I was 35 when I was diagnosed with hypothyroidism. I was feeling sluggish (like crazy sluggish) and there wasn’t nearly enough coffee to get me through the day. Sleep!! It. Was. My. Best. Friend. I loved being in bed and when the alarm went off in the morning it was like a death sentence to get up and get moving. That was not like me, so something had to be wrong. Turning to the internet was the first, obvious choice and after self-diagnosing with just about everything from a heart condition to cancer, I finally decided to see my doctor. Good idea, huh? Upon the results of a blood test, my thyroid was so out of whack that I am not sure how I mustered the energy to drive to her office to give her blood much less hear the results. Getting that news came with both relief and annoyance. For starters, I wasn’t dying (thanks for scaring me WebMD) and medicine would help. Yay! But wait. I was going to have to take medicine EVERY DAY for the rest of my life! What? I am only 35! I am way too young, right? What was next? Blood pressure medicine? A low sodium diet? I waited for 2 days to fill the prescription purely out of disbelief. Finally, when I was moving slower than a snail, I filled it and came to grips with the reality. I was now officially ‘on medication’. Every. Day. Having been sick so very little in my life, this was going to be an adjustment. You would think that the thought of getting my thyroid back in line, so I felt like living would have motivated me to remember to take it every day. Yea, that didn’t happen (brain fog is a real thyroid symptom by the way). I read all sorts of tricks about how to remember to take this life changing medicine and moved the bottle all over the place, put it upside down, right side up, counted the number of pills (but then I couldn’t remember what the number was from the day before so that wasn’t going to work) and then I finally broke down and bought a daily pill box. You know the ones with the S-M-T-W-TH-F-S on the top that you flip open. It was the only way I could remember each day. So sad.
After a few months, my doctor referred me to an Endocrinologist. She said that I would be better off having someone who specializes in this to monitor the changes. I wasn’t super happy about that because now, I was getting a ‘Specialist’ to go with my ‘every day medicine’. It wasn’t long before I was told that not only do I have hypothyroidism, but I have Hoshimotos Hypothyroidism. Yep. The autoimmune kind. Nice, huh? My doctor explained to me (in very large and important sounding words) that my body was attacking the good thyroid and basically killing it. What? Why would my body do that? What did I do to make it mad? I was back in disbelief yet again. I just decided that I would educate my way out of this mess somehow. There had to be a diet, exercise plan, supplements or something, right? Well, that is impossible unless I can create a new thyroid gland that has a force field around it, so my body will stop trying to kill it. That wasn’t happening, so I had to settle for medicine, management and to read all I could about what to expect with this demon living in my blood stream. Next stop assisted living. Again, I was only 35 (I may have made it to 36 by this time but probably not, I can’t remember. It is the brain fog’s fault).
Several years went by and I got pretty good about keeping my little pill box up to date. I had a few dosage changes and was back to feeling like a human consistently. Then I turned 43. Yep, the ripe old age of 43. I started having some aching in my left elbow. It felt like the kind of ache you feel after holding the telephone up to your left ear for a long time. It would come and go but was present most days. Advil helped when I thought to take it (I am sort of stubborn about medicine sometimes) but then my ankles, wrists and fingers began to chime in. I had started running the year before and was up to about 25 miles a week at this point, so I thought maybe it was just the wear and tear on my body from that. I popped my knuckles (thanks to my dad who taught me that as a little girl) so maybe that was it. I was a competitive figure skater and so maybe that was it. I pretty much had a reason for it (without looking on the internet this time) and so in a casual conversation at my physical, my doctor ran a blood test looking for Rheumatoid arthritis. She was smart to not tell me that ahead of time because I would have pitched a fit! I was only 43!!! It is not time for rheumatoid arthritis. And while I had always been an athlete, I knew people much harder on their bodies who didn’t have arthritis. Thankfully I didn’t know it was even happening. At my follow up to discuss the results, my doctor let me know that she screened for RA and……Lupus! What?? One was bad enough! She said that my body had inflammation in it and that she needed to send me to a specialist. Here we go again. I now have 2 specialists. Are you serious? Did I mention that I was only 43? Well, off I go. I am going to see a Rheumatologist. Sheesh….. I just had some sore joints. It isn’t like I couldn’t function. Well this Rheumatologist was quiet, smart and seemed to sum it up in 5 minutes of meeting me. She suggested more blood work to rule out some things, and then we would get a plan. As she was walking out the door from visit #1 she asked one more question. “Do you ever have skin rashes or patches of dry skin that just show up?” I said, yes and she said “OK. See you in 2 weeks”. What did that mean? Don’t just ask me that question and then walk out? Come back and explain why you wanted to know! Yep, nothing. I would just have to wait to find out.
