Day 246 The Pilgrimage

A soft-sided, well-worn briefcase sits slouched in a corner closet,
one side agape, a red lanyard hastily stuffed inside –
occupational identification.
A row of black, brown and gray pumps line up beside it,
a thin layer of dust betraying their idleness.
Silent, unblinking a television set recedes into the wall,
flanked on either side by images of smiling faces,
shadows of nostalgia.
Stacks of books and journals rumour
a once scholarly mind.

The woman, to whom all these trivialities once
had relevance is no longer here.

She has been called to another purpose.

A Case for Moderation

“Before illness,”  I tell my therapist, “I had things I was working on – I was engaged with life.  Now I can’t do any of that.  I feel useless.”

She nods.  “Yes, that is what illness does.”

I’d had two days of feeling better.  Two days of being able to sit up and actually do a bit of housework.  “I felt so good that I actually started to allow myself to make plans,”  I tell her, choking up.

“That is the trouble with this disease,”  she explains.  “Patients have good days, and they do things, and it sets them back.  You need to learn to enjoy the days you are feeling better, without increasing your activity.  Your body needs rest; rest is what is going to get you well again.”

I look away.  How can I tell her about the messages that have been haunting me these past days?

“I feel stripped of all purpose,”  I manage to confess.

“Ah,” she says knowingly.  “One of the things that we are able to do when we are well is avoid the voices in our head; without all that busyness we are alone with our demons.”

“Exactly!”  I love this woman!  “It sounds crazy, but I keep hearing my father’s voice.”

“What is he saying?”  She leans forward.

You don’t have any problems!  You don’t even know what problems are! ”  There were more too:  Time is money.  Waste not, want not.    I tell her about how he never allowed us to sleep in, made us get up and do drills on Saturday morning before cleaning the house.

th-1.jpeg“Your father wanted you to be strong, able to face whatever life threw at you.  What is missing from that picture is the message that home is the soft place to land.”

Her words strike a chord.  “That concept was foreign to me for most of my life,” I tell her.  “I never even conceived of it until I met Ric.  Isn’t that awful?”

She gives me a sad smile.  “The trouble with growing up in a family where work ethic is everything is that you are always living up to someone else’s expectations.  Your father set the bar high and to get there, you had negate all natural instincts.  You weren’t allowed to feel tired, sad, angry, etc.  All that would be pushed aside in order not to disappoint him.”

Even as she speaks, I see myself going to my room, disheartened by my feelings, wanting to hide – out of sorts.  Emotions were not welcome in our house; weakness was abhorred.

“Then you found yourself alone as a single mom with three kids.  There was no time for your needs.  No time to be sick, or rest, so you carried on out of necessity.”

“And I had my own business,”  I add to the list in my head.  “No possibility of taking time off there.”   To my therapist, I add:  “I don’t know how to banish the guilt.”

“Journal the messages when they pop up,”  she suggests.  “That way you can get them out of your head and onto paper where you can see how useless they are.  Tell yourself that by resting you are doing exactly what you need to be doing.  Getting better is all about listening to your body.”

“And when others ask me what I’ve done with my day…….?”

“Their questions are triggering you childhood demons.  You are hearing your father’s voice behind them.  Tell them you are doing exactly what you need to be doing to get well.  Leave it at that.”

I sigh.  For months now, I have felt like I have to justify my existence to everyone.  I have felt like such a failure.

“I have done the same thing to my children,”  I blurt out.

“Likely,”  she smiles.  “It’s all you’ve known.”

“Oh God,”  I moan.

“There is nothing wrong with a good work ethic as long as it’s balanced with proper rest.  It’s all about moderation.”

I have missed the moderation piece of life’s puzzle.

Will I ever learn?

 

Life Currently on Pause

Yesterday, I decided to pretend that the disease I suffer is not present.  Just for one night I wanted to take a break, be normal, live life. I am not talking big risks here people!  I am just talking a night of t.v. watching like in the old days, before I got sick.

“I’m still lying down, right?”  I convinced myself, hunkering in under the sheets.  “What can it hurt?”  That was 7:00 p.m.  At 11:00, I turned off the noise and distraction and retreated into sleep.

3:00 am the first repercussion hit me – constricted airways, choking for breath.  I staggered to the bathroom and my inhaler, then tried to go back to sleep.

