Tuesday, April 10, 2012

Lupus From A Parent's Perspective

Lupus from a Parent’s/Caretaker’s perspective: How to manage and Cope when you have a child that is Chronically Ill

Usually, for my column, “The Lupie Life,” I write about my own personal experiences living with Lupus, and how I manage my illness on a day-to-day basis… But what most people do not realize is that Lupus and any chronic illness for that matter, affects more than just the person who is diagnosed. While my parents and I have always been very open with regards to my Lupus, I have never been quite sure just how they manage being a “caretaker” and was curious as to what Lupus is like and looks like to someone who loves and cares for someone’s who is chronically ill, especially their child. My parents have always supported me, loved me unconditionally, and have given me every possible opportunity to reach my full potential...So I was intrigued to sit down with them (my “Momma-dukes” & “Poppa Bear”) and find out just how they coped with my initial diagnosis, how it impacted their day-to-day lives, and how they have learned to cope and manage being the caretaker for their child, when it seems as if it should be the other way around (the child taking care of the parents…).

Q: What was your initial reaction to my diagnosis in June 2009?

A: (Father) There was definitely a bit of shock, initially, which was followed up by a little relief because we had been dealing with it (these random symptoms) for over 3 years trying to figure out WHAT you had… Now we knew what it was, it has a label and name...But once the initial relief of finally having an answer dissipates, the reality of the situation and its’ potential severity and ramifications hit you.

Q: Did you know or had you heard of Lupus prior to my diagnosis?

A: (Mother/Father) Yes I had heard of it vaguely, and I (father) knew someone who had it through a friend (at a distance), but had never realized all it entailed, because I had not been touched personally by it, until your diagnosis.

Q: What did you do to educate yourself about Lupus?

A; (Father) “The Internet, thank god for the Internet!” The Internet is such a new resource for my generation and what a tremendous aid it was to help us understand and find out more about Lupus and what it entails. We also attended a seminar at NYU to learn more and hear what others who were living with the disease were able to manage and deal with their highly unique and individual case of Lupus, as no two cases are alike.

Q: What was your biggest concern/fear upon finding out and researching about Lupus?

A: (father) Your future and the unknowns that come with an illness as illusive and mysterious as Lupus… Also, I (mother) recall your rheumatologist saying that he was going to give you some medication to help better your quality of life, and those words have stayed with me since that day, because it was not until your Lupus started to flare and you were dealing with some more serious complications of it that I realized what he meant by “quality of life.”

Q: What is it like to care and be considered a “caretaker” for your child?

A: (father) It’s someone I love so it wouldn’t matter if they were older, younger a parent, child, sibling, wife, etc. You take care of the ones you love, I don’t consider it being a care taker, It’s more of being a parent, and loving your child unconditionally and wanting what’s best for them.

Q: How, as a caretaker and parent of a daughter who is chronically ill, does Lupus affect your daily life, activities etc.?

A: (father) It makes you manage your time better… You learn to work around appointments, reschedule your work schedule and you learn how to prioritize, health comes first, always. (mother) Everything I do and every decision I make on a daily basis is made around what I need to do for you and what your needs are that day as they are ever changing, one of the many aspects of Lupus that make it such a hard disease to cope with.

Q: What strategies/how have you learned to manage and cope with Lupus that you would like to share with other parents and caretakers?

A: (father) Patience, and trying to make your life more comfortable and get the best care possible for you now and down the road… I also recommend becoming friends with your local pharmacist (it will pay off!), and learn to take it one day at a time, while trying to keep a positive attitude.

Q: Has there been one moment you recall or has stuck with you, personally, with regards to dealing with Lupus from a mother/father’s perspective?

A: (Mother)- When I had to watch the lady at the wig shop shave your hair, or what was left of it, when you lost it due to a bad flare this past September, it hit me very hard.

(Father)-When Your platelets dropped and I had to come to school to get you and bring you to the hematologist, I had seen the picture of it the morning before but was not prepared to see what it looked like and the severity of it in person, I also was unaware that a low platelet count could cause spontaneous bleeding and that lupus could cause a low platelet count.

Q: You both take/sit in on many of my appointments with both the Rheumatologist, and numerous other specialists… What has this offered you as far as gaining a better understanding about Lupus, and its’ treatments?

