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Barbs story 

It was the weekend!  I'd gotten through another week of my horrible job.  How I loved the early afternoon shows on cable.  Lunch was over.  A bit earlier, as I went down the two steps from my living room to the kitchen, my head did a funny thing.  It kind of turned around.  Or at least that's the best I can do to describe it.  When I'd cleaned up the kitchen I laid down on the sofa to watch my favorite show.  It's name now escapes me.  All of a sudden it felt as if the room was lurching from side to side.  Eyes opened or closed made no difference.  What's going on?  I saw my cordless phone on the bottom shelf of the coffee table.  It would require a small movement to reach it.  (Thank God I had just recently bought my first cordless phone!)  Ever so slowly, I reached down and forward for the phone, trying not to move my head.  Once I had it in my hand I debated calling 911 or not.  How long this took escapes me.  Then I knew I had to call for a rescue squad.  I was alone and had no one else to help.  Once that call was placed I quickly called my mom to let her know what was happening.  Then my stomach lurched and I knew I was going to be sick.  Easing off the sofa, I crawled down the steps on my hands and knees and across the kitchen floor to the stove.  On my way I reached up and opened the door so that help could get in when it arrived.  Opening the bottom drawer under the oven I managed to pull out the top of a double boiler before my lunch reached my throat.  Even when my stomach was empty, the nausea continued.  I undid the button my my jeans to help me breath a little easier.  As I was leaning back against the the cupboard door I heard the paramedics arrive and bang on my door.  I called for them to come in but I had forgotten that my storm door was locked.  By then, I was able to get to my feet.  Looking down at this pan it occurred to me that I didn't want any one to see it so I grabbed the t-towel on the sink and dropped it over the top and then did my very first wall walk to the door. 

Three men were suddenly surrounding me in my kitchen.  They wanted to get me on the stretcher but I was determined to get back to the sink and rinse my mouth out and get my pants buttoned back up.  I was drenched in sweat and wobbly as hell but I was determined to do it.  Then I laid down on the stretcher. Three things I remember.  I was frantic to get my purse.  One of the men found it.  Then I heard one of them grunt as they lifted me up into the ambulance.  I thought about how fat I was and how hard it was for them to do it.  And then those horrible little boys!  When a red light shows up, so do all the lookie loo's.  Every body in the court was there watching.  
 
Once inside the ambulance I learned that I had to ride backwards.  Up came the nausea again.  The guy that was sitting with me handed me a plastic bag and then basically ignored me and joined in the conversation with the other two up front.  And so I road backwards in the rescue squad to the hospital.  Heaving my guts up the whole way.  
 
Inside the emergency room I was transferred to a bed.  Sort of.  It was like 3 feet wide and I was afraid I was going to fall off.  Shortly after I arrived my mom got there.  I was sitting up on this bench.  My mom was worried because there was a drop of sweat hanging on my nose.  Why didn't I lay down she asked.  Because if I move I'll heave again!  The doctor came in was was so kind and gentle and helped me lay back.  Then came all the questions.  I finally yelled at him to give me some thing for the nausea for crying out loud.  He finally announced that I had and inner ear infection.  Infection?  I don't have a fever?  A syringe of Atavan showed up and I started to drift off to sleep.  Then mom was worried because my arm was hanging off the bench.  So, I held my arm up so she wouldn't be upset about it.  
 
All the time I was in that emergency room I was worried about my cats.  Where were they?  Did one get out the door when the paramedics where there?  My mom informed me that when she got there just after the ambulance had left she found the door was open and saw one cat.   Which one!  She said Sammi.  I knew Sugar was the one that would go out the door if either of them would.  And she didn't even close the door.
 
The nurse rolled me out of the exam room in a wheel chair.  I was being released into my moms care.  But wait.  She forgot some thing.  She spun me around fast and then left me sitting in hallway heaving again.  What a bitch I thought.  I did manage to move myself back into the room at least.  It was so humiliating.
 
When I got home I found the cat that mom called Sammi was actually Sugar.  They were both there and scared out of their wits.  My home was safe.  I went directly into my bedroom and laid down on the bed and went to sleep.  A few hours later my mom woke me and said she was going home but didn't know where the cats had gone.  Both were on the bed with me.  That Atavan is sure a nice trip.
 
I was given a prescription for medicine that would help stop the rock and rolling and went back to work some time the next week.  This incident faded into history but my balance was never as good as it had been before.

