SPRING CLEANING TIPS
          
    
    Lupus warrior and LFA, GOC staff, Adrienne Fernandez, shares her favorite spring cleaning tips for people living with chronic illness. / p. 06
          Get
          
    
    
    
    
    
    
    SUZANNE’S LETTER
          Read a personal letter written by Suzanne Tierney, lupus patient, CEO, and President of the Lupus Foundation of America, Greater Ohio Chapter. / p. 01
          
    
    
    
    
    
    
    MARCH 2023 | ISSUE 16 LIVING WITH LUPUS
        EVENTS!
        the
        details on the
        UPCOMING
        latest dates and
        LFA, GOC calendar. / p. 09
        
              
              
            
            Suzanne
          
    “Although no one can go back and make a brand new start, anyone can start from now and make a brand new ending.” That quote has been attributed to either James Sherman, or Carl Bard, depending on who you ask. Regardless of the original author, it has been on my mind a lot lately. There is a lot that I’m sure we all wish we could change, such as things we have said and decisions we have made. And, as lupians, we all wish we could change the fact that we have been forced to live with lupus. But with experience, comes wisdom. We should focus not on our past but on making a better today and a better future.
          As we transition from the cold, dreary, gray that is winter in Ohio, visible change is abundant. Longer days and warmer temperatures give us more time to get things done. Let’s focus on using our days wisely. Most people overestimate what they can accomplish in a day, yet underestimate what can be done in a year. Consistent, incremental growth compounds over time. The progress we have made as a chapter is proof. More people in Ohio know about lupus than ever before. There are a lot of people to thank for that, but none are more important than you. Our chapter continues to thrive because of the community of lupians who support it.
          Now is the time to start transitioning the awareness we have created into support. We have been blessed to have immense support from our great state as well as pharmaceutical companies. But those funds are often for very specific projects that are planned well in advance. Recently you all have been expressing needs and challenges that you are facing and the list is immense. Implementing new programs quickly to tackle those needs requires unrestricted funds that we desperately need more of. That is why community fundraising events and our walks are so important. This chapter was built on community, and we need you to tap into yours in order to expand the resources and services we provide. We will be announcing the details of our Columbus and Cleveland walks soon. They may already be public by the time you read this, so check our website and social media for information. Cincinnati, we need your help to bring the walk back to the Queen City! Admittedly, we have lost touch with
          
    some of you over the last few years. We still have a few rockstars trying to help us, but we need more willing warriors in that part of the state. Please reach out to me or the office so we can reconnect and push forward!
          I hope to see you all at our Virtual Support Group Open House later this month! It will provide an excellent opportunity to reconnect with fellow lupians and get involved with our chapter. Additionally, we have some educational programs coming up in April and May. The in person events will be in the Cleveland area, but you can always attend virtually no matter where you are! Speaking of May, Lupus Awareness Month is right around the corner! It provides us with another wonderful opportunity to put a spotlight on lupus and garner some of the financial support I alluded to earlier. If you have buildings or landmarks in your area that light up for charity, please let us know! We would love to turn Ohio purple on May 10th for World Lupus Day. We have a lot to be thankful for and even more to be excited about. Let’s seize the opportunity given to us and keep making an impact and keep growing!
          See You Soon!
          With a loving heart,
          Suzanne
          
          
    
    Suzanne Tierney President & CEO
          
          Lupus Foundation of America, Greater Ohio Chapter
          
          
              
              
            
            CONTENTS
          Pg. 1 - 2 Letter from Suzanne
          Pg. 4-5 Patient Navigator Corner: Learn to Grow with Lupus
          Pg. 6-8 Spring Cleaning Tips for People with Chronic Illness
          Pg. 9-10 Upcoming Chapter Calendar/Events
          Pg. 11-12 Patient Story: Samantha Sebestinas
          Pg. 13 Memorium
          Pg. 14 Membership Thank You’s Pg. 15 Blog and Podcast
          Pg. 16-17 Get Involved and Ways To Give
          Pg. 18-20 Research and News
          Pg. 21-23 Living Fit with Lupus By Aaron Meller
          Pg. 24-25 Could You Have Lupus?
          Pg. 26 Staff Page
          6-8 Spring Cleaning Tips for People with Chronic Illness
          
    
    11-12 Patient Story: Samantha Sebestinas
          21-23
          
    
    13 In Memorium
          Living Fit with Lupus By Aaron Meller
        3 LIVING WITH LUPUS MAGAZINE
        
    
              
              
            
