This turned into a long post, much longer than I expected.
Everyone: “Hello Mrs. Bubba.”
I have been in denial, and no it’s not a river in Egypt, for over 4 years. My struggle with denial began in March 2004. I began having unusual knee pain. At the time I had been dancing (Aztec dance) for almost eight years. I had previously dislocated my right patella (ouch! I know) and had intermittent knee pain. That knee pain was different, very different from what I was used to.
A visit to Urgent Care yielded the results of taking 800 mg of Ibuprofen 3-4 times a day. It didn’t help, another visit to Urgent Care that yielded a referral to physical therapy and more ibuprofen. Finally, a visit to my Primary Care Provider (PCP) led to a referral to a rheumatologist and a prescription for indomethacin, a different non-steroidal anti-inflammatory drug (NSAID). I went to physical therapy regularly, took the NSAIDs like they were prescribed and still no relief. When I saw the rheumatologist, he was confused, didn’t think it was an arthritic condition but ordered x-rays, blood work and scheduled a follow-up. The first time I saw him was in May or June of 2004. By September of 2004, I had a diagnosis of Rheumatoid Arthritis and prescriptions for DMARDs (disease modifying anti-rheumatic drugs), including a biologic DMARD.
The process of going back and forth to various doctors and the rheumatologist for answers was frustrating, disheartening, stressful, depressing, confusing, and much more. The first few rheumatology appointments had me leaving the doctor’s office in tears. The doctor gave me no hope that I would be able to lead a “normal” life. There was no emotional support for me from the medical community to help me adjust to this new diagnosis. Nothing to help me grieve the life that I was losing.
I had to be strong for my family so I often covered up how I was really feeling. Mr. Bubba knows me too well, I couldn’t fool him. I asked my PCP for a referral to a different rheumatologist, I was definitely not going to continue to leave each appointment in tears with no hope to be able to continue to live a productive life.
My new doctor confirmed the diagnosis, added fibromyalgia to the mix for good measure and got me started on a complex regimen of medications. At one point I was taking 20 pills a day. By the way, I hate pills. One of my meds was an injection that I would do at home every two weeks, I much prefer that to taking pills.
The manifestation of my denial has come in different ways. I continued to push myself, ignoring the physical pain that different activities caused because I was not going to let rheumatoid arthritis beat me. I was locked in a fight against my diagnosis. I refused to be seen as a walking diagnosis. I was not rheumatoid arthritis, I happened to be a 27 year old woman with a diagnosis.
I have been locked in this fight for the past four years. I have pushed through pain, stiffness, flare ups, and more in order to keep going. To keep working, to go to school, to be involved in my kids’ schools, to still be everything for everyone.
I lost this fight. It’s hard to admit it, I cannot be in denial any longer. My body finally told me that enough is enough and I couldn’t help but listen. My days of not listening to my body have to be over. I have been on a flare since November of 2007. That is now 10 months. 10 months out of my life that have been riddled with pain, both physical and emotional. 10 months out of my life that have been miserable. 10 months out of my life during which I withdrew from many things. I wasn’t really here for my family, I wasn’t here for myself, really. 10 months of my life when I pulled away from others so I wouldn’t worry them or be a burden on them – everyone has got something they’re dealing with.
In February of this year I made a decision. A decision that I still question some days but a decision that I know deep in my heart was the right thing to do. I quit my job. I was no longer going to be a therapist at a residential facility for adolescent boys that were involved in the juvenile justice system. I couldn’t be there for them either.
After a lifetime of doing the right thing and being there for everyone else, I find myself in this situation. I find myself with a body that has turned on itself and hurts me rather than helps me. I find myself longing for days with no pain. For days with unlimited energy so that I can keep up with my kids. For days when I smile more, when I actually feel happy. For days when I don’t have to think about not being able to do something because it will hurt.
This is my reality. I have to modify activities, I have pain EVERYDAY, my body will never be the same as it was before March 2004 when the symptoms became active. There is a theory that I’ve had RA for longer than that but it didn’t become symptomatic until then. I cannot deny this reality any longer. This is what is normal now.
Thank you for reading this post. It was very difficult for me to write it.