Two Year Floxiversary: Lessons Learned

`You're thinking about something, my dear, and that makes you forget to talk. I can't tell you just now what the moral of that is, but I shall remember it in a bit.'

"'Perhaps it hasn't one,' Alice ventured to remark. "'Tut, tut, child!' said the Duchess. 'Everything's got a moral, if only you can find it.'"
- Lewis Carroll, Alice in Wonderland, Ch. 9

Today, it has been two years since receiving that ill-fated dose of Levaquin.  I haven’t posted in a while; I have been trying to use this time to reflect on how my life has changed, and to find my new role in life.  At times, I feel so consumed by it all, I wish I could run away and just hide.  While other times, I feel I have embraced what has happened.  I have dealt with chronic illness for six years now, first with my daughter's epilepsy, and now my Quinolone Toxicity and peripheral neuropathy.  Having been a healthcare provider as an Occupational Therapist, I have insight from all three perspectives; as a caregiver at work, a caregiver in the home, and now as the care receiver.   I will say the latter, has taught me the most.  The following are valuable lessons I have learned dealing with chronic illnesses from all three points of views, especially the past 2 years.  While a few of these will be familiar from previous blog posts, others are new.   I don’t necessarily always remember these lessons, and I probably need to review them myself at times.  This list is a stream of consciousness.  I thought it would be short, but it kept growing.  I would love to hear from you.  What lessons have you learned?

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Make doctor appointments on Mondays or early in the week.  On Fridays everyone in the office is ready for the weekend, including the doctor.  He may not be as focused on you, but more focused on his weekend getaway.

Make appointments first thing in the morning or first appointment after lunch, this will reduce your wait time.

Bring something to read, in case you could not get the first appointment.

Ask your doctor how he is doing.   He probably doesn’t get asked this much.  He spends all day listening to other people constant complaints, and probably very few have asked him about his day.

Fire your doctor if he is not working with you, you feel he does not fully listen, or you don’t trust his decisions.

Always make a list of questions you have for your doctor.  In such a short amount of time spent with him you will more than likely forget something.

Educate yourself about your diagnosis.  Knowledge is power and you can have a much more meaningful conversation with your doctor if you know all of the medical terms, treatment options and available testing.  Read books, research online, talk to others with the same diagnosis.

Take notes or have someone go with you to take notes.

Keep track of all medical information.  Get copies of medical records from all of your doctors.

Have doctors share information.  Make sure all tests are forwarded to all your doctors with a summary note.  This will help stop duplicate testing.  

Start a "Care Book" (See page)

BE YOUR OWN MEDICAL ADVOCATE!

Be prepared to fight insurance.   Insurance will always say no the first 2-3 times, but be persistent.  They are hoping you will give up, that is what they are counting on.  I found a well worded letter can still do the trick.

Research what medication you are being prescribed!  Ask the nurse what they are injecting into your IV before they do it. 

Medication can help with pain, and don’t be afraid to use them.  But proceed with caution!

Know you are not alone; 1 in2 people have a chronic illness.  Find support groups even if they are online.   People you meet online can sometimes be your best support. 

Remember most of the people you meet in online groups, are the ones that have not yet gotten better.  Those that have improved usually are no longer actively posting. 

Share your story, so others can learn from you.  Through sharing, you may receive advice, a doctor suggestion, or an idea you have never thought of before, that may make a difference in your health.

The Internet is not always right.

Educate your family and friends if they are willing to listen. 

Realize not everyone is going to “get it”.  Some will always think it is your fault; it is due to too much stress, lack of faith.  You have to learn to move on, and not get stressed that they don’t understand.  Find people that do understand.

It is NOT your fault that you are suffering from a chronic illness, or any illness for that matter.  We are human and are susceptible to all kinds of diseases, human error, or accidents.  Instead of asking why me, ask why not me?  We will all get something, at some point. 

No one experiences pain the same, and how it affects a person depends on their lifestyle and responsibilities.

 

It is o.k. to cry…you may even have a pool of tears.  Grieving for your former self is normal.

Watch for signs of depression.

Focus on what is “right” with you.

Write a journal.  Mine is online, but yours doesn’t have to be.  It is a good way to help with frustrations and anxiousness.

