A Review: After the Diagnosis

Sooo today’s HAWMC post is supposed to be about Pinterest. I don’t do Pinterest. No offense to those that like it, but it seems slightly silly to me. If I like pictures, I download them or share them on facebook :-p

So instead, I will talk about a book I read recently and enjoyed very much!

After the Diagnosis: Transcending Chronic Illness is written by Doctor Julian Seifter and his wife Betsy. I’m not going to lie – I picked up the book because it has a butterfly on the cover and it was about overcoming illness. But I am very glad that I judged this book by its cover.

Dr. Seifter is a doctor specializing in liver disorders. He sees people facing many chronic and terminal illnesses. He, too, deals with his own illness – diabetes. Throughout the book, he weaves stories about his patients and handling their illnesses along with his realizations and battles with his own health.

The whole book is amazing and a very easy read. I would definitely recommend picking it up. But I’ve earmarked some of my favorite spots of the book and would love to share some bits with you that I found particularly interesting.

One of the biggest themes in the book is that the patient needs to be just sick enough. This doesn’t really apply to them physically, but mentally. If they aren’t sick enough, they might not pay attention to their health and get the treatment and help that they need. If they’re too sick, they’re probably hypochondriacs, very afraid and unable to handle their illness, or unable to see the good side to life. I think at times all patients move between these categories, but it is important to be just sick enough – to be sick enough that you know you need treatment and to be your own advocate, but to not be so sick as to alienate everything your life has been about. You have to live your life while you can. I think the following excerpt from the book hits the nail on the head, especially if you read the book and know the story around this passage:

The chief message of all this: you’re alive until you die. Every minute counts, and relinquishing hope, playfulness, distraction, pleasure consigns you to a premature death, even when death is knocking at the door. The truth is, we’re all on the same train headed for the same destination. When the diagnosis comes, forgetting it – intermittently at least – is not only understandable but sometimes quite adaptive. (150)

One of the other important points that Seifter hits is that society often blames the victim, or in our case the patient. Clearly, because we have an illness that not everyone has we must have done something to cause it – or, maybe, it’s something that we didn’t do. We aren’t juicing enough, taking enough vitamins, smoking enough crack, sacrificing enough animals… Okay, those are ridiculous examples, but so are the real world ones – if only you would take these vitamins… if only you would lose half your weight… if only you would be someone completely different from yourself… His point with all this is that we often turn that blame inward, causing ourselves undue stress – especially in chronic illnesses where not a lot in reality is known. Still’s is a form of JRA. There are a million theories as to how it starts, and anyone of them could be correct. Without a starting point, tries to cure the disease are stabs in the dark. It can be very frustrating.

There are several other really good points that he makes in this book, but I don’t want to share them all. The last one I’ll leave you with though is about couples facing an illness together – something that during the last half of March was a focus for me.

He tells the story of Mr. and Mrs. Valleros, the former of which suffers from amyloidosis. Seifter uses their story to discuss the wonderful art of being a couple and tackling illness together. He says that the “chief stumbling block to an authentic relationship is the problem of dependency” (203). It’s a delicate balance, he points out. If the mix isn’t right, the ‘well’ person can become too dominant and overbearing, or the sick person can become too dependent. This couple manages the balance swimmingly, even though Mr. Valleros is essentially dying.

One of the things that I really took to heart was Dr. Seifter’s words on illness in a relationship:

A marriage [or relationship] requires room for two, and illness tends to constrict the space. How can a couple thrive when it’s so easy to let illness close things down in ways that stunt growth and liveliness? How can the necessary collisions between two different people be fruitful rather than bruising? One way is to put the illness in its place. (205)

Another couple in this section fights the illness butting into their lives by intermittently paying attention to it and not letting the illness completely run things. The ‘well’ person in this particular relationship points out that they take care of each other. If one of them isn’t feeling well, the other is there to take care of. He also says that he doesn’t think of his wife as being sick.

And maybe that’s the key to all of this. A few weeks ago, I interviewed my boyfriend. While my illness can limit what we do – though I try my damnedest! – he doesn’t look at me and see something sick. He looks at me and sees a pretty girl who is really quirky but fun to be with and is very loving. Those are my words, but in the last few weeks he’s said as much – sometimes even verbally you guys. WHOA.

