Secretary? What Secretary?

So, I spent today trying to move my arthritis appointment earlier and to make sure that I have my January appointment secure with the pulmonologist.  After about 15 tries.  I get a hold of the arthritis office at 1:30 pm – I was informed that the secretary had just left for lunch.  I found this interesting.  Most people don’t take lunch that late unless they aren’t coming back.

Either way, OK.

So, I tried the other doctor office.  I got the same young lady I got yesterday.  I asked if the secretary has returned from vacation.  The young lady recognized me and meekly stated that she won’t be back until Monday.  I asked her if that was a for sure answer.  I had been trying all winter break and this week to “catch” her.  She admitted that the secretary had been out during winter break, came in for two days (the two days I didn’t call) and then went on vacation.  Hello!  I want her job.

So, I am back to the same place….nowhere.

I will have to persevere and try the arthritis doctor office in the morning.  I sometimes forget to call because my day starts at 6:30 am, and even though the offices are open at 8:30 am, they don’t pick up the phones until 9 or a little after.  By 9 am I am deep into my own projects and phone calls to remember to call them.

Daisy was at work with me today.  She wore her new cowgirl dress.  I looked up how much a little doggy cowboy hat would be…$20!  I don’t even pay that for myself.  I guess the hat will have to wait until it is on clearance or Yerdle.cowgirl daisy

Dealing with Life

I don’t know if you understand the process I am having to undertake.  Lupus and rheumatoid arthritus are like MS and fibromyalgia.  They are diseases of exclusion.  So, to diagnose that specific disease, they have to prove you don’t have anything else.  Then there is the appointment times.  It is very much a hurry up and wait.  Run and get labs, NOW.  Oh, your next appointment is 6 weeks out.  If you change the appointment, the next one isn’t for over 12 weeks out.  Speak to the secretary? Are you kidding?  She won’t be in until Wednesday.  Which Wednesday they don’t specify.

The real reason I wanted to share today is that today has not been a very happy day.  My glasses broke early this morning.  Getting a replacement pair will take a week (if I want the free ones).  If I want to pay cash up front, I can have them tomorrow.  Since I am in the perpetual broke mode, I chose the week.  I only wear my long distance glasses when driving for the most part.  So, my sunglasses, which aren’t too dark, will suffice for now.

Then, I tried several times to get a hold of the secretary for the pulmonologist at UM.  I finally got someone from the office to answer the phone after my 5th try.  She won’t be in until tomorrow.  I was told that last week when I went in person to move my appointment date.  I left a message for her to please call.  I need to get a hold of her because I need help with all this disability paperwork.

With this breathing problem, I qualify for a discounted bus pass and a special program through our electric company.  But, these documents have to be filled out by the doctor or his representative.  I also have paperwork from school so that I can get extended time on assignments to be filled out also.  I need to know if the Dr. will do that, is there a fee per page (some doctors charge $20 per page) and how do I get them to her and then get them back.   I have decided to keep my January appointment.  I have a ton of questions now and I need a script refill.

Oh, the auditor from the state showed up today.  Our department happened to luck out this year.  He only wants to see a little under 20 files and only their SPED jackets.  Some of the other departments were hit hard.  OJT has to pull over 80+ files for review.  ESOL is always audited, so I am sure their files are immaculate.  I heard they only requested a little over 40 from them.

Then, one of my more competent office aides got a job.  So now she won’t be working with me anymore.  That is the whole point of working with me is to help them prepare to get a job.  I just like to keep the good ones until the end of the year.  I am happy for her though.  She will do just fine.  She learned file organization and customer service really fast.

This afternoon was Doug’s funeral.  I heard that my nieces Anna and Ceceila were in attendance as well as a lot of Doug’s acquaintances.  Sylvia said it was very nice.

Today’s reading was Psalm 61- Lead Me to the Rock – David wrote it.  I love verse 4 “Let me take refuge under the shelter of your wings.”  I just love the whole imagery of it.

Tomorrow I take Daisy to work with me.  She will be in her glory.  She loves greeting everyone.  When we get home, she will run up stairs and crash on my pillow for the rest of the day.daisy opinion

 

 

Not so Happy New Year

I announced yesterday the sadness at my sister losing her husband.  I don’t ever remember her not being married to him.  They have lived in the same house for over 35 years.  I called her and let her know of my sadness at his passing and that I send my heart to her.

The main reason I have started this blog was at the advice of several key people in my life.  My therapist and several wise women in church.  I have gone through several trials in the last 6 + years that I honestly would never, ever wish on anyone.  I am hoping that my struggles through these trials will give others the strength to walk on.

Each year for the past four years I have had a saying or mantra.  Two years ago it was “Just Breathe”.  Last year was “Keep going – step by step” then it switched back to “Just Breathe” after I was preliminarily diagnosed with an interstitial lung disease called pulmonary fibrosis.  I want this year to be “I am an unstoppable Warrior” from the attached picture.woman warrior saying.

I remember the days when my husband was first having mental problems, it was all I could do to go through another day.  Now when I wake up, it is blessing and a present.

I am attending college via online.  It is a lot of work.  But I am loving it and have maintained at 4.0 GPA which has placed me on the President’s list for over 5 terms.  I have about 4 more terms to finish.  I should be done by this time next year.  God willing.

red carnation speakerThe picture of me speaking is from a speaking engagement of April 2015 at the Red Carnation Queens Event sponsored by Dr. Maritza Montano.  It is mostly professional women sharing their words of wisdom, financial and emotional triumphs and a splash of fun.  Be on the look out for tickets.  It is a fundraising event that includes a spectacular meal, freebies, silent auction and a drawing.  Some woman is given a scholarship to continue or start her education at a local college.  I was speaking about my view of my adventure of dealing with my husband’s mental disability and those who helped me along the way.