Be positive, surround yourself with positive people.  Avoid negativity.  That will not help you get better.

Ask for help.

Rely on your church, friends, and family for support.  They want to help.

It is hard to accept help!

In helping others, send cards, make a phone call, send an email, bring food in disposable containers, it is ok if you don’t know what to say.  Don’t be embarrassed that you have waited too late to call.  Any time is better than not at all.

Teach your kids all household chores; you never know when they will need to help because you are unable to do it.

Remember, your family is going though this as well.  It is not just you affected by the chronic illness.  Not all of them will react the same way.

If you are having a bad, crabby day….warn your family, and then go to your room!

Get a temporary handicapped hang tag, even if you never use it.    At least that option is there if the situation arises.

Use the handicapped space when you need it.

Don’t abuse your handicapped tag.  If there is a close space that is still reasonable for you, save the handicapped space for those who need it more.

Don’t be ashamed to use assistive devices.

Get outside of your comfort zone, test yourself, you may have gotten better and not know it. Take a trip!

Pace yourself, don’t overdo it.

Plan your day, allow extra time than normal incase fatigue hits.

It is o.k. to do nothing.  Take a nap.

Get help in the home, if your are able.

No pain, no gain no longer applies for exercise.  Slow and easy wins the race from now on.

Eat healthy.

Plan out your weekly meals:   Ask friends to prepare meals that can be stored in the freezer for future use.  If your husband travels, have him grill extra chicken before he leaves to be used later in the week.  If you are having a good day, make things to stock in your freezer for when you are not feeling well.  Use www.emeals.com for food planning, and your grocery list.

Chocolate cake is perfectly acceptable for your kids for breakfast.

Pets can be the best comfort.  They are good listeners and don’t give bad advice.

Beds can go unmade.

Read something NOT related to your illness.  Take a break from it.

Listen to uplifting music.

Crow a little.

Be grateful!

Sing!

Laugh!

Pray!

LIVE!!

 “One day at a time--this is enough. Do not look back and grieve over the past for it is gone; and do not be troubled about the future, for it has not yet come. Live in the present, and make it so beautiful it will be worth remembering.” - Ida Scott Taylor

Thanks for Reading!

Staying Positive

I have had people ask me, “How are you staying so positive through all of this?  Aren’t you angry?” On the inside I chuckle to myself.  They have caught me on a good day.    Are you kidding?  Of course I am!  But I must keep moving forward and try to focus on the positive, or all of the hopelessness that I know is chasing right behind me will soon catch up.  I cannot let that happen.    Now don’t get me wrong.  I am no Pollyanna!  I certainly have my moments when the negativity of it all seems to loom over me.  My husband can attest to that.  Sometimes the whole task of it all seems very daunting.    


The loss of my health has been a grieving process.  It has been for my husband, daughter, and son too.  An illness of this magnitude affects the whole family.   However, I have found we all deal with it very differently.  My husband wants to “fix” it all.   My son just chooses to pretend it is not there.   My daughter, who has been on the other side, wants to mother and make it all better.   I seem to dive in and research everything I can get my hands on.  I become obsessed.

I have gone through all the typical stages of dealing with any loss- denial, anger, bargaining, depression, acceptance, and even forgiveness.   However, my road through these stages has been different for my illness than when I experienced it with my daughter’s diagnosis of Epilepsy.  With her I was in such shock, I could not believe this was happening.  It just came from nowhere.   I went into a deep depression; it was hard on our marriage.  My husband and I viewed treatment options very differently.   I bargained, prayed, and begged God to make her better.  I was angry that so much of her life was being taken away from her.  It was not fair! 


My illness also has come upon us suddenly, but I guess because it is me, I feel all of these stages differently: 


Denial- This did not last long for me.  I knew that with how my body was feeling after receiving Levaquin that this was not going away.  There was no way having a feeling of being burned by acid from the inside out for 8 days, that this was not doing significant damage to my body.  I could feel it.  I knew my life was changing.  My husband realized this too.  He saw the agony I was in.  There was not denying it.   We hoped that perhaps at worst this would last a few weeks.  However, it kept getting worse.  Nerve conduction tests confirmed peripheral neuropathy.  I knew this was staying around.   Trying to stay positive—At least we received a diagnosis quickly, and did not spend months in the unknown. 

