Friday, August 18, 2006

What it is, exactly...


When I moved to North Carolina over ten years ago, I was fine. Within 2 months, I found what I thought to be a scab on my scalp.

Due to my extreme clumsiness, I simply assumed that I had hit my head and didn't remember. Unfortunately, it didn't go away. It got bigger. I tried changing shampoos, but had no luck. It began to spread.

Convinced that I was simply allergic to 'the entire state of North Carolina', I tried to narrow down to at least ONE soap, ONE shampoo, ONE detergent that didn't make me feel like I was covered in ants.

Then my hair began to fall out. Handful by handful, every day. I had a small bald spot. I was concerned that I may have Alopecia, but never followed through with a doctor to check it out.

Within a year, I was diagnosed with psoriasis. Thanks to health insurance, I was placed on potions, lotions and oils that were guaranteed to give me my life back. Although they would work for a time, nothing completely took the psoriasis away.

By 1998 or so, the psoriasis was so extreme that I stopped wearing shorts or t-shirts outside the house. In the heat of a Carolina summer, you would find me in long pants and long shirts, quietly suffering. I stopped wearing dresses, as the plaques would grow through pantyhose (which I wore to cover my legs). When I removed the hose, the plaques would tear off. It was pure agony.

In the instances that I did manage to make it outside in 'summer wear', I endured stares and whispers. I was asked if I had AIDS. I was asked if I had leprosy. People would physically recoil from me, noses wrinkled, as they backed away. Everyone was afraid that I was contagious. I cried a lot.

Desperate for a cure - ANY cure - I began researching alternative medicine and homeopathy. I bathed in Oatmeal (instant AND Irish), and milk by the gallon. I rubbed olive oil on my skin. I ate turmeric by the tablespoon, simply because I was told that it would help. [I now hate curry, for some reason].

Then I got pregnant. Pregnancy was, indeed, my miracle drug. My skin cleared completely; my hair grew back. My hair grew so long that, 1 week before Nooze was born, I had 16 inches cut off. At this point, my hair was still to my shoulders!

After Nooze was born, my skin stayed clear for about 4 months. When the psoriasis came back, however, it was with a vengeance. I went through over 20 different medications in an attempt to find a cure.

I woke one morning in 2003 to find that one finger on my right hand was severely swollen. It felt as though the bones were going to burst through the skin at any moment. I blamed it on the weather. As time passed, however, the swelling spread. One finger became two, then one hand, a knee, my back.

I began collecting gel packs, ice packs, braces and wraps. One morning, looking in the mirror, it hit me. I looked like a hunchbacked Edward Scissorhands. Since this clearly would not do, I called my doctor.

I explained the symptoms, side effects and pain. I was given an appointment for that same day, and many tests were run.

Over the course of the next few months, I was poked, prodded and pin pricked more times than I care to remember. I was diagnosed with psoriatic arthritis. Then came the fun part: insurance hurdles. My doctor wanted to put me on Enbrel, then a fairly new (but extremely successful) injection that helped clear up both psoriatic arthritis AND psoriasis.

The main problem? The price tag. Without insurance, Enbrel costs an average of $2,000 per month. This is for 8 (25 mg) shots - two per week. My insurance company grumbled and sputtered for a good 6 weeks before finally caving in. The caveat? I had to order the medication by mail - from TEXAS. The medication had to be shipped cold storage in specialized containers by UPS - signature required. [If this medication is not kept cold, the effectiveness can be minimized - or lost.] Thus began the careful dance of working my life around a UPS route.

I endured 6 months of Enbrel shots, with bizarre side effects. I initially brushed them away as nerves, but soon came to see it as 'just the way it is'. Sometimes, when you are desperate enough, you just learn to sit down, shut up, and get used to having seizures.

I completed my round of Enbrel in October 2005. The 'pretty skin, pretty hair' season lasted approximately 4 months. I woke in February of this year with what appeared to be club foot, a back injury, and man hands. The arthritis portion certainly wasn't going down without a fight. I began to walk with a limp.

Thanks to my visit with Dr. Doogie, I was taken seriously. Dr. Doogie got me in to Dr. Yup-Yup - who is a dream.

I had my first Humira injection yesterday. In Dr. Yup-Yup's office. I stayed there for 30 minutes after the shot, and was monitored by a nurse to ensure that I was not allergic. They insisted on checking my blood pressure and pulse before I left. Both were normal; no sign of anxiety was found. This, my friends, may be the cure. There is, of course, a catch.

