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Chronic Illness

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Welcome to the second part of my A to Z of living with chronic illness.  Here are the buzzwords for chronic illness from F to J:

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F is for…

FATIGUE

Yes, living with chronic illness is tiring.  Often, we have sleepless nights because of pain, or other symptoms which are bothering us whist we try, albeit unsuccessfully to sleep.  It is a complaint that is often reported by patients with chronic illness; suffering from a wide variety of different conditions, which can include fibromyalgia, ME, multiple sclerosis and many more.  Fatigue, however is so much more than feeling tired; the feeling that the majority people experience after a long day at work.  Fatigue associated with chronic illness, can in fact occur after very little activity (happens so often to me!).  Patients with chronic illness, such as myself report feeling just as tired when they wake up in the morning despite having a full night’s sleep.  And symptoms may become worse when fatigue occurs, such as balance problems, walking, or even concentration.  Limbs often feel very heavy as a result of fatigue.  A very common experience of many with chronic illness and so deserves its place in an A to Z of chronic illness, whatever the condition.

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G is for…

GADGETS

This letter was tough!  I have decided to use ‘Gadgets’ for letter G in the A to Z of chronic illness, as let’s be honest, where would we be without our gadgets?  Our smartphones, tablets, and laptops provides a patient experiencing chronic illness provides us with a lifeline to the outside world.  From our beds (which we often are) we are able to log onto Facebook, Twitter and other social media sites, and participate in conversations with other people, despite being confined to our bedrooms.  In the nights, whist suffering from insomnia, it can provide us with much needed entertainment by allowing us to watch films or TV programmes thanks to online streaming media such as Netflix.  Thanks to technology and our gadgets we can live more productive lives than we would if they didn’t exist – we can do almost everything online – shop for clothes, food, and other amenities; watch films and TV programmes, gain social interactions with others, as well as being able to purchase music or even a book at the touch of a button.  It allows for escapism from our daily lives with illness and keeps us from being bored and miserable.

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H is for…

HOSPITALS

Unfortunately, a life with chronic illness cannot be experienced without endless visits to hospitals. For some, it may seem like a second home, as stays in a hospital is necessary.  However, even for those like myself, who are fortunate that does not require a stay in hospital as an in-patient, it still means regular trips as an out-patient.  Appointments at hospitals are often needed throughout the journey of diagnosis, but even after diagnosis, appointments with a consultant may still be needed for discussion of the particular health condition. Patients with chronic illness may also need treatments such as infusion treatments, physiotherapy and so on which again requires regular hospital visits.

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I is for…

INVISIBLE

I feel that this is an important word for the A to Z of chronic illness as not every condition that can be considered a chronic illness is visible to others.  It is said that approximately 96 per cent of people are living with a chronic medical conditions that show no outward signs of their illness, and hence are invisible.  There are many people living with disabling medical conditions such as rheumatoid arthritis, fibromyalgia or multiple sclerosis that you would never know have the condition.  Many stories are reported from people with chronic illnesses on blogs, or on Twitter who are abused by the public for using a disabled parking spot because they do not believe that are in need of such a place as they cannot see that they have an illness or disability that would require such a permit. You can read more about this subject on my past post ‘Don’t judge others for you do not know their story.’

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J is for…

JARGON

Living with a chronic illness and spending a lot of time at the Doctors’ and hospital appointments, you will inevitably hear a lot of medical JARGON along the way.  In time, you will pick up a lot of the terminology that applies to your specific medical condition – it is like learning a new language.  Given time, you will speak fluent in this new language and use them in everyday conversations with other patients.

I have decided to start a new series of posts about living with a chronic illness by using the alphabet!  Would love for suggestions or your ideas of what words that you associate with illness; words that you would choose to represent a letter of the alphabet.  So here it goes…

 

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A is for…

ADAPTATION

Yes, living with a chronic illness certainly requires adaptations in our daily life.  This is especially if the condition is one that has started later in life, rather than being born with it.  Those activities or chores that once was so easy for us are perhaps no longer suitable, or proves to be somewhat difficult for us to do, and therefore as a result we have to adapt and find a new way of doing those activities that provides enjoyment in our lives.  For example, completing chores such as washing-up, or ironing for example has become difficult for me because of the severe trembling in my legs; often leaving me unable to stand for long, and so I have to adapt the way in which I used to carry out these chores. Now, instead of standing to do these chores, I use a perching stool so that I am able to still do the chores, but just have to adapt the way in which I do them.

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B is for…

BUT YOU DON’T LOOK SICK!

Yes, this is one statement that many of those living with chronic illness has heard; especially taking those conditions which are invisible.  People just find it hard to believe that if you don’t look sick, then the person must be faking their illness, or exaggerating over the effects that the illness has on their everyday life.  But as we all know, not all pain, wounds or even symptoms of illness can be seen.  Many remain hidden, keeping all of its secrets buried beneath the surface of our bodies.  That is why I support the National Invisible Illness Awareness Week, usually held every September as it’s an excellent opportunity to make others aware of invisible conditions and disabilities so that those living with such conditions or disabilities are no longer stigmatised.

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C is for…

CHRONICALLY AWESOME

I love the concept of ‘chronically awesome’ as it’s all about taking illness out of our everyday thinking, and celebrating everything about ourselves that is awesome!  It’s about not letting our illnesses, or disabilities define who we are as individuals but instead celebrate the little things that we are good at – whatever that may be – writing, drawing, and so on.  Being ‘chronically’ awesome isn’t forgetting about illness, or the challenges that they pose, however, instead it is about making the most of our situations and to choose the little gifts that we find in our everyday life.  For example, if it hadn’t been for my condition, then I would not have started this blog, and therefore the opportunities to meet all the wonderful and caring people that I have.  It’s about being positive, and never giving up.  To learn more about being ‘Chronically Awesome’ then you can visit the Chronically Awesome Foundation website.

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D is for…

DEALING WITH DISAPPOINTMENT

Inevitably. living with chronic illness, and the debilitating symptoms that they cause, can often leave us unable to go out with friends or family, and have to cancel plans.  This leads to disappointment on both sides – our friends as they were looking forward to seeing us and going out together, and also disappointment for us, the patient too, as it too often seems that living with illness stops us from living life to the full, and cancelling plans is something that if very often too necessary.  Check out a past post that I wrote on the subject after an unsuccessful trip to the cinema entitled ‘Learning to Live with Disappointment with Chronic Illness‘.

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E is for…

E-PATIENT

An e-patient is a relatively new phenomenon but it is a term to describe a person who uses the internet to gather information about a particular medical condition, or someone who uses electronic communication tools – such as web forums, social media, etc  in coping with medical conditions.  It is also said that e-patients are empowered, engaged, equipped and enabled.  I am an e-patient, as I use the power of the internet to both gather information regarding my medical condition, and to also use it to help me cope with the condition itself, and gain support from others.  It used to be said that those who use the internet for health purposes were a hypochondriac, seeking out information to self-diagnose, however, there is new evidence to suggest that e-patients are better equipped with the skills to manage their own condition through the medical information they find online, as well as the support that can be gained online, and these patients are also more engaged with their own healthcare, providing better relationships with their physicians, which become more of an equal relationship in making healthcare decisions.

 

What terms would you use in an A to Z of living with chronic illness?  Send in your suggestions by commenting below!

Will post again very soon for F to J of living with chronic illness….

Today I am participating in WordPress Daily Prompt Challenge.  I have never done so before, but after seeing today’s prompt, I decided to do so, as it fits in nicely with what my blog is all about – me living with my neurological condition.  The prompt is entitled ‘Take Care’ and asks the following:

When you’re unwell, do you allow others to take care of you, or do you prefer to soldier on alone? What does it take for you to ask for help?

 

 

This is a fantastic prompt for both me and spoonies everywhere, as living with illness is what we do on a daily basis; day in and day out we are unwell.  The prompt, perhaps was meant for those who are, for the majority of the time healthy – asking when in the instances they are ill, what do they like to do – but I am going to write the prompt from my perspective; as a spoonie living with an illness 24 hours a day, 365 days a year (366 days in the event of a leap year!).

Living with a chronic illness is very much like being in constant war with our bodies.  Sometimes, the illness wins the battle; leaving our bodies drained of all energy and will to carry on.  But with determination and very often needing the help of others we battle on, determined to winning the overall war.  Each individual though obviously has their own way of dealing with their illness, but whatever that coping strategy may be we have no choice but to solider on and get through it the best we can; we all need to live our lives the best way we can, whatever our individual circumstances may be.

Living with a neurological condition, when I am bad because of it, I have very little option but to rely on the help of others to see me through.  My balance and legs are bad much of the time; I am unable to stand for very long before they collapse from under m, leaving me a crumpled heap on the floor!  Sometimes, my legs are so weak that I am unable to get out of bed, and so am reliant on others to help me to the bathroom, or to bring me food and drink whilst I am confined to my bed.

Often, I am too stubborn to ask for help; preferring to soldier on regardless to how my body feels.  But, as I am lying on the floor, dizzy, legs too weak for me to be able to get back up, I am reigned to the fact that I am in need of help and call for help (if I am on my own, however, I need to press my lifeline for someone to come and rescue me from the floor).  Perhaps it is hard to ask for help because, the condition has progressed gradually, and a few years ago, I didn’t need this level of help in my daily life; I didn’t need someone to help me off the floor after a fall, or needed supporting when walking around the local shops. In my head, I am still abled and not disabled…

That is not to say that I don’t need my alone time – I do; I like sometimes to shut myself in my bedroom from my parents and the outside world.  To have some peace and quiet is all I crave when things become too much; often when I am feeling incredibly low because of the condition is bad.  I like to stick my headphones on and listen to music, watch a film on Netflix, or even read a book to take me away from the reality of illness and to escape to another world.

Perhaps the way of getting through illness, is not to soldier alone or even to ask constantly for help, but to find a healthy balance between the two…

I am participating in this month’s Patients for a Moment blog carnival!  This month’s carnival is being hosted by Abigail at Hidden Courage.

The Patients for a Moment blog carnival is held every month and solicits submissions from bloggers regarding a topic related to illness, whether it be from the perspective of a patient, carer or a professional – the carnival is open to everyone.

This month’s theme is: getting the attention you need.  Specifically, getting the attention you need as patients within the healthcare system.   I am sure every patient, has been casually dismissed by a busy, overworked doctor, with a glance at their watch, counting down the time when we should be out, and time to see the next patient.

It seems as if doctors are constantly watching the time
It seems as if doctors are constantly watching the time

However, what is it like to be a patient with a long-term chronic illness, where it seems that we are constantly being dismissed by the healthcare system.  And what can we do to get the attention that those with chronic illnesses need and deserve despite often having difficult and challenging conditions which are not always easy to diagnose nonetheless treat.

As a patient with a long-term chronic illness; an illness which went undiagnosed for years, and one which was misdiagnosed as an anxiety disorder, I have at times felt ignored or dismissed by the healthcare system on countless occasions.  When I tried to challenge the doctors that the dizziness started before the anxiety, however, I was dismissed yet again, probably deemed to be a hypochondriac  and again sent on my way.

Being ignored and dismissed by doctors, and being constantly told that the symptoms you are experiencing are just ‘all in your head’ can be demoralising; especially when the symptoms that are supposedly in your head are for you, very very real.  A problem that I often experience is the lack of consistently in my care from the medical profession.  The surgery that I am registered with has several different doctors, and you are never guaranteed to an appointment with the same doctor.  This is a real disadvantage for patients with an unusual chronic illnesses as it means that you have to reiterate your medical history, diagnosis and so on at every appointment.   Also different doctors have different methods of working and ideas, therefore patients with chronic illness often prefer to see the same doctor for consistency in their care and to see a doctor that know their full medical history and familiar with their diagnoses.

So, whenever I make an appointment with my local GP Surgery, I makes sure that I ask to see my regular doctor – doing this also saves me and the doctor time as I don’t have to waste several minutes of the appointment explaining my medical history.

In the end I had to fight very hard to even get a referral to see a neurologist.  I was lucky that I had a strong support system in the form of my parents, and found it incredibly useful to have an advocate present during the appointment to stand up for me when I didn’t have the confidence to stand up for myself.

Another barrier that I have found is the routine questions that doctors often ask, such as asking to describe what the dizziness is like; however how am I expected to describe an experience that is so difficult to explain in words – especially when put on the spot.  Often I have found that there are so many ways to describe certain symptoms, and I cannot always find the right word to describe the experience of the dizziness, or trembling in my legs.  If patients are inconsistent in their account, doctors are then more likely to dismiss them and not take them seriously.

In order to avoid this barrier, and to ensure that I adequately describe the symptoms accurately and consistently I write my experiences with my illness (both physical and psychological symptoms), in a journal and then take it with me to appointments.  A second notebook is also very handy to take along to appointments in order to write down notes regarding the information and advice that the doctor passes along to you, especially helpful if you are likely to forget after the appointment has ended.  Not only is it helpful to make notes it also shows the doctor that you are a patient whom is pro-active in their approach to their own health, and also are a cooperative one.

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Keep track of your illness by journaling! And takes notes during appointments to get the most out of it…

So to reiterate; in order to be taken seriously by the medical community and not to be dismissed by doctors here are my tips on how to get the best out of appointments:

  • Do not be afraid to advocate for yourself to get what you need in terms of referral, treatment and so on.  If you are unable to do so for whatever reason then perhaps take someone along to appointments so they can advocate on your behalf
  • Try and get appointments with the same doctor to get consistency of care and prevents you from having to divulge your entire medical history at every appointment
  • If you can, try keeping a journal or even a small notebook where you can keep account of your medical condition, such as symptoms – the frequency, severity and whether certain treatment or approaches seem to have any impact on them
  • To show that you are a cooperative and pro-active patient, take notes and ask open-ended questions at appointments which will less likely result in you being dismissed by doctors and other medical professionals

On Wednesday at the ‘Life 4 Living‘ group that I attend, we had a very interesting seminar on Diversity.  In the seminar we were split into two groups and given a laminated sheet with a picture of an island, and a deck of cards with pictures of a diverse group of people, with only their occupation listed on the cards.  We were then told that a ship carrying the people on the cards was in an accident, which resulted in the ship sinking and the people being stranded in the middle of the ocean.  Each group had a lifeboat – however, on the lifeboat there were only spaces for 10 people, and hence we had to decide who of those people to save and whom to leave in the water.

This was obviously very difficult as the only basis we had to make our decisions is what they looked like and their occupations.  During our discussions we decided to save a doctor and nurse, to treat those with medical injuries, a carpenter to help build shelter from the bad weather, and gardener’s to help grow crops and nutrients whilst being stuck on the deserted island.

However, we soon learnt that the doctor who we chose to rescue was in fact a doctor of music and not a medical doctor.  And the nurse, was a veterinarian and so would not be very useful in treating human patients!  And the people whom we rejected, for example, the biker as we thought he looked like he would cause trouble, would in fact be extremely useful in an emergency situation as he was a surgeon.

This exercise, however, taught us how we often make judgements based on very little information causing us to make snap decisions on the type of person we are busy scrutinising.  We are too busy scrutinising others; determining the type of person we believe them to be instead of seeking out the person’s story.

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Many of you spoonies reading this will surely understand this; particularly those with invisible illnesses as we are often victim of others’ judgements.  For example, once I went out, and forgot my crutch.  Due to the problems with my balance, I was all over the place, and as a result, a woman came up to me and accused me of being drunk.  I have heard many other stories, of spoonies whom have been victims of incorrect assumptions made by others – people who have been accused of misusing a disability badge, because there were no outward signs of illness or disability, and thus were labelled as being healthy, and in no need of using a disability parking bay.  There are endless examples of these types of anecdotes that have been shared by spoonies everywhere.  I am sure everyone reading can think of at least one example from their personal experience.  Please feel free to share your experiences in the comment section below.

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So, the game that we played at Life 4 Living, and through the experience of living with an invisible illness, has taught me to not make assumptions about people, without getting to know them first.  To not assume that a person has no wounds, or illness because there are no scars; no signs of illness or disability as not all wounds, illnesses or disabilities are visible, many are hidden as if keeping a secret from the outside world.  And as the quote above also tells us, we also shouldn’t judge so quickly or harshly as we may find ourselves walking in that person’s shoes.

Perhaps if we weren’t so quick to judge in the exercise at Life 4 Living then we may have chosen the people that would have been useful whilst being deserted on that island, instead of those we chose based on our preconceived ideas regarding their abilities and resources that they would bring.

 

This is a lesson that we all must learn….

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