            PATIENT NAVIGATOR CORNER MARCH 2024
          |
          
          BY RITA PICCIN
          
          The Patient Navigator program is funded in part by Aurinia Pharmaceuticals and an earmark from the State of Ohio and managed by the Ohio Department of Health.
          Welcome back to the Patient Navigator Corner. This month’s magazine theme, “Ready, Set, Grow!” got us thinking about the meaning of the word “grow.”
          According to the Merriam-Webster Dictionary, the verb “grow” can mean: “to spring up and develop to maturity; to be able to grow in some place or situation; to increase, expand.”
          When we think about our interactions with lupus warriors and caregivers, and the stories that they share, we are reminded of the tremendous challenges they face living with lupus. As lupians and caregivers know firsthand, these challenges can range from mild to severe, annoying to overwhelming, undetectable to life-changing. With every challenge, there are moments and opportunities of grace, of resilience, and of growth - every single day. As patient navigators, we are honored and humbled to be a witness to all of these stories. We can also help lupus warriors and caregivers to overcome
          challenges and to grow.
          There are several ways patient navigators provide this help. Education provides the beginning steps of growth in understanding and managing lupus. We give information over the phone, by email, by mail, and sometimes by text too. Every patient navigator is ready to answer your questions about lupus. If we don’t know the answer, we will do research to find it. We can recommend our New Patient Education Class for those who are newly diagnosed or have had lupus for years and would like to learn the basics about the disease. We can also suggest articles and past recordings of summits and webinars from our extensive archive of educational materials. These educational offerings help plant seeds of knowledge that lupus warriors and caregivers then “develop to maturity” as they grow with lupus.
          Sometimes lupians and caregivers may feel that they are alone
          in their lupus journey. They may feel isolated or confused about how to handle the many challenges that come with having a chronic, autoimmune disease. Patient navigators may suggest attending a support group. A support group is not designed to provide professional psychotherapy or counseling. It does help foster open discussion of how lupus affects every aspect of life. Support groups also assist group members in growing skills to deal with their (or a friend or family member’s) life with lupus. The Greater Ohio Chapter has a network of support groups that meet by phone, virtually, or in-person.
          Getting involved is an excellent way to grow on your lupus journey and to know that you are working to make a difference. Your involvement helps reach our vision of a life free from lupus and moves the chapter’s mission to improving the quality of life for all people affected by lupus. The benefits of getting involved are
          4 LIVING WITH LUPUS MAGAZINE
        as unique as you are. Patient navigators can help you choose which activities best fit you:
          • Advocate - We need your support! Lend your voice to fight for lupus patients’ rights.
          • Volunteer - As a state-wide agency, our tasks can be formidable, and we appreciate any help you can give.
          • Become a Member - Join our organization to help make a difference in the world of lupus.
          • Stay Informed - Sign up for our newsletter and subscribe to our social media platforms.
          • Join The Walk To End Lupus Now® - The WTELN is our biggest annual lupus empowerment event and fundraiser. Help us raise funds and walk toward fulfilling our mission and ending lupus.
          • Contribute Financially - Make a donation, hold a Facebook fundraiser, host a third-party eventthe possibilities are endless!
          • Share Your Story - Everyone can
          learn from your unique experience with lupus. Sharing your story can be healing for others and yourself. Consider writing an article for our Living With Lupus magazine, telling your story on our My Lupus Living Room podcast, or contributing to our Lupus Night Light blog.
          As you can see, there are many different ways we can help lupus warriors and their caregivers grow in their lupus journey. Please contact the office at 1 (888) NO-LUPUS, (888) 665-8787, (440) 717-0183 or email us at info@lupusgreaterohio. org. You may also contact your regional patient navigator directly. We’d love to hear from you!
          President & CEO, Suzanne Tierney
          Suzanne@LupusGreaterOhio.org
          Lupus Foundation of America, Greater Ohio Chapter Office Main Email
          Info@LupusGreaterOhio.org
          Lead Patient Navigator & Outreach Coordinator, Rita Piccin, BS, ND, RN
          Rita@LupusGreaterOhio.org
          Greater Cleveland, Halli Martin
          Halli@LupusGreaterOhio.org
          Northwest Ohio, Aaron Meller, PTA
          Aaron@LupusGreaterOhio.org
          Northeast Ohio, Brenda Angle and Renee Lyons
          Brenda@LupusGreaterOhio.org
          Renee@LupusGreaterOhio.org
          Eastern Ohio, Lisa Breiding
          Lisa@LupusGreaterOhio.org
          Western Ohio, Mike Vollmar, LSW and Justina Patterson
          Mike@LupusGreaterOhio.org
          Justina@LupusGreaterOhio.org
          Central Ohio, Samantha Sebestinas
          Samantha@LupusGreaterOhio.org
          Southwest Ohio, Allison Fedon and Nikki Roberts
          Allison@LupusGreaterOhio.org
          Nikki@LupusGreaterOhio.org
          Southeast Ohio
          Info@LupusGreaterOhio.org
          
    5 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            Spring Cleaning Tips
          FOR LIFE WITH A CHRONIC ILLNESS
          By Adrienne Rice-Fernandez
          
          
    Life with a chronic illness is hard. Lupus patients often have fatigue, joint pain, strained ligaments, muscular pain, headaches, and a host of other symptoms. These symptoms often interfere with daily life. Many patients also complain that they can’t accomplish as much as their friends. Even though it’s logical to patients that they may not be able to keep up all the time, it still makes them feel inadequate. Lupus patients also feel overwhelmed when the list of things they need to accomplish grows because they have been too ill to check them off their list.
          One area of great concern is housework. It is not uncommon for a lupus patient to look around and think, “Where did this mess come from?” There may be a few too many piles of laundry, some stray dust bunnies, and even some food starting to get moldy. Do not panic. Lupus patients may not be able to accomplish everything at once, but they can do many things. Now is the time of year when people begin their spring cleaning. Out with the old, in with the new as they say. This concept may seem insurmountable to a lupus patient, but never fear, these tips
          can help keep your home in tiptop shape.
          1. Prioritize.
          Make a list and rank what is most important to least important.
          2. Start Small.
          Pick something simple. Don’t start with the idea of cleaning everything. Tell yourself that you are just going to get the dishes done today. Choosing one smaller task helps you feel productive, and it also gets the process going. If you feel well
          6 LIVING WITH LUPUS MAGAZINE
        enough after you finish one task, decide if you can complete another. Maybe you run one load of laundry or clean the litter box. Checking these small tasks off your list eventually enables you to tackle the bigger ones.
          3. Choose one room per day.
          Cleaning an entire house is overwhelming for anyone, let alone someone living with a chronic illness. Make cleaning easier by picking one room per
          day to focus on. Make today the kitchen and then focus on the bathroom tomorrow.
          4. Take breaks!
          Every 15 minutes, sit down and take a breather. Make sure to stay hydrated and take a few minutes to rest. Then get up and work for another 15 minutes. Continue this (as long as you are able) until today’s room is clean.
          5. Utilize your support system and ask for help. If you are in a flare, your job is to rest. This means the house may not be as clean. That’s ok! But be sure to lean on your support system. Ask for their help with some of the “mustdo” tasks. Ask your friend to run a load of laundry or wash and dry the dishes. You’d be surprised how many people are ready and willing to give of their time.
          6. Use non-toxic cleaning products.
          