Humira burns. I don't mean that it stings. I mean it feels as though you are on fire. Should you not believe me, I recommend that you try the following: light a match. As it burns its hottest, slam the lit match directly into your thigh. Leave it there for 30 seconds, pushing at an angle to ensure that it is 'subcutaneous'. Don't move it - don't scream; don't swear; don't break it; don't throw it directly at the next person walking through the door. That wet 'I think I may puke' feeling? Normal. That 'Oh God, this SUCKS!' feeling? Also normal. Got that 'I think I may pass out' feeling? Good. Now we're on the same page.

Regardless. It is 24 hours later now. The burning was gone in 15 minutes. No nausea. No vomiting (almost). No vertigo. Most important: no seizures.

That, my friends, is What it is, exactly, that is wrong with me.

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14 Comments:

Blogger Linda said...

Wow - that is a lot to endure! My grandmother suffered from eczema and psoriasis, so I know what it looks like.

I think my hubs might be starting psoriasis, too. Little scabs, in a few places on his body. Haven't gone away in several months. Aquaphor seems to be helping a bit. I've been BEGGING him to see a doc, too...

Oh - pics are up on the blog from Hannah's 1st day - seems that Blogger just didn't like the picture I wanted first!

August 19, 2006 8:29 AM  
Blogger tiff said...

aw renn, damn. I mean, I KNEW, but I didn't really know, now did I?

You're a wonder woman.

August 19, 2006 2:52 PM  
Anonymous Anonymous said...

Wow. I really had no idea. Too much, man. *Feels your pain*

It's so easy to take having a normal day for granted, until something like this takes your life over. I only hope things get easier for you :(

August 20, 2006 11:13 AM  
Blogger Rick said...

That explains everything. ???

August 20, 2006 11:57 AM  
Blogger Unknown said...

Oh Renn this sucks so bad. Look if this doesn't work out, you should look into trying to come to Duke and see if they can do anything for you. They receive federal money for treating people with no insurance. If Duke can't help you, no one can and that's the truth. Plus they always have experimental things going on so you might qualify for a free study. Let me know if you would like for me to do some research on what programs are available.

August 20, 2006 2:03 PM  
Anonymous Anonymous said...

BL- I heart you! I have insurance - but the Company can be a little picky when it comes to treatment.

They approved the Humira much faster than the Enbrel. It took less than two weeks this time.

August 20, 2006 2:10 PM  
Anonymous Anonymous said...

Geez, Renn, I had no idea. Hope the new meds work, although it sucks that it's so uncomfortable when they are administered.

Please continue to keep us updated. Hugs and prayers on the way!

August 21, 2006 1:22 PM  
Blogger fakies said...

Ho.Lee.Crap. I will never gripe about my mild psoriasis again.

This is probably a ridiculous point, but I like the point that in the midst of it all, you got pregnant. Just goes to show that it doesn't matter what anyone else thought of you, your man thought you were beautiful.

Hope things go better on the new drugs and don't completely burn you up in the process.

August 21, 2006 3:17 PM  
Anonymous Anonymous said...

Trinamick- It's not a ridiculous point at all. I am well aware of how blessed I am.

After all these years, I still think he's yummy!

August 21, 2006 5:38 PM  
Anonymous Anonymous said...

Tobias, dear.

You really need some help.

August 22, 2006 6:00 AM  
Blogger Shari said...

Yeah! What Tobias said!

Well, not really.

That was beautiful and painful to read, but I have so much respect for you. You make me laugh my head off with each post.

The funniest people usually don't get that way easily.

I love you. And I hope this stuff is a miracle drug. I do.

August 23, 2006 10:43 PM  
Blogger Kingfisher said...

I was going to make a comment about how a leper could have a child, because that requires getting laid, but decided it was in bad taste.

I and my eldest son suffer from mild psoriasis of the scalp, cheeks, and hands every summer, but nothing like you describe.

Hope all works out well for you! Just think of your pal Kingfisher when getting the shots. The fainting from disgust will obliterate the pain.

August 24, 2006 9:58 PM  
Blogger Grace said...

Holy crap, Ren... That is so much to endure. I felt your pain, and I bow before your ability to share it, I hope that it helped, the sharing.

And still, you thrive beautifully! I myself have a 'hand' thing, dermatologist tested and almost labelled as an allergic reaction to detergent 'of some unknown origin'. Makes cleaning fun, fun, fun!

But to have one's whole body taken over...excruciating. You are in my thoughts for the new cure. Trial by fire. Is there nothing they can give you for the pain when they administer the treatment?

Only asking out of concern for your comfort.

You're in my thoughts, all good luck to you.

August 25, 2006 9:24 AM  
Anonymous Anonymous said...

Renn- I have had Psoriasis since I was 7 years old which would be 24 years now, and am desperate to find something that works, I looked into the Embrel, and after seeing the side effects I have really debated wether or not to use it. I would really like to hear the results of using the Humira.

January 24, 2007 3:20 PM  

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