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Sara-R
#1 Posted : Thursday, April 07, 2011 10:31:03 AM Quote
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Joined: 11/20/2010
Posts: 244
Location: Cornwall
Hi all,
Just need to get this all out somewhere, I know there's nothing anybody can say or do but I need a place to rant on a bit. So, completely unable to do anything yesterday, not even eat. Not much better today but managed to get something down to accompany the drugs otherwise I know I'll be even worse.
So I've overdone it again this last week and I am so frustrated and angry with myself. I feel completely useless and fed up. I'm not even doing a quarter of what I used to and now it seems that's still too much, what am I supposed to do sit in a chair take up knitting (if I could) and wait for the inevitable?! Waking up at 5.30 every morning in agony and unable to move, everything hurts, I keep dropping stuff, tripping and stumbling all over the place, my garden is a mess, my business is going down the pan, the list goes on.
We're going up country tomorrow for my mother-in-law's 80th birthday celebration, she's much fitter and mobile than I am! I'm dreading it, the 3.5 hour journey, the 'how are you's', the running from one relative to another to fit them all in (both our families live in the same town) and generally putting a brave face on it all and being jolly.
So anybody got any good jokes?
Sara
x
Eve_V
#2 Posted : Thursday, April 07, 2011 11:39:17 AM Quote
Rank: Advanced Member

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Joined: 10/21/2010
Posts: 178
Location: aberdeen
a good old rant is good for you and thank goodness we have this place where we can let the mask drop. I am still puzzled by pacing, what is too much - unfortunately we only seem to find out afterwards that we have done too much. But doing is part of living and it's what we did before diagnosis and it is so difficult to adjust and get the balance right; we have prescriptions for our medication but not for this part of our treatment. Sorry I don't have any jokes but am thinking of catchphrases to toss about in company: " Rheumatoid Arthritis - more than just a pain in the neck" (courtesy of my husband - or arse - my version) for starters. Hope the weekend goes well and you get some respite from the pain.
.....eve xx
LynW
#3 Posted : Thursday, April 07, 2011 12:05:25 PM Quote
Rank: Advanced Member

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Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
Oh Sara, I so feel for you :( Sad days would be an understatement! I know where you are coming from, even after 23 years I still have periods like this, although not too often I have to say. I too have felt cruddy lately and it's so hard to get motivated when you just want to flop and do zilch.

I think first off your journey tomorrow. I can't travel for more than half hour an hour or so by car I just get too stiff and sore; I imagine it will be similar for you. Option 1, go by car but have very frequent (like 30/40 mins) stops of 15 minutes so you can get out and walk around. Make sure your seat is comfortable too! Alternatively, send OH in car and you get the train. I know it sounds daft and adds to the expensive but at least you can stretch your limbs so much more. Only snag is you may not be able to reserve seats at this late stage so you would be taking a chance. You can't do much about relly visiting, it's a needs must situation BUT once you've done it you can relax in the knowledge you won't have to do it again for a while! Job done (make it sound awful don't I?!) ThumpUp

"What am I supposed to do sit in a chair take up knitting?" Hmmm ... methinks ... yes! If it makes you sit and stop doing other stuff for a while!! Somehow I don't think that's going to work, is it? Make a list, which you can update daily, of all the 'jobs/tasks' that need doing, from gardening (break it down into more manageable bits like clean pots, weed small area, mow side lawn etc) to buying Uncle John's birthday card. Each day look at the list and decide what you feel is reasonable for that day depending how you feel (you can always do a few extra bits if you are okay), perhaps one big thing like the weekly shop (where you can pick up that birthday card!) and a couple of small things like remove the dust from the lounge window sill, write six Easter cards or whatever. Cross the stuff off the list as you go on and add things as necessary. Tell yourself you are only spending say from 10am -noon on tasks and stick to it. Although the list can look quite daunting at times it really gives you a boost to be able to cross things off. You are achieving something however small and you will hopefully see the positive side and learn to pace yourself.

Food ... get some things like packet soups with croutons, tubs of rice pudding, jelly, tinned fruit. Keep them for days when you really don't want to eat but know you must. So easy to boil a kettle and have a cup of soup (and a choccie biccie,but not together of course!)

Pain, I think you need to get the pain killers sorted because you shouldn't be suffering like this. Your GP should be able to organise this for you and there is so much available. You need some for day time use (non drowsy) and something that will work through the night. I often wake up early due to pain and have to stretch and mobilise the offending joints, not sure that is avoidable really as it probably means you have slept well up to that point but in so dong have become stiff.

