Author Topic: Health scares and anxiety  (Read 2753 times)

SimpleCycle

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Health scares and anxiety
« on: April 07, 2019, 04:11:37 PM »
I'm in the process of figuring out some health concerns with my doctor.  I don't have anything definite yet, just a bunch of "these tests say we need to run more tests" and the potential that there is something bigger wrong than the fibromyalgia and IBS diagnoses I've been given in the past for my vague symptoms.  My PCP is wonderful and patient and I trust her to figure it out or refer me out to the correct specialists.

The problem is that I have TERRIBLE anxiety about all the testing and medical appointments.  If I'm honest, I am a total wreck.  I have always had some trouble with anxiety, but this is above and beyond.  In the days between when I have a test and get the results back, I can think of almost nothing else.  I can't focus, I can't sleep, I just worry.  Same when I have a medical appointment coming up.  So basically all the time right now, since right now I'm having tons of appointments and tests.

Any tips for coping, or will this just suck until I have more answers?

fuzzy math

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Re: Health scares and anxiety
« Reply #1 on: April 07, 2019, 05:42:57 PM »
Sleep will go a long ways towards helping you cope during the day. talk to your PCP about what you can safely take to get some rest.

I hope you get the answers you are seeking. Not knowing is the worst.

wenchsenior

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Re: Health scares and anxiety
« Reply #2 on: April 07, 2019, 06:19:30 PM »
I'm not sure how useful my advice will be, but I feel  you.

I have been through about 7 years of this, with pretty steady popping up of miscellaneous mysterious, autoimmune-disease-like symptoms, and multiple diagnoses that STILL don't explain all the symptoms.  So I've been through a bazillion tests and the attendant stress, often with no clear diagnosis or explanation or resolution at the end of each round of testing.

Like you, I have chronic pain (joint, muscle, soft tissue), migraines, and digestive problems since I hit puberty (I was totally healthy as a child). I also suffered from a suite of escalating other symptoms in my teens and 20s, and was eventually confirmed to have an endocrine/hormonal disorder (PCOS). Once I learned to manage that, my health was then very good and stable until around age 40, when I began developing a whole new suite of problems: vision disturbance, new kinds of digestive problems, worsening pain, chronic utis and urinary pain, unexplained weight loss, neurological problems, intermittent muscle weakness, tachycardia, chronic cough and hoarseness, severe patchy hair loss, skin rashes of multiple kinds.  Basically, my entire body freaked the hell out and I was in and out of testing for the past 7 years.  In the end I was diagnosed with about half a dozen additional conditions/diseases, which explained a few of these symptoms, but frighteningly did not explain the most worrisome stuff (neurological/vision/muscle dysfunction, etc). 

So in the end, doctors still don't know what causes many of these symptoms, and have very little idea how to treat them.

Initially, I was like you...having constant anxiety and always fearing the worst (naturally, b/c as each symptom popped up I was being tested for life-altering things like lupus/MS/Parkinson's etc).  And although the worst things haven't been confirmed, in some ways I learned that that is worse b/c I still have no answers to a lot of my symptoms.

However, over the years I went through various stages of learning to cope.

1) Alternating fear/rage.  This comes and goes with 'flares' of symptoms.  My anxiety was through the roof for about 5 years, and I although I've always had a good 'relationship' with my body previously, I began to loathe it for 'betraying me'. Eventually, as the years went by I began to realize I simply must figure out a way to change my mindset or totally destroy my emotional quality of life.

Cognitive behavioral therapy helped a lot with this, esp the anxiety and the 'anticipating the worst'.  Recently, adopting some mindfulness practices have also helped.  I wish I had learned this stuff in the first couple of years I was dealing with it, but better late than never. The good news is that I am now far more emotionally resilient to all things in life, not just health problems, than I was when I was younger.

2) Perspective.  I have several times had to grapple with the very real possibility of having a serious, progressive, debilitating disease. Thankfully, this hasn't happened, but what truly helped me was to try to move mental state beyond the panic of the IDEA, and to recognize that millions of people have gone through this and much worse, and one day I am almost certain to have to face something like this myself or in a loved one.  Therefore, it stands to reason that I should begin to anticipate how I might go on living in a pro-active and positive way, were/when that happens. 

