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I found that going to the chiropractor for moist heat deep massage works

much better than a TENS unit. I have them put it up to the maximum pain I

can stand and after a few minutes it feels like Heaven. It's effects seem

to last me several days. A lot of insurances are now starting to cover

chiropractors. Give it a try, it's very liver friendly.

Debbie (Tommy's Mom)

> [Original Message]

> From: <echoes_in_eternity@...>

> < >

> Date: 8/31/01 5:29:18 PM

> Subject: [ ] Re: fatigue

>

> Hello Salem,

>

> I have terrible pain as well. More in my joints. In my knees,

> back,

> wrists, ankles, elbows...you name it, it hurts. I can't really take

>

> any pain medication as my liver can't handle it so I have to make do

>

> with a TENS machine but it only works so much and you can imagine

> how

> long I need to use it for when I use it on all my joints! Its

> gotten

> so bad my parents have had to put banisters in and a bathrail and

> bathchair in the bathroom. I'm like a crippled old woman and I'm

> only 18! You're right though, its terribly frustrating. AIH is

> just

> not fun at all and my doctor said I was " lucky " that it was AIH!

> Ha! :)

>

> Take care.

> Lynne Clacher.

> http://www.angelfire.com/rnb/aih - AIH Support

>

>

>

>

> > I have the same problem, can't sleep at night. I fall asleep,

> then

> wake up

> > every 2 hrs or so. Then it is hard to get up in the morning to do

>

> anything.

> > I take alot of Vitamins, directics, and lactulose. I get very

> weak

> in the

> > afternoon and very tired. My legs bother me at night and I

> sometimes itch

> > for no apparent reason. I have also noticed since I was diagnosed

> with

> > cirhosis, that my eyes get very tired, red and dry. I wear

> contacts. I

> > can't sit too long or bend down lately, because my back and legs

> and feet

> > hurt. My doctor had said I have little muscle in the palms of my

> hands and

> > feet.. I need to work, which I haven't since diagnosed, but don't

>

> know if I

> > can make it thru even 5 hrs. a day. It really is very

> frustrating,

> I can't

> > do alot of things I used to, especially anything like exercise.

> Anyone with

> > similar effects?

>

>

>

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COPD (Chronic Obstructive Pulmonary Disease) also called COLD (Chronic

Obstructive Lung Disease).

It is a persistent obstruction of the bronchial air flow. Asthma, chronic

bronchitis and chronic pulmonary emphysema are the diseases usually

associated with it. However other lung diseases may result in this condition.

Straight from my medical dictionary hope it helps.

Lori ('s Mom)

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Hi Lori,

You dictionary is correct. I have COPD as well as a liver condition. Never

quite sure which is causing the fatigue!

Shireen

>From: Lorcan4@...

>Reply-

>

>Subject: Re: [ ] Re: fatigue

>Date: Tue, 11 Sep 2001 09:20:38 EDT

>

>COPD (Chronic Obstructive Pulmonary Disease) also called COLD (Chronic

>Obstructive Lung Disease).

>

>It is a persistent obstruction of the bronchial air flow. Asthma, chronic

>bronchitis and chronic pulmonary emphysema are the diseases usually

>associated with it. However other lung diseases may result in this

>condition.

>

>Straight from my medical dictionary hope it helps.

>

>Lori ('s Mom)

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

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hello Patty,

i just read your post and i have the same problem with fatigue. Mine has not gotten any better in 2 yrs. and I can't seem to find out from my doctor if there is anything that might help.just wondering if any doctors have told you about any meds or vitamins or herbs that may help.

Greg

Houston, TX

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Hi Carl,

I have wondered that same thing. I cant beleive how much we can

change from one day to the next health wise. I also go through that

and my levels are good and have been good for at least 6 months now.

I wish the Dr. would understand my fatigue. Half the time I should

blame him for making me feel like a hypocondriac (spelling) I didnt

even know that what I was feeling was what everyone else with AIH was

feeling until I joined this group. Thanks.

Patty

AIH 98

AK

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In a message dated 11/8/01 11:21:06 PM Pacific Standard Time, MadderGlo@... writes:

Hello Everyone:

Tell me when you tell your doctor that you feel very fatigued does he or she look at you like you are crazy and tell you it is not due to the liver disease it must be due to something else? I know there are times that I can hardly move and I have found out that I must listen to what my body tells me now.

