About Me
- irene speaks
- I'm a mom, a wife, a best friend. Sick with CFIDS/ME/CFS and Fibromyalgia since 1975 as a result of a nasty flu while still in grad school, it wasn't until the late '80's that I received a diagnosis. Until that flu I'd never really been ill before. With each year I get progressively worse and add to the bucket load of symptoms I'm living with. I've been blessed with an incredible family and best friend who've stayed with me through my struggles as we continue to find a way out of this monstrous illness and its complications. We've tried seemingly every approach to find my way back to health. Often I think our best weapon in this undesirable and unasked-for adventure has been laughter.
Friday, April 13, 2012
Monday, April 9, 2012
Laughing about the price of being a girl...
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| Happy feet in flip flops. |
I hope that this is the last of any reports on my "beauty adventure" from last Saturday - for a while. I'm crashing badly although yesterday I finally got a chance to check out my new washer and dryer - the one that's been in the house for almost two weeks! It was absolute torture not to try out those machines with their bells and whistles, finally delivered to the house and not be able to do a single thing about it. Understand, I absolutely love doing laundry - one of my many quirks.
I also wanted to slip out of the house to take pictures of the tulips which continue to come up, as well as the dogwoods in full bloom. Frustration. Hubby did this for me but, bless his heart, he forgot the trees. He also couldn't get the hang of cutting down MASSIVE amounts of lilacs for vases around the house, perhaps the one tradition I have every the spring, a total must. The smell of those lilacs in the house always triggers some primitive part of my brain that says, "hallelujah! we're in for some wonderful gardens now!"
But one wild adventure a day (a load of laundry in case you've lost count) is almost too much and putting in a load of towels - well, since they were all whites, I figured I couldn't mess that load up too badly.
As I've already established, I'm still crashing - badly - from Saturday's beauty adventure but the results were great. First I want to say: it was FANTASTIC getting out of the house. Not fantastic getting ready, but after that part was over, the rest was pretty darn good.
I loved going to my "beauty heaven" for my hair, mani/pedi, and having my eyelashes and eyebrows colored - the brows shaped as well, into the newest form which calls for a softer arch, and I am loving it. Everyone did a great job and thanks to all that teamwork - emphasis on "team," which actually felt very much like a "village" - I'm starting to look like a girl again - OK, "woman," but understand that we females of a certain age still have a really hard time saying that word about ourselves with a straight face!
The "fixing me up" feels so incredibly renewing. The hair is quite short (think "pixie"), my usual, with good highlights and lowlights. Diana found FIVE more balding spots but was able work her genius. Shaving my head (really!) is starting to sound better all the time. I think I could carry off the turban look but my BFF said that a friend of her's was really miserable when her hair started growing out. More misery I don't need.
But I'm so delighted that I now have eyebrows and ones you can actually see because of the coloring. Lan, the eyelash/eyebrow superwoman, really was surprised that I have a few more hairs in the eyebrow area and this allowed the brows to pick up a lot more color than usual (go brow-hair growth enhancers!) thus deflecting the eye away from the age spots I love to fight. I love that I no longer feel as if I have an arrow pointing at them for all to see. Come on, I need a hobby and who says fighting age spots can't be fun?
I'm trying to organize the products I used - a lot, and I couldn't find some of my old "stand-bys - reorganization and decluttering badly needed! Actually moving back to my bedroom and bathroom is what is badly needed. Living with remodeling is the absolute pits and soon it'll have been a year on this latest phase alone.
Anyhow, as I try to make sense out of my beauty products, my wardrobe, I keep getting flashbacks of an old movie from the early 60's, "The Flower Drum Song." This is rather unusual because so many of us with CFIDS, CFS/ME, fibromyalgia, insomnia and migraines (etc.!) are so sensitive to sound and the energy that it induces is hard on our neurological systems, giving us an artificial "high" which we then pay for later, in SPADES! Nonetheless, I keep wanting to burst out with one of my all-time favorite songs, "I Enjoy Being a Girl!"
I saw the movie back in the old days when there'd be a double-feature and you'd usually walk in to that first showing, caring not one iota as to which part of the movie was going on - probably because no one seemed to keep track of time back when life was slower in the '50's and early '60's, most especially in the South. You'd watch till the end of the first movie, then enjoy (hopefully) the second film, usually leaving when you reached the point where you'd walked in with that first feature - or when your parents wanted you back home again, whichever came first, I suppose.
Well, not me with "Flower Drum Song." I watched it three times! That's a whopping six plus movies in a row. How did my backside handle it? I guess it was being so young, a nine-year old.
But even back then, though I was an unrepentant and proud tomboy - I actually earning myself the nickname "Jane" (as in Tarzan's wife), after one episode of beating and scaring the tar out of the four older boys who were attacking my younger brother. EVERYONE called me a tomboy (as well as "bookworm' but that's for many later posts) which I rather liked. It was an identity I carried proudly, despite the ballet lessons I took each week. But I ALWAYS knew I loved being a girl. The words, "with a pound and a half of cream upon my face" from the song "I Enjoy Being A Girl" fascinated me and drew me in. After "The Flower Drum Song," I wondered about all those "girly" things for days and days...if not years and decades!