I think that his attitude, of my illness being just a fact about who I am and NOT being who I am makes all the difference.

So, getting back to the book…

You guys should read it. I teared up in spots, and was amazed by others. I found new ways of looking at my illness, and am trying to be ‘just sick enough’ instead of everything in my life being about my illness like it has been for the past few months. If this book has helped me to realize some things about myself – stubborn ol’ Taurus that I am – I can’t imagine what it might be able to do for you. At the very least, the writing is enjoyable to read and flows very well. I found myself not wanting to put it down. I don’t have those feeling often.

Writing Style

I don’t know, I guess I don’t really have what I would consider a writing style. I write like I think, which means sometimes things don’t make sense. I usually go back and edit them for clarity, which helps.

Sometimes I think that I should have been an English teacher or something. I cannot stand bad grammar, and am always embarrassed at typos and mistakes on my blog.

I think that my writing reflects my scatterbrainedness (see above), my fondness for creating new words, and my desire to show what my life is really like. I use a lot of humor to break up drama or sadness, because I can’t handle emotions very well – I never have been able to. And I use quirks in my personality as strong points in what I write.

This is one of the posts that I had a hard time to really write, since I don’t have a style. I just want to be an accessible person who can help others on the paths of their illnesses and help raise awareness as well. However I have to write to accomplish that, I will do so.

Pretty sure that last sentence is horribly incorrect grammatically but whatevvvvvs.

My Dream Day

Gosh, that’s a tough one. What would a dream day be like?

Right after I graduated college in 2010 – like literally, the next day – the boyfriend and I went for a magical vacation to Oregon, where I grew up. We spend a week in Eugene with family (including my adorable 5 little cousins who I just love the snot out of) before another week galavanting around the state. We spent the bulk of that time on the coast, which is just beautiful.

I think my favorite day during the whole vacation was one of those coast days. We went to the beach I grew up going to, Devil’s Elbow State Park and Heceta Head Lighthouse. I hadn’t been there in more years than I could count. I was so excited to see it again, and see how things had changed.

We hiked up to the lighthouse and got to wander around. Sometime during our travels, we did tour a lighthouse and I think it was this one, but I can’t remember for sure. The caretakers home also operates as a bed and breakfast, and it was really cool to explore that area as well. Coming down from the lighthouse, we wandered off the main path to another one. We found ourselves hiking and climbing down from the lighthouse along the rocky cliffs of the coast. I didn’t think that in a million years it would be something I was able to do. But I did it – barefoot I might add – and we reached the shore.

I should have been in so much pain. I should have been exhausted and unable to move. But I wasn’t. In fact, the only painful things about that were that being barefoot on rocky cliffs is kind of scratchy on the feet and there was a cave we had to cross before reaching the beach, where the tide came in and came in high. Ocean water is pretty cold.

I think that for me, going through a day like that again would be amazing. It really was a perfect day

EDIT: Ohhh! I found a picture from after our journey down the rocks!

 

Theme Song

If my blog had a theme song, what would it be?

I think the point of this post is to write lyrics and think of what kind of music would lay the background for the song. I’ve actually written a lot of songs in the past, mostly in high school. They were either way entirely too over the heels in love or very angsty. A teenage girl being angsty, go figure. To be completely honest though, there is one song right now that kind of serves as a theme song.

One little known thing about me is that in addition to loving to sing and play my ukulele, I love to rap. I love listening to the beats and trying to conquer tough songs. One of my absolute favorite artists right now is Nicki Minaj. Some people don’t like her because she’s over the top. I say that her being over the top is because she, like so many of us, can’t be defined by societal standards. Think of a Lady Gaga/Lil Wayne baby and you have Nicki.

Except that she’s more than that. To me, she’s a huge inspiration. She runs her own business, and she sees the sexism in the business world and the double standards. But she tries to not let those things get to her.

Her recently released CD has a number of songs I love on it, like Starships. I think that it really captures a lot of how I can act. But Pink Friday, the CD released at the end of 2010, also has some amazing songs. My favorite, hands down, is entitled “Fly.”

