What It's Like to Live with Chronic Illness

I’m writing this in an attempt to help people without chronic illness understand the constant calculation people with chronic illness (whether physical, mental, or both) have to undertake to budget our energy, as well as the limits on our resilience.

First, go read about the Spoon Theory (which is technically a metaphor, yes I know). Then come back. I’ll wait.

….

You’re back! Great. Let’s continue.

To review:

The basic idea of the Spoon Theory (Metaphor) is that, while most people have a consistent level of energy that’s pretty high and don’t have to calculate how they expend their energy, people with chronic illness - whether physical, mental, or both - are engaged in a constant calculation of what they can afford to do before they run out of energy and have to rest or risk illness and collapse. For example, some days I have to decide - if I take the full recycling bin out first thing in the morning, will I have enough energy to get M. to our co-working space/Montessori school and then do any good work once I’m there? If not, I better wait on the recycling, or I risk having to spend my workday in a fog being unproductive.

An important part of this metaphor that the original explanation doesn’t address is that the number of “spoons” - the amount of energy a chronically ill person has - varies depending on a number of factors. So a person might be able to accomplish a lot one day and very little the next, or might have a run of bad days with very few spoons and need many restful days to recover. This happened to me when we rearranged the house rather quickly right before M’s birthday. I’m only now beginning to find energy for things other than school or caring for M.

There’s another element to this that the spoon theory doesn’t address, and that’s the case of having variable emotional resilience. Anyone can have their resilience depleted, but some people have more resilience to begin with. In my case, depression and anxiety mean when those conditions aren’t well-managed, I have much lower resilience than a normal person. A tantrum from M. that I could normally handle gracefully and with gentleness might prompt me to snap at him or have to separate myself from him when I’m feeling this way. The metaphor I find helpful for this is to think of myself as a rubber band. When I’m stretched close to my limit, a very small additional stretching could cause me to snap. My rubber band might be more brittle or smaller than someone else’s, someone who could tolerate more demands on their resilience before snapping.

I hope this has been helpful for people, especially if you care about someone with chronic illness but don’t have it yourself,

How did I not know that it’s not just me, but rather the entire Internet, that refers to Carrie Fisher as “space mom”? Miss you space mom. Love you space mom.

Picture of General Leia Organa with text overlaid that says "Took your meds today? Good, Space Mom is proud of you. Now, go flip off the world."

Connecting doesn't have to be hard.

Grad school and parenthood are both immensely isolating experiences. So when you combine them, you tend to be… immensely isolated. I feel very lonely most of the time, but also too exhausted usually to do the things I think you have to do to keep a friendship going. So I start to feel like I have no friends, when really I have a lot of friends, but I’m just not communicating with them much.

This is, I think, actually pretty normal. This article I read for class a few years ago had the image below in it.

[caption id=“attachment_9253” align=“aligncenter” width=“514”] Figure from “Question-Negotiation and Information Seeking in Libraries,” Robert S. Taylor, College and Research Libraries 29(3), 178-194[/caption]

The way I interpret this schematic, when people first become friends, there’s a lot of communicative acts that are of the getting-to-know-you type, not focused on any particular topic. But as the friendship endures and you know each other better, you communicate less frequently but more topically.

My friendships fall in line with this pretty well, but there’s not much communication that’s just on the topic of, you know, how we’re all doing, and how we value our friendship. So here’s me, lonely, missing my friends, too tired to do much about it, and also a little overwhelmed at the prospect, because what do you say to someone you care greatly about but haven’t talked to in months?

On Thanksgiving, W., M., and I drove over to W.’s brother’s place for dinner with that side of the family. M. hadn’t napped and fell asleep on the way over. I told W. to go ahead inside, and I would stay in the care and bring M. up if/when he woke up.

I’d brought books with me, but I found that my brain couldn’t process the words in them. So I played some games on my phone and watched “Pangs,” as is my tradition. After that I started to watch The Empire Strikes Back, but I got a text from Verizon saying I was about to use up all my data, so I decided to stop.

So there I was, in the dark, in a rare silent moment, all by myself, and I had a revelation:

All I had to do to connect with my friends was to say hi. It was as simple as a text. It didn’t need to be a dramatic letter full of reasons why I haven’t been in touch, apologies for ghosting them, lengthy updates on how things are going with me.

