Watermark

 Posted by at 6:31 pm
May 102013
 
Eternity © 2012 Jane Waterman

Eternity © 2012 Jane Waterman

A watermark is an outline of the tide’s advance and retreat. In some ways I feel like I am part of that outline, lying at low ebb, among the beautiful broken detritus of the sea. These last weeks I have been merely functioning: meeting the very real needs of the work that I can do, and then resting, resting, resting in the uneasy slumber of Sjogren’s fatigue.

Sjogren’s syndrome is not considered a life-threatening disease, although those of us dealing with its systemic effects know that it can lead to comorbid conditions that are indeed life-threatening. There’s another kind of threat from Sjogren’s, however: trying to resolve what doctors characterize as its innocuous symptoms with the major impact it has on living life – without succumbing to hopelessness and depression. The endless fatigue, especially during a flare, steals your life away, hour by hour, day by day, year by year.

Whether the challenge is Sjogren’s or some other disease of the body, I know I’m not alone in this situation. Over the last weeks, I’ve mostly just had the energy to keep up with some reading, and thereby stay connected with the lives and struggles of my heart family and friends across the world. I see people still managing to shine despite shocking quality of life, in situations that are all but dismissed by medical practitioners.

It’s been well over two years since the “new” symptom of pain in my right abdomen appeared and has not relented, and I’m no closer to an answer. My GP reports that the specialists I’ve seen concur it is myofascial pain due to fibromyalgia, and every part of my being knows this is WRONG. I am familiar with that pain and the quality of this pain is different. However, I am unheard, and I’ve come to accept that Western medicine is based only on what it can see on scans, and catastrophic medicine is very much the order of the day. I’ve realize that I will just need to soldier on with this pain, and the new distressing bowel symptoms of the last two months, until something shuts down, blows up, blocks, crashes or otherwise causes catastrophic system failure. What truly breaks my heart though is I know that as difficult as this pain is, as poor as my quality of life is, so many of my friends deal with much worse.

For some time, I have felt like I am approaching a watermark: a major shift in my thinking, my spirituality, my body and even my life. The way I have lived recently – eking out a living with my part-time job and resting for most of each day has to change in some fundamental way. I cannot produce more strength or energy, no matter how strong my spirit is, so I must change the way I use the six hours given me on good days. Until recently, I spent my spare functional time obsessed with my part-time job (technical writing) and continuing to produce work that represents my all – my 110%. Unfortunately, this also meant lots of unpaid time worrying about the systemic problems at work and worrying that I am well-liked and respected for what I do, rather than who I am. That has to change, and if there is a blessing in my illness, it is that the fatigue has taken away the energy I could dedicate to such a pointless pursuit.

All this activity has meant I haven’t had time for writing here, and unfortunately, with the coming of the sun, I’m going to be even more restricted until the fall and the return of the rain. However, I’m determined to shift the balance, and to spend more of those good six hours doing things that fulfil me, and furthering my goal to spread knowledge and understanding about the plight of the good, kind and sensitive people I know who are decimated by diseases that doctors not only minimize, but ignore.

In recent thoughts, I’ve turned my thoughts back to my younger self at 24, some 23 years ago in the early stages of this disease, and the critical years thereafter. In 1993, I spent about 10 days in hospital – not for the illness that was later identified as Sjogren’s syndrome, but for depression. While in hospital, I met an 18 year old girl with many issues – someone who, but for a slip of fate, I could have been. She lived on the street to escape the cruelties of her past life and her present illness, and I took her into my home for many months, in a move that could have well advanced the decline of my already struggling marriage.

A- introduced havoc and dischord into a most difficult time of our lives. However, A- also introduced me to something beautiful in that time of great struggle: the music of Enya. I still remember the first time I fitted in a pair of earphones and heard the opening haunting strains of Watermark. It brought beauty to my interrupted life, and two minutes or so of the most beautifully orchestrated hope I’d ever heard.

It’s perhaps not surprising at this time that I turn back to that first Watermark. As Longfellow once said, “the lowest ebb is the turn of the tide”. I am standing now at the watermark, with the desire that whatever I do from this point forward, it will be done with love and intention.

I will not let life steal my hope.

