November has been a cruel month.Work has been hectic as always, I've had a week or so of personal illness to overcome, and my wife has suffered a setback ot two in her battle with rheumatoid arthritis.
As I've written in this blog previously, Becki's disease first appeared in her lungs, and by the time it was diagnosed and treatments started she had lost a good deal of her normal lung function. A few days ago, we learned that her latest blood tests (she's tested monthly) revealed a worrisome decline in her white blood cell count and a decrease in her liver function.The very drugs she takes to slow the progress of the disease are causing these side effects, and such is often the case when treating an autoimmune disease. Suppressing the immune system, which in these diseases has turned on the body, leaves one open to opportunitic infections. Because the drugs are processed through the liver, it can become overworked and damaged.
Besides the somewhat discouraging blood tests, Becki wasa diagnosed earlier this month with Sjögren's syndrome, a related autoimmune disorder often seen in patients with rheumatoid arthritis. Sjögren's attacks the tear ducts and salivary glands, causing dryness and irritation of the eyes and mouth. Like RA, there is no cure for the disorder, only treatment of the symptoms.
Becki's joint pain, which we thought mostly under control, has returned, and it's now a rare day when she doesn't feel the need for pain medications. Some of this may be due to the dramatic weather changes November ushered in, and we hope that her discomfort will wane as her body adjusts to the change in seasons.
Now, despite this spate of bad tidings, I am grateful for much this Thanksgiving. Only a few years ago we would not have had access to the RA treatments available today. Treating the disease may be a tightrope walk, trying to keep the immune system intact while at the same time suppressing its activity, but the alternative is a fairly rapid decline into crippled joints and - in Becki's case - a continued loss of breathing capacity. So far, we haven't tumbled off that tightrope.
I am grateful that I am married to one of the most courageous persons I've ever known. I'm grateful that I've had the privilege of loving and being loved by this person for nearly 20 years now. Many go their entire lives without knowing the power of requited love. I am richly blessed.
I've known the continued support of family, friends and co-workers since Becki became ill. I am grateful, and I thank them all for their kindness and understanding.
At a time when so many are unemployed, unsheltered and hungry, I have a job I love, a home and more than enough to eat.
As I close in on my 59th birthday in a few months, I reflect on how fortunate I have been to have enjoyed a wealth of "careers" - accountant, sales rep, sales manager, middle-aged grad student, and journalist. Every place I have worked or studied has endowed me with new friends, new knowledge and a better appreciation of human nature.
Raised a traditional Southern boy in a family whose outlook was more than a little provincial, I've had the opportunity through travel, study and work experience to broaden my horizons and develop an appreciation for the infinite expanse of human culture. And while my parents may have been, as I often heard my grandmother say, "poor as Job's turkey," I was never hungry or without a safe, warm home while in their care.
I could go on until my fingers ache from typing, but the point is I do give thanks for the blessings of this life. When hardships come, as they do to all, they enhance the memories of better times and add to the determination for better days ahead.
A belated Happy Thanksgiving to all!