It's My Lupiversary!

Wednesday, February 8, 2012
*croons softly* "Dooooooooo you know what todayyyyyy is? It's my Lupiversary! It's my Lupiversary!"


These are the infectious words that I sung to myself this past Monday once I had awakened from my deep slumber. What is a "lupiversary" you ask? Don't worry I'll tell you!

Approximately two years ago on February 6th, 2010 I was diagnosed with Systemic Lupus Erythematosus; commonly known as Lupus or SLE by my rheumatologist.
Lupus is a chronic autoimmune disease that can damage any part of the human body. The immune system becomes overactive and develops autoantibodies which attack the bodies own tissues causing inflammation, pain, and damage in multiple areas of the body. There is no known cure. (Adapted from the LFA)
 Since my diagnosis my body would subconsciously began to toss itself into a downward spiral slump of sadness as soon as January approached and I couldn't figure out why. I was talking to my lupie sister Jeannie on the phone when she pointed out that my lupus diagnosis anniversary was approaching and the negative vibe I was feeling was probably my body's natural response to that life-changing moment.

I must admit that I was quite speechless; not only about the fact that my body recognized what was a dark time for me two years ago but also that someone other than myself remembered my diagnosis day! Lupus IS a serious and often complicated disease to live with but I CANNOT ignore the fact that it has indeed brought wonderful people into my life that I would otherwise never have met! Don't underestimate the value, quality, and authenticity of e-relationships. They are beautiful, and I like to think of them as one of the silver linings of living with a chronic illness.

What is a Lupiversary? A Lupiversary is the celebration of LIFE after lupus. It is the evolution process of taking a sad day in our lives and re-creating it into a day of strength, hope, and happiness. It is a lupus patients' way of saying: I am a warrior! It is not a celebration of disease nor does it mean we are "letting our illness define us." It's quite the opposite! 


If I were to make a pros and cons list of what lupus has brought to my life; I daresay the pros would far outweigh the cons. Yes, I have days where I can't walk far or eat much. There are times when the pain is overbearing and sleep is an unfulfilled wish. But on those days I am glad to find friends online who can talk me through the pain; who give me advice on what I can try if food is hard to keep down, what OTC medicine to try when prescriptions are unavailable. If I need comfort an e-hug is just as cherished as one in person; especially if it involves glitter and confetti :)


So, next time the anniversary of your lupus diagnosis comes about shake off the sadness by re-creating this day into a remembrance of your strength as a warrior. Remember that you survived 365 days of a NEW year! Think of all the new faces and personalities who have helped you along the way & don't forget that you helped them in return. Forge a new path of happiness into your lupus journey. You're a freaking warrior and gosh darn-it there needs to be some glitter tossing, cake eating, and warrior chest beating going on when your lupiversary comes around!

Here's a little video from my lupiversary tea party to share how I celebrated life after lupus this year!




  Kisses and glitter,
Tiffany <3

Dear 18-Year Old Me...

Sunday, November 20, 2011
Today's Wego Health Writer's prompt is: Dear 18-Year Old Me...


"Write a letter to yourself when you were 18. Be sure to tell yourself what to do more of, what to do less of, and what you have to look forward to in the next few (or several) years"-Wego Health
                                                                       Hey Brace-face!

Yea, you're so NEVER going to live that down; not never!
Still...it is pretty cute that you attempt to be "cool" by color coordinating your brace bands every month and yet still I don't know if anyone else besides you actually think it's cool; ha!

I can't believe you're taking so many honors and advanced placement classes. Uber proud of you! Though how you manage to make it through an hour of advanced world history is beyond my imagination.

Now listen up, I've got to get this message across before that white light at the end of the tunnel disappears.

These next points are crucial to your future:

-Get a job and save money for college textbooks
-Go to college when YOU'RE ready not when someone else thinks you should go.

-You know those "rain-pains" you've been having in your wrists and knees? When the doctor laughs in your face because you mentioned early arthritis; tell him 7 years later you could have a lupus diagnosis.

-Smile more, write more, love more, and never stop singing!

-Eat more VEGETABLES, drink more water, and take daily vitamins. (Your body will thank you later!)

-Stop perming your hair; embrace it's natural texture.

Enjoy every moment and treasure every memory!

Oh those days of being young and careless! If you could go back in time and leave a letter to your younger self what would you write? You only get one chance so make it count!





























: This post was written as part of NHBPM – 30 health posts in 30 days: http://bit.ly/vU0g9J

Days of Our Lupus Lives!

