Winter and Juvenile Arthritis

“It’s cold.”

Is the usual beginning to conversations during winter, but a side to Juvenile Arthritis that many don’t know is how this weather effects our condition.

There are many different types of research done into weather and Arthritis. You only need to jump online to see, but there’s not much there in relation to Juvenile Arthritis and the weather. So I decided to undertake my own research through Kids Arthritis to see if I was the only one being effected this way.

“How does the weather affect your Juvenile Arthritis, Sarah?”

Is a question I’m asked when speaking at community groups or conferences about Juvenile Arthritis. The answer can sometimes surprise people. The weather plays a huge part in my condition. Each year until my 13^th birthday I was admitted to hospital for surgery in September/October due to inflammation and pain in my joints that needed to be removed. The fact that it was the same time of year every year made me always wonder, 

“I’m sure I am not the only one.”

Turns out I’m not and through the research, I undertook through Kids Arthritis, I found that a high percentage of those I spoke with had the same issue.

The beginning of Winter is when the pain is most severe during Winter. Swelling appears and your reliance on medication to get through the day becomes more prominent. Once again, this isn’t just something that happens to me, it’s happening to a high percentage of children living with Juvenile Arthritis in Australia.

 If you ever meet a child or adult living with Juvenile Arthritis rather than asking them,

“How are you?”

Ask, “Do you have any pain today?”

This shows to us that you do care and want to know how we’re really feeling.

Life with One Eye

At the beginning of 2017 I wrote a post sharing, ‘The Day I Lost My Sight’. I thank those for their questions and words of support, but there was one question asked by many readers: 

“What’s it like living with vision in one eye?”

This is a common question I get asked, as it’s a problem that many may never have to experience.

In the beginning simple daily activities; reaching for a glass of water or shaking someone’s hand were a huge problem. This was due to the depth of field issue. My brain had to re wire itself in how it saw the world and how far away objects were. 

Time went by when driving at night become an issue. I hear from older adults that they give up driving due to feeling unsafe on the road or those car headlights are too bright. I was 20 years old and had to give this up, something I’d worked hard to gain that gave me independence, but had to give up due to something I had no control over, Juvenile Arthritis.

Another impact was that the world I see is darker than others as there’s only light entering one eye, rather than two. This means when in rooms with dimmed lighting it’s disorientating and I can become light headed and everything that’s part of that feeling.

By far the biggest impact has been the risk of the condition that caused this in the first place, Uveitis affecting my left eye. If and when this happens, no one knows and what effect it will have on my life we will see at the time. But I never let any of this hold me back from achieving my life mission: “To change the way the world views Arthritis.”

Juvenile Arthritis Life Hacks

I will never let my chronic illnesses stop me from living my life.

I'll always attend celebrations or meetings no matter how much pain I'm in or fatigued I am. 

Since founding Kids Arthritis I've received many messages full of questions from children, their families and carers who finally have somewhere and someone to turn to for support. 

Many of these questions have been in relation to my experiences living with Juvenile Arthritis among other chronic illnesses. 

This month I've created my list of Juvenile Arthritis Life Hacks.

Medication and health conditions list.
This is helpful for many reasons. If you're in an accident and medical help needs to know these quickly, hospital treatment stays or if you require care from someone at your home who needs to be aware of this. Keeping it on the fridge, car, bag or anywhere in easy reach is a essential I believe when living with a chronic illness.

Office Chair as a Wheelchair

You'll never think of it the same.

Lists, Lists, Lists

The thing with this though is that it has too be done the night before as the next morning your body could be riddled with pain and stiff joints that just don't want to move. Having a plan of action for the next day is always a positive thing to stay motivated and focused.

Finally, Asking for help.
I've placed it last as it's the one I want you to remember the most. Asking for help doesn't make you any less capable of that job or task. We all need a little help from time to time in our lives. Whether it's washing the dishes, catching a bus to work or simply needing a listening ear. We all need to help ourselves, but help others when they need it too. 

My Favourites

This months blog has been inspired by one of our KAWarriors who asked me a very important question at our last Support Group.

"What are two of your favourite sweet foods to cook?"

They then went on to tell me about their favourite ones which consisted of chocolate chip muffins and fruit salad stick. 

I had to stop and think for a moment about the answer as I love cooking many different foods. If you're a friend of mine you'll know I love surprising them with muffins or slice. To either say thank you or just put a smile on their face. 

I get my love of cooking from my father. I remember being a child and waking up to the smell of pancakes on the weekend and trying to guess what flavour they might be. Banana was and still is my favourite covered in ice cream and fresh fruit. They would be in different shapes and letters, but always made with love. 

