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It is hard to imagine a time when chronic pain did not play a significant part in my daily life. That time is incredibly hard to envisage as I lay here in excruciating, searing pain.  

But there was a time when chronic pain, was just a mild annoyance. To me, it was just pain. Yes, it hurt and made life difficult, but it was something that I could handle. I thought that it was normal, a sign of growing pains and not of anything wrong, especially anything serious.

Oh, how I wish I could return to the days before the pain became chronic and overwhelmingly relentless. Before I could no longer remember what it is not to be in constant, excruciating pain. Photo by Anthony Tran on Unsplash.

Oh, how I wish I could return to those days. But today, especially on one of my worst days I can’t imagine what it is not to be in pain. Or a time when it was anything but chronic. The time when the problem was considered normal and not a permanent reminder of the neurological disorder that has consumed my entire being.

"But today, especially on one of my worst days I can't imagine what it is not to be in pain. Or a time when it was anything but chronic." Share on X

Now, I can no longer remember how it feels not to be in pain. Or even how long it has been since the pain has become chronic. Or a permanent feature in my life. But it has now become my reality.  One that continues to flare and get worse, and to which I have to learn to adapt to time and time again.

"Now, I can no longer remember how it feels not to be in pain. Or even how long it has been since the pain has become chronic. Or a permanent feature in my life. But it has now become my reality." Share on X

Often Feeling Nothing Than The Pain Itself

Yes, when living with chronic pain, there are good moments as well as bad. The problem, however, is that the bad days often heavily outweigh the good. And of course, there are the frequent awful days. The days in which chronic pain consumes the entire day, sometimes days.

"Yes, when living with chronic pain, there are good moments as well as bad. The problem, however, is that the bad days often heavily outweigh the good. And of course, there are the frequent awful days." Share on X

It is on these awful days that it seems that the only sensation that I am aware of is pain.   The feeling of the soft material caressing my skin or the cold of the metal of the bracelets surrounding my wrist does not register. Instead, I am only aware of the throbbing, squeezing and stabbing pains that dominate deep inside my weakened legs.

curled up in a foetal position because of pain
When pain becomes chronic, it can often seem like the only feeling we can discern is the pain that is ravaging our bodies.

The pain is constant; yes, there are times when it might be better than other days, but there is never an off-button. Living with chronic pain, the feelings and sensations that it invokes never stops.  Pain is often wholly overwhelming, entirely unpredictable, and frustrating.  One from which we have no respite or holiday from, however much we wish that we could.

"The pain is constant; yes, there are times when it might be better than other days, but there is never an off-button. Living with chronic pain, the feelings and sensations that it invokes never stops." Share on X

Chronic Pain Is Gruelling and Exhausting To Live With

The persistent and constant unpredictable nature of chronic pain means that to live with it is gruelling and tiresome. Battling the severe crushing pain twenty-four-seven becomes your own personal Mount Everest.  Every day you are forced to overcome and persevere through its harshest conditions.  

"Battling the severe crushing pain twenty-four-seven becomes your own personal Mount Everest.  Every day you are forced to overcome and persevere through its harshest conditions." Share on X

But often, the difficulty in navigating such terrain is that it continually changes. And as the territory changes, so do what we can tolerate.  No one day is predictable; one day, I might be able to accomplish the tasks I set for myself but unable to do anything at all on another. Some days I able to push myself further than my limits but on others doing so only makes the pain worse.  

The persistent and constant unpredictable nature of chronic pain means that to live with it is gruelling and tiresome. Battling the severe crushing pain twenty-four-seven becomes your own personal Mount Everest.  Every day you are forced to overcome and persevere through its harshest conditions.

Chronic pain continually pushes you to your limits and further pushes your boundaries. It is continuously relentless and all-consuming; a storm that cannot stop, only weathered. 

"Chronic pain continually pushes you to your limits and further pushes your boundaries. It is continuously relentless and all-consuming; a storm that cannot stop, only weathered." Share on X

Tempting To Hold Onto Hope; The Thought That It Will Get Better

Despite the ferociousness of chronic pain, however, I still find myself holding onto the hope that it will change. The hope that the pain will miraculously disappear never to return and life will forever be different.

However much I wish that the pain will disappear I wake up disappointed when I wake and it remains.

Each morning, however much I hope that things will be different, I am immediately met with searing, debilitating pain. And each morning I feel so sad, disappointed, and deeply frustrated that the pain remains the same; and life isn’t any different than the previous day.  Heartbreakingly, of all is that when the pain becomes chronic, this scenario becomes our hellish version of Groundhog Day. 

