The medical system
May. 2nd, 2023 09:18 amA week ago I had an appointment with my PDA counselor. The idea was to sort through my symptoms, medication, figure out what was resolved and what wasn't, what I should pursue and what I shouldn't, what my next steps were, etc. The whole thing is honestly pretty overwhelming.
So we spent the hour on that, and during that hour she mentioned that autistic folks are super prone to autoimmune conditions. I knew this. We're hugely gender diverse and, er, ability-diverse? Hypermobility, fibromyalgia, etc. I was talking about my skin symptoms that I'd had for so many years, and about the tiredness, at various times. She mentioned MCAS. Now, I'd looked at MCAS way back and hadn't really thought much about it. I was on allergy pills for my skin stuff for a long time, though, and maybe that was correlated with better physical welll-being?
It's an easy one to test for, though. Take allergy pills. There are two kinds of histamine blockers and over the counter allergy pills are one class. Those mostly deal with skin, airway, etc. There's a second class that I think needs a prescription and it deals with GI stuff. I have both sets of symptoms so--
I bought allergy pills and started taking them a week ago.
My tunnel vision/eye stuff is functionally gone. My memory is much closer to normal. My mind doesn't feel like a frozen ten-ton molasses blob I'm trying to roll uphill. I feel energetic in the mornings.
I still get super tired and need naps, and I'm still a little slow off the mark, but I've been going outside and doing things. My heart still pounds kind of erratically (like one out of fifteen times I walk up the stairs to my bedroom, or one out of seven times I carry the feed buckets) and my muscles feel slow/achy, but I don't feel like I'm hauling dead meat around.
This is basically amazing.
Now I'm thinking, what if the H2 histamine blockers remove my GI stuff? I've had that forever, it's mild enough that it's inconvenient but I never starve, but I remember waking up to stomach pain most days in high school even. That endoscopy I had last year wasn't conclusive. Low-level nausea is pretty common for me. I also don't know what level of discomfort normal people have, folks talk about things like indigestion all the time. So I've been accepting all this stuff as just normal, but what if it could go away?
They say as you get older things hurt more. A lot of this stuff has always been like car noise in a city: background, the brain usually cancels it out, no point in complaining, everyone deals with it and it feels like an inevitability. I don't class "normal stuff" as pain because what's the point? But what if, as I get older, I could have days without pain? Regularly? And not just without acute pain, but without the background stuff?
Either way it's amazing to be able to focus my eyes fully again, to be able to think my way through a sentence without having to reread it as I go because I've forgotten the beginning. I'm very curious about how the allergy pill impacts my brain function. I'd heard something about mild anaphylaxis, narrowing air passages or something, from MCAS. I can't find it now. Could that have been what's going on? Something else acting directly on my brain? I'm so curious.
Edit to add: I spoke too soon, it doesn't seem to be fully better but it does ebb and flow and it's less intense for sure
So we spent the hour on that, and during that hour she mentioned that autistic folks are super prone to autoimmune conditions. I knew this. We're hugely gender diverse and, er, ability-diverse? Hypermobility, fibromyalgia, etc. I was talking about my skin symptoms that I'd had for so many years, and about the tiredness, at various times. She mentioned MCAS. Now, I'd looked at MCAS way back and hadn't really thought much about it. I was on allergy pills for my skin stuff for a long time, though, and maybe that was correlated with better physical welll-being?
It's an easy one to test for, though. Take allergy pills. There are two kinds of histamine blockers and over the counter allergy pills are one class. Those mostly deal with skin, airway, etc. There's a second class that I think needs a prescription and it deals with GI stuff. I have both sets of symptoms so--
I bought allergy pills and started taking them a week ago.
My tunnel vision/eye stuff is functionally gone. My memory is much closer to normal. My mind doesn't feel like a frozen ten-ton molasses blob I'm trying to roll uphill. I feel energetic in the mornings.
I still get super tired and need naps, and I'm still a little slow off the mark, but I've been going outside and doing things. My heart still pounds kind of erratically (like one out of fifteen times I walk up the stairs to my bedroom, or one out of seven times I carry the feed buckets) and my muscles feel slow/achy, but I don't feel like I'm hauling dead meat around.
This is basically amazing.
Now I'm thinking, what if the H2 histamine blockers remove my GI stuff? I've had that forever, it's mild enough that it's inconvenient but I never starve, but I remember waking up to stomach pain most days in high school even. That endoscopy I had last year wasn't conclusive. Low-level nausea is pretty common for me. I also don't know what level of discomfort normal people have, folks talk about things like indigestion all the time. So I've been accepting all this stuff as just normal, but what if it could go away?
They say as you get older things hurt more. A lot of this stuff has always been like car noise in a city: background, the brain usually cancels it out, no point in complaining, everyone deals with it and it feels like an inevitability. I don't class "normal stuff" as pain because what's the point? But what if, as I get older, I could have days without pain? Regularly? And not just without acute pain, but without the background stuff?
Either way it's amazing to be able to focus my eyes fully again, to be able to think my way through a sentence without having to reread it as I go because I've forgotten the beginning. I'm very curious about how the allergy pill impacts my brain function. I'd heard something about mild anaphylaxis, narrowing air passages or something, from MCAS. I can't find it now. Could that have been what's going on? Something else acting directly on my brain? I'm so curious.
Edit to add: I spoke too soon, it doesn't seem to be fully better but it does ebb and flow and it's less intense for sure