"In order to write about life, first you must live it." ~ Ernest Hemingway

Category: chronic illness (Page 10 of 13)

“What Do You Do All Day?”

“Disability is a matter of perception. If you can do just one thing well, you’re needed by someone.”  ~Martina Navratilova

What do you do all day? A question that I have been asked many times by a variety of people. For those of you who don’t know me, the question gets asked because I have not worked at a job for approximately three and a half years now due to a medical disability. I am forty-one years old. I have no children. In a society where most citizens work, stay home and raise children, do both, or are retired, I am an anomaly. And yes, I am very well aware of this fact.

I will be honest here. Up until recently, anytime this question was asked of me, I would get angry and defensive. The question gave me the impression that if I was not working a job outside of the home or raising kids in the home, what else was there to do in life? It made me feel that because I could not do either of these things due to circumstances way beyond my control, I was no longer useful. And that is why I would become defensive. Because for a while after I became disabled, I did feel useless. But that was MY issue, not the other person’s issue. I was in my late thirties when I became disabled and I felt like my life was over.

But my life was far from over. I started over and built a different type of life for myself and made my days productive and fulfilling in ways I never thought possible before I got sick. I don’t know what my future holds medically and maybe the routine of my days will change again someday. Although I am very realistic about the nature of my illness, I also hang on to the hope that maybe there is a chance that as insidiously as my work life was taken away from me, maybe someday it will eventually be returned to me.

Very recently, someone whom I respect and care about very much asked me “what do you do all day?” I had not been asked the question in quite a while and something in me clicked. Because it came from a person who I knew genuinely cared about me, I knew the question was just one of curiosity. It was at this point that I realized that maybe people just did not understand that there can be more to life than going to work every day or raising children. That someone like me can go through their days without being bored. Or even go through their days feeling fulfilled and with purpose. Maybe people just don’t understand how much is involved on a day to day basis in managing a chronic illness.

And because of those thoughts, here we are. Instead of getting defensive when the question was presented to me again, it made me think of how I do spend my time and I would like to share that. Not because I feel like I need to justify how I spend my days or my life but because I hope that this blog entry may help bring awareness and understanding to those people who may be curious what it is like to be in my situation. And trust me, I am not alone in my situation.

First off, none of my days or weeks are typical. Sjogren’s syndrome is a very unpredictable and sometimes progressive autoimmune illness. I can have a week or even a few months without any major issues and then suddenly be unable to function for days, weeks, or months. This is the part that keeps me out of work because you cannot hold down a job when you could be out sick several days a week or even several months at a time; not to mention that you actually have to work several hours at a time, in a row! Even when I am not having a major issue that requires immediate intervention or concern, I have daily issues that need to be dealt with that have become an accepted part of my life. An example of this is the dryness issue. Not necessarily something that would keep me from working a job but it is something that requires regular medical follow up care and daily attention.

OK, so what do I do all day? It greatly varies depending on how I feel. One of the biggest considerations is that I cannot do a full day of activity for several consecutive days due to pain and fatigue so I have to plan accordingly. Due to physical issues and limitations on some days, many activities can take me a lot longer to do, such as housekeeping. Before I got sick, I could have cleaned my current home top to bottom in about three hours, scrubbing floors and all. Now it can take me several days because I have to break the work up into sections. Keeping up the house, shopping, and cooking is my responsibility for the most part. I have made it my responsibility. I have a fiance (Chuck) who works about 55 hours a week and I do not. Although I do have a disability income, I feel that this is my way to contribute more to our household. Now of course this all goes out the window when my symptoms flare up but I do the best I can.

I sit out on an open field on a sunny day and watch my dog run free with elation. I have never had as much appreciation for the good moments in my day as I do now.

When I am physically able to, I get myself involved with worthy causes and other people. I volunteer with my church. I volunteer for whatever comes my way when I am able so that I can make a difference in this world, even if I am not getting paid for it. Sometimes I cannot do something like this for six months at a time and sometimes I can do something helpful several times in one week. I make it a point to never commit to anything on a scheduled ongoing basis because I have done that in the past and it just does not work out due to the unpredictability of my illness. I help out my friends with their children when needed. I also help out friends who are also facing their own health struggles.

Unless something very catastrophic is going on with my body, I try to get to the gym five to six days a week, even if it is just to go and float on a noodle in the pool or swim a few laps. Exercise has been a salvation for me. My hope is that as I take better care of my body, it will become stronger and this will help my illness.

I am constantly doing something to sustain and nurture my personal relationships. Because I have had to slow down, I have the distinct advantage of being able to give my relationships the time and attention that they deserve.

