How I reinvented myself after PMR diagnosis - PMRGCAuk

PMRGCAuk

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How I reinvented myself after PMR diagnosis

Gimme profile image
35 Replies

For me, this might be better titled, how I've muddled through. The reinventing is a work in progress and likely to be for the foreseeable future and I realise as I have been writing this, that the reinvention perhaps began a very long time before I was given any kind of a diagnosis.

I'd had undiagnosed aches and pains since my mid 40s (circa 2000), with intermittent periods of flaring with significant disability and then periods of a kind of remission where it was still there, but manageable with self medication. Doctors were not interested, and I limped along (some times literally); presumably PMR not considered due to my relative youth, despite various physios saying that I needed to see a rheumatologist. With my dwindling physical capabilities, I became less able to do the things that I loved . By age 50, the foreign birding trips became less physically demanding, the high altitude trekking stopped due to pain, I was no longer able to ride my bike at weekends due to the pain in the pelvic girdle that it caused, walking became too painful to do the long hikes in the hills that I loved. And I was constantly fatigued and exhausted and in pain if I tried to do anything vaguely physically demanding, even housework. Throughout, I managed to hold down a responsible job in the pharmaceutical industry in a very high pressure work environment. Though the increasing disability and work pressures took their toll on my mental health. It took all my energy to hold down my job with little left to enjoy life out of work.

The pandemic in 2020 and resultant lock downs eventually brought it all to a head. Living alone under enforced solitary confinement with all my support systems no longer available and continuing to work from home in a stressful job brought me to my knees. I had just started seeing a counsellor just before the first lock down and had to wait until later in 2020 to start seeing her again. I carried on working until May 2021 aged 62, still believing that the problem was my mental health and by then, my counsellor was so concerned about my health that she told me to go sick to create some head space to sort myself out. It was obvious to everyone (but me) who looked at me that I was in complete burnout and my doctor signed me off for several weeks. In retrospect, if I hadn't stopped then, I very much doubt that I would be here now. I was so ill by then.

At the time, I still believed that I was only on sick leave and I would return to my job when I felt better, and at my counsellor's urging, I took the time off to review my financial situation, something that I had been unable to do whilst I was still working. Up to that point, I had believed that I would be unable to retire, but a financial adviser on the case collected all my funds together and I discovered that retirement might be an option. Plus, the last job had allowed me to pay off my mortgage. The company, no doubt concerned about me being off long term sick and not being able to replace me, made tentative noises about a pay off and we settled on a tax free sum that meant that I would not have to go back to work immediately. Though by January 2022, it became clear that I would never be able to go back to work. I cannot access my state pension until August 2024, so I am managing to survive on my small savings and the work payout, by being careful.

During the summer of 2022, the PMR symptoms grew worse and I spent a great deal of time sleeping. I still had no interest in anything that I once enjoyed and a combination of extreme fatigue and brain fog meant that I was barely able to read, I didn't have the focus. The one joy that I did have is that I rediscovered my love of swimming and I found out that not only did it help my mental health, but being in the water was the one time when I didn't feel pain. A little of my old stamina started to come back. Other than that, I was just kind of existing and wondering why I wasn't getting any better until October 2022, I had an asthma check and when the nurse asked how I had been, I broke down in tears and the whole story tumbled out. She made an appointment with the doctor for me and in November 2022, I finally got a diagnosis of PMR, and so it became clear at last that I had an underlying physical condition, rather than mental health issues. I started prednisolone in February 2023 with the usual miraculous results for PMR sufferers, though I continued to suffer with the fatigue on and off and all that inactivity has left me in poor shape physically. My overall fitness and stamina had deteriorated to the point that I am having a lot of difficulty in rebuilding my health.

