Saturday, July 2, 2011

political decisions..

     Treating my daughter’s Arthritis now has come to the point where it is more of a political issue. The drugs she is using at the moment have done a lot for her, but after a few flares here and there, we have discovered they don’t do enough.

     It is not recommendable to keep pumping steroids in her body, after almost 2 years nonstop, she needs a break from it. However, every time we come to a certain level, she starts flaring again, so we are forced to up her dosage. Tapering must be done very slowly,  it took us 4 months to go from 10mg a day to 6 mg a day. Now we are back at 8 mg a day so we have a long way to go yet….She is currently taking extra vitamin D, for steroids can compromise the density of the bones. (She is popping 14/16 pills a day at the moment, at 2 shots a week and 1 IV a month to that and you have yourself a “Glow in the Dark Daughter.”)



     Her chemo will most likely be upped again too and her anti inflammatories are also upped. Her 4 weekly prednisone IV is still happening, I thought that was a temporary boost, but it is 9 months on the go already. She isn’t heavy enough yet to up her biologic so now we are at a place where we should try a different biologic.

      There are two options left for that; another IV, starting at week 0, then again at week 2, 4, 6, and eventually every 8 weeks. This would be Remicade. The other option is another injectable; Humira, what has to be done once every 2 weeks.

     My girl now has to be approved by the insurance company, and the clinic nurse wasn’t very hopeful she would be approved. Pretty sad to see your child isn’t a person with a crappy disease anymore, but a case with a number and a price tag….

     On a positive note; summer is finally here! Both my kids had a fantastic year at school and are now enjoying a well deserved break. The lovely weather certainly helps!

Tuesday, June 14, 2011

sigh

despite this
                                                             

and this


and this


and this
                                                                         

we still get this


Sigh.....

Friday, June 3, 2011

counting down till Summer...

    
     It’s been a while since the last update. Life this time of the year just seems to be hectic and busy. We can see the finish line for this school year, but before we cross that finish line, we have a bunch of hurdles to tackle!
Despite the fact this was most definitely the year with the most doctor visits we have had so far, it was also the year where my daughter has seen the most effect from all the effort she puts in to keep living with her Arthritis manageable. She seems to have turned a switch in her head and decided that she cannot let Arthritis define who she is and how she lives her life.

     She is done her TB treatment; 2 pills less each day! We are also weaning her off of prednisone….that is where I am having some mixed feelings. On the one hand, I am excited about the fact that finally after more than 1.5 year she is pretty close to being “steroid free”. (Still need probably 6 more months before we are done the tapering.) On the other hand, every time we hit a certain number, she starts flaring again.  Even though I believe the Enbrel is working wonders, we are experiencing flares again….sigh.

     Just a week after her last IV, she complained about stiff ankles. A day later there was a swollen ankle that stuck around for 4 days…..not happy about that. Will have to bring that up with our next visit.
     Like I said, we have a busy time ahead of us, a good kind of busy, but never the less; BUSY. I’m worried this will cause more problems. We have some camping trips coming up , a busy school month and most weekends packed with activities. On the other hand, Summer coming up so many opportunities to get some extra rest in.

     In the mean time; staying positive and focus on what is going well. Like I stated in the beginning of this post; this year was a good year for my girl. I just wish she would stop growing up so fast.

Thursday, April 14, 2011

Snowy Easter?

     Here we are in April, and when I look out my window it still looks like we’re in a winter wonderland. The snow doesn’t want to stop falling this year. I guess this is the end of the period of draught we have had the past few years!

     Scary to realize that we are approaching the end of another school year. My youngest is going to go to junior high and my oldest has only one year left on our cozy little country school before she  is going to the high school in town….sigh…I’m getting old!

