Guest guest Posted February 29, 2004 Report Share Posted February 29, 2004 Practical tips for living with lupus. Dealing with your doctor You'll often find that you have things you want to ask the doctor, but when you get there you forget. Make a list of symptoms that you are having & of any questions you want to ask the doctor before you go, & take this list with you. If you don't understand anything the doctor says, or you want something explained, don't be afraid to ask. If you really don't want to ask the doctor, sneak to the nurse afterwards. If you have a GP that doesn't understand lupus, try to educate him/her by giving him/her literature on SLE. If you find that you aren't getting anywhere with your GP (or specialist), & feel that it's a constant battle to get the treatment you are entitled to, change to another doctor. If the problem is with your GP- is there another doctor in the practice you can see? You don't have to always see the GP you're registered with at that practice. If you still have no luck, change to another surgery. (UK) To do this just go along to the surgery of your choice & tell the receptionist that you want to transfer there. (You can find out the name of a sympathetic doctor in your area by speaking to someone locally who has lupus-find them at a local support group meeting or get in touch with your local contact.) If you have trouble finding a doctor who has room on their list, contact your local Family Health Services Authority, who will have a list of all GPs in your area who have room on their lists. If the problem is with your specialist- contact Lupus UK, who may be able to recommend a lupus specialist in your area. You may have to travel further afield to find a good lupus specialist though. Explain to your GP about the problems you are having & ask if you can transfer to another specialist. Managing pain Try using a TENs machine. These work by blocking the pain signals sent to the brain, & are completely safe, but don't always work for everybody. Ask your doctor if he/she knows of anywhere in your area that you can hire one from to see if it works, before buying one. Rest! Even if you can't sleep, just lying down & resting can help to ease the pain. Learn a relaxation technique, or get a relaxation tape to play. Use heat or cold treatments. Heat is soothing & helps promote muscle relaxation - try a hot water bottle or heat pack. Cold has a numbing effect - try a bag of ice wrapped in a towel (guard against frostbite or burns, especially if there are circulatory problems). Sun & UV light Many lupus patients experience problems after they have been exposed to sunlight, or UV light (from fluorescent lights, halogen lights, computer monitors). Wear a high factor sunscreen (SPF 15+) whenever you are outside, even if it is cloudy-the UV rays penetrate the clouds. Lupus patients can get sunscreen on prescription (UK), just ask your doctor (Uvistat Ultrablock is one of the best). Wear long sleeved clothing & a hat when out in the sun, the most protective clothing is made from fabrics that have a close weave. If you have problems when using a monitor, buy a UV filter screen, & also wear sunscreen. Casings & filters can be bought to cover UV lighting. Avoid the sun when it's at it's strongest - 10am-3pm. Ultraviolet rays reflected from snow, water, sand, glass & cement are more intense. Help with sleeping problems Many lupus patients have difficulty getting to sleep & staying asleep. This can be due to a number of things - steroids can make a person 'hyper' & unable to sleep; pain can keep you awake; many lupus patients also have fibromyalgia, which can cause sleep disturbance. Take a long relaxing bath (not too hot) before bedtime, preferably with essential oils such as lavender in the water. Have a warm milky drink before bedtime. Eat a banana - this contains substances which can help induce sleep. Don't eat a heavy meal before bedtime. Put a few drops of a relaxing essential oil, such as lavender, on your pillow. Other tips Find out what benefits you are entitled to, even if you're working you may be able to get something. Read the benefits article. Avoid alcohol! Alcohol can interact with anti-inflammatory drugs & steroids to cause significant gastrointestinal problems such as peptic ulcer or gastritis. It can also interact with sedatives & narcotic painkillers to amplify their effects. Don't smoke! Tobacco has negative effects on the cardiovascular system, lung & stomach. Lupus patients are particularly prone to vascular problems such as Raynaud's phenomena, which tobacco can greatly exacerbate. Medication induced stomach problems are also significantly worsened by tobacco use. Avoid loneliness. Many people with lupus feel isolated & alone, due to the nature of the illness - they can't go out because of the pain & fatigue. Yet meeting other lupus sufferers can help immensely, just being able to talk to someone who knows what you are going through. Join your local lupus support group, you don't have to go to every meeting, & you may meet someone who lives nearby, who you can meet up with away from the group. Much Love, Deanna LUPUS Serenity Prayer... Lord, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to hide the bodies of doctors I shot when they said, You're perfectly healthy, it's all in your head " Quote Link to comment Share on other sites More sharing options...
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