by The Oregon Fibromyalgia Team
ImmuneSupport.com
09-27-2006
If you are having a major surgical
procedure there are some issues that you may wish to discuss with your surgeon
and anesthesiologist that could reduce the "fibro-flare" that often occurs after
surgery in Fibromyalgia patients.
1. Request that you wear a soft neck
collar and minimize neck hyperextension (if an endotracheal tube is
anticipated).
2. Request that your arm with the intravenous line be kept
near your body, not away from your body or over your head.
3. Request
that you be given a pre-operative opioid pain medication - about 90 minutes
prior to surgery. Opioids are morphine or morphine related drugs. The rationale
for the pre-operative use of opioids is to minimize "central sensitization" - as
this inevitably worsens the widespread body pain that you are already
experiencing.
4. Ask to have a long-acting local anesthetic infiltrated
into your incision - even though you will be asleep during the procedure. The
rationale for this is to minimize pain impulses reaching the spinal cord and
brain, which in turn drive central sensitization.
5. As a Fibromyalgia
patient you will need more, a usually longer duration, of post-operative pain
medication. In most cases opioids should be regularly administered or self
administered with a PCA pump (patient controlled analgesia).
6. Most
Fibromyalgia patients require a longer duration of post-operative convalescence,
including physical therapy in many cases.
From Dom:
These ideas should help minimize FMS pain from surgery. Wish I had known
these ideas when I had my hysterectomy at age 34 (for endometriosis since age
17). The doc said I could go back to work in 6 weeks. What a
joke. It was about a year before I could even begin to function
normally. I am a slow healer. I agree with #6
above.
11. MEN
WITH FIBRO
From
Dom: I often hear from men with FMS/CFIDS. I think they suffer more
misunderstanding than women with this illness, both economically and
socially. Men are usually the financial backbone of their families and are
expected to provide. See my men with fibro page at www.fms-help.com/men.htm. A list of my readers' occupations (generally
former) is at www.fms-help.com/occupations.htm.
Nearly all were "gung-ho" personalities who worked very hard before their lives
were wrecked by this invisible illness. My own story is at
www.fms-help.com/fibro.htm.
12.
SUICIDE
From Dom: I
just updated my page at www.fms-help.com/suicide.htm.
People with chronic illness can find it very hard to "hang on" at times. I
sure know how that is. Illness is depressing and painful, but I am
here for you, God is for you, and there are many who have FMS/CFIDS and
experience the losses, misunderstandings, suffering and daily battles - and
they understand. We need to stick together and keep eachother
encouraged! This is one purpose of my newsletter, which I have been
writing since 1996 (13 years ago now). I still have some readers who have
been with me almost from the beginning. Wow! I hope the information
I share in my newsletters is helpful or at least insightful on some level.
If docs understood FMS/CFIDS, newsletters like this wouldn't be necessary,
because the cause and cure would be known! Meanwhile, questions remain and
MORE RESEARCH needs to be done. This is illness remains a mystery for now
- there are lots of clues, but no real ansswers. I rely on all kinds of
props in my life (meds, supplements, and lifestyle aids) to keep going from
day to day, but none of these things is a "cure." Cure means that you
don't need these things anymore and can function like a "normal" person.
What works for one doesn't work for another, hence the ongoing confusion about
FMS/CFIDS for both doctors and patients.
13.
INFLAMMATION CAUSES FATIGUE
From a reader--
"A fascinating new animal study has uncovered a key mechanism that short-circuits energy
production by reducing the ability of nerves to function correctly. This
study has profound implications for health, as well as the prevention of disease
and early death.
The researchers documented for the first time that
inflammation outside of the nervous system, in particular the inflammatory
messenger known as TNFa, crosses into the brain and activates glial cells within
the nervous system. In response, glial cells send out a message that
attracts immune cells into the brain – where they should not be. In turn,
this sets off a chain reaction of events in the nervous system that results in
fatigue. The researchers showed that by blocking TNFa activation of glial
cells in the brain, this fatigue cascade was prevented even though the
inflammation still existed.
