Tuesday, July 13, 2021

Catching Fire by Suzanne Collins (Spoiler-Filled Review)

Welcome back to Musings of an Arthritic Artist! Today I'm going to be doing a spoiler filled book review. This review is for Catching Fire by Suzanne Collins, the second book in The Hunger Games trilogy. 


I did a review for The Hunger Games last week and decided to do a review for this one soon after. Since this is a sequel, there will be spoilers for both The Hunger Games and Catching Fire, so if you haven't read those two books and you wish to, I wouldn't recommend reading this review.


Let's get into the review!

At the end of the first book, I found myself shipping Everlark (ship name between Katniss and Peeta; mix of their surnames Everdeen and Mellark), but at the end of this one I found myself shipping Everthorne (ship name between Katniss and Gale; mix of their surnames Everdeen and Hawthorne), leaving me with confusion as to who to pick. Peeta or Gale? Everthorne or Everlark? Baker or Hunter? "Cousin" or Star-Crossed Lover?

Similar to the first installment, I was hooked by Suzanne Collins' writing style. Just when I thought Katniss was safe from the arena, twists get thrown, and I was left unaware. Much like its predecessor, I blasted through it. 

Suzanne Collins must have a secret recipe for writing amazing cliffhangers, as this one warranted me to start right away on the final book. (
If she does have a secret recipe for cliffhangers, I wish to know it.)
___________________________________________________

Catching Fire is one of my favorite books, and probably my favorite dystopian novel thus far. I can't explain why I like it more than The Hunger Games. There were so many twists I never saw coming. We also got to see a bit more of District 12, which was fun. It seems like every character got even better than before. 

My favorite tribute in Catching Fire that wasn't Peeta or Katniss was Finnick. I loved his personality the moment he was introduced. He seemed so serious while also being fun and lighthearted. He stole the spotlight on every page he was on.

We got to see more of Gale in this book as well, which was enjoyable. It was interesting to read about how similar and different he and Katniss were. I like both Peeta and Gale as characters, but I leaned more toward Everthorne, though Everlark was very close behind leaving me confused which who to pick. 

The only thing I still don't like is how much Katniss goes back and forth between Peeta and Gale. It's fine for her to think about who she loves more. It's okay for her to try to sort out her feelings, but don't egg them both on. 

It reminds me of Bella Swan in Twilight, but I hated it more in Twilight than here. If you're confused as to what I'm talking about, here's a link to the review where I mentioned that: New Moon is Worse Than Twilight: Here's Why (opens in new window)

This book also has some really memorable quotes, such as when Katniss says, 
"Fire is catching! And if we burn, you burn with us!" 
It's a quote that's so memorable, I remember it from 3 years ago. And just to clarify, it's not because of the movies. I haven't seen them all the way through. I've only seen clips. I really want to watch them, I just haven't. 
___________________________________________________

As far as the movies go, I'm just not looking forward to them completely ignoring/getting rid of Peeta's prosthetic leg after the mutt incident in the first book. We had a little disability rep in these books and Hollywood decided to completely eliminate that. 

It annoys me, to say the least, but I digress. This is a review about the books and not the movies, which I haven't even watched.
___________________________________________________

This book, much like the last one, got five of five stars, and I'd arguably say this one was better than the first. The characters were much more developed and the story was even more intriguing. 

It was even better written than the first. There are just some books I'd never get tired of, and this is one of those books.

That's it for this review! I hope you enjoyed it! 


See you Thursday, 


Lexi KšŸ–Œ

Thursday, July 8, 2021

What People Don't Know: 7 Misconceptions About Arthritis and Invisible Disabilities

Welcome back to Musings of an Arthritic Artist! 


It's July, which means it is Juvenile Arthritis Awareness Month! Therefore I am going to be talking about the myths surrounding arthritis and invisible disabilities. 


These are based on my own experiences and stories I've read on the internet. Arthritis myths are going to come first, followed immediately by invisible disability myths.


I'm just going to cut straight to the chase. Let's get into the misconceptions!

King, Alexandria. Musings of an Arthritic Artist. 2021.


