Thursday, July 2, 2015

The Road Less Traveled...

"Ok, I ask this question every time I am here, but I have to ask it again...What is my long term prognosis?"

That's the question I recently put forth once again to my neurologist team at Mayo Clinic after a very difficult weak of testing, and a rapid decline in my health over the last 2 months.  As you may suspect, my absence from this blog was due to some stability that I had finally gained managing my chronic illnesses.  It took lots of time, but I was able to find the sweet spot of stability that allowed me to maintain a daily schedule, even open up my own home based business, and travel with my guys to England and Europe last year.  I was still symptomatic every day, but I thought I'd finally found my personal holy grail of medicine regime.  It was great!  I grew arrogant that I had truly figured out the key to making my body happy.  But this year, after slowly declining, I went for a walk one April morning, and ended up in the ER with anaphalactic hives, and a body that once again was spinning out of control.  Damn!

I knew I was in trouble that April day.  I knew I could no longer manage my own body, so back to Mayo Clinic I went.  Holding out hope that maybe this round, they'd find the real culprit for my broken body.  You know, like maybe a thyroid problem,which I already had, but maybe a new one or maybe an adjustment to my existing one, but honestly I knew better.  Something had changed and along with all the conditions I've collected over the last 6 1/2 years, I was likely looking at yet another problem to manage.  Such an overwhelming prospect. 

When I first became ill, I had this Warrior mentality.  This fierce arrogance that I could have the tenacity to find out what's wrong with my body, that I could will myself better as long as I held on to hope and never gave up and never surrendered.  Over the years, my Mayo visits have started to have a pattern.  It starts with hope that "the thing" will be diagnosed.  A plan will be implemented.  And I'll finally be rid of the endless uncertainty I've been living with all these years.  Then I go through a butt load of testing, some of it painful and rough, like my dreaded autonomic testing, and I reach the end of the week with often more questions than answers, and always experimenting with new treatment options.  After almost 2 years of sustaining somewhat a manageable health balance, I was back at Mayo running this usual routine.  But this time, I'm older, I'm sicker and the testing reeked havoc on my body. 

When Friday arrived, I went back to neurology for a follow up to discuss the results of my testing.  Rampant wild inflammation was torturing my body. I had several markers show that my body was raging against itself and under duress.  I was complimented on how well I knew my body, how succinctly I could tell my story, and how they are searching for the cause.  My MCAS (Mast Cell Activation Syndrome) was finally showing on the labs for the first time ever, and my Hashimoto's Disease was still ongoing but not the culprit, so we wait on the complex antibody panel labs to come back.  So far...nada.  Which brought me to ask, "What is my long term prognosis? Is this pattern how it's going to be for the rest of my life?"

In short the answer was "We don't know.  You're not typical to the cases we see here.  We don't see as many women your age with these conditions.  We can see what is happening to your body, but we are still searching for the why. There's still so much we don't know. The inflammation levels are very dangerous, but you've improved before, so we will focus on getting you back there again.  We'll keep trying."  And there it is.  The sharp left turn, followed by a hard right, followed by a long straight road, then a massive U-Turn going back.  That's the roadmap of my chronically ill life.  Always on an undisclosed map down an unknown medical highway.  It is still as surreal to be living this way today as it was over 6 years ago when I woke up after surgery in searing pain, knowing something was terribly wrong. 

But today, the Warrior in me is so exhausted.  She is battle worn and medically scarred. She sees the battle fatigue of her loving soul mate, whose shoulders are so strong, but the burden of caregiving the unknown wears on his handsome face.  She sees the raw acceptance of her loving son, who doesn't remember the vibrant, always on the go mom he used to have when he was little, but who always comes to her side when he hears her silently weeping in frustration.  The victories are so sweet, but the setbacks get harder and harder with time. 

I'm battle worn.  I'm tired to my core.  I'm not so arrogant. But I am still a Warrior.  I can not control the twists and turns that illness and life throw my way, but I have every power within me to chose the way I handle those challenges. And I chose to fight on always!  Been spending the last week at home once again experimenting with medications, getting more diagnosis questions than answers, and wrapping my brain around the long road ahead.  I may bend, but I refuse to be broken by chronic illness.  Dusting myself off, re-focusing my mind, and charging ahead...Never Give Up!  Never Surrender!!

Wednesday, October 3, 2012

Beware...Be Aware!