    Try vinegar and baking soda. Sometimes it’s the old-fashioned products that work best. For an easy all-purpose clean-
          
    7 LIVING WITH LUPUS MAGAZINE
        
    er, combine one part vinegar with one part water in a spray bottle.
          7. Use products that make it easier to clean. Purchase long-handled dusters or spin brushes to clean hard-to-reach areas. Buy a spray bottle that is not too stiff, making it easier on your wrist and finger joints. Consider buy-
          ing smaller bottles of cleaning products. Larger containers are heavier to pour.
          8. Pat yourself on the back. It isn’t easy battling your own body while tackling spring cleaning. Remember to give yourself praise when you check something off your list, even if it’s small, it’s a huge accomplishment! Well done!
          These tips can make spring cleaning easier for lupus patients. Remember to always consult your doctor about your living situation and any physical activities you plan to undertake. And finally, go easy on yourself and remember you can do great things.
          8 LIVING WITH LUPUS MAGAZINE
        
    
              
              
            
            Upcoming Chapter Events
          March 27th: Virtual Statewide Support Group Open House
          7PM - 8:15PM | Online Event
          April 6th: Lupus Wellness Event with UH Cutler Center for Men
          10 AM - 3 PM | 3999 Richmond Road Suite 3500 Beachwood, Ohio 44122
          April 13th: Combing Through Lupus Multiple Locations Statewide!
          April 25th: Men’s Minority Health Fair - MetroHealth
          MetroHealth Cleveland Heights Medical Center
          10 Severance Center
          Cleveland Heights, Ohio 44118
          May 4th: Scale The Lupus Summit - Cleveland Clinic - Hybrid Event
          25900 Science Park Dr Bldg 3 Beachwood, Ohio 44122
          9 LIVING WITH LUPUS MAGAZINE
        
    May 10th: Put On Purple for World Lupus Day!
          May 19th - 22nd: National Advocacy Summit
          Capitol Hill - Washington DC
          June 3rd: 2024 Applied Underwriters Invitational Golf Outing
          Signature of Solon Country Club
          39000 Signature Dr, Solon, OH 44139
          August 17th: Columbus Walk To End Lupus NOW!
          COSI (Center of Science & Industry)
          333 West Broad Street Columbus, Ohio 43215
          September: Cleveland Walk To End Lupus Now®
          Date & Venue TBA
          10 LIVING WITH LUPUS MAGAZINE
        for more details on all chapter events!
        Visit Lupusgreaterohio.org
        
              
              
