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How many of us do not work due to R.A? Options
FIONA752
#1 Posted : Thursday, February 18, 2010 10:04:33 PM Quote
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Hi everyone,
I read recently that "most people with R.A can and do work".
This was in the N.R.A.S New Year 2010 magazine.
Now, maybe I am mistaken, but I am sure that I have also
read that within X amount of years from diagnosis many people have left work.
I would imagine that the type of work a person is doing when diagnosed would
greatly effect whether or not they could continue to do it - e.g a waitress carrying heavy
trays of food or dishes would presumably no longer be able to perform such a repetitive
heavy task, etc?
I am left with the feeling that those with R.A who do not work may be perceived as being
too lazy to be bothered?
My own feelings on the "whether to work or not" question, is down to each individuals
experience of their disease and the availability, in a shrinking economy, of suitable positions
being available to suit individual needs.
Personally, I would like to explore the possibilities of voluntary work as I do not feel up to paid work.
But, I also really do hope that we, the non-workers, will not be thought of as useing R.A as an excuse
to avoid work.
What do others think? Replies welcome,
FionaHuh

Maria_R
#2 Posted : Friday, February 19, 2010 12:11:17 AM Quote
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Hi Fiona

Funnily enough I was thinking about this myself the other day . I'm a teacher and was diagnosed 2 yrs ago. I managed to do a year full time after diagnosis when the meds were working well. I thought that everything would be ok and I could carry on as normal. I did still find it a struggle. and decided to cut down to four days this academic year. Since Christmas, the RA has got worse- hardly a week goes by without me having a day off . At my last appontment the rheumy was hinting about putting me on methotrexate but even if this works ok I still feel I need to cut back further.I just can't keep up with it all and with the unpredicability of RA I don't think it's fair on either my students or colleagues. I maybe misread the statment about 'can and do work'- assuming that it meant working full time! I also read the comment about leaving work so you weren't mistaken! As you said, it all depends on the individual's experience of the disease, the nature of their work and the availability of suitable jobs. Like you I would hope that non workers wouldn't be perceived as lazy or using RA as an excuse. It would be interesting to find out what others' experiences are.
madam butterfly
#3 Posted : Friday, February 19, 2010 1:25:09 AM Quote
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I feel that i have done everything in my power to continue with work , but as time goes on i can see why so many people actually leave, i am a support worker/was a support/time and recovery worker i was unable to carry on this position as it involved a lot of outside community visits etc which i was unable to do due to foot probs,

I worked for 2years after being diagnosed , i then became so tired, i asked if i could reduce my hrs from 37 1/2 to 20 hrs which is a difficult thing to do when you have been in the same employment for 22 yrs, as i know it will have a massive effect on my pension within the N.H.S.

I have in the last 2 yrs been off sick i would say at least 60% of the time, even though i have been to sick, to go to work, this has not stopped the guilty feelings, i have when work colleagues tell me how short they have been at work and they have had no extra cover bank staff etc, i am now suffering with depression, i didnt notice it creep up on me, when you consider that i have worked in the mental health service, you would think i could read the signs, i now know that this may be another reason i am so tired and unable to cope, i just wish some one would allow me to leave without having to maybe being sacked due to long term sickness, as i know that ill health retirement is almost impossible, i hate this disease as i am sure you all do but what can we do! ENOUGH SAID .........SORRY ITS SO LONG, This, i am sure has an effect on the care that i am expected to give to the clients i work with, let alone the colleagues who have to carry my case load.

Anne-m



barbara-o
#4 Posted : Friday, February 19, 2010 1:02:51 PM Quote
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Hi Anne-Marie,

Depression in very common in RA and just because you work in the field does of mental health doesn't mean that we are immune or should realise when we become depressed. I am a mental health social worker (AMHP), and like you, have worked for many years as a community worker, but did not realise that I was depressed until the penny dropped when I was waking up daily and finding myself in tears, with feeling of hopelessness and despair. I've been off sick for 9 months and know that it will be difficult for me to return to my old job. I feel guilty that my colleagues are having to cover my work, but for years it was me who was covering other people's posts; because work would not get an agency worker in when colleagues were either off on long term sick, or on maternity leave. Over the years this certainly has taken it's toll on my health. I know I am now depressed, have a damaged liver that is struggling to repair, and have 3 prolapsed discs, which on top of RA is making my life very miserable. At the moment, I cannot return to work and know I would not cope.

