Thursday, April 26, 2012

My First Date with Tysabri


Infusion without incident.  That’s how I would describe my first Tysabri treatment. It was not terribly exciting, kind of boring actually. My nervousness was more eventful then the actual infusion and its aftermath, or lack thereof.

We arrived to my appointment about 2-3 minutes late and had to wait for some time before entering the Infusion Room. As my sweetie and I sat, my stress and anxiety began to swell. Did we arrive too late? What if they won’t take me now? What if I have to reschedule this infusion? This will force me to reschedule all the subsequent appointments I already have booked because they must be every 28 days. It would be great not to have to go through this infusion because I am really nervous. But not nervous like I’m about to give a solo performance at a concert but I am still nervous. And, how is Tysabri pronounced anyway? I’ve heard it at least three different ways. TIE-SA-BREE, TEE-SAH-BREE, TE-SAY-BREE? TIE-SAY-BREE? TEE-SAY-BREE?

Christine Germans?!, a voice called out, interrupting my neurosis. Yes! We stood and grabbed our belongings which for me consisted of a 20-pound tote filled with my laptop, Kindle, notebook, power cords, cell phone, camera, wallet, papers. You know, the type of stuff one needs to pass the time during an infusion. First infusion?, asked Nurse Jackie (true story) as we walked towards the Infusion Room from the Waiting Room. Yes, I replied. As we entered through the Infusion Room doorway Nurse AJ handed me the Tysabri booklet. Read the pamphlet, she demanded but in a nice, nurturing yet this is a serious situation sort of way. Okay!
Read the pamphlet!
Nurse AJ and Nurse Jackie taking care of me

The Infusion Room was not very exciting. The décor consisted of a nurse’s station, about six or seven infusion lounge chairs and a bunch of IV stands. Not much else. I remember the floor was nice. Laminate wood flooring. Homey touch.

We walked over to my chair, my relaxing spot for the next two hours. Nurse Jackie instructed me to read the Please Don’t Sue Tysabri card while she gathered up the gear for my infusion. I hopped in the chair while Nurse AJ got me warm blankets and pillows. This will be very relaxing. Cozy, I thought, as I stretched out and cuddled up.

Lidacaine?, asked Nurse Jackie as she prepped my forearm for the IV.  Huh? What’s that?, I asked, absolutely clueless about IVs because I’ve never had one before except for outpatient surgery over 15 years ago. That was way too long ago and my MS brain erased that experience right out of my memory bank. Lidacaine, explained my sweetie and Nurse Jackie, is to numb the area to prep for inserting the IV needle. Hmmm. So, that would be two needles? I reasoned the pros and cons of an additional pinch on my skin and decided that if I could handle daily injections for nearly two years, I could handle a quick needle for the IV.  No. Let’s go for it.  Just one pinch please! And in went the needle…

Yikes. Okay. That hurt. But it was very short lived. By the time I registered the pain of the IV needle it was all over. I didn’t even get a chance to slow down my breathing and do some quick visualization exercises. Later I came to realize this was indeed the worst part of the infusion.

Nurse Jackie hung up a bag on the coat rack next to me and popped some tube into my IV. Is that it? Is that the Tysabri (te-SAY-bree)?, I asked, not wanting to miss the moment of first contact because we brought a video camera to capture everything. Saline first, she said, the pharmacist is mixing the Tysabri (tie-SA-bree) in the other room. While the saline dripped through, I chatted with my sweetie who sat right next to me. Eventually, Nurse Jackie placed the Tysabri package on the table next to me. It’s neon yellow! I observed quite loudly. No, that’s just the packaging Nurse Jackie informed me, giggling. How embarrassing. Sorry, it’s my first time. It looks like some kind of magic potion.
The magic potion

After a few moments, Nurse Jackie hung up the Tysabri bag on the IV rack and connected the tube to my IV. Tysabri (tie-SA-bree)? Do your magic, I said. I expected Tysabri to announce itself as it dripped through my veins. Here I come!, I imagined I’d hear. Yet I felt nothing so I tried to relax into it.
tie-SA-bree

No such luck. I was still distracted as I waited to feel fire in my veins, pass out at some point along the way or maybe develop a headache but nothing. It was all very uneventful. Yet, the seriousness didn’t evade me when I looked up at the Tysabri bag. This is some crazy shit, I said out loud. Who could have imagined that I’d be sitting in an infusion room getting pumped with Tysabri because my initially prescribed MS drugs weren’t strong enough to deal with those stupid lesions?!?!

All this in the first five minutes. This is going to be a long two hours I thought to myself. 

C

Friday, April 6, 2012

My MS Haiku


vast cool open grey
its power envelops me
settle into calm

(c) 2012 Christie Germans


Tuesday, April 3, 2012

Subtract Negative for More Positive


“Every time you subtract negative from your life, you make room for more positive”.

I would love to say that I am the type of MSer who always focuses on the positive wearing rose colored glasses while holding the proverbial glass of water that is indeed half full. Yet, sometimes I have bad days and the negative seeps in and before I know it I am wearing very dark sunglasses while holding a completely empty glass of water.