Many blessings,
Jane

Here is a link to Enya’s beautiful Watermark. My apologies if there’s a loud, abrasive ad prior to the music!

Apr 182013
 

I’m taking part in WEGO Health’s Health Activist Writer’s Month Challenge

Day 18 #HAWMC – I’m not using today’s prompt.

Pain Study #1 © 2013 Jane Waterman

Pain Study #1 © 2013 Jane Waterman

I wrote this post back on January 6, 2013. I suppose like anyone who is considered medically obese, I get nervous giving an audience ammunition. However, I’ve let that fear go enough to believe this needs to be said. This post began as a quiet plea – now it is a call to action to anyone who organizes gentle fitness classes for other people, especially the chronically ill.

I’ve struggled with obesity pretty much ever since I became ill, or rather, I did at first and then accepted that no matter how much I walked, cycled or did circuit training, I would remain fat, but fit. I was never going to be my slim adult self again. I’ve made my peace with that, especially at a time when pain and other symptoms mean I’m eating less than ever. Food preparation is something that doesn’t appeal when you feel like you’ve been kicked in the side – all day, all night.

Like most people with chronic illness, setting aside the chorus of non-ill people telling us we’d feel better if we exercised, I know that it does feel good to be fit (even if fat). It never cured my Sjogren’s syndrome, and my depression was never aided by the promised rush of endorphins, but I did appreciate the way I showed self-care through daily exercise.

Times change.

The day I wrote this post, I went to a gentle yoga class. It started off very well, but then morphed into a set of exercises that, while moderately gentle, concentrated all my weight on my knees and folded wrists for at least an hour of the class. It was very difficult, this ‘gentle yoga’ class, and at one point I found myself pushing down silent tears at the torture of a class that had promised a way back to fitness. At least, my tears were mostly silent until my nose decided to run, and then I had to contend with silent, sniffling, tears. I felt like a failure.

I spent the afternoon after that in awful pain. It was beyond contemplation doing anything else with my day, but immobilizing myself and trying not to hurt my screaming muscles or joints. Not only that, said joints were injured for 3 days afterwards. If I can’t get through a gentle yoga class without 3 days of pain, why would I go back? It’s a shame because in matters of fitness, I’m a fairly social animal. I need the encouragement of other people working alongside me to maintain the (well, if not enthusiasm) commitment to improve my fitness. If I can’t start with the bar at the bottom, than where do I start?

It felt like a great blow, as I’d had a long, happy association with yoga in the past. At one of my workplaces, between 1995 and 1999, we had a hatha yoga teacher/naturopath visit our workplace and lead us in an hour class at lunch. I was a regular attendee from the start, and fairly soon found myself as the de facto organizer, emailing the staff when it was time for yoga, and encouraging everyone to come along. Not bad for an introvert. I got a lot out of the practice, including some tips for my particular health issues, which at that time included an inordinate number of sinus and throat infections.

Times change.

Life sends us more challenges, more pain, and more complications with our illnesses. I moved to another country, and left behind that one day a week practice. I kept cycling, but by 2005 I was walking most of the time with a cane.

Of course, the chronically ill don’t think about doing more realistic, manageable classes because no-one, nowhere caters for obese people with autoimmune disease, fibromyalgia, depression and other challenges where the class must not only be low-impact, but the ‘workout’ part must not last more than 20 minutes. No one caters for that market, which is a shame, because there are quite a few of us out here.

I find it constantly confounding that the basic mechanics of the human body, especially the obese body, escapes even the most caring and intelligent teachers, except those who specialize in ‘heavyweight’ yoga (only to be found in the DVD section on Amazon, as far as I know). I presume we’re expected to exercise at home where no one can see us. Just as people don’t choose to have invisible illnesses, such as autoimmune diseases and mental health challenges, they don’t always choose to be obese.

There are a couple of reasons this happens. Of course, there is the component that the non-ill eagerly recognize, which is we do less because doing more means pain. We shrink back because going out is either exhausting, painful or terrifying with our challenges. We stay inside our comfort zones. In doing less, the only way we maintain weight is to eat less, as so many of us do.

