The Internal health practitioner didn't know what to do with me. I refused the blood transfusions and infusions again. "Why?" he asked. "Because I've read about the anaphylactic reactions." "Well they have a team of professionals in case that happens at the hospital. " "Um sorry, that does not reassure me. Those 'professionals' have failed one too many times." (Besides with that logic- should I go try to jump start a massive allergy attack because there is a team of professionals ready?) He just smiled. Later he asked me what profession I was in because I kept up with all of his medical terms and knew everything he was talking about from villi to urea to inflammation responses in physiology.
I can be annoying like that.
When I replied that I was not in medicine but a homeschooling mother, he replied, "Oh so you have a lot of free time on your hands." To which my irritated response was, "Actually, I read medical journals."(I use my time wisely, teach complex philosophies and...) Usually I do not think on my feet in medical situations so I was impressed that for once my fighter spirit sounded clear and logical. He seemed more amused at my response than insulted which in hindsight is probably a good thing. He asked if I had seen a Naturopath as some of my jargon gave me away. I asked him if he took issue with that. He didn't comment so I smiled and said," I believe that there needs to be a balance in medicine of naturopathy and allopathy for the human body and mind. However, I am skeptical of BOTH equally." He laughed. Which I wasn't expecting as I was slightly annoyed. However, to his credit he informed me that "Well, we will try to contain your skepticism by treating you appropriately and hopefully by improving your condition."
It was slightly disheartening though because in the last appointment he chalked my iron issues up to my cycle. When I asked about absorption he blew it off as irrelevant. This time he looked at me like I had grown two heads, kept checking his notes, hummed and hawed and said that it seems like I have an absorption issue. He said my fallen levels despite taking iron indicates that it is NOT a cycle issue. Yet he thought it seemed like inflammation but that he does not think I have inflammation. I bit my tongue because I KNOW I have inflammation. I have been diagnosed with multiple conditions of inflammation but I suppose some professionals think those are irrelevant and I am unsure what to believe myself. Also, in the last month, my dentist, YES DENTIST, and Optometrist BOTH mentioned inflammation as the cause of my issues there. Regardless, it is back to the drawing board, that has been my life in medical situations, regarding my weird blood for the last ten years. I will attempt another H Pylori test next week which is an easy test to do and I appreciate the effort to look again from the doctor.
But I am tired.
My RBC levels are finally in the "normal" range so I am not considered Anemic by standard doctors, yet the Internist said, "It is not good. You should not be concentrating on much other than getting your Ferritin up. This is not an acceptable functioning level for any human being." Sigh. Yes, I know. I FEEL it. I felt the drop. I can sense the point two deficit in my day to day existence just like I felt the7 point uptake a month ago (CLICK). With every point Ferritin MAKES a difference. My body tells me Ferritin increase is imperative but there are some things I just can not do. Like consciously risk anaphylaxis shock. I know it is ridiculous probably because I am risking a whole lot more taking the slow route...but I just can't. There was an episode of 'Young Sheldon' in which Sheldon choked on a breakfast meat ( CLICK) and could not eat solid foods for five weeks until he read a comic book which inspired him to face his fear. His older self delightfully narrated that he was finally over his fear of eating solids that day...and then proceeded to list everything else he was still afraid of.
And that's just it.
An Autistic's brain can NOT fully get over some fears because we see the world differently. And the fears are not irrational to us but statistical. Sometimes it sucks to be well informed, researched, and not easily conforming to the masses of authority figures. We seem ridiculous to the average onlooker but in our heads we know we are smart. The world just isn't ready for us still. (CLICK this post about autistic contortionists.) We know why something is not worth the risk for us. We know why germs are scary. Because they KILL for one, and also because we have experienced misery at the hands of sick bugs and do not wish to willingly go through that sensory hell again. Which is the only way I can explain why, unless it is a last resort to death or beyond, I will not be taking the iron infusions.
This post is for those unlucky souls who are in a catch 22 of health. Where an attempt to correct or to cure causes irreparable damage....yet it can not be helped. It is a helpless place to be in, even while one fights for their autonomy. I also dedicate it to the women on health boards and Instagram stories that I read about regarding low Ferritin. ALL of you inspired me. ALL of you made me feel less alone and gave me tips to approach my own decisions. I saw many photos of women warriors taking corrosive material into their blood, so they could be the best they could for the people counting on them. I heard strong tales of struggle, heartache and questioning. I saw beauty in the raw tales of blood and loss. I heard the upsides and downsides. I saw the results in others lives (or lack thereof.) Thank you for telling your stories.* *As usual, any medical advice should be taken with wisdom, assistance and talking to a professional who knows your condition, before you make a choice.*
Lyme disease is a very tricky beast to figure out, cure or even diagnose (speaking from experience) and even though it is related to low Ferritin, most doctors do not know how to approach it, nor do the patients. It's a guessing game where the patient becomes the dissected trial. A vast majority of low ferritin sufferers were also runners or high intensity work out patients...oh and all except three of the hundreds I scrolled through were women. For some their cycles were blamed but most knew that was not the root of the issue. Men naturally have more iron in their systems and often will have the opposite issue of Haemochromatosis, which is serious, so I urge any man reading this to get checked or at least donate blood if you can. Donating manages this risk. Most of the women were trying out infusions because they were so tired of being tired.
