Tuesday, September 15, 2009

Invisible Illness Awareness Week

This week is Invisible Illness Awareness Week. Unless you yourself or someone quite close to you has an "invisible" illness, you probably were unaware that this awareness week existed. Since you are reading my blog, you most likely know that I suffer from multiple chronic illnesses which are invisible. Although my illnesses do not leave me physically scarred, with the exception of the surgery scars, they do wreck havoc on my body.

If I can get across a single thing about an invisible illness it would be that even though you can't physically see what my illnesses are doing to me, that they have a serious impact on my life and are just as serious as the diseases that you might be able to visually detect. Over time I have collected quite a few labels for my illnesses: Endometriosis, Fibromyalgia, Inflammatory Bowel Disease, Rheumatoid Arthritis, Interstitial Cystitis, and even endometrial cancer. None of these illnesses will you be able to detect visually, except if I actually followed my rheumatologist's advice and used a cane to walk.

One thing that really gets to me is when people say "But you look fine/good/great". To me, my brain wants to take this comment out of context and says "Oh they are assuming that I'm not really suffering based on how I look". It's not that I don't appreciate the comment, it's that I've been down the road of people doubting my illnesses once too often to not wonder if this is what they are really thinking. When I go out, I go through great efforts to make myself look "good" and to put on the "happy face". I've learned how to pretend I'm well to the point of deserving an Oscar nomination. I believe in the "Look Good, Feel Better Program" that many of the hospitals run for their cancer patients. The premise is simple, if you look good and feel good about yourself for being able to look good, it can at least help to heal the spirit. If I displayed how I physically feel most days, I would not look well at all. Since society prefers to interact with healthy people, I attempt to play the role of the healthy, happy person and suppress what these illnesses are doing to me.

To honor National Invisible Illness Week, I'd like to share what some of these conditions are actually like for me when they flare up in my body. I'll try not to be too graphic, but give a glimpse as to what it might be like to live with these illnesses.

Endometriosis: I've lived with this one for 18 years now, but each and every time my endometriosis flares it reminds me of just how much I hate this disease. One myth about the disease is that it only causes pain during your menstrual cycle. I'd just like to say, at least in my experience, this is not so. The adhesions that have formed due to the rogue endometrial cells continue to pull and tighten on "things" throughout my cycle. I have pain during ovulation, which feels like sharp needle pin-pricks over my ovaries, and dull but gnawing cramping elsewhere. During my cycle my pain might be so bad as to make me violently ill or pass-out from the pain. Sometimes I curl up in the fetal position and just shake in pain. It's sharp, constant, gnawing, seizing, and hot pain. I have gastro-intestinal symptoms that flare up to the extreme during my cycle. This pain level could last as long as 9-14 days for me.

Fibromyalgia: I was diagnosed with this shortly after my son was born. When my fibromyalgia flares up, it really makes its presence known. I get pain that I describe as being from the roots of my hair down to the roots of my feet. It's sharp, and sometimes limits the range of motion that I have in my muscles. If someone were to even give me the lightest of touches in certain places (like my upper arms, my neck/back, etc) I could easily scream out in pain. I can remember once being sprayed by a garden hose with cold water and the resulting pain lasted 4 days. It felt like all my muscles were expanding at once, but painfully expanding to the point of being almost immobile. Even my feet are not immune to the effects of fibromyalgia, my feet often feel extremely hot during a flare-up, but they feel so hot that they actually feel "frozen" and yet all I want to do is stick them in an ice bath. With my fibromyalgia, I also get migraines which is quite common with fibro patients, as well as having sleep disturbances (well you try to sleep when all you want to do is take the skin off your body!).

Rheumatoid Arthritis: This is a newer diagnosis for me, which was determined after a bone density scan, an MRI, among other lab-work tests. I have been diagnosed with this illness in my hip. Shortly after my son was born I started to have serious problems with my hip "popping out of joint". This was so much more than just a muscle spasm. I can remember once being at the mall with my son, and going to get him into his car seat. My hip gave out and I collapsed but not before hitting and gashing my forehead on the side of the car door. I can walk without limping some days, but if this flare-up strikes, I am limping and people often wonder why since I'm so young. I wonder why since I'm so young as well.

For me, aside from dealing with the cancer, these illnesses are the ones that effect me the most regularly and tend to have the greatest impact on my quality of life. One of these illnesses alone is enough for a person to have to live with, but when you're diagnosed with multiple illnesses, which many chronically ill patients are, life seems to be a giant bag full of a variety of medicines.

9 comments:

Sonja said...

Thanks for sharing Melissa *hugs*

Jeanne said...

Melissa,

Anyone with chronic illness can almost certainly relate to this comment you made, "even though you can't physically see what my illnesses are doing to me, that they have a serious impact on my life and are just as serious as the diseases that you might be able to visually detect".

This seems to be a universal concept... this notion of the invisibly ill being misunderstood, not believed, viewed as melodramatic, attention-seekers, etc.

In reality, most chronically ill people take great lengths to be understood (by those willing to listen/learn something new), to be believed, to be taken seriously and not dismissed, and... ironically... many people with chronic illness go out of their way to avoid attention... not to attract it!

I know MANY invisibly ill people and I don't know a single one who has not heard the "classic" line "you look good". While people may make such a comment trying to be positive and complimentary, it can cut to the quick for those of us who have spent years (decades even) fighting to be validated, understood, and believed. It can feel like a slap in the face.

For years, I could have tied you for Best Actress. No more. Years of therapy have helped me to understand that, for me, "hiding" my real condition and feelings was making me get even sicker.