Anger- It made me angry as I laid there on the couch, feeling the destruction going on in my body.   There was nothing I could do to stop it.  I was angry that a war was raging inside of my body and nothing was being done.  Doctors did not know what to do other than give me pain medication. Talk about feeling helpless.  I could literally feel my body being burned away.  I was angry at myself for not remembering the name of the medication I was allergic to.  I kept apologizing to my husband for doing this to myself and to our family.   I was so angry at the nurse that injected it without telling me the name of the medication.   I was mad at the doctor, and I was even more pissed at the FDA and the drug company!  How could they let something like this occur!  Trying to stay positive—I have been using this anger to help educate others. 


Bargaining-   I went through this stage for quite a while with my daughter.  I bargained with God all the time to make her better.  I think it is harder when you see your children suffer.  That just should not happen.   With me though, I have had a hard time praying for myself.  I have not prayed to be healed.  I have come to a realization that this is how things are now.  I have to make the best of it and move forward.  Instead of thinking “Why me?” I think “Why not me?”   I am no different from anyone else.  We are all susceptible to illness, disease, human error.   Perhaps I have learned that bargaining doesn’t work.  Staying positive- I pray that I can learn to live with the situation and make the best of it.   


 Depression/Grief- I grieve for my “old body” and the things I took for granted.  I get sad when I think I may have lost the future that has been in my mind’s eye.  My husband loves to travel.  This is a true passion for him.  He looks forward every year to plan our yearly trips.  He researches where we are going, like I research our family’s medical problems.   Because of his frequent work travels, we are fortunate enough to be able to travel as a family because of all the frequent flyer miles and hotel points.    We had a trip planned for New York for Thanksgiving to see the Macy’s Parade, a trip we scheduled over a year ago.  My husband cancelled our reservations just last week.   There is no way I can manage travel and then the crowds of New York.   We are now talking about having to cancel our summer trip to the Grand Canyon.  We always go on family vacations and I realize my illness will more than likely interfere with this now.   We have talked for years how we want to travel after his retirement.  Now we are not so sure that will be possible the way we have envisioned it for years.   Trying to stay positive—Perhaps I am misjudging the progression of this injury to my nervous system.  I am trying to be hopeful that we once again will be able to take trips like we used to. 


Acceptance and Forgiveness- I have accepted the fact that this Peripheral Neuropathy is not going away, at least not anytime soon.  There is no cure.   It is a sobering fact.  I have forgiven the doctors that have done this to me.  I realize now it was not there intention to harm me.  However, I am still struggling in this area.  I have a difficult time whenever I pass by that facility.   I will tell you I will not be returning there.  Not that the doctors were not professional, but I still have too many emotions connected with being treated there.  I just can’t enter that building.   


Being constructive- I am adding a new phase of dealing with illness.  After accepting my loss, or new way of life, it is time to be constructive. My illness is allowing me to use the gift of writing, which I may otherwise not ever have used, with this blog.  There is still a war raging inside of my body, but I have chosen to embrace the enemy.   I am using my experience to help others. I most definitely have not forgotten the fact that the medical community and the FDA don’t acknowledge the magnitude of this happening to people.  I am prepared to fight the fight just as I did with my daughter.  I have accepted the loss, but I am not going to bear it quietly.  I am trying to use what anger I have left constructively.   


Staying Positive-   I am trying my best to cycle through all of these phases as optimistically as I can. I give myself daily pep talks to keep a positive attitude.   I remind myself that if I was able to do a task before, I can certainly do it again.  I try not to compare this “new me” to the “old me” prior to July 17^th.  Instead, I try to see how far I have come, and how much more I can do since being injured. I am learning to accept what I can and cannot do.  If I am not feeling well, it is o.k. to take the day off and rest.   If I am in tremendous pain, I do cry, but I pick myself back up.   Perhaps tomorrow will be a better and more productive day.  I have to pace myself.  My body needs to heal.   I have found I need to surround myself with positive thoughts.  I have found some very supportive online groups.   It really helps finding others that are going through the same thing.   I try to avoid those that focus on the negative.  I post daily motivating quotes on my facebook page, "Life in the Rabbit Hole", not just for everyone else, but mainly for myself to remember to keep a positive attitude. 


