Tips for Friendships with Chronic Disease...

My life is different from everyone in my inner circle. My closest friends and my family don't have the medical struggles that I face. I won the medical lottery, I have been diagnosed with multiple severe and at times life-threatening rare diseases. In addition to managing other conditions that have sprung up as a result. Having a rare disease means my life and that of my family is never predictable. Which could make maintaining lasting relationships difficult. But, that has not been my experience.

Over the years, I have learned how to educate my friends and family so they know all about my health.  While I never get a day off from management of my health; I don't want my relationships to be about my health.  You have to find the balance between sharing your truth and still living life. It's a fine line, I want friends and family to understand why I may not be at my best without them feeling sorry for me.  At times, I have tried to make light of some of my struggles with humor to put people at ease. I also work diligently to explain how hard it is to live in a body that has betrayed me and share that truth with honesty and love.

In October of 2014, my husband Jeffrey and I uprooted our family of four from the suburbs of Washington, DC and moved west to Santa Barbara, CA. I grew up in the DC area, my life, my family, my doctors, and my best girlfriends in the entire world live there. While moving from your support network is hard for any reason; it is especially difficult when you have developed networks of individuals that understand and love you with all of your health issues.

The move was the best decision for my immediate family. My health is better on the West Coast, more even temperatures. No more horrible cold winters and hot humid summers. Santa Barbara has less people, less traffic and a relaxed slower lifestyle which all agree with our family. The move came with sacrifices, leaving my support system and having to forge new ones. I have found that when you are honest from the start about your health it makes relationships a little easier. Everyone in this world has struggles, finding and maintaining friends will be so much easier when you up front share yours.

At a certain point, Jeffrey and I realized that we would have to tolerate the intolerable, and manage my health. I would likely 

never have remission

and never be cured. What was essential was within this space, I needed to find tools to live the best life in my body, to make peace with this life.  I needed to strengthen the relationships with the people who could understand this. The ones that loved me at my core, not the girl who "used to" do activities with them.

I found that my "true" friends are the friends who wanted to "be with me" not "do things with me". The two are quite different.  We often forget that underneath the label of chronic illness we are still ourselves.  Each of us is still funny, smart, charming and the life of the party. Often just the party location may need to change. My life is filled with a circle of love, the best girlfriends one could ever dream. I still listen, laugh and be the best friend ever... It just means I'm on the sofa or on the phone, not drinking martinis at midnight. (I'll just add that most "healthy" mothers of two aren't doing that either!)

Here are my tips for sustaining lasting friendships while struggling with severe chronic illness.

My chronic disease is like having a perpetual toddler so plan ahead and have a back up plan

. My husband and I like to joke that we have three children, our two real kids and the perpetual toddler that is my chronic disease. Everyone has seen a toddler lose it in a public place; well some mornings I wake up and realize that is exactly what my body is doing to me. For no reason my body has decided that it is not going to behave today, that means it's going to be a bad day. We all love toddlers; but we all know they can be a hot mess. You never know when she is going to have a meltdown (i.e. a "flare") and toddlers are amazing in that they are fantastically unpredictable. Toddlers have personalities, charming, delightful but one wrong look, twenty minutes overdue for a nap and you are going to pay the price. My body does the same to me, too long in the hot sun, too long on my feet when I should be resting. My body will shut down and I can be in bed for days. So be flexible, be ready to change plans and know that you will need to cancel some activities on short notice.

How about a wine and cheese party in bed

: When was the last time you had your best girlfriends over for a glass of wine? When I have been in bed too long thanks to my health, I know I need to see my girls. The ones who make me laugh and will talk to me about the normal stuff--let's be honest the life gossip!  One of my favorites is when I had a cocktail party in my bedroom. You got it. We had snacks and wine on my bed. They grab the glasses, they know where to find my wine, and carry it all upstairs. My girlfriends come over climb up on my king size bed. I sipped on some tea and they have wine (always in my Waterford crystal glasses) and eat cheese and fruit.  We laughed and giggled for a couple of hours, they went home at seven happy to have been with me and I was sound asleep at 8.  Jeff may have slept on a bed with a bunch of crumbs that night, but I slept perfectly, with a smile on my face for days.

I'm the queen of text parties

. How often does it happen that I feel great only to have my children come down with the dreaded stomach flu the one night in three months I'm ready to go out. My solution, text parties during movie award season. My besties and I send group texts discussing who wore what and who shouldn't have! It's the best. I have had one of my girls over and we are texting the one girl who was home with a husband traveling or a sick kiddo. It reminds us that no matter a friend's schedule or health, we can all still enjoy an evening together. You will also be shocked how often you laugh out loud when reading texts.

I still love lunch dates with my best girlfriends.

How about take-out lunch on your sofa. Who needs to sit in a restaurant all dressed up when your biggest accomplishment for the day is brushing your teeth and showering. I have a favorite Thai place that has the most amazing take-out. It also tastes just as amazing on my sofa in my sweats.

Movie night, coffee or brunch, what about yoga in your home?