"Each morning, however much I hope that things will be different, I am immediately met with searing, debilitating pain. And each morning I feel so sad, disappointed, and deeply frustrated that the pain remains the same." Share on X

The Dream of Running Away From The Pain

When pain firsts start, or before it becomes chronic, it is easy to run from it.  At first, pain is benign and only slightly bothersome, so distraction is easy, and pain is something that you can handle and put up with relative ease.   

When it becomes chronic, however, pain is much harder to cope with, and making distraction much harder to implement in life. At this moment, whilst in unbearable pain, I wish I could run from it; running from chronic pain is something that I always wish I could do. It’s as if by denying it’s very existence will stop it from hurting and not affect me or have the impact it does on my life.

"Running from chronic pain is something that I always wish I could do. It's as if by denying it's very existence will stop it from hurting and not affect me or have the impact it does on my life." Share on X

However, I am unable to run from the pain that is destroying my legs and my life. Although I try to outrun it, pain continually reminds me that it is stronger and faster than I. Pain always catches up with me, and am reminded of its power and ferocity.  Nor does time stand still while consumed by pain.  No, time and life continue while pain perseveres with its destruction, and I still suffer. 

"Although I try to outrun it, pain continually reminds me that it is stronger and faster than I. Pain always catches up with me, and am reminded of its power and ferocity." Share on X

But my running from the pain, I am also running from the reality of my life with chronic pain. By doing so, I am unable to address my chronic pain.  Only by addressing it and the FND that has consumed my life, I can move forward and find ways to live with it instead of against it.  

Thoughts of Mending The Pain, Until It Becomes Chronic And Mending Can No Longer Transpire

Pain is something that everyone has experienced. We hurt or injure ourselves, and pain suddenly appears. It’s often excruciating and distressing, but there is comfort in the knowledge that it is temporary, with an expiration date. We know that our bodies will mend itself, and the pain will dissipate.

But such comfort does not exist when one suffers from persistent chronic pain. Because living with chronic pain, there is no expiration date. It is not temporary, with no end in sight.

Life becomes a battleground; us versus the pain
"But such comfort does not exist when one suffers from persistent chronic pain. Because living with chronic pain, there is no expiration date. It is not temporary, with no end in sight." Share on X

Instead, pain begins to dictate our lives. It dictates whether we can get out of bed, wash our hair, leave the comfort home or even meet a friend for lunch. Life begins to revolve around pain as every decision; every task needs to consider it as to whether we can say yes to it.

"Life begins to revolve around pain as every decision; every task needs to take it into consideration as to whether we can say yes to it." Share on X

We try anything and would gladly give up anything to fight and defeat the pain. It becomes a battleground; us versus the pain – a fight that we often lose and often nothing helps ease it. And so we quickly learn that mending may never be possible, so instead are forced to find ways to cope with it as best we can; anything to stop it from driving us crazy or continually stealing even more pieces of our lives. 

"We try anything and would gladly give up anything to fight and defeat the pain. It becomes a battleground; us versus the pain – a fight that we often lose and often nothing helps ease it." Share on X

In what ways, has your life changed when your pain became chronic?

This blog post was written for Pain Awareness Month and as part of the September Link-Up Party with A Chronic Voice.

What Happens When Pain Becomes Chronic
September Link-Up Party with A Chronic Voice

Sheryl from A Chronic Voice, as well as sharing her own stories and lessons with chronic illness. Sheryl is an excellent support to other bloggers and writers living with illness and chronic pain. One such way is through monthly link-up parties whereby bloggers and writers share their stories through given prompts. This August, I use the prompts to discuss the most painful parts of living with FND.

If asked what the most challenging part of living with a chronic illness is, what would be your response? Many assume that the immediate answer would be the symptoms that accompany it.

At first, I agreed that the symptoms were the hardest part of living with FND. It is hard not to agree that they are the worst aspect of living with FND, especially at a time when symptoms are exceptionally debilitating.

For example, the weakness and trembling in the legs have become so severe that everything has become a monumental struggle. The constant dizziness is so intense that nowhere feels safe. And relentless, crippling pain so terrifyingly unbearable that I am often unsure that I would make it through the day.

But as I continue to ruminate on the question, I realised that there are numerous painful aspects of living with FND. The truth is that the hardest part of living with a chronic illness continually changes. The answer to the question may be dependent on the type of day I am experiencing or how I am feeling at that particular time.  Some things once were the hardest part of living with FND but became more manageable to live with over time.  The list of the most painful aspects of life with FND has only grown over time as the condition continues to worsen and challenge me and my life. 

"The truth is that the hardest part of living with a chronic illness continually changes. The answer to the question may be dependent on the type of day I am experiencing or how I am feeling at a particular time." Share on X

So what are some of the most challenging and most painful aspects of living with FND? Here are some of the answers that immediately sprung to mind as I contemplated the question.

