Well That Didn't Go to Plan

 So after almost two weeks on the 25mg of Mercaptopurine, I was having incredible headaches and nausea and what a bonus the insomnia was worse than usual. I made an appointment with my GP at 3am in the morning out of desperation, however surprisingly I woke up kind of ok. The Panadiene had taken the edge off. 

I really thought I could manage to go to work and so switched my appointment to 3.30pm. 

This brings me to what I do for work. I am a Equine Hoof Care Professional. Basically I am a farrier who doesn't nail on shoes to the hooves of the horses in my care. I can glue them on (yes that is a thing) but generally my description most closely resembles podiatherapy for horses. I love what I do, although it has been taxing these last few months with what was then an undiagnosed health issue, but for the most part I can't imagine going back to doing anything else in the mainstream world.

So lets appreciate how someone with Crohn's can come into all sorts of trouble doing this job...I am often quite far from a toilet...that's probably the hardest part. My urgency to go has been infrequent lately but trust me I know where every public toilet is in every area I go to. My worst fear is having to use a clients toilet or worse still, dropping my pants in a paddock somewhere. Then there is the physical aspect, I am strong but this job requires a fitness that comes from doing the actual job. Aching joints do not help, as well as the wear and tear from the job in itself. 

It goes without saying that upon diagnosis my greatest fear was that I would no longer be able to do the what I love, lets not forget it's outdoors and we are like little vampires who shrivel in the sun! I am preparing myself the best I can by reducing my workload to a more manageable level. Three days a week and no more than 6 horses at a time. This for now is totally achievable and given I am in the early stages of Crohns, I hope to keep healthy and trim for many more years. Just a big no to naughty horses and stay out of the sun as much as I can. I have bottles of SPF everywhere. 

The Dr's appointment revealed that I was having issues most likely with my pancreas from the Mercaptopurine and the side effects of nausea, headaches and lethargy were also signs it wasn't getting along with my body. I stopped taking them that day, but I continue with the corticosteroid Budesonide until I speak with my specialist. It has been 3 days and I feel much better. 

Where to next? Well on the 11th of January my specialist will call me to discuss the next drug we try to keep my body from attacking itself. It is another chemo treatment called Azathioprine. I am guessing if that one doesn't work then I might qualify for the biologics? 

Again I am appreciative of the fact that nothing is serious but mindful that I don't want to trigger anything. Healthy eating, less stress physically and mentally...that is my long game.


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