A step forward?

Today was an emotional roller coaster.

I’m still not sure how I feel.

I woke up a few times throughout the night and this morning, partially because of the medication I’m on for the thing on my face — it gives me the night sweats like crazy — and partially because of my good old bladder. When I finally gave up on sleeping, I looked at my phone and saw I’d missed a call somewhere during all of the tossing and turning and getting up to pee.

I listened to the voicemail. It was a nurse from my doctor’s office, asking me to call back.

Immediately, I was flooded with a nervous anticipation. I knew it was about my blood work results, and I knew they had found something. I could hardly stand waiting as they transferred me from person to person, and when I finally got to the nurse who had originally called me, I almost wanted to tell her to hurry up, this was it, gimme it already! Instead, I clicked my pen on and off.

The blood work that Pam and Deanna ordered.

The blood work that Pam and Deanna ordered.

“We’re still waiting for your ANA results,” she said, seeming to be shuffling through the paperwork. Impatiently, I clicked my pen on and off, on and off. “Dr. Mongelluzzo looked at your results… Your Double Stranded DNA is really high,” she said. “He’s thinking it could be Lupus, and wants you to see Dr. Cooper, a rheumatologist.”

She gave me the phone number for Dr. Cooper’s office, told me to call after lunch to schedule my appointment, and the whole time, my mind was reeling.

Really high DS DNA.

Lupus.

Dr. Mongelluzzo had read my results. You know, the doctor who owns the practice — the one I’d originally wanted to see because he’d diagnosed my aunt’s friend’s Mystery Autoimmune Disease, but couldn’t get in to see for two months, so I made an appointment with Pam instead. Dr. M read my results, when he’s never been involved with my care before. To me, this says that this high DS DNA thing is a big deal.

Dr. Cooper — another rheumatologist.

When I hung up, I leaned back in my chair, my head tilted back, closed my eyes, and tried to decide whether I felt like screaming, laughing, jumping up and down, or crying.

A few seconds later, Mike walked into the room talking about something, then stopped short and asked if I was okay. I still couldn’t decide how I felt, but as I told him what Yuri had said on the phone, the tears spilled over anyway.

The more I talked to him, the more I realized how much I dreaded seeing yet another doctor. Dr. Cooper will be my third rheumatologist. The good news is, the rheumatologist who told me to try a psychiatrist works for the same medical group and is in the same building, so if I do get a diagnosis out of this, I’m going to make sure I pay her a visit.

When I told my mom about the blood work results, she said she’d thought it might be Lupus when she’d seen the rash thing on my chin.

I’m still not completely sure how I feel. I guess I’m kind of anxious, kind of scared, kind of relieved, kind of curious… I’m definitely intrigued by the fact that I seem to get actual results in my blood work whenever I get it done during a flareup of some sort. My DS DNA was borderline the first time it was tested; it was enough to say, “Hey! I’m an autoimmune disease, but sorry, can’t tell you which one or how severe!” This time, it’s practically screaming, which also kind of says, “Guess what? Whatever is wrong with you is getting worse! Hahaha!”

I want a diagnosis… but do I want a diagnosis? What I really wanted was for the PA I saw on Friday to tell me that the thing on my face was just eczema. I wanted to believe that maybe all of these symptoms are just insignificant things, overamplified in my head to make it seem like it’s something, but really isn’t. I also wanted to be verified as a non-crazy person, with something actually wrong with me.

I am a fucking paradox.

I am also sorry that this is all over the place. It’s been a long day.

Also? I miss my Popi.

And the weird thing on my face is…

Last night I decided to call my doctor’s office first thing this morning. I didn’t expect them to fit me in today, so I was ecstatic when they told me I could see someone at 11:15. My PA, Pam, was on vacation this week, so I made an appointment with Dr. Afonso. When I got there, Dr. A was backed up, so they had me see the other PA, DeAnna, instead. It didn’t matter to me at all, because I’ve heard nothing but good about everyone at my doctor’s office.

DeAnna was really nice. I told her why I was there: itchiness all over for the last two weeks without any bites or rashes, and the mystery rash on my chin. She took a look at it, then looked at my arms to double check for anything else, but didn’t find anything. She said it could be a staph infection — and as soon as she said the S word, my eyes bugged out — and reminded me that staph and strep live on our skin (and that it’s normal), so it wasn’t too big a deal.

She said she’d give me Prednisone, Atarax for the itching, and Altabax, an antibacterial cream.

I told her how I’d been concerned that it could possibly be related to the Mystery Autoimmune Disease, and I swear I heard her brakes as she began to create a plan of attack. (It must be part of my doctor’s office’s protocol, to always have a plan, because Pam does it too, and that’s one of the things I like about her.) She asked me more about my symptoms and the different tests I’ve had done, and decided to order more* blood work and a urinalysis (for my liver).

I went to Quest Diagnostics, got just under a dozen vials taken, peed in the damn cup**, and was out of there fairly quickly (you know, after walking around the building trying to find the office because I couldn’t remember where it was).

I know this is going to sound silly, but once again, after spending last night doing research on eczema and psoriasis for hahas, I convinced myself that this would be an important part of the puzzle, and that whomever I saw would figure it out. They’d have an “AHA!” moment, and I’d be diagnosed. Voila, just like that. I know I do this to myself and that I set myself up, but I was still disappointed when I walked out of the doctor’s office with no answers. We don’t even know what is on my face!

I’m glad I did go, though, because this morning I was trying to talk myself out of it. “You’re just being dramatic,” I told myself. “Don’t call. It’s probably just eczema and you’re going to feel silly.” I’m glad I listened to my gut and got it checked out.

I really, really hope that this round of blood work comes back with some answers. I know there are only so many times I can say it, and only so many times other people will hear it, but I really, really want to know what is going on.