Here are a few posts (with the names cut out for privacy) to give an idea:
"Anemia is being more than just tired or cold. The symptoms that a lot of people don't talk about is the fast heart rate, struggle breathing or pica...I couldn't remember passwords, family members bday, and my own social security number. I had to relearn things that I would have known before. Nothing could have prepared me for this journey... I don't understand why I have to go through this but I know I am strong enough to handle this. I have an amazing support system." - I feel the same way. I think most of the women I came across had similar sentiments. I especially have empathy for the low ferritin sufferers/anemics who have no support at all. My husband will often bring me heat bags when my feet or hands are so cold they are in pain. No amount of rubbing or blankets or even putting my feet on his torso will change my condition until I either jump in a hot shower for a longtime or use a heating bag. Although when desperate and with no other option, he will lift his shirt for me and I will put my hands or feet on his warm torso or back, because I am almost crying from the cold pain. My pits do not work because they are cold too. My own body heat does not work in these circumstances. It probably looks hilarious but my children are used to it. If he is not home and my heat pack can not be found sometimes my children will take my hands and put them in the folds of their elbow until I can feel my fingers again. That's just one small aspect of low ferritin/anemia that is inconvenient on a daily level. I can not imagine having no one for support with the other symptoms. It is a family effort to keep our lives ongoing and the chores done with my level of exhaustion. I do a lot for my condition but I am ready to admit that my support system is integral to my fight.
I was searching for stories late last night, because I was considering infusions. That quickly changed as I scrolled through the many stories. Most were not too successful. Some were for awhile, only to be back in the same boat months later, after going through the trauma and side effects. That is not worthwhile incentive for me. After listening to the personal posts, I read a few peer reviewed medical studies along with medical sites that promote infusions. (Insomnia at least has a perk of loads of research time!) The post image below gave a good summary of the common side effects I found from iron infusions:
In summary, there is a strong history of anaphylactic shock which is why they enforce Benadryl in the IV as well. If you get past that point, it is similar to the flu but worse. Iron is corrosive. It is hard on the body, blood and veins. It is VERY hard on the system and takes days to recover. The side effects are prominent and often include vomiting, immense abdominal pain and cramping, muscle cramps throughout the body, pain down the limbs, lack of saliva and a metal taste in the mouth for weeks, anxiety ect. Some of the women were still experiencing side effects months later. One story had a woman whose iron fell even more after the infusion and she experienced diarrhea that still was not fixed three months later. That symptom began after the infusion.
Basically, I read enough to know that I would have to be KNOCKED OUT cold on the floor with no hope of waking, to be forced into an infusion. No thanks. Yes, I do realize I am choosing to die slowly instead, if my ferritin does not improve, but it literally will be my last resort and ONLY if I am unconscious and my husband chooses it for me. That sensory onslaught plus being at the hands of medical staff when I already feel out of control, plus the risks, plus possible long term and short term effects does not sound appealing to me. Some women chose it and said it was the best choice they could have made. It truly depends on the person. I know myself to know that it's not going to be good. It most likely will backfire. I have suffered more from secondary complications of medical procedures in the past to know this. Unusual things. Doctors didn't believe it unless they witnessed it. For example, when the scope was inserted up my nose, I would not let them finish because I felt something weird. They were SO mad at me. I said it was unnecessary anyway because it was an appointment for a nodule on my thyroid that was already confirmed via ultrasound. There was NO reason for the ENT to be up my nose. When I fumed out of that office, half an hour later on our 3 hour drive home, I noticed a lump the size of a mini goose egg forming above my nose. I immediately called in and they said it was unassociated and 'impossible.' It was clearly from the procedure and I had a headache for days after. My nose also was in pain. My husband witnessed it and I took pictures, I wrote in and they dismissed me. They were rude after being initially kind in the office, because I was unusual. Almost a full year later, a skin tag/mini lump inside the nostril they went up is still there, and it appeared after that appointment. These are small side effects from a very small, not even finished, procedure. I have had this happen with immunizations (luckily Benedryl and the epi pin was administered right away) and other procedures... I can not willingly walk into a situation that could potentially carry those risks.
