Happy Rare Disease Week!
This is a tremendously important week to focus on advocating for recognition of rare diseases and the people who live with them, raising awareness of how common they are and how many people live with them, and teaching the public what needs to be done in the research community to eradicate them and/or help individuals live better lives with them. (Whew! What a sentence. Talk about run-ons. Please don’t tell my high school English teachers, they always got on my case about those.)
I whole heartedly support Rare Disease Week and the ultra superstar rockstars of it (lookin’ at you, Sick Chick Shira Strongin)—but I feel like it’s very important for me to use my voice to make some clarifications about the disorders I do live with—and to make sure y’all know, while I’m one of a kind, I’m not very rare.
I’m probably about as rare as these t-shirts (Photo by Diana DiGangi)
There’s a very common misconception that POTS, because it’s not well-known, is a rare disease.
This could not be farther from the truth.
The NIH says a rare disease in the United States is a condition affecting 200,000 or fewer people. According to peer review studies, POTS affects anywhere from 1 to 3 million Americans and according to Mayo Clinic, it can affect up to 1 in 100 teenagers. (Woohoo! I was one of those.)
The funny thing about POTS is that once you learn about it, once you meet someone who has it, you start finding POTSies EVERYWHERE. Immediately after my diagnosis, I found out that a girl I’d known for years was also in the process of getting a diagnosis. I threw myself into the POTS community, and people started sharing stories exactly like that with me. Their friends, their neighbors, friends from school and church, also discovered they had POTS soon after their friends got their diagnoses.
There are a few reasons POTS gets the misnomer of “rare.”
The primary reason is because of the lack of education surrounding POTS and dysautonomia in the physician community. You can always rely on the saying, “POTS is not rare, it’s just rarely diagnosed.”
The diagnostic delay for POTS is still in the ballpark of about six years—although it’s shortening all the time thanks to the efforts of Dysautonomia International. (Rock on, DysIntl!)
But I think there’s a another reason surrounding the fact that POTS carries the mistaken label of “rare.”
In our journeys through chronic illness, we’re often written off as “just another” patient by doctor after doctor.
I know with one of my doctors, I like to smile and say “hey, I’m one of your most complicated patients, right?” while they scribble away on my chart because it brings me comfort in that if my case is somehow special and complex, it validates the pain and suffering I go through. That if my pain was average, I wasn’t as much of a survivor.
I know that’s not true, but it’s a habit of thinking I get sucked into all the time, and I feel like this happens to a lot of us and the doctors we get shuffled around to see.
When the title of “rare” floats around and gets mistakenly applied to POTS, I think a lot of members of our community sometimes like to take it with pride and say, “hey, my journey is rare and unique because my disease is rare and unique!” even if it’s not true about the disease.
I know I wanted to do that at first too—the title of rare is all too appealing! It makes us different and exclusive, and it gives credence to the difficult journeys we’ve gone through.
It’s damaging, though. Because by spreading incorrect information about the illnesses we live with, we damage our credibility as a patient community, and we spread the notion that someone has to have a rare disease to live a unique experience.
I know for a fact that people with rare diseases do not feel that way at all.
And it’s critical that in order to be allies to people in the rare disease community, we respect the truth of our diagnoses and respect their space in our community of chronic illness. Everyone has a place in this community, and we need to respect the space that belongs to every one of us.
Since this blog is called Dysautonothankyou, I’d be remiss if I didn’t mention that there ARE rare forms of dysautonomia—I just happen to have the crazy common POTS. I wanted to list all of the forms of dysautonomia and mention which are common and which are rare—not as a “who’s who” but rather an educational reference.
(Unless stated, all of the following facts and statistics were gathered from Dysautonomia International.)
