Showing posts with label Medical. Show all posts
Showing posts with label Medical. Show all posts

Wednesday, April 26, 2017

Stripes

Check out my new walking shoes!


The Maizie-dog and I walk about 1.5 miles almost every morning. We tried 2 miles one day and my joints and my head were all "nope." But, yay progress! Jim and I also went swimming the other night. I swam laps for about 20 minutes (lots of breaks!)- I did get dizzy but it passed pretty quickly. I am hoping to renew my membership soon and add swimming to my physical activity. Since I am now on a maintenance dose of steriods (have to be - the high doses of prednisone (steroid) caused my adrenal glands to shut down (adrenal glands produce cortisol, the natural steroid that all of us need). It's an expected effect of high dose, long term steroids. It can take a year or two for my adrenal glands to wake up again, so for now, low dose prednisone. But the low dose means I should be able to start shedding the extra pounds gained from the steroids. And that's going to be tough because it's a hard weight to lose and I can't get my heart rate too high before my head pain gets too intense. So, another way for me to practice patience and perseverance.

I finished my second round of the new immunosuppresive med (Rituxan, it's actually another chemo med but not as harsh as the one I needed the port for). My next round isn't until August. So far, I haven't noticed any improvement and we're actually have trouble getting some of my lupus symptoms stabilized. Extreme fatigue, finger/toe/hip joint inflammation/pain, face rash, and fevers. We've upped the dosage of one med and added a super strong anti-inflammatory med that used to work well for me. And then there's my head.

Ah, my head.

So there is definite progress. The pain has reached a tolerable steady state and peaks when I try to read or focus intensely on something (like painting or sewing or writing). I am able to read for about 20 minutes before the head pain is a bit much for me. My eyes get blurry too, so I just have to rest and both the pain and the eyesight get better, so that's good.

But

I broke a sweat trying to figure out how to hang some pictures on the wall today. Literally sweating and head pain galore. It's a gallery wall. And I can't figure out how to lay out the frames.

Humbling.

Oh the number of things I still take for granted, even after previous trials where I thought I learned not to take them for granted.

I've had a few days recently where I am oh so aware of how broken my body is. Chemo did a doozy on me (major hair loss, skin issues.) One night as I stood applying a "grow your hair back faster" spray and three different lotions to help with after effects of chemo and high dose prednisone, I just started crying. I am so broken. My body is so broken.

But

This second "but" is a "but God," you know, the best kind of "but." Easter Sunday I sat in the side room at church (the worship music is still too loud for my head) and I heard one of the men reading from Isaiah 53. I pulled it up on my Kindle (yay big text size!) and read along and did a "whoa, repeat that again" on verse 5.

"But He was pierced for our transgressions; He was crushed for our iniquities; upon Him was the chastisement that brought us peace, and with his wounds we are healed."

Healed. I am healed. I'm living in a "already, not yet" form of body. It's going to 100% healed someday because He's already done the work.

God loved me so much that He sent His son to die for me so that I can have eternal life...in a brand new, no blemishes, no swollen joints no rashy skin, or eye-blurring head pain, body.

This, His wounds, the stripes made by whips, this makes it worth it. It makes each day doable. Because the healing has already taken place. Both my heart and my sin, and my body.

So as I make baby steps in increasing my capability for house chores and exercise and fun outdoor things, as I discipline myself to set down the book and give my brain a rest, as I work with my team of docs to find the right cocktail of meds to get me on the right path to continue to regain my previous abilities and capabilities, I can handle the setbacks, the rough days or nights, the disappointed hopes, the not met yet goals, the challenges of hanging frames in a way that pleases the eye. I can handle them because He is able to the uttermost to help, heal, comfort, provide, and sustain me. And to day by day make me more like Him. And then when we see the improvement, the progress, the carefully arranged picture frames, we (and hopefully you) will see Him in all of those.

By His wounds, His stripes. I am healed. Oh, what a happy, happy day.

Thursday, April 6, 2017

All the things.

You should know that a title of "All the things" indicates a long post. Because, well,  there are a lot of things. :-)

Over the past few weeks, the word "hope" has been popping up. It started a few weeks before what was supposed to be my last chemo treatment. My daily readings in the bible, blogs that I read. There was a common thread. And then my bestie sent me a shirt and a necklace with the theme of "hope." She felt that my last chemo treatment was the start of a new season, one with more hope in it. My in-laws visited this past weekend and my MIL gave me a list of bible verses she had collected on hope. Honestly, that word has been everywhere and I kept ducking my head because it made me uncomfortable.

Feeling uncomfortable, for me, usually means I am about to get a Holy Spirit slap to the back of the head. It came this morning in the shape of my sweet friend who  picked me up for another doctors appointment. She asked how I was doing.

Apparently that is now the cue for waterworks and blubbering.

I thought I was fine, but my morning Bible study and reaction to some pictures I saw via social media had shown me a struggle that I didn't want to have to dig into. Ah, the dramatic lead in to/drum roll ...I'm sad that my expectations of what life would be like married didn't pan out the way I thought they would.

Surprised? I shouldn't be, but I was.

And let me clear, this is not about Jim, who happens to be the MOST patient, caring, loving, drop-everything-to hug me/pray for me/give me a back rub, husband EVER. EVER. In ALL of time. Seriously.

We got our wedding pictures back the day before I went into the hospital last August and I have been struggling to go through them, to put the lists together for prints and books and such for our photographer. We look SO happy in our pictures. There's such a beautiful representation of our amazing family and friends, who in these past months have become so much more dear to me, captured in the pictures of the BEST DAY EVER.

I look at the pictures, and I mourn for what we lost. What I feel we lost, even though I know that it wasn't His plan for us.

The months long "honeymoon period" that some, not all, folks experiences, but we knew that we would. The dewy, wide-eyed, unicorns and kittens newlywed year. As I mourn, and as tears pour, I wonder as He makes things clearer,  "Was I putting my hope in being married?"  Marriage is an amazing creation from God and I am so thankful that He's chosen that road for me and Jim. But it's not the end all be all. Along those lines, being a college graduate and having that dream job isn't the end all be all either. Nor is parenthood, having X number of children, or :insert long awaited season of life/purchase/vacation/etc:

God. He's the end all be all.


"Why are you cast down, O my soul, and why are you in turmoil within me? Hope in God; for I shall again praise him, my salvation" (Psalm 42:5)

I thought I knew that. In fact, I am pretty sure I stated something along those lines over many years of discussions with the wonderful ladies who keep me on my toes, to my friends, even to my husband. But oh my, I am now seeing that my hope has been built on what I considered "more" than Jesus. It was sneaky and subtle, I'm just now seeing it and ready to own up to it and tell Him "I am so sorry for thinking I needed more than You. You are all I need. My hope is built on nothing less than You, Lord."

May the God of hope fill you with all joy and peace in believing, so that by the power of the Holy Spirit you may abound in hope. (Romans 15:13)

It's not wrong to hope for things, seasons, etc. Not at all. But if our state of mind, our happiness, joy, sufficiency, is put in things or ideals, it will fail. Our hope can't be in the up and down state of the stock market, or the perfectly imperfect spouse. His word is clear - He is hope. Hope in Him.


"You are my hiding place and my shield; I hope in your word" (Psalm 119:114)


"I wait for the Lord, my soul waits, and in his word I hope" (Psalm 130:5)

I've started a new immuno-supression med. I had the first dose two weeks ago and the second, tomorrow. Then it will about 4 months until the next one. There's two parts to this recovery - physical and neurological. And we are sorting out how one is or isn't impacting the other. My body, not trying to be dramatic here, is broken. It's really ticked off at all the meds and foods and oils and pokes and prods it's experienced in the last eight months. I've got bumps and scars and bruises and pounds from all of this and that takes time to heal. And as my body heals, we are seeing what of the physical is or isn't impacting the neurological. I can carry on conversations longer than I used to. I don't "blank out" as often as I used. I unfortunately still take heavy duty pain meds every day and every four hours (although I've pushed it to 5! Um, not good. ;-) ). We're learning and adapting to progress as it comes, and celebrating when we recognize it.

