Monday, December 31, 2012

The Chronicles of Biff - Volume 2 - written 11/02/2010 – updated 12/31/2012


This is a modification and updating of a previous post..enjoy

On the eve of another rotation around the sun, I felt a bit reflective on friendship and my life these days in general. Bear with me because, as most know, I get a little rambly and wordy at times.

As some people may notice and/or may have commented to themselves or out about, I have a lot of Facebook friends. I have gone through and made sure that each and every one is someone who I truly consider a friend.  And physicality is not a determining factor on what friendship entails, as referenced by the fact that there are a good number of my friends who I know solely through online chatting either here, or Yahoo or even AOL back in the good old days. My definition of friendship lies in the words and actions reflected therein. Each and every one of you holds a special place in my heart and I wish I had the ability to personally address and thank every single person for being there for me. As I have beaten into the ground, I’m sure, I am going through the hardest thing I have ever dealt with in a life time that can be at least described as never dull. And through all of my venting, my whining, my complaining and my general descriptions of my physical and mental health, I have felt the power of friendship from all of you and it has helped me deal with and cope with this crap that I’m stuck with forever. And as I have said a million different times in a million different ways (forgive my repetition but I really am sincere), thank you one and all for everything

This is a basic breakdown of the genesis and steps through the initial process/diagnosis. It was originally written about 6 months into things and right around the time when the pain and symptoms began to reach the level that they are at now. I have updated, edited and modified certain aspects for current and correctness. Although some of the emotions etc and such may have changed, the facts have not and my feelings were current and correct as of the time I wrote it. Enjoy..

Apparently Biff likes ice cream. Who would have thunk it. He also likes Count Chocula, Double Stuf and White Fudge Oreos and lemon drops. This is a good thing because I do too.

I think one of the biggest casualties in this whole thing has been my appetite.  When I first when to the doctor about this around the end of March, I weighed a svelte 195 lbs., more than I had weighed in a long while. This was probably due to the new anti-depressants that I was taking. Once the cramps and pain started kicking into full gear, the weight started dropping. At my lowest point, right around diagnosis time at the end of May, I was 176 around May/June 2011 it was down to 154. It has since rebounded but still not near where I was when all of this started but thus I digress...

Try the new pancreatitis diet plan and watch the pounds just melt away.

The pounds were slowly dropping off with each doctor’s visit and new test. First came the sonogram checking my pancreas (just the surface) and found nothing. That was followed by an endoscopy looking for ulcers or infections, nothing, the a CAT scan looking at my pancreas again, 0 for 2 on that one and then a nuclear gall bladder scan (which was really cool because I got to see my gall bladder glow) which resulted in no answers either.  By this point it was going on two months and I had resorted to House (which my doctor said she liked to watch to find all the errors), WebMD, and Mystery Diagnosis for any inkling of an answer.

By this point I was seriously starting to wonder if this was all in my head. All of the tests were showing nothing and there were no physical symptoms to justify what I was feeling. I began to wonder if I was really stuck with this until it "passed” or just stopped as suddenly as it started. My doctor/savior was still curious and undaunted in her quest to get answers. I was and still am very thankful for her being as stubborn as I am. She really believed it was my pancreas despite all the other tests being negative but I began to see her frustration with it as well. She said that she wanted to try one more thing before referring me to a specialist. Let me back up a second, I talk in lots of medical terms lately and have become very familiar with my abdominal area and any and all tests involving it.  This time they wanted to put another tube into my throat, this time with an ultrasound monitor on it, to further look at my pancreatic area.

One more time...with feeling!

This one seemed a bit more serious and I actually was feeling a combination of hope and fear that this would find out a) what was wrong and b) that I wasn't crazy. Well, I am crazy but that's another rant for another time. Thus I digress.  Once again they wheeled me in, numbed my throat, put me to sleep and once again, I remember nothing but the nurse saying something followed immediately by waking up in the recovery room. It was really quite odd to just lose pieces of my life like that. After trying unsuccessfully to wake me up a few times, the doctor gave up and the nurse was there when I came to. She told me that they found out that it was chronic pancreatitis. Then my girlfriend  wife walked in and apparently, I say apparently because I don't completely recall bits and pieces when I come out from anesthesia, I raised both hands in the air and said

Me: "We have a winner!"
She: "What is it?"
Me: "Chronic Pancreatitis
Nurse: That means you can't drink anymore
Me: Does that mean I can't drink anymore?
Nurse: Yes
Me: Well, it was a good run

And I have not had a drink of alcohol since. 950 days as the New Year rings in.

One thing this has not taken and will not take from me is my sense of humor. When it does, it means I have given up. And anyone who knows me knows that I am nothing if not stubborn. And so the journey began from there. I don't think I truly and immediately grasped the meaning of my situation until I went back to the doctor (to whom I repeated the "we have a winner" speech) told me what this diagnosis meant going forward. Words like, no cure, rest of your life, take all these pills every day, rest of your life, don't drink anymore, rest of your life! Those words echo in my head, every day, they consume me at times. In those moments my sense of humor is gone. I want to give up. I want to give in. I want to just lie in bed and let it win. Take medicine, do nothing, be on disability and basically become little more than a shell of who I used to be.

But in those moments, I hear the echoes of my mother’s voice in my head when she told me "You control the disease, do not let the disease control you, this thing does not define who you are and you cannot let it, or it wins" Stubborn I am and I don't like to lose. Rest of my life?? Bring it on!