Now that I'm older I still love my dad's pancakes, but enjoy making them for him on the weekends. Covered in maple syrup with juicy fresh fruit! 

My other favourite sweet treat to create is no other than my Grandma Oinn's banana cupcakes (are you seeing a pattern here?)

They are so easy and sometimes I even had a hint of chocolate chip or sultanas in there to mix it up. 

Both are incredibly easy to create and so delicious that you can't help, but share with others around you!

Eating a healthy diet is so important to everyone, but when you live with Juvenile Arthritis it's even more important. The statement: you are what you eat, is incredibly true and should be remembered on a daily basis when making food choices.

If you would like any of my two favourite recipes, please let me know as I'd love to share them with you!

Biggest and Bluest Night in Australia

Arthur's Big Blue Night is Australia's Biggest and Bluest Night in support of the 1 in 1000 Children in Australia living with Arthritis.

It's a lot of work, no wait. It's a MASSIVE amount of work that goes into create this Big Blue Night for children living with Juvenile Arthritis.

Just like Kids Arthritis Australia everyone involved is a volunteer and the event is no different.
Volunteers or as we call them, KAVolunteers come from all over the country to volunteer their time for Kids Arthritis Australia. 

This year is very special as it is our second annual event and we are having LIVE local acts at the event! Local harpist and guitarists will join us this Saturday night. The biggest LIVE act is Katie, KAWarrior who battles Juvenile Arthritis will once again bring joy to all who attend through her piano. 

The yummiest part of the evening is all the delicious local produce that is served to all that attend. These delicious sausage rolls, cakes, sandwiches, everything you could ever image. Are made by local KAVolunteers for the guests to enjoy. You never go home hungry from a Kids Arthritis event!

Inspirational Speakers will grace the stage sharing their journeys battling Juvenile Arthritis and what it's really like living each day in pain. 

There's an auction, live music, fresh, local home baked food, inspiration and the Auctioning of the famous Kids Arthritis Quilt!

It's a night out for the whole family and it's happening THIS SATURDAY from 7pm!
If you can't attend but still want to make a donation, please head to the Kids Arthritis website.

I look forward to seeing you all on Saturday! 

What do I Ask the Doctor?

Since the invention of Google in September 4th 1998, people have been jumping online to self diagnose. 

This is incredibly risky and I don't recommend anyone do this. 

There's a reason doctors study for many years, so that they can treat you in the best possible way. Even though my life experiences with thee medical professionals haven't been the best, I owe my life to them. Without their knowledge and skills I wouldn't be here and you wouldn't be reading this. 

When a child is first diagnosed with Juvenile Arthritis there's so many questions racing through the heads of those involved. In this weeks post I have compiled through my experiences with JIA a list of questions to ask your health professional.

1. How will the Juvenile Arthritis be treated?

This one is the most important and should be asked first. There's many different methods and your doctor will know which one is best for the child.

2. How can the other symptoms be managed?

When your child has Juvenile Arthritis (JIA) there will be many symptoms that your child will show. Every child' JIA is different, so this question can only be answered by your doctor not, Doctor Google.

3. Is there any activities that my child do to relieve pain and swelling?

Exercise for anyone is important, but what's important here is that you are refereed to a physiotherapist or other health professional by your doctor to manage these conditions.

4. What causes JIA?

A common question that you can find a more in depth answer here. 

5. What if symptoms come back?

Symptoms may come and go when living with JIA, but having a trusting relationship with your doctor will make this easier. Stay in contact when ever you can with your doctor and seek advice from other support organisations.

6. Will my Child always live with JIA?

All my life I waited until I was 16 years old, as that was going to be the age my JIA would disappear. It didn't, but I still wait for the day it does disappear. Even if it does I'll still be left with the side effects. Every child is different, so keeping in contact with your doctor is most important.

7. What medicines might treat this condition?

There are many different medications available, but each one is different just like the children who require them. Some do sound 'scary' but, the one thing we do know is they can help. Once again your doctor know best and they'll know what is suitable for your child. 

Always remember there is now support out there for you. I began Kids Arthritis Australia as there was none when I was growing up with JIA. If I didn't begin the organisation, children their parents and careers would still be living like I did. Isolated and alone battling this hidden yet common condition. 

Little Red Dots

It's not the Juvenile Arthritis that impacts you the most, it's the side effects.

I've had and still live with many different side effects due to my Juvenile Arthritis.