If you are unable to do the work you were originally employed to do and have worked for as long as you have, you should be entitled to ill health retirement. Have work made reasonable adjustments, or considered using your skills in another area of work that's not mainly community based, or too physically strenuous?

Not sure where you are in the country, but NRAS are holding a series of workshops focusing on helping people return to work and on legislation to protect disabled people in employment. I will be going to the one held in London on 24.02.10. If you are concerned, and if you are able, it might be worthwhile trying to get to one of the workshops near to where you live.

Fiona, I think the global picture of an individuals health needs to be taken into consideration when government initiatives focus on getting people with long term incurable conditions, like RA, back into employment. I was also thinking about you and your back and what treatment has been proposed? I've been told there is nothing that can be done apart from giving an epidural when I am in acute pain. Hope your not suffering too much, mine is still giving me grief, but it's not as bad as it at the end of November last year.

Love

Barbara
XXXXX
jenni_b
#5 Posted : Friday, February 19, 2010 1:25:45 PM Quote
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hello

I did work as a primary teacher- I had to give it up due to the ra.

I was probably the most difficult decision I have ever had to make. I struggled on, reduced my hours over time and in the end was doing just 2 days (in classroom which is 3.5days really of work because of the planning, meetings etc) and I was killing myself to do it.

My RA is severe and I was just so ill. I was wiped out all wk and then did it all again, my family were suffering and I was giving my best to my job and not them- this is not on, plus it put a lot of worry and pressure on the adult members of the family.

My ankles kept giving way and I fell a couple of times at school and had wks off. School were wonderfully supportive and were putting in equipment and widening doorways for my wheelchair but in the end I was not reliably well.

In teaching, it is one of those jobs where you have to be reliably well.

I couldn't just "give up" and had to, in my own mind do something else. So I did open university for a bit then I had a Baby.

here are the statistics on working and RA. I think a lot of people on the right treatment who can get a job that allows them to be flexible then they are able to carry on then its fine. For a lot of people, the right drug combination can make them well "enough" and with mild to moderate disease Im sure they are ok. but the statistics say that access to drugs, treatments as well as supportive and flexible work arent all that common a combination.

http://www.prnewswire.co.../news/release?id=197146

I have met some RAers with mild disease who have gone on at me about the lazy people who just dont get on with things and work. they then realise they are talking about people like me and say "oh obviously not in cases like you!"

Ha!

people still think it is a minor irritation and once you are on a good drug you are home and dry and actually it isnt like that for me. Or even when you are doing well, you are always aware that the RA never has quite left.

jenni x


how to be a velvet bulldoser
jenni_b
#6 Posted : Friday, February 19, 2010 1:27:32 PM Quote
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this is a good article explaining how time off patterns change after dx and treatment

http://www.arc.org.uk/ne...th=5&NameOfMonth=May
how to be a velvet bulldoser
jenni_b
#7 Posted : Friday, February 19, 2010 1:29:38 PM Quote
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Page 2 of this document says that 4 out of 10 people with RA stop working within 5 yrs.
1 in 7 give up within the 1st yr.