My sister gave me a world class meditation class in the sunlight of my living room floor. Just the two of us, her voice and the best meditation warmed by the sun's healing rays. My living room has also been home to therapy sessions, impromptu yoga class and the best prayer group meetings.

Being a good friend also means being able to step outside your illness.  

Being sent to bed is very different from choosing to spend the day in bed. I've lost track of how many times I have been sent to bed by my doctors. 

Everyone has struggles in their life. Everyone. When you live with chronic disease it sometimes is easy to get caught up in your world of doctors and treatments and forget that your closest friends lives are still spinning too. I've been in bed countless times and taken some serious phone calls talking my friends through crisis. Sometimes you have to remind yourself that it's not always about you.

As the world's biggest type A, I love to have my make-up on, and my house perfect, but what I have learned is that no one really cares, when your best friends haven't seen you for however long. They really don't care... They really just want to be with you, to laugh, see you and to know that you are one day closer to being back up and running the world.  You don't have to leave your home when you aren't at your best.  No, you sometimes just need to make sure the key is under the door mat.

As always, the Divine in me bows to the Divine in you.--Namaste

If this post resonated with you, then I think you'll like; 

Chronic disease is like a bad boyfriend

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Kathryn

PilgrimageGal

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Picking Your Team...

Working together to achieve wellness...

When you are managing a chronic disease or suddenly diagnosed with a major health crisis, it takes more than a village to keep you healthy… It takes a tactical army; of friends, doctors,  therapists and great cooks…

My therapist is a Sister of the Holy Names, so in my case I have a therapist who is an expert on medical issues, families with chronic disease, but she is also my unofficial spiritual director… So in one pick I scored a two-fer, and she is my rock next to Jeffrey. She gets life so beautifully and cuts through the foolishness, is action oriented, and gives great hugs. That is a double win in my book.

She gave me a lovely compliment this week; she told me that she didn't know anyone who had assembled a better team… Which made me think, how do you assemble a great team?

Assembling this team has been a process for years, but this core group has been solid for several years… The key to my team, they all understand two fundamentals of my wellness:

First:  My husband Jeffery is my whole world and our children are our life

. We were married 10 years before we started our family. We grew into our marriage, I had to grow-up and then we were ready to start our family.  And it was the best decision we made and as a couple now married over 20 years; our choices work...

Second

:

I don’t want someone to just make me feel better; I want someone who demands I get better. 

Big difference in this statement… It requires both action and commitment.

When you identify what you are striving for, not just feeling better, but true wellness, it becomes tangible. All of my goals are based on these principles… Medicines, procedures, tests, appointments… How many flipping times have I had to give my medical history… But, it’s a step, a rock we turn over, it moves us down the road… It's more training for this marathon we call life.

Every step is moving me towards wellness, I believe that… I have a clear idea of what wellness is…. Will I be the girl I was before all this, NOPE… Never again… I will have limits… 

What I am is fearless, and unbreakable in spirit. Because every person who is welcomed onto my team gets instantly my two guiding principles… It’s that simple… If you are not on team Kathryn, you are lovingly retired and not welcomed back.

You learn that chronic disease is designed for the TYPE A… We are the only ones who will not curl-up and die under the weight of the pain... We learn how to survive and we flourish… My Hawaiian girl stopped by yesterday and we had a lovely chat, while our girls worked on their fairy garden, she said that she loved my “spirit” (so many compliments in a week.) But what she loves is my optimism… If you don’t have faith in wellness, you will NEVER EVER be well…

Many of these team members/players need whole posts on how to select them… Today I'm going to focus on forming the team:

Doctors:

 you need one, in my case two, Go-to doctors… The doctors who get you, know who you are, your priorities, your symptoms, tell you the hard truth and see you as a person not a disease. Now here is the thing, this is a relationship and like all relationships they require a lot of work, respect, and a ton of humor.

TIP: You know you are in the presence of a Go-to doctor when they say, “I’m out of answers or I don’t know, I've never seen this before… But, I know a person...”  And then: They make the call, send the email, get you the appointment.

Go-to docs have two jobs: manage your day to day and be the conduit for outside help when they run out of answers. My Go-to’s are not my primary physician, I still see her once/twice a year for check-ups, but my Go-to are specialists. One is an immunologist/allergist the other is a pulmonologist/critical care. They are the ones who use their relationships to find me experts on my health issues, they call in favors, make demands of colleagues and fight to get me access to the best the world has to offer.

And I LOVE my Go-to's… My Go-to lost some points and colleague's support by going over the heads of some folks to get me “in-to” the guy she wanted me to see.  That is the amazing support of my Go-to doctors... They go above and beyond, just to help me.

Therapist:

 Your therapist is the other leg on a three leg stool, your Go-to’s are one leg, you and your supports are another, and your Therapist, well mine stands alone…

Because she is soooo important. 

Picking the right one is possibly the most important member of your team, she will be with you for a long time, she knows all your issues is often your co-pilot on sorting things out.

My requirements

 are very simple… I don’t want someone to hold my hand and dry my tears;  I want someone who is in-it with me to get answers.

