What a difference 10 days make

I was at a pretty low ebb when I made my last post. As is often the case, things got worse before they got better.

A couple of days later, I felt so unwell that I began to panic. I couldn’t believe that such a tiny reduction in the dose of my azathioprine – from 100 mg to 75 mg – could have such a major impact on my colitis. As I lay on the sofa with every joint screaming and shuffled around the house like a really old woman, I couldn’t imagine that I’d ever feel better again, and I cried my eyes out. 

My head seemed to be full of cotton wool not brain cells and, after much internal debate, I decided to send back the bit of work that was giving me so much grief and to cancel another scheduled job. It was better to give my client the chance to get the jobs done properly first time around than for me to make a mess of them so that they missed their deadlines trying to get them up to scratch. I felt awful to be letting my client down but I knew it was best for them and best for me. Once I’d made that phone call, it felt like a huge weight was lifted from my shoulders, and I was able to relax into illness without the added stress of work looming over me. I took things steady and didn’t overdo things when I felt good for a couple of hours.

It’s paid off. Ten days later, I’m delighted to be on the mend. I baked some bread yesterday (with the help of my breadmaker) and that’s a sure sign that things are returning to my normal. I’m getting my brain used to thinking again and I’m hoping that I can do close to a full week of work this coming week.

I can hardly believe the difference in such a short space of time, but I’m still taking it gently. I’ve cancelled my plans to do the whole New Model Army Spring tour – I think it would be too much too soon – and I’m not buying any new gig tickets or making any major plans for the next few months. Better to take each day as it comes.

It is wonderful to be in remission from a chronic disease, but it lulls you into a false sense of security. Your brain fools you, making you believe that the condition is under your control. In reality, the disease is still in control of you – it’s just taking a rest and waiting in the wings to pounce. Hopefully it’ll be another five years until my colitis is strong enough to make another almost successful takeover bid.

The price of upsetting the status quo

I went to see my gastroenterologist for my annual clinic review at the beginning of January. Having been on azathioprine for some years now, and with the drug’s long-term side-effects in mind, he wanted to see if we could taper my dose down a little, so that I’m on the lowest dose that will control my symptoms. It’s been a long time since I’ve had any problems with my colitis, so I was pretty confident about reducing the dose by just one tablet every other day and started implementing the new dose regimen that very night.

Fast forward to one month later. It’s the first week in February and I’m off to Madrid to work at a conference for one of my regular clients. I’m out there from early Thursday morning until midnight on Saturday and it’s busy – very busy – seven hours sleep in three days and working the rest of the time. Not hard physical work, but tiring all the same. When I get back I’m pretty exhausted, but nothing you probably wouldn’t expect after such a long weekend.

I give myself Sunday and Monday off and write up a meeting report on Tuesday. New work from the same client arrives on Wednesday – I’m to write a formulary pack for a drug. I’ve worked on both the drug and other formulary packs before, so it shouldn’t be too challenging. Yet I sit at my desk, listlessly moving my mouse around and looking at the piles of resources and information that I’m supposed to be weaving into a justification of the benefits and costs of this product. Just two weeks ago, I would have whipped this background material into a coherent document without too much effort but now you might as well be asking me to run a marathon.

During the week, I have a few moments of utter exhaustion, almost falling asleep at my desk. Alarm bells are beginning to ring, but I tell myself it’s the last remnants of tiredness from the trip to Spain. By Friday, I’m mentally and physically exhausted. Hot spells, cold spells, nausea, joint pain and dizziness are haunting me. I crawl into my bed at 2pm Friday, realising that the chances of me writing anything worthwhile are zero – I tell myself I’ll work over the weekend. I’m still hoping that I’m just overtired from the trip to Madrid – although the logical side of my brain is telling me it is more than that.

I rallied around a little on Saturday, feeling well enough to drive into town to get a Valentine’s card for my husband and attend an optician’s appointment. In the evening we go to an old schoolfriend’s concert and the aftershow party, and I’m still feeling ok. By Sunday morning, though, I’m exhausted again. My joints are aching and swollen – hips, neck, knees, shoulders – and I keep having spells of lightheadedness and nausea. Despite the overwhelming tiredness, I struggle to sleep, unable to find a comfortable position in bed.

The only sensible conclusion now is that I’m having a flare up of my colitis, although my bowel itself is generally behaving itself. I’ve upped my dose to two tablets a day again, but it will no doubt be a couple of weeks before the full effects kick in, so I’m waiting on a call from my consultant for advice.

Today is my 39th birthday – but the way my body is feeling, it might as well be my 99th.