Anyway, tonight I’m hanging out with my sister and watching Dollhouse and One Tree Hill on DVD. I’m going to need to make myself some coffee, though, because the Atarax is making me really sleepy. DeAnna said it might, but holy shit, I didn’t expect it to be this strong! At least I’m not super itchy.


*I had decided to get the Sjogren’s blood work done after my appointment, because it is way overdue.

**Peeing in a cup is a bitch when you are a woman. I almost always pee on my own hand.

Whatever the fuck is wrong with me hurts. Cymbalta can help.

One month after yet another slew of blood work, and I still have no answers.

Mom came with me this time, and all of my blood work came back negative. Dr. Greco ran through the most recent and the last few tests to kind of bring Mom up to date. We discussed how I’d had mono and how certain diseases can contribute to later autoimmune diseases. We discussed birth control again and how the hormones in birth control can do all kinds of crazy things, like kill you or give you lupus. Dr. G admitted that he really is at a loss, but he really wants to help me.

“I can’t give you any answers right now, but I still want to make you feel better.” He asked whether I’m taking Tramadol still, and I told him that I haven’t been taking it recently because it literally fucks me up so bad that I can’t function; if I take it, I get stoned out of my mind. So he suggested Lyrica, which is just like neurontin (which makes me crazy and I refused to even try Lyrica). He asked if I am depressed. I almost didn’t tell him (because we all know what happens when you tell a doctor you’re depressed), but decided to be honest and told him yes, I am.

He said that some antidepressants can relieve pain, and gave me a free trial of Cymbalta. “You should not take this with Tramadol,” he warned as he slipped out of the room to go get the sample.

“I wonder if I should stop taking my birth control,” I said to Mom. “I’m going to ask him.”

“I would like to see you stop taking it,” he said, popping back in. He told us that he wrote a huge report on the effects that hormonal birth control can have on women, and told us that it can cause pain.

We scheduled a follow-up for four weeks from now, and I left with yet another batch of drugs (I should start selling my leftovers). So tomorrow morning, I’m not taking my Ovcon. (Somehow, not spending $40 a month on birth control anymore makes me feel a lot better.) I’m not entirely sure I buy the whole birth control thing, but it’s worth a try. I mean, at least I can say, “Okay, I stopped taking my birth control for a month or two and I’m still having symptoms.” I can’t knock it until I try it. And at this point, I’ll try anything, which is why I’m taking the Cymbalta without griping about how much I hate antidepressants and how Zoloft ruined my life, blahblahblah.

To be honest, medication scares the hell out of me. I’ve learned the hard way over and over that it affects me in really weird ways and, honestly, I have no idea what is in any of the shit that doctors tell us to take. If indeed my problem really lies with hormones in my birth control, I’m going to flip shit; no one ever talks about those kinds of side effects. (Note to self: Google that report.)

So I guess we’ll see. I’m honestly getting really freaking tired of this cycle, but I’ll give the no-Ovcon, yes-Cymbalta a shot. (Part of me wonders if he really does just think I’m crazy and pulled one over me by suggesting I take the antidepressant. But that’s the paranoid part of me.)

Cracking

Yesterday, I got no answers. Instead, I went for more blood work. Because apparently the hospital that my rheumatogolist’s office is connected to does blood work better than the place I normally use.

By the time I got home I was exhausted, emotionally and physically, and starving. And I still had to go out to the pharmacy to buy my golden birth control.

Somewhere between the pharmacy and home, I got into a huge fight with someone because they lied to me. It wasn’t the first time, so I was livid. There’s nothing I hate more than a liar. By the time I got home from that, I was beyond Tired and all the way into I Packed My Bags and Went Crazy. Dad asked me something about work, and I lost it. I cried all over myself and my mom, and then cried some more.

Three weeks into not sleeping, working part-time, running a business, going to school full-time, and running a pen pal support group, and I lost it. I feel like a total failure.

I told Mom about how, at night, I literally wake up in the dead of night (four, five in the morning) with urgent tasks such as “Set up email on Google!” and “Check Spyware Doctor to see what it found while scanning!” Some days I wake up even before my alarm goes off. I toss and turn all night, my mind racing with everything I need to get done. Because it needs to get done, or the world is going to explode or implode or something like that.

I’m also up at night in pain a lot of the time, or toss and turn worrying about test results. So, no sleep + stress + multiple jobs = AAAAAAGGGGGHHHHHHH! (Imagine here a little Lizzie Maguire stick figure running around, except she should look like me. If anyone wants to draw said Lizzie Maguire stick figure for me, go right ahead!)

Mom sat on the floor with me and gave me several relaxation techniques I can use at night to try to shut my mind the fuck up. One of them is repeating the same word (it should be a soothing word) over and over when I start to think of my To Do list. I did that last night, and it helped a little.

I have a lot I need to think about. Obviously, something has to go. I can’t do it all. If I could sleep better, I could probably handle it all better. So I’m going to work on that and see how it goes.

Tell me what I want to hear

This afternoon, I get my blood test results. I have to admit, my hopes are really high. I’ve also got this nagging fear that my rheumatologist is going to look at me and say, “Everything’s fine. There’s nothing wrong with you.” I have this superstition that my blood tests are only going to show something if I’m in pain during the blood work. (When my double stranded DNA came back positive, my right leg hurt like a bitch. I was convinced that whatever is wrong with me will only show up when I have symptoms. My mom said that isn’t possible, but I’m still kind of superstitious.)

I just want answers. I want the rheumatologist to say, “You have blahblahblah. Here’s what we’re going to do to help you.”

I can’t really think of anything else. I won’t be able to relax until this afternoon. And even then, will I just end up frustrated and disappointed?

Today is going to be a very, very long day.