            
            PATIENT STORY
          Growing With Lupus
          By Samanatha Sebestinas
          
          
    Being diagnosed at a young age has been a lot for me during my life - some good and some bad. The diagnosis itself has caused my life not to go the way I planned or thought, but it’s surely helped me grow over time.
          I was diagnosed with SLE at 18. I was unable to walk or even get out of bed due to extreme pain. I had to figure out a lot of things alone and that was the most terrifying part, because I was not able to rely on family or friends to just hold my hand and tell me everything is going to be okay. It was hard trying to figure out what lupus was and what was happening to my body, along with deciding on what to do with my life now.
          As I talked about my diagnosis in the My Lupus Living Room podcast, I was young and scared; and let’s face it, I didn’t know any better. I didn’t want to take my prescribed medication because I just didn’t want to, and it’s hard to swallow pills (it still is, to be honest). When I did take my medi-
          cation, I thought they were not working. I thought it would be like taking aspirin for pain. After a few hours, I was expecting the pain to be gone. But with lupus medication, that wasn’t the case. I would still be having extreme pain, and I felt that it was just defeating. Why do I take these pills if I am still in pain, I have horrible side effects, and they taste awful? I kept throwing them back up.
          Over time, I was losing hope; and, to be honest, I didn’t want to be here anymore. There were a number of times where I would just sit on the shower floor and sob and think that I didn’t want to do this anymore because the pain was making me miserable. And, there were many therapists I would see and then stop seeing because I thought I wouldn’t be here the next day anyway, so what’s the point? It’s sad to think about it, but it happened and still happens sometimes.
          Being a 23-year-old in a world where there is not a lot of informa-
          tion and help for disabled people, where social media causes us to think we are supposed to live a certain way or accomplish certain goals, made me feel embarrassed to use things like a cane to walk or a shower chair so I’m not over exerting myself.
          It’s hard for me to keep a job in the real world because I can’t stand too long without pushing myself and feeling severe pain the next couple of days and being expected to just push through it.
          When I try doing work on a computer, the time spent staring at the computer screen causes me to have horrible migraines. It’s especially hard when you are known for pushing yourself and not giving up. I learned that I have to take care of my mental and physical health and that we should care about ourselves, but it is hard to do so while trying to afford living in the world. It’s a challenge when you want to clean the whole house, cook dinner, go out at the end of the night and hang out with
          11 LIVING WITH LUPUS MAGAZINE
        friends; but you can barely get out of bed due to the pain, fatigue and difficulty breathing. I’ve tried for disability many times; but it seems as if age is just a number, and they don’t even look at symptoms and how difficult it is to work a retail job full-time while standing, walking and dealing with customers. I have truly tried many different jobs to try to find work that I can do.
          My relationship with my significant other has also become so challenging, being sick and struggling and not being able to work. Sometimes my boyfriend understands, but with both of us being so young, I feel that I am more of a burden then a partner, which makes things even more stressful and difficult while being sick. All I want is to be loved and cared for; and with an illness, it changes the real meaning of love.
          Recently, I was diagnosed with lupus nephritis and to say I was scared out of my mind is an understatement. I’ve been doing infusions since I was diagnosed, been poked with needles endlessly due to having challenging veins, and have had skin biopsies. But in order to get the lupus nephritis diagnosis, I had a needle going into me while being sedated, and I’m all alone with no family or friends, just the nurses. I am tormented because I would rather show I’m happy and not afraid. If I showed what I was really feeling, I wouldn’t be able to stop crying. I am told that my lupus nephritis is stage 3.
          This new diagnosis made me feel confused again. I still have problems taking my pills, I still cry in the shower when I’m alone, and I buy so many stuffed toys I’m running out of room - just so I can feel some type of happiness. I see all the people I went to school with accomplishing so many things, marriage, children, great jobs, traveling, while I am trying to figure out living life with lupus. At the time of the lupus nephritis diag-
          “Don’t give up. Don’t let your battles defeat you, and remember you are not alone, even if you feel alone and scared.”
          nosis, I had no idea that I would be accomplishing the biggest thing yet on my lupus journey - being here today to write my story.
          I got a call from a weird number a few months ago. When I answered, they told me it’s the Lupus Foundation of America, Greater Ohio Chapter just checking up and seeing how I am doing. I don’t even remember ever giving my number to the chapter, but it’s so nice to talk to someone else who just understands. The patient navigator is someone who gets me and what I’m going through. She tells me she has all the same symptoms as me, but she is just 4 years older than I am. She says not to give up because even though things seem hard now; over time, it will get better and to keep going.
          Something snapped inside me. Maybe this is it, that calling that everyone gets when you find yourself able to get excited and inspired by something, to make a change or have your voice be heard. When you realize maybe crying in the shower everyday because you hate a disease that’s never going away, but you know you are allowed to grieve and to allow yourself time to accept it and try something different. This is the growing stage I am in right now. It’s still hard, because I’m only 23, and I still feel like I’m 18 all the time. I look back on old photos
          before getting diagnosed and think to myself, I wish I could go back. But, I think it’s time for me to take pictures of myself today; and I think it’s time to move forward.
          Looking back at these past few years, I see that I have accomplished and done so much. I’ve stayed strong and pushed through and conquered the battles as only warriors can. They say God gives his strongest warriors the toughest battle, and if living through a chronic autoimmune disease isn’t a battle, then I don’t know what else would be. I want to move forward and become friends with lupus instead of it always beating me up, even if I still can’t find the right job, even if I can’t achieve what everyone else is doing or posting on social media, even if I can’t look like a supermodel or have that picture perfect life. I know I can still accomplish the greatest goal, to live with lupus and make a difference.
          And, so can you! Don’t give up. Don’t let your battles defeat you, and remember you are not alone, even if you feel alone and scared. There is always someone out there who is feeling the same way you do at that exact moment.
          For all the young lupus warriors out there, don’t give up. We got this, and don’t forget to grow!
          12 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            In Memoriam...
          2023
          
    Dontasia Nevins
          Mary Ann Milo
          Nancy Severino
          RoseMary Frost
          Nicole Crosby
          Dorothy Huston
          Kimberly Carter
          Beverly Walker
          Mary Stigamier
          Cori Taylor
          Lisa Jackson
          Carol Thompson
          13 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            MEMBERSHIP 2023
          
