The “Get Better or Die” Complex

Open up for pills

When I was ten years old, I remember a specific visit to the pediatric clinic in which I was diagnosed with strep throat. When we arrived at the doctor, I remember feeling terrible; high fever, vomiting, chills, the works. A positive strep test and a couple doses of amoxicillin later, I was up and running like any other kid my age.

When I was 19 years old, I remember a specific visit to my gastroenterologist in which I was diagnosed with gastroparesis. When I arrived at the doctor, again, I remember feeling terrible; high fever, vomiting, chills, the works. The main difference this time was that I had been sick for four months, and I clearly didn’t have strep throat. I remember the physician’s assistant cleared his throat as he sat down at the desk chair beside the examination table to tell me that my gastric emptying exam was abnormal, excuse me, “strikingly” abnormal.

When I left the appointment, I ran to my mom and told her (while smiling) that I finally had a diagnosis, a medication and I was going to get better. A month later, after I continued to lose weight, my file was transferred to a research hospital. Six months later, I was taking six medications four times a day. This was the first time I began to fully tolerate solid food. And now, eleven months out from diagnosis, I finally feel that my doctors have fully indoctrinated me into what my condition entails.

I will not ever “get better.”

The Spoon Theory2

Now, stay with me. This doesn’t mean I won’t have good days. This doesn’t mean I won’t spend evenings (regretfully) eating entire pepperoni pizzas or that I choose not to eat myself silly on Thanksgiving. This doesn’t mean that I live at the hospital, that I spend all day in bed every day or that I am somehow exempt from every day life.

But certainly it does mean something. I will always, yes, always, take pills. I will always need more sleep and experience more fatigue, because my body will always be working harder than a typical body. I will have periods that I can’t eat solids, periods that I can’t consume anything. I will have periods of better and periods of worse, and I will most definitely always vomit at the most inopportune moments (even on the most inopportune people). But with all of that being said, still, the hardest thing for others to understand about me is that

I’m not dying.

For the chronically ill, one of the most difficult things to achieve is the support and understanding of those around us. In this day and age, we hear a lot about young people with horribly aggressive diseases who are, in some cases, dying. And yes, I fully believe we need to continue to talk about these cases. But in between the typical twenty-somethings and the medical tragedies are a group of young people struggling with a (or many) chronic, life-long illness.

For the most part, we don’t look sick, and, unless you know us well, you probably would never suspect the amount of medication it took to get us out of bed this morning. Even then, we move forward and have found ways to incorporate fatigue, physical pain and various treatment schedules into the existing chaos of being a young adult.

What’s important to remember is that we don’t want pity or unnecessary special treatment, we don’t want to be babied, we don’t want treatment suggestions and, once again, we do not want to buy your diet plan. Or to hear about your distant family member that was healed by a shaman.

We want to know that you believe us and that you care, even when you don’t understand. Because, although we’re not getting “better” in the way you understand it, we are all in the middle of a healing process.

Let whatever you do today

Until next time,

    Emily

~Celiac Disease, Gastroparesis, Rheumatoid Arthritis~

Questions For A Celiac Part Two

Celiac Disease

For starters, I think it’s safe to assume that some of you are wondering what a Celiac is.

The Short Story

An exclusive group of individuals don’t eat bread.

The Long Story

A celiac is an individual that suffers from Celiac Disease.

If you are unfamiliar with Celiac Disease, check out some of my earlier blog posts. Most specifically, “Questions For A Celiac Part One” has a pretty detailed explanation. For today, we’re carrying on with the worst/most entertaining statements made pertaining to celiac disease

Here’s The Thing with Celiac Disease: It seems simple. If you don’t eat gluten, you can carry on with normal life as you would have it. Right? In theory, the answer is yes.

…..But then then you come across a very fascinating group of people. For my purposes, I will call them the generic non-celiacs. This morning, they had pancakes for breakfast. And they weren’t gluten-free. They are the individuals staring wide-eyed at me as they mouth the words “But how do you survive without gluten?” At this point in the conversation, I imagine their life has flashed before their eyes.

Dear gluten-eating and potentially offensive man or woman, I dedicate this post to you. Here’s to hoping that, one day, you and I will live in peace.

A Continuation of “Questions For A Celiac”:

“You can at least have the decency to taste it”

Obama Angry

Every follower with celiac is shaking their head right now. I know, guys. Soldier on. Celiac Disease is an autoimmune disease. No matter how much gluten I consume, I will have a full-blown, 100%, all systems->GO reaction. If you touch a sandwich and then touch food that I am about to eat, you will find me vomiting ten minutes later. No, we refuse to have the decency to taste your poisonous treat.

