When You Work with Someone Who Doesn’t Get It

Tired business woman

By Lisa Mark, C.P.O.

The conversation started easily enough. It was 4:30 am my time, 7:30 am at our meeting on the East Coast, and I felt as if I’d been hit by a truck. The alarm rang at 3:30 am, relatively speaking, and as I dragged my exhausted self out of bed I wondered, not for the first time, why we couldn’t start an hour later. In the conference room, a colleague said that I looked tired, and I agreed. She then suggested that I have some coffee, to which I replied that I didn’t think it would be a good idea to put anything in my stomach just yet.

Blank stare. Then: ‘But won’t some coffee help you wake up?’

As a professional who volunteers for our national Board of Directors, I am used to flying from California, where I live and work, to New Jersey, where we gather 3-4 times a year for intense three-day meetings. Our leadership is fantastic and I have learned so much from serving with some of the best minds in the industry. But physically, it is beyond tough.

And it doesn’t have to be this way.

I have asked, more than once, if we can start our meetings at 9 am instead of at 7:30 or 8 am. What a difference that would make. And the answer has always been no, because our Board is composed of people who mostly come from the East Coast, are supremely healthy, are morning people, and simply do not understand what it is like to have an invisible illness that is greatly exacerbated by spending 6 hours squashed into a flying sardine can and then having to be up and functional so early the next morning…and for the next 3 days.

I have finally come to the realization that I am working with people who, despite being intelligent and reasoned and experienced and kind, fall into the second category of our Illness Warriors Care Stand Chart: They may Care, but they Don’t Get It. Otherwise why not honor the request to start just an hour later?

I’ve tried to explain on numerous occasions how taxing it is to fly across the country and then be at my best so early, relatively speaking, in the morning. I’ve even, on occasion, been violently sick during the meeting because my body was just so out of whack. One of my colleagues still talks about the time I turned yellow as a marshmallow Peep and fled the room. I’ll spare you the details of what transpired next, but I will say that it is a good thing the bathroom was right next door to the meeting room. Another colleague routinely greets me with a boisterous ‘Good Morning! How are we feeling today?’ as if by doing so she can imbue me with some of her boundless energy. A third colleague, aware that I am not at my best in these circumstances, routinely asks how I feel and if there is anything she can do. (Yeah – start at 9 am instead of 7:30, thank you.)

Call me stubborn, but it took me nearly 4 years to accept the fact that I will just feel really, really bad whenever we meet. And I have stopped explaining to my colleagues why this is, what can be done to alleviate it, and how to help, because nothing changes. It is unfortunate, because it doesn’t have to be this way. But trying to explain to people who don’t get it, even if they do care, is an exercise in futility.

Despite the physical challenges, I am dedicated to my volunteer board position and to this association. But because of the physical challenges inherent in this job, I have learned not to say yes to everything that crosses my path. I have also learned to minimize the amount of time I spend on all things related to this position, while still attempting to fulfill my duties well.

During the last Board election, a colleague stepped onto the Board who also hails from California, is also not a morning person, and who also feels icky for pretty much the entire time we meet. And she does get it.

And that counts for something.

6 Self-Protection Measures My Healthy Friends Don’t Understand

Sunglasses and Sun Hat

By Maureen DeGarmo

I have been an Illness Warrior for forty years. That’s right…forty. I have a working theory that most of my mystery disease stems from a car accident that occurred in 1977. There is no way to prove it, because the only part of me that the emergency room doctors checked was my wrist. But, I am fairly certain that damage was done to my neck that fateful day, causing long-term difficulties.

You might think that I have had a long time to adapt to my problems. You would be right in a way, but, with such a long, slow decline I don’t even remember what it was like to feel good any more. The effect is that my way of relating to the world is largely determined by self-protective measures. These strategies are ingrained into my personality because I have used them for so long. Some of these are easy to understand, and others are not. Some of my friends understand, and others do not.

Sunglasses Indoors: Indoor lighting is often very harsh. Edison bulbs, florescent lights and spotlights all annoy my brain. Flashing lights are the worst. All of them are difficult to avoid. My best protection is wearing my sunglasses indoors. I wear the kind that wrap over my prescription glasses, so I can take them off when I want to. A few days ago, I was with a close friend who understands my condition and is very compassionate. She explained to her son, “the lights hurt her eyes.” Her acceptance of my unusual self-protection measure meant a lot to me.