Many people have inflammatory conditions that are
depleting energy in this way. This is one mechanism that explains how too
much wear and tear of any kind causes fatigue. This information would
especially apply to individuals with chronic pain, nagging aches, and
inflammatory health problems like arthritis, lupus, or fibromyalgia. Of
course, just being overweight causes excessive production of TNFa which can set
this nerve-driven fatigue process in motion.
Oftentimes we look at nutrients that help make energy when
we look to help the fatigued individual, which is one valid angle to
consider. It may be just as important to reduce inflammation, so as to
stop processes that are turning energy production off. This data has
wide-ranging application to thyroid function, weight issues, as well as overall
health and longevity."
14. GLUTEN
INTOLERANCE
From a reader--
"We are now understanding that gluten has many more far-reaching
effects than previously believed, and indicators of gluten sensitivity and
celiac disease can show up in the form of low energy, fatigue, brain fog, skin
rashes, numbness in the extremities, fibromyalgia, muscle and joint pain — even
problems with coordination. And all forms, whether overt or silent, can have
devastating long-term consequences all over the body."
From Dom: I've
heard from a number of readers on the subject of gluten intolerance (newsletter
archives at www.fms-help.com/newsletters.htm - use search box). Some readers have
been helped with gluten free diets, while others weren't. This is so
typical of fibro problems! There's no "one size fits all"
answer. Well, at least this is another option to
try.
15.
MAILBOX FOR DOM
From a reader--
"I put all your emails in one file and
never delete them either. I enjoy each and everyone of them. I couldn't be
without your wealth of information."
From Dom: This is a
good idea. I know I send out a lot of stuff. Some readers have
told me they have an email folder labeled DOM, to save the newsletters and other
things I send. If you don't have time to read it right then, you can save
it in the mailbox for later. Readers sometimes delete things I send,
then write me back later to ask for it, so "Dom's mailbox" is a good idea.
In my email program, Outlook Express, you can search for specific words in a
folder, which is very handy when you're trying to locate something you remember
reading but can't find.
16.
FIBROMYALGIA AWARENESS DAY - MAY 12, 2009
From Dom:
In 2005, my readers participated in the Million Letter Campaign. See
www.fms-help.com/letter.htm to see the various media and others we contacted in a massive
effort for increased FMS/CFS awareness. Also, see my letter to Congress at
www.fms-help.com/congress.htm for
Fibromyalgia Awareness Day in 2006. Anyone have a good idea for
2009? If you just want to send an email to friends and family about
FMS/CFIDS on May 12, 2009, I have some good links on my homepage at www.fms-help.com - check out the topics in
the yellow box on the left. (For example, www.fms-help.com/mnif.htm or www.fms-help.com/neuro.htm.)
It's hard to help people understand this illness - often impossible.
Sometimes we just have to leave this in God's hands and accept our lot of
suffering. Here's a comforting email I received from a reader named Steve
- it was eloquent:<
"Here is some of what I have learned
as a man from my own
experience with CFIDS/FMS, life,
suffering and shame.
Who can know the pain and suffering one
must endure?
When misunderstood by those who have no time,
to account
for their own infirmity and lack of understanding.
There was One who bore all of our
diseases, faults, shortcomings
and weaknesses. He understands. The One who
was rejected,
so that we might know acceptance. Hated that we may be loved.
Reviled so we could be blessed. Had compassion for those who
murdered
Him.
Pray for Mercy upon all those who would
judge, having so far
been spared the pain themselves, knowing not what they
inflict.
So fulfiling our own calling, that we might use that which was
meant for evil, rather to be turned back and used for good
instead. As One has already done for us in
loving kindness.
This is why my loud cry is always for
Grace!"
Steve
17.
LONGING FOR UNDERSTANDING
Reader 1--
"In
reading this article (The Knights of Fibormyalgia - about a man with
fibromyalgia), I felt I was reading my life story, yet I am a
woman that suffers from fibromyalgia. The article almost made me cry to
hear that it's not only me. Saddens me because it seems no one truly
understands. Thanks again for letting me know I'm not crazy or a hypochondriac
or prescription junkie as others without disease would
assume."