I have been blessed with several passions that I pursue during the week when many other people are at work and they are activities that are especially helpful when I am confined to the house or laid up in bed. Learning to cook and experiment with different recipes has been wonderful; especially since starting a gluten and dairy-free diet seven months ago. And I have also pursued my passion for writing. I truly believe that during the past several years writing has been my other salvation. I can easily spend several hours at a time writing for either my blog, a book I am working on, or for a variety of places that I send submissions to. It is through my writing that I have been able to connect with the world and help people in a way that I can no longer do as a nurse.

I spend time in a library or online learning something new.

Last, but of course not least, I have made a part-time job out of being a patient. This is by far my least favorite thing to do but quite necessary. As I was driving to Hartford last Thursday for an appointment, I did some rough calculations in my head. In the past seven days leading up to the appointment I was driving to, I had spent approximately seventeen hours in the previous week managing my illness. I know there have been weeks where maybe this was a bit less, although not by much and I know there have been weeks where this amount has been MUCH greater. This includes: driving to appointments, hanging out in waiting rooms, the actual appointments, blood work, phone calls to doctors, getting lab results, a support group, picking up prescriptions, calling in refills, calling insurance and disability companies, dealing with social security, taking medication, managing my dry eyes/mouth, saline rinses, setting up/cleaning humidifier, and preparing medications and such for travel.

Seventeen hours.
Like I said, never bored.

I truly hope that this essay has shown that it is possible to have a life outside of a 9-5 job or raising a family. There is more than one way to define yourself as a person. I used to think that if I wasn’t a nurse or if that I wasn’t anyone’s wife or mother, that I could not be of value to this world. Although there are great values to being all of those things, there is also great value in being many other things as well.

A friend.
A mentor.
A daughter.
A dog mommy.
A godmother.
A writer.
A human being.

As people with disabilities, we may not always be able to get out into the world every day to define ourselves. We have physical, mental, and emotional limitations that we need to work around on a daily basis. Most of our days may just be spent trying to meet our physical needs. But I also think that it is important that we allow ourselves, as much as possible, the opportunity to spend some of that time doing something in our day that allows us to define ourselves.

Not just our sick selves.
But as our true authentic selves.

Photo Courtesy of Chuck Myers http://myerscreativephotography.zenfolio.com/

An Afternoon with Wynonna Judd

Sometimes all it takes is just a smile to change somebody’s weather
chase the clouds out of their sky.
Sometimes you got to give and not receive,
Sometimes you got to live what you believe,
Open your arms cause that’s where it starts
Right here with you and with me,
What the world needs now is love. Love and only
love. A little help
from up above.
Fit to make a better day. Let’s come together lay our differences
down. Spread it all around,
That’s what the world needs now.
~Wynonna

It happened sometime around the year 1992. A friend of mine introduced me to country music, in a country bar in Springfield, MA and despite the fact that I thought I didn’t like country music, I fell in love with it. I even learned how to line dance way back then. I have followed country music for the past twenty years but I have always stuck with a few of my favorites from those years I spent line dancing when I was in my twenties. One of those favorites was and still is Wynonna Judd.

I have always wanted to see Wynonna in concert and for many reasons, the opportunity never presented itself. I was a broke college student or a broke young adult in my twenties trying to swing living on my own for the first time. Then came marriage and along with it, the stresses of being in a bad one. Significant health issues arose and there wasn’t much time for having fun. After a while, Wynonna disappeared from the tour circuit.

Then it happened. Chuck, my fiance, found out that Wynonna was on tour and coming to a concert venue, Indian Ranch in Webster, MA, for a show date. And guess who got tickets for her 41st birthday from the best fiance ever. Oh yes, that would be me. Twenty years as a fan and I was finally getting to see one of my music idols.

Yesterday was the day of the concert and it definitely started out not being my best day physically as I have been battling some pretty severe migraines lately; most likely related to my autoimmune disorder. But I was so determined to go. I know Chuck was a little nervous about purchasing concert tickets because we had to cancel out on a Miranda Lambert concert earlier this year and we ended up giving the tickets away. But seriously? This was Wynonna! It would have taken being on my death bed to pass this opportunity up.

A few Tylenol, an hour with ice packs, some nausea medicine and we were off to Webster, MA. I had never been to Indian Ranch for a concert before and we were pleasantly surprised. It is on the smaller side for a concert venue compared to other places I have attended concerts but I love the intimate setting of it. We found our seats and I was shocked at how good they were. We were six rows from the stage with an aisle in front of us. Chuck had intentionally picked these seats because the chairs were more comfortable than the bleacher seats and since there was an aisle in front of us, it would make it easier for me to get up and move around if my arthritis started acting up.