Simple also means… Direct.  You should leave every appointment with a to-do list, homework, what you need to get done. You need tangible goals… If you have a therapist that wants you to just smell the roses and pass you tissues… You need to run like hell… You are much too busy for that brand of foolishness, time is not your friend, you have to have  urgency

 to find wellness. You need to have action oriented steps, plans, goals objectives.

Sometimes my homework is to rest, take care of my body… Other times it is to get my team mobilized for the next hospital and next specialist.  She is often the sounding board to my new ideas, plans and goals. She is also the one who helps me shape my "new reality" of what wellness means, how you live happily in the brokenness.

Your therapist does many things, she is an impartial viewer of you… 

Sometimes she has a better gauge on where I am; than I do… I get so mired in my own stuff; and she helps me sort-through it. Now listen, I do believe that therapy is vital when facing a chronic or serious disease.  I have had frank conversations with both my doctors and my therapist to say, “listen if I’m doing something psychological to make myself sick, then we need to find that too… because I want to be well.”  You have to be willing to look at every aspect of your life. Likewise you want your therapist to say, “Kathryn this is not in your head, your body is broken, we will find answers, you are doing the work.”

That is demanding wellness, not just making me feel better…

Spiritual Direction

and Spiritual Guide, your own personal Yoda:

We all need a Yoda, the person who guides us to the “Force” and leads you to your spiritual center. I have been in a women’s prayer group for eight years, drop in on another,  I practice   yoga, meditation, along with an active prayer life. Also, I have a life-long family friend that I call regularly to talk about matters of faith… And then I have my therapist. Your mental health is equal to spiritual heath in all matters … You need to constantly grow this side of your life… 

You must find peace in the foolishness….

Having

a spiritual guide is one of the best investments and she is easy to find… All you need to do is take an inventory of the folks in your life. The person who is always at peace in the hurricane of life? That is where you start… Ask her how she does it? Where does she go? Who does she talk with? Chances are high she does not do this in isolation. And if she does, well she is a saint. So hold on to her!

In the Catholic church, priests and nuns have relied on Spiritual Directors, a kind of spiritual  teacher/guide. The job of a Spiritual Director is simple--help you draw closer to God. You can find both formal or informal guides.  For some, you’re therapist may be able to provide you with a two-fer, like I have, or you may find that your minister or other faith leader may provide you with the tools to fit your life and lifestyle… 

Please, don’t over look this part of your team… Spiritual Direction allows you to grow in so many amazing avenues. When you open the door to this idea, it won’t take long to find your path… You may find that when you are open, the guide will appear.

Your Three AM call

… and your fairy godmothers:

This job falls on a several different girls in my life. This job is the one, when you are really sick you call this friend at 3 am.... They come running and my True Love takes me to the hospital.

This friend comes over in pj’s and sleeps with your kids when you are admitted. She makes pancakes in pj’s, watches tv, and has unlimited hugs, loves till the day or night gets sorted out.

This job also requires creating out of thin air, carpools, play dates, AND world class entertainment, when I was too sick to lift my head.

My list also includes my extended "created" family…. This is for the non-biological members of my family, who are just as important as our "real" family… Jeff and I could not survive without this branch of our clan… 

They are most evident in my

Fairy Godmothers…

The fairy godmothers are the women in my life who are my soul-sisters, who drop their very busy lives, jobs, spouses and roll-in and make the magic happen… They come when my True Love travels, they nurse me, Loooord they feed me sooooo good, and how they love my beauties… It makes me weep just talking about them...

Fairy Godmothers sprinkle the fairy dust... And I rest, sleep and curl up under their beautiful wings… I get to bask in their sunshine. No one has better Fairy Godmothers than I do, and my kids about die when my A-listers roll into town… These women, are the best of the best… 

This year we were blessed to have Norah’s godmother Jane and my stunningly beautiful soul-sister Shelly, both came for a week when I was too sick to do much of anything. What makes their arrival so special is they make the time beautiful, fun, seamless and my beauties forget that I'm sick, Dad's away and life is hard... My FG's have known me so intimately for so long, that they can run my household the way I want to and that creates calm and fun…. Which makes it all work for everyone… And it’s a huge help for Jeffrey, because he doesn't have to worry about us and he can drink a beer, watch the game in his hotel and work.

So this is what I mean when I say I have a small army… All of this would be nothing without my Jeffrey and my Mom, who almost daily drops life to help her baby… I am constantly surrounded by my Army of team Kathryn… All searching for the goal of wellness…

In my upcoming posts queue, I will discuss how you find your doctors… The supports at school for my kids... How communication with your team is critical, and more on spirituality/faith,  my thoughts on what wellness really means. I would also like to talk about what causes me stress as a Mom with an autoimmune disease... All that and so much more as we roll into spring and summer… 

If you have any ideas, suggestions or questions, please leave a comment, or don’t hesitate to contact me directly via email at pilgrimagegal "AT" gmail "dot" com.

As always, thank you for walking along on this Pilgrimage with me... 

The Divine in me bows to the Divine in you...

Kathryn the Pilgrimage Gal

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