What Living With Chronic Spontaneous Urticaria (CSU) Looks Like for One Couple



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Peggy and Neal Dossett first met at a New Year’s Eve party more than 40 years ago.

Peggy: We met, let’s see, in 1985—

Neal: ’84, wasn’t it? 

Peggy: ’84, ’85.

Neal: New Year’s Eve of ’84. 

Peggy: Yes, it was technically ’84, but almost ’85. And the [ongoing debate] is I say he picked me up, but he says I picked him up. But I’m correct.

After about three and a half years of dating, the Indiana couple married in 1988. Over the decades, the couple enjoyed a full life together, a big highlight being when both retired in 2017—Peggy from being a nurse and Neal from being an engineering technician. 

A handful of years after retirement, Peggy started to experience concerning symptoms. It was the start of her journey with chronic spontaneous urticaria (CSU), a skin condition that causes itchy hives and angioedema, which is swelling under the skin, at unpredictable times.

The couple talked with Health about how CSU has affected their day-to-day lives.

The Early Signs of Disease and Flares

Peggy’s first symptoms of CSU began in 2021 or 2022.

Peggy had hives on 85% of her body. The urgent care provider told her to make an appointment with her family medicine doctor. The family medicine doctor wasn’t sure of the diagnosis and recommended Peggy see a dermatologist, allergist, and immunologist. Testing confirmed that Peggy had CSU. 

Peggy: A couple times, I had a significant itch that would be gone by the next morning. Mostly, it would happen in the evening. Then one Sunday morning, I woke up with angioedema, and my eyes were swollen shut. I was miserable with that, plus everything itched. I couldn’t see that I had hives, but I could feel that I had hives. So we go to urgent care, and I am one who does not go to urgent care. 

After some trial and error, Peggy found a treatment that works for her. Every 28 days, she receives an injection of a biologic medication that provides relief from her hives, itchiness, and inflammation.

Peggy and Neal are well-liked among the infusion center staff. The couple will often bring the staff gifts.Credit: Photo courtesy of Peggy Dossett
Peggy and Neal are well-liked among the infusion center staff. The couple will often bring the staff gifts.
Credit: Photo courtesy of Peggy Dossett

Has the treatment helped?

Peggy: Oh, yes, tremendously. I can tell—or Neal can really tell—the week before I’m due [for my treatment] because I will start to have hives. And I’ll have some angioedema. Nothing like what I started with, but I will have some.

Neal, what are some signs that let you know Peggy is starting to have a flare?

Neal: She’s a little bit short. A little more irritable. She’s not irritable usually, but I can kind of sense it; it’s just the tone of her voice and things. It’s like, “Did I do something wrong?” And then, oh, that’s what it is. And I say, “You got a hive?” And then she’ll say, “Yeah.”

Peggy: I don’t like to admit it.

While you don’t like to admit it, would you agree that you have a change in mood with symptoms?

Peggy: I don’t always know it until he says something. But I can tell you I have [a hive] right now on the back of my neck that I’m dying to itch.

Neal itches Peggy’s neck for her.

Peggy: Thank you.

The Harder Days

It takes Peggy two hours to get her monthly medication injection. The week before the treatment is her hardest since the medication effects are wearing off.

Neal, besides knowing that a flare is coming, is there anything else you try to do to help—whether it’s the week before treatment, on treatment days, or during other appointments?

Neal: Once I sense that she’s that way, I don’t irritate her at all. Anything that might upset her, I don’t say anything about; I just go with the flow. On [treatment] days, she’s usually pretty tired, so we try not to do anything on those days. 

Peggy and Neal schedule their life, including their travels, around Peggy's infusion schedule.Credit: Photo courtesy of Peggy Dossett
Peggy and Neal schedule their life, including their travels, around Peggy's infusion schedule.
Credit: Photo courtesy of Peggy Dossett

Peggy: And we don’t work hard on supper or anything that night. 

Neal: We don’t do anything that’s going to require a lot of energy because she’s going to be tired, and it’s best for her to just rest that day.

I am assuming, just based on this short time I’ve gotten to know you, that Neal brings a lot of humor.

Peggy: I married him for his entertainment value, that’s what I say. 

Neal: Amongst other things.

Has that humor helped you in these years you’ve had CSU?

Peggy: Yes.

Peggy, besides his humor and giving you a little more space during your harder days, is there anything that makes you think, “I'm so glad he’s my partner in all of this”?

Peggy: Just his core. At our wedding all those years ago, [the priest] said that, “Most people see the outward side of Neal that is very gregarious and funny and outgoing, but Peggy sees the marshmallow side of Neal.” I do think that’s very true. So his softness, or his ability to always be there for whatever I need. And I hate that some days I feel that I’m probably short, or whatever word that would be. I don’t like that. That’s not in my DNA—well, it used to not be in my DNA, but apparently it is now.