- Postural Orthostatic Tachycardia Syndrome – not rare – 1 to 3 million
- Neurocardiogenic syncope – not rare – “It occurs relatively often in all age groups, ranging from 15% in children aged under 18 years to 23% in elderly patients aged over 70.” -NIH
- Inappropriate Sinus Tachycardia – not rare – impacts 1.2% of the population
- Pure Autonomic Failure – rare
- Autoimmune Autonomic Ganglionopathy – very rare – approximately 100 Americans diagnosed a year
- Multiple System Atrophy – rare – 350,000 people worldwide
- Autonomic Dysreflexia – not rare
- Baroreflex Failure – rare – AHA Journals
- Cerebral Salt Wasting Syndrome – rare
- Diabetic Autonomic Neuropathy – not rare – estimated 69 million people worldwide (20% of all diabetics)
- Familial Dysautonomia – extremely rare – only 350 people worldwide
- Panayiotopoulos Syndrome – not rare – “13% of children aged 3 to 6 years who have had 1 or more afebrile seizures and 6% of such children in the 1- to 15-year age group.” –AAP Journals
- Reflex Sympathetic Dystrophy (Complex Regional Pain Syndrome) – somewhat rare – up to 200,000 individuals in the United States -RSDSA
Now, in the interest of full disclosure (after I’ve talked about how common I am), I *do* have Ehlers-Danlos Syndrome, which is a rare disease, but my subtype, Hypermobility Type, is one of the most common forms of EDS. (A common rare disease is kind of an oxymoron, I know, but work with me.) The NIH estimates that EDS occurs in at least 1 in 5,000 individuals globally, and EDS Hypermobility type occurs in 1 in 5,000 to 20,000 people.
While this makes me a rare disease patient, EDS doesn’t feel like one of my major illnesses. The three things I focus on every day are my POTS, depression, and anxiety.
Since I don’t always feel like I can hold up that banner of “rare disease patient,” (I need to work on feelings like I can “own” my illnesses), in the mean time I can focus on doing what I can do be a rare disease ally—which to me, means following the blogs and Twitter feeds of leaders of the community, sending some e-mails and making some phone calls to my legislators asking them to support legislation that favors the rare disease community, and doing my best to listen to stories.
Rare Disease Day is February 28, and I hope all of you with rare diseases will share your stories, and everyone who wants to support a great cause will check out some of these resources:
There are a few unchanging truths about me as a human being:
- I love Stephen Colbert
- Yes, I want to see a picture of your golden retriever puppy, did you really have to ask?
- I hate exercise
Here’s the catch about me and exercise, though: I’ll do it for a good reason. Usually, that reason is to get my doctors off my back.
I have a really good new reason though. In 10 days, I’m going to walk and raise money for my all time favorite charity, Dysautonomia International.
YES. I’m willing to walk a mile in the middle of June for them, because here are some of the things they’ve done for me:
- They provided me with information about dysautonomia and POTS, teaching me what my previous doctors could not
- They connected me with my cardiologist (one of the top POTS experts in the world)
- They provided doctors with powerful education seminars and tools to give them the information they need to accurately diagnose and treat dysautonomia
- They introduced me to hundreds of people and made me feel so much less alone in this disorder that went undiagnosed for 10 years
- They provided me with the best support system I could imagine (love y’all)
- They empowered me to be a stronger self-advocate not only in my doctors’ offices but with my own government
- They gave me opportunities to volunteer and give back to my community
- They fund tons of research studies
- They gave me opportunities to participate IN those research studies
SO HERE’S WHERE *YOU* COME IN.
Dysautonomia and POTS are so, so common but barely have any recognition or funding.
In the United States, an estimated 1 to 3 million Americans have POTS. By comparison, 400,000 people in the United States live with Multiple Sclerosis, and 1 million have Parkinson’s. Nearly everyone is familiar with MS and Parkinson’s—as we should be!
I want POTS to have the same recognition and funding as MS, as Parkinson’s. I want every disorder that affects and take so much from so many to have adequate funding for research.
I want it so badly that I’m willing to do what I hate most in the world—
In the middle of June.
So, will you sponsor me?