Two weeks later I go back for the big results. I, sadly, had looked up RA and Lupus on line (again, when will I learn?) and neither option sounded appealing. I also stumbled upon all the other auto immunes and thought that it could be so much worse. Who knew that MS was autoimmune? Or Type 1 Diabetes, or even Celiac? What is happening? Were these around when my great-grandparents were my age? Not so sure they all were. It must be the chicken. My 2nd specialist comes in to share with me that I have Sjogren’s Syndrome. I have what? I can’t even pronounce that unless you say it again, much less spell it. What is that? She was great and told me that it would be more inconvenient than anything and that Venus Williams the tennis player has it too. I guess that made me feel better? I am not sure I remember hearing much more after that except that there is no cure and there are just a few options for treatment. We talked through treatment and I left with more medicine. More every day medicine. Thank goodness for my little daily pill box. My Synthroid was getting a roommate. When I got home, I looked up all I could on the internet and discovered that there wasn’t a lot out there. It was all pretty scary. Sjogren’s won’t kill you I learned but what it can do to your eyes and mouth would make you want to die. I learned that day that this second autoimmune is attacking and killing my moisture producing glands in my body. So, I have these little abnormal antibodies in my blood which are trying to stop my eyes from making tears and my mouth from making saliva. So…. again the question comes up….. what did I do to make my body mad? Why oh why? Not wanting to sound too dramatic, the doctor said that stress can make the symptoms worse and that I needed as much rest as possible. At that time, I was getting divorced, my dad was dying, and I was working as an almost single mother. Yea, I will see what I can do about stress and rest. Not.
The first (and then only) attempt at medicine was not great. She started me on steroids which made me feel great but who can live on those forever? Ummm….me? Not really. The second medicine was supposed to slow the progression of the damage from the disease since this is a slow, progressive killer. I found quickly that this medicine, Plaquenil was not my friend. I was taking 2 a day and it didn’t take long for the one unmentioned side effect to show up. Bruising. It was crazy. The lower half of my body looked like I was beaten every day. New bruises all the time. Bruises in places that were bruise-free the night before. It was bizarre and crazy. Like I said earlier, I am not the most agreeable with taking medication much less one that is going to make me look like a battered woman. When I saw my Rheumatologist for a follow up she was all like ‘yea, it does that sometimes.’ What? Hello? Small side effect that was NOT listed on the drug paperwork! She suggested that we go to 1 per day and I promptly decided on my own to take none per day. I was not putting that back in my body. So off I go and decide to roll the dice with the slow progression part. How much could the venom medicine really slow down the progression? I wasn’t going to explain my bruises to anyone just to maybe slow things down? I moved on and decided to just see what would happen. I did get an ophthalmologist who has helped with the dry eyes. Specialist #3. I like him, and he has been very helpful. I have tried all the dry mouth toothpastes and mouth washes. They are just OK and didn’t seem to make that much of a difference, so I went back to regular stuff. My joints hurt from time to time and my stress level has peaks and valleys like everyone. I can say that stress is probably not great as when it is high, the symptoms are very present. Rest is important for a lot of things and until my life slows down, I am doing what I can to get rest.
Flashforward 5 years to today. I finally had to go back to see the rhuematologist. It was time to get a plan. There are new drugs on the market. One is helpful for making more saliva. I am taking it now and occasionally I feel like I am making enough for 2 people. She put me back on the Plaquenil. Against my better judgment said ‘OK. But only 1 per day’. I don’t take it every day It has come crazy rules about when to take it and with what. That seems inconvenient to me, so I take it when I remember. I am still in a bit of denial that I even have Sjogren’s, but the blood tests I have had continue to point to yes. I have a good friend whose Mom has it and living with it and is awful. I am sure as I continue to age the symptoms will get worse. I am just hopeful that the advances in medicine will move ahead fast so maybe before it leaves me unable to swallow food without water or keep my eyes from feeling like the Sahara. I am just rolling the dice on that.
There are diets, vitamins and all sorts of all-natural forms of relief but I haven’t gone down those roads yet. I finally joined an online support group and I have read about the new treatment methods that are coming. I know it could be worse, and I am grateful for what I must handle compared to the stories of folks I read about. I would love for you all to take a few minutes and read all about Sjogren’s. It is often misdiagnosed and it usually a long time to figure out (typically by process of elimination when other drugs for other auto immunes don’t work). It is most often diagnosed in women in their 40s. (Oh great! Welcome to the 40 club! You have Sjogren’s!) And 9 out of 10 diagnosed with this are women (that is OK, we handle it better than men would anyway).
Thanks for reading friends!
Kimberley 🙂