Hope the journey and the visits go well and you are not in too much discomfort. Each hour spent is one hour less to do ThumpUp and then that's it for a while. Next week you deserve a rest Smile

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Sheila-R
#4 Posted : Thursday, April 07, 2011 12:28:48 PM Quote
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Joined: 1/29/2010
Posts: 264

Hi Sara, sorry to hear things are so rough.
A few weeks ago I was also really struggling and moaning about not being able to getin the shower or wash myself and my sister sent me this. Think its quite old and you've probably seen it, but it made me laugh.

http://photobucket.com/i...ell+if+your+feet+stink/

No sure if I've posted the link correctly.
Any chance of wrapping yourself in a duvet surrounded by pillows and curling up on the back seat for the journey? I've done it once, and yes I know its better to move about , but needs must and all that.
Hope the weekend is better than you anticipate.
Love
Sheila

chockers
#5 Posted : Thursday, April 07, 2011 12:34:47 PM Quote
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Joined: 12/3/2009
Posts: 1,035
Location: in a house
my O.T got me out of all that

by giving me a rotine and hand excises and showing me how to get in and out of bed chairs how to rest out .

showing me how to use pans to cook knifes etc making beds .

she is wonderfull and suffers her self with p.a and knows what i am talking about .

Try an O.T and also she gave me spints

Christine
The chocolate eating housewife ...The washer woman .....naughty lady
suzanne_p
#6 Posted : Thursday, April 07, 2011 3:13:59 PM Quote
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Joined: 8/25/2010
Posts: 1,289
Location: Buckinghamshire
hi Sara,

sorry to hear you're struggling .. i had a really bad day yesterday and felt like throwing in the towel, although not quite sure where that would have got me !!

i feel brighter today and managed a busy morning plus a trip to the Hairdressers which always give you a boost.

i'm away next week, going on a little 4 night Break with Hubby, but fortunately the Hotel is about an hour and half away it's one i know well but i am still feeling slightly anxious as my knee's aren't good and i hate feeling confined, i have to let my Husband go for a swim etc. and i used to love pottering around the pretty grounds, getting to the Lounge for a cuppa and a natter with fellow Guests. etc. unfortunately i need a wheelchair for any distance now. i have booked a room on the ground floor near to the facilities so hoping i can retain some independance.

i agree with Lyn, you're going to have to have lots of stops it will be worth it to get to the other end so that you can still move.

hopefully once you're there you can just say this is all i can manage and choose who to visit etc.

wishing you a good weekend try and make the most of it,

Suzanne x
jenni_b
#7 Posted : Thursday, April 07, 2011 5:20:27 PM Quote
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Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
I would suggest you get an appt to see an Occupational Therapist and get them to talk to you about energy conservation.

I have found a good system that helps me balance life more. The idea is that you dont push yourself to the limit every day- you hold some back and so not totally wiped out a lot of the time.

It is called the traffic lights system.

I wrote it first for "lady golfer" Val when she hurt her foot and was shattered.

"One thing that has helped me- I bought a weekly planner diary from smiths and I plan in the traffic lights system.

a red activity for me is- putting out the washing, taking the children out somewhere, chasing Bernice, making some stressful phone calls to the gas company.cooking tea.

an amber light activity is- working on the computer, planning the calendar, making a shopping list (checking cupboards)eating lunch, going through the childrens school bags.

a green light activity is- chatting to a friend, reading me book, listening to music, enjoying a DVD, emailing a friend.

For a week i wrote a little note of what i did when, then I colour coded it. This way I became more aware of spacing out my reds with 2 greens, an amber with one green and trying to have no more than 2 reds in a day.

this made booking appts easier in the end because i could see at a glance I already have 2 reds on weds so thurs would be better....

Worth a try? Also, it is good to look back and really track why I am having a really tough day as it is often related to how much I have been doing- not always but it is nice to feel a little in control!

Remember that stressful things count as REDs. they increase RA by 10% for each one (according to my rheumatologist)

Another thing is to try and stop the pain building so much- the peaks and troughs are a struggle to live through and can be addressed by taking long acting morphine (zomorph) when things are bad and taking co-codamol or similar as often as you are allowed to.

much love- know how tough it all is.

Jenni xx
how to be a velvet bulldoser
jeanb
#8 Posted : Thursday, April 07, 2011 6:51:04 PM Quote
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Joined: 12/3/2009
Posts: 3,006
Location: Timperley
Hi Sara and sorry you are having such a bad time.

I think Lyn and Jenni have said it all - except maybe if things don't improve very quickly once you have stronger pain relief, ask for an urgent hospital appointment.