Wednesday, November 2, 2011
Today's Wego Health Blog Writer's prompt is: My TV Show

"Your blog is being turned into a TV show! Congrats – you’ve earned it. In fact, you get to co-write it. Write about the TV show based on your life or blog."-Wego Health


Welcome to "The TiffanyandLupus Show"! An authentic talkshow that airs every Sunday at 8pm Eastern Time. This upcoming weeks topic is: Five Steps to Go From Lupus to Living!


I'll be speaking on FIVE simple steps that will take you from lupus to living. Wondering exactly what that means? No worries, I'll explain it to you. There are FIVE easy steps I practice often that help me overcome the wear and tear that lupus has on the mind & body. As we all know; positive energy always overrules negative aspects at anytime!

I'll also be interviewing guests on the show who would like to share their 5 steps to go from lupus to living with you. On our fabulous guest roster is: La Lupus Lady who is a wonderful lupus advocate from California. Her favorite inspirational quote is, "Passion is contagious; Lupus is not!". Next we will have the author of the Spoon Theory herself in person, Miss Christine Miserandino who will speak on how she created The Spoon Theory and how it can help you explain what lupus life is like to your family and friends.

Our super secret surprise guest is Shante & Cori Broadus! Yes Snoop Dogg's wife and daughter. As some of you may know Cori was diagnosed with lupus at the tender age of six and has been a warrior ever since! Shante; Cori's mom sits on the Lupus LA board and is a huge supporter of lupus awareness & funding research. Today twelve year old Cori will discuss what lupus life is like; how she manages each day as well as performing her new single, "Do My Thang" showing us that lupus doesn't have to stop you from reaching your dreams and making it a reality!

Any thoughts on today's show? Who do you want to hear more about? What did you think of Cori's new song? Post your thoughts; I wanna know!

*: This post was written as part of NHBPM – 30 health posts in 30 days: http://bit.ly/vU0g9J




Don't forget to tune in next time where I'll be writing a letter to the 18 year-old-me. Oh I'm nostalgic just thinking about it! Xoxo

My Future Books

Today's Wego Health Writer's prompt is: Titles of my Future Book

 "Say you’re writing a book about your life, community,
condition, or Health Activism. Come up with 5 working titles and a quick book jacket
synopsis."- Wego Health
After much pondering I thought of what my five future books would be...Educational health guides with a sprinkle of my Latina heritage; yes this means a spicy novella. A mermaid inspired "me" because well who wouldn't want to be one! A self love guide, and a TiffanyandLupus cookbook! Doesn't it all just sound visually delicious!? Okay here we go...
  • What Lupus Taught Me
 Oh dear cheese on toast! Maybe she heard the rheuma-whats-her-name say the wrong word...though judging from that cold dead look in her eyes it's safe to say the doctor isn't just pulling my finger for kicks...perhaps it IS something serious. This thing called LUPUS. Well, it's time to pull my girl britches up; whip my fiercest wig and rise above the pain, and the best part is I get to share it all with you!


  •  How to Make Your Doctor Listen!
Ever feel like all your doctor visits are a blur? Do you spend most of your doctor visit in the "waiting room" only to spend 10-15 minutes with your MD before you're rushed out the door? Here's an easy-peasy guide of the: What, where, when, why, and how's of being an expert patient! Learn the skills to become the exceptional patient and gain the respect and proper care from your physician.


  • How to Get From Here to There: A Guide to Self Love
We're going to take a journey; one that's less traveled but leads to happiness. Before we embark I'm going to need you to be completely honest with yourself. This journey is all about YOU and how to leave the emptiness and pain behind and start loving the person we find within. All you're going to need is a mirror and perhaps a pen and paper. Are you ready? Are you prepared to shed the self-hate, longing, and judging eyes you bestow upon yourself? Grab your mirror and join me for an enlightening journey of self. It will be a bumpy ride but it's also one you'll always remember.

  •  Eating at Tiffany's
"Food should always deliver orgasms; anything less is a crime!"                                       Here you'll find Tiffany sharing her favorite authentic recipes. Each one of them full of sass, flavor, and nutrition...much like Tiffany herself. From fatigue-fighting salads and smoothies to mouth-watering lasagna and scrumptious desserts. You can find it all right here. Healthy food should still taste amazing and Tiffany is here to prove that!