Oh my. I just took a break and returned from YouTube. I discovered that there was a book, as well as Broadway and West End versions, of "The Flower Drum Song" and the movie's hit song, "I Enjoy Being a Girl." I'm so incredibly happy that it's not been forgotten. It would be like forgetting "the Sound of Music." Actually, I can envision Maria singing, "I Enjoy Being A Girl" from that mountain top! I think I've been won over by the latest version of the song with its peppiness and gusto. I don't usually go in for peppiness but when I have to do "the girl" thing, as when going out for a doctor's appointment, this may start my blood flowing and, what little adrenaline my body can still produce, to start percolating. It's certainly worth a try.
So, hands and feet, check...a huge consideration since I can't do these little jobs since the accident with "the claw." Of everything, I miss manicuring the most - how crazy is that? Anyway, eyebrows and eyelashes check. Hair cut, highlighted and low lighted within an inch of it's life, check. New skincare products to try and to enjoy, check. (More on those at another time too!)
"I Enjoy Being a Girl" from "The Flower Drum Song," thanks to YouTube, check. Here's the link. I hope you enjoy the gusto even if you don't happen to be a person who cares for perkiness. But it does get the adrenaline flowing and reminds you why we "women" love and need these little extras in our lives, despite paying the the price men just don't understand!
(If this link doesn't work, simply go to YouTube and put in "Flower Drum Song" as sung by Lea Salonga. I think it's worth it!)
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Saturday, April 7, 2012
Beauty To Consider: BB Creams and Silicones....
Just over a week ago, in order to try to cut down on my feebly slow "getting ready in the morning routine" for my appointment with the beauty heaven I was (hopefully) heading to, I thought I'd try a few new beauty products properly. As always, I'm on the hunt to look my best - with a minimum of effort, please! - in the ever-desperate hope that the savings in time will give me more time/energy for the actual event. And I'd hoped that I'd have tips or new info to send on to my readers as well.
I thought I'd test a few more of those BB creams I'd mentioned in an earlier post. May I say how surprised I am by the fact that so few people I've spoken to lately have never even heard of BB creams? Wow! For perhaps the first time ever, I may be at the beginning of a trend as opposed to the end of one. Excuse me while I pat myself on my back - and try not to break my arm doing so!
A few days ago, my daughter stopped by the house and I ambushed her as a very reluctant tester for two products, one of which was a luxury sheer coverage foundation I'd put on half of my own face hours earlier in the day. Yes, the makeup looked nice and I could see a difference but it was not really worth the exorbitant price. On the other hand, I liked it enough to want to try the fuller coverage version and will get back to you on that when I get up my nerve to order it - enough damage has been done to my wallet lately in the beauty department.
At any rate, when asked if she could tell which side of my face had the sheer coverage, my daughter could see the difference immediately, though she too agreed that it wasn't worth the price. After putting some of the sheer coverage makeup on her face, I wasn't impressed with it either, though for a different reason. The makeup didn't melt into her skin. Something was off. Perhaps it was just too mask-y looking. But, aha! I thought to try the Dr. Jart+ Premium BB cream on the other side of her face.
Oh how I love having a daughter! She too loved the packaging - UNLIKE her dad, who had a hard time finding ANY enthusiasm for it a few weeks ago when I showed him the beautifully engineered and designed "tube."
The Dr. Jart+ went on beautifully. I loved it and best of all, she loved it enough to take my tube home with her. Actually I think what she loved most was the fact that the SPF was a whopping 45 and though the skin tone had evened out beautifully, she still looked very natural with her freckles peeking through. I loved it because you could absolutely tell the difference: it just lifted up her skin, making it so fresh and looking almost as if she'd been on vacation, masking the signs on her face of the influenza (not just the "flu") she'd battled a few weeks ago and was slowly recovering from.
So, the next day I tried two other BB creams in order to not have to borrow my daughter's for my one day out of the house... my replacement, which I'd just ordered, would not arrive in time for my great escape. I tried Clinique's and Boscia's versions. Both companies I like quite a bit. I've bought their products in the past and been happy with them. I must say that one of the BB's was OK, but something was still off and it was hard to put my finger on what it was that made it look so wrong. And one or both caused bumps on my face, as well as redness. Furthermore, I had to wash the BB's off BOTH sides of my face within less than a half hour - why I thought the burning would go away for both products I have no idea. And, BTW, I've never before returned a beauty product - with the caveat that I don't ever REMEMBER doing so - but you can bet that those two were going back; they were in the mail the following day.
I suspected, but now am fairly sure, that I've a problem - I may have an allergy to silicone.
After my first office visit with my plastic surgeon to get the stitches out for "The Claw," what I affectionately call my arm and hand these days, I was given a silicone sheet to wear on my approximately 30 inches of scars. I waited for everything to be healed with no broken skin, as instructed by everyone I saw that day. I swear, I felt as if I were Moses receiving the commandments by God when the silicone sheet instructions were given. I was nervous but I was really excited. When I arrived home I sent an email to my best friend and told her all about this miraculous new treatment. I'd googled it, of course, and had been so thrilled to read the rave reviews. Naturally, I'd want my BFF to know about this immediately. (Oh, of course she must have known this telepathically, but I just had to be SURE she'd gotten the message!)
Finally, I figured out how I would cut the sheet to allow it to fit all of the scarring. The directions said I could wear the silicone sheeting for just about all day and night, only taking it off for a little time. My surgeon and his support staff said to put it on for only six hours and no more, but definitely for the six to get the full benefits. That was rather complicated, since as mentioned before (Ha!) I don't have any predictable sleep patterns. If I put them - the now cut-up strips - on during the day, I might fall asleep. If I put them on at night, the same concern. A few days later I bit the bullet and told myself to stop all the tomfoolery and just get on with it.
