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Personal Stories Barbara Leigh has
Graves' Disease. She has graciously volunteered to be a Spokeswoman for the
National Graves' Disease Association.
Almost a
decade after I first contracted Graves disease, I still haven’t been
able to find the answer as to how it all started, nor have I been able
to get an answer out of my doctors.
Though I lack any medical proof, I
believe that my graves disease first came upon me after my only child,
Gerry Haynes, died of A.I.D.S. in February 1994. The stress of taking
care of him, watching him get sicker by the day and finally watching him
take his last breath took its toll on my health. It was exhausting
physically, emotionally and spiritually, and it was killing us both. Do
I know this for sure? No, but that is what my heart tells me, and since
no one has been able to tell me exactly what has triggered Graves within
me, it’s the best and most logical conclusion I have come up with.
A few months after I lost my son to
A.I.D.S., the private club where I had worked for six years was sold,
adding more stress to my life than apparently I was able to process in a
healthy manner. By the end of 1994 I had lost a great deal of weight
but didn’t see it as others did. For the most part, I thought I looked
good. I was able to get into jeans I hadn’t worn in many years, and I
felt okay, aside from the fact that I was nervous all the time. It
still didn’t dawn on me that anything was wrong with my health. I have
always been a little hyper so I didn’t pay much attention to my
symptoms. That was a BIG mistake. Little did I know, but I was getting
sicker by the day.
By mid-summer 1995, I was down to 120
pounds, which for a 5-foot-7, 49-year-old woman with a medium frame, was
a bit on the thin side. When my friends brought up that I was getting
too thin, I thought they were jealous. In hindsight, I should have paid
more attention. Not only did my weight shift, but so did my moods. I
think people might have suspected that I had contracted A.I.D.S. from my
son because I was changing right before their very eyes. I was totally
unaware of my body, and what it was telling me - that something was
very wrong. In September 1995 my boyfriend and I
traveled to Baja, California with another couple on vacation. They
noticed how nervous and irritable I was, and made comments that hurt my
feelings. It seems that I had NO patience of any kind and the least
little thing would make me cry, or I’d get angry when anyone said
anything about my behavior. It wasn’t a fun trip, and no one knew I was
sick or figured it out. My weight loss was thought to be my choice, and
both my boyfriend and I liked the results. Our friends commented on how
much they thought I had changed, causing me to be defensive and
argumentative. It was not a happy trip. Still, I had no clue. We flew
back in virtual silence and both parties pretty much felt our friendship
was over. Years later after I recovered, I did see the couple and we
made amends, but didn’t stay close friends.
Like any progressive disease, my Graves
was getting worse and it showed in strange ways. For whatever reasons,
it began affecting how I drove. I’ve always driven with a purpose,
perhaps even too fast for my own good, but now I was out of control. If
anyone cut me off I would get furious. In other incidences I would not
allow anyone to get in front of me and cursed those who drove too
slowly. My dear friend Jessica tells me that in one case I cut right in
front of another car, which nearly got us killed and it scared her to
death. Of course, she screamed at me and I screamed right back. She
vowed never to ride with me again. Another time I was riding with
another close friend named Marilyn to San Diego. She also commented on
how nervous I seemed, and again I dismissed the comment. I made people
nervous just being around me, and I was in total denial. My body started showing more drastic changes than weight
loss, but I still was still clueless. At night I’d sweat so badly the
sheets would be soaked, which made cuddling with my boyfriend very
difficult. I thought it was from going through the “change of life,” as
women my age do. Up to that point, I hadn’t experienced any night sweats
before and all signs indicated it was Menopause. It was something I was
learning to live with, but didn’t like. And, since I was taking hormone
replacement, I couldn’t figure out why I was sweating as I was but
decided that the answer must be Menopause. I couldn’t sleep at night and
was up and down most of the evening, making my days a nightmare from
sleep deprivation.At first my sex drive
was not adversely affected. In fact, I couldn’t get enough. Normally I
preferred sex at night but now found myself enjoying it in the morning
as well. Once I was diagnosed and had my thyroidectomy, my sex drive
rapidly dwindled.I was on an emotional roller-coaster up and down
and everywhere in between. Still, my boyfriend didn’t take notice that I
was ill. When I did complain about my aches and pains, he told me it was
all in my head.