October is turning into a busy health awareness month.  Not only is this the highly publicized and marketed Breast Cancer Awareness Month, but it is also the launch of Global Dysautonomia Awareness Month.  Not to be outdone, Epilepsy Awareness Month is awaiting in the wings for November.  Yes indeed, busy times to be aware of some very serious, life altering health issues.

Did you know, according to the Centers for Disease Control and Prevention, that nearly 50% of Americans live with a chronic disease and that 7 of the 10 leading causes of death in the United States are chronic diseases?  Staggering, right?!?!  I mean, WOW!  With so many of us suffering, or at least knowing someone who suffers from a chronic condition, why aren't we all more aware?  Why don't more of us do anything and everything we can to prevent or at least get early detection for these conditions?  I'm going to go out on a limb and name one big culprit...denial!

"It can't happen to me."  "I'm doing enough to stay healthy."  "I'm not old enough to get that ."  "Mystery Diagnosis is just a tv show talking about someone else's weird health issue."  "I exercise so I'm good."  "Doctors will know how to best treat me."  These are the excuses I used to tell myself while awareness campaigns raged on, while I'd buy my pink swag to support a cause that was remotely related to me, and Mayo was just something I put on my sandwiches (sparingly cause I was a healthy kinda gal.)  I thought I was aware of my family's health risks and knew what health conditions I could expect in the future...the way far old age future.  But I was wrong.  And I was not aware.

My sister Malinda, who's 9 years older than I, started having an odd rash on one of her breasts 4 years ago.  Within 3-4 months of her rash appearance, I came on with a sudden and excruciating bout of lower abdominal pain and swelling that wouldn't go away.  In my sister's case, her rash continued to develop and she was told it was mastitis and ointments will make it go away.  In my case, I was told I had endometriosis and the most effective and permanent cure was a complete hysterectomy and it will go away.  My sister passed away from Inflammatory Breast Cancer approximately 18 months later, and my hysterectomy has touched off an army of chronic conditions that only seem to be growing in number to this day. We were not aware.

I'm willing to guess that most people are only aware of long term health issues once they or someone they know and care about faces them.  I thought I knew all about breast cancer because it runs in my family, but it turns out there was still lots to learn.  I, and most of my doctors, couldn't tell you what dysautonomia or POTS or MCAS was before I had to battle it myself.  So what does awareness mean?  Does it mean you have to be a walking encyclopedia of medical knowledge at all times?  Does it mean you should live your life in fear of contracting a terrible health condition?  I've really been pondering this for awhile. What did I wish I was "aware" of before I got so sick?  What do I wish I would have understood better, and taken to heart in my pre-POTS days?  This is what I came up with...

  • Got a health issue that runs in the family?  Don't just buy the swag and gear, take time to learn the facts...they may save you or someone you love's life one day. For most chronic or life threatening conditions, early detection is key!
  • Don't waste time with people who are negative and/or don't bring positive into your life.  They will be the first to leave when you are sick.
  • Doctors know a lot less than you think.  Their diagnosis and treatment plans are based on their educated opinions and statistics.  ALWAYS GET A SECOND OPINON!!  ALWAYS!!
  • You can't plan and control everything in your life.  Be willing to be flexible, it will save you a lot of frustration and stress.
  • Somebody has to be that person on Mystery Diagnosis.  That someone can even be you.
  • Many of the thoughtful things you do for others, they will do for you when you need it most. Keep up the good kharma.
  • The majority of what you think is important in any given day, is utterly unimportant when you are sick.  Try to focus on what makes your life meaningful every day, let the rest fade away.
  • Healthy people get terrible illnesses too.  But your healthy habits will be very helpful when you are fighting a devious condition. 
  • Slow down!! Listen to your mom, and take time to smell the roses.
  • Don't wait till later to work on that Bucket List!  Take that extra step to do something adventurous early and often, those memories will be comforting to you on the days you can't leave your bed.
  • Always listen to your body...it speaks to you!  If something doesn't seem right, keep fighting for accurate answers.  Never give up on yourself!  Never surrender to what the medical profession tells you if you are not convinced it is not right, accurate, and thorough.  You deserve to always be treated with compassion, quality care, and respect!

I have few regrets looking back on my life to this point.  The one thing I will always silently punish myself for and regret is that I never got a second opinion before my hysterectomy.  I was in so much pain at the time, and put so much trust in a doctor that I didn't whole heartily believe in, and who's compassion was utterly lacking.  I was blind and arrogant to how quickly poor health can enter your life.  Whether you are the poster child of health, struggling to find a diagnosis, or battling for your life, you deserve compassion and competent care from your medical team.  I wish I was more aware of that when I was healthier. 