Misconception #1

Arthritis is just for old people

It is estimated that around 300,000 children in the United States are affected by Juvenile Arthritis. While it's the most common autoimmune disease in children it's still rare. It's estimated that about 1 in 1,000 children is diagnosed with JIA. I have talked about this in two other posts. My introductory post (linked here: What No One Tells You About Arthitis: Introducing Me (opens in new window)) and my post from last week (linked here: Everything You Need to Know About Juvenile Arthritis: A Beginner's Guide (opens in new window)).

This is something that people will commonly say, both in-person and online. There's this misconception that the only people who have arthritis are old people, when in all actuality most people who have arthritis are actually under 65 years old. Not to mention that the type of arthritis we're talking about is different. While there are subtypes, there are technically only two types of arthritis types I need to mention. 

One is the autoimmune disease type of arthritis in which the body sometimes attacks healthy cells and tissue if a flare is set off (rheumatoid arthritis, juvenile arthritis, etc.), and the second type of arthritis is linked to wear and tear of joints and cartilage (osteoarthritis). 

In both types, the joints are connected, but they are distinctly different. One can attack healthy cells and tissue, while the other isn't an autoimmune disease and is caused predominantly by being overweight (due to knee strain), being middle-aged, or being part of the elderly community.

This is where a lot of the confusion lies. Elderly individuals do commonly have arthritis, but it's usually a different type and they don't make up the larger arthritis population. Anyone can get arthritis. My body proved that. Thousands of other childrens' bodies prove that.

No autoimmune disease that I'm aware of only affects one age group or gender. There are some conditions that are gender exclusive (Turner Syndrome only affects girls for instance), but autoimmune diseases don't. While some groups may be affected more (females are more likely to have an autoimmune disease than men), both groups are still affected, even if the numbers are imbalanced. 

Age is also not a marker of healthy or unhealthy. While young people tend to be healthier, there are a lot who have medical conditions. I'm just going to list a few examples of conditions that children can have. 

Type-1 diabetes (not to be confused with type-2 diabetes), juvenile arthritis, childhood cancer (the most common being leukemia), asthma, muscular dystrophy, epilepsy, among many others. Children can even get depression, anxiety, and panic disorders. 

Misconception #2

You can't be disabled because you can walk!

Would you tell a person with depression that they can't be happy because they're depressed (if so, you shouldn't)? Would you tell a person with a mental disability that they can't be disabled because they aren't in a psychiatric hospital (I hope not, seeing as this is a really rude statement to make)? 

If the answer is no, then why is it okay to tell a person with an invisible disability that they can't be disabled because they aren't a wheelchair user or don't have a mobility aid? 

Plenty of people with invisible disabilities walk without any mobility aids. It doesn't change that they are disabled under law. I can walk, and I look normal, but there was a time where my legs couldn't walk very far or for very long, to the point where my parents and sister would take turns carrying me. 

When I was a child, I was offered a wheelchair, but I refused it, not wanting people to stare at me in public (I hate being the center of attention, as I've mentioned numerous times). 

This is the only situation I have experienced in passing. One was out of town, while the other was in my home town. I'm not going to give the stories here. I have a post planned for the end of the month that will talk about these stories in more detail.

I can walk, but I have handicapped plates that were registered under my name about a decade ago. The plates on my family's vehicle belong to me, even if I'm not the one driving. As long as I'm a passenger in that vehicle, the plates can legally be used in a handicapped parking spot. Those plates were given to me by the government, who affirmed that because of my medical history and state of my condition, I was physically disabled under law. 

To say that only people who use wheelchairs are disabled is ignorant discrimination against disabled people who have an invisible disability, and is the definition of ignorant ableism. It's a harmful stereotype that can lead to invisibly disabled people being harassed and accused of "stealing a spot for a person with a disability" by everyday passersby when they do something as simple as go shopping or check into a hotel. It can make someone feel as if they're not disabled enough to be accepted as disabled by society. It can make them feel like an impostor. 

It's rude to go up to someone who has handicapped plates and tell them they can't park there. I'm sure that there are some people who would use them illegally to get the "benefits of being disabled," but most people are just trying to go shopping or to an event, and just because they don't have a wheelchair, one can't (or shouldn't) assume they aren't disabled. 

There are people out there who fake disabilities for benefits, money, and even pity, but they aren't the norm, and you can't tell when a disabled person is faking, especially if you've never met them or known about their condition. 

