31 October 2011

On Women's Health

By Galia BarHava-Monteith

It has been a year now since I was diagnosed with a life threatening, extremely rare, autoimmune disease called Churg Strauss Vescalitis (CSV).  I have been sick for years, and my diagnosis came at the beginning of the third and lethal stage of the disease.

SWOM.jpgIt won't surprise you to hear that it has been the worst and most challenging year of my life.  I have had to undergo six months of bi-weekly hospital treatments of chemotherapy, steroid infusions and numerous other oral drugs, weekly blood tests as well as all kinds of invasive checks and probes.  

Five months have passed since I completed my course of chemotherapy.  My prognosis is very positive. My specialist says I am now in the yellow zone, having cleared the red and orange ones. I am in remission and, hopefully, in another year's time I can put this whole thing behind me.  

I have had the most amazing support from the people around me, and many of you sent me your best wishes on the site, personally e-mailed me, sent me cards and gifts and generally made me feel so utterly blessed.  

As a thank you to you all, I wanted to share my two biggest health-related learnings from this whole experience.  I hope I will help some of you to manage your own health concerns.  I hope I will validate how you might be feeling.  I hope you can take something from my experience and change yours, if needed.

Don't ever minimise

I have had health concerns for many years.  Generally I've always been a very fit, strong and healthy looking person.  But I have also had all these weird symptoms which could get quite debilitating.  As a no-nonsense kind of gal, my tendency was to just grin and bear it.  And those around me have always rewarded this attitude, including, unfortunately, some health professionals.

A year ago, I participated in the Lifewise Big Sleepout and I slept rough to help raise funds for this worthwhile organisation.  Overnight I watched my legs swell, and by morning they were the size of two tree trunks.  Coming home, I called my usual GP, and despite me saying I had two very swollen legs, they said they couldn't see me until the following week.  At which point I made a decision that literally, I believe, played a crucial role in saving my life: I changed back to my former GP, Kathy, a woman who is careful and considerate.

When I rang and told her what was happening she made time for me straight away.  Kathy,  took the situation extremely seriously, sending me to do all the important checks. Most crucially, she called the rooms of Associate Professor Rohan Arematanga and nagged the receptionist to make sure I got to see him the very next week.  

In hindsight, if I had gone back to my regular GP, a man whose modus operandi was to treat me as if I was a slightly neurotic middle class complainer, things would have turned out very differently.  The CSV was progressing very quickly and aggressively and I wasn't far from experiencing organ failure.  It was the decisive actions of Kathy and Associate Professor Ameratange that literally saved my life.

Instincts

Over the years I had a sense that something was wrong, but I silenced that inner voice and applied 'logic' to the situation rather than listening to my instinct about my health.  It didn't help that many around me also subscribed to the philosophy of just slogging it out and ignoring bodily ailments until they - hopefully - went away.  The scariest thing is when medical professionals do that as well.

From my own experience and my observations and discussions with other women, they seem to do it more to women than men.  I now think that there is a tendency to treat women, even women as educated, assertive and confident as me with an unacceptable degree of condescension by medical professionals.  This to me now represents an unacceptable level of risk given what is at stake.

If you feel that something isn't right about your health, I urge you to keep pursuing it until you get to the bottom of it.  If your GP treats you as if you are neurotic, change GPs.  Don't be afraid to be the Spanish Inquisition with your specialists.  I turn up to my appointments with 101 questions that I've written down to make sure I cover everything.  If you don't understand what they say because they use too much 'medical jargon' ask them to repeat it in simple English, then repeat what you understood back to them to make sure you've got everything right.  

In short, never, ever let anyone minimise your health concerns.  You are smart, educated, confident, rational women and should be treated as such by everyone, no matter how many medical degrees they have.

The wisdom of rest

My journey is still far from over.  Unfortunately there isn't a fairy tale ending.  I am still on very heavy medication (I am a walking pharmacy).  But because everything is going well and I am in the yellow zone, I have resumed much more of a normal life.  The struggle is to keep the balance between living life to the full and remaining vigilant and careful about my health.

One of the biggest challenges this winter has been to keep away from the normal winter bugs.  My immune system is still suppressed because of the ongoing treatment so I have had to be very mindful of not getting bugs that I can't shake.  With two school-aged children this can be very challenging!

In the past I would just ignore bugs until they literally floored me with high fever - as I am sure most of you do.  I'd take the various supplements and over the counter medicines that help you soldier on and inevitably end up even sicker.

Not this year.  Against my very nature, but aware that the price of me getting sick was far too high, I would just stop and rest the moment I felt unwell.  Even if it was for just a couple of hours, or on very few occasions I would just rest for one whole day.  And do you know what?  I have been the most well this winter of any  winter for the last however many years.  And not just me, also my family, as I would force them to rest the moment they felt a little unwell too.

It makes sense to me now that the body needs some time to recuperate to fight bugs.  I see so many women (yes especially women, because if men get the flu they are more likely to take to their bed) who keep slogging away, trying to ignore their bugs and end up very sick.  Whereas, in fact, if they'd taken just one day off, to just, yes, REST, the outcome might have been quite different.  

I continued working while I was sick,  even when I was undergoing the chemo. To do so, I made a conscious effort to be very mindful that I didn't overdo it and get myself into strife.  It seems to have worked. And anyway, when I did try to 'push through' and do work when under the weather it always took me twice as long and the end product was half as good...

So this is my second piece of advice to you all: if you feeling under the weather just stop, have a rest, wait until you feel better, and you'll be much better for it.

Here's to our health!

Comments (3)

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  • Friday, 04 November 2011, 12:27p.m. by Y Chittenden

    “I have recently learned something too on the medical front. Plagued with back and knee injuries and pain, I went against my grain and visited specialists. In short, the two that I saw gave a diagnosis and told me to go home and put up with the pain until I can no longer bear it, then come back for surgery. Some random set of events led me down another path and I saw a different specialist who considered the injuries and told me they were easy to fix; I don't need to live in pain. He fixed them that same day. My advice here is if you don't like the answer you've been given, trust your instincts and keep looking. Not all 'specialists' are created equal and some of them don't deserve the name.”

  • Friday, 04 November 2011, 09:20p.m. by Kendra Vant

    “Thanks for sharing this Galia. A lovely piece and a very powerful message.”

  • Monday, 07 November 2011, 10:07p.m. by Bernadette Griffiths

    “Lovely insights Galia. It's often in our trials that we glean true pearls of wisdom! Life is always going to be as busy as we let it be. I for one am a great fan of stillness - in quiet time we receive sustenance - physically, mentally, emotionally and spiritually. In silence we get to hear the guidance of our our inner spirit, our higher self. ”

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