Friday, October 03, 2008 Alice asks

Q: I am the spouse of someone living with RA. How can I support the ups and downs?

I am having a hard time living with the bad moods associated with my huband's pain.  It seems like he takes his illness out on his family.  I can't convince him to see someone to talk about this.  He is making himself and the rest of us misreable.

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Answers (15)
10/ 6/08 3:18pm

How long has he been dealing with this? Hopefully, he will adjust soon. All I can say is to be understanding. He is in constant pain and very tired. Unless you have the problem, it's hard to explain how you feel. You know your body is falling apart and you can't stop it. He probably feels like he is letting you and the family down because he is unable to do all the things he did before and that will only get worse. I know, when my husband is having a hard time dealing with me. He has Osteo arthritis but that's different from RA. He understands pain but he doesn't understand all the other stuff that an RA patient goes thru. Maybe your husband's doctor can help. Why not talk to him/her about your husband. I would also seek out a support group for yourself and perhaps for your husband. It helps to talk to others.

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10/ 3/08 10:40am

Alice,

As an RA sufferer, and newly diagnosed with it, I can say that the flare up of RA is miserable.  Somedays I pray that i don't wake up from my sleep.  I know that's selfish on my part, but somedays that's the only way I can deal with it.  The pain is very very bad.  There are no "feel good" hormones floating around one's body during a flare. You should know that your husband's bad moods have nothing to do with you or your family.  Pain brings out the worst in people.   Just getting thru the day is enough to suck the life out of you. I must say that patience is the biggest thing right now for you.  I wish I had my husband's support the way you have supported your husband.  Dealing with RA is no picnic, not for the sufferer or the family.  Just give him the empathy and patience and he'll be forever grateful.   Most importantly, just keep remembering that even though you are suffering, he is too.  good luck to you and God bless you for sticking with him, and supporting/encouraging him.  Believe me, that goes a looonnng way!  ~desiree

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10/ 3/08 2:26pm

desiree,

 

thank you for your wisdom.  It is exactly what I needed to hear right now.  I will keep you and your family in my prayers.

 

alice

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10/ 9/08 11:47am

I myself have RA and I'm Bipolar.  So sometimes it can get pretty bad with th pain/irritability cycle.  Recently I was put on Cymbalta for my Fibromyalgia pain.  You may want to check it out because its more widely used for depression.  And if you are depressed you feel more pain.  Do what you can to make your husband comfortable and help him when he lets you.  But I can tell you from my outbursts at my family, Im

not mad at them, I am mad at my body and at the fact that this pain controls my life!--I'm PISSED!  and miserable just like your husband I bet!

Cathy

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10/10/08 4:22pm

Hi Alice,

 

I am in the same situation with my wife as she deals with RA.  I think that your husband might have the same attitude as my wife about asking for help, that it is a sign of weakness.  But far from it, asking for help when you need it can be a blessing both for the person asking and the person giving it.

 

In our situation, I try to keep her as positive as I can.  I make sure that she is taking her meds, as often the downturn in her attitude can be traced to skipping some dosages.  We try to pick up extra chores around the house, and make sure that she has some activities that she enjoys doing.  One of the biggest helps has been a woman's group at church that meets twice a month.  Just getting away and talking with other women, and not about her illness, seems to really help her.  Maybe you could encourage your husband to find an outside activity that would take his mind off of his problems.

 

But most of all, keep your attitude good.  I have lived with chronic pain as well (severe back problems) and until you do, you can not possibly know what it is like living with constant pain.  Always keep in mind that his sour mood is directed towards the pain and not to you.  In other words, don't take it personally.  Oddly enough, something that has really helped me is literature from AlAnon.  The concepts of "One day at a time" and "Let go and let God" has been a huge help in dealing with those ups and downs.

 

I hope something in this can help you out, for both of your sakes.

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10/10/08 4:32pm

I wonder if this is a man thing Alice? My first husband used to take things out on us when he didn't feel well. I think women are better equipped to handle pain as we have had to deal with it most of our lives. Hope thingst better for you.

