You are Too Young to Be That Sick! Chronic Illness & Young Adults

you are too young to be that sick You are Too Young to Be That Sick! Chronic Illness & Young Adultsby Lisa Copen

At the age of twenty-four, a thousand miles away from my family, living in a new city, I was diagnosed with rheumatoid arthritis. Over a period of four weeks and about eight doctor’s visits, I finally found a physician who listened to me explain my symptoms and in less than two days I had a diagnosis.

Despite the terms “chronic” and “forever” I felt relieved to know the label that described my chronic pain. Few of my friends, however, shared my enthusiasm for a diagnosis. The managers at my office were more concerned about the fact that I wasn’t wearing heels to work anymore, making me look less professional.

“Encouragement” was quickly tossed around, like “You’re too young to feel so badly!” Rheumatoid arthritis was only something that could be related to the aches and pains their grandparents suffered from and a hot water bottle made it go away. They’d laugh and say, “You can’t have arthritis yet!” Those who attempted to sympathize, compared my weary body to a sports injury they had. “I have a touch of arthritis on my knee cap from football in college. It’s not fun when the rain comes, but you just have to keep pushing and not think about it.” Even well-intentioned words were enhanced by the brush off of a hand or even rolling eyes.

When you are faced with a chronic illness in your twenties, all of the typical decisions you should be making are quickly put on hold. Up until now, you were considering what kind of education to pursue, your career aspirations, relationships, and even where you will live. All these are put aside, however, as you are forced to make immediate decisions that impact the rest of your life.

Things like how well you accept (or do not) accept the diagnosis of your condition, which medications to try, when side effects are worth the risk and when they are not, and how to find the right physician. While friends are deciding which party to go to we’re at home trying to make sense out of our latest lab test results, weighing our options for alternative treatments, and deciding to have a good cry or just go to bed and hold back the tears one more night.

I tried to make each decision based on thorough research, a bit of instinct, and “worse case scenario” situations. So when I heard someone facetiously say, “You’re too young to have that illness” it felt like a slap in the face; as if they assumed I was too gullible to fight the doctor’s diagnosis and get “right one” that could be cured with a simple pill. I had to be incorrectly diagnosed, they assumed, because, after all, I “looked so good.”

Laurie Edwards, author of ‘Life Disrupted: Getting Real About Chronic Illness in Your Twenties and Thirties,’ says, “However infuriating and irrational such comments are, they only have the power to define or validate our conditions if we allow that to happen. There are all sorts of reasons why people find it easy to scorn or deny illness, especially in younger people who ‘should’ look and act healthy.”

The ambush of advertising for prescription medicines has given the general public a small education on the fact that illnesses like rheumatoid arthritis and fibromyalgia are legitimate diseases. However, with this education, comes the feeling that everyone is an expert and their assumptions about various diseases are now based on what one sees in those same commercials. For example, people with disabling illnesses can somehow be miraculously playing tennis or doing a marathon. While it’s true that a very small percentage of people may go into remission, or those just diagnosed may have favorable results, most of us are happy if we can get out of bed, get dressed and drive a car. These commercials neglect to inform people that though an illness can be controlled somewhat, the person may still be in significant daily pain.

With each chronic illness, most of which are invisible, people will doubt that your illnesses impacts your life as significantly as it does. If you are in your twenties or thirties, they will be even less likely to understand that feeling better requires much more than a good attitude or a little bit of exercise.

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Lisa Copen is the founder of Rest Ministries and National Invisible Chronic illness Awareness Week, as well as the author of Why Can’t I Make People Understand? Chronic illness doesn’t have to be depressing! Subscribe to receive daily emailed encouragement from the largest Christian outreach for people with illness. Don’t miss Rest Ministries great books and gifts we’ve selected for people coping with illness.


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54 Ways You Say You Respond to “You look so good!”

woman headache 1 54 Ways You Say You Respond to You look so good!“You look so good!”  Over 1200 of you took our survey last year (you can still take it here if you want) and you shared how you respond to this compliment that pulls at the heartstrings.

Sometimes you just have to respond… a smile doesn’t say all that you want to say, but one of the temptations is to use sarcasm in our response.