If you want to hear me sing, play ukulele, and rap (hahahaha oh my), click here to listen to my acoustic rendition of the song. For everyone else, Nicki’s version is here and I’ll post the lyrics below.

I came to win, to fight, to conquer, to thrive I came to win, to survive, to prosper, to rise To fly To fly

Uhh, yo, yo

I wish today it would rain all day Maybe that’ll kinda make the pain go away Trying to forgive you for abandoning me Praying but I think I’m still an angel away

Angel away, yeah strange in a way Maybe that is why I chase strangers away They got their guns out aiming at me But I become Neo when they aiming at me

Me, me, me against them Me against enemies, me against friends Somehow they both seem to become one A sea full of sharks and they all smell blood

They start coming and I start rising Must be surprising, I’m just surmising I win, thrive, soar, higher, higher, higher More fire

I came to win, to fight, to conquer, to thrive I came to win, to survive, to prosper, to rise To fly To fly

Uhh, yo, yo Everybody wanna try to box me in Suffocatin’ every time it locks me in Paint they own pictures than they crop me in But I will remain where the top begins

Cause I am not a word, I am not a line I am not a girl that can ever be defined I am not fly, I am levitation I represent an entire generation

I hear the criticism loud and clear That is how I know that the time is near So we become alive in a time of fear And I ain’t got no muthafuckin’ time to spare

Cry my eyes out for days upon days Such a heavy burden placed upon me But when you go hard your nay’s become yay’s Yankee Stadium with Jay’s and Kanye’s

I came to win, to fight, to conquer, to thrive I came to win, to survive, to prosper, to rise To fly To fly

Get ready for it Get ready for it Get ready for it I came to win

Get ready for it Get ready for it Get ready for it I came to win

I came to win, to fight, to conquer, to thrive I came to win, to survive, to prosper, to rise To fly To fly

Dear 16-year-old me

Dear Kirsten,

High school, right? I know!

You have some amazing friends. In the next few years, you and some of them will move across country. You’ll periodically lose touch and then regain it via social media. But, why lose touch with them at all? Don’t do it!

I know that you’re struggling with your self-esteem right now. Dating John isn’t helping things. All he does is give you candy and soda and stupid fatty things. He seems okay right now, but he’s not. He’s not mentally stable, and it’s going to cause you a lot of pain. I know that you think you love him. But obsession on both your parts isn’t love and it isn’t healthy. If you were smart, you’d cut it off right now and try to make it up to your friends that you’ve lost time with them.

Some day, you’ll meet an awesome amazing boy and he’ll actually be worth your time. Until then, maybe you should just hold off on anything serious.

Also, you’re not fat. You’re chubby. Chubby is cute. Embrace it. And wear clothes that fit you.

The most important thing you need to learn right now is to listen to your body. When it wants you to stop, please listen and don’t push it. Pushing is how you end up with bum knees and super expensive physical therapy. You feel awesome a lot more than not right now, and that’s great. Enjoy it, but carefully.

In a few years, your health is going to start getting pretty bad. You just need to know that you can fight it. There will be some pretty scary moments, but you won’t see the inside of the ER… mostly because you’re stubborn. But you probably shouldn’t be so with your health sometimes.

And stay away from methotrexate. It’s horrible.

Sincerely,
Future Kirsten

PS: During your senior year, spend a little more time on your capstone paper! You get a passing grade on it, but I know that you could’ve done better. Work harder. This applies to both your IB paper and your college paper.

PPS: Wisconsin isn’t as horrible as you think. You’ll make your best friend ever there, and that pretty nice boy I reference earlier. Give it try. You can go back to Oregon by 2015.

Best Conversation I Had This Week

To be completely honest, the best conversation I’ve had within the last week was last Saturday when I interviewed my boyfriend about what it is like dating a sick chick. It was eye opening for me.

I give myself too much grief over not being able to do that I don’t see all that I push through. I tend to internalize things a lot, so this makes sense. But it doesn’t get me anywhere. I think listening to him talk about his admiration for me really changed my perspective on that, hopefully for good.