"But I will hope continually and will praise you yet more and more". (Psalm 71:14)

The in-between times of this journey have been sweetly filled with being able to take a couple of road trips, pick strawberries and make sorbet, attend an art festival and pretty much inhale the long coveted food truck kimchi french fries (soooo good!), and enjoy visits with family members and friends who love on us so well. Longer deeper conversations, less "feeling lost" when out in public, less recipe mess-ups ;-). We are so thankful for this progress!  But my hope can't be in my progress either. Because with each of those things comes a ton of planning and effort - schedule sightseeing around naps and pain meds. A good set of conversation will be followed by increased pain and a need for quiet for several hours. My spoons are being allocated differently and we're working to work with them, day by day. If our hope was in continual, methodical, increasing progress, we'd be disappointed. Of course, we hope and pray for complete healing. We should. God wants us to. But, my hope isn't in the end result of Melissa's Medical Drama 2016/17.

My hope is (and has to be) in Him. 

He sustains me each day. He provides and supports and comforts and refines and heals. According to His big, ginormous plan that I can't even being to envision, and one day, oh one day that I am so excited about, I'll be healed and with Him and with a body that isn't broken. No more brokenness. Can you imagine?

So we seek to find a balance between being hopeful and asking for miracles and being wowed at what He accomplishes for us here and now - through marriage and births and friendships and jobs and sweet memories built and knowing that HERE isn't our home, for those who believe in Christ as their savior. Home is heaven.

"Not only that, but we rejoice in our sufferings, knowing that suffering produces endurance, and endurance produces character, and character produces hope, and hope does not put us to shame, because God's love has been poured into our hearts through the Holy Spirit who has been given to us." (Romans 5:3-5).

My Hope is Built (Edward Mote 1834)
My hope is built on nothing less than Jesus' blood and righteousness;
I dare not trust the sweetest frame, but wholly lean on Jesus' name.

On Christ, the solid rock, I stand;
all other ground is sinking sand,

When darkness veils his lovely face, I rest on his unchanging grace;
in every high and stormy gale, my anchor holds within the veil

His oath, his covenant, his blood support me in the whelming flood;
when all around my soul gives way, he then is all my hope and stay.

When he shall come with trumpet sound, O may I then in him be found,
dressed in his righteousness alone, faultless to stand before the throne

Wednesday, February 22, 2017

No Exchanges or Returns

Oh how I prayed there would be something to update you all with. And there is, it's just not what I anticipated. His answers sometimes differ from the ones we expect, from the ones we pray for :-).

Round 5 of chemo for my lupus is complete and we're two weeks away from the 6th, and expected final, round. Since we upped the dose, pretty much the whole week after is rough from a fatigue perspective. As long as I stay on top of my nausea meds, it's not too bad. But the fatigue and over sick feeling - wowee. I sleep pretty much all day for the first couple of days after, and then my naps gradually get shorter. And at about a week out from the dose, I feel like I usually do.

Complications this round included my insurance company balking for the first time since the new year (it's a praise that they haven't questioned the chemo treatments). Unfortunately, it's over my main pain med. I take an extended release form of it and then a regular release form of it for breakthrough pain. It's the extended release form that they are questioning (and I understand, this is a continuing treatment for me and they are seeing for the first time - I switched health insurance in January). So for the last two and a half weeks, I've been trying to time the regular release pain med to mimic an extended release plus handle break-through pain...it worked initially, but as the level of the meds wore off in my system, my pain levels have increased and stay at a pretty uncomfortable level most of the day. This means more days in bed and less days trying to have outings or visit with people, or do things around the house. So that's been dreary side of the past few weeks.

A huge praise is that I was able to get into a second opinion rheumatologist (still seeing the bigwig one in March) and she recommended a neurologist look into my case and gave me a name. I was able to get in to see him the day after I called! That NEVER happens. And, he is AWESOME. He spent time listening to the complicated history and reviewing the almost 2-inch thick folder (um, it's a Batman folder :-) ) of medical reports from each of the hospitals. I had another series of brain/spine MRIs that came back normal. The next step is for me to have another lumbar puncture (LP)  (also known as a spinal tap). This will be my 6th (!!!) since August. He needs to see what's going on in the fluid. Should be happening next week. 

I am now in a single digit dose of the steroids and should start to see (over the coming months) a loss of the water and steroid weight I've gained. I'm excited for that because I very much want to be comfortable in my own skin again. Chemo and steroids do quite the doozy on your body, although I'm thankful for the steroids because we are seeing that they have been helping with the head inflammation: my head keeps hurting worse the lower we go in the steroids..;so that's going to be an interesting discussion once I get to my steady state steroid dose.

That's my update - not much change painwise, except in what I consider the wrong direction. Some positive change in endurance and stamina (I was able to attend a friend's birthday party with a fairly large group of people in a busy restaurant - the ear plugs definitely helped!). What is every day normal for someone - grocery shopping, happy hour with the coworkers, trying to find a pair of jeans that fits, is a milestone for me and something we celebrate. It hurts to do these things, it requires detailed spoon balancing, but I am able (He enables me) to see past the pain and move forward, accepting the pain as part of the process, even though I don't like it. 

People comment that my faith is strong. I assure you, it's not. Instead, I offer to you that my God is strong. He is the one who enables me to get through each day, not just surviving, but most of the time with forward motion, with joy. Some days are survival days and that's okay. People comment that they couldn't imagine going through this, or handling what we are walking through. And they are right. They couldn't. Because they haven't been asked to walk what we're walking.

God gives us the grace we need for what He brings about in our lives - no more, no less. 

What's grace? Merriam Webster defines it as "unmerited divine assistance given to humans to promote growth (as in character growth) or the church-y word "sanctification, a special favor, an act or instance of kindness, courtesy, or clemency. I recently read something that pricked my heart. From "The Scars that Have Shaped Me," Vaneetha Rendall states that there is deliverance grace and sustaining grace. 

We (or at least me) pray for deliverance grace - to be healed, to be vindicated, to redeem that which is broken or unsettled - the wayward child, the broken relationship, for the tumor to shrink. We want it to be fixed and so we pray, just as He tells us to. 

And then there is sustaining grace - that energy to crawl out of bed and face another day of head and neck pain, or to face a grumpy teenager who won't talk to you, or a spouse who's giving the cold shoulder, or that boss that micromanages everything. It's the stiff upper lip/pull yourself up by your bootstraps gutsyness we're able to conjure when all we want to do is crumble, the deep breath we take when it feels that all the air has left the room, the ability to swallow one more med, get poked with one more needle, joke one more time with the nurse, or doctor, or receptionist. This is sustaining grace. He provides us so generously and abundantly the ability to LIVE: to walk in this world and process the hurt and pain, to move forward and encourage others in their hurting, to not be okay with our circumstances but still have the ability to love and laugh and choose joy. He is amazingly good to sustain us. To sustain me.

And I shun it. I put out my hand to return what I've been given and say, um, no. I want deliverance grace, I want this to go away. Let's see a miracle happen. Ready? GO! And He patiently responds with sustaining grace in the form of an email or text message of His Word, reminding me of His faithfulness, His goodness, His power. I stamp my foot and stick out my hand, greedy to thrust back this sustaining grace in return for deliverance grace. 

There are no exchanges or returns on His grace.

He gives the perfect amount, at the perfect time. Grace that, if we believe in Him, will bring us good and Him glory (Rom 8:28).

It's not that He doesn't answer, it's that His answer is different than what I expected, than what I prayed for. It doesn't mean that it's a poor offering from Him, that He's giving me the short end of the stick, the last dredges from the bowl. He is giving me His best - whether that be deliverance grace or sustaining grace. (Matt 7:11)

Oh Lord, for the heart and spirit to sing your praises even when the answer or direction of things doesn't match my expectations. To be able to see your sustaining grace as the immense blessing that it is. To again see that I don't walk this path alone, that you are there, sustaining me, giving me what I need each step of the way. May my definition of "good" match Your definition. May my heart accept the "Final Sale" of the grace, in whatever form, You give to me. And may I rejoice in that grace.

