Wednesday, October 21, 2009

More Healthcare Debate - A response to recent propaganda

Yesterday, my brother sent me a text message with a picture of OUR President with the text “Guess he can’t.” The picture also seemed to have a negative racial element to it, as well. I asked him not to send me that sort of propaganda and he began a debate. He told me that reform would kill Americans. I laughed because that is like saying the black cat is white.

I told him he needed to turn fox news off and get his facts straight. That according to a Harvard study, 44,000 people die each year because they have no health coverage. He told me that it would only benefit people who make under $30,000 a year and would cost everybody. I asked him two questions: Why are people who make less than $30,000 annually health’s less important than his? And, if he is angry about paying taxes for benefits in which he does not receive, like social security and Medicare, so important now.

I am 27 and will most likely won't see social security, He is 29. I know that people like my grandparents do benefit and I have no issue being a part of a system that helps them live. I would also not mind helping those without insurance get the coverage they need and deserve.

He then said, “Don’t be a Communist!” I am not a communist, but as car insurance is mandated to protect drivers from each other. I think there needs to be a safety net for all of the possible health care issues that could kill someone or make them bankrupt.

I wanted to remind him of when he was a teenager and needed brain surgery after numerous strokes. Had our parents not had quality medical insurance, he would not be here to debate this issue. I knew it would only fuel more pointless debate, so I said nothing.

I wanted to remind him that he has a sister with a chronic disease who has been denied health coverage for being “sick.” And that those health insurance companies willing to insure me, while I was a student, wanted more money than budgeted for rent. That I went without because it was not a financial option. I also cried myself to sleep in pain and agonized myself knowing that my body was eating itself alive and having children was becoming less and less of an option for my future, his possible nieces and nephews.

I also, but didn’t, wanted to point out that studies show those in favor for reform are either the uninsured who would benefit and those that are “intellectuals” and could see the big picture and how it would affect our society. Once again, I kept silent because he would fall into the middle and feel like I was using my education against him.

I love my brother and other members of my family and friends that do not agree with me. I am happy to hear their opinion if they will remain calm and hear mine. But too many people are buying into super conservative propaganda pushers that only seem to yell their opinions that are not backed up with legitimate facts from legitimate sources. Just because they yell the loudest does not make that nonsense true.

As I mentioned, expressing my views to my brother would fall on deaf ears, but I had to vent my opinions. Thanks for reading.

Feel free to discuss the issue, but be prepared to back up your opinions with facts from reputable sources.

Friday, October 9, 2009

October Update

Sorry I have been despondent recently. Sometimes I find my condition too much to bear and have to stop thinking it about it. But then the pain comes back and I am forced to confront it.

I have been off lupron for about six weeks now and just finished my first cycle since March. It was painful and although the normal indications are gone, the pain has remained. Such as life. I do not think the lupron helped, although I think it does help some people, just not me.

What angers me more than my pain, is the pain of others who are not as fortunate as me to receive superb care due to lack of insurance or having their endo deemed "pre-existing." I think if every American went without health insurance with a medical condition, the healthcare debate would not be a colossal screaming match, If we could just care about our neighbors the way we do after a natural disaster or terrorist attack, paying a little extra so your neighbors that may not be as well off as you, would not be a problem.

Keith Oberman has urged Americans to support health care clinics in the states in which there is much opposition from statesmen. Therefore, proving that there is a need for healthcare that helps the poor and underserved. So many of our politicians turn a blind eye to those that they see as of little importance. BUT WE ARE ALL IMPORTANT. Who am I to say that I deserve healthcare and you don’t? It is our generations' fight for civil rights. And people are dying because they do not receive adequate care. They die every day, every hour. But that could be stopped with proper healthcare regulations. Please do not conform to the republican boogeyman and do your research before deciding that reform would end all healthcare.

If you wish to no more about Keith Oberman's campaign to bring healthcare to those underserved in states that are fighting regulation, click here.

Thursday, September 10, 2009

Letter to Congressman Olsen

Congressman Olsen,

I received this survey in the mail and thought I would answer it a little more in depth than the options you provided. You may see the questions and my responses at the bottom of this message. But first, let me tell you a little about myself so that you may understand where my answers are coming from.