You know that feeling you have as a child on Christmas morning? The one where you have so much anticipation and excitement that you feel like you cannot even contain it for another minute? That is exactly how I felt while listening to the opening band and waiting for Wynonna to come on stage. The opening band, The Eric Grant Band, was actually great but I just could not contain my excitement of waiting for Wynonna to perform. I am not typically one of those people who gets all starry eyed over celebrities and performers, but she is one of my rare exceptions.

I was not disappointed.

She came on that stage and I was mesmerized from beginning to end. The performance was spectacular because it had one major quality that a lot of concerts these days lack and that was: authenticity. No bells and whistles. No fancy lights. Just Wynonna and her very talented band singing and playing their hearts out. She talked with the crowd and even invited audience members up to the stage several times so they could give her flowers, meet her, and even sing with her. She joked with us. She came across as a real woman.

And this real woman can sing. If I could pick one person in the world whose voice I wish I had, it would be the voice of Wynonna Judd. This woman has range, power, and soul with every note that she sings. Chuck went with me to the concert and he is very much NOT a country music fan and until yesterday, would not even know a Wynonna song if he heard one.  However even he was impressed with the vocal and band performance, as well as with the entire show.

But alas, all good things must come to an end and after about an hour and a half, our afternoon with Wynonna was over. On the way back to our car we noticed a small group of people waiting at the fence which surrounded Wynonna’s tour bus. It had been a long day for me and I was exhausted and in pain. But the possibility of seeing Wynonna and the very rare possibility of speaking with her outweighed the pain, exhaustion and even the need to get home to our dog. After approximately an hour, it became apparent that she was settled in on her tour bus and would not be coming out to see our small group of fans.Then again, who could blame her after the high energy performance she put on and the hours she had spent getting ready for the performance and meeting fans before the show.

However as luck would have it, her husband and very talented drummer, Cactus Moser did make his way to the tour bus during that hour and was kind enough to great fans, take some photographs, and sign autographs. My five to ten seconds of meeting him was something that I had not expected to happen and I felt fortunate to be able to interact with such a talented musician; a first for me.

So now I can say that I have seen the one country music singer that until yesterday, I had never had the opportunity to see perform. One more item crossed off my informal bucket list.

A memory made.
A memory preserved.
One that when thinking back, will always make me smile.

Photos Courtesy of Chuck Myers

Leaving Forty

Every year on your birthday, you get a chance to start new. ~ Sammy Hagar

Tomorrow I am leaving my fortieth year. It seemed like just yesterday I was writing about turning forty in a blog entry (Turning Forty) and how significant that event was to me. It was a great birthday accompanied by a super fantastic surprise party with my family and friends. My impending birthday tomorrow has left me reflecting on the past year. One of the things I wrote about in the Turning Forty essay was about how birthdays are a way to celebrate our lives and how they are also a chance to say “Yes, I have gotten here.”

In many ways, I have not quite ended up where I thought I would be by the time I turned forty-one. I had anticipated that the past year would lead to a significant improvement in my health as well as a return to the work force as a registered nurse. I had plans for having one of my essays published in print. I wanted to lose a ton of weight. Like I stated in the previous essay: Ahh, the best laid plans. Maybe that is why we shouldn’t make so many of them, right?

My autoimmune illness got worse rather than better. I was diagnosed with two life threatening illnesses within a span of ten days earlier this year, both of which I have recovered fully from. At least physically. The threat of what “could have happened” still lingers in my memory. I know, I really need to get over that. Although both illnesses were not lifestyle related, I hit rock bottom with the exhaustion of dealing with illness and being sick all the time. I found a way to cope with that. I took more control over my body and health by changing several aspects of my lifestyle including changing my diet, getting exercise, and reducing stress. I made a big commitment to being a healthier person.

I lost a lot of connections with some friends over this past year for a variety of reasons. I made a few new ones. In the process of both, I learned the value of quality over quantity and the importance of selecting my friends with care. As I continue to get older, I become more astutely aware of the significance that these relationships have for me and that sometimes these relationships are ever changing, just like the rest of the world is so much of the time.

In my fortieth year, I took a few risks. One of those was committing to marry the love of my life, A bold move for me because it has meant placing my complete trust in a partner. And finding out that when you are with the right partner, that trust will not be broken. I have learned over my past year with him about what it takes for a relationship to survive the darkest of hours in order to be able to travel the same path together for a lifetime.