     We are in between two IV treatments, and my daughter seems to be doing quite well. There was a bit of a flare in one of her ankles but that came and went without much troubles. 
Guess what, she even decided to join the badminton team and is entering a tournament this weekend. I’m so excited about that, not because I expect her to win but because she CAN participate. This has been quite the turnaround for her; basketball, volleyball, badminton,  last year she didn’t even consider trying. Her physical well being has improved so much and that totally helped her boost her mental state of mind too. Today she was recognized by one of her teachers for the academic challenges she is tackling now.

     Seems to me that the endless pills, needles and IV’s are finally doing something for her. Now here’s to hoping she can enjoy this period of “feeling okay” for a while!

     And about the snow…..really, how much longer can that keep going on? We must be close to being done with that and then SUMMER!!!!

Tuesday, March 15, 2011

OK, Spring, show yourself!

     It’s been a while, time for an update!
I have to say, the set back I described in my last update only lasted about a week. Even though the flares still happen, they seem to last shorter and that is a promising development!
     Another treatment was done the 22nd of February , the next one is planned for March 25th. The 6 monthly visit to the ophthalmologist is also behind us again, with no alarming results. The results of the MRI were also good.
     My girl is on the homestretch where it comes to her TB treatment; only a good month left. We are also very slowly weaning her off of prednisone.  Overall she’s doing quite well; much more energy and physically quite fit. Mentally there is much more spunk as well, what to me is the greatest blessing.
For the first time ever she was able to join the volleyball team as well as the basketball team and complete the season without too much issues. So very proud of her and happy she got to experience this!
Many good things are happening for her and she seems to really enjoy this break.
     ….the last few days she’s very tired again. I’m really hoping this has to do with the day light saving time or the change in the weather…I’m keeping my fingers crossed.

I can smell Spring, ready for it!

Oh, and don't forget; March is Juvenile Arthritis awareness month! Spread the word!

Wednesday, February 2, 2011

JINX...:O(

Okay....I guess I did jinx it.
My girl came home from school today with a gynormous knee....
We were disappointed but hopefully this won't get her down, she's been doing so good
both physically and mentally. Let's hope this is just a little bump in the road.
Will keep you posted!

Saturday, January 29, 2011

Arthritis is Unacceptable

     Well, we are good for another month!
We went to the Children's Hospital for another treatment. it went well, even the weather gods were on our side. My daughter had another IV, a visit with her specialist and an MRI was done,both her knees. All went well, no word on the MRI yet, but I'm guessing no news is good news! Next appointment is a month from now. Also a visit with the ophthalmologist coming up, where they dilate her pupils to check inside her eyes.

     It seems she is finally doing a bit better....have a hard time saying that out loud for I don't want to jinx it, but her energy level is way up and I hardly hear her about pain. Keep my finger crossed, and in the mean time we are really enjoying this period of relief! She's active, positive and enjoying school. I could get used to this trend!

     I have read this article on a blog posted on the Arthritis Society's wall. It grabbed my attention and stuck with me. It is slightly negative and harsh, but I find there is a lot of truth in it so that's why i decided to post it on my blog for you to read.
So these are not my words, but I do agree with most of it.

  Arthritis is Unacceptable.
I’ve been thinking a lot about this, especially as we enter a new year and I ponder once more what my hopes and dreams for my family are…Arthritis is Unacceptable. Unacceptable as in: adj. not giving satisfaction, inadequate, unwelcome, intolerable.

For me, the first time I heard the phrase, it was like hearing one of those carnival games where you use a sledgehammer to hit the target to try to push the little metal piece to the top to ring the bell. DING!!!! This was a loud ring for me. A bull’s eye. It resonated loud and clear! And it opened something in me….the part of me that sometimes gets sheepish, or apologetic when advocating or raising money for arthritis was split wide open – revealing a pissed off mom that wants to tell you that arthritis is SERIOUS. It deserves the same attention and respect as other diseases…. Yes, even other diseases that can be deadly. Because…. You know what? Arthritis can be deadly too!