I know a mile doesn’t seem like much, but I currently do about 15 minutes of cardio every day on my recumbent bike—and walking a mile will be a huge challenge for me.
One of my cardiologists told me, “You will never enjoy exercise, your body was designed to hate it.” I suffer from excruciating back pain when I go walking in addition to tachycardia, sweating, joint pain, weird tingling sensations and general grumpiness. (Tell me you wouldn’t be grumpy if everything in your body hurt.) But the statement this makes: that I’m doing what I can, that I’m on my way to recovery every day, and helping Dysautonomia International in the process? Let’s do it, man.
It would mean the world to me if you could spare a couple of dollars for Dysautonomia International—I volunteer what I can to this amazing organization that changes lives, and if you could help us continue what we do with a donation—I would appreciate it so much.
I realize this was a bit long. But that’s a fourth fundamental truth about me—I have difficulties being concise.
Last April I went to the mountains (well, the valleys) of Utah, where I spent my childhood summers for some R & R with family.
And then I got violently ill.
I went to Utah to recharge. I started up Round 2 of TMS last October and even though things were going well in treatment, I was struggling. Things came to a head in January when I felt like I was being crushed under the weight of dysautonomia, relationships, treatments, plans for my future and my own fatigue. Every part of my body and soul was tired.
Mom suggested that I needed a change of scenery for a while. The best place she could think of was Utah, a place where I could be surrounded by family as it’s where the majority of our gigantic family is concentrated. She made the plans for me and I was set to fly out the second week of April.
my view of the Rocky mountains from the airplane
I was beyond excited to go—I was nearly crying on the plane with my face pressed up against the window staring at the Rocky Mountains topped in snow. I hadn’t been back to Utah in almost 11 years since my grandma’s funeral which has been weird for me—as a kid I spent anywhere from one to six weeks there in the summers.
picking pinecones with my mom’s dad, Papa, in Logan, Utah as a tiny one
Traveling was nerve racking. It was only my second time flying alone and first time flying with my POTS diagnosis. My parents insisted that I make use of as many disability accommodations as possible—and that included having someone push me in a wheelchair from check in to the gate. I felt embarrassed (did I really need it?) but it ended up being a huge help.
During the flight, despite staying hydrated and doing everything to keep my blood flowing, I was dizzy and dealt with more heart palpitations than I’m used to. (I usually have less than a handful a week—I had about five that day). I was optimistic though. I was determined that I was going to be good—great, even.
But once I arrived—literally, that night—I got sick. I ended up having three IBS flare ups in the 10 days I was there and they sent me through the ringer. They lasted all night and required me to spend at least the next day or two recovering.
My aunt and cousin each went above and beyond taking care of me when I was with them. I was showered in Gatorade, saltines and chicken noodle soup which was heaven. They were perfect hosts.
What worried me the most is that my flareups were unlike any other IBS flareups I’ve had in the past. (I’m skipping details because I already hate mentioning IBS but I’m working on moving past that—the rational part of my brain is rallying me to work past the shame because why be embarrassed about an illness I inherited?) Anyways.
When my stomach doesn’t act as usual, when my flareups are different than my version of normal, my mind begins to spin out of control.
I was Googling possible things it could be, possible complications—it wasn’t altitude sickness. It wasn’t anything I ate—I was eating carefully, and even when I did eat something close to a trigger food (like some fries), my stomach held out that night. Could it have been a reaction to local water? (If that was even a thing?) Was it a reaction to the fatigue I felt from travel? Was it anxiety about being away from home?
What was happening? Why was my body doing this? Did this mean my body and Utah, my literal ancestral homeland, were no longer compatible? Would I ever be able to come back to my family without getting violently ill every three nights?
And would I be able to get home without getting sick?
I was terrified. And we all know that fear is awful for illnesses.
Utah looking generally beautiful
Despite all of this happening, the days I felt well and wasn’t sick were lovely.