Just because someone in a wheelchair stands at some point, it doesn't mean they aren't disabled (there are ambulatory wheelchair users, who have to use a wheelchair some of the time and can walk some of the time). 

To be honest, if I had gotten a wheelchair as a child, I'd most likely consider myself an ambulatory wheelchair user. It wouldn't mean I'm not disabled. I'm still disabled, even if I can walk. My level of disability just changes. My body has physical limitations and can't do certain things. 

As a child, my knees and ankles would swell up so bad for at least month to where I wouldn't be able to walk or move around much, but after six months, I could walk normally as if nothing ever happened. Being able to walk does not exclude you from disability, even if it's physical.

Misconception #3

Your pain can't be that bad. You're just faking.

Why would I fake being in pain? For pity I do not wish to have?

It isn't fake when a person with a mental illness is fighting a battle with their own mind, just as much as it isn't fake when my own body is attacking itself. Why would I fake being in pain instead of just saying I want to have a lazy day where I do nothing? 

To the people who say this: I wish you could live one day in my body when I'm in the middle of a flare, because then maybe you'd change the perception you have. The pain we (people with autoimmune disease) feel is different than the pain a standard, healthy person feels. There are times where our bodies feel as if we're literally being lit on fire, burned to the stake, or touched with a hot poker. 

There are times where we can't sleep because that burning is so intense. If you felt as if you were burning, you'd be in pain as well. Sometimes it feels as if one joint is constantly being burned, while other times the burning is sudden and sharp, but fades, then comes back. 

Pain tolerance exists. Some people feel pain more strongly than others. Some are affected worse than others. I can guarantee that most people don't like being in pain, so why would they fake it? Most people want to live life without any pain, physical or emotional. Most people don't like feeling pain, so why they would be faking I don't have an answer for that. 

As someone who feels burning pain occasionally (more often right now because I'm already in the middle of a flare), it isn't fun, and I hate experiencing it, so to tell someone with an autoimmune disease or invisible disability this is rude and it diminishes and minimizes the pain they feel. 

Misconception #4

You don't look ill

First of all, thank you for telling me I look fine. I work hard to look as if my body isn't burning inside. But on a serious note, what does ill look like on an autoimmune disease scale? This is another reason I don't identify myself as having an illness, especially if I talk to another person. 

For one, I'll be told this, and for another, I'm most likely going to get asked the question, "Are you contagious?" since illness is a synonym of disease, which is a synonym of virus, so I just avoid using "ill" to refer to myself. I also just don't like the way the word sounds. 

I'm not "ill." I have a condition that affects me physically, which sometimes disables and debilitates me if certain triggers and inputs are introduced. That's it. My immune system is hyperactive and can occasionally be annoying.

Misconception #5

Your pain isn't real--it's all in your head

I wish it was all in my head. At least then I could wish the pain away and it would actually leave instead of staying and refusing to let me sleep. This is what people with chronic illnesses describe as "painsomnia," and it is very much real. I have experienced it myself many times. 

This has the same effect as the one about someone faking the pain they feel. Most people develop autoimmune diseases when they're older. However, in my case, this is my response to this statement: "You're right. It's all in my mind, never mind that I was diagnosed with what I have as a literal infant at nine months old, but I digress."

Considering babies don't even completely know what pain is (all they know is that their body doesn't feel good, which leads to loud crying; they don't know what the word is for what they're experiencing because they don't even know what words [by the definition] are), It's not in my head. There have been many times where I've wished for the pain to go away. 

Spoiler alert, it doesn't work because the pain is real and incessant, and occasionally doesn't want me to sleep. My pain is not psychosomatic. It's real, and just because you can't see it, doesn't mean it's all in my head. 

Misconception #6

You're just seeking attention

For what? Pity? Why would I seek attention for medical purposes? Who does that?

I hate being the center of attention, so why would I be seeking it? The last thing I want is to be seen as "other" or "abnormal." I don't mind being seen as different, because everyone is different in some way, but I'm not going to seek attention for this. Because of how ridiculous I find this statement, I'm not going to spend many more words discussing it. 

Misconception #7

You don't need it

This meaning that I don't need the disability "benefits" I get because of a few reasons. This was actually a misconception added to this list by my sister. I knew that I wanted to have 7 misconceptions (because July is the 7th month), but I could only think and find the first 6 on the internet. 