Bon

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10/10/08 4:33pm

Sorry  to hear about your husband. First you need to realize that you do not really know the pain that he is in with flares. It is very hard for those of us with RA to have to deal with the fact that this is just part of our lives and we can only hope that it gets no worse. Knowing deep down that it most probably will get worse. That is scarey. Knowing that he possibly will have to rely on you physically. That has got to be hard on a man. I know that when I am scared because of hurt and pain, and my health I tend also to take it out on my family, I think that I am distancing myself for some reason. Of course I know the reason it is just not something I like to talk about.   but it has always been like that.  I do talk with my Dr. and PA about these things, maybe he should too. Maybe he needs some sort of medication for depression to help him through times.The thing is in our family they work with me and help me deal with the pain by really chipping in and doing.

Have you read any books on RA or on dealing with RA? There may be a support group in your area that would help you deal with this.

Also is he taking his meds as he should to keep it as best under control as possible?

Good luck to you all,

Cindy   

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10/10/08 5:48pm

Hello Alice

Everyone has their own way of dealing with things like this. In our situation my wife will let me play the bad dude role only for a little while. Then she will remind me that they all got pulled into this boat with me and even though they don't feel the physical pain, they are hurting over this just as bad as I am. She is amazingly supportive but very to the point when it's time for me to stop my pity party. I have never figured out how she can be 8 inches shorter but still look down her nose at me, but believe me she can.

I know it sounds weird but the best thing your husband can do is exercise. If he is not doing this, he needs to start doing whatever he is comfortable with and build on it. It is a great stress reliever and his pain will get better. If you can take walks with him it would be good. If possible, get away from your neighborhood and onto wooded trails.

This kind of thing helps us, I hope you can find the key to your situation.

Chuck

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10/10/08 8:50pm

If you contact the RA organization you will learn of support groups that might be of help to him - but he may have a difficult time expressing his feelings and having to admit he has RA.  He actually may be very frightened and angry and you are the "safest" people to let his feelings out on.  As you said seeing a counselor or others with RA would be good, but only if he is ready to do that.  Otherwise realize that until he is ready counseling or groups won't be very helpful.  Patience on your part will help and possibly finding a good book on coping with pain, illness, and discussion about similar long term illness might help - he may be ready to read things rather than talk it out.  You can always seek out group or counseling with or without him.

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10/11/08 11:10am

This is a tough one...as your husband does not even know who he is anymore.  He is probably feeling very inadequate as both a man and a husband.  If he is on medications, those too will alter his personality and feelings.

 

My husband left me emotionally 6 months after my dx.  Then 3 months ago I filed for a legal separation :(.

 

The best advice I can give is gently encourage him to talk to you.  Remind him that you are not his enemy.  Go with him to his appointments and it is possible the subject will come up.

 

For yourself, learn, learn, learn...about all the meds, how much RA affects an individual etc.  The Arthritis Foundation has some brochures that are free.  Some of which specifically deal with relationship issues.

 

If your husband refuses to talk to someone, then you go and talk to someone for yourself and family.  It is critical to keep communication open and the dialog going.

 

If you are a spiritual person, rely on God.  This is what has got me through an extreemly difficult 4 years, starting with the death of my only child up until today.

 

Smile!  Laugh!  Keep hope!  Continue to love!

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10/12/08 6:45pm

you know what they say "WE HURT THOSE WE LOVE THE MOST" THAT'S BECAUSE YOUR A SAFE HAVEN TO HIM.  I DID NOT WANT TO AMITT THAT I HAD RA EIRTHER BUT WHEN MY NEW HUSBAND OF LESS THAN A YEAR (AT THAT TIME) GAVE ME A CHOICE  AND IT WAS NOT A PLEASANT ONE.I WENT RUNNING TO THE DR. AND AM SO THANKFUL I DID. NOW I HAVE BEEN IN ALOT LESS PAIN AND EASIER TO LIVE WITH. OF COURSE I STILL HAVE DAYS I AM SO TIRED I CAN HARDLY STAY AWAKE , PAIN THAT FEELS LIKE A KNIFE GOING THOUGH MY BODY  BUT WE HAVE LEARNED THAT IF I GET OUT OF THE HOUSE AND START MOVING AROUND  AND/OR  A HOT SHOWER .rEMEBER MY MEDS, AND ON SOME DAYS JUST BE LEFT ALONE WE ARE ACTUALLY HAPPY MOST OF THE TIME. BEFORE I WENT I COULD NOT USE MY HANDS WITHOUT PAIN WE HAD TO CHANGE THE DOOR KNOBS AND MY HUSBAND HAD TO HELP DRESS ME, CUT MY DINNER AND BASICALLY DO EVERYTHING FOR ME . I NOW WORK FULL TIME AND AS LONG AS I REMEMBER I CAN NOT DO IT ALL ANYMORE I AM BASICALLY FINE. IT'S THE DAYS I FORGET THAT I AM LIMITED THAT CAUSES MY TROUBLE.