“Yeah, nobody can digest wheat. Some people just tolerate it better.”

If I had a dollar for every person that has tried to sell me some kind of special diet or supplement to help me tolerate wheat, I would only have like four dollars… but, still, come on guys. Celiac disease has nothing to do with our ability to digest wheat. If we didn’t have immune systems, we would digest wheat just fine. The issue is that consuming gluten triggers our immune systems to kill our small intestines. Also, targeting a population of individuals that have any kind of disease to market your product is kind of a cheap shot but, ya know, live your life.

“I would just eat it anyway.”

Pause. The last time someone said this to me, I had to excuse myself from the conversation. Celiac Disease is brutal. I was 18 when I was diagnosed and, in the two months leading up to diagnosis, my health degraded beyond belief. I could not walk to my classes, I could barely get out of bed, I had a baseline fever of 102. All because of how my immune system was reacting to gluten. When you say that you would just continue eating gluten regardless, you are telling me that you value eating your pancakes over your survival and that concerns me.

“This is gluten-free so you must like it.”

I really do hate to be the bearer of bad news here. But even celiacs are allowed to dislike some gluten-free products. I know this idea is pretty much revolutionary. I cannot count the number of times that someone with really, truly great intentions has approached me and expected me to eat something simply because it is gluten-free. And, I promise, I get it. Rice checks and rice cakes are lovely. They’re simple, gluten free, and very versatile. You can dress them up in such a way that they’re appropriate for breakfast, lunch and dinner.

However, friends. I do not belong to the United Rice Cake Church. I cannot eat seven rice cakes a day. In fact, I won’t eat them at any time of day, much in the same way that you refuse to eat your Mom’s brussels sprouts. And if you’ve ever eaten a bowl of rice checks, you know that they differ only slightly in taste from eating hard cardboard with milk. Please, friends, set your rice cake down.

Until next time,

    Em

Celiac Disease Cute

Let’s Use The “D” Word

Disability

DisabilityDisability-a physical or mental condition that limits a person’s movements, senses, or activities.


Today, I found myself sitting in the office of disability services at my university, waiting for my appointment to begin. Believe it or not, in the waiting room, I was not surrounded by students in wheelchairs, students on crutches, or students with any visible physical disability. One might say I was surrounded by students much like myself. I was surrounded by students with an “invisible” “disability” (we’ll use the term “invisible” loosely here, if you’ve seen me during a flare, you know very well how visible it is that I am sick). We appear to be completely healthy, able-bodied young people until you catch us at the wrong moment and realize “this one’s different.”

When I walked into the meeting, 41 pages of my medical records were sitting in a neat stack on the table.

Right below my student ID number, the following was written on the cover page:

“Diagnosis: Gastroparesis

Prognosis: Fair? Patient may or may not improve with pharmacotherapy and dietary changes. Expect frequent flare-ups of illness.”


Now I don’t often focus on the realistic possibilities of any situation. But for the sake of my GI, I will admit that the condition is a bit unpredictable. I’m in my fifth month of my first flare that doesn’t really respond to my medication. I’ve lost some weight, had a couple (one, two or like fifty) feverish nights and some days, I simply can’t get myself out of bed. I will be the first to admit to you that I am different. I am sick.

However, I am not disabled.

And in my, oh-so-very-professional opinion, no one is.

Like everyone with a visible or invisible disability, every new day poses the question “What can I do today?” If I can get out of bed, I do. If I can eat, I do. If I can run, I do. If I can go to class, I will be there.

Every day happens to the best of my ability, which is exactly how the able-bodied world live their lives too. Everyone, whether they are considered disabled or not, fights battles every day.

For me, I fight stomach pain. I fight medical procedures, uncomfortable medications, I fight fevers and vomiting. I, like all of those who are different like me, fight my own body.

But you, you fight battles of your own that are certainly comparable to mine. We all have something that stands in our way. And the good news is that we each have the option to meet the shortcomings of others. We are all able, we are just able in different ways.


So before we go throwing around the “D” word…

 The next time you see someone like myself that needs a little bit of help or some accommodation to do what you do, try to focus on the things we can do. Perhaps we cannot always keep up with you physically. We may not be able to go out with you every time we would like to. You might not always understand our emotions or how we react to our physical pain. You may sometimes feel like our difference gets in your way, or gets in between us. And in some ways, it may. But I would encourage you to take some time and share in the things that we can do. I’m a firm believer in the idea that the deepest passion for life lies in people who have fought to be here.

Perhaps I’m biased.

Our disabilities may overwhelm you, but our abilities will always surprise you.

We are different, but we are in no way “disabled.”

hangin out