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You’re sick again?
Posted on July 13th, 2009 7 comments
Recently I encountered someone who still clearly didn’t get it. I thought he understood my illness, the ups and downs of good days versus bad days and how quickly it can all change when you have a chronic illness.He accused me of choosing which activities are more important to me than others. He made this accusation after I didn’t attend an event to which he had invited me. Why didn’t I go? I had five consecutive bad days of pain, cramping and the other fun symptoms that go along with having ulcerative colitis. The following week, a short remission set in, lasting only three days, and then I flared up again. However, because I felt good enough at the time to attend an event to which I was invited by another friend, he felt rejected.
Those of us who live with an invisible chronic illness know the frustration of being misunderstood like this all too well. Nearly 1 in 2 people in the U.S. have a chronic illness.1 Healthy people never have to deal with what we do.
The roller coaster of living with chronic illness
One day you’re fine and the next you’re sick. And then you’re fine again after taking medications with negative side effects like prednisone. But these medications help you improve only for a few days. Then you relapse. But, the next day you have absolutely no symptoms whatsoever. So you have hope. Then the following day you’re barely making it through the day again. And this cycle goes on for weeks. Eventually it wears you down and depresses you. You may be so down about it that you’re hopefully when you have several good days in a row…but then you relapse yet again. So you want to just give up and crawl in a hole. But that feeling of despair is fleeting, lasting only a few hours or days at the most because you know you are strong. And that fleeting moment of depression was where I was when I told my friend that I would not be able to attend his event. And three days later, which happened to be the day following the event, I was healthy again. Only to start the roller coaster of good days and bad days all over again.I don’t know how to help him understand or heal the hurts that we are both feeling. I don’t appreciate being accused of choosing outings that are more important to me than others, and of using my illness to be a victim. Did you know that depression is 15-20% higher for the chronically ill than for the average person? Paul J. Donoghue and Mary Siegel, authors of Sick and Tired of Feeling Sick and Tired: Living With Invisible Chronic Illness say, “Invisible chronic illnesses (ICI) have symptoms that are difficult to see and impossible to measure such as pain and fatigue. So those with ICI frequently encounter not compassion and support but impatience and skepticism from physicians and loved ones.”3
What are your tips for dealing with people who say you “look great,” when you feel terrible, or who misunderstand your ability to perform activities?
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>Sources:
1 The Growing Burden of Chronic Disease in American, Public Heal Reports / May–June 2004 / Volume 119, Gerard Anderson, PhD
2 Rifkin, A. “Depression in Physically Ill Patients,” Postgraduate Medicine (9-92) 147-154.
3 Rest Ministries and National Invisible Chronic Illness Week. http://www.restministries.org/invisibleillness/sampleproclamation.htm
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When my mother was sick for 13 years with heart disease, my sibs were so angry and disappointed when she'd “choose” not to show up for something. And resented what she did go to. As someone with chronic illness myself (I had UC for 5 horrible years until colon was removed!) – 30 years with MS- I know how hard it is to make these “choices” and expect others to understand. The bottom line is that they can't and even if they “understand”, they're still disappointed when you can't show up. And so are you. IT seems like a choice to others – even if it doesn't to you. I think all you can say is that you understand how difficult it is for them, too.
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Brenda July 14th, 2009 at 08:37
We have too much much to worry about in our own lives to constantly worry about what other people think. If they they don't understand, that is one thing. But if they are rude, like your “friend” WE need to decide whether that is really a friend or not. My true friends know me and know when I say I can't make it, I can't make it. They don't ask why. Other people's opinions don't matter.
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I just did a post about a similar point…I called mine “the villianization of exercise”. Specifically I was thinking about some people I know who don't understand how some days I can exercise and walk for miles, but other days I tell them I can't go the mall because it's raining and I can't walk that much. No matter how I try to explain WHY the rain causes a problem with walking, all they hear is “I don't want to go so I'm going to use my illness as an excuse”. Also as I head into a new job, I'm already dreading my new coworkers saying “you're sick again?” every time I get one of my frequent colds. So far I don't have a great way of dealing, but knowing other people feel the same frustration helps… Personally I just keep trying to explain it as many times as it takes, from a scientific perspective if they respond well to that. Some people are just never going to get it.
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I just did a post about a similar point…I called mine “the villianization of exercise”. Specifically I was thinking about some people I know who don't understand how some days I can exercise and walk for miles, but other days I tell them I can't go the mall because it's raining and I can't walk that much. No matter how I try to explain WHY the rain causes a problem with walking, all they hear is “I don't want to go so I'm going to use my illness as an excuse”. Also as I head into a new job, I'm already dreading my new coworkers saying “you're sick again?” every time I get one of my frequent colds. So far I don't have a great way of dealing, but knowing other people feel the same frustration helps… Personally I just keep trying to explain it as many times as it takes, from a scientific perspective if they respond well to that. Some people are just never going to get it.
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Amanda June 5th, 2010 at 01:39
I think the saddest part about this is the accusation that the right to set your own priorities and make choices based in your own priorities is somehow wicked. I deal with this same dilemma described above due to my chronic illness, and I’ll be damned if I don’t have the right to make choices. Of course we have the right to set our own priorities. It’s true that our flares and frequent inability to show up to places where we want to be if we were healthy are *not choices.* We don’t have willful control over being sick. But I sure as hell do prioritize where I need to spend my very limited energy, and it is my right to set those priorities, and I resent it when people don’t respect that.
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Grand Rounds Blog Carnival - Vol 5.47 Invisible Illness : Invisible Illness Awareness Week August 18th, 2009 at 07:03
[...] It’s not really school without a few misunderstandings between friends. Angela shares how even the best of friends still don’t understand when we tell them we can’t play today and have to cancel our plans in her blog post You’re Sick Again? [...]
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rosalindjoffe July 14th, 2009 at 07:19