Then I asked my sister--who is an outsider looking in--what an outsider might assume about arthritis or invisible disabilities. This is one of the ones she mentioned that I hadn't already included on this list. 

I've never seen anyone mention this, nor have I ever had this said to me, but if it was, I'd be annoyed. I know my limitations. I know what I can and can't do. I know what my body can and can't handle, and I'm not going to let someone else dictate my limits or my necessities. 

Do I always need my plates? No. There are days where I could walk an amusement park and not have any issues, but sometimes I do need to use them. Sometimes, my knees hurt and I don't want to walk too far to go into a store. This is an ignorant comment to say, especially if the person you are telling this to is a stranger.

That's it for this post! I hope you enjoyed it! 


Until next time,


Lexi KšŸ–Œ

Tuesday, July 6, 2021

The Hunger Games by Suzanne Collins (Spoiler Filled Review; slight spoilers for The Ballad of Songbirds and Snakes)

Welcome back to Musings of an Arthritic Artist! Today I'm going to be doing a spoiler filled book review. This review is for The Hunger Games by Suzanne Collins. 


I was initially planning to do a different post near Fourth of July, but I decided on this one, for one reason that was mentioned in The Ballad of Songbirds and Snakes, the prequel sequel that came out last year. Because of that reason, there will be a slight spoiler for one thing in that book, particularly a date.


Let's get into the review!

May the odds be ever in your favor this Fourth of July! 

Just kidding! 

As I mentioned in the intro, I was initially planning to do a different post. However, it was a post I didn't have the time to research for. I had just been thinking about book reviews I could do that could be fairly simple and short. The first thing that came to mind was The Hunger Games because I had already written a brief review of it on my Goodreads. Then, moments later, I realized how perfect this review was, and it was due to pure coincidence. 

___________________________________________________

I have some memories associated with this series from when I was a child. My mother and older sister read this trilogy pretty much when they were released. I remember being with them when they checked out a copy, and I remember seeing the books around the house. I remember telling myself that when I was older, I wanted to read that series, primarily for two reasons: my sister had read it and both my mother and sister seemed to really enjoy it.

I ended up picking up this book for free, brand new at my local library. I can't remember what it was for, but it was an event of some kind, maybe a summer reading program or something, I don't remember. I've had this book in my collection for about 4-6 years now, so I've owned it a while. In 2018, upon finishing The Heroes of Olympus by Rick Riordan, I picked up this. 

Nobody in my family knew I read it until my sister came home that night. I barely saw my mother the day I was reading it, and my sister had gone over to her boyfriend's house, so I was basically alone the entire day. I sat in my sister's room, reading The Hunger Games

When my sister came home, I told her. She told me that my mother had actually wanted me to read it the year after because she was afraid I wasn't ready for it due to my empathy levels (I completely understand why). The minute I finished reading it, I felt slightly guilty. I didn't tell my mother I had read it, and I told my sister to not tell her because I didn't want to. 

Looking back on it, it seems stupid. It's just a book. I guess I thought I was going to get in trouble for it, but that's not even a logical thought, because by that point, I would've already read it. After I finished the first book, I read the sequel, Catching Fire, in private, on my computer, my dad's computer, or on my dad's phone through my local library online. No one knew. 

Finally in about November or December of that year, my sister told my mother that I had already read The Hunger Games. I had started Mockingjay right after Catching Fire, but I hadn't finished it after a few months. Once my mother found out I was reading the series, we went to the library and picked up a physical copy of Mockingjay, which I was able to finish fairly quickly.

My mother didn't know if I was ready, because she thought I would get super upset and emotional about Rue's death, which I half-did, half-didn't, only because I was reading it so fast, I didn't fully have time to process everything. I understood everything I was reading, but I wasn't going slow enough for every plot point and character death to process. 

I did feel kind of emotional while reading this, but it was only because my sister had spoiled something that happens in Mockingjay about a year before. We were at Panda Express, and my dad had mentioned that he had watched all of The Hunger Games movies. 

My sister asked him questions and said, "Did 'blank' still die?" He said he didn't know, while I was sitting there, mentally sighing. I called her out for it saying that I had wanted to read those books. She said she didn't know that and that was the end of it. I still tease her about it occasionally. Not often, but sometimes. (By the way, I haven't spoiled anything for her since then because I'm too nice.)