In 1996 I developed pneumonia. X-rays revealed an abscess in the lower lobe of my right lung. I was still working in the same miserable sweat shop. After diagnosis my doctor said no work. I can't believe how much that abscess hurt. I tried all kinds of positions but was basically reduced to sleeping in my recliner. After a week I was able to sleep for and hour at a time. Slowly the pneumonia cleared. The abscess was still there. After a CAT scan the surgeon said that lobe of my lung had to come out. Surgery was scheduled. I spent the night before the surgery at my moms home and heard her crying at the kitchen sink around 1 AM. When I put my arms around her she said I hadn't had much of a life. It never sunk in that my entire family thought I had lung cancer and that I was going to die. I just remember being embarrassed at the surgeons office. My family and I were viewing the CAT scan and all I was aware of was the soft tissue of my breasts were in full
view. Man...that sucks! I felt naked.
 
The surgery was successfully completed and I awoke to the news that the doctor saw no cancer. I had some odd reactions to the epidural or perhaps the anesthesia. The first night my blood pressure dropped dangerously low.  My doctor was called and he gave orders for a certain med to be given to bring it back up. When I woke up there was the nurse leaning on my bed rails. Had I died I would never have known it.
 
This surgery has not much to do with MS. Except for the bad reaction to the epidural and my difficulty of regaining my strength. Now I had to do it on less lung power as well. I returned to work 6 weeks later on half days for two weeks. That worked well but when I had to return to my normal 10 hour day I did not have the energy to do it. My production started to fall. I kept my nose down to my machine and worked as hard as I could but was unable to continue making my quota on a routine basis. That fact was noted on a routine evaluation. Fatigue was a daily part of my life. When I went to bed, I did not sleep well. Life was a bit hard.
 
In 1997 a one week vacation was scheduled in September. How I looked forward to it. There was a semi long to do list of things I wanted to accomplish around home. The weather was wonderful. I remember climbing up on my step ladder to place a bird proof cover over the range vent. That was the last time I was ever able to confidently climb a ladder. While driving, I noticed my vision was a bit different. The words won't come together for me to describe it. When my vision doubled, that was easy to describe. I couldn't see to walk, watch TV, read, drive, work. Nothing. I did quickly learn that closing one eye returned those abilities. I was torn on what doctor to go to. The decision I made was the worst one I could have done. The local ENT was a wonderful man. He was gold star in bedside manner. After carefully examining my eyes he told me to go home a wait. "These things usually clear up in 6-8 weeks" he said. Patch one eye and go back to work. After 8 weeks had passed with no improvement I called and said it isn't getting any better. I'm getting worse. You must do some thing. At that point he referred me to the local neurologist. Her "follow the pen" test and MRI gave her the diagnosis. She said "you have MS." I cried. She didn't understand why. Her answer was to put me on a whooping dose of Prednizone. And continue working with one eye patched. Driving home at night in the dark with one eye was terrorizing. Going to the grocery store with one eye patched was terrorizing. When people came up on my blind side I skidded sideways. Kids running around the store made me so nervous. And then there is the Preditor Zone demon. Can't forget about him.
 
When the doctor said MS after crying my next reaction was to learn all I could about it. My sister-in-law read her 20+ year old encyclopedia and was sure I was going to die. When I saw my brother the first time after dx, he was laid up in bed with hip surgery and his first question was "what's the prognosis?" I said, I'm not going to die. My sister-in-law looked dubious. In my travels around the Internet looking for information on MS I found The Americans With Disabilities Act. I recognized it immediately as my one ally. My horrible job was very tough on people missing work. Besides not paying us any thing above minimum wage, we were to be there for every shift no matter what. This place had totally inadequate air conditioning. The air was filthy. Thinking about that I now wonder a bit more about that abcess. But no matter now. I smoked at the time so would never have been able to bring a case. The temps topped 90 degrees in the summer. There were a lot of fans around. "Mama Ruth" said "we can't have people passing out from the heat!" So it was tolerable.
 
The big picture. I'm stumbling around with one eye patched, sweating like a pig, on a drug that made me want to kill every person I saw, running behind production and getting lots of time off.  The whispers amongst my coworkers were running rampant.  The sly looks.  They didn't understand why I was getting benefits that none of them were.  They didn't know why my eye was patched.  "Mama Ruth" the plant manager has a niece who has MS.  This was the only time I saw her human side.   They gave me the opportunity to address my coworkers and I happliy jumped in with both feet.
 
What I said in part follows.
 