 

Friday, September 14, 2012

Visible Hope: How One Celeb Filled Glam Night Out Brought Me Visible Hope



Karina Smirnoff (Dancing with the Stars), Queenie Barb (wife, mom, and chronically ill) , and Quinton Aaron (The Blind Side) just, ya know, hanging out on a Thursday
Last night, Lupus LA held their 4th Annual Get Lucky for Lupus LA Celebrity Poker Tournament Fundraiser.  So, what does that have to do with me?  Well, I happened to come across a Groupon a couple of days before to attend the celebrity filled event.  The first thing that popped in my head was "Cool!  Getting dressed up, hob nobbing with celebs, food, drinks, and fantastic people watching for a great cause...I'm in!"

Then the doubts flooded in.  It's too far away.  It's a school/work night.  What if you can't handle the drive?  What if you pass out while your there?  What if something happens to your son...or the dog?  You don't even have lupus.  Why would you make such an effort to get out when it's so hard?  What would you wear? How are you going to convince the hubby to go?  And that's just the top Top 10 list.  Two days!  I spent two days analyzing, re-analyzing, and questioning myself about grabbing that ticket and just going for it.  I couldn't understand why I wouldn't just let it go and give up.  I mean, who would know differently, and who really cares anyway? Then, it hit me like a bright ray of light...I would know.  And I care.

I have tested myself to push beyond my perceived limits most of my life.  When others tell me no, I take it as a personal challenge to prove otherwise.  Pushing for an accurate diagnosis and effective treatment is a prime example of this will to overcome what others tell me can't be done. But there's other ways I've pressed beyond the likely and probable to achieve more than is expected and push beyond the limitations that are now firmly planted in my body.  I completed the LA Marathon in the down pouring frigid rain last year, alone.  I modeled for a girlfriend's jewelry line in Hollywood.  I flash mobbed for some very worthy causes. All while ill with dysautonomia and autoimmune disease.  I've pushed hard at key moments in my journey with my illnesses.  Why?  Why do I do it?!?  Because it brings me hope.

Every time an idea or opportunity comes up that most would normally blow off, or think is too hard, or impossible, I look deep down inside and think "maybe...just try," and the fever to accomplish and overcome is relit brighter than ever and hope firmly sets place once again deep inside me.  It's how I get through the overwhelming challenges that I've stumbled into these last several years without completely losing my mind. Hope challenges me every time to face the often loud obnoxious voice in my head that tells me "no," "impossible," "it's a waste of time," "why?!" and replaces it with a softer, but just as firm reply of "yes," "possible," "you can do it!"  Hope.  It's what I thought I was losing this summer while I suffered a decline as my son was battling seizures and seeking an accurate epilepsy diagnosis.  The inner voice of defeat was so strong this summer, but hope was stronger. Hope means the story is not over, and what seems unlikely or unrealistic or insurmountable can be achieved. 

So as the clock ticked down to decision time, I gave into hope instead of doubt and fear and judgement, and bought the tickets for that event.  And you know what...my patient and handsome hubby and I got dressed up, drove too far out of our way, stood on my feet way too long, talked to people we didn't know to support a cause that doesn't effect us...and had a fabulous celeb filled date night out!  I'm still glowing and am always grateful for every day that I have hope!

So this is what visible hope looks like to me...

LA Marathon 2011- Year 2 of my Health Hell Journey
Flash Mobbing for Buddy Holly's Hollywood Star Ceremony- Year 2
My stab at modeling in my 40's- Year 2


The Queenie & Gilles Marini (Dancing with the Stars)-Year 3

Oh yeah, and there was Lou Diamond Phillips
My Hero, My Husband Paul

Wednesday, September 12, 2012

Diagnose Me...Maybe?!?!

Blogging for Invisible Illness Awareness Week continues and I'm  in a super silly mood.  The road to diagnosis is irritating, long and redundant, kinda like that Carly Rae Jepsen song, "Call Me, Maybe". I got inspired to swap the lyrics out of the song, but I'll spare you the horror that is my singing voice.  Dedicated to anyone that's struggled or fighting to find an accurate diagnosis, I give you "Diagnose Me...Maybe?!?"  Feel free to share and belt it out loud at your next doctor appointment!

I threw a wish in the well,
Just ask me, I'm happy to tell,
Truth is I feel like hell,
And you're my specialist to-day! 

I'd trade my soul for my wish,
Medical bills and still no hint,
I wasn't looking for this,
But you're my doctor to-day.