    THANK YOU TO OUR MEMBERS...
          Felicia Acord
          Dorothy Anderson
          Arya Askari
          Ali Askari, MD
          Susan Bader
          Carey Bailey
          Stanley Ballou, MD
          Dolores Ballou
          Amanda Baltrucki
          Carolynn Bennett
          Dave Benning
          Gina Bierman
          Mary Louise Bleile Baltes
          Karen Braatz
          Donald Calkins
          Jeannette Chicoine
          David Chicoine
          Theresa DeMarco
          Jenny Demuth
          Mychal Dennis
          Mary Dzigiel
          Linda Earhart
          Marie Edwards
          Kathryn Ellis
          Roger Evans
          Lisa Evans
          Carol Everett
          Maurice Fabbro, Sr.
          Anthony Fernandez, MD, PhD
          Fran Fisher
          Gwen Ford
          Cobb Ford
          Lou Freiberg
          Michelle Gaffney
          Mary Alice Garey
          Ernest Genovese
          Michael Genovese
          Roxanna Giambri
          Nancy Goldberg
          Lakisha Green
          Katie Gugle
          Joyce Hale
          Bonnie Harris
          Connie Hassing
          Lee Hebert
          Marlene Herman
          Jeff Hesler
          Janice Hlavaty
          Carol Hoffman Vicario
          Kathleen Holmes
          Pam Honsa
          Richard Horvitz
          Judy Hronek
          Virgil Humphreys
          Beverly Humphreys
          Roy Hurley
          Lynne Hutchison
          Jennifer Isler
          Rita Janicki
          Dotty Kaufman
          Laurie Kemer
          Bryan Knepper
          Linda Knepper
          Charlie Koleno
          Toni Koleno
          Carole Kopnicky
          Ron Kubinski
          Eugene Kyles
          Maryann Lape
          Robert Lape
          William Ledger
          Betsy Lee
          Katherine Littman
          David Mandel, MD
          Charles Marshall
          Judy Martin
          David Masciarelli
          Sandy Matthias
          Suzanne McGinnis
          Toni Mckenzie
          Joe McMullin
          Sharon Renee McRary
          Melvin E. Lowe Trustee
          Kathy Merriner
          Gerald Molitoris
          Mary Cay O’ Malley
          William Omahen
          Neva Pawlikowski
          Nancy Pazelt
          Vasile Peicu
          John Peters
          Sharon Petit
          Greg Petrus, PhRMA
          Thomas Pindroh
          Richard Ranallo
          JD Robinson
          Kathleen Russell-Rader
          Anthony Sagaris
          George Sagaris
          Daniel Sarich
          Raymond Sarria
          Rachel Scava
          Jenny Senyitko
          Mark Shelton
          Jim Shiner
          Judy Shiner
          Sue Slater
          Sherri Smith
          Jacqueline Sopko-Crolius
          Thomas Stahl
          Linda Steele
          David Stewart
          Thomas Surovey
          Patrick Sweeney
          Sam Sylk
          Ashley Tabar
          Helen Talarico
          Beatrice Tec
          Kris Thomas
          William Tierney
          Suzanne Tierney
          William Tierney III
          Leslie Vizcara-Tierney
          Joyce Truse
          Rochelle Truskolaski
          Jeannine Valenti
          Carolyn Vander Stouw
          Ellie Vinczi
          Rose Ward
          Janice Washington
          Kenneth Wayman
          Karen Webb
          Kathleen Weiss
          Elizabeth West
          Susan West
          Mark Wester
          Lynn Wester
          Ruth Whiley
          Dori Lynn White
          Jerome Wiedmann
          Sandra Williams
          Jeffrey Wisnieski, MD
          Barbara Wonsetler
          Maria Woyma
          Cynthia Wuertz
          14 LIVING WITH LUPUS MAGAZINE
        
    
              
              
            
            LFA,GOC BLOG & PODCAST
          
              
              
            
            My Lupus Living Room
          
    Episode 31 - Dr. Hermine Brunner, MD, MSc, MBA
          In this episode of My Lupus Living Room, Suzanne connects with Dr. Hermine Brunner, Director of Rheumatology, at Cincinnati Children’s Hospital. Dr. Brunner discusses pediatric lupus nephritis, and her exciting project known as the PLUMM Study!
          Episode 32 - Samantha - Patient Navigator
          Suzanne sits down with our newest Patient Navigator, Samantha Sebestinas, to discuss her lupus journey, role at the chapter, and so much more. If you would like to share your story, or have a topic you think would benefit lupus patients, contact our show’s producer, Alex. Alex@lupusgreaterohio.org
          Lupus Night Light
          Our blog, Lupus Night Light, is a place where we share stories and practical advice from patients that they have learned along their lupus journeys. You will find stories of triumph, hardship, and everything in between. It is meant to be a cathartic journey for both the contributors and readers alike.
          
    15 LIVING WITH LUPUS MAGAZINE
        Email Sign-Up
          Stay up-to-date on everything we’re doing by joining our mailing list. You will receive a monthly newsletter, support group reminders, Walk to End Lupus Now® updates, research news, and more. Sign up now: lupusgreaterohio.org/stay-informed
          Text Message Notifications
          Text “NOLUPUS” to 833-4490800, complete your contact information, and be sure to opt in to receive important lupus updates directly to your mobile device.
          Get Social
          Join us on our social media platforms to stay connected: lupusgreaterohio.org/stay-informed/ get-social
          Instagram.com/lupusgreaterOH
          Facebook.com/lupusgreaterOH
          Twitter.com/lupusgreaterOH
          Become a Member
          One-year: $25 Lifetime: $200 lupusgreaterohio.org/get-involved
          
              
              