The adventure you will be joining me on will include my trials with getting disability for my husband, getting the correct diagnosis for my illness, receiving care, dealing with household burdens, maintaining a healthy relationship with Jesus and being a warrior in this age of helplessness and victims.

It is my goal to start everyday in the Word of God.  I read at least a paragraph to a chapter in the NIV version of the Bible every morning.  I am currently in Psalms.  This morning was 57 when David was running from Saul.  I also share “The Upper Room” daily devotional out loud at work each morning.  Several people stop and listen.  Some days God’s words speak more to me than others.

Now that you have some background, let’s start with the nitty gritty….

I got a chest cold in May near Memorial weekend.  It was the usual low grade temperature, mucus producing, achy chest cold.  But, after waiting two weeks, I knew something was wrong.  After three weeks,  I spoke with a dear friend and she suggested I see a pulmonologist since I have a history of asthma.  I thought, why not?  My primary had been wanting me to see one for years.  So, I made the appointment.  There was a month wait.  Not surprising for the Miami area.  You will die before you get to see a specialist.

I finally went that first week of July.  They made me do this test called spirometry.  I almost passed out and after about 16 times doing the test, I told the technician there was no more air to blow out.  An x-ray was taken.  I saw the Doctor.  Very nice man.  Out of professional consideration, I will withhold his name.  His staff was so very client friendly.  He changed up my meds a little, added Allegra D and sent me for a CT scan since the x-ray had signs of scarring.  (From my point of view, it looks like a cat got a hold of my lungs.)  He had the nurse give me a steroid shot.

Proceeding to get the CT scan was another adventure.  Trying to find one that does not charge your deductible was an adventure.  Finally out of desperation, I called my health insurance.  For once, they were helpful and steered me toward a radiology lab that does nothing but various radiology labs.  I thought I had it under control.  Made the appointment, faxed over the lab request and health insurance information.  Bam, the morning before the lab called and stated the health insurance would not cover the exam and it would cost me my left arm.  So, here I go doing someone else’s job again.  The doctor office was to call in the exam for an authorization prior to my scheduling.  So, I played tag with the doctor’s secretary until we got it straightened out.  She was very professional and helped me immensely.  She called me back with the authorization number in case the lab didn’t get receive it from the insurance company.  That only delayed the appointment by another week.  So, now we are at the end of July.

I should have known something was more wrong than just my asthma.  After receiving the steroid shot, I was able to breathe a ton easier.  But, not as deeply as in the past.  The technician during the CT scan asked me what seemed like five times if I smoked.  I repeatedly told him no.  I received a DVD to take back to the pulmonologist.

That was another three week wait.  Shock of my life happened next.  You always think that when you are told you don’t have much time left, you will accept it graciously.  I didn’t throw a fit, but I did cry on the way home while talking to my sister.  The doctor informed me that about a third of my lung capacity was gone.  Once damaged, the lungs to do not recover like a liver will.  I had a lot of scarring and was preliminarily diagnosed with Pulmonary Fibrosis (PF).  He shook his head and wanted me back in two weeks for more testing and a referral for a second opinion.  (Of course I looked it up on line.  American Lung Association stated that IPF diagnosis gives you anywhere from 2-5 years to live.  I cried some more.)

At the beginning of September, he had an oximetry test done.  Did not go as well as it could have.  He asked me if things had changed for me.  I said, yes.  Shopping was exhausting now, getting out of the bathtub was now very hard and trying on clothes would bring on coughing attacks.  He nodded and prescribed oxygen at night.  He explained that there were drugs to help slow PF, but once the scarring has started, it continues.   I was referred to UM specialists.

Wow!!!  What a difference.  Everyone at work immediately could tell.  My face was no longer puffy, I slept through the night and I felt re-energized.  My son commented after the oxygen that I had been coughing in the middle of the night in my sleep and now I was not.

I sat my son, daughter and husband down and explained the diagnosis and the fact that I was being referred to a specialist that deals with nothing but pulmonary fibrosis.  In the mean time I took advantage of my legal plan through work and had my will packet done.  I was able to get my health directives, living will, will and durable power of attorney done for free.  I let my pastor know and those I am close to at church.  I jokingly told him that I would be making an appointment to plan my memorial.  He just smiled.  He had known someone else who had the same diagnosis and the end was death after only a couple of years.  But, he said he would lift me up in prayer.  I told him that was more than I could ask.

I popped in to my primary for the annual wellness visit the health insurance required in late September.  I gave her a copy of everything from the pulmonologist.  She looked at it and then pointed out an unusually high reading on my ANA testing.  I had seen it, but didn’t really have a clue.  She suggested that maybe some of my problems over the last three to four years may be Lupus related and suggested me to see a rheumatologist.  I kindly explained to her that I could only afford one specialist at a time.  Of course, I ran home and looked up ANA and Lupus on the computer.  I cried.

The next step, the process of getting everything ready for an appointment at the UM specialist.  What a process in frustration.  First of all, all my records had to be faxed over including all my labs and tests.  It had to be sent three times!  I sent it once and the doctor’s secretary sent it twice.  Then it was assigned to the wrong doctor, having to start the process all over again.  I really appreciate the doctor’s secretary and wrote a letter to the doctor letting him know how she really helped me.  The appointment was to be in March 2016 if I was to stay with the specific doctor or the beginning of December if I would switch.  So , I switched.  And of course, I cried some more.

Next to come UM staff and latest labs and diagnosis……