You're looking bored and rushin',
I 'm dizzy and I 'm flushin',
Hot sweats, mind is foggin',
Where you think you're going, anyway?!

Hey, I just met you,
And this is crazy,
But here's my symptoms,
So diagnose me, maybe?

It's hard to sit up,
Can't speak clearly lately,
But these are my symptoms,
So diagnose me, maybe?

Hey, I just met you,
And this is crazy,
But you're my specialist,
So can't you diagnose me, maybe?

You didn't take your time here at all,
I said it takes no time then I fall,
You can't think of nothing at all?!?
But you still need my co-pay.

I beg, I moan and I squeal,
Can't you help me, this is real!
I told you exactly what I feel,
Can't you consult with a peer any-way?

Your stare was glazin',
And you were awkward pacin',
Crap, now my heart is racin',
Where ya think you're goin' anyway?! 

HEY! I just met you,
And this is crazy,
But these are my symptoms,
So diagnose me, maybe?

I've already seen like
14 doc-tors lately,
But these symptoms are sucky,
So diagnose me, maybe?

Hey, I just me you,
And no I'm not crazy,
But you're the specialist,
So diagnose me, maybe?

And all the other docs
Try to placate me,
But here's my symptoms,
Can't you Google this s@&t, maybe??!?



Tuesday, September 11, 2012

A Thank You Note For My Guys...

I am beyond fortunate to live with two of the best supporters in the world, my husband and my son...my guys!  Day in and day out, they have both been the ones to witness and react to the ever changing and often scary effects that my illnesses inflict on my body. It's hardly a week that goes by without my husband having to work from home, call in sick, or try to figure out on the fly if this is now the moment where we once again trot off to the ER for a pointless round of "gee we don't know what to do for her."  My son has urgently brought me gatorades and salt shakers, without being asked, just because he's seen the scenario of my rapid declines into syncope over and over and over again.  No matter how hard I try to rally, my body and these illnesses remind me that I am no longer in control and free will is not so free anymore.  Even the beagle, my unofficial third guy, has watched me with a look of concern more times than I can count over the last several years, laying his head down by my hands when we're alone to let me know he's on guard.  These guys are my day to day support system, they are my lifeline, and they are the main reason I carry hope so strongly.  I want to have better days not just for myself, but for them as well...they deserve every inch of fight I have within me.

I thank them daily, but given that it's Invisible Illness Awareness Week, I thought now would be the perfect time to thank them publicly.  You see, their roles are invisible too. They are part of the silent army of caretakers that help take on extra duties and expanded roles to help the ones they love get through the hardest of days.  It is a very difficult position to be in to watch someone you love suffer or struggle and not know exactly what to do to fix it, rolling with the punches one day at a time, moment by moment.  So for my guys, this note is for you....
 My Dearest Guys~

Two simple words that carry the entire meaning in my heart: thank you!  Thank you for working extra hard at school and at work.  Thank you for carrying me into my bed when I pass out in the car over and over and over again.  Thank you for making dinner, for picking up prescriptions, for helping me keep our home tidy.  Thank you for not judging me when I can't seem to get out of bed.  Thank you for loving me, when I seem a shell of my former self.  Thank you for inspiring me to want to fight my physical battles each and every day.  Thank you for holding me when I can't seem to stop crying.  Thank you for making me laugh and smile, on the good days and the bad. Thank you for all you sacrifice each and every day for the sake of our lil family.  Thank you for not blaming me for all that my illnesses have taken away from us.  And thank you...thank you from the bottom of my soul for waking up each morning with hope in your hearts knowing that nothing lasts forever and every day is a blessing because we have each other.

I love you always~
Your Queenie



Today marks the 11th anniversary of 9/11 and I just wanted to tell my guys thank you. Today is a blessing, and so are they! 

Monday, September 10, 2012

Invisible Illness Awareness Week: 30 ThingsAbout My Invisible Illness You May Not Know

 invisible illness week logo

Today kicks off Invisible Illness Awareness Week at invisibleillnessweek.com, a time to come together as a chronically ill online community to help raise awareness for the plethora of invisible illnesses and conditions that plague so many of us these days.  I've been a particularly vocal communicator of my battle and journey with my growing list of chronic conditions, but so many others suffer in silence feeling the harsh isolation, loneliness, and utter helplessness that accompanies the majority of invisible illnesses.  So, to all of those who suffer silently, or speak vocally, to all those who just don't know or understand exactly how invisible illness affects a person and their family and friends, this week is dedicated to you!  To kick it off, here's 30 things you may not know about my invisible illness...

