If you have been reading my blog, or any of my pages, or my Facebook page, you know that I have SLE (Systemic Lupus Erythmatosis).   What you may not realize is that this is primarily "a woman's disease," as 90% of the patients are women.  Most of them are 15 -45, the childbearing years.  For some enlightening information about pregnancy and lupus, please read this study in Japan about pregnancy outcomes and lupus  .

Women of color, across the board have higher rates than white women.  I once had a former Texas benefits evaluator tell me that "lupus is a made up disease by people who are too lazy to work."  To me, it was clear he was referring to Black women.  Black women have higher death rates from breast and cervical cancer, higher rates of STD's and teen pregnancies, higher infant mortanlity.  SOURCE:  Debunking the myth.  Black women, Hispanic women, Native American women all have higher rates of lupus.  Black women have more severe outcomes more often.  Poor women without health insurance have a harder time getting the help they need to treat lupus.  SOURCE:  Lupus Fact sheet

For some information about lupus symptoms in general, please read this article about two lupus patients.  

My diagnosis was originally made by a gynecologist to whom I had gone for a simple pap smear.  At the time, I had health insurance.  I no longer have health insurance, and my best option for pap smears is Planned Parenthood.  Read one woman's story about not affording to go anywhere but Planned Parenthood.    

Please make yourself aware of two FACTS:
1.  NOT ONE TAXPAYER DOLLAR GOES TO ABORTION.  That has been prohibited since the 1970s.
2.  Abortions are only 3% of their services  FACT SHEET HERE

Finally, let's talk about SOCIAL SECURITY and Disability and Social Security Supplemental Income.  I worked from age 15 until about 40.  I've been fighting to get SSDI so I can get Medicare to cover my lupus medications.  First they told me I ought to be able to work (in 1995) because I am educated.  Know many employers who want employees who fall asleep on the job, or who miss work frequently because they cannot drag themselves out of bed and stay awake long enough to bathe, dress, and get to work?  Or who catch the flu and the miss weeks because the immunosuppressant drugs they take for lupus don't fight the flu well and leave them with bronchitism pneumonia and a lupus flare in which their joints swell and cause agonizing pain?  If so, please send those employers my way!  I'd love to work, use my brain again for pay.  Of course, it has to be low stress and pretty free of deadlines, because stress makes my lupus worse, and I never know which day I'm going to wake up and be unable to stay awake -- which makes it difficult to meet those deadlines.  See this blog for another person's perspective.

The next time I applied for SSI/SSDI  they told me my $3000+ savings account made me ineligible for  SSI and I no longer had enough qualifying quarters for SSDI.  I appealled and they told me I wasn't disabled!  NOIT DISABLED?  I cannot shop without either my husband pushing me in the wheelchair or an electric cart.  Some days my knees hurt so badly the 8' from my bed to the toilet  has me in tears.    I cannot stand in lines for more than 30 seconds without the knees and hips begging me to sit down. That's not disabled?

Now their story is that we cannot prove I was disabled WHILE I STILL HAD ENOUGH QUALIFYING QUARTERS.  THEY have the 1995 records with the doctors names, but OOPS  I can no longer get those records because the doctors who made the disagnosis, and who treated me, destroyed the records 10 years after my last visit.  I'm SURE those records are in the SS records;  they just demand that I produce them, knowing I can't.  

So now I'm still 5 years too young for SS and Medicare.  What if they raise the retirement age?  First how will we tap into our retirement accounts without penalty to pay for medical expenses?  I will NEVER see my SS money that I paid into the system all those years I worked (sometimes at 2-3 jobs at a time!).  I WILL NOT LIVE LONG ENOUGH!

Let me repeat that  I WILL NOT LIVE LONG ENOUGH!  I can no longer take Methotrexate because my platelet levels drop too low and I am in danger of bleeding to death internally.  The prednisone I have been on for over a year now will, according to my rheumatologist "take five years off your life."  It also induced Type II diabetes, which is implicated in heart disease, even if I didn't have the extra clotting factor from lupus.   The Hydorxychloroquine (Plaquanil) no longer controls the disease by itself.  I also cannot take aspirin, NSAIDs like ibuprofen.  So I take ginger and turmeric for the constant pain.  Some days it works, some days it doesn't work so well.  I need Ben Lysta, according to my rheumatologist, but she's not going to administer it.  It's about $2000-$3000 a pop.  I think it's once a month.  I tried to get onto a drug trial, but the diagnoses (both of which I think are wrong) the county hospital gave me of non-alcoholic cirrhosis and heart failure keep me out of the trial.  I need a liver biopsy to rule out the cirrhosis, and an echocarcdogram for the heart failure.