The other reason that most people don’t consider (or consider a cop-out) is that the pharmaceuticals we rely on for control of our symptoms or pain (which is the case for many illnesses where there is no cure) almost always cause weight gain. This seems true of a lot of psychiatric medicines. This is my experience. In 1987, when I was 21, I weighed 119 pounds. A year later, I started on a triphasic birth control pill. In 1990, I weighed 152 pounds. That was the year I became chronically ill. In 1991, I started on the first of many psychiatric medications. I also sought out a doctor about recurrent sinus problems and difficulty breathing while swimming. He told me (not addressing my other complaints) that I needed to lose weight. At the time, I weighed 178 pounds. By 1995, after years of different (and often poorly prescribed) psychiatric medications I weighed  229 pounds. In 8 years, my adult weight had nearly doubled. I consulted an endocrinologist. His scientific wisdom? “It likely would have happened anyway”.

It’s now 2013, and I weigh 233 pounds. I know it’s not good, hence the gentle yoga class. My pain is worse than ever, and most yoga poses cause piercing pain that takes my breath away. That’s not conducive to any kind of exercise. Obviously the mass borne by my weight-bearing joints is high. It’s a factor I wish those slim, fit yoga teachers would keep in mind when they design a gentle class. I’m not asking for a class designed for marathon runners with ‘dodgy’ knees or circuit trainers who injured a muscle and have to take it easy for a week. I’m talking about classes for the chronically ill, who aside from the difficulty of finding someone to take us to a class if we can’t drive, can’t afford to be discouraged by the pain of exercise from balancing on our knees or wrists for too long.

There are many numbers bandied about, but a popular one is that a pound of weight equates to four pounds of stress on the knee joint. Therefore, it stands to reason that my 233 pound self is in deep trouble compared to my 119 pound self. That extra 114 pounds is putting 456 pounds of stress on each knee.

I put this out there in the hope that more progressive teachers will do the math the next time they ask someone in a gentle class to kneel continuously on a thin rubber mat for an hour. Help us to stay fit, even if we have to be fat.

Blessings,
Jane

Wordless Wednesday #3

 Posted by at 11:07 am
Apr 172013
 

I’m taking part in WEGO Health’s Health Activist Writer’s Month Challenge

WEGO HAWMC - Day 17

Day 17 #HAWMC - Go to http://www.wordle.net/ to create a word cloud or tree from a list of words associated with your condition, blog, or interests. Post it!

Click on the wordle to view it in a larger size.

Depression and Sjogren's syndrome wordle

Where I Stand

 Posted by at 12:20 am
Apr 172013
 

I’m taking part in WEGO Health’s Health Activist Writer’s Month Challenge

WEGO HAWMC - Day 16

Day 16 #HAWMC - Tell us 3 things that are true about you, your condition, or your Health Activism. Tell us 1 lie. Will we be able to tell the difference?

Where I Stand © 2013 Jane Waterman

Where I Stand © 2013 Jane Waterman

I’m improvising with this prompt.

I’m in a weird space tonight. I cried while recounting what was supposed to be a humorous anecdote about a past job interview to my job-seeking daughter. I felt okay about it. I don’t usually cry (as much as I feel I want to – sometimes I think it’s the Sjogren’s, and other times, I don’t know), so when it comes, I welcome it. Even as I dried my tears, I felt I really wanted to cry some more, but it’s hard to explain why when you’re crying for no reason.

I’m not a fan of some of the prompts during this challenge, and was getting ready to call it quits. My pain is bad, my part-time work is giving my swiss-cheese brain a run for its money (my OCD list-keeping habits are not turning out to be such a blessing, as I think I need a master list of where all the lists are), and all I want to do is sleep. After talking it out with Mrs Blackbird (my better half), she reminded me that I didn’t have to post every day. I think I’m okay with that.

I could tell you a little about where I am right now in my life. I had a bone scan yesterday. No big deal – I had one about 4 years ago to see if I had any signs of Rheumatoid Arthritis. I was also at the same department some time after for a heart stress test, after my heart appeared to poop out during an emergency surgery back in 2008. I was back there yesterday. For a bone scan, it’s an hour each way to the hospital, the test has two parts, with a 3 hour wait in between for my bones to start glowing – or not. The parking was still outrageous: $2.75 an hour. No wonder some kind folks accost you at the machine and ask if you’d like to use the time on their ticket! Even if the test is easy, the trip’s a killer for someone with Sjogren’s syndrome fatigue.

