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© 2012 TSM
I’ve recently had a series of emotionally challenging events in my life.  It’s resulted in hesitancy about what’s coming next – an apprehension about the future which I know will at some point entail more of the same kind of challenges.  And of course it renewed the feelings that used to affect me when I was struggling with ME/CFS.

I had tried mightily to not let feelings of anxiety or fear of more bad days get to me.  My cognitive brain accepted that I would have to deal with them as I slowly recovered but my emotions and psyche were uneasy – waiting for the signs and body pain that would be the harbinger of a bad day.  Sometimes I would allow this anxiety to effect my day even if it was by comparison a reasonable day.  It took a great deal of intentional focus to see the positive side of how I was physically feeling.  And to ignore the anxious voice inside of me.

The strategy that finally worked for me was planning ahead.  During the time I was bedridden, I would plan by the hour.  What should I be doing during the next few hours to achieve a good outcome?  As I got healthier, I planned by the day.  What should my day look like in order to stick to the protocol and have a successful day?  Eventually, I was looking at a week and planning a well paced reasonable series of days that generated a positive result.  It seems simple but it worked.

How do you let go of the apprehension?  What are your strategies?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
When I was at my lowest point suffering with ME/CFS, it seemed like I had only one identity – a bedridden sick person.  As I slowly began to regain some functioning, I would have brief periods of experiencing a different identity – a normal healthy person.  This happened when I had a conversation about something I was passionate about and I could keep focused for ten minutes or maybe even half an hour.  During that time, I forgot about ME/CFS.  I stepped out of that label and, for a while, became free of it.  Then, of course, it would end and I would ‘remember’ my situation.

As I grew healthier, I got to the point where half the time, I could actually participate in some normal healthy person activities and relish for a while in forgetting about ME/CFS and its cruelty.  But it would end and I would have to ‘remember’ again.  Straddling both worlds of sick and healthy was not only a physical challenge in terms of pacing, pacing and more pacing.  It was a mental marathon ‘double life’ of moving back and forth between these two identities.  Of learning to appreciate and revel in the times of acting and feeling like a healthy person and then handling the let down of remembering the reality of my situation.  I worked hard at not letting the upside create an even lower downside.  I kept my eyes focused on shifting the percentages – slowly and steadily – to more and more normal health person and less and less sick person.

How do you handle the Double Life of sick and healthy?  What are your strategies?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
Over the weekend I was talking with someone about how people change when they go through personal struggles that challenge them to their core.  By comparison, other difficulties in everyday life are less stressful and seem easier to handle.  And of course I began to think about my ME/CFS days and how much I have changed – maybe even gained – in my more robust ability to weather the tribulations of a healthy life.

This person didn’t know me when I was sick and I was about to mention my ME/CFS struggle but I hesitated.  The stigma of ‘mental weakness’ or crazy has always been attached to ME/CFS and even when I was well again, I would see that association flash across a persons face whenever I told someone that I was once sick with ME/CFS.  Suddenly, even though they had only seen me healthy, I was dropped down a few notches in their estimation.  I became less then whole.  Damaged with the potential to be weak or needy.  Maybe even a burden.  So I hesitated.

Then I thickened my skin and plunged forward, knowing that the more we talk about ME/CFS, and the more we engage with the main stream, the better the odds of getting to the answers for this cruel disease.  And as I voiced that I had once been bedridden with ME/CFS, the response was OK.  Better than I expected but it was still tinged with a bit of stigma.  And it renewed my determination to be part of the conversation because so many of those who are struggling with ME/CFS frequently disappear from view.

Are you getting the crazy stigma when you talk about ME/CFS?   How are you dealing with it?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
It happens to me every year as the end of February approaches.  Although I don’t see the signs of change in myself yet, one of my window plants catches my notice.  There’s a new vibrancy in its color or maybe even a tiny sprout where a dead leaf has been dropped.  Something triggers my attentiveness and before I’ve cognitively made the connection, I’m trimming, repotting and fertilizing all my plants.

What my plants have all been responding to, and what I’m also caught up in, are the longer days with brighter light streaming in my windows.  And I think back to my ME/CFS days and remember how hard it was day after day, week after week and month after month to keep my spirits up.  To remember my resolve to keep to the protocol, to allow myself the space to heal, and most importantly to cut myself the mental slack I needed.  The only time I didn’t need to be intentional about being upbeat was when the light began to get noticeably brighter at this time of year.  There’s a reaction to the increasing daylight that we experience on a cellular level.  I’m sure there are reams of scientific studies that have investigated this response but I don’t need to read them.  My sense of renewal and optimism are palpable.  And during my ME/CFS struggle, it was a natural to see this NOT as the marking of another year of this cruel illness, but as the beginning of the year when my progress would get me to the next health plateau – the next stage of recovery.