1. The illness I live with is: NCS (Neurally Mediated Syncope,)  Hyperadrenergenic POTS (Postural Orthostatic Tachycardia Syndrome), Hashimoto's Disease, Psoriasis, Surgical Menopause (ok, that's not an illness, it's just feels like one sometimes), and now MCAS (Mast Cell Activation Syndrome)
2. I was diagnosed with it in the year: Well, it's been a cascading effect, with every year bringing on more and more diagnosed conditions, starting in 2009 with my surgical hysterectomy.  I was officially diagnosed with POTS at Mayo Clinic fall of 2011, Hashimoto's Disease was diagnosed in 2010, MCAS currently being diagnosed.
3. But I had symptoms since: My first major symptoms presented as endometriosis in January of 2009.  Looking back however, I believe I've had several bouts of dysautonomia and/or MCAS events throughout my lifetime since I was a teenager.
4. The biggest adjustment I’ve had to make is: Constantly adjusting. I hate it. I'm a planner and the utter chaos of my health conditions drives me nuts.  No two days are ever the same.
5. Most people assume: For awhile that I was ok,  because I didn't look sick.  Now I think most people assume that I'm struggling to get on top of my health because I've been so vocal about my journey.
6. The hardest part about mornings are: Not knowing what kind of day I'll be facing.  Is it a "walk and get a couple of things done" kinda day or a "my bed is my best friend and so is the TLC channel" kinda day.
7. My favorite medical TV show is: Breaking Bad and Mystery Diagnosis
8. A gadget I couldn’t live without is: My iPhone. It's my lifeline and connects me via text or facebook to friends and online support when I can barely move or think.
9. The hardest part about nights are: Sometimes sleeping, but usually reflection.  It's at night that I look back on my day and more often than not lament over the lack of accomplishment. The mornings are hopeful, the evenings are reality.
10. Each day I take _ pills & vitamins. (No comments, please) Well, it used to be 3, but I'm on week #2 of trying a MCAS treatment protocol so that's got me currently at 16 pills/vials a day.
11. Regarding alternative treatments I:  Have tried a few, particularly for menopause and nothing has helped. I'm open minded(ish), but want to exhaust all traditional medicine first.
12. If I had to choose between an invisible illness or visible I would choose:  While a visible illness would make it easier for others to understand, an invisible illness gives me the option to "fake it" when I want to. In other words, there are some days that I try really hard to slap on makeup and put on a happy face because I'm just sick and tired of being sick and tired.  When I pull it off successfully, I'm glad that my illness is invisible.
13. Regarding working and career:  My work for the last 13 years has been CEO of my household and raising my son.  I am FAR below my capacity to do my job to my satisfaction.  My husband has had to pull many, many hours of double duty.
14. People would be surprised to know: How afraid I really am. The future holds so many question marks, it's scary.
15. The hardest thing to accept about my new reality has been:  The utter and complete lack of control over my own body. 
16. Something I never thought I could do with my illness that I did was: Complete the LA Marathon in 2011, in the pouring rain, uphill both ways (ok, I'm exaggerating that last part).  Before I was officially diagnosed with POTS, I had a whole mind over matter attack and wanted to get back to my marathon days.  I completed it, but it still didn't change my health situation.
17. The commercials about my illness: Would be amazing if they existed!
18. Something I really miss doing since I was diagnosed is: Being active.  I push myself to walk when I can, but I really miss doing stuff when I feel like it and walking as my main coping tool.  Now, it's just an activity I push through.
19. It was really hard to have to give up: Volunteering.  While I still do what I can, I dearly miss volunteering at my son's school, and other places when I feel like it.  I'm trying to get that back, but since no two days are the same, it's hard to commit to volunteer.
20. A new hobby I have taken up since my diagnosis is: Blogging!  I love it, when I can concentrate long enough to pump out something coherent.
21. If I could have one day of feeling normal again I would: Travel somewhere with my guys.  I really miss vacations that don't include a stop at Mayo Clinic.
22. My illness has taught me: Patience and a certain amount of faith that things will work out the way they're supposed to. 
23. Want to know a secret? One thing people say that gets under my skin is: Have you tried <blank>?!? While I appreciate where the suggestions come from, I've lived with this body and these conditions for years now...trust me, I've tried and researched most things you can suggest.
24. But I love it when people: Just act out of compassion.  Bring an unplanned meal, send a card, text me randomly, invite our family over even if we can't make it.  I am fortunate to have many loving, caring and supportive friends and family.
25. My favorite motto, scripture, quote that gets me through tough times is: Never Give Up!  Never Surrender!! and lately Power to the POTSies!!
26. When someone is diagnosed I’d like to tell them: Take a deep breath and dig down deep for your patience...treatment and stability is a very long and trying road but it is VERY possible!
27. Something that has surprised me about living with an illness is:  It's brought me and my guys (my hubby and kiddo) closer.  We've been forced to strip down to the bare basics in so many ways and that means leaning on each other more. 
28. The nicest thing someone did for me when I wasn’t feeling well was: Listen to me.  It is so lonely being chronically ill every single day.  It's appreciated when someone takes the time to just listen.
29. I’m involved with Invisible Illness Week because:  Speaking out is a way to make the invisible visible. If you don't explain your struggle, how can you expect others to understand?
30. The fact that you read this list makes me feel:  Happy.  Thank you for listening to me!