My friends, who had known me for many
years and knew my personality, noticed everything much
quicker than I ever did. When they brought up anything about my moods
or me being different, I’d always get defensive and dismissed their
comments. I was lost. Everything I did was at full throttle, like an
engine that idled day and night. And, I was getting worse. It was like
a light that had been switched on and couldn’t be turned off. My life
changed forever. One weekend when I went bicycling with
two other girlfriends in the marina, it was a disaster. To my utter
disappointment, I couldn’t ride my bike. I couldn’t pedal and could
hardly keep the bike up and they left me in the dust. It was
humiliating to find myself waiting for them to come back after they
experienced an hour of blissful biking. I could see the look in their
eyes, which hurt me even more. I had always been a physical person in
the past, but my heart couldn’t take the strain my body was putting on
it. I could barely walk up one flight of stairs without gasping for air
and resting before getting to the top. My legs cramped up and my body
felt like it was turning to mush. I had a hard time loading my bike; I
felt helpless but was determined not to show it.
The day I truly became aware that I was
ill was when a friend called me. I was making up the bed while talking
on the phone, all along gasping for air. He asked me a very simple
question – was I exercising? It was at that instant that I realized
something was very, very wrong. I heard myself say “No, I’m making up
my bed.” I couldn’t hold my mirror steady while putting on my eye
makeup and that day I decided I was ill and needed to see a doctor.
That was the day I called my doctor friend who later diagnosed me and
helped me get into Cedars-Sinai Hospital for a medical checkup.
Once I was examined, the doctor told me
instantly that he thought it was my thyroid and took blood tests to
determine how bad it was. He also gave me Inderal - heart medication -
to help me calm down. It did help and after two days I had some relief
for my shaking. I could finally sit still after months of
restlessness. The next day he called me to tell me that I was a very
sick girl, and that it was a good thing I came to him when I did because
I had been straining my heart. He was a Beverly Hills doctor to the
rich and famous and couldn’t treat me without any insurance, but said
he’d help me get into a program. That is when he referred me to Cedars.
That was the beginning of my journey that will never end. I suspect it will take me to different
roads and many adventures with doctors, medications, and blood tests for
probably the rest of my life. Cedars-Sinai is a wonderful hospital with
a very good free clinic, if you can get into their program. I went
right over after my doctor friend made the call to the clinic and waited
to be seen. Once I was called in to meet with admissions, the clerk
took one look at me and immediately started the process registering me
into the program. I must have looked very sick as you have to jump
through major hoops to be a part of that clinic. You have to show past
pay stubs, income tax returns, anything they can think of to prove you
don’t have or can’t afford insurance. Real estate is a hard business to
break into and it was new for me, so I didn’t have a client-base built
yet and everything was on commission. I got in. Free clinic doctors are mostly
residents and interns. Occasionally a bona-fide doctor with experience
might be on hand, but that’s too often not the case. Every appointment
I had there was with a new doctor, and that had its drawbacks. I
usually had to start from the beginning and tell my story over again and
again. It seemed that I had blood test every time I went, and I was
beginning to feel like a pin cushion. After weeks of taking Tapazole to
control my antibodies, the doctors decided they should x-ray my thyroid
to see where I stood. It was the consensus to give me the radioiodine
treatment and not prolong the Tapazole program, which might take too
long since I was already way past the stage where one can be helped
with taking Tapazole for a year or so. I was in the hands of doctors
whom I didn’t know, but had no other choice but to trust their
judgment. I didn’t have any friends who knew about Graves or thyroid
illness, so there was no one to talk to other then the many doctors I
saw. I opted for the X-rays to see where I stood.