Early last year, the world lost a remarkable person because of arthritis. Somebody who was strong, and funny, and had a heavenly singing voice – somebody who loved hockey and could play the guitar and was fearless. A compelling young woman who could convince people to sneak her outside for a midnight snowball fight on hospital grounds, or arrange a surreptitious tour of the gift shop storage room. Maggie had the world on a string and faced every challenge with a smile – even the battle that ultimately overcame her. For even though there were many health hurdles in Maggie’s path, it was a form of arthritis that proved too much… that had Maggie insisting that doctors keep some of her tissue for research because she wanted them to find answers so no other kids would have to endure what she did. It was arthritis that robbed her family of another Christmas with that sweet girl… and has them entering a new year without her. She was twelve years old. Does it get more unacceptable?

I have another uncomfortable secret to share. Often, when going through the process of diagnosis for juvenile arthritis… one of the potential outcomes parents get to chew on for awhile is Cancer. Leukemia was one of the diagnoses we were testing for when Caitlin was hospitalized with high spiking fever, swollen joints, white blood cell counts off the charts etc. When cancer was ruled out – we were so very relieved. This is very common and I’ve spoken to so many parents who have been through the same thing. One mother, though, had remarkable courage when she told me that sometimes, she wonders if cancer would not have been better. Before you judge, you should know that her son has one of the worst cases I have ever seen, and as a young adult, has already lived over 15 years in excruciating pain with no sign of relief in the future. He struggles with depression and mustering the will to live…. So please understand where his mother is coming from when she wonders if cancer might not have been easier. Either he would have been cured… or he would no longer be in pain. That is a powerful and courageous admission….and reminds me all the time of how unacceptable arthritis is.

Believe me! I am not trying to diminish the severity of any other disease. I am not trying to minimize the importance of any other cause, or discount the pain endured by people who struggle to fight those diseases, or the misery of those who lose loved ones. But we live in a world where some causes are just deemed more important. We live in a world where entire football teams wear specially made uniforms and shoes with pink ribbons. A world where celebrities wear colored ribbons and puzzle pieces, write books, do talk shows, and causes become “buzz” and money flows.

All the while there is still this prevalent misconception that arthritis is no big deal. There is still this ridiculously held notion that it’s just an old person’s disease, that everybody will get it, that you just learn to live with it…. That it’s OK…. That we don’t need to talk about it or raise money for it. Essentially, arthritis is not a cause. It doesn’t currently inspire action. It has no sense of urgency, or pressing importance that will draw people into doing something. It’s not a priority for people’s time, attention, or money. And for me, that is unacceptable. For my daughter, whose entire childhood has been shadowed in this stinking condition, that is unacceptable. For the 50 million people who live in pain, that is unacceptable.

It is not acceptable for people to give up their dreams, and their mobility, and their health. We should not tolerate willingly this loss of quality of life… this financial burden, this tidal wave of malady.

If you didn’t know, making arthritis unacceptable is part of the strategic plan and mission of the Arthritis Foundation. You might have seen the phrase a couple of times in the later part of 2010, and it has generated a lot of discussion.
On one of the message boards, somebody posted that it was counter-productive for her to focus on arthritis being unacceptable, because accepting it was the first step in her being able to get on with life. She had to make peace with the reality of arthritis in order to rise above it. Yes, I have arthritis but it does NOT have me. That made a lot of sense to me…. Because I am always trying to force my daughter not to use arthritis as an excuse. It is a reality that she has to live with… I often insist that she push through pain and go to school and I use the reminder that someday, she will have to do the same thing if she wants to keep a job. In a sense, I am asking her to Accept arthritis, as in: verb: to agree to take, to endure resignedly or patiently.

But what it boils down to for me is something like the serenity prayer….God grant me the serenity to accept the things I cannot change, the courage to change the things I can and the wisdom to know the difference.
Do I believe that we can change arthritis? Do I believe we can find treatments and better means of prevention for osteoarthritis? Do I believe that we can potentially unlock cures for forms of auto-immune arthritis? Do I believe that fighting the disease, raising money, and continuously opening my big mouth can make a difference? I do. Arthritis is Unacceptable. And I want everyone to know it.