YOU JUST HAVE TO REMEMBER THIS IS A REST OF HIS LIFE STRUGGLE AND SUPPORT HIM. ALLOW HIM TO DO AS MUCH AS HE'S COMFORTABLE WITH AND WHEN HE ASK FOR HELP GIVE IT TO HIM. .. MAY GOD BE WITH YOU BOTH.

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10/12/08 9:32pm

TRy to understand they need rest and when they talk about pain they are mot just complaining.

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10/16/08 8:35am

When I was first diagnoised in the spring of 2005, I was also angry and took it out on the family but mostly my husband.  he understood but I'm sure wanted it to end.  Once the right meds were found and the pain was more bearable, I stop being angry and started reading about the disease and dealing with it.  Your husband needs to grieve.  The future that he invisioned for himself and family has hit a bump and now he needs to readjust his plans.  Just give him time and support.  If you are really worried that it's not getting better after some time, maybe he should join a RA support group in your area.

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12/ 3/08 12:28am

My spouse has been diagnosed just recently with RA and my life pretty much sucks right now. He has totally shut me out and won't speak to me, and I honestly feel like my marriage is practically done. I understand that he is hurting, and mad, and having all of these emotions, and its breaking my heart that there is nothing I can do to fix it or help him. I spend most of my nights crying, and most of my days smiling on the outside but honestly miserable. I just don't know what to do anymore... does anyone have any advice because I don't know how much more of this I can take...

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6/ 8/09 11:58am

 

I can empathise with what you are going through as I am in the same boat.  It is really not an easy road to walk when your spouse gets a disease like RA.  I had hope for hubby's recovery since he was diagnosed with RA 3 years ago.  He couldn't take much stress at all but he tried to be as responsible as he could in providing for our family.  I tried to be as supportive as I could and even now, I try, but I have to admit that there are many days when being supportive wears me out emotionally.  We (or rather I) homeschool our children and there were many occasions in the first year when I had to bring my children to stay with my Mum just so hubby could have the peace and quiet he needed.  He said that every little sound irks him, not to mention the noise from young children.  I tried to accommodate as much as I could but it became emotionally draining for me as I didn't like to be separated from hubby and have to handle the children 24x7 all by myself.  He told me that "work" was the one thing that could keep his mind off the pain.  But it was very difficult for me to hear him laugh with his colleagues during conference calls and then snap at our children and myself afterwards.  That is a difficult privilege to bear.  It came to an unbearable point where he would be so polite and smile so sweetly to waitresses and neighbours when we went to restaurants while he gave me painful looks.

 

The 2nd year, he seemed better but the medication he took seems to make him mood and depressed easily.  In the earlier days of our courtship and marriage, hubby has always been my emotional support but eversince RA encroached upon our lives, not only is he unable to be of any emotional support, he basically withdraws and shuts himself away.  For those in this group who has RA, is it true that people with RA goes into periods of isolation?  When friends wanted to visit, he would almost instantly become unwell and too sick to see them.

 

Now into our 3rd year, it has gotten really difficult in spite of the fact that his RA condition had improved with less medication and moving on to a juice and vegetarian diet.  He would be laying in bed reading and when I sit on the bed hoping to talk to him, he would close the book and shut his eyes.  That is really hurting.  I've told him but still he does it.

 

It has come to the point where I conclude that what RA pain is to him, emotional pain is to me.

