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a new normal

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During my recent foray into revisiting my old posts, I came across this post from five years ago.

In the post, I talk about the importance of acceptance when learning to live with a chronic illness.  It also made me reflect on my current decline in some of the symptoms I experience because of FND.

Once again, the trembling in the legs has worsened.

Significantly worsened in fact.

The Saga of Pain and Trembling Legs

Every day, my legs have felt incredibly unstable and weak, amidst the severe pain that already wracks them.  There is a persistent feeling of incredible stiffness and heaviness.  A heaviness that makes it feel like I am attempting to walk through thick mud.  But, juxtaposed with this heaviness and stiffness is an immeasurable weakness.

A weakness so severe that it continually feels if my legs are going to collapse from under me.

The trembling and this general weakness that exists within my lower limbs is not a new symptom.  So, you would think that I would be used to it by now.  But when confronted by worsening symptoms; they feel anything but familiar.  With worsening symptoms, we are once again thrust back into working through the cycle of grief.

"But when confronted by worsening symptoms; they feel anything but familiar.  With worsening symptoms, we are once again thrust back into working through the cycle of grief." Share on X
Directions of Grief
Five Stages of Grief – Denial, Anger, Bargaining, Depression and Acceptance via Shutterstock

Denial. Anger. Bargaining. Depression.  These are the key elements that we battle through alongside the fight we face with our symptoms before reaching acceptance.

"We need to battle through denial, anger, bargaining, and depression before reaching acceptance." Share on X

Accepting a ‘New Normal’

But, before we can arrive at acceptance, we must first deal with the psychological fallout that worsening symptoms create. Since the trembling has worsened, it has also significantly affected my mobility. Standing and walking is problematic as the shaking feels incredibly violent. Anxious that at any moment, I will collapse to the ground.  As a result, I have lost confidence, particularly when out of the house, the fear of having a fall never far from my mind.

It feels that I am drowning.  As though my days are about surviving rather than living. Every day I am tormented by symptoms beyond my control.

"My days are about surviving rather than living…tormented by symptoms beyond my control." Share on X

Symptoms are so severe that I am no longer able to function within the world around me.  People assure me of my bravery and resilience in the face of illness.  However, it’s during such flares that words such as bravery and resilience cease to have any meaning to me.

The Unpredictability and Isolation of a Chronic Life

Ask anyone living with a chronic illness, and they will tell you how unpredictable life can be.  Unpredictability is the very hallmark when living with a chronic condition.  Every day we wake up never knowing how the symptoms are going to impact the new day that awaits us.  When symptoms worsen, we never know whether it is due to deterioration in our condition, or just due to a flare.  And when symptoms do become worse, the fear that it is due to a decline becomes very real.  We already had to come to terms with a diagnosis and the new normal that comes with it.  And with worsening symptoms, we again need to adapt and find another new normal.

"When symptoms worsen, the fear that it is a decline with our health condition becomes very real." Share on X

The Effects the Physical Has On Our Mental Health

Furthermore, when symptoms do worsen, we can often isolate ourselves.  The isolation may be as a result of the symptoms themselves, or because of the emotional consequences, it has on our mental health.  I have recently had experiences of isolation.  Due to the severity of this recent trembling, it has affected every facet of my life, most notably my mobility. As a result, I have been unable and afraid to go out much, and when I do, I tend to go to familiar places; places where I know where I can quickly sit down if I feel they are going to collapse.

When living with such symptoms, especially when they are invisible, itself also causes isolation.  We often hide behind a mask; suppressing our pain and fatigue behind a smile.  The pain, fatigue, trembling, and dizziness does not manifest themselves physically.  No one can see or understand the torment that our bodies withstand.  And that can be incredibly lonely.

"No one can see or understand the torment that our bodies withstand. That can be incredibly lonely." Share on X

By not being truthful about the reality of our current situation, we begin to isolate ourselves further. Recently, I have become quite withdrawn, choosing to turn inward, becoming lost in a descending fog of hopelessness and despair.  Stress and feelings of sadness is a consequence of the physical toll that living with illness has on our bodies and minds.  Stress, however, can also exacerbate the symptoms, potentially causing a flare or making one much worse.