Gloria

AIH 9/01

Oh, yeah.

Harper

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Hello Everyone:

Tell me when you tell your doctor that you feel very fatigued does he or she

look at you like you are crazy and tell you it is not due to the liver

disease it must be due to something else? I know there are times that I can

hardly move and I have found out that I must listen to what my body tells me

now.

Gloria

AIH 9/01

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

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Larry,

The issue of dealing with fatigue is a troublesome one. There are

no easy answers, but I'll try a few suggestions.

1. Schedule your day to accomodate your fatigue. Are you aware of

your own body's daily cycle? I understand that the fatigue is

there all the time, but at what times of the day is it harder for

you to cope with the overwhelming kind of fatigue that stops you

dead in your tracks?

If you are aware that, let's say, everyday at 1 PM you " crash " you

may be able to schedule your lunch hour and take a nap in your car,

your office, or sitting in a back booth in a restaurant with a cool

drink and a serving of fruit so it looks like you're just taking a

long lunch. If you have an office where you can close the door,

lay down, on the floor if you have to, elevate your feet and legs,

and take 40 winks. Set a clock so you won't oversleep and be

discovered by a co-worker. Hang a sign that says you're out, and

turn off the phone.

When teaching school the last two hours were the toughest for me.

My body wanted to shut down around 1 PM, but school wasn't out

until after 3 PM. Then, providing there were no teachers'

meetings, I'd go home and go to bed for a couple of hours before

fixing dinner for my children. It wasn't the best thing I could do

for my kids, but it did allow me to function in the evening,

especially when our youngest was an infant and a toddler.

I finally had to give up teaching some eight years ago because I

couldn't control the fatigue attacks, or stand as much as was

necessary, let alone walk those long corridors with Achilles

tendonitis, and plantar fascitis, plus the inevitably swollen left

knee after a few hours on my feet. I tried to substitute teach for

several years, but the same problems finally caused me to end that

endeavor also.

2. If you can't take a rest, get a cool refreshing fruit smoothie

or similar drink and relax while you drink it. " Power bars " or

Coffee work for some folks to raise your level of ability in

dealing with the fog, but I seldom used them after morning hours.

3. Chronic pain can cause sleep disturbances that will result in

chronic fatigue. Be sure you discuss sleep problems with your

doctors. You must get enough Delta or Stage 4 sleep in order to be

alert and avoid fatigue the next day. Chronic pain patients seldom

get enough deep sleep without some kind of sleeping aid. Small

amounts of an antidepressant like Trazodone 25 to 50 mg will

sustain deep sleep after you get to sleep. Of course, the

medication you try will have side-effects, so you may have to

experiment with a few to find one that works. Elavil left me with

a humdinger of a hangover, so I had to move on to other meds. A

sleep inducer like Ambien or Soma may be needed if you have

difficulty getting to sleep. You may need to undergo a sleep study

in a sleep lab at a hospital to pinpoint those treatments that

would best work for you. Some people have found 25 to 50 mg of

Benadryl, an antihistamine available at most pharmacies over the

counter, actually on the shelf with the cold remedies, can help,

but it does have side effects like dry mouth and can leave many

with a hangover. It's worth a try.

3. Depending upon your employment situation see if you can adjust

your work schedule. Start earlier in the day, or later, depending,

again upon your own body rhythms.

4. Take advantage of any situation where you can rest, even if it

is just sitting with your feet propped up while you read files or

work on the computer.

Ray

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Moderator's note: The content of a previous message was removed.

Re: Fatigue

For stamina, try Noni juice, at least 2 ounces a day, preferably

4 - 2ounces in morning on empty stomach, 2 ounces at night on empty

stomach. after 2 months of that, you can try 3 ounces a day for a

montrh, then 2 ounces a day for a month, then one or 2 ounces a day

for as long as you see fit, as a maitenance does. Books on Noni by

Dr. Neil are reportedly very good. Noni is expensive, but

helped me when I could afford it, at 2 ounces a day. 4 ounces would

have been better.

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Hi Amy - I've had medical insurance for years but my insurance co will no

longer give me travel insurance since dx AIH. I dont think its the condition

so much, they didnt like the cocktail of meds I was taking especially

prednisone.

Jan

[ ] Fatigue

> I have been hearing about fatigue from everyone. I have been

> experiencing it for over a year now. I found out last year -

> actually about Dec. 28th last year- that my enzymes were elevated.