No deal.  My overstimulated brain was locked on wired – replaying the details of the shows I’d watched over and over, like an ongoing, unsolvable debate.

I got up and made myself tea, and noticing a pronounced weakness, allowed my walker to support me.  I had overdone it.

I eventually fell back to sleep just after dawn, and now just coming up to noon, I have managed to get myself dressed.

Why is it so hard for me to learn this lesson?  My body/ mind/ emotions/ spirit have, through the vessel of this disorder (ME/CFS), sent me a clear and profound message:

P..A..U..S..E..!

So life, forgive me for opting out of participation right now – I am taking a sabbatical.

Intuition

The body has a voice –
not silent, nor harsh –
it is a knowing.

When ego drives hard –
Screaming ambition,
demanding to be heard

Block it out!

Let your body speak –
waves of understanding,
gut feelings; truth.

Logic has no place here –
book learning seldom serves
the needs of the soul.

Set it aside.

Listen to your body –
that pounding in the chest,
that sudden surge of vertigo.

Reason is cellular –
ancient, ancestral instinct.
Trust the wisdom within.

(Image: www.huffingtonpost.com)

Embrace your intuition.

Sufficiency

My living room has beautiful big picture windows facing two directions, allotting me a full view of the neighbour’s front gardens to the north, and the constant comings and goings  on the  street in front of the house.  Lying on the couch with my morning cup of tea is how I like to greet the day.

On Sunday mornings, the rush of traffic is replaced by clusters of runners, with their long, sleek bodies, puffed out reddened faces, and self-satisfied grimaces.

“My wife had CFS,”  a man once told me, “but now she runs marathons.”

It is hard for me to believe.  The distance between my own physical capabilities and these weekend athletes far exceeds any race they might run, the copper-coloured legs of my sidekick walker remind me.

Maybe wheelchair races, I chuckle to myself.

Now that my life is confined to the four tiny rooms on the main floor of our home, I have new perspective.

I cannot remember a time when I did not feel lacking in my life – not enough hours in the day, not enough help, not enough money – but the truth is, in retrospect, I always had exactly what I needed.

Today, I do not have the legs to carry me swiftly on my way, nor do I have the energy to aspire to such feats, but I do have a home that I can easily navigate, surrounded by the endless beauty of Nature, and friends and family that truly care.

Abundance, I am discovering, is an attitude, not a state of material wealth.  It comes with the recognition that life is sufficiency, not lack.

 

Kindness Not Advice Needed For Ill

What is it about illness that invites so much input from others?  Everyone has an opinion and seem somehow emboldened by my vulnerability to express it, as if they have suddenly become the expert on all things health-related.

Since my diagnosis, I have been counselled to exercise more, eat more meat, eat no  meat, get magnetic therapy, see a psychic,  see a shrink (as it is surely all in my mind), and seek a second opinion.  All offered with the best of intentions, I am sure.

One friend even called from her therapist’s office and said she was on her way to get me, as he was positive he could help me.  “He says that what you’re doing is not enough,”  she told me excitedly.  “He has worked miracles with me.”

I have no doubt that he has helped her, and I bite back my desire to tell her that both he and she are being unbelievably arrogant as they have no idea what my course of treatment is at the moment, nor any idea what I have gone through to get to this point.

Diagnosis of ME/CFS does not happen haphazardly.  It comes after a series of specialists appointments, eliminating other diseases, and adding up to this particular one.  In my case, it has been four years of doctors, and testing, and worsening conditions that have led me to this point.  In the meantime, I have also been working with therapists and experts to find healthy solutions – specific to my ailments!

What I want to tell others is that while I appreciate their concern, the discussions drain me, and while their friendship is treasured, I have to limit my interactions, so would prefer to not keep going over this sensitive subject.   Trust me that healing is my number one priority, and that I am making healthy choices for myself.

Take a page from my friend, Naomi, who arrived for a visit last Monday.

“I can only stay for a quick visit,”  she announced, then steered the conversation to a discussion about our mutual interest – grandchildren.  After a precise amount of time, she said she had to go, and added:

“I know you are doing everything you can to get better, and I know you will be successful.”

Uplifted by her visit and vote of confidence, I saw her to the door, then headed for the fridge to find something for lunch.  Imagine my surprise and delight to find a fridge full of fresh fruit, and a ready prepared dinner, plus a few other special treats.