Cognitive behavioral therapy helped me here, and I'm certain people on this forum who actually HAVE been diagnosed with serious diseases will have much more useful suggestions than I.

3)  Practical but optimistic planning.  Initially, my impulse was really to pull back from a lot of things I'd previously done in my life (esp travel) b/c my body was so unpredictable.  I have struggled with so many trips in my 40s where I developed puking-bad migraines, ended up in urgent care in strange cities trying to get antibiotics for utis, couldn't sleep b/c of chronic pain, couldn't do outdoor field work b/c of balance problems or muscle weakness, etc.  I still struggle with this (my primary response when someone suggests a trip is "are there medical facilities handy?"), but realistically, most of the time my symptoms are manageable enough that I can still do MOST things MOST (if not all) of the time as long as I do some proactive planning (e.g., carry antibiotics on trips, etc).  The worst-case scenario I'm imagining usually doesn't happen, and the slightly bad-case scenarios are usually manageable, so I have learned not to worry so much.

4) Practice.  To some extent, the longer I live like this, the better I've gotten at it and the less I worry about it. My husband often reminds me that worrying about something that hasn't happened is like paying interest on a debt you haven't incurred. BE FRUGAL! Don't pay pointless interest LOL.  This is easier said than done, I know, but if I could advise myself from 5 years ago, I would say: Focus on  what you have real control over, and try to let go of the rest.  When symptoms flare, try to manage them as best you can, but don't always anticipate being ill...because there are always stretches of time where you feel pretty good coming along eventually.  Eat well, exercise regularly, make sure you stay busy doing things that are as fulfilling as possible, remind yourself of all the good things that are still in your life, stop focusing on things you are 'losing' (b/c all of life means eventual loss).  View this as 'resiliency practice'.

Most likely, you will have better luck getting answers than I did.  So I would advise looking into therapy for generalized anxiety, which will certainly help you manage health-related anxiety. In the meantime, I'd suggest reading the book "Feeling Good" by David Burns (intro to some CBT techniques) and particularly focus on the disordered thought patterns that contribute to anxiety.  Also, remember that tons of people go through challenging health issues and continue to lead full lives, even if the lives aren't exactly like they were before. If you are diagnosed, you can seek out people who have very specific experience with that particular condition who can help alleviate your fears.

I really hope this helps.  I know exactly what you are going through.

« Last Edit: April 07, 2019, 06:25:37 PM by wenchsenior »

SimpleCycle

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Re: Health scares and anxiety
« Reply #3 on: April 07, 2019, 07:20:54 PM »
Thank you, @wenchsenior, I really appreciate your perspective and kind words.  As you correctly surmised, I'm going through the autoimmune/neurological gauntlet of testing right now, and there's some scary, life-altering stuff on the list.  So while the anxiety is understandable, you're also right that anything is possible at this point, including no real answers.  I can't keep living in worst case scenarios.

Metalcat

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Re: Health scares and anxiety
« Reply #4 on: April 08, 2019, 05:40:31 AM »
This is the world I live in constantly. I have about 7 specialists and they're always finding and testing something.

Eventually you just have to learn to know your body, know what your symptoms mean for you, and roll with whatever comes along.

Half of the biopsies I've had have been for incidental findings on scans for unrelated issues. I just had a spine MRI done for an injury and they found very suspicious nodules on my thyroid.

*Shrug* add it to the list of suspicious findings that I've needed biopsies for. One day one might turn out to be cancer. Maybe, maybe not.

I've actually already had cancer, both DH and I have. I didn't even worry about it then because it was caught so early that all it needed was minor skin surgery. Clean margins, no big deal.

The stupid lumps and bumps they keep finding don't even stress me anymore. They aren't even related to my serious and life altering illness(es).

Therapy, CBT, mindfulness meditation are all helpful.

However, I have just come to operate under the perspective that almost no one spends their entire life healthy. Most people don't take very good care of themselves and end up with avoidable but serious health problems later in life.
Many otherwise perfectly healthy people get cancer, or get injured, or have strokes, chronic migraines, PCOS, diabetes, whatever.

Most people get sick one way or another. It's actually pretty normal in life to deal with serious health problems at some point. It's more normal than not.

What I have is just my piece of the getting sick pie.
It could be worse, it could be better. I'd rather not have it, obviously, but I'll take my serious autoimmune disease over the inexplicable trigeminal neuralgia I just had for 6 weeks.
 