Since May 2021, I've been gradually rebuilding my life, though progress has been slow and after about 6 months on prednisolone, I started to feel a lot better and more hopeful about the future since September 2023. My sole focus since retirement has been to improve my health again. I found a local craft circle that meets once a week and through that met some wonderful kind women who have been a great support. I swim 2-3 km a week, as and when energy levels allow. I am still finding walking more than short distances painful, but I hope that some of that will improve and that I will be able to go out bird watching again. I have recently found a yoga class that enables me to join in with my very low abilities; I no longer have the strength and flexibility, but I think I will get better if I persist, and have started doing some stretching at home to help. For the time being, I have given up on the idea of holidays or travel, as I don't have the stamina to enjoy them in the way that I once did. I have also been spending time on decluttering the house to prepare for a move and eventual down sizing. I want to move to a nicer area where I am closer to nature. Although I have taken some holidays and by necessity they have had to be a lot less energetic than they would have been in the past.

I blame years of stress in the workplace and traumatic events in my private life for my current state of health, so if there was any reinventing to do, it was to remove negative influences from my life and learn how to not sweat the small stuff. I fully recognise the role in my illness that my gung ho attitude to life and the pressures that I have placed on myself has had. I've had to make fairly radical changes to the way that I view life and think and of course, those kind of paradigm shifts are no overnight job. I have no intention of ever returning to work, be it paid work or voluntary, especially as work has depleted me so much in the past. Since retirement, my new mantra to live by has become "Do what makes you happy". Overall, I would say that slowly and surely, I am getting there.

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Gimme profile image
Gimme
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35 Replies
Seekingasolution profile image
Seekingasolution

Good grief Gimme! What a long traumatic lonely journey. I recognise some of it of course as others will. That bit about doctors not diagnosing the condition - you do start to question yourself ie ‘ What’s WRONG with me ??’, the inference that it’s a mental condition, and well it certainly can become one! All that worry and fatigue. And then , yes, your stamina, resilience and general joie de vivre lost through years and years without help. Like you I discovered swimming. My daughter cajoled me into coming to the outdoor swimming pool in the summer. I forced myself. Thought it would be cold and not good for my joints … but it was warm!!! 6 lengths over an hour! I felt like I’d swum the channel ! Victorious ! Like you I’m making progress and I’m thankful for that. Like you I’m experimenting with diet - more plant based in my case. I’ve joined a crafting group too. I’ve downsized too for the cash, moved out of town. I do feel robbed of a decade of health and activity but I have friends battling cancer so I count my blessings. Onwards and upwards Gimme !! There’s more birds to see out of your garden window in the country !

Gimme profile image
Gimme in reply to Seekingasolution

Thankyou. I too keep reminding myself that I am still here. When I first stopped work, I took a break by the sea and on the first day, I stopped to read the plaques on the benches and noticed the young age that so many of them had passed. And it did cross my mind, quit bitching, Carol, you are still here. That crosses my mind whenever I am having a bad day.

BirmLiz profile image
BirmLiz

Well done you! I'm a firm believer in the mind set when confronted by this all encompassing condition. I'm on my second bout with PMR and having trouble dropping the steroids so some days I'm a bit of a 'rat bag' and others I'm a reasonably 'normal' human being. I've found concentrating on what I can do and enjoy lifts my spirits. Luckily my neighbours are used to me bursting into song now and then and haven't complained (yet). Be as kind to yourself as you would be to others and continue onwards and upwards!

All best wishes for your journey,

Lizzie x

Gimme profile image
Gimme in reply to BirmLiz

Thank you. Sorry that you are having to go through it all a second time. You must feel very cheated by that.

BirmLiz profile image
BirmLiz in reply to Gimme

I view it as a heads up - I didn't learn my lesson first time around. We all seem to be the same personality type - manic people pleasers who rush around pressuring ourselves to help others and be perfect with no mistakes. At the moment I can't think of one person in my life who is thriving, happy and has little to no problems. The last 2-3 months have been especially low for me as I've felt so vulnerable and useless and not wanting to burden anyone else with my thoughts and emotions, I felt alone. Your post uplifted me. We may not get to where we want to be quickly enough to satisfy ourselves, but inch by inch we are moving. On the way there may be slips when we sit in the mud crying. Then we get up, clean ourselves off and start again. Everyone here has a story worth telling and we do lift and help one another. This is no easy journey but we're stronger than we think so thank you Gimme, you gave me a hand up.