The Most Painful Parts of Living With FND

The Unlocking of Uncertainty

Everyone likes and feels comfortable with certainty. Certainty locks the monster that is uncertainty away inside a prison cell.  But when living with a condition such as FND, uncertainty becomes unlocked from its prison to become another prominent part of life with a chronic illness.

"Certainty locks the monster that is uncertainty away inside a cell.  But when living with FND, uncertainty becomes unlocked from its prison to become a prominent part of life with a chronic illness." Share on X

The frustrating uncertainty that accompanies chronic illness makes it extremely challenging to plan for the future, either the immediate future or the long-term. Every day met with impending apprehension, never being able to anticipate where or when symptoms will make an appearance.  Forever uncertain whether each new day will bring few or no symptoms, or met with the whole set.

"Every day is met with impending apprehension, never being able to anticipate where or when symptoms will make an appearance.  Forever uncertain whether each new day will bring few or no symptoms, or met with the whole set." Share on X

Life with FND, anxiety has been a constant companion in my life with it. Feelings of anxiety will arise about things that might or might not happen, and very often worried about things that I never needed to worry about in the first instance. When living with an illness, instead you become anxious about things that will very likely happen – you know certain things like experiencing a flare will happen, you just don’t know when.

"When living with an illness, instead you become anxious about things that will very likely happen – you know certain things like experiencing a flare will happen, you just don't know when." Share on X

The weakness and trembling in my legs often give way with no warning. Legs giving way, leading to falling, resulting in bruises has become a certainty in my life, but remain entirely uncertain when such an incident happens. And something that causes high anxiety in my life, as I am always on edge, waiting for it to happen, and worried that it would happen somewhere dangerous such as in the middle of a road.

A Continuing Number of Limitations

Accepting the label of someone with a neurological disorder and a disability was immensely challenging.  I had to confront the reality of the far-reaching impact that the condition and its accompanying symptoms were having on me and my life. And as the years increased, symptoms worsened, becoming more debilitating and therefore limited in what I was able to do.

woman wearing distressed denim jeans sitting down inside room
So much time spent sitting down as the trembling in the legs limits me in what I can do in so many ways. 
"FND has forced me to confront the reality of the far-reaching impact that it and its accompanying symptoms have on me and my life. The limitations it has causes is great and continues to grow." Share on X

As the years increase, it seems that the weakness in my legs is continuously deteriorating. The length of time I can stand because of it and the pain that ravages them is forever decreasing. It is this symptom that limits me the most.  I am unable to do things or go anywhere that requires standing for any length of time.  The distance I can walk for has also decreased, therefore limiting me even further, and becoming reliant on other people to be able to go out.  

Studying, But Still Learning Nothing

At University, when needing to write essays, a process I always enjoyed was researching the given topic. I loved trolling through books and journal articles, finding the necessary information to back up my arguments. This skillset came in useful when diagnosed with a neurological condition to enable me to find out all I can about my diagnosis.

You can read all the books on FND there is and still have so many unanswered questions.

Unfortunately, a disorder like FND, however, the unknowns heavily outweigh the knowns. The books or reputable websites online could not tell me why this happened to me, or how to make it go away. It was like being stuck in a long dark tunnel, with the end nowhere in sight. And what I could glean on what treatments and therapies have helped other patients I had already tried with no benefit.

"Unfortunately, a disorder like FND, however, the unknowns heavily outweigh the knowns. The books or reputable websites online could not tell me why this happened to me, or how to make it go away." Share on X

It was demoralising; making me feel like a lost a cause and definitely one of the lowest points on my journey with FND.

Watching Everyone Else Moving On With Their Lives

Another of the ubiquitous aspects of living with any chronic illness is isolation. The experience of being ill itself is isolating, as we observe everyone else around us as being healthy, active and able-bodied. But it’s also isolating as we are frequently left behind; left at home. As a result of the severity of the symptoms, I am often unable to participate in the world, my community or life, as I once could. 

"The experience of being ill itself is isolating, as we observe everyone else around us as being healthy, active and able-bodied. But it's also isolating as we are frequently left behind; left at home." Share on X

Instead, I am stuck at home, often in bed, crippled with pain and fatigue. Through the lens of social media, I watch others moving forward with their lives in ways that I am unable. And reaching milestones that I always imagined for myself but now feels too far out of reach.

When living with a chronic illness like FND, a lot of things begin to feel out of reach – friends, our dreams and aspirations and reaching milestones. Photo by fotografierende from Pexels
"Through the lens of social media, I watch others moving forward with their lives in ways that I am unable. And reaching milestones that I always imagined for myself but now feels too far out of reach." Share on X

Due to the severity of the symptoms I live with, I am unable to go out unless accompanied. As an adult, this is incredibly embarrassing and difficult.  A part of my life that makes me feel like a child. And fear that like Peter Pan, I will never grow up. 

