The never-ending guessing game of boundaries

July 25, 2017

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Having chronic illness means accepting limitations. For almost two decades, my limitations made life more difficult, and they prevented me from doing some things, but their impact was limited in its own way. Then things changed.

Today I want to go to the gym and ride the stationary bike at its lowest setting for 10 minutes. But I’m not sure if I’m up to it. That’s one kind of limitation. That bothers me, but not as much as the other kind of limitation.

I want to live life on my own terms. I want to earn a living and go out more with friends. But mostly I want to travel.

Yesterday a friend told me about a trip she is planning. She knows that it is beyond her chronic illness-produced boundaries, but she is taking a chance by going anyway. And it made me question, not for the first time, if I should take more risks.

Part of me thinks I should. My doctor thinks I could. And I’m tempted to just pick up and go. But then I get scared. What happens when I inevitably feel sick? I won’t be able to bring medical marijuana – the only thing that helps – with me. Is it worth taking a trip, when I will probably feel like crap for half of it, and feel horrible when I get home? Will I be able to enjoy myself enough for it to be worthwhile?

But then I wonder, what kinds of regrets will I have if I don’t go? My symptoms will probably get worse over time, not better. Now travel feels difficult, maybe not worthwhile, and scary. At some point it will be completely impossible. Don’t I owe it to my future self to take a trip today?

Sometimes I think I should try doing something small to test the waters. But those smaller trips feel boring. If I’m going to put myself through hell, shouldn’t it be for something fantastic? Sure, I could go to Washington D.C. for the 3rd time, or to Nashville (which I’ve never had any interest in) for the first time, but it would be so much more fun to go Sweden or Norway or Iceland! Those are places I have wanted to visit for years, and I would have so much more fun there. If I feel up to doing anything.

And of course, there’s also the money issue. If I had gobs of money, not only would I not stress out about money, but I could buy certain comforts: a first class seat in the plane, a nicer hotel room, a rental scooter for when I don’t feel up to walking. Instead, I question if I should take money out of my savings for a trip at all, even one without those extra comforts. Then again, I might regret it if I don’t. I probably will.

So these thoughts are spinning around my head for the millionth time. I know some people with chronic illnesses travel. I know others don’t. I know it’s a personal choice and I need to be the one to choose. But that doesn’t make it any easier.

Because in the end, it’s not about the trip itself. It’s about the fact that my world has become very small, and I feel the need to open it up. I need new experiences and excitement. I know that would sustain me in a million mental and emotional ways. I just wonder what it would do to me physically.

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Feeling moody from pain

July 19, 2017

There’s an emotion toll to chronic pain that’s easy to miss if you have only ever experienced short term pain.

A banged finger will heal soon enough. A sprained ankle will cause frustration. Even a broken bone rarely leads to anything permanent, and so you just wait it out. But the chronicness of chronic pain means that you need to handle it long term, and that comes with a lot of emotions.

Over the years I have had many feelings about my pain. Working through them has helped me to deal with my feels now, and yet, I still struggle.

I have new pain. Just 2 short months ago my thumbs weren’t even on my radar. I used them without thought. Now, everything hurts. I cringe when I realize I have to go to the bathroom, because I know I will feel extreme pain when I pull down my shorts. Picking up a plate is difficult and painful. I wonder how long it will be before I break and drop something not from clumsiness, but because of the pain or weakness. [Side note: I say my thumbs hurt throughout this post, but more specifically, it is the joint that connects each thumb to my hand. Thankfully the rest of each thumb is ok…. for now. Since every movement affects that joint, I can’t use my thumbs without feeling the pain, though.]

I’m scared. This pain could be permanent. I might literally have it every day for the rest of my life. Or it could go away. Or it could go away and then come back at random times. There’s no way to know.

I’m frustrated. When I feel horrible, I spend some time on the couch watching tv and crocheting. That makes me feel better. But I was in too much pain to crochet. I always fidget, always need to keep my hands busy and my fingers moving. But now any type of fidgeting I do is painful, because I use my thumbs, or I use other fingers and that pulls at the muscles that connect to the thumbs. What on earth will I do if I can’t crochet or fidget? I can’t even begin to imagine.

I’m sad. So very sad. Because I know that my thumbs will probably never be the same. And because I know there are other joints in my body that I am taking for granted now in the same way I took my thumbs for granted two months ago. I want to appreciate everything now, while I can. I even want to appreciate my thumbs because I know all too well, from 26 years of joint pain, that things will probably get even worse and that I will look back on this time and wonder with amazement at how I didn’t realize how good I really had it, despite the pain.

I’m overwhelmed. My head swirls. Did the onset of summer cause this or exacerbate it? If so, maybe things will be better in the fall? The increased dose of my anti-inflammatory supplement, from 1/day to 4/day, hasn’t helped. I really hoped it would. When I started with 1/day last year it changed everything and made me feel so much better, but it seems no match for my pain-filled thumb joints. Or maybe it’s disease progression, and I need to go back to taking Plaquenil. I don’t want to, for many reasons, but I can’t deny that it has helped a lot in the past. I’m in so much pain that I almost want to try it now, but should I wait to see if things get better in the fall? Then again, what if they get worse? What if waiting just leads to more damage and makes it impossible to halt things? No one can make these decisions but me. I could see my doctors, but would they say anything I don’t already know? Besides, I just saw my rheumatologist a couple months ago and I have another appointment to see her in a month. It seems silly to move that up so soon. We can discuss it all then. But when every day is such a struggle, a month feels very far away.