Most of us can say that it depends on who says it. We may be more likely to smile and say, “If only it were true!” to a friend who doesn’t really get it. To the person behind at us the grocery store who commented about our groceries, we are more likely to say something sarcastic since we don’t have to deal with repercussions of  a stressed relationship.

Just remember that our seemingly justifed bitter comments back at them can only alienate people more and it does nothing to create an awareness of invisible illness. But who of us doesn’t relate with wanting to say a few of these things on the list below?

The most telling comment I read was from a woman who simply said, “I wonder why they can’t see my pain in my eyes?” It’s a good reminder that though we sometimes think the world should accommodate our emotional needs, who around us is hurting for other reasons (divorce, loss of job, loss of loved one, etc.) and they are wondering about us, “Why can’t she see the pain in my eyes?”

Be sure to add your own at the bottom in the comments section!

  1. I am hangin’ in there…
  2. I am so blessed. God is so good.
  3. Drugs are a wonderful thing
  4. I have my good days and I have my bad days.
  5. I clean up well.
  6. I have my ‘good’ days….but this isn’t one of them!
  7. Thanks, I wish I felt better.
  8. That’s a perfect example of how you can never judge a book by it’s cover.
  9. Thanks, but there are many aspects of MS which you don’t see … would you like to know more about it?
  10. That’s what most people think since pain can’t be seen most of the time. Have you heard about Invisible Illness Week? It’s really helpful to let people now that most illness is invisible.
  11. I’m trying to appreciate that fact. I know the day may come when I have to use a wheelchair or a cane, and my illness will be more visible.
  12. You should be on the inside.
  13. Thanks. I have more to be grateful for than I have to complain about – which means I have a LOT to be grateful for!
  14. Well I guess I did good job on my makeup, because I am having a hard time to tell the truth.
  15. …And that’s all that really matters, isn’t it?
  16. Powder and paint, make you what you ain’t!
  17. It took a lot of work to look like this.
  18. It’s God shinning through me
  19. It’s nice of you to think so, but you’re missing the pain and agony that I really am in.
  20. And you look so wise. Looks can be deceiving though, huh?
  21. I’m having a “good face” day.
  22. Yeah. My kid thinks it’s cool I’m an ill person working under-cover!
  23. I do a great job hiding how I really feel.My life is still very challenging and probably will always be, but I am hanging in there, keeping a positive faith, and gratitude as THE attitude. Thanks for their concern.
  24. I’m trying my best to do well OVER my circumstances instead of being under them!
  25. It’s up and down.
  26. I’m still struggling, but it IS nice to have a day when I am able to pull myself together and make it out of the house!
  27. I’m not complaining about my looks.
  28. I’m very good at pretending.
  29. Good, because if I looked like I feel it would scare you to death.
  30. Actually, I still am really hurting…
  31. I am 36 years old outside but 85 inside
  32. Thank you. I’m on my way to the Oscars.
  33. Thanks, I’m grateful for this good day.
  34. Things aren’t always what they seem.
  35. Praise God, I’m glad that he enables me to look so much better than I feel.
  36. Thanks, that’s God’s joy shining through!
  37. Have you ever heard of the spoon theory?
  38. I am upright which is better the alternative
  39. Thanks, want to swap bodies for a few days?
  40. Thanks, I guess I am fortunate that I have an illness that can’t be seen.
  41. Thanks. I like good days.
  42. Want to step inside my skin?
  43. It’s amazing what a shower can do. I guess I am all cried out for now
  44. Thanks…I wish I felt it!
  45. I’m not complaining about my looks.
  46. I’m very good at pretending.
  47. Looks can be deceiving (and smile)
  48. Thank God for makeup!
  49. Thank you for caring. I try to act like I feel better than I really do.
  50. Thanks, I am trying to even though it will never go away. i just try to remember things could be worse.
  51. I’d be great if it wasn’t for the pain.
  52. I’d complain but who wants to listen.
  53. If I can’t feel good, at least I am determined to look good!
  54. I’m in good shape for the shape I am in!

What do you say? Or what would you say if you could say anything (keep it clean!)

* This list can be reprinted. Please add the following at the end:
This list is compliments of National Invisible Chronic Illness Awareness Week at www.invisbleillness.com, based on a survey of over 1200 respondents. Get involved in Invisible Illness Week each year during September, including our 5-day virtual conference online.