Minor things like hair loss to extreme fatigue and Lupus, but the one everyone sees the most. Those little red dots.

What are those little things?

Well for starters they're far more itchier than mosquito bites and take 10 times longer to heal.

They get worse before they become better and are in the most annoying places. 

Two years ago I had a sample of one of these little dots taken. It was the most painful thing I'd had done to my skin awake. The result from that was medication side effect.

If you've read my previous posts you would know the only medication that can give me the relief I need currently is Meloxicam. A medication that's eating my stomach lining, but means I can walk. Factors like spending time in the sun (the tiniest amount), covering up my skin for extended periods of time (in winter) makes them worse. There's no way to get rid of them and covering them up makes it worse. 

There not only over my arms and back, but the part everyone looks everyday. FACE. 

With the power of make up the ones that aren't oozing or sticking out like Mount Everest can be covered up. As for those ones.. Cleaning my face twice a day, keeping my hands away while there's no make up on and drinking plenty of water, seems to do the trick. 

Living with Juvenile Arthritis is much more than just painful joints and taking medications. It's dealing with people judging you about something on your skin that you have no control over. 

That New Medication Face

I was recently sent an article titled 18 Things People With Autoimmune Diseases Want You to Know out of the 18 things this particular meme stood out for me.
Not only does the Meerkat appear to be on Prednisolone (Arthritis medication that can make you gain weight and become round in the face), but looking as if there's a glimmer of hope for the new medication. 

The face I used to create when my Rheumy informed me that yet another medication was available for trial, was somewhat different as I grew older. 

Much like the Meerkats face, there was some hope, but as I got older it became an annoying problem.

I know what you're thinking.

"but Sarah isn't a new medication a good idea?" 

Well reader, it can be. Sometimes you think.

"This is the one! The one that means I can be pain and side effect free for the rest of my life."

Other times, especially as I became older and could realise more about my condition it became more like.

Sarcasm "Great! A new medication which they know little about that will only help me for a short period of time and leave me with life long side effects."

You can tell how my view on the medical world and how I was treated changed as I became more aware of how it functioned.

Don't get me wrong. Some children just need one trial of medication and it works for life. What I say to those people is Well Done! I would just love to be that child.
Others like myself, are not so lucky. 

It was always a different medication around every 3 to 5 years. Yes this may seem like a long time, but remember I'm only 22 years old. 

The question you have now, is what medication am I currently on?
Well the best medication in Australia is unable to help me, so I've had to take a step back and consume a little tablet each day that's eating my stomach lining, but allows me to walk. Yes, you read that right. These are the kinds of sacrifices a child has to make who live with Arthritis. 

I know that there's children, parents and careers out there who are reading this right now and can understand how this feels, but to people reading this and learning about Juvenile Arthritis. Thank you for taking the time to learn more about this hidden yet common condition as it's people just like you, who will help change the way the world views Arthritis. 

Pain and Juvenile Arthritis.

It's in our nature to just give out advice, even if we don't fully understand what the other person is living through. 

Throughout my life I've been given plenty of non professional advice from people just trying to help. I get it, you can't stand to see Little Sarah in pain, well guess what. There's nothing anyone can do about it, even myself. 

Every child living with Juvenile Arthritis is different. 

In the weekly #SupportMondays poll in the Australian First Online Support Group run by Kids Arthritis Australia, I asked parents and careers what was the best way to reduce their child's pain.

Number one answer. Medication.

Medication in 2016 is strong, toxic stuff, but you know most of the time it gives the relieve the body so badly needs. It might be overwhelming for the parent to hear all the side effects that come with the medication, but recent research has shown that with early strong medicaiton intervention the child's JIA could be better off later in life.

Second answer. Heat/Cold Packs.

Whether it's winter or summer a child living with Arthritis body needs to be at a good temperature (just like anyone elses). With the interaction of JIA and medication this can be a problem. Hot packs are also good for pain during winter and cold packs are great for sudden joint swelling.

Third answer. Good nutrition and exercise.

I know as an adult eating right and exercising can be hard, but for a child living with Arthritis sometimes and they might not even know it, can get medication cravings (yes another Sarah word).
When I was having Actemra, the craving I received after the infusion was salty foods and it became a tradition that I would cut up fresh potatoes and deep fry them and eat them with dinner that day. It just happened and I don't know why. Exercise can also be hard due to pain and stiffness, but with the help of your local physiotherapist this can be made easier.
Excess weight is bad for anyone, but if you live with Arthritis and you become over weight you place more stress on your already stressed out joints which creates more pain.

What other ways do you reduce pain?
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