My very first day in Utah, I got to hang out with a cousin who is a fellow chronic illness patient and catch up. We both got to share that “this sucks” sigh with each other and exist in the same space of understanding, with that unspoken “hey, I know you get me because we’re both chronic” even though our illnesses are nothing alike in nature.
I had dinner with two of my cousins on my dad’s side of the family who I hadn’t seen since I was eight. They’re fun and kind and gorgeous and we had so much fun comparing funny things our dads do that they must’ve started together as kids.
I stayed with my cousin Catherine’s family—she and her husband, Jamie, have four kids and they’re all winners. Their oldest son turned 16 and went to his junior prom while I was there. Their oldest daughter (who is an amazing chef) got a brand new crepe pan and I got to enjoy the fruits of her labor my first night there. Their younger daughter and I had deep talks about life plans and books and entertainment and their youngest son and I were both sick—him, with a nasty cold. We watched a ton of movies together. (Disney Channel is SO different now it’s nearly unrecognizable.)
Catherine, Jamie and their family just got back from a trip to Europe and had the most amazing chocolate.
Easter was untouchably perfect, though. We went to church and came home to rolls, mashed potatoes and ham. I harassed my only younger cousin on my mom’s side into coming from school and joining us for dinner (hi, Zach! do you read this?) and immensely enjoyed his company in addition to several of Jamie’s family members who joined. I may have gotten carried away when we started talking about The Office and Parks and Recreation, but that’s not my fault—those shows are just so good.
I got home without getting sick which was a huge relief. I had to cancel a second leg of my trip which was a huge disappointment, but returning to my house, my room, my bed was a huge comfort.
I’ve gotten sick in the same way I did in Utah once since I’ve been back and my stomach has just been pretty unstable—so I’m on the waiting list to see my gastroenterologist (she’s very popular so it takes forever to get in.)
I’m still nervous about what getting sick meant though—
Is my body incompatible with traveling now? Was it food poisoning? Am I in a new era of problematic health?
But at the same time, the trip was good for me.
I conquered one of my biggest fears—getting sick away from home.
So fingers crossed for better health, and I’m so glad for the good time and good days I did manage to have.
A month ago, I had one of those big nights you remember forever.
I’ve felt nervous writing my recap blog—I wanted to do it justice—but I realized I’ve worked myself into so much of a tizzy that I haven’t written anything at all now because I’m in a writing paralysis. (Isn’t it fun being perpetually stuck in your own head?)
So now’s the time to share—forgive me if it’s a bit long, but when you get your 15 minutes of fame, you document it thoroughly, even if it’s belatedly.
Last January, you could say I was a bit distraught about Trump’s inauguration. Thankfully, my uneasiness propelled me into action and I spent a lot of nights with insomnia writing letters to senators and representatives on committees about issues that mattered to me—the Affordable Care Act, disability rights (especially pertaining to education), the travel ban…
My friend and I protested the travel ban at Dulles International Airport on January 29
One of my state senators, Tim Kaine (and still America’s step-dad, thanks John Oliver), put out a form for Virginia residents to share their stories about the ACA and how it affected them. I wrote him a letter about how provisions of the ACA like mandates that patients with pre-existing conditions can’t be denied care and children can stay on their parents’ insurance until they’re 26 were life-changing for my family and me.
A few weeks later, his staff got in touch with me and asked permission for Senator Kaine to share my story. I fell over myself saying “yes! of course!” because that’s one of the many (many) reasons I’m open about my life. If anything I’ve been through can help someone else, if my story can be shared to help others for a bigger, positive purpose, then yes, share it.
(I also asked his office to send along a lot of my personal feelings about cabinet nominations to which they kindly obliged. I’ll say this until I’m blue in the face: Senator Kaine’s staff is the best.)
On February 9, during Tom Price’s hearing to become the Health & Human Services secretary, Senator Kaine read a selection of the 1,000+ letters sent to him about the ACA and mine was one of them.