A: (Father) It brings more confusion, frustration and a lot of other emotions that you learn kind of come along with this “lupus” territory, but I find that it gives me better input into what kind of medical care exists for lupus patients, and as far as treatment is concerned it is difficult to see your child in pain and have trial and error treatments fail, time and time again, and doctors uncertain as to how to help. It’s hard to understand why they cannot help more, but you have to keep in mind that you are bias, because it is your child who is sick.

Q: What is your opinion on Lupus awareness and advocacy, and what is being done as far as Lupus-specific research?

A: (Father) I don’t think there’s enough advocacy and research whatsoever…It’s hard because it seems that there are these “diseases de jour” that celebrities back and donate to that become “trendy,” and lupus is not one of those glamorous diseases, and because of this it seems to take a back burner. I’d like to see more advocacy and awareness for it, and a better future and quality of life for those living with lupus and their families.

Q: Do you find other people have a hard time understanding what it is like to be a caretaker for someone who is chronically ill/Do you feel as if they do not fully comprehend what it entails?

A: (Father/Mother) Yes, but I think because people do not fully understand lupus, they cannot possibly understand how and what it truly entails, and they do not understand how its’ severity and intensity vary so greatly in each and every person. It’s especially difficult when people downplay the disease, and think it’s “not so bad,” because like any disease, some people have mild forms of it, some moderate and others severe, and I think it’s important the general public gains a better understanding as to how disabling Lupus can truly be.

Q: How has your perspective on life changed or been altered because of Lupus/how is your life different now than it was before I was diagnosed?

A: (Father/Mother) The focus has changed from us as a whole more to you and your health, both short term and daily, to long term, care and our game plan for the future (Which can be difficult because there are so many unknowns)….Also, we do not take things for granted and have learned to value health, and that anyone with a healthy child should know how truly blessed they are.

Q; what do you see(or want to see) for the future of Lupus/advocacy and research:

A: (Father) I would like to see it brought to the forefront, to be on the same level as breast cancer or Lance Armstrong’s live strong campaign, and to bring not only more funding for research to find better and more specific treatments, but also, to make it more well known to the general public. I hope that there is more done in the future, so that Lupus patients can be offered a better quality of life.

Reflecting on the interview: I took a lot away from this interview. I have always had a great relationship with my family and my parents, and they have been nothing but supportive since my diagnosis. However, I had never actually sat down and had a heart to heart, if you will, about such personal issues and feelings with regards to Lupus, and how it impacts them on an every day basis. Usually when we sit down to have a “serious lupus talk” it is regarding an upcoming appointment or what our next move is in forming a game plan to get me the best care possible.

Initially, upon sitting down and preparing my interview questions, I was hoping to offer others that are caretakers and parents of those who are chronically ill, a resource to help them relate and possibly offer them some coping strategies and ways they can further and better support and understand their loved one(s) who are battling this debilitating disease day in and day out… But I think I have taken more away from our little Lupus Pow-wow, as I gained such a deeper understanding of what being a care taker truly entails and to hear them speak of their fears, concerns and opinions on Lupus, and how it affects their daily lives, and ultimately, what lupus looks like from the eyes of a caretaker/parent.

A Spoonie for Awareness!

From a fantastic #spoonie who is raising awareness for #lupus! Please check out her awesome youtube channel! It is totally worth it she documents her daily journey with lupus! It is a great resource for anyone and everyone with a chronic illness!

" Hi Everyone! I hope you all are having a beautiful, pain-free day :) My name is Steph, and I am 23 years old. I was diagnosed with Lupus, Christmas of last year, after years of suffering and being undiagnosed. I began filming videos shortly before my diagnosis, regarding Lupus awareness and I have really expanded over the last little while. I have begun filming life video's.. as I would have loved to have somewhere to turn before I was diagnosed. I am newly engaged, planning my wedding, trying to get my bachelor's in psychology and all the while, trying to plan a future family with my fiance of 5 years. I hope you can all come and join me on this journey! Let me know what you think, and if you have any video requests! Have a wonderful day my beautiful lupies ♥"
www.youtube.com/stephhopelupus

Saturday, January 14, 2012

A giggle or three!