  • The Mermaid & The Mercenary
Silently sliding amongst the rocks; Alexander held his breath and settled in for a long moonlit night of waiting. His orders were clear. On the third crescent moon of the fifth of September; a pure soul will sing of true love you'll always remember. Shall the siren finish her song; your mind, body, and soul shall be hers and belong. Gritting his teeth he took a closer look...her short tapered onyx tresses seemed to gleam in the moonlight. Wait, what?! Pffft! He would not get all dreamy over some vixen who was to be the death of him! He clenched his teeth around his solid curved blade and inched closer. He was almost there....a few more steps and it would all be over. Holding his breath he inched his muscled bicep back and prepared to strike at the base of her neck...with each lulling syllable he felt his heart clench tighter. Sweat dripping down his back he pressed on...the curve of her back seemed to dip deliciously into the most beautiful kaleidoscope of colors he'd ever seen. Her skin was a warm cinnamon that reminded him of snowy nights, toasty fires, and hot cocoa. He could almost taste her...
*This post was written as part of NHBPM – 30 health posts in 30 days: http://bit.ly/vU0g9J


 
 I hope this was as fun to read as it was for me to write! Which titles were your favorite and why? Were there any that didn't catch your interest? If you had the opportunity to publish your own book what would your title and synopsis be?

 Loving you, Stay strong!
xoxo, Tiffany

Patient Advocacy in Motion: ePatCon 2011

I've collected all the amazing video footage from e-Patient Connections 2011 and placed it all here for your viewing pleasure. Below you'll find interviews hosted by HealthCentral's Amanda Paige as well as some great video clips of me captured by the charismatic blogger Mark S. King from My Fabulous Disease.

Take a look at this remarkable video put together by HealthCentral featuring some of the empowered patients who are taking a stand to advocate for their illnesses and the rights of all patients across the globe.



Don't they inspire you to jump up and get cracking at finding the nooks and crannies that need repairing in the health care system? Okay okay, I may be a little overenthusiastic but let's get serious for a moment. If we don't take the initiative to be our own health advocates how can we expect someone else to do it for us? We can't leave everything in the hands of our physicians; responsibility has to start somewhere and it might as well start with each of us. Now on one's asking you to get crazy and light a bonfire at your next doctor visit. (though I'm sure that'd get their attention!) It's much simpler than that. Becoming your own health advocate is so much easier in this digital age. Everything is available at the touch of a few taps of a keyboard or mouse.

Also featured below are each of the empowered ePatients who sat at the roundtable to construct a draft for the Digital Patient Bill of Rights and how you can contact them. ~> HERE

Last but not least you can view me; fellow Wellsphere lupus blogger speaking with Healthcentral on how social media has helped me overcome the stigma of having an illness and finding support online. Here I share the inspiration behind the Facebook "Friends Against Lupus" page and why I chose that path I did on my healthcare journey and what I hope to see in the future of healthcare!



So what do you think about all this talk of patient advocacy? Do you disagree with what I said? If so what would you have said differently? What are your thoughts on the "Patient Bill of Rights"?

Knowledge is Power: e-Patient Connections Conference 2011: Day2

Thursday, October 6, 2011
As day two of the e-Patient Connections Conference 2011 (ePatCon) unraveled I found a familiar phrase constantly replaying itself in the background of my mind. "Knowledge is Power"...a loaded statement proclaimed to me and countless others every single day by my childhood charter school KIPP.

Now let's take a minute to dissect it. I think most of us would agree that knowledge is most definitely powerful, but aren't there mechanisms that we much first utilize to make it so? Actions being at the forefront. When we take action by sharing what we learn; knowledge will then have power!

If that isn't motivation to pass pertinent information along the grapevine; I don't know what is! Quite amazing that all this pondering took place before 8:30am during breakfast, eh?

Settling into my reserved seat in the Hyatt at the Bellvue ballroom for day two of the e-Patient Connections Conference; I began to prepare myself for a day of learning.


Chris Schroeder, of HealthCentral was the first keynote speaker. He blew my mind away with his very own revelation of patient empowerment! He challenged us by asking, "What is more important than taking control of your health?"...Truly I find none more important. My days are consumed with personal research of my own to rise above my diagnosis of lupus and strive instead of just surviving. Chris continued to exclaim," Where are the pitchforks and torches!? Where is the, "We are mad and aren't going to take it anymore!" in health care? Do you hear that patients? It's a roll call of sorts, a bellow through the loud speaker asking each and everyone of us why we aren't doing MORE to better our health care. After all EVERY ONE is a patient; why is it so hard for pharma, physicians, and patients to all collectively think like one? You can read/watch  Chris's full speech here.