So I opened up the Contacts app on my phone and just started going through it, texting people I miss a lot and haven’t checked in with in a long time. (I did miss some people and only realized later that I should have included them, so the next time I find myself in a truly quiet moment like this, I’ll get to them.)

To each of them, I sent a customized version of a message that went basically like this:

"Hi [friend's name]! I'm in the car with a sleeping M. outside W's brother's house and taking the rare quiet time as an opportunity to text friends and wish them well. I hope you're having a great day!"

Some people just got “Hi! I love you!” and others just got a variation of “I hope you’re having a great day!” without the explanation about M. sleeping.

And in a few minutes, answers started coming in.

I am thankful for your friendship.

❤️️❤️️❤️️

We just pulled off our first Thanksgiving in our house!

I love you right back and I hope you had a wonderful day too! 💜

Thank you! We did have a good day! I hope you and your family did as well.

Thanks for the Thanks-greetings! I hope you’re doing well and junk!

I love you too! And I miss you!

Hey lovely! I hope you’re well! I adore you!

Friends. They’re great, right?

Now I’ve opened up all of these conversations, I hope I’ll feel more comfortable just sending a note to say “Hey! Thinking of you! How are you?” I can’t believe it took this long for it to occur to me that it’s as simple as that.

And let’s conclude with this:

If you’re someone who thinks sometimes of reaching out to me and then doesn’t, because it’s too daunting or whatever, know that I always welcome a “Hi! How are you?”

This morning, when W. and M. were sleeping in, I could have chosen to do one of many different things, whether I wanted to spend that time productively or on leisure. I chose to play the visual novel Choices, which is one of Tumblr’s top gaming-related tags right now. When I wasn’t able to do any more chapters there, I switched to The Arcana: A Mystic Romance. I’ve also got a vampire one installed, but I haven’t tried it yet.

It should surprise no one who knows me well that I like these games. I got obsessed with the Ace Attorney series for a while and pretty much treat all Bioware games like they’re otome with combat. Don’t get me started on Dream Daddy and how I can’t bring myself to choose between Goth Dad and Barista Pun Dad. (In real life, I married gothish barista pun dad.)

I read a piece a while back about how young women are making businesses out of writing stories and developing them for some of these games. I’m definitely keeping my eye on this as a potential area for research.

 

I went thrifting yesterday by myself for the first time since having M. Thrifting used to be a source of great fun. When I was in high school, I scored myself a coveted collection of velvet blazers from thrift stores. When I was in college, I often went to the vintage store near campus and loved just browsing the racks. Yesterday, I went to the thrift store with a couple of purposes in mind:

  1. Buy components for a Tifa Lockhart cosplay.
  2. Grab anything that caught my eye that would help me lean more into my various seasonal aesthetics (holiday goth, faerie goth, mer-goth, goth girl fall).

I tried on a few things, including a skirt that would have worked okay for Tifa. But I didn’t feel great about myself in it, so in the end I didn’t buy it.

I spent about two hours in the thrift store, looked at every department. For the first hour or so, it felt kind of fun. But by the end I found myself thinking, “This isn’t how I want to spend my time.” To really have success with thrifting, you need to do it often. And I just don’t have it in me anymore.

And that’s okay. Things change.

I do like browsing online resale places, like ThredUp, Poshmark, and Depop, though everything on Depop is priced too high for me to spend on something I probably had in my closet 20 years ago.

After I left the thrift store, I went to the creative reuse center/store that’s across the parking lot. (They’re both owned by the same non-profit.) That place was a wonderland. When I was in middle and high school, they were this kind of cool place with lots of weird cast-offs that you could turn into art if you were super clever with reuse. I’m not super clever with reuse; where other people see artistic possibilities, I just see stuff. But now, this place is so huge and full of stuff for less creative types like me: fabric, yarn, sewing notions, so much cool ephemera… I feel like I could definitely get a good collage out of paper I found there, and I think all my craft projects will now begin with a trip there. (Fortunately, in the same shopping center, there’s a local craft store, so I can hit all my needs in one trip.)

They also just sometimes have cool stuff. So, for example, I got my kid a gorgeous pair of fairy wings, a notebook, and a complete alphabet cookie cutter set. All 3 things for $9. Pretty great.

