cold. So I just get hit the other way in the fall. *sigh*

 
posted by [identity profile] nosebeepbear.livejournal.com at 04:14pm on 2007-09-13
*thumps your stupid doctor*.

I had a similar experience; went to my primary doctor to beg for referral to a pain management doctor, and got a fill-in doc who said "you don't start with pain management, there are other things to try first" Uh. You have my 3" thick chart in your hand, asshole (which he did not open once during the whole visit), and that will tell you plenty about what other things I've tried. He wanted to refer me to an orthopedist. I told him the story of many attempts at PT, the amount of Advil I'd been taking daily for years, the scooter that's made it possible for me to survive, etc. He all but patted me on the head. I was too pissed/shocked/frustrated to think of asking him if I could see someone who'd actually been to medical school instead. When I went back to see the real doctor, she immediately started writing the pain management referral, while apologizing for not thinking of it before.
 
posted by [identity profile] realinterrobang.livejournal.com at 06:20am on 2007-09-14
Can I hire you for stupid-doctor-thumping of all sorts?

Actually, I think there are probably any number of us. We could set up a doctor-thumping pool. Apparently more than one of us has had experience with doctors who need a good cluebricking, as an old friend of mine from Slashdot liked to say.

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