Thursday, January 19, 2017

Out of Order

Where to begin?

I am about nine days out from round 4 of the chemo treatments I'm getting for my lupus and it's definitely been the roughest post-chemo so far. Lots of fatigue and that feeling of being sick (fancy medical word for it is "malaise.") I am having to rest and sleep more and my head pain is more present. My biggest complaint? I am retaining a TON of water - so much so that I went in to see my normal doctor to see if she could help. Because of the medications I am on, it's actually riskier (from a dehydration perspective) to put me on a water-retention reducing med (called a "diuretic) than to just let me keep getting poofy until we've completely tapered off the steroids. So I've been doing my own water shed regime of drinking dandelion tea and massive amounts of water. It helps a little bit, my eyes don't get as mushed by my cheeks in the evening, but it hurts to move/breathe and walk and I just keep getting puffier.

I have two second opinion appointments scheduled - one for this Friday and one for March. The one in March is with the rheumotologist I've seen before and who helped us confirm my lupus treatment plan back in 2012 when this all started (sort of). Prayers for wisdom and insight from these docs and for us to be able to accept what seems to be the general answer of "we just have to wait and see once you're off the steroids" would be greatly appreciated.

It seems about every other day I breakdown - overwhelmed with the uncomfortableness, a stab of anxiety of having to wait this out while we taper the steroids and not having the strength to see it through, the lies of the lack of thriving and not contributing constantly trying to win over the Truth that I know to be true.

Such bone deep weariness. I have never experienced weariness like I am now. My body is literally getting too heavy for my joints. My joints are weary, my heart is weary, my mind is weary. I pray for mercy, for this all to end, for a new season to start. Recently, my prayers were pretty whiny as I told God I was done with all this and I absolutely needed to know, demanded to know, when it was going to end.

Not even kidding, the phrase that boomed loudly inside my head was "My ways are not your ways."

I think I actually chuckled out loud. And then googled the reference. Isaiah 55.

I started reading Isaiah 55. I found the verse that had lead me on my search:

"For my thoughts are not your thoughts, neither are your ways my ways, declares the Lord." (vs 8).

Well, that's encouraging, I was tempted to mutter cynically. The next verses? BUT GOD.

"For as the heavens are higher than the earth, so are my ways higher than your ways and my thoughts than your thoughts"..."so shall my word be that goes out from my mouth; it shall not return to me empty, but it shall accomplish that which I purpose, and shall succeed in the thing for which I sent it." 

Our world likes a guarantee with experiences, products, agreements. We (I) ask "are you sure? Where is that documented? Where is the contract?"

Shall accomplish. Shall succeed. This is more than buying a new car and being guaranteed the lowest interest rate. This is the Lord God saying that He is going to use whatever He brings about for His purposes. And He will succeed.

And Isaiah 55? It starts out with a series of entreaties to the reader to "come" to the Lord, to listen diligently, to incline our ears, to hear, to seek Him. And then He tells us that He has a plan and that's it is guaranteed to succeed.

I'm doing things out of order. I am demanding a plan before seeing who the Planner is. I need to seek Him first, to listen, to be still. To hear Him. To grow in my trust and knowledge and love of Him. Because then, then by His grace, my heart shall be more aligned with His, my thoughts and my ways reflecting His, instead of my own nearsighted, but very real to me (and potentially not helpful), desires. And guess what happens then?

"For you shall go out in joy and be led forth in peace; the mountains and the hills before you shall break forth into singing, and all the trees of the field shall clap theirs hands.

Instead of the thorn shall come up the cypress; instead of the brier shall come up the myrtle; and it shall make a name for the Lord, an everlasting sign that shall not be cut off" (vs 12-13).

HOPE.

There is bright hope for tomorrow in coming to the Lord, in laying down our plan and seeking Him first before I throw my hands in the air and stomp my feet in frustration. He may not reveal His entire plan, but He will have built the trust in my heart to follow Him through it. And He promises joy and peace in the doing so.

Oh Lord for the grace to take a deep breath and look to You before I look to myself.



Thursday, December 29, 2016

Ebenezer (Update)

I've been struggling to write because I have been surrounded over the past month with so many amazing articles, blogposts, sermons, emails, etc. from other people who are going through trials that I am afraid I may accidentally copy their words here. What that says to me is this: My God is consistent and His truths stand. From literally across the globe I have seen sentences written out that word for word match sentences I have had in my blogposts - both from this current trial and from others. It's been encouraging and also overwhelming at times, to see how much He cares for me and how He is working in the lives of others.

As for Ebenezer...not the Scrooge one (although we did watch both Mickey's Christmas Carol and The Muppets Christmas Carol in the last week, so my mind may have been influenced slightly :-). The Ebenezer I am talking about is the one that's mentioned in the Old Testament (1 Samuel 7:12). Samuel uses a stone (referred to as 'Ebenezer') to mark a spot to remember that the Lord helped them.

Jim and I have talked about how very much we don't want to forget all that God has been doing during this time - all the time he has used our village to encourage and help us, the times we have seen His hand move to bless us and to lead us in the direction that He wants us to go. We're going to make a list of Ebenezers. And the most recent one is what I want to tell you about.

We are still waiting. The third chemo treatment was a bit of a dud. I didn't notice any changes in my symptoms unfortunately. We will be increasing the dosage of the chemo drug during round 4. The good news is we are continuing to decrease my steroid dose. This is important for many reasons 1) steroids aren't good for you long term 2) the steroids are currently acting as both a pain med and anti-inflammatory. We want to see how I am doing on just the other pain meds so we can start tweaking those - you just can't change too many variables at once, otherwise you have no idea what was helping/hurting you.

I am still waiting to get in to see another rheumatologist. He's been out of the country all of December. I've been told he's agreed to "take my case" so here's hoping January holds some answers/new treatment options.

Thankfully, I have been able to continue getting out of the house more on outings - friends took me to  stores so I could get Christmas shopping done and Jim and I were able to go on a few dates to restaurants and then to look at Christmas lights (we've found a few restaurants in our neighborhood don't get loud and busy until later in the evening, so we slip in when we are almost the only customers and my head has been able to handle the ambient noise pretty well). I've also been able to start walking the dog by myself and we're up to almost a mile for walking. Slowly trying to build back muscle mass and stamina.

The two most challenging symptoms for me to deal with have been the head/brain fog confusion and the weight gain from the meds and water retention. We've found that I can converse and process conversation better at home, where I am in a familiar environment and the other inputs coming in (like background noise from the dishwasher or Maizie barking) don't affect my concentration since my brain interprets them as white noise. When I get outside of the house, that's where things get tricky. I struggle at the cash register if they start asking me questions about my day or my purchases. And by struggle, I mean, it takes me longer than average to think of my response and get it out of my mouth (and sometimes it comes out of mouth a bit mixed up) - it usually results in the person talking over me or just moving on to another question (and that confuses me even more!). As we reduce meds and as the inflammation hopefully continues to be reduced, this should get better (i.e. completely go away).

The weight gain has been a struggle because I look so different and I feel different. My face is very swollen and so is my torso. Steroid weight is different than normal weight, it's a different type of fat. It doesn't meld with your body like normal weight gain fat would - so this means it feels like my face is filling up with water and the pressure is going to make my eyeballs pop out. If you touch my face, you can actually feel the difference between the steroid fat tissue and my normal muscle/fat tissue. It's pretty weird. It also means it feels like I have a tight band around my torso and it makes it difficult to breath. I have a lot of water being retained in my legs too, so walking and bending my knees is a struggle. The constant fight against these "additions" to my body makeup  are quite honestly, exhausting, disheartening, and painful. I just hurt all the time and that is wearing on me.