            
            GET INVOLVED
          Host a Third-Party Event
          Do you have an idea to support the mission? Give us a call at the office to discuss and plan your own fundraising activity to benefit the LFA, GOC. Here are a few examples of virtual events that people have coordinated in the past: Pampered Chef Party, Online Auction, Charity Video Game Tournament.
          If you are interested in hosting a third-party event, reach out to us for our official guidelines and an application.
          Advocacy
          Each year, the National Lupus Advocacy Summit brings together the lupus community to pursue a collective vision of a world without lupus. In addition, we help to ensure there is
          a cohesive voice heard in Washington, D.C. that ensures the lupus agenda is at the forefront of the legislature. Last year’s National Lupus Advocacy Summit was held June 26 - 28 and featured a few of our amazing Ohio advocates. Thank you to those who participated!
          We invite you to register to be a lupus advocate in Ohio. Our current initiative is to keep lupus in the state budget for the new biennium. Much of the educational and support programming produced by the LFA, GOC over the past two years has been a direct result of the funding provided by the state of Ohio and the Ohio Department of Health. It is imperative that we let Ohio’s leadership know the importance of keeping lupus in the public health agenda. lupusgreaterohio.org/ get-involved/advocate
          JOIN THE COMMUNITY
        16 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            WAYS TO GIVE
          Traditional
          • Checks
          Please make checks payable to the Lupus Foundation of America, Greater Ohio Chapter, and mail them directly to:
          12930 Chippewa Road, Brecksville, Ohio 44141.
          • Credit Card + PayPal
          Fill out the online donation form or call the office.
          • Facebook Fundraisers
          • Instagram Stories
          In Honor of
          • Memorial Donation
          • Tribute Donation
          Through Your Job
          • Employer Matching Gift Program
          Ask your employer if they match charitable contributions made by their employees.
          • Combined Federal Campaign CFC #51890
          Investing
          • Stock or Other Securities
          • Life Income Plans Pooled Income Fund Charitable Remainder Trusts
          • Creating Healthier Communities CHC #9963
          • United Way Campaigns
          Other
          • Donatestuff.com
          Schedule a donation pickup of your gently used goods and pick the LFA, GOC as your charity.
          • Leave a Bequest
          You can include the LFA, GOC in your will to support the mission beyond your lifetime.
          • Give the Gift of Life Insurance
          Name the LFA, GOC as a sole or partial beneficiary.
          For more information on ways to give, please visit: lupusgreaterohio.org/get-involved/ donate or call our office at 1 (888) NO-LUPUS.
          SENDS AN INFORMATIONAL PACKET $5 HELPS A LUPUS PATIENT WITH TRANSPORTATION $45 PROVIDES FINANCIAL AID FOR MEDICATION CO-PAYS $100 EQUIPS LFA,GOC PATIENT NAVIGATORS WITH TRAINING $250 $500 SUPPORTS 8 NEW PATIENT EDUCATION CLASSES $1,000 FUNDS EDUCATIONAL SUMMITS FOR OHIO 17 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            RESEARCH NEWS & UPDATES
          
    New Study Finds Possible Linkage to Autoimmune Prevalence in Women
          It’s been established that autoimmune diseases, including lupus, disproportionately affect women more than men, but researchers have long wondered why. In a new study, researchers found that the additional X chromosome in women might play a role in autoimmune disease propensity, specifically a special type of ribonucleic acid or RNA called “Xist” (pronounced “exist”).
          While the gene for Xist is found on all X chromosomes, it is only produced when there are two X chromosomes which is why it is only found in biological women. Xist attaches to the long stretch
          of RNA found on the additional X chromosome and inactivates the other X chromosomes’ genetic output. Xist attracts proteins that bind to it and trigger a strong immune response in the body. Many of those proteins are associated with autoimmune diseases.
          In the study, researchers inserted the gene for Xist into male mice to see if they became susceptible to autoimmune diseases. They found the male mice with the active Xist gene developed lupus-like autoimmunity at rates similar to that of females. While Xist alone didn’t cause all the mice to develop autoimmune disorder-like conditions, it
          showcases there are other influences at play that contribute to disease development. In addition, researchers also examined blood samples from 100 people with autoimmune disease and 20 without autoimmune diseases. They found people with autoimmune diseases had more disease-specific Xist autoantibodies in their blood, which could help with future diagnosis and treatment.
          This research could be a breakthrough in the field and could lead to the discovery of new interventions and new ways to diagnose many autoimmune diseases.
          18 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            CAR-T Cell Therapy Shows Promising Results for People with Lupus and Other Autoimmune Diseases
          A new study found CD19 CAR-T cell therapy to be a potentially safe and effective treatment for people living with systemic lupus erythematosus (SLE), idiopathic inflammatory myositis (a group of disorders characterized by inflammation of muscles used for movement), and systemic sclerosis (an autoimmune disease that makes your skin and organs stiff and scarred due to abnormal growth of connective tissue).
          Researchers studied 15 people, including 8 people with severe SLE. Before each person received a single infusion of CD19 CAR-T cells, they underwent chemotherapy to clear their immune system. After two years, researchers tested for efficacy and found people living with SLE or idiopathic inflammatory myositis had complete resolution of disease symptoms. Additionally, people living with systemic sclerosis saw their symp -
          toms significantly improve with reduced severity of skin and lung disease.
          Researchers believe that a single injection of CD19 CAR-T cell therapy could possibly lead to long-lasting remission, but future clinical studies are needed to confirm sustained disease and drug-free remission.
          
    19 LIVING WITH LUPUS MAGAZINE
        
    
              
              
            
            Potential New Biomarker for Systemic Lupus
          Erythematosus
          A new study looked at the possibility of a causal relationship between interleukin-18 (IL-18) cytokine and the risk of inflammatory and autoimmune diseases such as systemic lupus erythematosus (SLE). Cytokines are proteins released by cells that have an effect on the interactions, communications or behavior of cells, and include molecules (interleukins and interferons) that trigger inflammation and response to in-
          fections. A positive association was discovered between genetically predicted IL-18 and SLE. Previous research showed that IL-18, which is a proinflammatory biomarker can be reduced when inflammation is present.
          Researchers analyzed genetic data associated with IL-18 from a study involving 21,758 individuals of European descent. They noted levels of IL-18 in people with inflamma-
          tory and autoimmune diseases. Results showed a statistically significant or positive association between IL-18 and the risk of SLE as well as Type 1 diabetes.
          While the research suggests that IL-18 levels are associated with risk of SLE, more studies are needed to establish presence of IL-18 as a potential biomarker for SLE treatment.
          20 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            LIVING FIT WITH LUPUS
          By Aaron Meller, Physical Therapy Assistant and LFA, GOC Patient Navigator
          