I am being given a flexilbe work schedule because of a law.  If this company does not work with me, they get in trouble with the law.  I've seen your sly looks and your heads together.  I don't appreciate it because I have MS!  I don't know what tommorrow holds for me.  And I'm on a drug that's making me mean as hell.  So if you've got a question, ask it.  Other wise find some thing else to gossip about because I've got all I can handle right now.
 
My last day of work was Dec 1, 1997.  My Cobra benefits ran for the next 18 months.   I applied for SSDI and was approved on my first application. During this period, I had changed to an MS clinic in Omaha.  The oral steroids did not completely squelch the flair.  Avonex became my first ABC
drug.  Learning to stick a needle in myself once a week was no problem for me.  This doctor administered my first dose of IV Solumedrol.  5 days worth. The first dose was administered in the infusion ward.  I was among cancer patients, many very young.  They were learning to give themselves there own shots.  So very brave.  I came out of there with a totally improved out look on my life.  The final 4 doses a nurse came to my home and gave me the IV's. Her name was Melva.  What a wonderful woman.  It seemed like it took forever for me to start feeling any better.  The double vision was gone. Yet, I was so tired all the time.
 
It's my belief that if the first doctor I went to had sent me for treatment, I would have been able to get back on my feet and continue working.  I was sick from September till November  when I finally got my first Prednizone pill.  It was early January when I got my first IV infusion.
 
During this time, I was penniless.  Had no income at all and was totally unable to work.  I received some help in the form of SSI and Food Stamps. My mother provided the rest to keep a roof over my head.  Patient Assistance plans from the different drug compaines kept my meds coming after my Cobra benefits ran out.
 
I wish I could describe how afraid I was.  I'm single.  I have no care giver I have no friends that are close enough to come by and help me.  They all have their own jobs and families that require their time.  And I'm not the kind that will ask for help.  I've got this "I can do it by myself" chip on my shoulder.  This time, I knew I couldn't.  I had no one to talk to. During this time frame I started moving closer to the God that I had been learning was one of grace and not damnation.  He became a great source of comfort and I gradually learned that all I needed would be provided.
Perhaps this time in my life was designed for me to learn these lessons.  I know that today I have nothing to fear.  My physial body may fail me completely by God won't.
 
This flair started to recede into my good friend history and a new life started to emerge.  One fear remained in the back ground.  For the past two years some thing pretty big had knocked on my door once a year in the fall. So I was holding my breath, always waiting for the other shoe to drop.
 
I had left the MS Clinic for another neuro.  It took a day for a doctors appointment.  By then, driving through Omaha traffic had become a bit scary. The place was huge and the walk was long.   I had a Handicapped parkin sticker but it did not diminish the walking distance by much.  The lady's
behind the desk for some reason always managed to piss me off with their lack of respect.  I was tested for many different things.  When I asked what is this test for, I was told a virus but not what virus.  I later determined it was for HIV.  I didn't care what they tested me for.  All I wanted was honest answers.  So I transferred to a different doctor on the outskirts of Omaha.  Saved a bit of driving but was at least as indifferent as those at the Med Center had been.  It seemed to me that I needed to follow the advice I had read in all the MS material I had poured over and become my own best advocate.
 
Sure enough, in the fall of year three, I had an MS exascerbation.  Double vision again.  By then, I had returned to the original neuro in the town where I lived.  She changed me to Copaxone and ordered a 5 day course of IV Solumedrol.  My old buddy Melva came to my door and once again clucked over me while the meds dripped in.  By day 3, I was feeling so much better! Once again, the steroids had stopped a flair.  I can't believe the energy boost I recieved this time.  I was so sick the first time and this time help had come in short order.
 
