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Kaitlin's Story

My name is Kaitlin. My story begins back when I was barely a teenager in the early 1990s maybe even earlier. It began as sun sensitivity, migraines with odd visual symptoms, and pain in my right side so bad that I wanted to die. I was diagnosed with an ulcer, trust me this was almost the stupidest diagnosis I ever received, and was told to avoid sun exposure. I was also told that the ulcer and migraines were from stress and that I should relax and be a kid. The symptoms continued and new ones were added- mouth ulcers, pain in my chest, pain in my legs, fatigue, the list goes on and on. All this was before I was even 17. I had 3 babies all requiring months upon months of bed rest. I got pericarditis with the last and was told I should not become pregnant again. By this time I was in constant agony. I had no energy. My life was a dark hole and despite multiple doctor visits I was getting no help. I was sent to a psychiatrist and diagnosed as depressed. I tried anti-depressants and got no relief- in fact I had a very nasty reaction. The suddenly in 1999 I got a few month of being almost a normal person. My symptoms were gone as mysteriously as they had appeared. I became pregnant again. The pregnancy was very difficult and my symptoms returned. When my baby died I was devastated. I had been through this once before in 1996 with my second child. The loss drove me into a deep depression at the same time my health was going down the drain. The pain became so bad that I was basically an invalid. Since all the doctors I saw believed my problems were mental and suggested activity to take my mind off my loss I began taking college classes. I did very well in school, first getting my Associates and then my Bachelors Degrees. Yet my health continued to fail. By the time I entered graduate school I was extremely weak and in so much pain that my life was bed and classes. I was dying, no one believed me but that is exactly what was happening. My husband was quite sure of what was wrong with me because of an article he had read about lupus and pushed me to keep trying to find someone who would listen. I joined an online lupus community. Many of those there sided with the doctors who said I was crazy. Yet, one saw in what was happening to me a similar story to what had happened to her. She gave me the name of her old rheumatologist. I made an appointment intending this to be my last try for help. If this failed I figured maybe I should just give up and live like I was for the rest of my life because I was sick of being treated like trash by doctors. I had no belief in or respect for the medical community. The day I saw this new doctor I again took my list of symptoms and past history. I also took pictures of the rashes, especially the butterfly rash I had been dealing with for more than 14 years straight. She looked at the symptoms on my list, at my pictures, at my past medical history, at my family history of deaths from lupus complications, and at those symptoms visible that day. My hands were swollen so that they were nearly claws, red, and warm. Other doctors had seen the facial rash and my hands and still said I was imagining my problems. She looked past the negative ANA blood test and saw that I had more than enough of the 11 diagnostic criteria to say I had lupus or another autoimmune disease. She began treatment that day with plaquenil, NSAIDS, and a low dose of prednisone. It took a long time but some of my symptoms improved. Then the pain in my right side returned with a vengeance. The ER sent me home saying I had IBS, but the pain was right where my liver and gallbladder were located. My rheumatologist sent me to a different hospital and told me to ask for a special nuclear medicine scan to see if my gallbladder was working. It wasn't and worse it was 3 times the normal size. I had bile backed up so badly my stomach was full of it. I could not hold down anything. I was in so much pain I told the doctors flat out I would rather go through natural labor again. Finally a week after the test showing my gallbladder was shot I had it surgically removed. The pain I had lived with since age 14 was suddenly gone. No evidence of my ever having had an ulcer was found. I was extremely weak after the surgery, but had it been put off even one more day I would likely have died from what the surgeon said. It took more than 18 months to recover a portion of my strength and aggressive treatment. During that time in addition to SLE I was diagnosed with Raynaud's, Sjogren's, and Rheumatoid Arthritis. I even ended up diagnosed with psoriasis. The crippling pain in my spine was finally reduced to bearable levels using first Humira and then Enbrel. I had a breast reduction to help manage the pain further. Yet one extreme source of pain remained. Finally after 2 months of physical therapy and a year of being bounced from specialist to specialist by my primary care doctor my rheumatologist referred me for pain intervention. A simple nerve block to 2 peripheral nerves in my upper right thigh brought the pain under control. We began shifting my medications because finally after more than 2 1/2 years of fighting I was achieving a remission of the SLE. I wanted to try one more time for a baby. I did rounds of specialists and all felt it would not be a problem. I am currently 13 weeks pregnant and due in May. After more than a decade and a half of suffering I have achieved a level of disease control neither I nor my rheumatologist ever expected. Yes, my liver enzymes rise if I am taken off certain medications, but no permanent organ damage has occurred- something miraculous considering my family history. I have hope for the future. I may be unable to work now, but I am in graduate school studying to become a librarian. I am making very high grades and won a fellowship to pay for this school year. The road ahead may be rough, but I know that thanks to my rheumatologist I now have a future. If it weren't for her willingness to diagnose based on at least 7 criteria and possibly 8 (the blood tests come back different every single time so it is hard to know for sure if the positive readings on some of the tests are a fluke especially given the low level positives I get). She saved my life quite literally. She has given me a chance to do something more than suffer in silence. Her treatment of me has even opened the eyes of my family- who had always ignored those members with symptoms like mine, something that likely contributed to the death of two family members from untreated lupus related complications (neither person ever received treatment for their lupus and until they were very close to death their ANA blood tests were negative causing doctors to claim the problems were mental). Now when symptoms like mine are found in members of the family they are urged to see a doctor instead of being ridiculed and called hypochondriacs.

My own experience with lupus has been far from the norm since I have so many other AI issues and yet lack a positive ANA, yet given how many other symptoms I had and how many criteria I have met since age 16 it shocked my rheumatologist that no one bothered to look further than the ANA or consider my family history. The fact that the butterfly rash was ignored- I had one doctor who when his nurse and student doctor pointed out the rash on my checks said "What rash? I see no rash." Then they pointed out my swollen, red, and hot joints to which he replied "What swelling? The patient is just fat, there is no swelling." Even blue finger tips were blown off as nothing important. I have damage to 2 peripheral nerves and other serious problems because the doctors I saw based everything on a single blood test even though each one I saw initially suspected lupus until the ANA came back negative. Then they treated me like nothing I was experiencing was actually happening. I am telling my story in the hopes it will prevent anyone else from suffering as long and as badly as I did. The earlier an AI disease is diagnosed and treated the less uncontrolled damage it can do. Early diagnosis could save lives and ensure that the person does not end up an invalid.

I believe I can do almost anything I set my mind to. If you are out there suffering do not give up, you never know when you will be given the right information or name to get the help you need. If you have SLE and are already diagnosed but think it means your life is over, it is not over- it may be different from what you planned but you can still have a long, satisfying life doing many of the things you wanted to. Never let anyone say that because you have lupus you can't follow you dreams (unless disease complications mean doing so will endanger your own or someone else's life, health, and/or wellbeing. It is possible they might find a cure in our lifetime. If nothing else, treatments have improved and our life expectancy does not have to be 5-10 years. We can live to be great grandparents thanks to advances in treatment.
 

 

 

 

  

 

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