Neal: Well, it’s not your DNA; it’s the stuff cutting into your DNA that’s making you like that. 

Peggy: Yeah… I’m afraid that not everybody could or would be as understanding. Understanding, that’s what he is. He’s a good guy.

Neal: Most of the time.



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Lost a crucial document because your system crashed before you could save it? Worry no more! Microsoft Word has introduced an automatic save option that regularly backs up your work, so you’ll never lose your progress again.

Users will now be able to manage their Word documents without thinking about saving them manually. The new Microsoft Word update allows users to automatically save their documents to the cloud as soon as they start documenting any content piece.

Raul Munoz, the Senior Product Manager at Microsoft, has stated about the new feature, “We are modernizing the way files are created and stored in Word for Windows! Now you don’t have to worry about saving your documents: Anything new you create will be saved automatically to OneDrive or your preferred cloud destination.

Microsoft additionally hints at introducing similar features for Windows Excel and PowerPoint, which are now live.

How Does the Auto-save Feature Work?

The auto-save option can be accessed and used effectively with the compatible Word for Windows version. Let’s understand how the process works-

Primarily, users need to create a fresh document in Word and switch the AutoSave option on. Unlike the previous default document name- DocumentN, the autosave feature saves the files with the date.

Microsoft Word Update - Step 1

Source: Microsoft Tech Community

To change the name of the file and its location, users need to select Save or press Ctrl+S. After selecting the file name and location, press Confirm to save the changes.

Microsoft Word Update - Step 2

Source: Microsoft Tech Community

In case users try to close the file before it gets saved, a dialog displays on the screen asking whether they intend to Discard or Keep the file. If users try to close empty files, Word discards them without asking for confirmation.

Microsoft Word Update - Step 3

Source: Microsoft Tech Community

Availability of the Auto-Save Feature of Microsoft Word Update-

The AutoSave feature of Microsoft Word update is available to users with Version 2509 (Build 19221.20000) or newer. This advancement is set to enhance accessibility and address the challenge of lost files. Similar features have been introduced on Windows Excel and PowerPoint as well.

Advantages of the Latest Microsoft Word Update

Microsoft Word’s new auto-save feature will unlock several benefits for users. Alongside increased security, it offers flexible file management capabilities. Let us discuss other significant advantages-

Flexibility in File Storage and Control: Users can store and manage their files more flexibly than ever. As users are in charge of the documents, they can adjust file names and locations to save, organizing the files according to convenience.

Never Lose Your Files: The auto-save feature in Microsoft Word addresses the challenge of losing files due to not saving them manually. As soon as you start making progress in a file, it automatically gets saved.

Enhanced Security and Compliance: Files saved in your organization’s cloud servers already adhere to the set security guidelines and practices. Hence, users do not need to think about protecting the files separately.

Increased Accessibility: The auto-save feature enables enhanced accessibility of Word files. It can be accessed from diverse types of devices and platforms once shared, including Android, iOS, and web browsers. Changes made to the file will get synced on all devices and platforms.

Better Collaboration: The AutoSave feature has made collaboration within and across teams easier. Users can easily share the cloud file and initiate collaboration by making changes, adding comments, and resolving comments in real time.

Agentic AI Support: The Word files are now equipped with Copilot agentic AI support. Users can unlock AI-powered capabilities whenever they need to improve or update their documents. Nevertheless, to use Copilot in Word, a Microsoft 365 Copilot license is needed.

Additional Tips: 

  • Users will be able to easily change the location for new documents. Right-click on any cloud folder in the File section of Word, then select Set as Default Location to choose the location.
  • Users can manage how their files are created, whether in the traditional manner or automatically in the cloud, in the Save tab of Word Options, and opt in or opt out for Create new files in the cloud automatically.

Key Elements to Keep in Mind-

  • When a new Word session is started while another is running, the new file does not autosave. Hence, users need to close the previous file to enable the auto-save option for new files.
  • Users may sometimes encounter a delay in refreshing the recent files list while changing the name of a document.
  • If users disable the option for Show the Start screen when this application starts, remember that the first file they create will not autosave automatically.

Concluding Remarks!

Microsoft has been making significant advancements in its 365 Office platforms for better collaboration and enhanced productivity of diverse teams within an organization. With the integration of Copilot and flexible features, the firm is aiming to boost user experience and accessibility of the tools, including Word for Windows.

Learn about the major technological shifts and practices with KnowledgeNile!


FAQs:

1. What is the AutoSave feature in Microsoft Word?

Answer: The AutoSave feature in Microsoft Word lets users save their files automatically.

2. What is the purpose of AutoSave?

Answer: The AutoSave feature aims to reduce the challenges of data loss in unwanted circumstances, such as power shortages and device failures.

3. Where are AutoSave Word documents stored?

Answer: Automatically saved Word files are stored in cloud storage, like OneDrive.


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