Well, after about five minutes, my ever-observant hubby looked over at me and said, "You know, if it hurts you SHOULD take them off." Well, I had no idea why he said that...I hadn't noticed the tears rolling down from my eyes, "the tell." I answered, while staring at the TV, "That's OK. I can do it."
Hubby looked at me (again) like I was the crazy one and said, "If it's hurting, take it off - IMMEDIATELY. Are you nuts? You're probably having a reaction."
Me? Nah! "Oh, I can take it," I, more or less, whimpered. "I don't want those scars!"
"Are you bonkers? Take those things off and let me take a look at that. Really!" he said, a tad exasperated.
"Are you bonkers? Take those things off and let me take a look at that. Really!" he said, a tad exasperated.
Well, the entire area covered by the strips was red, angry and inflamed. And the spots and lines where the staple holes were - the ones that make you look like Frankenstein - had, more or less leveled off before, but were now back to being ugly, pimple-looking creepy bumps. Gross!
It was awful. I could take the nettle-stinging feeling but to have such a huge step back in the healing - well, you know how vain I can be.... Or should I say how much I'll give up to look good.... This was a definite mistake.
Of course, I emailed my BFF immediately because with our luck she or one of her (grown up) kids would just have had the sudden misfortune to also be in a position to need those silicone sheets - at that very moment! - and someone would inevitably be told, "Oh, Irene's doctor gave her that and she googled and read in tons of places that this is the best thing out there" and end up having an even worse reaction than I did!
OK, folks, I can be slow. But it finally dawned on me that one day, at the "medical center" with my daughter, I'd put a new primer on my face and immediately, it burned so badly that I threw the sample away - right after thoroughly washing my face, first with warm water and Dove (I always go back to Dove, don't I?) and then applying very cool water compresses because my face was red and getting inflamed, followed by my skin-saving and rescuing LaMer.
After the silicone sheet fiasco, and keeping in mind the one primer reaction, I started noticing reviews on Sephora and other beauty sites about women having problems with dimethicone in beauty products. It finally hit me that I too must have an allergy to silicone. But I had been using silicone all along, I realized, as I started to read the ingredients on various beauty products in my cabinets and drawers. Talk about a headache! I suddenly realized why I disliked chemistry so much in high school. But it was fascinating that there were some products that I really didn't care for or some I loved and it was the dimethicone that seemed to be the main difference. The few products with silicones which didn't seem to bother me were those that looked as if they hardly had any silicone in them. But I soon realized that perhaps some products were formulated differently - such as with buffers? What do I know? To further confuse the issue, I realized that silicone goes by many different names.
The point is that the reaction didn't hit me strongly under most circumstances. On the other hand, I seemed to get unexplained little bumps on my face that I had thought were due to nerves about my daughter's precarious situation - they may have been, instead, reactions to the silicone. Under some circumstances I may not have been getting a bad reaction, but what were those circumstances? So, at first I stayed away from all silicone while doing research - a guaranteed headache-producing exercise, let me assure you.
I was "outraged" when I read on one skin store's blog site, written by a physician, that Vitamin E should not be used for scars because reactions - allergies - could take place, but that silicone NEVER had any adverse reactions.
OK. Let's see if I have this straight. There is something out there that NO one has ever had a reaction to? Hmmmm.... Ever heard of the exception to the rule? Well there you go. Someone's either not thinking or is stretching the truth if they say there's NEVER been an adverse reaction to something. Don't even get me started.
At the same time, I was suddenly coming across sites with on-line shopping where they proudly advertise the fact that THEIR products have no silicones at all. The reviews on any number of beauty sites report women having reactions to silicone. It's a HUGE concern. Some women make silicone sound as bad as when doctors demonize cigarettes as if they were the equivalent of smoking crack cocaine.
When my surgeon's assistant suggested Vitamin E oil, her boss scoffed at her (in a light-hearted way) and when I piped in that I believe in the effectiveness of arnica and lavender essential oils, for example, he looked at me as if I were bonkers. But he was all for the silicone.
And I don't blame him. He's kept up with the medical studies that are constantly changing. These include papers on Vitamin E oil therapy, the latest saying it was the massaging that made the difference. And of course he wants minimal scaring. He wants what's best for me. Furthermore, it is, after all, his work that is on display for the whole world to see - especially when I don't wear sleeves that go from my shoulder down to my fingers.
My feeling? I think big pharma is putting out good money to keep yet another nasty pharmaceutical problem hidden as long as they can get away with it. Call me paranoid, but that's exactly what I'm afraid of.
I might have been foolish, but I finally made the decision to go with selected beauty products that have SOME silicone. First, I would continue with the products which I hoped weren't causing problems, for whatever reason, my go-to products. Secondly, that was after looking at the labels and ensuring that there was very little silicone content in anything I put on my skin. I would trust the manufacturer to adhere to the requirement that the substances in the products are listed from the highest amount to the lowest.
I mean, the silicone really makes products glide on so beautifully and there are a ton of other pro's for the way they function cosmetically. It's an incredible new resource for the beauty world from makeup to hair to skincare.
My immunologist, however, said I many want to rethink that, given my extreme reaction with the sheet. A first allergic reaction, as what I had with the strips, COULD lead to a more severe reaction with the second or third exposure to the substance. In other words, nature is giving a person a "pass" the first time around. It may be nature's way of not killing off a person the first time, while giving that person a warning (i.e., the bad reaction) that something is off and not working...beware! Nature, evolution - whatever you choose to call it - may thus be offering a second chance at being smart the next time around and figuring it is the fool who goes back for a third or fourth time and Goodnight Moon! Not necessarily so, but did I want to take that chance? Had I forgotten the primer incident too?