Over the course of the next 9 years, my MS has remained stable.  The plaques on my brain have faded a bit.  No flair's.  Just the ordinary good days and 
bad days.  I hesitate using the word ordinary, because with MS there really is no such thing.  Fatigue has always been present.  Appointments and shopping trips were always done early in the mornings as that is when I had the most energy.  A prescription for Provigil gave me a pretty good half day most days.  I stayed in the daily routine I had when still working.  Up by 5:30 AM.  A short nap in the afternoons gave me enough pep to finish the day out.  Nothing more than TV or computer work though.  I was able to be upright.  By 6 PM I had to be in bed because I no longer had the energy to sit up.  A second TV was purchased so I could watch in bed until I was ready to go to sleep by 9 PM.  Housework was done in bits.  After I found an exercise program I could stick with over the long haul I became able to vacuum the entire house in one go.  I made myself a walking stick out of a 4 foot dowel.  I have a cane but just can't seem to work it right.  My stick sets by the door and when I feel the need of it, I take it along.  With my exercise program, I was able to graduate from the electric carts in Walmart to pushing my own cart.  Some thing in the back of mind has always said quietly, what if you get sick again and don't have enough of (fill in the blank)?  So I started to do my major shopping trip when my SS check arrived and then just do fill in trips once weekly over the rest of the month.  That has served me well until recently.  Naps seemed to be no longer needed and I was sitting up in my recliner in the living room until 8 PM or so.  My life with MS was not to darned bad.  There were times when I would be a bit more unsteady on my feet.  I started to wall walk in the house routinely when I walk down the hall.  Before I started my exercise program I fell twice. Always on a rock or some thing because my ankles were very weak.  When I fall, it just ruins my day.  It was hard getting back up with skinned hands. When I would get back in the house I would always cry.  I've only fallen once since and that was due to ice.  Of course, it pissed me off.  I also realize how fortunate I was that I didn't break my ankle because of the way my toe was caught on a flagstone.  I think God was watching.

Around a year ago, I started having more fatigue.  It was getting harder to get things done.  I was starting to make my appointments for a hour later and was not getting to the store before the crush of humanity that daily entered those doors.  Of course, I'm getting older I reasoned.  Then 6
months ago, it came to the point where I didn't want to get out of bed in the morning.  This is not me!  Once I did get up, after caring for the animals I would sit in the recliner and doze for an hour.  My exercise program started to suffer.  I no longer listened to my Bible lessons.  I could barely manage to get dressed and shopping was becoming a trial. Instead of walking behind the shopping cart, I've been leaning over it.   I couldn't wait to get to bed.  Most nights around 5 PM.  I told all this to my GP and he said "you have to force yourself."  He told me how I was going to lose condition and experience more fatigue if I didn't get those exercises done.  How could I convince him that I could not force myself? This fatigue was unlike any I have felt.   I don't know how to describe it. It was like I was drugged.  I wanted to move but couldn't.   Then came my routine appointment with my neuro. She came into the room and said what basically amounted to "you look so good."   I told her about the trouble I was having.  She said "you have to force yourself."  My heart just dropped. I then told her about a steroid boost I'd learned about in an online MS group I belong to.  Would she consider it?  She finally said "you have the will to get up and do your exercises.  You just don't have the pep?"   What blessed relief.  I knew she was not really enthusiastic about it but would try it.
 
Some thing I haven't discussed yet.  There is a lie that lives in my head. I've been able to pretty well stop his tape from running.   It wants to tell me that I'm lazy, worthless, stupid, unworthy bla bla bla.  Of course, in the back of mind this thing was tying to tell me that I was blowing off my exercise because I was lazy.  In all truthfulness, I've never liked exercise I came from a generation of no pain no gain.  When I was forced to exercise, I always had sore muscles.  Nothing about it made it attractive to me.  Through all this, this demon was trying to be heard.   After my first round of 3 days of Solumedrol though, I knew it wasn't me.  It is my disease of MS.  I am back to getting up at my regular time and doing my  exercises. My legs are weak.  Usually when I did them I had some thing left.  Now I don't.  Some thing that aggravates this general weakness is a back problem caused by arthritis.  It is what keeps me from walking any distance.  During my follow up visit after the first round of IV's, my doctor dropped a bomb on me.  She is not an MS specialist.  It's my belief that between my last two appointments she boned up a bit and is now in favor of these treatments. My next 3 sessions are scheduled for next week.  She explained to me that the goal of these treatments is to pull me back from secondary progressive MS.  Wow.  And then she said some thing about black holes and T cells.  I stopped hearing her after she said secondary progressive.  Generally speaking, the time between RR and SP is around 10 years.  And it's been 10 years since I was dx'd.
 
Since the first round of steroids has produced improvement, I have confidence that the second two rounds will as well.  No matter what MS does, my God is constant.  The first couple days I was scared of what is happening My EDSS remains at around 5.5.  I occasionally need my walking stick.  I need a shopping cart in the store.  I can still walk.  I can still take care of my home and my animals and myself.
 
A year and a half ago my wonderful cat Sammi passed away at the age of 14. After a few months, I went to the animal shelter and adopted a tom named Diesel.  This guy is no lap cat.  But he's exactly what I need.  He demands attention at least 3 times a day.  He's a buffoon that does the funniest things and keeps me smiling.  Thank you God.