> I just found out about 4 weeks ago of my diagnosis. I am(well was)

> a traveling nurse and have been working full time traveling around

> the country working in hospitals and I felt tired but still worked

> full time. Now that I found out my diagnosis and had my liver

> biopsy all of a sudden I am exhausted all the time. I keep

> saying " it is all in my head, you did fine throughout the year, so

> why now are you so tired. " I wish I new but some days it is just

> hard to get around.

>

> I had to quit my job as a travel nurse and now moved back into my

> parents home to get a job and back on my feet again so that I can be

> followed by a doctor instead of going from one to the other. I am

> wondering, has anyone had a lot of problems getting coverage from

> insurance providers with this AIH due to a pre-existing condition?

>

> Amy

>

>

>

>

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>

> From: " amyrn762001 <amyrn76@...> " <amyrn76@...>

> Date: Thu 19/Dec/2002 02:31 GMT

>

> Subject: [ ] Fatigue

>

> I have been hearing about fatigue from everyone. I have been

> experiencing it for over a year now. I found out last year -

> actually about Dec. 28th last year- that my enzymes were elevated.

> I just found out about 4 weeks ago of my diagnosis. I am(well was)

> a traveling nurse and have been working full time traveling around

> the country working in hospitals and I felt tired but still worked

> full time. Now that I found out my diagnosis and had my liver

> biopsy all of a sudden I am exhausted all the time. I keep

> saying " it is all in my head, you did fine throughout the year, so

> why now are you so tired. " I wish I new but some days it is just

> hard to get around.

>

> I had to quit my job as a travel nurse and now moved back into my

> parents home to get a job and back on my feet again so that I can be

> followed by a doctor instead of going from one to the other. I am

> wondering, has anyone had a lot of problems getting coverage from

> insurance providers with this AIH due to a pre-existing condition?

>

> Amy

>

>

>

>

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Dealing with the fatigue is one of the things I find the most difficult with both AIH and lupus. My family is absolutely wonderful, as are most of my friends. However, I have one friend that just doesn't seem to get it.

I do love this friend. We have been friends for 30 years, since we were 12 years old, so she and her family are like family to me and my family. She often takes it personally when I don't feel like doing things with her. We had a falling out on New Year's Day and she ended up telling me that there was nothing wrong with me, that I used my health to manipulate people, that I really didn't need to go on a disability retirement, that the truth was that I just didn't want to work on a job anymore and that I should just be willing to admit the truth and quit trying to act like I was sick all the time.

The thing that kicked off her outburst toward me was that on new year's eve day I had gone with my stepdad to his pre-op appt with the surgeon that was going to do his weight loss surgery. My mom was in the hospital because she had just had a shoulder replacement done on Dec 30th, so obviously she couldn't go with my stepdad. My stepdad didn't ask me to go, but I knew he was very apprehensive and I felt that having me to talk to on the drive (100 miles) to and from the appt would help ease his anxiety. He and my mom have done so much for me since I've been sick. They have often dropped everything to take me to the doc or hospital when I've been unable to drive myself. My husband only gets 10 vacation days and 2 sick days off each year. Any more than that and he is off without pay. If not for my mom and stepdad to help out, I don't know what we would do. Anyway, I figured going with my stepdad to his pre-op appt was the least I could do. All I had to do was ride in the car and I could easily take a nap if I needed. My friend had asked a few days before new year's eve if my hubby and I wanted to go out with them. I told her that I doubted that I would be up to it, but that my hubby might want to go. It ended up that my hubby was also too tired to go out on new year's eve. It had been a very cold, rainy, and long day for him, so he decided he just wanted to chill and watch movies in our den with the lovely warm fire in our wood stove. I called my friend on new year's day to ask if she'd had a good new year's eve. The minute I mentioned going with my stepdad to his doctor's appt, her tone of voice changed totally and she began attacking me. It was like ' how dare I have the energy to ride 100 miles each way to go with my stepdad to his doctor's appt but yet not have the energy to go out and party with them to celebrate new year's eve'

We didn't speak for over two months. After talking to my sister, my friend ended up sending me an e-mail apologizing for all the things she said to me. (This was a very big step for her as in the past, she has never been willing to admit that she had done anything wrong when we'd had a falling out.) She said she didn't mean any of the things she said to me, that she had been hurt and felt like she didn't matter to me because I had not felt like socializing with her much since I got sick in July. She told me that she knew I really did have health problems and that working full time was no longer possible for me.