Fuuuuuuuuck. That shit is called "the suicide disease". It has no symptoms other than unbearable pain. It's not considered a "serious" condition.

My point is just that whatever name gets applied to whatever your body is doing, it's just about understanding what that means in terms of how you live your life moving forward.

Know your body, know what makes your symptoms worse and what makes them better. Take extremely good care of yourself, and design your life to be flexible and hardy in the event of worsening of symptoms.

Because of my serious and unpredictable illness, I just always look at my future through a few different lenses: where I stay at my current level of function and where I don't.

I can't control what the future brings, but I can maximize the health that I do have control over and I can make sure that my career and finances are organized in a way to handle whatever comes along.

Tests are just tests.
They don't mean a lot in and of themselves. The only thing that changes as a result of a test is either an indicator of possible long-term prognosis or possible treatment.

None of these tests change what's going on in your body. Giving it a name doesn't change your state of health. Your body is doing what it's doing, what's it's been doing all along.

My body has all sorts of parts with scary names, and not a lot of effective treatments. It is what it is and it will be what it will be and I continue to live my life.

Do I have some limitations?
You bet I do.
But you know what? So does everyone else.
Some people have to suffer being really fucking stupid. Now that would suck.

Almost everyone in my family has scary-name, very serious progressive diseases. And yet, they all live full, rich, interesting lives. Certainly more interesting than most "healthy" people I know.

Having a serious illness doesn't define your life. It just adds a few parameters to manage.

If you already have fibro and IBS, you are already used to living with limitations due to symptoms. Tests don't really change that.

« Last Edit: April 08, 2019, 05:45:55 AM by Malkynn »

SimpleCycle

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Re: Health scares and anxiety
« Reply #5 on: April 10, 2019, 10:08:00 AM »
Thanks for the thoughts @Malkynn.  You are right that the testing doesn't really change anything, just gives us more information about what is going on and possibly help pinpoint options for treatment.

One of the blessings of being fairly far along the FI path is that we have always planned for maximum flexibility, which has included what happens if I am not able to keep up full time work due to my health.  So that takes a big scary "what if" off the table in terms of the financial impact.

I have been dealing with health issues for a very long time, and my anxiety about them goes up and down.  For the most part I have my most troublesome symptoms under good control, and have been able to arrange my life in a way that my health issues have less impact on my day to day.  There's no reason to think a new diagnosis will change my ability to do that, even if it makes it harder.

Dr Kidstache

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Re: Health scares and anxiety
« Reply #6 on: April 11, 2019, 02:55:03 AM »
A mindfulness-based stress reduction course is really helpful for many people struggling with chronic illness. If there's not one available in your community, there's a free online version at palousemindfulness.com. Sitting still with anxiety may sound like a nightmare, but doing self-compassion practices & learning techniques to distance yourself from the anxiety sensations can be profoundly healing.

SimpleCycle

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Re: Health scares and anxiety
« Reply #7 on: April 12, 2019, 11:52:07 AM »
Thanks @Dr Kidstache!  I actually did one of those years ago, but haven't kept up with it.  I will dig out my old materials.

I had a very reassuring visit with the rheumatologist today.  He basically said "hey, if you have an autoimmune disease we'll treat it, and if you don't, we'll still get your symptoms under better control".   He seemed to be conveying hope rather than doom and gloom, and seemed pretty confident he could at least get me feeling better than I am right now.  And he ordered more tests (of course) but I'm feeling more relaxed than I have been in a while.

big_owl

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Re: Health scares and anxiety
« Reply #8 on: April 12, 2019, 05:27:57 PM »
I'm in the process of figuring out some health concerns with my doctor.  I don't have anything definite yet, just a bunch of "these tests say we need to run more tests" and the potential that there is something bigger wrong than the fibromyalgia and IBS diagnoses I've been given in the past for my vague symptoms.  My PCP is wonderful and patient and I trust her to figure it out or refer me out to the correct specialists.

The problem is that I have TERRIBLE anxiety about all the testing and medical appointments.  If I'm honest, I am a total wreck.  I have always had some trouble with anxiety, but this is above and beyond.  In the days between when I have a test and get the results back, I can think of almost nothing else.  I can't focus, I can't sleep, I just worry.  Same when I have a medical appointment coming up.  So basically all the time right now, since right now I'm having tons of appointments and tests.