In her unassuming way, Naomi brought me great comfort that day.   Her actions, not just her words, spoke volumes in support of my healing.

 

 

ME/CFS: Just Need Clarity

The desire to re-engage with life is so potent that when any window of wellness pops up I grasp it and, like a naughty school child, ignore all well-intended warnings of caution.  It happened yesterday.  After two weeks of slumping, I felt almost normal.

“Aha!” I said to myself.  “I have energy!”  Before sensibility could get a hold of me, I bundled up the laundry that had been amassing unsorted in the bottom of the closet, and whisked it all downstairs into the laundry room, where more piles awaited.  (I know, this is preposterously bad behaviour, but believe me, laundry has that power over me.)

The plan – hastily devised – was to wait out the washing cycles downstairs.  Armed with an iPad, I thought the lazyboy would be a perfect place to set myself up in between loads.  “Seven minutes”, I told myself as I folded the stuff in the dryer, then:  “Maybe I should have done this sitting down.”  I chose to be optimistic.  “Oh well, I am feeling better today, I can afford a bit more time standing.”

The truth about this disease (ME/CFS) is that while the mind and intentions may play tricks, the body is absolutely clear about its limitations.  The tremors began as I stood folding.  I ignored them.

With a new load underway, I collapsed on the lazyboy and scooped up my iPad.  “Distraction is what I need!”  I tried to convince myself, turning it on.

The headache started next.  “Must be the lights.  I’ll turn them off next time I’m up.”

By the time the laundry was ready to turn over, my body was very clear:  Enough already!  I am shutting down.

“But I haven’t had this much energy in weeks; just let me do a little more,” I begged, while continuing to shuffle the loads.  I returned to the lazyboy, lights now off, and thought I’d try a bit of television – nothing too heavy.

I watched with my hand over my head, trying to hold back the pain.  I waited till the laundry finished.

“What are you doing?”  Ric caught me red-handed.  “I can do this!”

“I’m alright,” I lied.  “Just finishing up.  That’s it for the day.”

He grabbed the basket out of my hands and carried it up the stairs, clearly not believing me.

Truth is, I was not okay.  I had over-extended myself.  Again.

Why is it so hard, when my body speaks with such clarity, to honour its messages?

“Why do you have to make this so difficult for yourself?” Ric asked echoing my thoughts.

“I just want to feel like I’ve contributed something; like I am useful.”

That’s it really, isn’t it?  I used to know who I was, or I thought I did.  I had a sense of being a part of something greater than me; I had something to add.  Now, I am totally dependent on the kindness of others, with little to offer in return.

Who are we when all has been stripped away?  What are we left with that defines us beyond being the blob in the bed?  I guess this journey will, in time, reveal the answer.

This is the clarity I seek.

Adjusting to Life with ME/CFS

(Originally published October, 2014)

The news from the doctor was not so good today, or maybe it is that this news was no different from past visits, but my mind can only absorb the hard stuff in stages.

“I seem to be getting worse, not better.” I told her.

“That’s how it is often how it is with this disease,” she consoled. “Sometimes you have to hit bottom before you start climbing back up.”

I read my growing list of concerns: sleep remains a problem; eating is often accompanied by pain and abdominal swelling; I have painful swelling in my groin; breathing continues to be difficult; and my legs are unreliable.  Headaches, heart palpitations, sweating when upright, dizziness and flu-like symptoms.  I shake if I try to do anything standing, such as chopping vegetables.  I feel like I’m not getting anywhere.

She nods with each item, recording it in her files, and occasionally asking for clarification. “All typical symptoms,” she attempts to reassure me.  “Set a timer for standing:  try seven minutes.”

“Barely time to prep food,” I mutter.

“Buy food already prepared,”  she suggests.  “And make sure you are sitting with your feet up for meals.”

“Not the table?”  Eating at the table with my husband was the one bit of normalcy I was trying to hold onto.

“Do you have a lazy boy?  Try using it for meals.”  I do not have a lazy boy upstairs.  I will have to eat in bed.

“Set a timer for phone conversations and visits; they are also exhausting.”  I have noticed.

I have been tracking my daily activities, symptoms, and energy levels.  She scans my past four weeks:  nothing but chaos when I examine it.

“I see T.V. quite a bit.”  she shakes her head.  “T.V. is too draining.  Limit it to one hour per day.  Preferably commercial-free.  I’d rather see you writing than spending time on T.V.”