After my friend apologized to me and told me that I had made her feel unimportant, I apologized to her. I would never intentionally make anyone feel as if they didn't matter to me or as if they were unimportant. I explained to her that she and her family have always been important to me and that she very much mattered in my life. I told her that when I don't feel up to socializing, it is never personal.

Since our reconcilliation, I have made an effort to spend more time with my friend. However, I can tell that she just does not get it. She can't seem to understand that just because I am able to do something one day, does not mean that I can do things every day. It is tough, because I do love and care for my friend and I don't want to hurt her or make her feel unimportant. I also don't want to sit around constantly having to explain myself and why I often must pay the price of 2-3 days recovery/recharge time for even just a few hours of socializing.

I rested most of the day Friday because I was going to have my 7 year old nephew overnight so I could bring him to my friend's son's birthday party. We went to the party and I even stayed a little longer to visit with my friend and let the boys play. My friend and her hubby were going to go out to eat and to a movie and wanted my hubby and I to go. I told her that I was beat and just wanted to go home. She asked 3 or 4 times if I was sure I didn't want to go. She said 'it's just dinner and a movie. it's not like you'll have to do anything strenuous.' I just told her that I just really wasn't up to it, but that I'd ask my hubby if he wanted to go with them. He did go with them and my nephew and I just stayed home and watched movies. Sunday I was totally exhausted. My friend called and asked if we wanted to come over and grill out. I told her that I didn't even have the energy to go outside. She went on and on about what a gorgeous day it was and how terrible it would be for me to not go outside and enjoy it. I told her that my huband was going to cook a bunch of chicken on the grill and they were welcome to come over here and join us, but that I just didn't feel like going anywhere. I just hung out with my nephew, played a few games, and did a little laundry on Sunday. At 3:30 p.m., I told my hubby I was going to take a nap. I slept until 10:30 p.m., woke up, took my night time meds. I ate a few crackers so I wouldn't be taking my meds on an empty stomach, spent a little time on the computer and then went back to bed and slept til 10 a.m. I still don't feel great today but I'm not so totally exhausted.

I find it hard at times to find the balance between trying to live life as normally as possible and trying to ensure that I do what is best for my body by resting when it is screaming at me to rest! I don't want people to sit around feeling sorry for me. I just want them to understand that when I turn down social invitations, it doesn't have a thing to do with not wanting to be social and/or spend time with friends/family. Oh, well, I am doing the best that I can do.

Does anyone else have problems with this? How do you deal with it?

W

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, I can totally understand the fatigue. Going to ER last night with my daughter was taxing on me more than I realized. Then, today, she called the ortho and was able to get in at 10:30 this AM....well, one hour later we were out. She was put in an air cast. It is still very painful, but the fracture will heal better with the air cast than a fiberglass one. This is good. Plus, she didn't do any damage to the inside of the leg - the ortho said that generally damage is done on the inside from the stress of the break. This is GOOD news. She thinks she will go back to sub for me on Wednesday.

But back to the fatigue. Indeed, before going to the ortho, I took her to the hospital to get her X-rays. Now get this.....she is on crutches, it is raining, but the hospital won't let ANYONE else get the films. It seems that here in Calif there is some new funky law that says ONLY the patient can get information unless they have given permission for someone else to get that information AT THE TIME OF THE INCIDENT. So, our daughter would have had to have given written permission last night for me to pick up the films today LAST NIGHT...if any of that makes sense!!! So she crutched to through the hospital to get the films, and carried them in her teeth back to the car! Grrrrr.....

OK....so after all of that, we got a hamburger at Mcs. (For those Celiacs, Mcs had dedicated friers and their meats and French fries are OK - just don't get the buns). We went back to her place to eat, I cleaned her kitchen, then I went to get some groceries....and now I am ready for bed! Oh, I forgot that earlier I had taken a couple of pain pills because I was having some mighty bad pain in the center of my gut...where I have the worst pain.

So, how do I do it? I wish I knew. I dread going back to school because I know I am going to be very tired. But for 22 days, I guess I can do anything. It is just so important that I finish these last 3 years and then I can stop.

The balancing is the hardest. Trying to do everything is not possible. I have learned to pick the most important things I wish to do and do those to the best of my ability. Now, I am going to have to figure out how to fit in the gym after I go back to work. It will be a challenge, but I am going to fit it in one way or another!

