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Monthly Archives: August 2014

FAQ

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Mastocytosis Flare Recovery Month 10 Day 17

I have been home from Florida now for just over 3 weeks. I am having a few more good days. My lip, throat and tongue swelling comes and goes. Pain, which is almost always present to one degree, is less severe than it has been. I’m able to get out of the house about once a week for a few hours. Progress is being made.

Doctors, Doctors, and more Doctors!

I’m making arrangements for my big trip back to Florida. For the medical care I require with the PICC line and TPN my insurance requires me to have a local team of doctors. I leave in a few weeks to head back for month- long experiment and I am currently working on the last and most vital piece of the team, the GI doc with other mast cell patients. It is a very slow process and sort of sad. I have had four doctors refuse to see me or provide care, apparently I’m too complicated- hee hee! My hubbie could have told them that 🙂 One nurse said “you can’t really blame him for not wanting to take you as a patient, you are kind of complicated and that scares him”. I was thankful for her honesty and told her he was not the only one. I conveyed to her that I did understand why it would scare him. I ask her to imagine how that would make a patient feel, one with no medical school experience. If the doctor was scared imagine how scared the patient must be living everyday with themselves. She had never thought of it like that and I’m sure the doctor didn’t either. I guess you know you are really sick when doctors are afraid of you. While the experience is disappointing I know The Great Physician. He shows me he is with me everyday and redeeming what this broken fallen world has caused.

FAQ

Today’s post I thought I would answer some frequently ask questions. I get a ton if questions, which is very cool. I like helping others to understand about this new disease that can surface in anyone. Mastocytosis and mast cell diseases are rare but rapidly growing conditions that can infinitely impact your quality if life. Most people have never heard of these disorders and naturally have questions. If you have a question feel free to post it in the comments and I will do my best to answer it.

Now that you are back home from Florida do you still have to wear the masks when you go outside?

  • Yes. If I don’t wear it my lips and back of my throat swell significantly. I still get swelling with the mask just not as much as if I did not wear one at all.

Are you moving?

  • That is the plan, if the trip goes the way we think it will.

If you move away do you feel like you are quitting?

  • Umm…. No. Giving up would be to stay here where it is comfortable and sooner or later let it kill me. Moving is actually fighting back against this disease. If God has prepared for me a sanctuary I will run to it eagerly.

Do you get hungry?

  • Yes, and a couple of times I’ve even been h-angry …. angry because you are very hungry 🙂

If you could eat tomorrow what would be the first thing you ate?

  • It changes depending on the day but most days I would choose a big juciy bacon cheeseburger with salty crinkle cut fries and a slice of turtle cheesecake or Reese’s peanut butter cup. I say that but honestly that is probably a weeks worth of food for someone who has not eaten in a long time. I’d be happy with a couple slices of a fresh peach and a couple tablespoons of sticky rice.

So you can’t eat food?

  • Nope

So you eat gluten free?

  • Nope, no food. There are many foods that don’t have gluten in them, meat for example. I can not eat food at all right now.

Then can you juice?

  • Nope, juicing is still food.

Can you do gum, mints, candy, cough drops?

  • The only things that I can swallow are a few brand specific bottled waters.

What kind of water?

  • Aquafina mostly but I can also drink Osarka. Other mast cell patients do well with Fiji and Voss but I have not tried them. Artesian spring water is recommended by my dr but often hard to find.

What happens if you drink another kind of water?

  • The skin on my the inside of my mouth rolls away like a scroll leaving a sore with in minutes and also belly pain.

Why is that?

  • Many bottled water brands add minerals and chemicals to “enhance flavor” that my body reacts to.

Were you born with this disease?

  • Hard to tell. People can get this disease from birth or spontaneously. Many mast cell patients, not all, have a genetic mutation that cause the disease.

What causes the mutation?

  • I don’t think they know for sure but chemical exposures in food (pesticides etc) and environment are the most common reasons I have heard. I tend to think this may be true because mast cell patients’ symptoms seem to be made worse by chemicals- eating, breathing, or absorbing through our skin.

Does everyone who has a mast cell disease loose the ability to eat food?

  • No, I went untreated for years and so more damage was done to my system. This is why it is really important to get treatment early.

Is there any cure for Mastosytosis or the other mast cell diseases?

  • Not at this time. This is why I am writing my book, to raise awareness and to raise money for reasearch to find a cure.

You look frail, what size are you? How much weight have you lost?

  • Have you ever noticed how our culture is obsessed with size and food? I am always amazed at how often this topic comes up. Weekly I will hear someone confess they are jealous of me because of my weight loss and they would do anything to be my size. This makes me soooo sad. My response is “Don’t be jealous of malnourishment.” Weight loss is really cool when you eat right, exercise, and make healthy lifestyle changes. It’s not so great when it comes due to an illness and you can’t make it stop. It’s more like a run away train. Mast cell patients have much less control over their size than most. Unexplained weight gain and weight loss are both symptoms we have to learn to live with. Somehow all of us need to learn to love ourselves no matter what size and shape we are. That being said, going down in size is more fun because you need to shop for new clothes and the cuter clothes are more available in smaller sizes. The first time someone ask me what size clothing I wore I was taken off guard. Personally, I would never ask someone what size they are but I’m a pretty open person to others questions. I have lost almost 75 pounds and wear a size 2 in pants and sm to medium for tops.