“It is a lot of noise,”  I agree.

In answer to my unasked question, she continues:

“Lying flat with your eyes closed is the best.  Listening to soft music is okay, and maybe books on tape if reading is difficult.  I also think it is time you consider using a walker.  Definitely a wheelchair when you go out anywhere.”

“Will I get better?”

“In a year you might see a return of energy, but not likely more than twenty-five per cent – hardly enough to consider working.  It takes time.”

The crushing in my chest when I leave is emotional.  You will have to grieve the life you have lost, I remember my therapist saying.  Today, I understand her warning.

Home again, I crawl into bed and try to breath through the heaviness that bears down on me.  Sobs release some of the oppressiveness, but I know it will linger for a while.

Healing is a shift in perspective, I always used to say.  Where is the new perspective here?

Well, I tell myself, Look at the bright side:  I won’t have to worry about wearing make up for a while, so my skin will get a break.  And I’ll have time to let my grey grow in without anyone noticing.  Think of the money I’ll save on clothes.

My twisted sense of humour always comes out at the worst of times.

If talking tires me, then maybe I’m going to learn to be a good listener.  That can’t hurt, right?

And wait!  Didn’t she say she would actually prefer it if I wrote instead of watching television!  You mean, maybe for the first time in my life, writing can become a routine and not an ocassional self-indulgence?  

Could it be that in the very moment I lose my legs, I gain wings?!

Ah, life!

Harmonics

6:30 a.m. alarm sounds.
“Time to wake up!” conditioned Compliance commands.
“Just a little longer,” Sensibility suggests.
Guilt, like an incessantly annoying child
tugs on Conscience:
“Come on, there’s lots to do!”
Body does not respond.

Sleep wins
and dreams come:
homeless,
relying on friends,
no food,
backed up toilet,
children’s wide eyes fearfully imploring
When is this all going to end?

Guilt propels a return to consciousness.

8:25 a.m.
“Up and at ’em! There’s a good soldier!” Compliance attempts to be chipper.
“There’s really nothing more important than rest,” Sensibility suggests.
“Can’t lie in bed all day!” Guilt counters.
But body is MIA.

Dreams surface again:
Setting up house in a thoroughfare,
people coming and going, oblivious to intrusion,
co-workers indifferent,
eyes scolding; convicting.

Guilt mutates to rage,
Body wakes up with a choking cough, and gasping,
reaches for the rescue inhaler
and sucks in, desperate for air.

11:11 am.
“That’s it! Up you get!”
“No! No! Rest is needed!”
“The day is wasted! There’s no getting it back!’

“SILENCE!” A new voice emerges.

A collective intake of breath.

“Breathe,” comes the message. “Just breathe.”

A unified sigh.

“And breathe again.”

Tempers cool, and emotions begin to settle.

“What’s going on?” Guilt wonders.
“Just trying to stick to routine,” Compliance explains.
“It’s always been this way.”
“But she’s ill now,” Sensibility adds, “and there needs to be concessions.”

“Breathe,” the voice reasserts, and all sigh again.
“Just be in the stillness of the moment.”

Stillness has no voice.
Its language is compassion and infinite,
infinite wisdom.

“And surrender.”

Compliance sobs with the release of such enormous obligation.
Sensibility gratefully gives over the burden of responsibility,
and Guilt…..well Guilt is little,
and happily snuggles up to Unconditional Love.

“There, there,” Voice soothes, “isn’t harmony so much better?”

Body concurs and rises out of bed.

As a Tree

Confined for hours at a time to my bed, I cheer myself by contemplating the trees outside my windows. There is something in their stoic beauty that both calms and inspires me.

Be as the tree a former meditation instructor taught me.

If I were a tree
my roots would run deep into the earth
and spread in all directions
grounding me.

Present.

My trunk would be wide and solid
weathering all storms
supporting other life
a tower.

Strong.

My branches would reach up to the sky
and dance with the breezes
and bend with the changing seasons
and bow to Nature.

Flexible.

If I were a tree
I would be calm, yet strong;
have heightened awareness, yet be rooted in reality.

I would yield to change,
yet stand proud in my own existence,
growing with grace.

If I were a tree
I would live in harmony
with Nature.

Present, Strong. Flexible.

Fully alive.

(Image from: www.nbcdfw.com)