Well, this has rambled. Hopefully, we all will be able to help each other learn how we all handle the daily life and the fatigue.

Debby

Re: [ ] fatigue

Dealing with the fatigue is one of the things I find the most difficult with both AIH and lupus. My family is absolutely wonderful, as are most of my friends. However, I have one friend that just doesn't seem to get it.

I do love this friend. We have been friends for 30 years, since we were 12 years old, so she and her family are like family to me and my family. She often takes it personally when I don't feel like doing things with her. We had a falling out on New Year's Day and she ended up telling me that there was nothing wrong with me, that I used my health to manipulate people, that I really didn't need to go on a disability retirement, that the truth was that I just didn't want to work on a job anymore and that I should just be willing to admit the truth and quit trying to act like I was sick all the time.

The thing that kicked off her outburst toward me was that on new year's eve day I had gone with my stepdad to his pre-op appt with the surgeon that was going to do his weight loss surgery. My mom was in the hospital because she had just had a shoulder replacement done on Dec 30th, so obviously she couldn't go with my stepdad. My stepdad didn't ask me to go, but I knew he was very apprehensive and I felt that having me to talk to on the drive (100 miles) to and from the appt would help ease his anxiety. He and my mom have done so much for me since I've been sick. They have often dropped everything to take me to the doc or hospital when I've been unable to drive myself. My husband only gets 10 vacation days and 2 sick days off each year. Any more than that and he is off without pay. If not for my mom and stepdad to help out, I don't know what we would do. Anyway, I figured going with my stepdad to his pre-op appt was the least I could do. All I had to do was ride in the car and I could easily take a nap if I needed. My friend had asked a few days before new year's eve if my hubby and I wanted to go out with them. I told her that I doubted that I would be up to it, but that my hubby might want to go. It ended up that my hubby was also too tired to go out on new year's eve. It had been a very cold, rainy, and long day for him, so he decided he just wanted to chill and watch movies in our den with the lovely warm fire in our wood stove. I called my friend on new year's day to ask if she'd had a good new year's eve. The minute I mentioned going with my stepdad to his doctor's appt, her tone of voice changed totally and she began attacking me. It was like ' how dare I have the energy to ride 100 miles each way to go with my stepdad to his doctor's appt but yet not have the energy to go out and party with them to celebrate new year's eve'

We didn't speak for over two months. After talking to my sister, my friend ended up sending me an e-mail apologizing for all the things she said to me. (This was a very big step for her as in the past, she has never been willing to admit that she had done anything wrong when we'd had a falling out.) She said she didn't mean any of the things she said to me, that she had been hurt and felt like she didn't matter to me because I had not felt like socializing with her much since I got sick in July. She told me that she knew I really did have health problems and that working full time was no longer possible for me.

After my friend apologized to me and told me that I had made her feel unimportant, I apologized to her. I would never intentionally make anyone feel as if they didn't matter to me or as if they were unimportant. I explained to her that she and her family have always been important to me and that she very much mattered in my life. I told her that when I don't feel up to socializing, it is never personal.

Since our reconcilliation, I have made an effort to spend more time with my friend. However, I can tell that she just does not get it. She can't seem to understand that just because I am able to do something one day, does not mean that I can do things every day. It is tough, because I do love and care for my friend and I don't want to hurt her or make her feel unimportant. I also don't want to sit around constantly having to explain myself and why I often must pay the price of 2-3 days recovery/recharge time for even just a few hours of socializing.

I rested most of the day Friday because I was going to have my 7 year old nephew overnight so I could bring him to my friend's son's birthday party. We went to the party and I even stayed a little longer to visit with my friend and let the boys play. My friend and her hubby were going to go out to eat and to a movie and wanted my hubby and I to go. I told her that I was beat and just wanted to go home. She asked 3 or 4 times if I was sure I didn't want to go. She said 'it's just dinner and a movie. it's not like you'll have to do anything strenuous.' I just told her that I just really wasn't up to it, but that I'd ask my hubby if he wanted to go with them. He did go with them and my nephew and I just stayed home and watched movies. Sunday I was totally exhausted. My friend called and asked if we wanted to come over and grill out. I told her that I didn't even have the energy to go outside. She went on and on about what a gorgeous day it was and how terrible it would be for me to not go outside and enjoy it. I told her that my huband was going to cook a bunch of chicken on the grill and they were welcome to come over here and join us, but that I just didn't feel like going anywhere. I just hung out with my nephew, played a few games, and did a little laundry on Sunday. At 3:30 p.m., I told my hubby I was going to take a nap. I slept until 10:30 p.m., woke up, took my night time meds. I ate a few crackers so I wouldn't be taking my meds on an empty stomach, spent a little time on the computer and then went back to bed and slept til 10 a.m. I still don't feel great today but I'm not so totally exhausted.