Saturday, July 21, 2012

But You Don't Look Sick...

I think for the majority of people stricken with an invisible chronic illness, one of the things they hate to hear the most from the "healthy" peeps is, "But you don't look sick!"  It seems to be a major bone of contention to many people, like myself, who negotiate every minute of every day, awake and asleep, with a body fraught with pain, inflammation, confusion, and chaos.  Most who become indignant at others who simply don't see the suffering, are just wanting some validation for the long and lonely war they are forging with their body day in and day out.  I, personally, have never been highly offended by a friend, stranger, loved one, doctor (ok, maybe I get offended by the doctors) who try to tell me my outward shell is holding up pretty good.  I understand most of them are just trying to find some words of comfort and encouragement to someone facing an unexplainable battle that they haven't lived themselves.

My point?  My point is that I see both sides of the fence.  After deciding to put on make up, or just roll out of bed and get out in the sunshine, I appreciate knowing that others don't think I look like the death warmed up version of myself that I almost always feel at any given moment.  I also have had many times when I feel like I can barely keep it together, despite my best efforts, so a simple "Hey, you don't look so bad" often leaves me feeling like "Gee, thanks!  Could you minimize my illness any more?"  Two valid sides of one simple statement but how do you get to the mutually respectable meeting place?  Well, I think Team No One Understands My Illness is doing a great job at express how much this statement is unfavored in the chronically ill world.  It ranks tops on many "Don't Tell Me This Shit" lists that permeate blogs, websites, and even tshirts.  I relate...I totally do...I ain't gonna lie.  BUT, sometimes there's another way to look at things.  Sometimes, exposing yourself and your weaknesses brings about better compassion and understanding to what is so many times a scary and difficult condition for others to understand.  Here's what I mean...

I have menoPOTS, a self proclaimed term combining my surgical menopause with hyperadrenergenic Postural Orthostatic Tachycardia Syndrome.  I also have, Hashimoto's thyroid disease, neurally mediated syncope (NCS), psoriasis, GERD and all the rest that comes with these crappy conditions.  I am very sick.  I am healthier than some with POTS, but definitely not as well as some.  I have been suffering for over 3 years now and work between 30-60% of my former capacity.  Mostly, I'm around 45% of my previous capabilities.  I look great when I go out, if I do say so myself.  But I also look sick.  The above picture is me right after I passed out from walking 1/2 a mile outside today.  I look like I have the flu.  I spend most of the time looking like that.  When I don't, it means I worked hard to hide the bags, dark circles, skin rashes, bruises, and blood pooling that often accompany my body these days.

Instead of being upset, I welcome those telling me "But you don't look sick!" That's because I've changed my attitude about it awhile ago. I'm an open book and explain my condition to anyone who will listen or read about it.  I work hard to own the conditions I have without submitting completely to them defining who I am.  I struggle constantly with all of the above, but now when people tell me I don't look sick, I often reply with one of the following:
  • Thanks!  This is my first day out in 2 weeks!
  • Well that's good! I almost fainted in the shower so I'm glad it doesn't show!
  • Thank you!  If I could only feel that way I'd be stoked!
  • I don't look like an Olympic sprinter either, but I can't seem to get my heart rate to understand that!
  • Thanks! That's because I spent 6 hours getting ready.  I'm glad it's paid off!
  • Awesome! I'm glad you haven't noticed my beet red hands and feet yet!
And when I come home, or feel really low, or defeated, or overwhelmed, or exhausted, I open up the laptop and I blog and attempt to educate about my illnesses.  If we, as a chronically ill community, do not positively educate, then how do we expect anyone else to know and understand what it's like to suffer in silence?   Especially in a healthy looking body.