A Fear That Healing Will Never Be

Like I fear that FND will never allow me to grow up, I also fear that it will never leave. I fear that the condition has left an indelible mark on my life that will never leave.  And so perhaps more than I anything, I fear that I will never get better.

"I fear that FND has left an indelible mark on my life that will never leave.  And so perhaps more than I anything, I fear that I will never get better." Share on X

The offer of a new drug, or new therapy offers renewed hope; the hope of getting better, or at least improving. But, that same hope is soon extinguished as improvements cease to materialise.

Perhaps I will always be this way. Maybe I won’t. But to live well alongside FND and its accompanying baggage, maybe I need to redefine my definition of healing.

The Most Painful Parts of Living With FND
August Link-Up Party with A Chronic Voice

Sheryl from A Chronic Voice, as well as sharing her own stories and lessons with chronic illness. Sheryl is an excellent support to other bloggers and writers living with illness and chronic pain. One such way is through monthly link-up parties whereby bloggers and writers share their stories through given prompts. This July, I have chosen to write about the parallels between chronic illness and a pandemic.

The recent events that have affected much of the world somewhat feel like a plotline from a film. What many of us are currently experiencing is slightly similar to what happens in the film ‘Contagion.’ Disclaimer, the first time I watched said movie; I silently thought ‘how far fetched! Never did I imagine that I would be living through such a pandemic, and watching it for the second time recently, it felt more like watching a documentary than a film.

The Parallels Between Chronic Illness & A Pandemic

The pandemic and subsequent lockdown have interrupted our lives; in fact, it has interrupted and affected every facet of our lives. It has pressed pause on life as we knew it, resulting in us scrambling for a new normal.

In much the same way as being diagnosed with a chronic illness, the COVID-19 Pandemic has pushed pause on all of our lives; interrupting our normal as we search for a new one. Photo by cottonbro from Pexels.

As time passes, I have begun to observe the parallels between living through a pandemic and living with a chronic illness. For example, both require you to make adjustments, as well as taking necessary precautions to keep well. Both interrupts and presses pause on life as we knew it. And both require finding a new normal; finding a new way to live when our life suddenly changes in all manner of ways.

"As time passes, I have begun to observe the parallels between living through a pandemic and living with a chronic illness. For example, both require you to make adjustments, as well as taking necessary precautions." Share on X

The Uncertainty Is Bothering Me!

The growing uncertainty surrounding the Coronavirus pandemic is starting to bother me.  It is hard not knowing when it will end, or even what is or what is not safe.  It is even more confusing when there is often such conflicting information from the government and the scientific experts.  As well as the increasing uncertainty of what life will look like after it finally ends.

It is somewhat ironic that such uncertainty is bothering me so much. Why? Because living with a condition like FND, uncertainty is something that is a regular part of my life. Every night I go to bed, not knowing what sort of day I will experience. When living with a chronic illness, there are good days.  And there are also awful days, where illness is the victor, leaving you defeated in a heap on the floor.  Hell, often it is not even days, but often moments where life suddenly changes.  The problem, however, is that when symptoms will abruptly emerge and disturbing our rare moment of peace is uncertain. 

"It is somewhat ironic that such uncertainty is bothering me so much. Why? Because living with FND, uncertainty is something that is a significant part of my life." Share on X

Living with a chronic illness, therefore, forces you to learn to be okay with uncertainty, as otherwise fighting it makes you even more unhappy.  In time, you learn to enjoy and make the most of the good moments and take the bad moments as they happen. 

I have learnt to be okay with uncertainty as it pertains to living with chronic illness.  So, why am I having such a problem with it during the current pandemic?

The Demanding Relentlessness of Symptoms of FND

As of late, the symptoms that I experience as a result of FND have become particularly demanding. Often, it has felt that I am being tortured and persecuted by cruel and relentless symptoms. The pain confined to my legs has been tormenting. When the pain isn’t being problematic, I have been finding myself overwhelmed with dizziness. And many days of my legs being so weak that getting out of bed has been incredibly difficult. And has made getting around the house incredibly challenging.  

Sometimes the symptoms associated with chronic illness demands so much from us, and now the impact of the current global pandemic is doing the same.

As we slowly emerge from the lockdown measures imposed by the UK government, I too have emerged from my cocoon of isolation. The demandingness of such severe, relentless symptoms, however, have been unkind. As a result, emerging from my cocoon after so long, being cooped up inside has been more difficult than I had anticipated.