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Invisible Illness Week Comics

You may feel like crying, but instead, let’s laugh together! We have more in common than we know. You can make your own comic strip at Bit Strips. Be sure to email us a copy and we just may share it here!

You are free to copy and paste these to your own blog, site, etc. just be sure to link it back to www.invisibleillnessweek.com – Thanks!

bitstrip001 im out barely Invisible Illness Week Comics

bitstrip002 husband wilth illness Invisible Illness Week Comics

More coming soon!

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Missed Opportunities to Serve Ill with Exercise Options

 Missed Opportunities to Serve Ill with Exercise OptionsWe just got home from my son’s karate graduation and there was a table display and representative from the new womens local health club. It opened maybe 6 months ago and they completely rebuilt the building (meaning, they have invested a lot of money, especially for these times.) Last week they put up a banner that said “Reduced rates: $49 a month.” I’m sure they owners are hurting financially.

I had actually looked up their web site about 3 months ago to see if they had any kind of classes like Tai Chi. I keep hearing about how this can be a good strength building form of exercise and it’s something anyone can do –even people in who are confined to a wheelchair. My rheumatologist has recommended it and I am desperate for some form of exercise. It’s this or the pool and let’s just say I am not buying a swimming suit right now.

I haven’t done my research on it yet–spiritually–so if anyone has some experience I’d love your comments below.

But anyway, I asked her this morning if they had anything like this that someone with very limited mobility could participate in.

No… they have a form of Tai Chi mixed with yoga, mixed with Pilates and if I couldn’t get down on the floor (which I cannot) then I wouldn’t be able to participate in 90% of the class.

“What a missed opportunity for them!” I told my husband later at breakfast. “If they had a stretching type of class for women with chronic fatigue syndrome, fibromyalgia, rheumatoid arthritis, etc. they could advertise that as a specialty. Women would come from 15 or 20 miles away. If they had an instructor with credentials, they could send out flyers to all the rheumatologists, the Arthritis Foundation, and likely get a lot of referrals.”

I think I will drop by their office later with some Invisible Illness Week brochures and give them my two-cents. I know it may be worth about two-cents, but it financial times like this it’s important to think beyond the box of how we do business, and for those of us with illness, we should remind them just how many people out here really do have chronic conditions.

The woman I spoke with tried to grasp what I was saying and she kindly gave me a 2-week freebie pass and said, “Well, when you are feeling better than come try us out.” I smiled and said, “I haven’t been able to sit down on the floor for over ten years, so I probably won’t be able to participate any time soon.”

But we can do more than just say, “No, thanks,” and turn our back and grumble about how people don’t get it right? We can show them our challenges, our numbers (how many of us there are!) and how by recognizing this fact they may even be able to corner the market on our business before anyone else!

Lisa

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“You Don’t Look Sick” Can Sting

Each day I receive a list of people who have blogged about their invisible illnesses and I’m still surprised at the number of people who hear the words “You don’t look sick” and write about how it feels to hear this well-meaning, but still stinging words.

Here are some people who, like you, “don’t look sick.”

You ask me if I’m sick?! Where do you get that from? I’m not sick. I have never been sick. And I will never be sick. Not in the way you ment it. All that happened, is that I have got an issue with my balance, a balance disorder. Or no, not really. I have got no issues whatsoever with whatsoever. Actually balance has got an issue with me.  JudyDonnelly.com

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Is “Dear Abby” Confused About Invisible Illness? Why Not Give People the Benefit of the Doubt Sometimes?

Oh, Abby! We need to talk. Two posts in one week that have to do with illness… and your responses were less than, well, I hate to say it, but educated. We don’t know if these women are really ill, but give them a little bit of the benefit of the doubt, could you?

Lisa
………………..

My assistant recently brought these 2 “Dear Abby” letters to my attention — and Abby’s response. Needless to say, it made me a bit sad. We thought we would post our own comments and get some feedback from you!

Sometimes we wonder why our friends and family don’t understand. Is there any doubt when this is the kind of thing they read in their daily paper? They hear people spout off using words like, “psychosomatic quirks,” “textbook hypochondriac (who denies it, of course,”) “her hypochondria is so irritating,” “she lives to be sick. She is always in the emergency room for something.”