"By not being truthful about the true nature of our health we are further isolating ourselves." Share on X

Arriving at Acceptance

Reaching acceptance, although the journey is long and arduous, makes coping with chronic illness more manageable, arriving at acceptance, however, is difficult.

For many, it means resignation or giving up.

Acceptance instead is more about learning effective ways of coping with this new reality and quietening negative thoughts and feelings.

Acceptance and having a positive attitude isn’t a cure for chronic illness, but they can help make it easier to overcome the challenges and limitations that we may encounter.

"Acceptance and having a positive attitude isn't a cure for illness, but they can help make it easier to overcome the challenges and limitations that we may encounter." Share on X

One thing I have learned along the way, however, is that achieving acceptance is difficult.  When we think we’ve accepted everything about our illnesses, something happens such as worsening symptoms, and once again, we find ourselves back to the start.  Much like a revolving door, we often travel round and round the different stages until we locate the exit and reach acceptance.

Perhaps, when living with a chronic illness, there is no such thing as ‘complete’ acceptance.  If recent experience has taught me, coming to terms with a chronic illness involves a continuous journey between denial and acceptance, and so many other emotions.

"Coming to terms with chronic illness involves a continuous journey between denial and acceptance." Share on X
arriving at harbour after storm
Reaching acceptance can feel like arriving at a safe harbour after a storm

And as I now find myself amidst a torrential storm of pain and trembling, and days spent trying to survive the impending floods.

But, I hope soon that I once again find a safe harbour that is acceptance.

For a couple of days this week, imagine my surprise that I awoke to no trembling or even pain in my lower limbs.  None of the severe shakiness that makes me feel that I am balancing on jelly.  No sign of the often debilitating pain that feels as if my legs are being squeezed in a vice, and which makes me wish that I could tear my legs off and discard them as many young children do with their dolls.

For these couple of days, my immediate thoughts after waking and realising that neither of these disabling symptoms had returned were “So that’s what normal feels like!”  I had forgotten how it felt not to experience disabling pain and trembling in the legs.  They had become such a part of my life, that without it, it felt almost strange (although was welcome if it was only for a couple of days!

However that it is not to say I have always experienced these particular troublesome symptoms or to this degree as I haven’t, although I had struggled with them for so long now I am unable to recall when they first started.  That’s the thing with living with a chronic illness; the unusual and disabling symptoms soon become the norm and part of our daily lives.  Life with chronic illness slowly become our new normal.

[Tweet “That’s the thing with chronic illness; the abnormal slowly becomes our new normal.”]

A lot of people have experienced some moment in their lives when it feels that their lives have been divided into a before and after, whether it be through a bereavement, injury, illness or some other life event. A moment in their lives where they have to adapt to a new normal, the lives which they once knew becomes a chapter in someone else’s story.

Image: Google
Image: Google

Perhaps what is most difficult when living with a chronic illness is that we intermittently experience a glimpse into our lives before illness struck and its onset of debilitating symptoms.  Times when our symptoms are mild, or even nonexistent and reminding us of our old normal.

[Tweet “The times when our symptoms are mild, we are briefly reminded what our normal looked like.”]

However, this preview of our ‘before illness’ soon ends and again we’re back to our new reality of pain, fatigue and the other symptoms that make up our conditions.  It’s we have a brief glimpse into an old, familiar room before a door being slammed shut before we had a chance to step inside and familiarise ourselves with our past surroundings. A preview of an old life that although can be seen it is out of our grasp.

When given a chance to experience aspects of our past life, however, what is most surprising is that it no longer feels normal, it feels odd as if that life no longer belongs to us.  When living with chronic illness, the abnormal soon becomes the norm and without us even realising, we forget about our old normal.  When experiencing our old normal, therefore, it feels unnatural and strange, as if that life no longer fits.

The new normal just becomes normal; erasing our past life and who we once were paving the way for life with a long-term condition and who we are now.

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