I'd arguably say that it's better that I actually read what The Hunger Games was about instead of going by title and general plot instead. Honestly, as a child, I thought that a bunch of teens volunteered for these Games and killed each other for a prize of food, hence Hunger Games. After I read it, it made a lot more sense, and made me feel a bit less emotional, because none of these teenagers had actually signed up for it. It just...happened.

___________________________________________________

I first read this book three years ago in 2018, but I reread it last year to prepare for the release of The Ballad of Songbirds and Snakes (which I also have a review for; linked here: Is The Ballad of Songbirds and Snakes a Villain Sympathizer Novel? (opens in new window)). 

In The Ballad of Songbirds and Snakes, it is revealed that the day of the reaping is July 4th. In other words, Independence Day/Fourth of July. Now, The Hunger Games is a much more brutal Fourth of July, which includes the reaping of twenty-four tributes from the twelve districts (twelve boys and twelve girls) in order for them to fight to the death. I know. Very patriotic. (Naturally, this is sarcasm. The Games shouldn't be implemented into our society, nor anyone else's. It's a bad and cruel idea.

Because my mind doesn't think 'normally,' I figured this was the best idea for a Fourth of July post. Yes, my second-best idea is a review about teens fighting to the death, gladiator-style, complete with television programming. Let's now get into the review itself.

___________________________________________________

From the moment I opened this book, I was hooked. Suzanne Collins has a really good writing style. This isn't my favorite first-person told story, (that, of course, goes to Percy Jackson by Rick Riordan) but it sure is up there. 

For my first dip into the dystopian genre, I really enjoyed it, as I was hoping I would. I'm really looking forward to watching the movie and comparing the book and the movie. I was so into this story that I finished it in roughly a few hours. It was a very quick novel, which surprised me. I was expecting it to be a bit longer, but it worked for me. In total, it probably took me about 4-6 hours to read.

The plot itself was very intriguing and sucked me in immediately. I wanted to read more about the characters. I wanted to read more about the Games. I wanted to find out more about this mysterious, dystopian society that thought it was okay to send kids into an arena and basically force them to kill each other to survive. 

___________________________________________________

Katniss is one of my favorite female characters, especially in YA. I love reading about how protective she is of Prim. There are also some similarities between my sister and Katniss, which may be another reason I liked her so much. The main difference between my sister and Katniss is that Katniss plays with boys' feelings a lot more, even if unintentional. 

If the reaping existed nowadays, I know my sister would instantly volunteer as tribute if I were reaped. Luckily, the Games don't exist, and I'll age out of participation in a year anyway, even if they were real.

I also really liked Peeta. He was such an innocent, pure character whom I loved reading about. Gale was interesting, though he was barely there. 

___________________________________________________

Overall, this is a story I really enjoy. I rated it a five out of five stars on Goodreads. I would definitely reread it (I already have). 

I hope it didn't seem as if this review went off-topic. I don't think it did, but it may have, and if it did, I apologize for that. 

That's it for this review! I hope you enjoyed it! 


See you Thursday, 


Lexi KšŸ–Œ

Thursday, July 1, 2021

Everything You Need to Know About Juvenile Arthritis: A Beginner's Guide

Welcome back to Musings of an Arthritic Artist! 


It's July, which means it is Juvenile Arthritis Awareness Month! In this post, I'm going to be giving insight about my condition. I talked briefly about it in my first post (linked here: What No One Tells You About Arthritis: Introducing Me (opens in new window)), along with many posts since, but I've decided to go into more detail. I've also decided to include some resources at the end of this post for further information.


Disclaimer: I am not a doctor, therefore this post doesn't substitute actual medical sites or advice. This is purely for educational purposes.


With that aside, let's get into the post! 

King, Alexandria. Musings of an Arthritic Artist. 2021.

As I mentioned in my first post, juvenile arthritis (JA) is arthritis that occurs between the ages of 0 and 16. In my case, I was diagnosed at 9 months old.
___________________________________________________

There may be some questions you're wondering about regarding this post. What is JA? What are the symptoms of JA? Are all types of JA the same? How common is JA? What causes JA? Can it be cured/what are the treatment options?

I'm going to begin with the first question and answer them in chronological order. 