Just for fun!
Everyday I post, sometimes numerous times to my facebook page for CHRONICLYsILLy and to my Twitter account, but find I do neglect my Blog from time to time especially when school picks up for me and I am in session... So today on my lazy Saturday I feel the need to share some of the Silliness that has been spread via the Facebook/Twitter pages the last few weeks! Just to highlight a few of the giggles:

Some Maxine's greatest moments always gets a good giggle out of me!
Snoopy: My favorite- Love this little sketch hehe
Don't Cheat and just turn your phone! You smart folks that did that when I posted this to the Facebook page LOL I want to see everyone looking ridiculous trying to read this! LOL

Wednesday, January 11, 2012

Homemade Veggie Soup and Cucumber Tomato Salad- A healthy start to a new year!


A healthy start to a new year!
Now granted, I generally eat rather healthy and mostly whole foods to begin with, as I try to do as much as I can to keep myself as "healthy" as possible to sort of counteract all the things I have working against me healthwise...I am also gluten free due to an intolerance which helps eat a bit healthier and more wholesome foods as, generally speaking, they are cheaper than a lot of the specialty gluten free foods such as the GF cookies, crackers etc. I opt for an apple with some homemade trail mix (nuts and dried fruits all tossed in a bag and BAM! trail mix du jour!) instead! Much cheaper and tastier in my opinion!

So today, I have decided to share what I usually have for my daily lunch with some veggies (carrots, broccoli, celery etc) and hummus! It is hearty, wholesome, and quite filling and healthy all in one bowl- Literally! So... here it goes, here is the recipe for anyone interested and it can modified a million and one ways!

KP's Wholesome, Hearty and Healthy-licious Veggie Soup!
Ingredients: (as much as you'd prefer of each!)
carrots-chopped
celery-chopped
Onion-diced
corn-usually I use canned or frozen
potato/sweet potato-cubed- this helps act as a thickener/the sweet potato adds some nutritional value and vitamins if you opt for it!
cabbage- I usually use the pre-shredded that comes ready to use for cold slaw (it's a spoon saver)
Chicken broth- usually I make a quart or 2 at a time of the soup so I use a quart of broth, usually low sodium to watch the salt, also you can dilute it with water
tomatoes-diced-optional (I use them about half the time- when I'm feeling a little wild haha)
Season to taste (salt, pepper, I usually spice it up I like a little heat so I toss in a tablespoon of cayenne pepper, bayou cajan seasoning, a pinch of garlic powder, onion powder, and sometimes, a touch of lipton's french onion soup mix - I also use this when I do not have broth in the house- mixed with water it serves the same purpose!)

To make: Put all ingredients into large pot, over medium heat and bring to a boil...Then reduce heat to low and cover- let simmer for about one hour! Then... ENJOY! The longer you let it simmer the more cooked and thick the soup becomes!

Cucumber Tomato Salad Recipe:
I like to serve it with hummus and veggies on the side or sometimes, like tonight- with a cucumber tomato salad!

Ingredients:
(equal amounts of:)
Cucumbers-diced
Tomatoes-diced
onion-diced
about 1-2 tablespoons of olive oil
about 2-3 tablespoons of vinegar (white or apple cider work best)
fresh garlic minced or garlic powder to season
salt & pepper

Combine all ingredients in large mixing bowl- mix and bam! You have a delish side salad! If you make it ahead of time and let it sit the flavors really develop!

So the next time you need some new recipe ideas and are trying to keep it healthy- give it a try- If you do- please share your thoughts, how you made it your own and pictures too if you'd like! I'd love to see how you made it and what you thought too! Happy New Year and good eats to you all!

Tuesday, December 6, 2011

Benlysta- Infusion #3

Benlsyta infusion #3
Yesterday marked my third infusion of Benlysta, the last of the loading doses (3 in the first month), and now I will receive them every month, which seems much more doable! I must say you get used to them rather quickly, aside from the day after hang-over effect that consists of a headache and some aches and pains and the usual fatigue (which could just be the Lupus too... hard to decipher...) the infusions thus far are going well. I am not sure I am feeling much of a difference yet, but the doctor and infusion nurse (whose a doll), say to give it time and gradually, hopefully, there is a gradual improvement. They monitor these slight changes with the pre-infusion paperwork that consists of a questionnaire, that goes through all of your extremities and joints asking how you are feeling, how the pain is in each, and how you believe your condition(s) are affecting your everyday ability to function/quality of life. By doing so they may notice slight improvements that you may not right away. Like many therapies and drugs used for Lupus, it is a waiting game, generally speaking, and could take a few months before seeing improvements, however some may find relief sooner, as each and every one of us will respond slightly to massively different (As with any medication), to each their own.