The appointment was made to take the
thyroid X-rays and hope for the best. The results were not what the
doctors, nor I, wanted to see. They found a tumor on my thyroid, which
ruled out taking the radioactive pill. That meant one of two things -
that I had a cancerous growth, or it was benign, but neither could be
proven unless they operated. It turned out it was benign. The doctors
decided since I had no insurance and depended on the clinic, that I was
too sick to take Tapazole for whatever time was needed to cure my
thyroid (or if it would), and that taking out the thyroid was the best
solution for me. I was sick and ready for any help I could get, so I
readily agreed. Again, my life was in the hands of complete strangers.
In a free clinic, patients still have to pay a certain percentage of
their wages depending on your salary per year. The operation was going
to cost me several thousand of dollars, but at that point I would do
anything to feel better. The only thing I ever requested from
Cedars-Sinai was to meet the actual doctor who would be operating on
me. In my case, this was a resident needing to do a thyroidectomy, but
at least he would see me awake and know I was a human being, rather than
a woman on a gurney that he’d try his magic on. We met and it was the
best thing I could have hoped for. He was a tall gentleman in his last
year of residency. He assured me that he’d do his very best and that
everything would be okay. He did tell me about the risks of losing my
voice, and that if I spoke immediately after surgery, I would be okay.
Of course, it was frightening to hear that I could lose my voice with
the slightest slip of a knife. I was scared but decided to go ahead with
the surgery and prayed that things would work out. My
boyfriend took me in at 5 a.m. for surgery and stayed with me until they
wheeled me in. He was more scared than I was. At that point I just
wanted it to be over. Little did I know that it was just the beginning.
The operation went well and I woke to seeing my love’s face. He had
tears in his eyes. No more of “It’s all in your head” attitude and he
was there for me body, heart and soul. I think we bonded more completely
than ever before. I experienced a reaction to the anesthesia and went
through terrible nausea. It was worst part of the surgery as far as I
was concerned. The doctor showed up later on in the day once I’d
recovered making sure I had my voice, which thankfully, I did. Later I
lost my voice completely for almost two months which was scary, but I
kept reminding myself what he had said, “If you can talk right after
surgery, you’ll be fine.” He assured me that my voice would come back
and eventually it did.
After the surgery I took Synthroid
medication to replace the hormones lost from losing my thyroid. But
that started my next venture with Graves Disease – getting the
medication right. When the doctors first diagnosed my Graves, it was a
shock to hear those words. I thought it sounded horrible and that I was
dying. None of the doctors ever took time to explain what Graves
Disease was - not even after I was out of the free clinic and had my own
Endocrinologist. I just couldn’t get my hands on the information I
needed to process where I was at and where I was going with my disease.
Eventually I left the real estate business and started working for a
Japanese entrepreneur with full health benefits. I started on my
journey with medication and finding the right dosage, which to this
date, am still going through.
Presently I do not have an endo doctor
that I am happy with or feel comfortable with. The ones I’ve encountered
lack a feeling of sincerity, mostly making me feel like I shouldn’t
waste their time asking questions. I realize now that few know the full
extent of Graves, and that it was left up to me to find out what I could
about my disease. When I tried a new endo doctor he always disagreed
with what others have told me. It leaves one to wonder, is there any
real hope? The journey is long. I felt better when I was on synthroid
medication and thought the worst was behind me. I started a new job
working for a famous men’s magazine that offered great medical benefits,
but the stress level was tremendous. It didn’t take long for my disease
to blow up again. Apparently, the tiny piece of thyroid which was left
in my body on purpose by the surgeons was found by my raging antibodies,
and playing havoc as they do. They started making my thyroid grow and
making me ill again. I was back on the roller-coaster ride and hitting
top speed. Although I wasn’t comfortable with my doctor, I had no
choice but to listen to his professional opinion, which was to take the
radioactive pill. So that is what I did. He told me I am a medical
mystery that it didn’t happen often where one’s thyroid grew back. It
didn’t make me feel any better knowing I was a “miracle” because
honestly, it was a nightmare. But my attitude was, let me get this over
with. I was exhausted from feeling sick, tired, anxious, irritable, and
all the other feelings one encounters with Graves. One morning after
kissing my boyfriend good-bye, I got in my car and backed into his new
BMW, knowing he was there. I was disoriented.