Geesh! Perhaps I really AM lucky that I'm bedridden...I don't need to go out much anymore. Therefore, I don't need to make a decision as "to silicone or not to silicone": that is the question.
Groan...did I really say that? I guess so!
But I definitely want to work with my Dr. Jart+. That stuff may be joining my very tiny "hall of fame" keepers.
Wednesday, April 4, 2012
..the good, the bad and the ugly (skin!)...
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| My mom and I on the crazy trip to visit my daughter: we were NOT in Florence! |
Skin problems are often seen in people suffering from CFIDS or CFS/ME. And because of the various symptoms/conditions we pick up along the way as a result of our wacky immune systems, at times our skin can develop rather major problems.
Out of nowhere around 1998, I suddenly developed huge hives over my entire body. My feeling? Crud. I'd already had pityriasis rosea, a childhood affliction which I managed to develop as an adult. I also got a nasty case of shingles after my children came down with chicken pox, all three right in a row.
The funny thing about the shingles episode was that it is rarely seen (at least back in the 80's) in young adults but is seen mostly in the senior population whose immune systems are compromised. This should indeed have been a bit of proof to the doctors whom I kept telling that there was definitely wrong with me. (Please imagine an eye roll here. Thank you!)
Another point I found interesting is that in order to have shingles, you need to have had chicken pox first, something I never had as a child. Doctors have told me that I must have had a sub-clinical case, one where I had chicken pox but never actually came down with the bumps and markings. I still have a hard time believing this is the case because my mom and I have examined each and every possible medical event in my life and there simply never was a time that I had the virus in the form of chicken pox. Surely I would have run a fever at some point, at the very least. But really, as a kid I was as healthy as an astronaut prepared for space travel. No ear aches, barely a cold, though I did have the occasional sore throat and, of course, headaches.
Furthermore, our systems are so messed up that it wouldn't surprise me if I'd never had it and simply went into it, bypassing the root virus. I mean, who REALLY understands these things?
So, here I was, stuck in 1998 with these huge hives which made me into an itching machine. Some of the hives were plate-sized and in some areas the hives had hives. Honestly, I looked as if I belonged in some sort of freak show. Worse, my daughter had moved to Florence because NYU had suddenly been gifted a breathtakingly gorgeous Villa by a generous benefactor and was spending a semester there. Lucky girl.
I love to travel and I was sorely missing my daughter. I know you can guess what's coming next... but you might also be surprised.
Amazingly enough, time-wise, I had just spent an entire year going to a holistic clinic in Columbus, Ohio, every week for an entire day or two or even three at times, of intensive treatments for my core problem, CFIDS/Fibromyalgia and the off-shoot problems. More on this part of my "journey" at another time, however.
Because I felt relatively healthy, I thought I could handle a week of seeing my daughter, and the trip wouldn't be too much of a financial burden since I had the frequent flyer miles to make the airfare a nice zero dollars.
But (and really and truly, there always is a "but") I broke out in hives a couple of months before I'd even imagined this trip to Florence. Pitiful. I did NOT want to go the steroids route and resisted it for weeks as I itched, scratched and was totally miserable from this wicked state of affairs. My weight was at a comfortable place and I really didn't want to become an eating machine with the off switch broken yet again.
When the idea of visiting my daughter in Florence came up, however, suddenly the steroid option started to sound good. And after a course of steroids, my hives disappeared for a while. Just as I was about to leave, however, the hives came back and I needed a steroid shot again. To give a quick summary of the hives aspect of this story, I'll simply say that those hives did return and continued to do so for quite some time until we finally found an anti-histamine that I've now been taking for years as a prophylactic measure. As soon as I forget to take those little pills, the hives would come back.
My point? All too often, skin issues are a very real, often severe, and an always annoying issue for "us." Thankfully, I have developed a huge array of options now which don't include steroids (knock on wood!), which often help me avoid drastic measures. Saturday and the following days after my beauty adventure was one such example.
Once hubby and I walked into the "beauty heaven" on Saturday and could collect our thoughts before starting the whole rigmarole, ever observant hubby asked me what the heck had happened to my neck and decolletage, the fancy word for the delicate skin on the chest area. I had huge, and I mean HUGE, blotches on my neck and chest, and I'd used nothing but my regular Dove when I showered. A couple of areas had what looked like scratched bumps which were open. I suppose it was simply too much for my system to wash as well as go out - too hard for my system to endure.
This had happened in the past, just a bit. I remember being embarrassed once while at an appointment with a cardiologist - a five-minute trip from our front door. But Saturday's redness was way beyond what I'd seen in my "normal" past episodes.
To make things worse, the further along we went on with the day, more redness kept appearing, seemingly growing as if it were being fertilized. At one point ever-observant hubby said it looked like he had tried to strangle me...and done a messy job of it at that. Angry, red, though thankfully no welts, it looked almost as if someone had poured acid on it. I must admit I wasn't too concerned and explained that this happened practically every time I went out, ever so patiently - as well as condescendingly - to my nosy hubby.