But even in this, I see Him working. We had friends over for dinner (I can converse in small groups now (3-4 people - yay progress!) and one of them asked me why I thought I was able to get out more - was it the inflammation getting better or something else? I started to answer him and in that moment, I discovered an Ebenezer.

What came out of my mouth is this "I am able to get out more because I am becoming more comfortable with my weaknesses."

I am getting less self-conscious about how I handle spontaneous conversation and with how I look. This might sound minor, but reader, I promise you, this is HUGE. God is allowing me to see His power and sovereignty through my weaknesses. It encourages me that He is in control, that He knows what's going on, that He is not surprised by the length of this trial. I feel like I am learning to fight Him less and trust Him more.

"Some times the detour is the new path" - Vaneetha Risner

I've counseled myself and others that the other side of a trial doesn't result in your familiar "normal" but a new normal. And the old normal can look a lot better than the new, because the new is unfamiliar and uncomfortable and can still taste like the trial you've walked through. As Mrs. Risner  points out in her book, "The Scars that Have Shaped Me," we forget that the Old Normal wasn't all puppies and kittens, that it too was hard and a struggle at times. But we long for the familiarity, just as the Israelites longed for the Egyptian food when God was providing them manna in the desert (Exodus 16)

I still hope for complete healing. I still want this trial to be over with. But I am seeing the blessings in this trial, and I can't just sit on the couch and wait. I can be about His business even in this trial, Do I believe He heal me now? Yes. Do I want to know why this is taking so long? Yes. Do I want to, on the other side of this trial be able to say, "I saw God move and work even in the trial and I would go through it again to learn what I've learned about His character and my relationship with Him? Yes.

So, I wait expectantly, ready to be about whatever business He places before me - whether that looks like resting my eyes so my brain can get a break from processing, or praying with a friend who comes to visit, or date night including taking our dinner over to a nearby park and having a spontaneous picnic.

His power is made perfect in my weaknesses.

"My grace is sufficient for you, for my power is made perfect in weakness..."

Ladies and gentlemen, I am weak. 

"...therefore I will boast all the more gladly of my weaknesses, so that the power of Christ may rest upon me." (2 Cor 12:9)

So, I will raise my Ebenezer here. To remember that God allowed me to see that His power is in my weaknesses and that boasting in my weaknesses reveals Him to others, points to Him, glorifies Him.

"Here I raise my Ebenezer;
Hither by Thy help I'm come;
And I hope, by Thy good pleasure,
Safely to arrive at home" (Come Thy Fount of Every Blessing)



Tuesday, November 29, 2016

Update - The Cost of Choosing Joy

It's hard to know how to start these updates out. We're halfway between chemo treatments two and three and while we have seen improvements in joint pain and fatigue and the frequency of my lupus flare fevers, we haven't seen the meningitis symptoms lessen. - the fogginess, confusion, pain, etc remain. So keep those prayers coming!

I started on two new meds a few weeks ago and we also started tapering the steroids that I am on. The last time we tried the steroid taper, I ended up back in the hospital because my head pain got pretty bad. On Sunday, I started on the dosage level that we got to the last time and my body is again rebelling - my head pain and fogginess has increased over the past two days. However, since I now know what's causing it (the taper) I am going to ride it out for a few days to see if things settle down - it also helps that I have Rheumo Doc and Pain  Management Doc appointments tomorrow, so I can get their weighing in on what's going on with the increased pain.

In general, I definitely have more endurance and stamina than I did a month a half ago. We were able to go to a friend's house for Thanksgiving! And while I wore earplugs the whole time and hid away where conversations were limited to one or two people, we were able to enjoy being out of the house and around dear friends.

Jim's parents came into town the week before Thanksgiving and were a great help in getting things done - like early Christmas baking and decorating and some yard clean - things that we really wanted to do but either I couldn't do on my own or they just weren't high priority given the current situation. Very thankful for them.

The Thanksgiving week was hard for me because we had planned to be in AZ celebrating with my family. Little by little during the week, I gathered small "hurts" to myself - things that I couldn't do because of this pain, this thorn in my side mengintis that just won't go away. And by the day after Thanksgiving (yes, a day in which the whole focus is on what we are thankful for, I get the irony) I had quite the list of things I WASN'T thankful for, things I was being asked to give up and it wasn't fair. It wasn't fair I didn't get to see my side of the family. It wasn't fair that I couldn't go Black Friday shopping with my girlfriends like I normally would (shout out to the hubby who did wake up at 530am and drive me to Home Depot so I could get the $1 poinsettias to decorate the front yard - he's not a morning person so it was very very nice of him), I couldn't do my Christmas baking the way I usually did it, or even watch Christmas movies because the sound the DVD player makes irritates the buzzing noise I already have in my head almost constantly. Not fair. Not fair. Not fair.

Holy temper tantrum Batman. I lost it and used many a kleenex as I cried out my woes and hurts and frustration and DONENESS with pain and suffering. I just didn't want to hurt anymore. Sure take these things away, but leave the pain out of it okay? Why do I have to deal with both?

My sweet husband listened to my cries and offered up two sentences. He said "well, I love you. And that's what I have to give to you, my love." And then he went outside to finish putting up Christmas lights.

I sat there, a bit dumbfounded. And then...yup..you guessed it... BUT GOD.

I realized a couple of things, one being a much needed apology to the husband, and two, I realized that the perfect and simple words that he had stated weren't just from his mouth, but from God. The Lord was reminding me that He loves me and that's what He's offering. His love.

And that thought brings joy to my heart.

I wear my "Choose Joy" hoodie to treatment. I have a plaque on the table nearest my usual sitting spot that says "Today I choose joy". What does it mean to "choose joy?"

There is a cost to choosing joy. 

In choosing joy, I am giving up self.  I am giving up my plans and choosing the plans that He has for me (Luke 9:24)

Choosing joy is dying to self, allowing His will to take the place of mine. To gratefully follow Him, in His yoke (Philippians 1:21, Matthew 11:30)

Choosing joy is desiring for His glory to be seen in He is doing and will do, not what I want Him to do (Romans 11:34)

Choosing joy is kneeling at His feet, available and teachable for His great work (2 Timothy 3:16-18)

Choosing joy is knowing He's working and moving, for His glory and my good (Romans 8:28)

Choosing joy is thinking of Him first (Deuteronomy 6:5)

Choosing joy is finding myself in Him (John 15:5)

Choosing joy is me decreasing and Him increasing (John 3:30) 

Choosing joy is knowing I am a daughter of God, that I belong to Him, and that He loves me (John 3:16)

Choosing joy is trusting Him to be the God He has already proven Himself to be (Isaiah 43)

I keep wanting to be at a certain place on this timeline of lupus and meningitis and pain and hurt and medicines and steroids. And He wants me somewhere different and I keep stamping my foot and huffing and puffing and crossing my arms.

Choosing joy is to sit where it may be uncomfortable and scary and unknown, but trusting and following Him wherever He leads, because His plan is perfect and He will be seen, not me.

"Looking to Jesus, the founder and perfecter of our faith, who for the joy that was set before him endured the cross, despising the shame, and is seated at the right hand of the throne of God" (Hebrews 12:2).

The grace and mercy of the Lord to help me wade through these hard thoughts and my own frustration and faltering hope amazes me. I am so thankful that He allows me to seek Him and find Him and find comfort and peace in His word.

Today, I choose joy and pray that He will be seen through all of this.


Friday, November 11, 2016

Three Months

Three months ago, Jim drove me to urgent care that ended in an ambulance ride to the ER and we started down this twisty turny rabbit trail of meningitis and lupus and pain and learning and growing and being COMPLETELY DONE LET THIS CUP PASS and surrendering and abiding and wavering and being weak and amazed and choosing joy and struggling and...finally sitting down to try and make heads and tails of promises and word studies and lists of Scriptures and prescriptions and wanting desperately to document the perfect timing of God and the love of friends and family, to capture the kindness and generosity and love that we've experienced...that we've been overwhelmed with.