Cover My Ears: One of the symptoms of my condition is chronic vertigo. Not the room-spinning kind of vertigo, but the sensation of being in a small boat on choppy water. As a result, I am easily startled by sudden noises, such as heavy machinery, music with a loud bass beat, or a door slamming. When possible, I cover my ears to muffle the noise. If I don’t do this, my vertigo is increased, so protecting myself is worth appearing a bit weird.

Avoid Bending Over: Bending over to pick something off the floor always results in increased vertigo. Recently, I was getting something out of the bottom rack of our dishwasher. From the next room, my husband could hear that I was out of breath. Although I cannot always avoid bending, I try to whenever possible.

Needing Help: Several years ago, I was on a day-long shopping trip with two friends. Without realizing it, I had stated more than once that I would get my husband to help me with something. One friend called me out on this habit of requiring assistance, in a way that was very clear to me that she did not understand my lack of independence. In that moment, I knew that I had to be careful in sharing not only details about my illness, but also with whom I shared them.

Walk With My Arms Up: I don’t remember when I realized that walking with my arms raised to the side, as if I were flying, helps with my balance. Somehow, it reminds me where I am in space and gives me a sense of stability. I am more likely to use this when I am alone, such as walking across a parking lot. I feel like a 4-year-old playing in the park, but it works for me, so I do it anyway.

Sleep Late: Among my family and friends there are several early birds who get up before the sun rises, take a walk, clean the house and feed the cat before my feet ever hit the floor. Fortunately for me, I am not married to one of those. We often get teased for how late we sleep, but I have gotten used to that. I know that sleep is one of the best things that I can do for myself. Especially when I have had an attack of insomnia, I try to sleep until my body wakes up naturally, despite the teasing.

Do you have self-protection measures that you do? Are some of them a bit odd? Please share your thoughts.

Who I Used to Be

By Maureen DeGarmo

There is no doubt that illness changes a person, but are those changes all negative? I have been trying to reconcile my pre-illness self with my current self, and to figure out what I have learned from my journey.

Joy: Joy is a feeling of delight or glee. Experiencing joy uplifts the spirit. Joy can brighten your day, and if you’re lucky it can carry over to the next day. I have a friend who has been battling cancer for several years, and he told me that his goal is to make at least one person laugh every day. But, it’s difficult to find joy when you don’t feel good. It seems to me that my younger self found joy more easily, and more often. I still try to find things that delight me, but I have to make a conscious effort to do so. I try to avoid movies that depress me and say yes to outside activities that will make me laugh. But, it does not seem to come as naturally as it used to.

Achievement: when I was a child, I was an over-achiever: striving to get all A’s in school and making sure that everything I needed to complete got done to very high standards. As a young adult, I was still a perfectionist to some degree, but that deep desire for perfection diminished long ago. Who has the energy? My current stance is that when you find yourself waiting until you have the energy to clean the house, and the perfectionist side of you tells you to wait until you feel good enough to make it perfect, then it will never happen. As we teach in our Illness Warriors Seminar, “Done is Better than Perfect.” My illness has indeed relaxed the achiever side of my personality. In some ways that’s good, but it also feels like my inspiration has decreased along with it.

Spirit: When I was in school, my psychology teacher asked us to list all the assignments that we had completed to earn a particular grade. My teacher was likeable and a good instructor but had a habit of changing the subject quite frequently during class. So, on my grade-requirements list, I included the fact that I was the only person who had the courage to keep a tally of how many times he had interrupted himself during a lecture (he responded to my little stunt with good humor). Little did I know that he had connections at the local newspaper and surprised me with a write-up in the gossip column.

That ‘spirited young woman’ feels like a distant memory. Although I certainly don’t have the energy that I did then, I have learned patience and calm, and to hold my tongue when I am angry or frustrated.

Creative: I used to love to craft, sew and create things. I enjoyed the process of design and seeing the finished result of something I had made. The down-side of crafting is cleaning up the mess, which of course requires more energy than I now have. Instead, I do creative work on my computer, such as PowerPoint design (which does not make a mess).