Got home and WOW! What a shocker to see the mess in my own (larger) mirror and to realize that it had progressed during our ride home. OK. I admit we did stop at TJ Maxx, a compromise because I really wanted to go to a good Pittsburgh mall, and hubby was outraged. And I admit that I have that tendency to really want to run if I can do so at all. But in this case I had never been to the "new" TJ Maxx, despite the fact that the new strip mall was not so new anymore and I thought it was a good time to remedy that situation. Plus I wanted the observation I made to a friend of mine when I burst out in frustration one day, "I don't do malls, I do CONTINENTS!" to no longer be true. So I did have my reasons for going....
Back to the nasty red thing. It was also now starting to hurt and my fingers wanted to scratch it, touch it like your tongue touches a sore tooth.
I looked over my supplies and saw "The Green Balm" among my (newest) goodies, ordered from "Cult Beauty" in England. I bought it because it WAS from "Cult Beauty," after all - a new discovery for me. They really do carry only cult items, not full lines of any brand, but the items "everyone," professionals and the peons like me, are wild about. Each product they carry is there because it really works. What a fantastic idea! This balm (I'd ordered an assortment because of a free international shipping promotion combined with a discount, courtesy of Ruth, the model, whose blog I love to follow) looked promising. No "bad" stuff in the balm at all. All so very green and gentle that you can even dilute it in water and gargle with it, according to one source, though somehow I don't think I'll be trying that too soon.
I gingerly patted a bit on my neck and decolletage and it felt heavenly. A couple of hours later I noticed the area had really calmed down. Hubby was duly impressed. By the next morning, it started to look like I had simply had a bit of too much sun, skin turning almost into a tan. I knew that with luck I would not be getting the bumps or discoloration which these sorts of rashes can cause, not even the tiny scabs that can occur.
The red angry rash, or whatever the heck it was, was practically gone - well, in some lights. The places I touched as I reapplied The Green Balm turned redder again, not happy about being touched but within ten seconds the area was back to the barely visible redness before touching. My skin was also sooo soft.
So this is the story of MY adventures with skin problems with this DD. I have more I'd like to touch on in further posts. I'm trying out another product that looks promising in the oils area as well as those BB creams I mentioned last month.
I do hope that this has helped some of you (possible) readers out there, at least to know that you're not alone. It's a crazy illness which no one really understands.
I also hope that there may have been seeds of thought cast out there for you to consider. If and when you happen to run into these skin problems, my adventures may shed some light as to how you choose to treat them.
And if nothing else, I hope you've had a few chuckles to make your day that much more happy/bearable. I really do believe in the power of humor and laughter, right there after the prayers and positive thoughts we send out and receive.
Monday, April 2, 2012
You Never Get a Second Chance to Make a First Impression...
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| So doc, what do you really want? |
What to do? Later this week I have an appointment with a head honcho at a major university medical center, a huge guy in the insomnia/sleep field. As much as I'm hoping and praying for miracles and as much as I try not to get my hopes up, I just know we are in for a huge let-down. On the other hand, all bases need to be covered since I am getting too old and too sick to deal with this huge sleep disorder without real help. I am really, really desperate. I don't want lip service. I simply cannot afford it any longer.
In earlier posts I wrote about the importance of first impressions with anyone in the medical field and just how important the almost superficial factors can influence the care you may receive, unfortunately. On the other hand, I've also written about how you really do NOT want to look too good (if at all!) when going to a doctor because of the "fooling" factor. On the one hand, I strongly believe my doctor needs to see what I really look like and what insomnia is doing to me, with no cosmetic concealer hiding the worst of the damage.
However, on the OTHER hand, I've seen doctors who are .... humm ... well, just plain nuts, to put a nice spin on some experiences I've had. One HUGE expert in CFS (and with him I'll use the dreaded and hated title because he does NOT deserve the "enlightened" title of CFIDS nor ME with his name) had so many facts wrong in the follow-up letter he sent me after my appointment that at first I thought he'd put another patient's letter in my envelope by accident. Understand, months in advance, his office sent me a questionnaire, along with a "request" for a multi-thousands of dollars check, due thirty days in advance, or no appointment. I didn't really have a huge problem with the payment because I knew that a 35-year history of this illness was complex and how much money had we already spent on so much testing, treatments and so forth over the years? Actually, because the questionnaire was so comprehensive, at the very least twenty pages long, asking every obscure question imaginable, down to even my grandparents (which impressed me to no end) and mailed to the doctor a MONTH in advance, gave me high hope that finally I'd found the right person. Wow! He'd really be familiar with all that had happened over the decades. The questionnaire was so long and complex that I could only answer a few questions, my brain fog, pain and a myriad of other problems forcing my hubby to supply and write down most of the information, which I then edited and checked over a period of a few weeks. The FBI under J. Edgar Hoover was less thorough.
In earlier posts I wrote about the importance of first impressions with anyone in the medical field and just how important the almost superficial factors can influence the care you may receive, unfortunately. On the other hand, I've also written about how you really do NOT want to look too good (if at all!) when going to a doctor because of the "fooling" factor. On the one hand, I strongly believe my doctor needs to see what I really look like and what insomnia is doing to me, with no cosmetic concealer hiding the worst of the damage.