I find it hard at times to find the balance between trying to live life as normally as possible and trying to ensure that I do what is best for my body by resting when it is screaming at me to rest! I don't want people to sit around feeling sorry for me. I just want them to understand that when I turn down social invitations, it doesn't have a thing to do with not wanting to be social and/or spend time with friends/family. Oh, well, I am doing the best that I can do.

Does anyone else have problems with this? How do you deal with it?

W

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Debby,

Thanks for understanding. I'm so glad your daughter's break was not worse than it is. I'm sure it will still not be easy for her or for you!

W

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Oh :

Your story is all too familiar. No one has ever said that I use my illness to manipulate other's behaviors, but I suspect they think that. I sometimes amaze myself at what I am able to not able to do. The thing is, its' unpredictable. I tell friends and family I need to rest evenings and weekends because I work full time and that is ALL I can do.

One week end I decided to go to a dog show in Detroit, a 5 hour drive from here. I knew I would be pushing it, but it is something I so LOVE to do! My daughter took me and did the driving. By Saturday evening I was totally exhausted. Sunday I slept all the way home and wasn't able to go to work Monday. It was wonderful to see all the beautiful dogs, and we stayed in a great B & B in Ann Arbor, but I have to admit I was sooooo tired I barely enjoyed it.

I am to the point that working is all I can do, leaving no energy for anything else. I am seriously evaluating the disability idea. I'm seeing my doc's. CAT scan last week showed enlarged spleen and nodular surfaced liver indicative of cirrhosis. Labs are all normal! Next step is biopsy. Such fun.

Any way...I can totally relate and it really, really helps to hear about others in the same situation.

Love,

Marty

Re: [ ] fatigue

Dealing with the fatigue is one of the things I find the most difficult with both AIH and lupus. My family is absolutely wonderful, as are most of my friends. However, I have one friend that just doesn't seem to get it.

I do love this friend. We have been friends for 30 years, since we were 12 years old, so she and her family are like family to me and my family. She often takes it personally when I don't feel like doing things with her. We had a falling out on New Year's Day and she ended up telling me that there was nothing wrong with me, that I used my health to manipulate people, that I really didn't need to go on a disability retirement, that the truth was that I just didn't want to work on a job anymore and that I should just be willing to admit the truth and quit trying to act like I was sick all the time.

The thing that kicked off her outburst toward me was that on new year's eve day I had gone with my stepdad to his pre-op appt with the surgeon that was going to do his weight loss surgery. My mom was in the hospital because she had just had a shoulder replacement done on Dec 30th, so obviously she couldn't go with my stepdad. My stepdad didn't ask me to go, but I knew he was very apprehensive and I felt that having me to talk to on the drive (100 miles) to and from the appt would help ease his anxiety. He and my mom have done so much for me since I've been sick. They have often dropped everything to take me to the doc or hospital when I've been unable to drive myself. My husband only gets 10 vacation days and 2 sick days off each year. Any more than that and he is off without pay. If not for my mom and stepdad to help out, I don't know what we would do. Anyway, I figured going with my stepdad to his pre-op appt was the least I could do. All I had to do was ride in the car and I could easily take a nap if I needed. My friend had asked a few days before new year's eve if my hubby and I wanted to go out with them. I told her that I doubted that I would be up to it, but that my hubby might want to go. It ended up that my hubby was also too tired to go out on new year's eve. It had been a very cold, rainy, and long day for him, so he decided he just wanted to chill and watch movies in our den with the lovely warm fire in our wood stove. I called my friend on new year's day to ask if she'd had a good new year's eve. The minute I mentioned going with my stepdad to his doctor's appt, her tone of voice changed totally and she began attacking me. It was like ' how dare I have the energy to ride 100 miles each way to go with my stepdad to his doctor's appt but yet not have the energy to go out and party with them to celebrate new year's eve'

We didn't speak for over two months. After talking to my sister, my friend ended up sending me an e-mail apologizing for all the things she said to me. (This was a very big step for her as in the past, she has never been willing to admit that she had done anything wrong when we'd had a falling out.) She said she didn't mean any of the things she said to me, that she had been hurt and felt like she didn't matter to me because I had not felt like socializing with her much since I got sick in July. She told me that she knew I really did have health problems and that working full time was no longer possible for me.

