I’m long overdue for updating my blog as it’s been nearly two months. I prefer to blog when I have more to blog about rather than just writing about random things every couple of weeks.
By the end of this post, the title should make more sense. So, hang with me.
Since my last post, I’ve had a few new developments. Since the drug Cellcept (mycophenolate) was not working well on my GI system, Dr. Wilfong at Vanderbilt, changed it to mycophenolate acid which is supposed to be more gentle on the digestive tract. Unfortunately, it is also much more expensive. But, if it works, I’m all for it. Initially, I was still having GI issues, but I think this may be improving (fingers crossed).
With dermatomyositis (DM) being rare and such a wacky disease, I have also developed two more medical issues to add to my list of ailments. I now have GERD (Gastroesophageal Reflux Disease) and sleep apnea, both caused and/or worsened from DM. YAY for me! So, in addition to my muscle weakness, pain, deterioration, increased risk of cancer, and rashes, I can now say I have these new issues. On a positive note, after having a sleep study done, I’m well on my way to getting a CPAP which should happen in the next few weeks. More than one doctor has stated that once I start this treatment, they believe my pain, GERD, fatigue, brain fog, and anxiety will improve. Oh, joy! I’m so tired of the fatigue and not feeling well, so I’m ready to get this show on the road.
On my first visit to Vanderbilt in December, Dr. Wilfong ordered a myositis panel (extensive labs for my disease). I had this done in Evansville, but it was sent off to a lab in Utah which produces fairly quick results. Dr. Wilfong wanted this panel done in Oklahoma at a myositis specialty center which is considered the gold standard. The only downfall is it takes nearly three months to get the results back. At my follow up appointment today at Vanderbilt, I found out that I tested positive for the antibody Tif1 gamma. This basically means that I am even more susceptible to developing cancer from dermatomyositis. I am at the highest risk in the first five years so this is when the majority of my screenings will be done. I will be tested for just about everything you can be tested for since I am at risk for about every type of cancer. Given that both my parents had cancer also makes me high risk. You might think this sounds like a death sentence, but honestly, I believe it to be another blessing in disguise. My doctors and I will now be more vigilant when it comes to cancer screenings and we could perhaps catch something early which could end up saving my life.
After seeing Dr. Wilfong today and discussing my progress, it has been decided to add one more drug to my cocktail. I will be going back on Plaquenil to help treat some of my joint pain which hasn’t been improving. It’s not uncommon to have to take several medications to get this disease under control (and it needs to be under control sooner than later due to the potential of damaging heart and lung issues). I am already eating very well, exercising (as much as tolerated), doing daily meditation, and working on better sleep. With this combination, I am hopeful I will see even more improvements in the next couple of months. I also found out today that I am down 14 lbs. My appetite has been down so that has made losing weight fairly easy. While I needed to take off some pounds (due to prednisone weight gain), it’s also not uncommon to lose weight from DM. I also feel better getting the excess weight off.
Lastly, I now reference back to the title of this blog, “Building Resilience at a Turtle’s Pace.” I brought up the topic of resilience because one of my elective graduate school courses I’m taking towards my degree is about building resilience and optimism. I’m learning just how resilient I am from all the various personal and professional trials I’ve been through in life. (If you don’t know what I’m referring to, I will just say buy the book as there will be one some day.) I’ve learned that resilience is like a muscle. The more trials you face in life, the more resilient you become. For me, this has been at a very slow pace which is kind of my lifestyle in general these days (like the pace of a turtle). Aside from these struggles, I still have grit and never give up. I am also pleased to announce I will be at my graduation on December 14, 2024 at the University of Missouri receiving my Masters of Education degree. I never thought this day would get here. Amy Lutzel, M.Ed. is how you will see my signature on all professional e-mails.
So, there you have it. Moving forward. Becoming more resilient. Happy to move at a turtle’s pace (for now) and just happy to be alive.