My only hope is Obama's health care plan, because I could not be denied coverage for pre-existing conditions.  If I cannot afford the private health insurance or the high risk pool insurance, I could, as I understand it, get Medicare without having to be on SS, SSI, or SSDI.  So think twice before you pull the lever for someone who wants to repeal Obamacare;  that lever pull will be a death sentence for me and many others with my illness or others like it.  Of course, it you want to be a good, compassionate Christian, you can send me money at PayPal to help with my medical expenses. Leave a comment on this website and I'll send you my email.  They are. or would, if I were seeing the doctors I need to see and taking the meds I need to take run from $3000 in a good year for routine meds and visits and tests to upwards of $24,000 if I had to be hospitalized.  My brother is currently supporting us and paying our medical expenses.  He's nearing retirement age.  He spent years paying for our mother's needs because her SS didn't cover the utilities, food, out of pocket medical expenses.  Now he has us, and his own family.

SO please look into your heart and see if you want to pull my plug by voting to kill "Obamacare
 
Everything Old is New Again... In Women’s Reproductive Health Issues

Houston Chronicle Friday, 1/20/12 pg A5  Associated News
  “CDC finds teens clueless about pregnancy”
              Study of thousands of teenage mothers who had unintended pregnancies: About 50% did not use birth control.  Of those who did not said they did not because they didn’t believe they could get pregnant. Study did not explore why they believed that.  Other studies however, found common reasons for believing they could not get pregnant to be: they thought the 1st time would not result in pregnancy, thought they were sterile, or that they could not get pregnant at that time of the month.

Shades of my youth!  I think the biggest misperception of my generation might have been that you couldn’t get pregnant unless you were married.  I actually knew better than that because I had a school friend confide in me that she was pregnant and couldn’t bear telling her Baptist parents.  Not long after, we were told she died from a “sudden illness.”  Truth is she killed herself.  I remember her telling me “It was just the one time.  I loved him, and he said if I did, I would.”  The boy went on with his life, her death not even a blip in his emotional landscape, although he dutifully attended her funeral.  As far as I know, her parents never knew she was pregnant, and he never admitted to sex with her.  I don’t know if she ever told him she was pregnant either.  Mind you, in those days,  most of us didn’t go on dates at 13-15 either.  Our “boyfriends” mostly walked us home, held our hands and maybe stole a kiss on the front porch before going home themselves.  Out of parental sight however, they pressured us for sex.  Or they had a girlfriend and pressured some other girl they’d never dream of “going with” for sex.  Someone less attractive, or poor, or shy, or emotionally vulnerable girl.

Only “bad girls” had sex before marriage in my generation.  On TV and in movies, married people slept in twin beds.  Single women slept in twin beds too, but alone.  Not sure single men slept at all! 

This article made me wonder:  if these girls know so little about getting pregnant, what do they know about being pregnant, about delivery, about parenting?  I like data, so here’s a little sobering data on young mother hood.

Ø  Even under optimal conditions, young mothers, especially those under age 17, are more likely than women in their 20s to suffer pregnancy-related complications and to die in childbirth 

Ø   The risk of death may be two to four times higher, depending upon the woman's health and socioeconomic status 

Ø   Young women face greater risks than older women of hypertension, cephalopelvic disproportion, iron-deficiency anemia, and unsafe abortion 

Ø  Untreated pregnancy-induced hypertension can cause heart failure or stroke and result in the death of both the mother and infant. Hypertension occurs most often among women having their first child and accounts for a large proportion of maternal deaths in women under age 20.

Ø  Young mothers, especially those under age 15, have higher rates of premature labor, spontaneous abortion, stillbirth, and low birth weight infants. 

 McCauley, A. P. and Salter, C. Meeting the Needs Of Young Adults. Population Reports, Series J, No. 41. Baltimore, Johns Hopkins School of Public Health, Population Information Program, October 1995.   http://www.k4health.org/pr/j41/j41print.shtml    

Some obvious qustions arise.
1. Why is any woman having an unsafe abortion?  The obvious answers are lack of access, whetrher finances, intimidation by anti-abortion groups, or legislation restricting abortion is responsible (or some combination of these) I don't know.  However, I would be interested in seeing the data on unsafe abortions broken down by race and income level.  If there is a racial impact, attacks and demonstrations in front of Planned Parenthood clinics, restrictions on Medicaid or county health service abortions might be seen as genocide -- sexist genocide at that.