However, on the OTHER hand, I've seen doctors who are .... humm ... well, just plain nuts, to put a nice spin on some experiences I've had. One HUGE expert in CFS (and with him I'll use the dreaded and hated title because he does NOT deserve the "enlightened" title of CFIDS nor ME with his name) had so many facts wrong in the follow-up letter he sent me after my appointment that at first I thought he'd put another patient's letter in my envelope by accident. Understand, months in advance, his office sent me a questionnaire, along with a "request" for a multi-thousands of dollars check, due thirty days in advance, or no appointment. I didn't really have a huge problem with the payment because I knew that a 35-year history of this illness was complex and how much money had we already spent on so much testing, treatments and so forth over the years? Actually, because the questionnaire was so comprehensive, at the very least twenty pages long, asking every obscure question imaginable, down to even my grandparents (which impressed me to no end) and mailed to the doctor a MONTH in advance, gave me high hope that finally I'd found the right person. Wow! He'd really be familiar with all that had happened over the decades. The questionnaire was so long and complex that I could only answer a few questions, my brain fog, pain and a myriad of other problems forcing my hubby to supply and write down most of the information, which I then edited and checked over a period of a few weeks. The FBI under J. Edgar Hoover was less thorough.
The mistakes in the evaluation letter were big as well as small. Many were ones that would not have been made had he read my history, that is the answered questionnaire, while dictating his letter, or had he really listened to me in the first place as I spoke, actually listened to the answers I gave HIS questions and then had he jotted them down on paper during that infamous visit instead of trying to impress me with his new tiny laptop which he spent way too much time piddling around with as he tried to enter information. Furthermore, yes, I have brain fog. Because my brain is so befuddled when I speak, as well as my well-established position in the strong belief of a health advocate, as well as for there to be no misunderstandings, my daughter and hubby were there with me to fill in anything I couldn't remember or was unable to answer. This had worked well in the past, after all.
To make things worse than the huge number of errors in the objective aspect of this whole consultation, this doctor made very uncomplimentary comments - in the letter to ME - about my appearance that I shudder to think what he might have written behind my back had I given him permission to send any correspondence to any other doctor. For example, I had worn a very simple, loose black dress because I was given instructions to wear loose comfortable clothing - evidently there was to be movement involved (there wasn't). And I wore no makeup precisely so that he could see my true coloring but instead he wrote words in my report which basically read that I was a lazy, plain-looking woman who could not be bothered getting dressed up for him, nor putting on any makeup for him, and saying in fact that because of this, it was his opinion that I was depressed.
On the other hand, the next-to-last sleep doctor I saw said I was a very attractive, well-put together female who appeared NOT to be depressed as my hair was well groomed, I was dressed nicely and I had make-up on. He added "slightly-overweight" and since I was, I had no qualms about him adding that. It was honest and I liked that. Unfortunately, he'd never even heard of melatonin.
So, what to do?
Maybe I should just bring pictures to this new guy, give them to hubby and have him ask the doctor which he'd rather see, the good ones or the bad ones, as I sit behind a screen so he never sees me. No touching is needed, after all - how many neurologists bother seeing what your reflexes are, or CFS doctors want to see if you also have trigger points, if your lymph nodes are swollen and so on. Heck. Maybe our appointments should just be by Skype, something that some of the younger doctors are seriously considering, insurance companies are pushing, but scares the HECK out of me.
To make things worse than the huge number of errors in the objective aspect of this whole consultation, this doctor made very uncomplimentary comments - in the letter to ME - about my appearance that I shudder to think what he might have written behind my back had I given him permission to send any correspondence to any other doctor. For example, I had worn a very simple, loose black dress because I was given instructions to wear loose comfortable clothing - evidently there was to be movement involved (there wasn't). And I wore no makeup precisely so that he could see my true coloring but instead he wrote words in my report which basically read that I was a lazy, plain-looking woman who could not be bothered getting dressed up for him, nor putting on any makeup for him, and saying in fact that because of this, it was his opinion that I was depressed.
On the other hand, the next-to-last sleep doctor I saw said I was a very attractive, well-put together female who appeared NOT to be depressed as my hair was well groomed, I was dressed nicely and I had make-up on. He added "slightly-overweight" and since I was, I had no qualms about him adding that. It was honest and I liked that. Unfortunately, he'd never even heard of melatonin.
So, what to do?
Maybe I should just bring pictures to this new guy, give them to hubby and have him ask the doctor which he'd rather see, the good ones or the bad ones, as I sit behind a screen so he never sees me. No touching is needed, after all - how many neurologists bother seeing what your reflexes are, or CFS doctors want to see if you also have trigger points, if your lymph nodes are swollen and so on. Heck. Maybe our appointments should just be by Skype, something that some of the younger doctors are seriously considering, insurance companies are pushing, but scares the HECK out of me.
What do you think?
Wednesday, March 28, 2012
Laughing and crying about beauty and medical centers...
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| The wedding dress bought at B.Altman's, 1976. |
Laughter. It's sort of what I've always been "famous" for in my family. But it was on Friday, August 13, 2010 that started me on my path to laughter which would make a world of difference in our family's life. We'd always laughed, but never under such trying circumstances, an understatement.
You see, my daughter spent many weeks in hospitals in the past year and a half, starting on that dreaded Friday the 13th, with many long hospitalizations. It was absolutely the worst time in our family's life, bar none. Not to put a damper on things, but we almost lost her, more than once, and are still in a state of shock, all of us trying to recover from the nightmare(s). It was a relatively rare disease and though we were fortunate enough to have had some of the best doctors in the country on her case, finally in a hospital that's ranked number two in the country for her illness, even those doctors were stumped, the ones at the medical center she was suddenly transferred to one night during her third local hospital stay in three weeks. They, the world's experts, had never seen anything quite like what was happening to our daughter. It become so horrid that on one particular day I remember about twelve doctors coming by with their teams of residents and fellows - during her fourth hospitalization there, perhaps? It was such a madhouse that there was a backlog...the docs and their teams were lining up in the hallway, awaiting their turns. Never had I seen a sight like that before, or since, anywhere!