"As we slowly emerge from the lockdown measures imposed by the UK government, I too have emerged from my cocoon of isolation. However, emerging from my cocoon has been more difficult than I had anticipated." Share on X

Being diagnosed with a neurological disorder changes every facet of your life. It interrupts your life and the plans for the future in such a profound way that you can no longer recognise your life any longer. This pandemic has had such an effect; it has changed our lives so significantly.  And for those of us living with chronic illness, it has altered our lives with them.  Pauses in treatments and therapies have meant that many of us, symptoms have worsened, or the progress we had previously made is now lost. 

"This pandemic has had such an effect; it has changed our lives so significantly.  And for those of us living with chronic illness, it has altered our lives with them." Share on X

Nourishing Stress and Anxiety With Self-Care

Many people have reported feeling stress and anxiety as a result of all the uncertainty surrounding the current Coronavirus Pandemic. It has never been more important to revel in self-care. Nourishing our well-being is important not only for our bodies but is also essential for our mind and soul.

Stress and anxiety are very much a part of living with a long-term health condition. As the pandemic and lockdown continues, stress and anxiety have been reported by many as we all grapple with the ‘new normal’.

The stress of this current global predicament is very much like the stress of living with a chronic illness. The uncertainty and the many unknowns of our future lives with a chronic condition also cause stress and anxiety. Self-care becomes vital for our quality of life as well as for increased functionality. 

"The uncertainty and the many unknowns of our future lives with a chronic condition also cause stress and anxiety. Self-care becomes vital for our quality of life as well as for increased functionality. " Share on X

It has never been more critical, therefore, to look after ourselves; body, mind and soul.

Telecommunicating To Fight Isolation And Loneliness

Another parallel between chronic illness, and a pandemic is the isolation and loneliness that they both create.

Often for those living with such conditions missing out become a natural part of life. During the current pandemic and lockdown, it has become something that we all are experiencing. Unable to see friends and family is now something that we are all forced to live with, whether living with illness or not.

As a result, loneliness and isolation have become another consequence of the pandemic and subsequent lockdown. But something, those living with chronic illness, is all too familiar with, becoming another part of our daily life.  Throughout the current pandemic communicating via Zoom or Skype has been a lifeline for many to keep in touch with our friends and family. 

"Throughout the current pandemic communicating via Zoom or Skype has been a lifeline for many to keep in touch with our friends and family." Share on X

The symptoms I experience as a result of FND often make it extremely challenging for me to go out, and something I am unable to do alone. Consequently, attending support groups for those living with this disorder is extremely difficult for me. However, during the lockdown, I have been able to join in with such groups via Zoom. I have immensely enjoyed these chats and have become a lifeline in denouncing the loneliness and isolation I often experience. 

Tolerating The Symptoms of FND As Well As Tolerating The Impact of Lockdown

Unfortunately, for many of us, there are symptoms that we experience that is seemingly immune to all potential remedies. No matter how many medications we try, or treatments we undergo the symptoms persist, seemingly irremediable, incurable.

Life with a chronic illness, and life during a pandemic are both situations that we cannot control. Our only choice, therefore, is to tolerate them and get through it as best we can. Photo by Nandhu Kumar from Pexels.

There is nothing that we can do, therefore, other than to tolerate such persistent symptoms. It is a hard lesson that teaches us that we are not always in control of our lives; instead, other forces have such power, like that of a long-term health condition.

"For many of us, there are symptoms that we experience that is seemingly immune to all potential remedies. No matter how many medications we try, or treatments we undergo the symptoms persist, seemingly irremediable, incurable." Share on X

Neither do we have such control over anything related to the current global pandemic. There is nothing to do besides following the advice shared by our governments and the scientific and medical experts. Again, this has been a lesson that we do not always have full control over our lives. A situation that we cannot control, but instead only tolerate.

What other parallels between chronic illness and a pandemic can you think of? I would love to know your thoughts!

Parallels between chronic illness and a pandemic
July Link-Up Party with A Chronic Voice

Burden:

that which is carried; load

that which is borne with difficulty; obligation; onus

Living with a chronic illness is a burden. One that is unwelcome and not wanted.

The burdens that accompany chronic illness are exponential, far-reaching, and forever increasing.

But not only do we have to endure such burdens, but we also start to feel like a burden. Notably, a. burden to those closest to us; those forced to face the struggles and annoyances that accompany chronic illness with us. 

"Not only do we have to endure a burden such as chronic illness, but it also makes us feel like a burden." Share on X
The weight of chronic illness is a heavy burden to carry. Photo by Sathyaprabha Rakkimuthu from Pexels.

A massive chasm exists between independence and dependence. The tsunami-like temperament of chronic illness firmly pushes you onto the side of dependency.  

