PDA

View Full Version : Sick and Tired


kaesara
06-12-2006, 03:58 AM
Hello,
I have been dealing with SLE , Fibromyalgia since 1995, totally disabled since 1997. My Internal Med Doc put me on Pred back in January at 80 mg a day. By the first of March I was on 20 mg a day. I am overweight and couldnt afford to gain any weight, the flare was just so severe that it was necessary for me to go on the Prednisone.
I knew that I couldnt come off the Prednisone fast but didnt dream that I would still be on it this long. I have gained about thirty pounds since January when I started on the Pred. It is hard to say what an accurate weight is because I have such severe pitting edema in my feet and legs, my legs pit all the way to my knees. I have to take two different diurectics or I overload with fluid and cant get my breathe, I am on oxygen at home and when I have to get out I take oxygen with me everywhere I go.
I had shortness of breathe before but it has gotten much worse over the past four to six weeks. Just walking a few steps in my house causes me to be very short of breathe.
I started to see a new Rheumie about two and a half months ago. He has done many investigative , diagnostic test and has found out a lot about me that my previous Docs didnt know.

I have Pulmonary HTN, the anticardiolipin antibodies came back highly elevated, my vitamin D levels are very low more than half below what they should be, and my twenty four hour urine came back with a creatinine clearance of 30 , 70 is the norm according to my rheumie.

The rheumie set me up for an adenosine stress test. I went for that test and they couldnt complete the test because they couldnt get a vein to hold up to administer the IV drugs. I have bad veins and all of the swelling in my tissues made it even harder for them to try to get the IV. The Cardiologist and my Rheumie have decided not to try to complete the test. The receptionist called to tell me this and didnt say why. My Rhuemie previously mentioned that he thought they needed to do a Cardiac Cath anyway because of the Pulmonary Hypertension. I am assuming they are going to skip the adenosine test and go straight to the cardiac cath.

I see the Nephrologist soon for a work up and biopsy because of the abnormal Creatanine clearance . I have also shown protein and microscopic blood in many of my routine u/a's.

Since January I have had THREE outbreaks of shingles.. OWIE.. those things hurt so bad... , I have never had them before but understand that they are quite common when immunosuppressed. I have also had cellulitis that has returned twice that came as a result of a pedicure where the tech broke my skin with abrasive sea salts.

Lately I have felt very discouraged. I have such SEVERE FATIGUE. It is so hard for me to get up the energy to take a shower. I shower daily but it is an ordeal. I feel that I am just existing. I try to have an attitude of gratitude and think of all the things that I have to be Thankful for.. but there are those times that I just feel that I have to vent. I am trying so hard not to overeat on the Prednisone. My Rheumie has put me on Imuran and hopes to get me off the Prednisone but wont make any promises about how far away it is in the future. He did a lab test that shows I am a slow responder or metabolizer of the Imuran. I suppose that is going to effect the outcome regarding the Pred. I wonder how long it will take him to get me down from
20 mg to off the Pred once he starts reducing the dose. I dont even look like myself. My face is so MOON shaped.

When I first started on the Prednisone it was wonderful. After a week I felt like a new person. I was able to do more than I have done in years. I couldnt believe how wonderful it felt. I had so much False energy from the Prednisone. I sure had my bubble burst when the tapering down started.

I have to leave Weds for a four and a half hour trip to see the Doc at my Pain Management /Fibromyalgia Treatment Center. I so dread that travel with the way I am feeling. Fortunately my Fiancee and I will stay over the night before the appt and return as soon as my nine am appt is finished. It takes me a week sometimes to get over that trip.

I really needed to vent. I am feeling so unattactive, so weak and fatigued and just sick and tired of all of this. I want to live my life .... not exist inside my apartment. I want to be able to give to others instead of feeling that I am a burden to others.

I hope I am making some sense. Surely someone can relate to how I am feeling.

Sincerely,
Kaesara

jude mack
06-12-2006, 04:15 AM
Hi Kaesara

My goodness you are going through a heck of allot at the moment. I can relate to being on Prednisone for
a long period of time, I have been on it since last October, apparently I will be taking it for some time yet. I don't gain on Prednisone, nor do I get hungry { I tend to lose allot, which isn't good either} but I can symphathize with you, I'm sure others will have lots of tips for you. For the moment all I can think of is try to eat fruit and vegatables instead of higher calorie foods, and drink lots of water. Try not to feel unattractive, you have an illness and changes will happen, once you are on a very low dose of Pred, the weight will most likely come down for you too. No matter how we look, we are all special and beautiful.

I know what you mean about having all that energy, after tappering the wind really blew out of my sails too. As far as getting your energy levels back up, I don't have an answer to that, but I really hope things get better for you, and very soon. I'm glad this new rheumy is finding out more for you, the more you know, the better you can be treated. I'll be thinking of you and keeping you in my prayers.

Take Care
Jude style_emoticons/<#EMO_DIR#>/hugbetter.gif

T. A. Bossmeier
06-12-2006, 07:48 AM
Hi Kaesara,

I am sorry that you are having such a hard time getting off the prednisone. I can relate to that for sure. My GP told me that I would never get off the prednisone so I quit going to him and found myself a rheumy.

He did help me get off the prednisone by using imuran to knock my immune system back. It took about two years for me to begin feeling any better but I was willing to push myself as much as possible to get off the pred. I still have problems but at least I am off the pred. You really can't expect miracles from the medications when you first start taking them but sooner or later they will kick in and you will get better so hang in there.

I can relate to gaining weight also but not from the prednisone so much as not being able to do much in the way of activity. When you get to feeling better you can start working on the weight problem. Why stress over something you can't change right now. I know it is hard and we can't help but feel a little unattractive when we are over weight but if your fiance loves you, it doesn't matter.

As far as venting is concerned we are all here for you so go for it anytime you feel the need.

Wishing you more patience and better health,

TAB style_emoticons/<#EMO_DIR#>/foryou.gif

lisade
06-12-2006, 12:58 PM
Hi Kesara, You are surely have a rough time right now. You have battled this disease along time and so far you are winning. Keep up the fight. I too have had SLE a long time and I do have very bad downs and then the ups. I have been on prednisone October will be 2 years without coming off. I am finally down to 12mg aday, but have problems on that low of a dose.

It sounds like you have a good rheumy that follows you closely and a supportive boyfriend. Remember this disease flares and hopefully they will get you straight and then you will feel better and have more energy.

I try to keep this attitude and it helps me "this too shall pass". Sometimes it's hard to see light at the end of the tunnel but there is light we just sometimes have to squint real hard to see it.

My thoughts and prayers are with you.

style_emoticons/<#EMO_DIR#>/foryou.gif