The procedure was a relatively easy one
and I was in-and-out in less than one hour. I was given a radioactive
pill that was presented in a container and looked as though it belonged
in a science fiction movie. The presentation made me aware that I was
putting something very powerful into my body. I was informed to stay
away from children or anyone around the conceiving age for about
three-to-four days. I ran the whole gamut of flushing the toilet twice
and washing hands twice. At least I was able to
rest, which is what I needed most. After the RAI treatment, I was
started on Levoxyl 50mcg, another form of Synthroid. To this day I am
changing the dosage every so often. I’m presently on Levoxyl 75mcg and
am due for another blood test. It’s about my fifth or sixth attempt to
get the dosage right.
Several months after the treatment I
began to feel better. I could think more clearly, and wasn’t as nervous
and disoriented as I was before. My appetite came back and my hair and
skin looked much better. The only negative was it affected my eyes,
which was confirmed by one of the endocrinologists. Now three years
later I am feeling much better, but I still have my ups and downs. Now
that I know more about Graves Disease, my main goal is to keep my dosage
correct. Seems simple, yet very complex.
I’ve encountered a lot of changes in
my body, like thinning of my hair, aching bones, rash on my elbows,
toenail fungus (which was treated and better), thinning of my bones (for
which I’m taking Fosamax), and many other little problems that seem to
come and go. About 18 months ago, I noticed my eyes seemed swollen or
puffy, but seeing myself everyday I didn’t notice as others did. One
morning at the office someone asked me why my eyes were so
swollen. It was not exactly what I wanted to hear but then again, who
better to gage your physical appearance than an objective associate? I
made another appointment to see my doctor, and he dismissed it
completely, so I looked for another endo doctor that was closer to my
office for help. This time I was referred to an endo from my eye
doctor. She wasn’t much better than the others. She put me on a
month’s prednisone. It seemed to help the puffiness but as fast as I
was on it I was off. I couldn’t get her to answer my calls even when
she told me to call, so I was back to my old doctor with the horrible
personality. We later parted ways when he basically told me to come in
for my blood tests to be read or find a new doctor. With that attitude
I found a new doctor. I went to my internist, Dr. Victor Amir, who said
he’d monitor my blood test, and that is where I am today with the
medical profession.
Before I was diagnosed and treated, I had little support from friends. They looked at me and saw a woman who didn’t look
ill, so they couldn't imagine what I was feeling. It’s difficult to get
across what you’re going through when no one can relate to an illness
about which little is known, and in my case, I didn’t know very much.
After being diagnosed in 1995, I’d looked on the Internet to find
information about Graves Disease or a support group, or others I could
talk to, but wasn’t able to find any situation that worked for me. None
of my doctors knew of any, either. I had asked them ALL if they could
refer me to one. So I gave up trying to find a support group and didn’t
surf the internet for information on Graves, until just recently when I
decided to check again, and this time I was excited to find the National
Graves Disease Foundation. I felt my prayers had been answered, and I
contacted them right away.
Once I found the Foundation I was
thrilled to see how much knowledge and information is on-line, and the
sincere and caring people who facilitate the site. I’ve learned more
from the Foundation and from e-mails that NGDF Facilitator Dianne Wiley,
and Jake George have sent me than from ALL my doctors, hospital and
clinics put together. I have joined the Foundation, and hope that
telling my story might encourage others to know that they are not
alone. The foundation is a blessing for anyone who has Graves Disease,
for loved ones and family members wanting to help, to better cope and be
more supportive. I only wish I had discovered the Foundation sooner.
Thank you NGDF!
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Barbara Leigh's "King, McQueen and
the Love Machine"
Book is AVAILABLE NOW through www.amazon
since 2005