          
    Living with lupus poses unique challenges, especially when it comes to maintaining physical activity. The pain and fatigue associated with this autoimmune disease can make exercise seem like an uphill battle. However, incorporating safe and mindful physical activity into your routine can significantly contribute to overall well-being for individuals with lupus.
          Understanding the Challenges
          Lupus is a chronic autoimmune disease that can affect various organs and systems within the body. Pain, fatigue, joint stiffness, and muscle weakness are common symptoms that often deter indi-
          viduals from engaging in physical activity. It’s crucial to acknowledge these challenges and tailor an exercise routine that caters to the specific needs and limitations of those with lupus.
          Consultation with Healthcare Professionals
          Before embarking on any physical activity, it’s important to consult with your healthcare provider. Lupus manifests differently in each individual, and what works for one may not work for another. A thorough assessment by healthcare professionals can help determine the level of activity that is safe and suitable for your condition.
          Embrace Low-Impact Activities
          Low-impact exercises are gentle on the joints and muscles, making them ideal for individuals with lupus. Activities such as walking, swimming, and cycling provide cardiovascular benefits without putting excessive strain on the body. These exercises promote circulation, enhance flexibility, and can be tailored to suit individual fitness levels.
          Gradual Progression
          Patience is key when incorporating physical activity into a lupus-friendly lifestyle. Begin with short durations of low-intensity
          21 LIVING WITH LUPUS MAGAZINE
        exercises and gradually increase the intensity and duration as your body adapts. Listening to your body and avoiding overexertion is crucial to prevent flare-ups and manage fatigue effectively.
          Flexibility and Strength Training
          Engaging in activities that promote flexibility and strength can be particularly beneficial for individuals with lupus. Yoga and Pilates are excellent choices as they focus on controlled movements that enhance flexibility and strengthen muscles. These practices also promote relaxation and stress reduction, which are essential elements for managing lupus symptoms.
          Adaptive Exercise Strategies
          Incorporating adaptive exercise strategies is key to tailoring physical activity to individual needs. Working with a physical therapist or certified fitness professional experienced in autoimmune conditions can provide personalized guidance. These experts can create a customized exercise plan that considers your unique symptoms, ensuring a safe and effective workout routine. Adaptive strategies may involve modifying traditional exercises to accommodate limitations. For instance, using resistance bands or supportive props during workouts enhances comfort and stability.
          
    
    Mind-Body Practices for Holistic Well-being
          Mind-body practices such as meditation and deep breathing exercises contribute significantly to holistic well-being. Incorporating these practices into your routine can help manage stress, which is a common trigger for lupus flares. Mindfulness techniques not only promote mental clarity but also aid in pain management, making them valuable additions to your overall wellness plan.
          Social Support and Motivation
          Maintaining an active lifestyle with lupus can be challenging, but having a reliable support system can make a significant difference.
          LIVING WITH LUPUS MAGAZINE 22
        Share your fitness journey with friends, family, or members of lupus support groups. Their encouragement and understanding can provide the motivation needed to stay consistent with your exercise routine. Consider finding a workout buddy who can join you in low-impact activities, fostering a sense of camaraderie while staying active.
          Regular Monitoring and Adjustments
          As the dynamic nature of lupus symptoms may lead to fluctuations in energy levels and pain, it’s essential to regularly monitor and adjust your exercise routine. Keep a journal to track your physical
          activity, energy levels, and any changes in symptoms. This documentation can help you and your healthcare team identify patterns and make necessary adjustments to optimize your fitness plan.
          Celebrate Small Victories
          Living with lupus requires resilience and adaptability. Celebrate small victories along your fitness journey, whether it’s completing a gentle yoga session or taking a leisurely walk. Recognizing and acknowledging your achievements, no matter how modest, fosters a positive mindset and encourages ongoing commitment to a physically active lifestyle.
          Conclusion: Empowering Wellness Through Movement
          Navigating physical activity with lupus necessitates a balanced approach that prioritizes safety, adaptability, and holistic well-being. By incorporating adaptive strategies, embracing mind-body practices, seeking social support, and regularly monitoring and adjusting your routine, you empower yourself to maintain a healthy and active lifestyle despite the challenges posed by lupus. Remember, your well-being is a journey, and each step towards physical activity is a step towards nurturing your overall wellness.
          
    23 LIVING WITH LUPUS MAGAZINE
        
              
              
            
            Could You Have Lupus?
          Lupus is a chronic autoimmune disease that causes inflammation in various parts of the body. The disease can r a nge from mild to li f e - threatening. Ninety percent of those d i a g n osed with lupus are females between ages 15 and 44, but lupus also occurs in men, older people, and children. Lupus can be very hard to diagnose because symptoms vary from person to person, can come and go, and can mimic symptoms of other illnesses. is important to know the symptoms of lupus and to know if you are at risk for this disease. Here is a simple test to help you. Read each question and answer it in terms of your current AND past health.
          Brain and Nervous System
          Have you had a seizure or convulsion?
          Have you had unexplained confusion that lasted more than an hour?
          Have you had unexplained fever higher than 100º F/38º C for more than a few days that was not due to infection?
          Heart and Lungs
          Have you felt chest pain while taking deep breaths?
          Have you had a stroke or heart attack?
          Kidneys
          Have you been told you have protein in your urine?
          Have you had swelling in your legs and ankles on both sides at the same time?
          Blood and Circulatory System
          Have you been told you have anemia, low white cell count, or low platelet count?
          Have your fingers and/or toes become pale or red or blue, or felt numb or painful?
          Have you had blood clotting problems or a miscarriage?
          
