The year is almost over. Less than 50 days until Barack Obama takes office. Even with all I've gone through, I feel as if the year just flew by. It's difficult to imagine 2009 is just around the corner.
As for how things have or have not improved since my last post... well, it's been over three months, and I'm not getting better. The weight loss stopped last month; I've lost about 20 pounds total. Which isn't a bad thing, per se. I just didn't want to lose it in this manner. And the two trips to the ER earlier this summer eventually turned into nine trips by mid-October. Fortunately, I haven't been in almost seven weeks, which is a good thing. I attribute this to modifications in my daily routine (i.e., I sit on my butt for most of the day and venture outside just a few times each week for shopping, doctor visits, etc.) But a solid diagnosis has yet to be made, even though several conditions and diseases have been systematically ruled out, one by one, over the past three months.
Thanks to my non-HMO chronic fatigue specialist, I have an appointment with a clinical professor of cardiology at Stanford Medical Center next month. As the differential diagnosis list continues to shorten, one particularly nasty possibility remains: autonomic failure. My specialist has already discussed my case with the Stanford cardiologist; both agree that my autonomic nervous system is screwed up and most likely causing most of my symptoms. Staying horizontal reduces them; being vertical worsens them. Pretty much defines dysautonomia in a nutshell. But what flavor of dysautonomia do I have? And what is causing the autonomic failure in the first place? That remains a mystery for now.
To end this post on another health-related issue... today is World AIDS Day. Even though research has greatly advanced our knowledge of HIV and treatment, AIDS continues to remain a global crisis, particularly in Africa. AIDS still needs our attention and support through research funding and epidemiology education, to reach the ultimate goal of eradication.
While some areas of the planet are experiencing a decline in HIV infection rates, others continue to climb. And while my health problems thankfully do not include HIV, I fully realize the difficult and arduous task of living with life-altering chronic disease on a daily basis. This is why I still participate in SF AIDS Walk every July. It takes me longer each year to complete the 10 kilometers through Golden Gate Park, and even longer to recuperate afterwards. But as long as I can still do the walk, I will.
Fifteen years ago this past September, my brother passed away at the age of 47 from AIDS complications. He didn't live long enough to see wonder drugs like NRTI therapy become the mainstay of treatment for HIV infection. I think of him, and his friends/partners who also died from this terrible disease, on days like today. And I hope that during the course of my lifetime, AIDS will be eradicated from the planet. It is a lot to hope for, but not impossibly hopeless.
Happy Holidays to you and yours.
And a very Happy and Healthy New Year.