Reader 2--
"It seems when I'm around people they have
many questions about why I
can't work. They always have some sort of "story"
to tell about people
who work with ailments, etc. My family has not
understood at all, and
they do not feel CIFDs is an illness. They ask
questions such as "What
part of your body hurts?" It is really
humiliating. I do have an
understanding husband. I also have valvular
heart disease, which
was confirmed by a cardiologist."
From
Dom: Have you ever heard comments such as: "Why don't you try harder?"
"You don't look sick." "You limit yourself too much." "Quit using
your illness as an excuse!" We probably all
have! Grrr!!! On good days, these comments are merely
annoying. On bad days, they can be very painful emotionally.
Check out
www.fms-help.com/genetic.htm (genetic mutation in the brain causes CFIDS) and http://www.fms-help.com/trying.htm (why
"trying harder" doesn't work for CFS). I have
MANY other good articles that prove FMS/CFIDS is REAL. Look
in the yellow box on my homepage at
www.fms-help.com. Scoffers beware....you could be the next victim of
this invisible, debilitating disease! For a list of occupations my readers had when FMS/CFIDS
struck, see www.fms-help.com/occupations.htm and
learn WHO GETS FIBRO? And here
are more links for helping others understand what it's like for us to live
with FMS/CFIDS--
www.fms-help.com/mnif.htm - My Name is Fibromyalgia
www.fms-help.com/neuro.htm - What it's like to live with
neuro-endocrine-immune illness
www.fms-help.com/congress.htm - Dom's letter to
Congress
www.fms-help.com/letter.htm - The Million Letter Campaign for FMS
Awareness
www.fms-help.com/disbelief.htm - Doctor's disbelief kills young
woman with CFIDS
18.
STUDENTS WITH FMS/CFIDS
Reader 1--
"I stumbled across your website this
morning...I am so tired. I have been fighting this battle with my
teenage daughter for over 3 years. I don't know what to do.
When she goes to the Dr she tells the Dr everything is O.K. and that she
is doing well. Then we have a totally different way of life at
home. I am so frustrated. She is failing in school and I
cannot get her to go to school. Do you know of any "teen"
websites?"
Reader 2--
"Thank you so much for this email
[College Fibro Blues]. Just today, a young lady at church told me
she had to quit college (nursing) because her fibro was getting so bad she
could not do it. Pain, fatigue, brain fog and much more. She
is so young. I forwarded this to her. The timing of this
email, I am sure, was guided by Someone greater than us. Thanks
again."
|
From Dom: I
hear from many teens and young adults with FMS/CFIDS - or their worried
parents! These young people's lives (school and social) are
disrupted, and many experience the stigma of this poorly understood
illness. See my page about kids with FMS at www.fms-help.com/teens.htm, and also www.fms-help.com/neuro.htm, about what it's like to live with a
neuro-endocrine-immune illness and how life-disrupting it can be.
Once again,
here is a list of occupations that we (Dom's readers) had at the time FMS/CFIDS
struck our lives: www.fms-help.com/occupations.htm. We are definitely NOT slackers! (I still think this illness
is a viral attack on the brain and nervous system of genetically predisposed
individuals - there are lots more theories from people smarter than
myself at my homepage www.fms-help.com.)
19.
SILICONE BREAST IMPLANTS
From a reader--
"My problems began with leaking
silicone implants. I had them removed
four years ago, and my symptoms
abated somewhat, but I still suffer
from extreme mental fatigue and
exhaustion. My fibromyalgia has gotten
much better. I can tell when I
go in someone's home with a pet because
I react to the pesticide they
apply to their skin. Also, I can tell if
they spray their home. I have
tried to eliminate processed foods,
which does help also."
From Dom: Since starting my FMS/CFIDS site
www.fms-help.com in 1996, I have heard from quite a few women whose FMS
woes began with leaking silicone breast implants.
20.
SLEEP APNEA & FMS
From a reader--
"It's interesting you mention teenagers and fatigue.