http://www.arc.org.uk/ar...20Arthritis%20Facts.pdf

jenni
how to be a velvet bulldoser
wood
#8 Posted : Friday, February 19, 2010 1:37:01 PM Quote
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HI, I was a care assistant when diagnosed some 13 years ago, I was told to find something else to work at, being honest it was hurting my hands, I then worked as a cashier in a supermarket but didn't enjoy it at all, the last job I had was as a shop assistant in a chemist, I really enjoyed but was told to cut my hours again, finally I gave up after being diagnosed for 6 years, I was very sad but was struggling, I have become accustomed to being at home but it is terrible when you have to give up love Kimxx
Jan
#9 Posted : Friday, February 19, 2010 2:11:51 PM Quote
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I was medically retired last year after anti TNF failed. My old employers were really good to me.
I am now doing voluntary work for the Youth Offending Team as and when I feel able to, long term I am hoping to be accepted to train as a magistrate if I feel up to it. It took me a long time to come to terms with giving up work, but just could not carry on.
Jan x
Caroline-B
#10 Posted : Friday, February 19, 2010 2:17:16 PM Quote
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I am one of the lucky ones - I was diagnosed 3 years ago now; but because it was diagnosed early I am still able to work fulltime - I am an office manager; I have an ergonomic keyboard & trackball (instead of mouse) and these work fine. Because I was trained to touch type I am still able to do this without using the mouse too much - I tend to use short cut keys instead on the keyboard.

If it has been a very busy week at work I do feel it by Friday evening (and usually require at least one glass of wine with my dinner!!)

My dad who also suffers - in the end took early retirement as he was finding it too difficult.

I know I am slowly getting worse so I envisage at somepoint saying to my boss that I want to reduce my hours.





Caroline
Tabbycat
#11 Posted : Friday, February 19, 2010 5:00:47 PM Quote
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I was dx aged 6 and had RA 10 years before starting work full time. I carried on working full time, save for a couple of years when I had babies and worked 2/3 days a week, for 22 years in a Solicitors' practice. I would have carried on working if someone hadn't driven into the back of my car necessitating neurosurgery to decompress and fuse my spine from C3-C6.

I don't feel any guilt for not working, I didn't ask for this disease and feel I worked for as long as I could. If I didn't have RA I would definitely still be working now. I could have claimed DLA years ago, but didn't until 2002.
Carol
BarbieGirl
#12 Posted : Saturday, February 20, 2010 6:39:28 PM Quote
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Hi, its so hard to do the right thing. If you dont work you are looked on as being lazy, if you do you are told you are crazy and asking for trouble. i met with a friend today, I worked with her for 8 years in a special needs school, working with children who have complex medical needs. She knows I could no longer do the job, as too much up and down on the floor, and physically moving the kids around. When I told her today anout the pred and how its helped me to keep going, she said oh well keep on with it then. I explained the problems, and she said well you need to work, as you will be bored and get depressed about being home etc. Its hard to explain to people what happens to our bodies. At the moment I am working full time, despite being told by my GP and the rheumy to give up. I also wonder if they say that so they dont have to give more drugs, as they may be thinking if you are not working and get more rest you dont need the meds, just my thoughts there!! I was only diagnosed in July 2009 and am still waiting for other results, so its all quite new. I do get very tired, and go to bed by 9.00pm the latest. It has to be the individuals decision, plus depending on your job. Its interesting to hear peoples views on continuing to work.
BARBARA
FIONA752
#13 Posted : Saturday, February 20, 2010 8:50:10 PM Quote
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Hi everone who has replied to my post about employment so far.
So thank you's to Maria, Anne, Barbara, Jenni, Barbara (Barbiegirl), Jan, Caroline and Carol!
I felt hesitant, at first, about posting it, because if 15 years ago I had realized how my own
experience of R.A would reduce my energy levels, cause endless months of nagging pains all
over my body (although my bizarre kind of "remission" as far as greatly reduced pain goes on),
then I would have felt even more afraid of my diagnosis than I already did!
As it was I just believed that "time" would heal me" and unfortunatley it did not.
Hydroxychloriquine kicked in for me after 6 months, greatly helping my pain, but certainly
not to the degree of being able to consider working.
I have found that being able to "pace myself" i.e doing practically nothing if I don't feel up
to it, has been the best thing in conjunction with scrupulously taking my Hydroxy twice daily.
I have never considered taking more medication and live in fear of my Rheumatology appointments,
because I know that if my X rays ever show bone erosions, my Rheumatologist has told me that he
would then want me to go on to stronger meds. He can hardly believe that I am still only on Hydroxy.
I understand that strong medication can improve people's lives, especially helping to slow or even
avoid bone destruction caused by R.A.
But I have always been the type of person who fears daily medication and the stronger the substance is, of
being damaged in other ways by it.
BUT being at home all the time is a weird way to live for someone like me.
I like to meet people and interact with them.
I don't even drive, so rely on Taxi's to get out on the few occasions that I do!
The isolation has been pretty hard to cope with over the years. (My kids are all grown up and left years ago.)
Than you for asking about my Spine, Barbara.
The saga of it continues, however, very slowly, over the past 4 months it has improved slightly although
I still need to take pain medication and have a cushion behind my back when I sit down.
I have been referred to Exeter Hospital to see a specialist but the wait is 9 - 11 weeks!
(Remembering that I hurt my back in september time! Why was I not referred earlier?
Because the Doctor thought that I had pulled a muscle - should of noticed that I do not frequent their
surgery much usually!)
Anyway there is not much use getting too angry about it now - maybe I should have gone straight to
A&E!
Much love to everone and please keep replying with your experiences and opinions about R.A and work.
FionaSmile