I nearly fell off my bed when I watched the video, my hands were shaking watching my senator, a man who was nearly Vice President of the United States, read my words and have them entered into the senate record.
Throughout my life, so many things I have said have been brushed aside and ignored by countless people in various positions of authority—doctors, teachers, school administrators, church leaders, bosses, group leaders in peer projects… For me, validation of my feelings and experiences from individuals I value is particularly significant and in a very real sense, healing.
I don’t know how much more validated I could possibly be: I was being supported by a high ranking government leader, vowing to take my side and fight for the ACA because of my story and stories like it.
Phrases like “hell yeah!” came to mind. (As well as “suck on that!” to all of the people who have doubted me throughout my life.)
I was flying high for the rest of the month, assuming these were my 15 minutes of fame. Then, I got another phone call at the end of February inviting me to be Senator Kaine’s personal guest to the Joint Session of Congress, basically the State of the Union lite.
NO BIG DEAL EXCEPT THAT IT IS (and then my brain short circuited.)
So how do you prepare to attend a Joint Session of Congress?
For me, it involved:
You could say I was a bit nervous…
- getting my hair cut
- buying a new outfit because I own almost exclusively t-shirts, jeans, yoga pants and a denim jacket
- buying makeup to make myself look presentable
- spending hours writing, writing, writing because I had to come up with something smart to say
- FREAKING out because even though I’d done lobby days with Dysautonomia International, and one of my childhood friends’ father was a congressman, this was so different—
I got to bring my parents to the Senate Russell building on February 28. We arrived in the late afternoon and got to know several of Senator Kaine’s staffers who went over my schedule for the evening.
We talked about how his office works—my family and I got to grill them on what they do, the inner workings of Senator Kaine’s schedules, and everyone was so kind and patient with us. (This says a lot about what they go through on a daily basis—my dad’s questioning is very long, very inquisitive, very thorough.)
What nearly every person said is that constituents’ stories are what drive them to do their jobs. No one I spoke to has a personal agenda or even an axe to grind—they’re doing their jobs to make the country a better place.
I did an interview for a local TV station (I never got to see if they used it, but the reporter and cameraman were awesome), had some snacks (three cheers for free Virginia products—peanuts and Pepsi beverages) and kept trying to think of things to say that would make me sound smart.
Tim Kaine is my new best friend, even if he doesn’t know it
Senator Kaine met with my parents and me for a good half hour—he’s the real deal. He took so much time to ask my parents about how and where they grew up and met, about if they had any other kids (my brother couldn’t come because he had to work, we’ve given him endless grief about this)… and when it came to me, I felt heard.
I explained my journey through Fairfax County Public Schools—I told him how we struggled getting a Section 504. That surprised him, given what a successful school system it is, but we shared some other facts about it, and he really took the information in. I told him about POTS and dysautonomia and he picked up on the blood flow problems of POTS quickly—it was beyond heartening and made me think that he’s heard quite a few medical stories like this before. (I also got to give him a dysautonomia awareness pin which he graciously accepted!)
I’m sharing this not to necessarily convert you all to be Kainiacs (another Tim Kaine nickname we can attribute to John Oliver), but to remind you guys that good members of government exist despite Congress’ terrible approval ratings. Yes, some members are nothing short of disconcerting, but others are fueled by constituent stories and want to stand up and fight. I’ve got some really cool senators for my state–find out if you do, too.
After our meeting, Senator Kaine and I did a tele-town hall, where a software system calls Virginia residents and invites them to join in on a conference call. The Senator gave me the opportunity to again share my story about what the ACA meant to me before he answered people’s questions.
I was nervous and scared but daaang. I did it.
I told everyone how for a long stretch of time in my teenage years, I felt more comfortable in a doctor’s office than I did in a classroom. How I realized early on that it didn’t matter what I wanted to do when I grew up—I needed to choose a career that was stable, lucrative and had good health care benefits, not one that made me happy. I told them how the ACA changed that and gave me hope—it gave me the comfort that I could take extra time in school because I would have my parents’ insurance until I was 26. I could even take time off to work on my health and health only if need be. How it meant I could buy insurance and be my own boss, freelance as a graphic designer, a dream of a job I had in my mind.