And I can't. There is so much. So I am going to give snippets, statements, glimpses into what we've seen and heard and felt.

The most recent? I had a massive emotional meltdown last night. A tiny part of that was me recognizing that as much as I have loved being able to prep and cook dinner again, it's been taking it out of me this past week as I've dealt with some more different/intense head/neck pain/and thought fog. I didn't realize how much that bummed me out and I didn't want Jim to have to pick up that task too...so we prayed. And we asked God for mercy...for the whole situation in general, not the food specifically. And at the same time we were praying, a coworker, completely out of the blue, texted to say she was making a meal to bring over on Saturday...and then this morning, my friend/helper for the day ended up bringing over a meal as well as taking me on an outing to pick up a few things. And then I realized that we already had one planned delivered meal scheduled for Saturday and I had forgotten another friend was bringing something over before the end of the weekend in prep for chemo week.

You guys.

In less than 48 hours the Lord provided 5 separate meals for us, several of them freezable for next week when I'll be out with side effects and Jim won't have to worry about dinner.

The Lord provides. Fully, completely, abundantly.

I could sit down with you and my phone and show you a slew of text messages that I've received over the past three months and give you stories in the double digits how each of those came in a dark moment, when I was struggling with this journey and ready to give up or where I was believing the lies that would flood my mind. Text messages and emails telling me that I was being thought of, prayed for, well-wished, held up.

I can tell you of feeling I've lost myself amidst the haze of medicines and inflammation and confusion and pain and how He reminded me that I am not defined by my list of diagnoses and meds and progress or lack of progress, but I am defined by Him and I belong to Him. And how as He moved in my heart and mind to assure me of this, at the SAME TIME multiple people would email me and text me verses and encouragement, all of which were of the same thought - that He has me. He knows me. He has not forgotten me or Jim.

This journey is being used I am told. Used to show Him to others. I know it's being used to teach me that I am the weakest of the weak, and in that lies His strength. His power made perfect.

The Lord is kind.

Even in the hard moments, the open-ended questions, the statements of "now we wait and see" and "this is going to take longer than we expected".received at a recent doctor's appointment.  At the SAME TIME, an email received from work, stating that I have received an astounding amount of donated leave time and am covered for this unexpected extended waiting period and healing time. COVERED.

His kindness is thorough, not lacking. Full.

The Lord is working and active and present and THERE.

A sweet friend's own journey has been a lifeboat for me - questions and concerns and relating and getting it. Understanding not wanting to try to do a normal task because that task has suddenly become SO hard and it's humbling and scary and new. And you wonder if things will ever go back to how they were. And then you realize, you don't want them to go back to where they were because you aren't who you were anymore. He's changed you and stretched you and made you cling more to Him and to know Him so much better and deeper. And the sweetness of that realization, that even in this, even in this, He is. And He has you, despite your best attempts to convince yourself otherwise and listen to the lies. You look at the evidence before you and...

My God is huge.

So three months...

He is abundant in all things. He is kind. He is I AM.

"Now to him who is able to do far more abundantly than all that we ask or think, according to the power at work within us, to him be glory in the church and in Christ Jesus throughout all generations, forever and ever, Amen" (Ephesians 3:20-21), ESV.

"Wait for the Lord; be strong, and let your heart take courage, wait for the Lord!" (Psalm 27:14), ESV






Saturday, October 29, 2016

Just an update

Getting some requests for an update so here's a bunch of the latest medical stuff :) - slog through as you desire!

Done with round one of the chemo for my lupus! The infusion two weeks ago went smoothly, no allergic reactions to any of the meds they gave and a huge blessing was having a room on the infusion floor all to myself! Jim teleworked from there and had plenty of room to spread out his stuff. We were there for about 6 hours, so not too bad. And I had soy Pumpkin Spice Latte as a pickup me afterwards. Win!

All hooked up to the port. The steroids have given me a very full face, it's actually called "Moon Face" but we call it my chipmunk cheeks :) )


The post-chemo recovery wasn't horrible. That day and the next I felt very much like I usually do after my previous Benlysta infusions (just tired and a little sick feeling). The following two days were pretty rough with nausea and fatigue and just feeling BLAH. We changed my nausea med and it worked better for me. A good friend of mine who went through cancer this year and last gave me some great tips and saved the day with the suggestion to eat toast. Toast tasted good and I went through a lot of bread in two days :)

Each day I've gotten further from the infusion, I have felt better - and that's exactly what should happen so that's good news. In fact, I've noticed that certain joints that were giving me a lot of problems are almost pain-free now and my fevers haven't been running as high. These are all good signs and we hope the next infusion (in two weeks) will go the same.

We also started to taper me down from the high dose of steroids I have been on for almost 3 months now (!!!) On Monday evening, I did the planned taper dosage and went to bed. When I woke up, my head and neck were shouting at me and my head was SUPER pressure-y, I could barely here out of my left ear. As Jim and I talked over breakfast, I was having a lot of trouble forming sentences in my head and when I did, it hurt.

I feel asleep on the couch and woke up with numb fingers and toes and gums (yup in my mouth). And I felt awful. Jim cam home and per Rhemo Doc's recommendation, we went to the ER. Blood work showed elevated white blood cells, which I shouldn't have because of the chemo, so they started worrying that maybe I had bacterial meningitis (yup, back to that). I ended up having three lumbar punctures to get some spinal fluid. Unfortunately the first attempt didn't go well - I ended up with an epidural! The doc got the numbing medicine in the wrong spot. Let me just tell you it's VERY scary to be lying on your stomach under an x-ray machine with a needle in your back and your entire bottom half goes numb and and the docs and nurses all start working fast and yelling things and such. I regained feeling within an hour, but still. I am so not a fan of lumbar punctures.

Due to the trauma from the first puncture, the second puncture wasn't good (there was some blood in my spinal fluid). So they admitted me for observation.

The next day, they did a slew of tests because the blood in the spinal fluid. (it can indicate some serious things that need to be checked pretty quickly). I had a third lumbar puncture and the blood had cleared enough to allow then to use it for their tests. I also did four hours of MRIs and CTs mapping my brain and spine. That was one of the most challenging things I have done.  My back really hurt from all the punctures and I had to lie flat on it and hold all my muscles as still as I could (hard because I have tremors in my limbs right now). It was hard. And I cried. The nurses were SO incredibly kind and supportive and empathic (it was a really long scan for them too) and we got through it. And Jim brought me dairy-free frozen yogurt as my reward for getting through it :).

The good news is that all the scans were normal enough for them to comfortable with sending me home since I was stable - even though we still don't know why my head pain is increasing or where the numb extremities are coming from. We ruled out some stuff I was worried about, stuff that could cause permeant brain damage and such.

Eating Tex-Mex to celebrate our four month anniversary - I know it's only four months, but it's a happy moment to remember and celebrate  :-)

It's very humbling and scary to realize that you aren't thinking or processing like normal. I can feel my slowness and hear my mistakes and I know they are mistakes but I still make them. I am glad that my brain and spine look okay and that hopefully once we get the inflammation in my head to go down, all my cognitive thinking stuff and motor skills will return to normal.

I am glad to be home recovering from the stay - I'm pretty banged up and shaking by all the tests so I've been doing a lot of icing and stretching of those muscles.

The nurses at St. John's Methodist were outstanding. I am so thankful for those that choose to go into the nursing profession and show genuine empathy and care for their patients. It makes a huge difference when you're lying in a hospital bed, scared, and have no idea what's going on to have that comforting hand to hold or explanation given or just an encouraging smile, so thank you to all you nurses!

I have an appointment with Rheumo Doc on Monday - again thankful for the timing of all of this - I already had that appointment schedule before all the hospital stuff this week. Thank you Lord!