You know, it also taught me that his mom is a wonderful lady. She raised him with some awesome ideals, which I knew, but sometimes when you’ve been with someone for a long time you forget. I’m definitely glad to be reminded.

You Choose: The Phantom of the Illness

Write about what you want today.”

Have you ever seen The Phantom of the Opera?

I love musicals. I was in a few in high school, and watching them is equally amazing. Music is one of my favorite things and I love acting, so naturally the two coming together is perfect in my mind 🙂

I’ve talked a few times in the past on music and the musical Rent as being an inspiration for me on how to deal with illness. I recently found a copy of Phantom live at Royal Albert Hall. I’m not sure why it finally clicked after watching it a billion times, but the journey that Christine takes into the darkness with the Phantom seemed very reminiscent of a flare-up. Perhaps it’s because I’m not in one right now that I could really see it.

Christine has been training her voice with the help of the Phantom, whom she believes to be the Angel of Music. It isn’t until she gets her big premiere as the star of a play that she learns how he really is though. She experiences a wonderful nights, getting rave reviews and connecting with a long lost childhood love. The Phantom, jealous of this gentleman, kidnaps her and takes her down into his lair. It is unsure, from the play, how long she remains down there and exactly what happens to her, but one can only guess. At one point during their encounter, she rips off his mask to see that he is horribly disfigured.

She continues to fight the memories of her time with him, even during what should be the best time in her life. At some of the most inopportune times, the Phantom keeps appearing and ruining performances and trying to come between Christine and Raul, who in the second half is now secretly engaged to her.

She constantly lives in fear that he will appear and ruin everything.

In the end, Christine has to choose between living with the Phantom to save her lover’s life, or save herself at Raul’s cost.

If this isn’t what it’s like living with a chronic illness that strikes at any time, I don’t know what is. For much of the play, Christine is afraid of what awaits her when she takes on what she knows will not end well – performing in the play that the Phantom has written. She knows that it is a trap but also fears that it is inevitable.

Since my flare finally broke recently, I find myself thinking about this. I obviously don’t want to dwell on the fears and inevitability that my flare will return, because I want to be able to enjoy my ‘normal’ time. Sometimes with this disease, I feel like I’m being torn in half between the life I want to live and the life I’m forced to live. My disease sets up traps, like letting off just enough for me to feel like I should exert myself… and then I pay for days if not weeks.

For now though, I feel like the play is over and I have conquered the Phantom… until someone pushes play again.

Health Haiku

Today’s prompt: “Write a haiku about your health focus. 5 syllables/7 syllables/5 syllables. Write as many as you like.”

Hate my arthritis
I’ve never been normal so
Don’t know what I miss?

Arthritis is not
just what your grandparents had
It is so much more

Wake up with stiffness
15 pills a day or more
Fuck you fucking pain

People judge me cause
They think I’m fat and lazy
I’ve got arthritis

Wish I was normal
Just maybe for one whole year
I so miss running

Body hates itself
Medications can’t fix it
Is this forever?

Got pain every day
Nothing really seems to help
Will it ever stop?

Ekphrasis Post

Go to flickr.com/explore and write a post inspired by the image. Can you link it to your health focus? Don’t forget to post the image!”

"A good life is when you assume nothing, do more, smile often, dream big, laugh a lot, and realize how blessed you are for what you have." unknown by {lisa.anne}

Living life with a chronic illness is like being on a Ferris wheel. You have your ups, and your downs. Sometimes it takes forever, but other times those ups and downs come very quickly – in a matter of hours.

Thankfully, right now, a very very long flare has broken. With the help of an increase in prednisone, I have been able to feel amazing the past few weeks. I consider myself very lucky to be on the top of the wheel right now, because I’ve spent so much time on the downfall.

Usually, I’d be worried about when the wheel will start moving again. It would preoccupy my thoughts, making it impossible to enjoy this time. But for now, I’m just so thankful to be able to be active and have a taste of normalcy. I’m going to enjoy this time and use it for all it’s worth.

Eventually that wheel will start moving again. But when it does, I’ll be ready.