This current scan is purportedly to see if I have a bone infection or bone cancer. I don’t think I do. I do have unrelenting, stabbing pain in my right side, which I’ve had since early 2011. The nurse/technician that injected me with the radioactive isotopes asked where the pain was. I showed her, and she said without hesitation, “Gallbladder”. My naturopath felt the doctor was reaching with this scan, and has also been leaning in the liver/gallbladder direction. I usually believe in science, but science hasn’t helped me with Sjogren’s syndrome. I don’t mind believing that the nurse/technician was some earth-bound angel pointing out the truth to make my journey a little easier.

Not that it makes any difference if she’s right. I’ve asked for more scans, and the doctors are insisting there was nothing there a year ago, so there’s nothing there now. I think the doctors are looking in all the wrong places. I can pinpoint my pain. Some days I just want to dig it out and say, see, there it is! Of course, doing so is a sure way to cause more pain, not to mention, to be shipped off to the psych ward. The good news is, with the lack of beds, I’d be out in a couple of hours anyway!

The pain is getting worse. I’m concerned that we’re walking down that same rabbit hole of catastrophic medicine that led me to that emergency operation back in 2008. I’m hoping I can talk some sense into the doctors. I’m hoping that with logic, positive thinking, and time, I can talk them into going back to where they’ve already been.

That’s where I stand.

Blessings,
Jane

P.S. There is, after all, an untruth in this post. I believe my regular readers will be able to spot it quite easily. <3

Activist Love

 Posted by at 12:47 am
Apr 152013
 

I’m taking part in WEGO Health’s Health Activist Writer’s Month Challenge

WEGO HAWMC - Day 14

Day 14 #HAWMC - Thank a few of your fellow Health Activists for what they have done. Call them out by name or twitter handle. Share your love.

After Vincent #5 © 2012 Jane Waterman

After Vincent #5 © 2012 Jane Waterman

I concur with many of my fellow health activists, and as I did once before, would like to thank everyone who ever risked criticism or condemnation by being real about a health condition in the name of awareness. To me, activism is as much about raising awareness through words and images as it is about action. Sometimes that means being vulnerable and risking exposure of more guarded areas of our personal lives to bring about understanding of specific challenges.

Here’s a few people I’d like to name specifically for their activism in the face of chronic health challenges.

Tara Brach - http://blog.tarabrach.com - A Buddhist meditation teacher living with chronic pain from a genetic disorder. Through her work, Tara has taught me much about self-compassion and finding happiness in a life filled with challenges. Through her books and incredible (free) talks, Tara helped me to combat the oft-held belief that “something is wrong with me”.

Toni Bernhard – http://howtobesick.com - A former law professor who became ill with a mysterious chronic fatigue-like syndrome in 2001. Toni is a gentle and unassuming soul, who shares techniques based in Buddhist practises on how to deal with the pain and disappointments of a chronically ill life through her books and her Facebook page. Toni stresses that you do not have to be Buddhist or change your religious beliefs to practise these techniques.

Michael - http://more-than-pain.blogspot.ca - Michael has been living with chronic neuropathic pain since 2004. He is a skilled and sensitive writer and photographer and a lovely human being. I am blessed to call him friend. His love for our planet, our creatures (including the foxes!) and his fellow man is bounded only by the challenges of his life. He writes about his search for peace and refuge from the pain of chronic illness. You must also visit his photography website to see the splendour of the world captured by Michael’s camera!

Barbara Storey - http://www.storeylines.net - Barbara is a great human being who lives a very challenging life after undiagnosed ulcerative colitis led to the replacement of her colon with an ileostomy. Barbara shares some of her amazing life on her blog, including a stint as a nun, and a trip to Austria that went horribly wrong. She is also a Harry Potter and Hugh Jackman fan. What’s not to love? She is presently saving for a trip to Florida for a treatment that is expected to greatly improve her quality of life. The treatment is of course not covered by medical, but is especially important for removing life-threatening adhesions, as she cannot undergo another operation. Please visit Project Paper Crane if you can spare a few dollars to help her on her way!