Abby’s responses aren’t much better: “she may have a complex emotional disorder rather than a physical illness,” “stop enabling her,” “every time you see her, tell her she looks TERRIBLE; you’ve never seen her look worse. It’s what she’s ‘dying’ to hear, and she’ll love you for it!”

ARGH!

Read my comments below the articles… and then WRITE DEAR ABBY about what it’s like to daily live with hearing “but you look so good” or “the stares you get from parking in a handicapped spot.”

And do me a favor? Mention National Invisible Chronic Illness Awareness Week… because everyone just needs to be a bit more AWARE… even Abby.

signature Is Dear Abby Confused About Invisible Illness? Why Not Give People the Benefit of the Doubt Sometimes?

…………………………..

HYPOCHONDRIAC’S SAD SONG BECOMES AN IRRITATING REFRAIN (8/20/2008)

DEAR ABBY: How do you deal with a hypochondriac? My brothers and I lost our dear mother to cancer
when we were in our teens. Daddy has recently been diagnosed with a pernicious form of melanoma, which has a low survival rate.Our father has been married to his second wife, “Doris,” for 20 years. Doris is a textbook hypochondriac. She denies it, of course, and insists that her health is bad. So bad, in fact, that she didn’t see the irony of telling my sister-in-law, who was undergoing chemotherapy for lymphoma, that “no one understands what it’s like to live with a chronic condition.” Doris was referring to her allergies!

Now Daddy is battling cancer. He and Doris came to visit his three children and multiple grandchildren. Doris talked about her head cold the entire visit, and our time with Daddy was cut short because she needed to be driven back to the hotel. (No one else could detect her symptoms.) I’m sure Doris loves my father, and after 20 years of marriage, they’re certainly used to each other.

But now that Daddy is facing death, I’m having trouble supporting Doris’ emotional needs because her hypochondria is so irritating. Still, Dad wouldn’t want us to abandon his second wife, despite her psychosomatic quirks. What do you suggest? — NEEDS HELP UP NORTH

DEAR NEEDS HELP:
You can try talking Doris out of her hypochondria until you’re blue in the face, but it will only make her try harder to convince you that she’s sick — so stop trying. Instead, every time you see her, tell her she looks TERRIBLE; you’ve never seen her look worse. It’s what she’s “dying” to hear, and she’ll love you for it!

>>> OUR COMMENTS

Okay, so maybe it wasn’t the best ettiquette to tell someone going through chemo that “no one understands what it’s like to live with a chronic condition” when referring to her allergies. And there are people who really want it to be “all about them” regardless of what othes are going through. But if you’ve ever had chronic allergy problems, it can impact your life a great deal. And her feeling like “no one understands” doesn’t mean that she is a hypocondriac!

Just because no one else could “detect her symptoms” doesn’t mean it didn’t feel like her head was about to burst. Or maybe, just maybe… she thought her husband was getting too tired being around the entire family and 3 grandchildren, and instead of embarrassing him and his failing health, she used her own allergies as an excuse to get out of there so he could rest.

Either way, she is suffering and feeling alone. And having her spouse facing death, may make her feel even more alone and scared. It may even be making her allergies worse (crying a bit more perhaps?)

Plus, let’s face it, it’s true… for those of us who deal with chronic conditions daily and have to learn to cope with the pain, and pushing through every hour of the day, frankly, it can be a bit disheartening to see people who are coping with cancer have an outpouring of sympathy and practical help. It’s not that we don’t want them to receive it… we just kind of selfishly wish someone would be sympathetic to us now and then, or maybe just bring over dinner.

Abby’s response to just “tell her she looks terrible” may in fact help validate this woman’s feelings. But it’s not because she is making up her chronic condition and wants attention. She just needs some validation that she is hurting too. Abby, your sarcasm isn’t real classy!

Kara, my assistant, made some good points too. “‘Allergies’ could be much more severe than people realize if they’re allergic to enough things, like multiple chemical sensitivity. On the one claiming to have cancer, having people from church cleaning her house and yet planning an active vacation, it could be active for her family while she sits on the sidelines.”