This weekend was a good weekend. On Saturday, we had a harvest meal at the Montessori/co-working space. We brought grapes. They seemed to be a big hit. It was a really rainy day, so we spent the afternoon watching TV: the first 20 minutes or so of Paddington 2 but then it got a bit confusing, so we switched to Curious George. I actually put my head down and stretched out on the couch and drowsed. It was glorious.

I remember the winter of 2014-2015, when Dragon Age: Inquisition had just come out. There were days when we would set up in front of the projector screen and W. would play DA:I for long hours while I napped beside him. It was an immensely pleasant time and I remember it with great fondness. I wouldn’t trade having my kid for all the naps I could imagine, but it’s still nice to squeeze one in. There’s something different about a nap on the couch next to your loved ones while a screen is on, as opposed to in silence alone in bed. I think it feels festive, somehow. It’s that post-holiday-meal vibe. It’s luxurious and drowsy and it was so pleasant that I think I might try to do it more often.

We were going to go out to dinner with my family of origin, but M. fell asleep on the way there so we just turned around and went back home.

Sunday we went to breakfast with them and W.’s mom, then M. and I headed to the Museum of Life and Science to meet a friend of his and her mom. When we were done there, we went home and eventually I got around to watching bits of Bakara Wintner’s live tarot reading on Instagram for the first time ever. I’ve wanted to for a long time, but it’s rare that the timing works out. This time I was able to put it on while I was cooking. I wish I’d been watching from the beginning. I hope I get to do it again, soon. I really like her vibe and would love to just see her more in general. I feel like I’ve read her book a thousand times since I got it a couple years ago. It makes me happy. Maybe happier even than actually pulling cards does? But maybe that’s about getting more practice. I’m really practiced at reading. Less so at tarot.

I fell asleep super early last night but then woke up around midnight and I don’t know what, maybe read about online diarists at the turn of the millennium? That sounds right.

I woke up again around 4 and watched the first episode of The Mandalorian. I’m always trying to figure out how to find the next media thing I want to experience. I can’t keep up, both because we’re past the era of peak TV into the era of too much of everything to have a monocultural conversation (which is fine, more different things is always good, just harder to follow) so last night I decided to work a combo of Tumblr’s fandom statistics, Archive of Our Own’s top fandoms, and NPR’s Pop Culture blog coverage to help me decide.

So The Mandalorian. I just re-watched Star Wars: A New Hope for the first time in years Saturday night. I found that I still love it, that Princess Leia continues to be my hero, that Obi Wan continues to be my favorite Jedi, and that it’s only the first two thirds of the movie that makes me sleepy. I don’t love all of the changes Lucas has made to it over the years, mostly because the aesthetic feels disjointed in scenes where stuff has been digitally added in.

But it was a really interesting thing to do right before starting The Mandalorian, which I gather takes place between Return of the Jedi and The Force Awakens? I’ve read nothing about it, so I’m not sure.

It has this interesting feel. It doesn’t feel like Star Wars, although it does have all of the visuals and worldbuilding references that clue you in that yes, this is a long time ago in a galaxy far, far away. It feels kind of like Firefly and, to a lesser extent, Serenity. To the point where I was like, “Is the Mandalorian played by Nathan Fillion?” (Nope. He’s Pedro Pascal. But they have similar voices.) I’m looking forward to catching more of it, then reading what other people have said about it.

 

You don't have to love yourself to be worthy of love.

I’ve been thinking today about something Maria Bamford said - I think it was in her episode of The Hilarious World of Depression. She said that one of the times she was hospitalized for her mental illness, and before she met her husband, she saw the people in the psychiatric facility and how they had people who loved them visiting them, especially spouses and romantic partners. She said it made her realize that she didn’t have to wait until she loved herself for someone else to love her.

I think this is so important to remember. There’s a lot of rhetoric out there about how if you want to be loved, you have to love yourself first. But I’m here to tell you, and so is Maria Bamford: it’s just not so. You are worthy of love, whether you love yourself or not, and the people who love you will love you when you think you’re great and when you’re very down on yourself.

I wish I could tell little 13/14 year old me, back in 1995, that she actually DOES like a genre of popular music, it’s just R&B, and it’s not her fault all her friends are into alternative and she’s the only one who likes R&B and that also R&B is a very legitimate genre of music for a 13/14 yo in 1995 to love.