So I rarely hide things now. Yes, there can be awkward times. Yes, I get darn tired of re-educating my extended family before every get-together that I cannot tolerate fragrances with my MCS (for example).

No, they don't always appreciate the notion of skipping fragrance when they'll be near me. The thing is that the alternative has become me not being able to participate. I can't subject my body to preventable, unnecessary toxins.

I have learned I *MUST* do what is reasonably within my control to avoid triggers, reactions, etc for all sorts of my illnesses (foods, cleaning products, perfume, etc.)

Great job explaining a couple of your many conditions.

Compared to the cancer I had removed in 1996, the chronic conditions I struggle with daily (endometriosis, fibromyalgia, MCS, neuropathy, interstitial cystitis, and more) have a more profound impact on me and my family simply because they are chronic and I can't look back at them as something from my past.

I know from talking with you near-daily throughout this complicated, high-risk pregnancy that you are in incredible pain and you have endured some unfathomable hardships recently. I am sending positive vibes your way. It's only a matter of days now before the baby will be born!! :)

Great post!

Jeanne

endochick said...

Amen. Just because you can't see our wounds doesn't make them any less real. Too often I have been told my illnesses were all in my head. Several doctors told my grandmother my dysautonomia was in my head until a cardiologist diagnosed me when I was a teenager. When our illnesses are invisible, we are prone to being labeled with insulting and degrading labels. We are called names like hypochondriacs and worse. Yet, if these people could step into your lives for just one day they would realize that a silent, invisible illness is just as painful, just as chronic, and just as life altering as a visible one.

Sonja said...

PS: Your post inspired a post that I wrote:

http://dontscareeasy.blogspot.com/2009/09/just-how-invisible.html

You're awesome :)

Anonymous said...

your story is one i can relate to well. I suffer from several conditions incuding Endometriosis, Irritable Bowel Syndrome, Arthritis, Depression & Anxiety. Most people cant understand how i can be sick enough to be on a disability support pension as to them i look "fine". there needs to be more awareness raised about invisible illnesses. good luck :)

shell87 said...

as you know i really only have the endo (and posibly IC, will know more come october when they have schedualed my for a sycosopy (spelling?) But i can state i might slightly understand about the hips.

Mine have always poped out freely. i can stand and have them sit in 3different positions without them being out of the socket truly (so i guess when they slip out that would be a 4th lol)

most annoying when it pops out during sex! because i have to have me legs togeather and then put weight on the side that poped to fix the issue. really interfears! Or when horseback riding (since its nearly imposible to get the hip back in while still on the horse and in to much pain to get off lol)

Jenni Saake (a.k.a. InfertilityMom) said...

Jeanne, I've been rather out of online loops the last few weeks due to my own medical stuff going on, but I just had a chance to read Jeanne's post about your situation and wanted to come give you a huge {{{hug}}}. I haven't fought cancer, but I've been down similar paths to just about everything else you are dealing with (replace your RA with my CFS) including high risk, bedrest pregnancies and low birth weight and/or preemie babies (none or whom ever needed a single night in the NICU!)
Amazed at your story and praying for you right now. Thank you for participating in NCIIAW - I had the joy of talking with Lisa as a seminar guest both last year (about our infertility journey) and this year (about coping with crisis on top of chronic). Praying for you and just joined as a follower so I can keep up!
Jenni "InfertiltiyMom"
www.InfertilityMom.blogspot.com
www.HarvestingHope.blogspot.com

Jenni Saake (a.k.a. InfertilityMom) said...

Sorry, meant to address this to you, Melissa, but think I may have accidentaly addressed it to Jeanne by mistake? (Had Jeanne on the brain since I first read about you on her blog.)
Once again, big {{{hugs}}}!
jenni

zengirl said...

I stumbled upon your blog when I was looking for fellow endo sisters and I am so sorry to learn that you are suffering from so much pain! I know how debilitating pain can be, as I suffer from endo (and infertility) too. I had to look for treatment elsewhere as Western Medicine offers no known cure or sustainable relief. My search brought me to Traditional Chinese Medicine (TCM), which has a better success rate and a whole different understanding and treatment of diseases. I am now in the care of a very good TCM physician, who cured me of pain within a month, but I have relapsed since my miscarriage. I am still on the journey of healing for me.

It might be worth your while checking this physician out, as he may offer you much relief from the chronic diseases and pain that take over so much of your life. He may be your very last resort, but it is still something you might want to consider. Medicine is his life, and he is one of the few who is gifted with ability to heal and treat people. I have been with him for 10 months and I have seen people from all over the world (Korea, Middle-east, Europe, USA, Asia, Africa) who fly to him for help, especially for diseases untreatable by western medicine like, cerebral palsy, autism, cancer, and I have seen miraculous results with my very own eyes! He runs a very humble practice, but is also happy to reach out to sick people globally. You can e-mail him with your diagnosis/lab tests/blood tests/ and questions and he can explain your course of treatment required for you. He is also willing to courier herbal preparations to you that is FDA approved, if you can't visit him for full treatment. You can check out his website here. Their English is not the best, but they take their medicine very seriously.

http://www.thetole.com/

We endo sisters do not expect miracles-all we want is just a better quailty of life.You're welcome to drop by my blog and see how my treatments are going with him. I wish you all the best with your baby, and I hope you'll find relief and dare I say "cure" from your chronic illnesses one day!

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Endometriosis: Facing the Battle Head-On by Melissa Ralston is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.5 Canada License.