I feel trapped. I feel trapped in my body, which is so filled with pain. And I feel trapped in my apartment, because the evil humid air outside makes my symptoms worse. I know that even a walk to my car will increase my pain and fatigue and will bring on nausea and diarrhea. I can’t go out there. But I need to move, to be distracted, to do something.

I feel cut off. Texting has slowly become a primary form of communication amongst my friends and the new person I’m dating. But texting is far too painful. I dictate messages into my phone, but I find that frustrating. And even just navigating to my messenger app is painful. I can do it, but it hurts. I am SO GRATEFUL that typing on my laptop isn’t too painful yet. But what happens when it is? I lived through that 20 years ago, but computers weren’t as vital for communication then.

Yesterday my neighbor stopped by for a visit with her puppy. I hadn’t left the apartment all day, thanks to the weather and my pain. Even just opening the door and feeling that wall of thick, muggy air for a few seconds wasn’t good. Having a visitor felt so good! And the puppy was a darling! Petting him hurt, but it was worth it. They left all too soon. I wish there was a visiting puppy program for the sick.

I am so fortunate. I have a lovely home, a caring family, wonderful friends, and enough food and medicine. But the emotions still engulf me at times.

Unfortunately, my mother called last night at the wrong time. When we started speaking everything was fine. But during the call the pain became worse, and by the end, I was moody and bitchy. I was too busy talking to her and feeling sad and frustrated and overwhelmed to take a step back and recognize and work through my feelings of sadness and frustration and overwhelm. So I took it out on her.

And my mom, being the amazing woman that she is, listened, expressed sympathy, and never blamed me for acting like a selfish child. She has chronic pain too, though it’s less disabling, and I think she understood.

Halfway through writing this post, my mom called. She said that she wanted to do something for me and I could not say no. She is going to come to my apartment one day and clean it for me. I can’t clean it myself, and the cleaners I hired didn’t work out, so I have been feeling stuck. She wants to do this to help me.

I have so many negative emotions right now. This thumb pain is upsetting to me in ways I haven’t been able to express to myself yet, much less write down here. But having my mom in my corner definitely helps. Even if sometimes I still get bitchy. After all, I’m only human. And I’m scared.


Can I trust them?

July 11, 2017

Two of my strongest feelings are conflicting with each other, and I’m not sure what to do.

I have a lot of trust issues when it comes to medical professionals. When you look at my history, it’s not hard to see why.

I also have very passionate feelings about medical research. I feel it’s so important to focus more on the “less profitable” health issues. Money should not be the deciding factor! And yes, this is a bit selfish, because I want to see new treatments come to market for conditions that I have, and for conditions that my friends have, too. Not to mention the millions of other folks out there.

There is a group studying the rare form of sleep apnea my father and I have. My doctor wants my father and me to participate. Not only would we each provide useful data on our own, but we’re first degree relatives, which would be very useful for the researchers! My father has already sent in the forms. I have been holding onto them for over a month. I just can’t seem to sign.

The work is legitimate. The researchers are legitimate. I am not worried about giving blood samples or doing sleep studies. There is no logical reason to not do this.

But I can’t seem to sign the papers. I am worried about how the information might be used. What if it’s not kept confidential like they say it will be? Of course, this could be a risk with my regular medical records, too, but those feel more necessary. This is entirely optional.

I should do it. I want to further research. It’s my responsibility. How can I continue to rail against the system when I refuse to participate in it? I want to do this. I honestly do want to do it.

If only I could calm my fears.

What would you do? Have you participated in research at all? If so, how do you feel about it?


Oh summer, why must you torture me?

July 5, 2017

It is a bright, sunny, not-too-hot day. I should be taking a walk outside. Sitting in the sun. Enjoying the weather. Instead I had to cancel plans I was looking forward to so that I can sit inside and feel lousy. Again.

I don’t know what it is about summer. I just know that it kicks my ass every year. This year is actually not as bad as usual. I have been in better health, and I assume that’s why. Instead of feeling crappy starting in March or April, I made it to June! Of course, we had an unusually cool May, but still….

But not it’s July and I feel like I’ve been hit by a truck. I increased my adrenal supplement for a few days and that helped, but when I lowered it, the fatigue rushed back. I’m seeing my naturopath in the morning and I have a feeling I should raise that supplement dose for the rest of the summer. It sucks, because after many years, we had finally just lowered it a few months ago! I was so happy to lower that supplement. It’s not something I should be on permanently. The idea is to keep lowering the dose until my adrenals can do the job themselves. We want to avoid long term dependency.

So much for that.

Yesterday was a lovely day. It was sunny and not too hot – perfect swimming weather. Plus it was a holiday, so most of my neighbors were away. I had no plans at all. The perfect day to finally try out my building’s pool. But there was no way. I felt like shit. I texted my friends that I wouldn’t be joining them, and I spent all day in pajamas. I watched many hours of tv. I didn’t do the cooking I wanted to do. Or the laundry. Or the putting away of clutter. Instead I watched tv and crocheted and knitted. Thank goodness for my sedentary yarn hobbies!

Being stuck at home is nothing new. I can handle it. The hard part is that the summer is when everyone else is out and about! All winter I felt better, but no one wanted to take walks in the snow with me. And I don’t blame them. But now they’re all out doing things, and I can’t join in. I’m stuck inside. And I like being out in the sun! I love it, actually. But on the hot days it’s impossible and on the not-too-hot days I usually don’t have the energy for it.

My new apartment has a patio. I’m hoping to spend at least a few minutes sitting out there later. At least I would get some fresh air.

But taking a walk, going for a swim, or keeping my date for tonight? No go. Because even on a not-too-hot, not-too-sunny, not-too-anything-bad day like this, I still feel like crap.

Maybe one day my immune system will be able to handle summer. But not today.


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