I may not be able to control my physical health, but I can control how I react to having a chronic illness.  I don’t know if I will get better or worse, but I can make peace of where I am right now.  I can accept what life has given me.  I can have hope.  This does not mean giving into it.  Quite the opposite, I feel it helps me move forward, to take charge, and stop continuing to be a victim.  I refuse to let this ruin my life.   I need to focus on being proactive, focus on what I can do, focus on my accomplishments, focus on getting well, focus on staying positive.

I've Gotta Crow!

It is time for me to step out of my comfort zone, or as the famous song from the musical Peter Pan says, “I’ve Gotta Crow!”  It is time for me to spread my wings and fly.  I have pretty much been a recluse in my house since July, not venturing out much on my own.  Some of the reason is that pain still controls my life.  It is better than it was initially, but it is still there none the less.  Anxiousness is another big factor.  What if I get somewhere by myself and the pain starts?  What if it gets so bad, I can’t drive myself back home?  These questions can also make me feel confined.

My first attempt to go shopping on my own was a failure.  I got dressed (which took me ½ the day), got in the car, put the key in the ignition, and then just sat there.  I played out the scenario in my head.  Did I have the energy to walk around the store, pick out clothes, try them on, and then after all of that stand in line to check out?  NO!  I didn’t have any energy left.  I was having too much pain.  Back into the house I went.  

I really needed to listen to my body.  It knew what it was talking about.  That first day it was trying to tell me my attempts were just too much.  My second effort was much more successful.   I went on a much better day for me.  I was even able to find a few clothes to get me out of those sweats I have been living in.  I think my family will be very grateful they will no longer have to see those!  Well, o.k., they probably will still see them, but hopefully not every day!  But more than finding clothes, it was a turning point for me.  It made me realize, I can do things on my own again.  It may not be as easy or effortless like it was before, but I can do it.  

Another milestone was reached this past weekend.  I haven’t done anything socially in a very long time, for all of the same reasons listed above.  My husband and I were invited to a Halloween party on Saturday.  Thank goodness it was not a costume party.  However, the party was a scavenger hunt.  It required 2 hours of being in the car with our “team” to jump out and take pictures of the items on the list.  We then were to meet back at the house for dinner.  Oh no!  Being in the car was one of the worst things for me.  Being in the same position for so long was just hard on my body.  Also, it would require me being out past 8:00 p.m., my new bedtime for the past 4 months.  We debated on what to do.  We really wanted to go, but could I handle it.  We could not go to the scavenger hunt and then just arrive for dinner.  But then, we would miss out on all the fun, all the dinner conversation would be about the scavenger hunt.  I decided to bite the bullet and do the whole thing.  I probably would not make it to church on Sunday, but I wanted to have fun.  I have not had real fun in what seems like forever.  

Before going I was having just about the worst pain I have had all week.  My arms were burning, my legs were cramping, and it even hurt to wear clothes.  Now that would be a problem!  After multiple changes I finally found clothing, socks, and most importantly shoes that were tolerable.  I took an extra dose of medication, but I was still in so much pain.  I kept debating on whether to go, even then.  I was not going to let the pain stop me.   I hadn’t been out in months.  I was just about in tears on the way there, hoping the medication would hurry up and kick in so I would have some relief.   We arrived, and what do you know!  I was feeling somewhat better.  We chose our teams and we were on our way.  I wasn’t the most contributory team member, but I was there.  I even was able to jump out for a few pictures.  O.k. - hobble out was more like it.  We returned for dinner, visited, and then said our good-byes.  I did it!  I made it though the evening.   All the worry of being in the car, sitting at the dinner table for too long, being able to maintain my strength while I was there were legitimate concerns, but I proved I can fight through them.  

I was right about one thing; I couldn’t make it to church the next morning.  My pain came on strong when I got home and I could not sleep.  My son kept me company by staying up and watching a movie with me.  I am sure he did not mind the sacrifice.   I have learned a valuable thing in all of this; I need to set goals for myself and stick to them.  I need to step out of my boundaries and spread my wings, crow a little.  I could possibly find out that I can enjoy myself, despite the pain.

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