After my friend apologized to me and told me that I had made her feel unimportant, I apologized to her. I would never intentionally make anyone feel as if they didn't matter to me or as if they were unimportant. I explained to her that she and her family have always been important to me and that she very much mattered in my life. I told her that when I don't feel up to socializing, it is never personal.

Since our reconcilliation, I have made an effort to spend more time with my friend. However, I can tell that she just does not get it. She can't seem to understand that just because I am able to do something one day, does not mean that I can do things every day. It is tough, because I do love and care for my friend and I don't want to hurt her or make her feel unimportant. I also don't want to sit around constantly having to explain myself and why I often must pay the price of 2-3 days recovery/recharge time for even just a few hours of socializing.

I rested most of the day Friday because I was going to have my 7 year old nephew overnight so I could bring him to my friend's son's birthday party. We went to the party and I even stayed a little longer to visit with my friend and let the boys play. My friend and her hubby were going to go out to eat and to a movie and wanted my hubby and I to go. I told her that I was beat and just wanted to go home. She asked 3 or 4 times if I was sure I didn't want to go. She said 'it's just dinner and a movie. it's not like you'll have to do anything strenuous.' I just told her that I just really wasn't up to it, but that I'd ask my hubby if he wanted to go with them. He did go with them and my nephew and I just stayed home and watched movies. Sunday I was totally exhausted. My friend called and asked if we wanted to come over and grill out. I told her that I didn't even have the energy to go outside. She went on and on about what a gorgeous day it was and how terrible it would be for me to not go outside and enjoy it. I told her that my huband was going to cook a bunch of chicken on the grill and they were welcome to come over here and join us, but that I just didn't feel like going anywhere. I just hung out with my nephew, played a few games, and did a little laundry on Sunday. At 3:30 p.m., I told my hubby I was going to take a nap. I slept until 10:30 p.m., woke up, took my night time meds. I ate a few crackers so I wouldn't be taking my meds on an empty stomach, spent a little time on the computer and then went back to bed and slept til 10 a.m. I still don't feel great today but I'm not so totally exhausted.

I find it hard at times to find the balance between trying to live life as normally as possible and trying to ensure that I do what is best for my body by resting when it is screaming at me to rest! I don't want people to sit around feeling sorry for me. I just want them to understand that when I turn down social invitations, it doesn't have a thing to do with not wanting to be social and/or spend time with friends/family. Oh, well, I am doing the best that I can do.

Does anyone else have problems with this? How do you deal with it?

W

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Marty,

It is nice to have people who can understand. During the months I was waiting for my disability retirement to be approved, I had to save all my energy for work and doctor's appts. As of March 22nd, I'm no longer working. I have been able to get out a little more since I don't have to save my energy for work, but really not that much more.

Hang in there,

W

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:

What exactly do you mean by "disability retirement?"

Marty

Re: [ ] fatigue

Marty,

It is nice to have people who can understand. During the months I was waiting for my disability retirement to be approved, I had to save all my energy for work and doctor's appts. As of March 22nd, I'm no longer working. I have been able to get out a little more since I don't have to save my energy for work, but really not that much more.

Hang in there,

W

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Marty,

I recently retired from my job on disability due to my various health problems. I will receive a portion of my salary and get to keep my health insurance at the same cost as if I were still employed. I worked for the federal government so my disability retirement is part of the Federal Employees Retirement System or FERS. The process is somewhat similar to applying for disability through Social Security. You have to provide all your medical info, explain why you are no longer able to work full time, etc. I began the process in November and it was approved on Mar 5, 03. My last day at work was Mar 21st, so I am now officially retired.

I have applied for Social Security Disability but have not gotten an answer on that yet. They told me I should have an answer by June, but even if it is approved, I won't begin getting SSD until September because you have to be out of work for 5 months before you can begin getting SSD unless your income is below a certain level.

W

Re: [ ] fatigue

Marty,

It is nice to have people who can understand. During the months I was waiting for my disability retirement to be approved, I had to save all my energy for work and doctor's appts. As of March 22nd, I'm no longer working. I have been able to get out a little more since I don't have to save my energy for work, but really not that much more.