I also told them that the GOP calling the ACA into question with rallying cries of “REPEAL!” without a solid, safe replacement had brought all of this crashing down. I’m now terrified that my loved ones and I will lose our insurance and our futures—we all have pre-existing conditions. Will we be OK? Will we ever have health care again?
I told them that I’m an active participant in my health, I follow my doctors’ orders, I’m a big volunteer in my patient community, I don’t take my diagnoses lying down. But for whatever reason, the plans I’ve heard from the opposition party seem to promise that I’m going to be punished for illnesses I did nothing to deserve and have done everything to get rid of but cannot.
I reminded everyone that health crises happen to all of us, and if not us, to someone we love, it’s just the nature of life. Whether it’s a chronic illness, cancer, an accident—everyone needs extra care at some point in their life, and that’s why plans and laws with protection are so important to me.
After the tele-town hall, I got ready to head over to the Capitol for the grand event. When the Senator’s office heard about how much difficulty I have with standing, they arranged for a senate doorkeeper to bring over a wheelchair and assist me from Senator Kaine’s office to the Capitol.
I couldn’t bring my phone into the house chamber, so this is the only real proof I went
This was the first time I’ve ever used a wheelchair (and the first time I’ve ever even considered using a wheelchair.) My parents were the ones insistent on me using it but I felt guilt for taking it at first—at the time I was having a good energy/health day and I felt like I was somehow gaming the system by accepting an accommodation I didn’t at the time desperately need. But when I thought about the standing in security lines, I accepted.
For those of you unfamiliar with Capitol Hill—the congressional office buildings are connected to the Capitol with underground tunnels and and a trolley system. But even with the tunnels and trolley, it’s a ton of walking and standing. That night, the route to get to the House Gallery was longer and more convoluted with at least three metal detector security check points along the way.
I was feeling great after the town hall. Top of the world, having the one of the best and most memorable nights of my life. And I got to continue that feeling by accepting the accommodation of the wheelchair. If I hadn’t, I would have been sick as a dog, panting, tachycardic, sweaty, confused, shaking. (I know my body.)
How appropriate to have that continued realization that accommodations matter at an event where I represented the ACA as a young woman who’d been living nearly her entire life with chronic illness.
After the labyrinth of halls and security checks, I arrived at the house chamber and got to my seat. I was tucked away in a back corner of the room which I thought at first was a terrible place to sit but turned out to be a huge score—I was next to several family members of members of Congress and got to network by sharing a short version of my story and told them about Dysautonomia International. I also sat 10 feet away from Sean Hannity—that was a huge trip for me seeing as my dad exclusively watched Fox News when I was a kid.
Leading up to the speech, it was hard to make out who was who on the floor of the House—from my seat with a few exceptions, everyone looked like the same old white man. (Sorry.) Thankfully, I had a great view of Senators Kirsten Gillibrand and Elizabeth Warren, two of my personal heroes and women I’d love to both see run for president one day.
The speech itself was surreal.
I live for the State of the Union, and even though it was just a Joint Session address, it sure felt State of the Union-y to me.
It was very different to hear President Trump, a new person, a new president, deliver this type of speech–President Obama was the president of my teenage years and young adulthood. It felt foreign to (1) be there in person and (2) witness a president so polar opposite to the one I was so familiar with deliver remarks in his place.
The most challenging part of the night for me, even more so than the physical strain standing up and sitting down repeatedly to clap for respected guests and a couple of issues I agreed with was the deafening applause from the Republican party when Trump brought up repealing the ACA in its entirety because it’s been a disaster, period.
I was seated on the Republican side of the room and getting caught up in their applause was painful. I closed my eyes, willing them not to cry because hearing “repeal of the ACA” leaves my future uncertain, bleak, nerve-racking.