Most types of JA are classified as autoimmune or autoinflammatory diseases. This means the immune system is hyperactive. The immune system is supposed to fight against invaders such as viruses and other bacteria (germs), but with an autoimmune disease, it can get confused and instead attack healthy cells and tissue. This leads to the next question.
___________________________________________________

What are the symptoms of JA?

Each subtype (I'll go into those next) has their own specific symptoms, but the following symptoms overlap with most types of JA. 

  • Joint pain or stiffness
  • Joints that are red, swollen, warm/hot, or tender
  • Fatigue

These symptoms tend to occur after our bodies determine something as toxic and something that needs to be eliminated, even if it's a healthy cell or tissue. When this happens, we call it a flare. 
___________________________________________________

Now, let's answer the third question. Are all types of JA the same? In short, no.

Technically, juvenile arthritis isn't a specific disease. It's actually an umbrella term used to refer to different types. There are technically 6 types, however there are many subtypes within these. The diseases labeled as falling under the JA umbrella are as follows: juvenile idiopathic arthritis, juvenile myositis, juvenile lupus, juvenile scleroderma, vasculitis, and fibromyalgia. 

Because of the lack of knowledge I have of the other five, I'm predominately going to be discussing juvenile idiopathic arthritis (JIA), which is the JA type I have. 

Juvenile idiopathic arthritis is the most common form of juvenile arthritis. According to the Arthritis Foundation's website (exact link included at the bottom of this post), there are 6 subtypes of juvenile idiopathic arthritis. 

Oligoarticular (which was called pauciarticular when I was a child) arthritis is the first, which affects four or fewer joints (it typically only affects large joints, such as the knees, elbows, ankles, etc.). Oligoarticular is the most common of the JIA subtypes. 

Next, we have polyarticular arthritis, which affects five or more joints, regardless of if they're small or large. This is the second most common, affecting about 25% of the children with JIA. With this type, there's a higher risk of developing uveitis, a form of eye inflammation. Now, I know I said there are six subtypes under the juvenile idiopathic arthritis label, but polyarticular technically has two types. 

There's polyarticular-RF (rheumatoid factor) positive and polyarticular-RF negative (which is the type I have). What's the difference?

There are many differences for these subtypes. RF positive polyarticular arthritis tends to work in a symmetrical pattern. When one knee hurts, the other does too. It tends to affect both sides of the body equally. If one wrist hurts, chances are both do with this type. It's also the type that tends to lead to more severe disease, highly resembling rheumatoid arthritis.

RF negative polyarticular arthritis is the exact opposite. This type tends to work in an asymmetric pattern. If one wrist hurts, it doesn't automatically mean the other one will. Polyarticular-RF negative arthritis affects roughly 20% of the children with JIA. 

In RF negative arthritis, the Temperomandibular joint (jaw; particularly where the jawbone connects to the skull) and cervical spine (neck) can be areas that are affected (I have arthritis in both of these joints). 

In my case, I have arthritis in every moveable joint, including the main five (wrists, elbows, shoulders, knees, and ankles), though it definitely isn't limited to these. I have arthritis in all of my fingers and toes, along with my back and hip. My body can sometimes be a walking disaster, but most days it behaves.

The next one is systemic juvenile idiopathic arthritis (SJIA), which affects about 10% of the children with JIA. This type affects the entire body, including the joints, skin, and internal organs (heart, lungs, etc.). Fevers and rashes are common for this type of juvenile arthritis. 

Next is juvenile psoriatic arthritis (JPsA). This affects about 6% of the JIA population. It is characterized by long-term (chronic) joint inflammation and swelling, along with a higher risk of asymptomatic eye inflammation. It may affect one or more joints, most commonly knees, wrists, ankles, fingers, or toes. There can also be skin symptoms, seeing as this is a psoriatic condition.

Following this is enthesitis-related arthritis, also known as spondyloarthritis. This affects where muscles, ligaments, and tendons attach to bones (entheses). It'll more commonly affect the hips, knees, and feet, but can also affect the fingers, elbows, pelvis, digestive tract (Crohn's disease or ulcerative colitis), or the lower back (anklylosing spondylitis). This JIA subtype is more common in boys. 