Hang in there,

W

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Sherry,

That is a good question to ask my is 13 and has JRA and he is asleep as I'am writing this he has missed all this week of school because of a nasty nasty flare. The fatigue thing runs with the arthritis I have found this out in my own experiance and with . When he is really really sick as he is now he can sleep,,,,,,when he is not sick he does get tired he has not yet learned to pace himself as I have or I try to has I have RA myself and was diagnosed with jra as a teenager. Of course the doctor is going to tell you there is no reason for the fatigue just as they say headaches dont run with this disease some say they do some say they dont. In terms of being tired has your daughter ever been tested as being anemic? That too could be a problem with a lot of our jra kids there lil bodies get run down so it is important to have a proper diet but, like most teens they prefer fries and chips. I know with we have to watch him because he will put salt on msot of his food and salt it to death now I know that is not good he's huge ketchup person as well. That is my 2 cents LOL so to speak its just a matter of pacing onesself and not to over do. Then again they can get out of bed exhausted!!! that is what we are running into with he had a peds appt yesterday that totally wore him out we had to use the wheelchair. He didnt like it one bit but with his knee so sooooooo painful I didnt want him walking on it let alone he was exhausted he just layed in the docs office on the table he was sooooooooo tired:( and in pain. I hope Casey feels better:)

Take care

Bye,

Teena & 13, jra

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Sherry

My son Mark is 7, and he would have problems with fatigue. I think it's exhausting having pain a lot of the time. Mark's JRA is in his neck, and I think carrying around that burden all day is very tiring. i hope it helps to know that other have this problem too.

Janette

fatigue

Besides the physical pain and inflammation and stiffness problems, Casey'shaving a LOT of problems with fatigue. By lunchtime she's leaning sidewaysin her w/c, she falls asleep in school, sleeps at least a couple of hoursafter school, and 10 hours/night. She's on vitamins and eats VERY well (sheprefers green peppers to chocolate, just to give you an idea <G>). Dr. Dsaid there's no reason for her to be so fatigued, she's on 5 mg. of pred/day(tapering, will be off in a few days altogether), 225 naproxin a.m. and p.m.with 500 mg. acetaminophen in the afternoon, and 15 mg. mtx/week (will be 20mg subQ starting next dose).My question is, is fatigue a problem with others as well, or is theresomething else I should be looking at/for?Sherry (Casey - 12 today - poly)http://www.ittybittybirdiebites.comMAY SPECIALS - http://www.ittybittybirdiebites.com/special0305.htmlNEW!! Berry Birdie Bites© www.ittybittybirdiebites.com/BerryBites.htmlTo leave this mailing list, send request to: -unsubscribe

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When n is flaring she will go to bed right after school. When n

is doing well, she still doesn't have the same amount of energy as a normal

teenager. She fatigues easy. (n, 14, systemic)

fatigue

> Besides the physical pain and inflammation and stiffness problems, Casey's

> having a LOT of problems with fatigue. By lunchtime she's leaning

sideways

> in her w/c, she falls asleep in school, sleeps at least a couple of hours

> after school, and 10 hours/night. She's on vitamins and eats VERY well

(she

> prefers green peppers to chocolate, just to give you an idea <G>). Dr. D

> said there's no reason for her to be so fatigued, she's on 5 mg. of

pred/day

> (tapering, will be off in a few days altogether), 225 naproxin a.m. and

p.m.

> with 500 mg. acetaminophen in the afternoon, and 15 mg. mtx/week (will be

20

> mg subQ starting next dose).

>

> My question is, is fatigue a problem with others as well, or is there

> something else I should be looking at/for?

>

> Sherry (Casey - 12 today - poly)

> http://www.ittybittybirdiebites.com

> MAY SPECIALS - http://www.ittybittybirdiebites.com/special0305.html

> NEW!! Berry Birdie Bites© www.ittybittybirdiebites.com/BerryBites.html

>

>

>

> To leave this mailing list, send request to:

> -unsubscribe

>

>

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Sherry, Tell Casey Happy Birthday..today is mine too but I'm 21 :)

I have been fatigued a lot lately. Has she been checked for Epstein-Barr Virus or mono? My friend had it when she was 12. I also had mono when I was 17 and have not had as much energy since then. Also I think taking iron supplements is supposed to help too. ~

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