A Hard Pill to Swallow
Goodness gracious. It has been some time. We have been semi-staycationing this week, taking over my in-laws' digs for a week in the countryside, and have also had the pleasure of a few-days-visit from my sister, so all things interwebular have sort of fallen by the wayside (I thought maybe I had coined a new word there, with "interwebular", but computer says no).
I have also been dealing with an RA flare-up, which is likely self-induced at least in part as I lived life in the fast lane on Tuesday and ate a sandwich. What have I ever done to you, bread and mayo, except enjoyed your deliciousness? The only plus to my food allergy felony was that my rheumatologist was able to detect swelling in my joints at my appointment on Thursday, for the first time ever. This is good because it added credence to my diagnosis. Previously, the fact that I was never actually flaring up when my appointments were scheduled was sort of annoying, and it made me wonder about the accuracy of the diagnosis (my line of thinking went that perhaps they only gave me the sensation of being swollen, rather than actually being so). But no. Swollen. Lots of them. And she confirmed my suspicion that the food allergies bring on flare-ups because they kick my immune system into gear, my faulty immune system which for some unknown reason doesn't realize that my joints are not the enemy.
This is what I imagine is happening in my body...
The Invasion
An Extremely Short Play Based on Dubious Science
by Kirsi
A lowly idiotic antibody, Private Shit-for-Brains, enters the scene, bumbling and tripping over his tiny antibody feet. He rushes to his superior, Major Fuck Up, who is lounging on a red blood cell, admiring his medal for bravery in the Battle of the Sore Throat.
Private Shit-for-Brains: Major General! Sir! We're being invaded! It's mayonnaise, sir!
Major Fuck Up: Mayonnaise?
Private: And bread, sir! In the stomach!
Major: Those egg and gluten fuckers think they can sneak in here in a sandwich? I wasn't produced by a plasma cell yesterday! Attack!
Private: Should we attack the joints while we're at it, sir?
Major: Why the fuck not? Attack them all!
And scene. Man, it is really nice to know that those thousands of dollars I spent getting my drama degree have not gone to waste. Requests for production rights are now being accepted. For the film version, might I suggest Jonah Hill and Gene Hackman?
So the upshot of the confirmation of swelling in my joints is that my rheumatologist suggested that it's time I start medication to offer some symptom relief and potentially slow down joint damage. Going into the appointment I wouldn't have thought I would have so readily agreed to this, but as soon as she suggested it I knew she was right (it helped that she spoke to me without any hint of the condescension that has irritated me in the past). Even though my RA doesn't seem to cause me a lot of trouble at the moment, it is sort of grumbling along and slowly causing damage. And I'm only 33. I plan on being around for another 40 or 50 years and I would like to have full use of my body for as much of that time as I can. So it's time.
I've started a drug called Plaquenil which will take a few months to begin to have any effect. I'll meet again with my rheumatologist at that time to assess if it is helping and if the side effects have been manageable, at which point we'll make the decision to either continue with it or change medication. I have tried not to read too much about the side effects because they're a little scary, what with eye damage and blue skin and such. Fortunately they're pretty uncommon, it seems, and most people tolerate the drug very well. So far I'm experiencing some dizziness and drowsiness, and a bit of nausea, but I'm hoping these will pass as my body adjusts.
What I'm having the most trouble with is the idea that I'm now likely to be on medication for the rest of my life. That bothers me. If it works then it's better than the alternative, of course, by which I mean joint pain and damage and perhaps damage to my other organs (because RA can be a motherfucker like that), but the alternative is not necessarily prevented by the medication. Likely just delayed. Delayed is great, delayed buys me time and that is something for which I already feel tremendously grateful, but I don't really like even taking a Tylenol so I'm having a hard time with the idea of having a powerful drug in my body on a regular basis.
Okay, I just reread that paragraph. What the hell am I whining about? If it provides some relief, buys me a few more healthy years, then taking a pill every day is an extraordinarily small price to pay.
There's a plus side to having a disease, I've found out. It makes you think long and hard about your priorities, and putting the time that you're healthy to the best possible use. D and I are doing a lot of thinking these days about how to get what we want out of life now, to travel and have the experiences we want to have and do the things we want to do sooner rather than later. Which I think is a pretty good way of thinking about things even if there isn't a health issue to act as a catalyst, because who knows what the future holds for any of us? I thought I knew, but then the world didn't end back in May, so now I have no fucking clue (man, this whole topic brings out the sweary in me). Saving for retirement is great and important and all, but who knows if I'll be able to amble over the Irish hillside at the age of 65? For that matter, who knows if you will? I think we'd best go do it immediately.
Or if not immediately, perhaps after I enjoy these gluten-, dairy-, delicious-free yucca pulp crackers? Is that better, body? Are we happy now?