Monthly Archives: June 2019

Purpose

This week, I got together for lunch and a chat with one of my MS friends, who also happens to be the mom of some of my favorite kids ever to pass through my classroom. When I first met her, a lot of things stood out for me about her. She had a big head of red curls, not so different from my own. She was an actively involved parent who never made any excuses for her kids. It was always refreshing to me when she would say things like “I know my kids”… and even when she didn’t particularly care for their behaviors, she accepted what the teachers said exactly for that reason. As the homeroom teacher for her letter of the alphabet, she and her husband would come to back to school night, tell me who their son was, which was normally followed by “he’s probably the biggest kid in the class”, which was always correct.

I am not exactly tall, but they were right when they said hes probably the biggest kid in the class. I taught this kid for multiple years, and in the long run, I let him sit at my desk because can you imagine how hard a student desk must be for someone so tall?

We became friendly through the years, especially after I was speaking at an event that she and her husband came to, and that was when we learned that we both had this one huge thing in common: Multiple Sclerosis.

Not exactly something you’d like to have in common with someone, but it does cause an instant bond.

On the surface it seems to many that Stacey is blessed with mild symptoms at best, and thus she faces a lot of the same disapproval from others who don’t know what she goes through on a day to day basis. Like all of us, MS is only one part of her life that has been filled with her share of trauma, all of which (as we know) magnify any and all symptoms that we might experience.

The thing that is truly different from Stacey and myself is how we arrived to where we currently are, as she is only a few years older than I am. She had a family young, stayed home to raise her kids, took an active role as the PTSO president, and when her kids were all done with high school she went back to school, earning her Bachelor’s Degree, MS and all. What an accomplishment!

She asked me to be honest with her, since we figure we hadn’t seen each other in person in probably two years, and she asked me if I noticed any difference in the course of her MS. For a second, I thought about not being honest, but that isn’t me, and she knows me well enough to know I would be honest. I looked up at her (she’s tall, and I’m vertically challenged), and I saw the tears in her eyes as they formed in mine as well… and I told her that I did indeed notice a big difference in her word recall and her focus. We are both language lovers and facing a deficit in word recall is devastating.

It’s hard to explain to people what cognitive issues feel like but this is a pretty decent image.

It’s not that I told her anything she didn’t already know. All I could do was give her a hug because I know how cruel cognitive symptoms of MS are to a patient. Even harder was what she said next, and so many of us struggle in the exact same way as Stacey is right now. She looked at me, both of us with tears in our eyes, and she said that she didn’t know what her purpose was anymore. Her purpose was being a mom and raising her kids who are now grown. Then her purpose was going to college, earning that degree. Now that she wants to work, she doesn’t feel capable because how can she explain to a prospective employer that she randomly can’t find a word when she needs it to articulate her thoughts? How can she explain to prospective employers that she uses medical marijuana as part of her approved treatment plan and consequently any drug testing will come back “dirty”?  The general public is so misinformed that they don’t understand that having a medical marijuana card does not mean that we sit home smoking weed all day long. We simply use it to manage certain symptoms that can not be managed by tradition pharmaceutical medications.

My heart goes out to all MS patients, or patients who suffer from any chronic illness for that matter. It is hard to find your purpose when you feel like you have been robbed of qualities that would have made your purpose perfectly clear otherwise. It’s hard to reinvent yourself when you feel beaten down by something you have no control over. It takes a lot of introspection and self-honesty to rebuild yourself when you feel like you’ve been torn apart. I cried because I related so well because I experienced the same heartache when I “retired” because I felt lost and useless. My purpose was taken away from me.

This is another graphic that people might be able to relate to where it comes to cognitive difficulties.

My best advice to Stacey, or anyone in this scenario really, is to first focus on self-care. By doing this, we can begin to appreciate who we are, flaws and all. So often when we are driven to a purpose beyond ourselves, self-care goes right out the window.  By directing attention to ourselves, we subconsciously understand that we are worth it, and we are awakened to the qualities and skills that we still have to offer despite what MS (or any other illness) has taken away. Then slowly, we can begin to figure out who we are, living life with our new normals that are constantly changing.

Part of my self-care routine includes acupuncture and chiropractic care every week.

It’s not easy, and it is a process that can be extremely frustrating. But what’s more worth working on than ourselves? We can’t possibly give to anyone else until we are comfortable giving to ourselves. After all, as the quote goes, “An empty lantern provides no light. Self-care is the fuel that allows your light to shine brightly.” So shine on, my friends!

… and of course a (non-negotiable) daily yoga and meditation practice!

Detour

As I sit in my infusion chair waiting for my treatment for MS, which luckily only occurs every six months, I can’t help but think how grateful I am for so many reasons.