Obviously school pressure and lack of sleep during study times is a major
issue. I remember suffering bouts of tonsilitis, glandular fever, chronic
fatigue, chronic ear infections. I mean I was really sick. But
consider this, I am now 34 and for the past 3 years have suffered from fibro
symptoms, quite serverly. Tested for every possible thing, and that’s what
they have come up with. Only until recently I ended up in hospital with a
collapsed disc in my back which was pinching my sciatic nerve. At
the time I was at my lowest point with my fibro, the fatigue, stiffness and
sorness in my feet, hands and back were unbearable, and the only thing i found
to help me that actually stopped pain was steroid tablets, prednisone. So
I took it for 3 years solid, and have suffered many complications, weigh gain,
puffiness, metabolic syndrome, skin issues, PCOS the list goes on and its very
boring hahahhaha. However it has been discovered that I may nave sleep
apnea! This is such a breakthrough because I think it may be linked to my
fibromyalgia. A persons sleep bank is very important, when it is drained
and there is no opportunity to catch up you're going to get sick! But you
can get better with a proper night’s sleep. As I was deeply affected
during my highschool years, it seems I am being deeply affected now also with
the sleep apnea. I am hoping to be treated for this condition and it will
be interesting to see if my fibro improves also with the treatment? I know
you must get alot of hopefull people sending apparent cures, however I will keep
you posted on this one. There may be a link, and if it could help other’s
in the quest for a solution I am only to happy to share my
experience."
From Dom: YES!!!! The importance of sleep
cannot be overstated. Read my insomnia story at www.fms-help.com/insomnia.htm and a list of things I've tried for sleep since
1982 at www.fms-help.com/sleep.htm.
21. A PRAYER FOR
SLEEP
From a reader--
"I know many of us have serious sleep
disorders. I have this typed and framed by the side of my bed and say it out
loud before I sleep. And, many…many…many times I say it again during the night
when I wake, tossing and turning. It brings me great comfort, especially the
Bible verses regarding sleep--
I have the peace of God my
father in my mind, body and nervous system. I refuse to be worried or upset
about anything. I will lay down and sleep and my sleep will be restful and
peaceful in the name of Jesus. While I am sleeping the Holy Spirit is quickening
and healing my mind and body in Jesus name. Thank you God, for your peace and
love that I have on the inside of me.
Psalm 3:5 - I laid me down and slept; I
awoke for the Lord sustained me
Psalm 4:8 - I will both lay me down in
peace and sleep; for thou Lord only makest me dwell in safety.
Psalm 127:2 - He giveth his beloved sleep.
Proverbs 3:24 - When thou liest down, thou
shalt not be afraid; yea, thou shalt lie down and thy sleep shall be
sweet."
22. "HOUSE" TV SHOW MOCKS FIBRO
From a reader--
"This brings up something I've
seen on TV on episodes of "House." The first time I heard FMS mentioned
was when a Dr. House was seeing what was probably a real hypochondriac who
though he had nearly everything in the medical textbooks. House initially
blew him off saying something about spending too much time on the internet
researching, then gave him some candies in a prescription bottle.
Apparently, the placibo worked because the guy returned for more of the
"medicine" House gave him. That probably drew lots of hate letters from
FMS sufferers! The next time they dealt with FMS was another episode
during one of their group diagnosis sessions. Someone said it might be
FMS, and again House blew it off saying it wasn't a real diagnosis. Then 2
of his long term associates came back with something to the effect, "Thousands
of Rheumatologists and the American Association of Rheumatology would disagree
with you." The other one said, "Yea, but House will never admit it exists
because he cannot cure or even treat it so he can't determine if his diagnosis
is RIGHT!" And if you watch that show, he is always about being
"RIGHT"."
From Dom: This was big news when
it happened. Typical of the bias and misunderstanding being
portrayed.
23. "WHY I CAN'T
MAKE PEOPLE UNDERSTAND"
From a reader--
"There is a book I would
recommend everyone read the title is " Why I Can't Make People
Understand" by Lisa Copen who is the director of Rest Ministries
www.restministries.org. The Lord will use
this book to bless your life and it will answer many
questions."