Lizzzie x

Gimme profile image
Gimme in reply to BirmLiz

If it helped someone, then I am pleased. It seemed like a long list of moans when I got to the end, but heck, it's cathartic to off load it all. :)

You sparked another thought that I didn't mention. One of the signs that I am getting better is that I have started to look to the future again and make plans, instead of living in the past. I used to be a really positive person, but I lost sight of myself with the work pressures. The last few months, I have started to be more how I used to be, even if I am a bit older, chubbier and stiffer and achier. I'm finding me again.

PMRpro profile image
PMRproAmbassador in reply to Gimme

This is exactly the sort of thing I am looking for. So many people sink into a slough of despond - and then life has a few more kicks. They can be the basis for positive changes but usually you have to break the mould and that is often harder in your 60s/70s than it was when we struck out in our 30s/40s. My next step is to return to the UK from a place I love dearly for all sorts of reasons. And that is a journey that has just started with a lot of steps to negotiate. But my mind-set is changing and it is exciting not daunting now.

Gimme profile image
Gimme in reply to PMRpro

Well, initially, I did sink into a slough of despondency when I finally got the PMR diagnosis. But now when I look back at my burnout, I can see that it was my body getting me out of a work situation that was literally killing me. Enforced rest and now that I am over the burnout and getting on top of the PMR a bit more, I'm getting better at making myself my own priority. It is liberating. The PMR hasn't gone, but I am much better able to manage it. My focus now is to get my body in the best condition that I can, whatever the PMR is doing, to enjoy whatever time the universe gives me.

random901 profile image
random901

O Gimme! So much of this echoes my experience. I've been trying to write about my changed life for a few days now, but extreme nausea and fatigue means nothing produced. You have inspired me to give it another go ... today! Thank you so much for sharing.

Gimme profile image
Gimme in reply to random901

It helps to get it off your chest. Little by little, my love. You don;t have to do it all at once.

KASHMIRI1 profile image
KASHMIRI1

Good morning thank you for sharing your story which is one I recognise and in part have experienced. I am sure my GCA was caused by stress and not being initially diagnosed with PMR. I was told my symptoms were age related and Fibromyalgia.

Gimme profile image
Gimme in reply to KASHMIRI1

Thank you. The fight to get a diagnosis and not be treated like you are imagining it, is a common one. They've tried the fibromyalgia one with me recently and want to swap the pred with antidepressants. Over my dead body, they will! What they don't know is about all the reading I did after I was diagnosed and I really do not believe that I fit the FM symptoms and I won't be palmed off with that one.

KASHMIRI1 profile image
KASHMIRI1 in reply to Gimme

Me too I didnt really have fibro symptoms according to all the reading I did around the subject. I think its an easy cop out for the doctors.

PMRpro profile image
PMRproAmbassador in reply to KASHMIRI1

It sounds better than "I haven't a clue ..."

KASHMIRI1 profile image
KASHMIRI1 in reply to PMRpro

Indeed it does.

Poshdog profile image
Poshdog

To remove the negative influences in my life - that really resonated. Only I don't know how to do that ( very elderly mother and very ill and depressed partner) but I have learnt to distance myself from all their demands. 😘

Gimme profile image
Gimme in reply to Poshdog

It wasn't easy, I can tell you, but the counselling helped me to see things differently. You do need to look after yourself and not use up all energy on other people that you need to look after yourself.

PMRpro profile image
PMRproAmbassador in reply to Poshdog

Have you sought all the help there is available for YOU?

Poshdog profile image
Poshdog in reply to PMRpro

Going to see very dear friend tomorrow. Shall drive myself, alone. Have been told by ailing partner that my driving is dreadful, (only when he is in car) - he has offered to give me lessons!Upshot - refuse to drive him, he has no car of own - shot in foot?

Have tried counselling but can provide most answers myself, it's the implementing them!!!

Value all support, read many stories worse than mine, PMR brings out the warrior xx

Gimme profile image
Gimme in reply to Poshdog

oh gosh, I had that nonsense about my driving from my ex. I admire your response to that. I was even more precipitous, I divorced him. :D

PMRpro profile image
PMRproAmbassador in reply to Gimme

I stuck it out until mine died ... Bit extreme I know :)

Poshdog profile image
Poshdog in reply to Gimme

🤣🤣 I divorced the first one, this on just lives with me - at the moment!