After an hour and half (approx.) the infusion was complete, I was drowsy from being up early and the pre-infusion Benadryl, and was ready to call it quits for the day, but had some running around to do with my pops, so we powered through and then to the cardiologist's office as it was the day of docs yesterday, and I was so happy when it came to an end and I was in my bed relaxing for the evening!

Tuesday, November 22, 2011

My Journey with Benlysta- Infusion #2

Infusion #2- My Journey with Benlysta!
Good Afternoon to you all, and I hope you are all preparing for a happy and healthy (I use the term loosely, but nonetheless...) Thanksgiving coming this week! My Turkey Day week started off with my second infusion of Benlysta, the 2nd of the first 3 that are given in the first month as the loading dose, to jump start the process! After that it will be given once, monthly- now I am no fan of infusions but for the timing being it certainly beats adding another pill into the already ridiculous routine ( at last count it was 32 pills a day- ABSURD and working to get that number way down -beginning with getting off the dreaded and yet beloved- PREDNISONE!)

The infusion, however is made so much more pleasant due to the lovely nurse Debbie, whose bedside manner is immaculate, and who truly makes you relaxed and comfy for the entire process ( I mean the Pre-infusion Benadryls help take the edge off too- LOL)! Things went smooth with the infusion, and I was a bit concerned as to whether or not I would be able to get my second infusion as scheduled due to a recent stay at CLUB H (the trendy Hospital in town). It's all the rage this fall season and has all the latest trends from the hole-y hospital gowns that apparently are only made on triple XLs, to the latest in food (on the all liquid diet- it was all the rage in hollywood too last year!), from yogurts to soup broths what more could a gal want! But my colitis is calming down, I am on the mend and we were able to get the go-ahead from my Rheumatologist to move forward with the infusion!

Once I was hooked up to my mock-tail (medical cocktail), it took about an hour from start to finish, and I was out the door and on my way home to sleep off the Benadryl (it always makes me a little more Loopy than usual!) And aside from the day after mini-hangover feeling and headache I have had minimal side effects from the Benlysta and am very happy with how I have tolerated it thus far. My next infusion, the last of my loading dose is schedule for December 5th, 2011. Wish me Luck and have a fantastically silly Thanksgiving full of spoons!

Tuesday, November 8, 2011

Infusion Number One- My Journey on Benlysta

Yesterday, Monday November 8th, 2011, was my first infusion with the newly FDA approved Lupus Drug, Benlysta. (For more information on Benlsyta click here!) I have been in the process of starting it for about two months now between the insurance authorizations, pre-approvals, consultations and then finding days to schedule infusions around my graduate courses and my poppa bear's schedule as well (Yes he was the DD- Designated Infusion Driver) for the first session, as it is typical that they give you both Benadryl and Tylenol prior to your infusion to minimize any allergic effects from the biologic agents being infused into your body. The Benadryl hit me rather quickly and I found myself feeling a tad Loopy before we even began the infusion! However, it also relaxed me a bit and calmed those pre-infusion nerves I had shaking me from the inside out from the nights leading up to the day of the infusion. It's not that I was scared, or fearful, but more anxious to start a new chapter in my Lupus Journey that thus far, has been such a roller coaster of ups and downs and loops,swoops and pulls and turns in every which way, like something out of a Dr. Seuss Story, as I am sure many of you can relate with your own journeys with your chronic illnesses, regardless of what they are.