lizziemouse
#14 Posted : Sunday, February 21, 2010 10:59:51 AM Quote
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Hi Fiona,
As many of you may know i work full time and that it's not always been easy..... this may well become the understatement of the year......

I think we are all very often fighting other's lack of understanding, whether working or not working....

Voluntary work may be an option for some to investigate but this has to depend on different circumstances and what is right for you as an individual..
I know stress and worry seems to affect our conditions a lot, in a negative way. Feeling guilty just makes you feel stressed ~ don't do it!

....Me personally, I am experiencing disabilty related problems at work AGAIN but seemingly now with a slightly more personal slant..... possibly relating to the fact i highlighted significant disability related failings last year that had affected me and had potential to affect others.... Im not going to go into details but am now finding that work related stress is starting to affect my RA, - i will try NOT to let it and to continue to focus on my role responsibilities, i am a fighter.... but i do feel this year may be life changing for me - some things just cannot be changed.....

I am going to speak to my Open Uni careers advisor when the girls are back at school and maybe look at exploring voluntary and other options.....
Its not easy out there but I need to work for financial reasons. As my condition is mostly very well controlled I am one of the ones for who work is an option, but maybe need to look at different options where i am able to work AND feel well........ as there is a definite link between the two at the moment.... :(

Thanks Fiona, for the interesting topic and to others for all the links, I will come back and have a read of them all later,

I think Tabbycat's points about not feeling guilty are very wise words of wisdom! xxxxx

Is anyone else going to the NRAS workshops? I think they're all a bit far away, i can't make the London date but i think i will have another look at dates and venues..... Would be interesting to know if anyone else is thinking of attending?

jenni_b
#15 Posted : Sunday, February 21, 2010 11:43:09 AM Quote
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lizziemouse- I did OU when I stopped teaching- it was FANTASTIc.

they are flexible but their disability services are second to none, if you are retraining due to disability they can even pay the fees (i think this is means tested though) or if it is your first degree or first qualification at that level it is free fees (again means tested- but we get it even with Richards salarie as it goes on YOUR income alone)

My gran was so impressed she did a sociology degree at 78yrs old!

i got a free lap top, digital voice recorder, voice recognition software, printer, scanner and they ring bound all my bks to hold them. They gave me lifts to tutorials and paid a carer to help me with the residential wk in the summer

it is flexible, Im not doing any at the moment but i can go back to it at almost any time.

their courses are really interesting too! But lots of reading and a good 16hrs a wk.

jenni
x
how to be a velvet bulldoser
Wolf52
#16 Posted : Sunday, February 21, 2010 6:49:27 PM Quote
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Hi I feel fortunate that I am managing to remain in work. I am a recently appointed compliance manager at Tarmac and whilst part of the Legal Dept have had a vey understanding boss. I am now moving to Finance (Nina from Finance doesn't have quite the same ring as Nina from Legal!) and do worry that new management will not be quite so understanding. New role is quite demanding and I am working late each evening in an effort to catch up and keep up - this not been helped by the fact that I have been off work this week due to half term and lack of childcare and support from family. I also only do 4 days a week and new management were oh we didn't know that, will have to review going forwardSad !