    If you have had any symptoms like these, especially if you have had several, talk to your doctor about lupus. Early diagnosis and proper medical care are the best ways to manage lupus.
          Eyes, Nose, and Mouth
          Have you had sores in your mouth or nose that lasted more than five days?
          Have you developed irritation or dryness in your eyes or mouth for more than a few weeks?
          Stomach and Intestines
          Have you had unexplained weight loss or abdominal pain or tenderness when your belly is touched?
          Muscles and Joints
          Have you had stiff, tender, and swollen joints that feel worse in the morning?
          Have you had extreme fatigue and weakness for days or weeks at a time, even after plenty of sleep?
          Skin
          Has your skin broken out after being in the sun, but it’s not a sunburn?
          Have you had redness or rash across your nose and cheeks in the shape of a butterfly?
          Have you had sores on your skin that would not heal?
          Have you had sudden, unexplained hair loss?
          
    turn over this page for more information. 24 LIVING WITH LUPUS MAGAZINE
        Please
        
    Lupus Foundation of America | 2000 L Street NW, Suite 410 Washington, DC 20036 | 800.558.0121 202.349.1155 | www.lupus.org | © 2013 Rev The Lupus Foundation of America is the only national force devoted to solving the mystery of lupus, one of the world’s cruelest and devastating diseases, while giving caring support to those who suffer from its brutal impact. Through a comprehensive program of research, education, and advocacy, we lead the fight to improve the quality of life for all people affected by lupus. Contact the LFA or a chapter that serves your area to find out how you can become involved in our mission and how we can help you. Let's Talk About It Webinar Series Living with Lupus Magazine Lupus Night Light Blog My Lupus Living Room Podcast Patient Navigator Program Educational Summits & Classes Support Groups Local State Advocacy Use this QR code to access program & educational resources. Lupus Foundation of America Greater Ohio Chapter 12930 Chippewa Rd, Brecksville, OH 44141 | 1 (888) NO-LUPUS (440) 717-0183 | LupusGreaterOhio.org | © 2013 Greater Ohio Chapter Programs Available:
        
    
    Kathy Holmes Finance Manager
          Kathy@lupusgreaterohio.org
          I was diagnosed with lupus in 1989 and joined the Lupus Foundation of America, Greater Cleveland Chapter the same year. I have been able to grow with the organization, as it became the LFA, GOC. Knowing how important it was to have somewhere to turn when I was first diagnosed is what motivates me to do all I can to help our chapter continue in our mission. Being in remission for the past 20 years has enabled me to take an active part in the growth of our chapter.
          
    Mackenna Willis Creative Design Manager
          Mackenna@lupusgreaterohio.org
          I’m the marketing manager and creative developer when it comes to strategizing new ideas for Lupus awareness. As a graduate from Bowling Green State University with a BFA in graphic design, I’ve always envisioned utilizing my skills to make a difference. My enthusiasm to help others through design has always been a passion of mine and having the opportunity to share and grow with the LFA, GOC team has been nothing but inspiring.
          Suzanne Tierney, CEO/President Suzanne@lupusgreaterohio.org
          
          I have spent the last 30 years dedicated to the lupus patients in Ohio. The goal is to provide a better quality of life until a cause or cure for lupus is found. My passion is providing programs to empower those affected by lupus so that they will have a better journey with lupus through education and emotional support. Lupus does not have to be a lonely, miserable, and misunderstood illness. My goal is to provide my chapter with the tools and resources to provide such services to all those in the state of Ohio.
          
    Community Outreach Coordinator
          Aletha@lupusgreaterohio.org
          two wonderful sons, they are the reason I fight lupus daily. I share my story everyday hoping that it might help or encourage someone else on their journey. I try to leave lupus patients with these thoughts and that is keep your environment positive in all aspects and do what you can
          chapter continue to grow and help lupus patients for years to come.
          Rita O. Piccin, BS, ND, RN Lead Patient Navigator /Outreach Coordinator
          Rita@lupusgreaterohio.org
          I am a caring, collaborative, and resourceful nursing professional with over 30 years of experience in a variety of roles. I have a BS in Biology and French from John Carroll University and a Doctor of Nursing degree from Frances Payne Bolton School of Nursing at Case Western Reserve University. I am passionate about giving effective and empathetic customer service and education to patients, caregivers, families, colleagues and community organizations. I am honored to be a part of the LFA,GOC and dedicated to providing education, support, and resources to lupus warriors.
          
    www.lupusgreaterohio.org
          THANK YOU FOR READING OHIO’S LUPUS MAGAZINE! FOR THE MOST UP-TO-DATE INFORMATION FROM THE WORLD OF LUPUS, PLEASE VISIT US AT WWW.LUPUSGREATEROHIO.ORG
          THE FUNDING FOR THIS CAMPAIGN IS FROM AN EARMARK FROM THE STATE OF OHIO AND MANAGED BY THE OHIO DEPARTMENT OF HEALTH.
          EMAIL INFO@LUPUSGREATEROHIO.ORG WITH ANY QUESTIONS OR CONCERNS.
          GET IN TOUCH!
          Lupus Foundation of America, Greater Ohio Chapter 12930 Chippewa Road, Brecksville, OH, 44141
          Phone: (440) 717-0183 Toll-free: 1 (888) NO-LUPUS
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