We arrived and I had already filled out the necessary paper work prior to arrival to keep things moving right along (and no worries I was equip with a Vitamin water and XL Iced Coffee from 711) along with a bag of peanuts (thank you pops), and some very comfy clothes as I was not sure how I would feel afterwards, and had plans that consisted only of coming home and resting/sleeping off the Benadryl. I was taken back after what seemed like 3 hours of waiting in the waiting room (where they had an entertaining bit on the "Rhuematology Network" about celebs with Lupus), to the infusion room which had three lovely ladies that were already hooked up to their mocktails of choice for the afternoon. Grease was playing on the TV, and nurse Debbie was ready to get me going. As you all know the worst of the worst is simply putting the IV in, once that is done it is smooth sailing (generally speaking), and other than some minor side effects (headache, rapid heart rate and some wooziness), and another half of an old school movie (Superman this time, because naturally after Grease we needed something a bit more up-to -date?)

Before I knew it my coffee was gone (I needed more than an XL apparently because it was doing nothing to combat the sleepiness from Benadryl), My infusion was coming to an end, my pops was brought back to the infusion room and I was escorted home to my very comfy and very oversized Big Chair (see: Ode to the Big Chair post from Summer 2010, followed Ode to the TV Pillow for Costochondritis), where I planted myself for the remainder of the evening.
My next infusion (as we are doing the loading dose) will be in another 2 weeks, Monday November 21st, 2011, which will be followed by my last loading dose (3 in the first month), on December 5th, 2011. From that point on I will receive my infusions once monthly, and hopefully within 4 to 6 months start to really take note to the improvements that I am hoping Benlysta offers me (Fingers crossed if all goes according to "plan!")

Tuesday, October 25, 2011

My Journey On Benlysta-The Journey Begins Shortly

Benlysta: The Journey Begins Shortly

Hi everyone,

I have not written much about myself in quite sometime as I try to keep the page light-hearted and positive and shining away from my more personal matters and health issues, however this one seems a bit too relevant that even I could not ignore nor stop myself from sharing it with you. I have kept it relatively hush hush until now, but have just scheduled my first Benlysta Infusion for November 7th, 2011.

I would like to track my journey with Benlysta here with you all to monitor my progress, how each infusion goes, and hopefully the improvements I begin to notice after a few months of treatment have gone by. They say it can take anywhere between (generally speaking) 4 to 6 months to feel an improvement, however they monitor your symptoms and how you are feeling on an evaluation form prior to each infusion session to find more subtle changes and track long term progress, and I decided to do the same here, and share my journey with all of you. It seems this new drug shines hope into many of us, I am keeping my fingers crossed it works well for myself as well, as it is always important to recognize that while Benlysta is not a cure for Lupus, it is an AMAZING step in the right direction for Lupus treatment and eventually and hopefully a cure in the future, and one that I am excited, anxious and nervous to begin taking. I look forward to sharing my journey with all of you, and hope you will benefit and find hope within my own course of treatment (fingers crossed it works well and we get some much needed results/relief from Lupus and all of its Lovely complications! -can you sense my sarcasm? Good.)

For more information with regards to Benlysta Click here!

Best of wishes and warmest regards,

Yours Truly

Wednesday, October 12, 2011

Vampire Lips and Jack-O-Lantern Apple Treats!

Vampire Lips Apple Treats:
It's that time of Year again when the holidays come rolling around and I always like to show how healthy foods can be fun for your little ones this time of year! So take those fruits,veggies and get creative! add some peanut butter, nuts, raisins, etc and anything else you can think of to give your kids a healthy and fun snack through the holiday season! We kick off today with our Vampire Lips Apple Treats! These are simple to make and a great after school snack for your little ones, or to pack in their lunch pales to take on the go! Simply cut the top and bottom off an apple (red or green is your preference!). Then Pick almonds or almond slivers, peanuts can be used too if you prefer and set about 5 to 10 aside. Then Take a pearing knife (this should be done by adults only!) and cut a wedge out of the apple so you form the "lips" of your apple vampire lips! Now it's time for the teeth! Grab those almonds and with the pointed side, insert them gently into the apple on both sides of the lips! Make them crooked for some added halloween flare and have a blast! You can add a side of peanutbutter for dipping with this delicious treat or a little cup of caramel for those of you with a sweet tooth!