I am hoping that once approved for anti tnf, this will make a huge difference to me and I can regain control of my life.

My old boss has said to me in the past, "I forget that you're not well". Its only when I turn up with a walking stick (which only use when really bad) that folk realise I have health problems. Personally I blame the steroidsBigGrin !!!!!

No one has the right to judge someone else - we all cope as best we can.

Nina xx
joeyvt
#17 Posted : Sunday, February 21, 2010 7:51:06 PM Quote
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After five years of RA, I decided to give up work last September. There was absolutely no way I could carry on working any more. I'm on my own with two children (I have someone in my life but we live apart) and I felt I was close to having a breakdown. I've started seeing such a big improvement in my everyday life and I feel I can function as a human being again. I've been classed as "limited capability to work" so I suspect I'll have to go back to work in the future but for now, it's the best thing I ever did!

I second some of the other comments about the OU. I started a Geology degree some years back but had to stop because I was just too tired with the RA but even then, got soooo much support from them. I've started up again with a very short three month course and can't speak too highly of the organisation.

Joanna
RedDog
#18 Posted : Sunday, February 21, 2010 10:05:01 PM Quote
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I was medically discharged from my job back in 1992. I was given an ill health pension and assessed as being completely unable to do any other type of work at all by my employer and so also given a 100% injury award. The RA and Type 1 Diabetes were caused by an injury at work according to CICB and DHSS.
Although at the moment I am a lot better, as regards pain and inflammation, my range of movement in my ankles, knees neck and shoulders has deteriorated. I am definitely at my best around mid afternoon. I find that anything I do, outside of my carefully planned day, leaves me completely drained. That even includes any stressful situations that we all have to deal with!!
If I was forced to return to work I know that I would rapidly go downhill again and end up looking and feeling like a corpse. I also know that if I had to experience the pain and agony that I had, during the first five years of the onset of the disease, then a corpse is what I'd sooner be! Sad
A friend is someone who knows all about you but loves you anyway!
Maria_R
#19 Posted : Sunday, February 21, 2010 11:18:07 PM Quote
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Lizzie- so much of what you said rings a bell with me. I'm finding that work stress- largely due to lack of understaning and unpleasantness fro mcolleagues (and family stress which I won't go on about ) has had a very serious impact on my RA in the past few months. I think I may have to start looking at other options, as I can't see things improving much at work.Unfortunately, being over 50 I feel my options might be limited. Theoreticaly, because the RA has been well controlled, then I should be able to work. But as we all know, the reality can be very different. I guess with me much of it is a feeling of insecurity, a resistance to change and still being in denial about having RA.

Joanna- it was so encouraging to read that you have started to see a big improvement in your life and that giving up was the best thing you ever did for now. I shld tart thinking about my quality of life.
lizziemouse
#20 Posted : Monday, February 22, 2010 10:12:59 AM Quote
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it is the stress, but sometimes enough is enough but so frustrating when its actually not the job but the associated stress, i LOVE my job.....

......just wondering now, i wonder who ARE the very BEST employers.......?

With the very best policies, not just on paper but ones hat are actively used.........?

hmmm, wonder if any vacancies at access to work, they MUST follow the right rules.......
or one of the equality charities.....

Or NRAS.....? ;) bit far away tho' i would have to work from home.....

maybe i will have a search later.......

Thanks Jenni
Im doing Open Uni, slowly aiming for a degree but i will ring them for some more careers advice when not quite so sleepy :)

..but i really really must try to get some sleep soon - night duty last night but SO unable to sleep, after the scariest drive home ever! VERY icy and for a moment i almost thought i was going the same way as the british bob sleigh team..... Scared
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