"A massive chasm exists between independence and dependence. The tsunami-like temperament of chronic illness firmly pushes you onto the side of dependency." Share on X

From Being Burdened To Being a Burden

Living with chronic illness forces you to become dependent on others for everything. From company to entertainment as well as support in everything from attending hospital appointments, preparing food, and even getting around the house.  As the list of what you can no longer do without help becomes longer, it becomes difficult not to feel like a burden.

"Living with chronic illness forces you to become dependent on others for everything. As the list of what you can no longer do without help becomes longer, it becomes difficult not to feel like a burden." Share on X

The severity of the symptoms that I experience as a result of FND has increased my dependency on others.  For instance, the severity of the weakness in my legs, as well as the constant dizziness, means that I am unable to go out alone. And as such, dependent on others to be able to go out into the world. 

Monochrome picture of a woman with a shadow of a hand in front
There is nothing like relying on others for a lot of your care, and life to make you feel like a burden affecting your self-esteem and sense of purpose among other things. Photo by Joanne Adela Low from Pexels

I am also unable to stand for very long, leaving me unable to use public transport. I, therefore, have become reliant in particular on my father to drive me everywhere I need to go. The culmination of all the symptoms I experience also makes it challenging to cook or do other household chores without help.  Because of all this, I too, have often felt like a burden on others.  I often feel embarrassed and ashamed that at age 34, I am still in need of so much assistance. 

One Burden of Living With Illness Is That Sometimes People Walk Out

Also, my temperamental brain became unable to tolerate certain places, places with high ceilings, for example. As such, going to the cinema, or going anywhere with a high ceiling is hugely uncomfortable and intolerable for me. Picking venues and situations that I can adjust to, or even tolerate, is a heavy burden.

And one such burden that people have been able to understand or accept, viewing it as a considerable inconvenience.  And one that has resulted in many leaving my life, effectively ghosting or dumping me.  Over time, it has made me more closed off and discouraged about finding love or even meeting someone new. 

The fear of burdening another person has prevented me from letting anyone close to my heart. Or even into my life. This, and the fear of being viewed a burden.

Perhaps it is because of this; I am still single. If someone were to date me, and I often question why anyone would, it often feels that a man wouldn’t just be dating me but also the neurological disorder that encompasses my entire existence.  The fear of burdening another person has prevented me from letting anyone close to my heart.  Or even into my life.  This, and the fear of being viewed as a burden by any potential suitors. 

"Perhaps it is because of this; I am still single. If someone were to date me, and I often question why anyone would, it often feels that a man wouldn't just be dating me but also the neurological disorder I live with." Share on X

“Is It OK to Dump Him Because of His Medical Condition?”

In a recent edition of The Ethicist, a weekly advice column by writer Kwame Anthony Appiah, one reader sought advice about their short-term relationship. The reader explained that the person they had been dating has recently disclosed his diagnosis of Crohn’s Disease; an inflammatory bowel disease that can cause life-threatening complications if not cared for correctly. Armed with the knowledge of the illness and its potential complications, the reader goes onto ask if they would be in the wrong to end the relationship. In the letter, they cite that they wish to “shield [themselves] from the pain” if the worse were to happen, or from a future break-up if the partner’s illness became too much to handle.

a man and woman hands almost touching both with a red cross on the back of them
It is abhorrent that an article would suggest that it is OK to end a relationship because one of them has a medical condition and may. need care in the future. It plays into society’s notion that those with chronic illnesses and disabilities are a burden. Image by Free-Photos from Pixabay.

Appiah replied, “committing to this person may be committing to a life as a caregiver.” And he continued by stating “You don’t owe it to anyone to accept that burden.”

In one advice column – and in the New York Times no less, a prestigious publication seemed to endorse the fears and insecurities of many chronically ill and disabled individuals. That worry that we are a burden and that others see us as such too. 

"In one advice column – and in the New York Times no less, a prestigious publication seemed to endorse the fears and insecurities of many chronically ill and disabled individuals." Share on X

And with these words, the author, Appiah and by association, The New York Times is promoting ableism against both this specific person and other chronically ill and disabled people potentially harmed by such advice. Furthermore, it is ableist to assume that everyone living with a chronic illness, like IBD or disability, is going to need a caregiver in a romantic partner. Many can manage their condition and their lives around it, without any assistance just fine. 

We Are Not Burdens

Living with a chronic illness is a rollercoaster. It includes long periods of being able to manage, followed by hardships, setbacks, and flares. And back round to managing.

In truth, although there are many aspects of our lives that we often need help with, we tightly hold onto any slither of independence we can. For example, I stubbornly refuse help with chores such as changing my bed, or ironing my clothes, often to my detriment.  Our autonomy is more precious to us as our independence becomes something so readily taken from us. 