The ACA is far from perfect, but its provisions have given me hope and security:
- protection for pre-existing conditions
- the ability to stay on my parents’ plan until I’m 26
- mental health parity
- no lifetime coverage caps
I’m publishing this post after the AHCA was thrown out before a vote. It looks hopeful that the ACA will remain the law of the land for a while, and even if that leaves me feeling a little safer, I still feel the need to advocate for it. Because health insurance is the difference between life and death for millions, my loved ones included.
That’s why this matters.
OK, and just to end this on a lighthearted note–
This is the face you make after you crushed it networking, did multiple interviews, had a great time with your senator, advocated for what matters to you, and feel like you’re on top of the world. NO BIG DEAL.
What I want everyone to get out of my experience is that this all came from writing a letter to my senator. I know that attending a Joint Session of Congress might not be the dream night to other people that it was for me, but it made some waves–I showed up in my local newspapers (and a couple of national ones!) and the issues I advocated for got some light. If there’s something you care about, start writing.
Call your members of congress. It’s scary at first, but it’s not so bad. E-mail them from their websites. Write letters. Fax them online. There are so many services that make these things so easy. If there’s something on your mind (even if it’s contrary to what I’m promoting!), let them know. Be active in your government, just like Schoolhouse Rock taught you.
AND! Please be nice to the staffers! Especially the ones on phone duty!
I’m a rambler when I’m nervous. And when I’m not nervous. When I’m perfectly fine, when I’m happy, when I’m angry, when I’m every emotion, I usually talk.
When someone gives me a question I don’t have a good answer to or don’t want to answer, I still answer. I’ll give them an answer to a related question without addressing the fact that I’m not even answering the thing they inquired about. If I’m slick enough, they won’t even notice.
But maybe now, after this declaration, they will.
Sometimes friends ask me about how I’m doing with POTS—and even though I’m always game to talk about Dysautonomia International and the work they’re doing, or maybe cool new research, or the fact that my arm fell asleep in under 30 seconds last night–I know my friend is kindly asking about my chronic health problem.
And here’s where the real baggage comes in.
chronically wide eyed and vulnerable
When there’s been no progress with POTS, I don’t want to tell them that. I hate that there’s been no changes. I hate that there’s nothing new to report in my health, I hate that sometimes it’s even getting worse, because then I’ll have to explain that yeah, sometimes that just happens, and no, it’s not my fault (even though I occasionally blame myself when I shouldn’t) because I don’t want them to blame me either (even when I know my friends and decent humans would never do that).
I run away from the reality of “chronic”, I run away from the reality of life and I divert their attention.
They ask about POTS, I answer about something else.
Sometimes I answer about the progress I’m making in therapy, how I’m not standing still or regressing. How I’m moving onward, forward; how I’m doing something that they can be proud of—even though the very act of getting through a day with one chronic illness, no less a handful, is something they can be proud of their friend for.
Because the vulnerable side of me feels like if I can’t produce results in one area, I better produce results in the other.
Today is a day where I can see things clearly, and I want to say and reaffirm to myself and to anyone who might struggle like I do at times: please don’t feel like your life has to be strictly results oriented. Making an effort, taking care of yourself, being a kind person matters so much more than producing tangible results in work or in health or in any realm. If you have a chronic illness, leave the results to the doctor. All you’re responsible for is effort, that’s all anyone can ask of you.
I didn’t make any formal resolutions for 2017 on New Year’s Eve, but every year as I get older, I realize how important it is for me to be nicer to myself. I want to treat myself today like I would treat the younger version of myself—protectively and with patience and compassion. I look at my younger self and want to wrap her up and say “it’s going to be OK, just hold on!”
I want to have those same feelings for myself now, and by having those feelings, I think I’ll be able to be more honest with myself and with my friends.
And maybe I’ll get around to answering your questions head on.