 

However, I recently realised that over the years, I have certain "mislaid hopes" and accumulations of resentments.  Firstly, I had so hope RA would leave hubby, that hubby would be well and be like what he used to be.  It is only recently that I have come to terms that perhaps, he may never get well and that the disease is something to live with and how I learn to face it will determine how each day would go.  Secondly, I resented that we could not cuddle like we used to - freely and spontaneously.  It came to a point where I lived in fear of touching him for fear of hurting him and yet I fear if we do not have physical contact that he may need to find fulfilment elsewhere.  I have to be honest and say that I felt my needs for affection were not met too and resentment ensued.   When I confronted that he did not seem to show affection much any more, he said, "If you need a hug, you can initiate."  But how would I dare?  When would be the right time?  How would I know where he is having a flare up?

 

The realisation that the days of hubby my confidante have also ended has been one of the hardest reality knocks for me to accept.

 

I too felt I could not take all these anymore until I went to the source of love.  I realised that in all these years of wanting to the best wife to my husband and best mother to my children, I had emptied myself out of love and all negative emotions had crept into my heart instead. 

 

One night, while saying prayers for my children just before bedtime, I asked God to show me how to love again.  He showed me I needed to ask Him to fill me with His love again, so I can love.  That night, I suddenly felt all the resentment, hurts and pain leave my heart and I could love again.  It suddenly daunt on me that if we all really knew how to love and have love in our hearts, we would not have any space in our hearts to hate, resent, or even feel anger!  But the *problem* is that unless, I make it a good habit to go daily, almost moment by moment, to God and ask Him to fill me with His love, I quickly fall back into self-pity, resentment, hopelessness and fear.  It is something I am still learning to do.  It doesn't come easy.  But it's the way that has seen me through ... time and again ... our human strength/love will fail but God's love never fails.

 

 

 

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5/20/10 1:18pm

All I can say is thank you for sharing that with me, my life is in turmoil I been living with this for more then twenty years,My wife can not do anything for herself at this point,I have to have a care giver to come in to take care of her,I ask God everyday to keep me strong in this terrible time i get advice from friends and family but i am not sure what to do, my heart hurts each day and my life is emploding on it self so I feel your pain....Stay Strong

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6/18/10 9:32pm

I feel so empty, my hubby, the one I always turned to the one who always took care of everything is not there anymore.  When he has a flare up all he does is sleep, I work fulltime, take care of my mom, our 13 year old, the bills you name it.  I know in my heart that he can't help it, but I feel so unhappy, like my life as I hoped it would be as I grew old will never be anything but lonliness.  I have thought of leaving him but then I think how can I do that, we are never intimate, the meds he takes makes that impossible.  What do I do?  Stay and be unhappy or leave and feel guilty

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6/19/10 1:13am

I can understand that.  My Hubby used to do that - sleep or read or watch a movie or work to get his mind off the pain.  I felt very rejected but that's his way of coping.  He would snap at my children and me and he couldn't tolerate any noise.  I had to bring our 3 children out often.  I felt very lonely like you.  I just got myself busy on other things and told myself that he is really unwell and I should do whatever I can to support him.  But like I shared earlier, it was not easy and if not for God who sustained me, Whom I can turn to, I would have been a lost case.

 

I know the pain of being ignored and feelings of rejection.  But I realised it's not that our husbands want to do that but it's that the pain makes it unbearable for them to have even a little stress.  It came to a point where I realised that "What is to him physical pain, is to me emotional pain."  It seems that for man physical pain is worse than emotional pain and for us women, emotional pain is worse than physical pain.  My children and I prayed daily that God would bring total healing to my husband and do whatever it takes to draw him nearer to God.

 

Four years have gone by, although my hubby is on medication, he is much better and do give me more attention again.

 

So I hope you won't give up.  Like you, my hubby was the one I used to turn to most and when I couldn't do that any longer, I fell into depression for a while but learnt to turn to God instead.  I believe it was God's way of teaching me to rely more on HIm than any other person in this world.  Like you, I had entertained thoughts that our marriage could end if things persisted in the horrid way they were.  But I couldn't bear to do anything to hurt my children and did not think it was right for me to leave my husband because he was ill.  I constantly reminded myself that he was ill and I must forgive him.  In moments of anguish, I have even asked my children to pray for our marriage so that it wouldn't break up.  I also remember our marriage vow which is for better, for worse, in sickness and in health and I felt I would be a lousy wife to leave my hubby in a lurch.