Six years ago, I was diagnosed with endometriosis, a non-life threatening disease that creates immense pain and infertility. When diagnosed, I had insurance through my parents as I was a college student. However, I aged out of the system and found myself still in college, working multiple jobs/internships with little options. My school offered insurance, but because I was treated for the endometriosis in the past year, it was ruled a pre-existing condition and I was denied treatment. I looked at private insurance companies to get a policy, but they wanted over $600 a month and as a young woman putting myself through college, that was my rent money. Nobody should have to choose between medical treatment and being homeless In the next two years it took to get my degree, I went without treatment because when I did have an opportunity to be insured I did not want it ruled pre-existing.

By the time I graduated and landed a good job with insurance, my disease was eating me alive from the inside. If you can imagine the internal organs held in your abdominal cavity and take a huge wad of gum and wrap each organ and connect it to whatever is nearby, may it be your abdominal wall or another organ. Except that gum was really scar tissue and lesions. It took the surgeon six hours to clean everything up and remove my appendix because it was too damaged. In addition to having issues with my reproductive organs, I also have damage on both intestines, stomach and bladder. What hurts the most is not the pain that I feel almost everyday from my damaged organs, it is not knowing if I will ever be a mother due to the fertility issues Endo causes.

I'm not speculating that had I received treatment my condition would have been better. I don't know. But I would imagine that assistance with hormone therapy and other treatments could not have hurt. I also know that there are parts of the health care bill that could be improved. But instead of improving those areas with thoughtful ideas and bi-partisan team work, some republicans have opted to create lies of death panels and other republican boogy men to scare the American people out of supporting the bill. Like the President said in his speech, let's work together to get something done for the American people. So I ask, as your constituent, that you be constructive in your work. Rather than sending surveys with loaded questions like the one I answered below, send one and ask the American people what they want and what they need.

On the pamphlet, you mentioned that this was paid for by me, the tax payer. I would like to know how much it cost to prepare, publish and mail these pamphlets? I am also aware of a similar campaign via phone, what are those costs? It seems that the loaded questions are fishing for the responses that back up your position, rather than questions that would lead to ideas that would improve the health care bill.


Your Survey
Do you support a plan to increase taxes on American high income filers and small business in order to finance a government run health care program that according to the CBO would still leave millions of Americans uninsured?

My response: I do support a government backed healthcare program even if it does force taxes to rise for upper middle class and "high income earners." I would continue to support such a program even if it increased taxes for lower-middle class because I care about my fellow American and have been uninsured with a medical condition. Have you, Congressman Olson, ever been uninsured with a medical condition?

Do you support or oppose limiting access to health care by placing a government bureaucrat between you and your doctor?

My response: I support it if it means the 30 million plus Americans receive the care that they are entitled to. In the current system, there is already a gate keeper that creates a buffer between you and your doctor, the nurse. Just this year my former doctor suspected thyroid issues and ordered an ultrasound. I called twice within three weeks to get my results. As it turned out, the nurse never gave my doctor the results and if it were not for my persistence, I would not be aware of this that I have cysts on my thyroid that need to be watched.

Do you support or oppose a plan that would pursue free market reforms to foster competition in the health care market to lower costs?

My response: Of Course! That's why President Obama would like a public option, to increase competition, which would in turn lower healthcare costs overall. There would not be a monopoly of insurance companies that have obviously agreed to keep prices high. And it is that An option. So Americans are not forced to choose going without healthcare or going into the poor house. Most choose going without, even if they pay the consequences down the line, like severe medical conditions or death.

Are you satisfied with your current health coverage?

My response: I am satisfied to have health coverage. Yes, at times I can become very frustrated getting claims pushed through and having certain necessary treatments covered. I do believe, as the President said in his address to Congress and the Senate, that more competition will force insurance companies to be more customer oriented. They would know that they are not your only option and might be more inclined to keep you as a customer by providing better service and becoming more affordable.

Wednesday, May 20, 2009

My Story

I always had painful periods and was lead to believe that it was just one of those things that women have to deal with. But the pain continued to get worse and worse. Of course, I still thought it to be normal. At the age of 18, I had immense pain on the right side of my pelvis to the point that I would pass out, literally dropping to the floor.