Although when I turned forty, I felt like I had already learned the importance of living each day like it was a privilege, this past year has taught me the importance of prioritizing each of those days:

That cleaning the bathroom is not as important as spending time on the phone with a loved one.

That washing the dishes in the sink is not as important as hanging out with my fiance.

That returning emails is not as important as getting my work out done.

Although my birthday tomorrow will be much more low key than when I turned the big 4-0, I am looking forward to it. I have much to celebrate and be thankful for. The most important thing I have to celebrate and be thankful for is the fact that I get to keep going on this crazy journey which is otherwise known as my life. I am still alive. I get to experience more joy, more hugs, more tears, and more laughs. Tomorrow I get to sit back and say once again, “Yes, I have gotten here.” And like last year, I once again have the opportunity to realize even more of my hopes and dreams in the next year of my life.

I really could not ask for more.

Photo Courtesy of Chuck Myers

Waterworld

“The water is your friend. You don’t have to fight with water, just share the same spirit as the water, and it will help you move.” ~ Aleksandr Popov

I have not been in a regulation sized pool or swam a lap since freshman year of high school. Sure, I have been in backyard pools and in the ocean but not a REAL pool. I learned to swim later than most kids; I was about thirteen or so. As an awkward, geeky, and somewhat overweight freshman in high school, the swimming portion of our physical education classes was a nightmare for me. I will spare you the details but at that age, you can just imagine.

Anyways, I recently changed gyms and one of the major factors in that decision was because this gym has a pool and I thought it would be a good way for me to get the exercise I need when my Sjogren’s symptoms are flaring up; which can make even going for a walk difficult at times. However I had fallen five weeks ago and sustained a nasty wound to my knee which needed to fully heal before I could go in the water. This week it finally healed.

I had a lot of doubt about my ability to swim laps without making a spectacle of myself (completely unfounded worry) and I figured I would start my new found aquatic life with a water aerobics class. Of course this means going out in public in a bathing suit; which I had some anxiety over. It actually makes no sense because I go to the beach and walk around there in a bathing suit, but there was something about doing so in a pool area, at a gym with fit people, that seemed more intimidating to me. I hate the fact that even at the age of forty, I still concern myself with issues like this.

But of course I sucked it up and was constantly telling myself that people are there to work out and not notice how fat I may look in my bathing suit. Be brave I told myself. This is not high school. And I was fine.

The second I got my body in that pool, I felt like I was in pure heaven. I have struggled so much with my autoimmune illness and physical challenges over the past several months. I have also struggled with body image issues, as obviously noted above, related to not only the physical pain and fatigue I experience, but also related to the side effects of my steroids. These have included swelling, weight gain, and my hair falling out in clumps on a daily basis. In the pool though, my body feels less broken. It is lighter. I feel my muscles relax. I feel capable and strong. I even swam two laps doing what I think is a breast stroke. And I didn’t have a heart attack.

There are multiple issues to consider when someone with Sjogren’s syndrome spends time in a pool. Chlorine can be irritating to my already very dry eyes as well as possibly to my lungs. I did not put my face in the water today at the class, but I love to swim underwater. I think investing in a pair of swim goggles might be in order. I also need to remember to put in eye drops immediately before and after being in the pool. I am hoping that the chlorine will not be a problem for my allergies or lungs but if it does become an issue, that’s what I have a pulmonologist for. Those of us with Sjogren’s also struggle with severe dry skin issues which can be exacerbated my chlorine. Luckily, I live five minutes from the gym. My intent is to plan my morning so that I immediately go home and showe and apply body cream after being in the pool.

The class itself went well. I was not sure that I was getting much of a work out because my heart wasn’t pumping as hard as it does with other forms of exercise. And of course there was no sweating involved. We did something called water walking which involved a flotation device thing. We did stretching and aerobic exercises in both the shallow and deep ends. We also used light weights with some of the exercises. It didn’t even really feel like I was exercising at times although towards the end of the hour, I did notice I was appropriately short of breath. Time will tell because if I am sore tomorrow morning, then I had a good work out. Also I had an excellent night’s sleep last night and I have been exhausted since leaving the gym. It doesn’t feel like autoimmune related fatigue or coming off prednisone fatigue. It feels like your ordinary exhaustion from exercising.