———————

FRIENDS REFUSE TO PLAY THEIR PART IN DRAMA QUEEN’S ILLNESS (8/17/2008)

DEAR ABBY: I’m afraid my best friend’s daughter, “Kami,” may have Munchausen syndrome. People with this condition consciously fake the symptoms of a physical disorder.

Kami is 30, a former nurse, and married with a toddler. She lives to be sick. She is always in the emergency room for something. Kami often claims she has cancer and is dying. In fact, she recently told me proudly that she had “died” twice. Ladies from her church clean her house and bring her meals because they think she’s at death’s door, yet Kami and her husband are planning a water-skiing and snorkeling vacation.

Kami’s husband and parents are extremely protective of her and become defensive if anyone suggests that Kami may not really be physically ill. A sister-in-law who mentioned Munchausen is no longer spoken to.

The final straw for me came when she arrived late to a wedding, making the grand entrance in a wheelchair, and by the end of the night was on her feet swing dancing at the reception. She’s losing friends, because to be friends with Kami means you are completely invested in her illness. Most people are staying away. She exhausts us. I care for this young woman and her family, but don’t know how to help her. Have you any thoughts? — WORRIED FRIEND IN UTAH

DEAR WORRIED FRIEND:
Until Kami’s family is ready to recognize that she may have a complex emotional disorder rather than a physical illness and stop enabling her, there will be no help for her.
However, has anyone taken into consideration the effect Kami’s endless dramatic crises are having on that toddler? When a parent is continually at death’s door, attention that should be devoted to nurturing the child is diverted from where it should be.

>>>OUR COMMENTS

So, we’re assuming that it’s believed that someone couldn’t arrive at an event in a wheelchair and later be on their feet dancing? Ever heard of rheumatoid arthritis? Multiple sclerosis? Any number of illnesses that are impacted minute by minute?

The fact that “Kami’s husband and parents are extremely protective of her and become defensive if anyone suggests that Kami may not really be physically ill…” may in fact be because she is physically ill! Perhaps they don’t want to share about her illness with the worldright now. Or maybe she doesn’t even have a specific diagnosis yet and the family doesn’t want to be questioned about it all the time.

The fact that the people who are closest to her and see her on a daily basis are protecting her gives her physical challenges some credibility with me. And Munchausen syndrome, though it does exist, is one of those things you see on Dateline and then everyone starts assuming they are a witness to it.

And what about that vacation? Abby’s response that the kids should be thought about too. We go visit family and go out in the boat, but I haven’t waterskiied in 15 years! Sometimes I can’t even ride in the boat, because I can’t get in or out, or it’s too bumpy on my joints. Perhaps, despite this woman’s illness, she is pushing all her energies into giving her family a vacation of their dreams (while she sits on a lawn chair and watches) is one way she is showing them her own illness won’t slow them down. I do it all the time.

We can’t really win, huh? If you’re “ill” you should “stay home” but then also deal with the guilt of not giving your kids all the experiences they should have. If you plan a vacation so your kids can have some fun, then you “can’t really be that ill.” How many of us have sat on a bench while our family ran around an amusement park? Have you rented a scooter and tried to pace yourself? Have you tried to grab a nap while the kids went to the pool.

Our last trip to Disneyland my mom and I shared a wheelchair. By 3 p.m. she ended up at the ER to get some fluids because with her diabetes she had gotten dehydrated. By 5 she was back at the parade where we saved her a spot. “Vacations” are not your typical vacation when you are healthy vs. ill, but it doesn’t mean we shouldn’t be allowed to take them without letting people think we aren’t really ill after all.

Kara, who was a nurse before my assistant, and has MS, also says, “You can ‘die’ in the ER and be brought back because you have a severe allergic reaction, like to ingredients at some foods at restaurants (I know someone who has coded multiple times due to this.) As for coming to the wedding in a wheelchair and then later dancing… when you have an illness that severely limits your energy–that can be the reason for a wheelchair. You can either be “saving your energy” for dancing or actually feel better later unpredictably–MS is very much like that. Most people are aware that if someone is in a wheelchair at times and then not at other times, especially on the same day They can totally misinterpret that.

Got a response? We’d love to hear your comments below!

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