I can laugh about that day now, but at the time it was very frustrating, scary and maddening. My daughter was so ill that she remembers almost none of this, but when she could talk to where we could actually understand her, she was definitely not the sweetest thing to come along. She'd always been healthy and perhaps did not have the skills needed to endure the repeated tests every single day, twice daily, swollen arms and hands from so many "sticks," the weight loss of 45 pounds in just 25 days because she couldn't even swallow water. On the other hand, who does have those skills? Her pain threshold was supreme, something that her pain management people woefully did not get at all. Having been in the pain field as a patient and knowing more than a bit about it myself, as well as having access informally to very well-informed medical sources to check my supposed knowledge, it'll be a long time before I can forgive some of the docs involved in her case, as well as more than a bit of misinformation, on every one of her seven hospitalizations in that medical center alone.
But my reason for writing about this? Well, I'm trying to make my posts shorter so I'll come back to other reasons in the future. I'll just make one, (or two?), observation at the moment. And that is...
First impressions, added with laughter and inside jokes, count!!! I cannot believe the difference in "attitude" I received by staff, be they nurses, aides, "junior docs" or attendings, by the way I looked! I realized this quite early on and it was maddening, but like everything else at the "medical center," it was trying to play the game - of Life! - to your best advantage and for extremely high stakes.
First of all, let me say that there was no one more surprised than myself that suddenly I had this energy to stay with my daughter every single day she was in the hospital, not leaving her side 24/7 unless another family member was there to spell me - her dad or one of her two wonderful brothers. It was a complete family affair, I'm proud to say. If they weren't able to be there, I'd pick someone and put them on notice that I was making that person responsible for the minutes I was away. In all of this insanity, my maternal instincts kicked in full-speed ahead and an extremely productive and dangerous lioness came out.... A crazy one at times. I'm still angry with some of the physicians whom I had extreme arguments with...who will, most probably, forever be on my "poop" list. I'm a mom...what can I say? Worse, I'm a mom with an education, learning skills, an inability to be too cowered by authority and armed with excellent sources of medical information, often better than the ones at the medical center. Unlike most, I was not scared of anyone or anything but my daughter's disease.
You see, my daughter spent many weeks in hospitals in the past year and a half, starting on that dreaded Friday the 13th, with many long hospitalizations. It was absolutely the worst time in our family's life, bar none. Not to put a damper on things, but we almost lost her, more than once, and are still in a state of shock, all of us trying to recover from the nightmare(s). It was a relatively rare disease and though we were fortunate enough to have had some of the best doctors in the country on her case, finally in a hospital that's ranked number two in the country for her illness, even those doctors were stumped, the ones at the medical center she was suddenly transferred to one night during her third local hospital stay in three weeks. They, the world's experts, had never seen anything quite like what was happening to our daughter. It become so horrid that on one particular day I remember about twelve doctors coming by with their teams of residents and fellows - during her fourth hospitalization there, perhaps? It was such a madhouse that there was a backlog...the docs and their teams were lining up in the hallway, awaiting their turns. Never had I seen a sight like that before, or since, anywhere!
I can laugh about that day now, but at the time it was very frustrating, scary and maddening. My daughter was so ill that she remembers almost none of this, but when she could talk to where we could actually understand her, she was definitely not the sweetest thing to come along. She'd always been healthy and perhaps did not have the skills needed to endure the repeated tests every single day, twice daily, swollen arms and hands from so many "sticks," the weight loss of 45 pounds in just 25 days because she couldn't even swallow water. On the other hand, who does have those skills? Her pain threshold was supreme, something that her pain management people woefully did not get at all. Having been in the pain field as a patient and knowing more than a bit about it myself, as well as having access informally to very well-informed medical sources to check my supposed knowledge, it'll be a long time before I can forgive some of the docs involved in her case, as well as more than a bit of misinformation, on every one of her seven hospitalizations in that medical center alone.
But my reason for writing about this? Well, I'm trying to make my posts shorter so I'll come back to other reasons in the future. I'll just make one, (or two?), observation at the moment. And that is...
First impressions, added with laughter and inside jokes, count!!! I cannot believe the difference in "attitude" I received by staff, be they nurses, aides, "junior docs" or attendings, by the way I looked! I realized this quite early on and it was maddening, but like everything else at the "medical center," it was trying to play the game - of Life! - to your best advantage and for extremely high stakes.
First of all, let me say that there was no one more surprised than myself that suddenly I had this energy to stay with my daughter every single day she was in the hospital, not leaving her side 24/7 unless another family member was there to spell me - her dad or one of her two wonderful brothers. It was a complete family affair, I'm proud to say. If they weren't able to be there, I'd pick someone and put them on notice that I was making that person responsible for the minutes I was away. In all of this insanity, my maternal instincts kicked in full-speed ahead and an extremely productive and dangerous lioness came out.... A crazy one at times. I'm still angry with some of the physicians whom I had extreme arguments with...who will, most probably, forever be on my "poop" list. I'm a mom...what can I say? Worse, I'm a mom with an education, learning skills, an inability to be too cowered by authority and armed with excellent sources of medical information, often better than the ones at the medical center. Unlike most, I was not scared of anyone or anything but my daughter's disease.