Unfortunately, I also had to bring Molly for a walk this morning after the class as she has not been getting out enough and is acting like a total nut at times because of that. So now I am completely exhausted but besides a headache, I can say that I don’t have any pain. It is still a challenge for me to plan my days so that I can appropriately pace myself physically in terms of getting in my physical therapy, strength training, and cardiovascular work outs. As well as walking Molly, housework, medical appointments, shopping, cooking meals, etc. Before Sjogren’s, I could just plow through my day, but now my body requires frequent rest periods. It will all come together eventually I suppose. I have no choice but to make it work.

And the best part?

Ten minutes in the hot tub afterwards.

Nirvana!

Exercise and Sjogren’s

“Movement is a medicine for creating change in a person’s physical, emotional, and mental states”. ~ Carol Welch

I’ve been doing a lot of thinking about exercise lately. And about having an autoimmune illness. No surprise considering I have been back in the gym for about two weeks now. I cannot lie; it has been difficult at times. Before the whole Guillain-Barre incident this past January, I was, in between Sjogren’s flare ups, getting some exercise by walking my dog. I was also doing some strength training for a few months. However things are different now. Since I lost so much of my abilities to function with the Guillain-Barre incident, being able to move, walk, and just get out of bed has taken on a whole new meaning. I have definitely had to work harder at exercising in order to regain my strength, balance, and functioning.

With the help of a staff person at my gym and more importantly, with the help of my physical therapist, we have come up with a routine combining resistance work, weight lifting, and cardiovascular work in an effort to continue building up my strength, stamina, and to help accomplish my weight loss goals. The reason why I say it has been difficult is because I have so many factors working against me in my endeavor to get healthier and stronger. I am not exactly what you would call an athlete and never have been. I have the Sjogren’s syndrome symptoms to deal with as well as issues with the nerves and muscles in my head and neck. And let us not forget that I am weaning down on my prednisone which tends to aggravate my joint pain, stiffness, and a host of other issues.

Many times I am sleep deprived either due to pain issues and medications. Many times I am unmotivated to exercise because I am just fed up with always struggling to get through the day. Many times I don’t want to get any exercise because I know for a fact that it is likely I will be very sore the next day. And really, I already have enough pain and fatigue issues to deal with.

But I do it anyways.

I have found that all of those above reasons I listed for not wanting to exercise are one thing: excuses.

The excuses can go on and on. Poor me, I cannot exercise because I am in pain. Or because I have this terrible chronic illness. I am too tired. I can’t use a a certain piece of equipment because I am too fat or too uncoordinated. I cannot exercise because I need the energy to do other things today.

I will be the first to admit that I have had to work much harder than I would have liked to work this time around in order to pace myself through the week so that I can get some type of exercise on an almost daily basis. Sometimes it has meant giving up something social I really wanted to do that day or not having my home as clean as I would like it. It has been a matter of prioritizing. I do this prioritizing because I strongly feel that exercise is going to be one of the key factors in helping me get well or at the very least, hopefully help decrease the incidence of further Sjogren’s complications.

The results I have seen, first in the seven weeks of physical therapy I have had and more recently in the gym, have shown me how essential getting exercise is in the management of my autoimmune illness. Yes, I have been dealing with a lot of muscle soreness from using muscles that I didn’t know I had. And I am absolutely useless after about 4pm as I am so exhausted from the exercise that I can barely function. But guess what? When my Sjogren’s is in full gear, I am pretty much useless after 12 or 1pm anyways. Far as I see it, I am ahead of the game right now.

So the benefits I have seen so far is the quick recovery I have made from the Guillain-Barre. Until that 4pm time, my energy level has increased dramatically during the day which overall, has improved my quality of life. The withdrawal symptoms from the prednisone have been much better than usual although admittedly, I am not sure if this is due just to the exercise or to my dietary changes as well. The biggest change however has probably been in my stress level and overall well being. I try to do my work outs in the morning when I tend to have the most energy. I swear that I am getting high on the endorphins.

I think that oftentimes those of use who have an autoimmune illness or any other chronic condition feel that we cannot exercise as it will make us worse. Or that we are too sick to do something. And there are those rare people, such as quadriplegics, who truly cannot do any exercise on their own. However that is not the case for most of us.

It doesn’t have to be all or nothing and there have been many studies proving the benefit of exercise on pain and fatigue; as well as the depression and anxiety that often accompany various chronic illnesses. There are so many different ways to exercise that do not have impact on our joints such as swimming or resistance exercises. You would not even believe the bicep muscles I have developed just from doing some simple exercises at home using an exercise ball and a resistance band. I guess the point is to just do something. Anything. Whatever you are capable of doing is better than nothing at all. And who knows, you may even surprise yourself.

Photo: Courtesy of Chuck Myers

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