So until then, I think I've regressed about a month for what I am able to do around the house since the head/neck pain is pretty intense. I feel like every hour I have to tell myself to choose joy (James 1:2). My friend visited me yesterday and I really wanted to spend some quality time with her and couldn't due to the pain levels. As I lay there on icepacks, I realized, 1) I've made more progress since my initial hospital stay than I realized (sometimes we can't see something until it's taken away and then we see what we had) and 2) I could choose to be joyful that I at least got to see my friend for a bit and hear about the awesome things going on in her life.

I am thankful that God is allowing me to choose joy and to be thankful when it's hard. I know He is helping me do that because I have so many moments where I just want to be done, I am definitely not getting through this on my strength, but His and the amazing people He has put in my life, like my husband. This has been a hard journey and it's not over. But I also know that He will continue to sustain me:

"But you oh Lord, are a shield around me, My glory,  and the lifter of my head." Psalm 3:3

Saturday, October 15, 2016

Rehashing My David Moment

I'm not going to lie - the past couple of weeks have been tough. I had my chest port placed and that all went very smoothly and it's been healing nicely. In fact, I got to unexpectedly use it for the first time yesterday.

Over the past two weeks, my lupus joint pain has really flared up and the meningitis symptoms of a full head/stiff neck have increased. I wake up around 1am with severe joint pain and have to massage/walk it off over several hours. When we discovered that the first available slot for my first chemo treatment wasn't until October 17th, my face crumbled. "Two more weeks of this? I can't do it - things are getting worse, not better" was my inner mental dialogue. I was told to call every morning and see if there had been cancellations. I requested being moved to a different location for the treatment but my Rheumo Doc is pretty adamant about location due to their expertise and my complicated history. And the cancellations never happened.

This past Thursday evening was the worst it has been and it's because I took a sleep aid and it kept me asleep far past when I should have been up rubbing my joints. After my morning nap, my knees and ankles were so swollen I couldn't walk and my legs were bright red. I called Rehumo Doc, left a message, and then settled in to visit with a sweet dear friend whom I hadn't seen in awhile. Rheumo Doc called back quickly and told me to come in for steroids - he didn't want me going into the weekend like this and we didn't want anything to mess up my treatment on Monday.

My amazing friend, who was teleworking by the way, drove me all the way to the med center, waited for my infusion, and then brought me home. And she lives up in town so this was no short commute for her. I am amazed at the help God provides just when we need it. And I greedily soaked up an extra hour or so of conversation with my friend and greatly had my spirits lifted.

My first port access went great - so nice to only be poked once and it hurt less than an IV. I am glad that milestone is out of the way and one less thing I have to think about for Monday. The infusion nurse was kind and answered a lot of my questions about port care and such and I feel Jim and I are better equipped to deal with it and anything that might come up on Monday. Such a blessing. Already the steroids have helped with the joint pain...not with the sleeping though ;-) but I will take the breather, no complaints here.

Through the ups and downs of the past two weeks and the waiting, I was reminded how God likes to be remembered. The Old Testament and New Testament are filled with re-telling of all that He has done for His people. It's re-tell worthy folks, that's for sure. He is mighty and powerful. And perfect in His timing. Despite our efforts to get me into treatment sooner, it has been very clear that the answer is no, and while I don't understand that and have struggled with "but haven't I hurt enough yet?" I have been so sweetly reminded by several things.

This article by Joni Eareckson Tada has been a balm to my spirit and emotions. We aren't promised a charmed and pain free life, Christian or no. There is going to be trouble. And we are to walk joyfully in it, because, for me, my hope isn't in this world, but in Jesus Christ. And we don't walk it alone, He and the amazing support community He has provided are with us every step of the way.

And then I ran across an old post from 2012, where I was really struggling with the day to day stomach pain and wondering when it would end. I want to be the woman in this post, the one who was finding joy and hope even in the waiting. I look forward to Monday - it's a big day - it's when I feel like I start my offensive against lupus and the meningitis. It will take 7-10 days for us to notice if the treatment might be helping. I am praying for miracle of shorter time. BUT even if we don't see the results we hope for, I want to choose joy. 

Please join us in praying for a miracle, to see a difference even in this first treatment, to trust Him no matter the results, and to choose to be joyful when it's hard.

You are an amazing village of supports and prayers and positive thought senders and helpers - even in the darkest moments, knowing how loved we are - we see the Lord through that and can remind ourselves of His faithfulness.

Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces steadfastness. And let steadfastness have its full effect, that you may be perfect and complete, lacking in nothing" ESV- James 1:2-4

My David Moment - repost from 2012

It's been a rough past five or six days pain-wise and sleep-wise and I've found myself getting pretty discouraged. My right hand recently broke out with the blister/ulcers that I usually get only when it gets cold outside (one of the aspects of the Raynaud's Syndrome that I have). It made me crinkle my brow, because I wouldn't think that would happen with the new meds in my system - I know I am not supposed to really start seeing results for another couple of months, but I didn't think that I would still be getting disease things - I was hoping everything would just freeze where it is at. And my abdomen pain has been pretty brutal at times and on top of all that, I am having a lot of trouble sleeping - I just can't sleep through the night and wake up and can stay up for hours before falling back asleep. It's been very wearing.

I found myself at caregroup last night not wanting to ask for prayer because I am so TIRED of praying for my health and tired of disappointing people when they ask me expectantly "so, are you feeling better?" and I have to say no. I know that probably sounds a little crazy, but I'm just being honest here. My sweet group had great encouraging things to say and did pray for me when I finally admitted that I didn't want to ask for prayer...and while I appreciated their prayers and concern, I still came home hurting, tired, and discouraged.

I've been studying the book of Hebrews, but I wasn't feeling it this morning. I journaled a bit and asked God to remind me that I do find joy in what He is doing through all of this and that I want to share that joy with others. I was feeling so weary. So I looked up verses on "weary".

I read Hebrews 12:3 but it wasn't what I was looking for...I went on to the next verse that had "weary" in it, Psalm 69:3- "I am weary with my crying out; my throat is parched. My eyes grow dim with waiting for my God." Um. WOW. What's this? Did I write this? Nope, David did...I flipped the page and started at the beginning of the psalm. Here's how God used this psalm to mightily encourage me today:

So you saw verse 3 (crying out, eyes growing dim)...and then nine verses later, David writes this:
"But as for me, my prayer is to you, O Lord. At an acceptable time, O God, in the abundance of your steadfast love answer me in your saving faithfulness" (Psalm 69:12). 

Oh Lord, YES! You know that I know this is all part of Your plan and that it is for my good and your Glory. But please Lord, in your timing, end this season for me.

And then David writes:

"I am afflicted and in pain; let your salvation, O God, set me on high" (Psalm 69:29)


Oh so true, and yes, Lord, I would really like for this disease to settle, to go away completely.

"I will praise the name of God with a song; I will magnify him with thanksgiving. This will please the Lord more than an ox or a bull with horns and hoofs. When the humble see it they will be glad; you who seek God let your hearts revive. For the Lord hears the needy and does not despise his own people who are prisoners" (Psalm 69: 30-33)


Now, the study portion of my bible says that this is what David (who is writing this psalm with the perspective that we all should have in trials) will do if he is delivered from his trial. I agree with that, yet, I want to praise the Lord even if this trial doesn't end, because He never ceases to amaze me with how He blesses me and gives me grace - true, it may not be according to my plan, but it is always so much sweeter and greater than what I have planned. And I hope when I share how He has blessed me and given me grace, that it encourages those around me, that they will see Him working, and not me. And this is EXACTLY what David is saying. Whoa. Big whoa.

And finally, David writes:

"For God will save Zion and build up the cities of Judah, and people shall dwell there and possess it; the offspring of his servants shall inherit it and those who love his name shall dwell in it." (Psalm 69:34-36)


Ah yes Lord, my hope is not in this world, but in Heaven. One day, I WILL have perfect health. That day when I am with you for all eternity. What amazing hope!

I cannot tell you how encouraged I felt after going through this psalm and writing down those verses. My Father cares for me, He encourages me when I am discouraged and points me back to Him.