I went in for my first laparoscopy and they found my intestine wrapped around my ovary, choking it. However, they didn't find any endo. I was unfortunate enough to get a horrible surgeon, Dr. Cynthia Phillips who is no longer in practice. (Thank God!) She perforated my intestine and sent me home bleeding internally. Twelve hours later my mom rushed my back to the hospital because my lips literally peeled off due to lack of oxygen. Another 12 hours passes and I was back in the OR having emergency surgery that left a zipper like scar up my belly.

Two years later, I go to the ER because of horrific pain. They noticed a tumor or cyst on my right ovary and refer me to a OBGYN. Initially, they thought it to be a dermoid tumor – a very odd tumor that is benign but has teeth and hair in it. GROSS! As you may have guessed, that was not the case. In fact, it was a huge lump of endo. I remember being very upset because I knew a little about endo and knew that there was no cure.

As time went on, my endo got worse. I was told if I wanted to have children I better do it fast. I thought WTF! I'm only 22, have no boyfriend, am still in college and broke as a joke. How the heck am I going to get pregnant and better yet how will I pay for this kid. And, should I really have a child just for the sake of having one?

This messed with my head beyond belief and every guy I dated I immediately judged as to whether he was daddy material. The answer was always no.

I opted for Lupron instead of pregnancy. I got a shot every three months for six months. I don't remember this period very well. I think I blocked it out because I was so depressed, angry and alone with my disease. My mother remembers it well and reminds me of how mean and moody I was. The Lupron helped for a while and I had about two years of being relatively pain free.

After a while, I became indifferent about my disease. I was sick of dealing with it and I had lost my insurance so I couldn't get treatment anyway. Fortunately, my best friend also had the condition and helped me out when I was in extreme pain.

I let a couple of years pass, finished college, got a good job and INSURANCE. By then, my best friend had found a world class group of doctors and I followed her lead. Last February Dr. Mangal spent five hours removing my endo and my appendix. I was referred to Dr. Mathias who has done his own primary research and clinical trials and found that woman with endo have mini seizures in their colons. These seizures excite the nerves and aggravate the disease. He also found that we are insulin resistant and the sugar in our blood furthers the condition.

He put me on a low glycemic diet, meds for the seizures, Omega-3, Super vitamins and olive oil. In addition, I went on Lupron. However, this time it would be daily injections and add back therapy to cut down on the side effects.

I have to say that shooting up every morning is not the best part of waking up. But the thought of having children is.

So here I am coping with the hot flashes, crying and overall feeling crappy. Hoping that whoever reading this post realizes that they are not alone.

Letter to Family and Friends

Please note this letter was written a fellow endo sufferer, but hits home with many. If someone you know or care for is curious about endometriosis, make sure to direct them to this letter.

Dear Parents, Partners, Friends, Families, Employers & Doctors: We have spent the last years of our lives apologizing for being stricken with a disease we did nothing to contract, and we can do it no longer. We are asking one last time for your understanding. We are not responsible for not living up to your expectations the way you think we should. What you seem to fail to realize, is that you are just as much a part of the cycle of the disease as we are, because you are not getting the whole of our person and our capabilities. We are not lazy, we are not a whiners, we do not make the pain up in our heads.

We have Endometriosis.

We know that we look healthy on the outside, and that is sometimes harder to accept than if we exhibited the disease in our everyday appearances. What you don't see is what our organs look like on the inside, and you don't see what living with it has done to our mental state.

When we call in sick, it's not because we need a mental health day or to go shopping. It's because we can't get out of bed from the pain. Do you think we like letting our careers pass us by? Would it be easier for you to understand if we said we had cancer and looked the part?

When we get emotional and cry at the seemingly silliest things, or get angry for even less reason, it's not because we are flaky females. It is because we are taking experimental drug therapies to combat the disease, or perhaps because we have come close to the breaking point after dealing day in and day out with the pain for which there is no known cause or cure.

When we can't have relations with our partners, it is not because we don't love you or want to. It's because we can't. It hurts too much. And we aren't feeling real attractive right now.

When you as our parents can't understand that since you are healthy, we should be but aren't - try harder. We don't understand it either. We need your support more than anyone's.

