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Old 01-11-2005, 12:25 PM   #1
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patience 50 HB User
Dermatologist Appt. went well

First off, to all of you here who have been with me all this time, thank you.
Second, if my legs didn't hurt me so much I would right now be dancing a jig because all the news today is good new; great news as a matter of fact. I wish I had been sent to a dermatologist to begin with.

First let me tell you this man is mid to late 60's I think. He has been practicing for over 40 years and is well known through out the state and other states. ( I am getting beligerant in my old age because the first thing I asked him was "Hello, Are you any good? How long have you been practicing? Have you ever seen discoid Lupus?" ) I can tell you the man looked at me differently from the way any other Dr. ever has. I am considering beginning every medical conversation this way. He was very good about it too.

He said I do have Discoid Lupus , but it is one of the mildest cases he has ever seen and he doesn't think this is going to be major problem for the rest of my life. He feels the medications for Lupus would cause more harm with the side effects than the Lupus itself will cause at this mild a stage.

He said most of the junk on my skin is a thing called Discending, dissemanating Keratosis. It also is caused from sun exposure. In short, severe sunburns during childhood and/or adolescence cause damage to the skin below the surface. At some point in time, usually in the late twenties or early thirties, these surface scars appear because the subsurface is no longer able to produce normal skin cells. He said I have one of the worst cases of this he has seen in all of his practice. There is nothing to be done for it except, like the lupus, stay out of the sun. When in the sun wear the highest sunscreen possible and/or long sleeves.

This man used a magnifying glass and brought in his diagnostician books and showed me pictures of these conditions and then showed me my skin under the glass. The pictures of both the scarring discoid lupus and the keratosis could have been photographed from me. They looked exact in every way in both cases.

This Dr. also told me that in his experience the type of Lupus I have is of slow progression and while there has been some connective tissue damage and it certainly bears watching closely; he feels that this is not going to be a major issue for the rest of my life.

The pain is from the conncetive tissue damage and a so far a mild osteo-arthritis. The lupus is a fact, but not life threatening or even life altering as long as I am careful with the sun. He believes the redness under stress is the lupus but the fact that it goes away in a matter of hours when I calm down tells him that he is correct in his diagnosis.

The redness on my neck is hormonal. It happens often in women during menopause and sometimes in men with thyroiditis. Especially if they don't take their meds everyday as that causes their hormones to flucuate too. This man feels that as long as my thyroid can be kept stable, everything else will be as well.

I can't tell you how relieved I feel. Just knowing that I will probably not be crippled by this thing is such a relief. Also, I now can be fairly certain that many of the symptoms I have experienced have been from my undermedicated thyroid; as if I hadn't said that myself so many times.

I guess the bottom line is I have Lupus, but not much. I hope this all makes sense to those of you who read it.

May God Bless and Keep Us All
Patience 50

 
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Old 01-11-2005, 12:37 PM   #2
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Re: Dermatologist Appt. went well

Patience,
That's wonderful news! I'm glad that you finally got some answers! Sounds like it wont impede your life too much. I am so happy for you! I hope everything else fall in place for you and your family.

Regards,
Shari

 
Old 01-11-2005, 03:22 PM   #3
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VeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB User
Re: Dermatologist Appt. went well

Dear Patience,

Wow, a doctor with whom you actually connected! Yay! Hurrah!

What you relayed makes a lot of sense. I paid special attention to your comments about undertreated thyroid, as that is what I'm starting to suspect I'm seeing in my (unruly!) sister. Very compelling...

What is your game plan going to be now, beyond maintaining your vigilence about sun exposure? Meaning, about upping or modifying treatment for your thyroid condition? Please let us know how things are going, OK?

All my best to you, from Vee

 
Old 01-11-2005, 03:37 PM   #4
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patience 50 HB User
Re: Dermatologist Appt. went well

Hi Sampy and VeeJ,

My thyroid meds were increased a little while back and other then trying to maintain myself I don't plan to do anything. I have some osteo-arthritis and the mild discoid lupus so I will continue to see the Rheumatologist every 4 to 6 months to have things monitored. I actually have an appt for April. As always I will continue to see my PCP for thyroid. She is very attuned to her patients as a rule and she is the one who started all these other tests and referrals so I believe I can trust her to keep me where I need to be.

If no one minds, even though my Lupus of the very mild variety I would like to stay on here and read and comment now and again. I feel as if I have made many friends. I certainly have learned a lot and knowledge is never a waste.

The dermatologist today did not rule out the possibility that my Lupus could become more than it is now, so I think it would be to my best interest to stay on top of information. I am just so relieved to know that I am going to wake up every morning and not be any worse than I am today other than the normal stuff. The connective tissue damage can not be undone but we now know that it is not severe so I am fortunate.

Just shows the Rheumatologist was correct to go slowly and be certain before medicating too. No point taking medication I may not actually need. And if the day comes, everyone is on top of it.

Hope you are feeling well and the weather is not getting to you yet. We are having another warmer than usual Jan week but I understand the weekend is going to get us to cover up.

May God Bless and Keep Us All
Patience 50

 
Old 01-11-2005, 06:52 PM   #5
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goldenwings HB User
Re: Dermatologist Appt. went well

Dear Patience,

I am so very pleased that your news is good. You still have to take care though, no jigging about girl he he. Seriously it is wonderful for somebody to have good news.

I do so hope you keep in touch. I for one would miss you.

All my love

goldenwings

 
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