And that, was my David moment. ::grin::


Friday, September 23, 2016

Abide - the Forward Plan

To abide:

1. To wait for
2. To endure without yielding
3. To bear patiently 
4. To accept without objection


Over the last week, the word "abide" kept coming up in what I was listening to - Scripture, music, etc.

Last week, Jim and I started realizing that my recovery progress had slowed, even reversed in some aspects. Along with the meningitis head pain/fuzziness, my lupus has been out of control - joints, higher than normal fevers, fatigue, and severe stomach pain. The evenings have been pretty miserable. On Tuesday, I had an endoscopy done of my stomach (they stick a camera down your throat and take pics of your insides!). The good news is that the damage we thought might be there from some meds wasn't. The "bad" news was that the pain is due to inflammation of the lining around the outside of my stomach  caused by the lupus. That was the info we needed to call Rheumo Doc and press for a forward plan - I was done.

We met with Rheumo Doc yesterday and pretty quickly came to realize that my immune system has gone completely haywire. Rheumo Doc is also leaning towards the leftover meningitis pain actually being my lupus with Central Nervous System (CNS) involvement now. We're still not sure if my lupus triggered the meningitis or an actual virus, but the fact that the inflammation is lingering so long leads to the former. Lupus with CNS involvement includes cognitive dysfunction, vision and hearing impairment, pain, dizziness, stiff neck...all of which I am currently experiencing.

My immune system needs a reset.

The Forward Plan - Chest port and Chemo

So, next week I am going to have a chest port placed (it's a permanent IV that has a catheter that goes to a larger vein than the ones I have in my arms - my veins are completely shot after a few years of infusions and all the recent problems and it's been taking forever and many attempts to get an IV in me- the port will allow easy access for treatments and blood draws and can be removed when I no longer need it). Once the port is placed, I'll start on a 3-6 month round of chemotherapy.

Lupus is not cancer. Let's be very clear on that! However, chemotherapy works by suppressing ones immune system and mine needs to be be suppressed and reset so we can start over.

The chemotherapy that I will be doing is called cyclophosphamide (Cytoxan). It is one of the chemo treatments cancer patients get, however, I won't be taking the cocktail of harsher chemo drugs that cancer patients get so it is "shockingly rare" (Rheumo doc's words) that my hair will fall out. I will get the treatments once a month. Historically, lupus patients respond very well to this treatment and it has many people stabilize and even enter remission. It will be worth some rough months to potentially have an even better quality of life before all of this started! There's some bright hope for tomorrow!

Once the chemo treatments are completed, we will evaluate where my lupus is and maintain it with the same or different medications that I've used in the past. I am hoping that this will nip the current organ involvement (stomach/CNS) in the bud...and maybe even get me into remission (and it's been YEARS since I've been there...)

We're hoping that the chemo will settle the lupus, the remaining effects of the meningitis, and get me on the road to recovery and back to whatever the Lord has for us - we are so excited to be about His work and see how He will use what we have experienced to encourage and pour into others.

So the word "abide"... I realized that the description of my blog is from John 15. In that chapter, verse 5 states "I am the vine and you are the branches. Whoever abides in me and I in him, he who will bear much fruit, because apart from me you can do nothing." It's been staring at me since 2007.

I am just a branch on the vine.

I will abide in Him. I will wait for Him, I will endure without yielding, trusting Him, I will bear patiently by His grace, desiring His will, not mine. 

So, I'm sitting here, contemplating what abiding looks like, what that means for this season. And I am hopeful. Because He doesn't reveal these things and leave me hanging. He is SO very good to complete the good work He is doing in me, and in Jim through all of this. So I'll look to that peace that endures and the bright hope for tomorrow. For He is my hope.


"Abide With Me" 
(Audrey Assad version)
Abide with me, fast falls the eventide
The darkness deepens; Lord, with me abide
When other helpers fail and comforts flee
Help of the helpless, oh, abide with me

Swift to its close ebbs out life's little day
Earth's joys grow dim, its glories pass away
Change and decay in all around I see
O Thou who changest not, abide with me

I fear no foe, with Thee at hand to bless
Ills have no weight, and tears no bitterness
Where is death's sting? Where, grave, thy victory?
I triumph still, if Thou abide with me

Hold Thou Thy cross before my closing eyes
Shine through the gloom and point me to the skies
Heaven's morning breaks, and earth's vain shadows flee
In life, in death, o Lord, abide with me
Abide with me, abide with me




Tuesday, September 13, 2016

Expectations versus Reality

We started me on a new pain management regimen on Friday and I've had a few bumpy days. Trying to figure out when break through pain might hit and get ahead of it, rather than being surprised by it is tricky. Yesterday was unexpectedly rough and I ended up sleeping a good portion of the day. I am working on getting into my primary care doctor to help me track and trace all these different symptoms that I'm experiencing - it's hard to sort out what's meningitis pain/recovery versus lupus.

I am still making forward progress when it comes to daily tasks and I am seeing small improvements in stamina. I can visit with friends for about 1.5 hours before my head gets too "full" and I need to rest. The concentration that's required to converse/process seems to irritate my head and hearing and vision get increasingly worse. The good news is resting definitely resets all of that, so I am having some decent moments during the day too.

I'm learning how to spend my spoons during this recovery - it's different than just with the lupus. Right now, my mornings start early due to being uncomfortable and "time to take your meds" times. I get up and make Jim's lunch (so thankful I can manage that now for him) and make my breakfast. He leaves for work and I head back to bed to rest. We're having friends come "babysit" from 10am-2pm so I can have help getting lunch and to have a social visit. Afternoons consist of resting more - sometimes listening to a book on Audible or spent coloring. Screen time is very limited because it quickly causes brain fuzziness and vision issues.

I told Jim the other day that I experienced a first, I was just laying in bed, in the cool darkness of our bedroom, and just resting. Not thinking, not trying to figure out what I could do to keep healing. I was just THERE. And I thought, "Lord, is this what it feels like to rest in You, because, this is kind of nice!" :). Each day, I feel  I learn something new about resting in Him. I rattle of lists of things I am thankful for and remind myself, sometimes out loud, to just be still and to be content in the moment and not think ahead. Such a different way of thinking for my loves-to-be-doing-and-going-do-ALL-the-things personality.

Your ways are not my ways.

Before all this started, I had started my own study on Expectations versus Reality, but specific to this new married life that I am blessed to experience. I had even started writing a post in my head. This current trial fits in well with what I was beginning to learn. My lupus had started flaring pretty soon after we returned from the honeymoon and I was struggling to be the wife I wanted to be while feeling so lousy. The Lord showed me that I was setting all sorts of expectations that neither He nor Jim had - I wanted to be the perfect wife, the perfect homemaker. How was I not able to get stuff done when I had friends who are full-time working moms and they were able to pull it off brillantly? I was measuring myself against them and falling short in my eyes. I was trying to learn a new spoon juggle and was overspending everywhere.

Like a smack upside the head one morning while doing my bible study, I realized what I was doing. I was considering my standards more important that God's. I had crammed myself into my little "Perfect Wife" box with a certain set of rules and standards and was leaning on my own strength and knowledge and wisdom (snort), and not His. A wonderful dialogue started with me asking for forgiveness for my arrogance that I KNOW BEST, instead of Him and then looking at what it means to surrender my expectations to His reality.

What are His expectations of me, me not just as a wife, but as a follower of Him?

"You shall love the Lord your God with all your heart and with all your soul and with all your mind" and "you shall love your neighbor as yourself" (Matthew 22:37-39)

In my study so far, that's it. The other commands I've come across so far about how to be a follower of Jesus, how to be a loving sister, daughter, friend, wife, mother, fall into those two commands, the Great Commandments.

Wow, do I overcomplicate things :).

And so, as I sit in this season of needing to rest, to be still, I am trying to focus on those two things - loving the Lord and loving others., not on what I can or can't do or accomplish right now. The struggle is real folks, to do this, but with His grace, I know I can, because He sustains, equips, and provides for His children.

