Knowing me and my medical history can be overwhelming so I took some time this morning to type up a brief history of complaints specifically related to what I think is going on with me. Call it OCD, call it odd... You would be right. I am nothing if not prepared.
After listening to me, and letting me know he had read my semi-
It went a little something like this:
Doc, while pressing on my hips: Here...
Doc, pressing my lower back: Herrrrre...
Doc, pressing my right inner elbow: HERRREEE...
Me: Ummmm no...
Doc: Really? *he moves his fingers slightly*
Me: OK. Yes. YESSS!! YUUUUUUUP!!! *begging and pleading with my eyes and inflection for him to stop*
It went on like this until he had checked all 18 points, apologizing profusely as he went. He then told me that I had all 18 out of 18. My doc told me, "Yes, I believe you do have Fibromyalgia. You have all the classic symptoms."
He wants to try the lowest dose of Nortriptyline one pill at bed time, then to see me in 4 weeks.
Having been a nurse I already knew that serotonin plays a big part in a lot of disorders and illnesses like OCD, depression, altered pain pathways and excessive pain. I also already knew that depression meds have been helpful in these instances so I was not surprised to find that I would be on a med that was normally prescribed for depression.
He is also having me try a new medication for reflux. I have had a sensitivity and allergic reactions to many medications in the past, including recently Prilosec. I have taken Cymbalta in the past and only stayed on for 5 days because it made me feel nauseated and sick, loopy and apathetic. I hope I do ok on these new meds. I guess I'll try the Nortriptyline first, taking two new meds would be just stupid in my case.
I did cry briefly when he gave it a name. I'll be honest. It was a mix of relief and sadness that washed over me, but he was very sweet and that made such a huge difference. He reassured me we would try what we needed to until we found something that worked for me.
On a lighter note!!! (wait for it... )
He told me to stay away from caffeine, chocolate, greasy food and spicy food. I gave him a grumpy face and "harrumphed", and he laughed. I told a dear friend today that my doctor had basically cut out my whole diet.
What happened in the next few minutes is typically what you can expect from me. I always use humor to make people laugh, deflect pain, lighten the mood. It's one of my strongest survival skills. My doc asked my how on earth I had gone this long without being diagnosed, why I had never brought up fibromyalgia before. I told him again how I lived most of my life in pain, pain was just a fact of everyday life for me. Being that I have not spoken to my mother in eight years, it had not ever entered my mind until I started having MORE pain, and more pain simultaneously.
Doc, shaking his head and chuckling: Well, you have 18 out of 18...
Me: I'm an over-achiever... you should already know this about me!!! I had 30 gallstones for Pete's sake, I don't do anything halfway!
When I told my husband what my doc had taken out of my diet, he nearly fell over laughing hysterically. I pleaded with my husband, "What the -insert expletive here- am I supposed to eat then? RICE???"
I guess I'm going on the Survivor diet.
This is the face of Fibromyalgia :)
One day it will be this again...
I hope and dream.