Why? Well, first I am not positively perfect. I get cranky. I have bad days. Sometimes I am sad. Sometimes I am angry. Sometimes I am just not in the mood to see the bright side of things. Ever have these kinds of days? It happens. For me these days come up when I do not feel good, when those pesky lesions along my spinal cord cause me a little more grief.

During these moments, I grow resentment towards my MS and I find it difficult to sway towards the positive. I resent the fact that, sometimes, my MS keeps me from doing things that I want to do. When I feel my hand flares up with pins and needles, I do not feel like drawing. When my legs get super wonky, I do not feel like riding my bicycle. When my optic neuritis flares up, I just want to close my eyes. When I am fatigued, I simply do not want to do anything at all. I want to yell at my MS because of this. &%$! You MS! Luckily for me, these moments are usually short lived. It’s not my nature to be so angry and negative yet I do need reminders that it is okay once in awhile to feel these emotions.

How do I deal? Sometimes I simply bid ‘farewell’ to the day, go to sleep and wake up to a new day. I start over. I welcome the day with fresh eyes that allow me to see the negative that I can get rid of and this opens up my life to make a bit more room for the positive. Corny, I know. But for me it works.

C

Monday, March 26, 2012

What's on my (MS) Mind?


Every social media platform asks me what I am thinking about, what’s happening, what’s on my mind. Well, let me tell you. I have a lot on my mind. My mind is inundated with lots of things, some important, some just my own inner ramblings. 

Social Media Universe: So, Christie, what’s on your mind?

Christie: (struggling to come up with something in 140 characters or less) Well, at the moment I have a lot on my MS mind. This is just a sampling:
  • I am wondering when my vertigo will stop. I had another bout of it last night at the office. Make the spinning stop. Make the spinning stop. 
  • I would like to be friends with the following people: Oprah Winfrey, Ellen DeGeneres, Phil of the Amazing Race, the president of the National MS Society, Flo Fox. To name just a few. In my eyes and in my heart, these fine folks are heroes. 
  • I want to go to Cuba but worry that the heat and humidity will kick my MS ass!
  • I need to kick up my training routine up a bit if I am going to ride from Bay to Bay in the MS Bike Ride. 20 minutes on the trainer isn’t going to cut the mustard!
  • Woman’s Day. Page 127. That’s me. Holy crap! I am in a state of disbelief even though I sent them the essay, had my makeup done and had my photograph taken by a professional photographer who spent over an hour with me snapping pictures of this mug! Really!
  • Feeling anxious about forgetting stuff all the time. Especially taking my nerve pain medication. I wrote tips on a blog post and should probably take my own advice, right?
  • That new lesion along my spinal cord, that’s what’s on my mind. Crap. Here I was going along my merry way with my daily shots of Copaxone thinking I was treating my MS. Crap, crap, crap.  
  • “I am not impressed with your physical exam” said my neuro. Now that’s funny! He means, of course, that I passed my physical exam.  Too bad the rest of my appointment got serious.
  • I have injected myself with Copaxone nearly 700 times to no avail. New lesion.
  • "Would you like Tysabri, Gilenya, Rebif or participation in a clinical trial?" Hmmm. Just a glass of water please. 
  • My cat had a kitty heart attack yet after a week in the hospital, she’s brand new! What a relief. I love her so much, that sweet little princess. Yes, I realize this makes me seem like one of those crazy cat ladies. I do not care. I love my cat. 
  • 1/1000 chance of getting PML while on Tysabri. Or, is it 1/10,000. I would like to choose the second probably factor please. Is that on the menu? That I can live with.
  • Weight gain while on Gilenya? No thanks. I am trying to shed a few pounds.
  • My neuro assured me that the US death of the MSer on Gilenya was because he/she was mismanaged by his/her doctor. That’s bull#@($*&@( and I hope that doctor is not practicing anymore. What kind of world are we living in?

That's enough for now. I could go on. How are you? What’s on your mind? 

Be well,
Christie

Thursday, March 22, 2012

Ah...My Fans


Well, one of them any way. And a great one at that. My good friend Mel, who also lives with MS, is one of my biggest cheerleaders and provided a lot of support while I was writing the essay on page 127 of the April issue of Woman’s Day. Love ‘ya Mel! Thanks for giving me so much encouragement in my decision to finally get the blue placard! Mwah! 



Friday, March 16, 2012

Extra, Extra! Read All About It!


A few months ago, I was contacted by the Health Director of Woman’s Day and was invited to write an essay in an upcoming issue of Woman’s Day magazine. Why not? Within the month, a makeup artist and photographer came to my place. Within a few months, my story hit the newsstands! Wow. 

That's me! On page 127!

The essay is about my decision to finally get the disabled parking permit. It stems from my post this past September, When Is It Time to Get the Blue Placard?So, in honor of MS Awareness Week, go out to the store and buy your April issue of Woman’s Day. Today! I’m on page 127.  

Be well,
Christie

Sunday, March 11, 2012

Just Pick a Color

And I picked orange! In honor of MS Awareness Week!

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