I think rest is one of the most important things we need at times like this and, although it isn't always possible, take as much time as you can just sitting and reading or watching telly (RollEyes). I always find that pushing yourself when in this level of pain can do more harm than good.

Hope you soon feel better and that the weekend is much more enjoyable than you can imagine.

Love Jeanxxxx
Rose-B
#9 Posted : Thursday, April 07, 2011 10:26:14 PM Quote
Rank: Advanced Member


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Joined: 4/20/2010
Posts: 1,749
Location: Somerset

Hi Sara.

Sorry to hear that you soo cheesed off. It is so frustrating when you set out to do bits
and pieces and then you suffer big time for doing sometimes the simpliest of tasks.
I had a bad day yesterday and cried a lot feeling very sorry for myself. Sun and warmth
today has brightened my day so feel better about the world today even though like you
STILL sufferring.

Lynn and Jean and others comments as always brilliant - so cannot add any more

Chin up

Rose
Lorna-A
#10 Posted : Friday, April 08, 2011 12:36:47 AM Quote
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Joined: 3/8/2010
Posts: 914

Hi Sara,

So sad to read you are suffering, it is awful feeling like this but you really need to chat to your doctor or rhummy team for better pain relief. Lyn and Jennies advice is always good. But when you are in a bad place it is really hard to look forward. I do hope you feel better very soon.

Take care Lorna x Smile
dorat
#11 Posted : Friday, April 08, 2011 10:55:27 AM Quote
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Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Sara,

Sorry to hear you are suffering so much. I can well understand the frustration over suffering for doing "too much"". In the past it probably wouldn't have been too much at all!
Hope the weekend goes well for you and you cope with the journey. Have plenty of stops to stretch your legs and get a cuppa.

Love, Doreen xx
sheila_G
#12 Posted : Friday, April 08, 2011 9:12:28 PM Quote
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Joined: 3/28/2011
Posts: 956
Location: North Preston
Hi Sara

Sorry you are having a bad time and feeling down. I had a couple of months like that before Christmas and I really couldn't see an end to it but I am much better now and you will be too. Just try and stay positive and take the painkillers. We all think we will try and manage without them but we can't. I think we are our own worst enemies sometimes. We get a good day and think we can run a marathon then this evil disease lets us know we can't (and some.)

What fantastic advice from Jenny using the traffic light system. I am certainly going to try it. I hope you do too. Isn't it wonderful to be able to let off steam and know that everyone you are talking too understands.

I do hope you are feeling better soon.

Sheila G x
ceri44
#13 Posted : Saturday, April 09, 2011 11:29:23 AM Quote
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Joined: 9/5/2010
Posts: 364
Location: mid glamorgan
Hi Sara
Just to say I hope everything went ok yesterday and your not suffering too much now.. I know exactly how your feeling Im rubbish at the pacing yourself thing too, and constantly regretting doing things that I never even used to think about. I feel as though im able to do less and less and I hate it.
Anyway hope you had a good day and it wasnt too much of an ordeal, thinking of you Love Ceri xx
Sara-R
#14 Posted : Thursday, April 14, 2011 5:31:08 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 11/20/2010
Posts: 244
Location: Cornwall
Hi all,

As always brilliant support and advice, thanks. Feeling better this week and survived the weekend OK. I've made an appointment to see my GP about some better pain relief for bad days and am going to give the traffic light system a go to get some idea of where I'm going wrong, I have my suspicions but its good to have a structure to try to work it out. Thanks Lyn and Jenni, what would us newbies do without you?

I've also spent the last couple of days mulling over the plans for this weekend and yes you've guessed it there's far too much planned, what am I like?! Total numpty, so cut the weekend in half, let loads of people down which I hate doing but I really don't want to end up in that place again so quickly. I am just rubbish at doing nothing, I think I've got it cracked and then I'm a fool unto myself. Must really get more interested in Countdown! Must dash Eggheads is on soon, am I learning at last???

Sara
x
Sara-R
#15 Posted : Monday, April 25, 2011 5:51:47 PM Quote
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Joined: 11/20/2010
Posts: 244
Location: Cornwall
Quick update for anybody who's interested. So my GP is on a sabatical so had to see somebody else. He asked me what I was taking for the pain etc and replied 8 paracetamol pretty religiously and 150mg diclofenac a day but only when required. So he promptly refused to give me any further pain relief until I was taking all of these all the time.