Chris was followed by Harris Rosen, a Hotel owner who was so frustrated with the health industries indifference to his employees that he created his own health care facility! His only iron-clad rule for all employees is absolutely no smoking, but at only $45 a week you get top of the line health care. Let's hear it for health care innovation at it's best!

This launched a heated discussion through the twitter-verse on whether patients truly "get it"? Some individuals felt that patient literacy was a huge problem while others decided they disagreed with Rosen's no smoking policy and deemed it too controlling. As I filtered through the conversation it seemed that a lot of people were leaning towards patient education being the culprit behind our broken health care system which I STRONGLY disagree with. Once this was uttered in the twitter verse a frenzy arose and ePatients began to take the helm with their valuable opinions. Personally, I believe their must be education on all sides of the health care round-table. Patients should be sitting at the helm and pharma and physicians should be gathered with them to share perspectives and work towards the same positive goals that will reform health care for the better.



                                                 Even the audience at ePatCon was engaged; a physician remarked that technology could be utilized for patients to reduce the amount of doctor visits. Ron Gutman of HealthTap took the stage and inquired why doctors weren't on the same page with everyone else and using interactive health as a mechanism to improve their health care. Continuing to say that interactive health would promote transparency, quality, and better doctor relationships for patients. All this rang true as I replayed scenarios from former doctor visits in my mind. Then I pondered on why I never spoke up and said something all those years. It's been a long road for me as a patient; one thing for sure is I will never be content to play the docile patient anymore!

Vladamir Castillo followed after Ron and presented on how engaging the patient should occur on day one and how insights could be used to better the patient experience. Leaving us with the mind-blowing statement, "It's not what we can do at pharma; we should be doing our job with passion and to be there for them [the patient]." Tina Sampath blew me away by quoting Spike Lee,"Do the right thing!" as her response to pharma/physician in health care. I mean here is a pharma rep for Gilead who outright placed real patients front and center in her presentation complete with video footage and even in person right on stage. There were several moments when I proclaimed how impressed I was with them as a pharmaceutical company who showed respect for and valued patient input via the twitter-verse. Truly a ground-breaking occurrence that all other pharma and physicians need take notes of!

Tina's presentation brought the power of a patients' story to light. The oil that will grease the health care systems broken down engine IS the patients' input! The time has come for pharma and physicians to recognize and respect that and find a way to make progress happen. Once the importance of a patients' story began to unfold; ePatients took to the twitter-verse to share their perspective on it all. There was a lot of inquiry into why so many "health community sites" arise instead of already helping to promote the patient-run communities. Why create something that already exists if you can help the progress of one that is in existence already? This often leaves most of us ePatients feeling alienated and ignored in spite of all we do to help our health communities.

Photo Credit: HealthCentral
During lunch I had the pleasure of being interviewed by HealthCentral's Amanda Paige. She asked me what my thoughts were regarding the "Digital Patient Bill of Rights" and how it felt to be a part of it as well as how social media has influenced me as an advocate. The charming Mark S. King also interviewed me for his blog; My Fabulous Disease and inquired about my perspective on blogging and asked how I would describe my illness (Lupus) and relate it to his. (HIV). All of these video clips will be showcased in my next blog post; so stay tuned.


Day 2 at ePatCon came to a conclusion with Brian Loew of Team Inspire and my fellow rheum sister Kelly Young (RaWarrior). Major kudos to Brian for being upfront and mentioning that ALL power was of the patients who became empowered to help their diseases and disabilities while claiming no credit for himself or his phenomenal site. So proud of Kelly for implementing how patient input is imperative to the progression of health care. You can't fake passion! All the patients who were in attendance are proof of this. Each of them have no financial motives or gain from the hard work they put into their patient-centered communities online. They became EMPOWERED because they CARED not only for their health but for the health of others as well! It's time for pharma and physicians to finally get on board with us patients and emphasize the CARE in health care.



What are your thoughts on the input of patients and their stories? Do you find them valuable or not? Do you feel that pharma and physicians are on board for progressive health care? What are your thoughts of the patient being the top stakeholder at the health care round-table? Share your thoughts! I'd love to know.