I’m hoping that you are able to harness this brighter light and natural source of anticipation to carry you successfully along your path back to wellness.  How are you utilizing this bright injection of renewed energy?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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It’s Valentine’s Day.  One of those loosely historical, made up days to sell stuff.
OK that was cynical.  But we seem to have developed an entire year of these almost monthly events which push us to do or buy something.  Or feel out of it if we don’t.

For me, today is an exception.  When I was struggling with ME/CFS, I wasn’t very good at recognizing all the kind and thoughtful things people did for me - family, friends and strangers too.  Unfortunately, for a good part of my struggle, I was seeing everything through a veil of angst – anxiety about my situation tinged with hope for resolution.  This sometimes kept me from seeing the people around me who cared and wanted to support me.  I often forgot, caught up in my own wrestling match of emotions and physical malfunctions, that those around me were feeling some of the same helplessness – not sure of what to say, what to do or when to just be present for me.

For some reason, on the first Valentine’s Day after I was beginning to feel strong again, I felt the desire to express my ‘love’ and appreciation to those who were supporting me.  It started a tradition that I still follow.  Today has become a reminder day for me to stop for a moment and make sure that I let the people in my life know how much they mean to me and how much I appreciate them.  Yes, that’s hokey.  But I prefer it to cynicism.

Are you making time to let people know how much you appreciate them?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
I live in New England where this winter has been unseasonably warm.  I’ve had mixed feelings about it.  Growing up with sledding, skiing and building forts, it seems unnatural.  I miss the coziness of a cold winter - but not the hassle of ice storms and hazardous travel.  The relatively warm weather could be a fluke or a harbinger of climate change.  I won’t wander off on that topic…

Last week we had a sunny warm January day that reached 60.  I went for a walk and felt all the usual stirrings of spring.  Of course I knew that it wasn’t here to stay but the taste of it was enticing.  I remembered back to my ME/CFS years when after a period of intentional good behavior, doing everything I knew about how to get well, I had a really good day.  It was so enticing then to start my old life back – to forego all that I had learned in the hope that this was it.  I was a gift of one day that could reinforce all my intentions to stay the course or lure me into a false sense of full wellness.

Several times I was suckered in by the gift.  But after a few bad turns I got it.  By comparison it put so much in perspective.  So this is what it feels like to be better and feeling strong!  So just as I knew that the 60 degree day was only a reminder of what was to come, avoid the pitfall of this wonderful gift of a better ME/CFS day.  Revel in its potential to be repeated more often and stay the course of pacing.

How have you reacted to these gifted days?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
I haven’t been able to sleep much since last Thursday.  My mother-in-law, who we were very close to, suffered a major stroke and then struggled mightily for a few days before she passed away on Sunday.  With our hearts broken, we’ve been wading through all the ‘must dos’ as we prepare for her funeral on Friday.

And night after sleepless night, of course I began to think about ME/CFS.  Yesterday, the exhaustion was so pervasive that I had a mental flashback to the lowest days of my ME/CFS years when even holding a glass of water was beyond my strength.  I tried to blog yesterday but the brain fog was so thick that I couldn’t remember my thoughts for more then a moment or two.  It was a long day of running on total empty.  And I thought often about those who are struggling with ME/CFS and it strengthened my commitment to be part of the conversation.

Blessedly, I slept for 5 hours last night.  Even my active, mourning brain couldn’t keep my body from finally getting some REM rest.  This morning I feel a little more energy and a great deal of Gratitude that ME/CFS is a nightmare from my past.

Wishing everyone the strength and opportunity to regain their health.  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
I did a lot of surfing and exploring of the definition of irony before I would even consider using the word.  As many have experienced, there is a current culture of ‘looking down one’s nose’ at the ignorant use of the term irony - Alanis Morissette a prime example of being taken to task by many.  I have decided that I’ll risk it.  Please feel free to chide me if your take is different.