Lastly, we have undifferentiated juvenile idiopathic arthritis. This is where the outliers kind of fit. This is the type that has symptoms that don't perfectly match up with any of the subtypes listed above, but inflammation is present in one or more joints, which is why it's still considered juvenile idiopathic arthritis. 

___________________________________________________

The next question is, "How common is JA?"

This is a very easy question to answer.

Juvenile arthritis is the most common childhood autoimmune disease, however it's still relatively rare. Nearly 300,000 children and teens in the USA are affected by JA. It affects about 1 in 1,000 children. 

This means I had a 1 in 1,000 chance of getting juvenile arthritis. That in turn means I had a 0.1% chance of being diagnosed with the condition. In case you didn't know already, I hit the jackpot. 
___________________________________________________

Now comes the next question. If you can't remember what that question was, I'll quickly refresh your memory. What causes JA?

There's no clear answer. In the specific type I have (JIA), the I is an abbreviation for idiopathic, which is defined as a disease that has an unknown cause. It is derived from the Greek 'idios,' meaning "one's own," and 'pathos,' meaning "suffering." 

Certain genes may be more susceptible to developing JA (my maternal side of the family has a long line of arthritis and interconnected autoimmune conditions) when activated by a virus, bacteria, or other external factors, but the short answer is that doctors don't really know. It's a mysterious disease, like many are. 
___________________________________________________

Now, I'll answer the final question. Can JA be cured/what are the treatment options?

As for the first half of the question, the answer is no. Autoimmune diseases cannot be cured. They can only be managed. Some children and teens reach remission for good and don't have to deal with many (if any) symptoms, but in the majority of cases, remission takes years to obtain. I've had JIA for about eighteen years now and whenever I've achieved remission it never lasts long. 

Autoimmune diseases fall under chronic illnesses. Chronic means "persisting for a long time or constantly reoccurring." In layman's terms, persistent, long-term, and incurable. 

For the second question, there are many treatment options, most of them including medications, but can also include things like diet, exercise (though I can't do most standard exercises such as jumping jacks and push-ups because they put too much pressure on my joints; some of my favorite ways to exercise include dance and swimming), and keeping stress to as much of a minimum as much as humanely possible.

There are a few different medication options, which will be prescribed (obviously) on a case-by-case basis. 

The first medicine classification is NSAIDs (non-steroidal anti-inflammatory drug). Medicines that count as NSAIDs can be both prescribed and over-the-counter. Medicines under the NSAID classification include naproxen, ibuprofen, and aspirin, though there are many more. 

The next ones are DMARDs (disease-modifying anti-rheumatic drug). DMARDs are a more potent medicine classification than NSAIDs. Medicines that count as NSAIDs can be both prescribed and over-the-counter, while DMARDs can only be prescribed. 

A couple examples of DMARDs (disease-modifying anti-rheumatic drug) are methotrexate, Enbrel and Humira (the last two you may have seen on a television commercial).

The most common medication used to treat juvenile arthritis is methotrexate. Methotrexate is a medicine that is used to treat cancer patients, but doctors and medical researchers found that in lower doses, it could be used to treat individuals with certain types of arthritis, including rheumatoid arthritis and juvenile idiopathic arthritis. It can also be used to treat severe psoriasis. 

As far as doctor appointments go, the doctor children with JA typically go to is a pediatric rheumatologist. There are only about 300 of those in the USA. While this may seem like a fairly decent number, it's really not. There's a total of 7,000 rheumatologists in the US. That means that only about 4% of the total rheumatologists in the US are pediatric rheumatologists. 

When you have almost 300,000 children and teens diagnosed with JA, the numbers for pediatric rheumatologists are very slim. To make sure every child with JA has medical care, each pediatric rheumatologist would have to treat 1,000 children. 

Since there are very few, there are a lot of people who have to travel for medical care. There are a lot of people who live near hospitals where pediatric rheumatologists work, but I wasn't one of them. For about 15 years, my family and I had to travel about 600 miles to get medical care.

With the right lifestyle, children with JIA can achieve remission and live pretty normal lives, while others still struggle with debilitating symptoms as adults. Some children with JIA are disabled (both visibly and invisibly; I am classified disabled under the latter), but a lot of them aren't.

That's it for this post! I hope you enjoyed it! I hope I answered all the preliminary questions someone may have regarding juvenile arthritis. 


Until next time,


Lexi KšŸ–Œ


Further information: