It’s been 18 years.
Eighteen years since my official diagnosis of MS. I’ve gathered diagnoses and acronyms since then. Most people collect albums, or knickknacks but not me, I collect diseases and disorders.
It’s expected or assumed that with this much illness under my belt it must be fine, I must be okay because hey, look at me, I continue to show up. But, through the years I’ve learned so much about existing, about illness, about mental health and about how to show up (or not show up) for myself and for my illness. Some lessons learned the hard way, don’t get me wrong. And others learned through unintentional strength and forced resilience.
The culmination of all my diagnoses has taught me one of the most challenging insights, both physically and mentally; that is importance of continually showing up for myself. This manifests in many ways and how I show up changes based on the day, and sometimes the hour. Without playing the role of martyr, I will say nobody will be there for me the way I need moment to moment and that is no fault of their own. However, nobody can be there moment to moment if I am not there for myself. If I am unable to pause, assess my wellbeing and identify my needs, I am then in turn unable to express this to anybody else. If I don’t intentionally, and often, review my task list, my goals and my own abilities, I then cannot be vulnerable in sharing with others my challenges, my needs or my boundaries.
Constantly having to think about effort each day will require is very often daunting, and most days I do not want to think that much, let alone think about myself that much. But, in growing up with chronic illness I find the days I don’t do this I struggle more with isolation or loneliness, and my mental health slips into a decline.
All that being said, another lesson learned is to have a plan, and a backup plan, and a back up to the back up plan. Where I struggle the most with this one is that many of my diagnoses require multiple plans and those plans don’t always mesh with each other. On a good day I can assess and establish two or three plans based on my physical abilities for the day, considering pain level, fatigue level, dizziness or nausea and constantly checking the weather to accommodate for temperature dysregulation and a need for comfort. But on a rough day (because yes they happen, and they happen frequently) I have to account for my mental health as well. These other plans have to include extra steps including “oh shit, where did I leave my meds, did the timer go off and did I already take them,” what system is in place to make the routine make sense “WHERE DID MY SHOES GO?”
But, wait when we get there my thought loops will likely include, but are not limited to: can I drive separate, what if they’re annoyed by me, what if I’m annoyed by myself, can I find a bathroom, ugh germs, did someone just cough, I need to text my bff, I can’t text her, where are the kids, is that person going to kidnap them, where is the little one, did I lock my car, I don’t have anything in there worth stealing, I’m anxious, I’m uncomfy, my legs hurt, I should sit down, I can’t sit down who will help me up, did I drink my electrolyte, when I stand up again it will make me dizzy, I should just stay standing and lean on something, but nobody understands, adulting is hard, being perpetually ill is hard, sick sucks, I don’t feel well but do I ever actually feel well, when was the last time I actually did feel well, I think I was 15.
It’s hard, it’s all hard, and even good days come with their own levels of hard and these lessons are just two pieces of a the bigger spoonie puzzle, leading to a third lesson, but not a final lesson by any stretch of the word.
This lesson being that with all this time, I have been able to learn my body, my mind and my needs and have been able to really listen to and trust myself. Sure, I have days where I hear myself but I disregard every rational thought and every productive thing and just shut down, crash out or bed rot. But in learning to trust myself I know I can take those days, and be sure not to live there. For every bad day there is, I know there will be more neutral or good days. And on the neutral or good days I hear my needs and I honor them. I move slower, I give myself comforting and nourishing foods, I take rest and I connect with others; I find movement that makes sense and I validate my suffering. Some days require a full battery, but with a million plans in place I’ve curated a life that can go on with lower battery power- I will never be the energizer bunny, but I will never regret choosing each day’s plan based on what I need in the moment.
So, in my 18 years since my first official diagnosis I have come to appreciate my slow days, I have come to find humor in my doom piles, and I have come to learn that an impulsive haircut will never change my life but it sure will give me the dopamine i need to get me through a particularly rough flare up.
