Hello, my name is GrumpyCat and

I have fibromyalgia.
Crowd: "Hi GrumpyCat!"
GrumpyCat: "I have been accepting my diagnosis for 14 days"
Crowd: “Way to go!”, “One day at a time, you know.”, etc.

That’s how I feel about this thing. I have been refusing the diagnosis for almost a year, not because I am crazy or a glutton for pain; I did not want it. Not the being sick part, that doesn’t bother me at all. I have a chronic autoimmune disease…I am good at being sick. I didn’t want the title, “FIBROMYALGIA”. It was a dirty word.

How about some background before everyone starts thinking I’m a little off my rocker: I was a nurse in the ER for years. I have seen patients with chronic pain, and patients with “chronic pain” (the quotes are air quotes. Try to imagine me using them:-D). Many, if not all of the “chronic pain” patients I met in the ER complaining of the worst pain in their lives had “fibromyalgia” (air quotes again). The fact was; however, that most of these people simply wanted drugs. They wanted an injection or infusion of Dilaudid, Benadryl, and Phenergen, and they wanted a prescription of 30 Percocet to go. Many of these people were those that we would see weekly or monthly, and always for the same thing. In the ER, “fibromyalgia” was a made up disease and an excuse to get a fix; not even the docs believed that it was a real thing. It was a junk diagnosis used for one of two purposes: 1) A patient had such vague, and unexplainable symptoms, that some doctor slapped them with a fibromyalgia diagnosis or 2) Because there are no tests, exams, or diagnostics that can be run to positively determine fibromyalgia (or, even better, prove that it isn’t present), people with opiate addictions adopted the diagnosis for themselves. So, I left the ER with a very skeptical view of fibromyalgia. Thankfully, I was exposed to other patient populations in my next job working with patients who had a lot of chronic pain. Most of it was Ortho related, or related to degenerative arthritis, but many of these folks had developed secondary fibromyalgia. I learned what it was, how to treat it, and, most importantly, that it IS a real thing.

Back to my fibro story. In May of 2012, I was diagnosed with psoriatic arthritis (PsA) and I was in full flare mode. It was pretty awful. I had to switch from Humira, which I had been taking for psoriasis §, to Remicade. It took almost 6 months for my PsA symptoms to subside, but it still had awful pain. It was deep in my legs, an ache that I couldn’t shake no matter what I took. I went back and forth with the doctor, and finally she said that she thought I had fibromyalgia. I fired her and went to another rheumatologist. Same song and dance here, until he, too, suggested that I had fibromyalgia. I fired him. Now, I drive an hour to see my rheumatologist. I have been with him for a little over a year now. He had mentioned fibromyalgia to me a few times. We had talked about it. He actually took the time to hear about my fears associated with the diagnosis, and even convinced me to try Cymbalta and when that didn’t work, he got me to try Savella. That didn’t work either. I was convinced that it was related to PsA and might be bone marrow edema, but I couldn’t get my rheum to send me for an MRI to check. He wanted me to try Lyrica, but I was done playing with medications.

The pain I have been dealing with has been incredible. My pain meds don’t work for it. I have managed to survive the last year or so, but the last two months have been horrid. I was in with my favorite PA at the GP’s office. I am lucky enough that my GP with manage my pain and I don’t have to go to a clinic. Anyway, I had been having a particularly bad few days, and I asked him about Lyrica. He told me that he was happy to prescribe it to me. We talked about it a little, and I ended up leaving the office with the prescription in hand. I filled it a week later, then let it sit. I wanted to try it on a Friday evening. That way if I had side effects, I could deal with them without worrying about work too. I managed to put off starting for another 2 weeks, because I am me, and I think I was still in denial. Then, I had the night from hell. I kept waking from pain, I couldn’t sleep, and my legs hurt so badly. Finally, around 5am, I was able to do my morning pain meds. Usually, after an hour, I feel better, but this time I had no such luck. I tossed and ached for another hour. I felt so desperate. Then, I reached for the Lyrica bottle and took my first dose at seven in the morning on a Wednesday. The pain actually eased within the first hour and I was able to sleep for another hour or so. I made it though my work day too. The pain started to creep back in the early evening and I took the second dose. Thankfully, I got the same result. Now, almost two weeks later, I feel like a different person; I feel like myself. It’s been two years, and that woman staring back at me in try mirror now is a stranger, but I really like her! This week, I walked twice and went to the gym today. I survived the entire water aerobics class!