Here’s my perspective.  We live in a culture where people are recognized, honored and even championed when they ignore the physical signals of their bodies and push themselves to the brink of their capacity - to a breaking point in the pursuit of some objective.  It’s lauded as the ultimate achievement of Mind Over Matter.  We see this most dramatically in athletic competitions but it also has a formidable presence in the work place, at home and even in personal leisure pursuits.  Ultimately, we are held up to the ‘You Can Do It All’ standard.  And in a lot of situations, we manage to get away with it for a while.

Then ME/CFS takes up residence.  I don’t think that it’s a coincidence that many ME/CFS sufferers would label themselves as Type A personalities prior to ME/CFS.  And so when we are challenged with something that threatens us to the core of our physical capacity, what’s the instinctual ‘go to’ solution?  Yes – Push Through It.  Mind Over Matter.  And we are shaken when this not only doesn’t work but it makes ME/CFS worse.  Not to mention the opinions expressed by others who observe and conclude that we’re soft, undisciplined, burnt out or just depressed.

So here’s the Dramatic or Tragic Irony.  The solution to personal challenges that has been engrained in us since childhood – Mind Over Matter – is the complete reverse of what is required to get control over ME/CFS and to ultimately recover.  And it is delivered, wrapped in an ugly package of judgment that we’re weak and in some way inferior.  Did I get it right?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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© 2012 TSM
We had a light snowfall last night so I went out to shovel the sidewalk this morning.  It was only a couple inches of fluffy white so the going was easy.  As I scooped up and tossed each airy load, I began to get a rhythm going.  And of course I started to think about ME/CFS – my daily thankfulness for my return to full health is never far from the front burner.  I had developed two mantras during my struggle back from ME/CFS.  The first was Attitude, Attitude, Attitude.  It took me a long time to finally cut myself some slack about being sick and then about feeling like I was letting my family and loved ones down.  Not to mention dumping my anger at the medical community.

Once I started to accept the reality of my illness and my personal challenges, my mantra switched to what I could actually DO about my situation.  That’s when I took up my second mantra.  So this morning, as I tossed aside the snow, I began to softly, slowly chant, “Pace… Pace… Pace…”  Being attentive to my daily routines, my choices for energy expenditure and reluctantly pulling back on my own reins whether I liked it or not, were key to pacing myself back to health.  Yes - Of course I screwed up sometimes and wanted to kick myself but mostly I was firm in my commitment.  And I did my best to communicate that to others around me.

How are you doing with pacing?  What challenges you the most?  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha

 
 
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Sometimes realizations ooze quietly into your life and you need to look behind you to actually see them.  Sometimes they arrive via a lightning bolt epiphany.  My latest was the latter.  Over the holidays, my mother visited and we enjoyed many family conversations but the trigger came when she looked at a picture on my desk of her mother (my grandmother).  She hesitated, then asked, “Was that taken before or after she was sick?”  It took my brain cells a moment or two to remember that my grandmother had been sick for many years long before I was born.  She struggled to recover from either malaria or typhoid (my mom wasn’t sure which as she was a little girl at the time.)  “She was in an infirmary for many years because she was so tired and couldn’t handle the family and all the farm work”, my mom continued.  Click.  I then asked, “Mom, weren’t you sick for a long time after your last baby was born?”  “Oh yes, I just couldn’t get my strength back.  I was so tired all the time.  It took a couple years before I got strong again.”  I was the little girl at that time.  Click.  Click.  Click.

With a background in the scientific method, I’ve never been one to make gross assumptions based on anecdotal evidence.  During my struggle with ME/CFS, we poured over the published literature looking for clues to my illness and trends in the epidemiological write ups of mass illnesses (there was virtually no research to be found specifically on ME/CFS).  One piece that stuck with us was a gut certainty (now that’s scientific) that genetics had to be part of the puzzle.  Not the whole, but a variable in why my illness progressed as it did when others around me recovered and went back to their normal lives.

And as those Clicks got louder, the image of the other sick woman with the swollen belly and dark raccoon eyes in the doctor’s waiting room came back to me.  Our onset and illnesses were mirror images.  So once again, this certainty of a genetic component clicked into place.  This time it had three generations of anecdotes but still no scientific data.

Do you have any gut anecdotal feeling about the underlying causes of your version of ME/CFS?  Since it’s a wastebasket diagnosis, we could all be right.  Please COMMENT or Send in your thoughts and I’ll post them.  You can use the Contact Form or send an email to Martha at DefeatCFS dot net.

Look for a weekly posting on Tuesdays.  And consider being part of the conversation.

Be Well Again,

Martha