When we can't go to family gatherings or accept social invitations, it's not because we don't wish to share in your fun. It's because we feel like pariahs. You are all having such a nice time with your children and loved ones - we can't remember the last time we had a nice time, or the last time we were pain-free. We can't have a nice time with our children (some of us), because we were robbed of that chance before we were old enough to even care about having them in the first place. Do you think we need to be reminded of our battle with infertility by watching you and your babies? Or for those of us who were blessed enough to be able to conceive, do you think we want a constant reminder that we never feel well enough to spend enough quality time with our children, or worse - that we might have passed this disease down through our blood onto our daughters?

When you married us, you didn't know that we meant the "in sickness and in health" part literally, did you? We bet you were counting on at least a 50/50 split of that combination, rather than the 90/10 ratio you got. You are our caretakers, the ones who drive us to and from our doctors, countless surgeries, and emergency room visits. You are the ones who hear us crying in the night and see us break down during the day. You are the ones who wait on us hand and foot after surgery. You are the ones that go for months on end without sharing our beds with us. You are the ones that deal with our infertility right along with us. We strike out at you when we are hurting and angry, and you take it in stride. You are perhaps bigger victims of endometriosis than even we are. You are appreciated more than words can ever say. Don't give up on us now.

As a medical professional, we are coming to you for help. We are asking you to do the job you were trained to do and ease our suffering. We do not need you to tell us that we are imagining the excruciating pain we live in, or worse yet, that it is normal for a woman to hurt. Keep up with your research, find the cause of this disease and better yet, find a cure! Stop taking the easy way out and drugging us into oblivion so that we will quiet down. We are not going to quiet down. We want answers and it is your job to provide them. You were the ones that took the oath to heal, why do we have to try to do your job? Do you understand what it means when we tell you that we literally can no longer live a normal life and care for ourselves and our families? Are you not up to the challenge to find the answers?

To those we have called friends all our lives, why have you deserted us when we needed your compassion and understanding the most? Do you see the selfishness of your actions? When we can't "hang out" and get together with you, it's not because we don't like you or we don't care - it's because we are no longer capable of enjoying healthy leisure time. Our minds are consumed with our next doctor's appointments, what surgery we are going to have next, and why we feel so sick all the time. This is not about you - it never was and it never will be. It is about us. Please try to remember what the term "friend" means. Try to walk one minute in our shoes. We have fought a war for the better part of our years. We are faced daily with physical pains we can't understand and mental anguish we can barely cope with. We have to face a society which doesn't even know the word endometriosis, much less the ramifications of living with the disease. We have to face uneducated and unsympathetic doctors who tell us things like, "it's all in your head", and "have a hysterectomy, it will cure you", and "get pregnant, it will also cure you", when we know that it won't and have been dealing with infertility for the last however many years. We in our 20's and 30's do not wish to give up our organs just yet. That would be like giving in to the endo. Can't you see that? We have to fight to get medical treatment that insurance companies don't deem necessary, or worse, we deplete our savings because aren't able to obtain proper care unless we pay for it ourselves. We have to have surgery after surgery and subject ourselves to horrific medications just to be able to get out of bed in the morning. This is not a conscious choice we made, it was the hand we were dealt. It is enough of a war we wage just to try and live with some modicum of normalcy - don't make it harder on us by not seeing the reasons why. Endometriosis is a disease that affects all of us. Take the time to learn about it and understand why we are the way we are. If you can do that, and you can join us in the battle for a cure, then we can one day return to our old selves and live a normal, productive life. We can have a healthy relationship with our loved ones, we can contribute meaningfully to our work environments. We can stop taking the painkillers that numb our suffering to a degree and become part of the living again. Please don't judge us and declare that we are all the things we are not - until you have lived with this disease ravaging your mind and body, you cannot speak on it.

Whatever doesn't kill us makes us stronger, someone once said. While endometriosis may not kill our physical body, it kills our spirit. It kills every hope and dream we ever had of doing the things that make us happy. All of us are out here searching for a cure to put an end to the disease...we are asking you to take part in that battle and work with us on doing so. Wouldn't it be nice to have back the daughter, wife, friend or family member you once knew? Think about it.

Tuesday, May 19, 2009

Letter to Oprah

Oprah,

I enjoyed your show last month on innovative ways to live longer. It gave me hope, hope that someday the disease that afflicts me will be better understood.