PMRpro profile image
PMRproAmbassador in reply to Poshdog

True - I had the same experience but the place to talk and not be judged for how you feel was very important and it finished sooner than I would have liked.

My OH used to criticise my driving - he terrified me the last few years of him driving, I realise now it was (as I suspected) him deteriorating. I didn't get as far as refusing to drive him though I did stop once and tell him if he didn't shut up I'd leave him behind!! He wanted to buy a new car the summer before Covid - I dug my heels in then as I did the driving, I coped fine with my RHD car in a LHD world! I got another 4 years out of it and then gave it away (16 years old) and bought a small campervan. Roll on the summer!

Poshdog profile image
Poshdog in reply to PMRpro

Left him behind a few years ago before heart and breathing became an issue. He had to walk home wearing ridiculous cowboy boots! Guess you can't teach an old dog new tricks!Thanks for comment re counselling. Will try different counsellor and let you know how I get on. Do you think age of counsellor needs to be considered? Sometimes I think the young have no idea..... xx

PMRpro profile image
PMRproAmbassador in reply to Poshdog

Don't know really. One I had after burnout was probably a bit older than me at the time and was appalling - all my fault and I had to change. The guy I had here was probably in his 50s and although there slight cultural/language hurdles he was great. But definitely you need someone with bit of practical life experience.

random901 profile image
random901 in reply to PMRpro

Yay! My ex used to fall asleep at the wheel, so I ended up doing all the driving. So looking forward to some campervan adventures when the weather improves🚐

PMRpro profile image
PMRproAmbassador in reply to random901

Not long until March ...

Orange_2022 profile image
Orange_2022

So sorry you had to suffer for so long. It took 5 months until I was diagnosed and its taken until now for me to feel nearly (but no way fully) back to my previous level of fitness. I put my PMR down to several stressful situations personally and at work all coinciding. Thanks for your post - there is a way through and a new way of facing life with PMR. I hope you achieve your goals of a new environment and some bird watching trips! Best wishes.

Gimme profile image
Gimme in reply to Orange_2022

Thank you, yes, it is all starting to take shape now and I am starting to feel better. Now that I am over the burnout, I am starting to get a bit stronger, both physically and mentally.

Seablue88 profile image
Seablue88

Wow! Gimme that's a story and a half.Yes with pain and lack of sleep you do think you are going Doolally [ as my old mum used to say with 9 children] Pressure from work can be terrible and don't we get bowled along with it all. So delighted you have found swimming again.It has been my lifesaver.Along with nature birds sea and changing skies in my adoptive seaside retreat beginning with S.in North Yorkshire. Don't forget the walking whenever you are able plus the hills and winter sun we drop everything and run to the sea. We can all manage on less money and still get good nutrition.Especially as cheeky as me [big family syndrome] excuse me are you using all your apples ? plums? anything, please could we have some. Right on goes the slow cooker just softened fruits whack into the freezer beautiful fruits last us months.You nurture yourself.

Well good luck all round to everyone and belated New Year wishes.

Remember Health is our Wealth.

Gimme profile image
Gimme in reply to Seablue88

Thank you. Yes, there is much to be thankful for. And a bit of sunshine always uplifts the spirits. It's a lovely day out today (if a bit cold), so I am planning to go into the woods and kick leaves. Just because I can. :)

PMRpro profile image
PMRproAmbassador in reply to Seablue88

Do you live in Scabs? My daughter and grandson both work in the ED at the hospital - if you ever need the services there, they'll see you right!

Seablue88 profile image
Seablue88 in reply to PMRpro

Ah!!! You go it YES I Do.Thank You for the reassurance .Hopefully won't need to go to E.D. anytime soon xx

PMRpro profile image
PMRproAmbassador in reply to Seablue88

I'll visit you if I ever get the length of Whitby to see her! Was there the end of November for Sheffield graduation.

Wouldlovetorun profile image
Wouldlovetorun

Loved reading your post and all the replies 😊What a boost!

Thank you All 😘

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