Jack-O-Lantern Apples!
These simple and delicious treats are sure to put a smile on your face and make your simple apple a much more fun treat this holiday season! Again pick an apple red or green (your preference!), and a pearing knife and carefully carve a little face into your pumpkin! Get as creative as you'd like and watch those fingers! It is much more simple than it appears at first! Not a fan of using knife! No worries! An alternative way to create a pumpkin faced apple is to take two dabs of peanut butter, and place where the eyes should be, than take 2 raisins and put them in the center of peanutbutter circles. next take peanutbutter and use it again as your glue where the mouth will be and take a handful of candy corn, cut off the tips and use them as the teeth for your pumpkin's mouth! :D A sweet addition to your healthy treat! And who doesn't love some candy corn to turn your healthy treat a little sweeter without downing a WHOLE bag of candy corn! A great way to have your cake and eat it too or in this case your sweets in moderation! I Hope you enjoy these friendly apple treats and have fun coming up with your own healthy halloween treats, tricks and snacks!



















Tuesday, October 4, 2011

Halloween Costumes for the Chronically Ill Community!

Hello Lupies and Spoonies! With Halloween approaching rapidly I thought it might be helpful for all of you that have yet to put together a costume, to offer some advice and help--If you're a lupie- you're in luck! No need to run around scrammbling last minute to put together a halloween costume- oh no! you've got more than enough at your disposal thanks to your chronic illness and faulty immune system and Im here to tell you how, fret no more, Your costume is just minutes away!

- If your a lupie, you might at one point in time, have lost some hair (had bald patches etc), this means you probably have a wig or two lying around somewhere- Good news - Lady Gaga is one of the biggest costumes to hit this year's halloween stores- So grab one of those wigs, dust if off, throw on some funky makeup (the more eccentric and elaborate the better!) and an outfit you'd never wear otherwise and BAM! your ready to go to your halloween party as lady gaga! (and if all else fails grab some fresh cuts of meat from the deli!) Hip- popular- and all the rage this year!

- Raggity ann- Good news folks- you've got that build in blush better known as the butterfly rash so use it to your advantage and dress-up as the beloved raggity ann doll! If your hair is a bit brittle and dry from the disease/medication or both...the better- it will look like authentic yarn hair just like the real doll! -and chances are your pale to begin with from avoiding the sun and wearing SPF 100 whenever you leave the house-so you've got that covered, a cute little baby doll dress and your set!

- A ghost- If you are anyhting like me when your feeling under the weather- your paler than.... well- a ghost! Throw some baby powder to enhance your natural ghostlike skin tones (from all those years of avoiding the sun to prevent those darn lupus flares) and go on your way- an added twist- dont brush your hair that morning- if you wake up anything like me- your frightening enough already!

-Have you packed on a few extra unwanted prednisone pounds? Use them to your advatage this halloween! - grab a t-shirt of your favorite color- draw an M on it in white fabric paint/puffy paint etc...and guess what- you are an M and M now! No stuffing or extra work needed- simple- and simply delcious! (Also leaves comfort and some room for some halloween treat snacking!)

- Heres a personal fave or mine- you probably already have a cane and maybe even a walker- throw some baby powder in your hair (if you have any!) and make it look grey/salt and peppered- Pull those pants up to your bra line annd bam! your granny! If your having a tough joint day you are probably already moving like one... hell... if you are like me your grams could beat you in a foot race any day of week (and probably takes less medication than you do too!) ! So why not use it to your halloween costume advantage -sure to get some good laughs out of your friends and family as well (especially when you are in your earlier 20s like myself!)

-Any costume that comes with a weapon-fake swords work particularly well for jabbing poking and prying/lightly slapping anyone and everyone that may annoy, irritate, or rub you the wrong way on halloween! Things that might warrant a sword slap- Someone says your not moving to the door fast enough to hand out candy! POW! jab with your ninja sword! "Lupus? didnt they cure that last year?"- SWORAD POKE! " oh lupus I hear thts not so bad"- SLAP! Sword to the arm! "Lupus, isn't that like an STD?"-You might need something stronger than a fake sword for this one... perhaps costume nun-chucks would do the trick?

Now this last suggestion is only reserved for those of us really not feeling well or havng a real bad flare day for halloween and really cannot move back nd froth to the door- set your bowl of candy outside and be"not home" as your costiume! lay in bed and get yourself seome rest!


Jolt-of-Java:"You may not end up where you thought you were going... but you'll always end up where you were meant to be..."-unknown and I'd like to share some halloween candy corny humor!

Q. Who did Frankenstein take to the prom? A. His
ghoul friend