Sometimes I grieve for the joyful, creative, spirited person I used to be. Sometimes, I am thankful that I have grown. Either way, I recognize that life is not a straight line, but a series of ups and downs.

How has your illness changed you? Have those changes been both negative and positive? What have you learned about yourself?

How I went from Anger to Acceptance of My Illness

Woman holding her head and looking stressed

By Lisa Mark, C.P.O.

It is said that the stages we experience when dealing with a life-changing illness or injury are similar to the stages of grief: Denial, Anger, Bargaining, Depression, and Acceptance.

My illness was so extreme, life-altering, sudden, acute, severe and painful that I skipped the denial stage and went straight into anger. What turned out to be Gastroparesis was at the time a mystery that stumped my doctors, whose responses to me ranged from outright disbelief to hostility. So, yeah, I was angry.

My anger was caused partly by the awful managed-care practitioner I was seeing at the time. He had the ‘Denial’ stage down pat and accused me of lying about my symptoms to hide what he said was the true cause of my illness: Anorexia. Or maybe Bulimia.

But it was also because I was really, really pissed about having gotten sick in the first place.

I was pissed at myself for ignoring my initial symptoms until they became too severe to ignore, and for my weakness in getting sick in the first place.

I was pissed at my managed health practitioner for not believing me when I said I wasn’t making myself throw up.

I was pissed at the ER docs who misdiagnosed my illness as ‘vague stomach upset’ and sent me home with an antacid and order to ‘get some sleep.’

I was pissed at my health plan for providing so few good health care practitioners in my network.

Angry that I had to stop nursing my infant daughter because the medications I was on might cross into my breastmilk and affect her.

Pissed that while I was struggling to get better, my friends were caring for their kids, going on vacation, working and living their lives.

Angry at the cost of the financial and other resources my illness was sucking away from my family.

Angry that the life I’d laid out for myself was not turning out as I’d hoped.

Angry at the lack of acceptance from friends and family members who didn’t believe I was ‘really’ sick.

I had two little kids, aged 5 years and 3 months at the time of my first illness, and they needed me, their mom, to be healthy and available. And I was anything but. I was pissed about that, too.

I just couldn’t accept the fact that I was so sick and unavailable during these critical first years with my kids, a time when my family really needed me to be healthy.

Yeah, I spent a lot of time being pissed. Which made it difficult, if not impossible, for me to heal.

The Turning Point

My friend, one of the few who didn’t abandon me when I needed her most, stopped by to sit with me so my spouse could go to work. I was so sick that I couldn’t be left alone. She sat next to me on my sofa, patiently listening while I ranted and railed about the unfairness of it all. Why me? I kept saying. Why did IIII have to get sick? Why couldn’t it have been any one of a number of other women that I knew?

When I was finished, exhausted and tear-stained, my beautiful friend turned to me and asked me the question that would start me on my journey of acceptance and healing.

She asked me why I thought it would be any fairer if illness had happened to someone else instead of me. In essence, she was asking, ‘Why not you?’

I hate to say it, but she had a point. Why, indeed, not me? Who am I to think I am exempt from this illness?

And it was at that moment that I started to accept my illness, let go of my anger, and heal.

Laughter & Healing

By Lisa Mark, C.P.O.

When I was in the throes of my illness a friend dropped by a pile of books for me to read. She told me, ‘Read the Bryson book first so you can laugh a little bit. It’ll be good for you.’ I don’t remember if I ignored her or didn’t hear her but I immediately dove into ‘The Color of Water’ by James McBride. This incredible memoir was both sad and serious.  I cried my way through the next few days as I read the book.

I was already spending a lot of time crying and really could have used a laugh. When I finished The Color of Water, I pondered the rest of the books in the pile my friend had left me and settled on Bill Bryson’s ‘A Walk in the Woods,’ a hilarious autobiography detailing the author’s attempt to hike the Appalachian Trail. I laughed my way through the book and found, to my surprise, that although I was still terribly sick, laughter brought a sense of well-being that I hadn’t yet experienced during my illness.

As I travel through my journey with illness, I discover that there are actually centers that research the effect of laughter and psychological well-being on healing. One of them, the Cousins Center for Psychoneuroimmunology at UCLA, was founded by author Norman Cousins after he was diagnosed with a particularly painful type of arthritis. During the course of his illness, he noticed that spending some time watching funny movies improved the way he felt and even enabled him to sleep for a few hours despite debilitating pain.