 

I know it is extremely trying and painful to support one's husband when he is sick for long-term and often, taken for granted, as men seems to miss a lot of what's going on when they are in pain.  But I also tell myself that my hubby didn't ask to be sick that way.  It just came upon him and I know that he himself wished he never got it in the first place.  Many times in his pain, he actually said things like, "he was better off dead than alive".  Those times made me realise his anguish and so I did whatever I could to make things more bearable, like staying over at my mum's with my children, so that he could have quiet and peace in the whole house.

 

I also told myself that my hubby had not done anything wrong - had not been unfaithful to me and still worked as hard as he could to bring the bacon home. 

I also know that he loves our children very much even though he couldn't do much with them for a couple of years.  That encouraged me to do the right thing by him.  I think back of how we met and how deeply in love we were to keep myself going.  I learnt that there are different seasons in our marriage. So this is probably winter but it too shall pass

 

I know our circumstances may be different but just shared from my experience to let you know that someone out here has gone through and is going through what you are now going through.  I hope you will find your peace in God and pray that He will keep you strong in your marriage and give you the strength to rise above the circumstances.  Your 13 year old child will be blest because you stay on and not let the flame die.

 

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6/22/10 10:28am

Thank you so much for your advice, you must have somehow known that I really needed something positive to think about today.  You are right, I know that I need to turn to God for the answers but lately I find myself asking "why us" more than putting my faith where it should be.  And yes, I have thought many times about our wedding vows and the sickenss and health portion.  I know in my heart that I could never ever leave my husband because of his illness.  He too has said often, "I would be better off dead" and there are times I know that he has surely considered death to be better than the quality of life that he has now.  The part I didn't share with you was that for 2-1/2 years we went through six different types of doctors before seeing a rheumatologist, who told us everything from gout to neuropathy.  My Hubby even had a spinal cord implant put in a year ago to just help with the pain.  Never, not once, did any dr. of any type ever test him for RA or even mention it.  By sheer coincidence I friend of a friend had a test done for RA (blood) as was confirmed as having it.  Her symptoms were almost identical to my hubby's.  Finally, we got an appt. and yes he was diagnosed back in Jan '2010.  The rheumy told us he could see he had even with out the blood tests results.  Hubby has dealt with this pain and suffering for all this time only to find out in Jan. what was really wrong and begin to get help.  He is on Methotrexate, Arava, and started Humira in March.  One injection every other week.  It has improved a lot since then.  Right now he is in flare up.  How long does your hubby's flare up last and how often do they occur?

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8/31/10 1:01pm

WOW! I'm not alone in this battle! My wife has had RA for many months and seems to be getting worse in pain and attitude. I'm receiving a lot of negative emotions from her that doesn't make sense at times. "You don't understand the pain I'm going through. Try walking around on glass with your barefeet" or some other type of pain. What must I do? Slam a sledgehammer down on my feet and tell her "okay love, I understand now." What the heck! I try to tell her I understand and assist her with whatever I can but my best just doesn't seem good enough. There's no known cures for it and I'm not 100% sure this Remicade is a good idea. I don't know what to do!

She keeps telling me about her foot pain everyday and there's nothing I can do! I give her ice for her feet, run errands, offer foot massages, take care of chores during the day while she's at work then try to help out before I go to work in the evening plus we have a 22 month old daughter that I take care of as much as I can so she doesn't have to. So we pray, send in prayer requests for this RA, and live our lives.  We're moving in a couple of weeks, praise God, and she's telling me that I might have to sleep in another room because the bed slouches and that makes her body hurt. Physical touch is out the door, it seems, unless I start the hug but even that is just a 'pat, pat' and a kiss?! What's that?! She turns her lips away so I get a cheek! Okay different issue sorry getting off track. Anyways after I'm done complaining here I'm going to see about RA support groups and move on with my life and my aching spouse whom I love but..there are days....

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By Alice— Last Modified: 12/25/10, First Published: 10/03/08