Epilogue: I am now entering into second full year and 3rd year in general of this and I think that things have leveled off to some extent. After my diagnosis my gastroenterologist said that this disease is a long, lifetime journey and that I hadn’t even began to crawl yet (this was 6 months in when the pain had started to ramp up to the levels that its at now). And in the beginning, it actually was tolerable. From May to say Sept/October my life wasn’t near as disrupted as it has become. I was eating fairly regularly, barely having any flares or adverse effects. Then somewhere the switch flipped. It didn’t feel like it was built up to, it just seemed to hit me one day. That’s when I ended up on the Oxycontin (which is now Morphine..most know my thoughts on this) and the Vicodin became more prevalent. I think that throughout 2012 I have mastered the art of crawling and even pulling myself up onto the furniture. I have come to acceptance phase of things I believe. My life is a routine, mostly out of necessity thanks to the bipolar aspect and my general medical needs at given times.  Those who know me will understand the fact that I have to set alarms in order to remember to take medications, that is when pain or symptoms don’t dictate that I have forgotten. When in school I have certain days that things have to be done, granted procrastination plays a part but I still get things in on time and my GPA is sitting solidly in the mid-3.0s (not perfection, which some of you also know is something I strive and chastise myself for; a procrastinating perfectionist is what I call myself). Basically, as the title of my blog so eloquently states..there is a madness to my methods and if you stick around and pay attention, you will see and understand. Thank you for taking the time. 

Friday, June 15, 2012

The Chronicles of Biff - Chapter 6 - 06/14/12


**You may want to pack a lunch, this may take a minute or two**

Over the past 2 years I have to come to realize that my disease is very enigmatic in its genesis, cause and treatment. There is no set medication or therapy or restriction or procedure that can, completely, cure it. If you look up any number of sources online or talk to any doctor who knows their stuff (as my previous doctors did) you will see this. Basically there are two things that are consistent across the board. 

1) Alcohol will make it worse even if it isn’t the cause (which it is in my case) and 
2) the recognized treatments are no alcohol, modified diet and dietary restrictions and pain management. That’s it, cut and dry.

I have many new friends on here who are also sufferers of this and who feel my pain figuratively and literally and some of them have taken steps to alleviate it by having a procedure called a Total Pancreatectomy with Auto Islet Cell Transplant (or TP/AIT) which basically removes the pancreas and hence the source of the pain. It requires a lot of maintenance, so I understand and I just don’t think I am ready to take that step yet.These same friends and others on the numerous message boards and groups that I am in, have told horror stories about doctors not believing them or ordering unnecessary tests or accusing them of just wanting pain meds or it was all their head; I couldn’t fathom that because mine were so awesome.

My main doctor, Dr. Molly Imber, believed me from the beginning that something was wrong and, according to my gastroenterologist Dr. Teresa King, was very stubborn and determined to figure out what was wrong. Once diagnosed she did whatever she could such as finding what meds and such worked. If something went wrong, I’d go in, she would listen to me and answer my questions and concerns and then give me options on what to do. It was a rhythm we got into; a general health check and how the pain levels are. If stable, forge ahead, if not consider options including increase or change in pain medications.

But since January I have been forced, thanks to health insurance premiums being beyond ridiculous, to use the VA for my treatment and meds basically since I can. So I figure that I go in, they look at my previous records, do whatever verifications that they need to do and continue treatment because for the most part it was working. Sadly, that was not to be the case.

The first thing they did was to change one of the meds, the Oxycontin that had just began to work because they, in their words, use another med (Morphine) for pain management and do not believe in the other. Okay, fine. I am open minded to this so if it works, fantastic. But deeper analysis and probing showed me that they actually may be concerned with the addiction factor of the Oxy so they try to get people off of that and on to other stuff. Fine, I’m flexible. Whatever works. Then I go to their “specialist” who proceeds to ask me questions like this is my first rodeo. So I patiently, gritting my teeth, answer his questions. I show him my massive folder of medical documentation and he proceeds to look at one test and one set of notes and then orders a, seemingly, unnecessary test and then says he wants to prescribe an “alternative” pain medication to try and get me off the other long-term one mentioned above.  I am all for trying new things in addition but I see no need to mess with a working formula if the parameters are comparative.

Now today, when I call in because I am having further issues with the pain and want an appt as I did in the past, the nurse proceeds to lecture me about “masking the pain with pills” and that there are other things that can be done like diet. I stated that I understood that but I wanted to talk to him about it. She says I need to talk to above mentioned clueless specialist as well as talk this alternative medication (which was actually never dispensed). I would’ve sat and debated more but I was tired, frustrated and of course, flaring in pain by that point. Needless to say I now understand, in a small way, where my new friends were coming from.

I do not like having to be on all these pills, especially the pain ones and if there were another way to make my life more comfortable (and keep all my innards intact) then I would do it. But they work. They make my days tolerable and my life some semblance of livable. And when it comes right down to it, that is basically all the treatment that can be given. Manage pain, aid in digestion, modify and follow diet and most importantly do not drink.  I do all of this. I know all of this. This has become a major part of my life so I am familiar and aware, and lately it seems more so than my new medical “professionals”. 

Now don’t get me wrong, I am thankful that I had the VA to fall back on. Its is coverage, treatment and medications at a relatively low cost. I know that there are those out there who would like/need any kind of coverage. So I am completely and totally appreciative of that. I guess I was spoiled and the salad days are over, so to speak (no mom, I’m not eating salad yet even though I should)

Just another day in the life..

Thank you for indulging me in this rant.

The Final Countdown

One last rant before all of this goes down.. Vote today. Please. Regardless of who it is for, please do so. I fought and defended your right...