I tried to have a bit of an argument about all my inflammation markers being down so perhaps the pain wasn't down to inflammation but more to do with the joint damage and not liking to take too much of the diclofenac because it makes me feel sick and shouldn't I really be reducing it anyway if the MTX is doing its job but hey I'm just the patient. According to him though you have to take themn for 7-10 days before they're really doing the job, seems a bit of a nonsense if you ask me, I've noticed vast reductions in swelling and inflammation after a couple of days.

So been taking the 150mg now for 5 days and boy do I feel sick, even the omeprazole, a packet of ginger biscuits with buckets of mint and chamomile tea won't do the trick, so I suppose I'll just have to go back. I think my GP is back now so I may get some more sense out of him. And after a hectic weekend, too many late nights and too much enjoying myself I resemble a pile of floppy, whining goo today. Still not learning!

Sara
x
Rose-B
#16 Posted : Monday, April 25, 2011 7:06:23 PM Quote
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Joined: 4/20/2010
Posts: 1,749
Location: Somerset

Hello Sara

Oh poor you. I must admit that I had that advice years ago when I started
diclofenic (I am not on them now I am on celecoxib) that you had to have
them in your system to ensure good releif. The sickness is awful though I have
had that . I take Lansopril for that

Good luck Sara




Sheila-R
#17 Posted : Monday, April 25, 2011 10:20:56 PM Quote
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Posts: 264
Hi Sara,
If its any consolation I had a horrible flare from middle of Feb right through till a oouple of weeks ago (either that or the RA just got out of control again) and for 6 of those weeks took the 150mg of Diclofenac and the 8 paracetamol religously, the Diclofenac only makes me feel slightly sick but gives me awful diarhoea even with a good dose of omeprazole. I can't take co codamol, In the end the only thing that helped was a couple of steroid injections into the joint, plus upping the oral steroids to 15mg a day. So much for the full dose of Diclofenac, Like you I'm not convinced Diclofenac is the answer. Go back to the GP and shout again.
Hope you feel better soon.
Best wishes
Sheila
Eve_V
#18 Posted : Tuesday, April 26, 2011 7:50:22 AM Quote
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Joined: 10/21/2010
Posts: 178
Location: aberdeen
hello sara
being a fellow patient I can see your point absolutely regarding diclofenac. I understood that if the mtx was working then diclofenac should be able to be reduced - no disease activity means no inflammation. I asked my consultant that if the mtx is working then why would you even get flares and he said it was because nothing was perfect. I was told that I had both rheumatoid and osteoarthritis and I would love to have my joints scanned so I could know what is where. I would also like to be able to press my own squashy knobbly bits and be able to tell whether I was sore from damage or inflammation. I really don't like taking more drugs than necessary and I believe I was told that the mtx and diclofenac combination should not continue longer than necessary - I was on both for five months and like you they made me feel sick, and have an upset tummy like sheila. As it is only the dmards that deal with the disease does anybody know whether there is a problem with further damage if not taking anti-inflammatories if you have just slight inflammation - or it is just a matter of pain control? And also totally sympathise with the inability to stand up for what you want to say when you get to the GP, probably because you feel so rubbish anyway and that's why you went. One thing this disease has taught me (and I am not suggesting that others should) and that is more about living in the present, if I feel up to it I don't put things off, and that includes late nights and having fun - though I guess when you've jumped a few red lights you are going to be pulled over!
.....eve xxx
dorat
#19 Posted : Tuesday, April 26, 2011 10:58:21 AM Quote
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Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
In answer to your question Eve, I can not take anti-inflammatories at all because I am allergic to them, and I don't think I have any more joint damage than if I had been taking them.
I think there are a few people on here who can't take the NSAIDs. As far as I know, they are for pain control, not to prevent joint damage.
Diclofenac is notorious for causing upset stomachs Sarah and you should ask your GP to prescribe a different NSAID if they are upsetting you. Hope you feel better soon.

Doreen xx
smith-j
#20 Posted : Tuesday, April 26, 2011 4:09:52 PM Quote
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Posts: 714
Sarah

My GP stopped prescribing Diclofenac several years ago as he did not like the side effects it was giving people. I have been on Naproxen which is also an anti-inflammatory for over two years. I do not have any side effects with this and it definitely does the trick. I also take Lanaprazole as a stomach protector. If I miss a dose of the Naproxen then I know about it. I am also on 17.5mgs of Methotrexate.

I also existed on 8 paracetemol for the pain up to the point of having my knee replacement. It only slightly took the edge off the pain but I could not work full time and take anything else. However, I was given so much morphine in hospital that I can now quite happily take Tramadol without having any side effects of dizzyness or sickness and this works so much better for the pain

I would definitely ask your GP if they can prescribe another anti-inflammatory.

Jackie
xx
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