Tuesday, September 17, 2013

Double Jeopardy -Rare disease x2



In 1973, at age sixteen, while living in Jamaica, WI, I noticed strange things happening to my body. My athletic, lithe self was slowly becoming tight, stiff and painful and I was tired all the time. This phenomenon could not be seen by anyone, but I definitely felt it. Over the next few months, my lack of speed was obvious in my track and field competitions and in my basketball practices. The pain and fatigue became overwhelming and as a result I had to drop out of high school my senior year.

A diagnosis of scleroderma (rare disease #1) was made about a year after my initial symptoms and the doctor told my parents I had two years to live. This time frame was kept secret from me for about 10 years. I spent 4 months in the hospital and my dramatic physical decline coupled with what I now realize was a deep depression kept me in a downward spiral to the point where I essentially became an invalid. During a period of about 8-10 years after my initial diagnosis, for no apparent reason, I began feeling better. The darkness cleared and I slowly began to regain my independence. With family support and by the grace of God, I was able to finish high school (at 26), get my driver’s license (a big deal at the time), graduate from college (at 34) get my master’s degree (at 35), travel extensively over Europe and the Caribbean, purchase my own house, mentor numerous children, and work in a career as an accountant for 25 years before being hit by PAH in 2009 (rare disease #2).

My house is right around the corner from the bus stop and one cool March day, as I left my home to run an errand, I heard the familiar diesel engine sound of a bus slowing down. So, like I had so easily done countless times before, I ran to catch the bus. But this time even though I caught the bus, I was completely and almost totally out of breath the point of near fainting. Luckily there were available seats on the bus. After a few minutes the palpitations slowed and I was able to relax. At my next doctor’s appointment I mentioned the incident to my rheumatologist who immediately knew that it could probably be pulmonary arterial hypertension (PAH) and referred me to a PH specialist.

Dr. Roxanna Sulica from Beth Israel Hospital in NYC did a right-heart catherization and determined that I indeed had PAH. Since then my life has taken a different turn. I retired a year after my diagnosis and, after repeated allergic reactions to Letairis and Tracleer, I am now stable on Adcirca, and I get tremendous benefit from pulmonary rehab, support groups and the educational conferences and forums.
To everyone with PAH and/or scleroderma, realize that there are going to be stages to your life and you will have to keep making adjustments to your “normal” every time you experience a setback or a disappointment. However, your life can still be rewarding and full even with 2 rare autoimmune diseases.
Somebody once said, “If you choose to sing, you will always find a song,” and I choose to sing.

MY BIO
I was born and raised in Jamaica, WI.  I moved to the United States in 1983.
I retired in 2010 at 55 years old from a 25-year public service career as an accountant with NYC government.
I now volunteer with an organization called New York Cares and support community service projects close to my heart, especially those that benefit the well-being of the disabled and other disadvantaged groups.
My PAH is secondary to scleroderma. I have experienced practically all the manifestations of both diseases. I do not travel out of the country as extensively as I used to, primarily because of the many adjustments needed for air travel with PAH. There are times I cannot get out of bed, but when I can I make sure I get out of the house. I am determined to keep a song in my heart because it makes me feel better and reinforces my usual positive, hopeful outlook on life.
I live in Brooklyn, New York and I have a host of family members and friends close by for support.

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