"In truth, we tightly hold onto any slither of independence we can. Our autonomy is more precious to us as our independence becomes something so readily taken from us." Share on X

The guilt and shame that exudes from chronic illness often whisper lies that I am a burden. But the truth is, that those who love me do not see me as a burden. Those who love you do not recognise you as a burden.  Those who love us simply want to support us in any way they can.  They understand the illness, or disability as part of who we are, but they also appreciate that we are so much more. 

Chronic Illness is the burden and not you

It is not we that are the burden; it is the illness, condition or disability that has happened to us. For it is chronic illness that prohibits us from being self-sufficient and allowing us complete independence. It is the diagnosis we live with that demands a great deal of help and assistance from others.

"It is not we that are the burden; it is the illness, condition or disability that has happened to us. For it is chronic illness that prohibits us from being self-sufficient and allowing us complete independence." Share on X

You Are Not A Burden

I am sure, like me with the words of the New York Times article ringing in your minds, doubt, guilt and wonder creep in, questioning if you are indeed a burden. Let me assure you, that despite the many moments of feeling less than, and the many more of not being able to keep up with the demands of life, you are not a burden.

You are not a burden text
You are not a burden
"Let me assure you, that despite the many moments of feeling less than, and the many more of not being able to keep up with the demands of life, you are not a burden." Share on X

You are so much more than your diagnosis, and far more independent and self-sufficient than you might believe. Don’t accept anything less from anybody than love, understanding and acceptance.

Let us dream of a fairytale romance, with the prince (or princess) of our fantasies, a realist, knowing we are only human and not seeing us as a burden while helping us with the demands of chronic illness that demands help and assistance.

Chronic Illness: A Burden and Being A Burden

Sheryl from A Chronic Voice, as well as sharing her own stories and lessons with chronic illness. Sheryl is an excellent support to other bloggers and writers living with illness and chronic pain. One such way is through monthly link-up parties whereby bloggers and writers share their stories through given prompts. This JuneI have used the prompts to discuss how flares can go from the invisible into the visible.

After a long, arduous night battling intense, crippling pain, I find myself standing in front of a mirror. Doing so, I begin searching; searching for signs left behind by the symptoms that have tortured every facet of my being for so long. Like the most observant crime scene investigator, I meticulously search for evidence discarded by the offender that is chronic illness.

"I begin searching; searching for signs left behind by the symptoms that have tortured every facet of my being for so long. Like the most observant CSI, I meticulously search for evidence left behind by chronic illness." Share on X

Sure, I observe the extremely ashen complexion, and the severely dark circles under the eyes staring back at me. Both easily attributed to yet another sleepless night and not the torture that my body continues to wreak upon me.

The Invisibility of A Flare

But alas, there are none. The effects of the sudden ferocious flare that arose from nowhere have left no visible evidence of the devastation it has left behind. Surprisingly, illness, its accompanying symptoms and all its baggage often remain invisible despite the damage it inflicts upon its victim.  And for the person living with the scourge of a flare, it is bewildering that others can think we look well when continually sieged by debilitating pain.

"The effects of the sudden ferocious flare that arose from nowhere have left no visible evidence of the devastation it has left behind. Surprisingly, illness often remains invisible despite the damage it inflicts upon its victim." Share on X

Flares come and go. And each time that one passes came the hope that it would be the last one. And the desire that never again would I have to utter the words, “This is the worst that I have ever felt in my entire life.” But flares always come back. They would always return, and the hope that had recurred after the flare diminished, disappeared along with it.  Yet again, forced to confront the ever-increasing presence of illness and disability in my day-to-day existence.  Along with this, is the need to accept the increasing lack of functioning as a part of my life.  

"They would always return, and the hope that had recurred after the flare diminished, disappeared along with it.  Yet again, forced to confront the ever-increasing presence of disability in my day-to-day existence." Share on X

The Traumatising Effect of a Flare

Flares, with its spike in symptoms, and the excruciating effects of the increased severity of them is a kind of trauma in itself. The symptoms that accompany chronic illness are invariably unpredictable and intense, but even more so during a flare.  And as such, living through one is both challenging and overwhelming.  

"The symptoms that accompany chronic illness are invariably unpredictable and intense, but even more so during a flare.  And as such, living through one is both challenging and overwhelming." Share on X

Day and after day living through the hell of debilitating pain, and unable to do anything but lie and endure such torture, you begin to feel helpless. You also start to believe that the flare will never end, and instead trapped in this seeming nightmare always.  The unpredictability, intensity, and relentless nature of such a setback can be scary, discouraging, and frustrating.  Its very presence is a stark reminder of the power that chronic illness yields in our lives. And reminding us that we do not always have control over our bodies. 

curled up in a foetal position because of pain
Flares, with its spike in symptoms, and the excruciating effects of the increased severity of them is a kind of trauma in itself.

