Advice for Newly Diagnosed

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CHRISTINE MISERANDINO
Hey, come on in. Nice to meet you. I'm so glad you came over. Let's move over here. Oh, wow. Look who's here. So you know, girls, I was just thinking that I've had lupus 18 years, and I know, Gaby, you were two years ago.

GABY DOMINGUEZ
Yes.

CHRISTINE MISERANDINO: And Nancy, you were five. And Stephanie, you were 10.

STEPHANIE KENNEDY
I was 10.

CHRISTINE MISERANDINO
And I feel like sometimes I wonder what I would have told myself when I first got diagnosed.

NANCY BISTRITZ
Being a newly diagnosed patient with lupus, it can be just overwhelming.

STEPHANIE KENNEDY
And I think you have to be organized.

CHRISTINE MISERANDINO
You do.

STEPHANIE KENNEDY
If you're not an organized person to start with, you learn very quickly to be one.

CHRISTINE MISERANDINO
And it seemed like a job to get organized at first, because it's so much. But then the more organized I was, the easier everything was. So now the doctor's office wasn't so scary. Or now I understood what can come next, and when a little symptom came up, I wasn't so freaked out, because I said, oh, this could be lupus. Let me see my doctor.

STEPHANIE KENNEDY
Don't try to be superwoman. You're not, and your life has changed. And it's OK to say no. It's OK to say no to that dinner party. It's OK to say no, you can't go shopping with your best friend.

CHRISTINE MISERANDINO
It's OK to ask for help.

STEPHANIE KENNEDY
It's OK to say you can't.

CHRISTINE MISERANDINO
Now, Gaby, you're the most recent. You were dia-- welcome to lupus club.

STEPHANIE KENNEDY
Welcome to the club.

CHRISTINE MISERANDINO: Congratulations. Like did you ever hear of lupus before in your life?

GABY DOMINGUEZ
No, no. Not at all. Even being able to speak both languages and read both languages and understand it, it was difficult for me just trying to find information or trying to understand what the doctors are telling me about lupus.

CHRISTINE MISERANDINO
That's probably really important too to bring someone with you.

GABY DOMINGUEZ
Yes.

CHRISTINE MISERANDINO
That's something I probably would have told a new patient. Never go alone to a doctor's appointment.

GABY DOMINGUEZ
Yes.

CHRISTINE MISERANDINO
Bring someone with you.

GABY DOMINGUEZ
Yes, I mean--

CHRISTINE MISERANDINO
That way that person can listen, can advocate. It's just another ear. At least if another person is there, that can help.

GABY DOMINGUEZ
I didn't take it seriously, because I was already feeling better. I thought it was maybe something related to diabetes. High blood pressure, you get rid of it.

CHRISTINE MISERANDINO
Well, I think it's common to think, oh, I'm feeling better now. It must have went away.

GABY DOMINGUEZ
Yes. That's what it was.

CHRISTINE MISERANDINO: And unfortunately the reality is lupus is not curable right now. So I think that's important too, because I know in the lupus community on WebMD, there were questions like, this is uncurable? And it does come up as a new patient. Am I going to die? I'm scared. So I mean, how would you answer that to like a new patient if someone said, am I going to die, or I'm really scared?

STEPHANIE KENNEDY
It's normal to be scared. We're all scared. I don't care if you've been diagnosed for two years or 20 years. We're all scared. And it's the fear of the unknown. But I think when you have support, and you are armed with knowledge that it makes it a little bit less scary. And medicine is making great progress. You just need to lean on each other and know that support is the way to go.

NANCY BISTRITZ
I wished somebody had told me the importance of self-education and really pressing health care professionals for answers. And if somebody doesn't have an answer for you to really go after that, and also educating yourself about the process, the doctor's offices and how they work and insurance companies and how they work. And I often joke that managing lupus is my second full time job. And I tell my boss that.

CHRISTINE MISERANDINO: Absolutely. I say that all the time. After all these years, I think I should be a professional.

STEPHANIE KENNEDY
You are.

CHRISTINE MISERANDINO
That's so important to ask questions. Take that time. Hey, Doctor. Don't be in such a rush. I have a question about this. And I think you're right that when you're armed with information, don't just learn that first symptom. Learn what's coming down the pike. Learn what could possibly. I think that you'll probably have a much more successful to loopy land.
STEPHANIE KENNEDY
Loopy land.