My feelings about having this have changed immensely since I started treatment, and it actually started working. If I have to have fibromyalgia to feel well, then so be it. I haven’t felt so well in years.

Sorry for the novel. I can’t ever seem to write anything that is short. :stuck_out_tongue:

We never stop learning, do we, Grumpy? It sounds like you have had quite an education in the last two weeks. And I know you are not one of the "everything happens for a reason" crowd, yet I see some purpose in your experience. Once again, you are going to help others. I'm so glad you have gotten some relief.

Hey Grumpycat my friend,

The fibro folks are used to the 'War and Peace' length posts! It's just a 'spill your guts type of place'! Welcome to our world! You know our dee another advanced degree nurse and mod here on Fibro had told us as much. Though I am NOT an ER goer, I have had to go, and with everything else wrong with me, I don't even mention Fibro, and they still treat me like a drug seeker, I got in a nurse's face in traiage, when she gave me 'the look', and before I answered another question, told her that I DID NOT COME HERE FOR PAIN MEDS, that I already had my own, but choose not to take them unless I desperately needed them, but was there for a head x-ray as I had fallen and possibly fractured my skull, and that I was NOT on pain meds when it happened! Now I did not scream this, it was very quietly done, kind of like Clint Eastwood, when he's getting a point across...

So her approach softened, now we proceed with my illnesses, and suddenly she cannot spell them, things like Sjogren's Syndrome and Raynauds Phenomenon, and offer to spell them correctly for her, further challenging her she knew what they were, and I got a sheepish look!

It must have been a full moon, as the place was packed to the rafters, they had me WAY back in a room that doubled as a broom closet after hours in the waiting room, only to wait a few more hours. When the Physician appeared, he was so young, that he did not look like he was old enough to drive a car, but he knew EXACTLY what everything was, and said, "No wonder you are on those meds, you poor woman!", so I knew I had been 'discussed' and that he had been forewarned!

This only breeds contempt between patient and patient's healthcare professionals, however I think I can imagine what they go through with the actual drug seekers, I sometimes watch the actual recorded footage of what the ER staff goes through as far as this goes.

I am so glad that you were finally able to be approached by a Doctor who actually considered this to be a chronic pain illness, and so very glad that the Lyrica is doing wonders for you. I also highly recommend it for Sciatica, which is also some killer nerve pain. I'm also very glad you FINALLY just took the damned pill! See you can teach an old nurse new tricks!

Good to have you with us!

Big hugs,

SK

BTW, our gal Grumpycat is an all star mod on the Psoriatic Arthritis site!

Another BTW is that the next time I go to the ER, God help them, but I'm going to stand up and beat my chest telling them that I have Fibro, but assure them that my asst Prof of clinical studies/Rheumatologist assures me that it is the least of my problems, most likely caused by my biggest problems!

See, I get just a little riled up about this!

Thank you for posting this. So glad to know that someone else has similar past that led to fibro too. I’m so so glad you you’re feeling better. And I am glad your here at thins group :slight_smile:
Joy

I get a little riled up too, and once I get up on the soap box it’s next to impossible to get me down again. It really bothers me when I see that sort of thing from medical staff. I say something. Everything can be a teachable moment. We need a walk, or an ad or something, so that others recognize, "Oh wait, so that really is a thing? Okay, cool, back to my Facebook page. "

Oh, and I forgot to say,

I’m not sure if this is changing or not. The gals that I work with work in primary care. For them, fibromyalgia is a thing. The last time I was in the ER, I got the feeling that the drug seeker vs. ER staff was still brewing. This is DANGEROUS thinking. Each person deserves to be treated with dignity and respect, if not, then things get missed because of preconceived ideas, and people get hurt. We, as professionals, have to remember this. Also, most of the folks we see in the ER with drug seeking behaviors got their first taste of opiates somewhere. More likely than not, they got it from a doctor. To me, this makes it our problem to deal with the repercussions and stop blowing patients off.

Good points, all of them.

Glad you found something that works for you!

Hi. I am a RN as well or atleast I was. I have been ill for 5 years going on 6. I was tested for everything even syphilis LOL....diagnosed and treated for RA. The my Dr. left and the new one says no RA just Fibro....I didn't want that either. Because like you I thought it was the catch all....what I have learned is that you have to listen to your body don't think your crazy when something new starts up and be kind to yourself. As Nurses we are not very good patients. Welcome to our group.