24. THE SCIENCE OF
FIBROMYALGIA
From a reader--
http://www.fmaware.org/site/PageServer?pagename=fibromyalgia_science - central nervous system
sensitization
25. ANTI-EPILIPTIC DRUGS INCREASING RISK OF
SUICIDAL THOUGHTS, BEHAVIOR
http://www.docguide.com/news/content.nsf/news/852571020057CCF6852575210078C283?OpenDocument&id=364EAA39CFB8A73D85256FEE00363C0B&c=&count=10
Excerpt:
"The following antiepileptic drugs are required to
add warnings about the risk of suicidality: carbamazepine (Carbatrol, Equetro,
Tegretol, Tegretol XR); clonazepam (Klonopin); clorazepate (Tranxene);
divalproex sodium (Depakote, Depakote ER, Depakene); ethosuximide (Zarontin);
ethotoin (Peganone); felbamate (Felbatol); gabapentin (Neurontin); lamotrigine
(Lamictal); lacosamide (Vimpat); levetiracetam (Keppra); mephenytoin
(Mesantoin); methosuximide (Celontin); oxcarbazepine (Trileptal); phenytoin
(Dilantin Suspension); pregabalin (Lyrica); primidone (Mysoline); tiagabine
(Gabitril); topiramate (Topamax); trimethadione (Tridione); and zonisamide
(Zonegran). Some of these medications are also available as
generics."
26. LDN (LOW DOSE
NALTREXONE)
From a reader--
"I am an LDN user and this has
really changed my health. Still have to watch my wheat and sugar
categories, but even the LDN has helped me in that area. I can tolerate
more of them."
27. GOVERNMENT SAYS
FMS IS REAL
From a reader--
"The US government and the Veterans
Affairs does believe in Fibromyalgia. Not only do they
acknowledge its existence, many, many Gulf War veterans are given a rating of a
service connected disability for this condition (which involves a monthly
pension). They believe that it was caused by (if my memory serves me well)
either a vaccine, pesticides or exposure to toxic fumes of burning
oil. I am a registered dietitian at a VA Medical Center, and sometimes I
help with the monthly Fibromyalgia group that is conducted by a PhD, Nurse
Practitioner from Rheumatology. It is acknowledged that there is no cure,
just symptom management, but it is acknowledged. This is not an
"alternative group" using alternative medicine. This is a traditional
medicine facility using traditional medicines for pain, depression as well
as physical therapy etc."
28. NATURAL RESTFUL
SLEEP
From a reader--
"Click here: Could Your Muscle Pain Really be
Fibromyalgia? What You Should Know... - articles -
articles.mercola.com
Dom, here is an excellent 5 minute video
on Fibromyalgia emphasizing the absolute necessity for restful natural sleep,
not drug induced. Again I will recommend Coffea Cruda 30.
I've been taking this for 4 years without any side effects and I am able to fall
asleep and stay asleep and wake up refreshed. It took several months of
this restful REM sleep to begin my recovery from FMS/CFS but I am 90% better
than I was 4 years ago. I do regular warm water exercises that do
not exacerbate the pain because while I am in the water there is less weight on
my joints and muscles. And the warm water is so therapeutic, gently
massaging your body while you move. Focusing on the positive has also been
what has helped my recovery. Not 'What I Can't Do', but 'What I Can
Do'. Not, 'What Hurts', but 'What Feels Good Today'. And I practice
EFT (Emotional Freedom Techniques) daily. Check out www.emofree.com. All I
know is that YOU CAN GET BETTER!!!"
