How to Cope After a Lupus Diagnosis
When I was asked to write about coping with a lupus diagnosis, I had to think about it long and hard. My particular story of finding out I have lupus might be a bit different than most lupus patients — and for me, being told I had SLE was actually a welcome relief. It was a name to a face; a way for doctors to finally take me seriously.
Before I was diagnosed with lupus in 2010, I vaguely knew about the illness due to the fact that my paternal grandfather suffered with it. He passed away when I was only nine, so I never really got to have any kind of adult conversation with him about his illness or his symptoms.
Lupus was always something the grown-ups discussed when I went to visit. I was more interested in the Rocky Road ice cream and goldfish crackers my grandmother always seemed to give me, and playing dentist with my brother on a reclining chair in their living room.
He was also pretty sick with lots of other illnesses, including a form of cancer and Parkinson’s. For most of my childhood, lupus was “something that made Pop (what we called him) sick” and little more.
I began to develop my first lupus symptoms in 2005. It coincided with an emotional event in my life that everyone thought I was just reacting badly to. But I knew something was off.
I was going from living the life of a typical college student to simply sleeping all of the time. I think there were a couple of days in which I actually slept for 24 hours straight. At first, all of my bloods were normal and because I have a history of depression, doctors told me I was “just depressed” (as though it is a throwaway diagnosis, but I digress!).
Eventually, when antidepressants weren’t helping me, I was given the diagnosis of chronic fatigue syndrome, which followed me on my medical charts for years. If anyone has had this CFS, you will know that most people, in the medical community and in life, don’t really believe this is a “thing.” They think it is depression, a poor diet, in some cases, “the yuppie flu” — meaning something only upper middle class people get to avoid going to work.
Just the name elicits responses from peers telling you that they are just as tired as you are or that everyone gets exhausted. You need to, they say, "suck it up."
Advocating for Myself
Not content with the CFS diagnosis, I went from doctor to doctor, some of which flat out told me they didn’t believe I had all of the symptoms I presented to them when I tried to track them. “You’re too young,” they said. “I don’t believe a woman in her early 20s would have all of this. Sorry.”
Because lupus flares come and go and the activity of lupus comes and goes, this is, unfortunately, not an uncommon narrative for lupus patients. In fact, it becomes a vicious cycle.
You feel ill, go to a GP who either doesn’t do a proper panel or refers you out to a rheumatologist. The rheumatologist doesn’t have an appointment for several months out, and by the time you have the appointment, you’re feeling better and the lupus antibodies have disappeared. Rinse and repeat ad naseum until you’re ready to scream.
In 2010, I was finally diagnosed with SLE after a tentative diagnosis of undifferentiated connective tissue disorder. Knowing the symptoms and knowing my grandfather had lupus (aka knowing lupus heredity may be possible), I stuck to my guns and kept persisting.