My expectations of myself did not reflect the reality of what God was and is asking me to be. And His way is so much better. How hard it can be to surrender and trust, but when we do, oh what a sweet place He has for us to rest.

In Him.


Wednesday, September 7, 2016

Strength for today

Listening to that song and being able to write out my thoughts and emotions has been a turning point for me. I share the rawness and ugliness because I think it's important to know that it's okay not to be be okay. It's okay to question and process and work through things. The point is to keep moving forward and to speak truth when I want to listen to lies. I have to constantly remind myself that no one, including Him, is asking me to walk perfectly through a tough time and be all rainbows and kittens about it. I am overwhelmed by the encouragement, truth, and strengthening He provided through all of you who commented and messaged me. Throughout this ordeal, we have felt so surrounded and supported and loved. We have such a good God to sustain us.

I am learning to be content when it's hard to be content. Yes, it's good to long for and hope for "all the bright and joyous things" that I mentioned in my previous post, but I also need to learn to rest and be joyful where I am. Each morning I am waking up and listing the things that I am thankful for and noting any progress that has been made. And reminding myself that slow is okay. I am not missing out on anything God would have for me because I am right where He wants me to be. At His feet.

Progress is happening, I am able to sit up more, can do more things in the kitchen (we've found that me sitting on a stool, rather than standing, helps me get more done without being so tired) and I can converse longer with the wonderful ladies that have been keeping me company during the day before my head gets all buzzy-fuzzy-shuddery. The pain in my head is changing, which I hope is a sign of healing.

One of the challenges we are facing is that my lupus was flaring badly before the meningitis and is continuing to flare, but I am currently off all my lupus meds (besides a hefty daily dose of steroids to help with lowering inflammation). My immune system was going so haywire that we needed to pull back and just try and get it settled. My stomach issues from years ago have returned, so we are looking at how the pain meds treat my head (neuralgic pain) and my stomach pain. The pain meds slow your system down. My stomach was already having issues before the meningitis...food sits too long and causes nausea and pain and acid backs up. Thankfully, my pain doc, stomach doc, and rheumo doc are all at Houston Methodist and so they can put their heads together and work a plan for me. Forward plan is still up in the air as we wait and see how my body handles recovering from the meningitis and the lupus flare.

I have also been able to see how much the medicines are helping relieve pain (forgot to take a dose and wowee...). Appreciation and thankfulness for them has helped me to be more patient. Your body can't heal if it's constantly fighting pain.

I'm drinking bone broth and turmeric tea and juicing and smoothing all the anti-inflammatory fruits and veggies I can :) . We're also using acupuncture to keep the blood moving and hopefully relieve pain. Lots of yoga stretching going on as well. Two weeks ago, I couldn't even imagine doing some light stretching, so movement is a huge sign of progress as I am learning to adjust to the weird pressures in my head and correct for imbalances.

"But now thus says the Lord, he who created you O Jacob, he who formed you, O Israel; "Fear not, for I have redeemed you; I have called you by name, you are mine. When you pass through the waters, I will be with you; and through the rivers, they shall notoverwhesm you; when you walk through fire you shall not be burned, and they flame shall not consume you. For I am the Lord your God, the Holy One of Israel, your Savior..." (Isaiah 43:1-3)

I want my heart to be aligned with Him. That the bright and joyous things I seek are the ones He wants me to seek, to pursue. His will be done, not mine.

"Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces steadfastness." (James 1:2).

My faith is being grown. Oh to be steadfast!

He provides strength for today. And that is enough.

Thursday, August 4, 2016

The Lead In...


I started flaring a few weeks ago. I thought it was my infusion "running out." Three days post infusion, my joints were still wonky and I was still running fevers. Last week, we did a "industrial dose" steroid drip (my rheumo doc's words :) ). Initially, it took the edge off my fatigue, but a day or so later, I could barely walk due to inflammation in my left ankle and hip joints. Unfortunately, rheumo doc was out of town until yesterday, so I've been a big fan of laying in bed and sleeping this week :) . The fatigue I am experiencing during this flare is CRAZY. It's never been this bad. Jim will be talking to me and my eyes will just close and I CAN'T keep them open. Very weird feeling. And my limbs feel weighed down a lot of the time. Creepy.

Rheumo doc got me in yesterday (have I mentioned how much I like my rheumo doc?) and we went over my list of symptoms (pretty much every lupus symptom I've ever experienced has reared up, including stomach issues and an awesome red rash on my limbs). We talked over the meds I've taken in the past. Short term solution is to up the dosage of one of my immunosuppressive oral meds and see if that can settle things. This bummed me out because I spent the last two years weaning down my dosage (from 3000mg to 1250mg) and I've sat stable at 1250mg for about a year. We upped it to 2000mg. And I'm getting some labs done today to see what's going on with my counts and if there is any infection about that might be causing the flare.

Long term is seeing how the upped dosage works in connection with my infusion I have in about a week and a half. If I do okay and get better, then we will leave things as they are and monitor. If not, I will either add a new oral immunosuppressive or switch my infusion meds to a different one. I'm glad we have options.

In the meantime, I've (of course) been researching what else I can do from a naturopathic perspective.  I came up with a list of things I do already that I need to continue doing (clean eating, low sugar, yoga, enough sleep), things I need to be more disciplined at (less caffeine, less red meat, less sugar, no potatoes), and things I can add (fish oil and turmeric supplements, hemp protein powder smoothies). All of those things help with reducing stress and inflammation in the body (or at least, so say the many people that do them and some supporting studies :-) ).

All of this comes at a time when I have been recognizing my perfectionism coming out as I learn to be a wife and to balance work and life in this new role. And I am seeing that my expectations don't match reality. And God's expectations of me ARE reality. And I am learning to humble myself and submit to Him.

And that's the lead in for my next post :)

So yay for doctors and meds and options! So many things to be thankful for even though I can't explain why I started flaring or what caused it.

Monday, June 20, 2016

Not mine, but Yours


I woke up at 4am this morning. My old back issue has been flaring up lately, so I was uncomfortable. I woke up feeling tired and not rested and hurting. I took out the bible study I am going through with a friend on Genesis and began my study. As I reflected on how He created all, even me, and how He is renewing me every day through His word, and that I am new, I suddenly felt very weary and old.

My not-so-secret wish and prayer has been to feel well on my wedding day and honeymoon, and even in these final days leading up to this long awaited (and prayed for!) ceremony, so that all the details will reflect Him and make our guests feel loved and appreciated (my other prayer has been that this crazy hot weather would relent and not make everyone miserable at the outdoor reception!). I KNOW He is able to make all of this come about. I don't doubt that. But, what keeps coming to mind is how He uses my health struggles to point me to Him. How He has used my health struggles to show others Himself.

I might not feel my best.

I sat there, staring at my journal pages (because, oh the heart toiling and moiling going on required some writing to process!). I realized that I had once again put my desire to feel good as more important than what He wants. He might want me to feel good, and that's how He will be proclaimed. Or He may want my tiredness and hurting to turn me more towards Him, to soften me to those who are attending the wedding also hurting and tired, to make me more compassionate and sensitive to the needs of others.

So after some tears, and some heart-squeezing by Him, I was able to write out, "not my will, but yours." If Jesus wept in the garden before His death asking for what was about to happen (his arrest and death) to pass from him, but offering up the Father's will before His own, I surely, by His grace, can yield my desire to feel well, to His will, to His perfect plan. Because His will allowed Jesus to die, so that He could be raised on the third day and so that I could have my sins washed away and have eternal life with Him.

Oh to wonder and hope at what could He do through my tiredness and hurting to show how wonderful and glorious He is!?

Oh that His will would be so tightly wrapped around me on my wedding day, that everyone will see Him and not me.

"So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day." 2 Corinthians 4:16

 Yes, I still am praying for healing (and good weather) and for mercy, but my heart has a peace and contentment it did not have when I first woke up. Whatever happens, He is not absent. He is active. He is aware. And He is being made known.

Dear reader, He is so good and kind to me.