Showing posts with label symptom tracker. Show all posts
Showing posts with label symptom tracker. Show all posts

Monday, February 24, 2014

Posting questions in health forums, sorting through answers

There are a number of health forums (kinda like what we once called "chat rooms") on the internet now, where you can post a question and others (usually patients) chime in with what has worked/ not worked for them. There are forums for almost any specific disease you can think of, and often more than one.

When you post a question to such a forum, you're going to get a lot of answers, and you can be almost 100% certain they will conflict (at least in the lupus forum people stay on topic. There's no one turning every conversation into "Obama this" "right-wingers that." Geez, lupus patients are fighting brain fog and they can stay on topic in a forum! Are you listening, Yahoo News trolls? Oh wait now I'm off-topic. Ironic).

Here's an example of what you might get.

This question came from a lupus online forum:

"I'm writing for advice on neuropathy treatments.
I have just tried 10 k lazer treatments for the neuropathy in my feet and it made zero difference.
I can't stand up longer than 10 mins at a time and am adjusting to walking with a cane now.
If anyone can share something that has helped please let me know."

It was met with several responses:

1) neurontin didn't help me but lyrica does, though i still get break-through pain.

2) I have a friend who had neuropathy and falling and was helped by Cymbalta

3) I was on neurontin but was struggling with bad headaches so my neurologist switched me to amitriptyline. I also have IVIG treatments, they seem to work for me.

Here's my response:

I actually was helped by neurontin. but we're all different. And it wasn't generic at the time. I imagine it is by now, as that was 2002 when I took it. My feet used to burn like mad and keep me up all night, every night. They would finally stop burning about 6am, then the ^&%$ leafblowers and lawnmowers would start up at 7am (living in South Florida at that time).

People who haven't been there can't quite grasp how torturous it can feel. Which is why I was so grateful that the neurontin worked- I could finally SLEEP! (Once the leafblowers left, anyway- I've since learned to appreciate a bedside white noise machine).

I did read the warnings on neurontin, and I knew it wasn't a long-term solution. I wanted to be drug-free, even though the drugs were helping. So i kept looking for solutions, and I was helped a great deal by 2 things: Chinese acupuncture and chelation therapy. I was doing several things at once so I can't say which helped most, but those were the 2 things (besides doctor appointments and trips to walgreens) that I did the most.

Nowadays, I stay healthy by avoiding the foods I'm allergic to, and getting enough rest and exercise.
I am now on zero lupus drugs. and have zero neuropathy since 2002

I found it very helpful to keep track of my symptoms and pain levels, and what treatments/ changes I was making in a journal. I could measure my progress, and tell which things help and which don't, because it sometimes takes a while for things to make a difference. Like acupuncture or diet change- it can take days or even a weeks before you notice a shift.

You can create a journal with something as simple as a spiral notebook, a Word document, an app like Symple, or this customizable "Symptom Tracker" that I created (it's free):  http://thesingingpatient.com/free_offer/

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Ultimately, it's you who lives with any decision about your health care. So, the way I handle sorting through responses I get from forums is this: whatever pops out to me amongst the responses as feeling like a good thing to try, I give it a fair shot. I try stuff. Keep what works, toss what doesn't. And I keep track of my symptoms and what changes I am making, so I can connect the changes with the results.

My best wishes for great health for each and every one of you-

Carla

Carla Ulbrich

The Singing Patient

Humor, song and hope for people  who need it most- patients and healthcare workers

www.thesingingpatient.com

Wednesday, October 9, 2013

Keep Track of Your Health with these Great Free Apps

Got a device that uses apps? Got health goals?

Since I was diagnosed with lupus in 1993, I always knew it was important to keep track of my symptoms. When I see a doctor once a month, I'm only going to remember the symptoms I've had for the last few days. Lousy data=inappropriate treatment. Finally, we are living in the future, and the apps have arrived. Easy for patients to use, and easy to doctors to get a lot of info at a glance.

Against the grain of conventional wisdom, I put my favorite app first. But at least I was smart enough to save the female-only one for 3rd. (Scroll past that one, fellas. The rest are gender-neutral).


Symple, a free app to track your symptoms:

I use this, and I like it. Enter your symptoms (you create the list), and each day, mark the level of each symptom (from "none" to "severe"). If you turn your device sideways, you get bar graphs, showing the ups and downs of each symptom over a month or so. You can also overlay "factors" on top of the symptom graph and see any correlations (factors could be things such as stress, eating a taboo food, having some fun, sleep deprivation, exercise, etc.- you choose the factors as well) .   

At first, I was upset that  the symptom list was limited to 20. Those of us with multiple diagnoses are usually tracking more than 20 things. Not necessarily all at once, but we need more than 20 total symptom slots. But then I learned from @sympleapp that you can "pause" dormant symptoms, allowing you to add more, and not have to enter anything on a daily basis for the ones that are dormant. Well done, Symple!   

I think it would be nice to have a "print" feature, so you can just hand it to your doctor. They do have a "summary" that you can email to your doctor... but, it's just a summary, and not every doctor gives out their e mail address. The summary doesn't show the patterns and correlations with factors (so maybe you bring your iphone or ipad to your appointment?). That's my only "negative," the scanty report. On the other hand, many doctors are "quick glance" types when you hand them your own reports.   