From Dom: Fascinating about
Coffea Cruda 30! I've mentioned this in past newsletters, but haven't
tried it yet. Just might do that! The list of meds I have to take
for sleep is at www.fms-help.com/what.htm. I always sleep better if I go to bed late and
get up late. Because of this, I only schedule piano students for
afternoons and evenings. Evening church services (Sunday and Wednesday)
are easier for me to get to than Sunday morning, which is my toughest time,
because I have to be at church in the morning, focused and ready to play for the
morning service. Without sleep meds, I don't sleep at all. My
insomnia story is at www.fms-help.com/insomnia.htm. I've been this way for over 40 years
now. Unresolved insomnia (which I had for decades - a hellish existence
really....) wrecks your immune system and you can't maintain any kind of good
health or quality of life. Solving the sleep disorder is VITAL to getting
health back. As one reader said recently, I always thought "tired" and
"sleep" went together until I got fibro. This brings to mind the elderly
man who used to call me years ago many times. He had not slept since he
joined the military at 18. He was in his 70's when he began calling
me. He said, "If you think boot camp is rough, try it WITHOUT
SLEEP!" (Shudder!) He went on to have a life of terrible health (no
surprise). I have often wondered if it was the stress of boot camp or the
vaccines he was given that took away his sleep function. My own sleep
disorder began at 16. This dear man eventually was able to sleep when he
started using the immune powder. He called to tell me this with great joy
- it sounded like he was in tears. II can only
imagine!
29. DAUGHTER TO
MOTHER
From a reader--
"I sent your email to my daughter who has
had CFS since she was 23 and is now 44. This is the answer she sent to me
thought I would send it onto you"--
"Hi mum - I have had so much
skepticism over the years I have switched off and can't talk or be bothered to
explain it anymore its not worth getting angry over anymore. We live with a
mystery, we are a mystery, we remain a mystery. Tell Dominie we are modern
day lepers, no one wants to know about us, we are here to teach people that is
our lesson on this earth, we will be stronger spiritually for it, they won't,
have pity on them they know no better."
30. DOM'S UPDATE
I'm feeling okay
these days, thank God. It's a joy to teach piano and work in the
music ministry at my church when I am feeling "well." It would be
great to be a "normal" person and have plenty of days like these! No one
knows how hard it is to function with FMS/CFIDS except those of us who have
it. A list of things I use to keep going is at www.fms-help.com/what.htm. Some I use daily, some as
needed. Many friends and family do not understand my condition.
They think I should just "try harder" and "think positive." (Read
www.fms-help.com/trying.htm to see why "trying harder" backfires with CFIDS.)
I am so appreciative of my supportive husband and all those who DO understand my
condition, like my dear brother.
My Aunt Tillie
passed away this week. She was 91. I was saddened that I couldn't
travel to Michigan to be at her funeral and pay my respects in person (can't
travel ever since I worked in toxic mold in 2005 www.fms-help.com/mold.htm.) Sending flowers seemed so
inadequate at a time like this! My dear aunt took care of everyone in
the family - beginning with her aging parents, then her 4 nephews, and then many
others who came to her for help. She was born to immigrant parents from
the Ukraine, and grew up with unbelievable hardship as a child during the
depression. As an adult, she worked as a bookkeeper for 40+ years, sang in
the church choir and taught children's Sunday School. She never married,
sacrificing her own life for others who needed her. She was also
JOYFUL, FUNNY, and at times outspoken, but never complained! A true
saint! 7 years ago, she suffered a severe stroke, and it was all
downhill from there. So sad. I will never forget my
aunt or her love for me! What an example she was of Christian love
and faithfulness! My brother was at the funeral and left his cell
phone so I could be "present" at the service. I cried my eyes
out....every tribute to her was right on target. Her death was a loud
"punctuation mark" to her life, well-lived for Christ and others. My
"take-away" from her funeral is that I am a spiritual "SHRIMP" (and a
whiner). I rededicated my life to the Lord after her funeral
- to live only for Him and <all for Him, and lovingly help
others as much as possible. My husband wrote these words on a beautiful sympathy card
he gave me: "On Sunday, March 1, 2009, your Aunt Tillie finally got to
meet her Savior - the One she confessed her sins to and was saved by, the
One she sang about and talked of. She hoped to see....reality to
know! 'Welcome home, my faithful servant, Tillie. I have been
waiting for you.'"
Til next
time,
Dominie