On the other end of the spectrum, there are the incredible physicians, and one surgeon in particular, who literally saved her life and then gave it back to her in a way that is enabling her, as well as the rest of the family, to have a life definitely worth living and enjoying. I thank every guardian angel, human or otherwise, for having been there and who continue to help our entire family. God's best idea: Guardian Angels - after daughters, that is.
But back to first impressions!
I've always known that the way you look affects the way people treat you. It's a fact of life, sorry to say. I first tested this at B. Altman's, one of my favorite 5th Avenue department stores, back in our "salad days" with my new hubby. One afternoon I happened to be browsing, looking at coats specifically, and not one sales person came to ask if she could help. Usually, you get eons of salespeople when you just want to be left alone to actually think.
Walking back to our apartment (the 50-cent bus fare was just too much for our budget) I started dissecting the no-sales-lady experience. By the time I got home, I realized the problem. I didn't look like a bum but I did look like a student who had no way of affording anything in the store. Everything about me that day screamed "student": the pulled back hair in a barrette, the very little makeup, the jeans. Understand, this was the mid-70's - a time when many restaurants in New York City wouldn't allow a lady wearing an elegant pantsuit to enter their premises, so imagine the impression of jeans in this very "establishment" store!
I was a bit heated about this and just couldn't let things lie. The following day, I rolled my hair (no blow dryers available yet, nor any good hair products), put on my makeup very carefully and especially elegantly (though how elegant can a 24-year old be?), my nicest "outfit" with the buttery suede jacket and the beautiful brown high heeled boots I'd splurged on in Rome (yes, Italy...it was a chartered flight!) and faster than you can say "prego!" I had, at the very least, five sales ladies come up to me, immediately, in the very department I'd browsed the day before, each one trying to tempt me with other coats I might not have noticed.
That lesson has always remained with me. I tend to have a weight problem due to this DD. In my better times my weight is good. I'm not thrilled with it, but I can live with it. But I always say you can tell how I'm doing by my weight. In my worse times, my weight starts getting up there. And believe me: people, across the board, in every aspect of your life, treat you better when you're thin than when you're heavy...from the person at the supermarket to doctors.
So, when my precious daughter got so sick, you better believe I forced myself to dress in a friendly fashion, even going so far as wearing different cool boots or a cute handbag or fun watch which inevitably I'd get a reaction to, making the interaction that much more human and friendly, leading, of course, then to laughter, often breaking the tension. And that was one of my prime reasons for being there. I tried to make my daughter laugh as much as she could handle, even if it was at my expense or me playing the fool.
I learned to leave my daughter's side about every 24-48 hours when I started to get a bit ripe and in twenty minutes I could get to the hotel room, shower, do my hair, put on vast amounts of beauty products to get the new no-makeup look, pat just the tiniest bit of lovely scent on me and rush back to her room. Twenty minutes! I can't even wash my face in twenty minutes on a normal day, but my daughter dying gave me strength that I truly believe Clarence (remember, I recently named my guardian angel?) and God gave me all those weeks and months.
But I'd like to add that there were a few days when I looked far worse than anything any cat could drag in. Those were the days that I was not noticed, totally ignored and not made a part of the discussion of what was happening. Coincidence? I think not.
So, my advice to all: first, everyone who is ever in a hospital needs a health-advocate. This is PRIME! Mistakes are made, staff gets overloaded, "junior docs" don't read charts, attending's can all too often be aloof, arrogant, or worse, clueless, especially in a place so large where the left hand doesn't know what the right hand is doing. You absolutely need someone there at all times to help your loved one get through the whole process - hopefully, alive! (And yes, I do want to have a long and in-depth discussion with the CEO of the medical center - not to be too hyped up on myself, but I do think he could learn a few truths about what is really going on in that establishment. Much good, yes, but there is bad too: very bad.)
Secondly, I've forgiven B. Altman's for the way they treated me that day I wore jeans :). I mourn the day they had to close that wonderful institution. After all, I even bought my wedding dress there...and it was a very classy experience, certainly too classy for this young girl on a very limited budget.
(And if anyone wants to experience a great read of B. Altman's in their heyday, there's a wonderful book by Adriana Trigiani, Lucia, Lucia!, a fun and sweet novel which describes New York in 1950, living down in "The Village," and working in the couture department of B. Altman's. Any guys out there may want to give the book a pass, but it's a bit of magic for the gals out there. Not too off-topic, am I?)
But the biggest advice I can give here: keep up your sense of humor. Each person, from the transport people who would wheel my baby in her bed down for tests, to the nurse's aide who got my daughter addicted to some sort of banana Popsicles, to the night receptionist who loved to joke with me about our mutual love of the smell of new leather, to the Ukrainian nurse who held my hands in those first days when I knew absolutely nothing about this illness - had never even heard of this darn thing - when we joked about whether Russians really couldn't understand Ukrainian or were they pulling our legs? (as we spoke in Russian and not in Ukrainian), to the EEG technician who talked to me about the Russian Orthodox church nearby (that I never, regretfully, got to) and then went through our six degrees of separation to see who we might both know in the nation-wide Russian-American community, to the Romanian aide who would try to get my daughter to do all that walking - and talking about the foods she taught her daughter to make, to the Romanian cleaning lady who told me that my smile was too beautiful to sacrifice for tears...everything was made more endurable with humor and laughter.
Well, that and a bit of mascara.
Tuesday, March 27, 2012
My Hair and Beauty Outings...
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