Any tips for coping, or will this just suck until I have more answers?

For the past 5yrs or so I've also been on the medical merry-go-round.  Chronic pain, a million tests and doctors, blah blah blah basically you know the drill.  IMO this is one of the shortcoming of mustachians.  It's easy to sit on the forums and say "oh you just have to worry about the max OOP and budget for that"....of course that's easy to say when you're not the one suffering from chronic pain and suffering and not having to go to a doctor a week (and the professional implications of that) or a PT appt every three days and deal with the payments that come with it.  Especially with the high deductible HSA plans most employers seem to offer these days - hey it's great to have this HSA that you think you can use later in life but guess what, a couple years of chronic health problems absolutely decimate the HSA account.

So I don't have any magical workds of wisdom for you unfortunately.  I know how much it sucks to rely on the medical system and what it's like waiting for the resut of a test that could change your life but your medical professionals seem to treat like another day in the office.  I don't think there's any magical solution to that, unfortunately.  It sucks and I'm sorry.  I had a ton of fibromylagia and it turned out to be lymes disease...and I also have IBS too!  You're not alone!





NewPerspective

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Re: Health scares and anxiety
« Reply #9 on: April 12, 2019, 06:02:20 PM »
I have so much anxiety about health stuff.  My main anxiety is about cancer, more specifically breast cancer.  It is always in the back of my mind (always! I'm pretty sure I think about it daily) but it really peaks around the time that my annual mammogram is due (which is now).

I struggle big time.  I'm trying really hard not to give into the anxiety this time.  A couple of things that help me (a little, my problem is not solved).  I actually pay for a "concierge" doctor.  I have zero wait time with this approach.   Last year, when my father was diagnosed with stage iv colon cancer I was freaked out.  My doctor got me in for a colonoscopy within the same week of me seeing him (all clear!).  This helps me a lot.

I do occasionally read statistics about breast cancer.  Surprisingly, it can make me feel better.  I'm 42 and it isn't common to have breast cancer at my age (I don't have a family history or the BRCA genes that can cause breast/ovarian cancer. I do have other risk factors like dense breasts and no children so this is kind of a wash for me).   Also, something like 98% of women diagnosed with stage I breast cancer are still alive 5 years later.   So even though common wisdom says not to google, sometimes it can help (have to be careful with this though.  A few years ago I ended up on a breast cancer forum.  It nearly did my head in).

My family is aging poorly due to life style related issues.  Most everyone seems to sick or dying (they really are, my aunt died last weekend and my husband's uncle passed away Tuesday morning. My mom is on a dialysis, my dad has colon cancer).  So I try to take care of myself with regular exercise and health diet.  This helps a little.

My big fear is dying. I'm trying to figure out how to get more comfortable with the idea of dying.

Roadrunner53

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Re: Health scares and anxiety
« Reply #10 on: April 21, 2019, 06:09:13 AM »
SimpleCycle, I am sorry to hear about your medical issues and your anxiety. I despise going to the doctor getting touched, poked and prodded. Just a world I never want to go to. When I go I try not to think about it too much.

I used to have terrible anxiety when going to the dentist. I would make myself sick all day long prior to the appointment to the point of heart palpitations. I had some terrible experiences as a child and teen and the anxiety built over the years. I used to grip the arm rests and swear I would tear them off the chair from anxiety. My nerves were shot! I finally found a practice that hung a sign out that said  they cater to cowards, and that I sure was. The biggest thing that helped me was the laughing gas for some procedures that relaxed me on top of the Novocain. I always got the Novocain but never the laughing gas. I was even told I could have it while my teeth were cleaned but never did that. I have gotten to the point I can go to the dentist and never even think about it anymore. It is quite a miracle!I guess my point is find a doctor that relaxes you, that is kind and caters to you. Tell them that you are a nervous wreck and that it is making you sicker than you already are. Maybe they can suggest testing methods that will be more gentle or quicker. Maybe they can prescribe a mild tranquilizer to calm your nerves. There is plenty things that can be helpful but sometimes we have to reach out and tell the docs what is going thru our heads. They are not mind readers. We are all told to be brave and put our big boy pants on but not all of us can and may need help doing so. Reach out and talk to your doctor!