The Power of the Patient: e-Patient Connections Conference 2011: Day 1

Wednesday, October 5, 2011
Photo Credit: iStockphoto
"Patient is NOT a third-person word." - e-Patient Dave deBronkart






These were the powerful words that resonated throughout my next two day in Philadelphia after the start-up meeting that birthed the draft for the 'Digital Patient Bill of Rights'. When I was warmly invited by Wellsphere and Wego Health to attend this patient-centered health conference there wasn't a moment of hesitation; I just had to be there! I wasn't sure what to expect from my time at the ePatient Connections Conference 2011. I had various thoughts of cold-hearted pretentious business suits floating by in all types of assorted flavors with chest puffing listed as one of their favorite pastimes. Thankfully I was disappointed!
ePatients at e-Patient Connections 2011
(Photo used with permission of e-Patient Connections:
 ©2011 http://epatient2011.com/ Some rights reserved.

I will admit I was wary at first. Questioning whether I had done the right thing; if attending this conference was a step in the right direction for patient advocacy. My mind was plagued with worry about whether I would properly represent the 1.5 million Americans living with lupus; not to mention the estimated 5 million worldwide! Shaking off my doubtful fears I steeled my mind with the whispers of encouragement from countless endeared patients who have grown to be a family of mine and prepared for what the next two days would bring.

Charity Tillemann-Dick
(Photo used with permission of e-Patient Connections:
 ©2011 http://epatient2011.com/ Some rights reserved
Seth Godin was the first speaker at the ePatient Connections Conference. I will never ever forget these impressionable words of his, "You are a platform for leadership; what will you do with it?". His words rang true. I believe it is not enough for us to just be patients; we must be more than that. We must take charge and be leaders; even if it's just for our own health!

I could barely contain myself once Charity Tillemann-Dick; double lung transplant patient graced us with one of my favorite Italian arias after being told she would never sing again. Her emotional journey resonated with me and so many other patients at the conference. The prospect of hope and how finding the silver lining in EVERY cloud becomes imperative to our very survival in life. Charity left the stage after sharing this pearl of wisdom, "We have to stop letting disease divorce us from our dreams!" I couldn't agree more.

I didn't think the conference could get any better....then jaw-dropping commenced after e-Patient Dave and Silja Chouquet performed a spontaneous patient advocacy inspired rap (complete with live beat-boxing!) asking physicians and pharma to 'Let the patients help!' and the day just kept getting better after that.

Silja & e-Patient Dave rapping!
(Photo used with permission of e-Patient Connections:
 ©2011 http://epatient2011.com/ Some rights reserved
Jonathan Richman; former pharma representative spoke up about pharmaceutical companies needing to start offering services that improve patient lives instead of making products. I love that doctor Brian Vartabedian mentioned the dangers of "snake oil salesman" and how physicians should be more engaged with patients to help promote the safety of credible health information found via social media. I can't count how many conversations I've had with fellow patients who inquired about some "miracle lupus cure" or supplement that they found floating on the web! We NEED physicians to engage with us and utilize social media as an additional way to assist patients with better health care.

The day was filled with countless pharma and physicians acknowledging that patients mattered and proclaiming how valuable our input is to the positive growth of the future of health care. Needless to say I forgot to measure just how many inches my mouth dropped after each speaker shared their intellect. One doctor exclaimed that empowered patients were redefining them while another confessed that the fear of intimacy was why most physicians were reluctant to embrace social media.

One of the new health innovations introduced was the phone application introduced by Jeff Kozloff of CareCoach. He demonstrated how patients can improve their physician relationships by audio recording their doctor visits and utilizing the CareCoach phone application to help prepare patients to maximize their visits to their physician. How grand is that? A funky new gadget that I can use as proof when explaining to my physician that her bedside manner needs improvement! However, when using this app make sure to get permission to record first; you won't be of any use to health care reform behind jail bars!

The day came to a conclusion with dinner provided by the lovely folks at HealthCentral who strategically assigned seats so that each dinner table was a clever mixture of patient, physician, and pharma. I was a bit overwhelmed being one of two females surrounded my a smorgasbord of sharp suited businessmen until a very warm gentleman introduced himself and began to inquire about what brought me to the e-Patient Connections Conference. I must warn you though; once prodded I'm an overflowing fount of information especially pertaining to patient advocacy and lupus awareness! The evening was filled with pleasant conversation between myself and three brilliant gentleman who I later learned were astounded to discover that patients often have horrific health care stories. This helped mold my views a bit more positively for pharma and physicians and encourage my beliefs that health care needs to be a three-way street between them and the patient. Mutual respect needs to be attained; input shared with similar goals for achievement laid out in front of us.

I looked forward to day two of the conference after being pleasantly surprised with all day one had to offer.


How about you? What are your thoughts on the relationship between patient, physician, and pharma? What valuable input would you like to share to help shape the future for positive change in the health care system? Please share your thoughts; I'd love to hear from you!