The major "positive": Symple makes the actual recording of the symptoms very easy. A daily alarm goes off to remind you to enter your symptoms (you pick the time). Tap tap tap done. Very nice. Anything that easy, you're much more likely to keep up with consistently. So far, it's for iOS (iphone/ ipad) only, and it's free. I highly recommend this app for people who have a chronic illness (and an i-thingy).

Lupus tracker Pro (not free)

Got an Android instead of an i-thingy? A symptom-tracking app for droid users: LupusTracker Pro organizes your symptoms in a grid-like format. Very similar purpose to Symple, but looks quite different, and is for Android only. I haven't tried it, because I only have an ithingy. $2.99
 
iPeriod (ladies!), free app to track your cycle:
I use this and find it easy and helpful. Great to know when "Aunt Flow" is supposed to arrive, so you don't ruin yet another pair of undies (!), and you know why you're so crabby (PMS!). :) Also good to know if you're late, or missing, or having an unusually long period. If you've kept track using this app (or a paper chart most gynecologists can provide you), you can tell your doctor exactly when things became abnormal.

Blood Pressure Companion (free app for tracking your blood pressure)
I also use this app. Of course, you also need to own a separate blood pressure cuff. The app does not actually *take* your blood pressure. You enter your BP numbers, pulse and weight into the app.

Tip on buying a blood pressure cuff: You should be able to find a battery-operated wrist cuff in the drugstore (or online) for around $40-50. I was being cheap, so I tried using a manual cuff on myself. That was so pathetic, it was comical. I never got the cuff tight enough to get a reading, but if I had, I'm sure my blood pressure would have been quite high from the effort. Just get a motorized one if you have blood pressure issues. It's worth the extra $10. And don't use the sit-down machines at Wal-Mart. They never calibrate them.

I used this app to help me track my BP while I was trying to get off the BP medication. I had to go back on it. Then a year later, I tried again and succeeded (must be the tap dancing!). I brought the iphone into my doctor appointment to show him the numbers.

Depression/ Anxiety measurement App
http://whatsmym3.com/
Measure and/ or monitor levels of anxiety, depression, PTSD, or bipolar symptoms with a 3-minute quiz. The app keeps track of your previous scores, and tells you what range you are in. 
Lose It! (free app for tracking your weight)
I've been using this one for a couple years. I only weigh myself once every 1-2 weeks. I don't like to obsess over my weight. But I do want to keep an eye on it. Generally I can just tell by how my pants fit whether I'm gaining or losing weight. However, any unusual weight gain or loss could mean something weird is going on with my kidneys. Of course, I also want to keep it from creeping up to an unacceptable number, for both health and vanity reasons.

This app has a diet plan that is based on calorie counting, another thing I'm not into anymore (used to obsess over it, but now I just eat "real food" instead of junk, and make sure I get my vegetables). All I use on this app is the data entry of my weight and the graph that shows my weight gain and loss over time (under "goals").

 
Garmin Fit
www.garmin.com/apps

Tells you how long you’ve been going, how far you’ve gone, what your speed is, and how many calories you’ve burned. The app saves all your sessions, so you can see your progress as you increase distance or speed over time. Also, when you activate the option, friends and family members can track you while you walk/ run/ bike. This function is great for safety if you’re out alone. I'm planning to get this, because I love to go for walks and bike rides by myself and let my mind wander. I would like my hubby to know where I am when I'm out exploring alone.

 
Lumosity
www.lumosity.com
Lumosity uses games and quizzes to sharpen your brain and cognitive skills through daily exercises. I haven't used this yet, but I keep hearing how great it is.
 
Pillboxie 
Helps you keep track of your medications. Enter each pill, what it looks like (color/ shape). In the notes you can add things like doseage, etc. You can set alarms to remind yourself to take each pill. I use it just to have a current list of meds (and supplements) for my doctor appointments. I keep all my pills in one of those big pill boxes with 4 compartments for each day. For example:


 

Then I simply take pills with breakfast, dinner and right before bed. But some people would find an app with alarms more useful.    

Did I miss any? Are you using some health app that you love that's not on this list?    

How about you non- app users? How do you keep track of things?    

Me, I did it on paper in a notebook. Then in a Word document (which is now 20 pages, and so far no doctor has been interested in reading it). Finally I created a "health and symptom tracker" chart that I could print out weekly and bring to my appointments. It's impossible to remember all the symptoms you've had since last appointment, and having some kind of system does it for you. 
 
If you'd like to have a free copy of my Health and Symptom Tracker, just sign up in the "subscribe" box (top right corner of this blog) and I'll send one right to ya (or go here to learn more and sign up: http://www.thesingingpatient.com/free_offer ).
For people with serious conditions, and even healthier people trying to improve their well-being, it's all about keeping track of things, and apps- or any kind of simple system- are all about making that part easy.
 
To your health-
Carla
 
Carla Ulbrich
The Singing Patient: Author, Health Speaker, Humorous Songwriter and Entertainer
 
http://tinyurl.com/348hroc - Carla's book "How Can You NOT Laugh at a Time Like This?"
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