How do I know if someone I love has this?

  • People with a mast cell disorder can appear to be perfectly healthy until faced with a trigger. Once exposed to the offending substance, specialized immune cells called mast cells, release many chemicals into the body, causing symptoms and creating a literal war zone. Triggers can include such unusual things as heat, sunlight, alcohol, many foods, artificial flavorings, preservatives, pesticides, perfumes, seasonal changes, pollen, room fresheners, exercise, friction, fatigue, mold, anesthetics, antibiotics, narcotics, emotional or physical stress.Once triggered, there are a myriad of symptoms that wreak havoc on daily life. To further complicate matters, symptoms vary from person to person and from day to day depending on physiology and environmental influences. Some more common symptoms include: itching, headache, rashes, flushing, high heart rate, hives, chest pain, abdominal pain, bloating, GERD, diarrhea, vomiting, bone and/ or muscle pain, brain fog, cognitive dysfunction, anxiety and/or depression, lightheadedness, fainting, blood pressure instability and anaphylaxis. I’m have written a basic overview of the disease in this post. You can check out a couple of YouTube videos produced by The Mastocytosis Society to learn more. I will post them below. Very specialized testing with proper staining is required for an official diagnosis. With early diagnosis and treatment the prognosis is significantly better.

You have lived with so much suffering in the last few years, are you sad or happy that you were born?

  • I am so happy and thankful to be alive, probably more than other people. This illness has really helped me to know what is truly important in life and focus on those things. Everyday I wake up is a day I can serve my Lord, be with my family and friends. Things like you. Thank you for walking this road with me and trying to learn more about this crazy life I live. I couldn’t do it with out you!

Christal

Contentment in the Dark

Mastocytosis Flare Recovery Month 10 Day 9

Bad Days

We all have bad days. A bad hair day is something every girl has experienced. When those locks just won’t obey, it’s time to pull out the hat. Some bad days are rectified by going to bed early and starting fresh in the morning. Then there are those times when the bad days seem to string together like train cars one after another. Well, I have been home from my impromptu trip to Florida for a few weeks now. Unfortunately, it has been a rough ride. I have pretty much been bed bound for all but couple days. The swelling in my throat, tongue, and sometimes lips has returned with a vengeance, so have the headaches, low energy, pain, dizziness, feeling faint, and I have had many reactions since being home.

Contentment Forgive the terrible photo, it’s actually pretty hard to take a picture of your own mouth, it’s dark in there 🙂

See the uvula (some people call it the punching bag) it’s not supposed to be lying down on the back of your tongue like that. The back of the throat is supposed to be much bigger than what you see here, especially if you are a singer and normally have control over those muscles. Swelling like this is very serious, it can cut off your airway and lead to death. It is called anaphylaxis. This is the most serious of all allergic reactions.

Bye-Bye Formula

We are entering the most dangerous time for mast cell patients in Oklahoma, fall flare. More people are hospitalized in the next two months than the rest of the year combined. Currently, I am reacting to things that have not been a problem before, including rice. The rice not going well is a pretty big deal. 99.9% of enteral formulas, or medical foods that are broken down into the basic building blocks of foods like amino acids, are corn based. For the past seven years I have not been able to tolerate corn. Now rice is not an option for me now which means I have lost all formula options for the time being. I will not be able to test a formula again for at least two months, putting me at a full year with no food. I am discouraged but not hopeless. I know how my body feels when I’m away from here and near a coast. I am hopeful that my doctor is right again and going away for a month will help me to regain the rice and much more.

The Dance

People always ask me what it feels like when I am so activated. It’s like when you were a kid watching Superman cartoons, remember how Superman reacts to kryptonite? It is like that. All my strength is sucked out of my body leaving me a crumpled heap. I literally feel like I am being poisoned. There is literally a war going on in my body, a war on a cellular level. When our bodies sense an allergen or something it believes is an invader, the mast cells release over 200 known chemicals, including histamine, heparin, & tryptase to fight off the offending substance. The body outwardly responds to these chemicals with what we recognize as allergic reactions, which can be anything from sneezing, itching, hives, or even anaphylaxis. These chemicals actually call in reinforcements to the fight and signal you body to make more mast cells. Subsequently, once you have a reaction, it is much easier to have another in the days and weeks ahead. This is my Masto dance. It’s the same dance that everyone with a mast cell disease does on a daily basis. Some days it is two steps forward and there steps back, sometimes you go in circles. I just need to keep going and one day the steps will change and progress will be made. These recent reactions have helped me realize how far I have come in these 10+ months. I am really missing the beach and feeling full of life. For the time being, I have traded my ocean view for my current view.

Contentment 2

Resting in Him

I feel like I am living and understanding the words of the Apostle Paul on contentment in his letter to the Philippians.

I know what it is to be in need, and I know what it is to have plenty. I have learned the secret of being content in any and every situation, whether well fed or hungry, whether living in plenty or in want. I can do all this through him who gives me strength. Philippians 4:12-13

This disease is very complex! It can be seem so big, so daunting, much bigger than I can handle. Then I compare my problem to my God, who created the earth with just His words. He literally didn’t have to lift a finger. My problems, and yours too, are nothing He can’t handle!

Peace and joy,

Christal

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