From the Cousins Center website:

“Science is beginning to uncover some of what happens inside the body in response to laughter. Laughter Researcher[s have] found, in clinical studies, that laughter has positive effects on the neuroendocrine-immune axis by reducing some classic stress hormones.”

There is even such a thing as ‘laughter therapy.’ And truth to that old adage: laughter is the best medicine. So despite illness being no laughing matter, perhaps a bit of laughter can help us all to feel better.

Save

Save

Save

Save

Lisa’s Story: Gastroparesis

By Maureen DeGarmo and Lisa Mark, C.P.O.

What would you do if suddenly you were unable to eat or drink anything at all? Gastroparesis is a condition that paralyzes the muscles of the stomach and causes them to stop working. This condition makes it difficult or impossible to digest food.

August is Gastroparesis Awareness Month, recognized by the U.S. Department of Health and Human Services on the Health Observances Calendar, which is designed to spread awareness of a variety of health conditions. Continue reading

Organizing to De-Stress a Major Illness

By Hazel Thornton

Illness Warriors would like to introduce our guest blogger, Hazel Thornton of Organized for Life. Hazel has written an article discussing the idea that “the more organized you are, and the simpler your household processes, the less you will worry about things getting done, freeing you to focus your energy on getting well.” The post includes organizing resources and information in four categories:

  • Organizing Your Medical Records
  • Organizing Your Support System
  • Organizing Your Home
  • Organizing Your Self

My favorite tips are: Continue reading

How to Ask for Help During an Illness

By Maureen DeGarmo

When trauma strikes, our lives are flipped upside down. Priorities must change according to the effects of the trauma, whether it is caused by an injury or illness. But, how do Illness Warriors handle everything required of them? Child care, transportation, grocery shopping, meal preparation, doctor’s appointments and so on…the volume of high-priority to do items is very overwhelming. (Did you notice I did not even include laundry, house cleaning or self-care on that list?)

How does the victim of a trauma – or an ongoing traumatic illness – manage everything by themselves? The answer is, they don’t. They either get help, or are forced to let some things slide. What, then, is the best way to get help from friends and family? At Illness Warriors, we like the idea of Continue reading

25 Ways to Take Your Mind Off Your Pain

By Maureen DeGarmo and Lisa Mark, C.P.O.

Chronic pain can be a ruthless dictator, controlling many aspects of our lives. A pervasive and unwanted companion, it forces us to choose between fun activities and responsibilities; between doing what we want to do and what we need to do. Sometimes pain, nausea and exhaustion allows us to do nothing but curl up and ride it out. Other times, diverting attention can make pain a bit more manageable. Here are 25 methods to help manage pain.

  1. Meditate (Find a quiet place, close your eyes, and go to your happy place)
  2. Listen to a relaxation audio recording (some free ones are posted on YouTube)
  3. Start a gratitude list/calendar/bowl
  4. Do a good deed for someone
  5. Talk to a trusted friend
  6. Write in a journal
  7. Stretch
  8. Listen to a comedian
  9. Make someone else laugh
  10. Play with pets
  11. Snuggle the cat
  12. Snuggle a small child or a baby
  13. Watch a favorite movie or show
  14. Listen to a book-on-tape
  15. Read a good book
  16. Write a thank-you note
  17. Listen to music
  18. Sing a favorite song
  19. Peruse old photos
  20. Make cookies for a neighbor
  21. Sit under a tree
  22. Eat lunch outside
  23. Listen to nature sounds
  24. Take a bubble bath
  25. Get a pedicure

Save

Save

What is it like to have a Mystery Disease?

By Maureen DeGarmo

Imagine for a moment that you have the flu, you feel exhausted and achy, and it seems like your symptoms will never end. What if that were true? What if your symptoms didn’t end? This is what it feels like to have a chronic disease.

Now imagine you don’t know what disease you have, and that everyone around you – from doctors to friends and family – doesn’t know how to react because there is no real way to explain your illness. Some people may even doubt that you are really sick. This is what having a mystery disease is like.

Here are some examples of the difference between a diagnosed illness and a disease that has no name: Continue reading