2.  What role has "abstinence only" sex education played in this cluelessness about pregnancy?  Some reports online that I didn't paste here suggest that indeed religiosity plays a strong role in preventing proper pre-natal care. Abstinence only has not decreased the birth rates among teens taking such courses, and actually have increased STD transmission.  Perhaps the problem lays not in "enforcing morals" but in working toward full equality for women.

I cringed when Rick Santorum said that if he had a 15 year old daughter that he would not approve of an abortion, but would support her through the pregnancy and delivery.  OK, Rick, that's fine for your daughter who will probably get excellent pre-natal care, calcium supplements, and deliver at a first class hospital which might save her life if problems develop.  What about your grandchild's health?  Don't you care that he/she would face a higher risk of death, possible lifelong medical conditions?  Or will you just put it up for adoption and let some institution or adoptive parent cope with all of that fallout from your opposition to abortion for your daughter?  And what gives you the right to make that decision for other teenaged daughters?  Perhaps they would prefer NOT to see their daughter put her life at risk during delivery or their grandchild suffer from lifelong health conditions (and their daughter).  I would argue that opposition to abortion & contraception is sexist; only the mother (not the father) carries the risks: emotional, physical, financial, and social.

Teen girls have sex for a number of reasons:  pressure from a guy they believe they love, peer pressure from other girls who don't want to be the only one doing it, desperation to have or keep a boyfriend, rebellion against parents, feeling unloved at home and in general.  A surprising number of unwed mothers, in a study I read long ago, said they wanted a baby so "I'd have someone who loves me."  Not, in my opinion, an indicator of effective parenting!  What do all these reasons have in common?  A lack of self-esteem and insecurity that overwhelms whatever moral teaching they have.  Look at Bristol Palin                           

When sons are raised to realize that woman also have sexual desires and curiosity during their teen years but mature, rational men make the woman's life plans as important as their own, we may see further decilnes in teen pregnancies.  When men realize that women cope with their desires through sublimation or masturbation, perhaps men will also realize that just because you have the urge, sometimes you aren't going to get it assuaged, and it's emotional abuse to pressure women with your demands, exploit emotionally vulnerable young girls you wouldn't want to "be seen in public with" or date/marry, and to allow young women to have their health put at risk for the sake of indulging those urges, then perhaps women will have full inalienable rights.  Remember, God made Eve from Adam's RIB to walk BESIDE him, not from his tailbone to be SAT UPON or to FOLLOW!

Further Reading
http://www.webmd.com/baby/teen-pregnancy-medical-risks-and-realities  (Read the associated articles as well, especially on why teens have sex)Obstetric Risks of Pregnancy in Women Less Than 18 Years Old      JOLLY, M. C. MBBS, MRCOG; SEBIRE, N. MD; HARRIS, J.; ROBINSON, S. MD, FRCP; REGAN, L. MD, FRCOG  FREE article!
What Are the Long-Term Effects of Teenage Pregnancy?

Read more: http://www.livestrong.com/article/179224-what-are-the-long-term-effects-of-teenage-pregnancy/#ixzz1kibUOabX 

M C McCormick, S Shapiro, and B Starfield (High-risk young mothers: infant mortality and morbidity in four areas in the United States, 1973-1978.). American Journal of Public Health January 1984: Vol. 74, No. 1, pp. 18-23.doi: 10.2105/AJPH.74.1.18
High-risk young mothers: infant mortality and morbidity in four areas in the United States, 1973-1978.M C McCormick, S Shapiro, and B Starfield The Hollywood Reporter How Elizabeth Taylor's 'Sexual Intensity' Helped Tear Down the Production Code 12:52 PM PDT 3/30/2011 by M.G. Lord

http://www.hollywoodreporter.com/news/how-elizabeth-taylors-sexual-intensity-172887    

Infant Mortality Statistics from CDC    
BLACK INFANT MORTALITY    CHILD HEALTH USA 2011   Child marriage in America:a health risk      DR. LISA DANA    posted: 08/28/2011, 11:17 pm 
FACTS FOR LIFE   
 The Children of Teen Parents.  Pregnancy, Breastfeeding, and Bone HealthFAMILY PLANNINGSAVES LIVES   The state of Roe V. Wade in 9 Charts
   http://www.washingtonpost.com/business/economy/the-state-of-roe-v-wade-in-9-charts/2012/01/23/gIQAXo6XLQ_gallery.html?hpid=z2#photo=1    

An Assessment of the Incidence of Maternal Mortality in the United States (1978)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1651959/pdf/amjph00631-0028.pdf    

Does legalizing abortion protect women’s health?  http://www.nrlc.org/UN/MMEnglsh.pdf