Even after the flare dissipates, there is a trauma of having to live with new limitations, a result of a further loss of functioning; a byproduct of the prior exacerbation. A loss of identity. A loss of self-confidence. The scars from previous flares, that had removed me from life, and which I had lost so much continue to haunt me. As well as the knowledge that it will inevitably return. And haunted by the gains returned to me after a prolonged flare, only to have them snatched away again.

"The scars from previous flares, that had removed me from life, and which I had lost so much continue to haunt me. As well as the knowledge that it will inevitably return." Share on X

Becoming Disabled: My Body Responding to Frequent Flares

Because of the cycle of flares coming and going, my level of functioning and mobility, in particular, has changed. Steadily, worsening over time. Once, only relating to the label of being chronically ill, the deterioration in functioning added a new label to an ever-changing identity – disabled.  It was now that as a result of the cycle of flares, the invisible slowly became more visible. 

"Because of the cycle of flares coming and going, I have steadily, worsened over time. Once, only relating to the label of chronically ill, the deterioration in functioning added a new label to an ever-changing identity – disabled." Share on X

Flares: From The Invisible To The Visible

Where once I was unable to rely on myself, I was now unable to rely on my body because of the devastatingly debilitating effects of the symptoms that accompany FND. My new life came with a variety of paraphernalia associated with disability.

"Where once I was unable to rely on myself, I was now unable to rely on my body. My new life came with a variety of paraphernalia associated with disability." Share on X

Over time, I needed a variety of assistive walking devices. Different mobility aids for different mobility days; some days, a single cane will suffice in helping me get around. Other days, I find myself needing extra support, which a crutch fails to provide, so a rollator came into my life. And the terrible days, where my legs are being incredibly uncooperative, a wheelchair is needed. Going out, I began to need a disability badge in the case that my legs unexpectedly give way.  

While before my symptoms were invisible when I become more visibly disabled, however, I found it was me that became invisible.

Honouring My New and Ever-Growing Limitations

As the identity of ‘disabled’ made me feel invisible and even more isolated than before, I began to resent it.  I ignored what my body needed and did everything to blend in, to once again feel visible in the world.  The assistive devices that now played a prominent role in my life were left at home, discarded and redundant just as they had made me feel redundant, unable to live life like I once had.

"As the identity of 'disabled' made me feel invisible and even more isolated than before, I began to resent it.  I ignored what my body needed and did everything to blend in, to once again feel visible in the world." Share on X

It, however, only led to more falls as a result of a lack of support and balance such aids provided. All the extra walking needed to get around only resulted in more pain. And after returning home, overwhelming fatigue emerged, left unable to do anything but tolerate it.  I had to learn to accept the inevitability that flares go from the invisible to the visible.  And as such, had to acknowledge my need for such assistive devices. 

Being in a wheelchair usually leaves me feeling more alone and isolated than ever before, which made it harder to accept that I needed to use such assistive devices. Photo by Marcus Aurelius from Pexels.

Honouring the disabled label was a gradual process. Some days, I felt disabled, and days when I didn’t. The tag was an ageing-in sort of thing that took many years of being sick and living with FND.  Disability is a unique lesson in acceptance; by honouring the limitations of my body and embracing the mobility aids that accompany it, I can be happier and be more productive than without them. 

"Disability is a unique lesson in acceptance; by honouring the limitations of my body and embracing the mobility aids that accompany it, I can be happier and be more productive than without them." Share on X

Hoping That The Label Will Become Only A Small Part of My Life

The severe debilitating effects of a flare, and the resulting disability it causes often feel that it plays a significant and prominent role in my life. At times it feels that the diagnosis defines me, and the rest of my life pales into insignificance. Even more so, during a debilitating flare, or on the awful days, which there are many.

I hope for the day when illness and disability becomes only a small part of my life, as often and especially during times of a flare it can feel like the most significant part of life!

So, I began hoping and living for the moments in between. The good times in between flares, the good parts of the day when I’m not in pain.  Or those times where the other symptoms are quiet in the background. And the times when I don’t have to always worry about my health; or concerned when the symptoms will next suddenly appear.

"I began hoping and living for the moments in between. The good times in between flares, the good parts of the day when I'm not in pain, or where the other symptoms are quiet in the background." Share on X

I am hoping that over time, despite the disability that has begun to impact every facet of my life significantly, that it will become just another part of my life. I hope that it will become a small part of my life; even on the bad days.

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