Seven years ago, I had intense pain in my pelvic cavity. After going to the emergency room, and eventually an OBGYN, I was told that I had a tumor or cyst on my ovary. I promptly scheduled surgery for the following week. The first thing I remember coming out was my mom telling me that it wasn’t a tumor, it was endometriosis. My heart dropped because I knew the type of tumor suspected was benign and had little chance of returning, but endometriosis has no cure and could mean a lifetime of pain, both emotionally and physically.

Endometriosis affects me almost every day. I recently underwent my third laparoscopy and have just started my second round of an experimental hormone therapy, Lupron. And, I’m not alone. According to the Endometriosis Association, Endometriosis “affects 5 1/2 million women and girls in the USA and Canada, and millions more worldwide.”

I could tell you about the immense amount of pain that I have been in most of my life, or the psychological damage of thinking that you are infertile and defective as a woman. But I won’t, because I’m one of the lucky ones. I recently gained health care to assist in the massive amount of medical bills. I don’t have any of the autoimmune diseases that tend to accompany endo like chronic fatigue syndrome, fibromyalgia and lupus. And probably the biggest reason I feel thankful, I still have my reproductive organs and a positive outlook for their future.

There are so many out there that are not as fortunate as myself. They suffer in ways that most couldn’t imagine or understand. One of the hardest obstacles we have to overcome is explaining to our family, friends and most importantly, ourselves the parameters of the disease. There are many theories including: Metaplasia—a form of embryonic tissue that transforms into reproductive organs, retrograde menstruation, genetic predisposition, immune system dysfunction, and environmental offenders. I believe that the truth lies in a combination of these theories.

As with their patients, most doctors don’t seem to completely get it either. The first group of doctors I went to only seemed to be concerned with me having children. I understand they meant well, but I was still in college, single and not ready to bring a child into this world, who I frankly couldn’t care for in the way they deserve. I now have an innovative set of doctors that have made my life more livable. My surgeon, Dr. Rakesh Mangal, was able to remove all of my endo and my appendix, which was suffocating in scar tissue. The doctor who I was referred to, Dr. John Mathias, is amazing! He has conducted his own research and discovered a course of treatment that both prevents the disease from returning and reduces pain through diet versus pain killers.

He believes that the colon is the “brain” of the endo and contributes to the growth as well as pain levels. Through his primary research, he found that women with endo have mini-seizures in their colon that aggravates and furthers the condition. He hooked my stomach up to a machine that measures seismic activity and let me listen to my tummy as it crunched each time it seized. He also found that woman with endo are insulin resistant and that sugar aggravates the condition and raises pain levels. I was completely amazed by his theories and his research.
He started out by providing a diet that I would consider a mix between a Mediterranean diet and the South Beach Diet, which basically includes fruits, vegetables, poultry, seafood and olive oil. He also has his patients take minerals and Omega-3, In addition, to medication to control the seizures and daily Lupron shots.

Lupron is an experimental hormone that tricks the woman’s body into artificial menopause with the intent to stop the production of estrogen and ovulation. Typically, it is administered monthly or every three months for a 3-6 month course of treatment. Dr. Mathias prefers daily because it cuts down on the intense side effects like mood swings, headaches, night sweats and hot flashes. I underwent this treatment before but in the traditional manner, one shot every three months for six months. My side effects were so bad, moodiness being at the forefront, that my mom said she would disown me if I tried it again.

While speaking to health insurance agent to get the Lupron covered, I met a girl in South Dakota that has endo. She was helping me through the red tape and realized we have the same condition. She commented that her doctor said it was rare for both her and her sister to be afflicted. I almost screamed because I know that women are a great deal more likely to have endo if their mother or sister do as well.

Awareness needs to be increased by leaps and bounds, not only within the general public, but between the woman who suffer and doctors who treat them. With the 5.5 million endo-afflicted women in the U.S. and Canada, “Endometriosis (is) more common than AIDS and more common than cancer. Endometriosis is one of the three major causes of female infertility,” according to the Ohio State University Medical Center.

With those statistics, one in ten of your female viewers have endometriosis. And many, many more care about someone suffering with this disease. I belong to an online support group and every new friend I have talked to has asked me to write you, so that you may tell our story and shed some light on a misunderstood condition that effects so many.