Polymyositis & Dermatomyositis Support Group
Polymyositis (PM) is a type of chronic inflammation of the muscles (inflammatory myopathy) related to dermatomyositis and inclusion body myositis. The inflammation is predominantly of the endomysium in polymyositis, whereas dermatomyositis is characterized by primarily perimysial inflammation.
brendacaytonwhite
Hello friends, We discuss our various medications and illnesses related to our PM/DM conditions, but not much related to our mental state. PM takes a toll on my mental state. I have tried to stay positive and get through each day, but in the past six to eight months, things have just weighed me down. My pain tends to get worse and worse and I was told by my pain specialist that there really is no medication that will end my pain, so you can probably imagine my state of mind knowing that I am taking the strongest pain med, a class 2 pain medication plus other medication to work with the pain medication, so that I can sleep and still the pain never ends. I have looked over my medical bills, the bills that go toward my yearly deductible, plus my copays for my medical visits which average two to three doctors on the same days which are now averaging two days a month and I am still trying to stay positive, so I started mental health therapy. I will go for my first follow-up visit on Wednesday. On the first visit I was told to come up with three negative thoughts that I have and change them to positive thoughts. I have tried to thing of three things that I can say to myself and in a week I have not ocme with anything. I woul dlove to tell myself that I am pretty but I am not. I don't even see me when I look into a mirror. I very seldom feel like combing my hair or applying makeup no matter how little. I can't think about enjoying anything. I can barely stand without holding onto something or someone and all my money goes on this disease. I can't try on new clothes without getting dizzy and feeling nauseated. I can't even write anymiore without constantly correcting mistakes and retyping my sentences. I haven't baked anything this year and baking was my passion. I no longer have a passion. I don't know how many feel this way but I can imagine that there are many of us. PM has taken away my job. I now work for the same company but I had to take on a position that a beginner would do. I have almost 20 years of experience. It hasn't taken on what little beauty I had. I has taken over my brain. I am confused and suffer from memory lost, mainly short term memory, but I need it all. It has taken over my freedom. I can no longer drive, walk down the steps to the mailbox or around the property that I really like. I can no longer go to the library, store or anyplace alone. I have lost my passions. I have lost a lot.
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I am probably overstepping my bounds here but I am really concerned with the narcotic use. I know you have significant pain but I'm not sure narcotics around the clock are the answer. They are making you sleepy, impacting your concentration, contributing to your depression, and making you constipated. I can imagine how you feel because I had a very painful surgery several years ago and I was on strong narcotics around the clock for 6 weeks to deal with the pain. I felt very much like you describe. Not only that, narcotics are addictive so you need more and more to ease the pain. It was so hard for me to get off them. I don't want that to happen to you.
I am glad you are seeing a pain specialist. Since they can't relieve the pain, what about a pain medication that isn't a narcotic and then helping you deal with the chronic pain in other ways? I'm probably "up in the night" with that suggestion but I care for you Brenda and want to see you back to your same happy, optimistic self.
A few years ago when I had chronic 24/7 pain, it was difficult to make it through each day, and I felt bad about myself. Your comment about looking into a mirror really struck me, because that's how I was. Have your doctors ever checked you for Lupus, Fibromyalgia, or Thyroid problems? Lupus or Fibromyalgia could bring about much pain, and Thyroid issues can disrupt our emotional well-being.
Please know that I am praying for you, Brenda, and for your doctors to have wisdom in treating you. Do not hesitate to "vent" to us. We care and wish for better days ahead for you.
I'm glad your doctors are watching your pain closely and the medications they are giving you. I would be very upfront with them how you are taking them. There are some that won't work well for "sudden" pain. It can't cut the pain for a short period of time. You need to take them on a schedule to maintain the pain over time. It could be that your pain is significant because you take it when it is unbearable at the time. Does that makes sense?
I hope the IVIg is helping. I know it takes awhile but hopefully you will see something soon. Depending how you are tapering, that could be causing pain. I know I really hurt a I got off Prednisone. It lasted a few weeks after I was off.
You are in my thoughts....
Thinking of you and sending prayers your way,
Shwana
I will pray for you - you can do all things through Christ who strengthens you.
I am sorry to hear about your job, I would be the same way as my brain is mush with these meds!
I go to a counselor too and it has helped me so much. Maybe you can go twice a week during this difficult time? I also take an anti depressant.
I am thinking of you and please post as much as you can, we are here for you.