Many of the women I witnessed on forums and posts were around my age with young families, or they were previous runners and health fanatics. Most even looked a bit like me... with my body type, make up tendencies, and how I take pictures...which I found interesting. Almost every single one of them "looked healthy." Yet, they were fighting for their lives to exist on a level above exhaustion. Most had struggled for years on and off and if I scrolled through a few pictures (cuz I am creepy like that- if it' public- it is available) I found that a lot of them would have photos of them hooked up to a transfusion but in the next few days they were running or on the beach or smiling with their family... In photos previous to their infusions or health updates, they often looked normal, balanced and healthy. There were a few occasional hashtags of #chronicillness or #spoonie or #exhausted with dark circled eyes and a few marks or rashes on their faces.
One of the articles I read spoke about the gut being related to Anemia (which we all know is true on some level. Everything begins in the gut, the second brain of the body.) Often anemic patients with low ferritin have zit like rashes around their mouths and on their necks. The bowel specialist said this was from the body trying to get rid of the toxins unsuccessfully. The toxicity of the extra iron in the supplements plus the bowel configuration of autoimmune patients usually results in a lack of good gut flora and bacterial balance in the body which then makes absorption impossible. Yet another 'catch22'. Fermented foods, yogourts, kimchi and all the usual gut healing options were mentioned...and no gluten or sugar even when you are not celiac. I already do all of that. Although I found out a product I was consuming from last January to August every morning (my granola) had wheat in it- I somehow missed that! I thought my mono at the time was causing my gut pain and I even asked for a stool sample because I could not figure out why I was stomach/gut sick every day. Luckily, I ended up scrutinizing all my usual foods and in August realized I was consuming gluten regularly. As soon as I stopped the granola, two weeks later all my gut symptoms disappeared. My absorption could still be affected from my villi inflammation during this time. Know your foods. Know what you consume and what makes you feel sick. This information matters. This information is also both validating and depressing. Those who are chronic illness sufferers of any type, often know their condition inside and out. If they have suffered, they KNOW what will help, the latest research, the diet suggestions, what options there are ect. and YET they are still in their predicaments years later. This is one of the most frustrating aspects of chronic conditions.
I guess, my 'answers' for fellow sufferers could be summarized as encouragement. Maybe you have researched in circles too? Maybe you have found things that work short term and that matters! Even if it is undone later it still buys you time! My diet was one of these aspects. Maybe you need to ask for more support? Maybe the iron infusion will be the answer for you? Maybe you need to decide to NOT take the infusion? Regardless, I am putting this out there for you to know, even though it feels isolating, you are not alone. You are not the only one frustrated with the Catch 22's of Chronic illness. And keep sharing the small steps that make life better, because maybe like the Flintstones Vitamins- someone like me will try something that COULD work for them? (P.S. I checked with my Doctor first to ensure I wasn't overloading my vitamins.)
On and off, I get stronger. I have been on the treadmill for 7 weeks which is also a catch 22 as long term exercise depletes Ferritin according to multiple studies. But I love it and feel great for that 40 minutes every day. That matters to me. Also, in the mind, I think I am stronger than I was in previous years. I AM stronger in spite of and maybe because of this journey? It's a paradox. I'm both stronger and need to do what is best for myself, yet at the same time I need help from my support system, good medical professionals, and my friends. It's a mixture of both (which I will leave two songs for that portray both of these opposing emotions.)
May you find both your strength alone and strength within supports. Keep fighting fellow warrior. Also, rest well. Surround yourself with warm blankets, sip hot, cinnamon topped tea or cocoa, and indulge in your favourite happy books or shows. Try to balance your low energy with beauty. Balance your hardships with joy. Allow yourself to BE in your genuine walk.
Help! You know I need someone
Help!
(When) When I was younger (When I was young) so much younger than today
(I never need) I never needed anybody's help in any way
(Now) But now these days are gone (These days are gone) and I'm not so self assured
(And now I find) Now I find I've changed my mind, I've opened up the doors
Help me if you can, I'm feeling down
And I do appreciate you being 'round
Help me get my feet back on the ground
Won't you please, please help me?
(Now) And now my life has changed (My life has changed) in oh so many ways
(My independence) My independence seems to vanish in the haze
(But) But ev'ry now (Every now and then) and then I feel so insecure
(I know that I) I know that I just need you like I've never done before"
Stronger- Britney Spears "I'm stronger than yesterday..."












