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Systemic Lupus Erythematosus (Lupus)
in Children and Adolescents

What about the future?
The first year after the diagnosis can be the hardest. The illness may be most active; the medication doses are high; your visits to the doctor and blood tests are frequent; you may need to be admitted to the hospital for treatment or for tests. 

After the first year, things often get better, but it can take two to five years for the illness to be generally less intense and for life to return to a more normal pace. Of course, during all this time your goal will probably be to go to school every day and do what all your friends are doing. If you are not reaching that goal, your doctor, nurse, social worker and even you may have to work harder to realize the goal.

You deserve to be a major player in your management, but you can only be one if you understand your illness. You might consider doing a project on lupus. It is very interesting and your teacher and classmates would also benefit from understanding it. 

Common sense will help you get through rough times. You may ask to meet another young person with lupus, or meet a group of people with lupus. If there isn't a group, you could start your own. All you need is two people to have a group and you may find that discussing your problems with someone else who also has the disease is very helpful.

This is not a disease to take lightly, but it is a disease to take on and continue with life's work despite having it. You might take it one day at a time. Go to school, do homework, see friends, and take part in "normal" activities. 

There is no reason to change your plans for the future. You can still be whatever you want to be. You will be able to have a career, get married if you want to, and have a family of your own. But, you will have to admit that you have a serious illness which requires your attention. You will need to work out a relationship with your doctor, trust him or her, and between the two of you, agree on your treatment plans.

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