Chris Dean - http://www.pixiecd.com - Chris is a force of nature. She is also an awesome person. After a short time, you will feel like you have been Chris’ friend for life – she is that ready to leap in with her heart and soul. She has a wicked sense of humour akin to that of the Bloggess, Jenny Lawson. She lives with Unspecified Mixed Connective Tissue Disease (that’s the simple version) and fibromyalgia, and other challenges such as you can only understand if you read her posts, including those issued from the porcelain throne room. Chris is the real deal. She can have you laughing hysterically one moment, and then confronted with the limitations of a chronically ill life the next. She almost makes being ill fun. Almost!

Julia - http://reasonablywell-julia.blogspot.ca - Julia is a retired RN, and lives with Sjogren’s syndrome. She is incredibly knowledgeable, and an amazing source for well-researched and written posts about the myriad ways that systemic Sjogren’s syndrome affects the body. She has been my go-to source for Sjogren’s information many a time!

Annette - http://yourgoldwatch.blogspot.ca - Despite the long-term challenges of Rheumatoid Arthritis, Annette’s blog is full of wonderfully informative posts about life with RA and Sjogren’s syndrome, including reports on the latest treatments, as well as many of the little things that make life with chronic illness a little more bearable. She always selects wonderful pictures to go along with her posts. I sometimes feel like I’m settling in for storytime: Annette is a marvel at curating information and presenting it in a humorous and entertaining way.

Naomi Woddis - http://www.naomiwoddis.com - Naomi is a warm and wonderful soul, dealing with the confounding and life-shattering fallout of the sudden onset of chronic Lyme disease and other chronic illnesses. Naomi is a poet and photographer. She writes not only about the isolation and alienation of the chronically ill, but the small life-affirming acts that can turn our lives around. In particular I love her photography for capturing these moods, as well as evoking the lives of the people she photographs.

Rebecca Fordyce - http://inmybodyofart.blogspot.ca/ - I don’t know Rebecca personally, and I’m afraid I can’t even remember how I stumbled across her blog, but it’s one that I keep on my list of favourite blogs. Rebecca says on her blog, “I am a 35 year old artist living with the world’s third rarest disease, Adiposis Dolorosa (Dercum’s Disease).” She is not only an artist, but a writer. When I make time to read Rebecca’s posts, I feel like I’m receiving correspondence from a lost part of myself.

There are many others who advocate for health and life itself with challenges most of us can’t comprehend. Some of those special people I think of now as I write this. Some are emerging into the world of health activism, and I’m sure in time I’ll get to share some of their stories with you too. Others are struggling with life, but are no less deserving of recognition. So, I trust those people know that I’m writing about them now, that I see their struggles and their triumphs, that I celebrate with them, and that I’m so glad to be a part of their world!

Many blessings,
Jane

Acrostic Poetry

 Posted by at 10:40 pm
Apr 142013
 

I’m taking part in WEGO Health’s Health Activist Writer’s Month Challenge

WEGO HAWMC - Day 13

Day 13 #HAWMC - Write a health acrostic for your condition, hashtag, or username! (acrostic = a poem where every letter of a word serves as the first letter of a word or phrase, e.g. DOG = Digs Others’ Gardens)

A day late. I don’t think I’ve ever written an acrostic in my life, but here goes!

 

Insulation © 2013 Jane Waterman

Insulation © 2013 Jane Waterman

The first is for depression:

 

Darkness and melancholy
Embody your progression
Pain becomes real through neurochemistry
Rarely is it recognized or
Expressed that your state is not mere
Sorrow, but physical distress: a
Syndrome, worthy of treatment and cure
Instead, one bear claims of spiritual decay
One stands alone against ignorance, ashamed
Never knowing why the sufferer is blamed.

 

Then for Sjogren’s syndrome:

 

Sore joints, fatigue, and dryness are
Just a few of your surprises
Once ample energy and life
Gives way to pain and constant rest
Respite is not your way, as is
Endless inflammation and infection
No cure, and relief in only the most
Symptomatic way.

Systemic Sjogren’s is so much more than dryness
Years pass, life moves on
Nothing resolves
Diagnosis changes only that the
Reality that one is sick, not crazy.
One day there may be a cure, but
Meanwhile, I will eke out my life and
Energy, an hour at a time.

 

Blessings,
Jane