This was just after I got hooked up.

I’m thinking back to the early days in my journey with Multiple Sclerosis when the only treatments available to me were self-injections. I remember when the nurse first came to my house to show me how to do my own injections and even though the pharmaceutical company had given me plenty of instruction on how to do so, the nurse patiently understood that the teacher in me was compelled to take notes. The whole while we were icing down my thigh so I’d be ready. Not only did I have to self-inject, but I also had to mix the medication myself because there was no such thing as pre-filled or pre-mixed yet. Finally after she had gone through that process with me, she handed me the syringe and said “now take this and insert it into your thigh.” I was immediately brought close to the edge of panic at the thought of sticking myself with a needle. I was sweating, shaking, and ready to say no thank you. I kept on saying that I was going to do it at the count of three, and I must have counted to three a dozen times and chickened out. The nurse patiently waited as I cried, then collected myself, then cried some more. Finally I collected myself enough to put on those big girl panties and get it done. Then I cried for multiple reasons. I finally did it, and that made me happy. But I also realized what this meant for me, having to deal with such an emotionally draining chore for the rest of my life. But it was my only hope of slowing the progression of my illness, and I knew I’d have to adjust.

No words needed.

Things got easier as these treatments evolved into pre-filled and pre-mixed syringes, and even auto-injectors to hide the sight of the needle. I loved the auto-injectors although they launched like a bullet, and even though I was diligent about rotating my injection sites, I was bruised up everywhere. My life revolved around injection days, and each injection was a reminder (that may as well been a neon sign flashing before my eyes) that I had this chronic, progressive, and possibly debilitating disease. Traveling with my medications always posed a problem, as refrigeration was often necessary, and disposing of syringes is not all that easy to do. I used empty water bottles, soda cans, or whatever I could find because I wasn’t traveling with a sharps container.

Now, 16 years later, I think to myself how blessed we are that instead of the four injectable medications that existed then, there are currently almost 20 approved treatments for MS that include not only injectables, but also oral medications and infusions that make things so much easier, particularly for the newly diagnosed patient. No longer does that nasty injection hang over my head, ruling my world, and constantly reminding me of my illness. I’m not saying that there is anything fun about MS itself, but if someone is going to get it, it’s better to get it in this day and age where the patient actually has a choice not only of which medication suits her lifestyle, but also the delivery method that she is most comfortable with.

Selfie with the pole. Once upon a time I had one of these IV poles at home. We used to joke about me “going on the pole” because the double entendres made us giggle.

When I say I’m grateful, that tops the list of why I’m feeling it so strongly today. While my illness has progressed, awareness is so much greater than it was 16 years ago when I was diagnosed. This doesn’t always translate to a shift in compassion or understanding, but the fact that the prevalence of MS is higher than it was, I am hopeful that eventually people won’t be so judgemental seeing patients like me who don’t seem disabled on the surface.

I can still do this, MS and all.

I’m also grateful for being able to do what I can still do sixteen years later, even if it’s not as much as I used to be capable of. I’m grateful to my MS family, who I never would have met without this dang disease, and who complete my squad by being by my side and loving me unconditionally. I’m grateful to those who “get it” even if they don’t live it. Most of all, I’m grateful for those in the medical community who work tirelessly to find treatments and work towards a cure so future generations don’t have to suffer.

This is my MS family and the best support group ever.

I may not see the cure in my lifetime, but if my former students and their children, or my sweet nephew never have to know about this disease that can be so cruel, I will be endlessly grateful because no one deserves to endure the physical and emotional pain that is brought on by this diagnosis. Everyone deserves to live a full and happy life, without this kind of detour.

I might have gone to the right, but MS detoured me.

The detour has not been all bad, but still, it was not how I thought my life would go… but we all know what happens to even the best-laid plans!

The moment I anxiously await every six months!

Heat Intolerance

This week, I have been thinking a lot about the summer months. For many people, it’s their favorite time of the year. It invokes thoughts of pool parties and barbecues, and late nights under the stars, roasting marshmallows by the fire pit. In my mind I also associate summer with trips down the shore, flip flops, pedicured toes, and slushy drinks. Some of my best childhood memories revolve around summer activities, and unfortunately that’s where they remain because MS has changed everything for me.  

This was taken on a trip to Puerto Rico. I had icepacks in my bag and they came everywhere with me.

This was taken on a trip to Puerto Rico. I had icepacks in my bag and they came everywhere with me.

I didn’t even realize that I suffered from heat intolerance at first, and I hadn’t seen much literature about it back then. I was diagnosed with MS in June of 2003, and then just three months later, when I was setting up my classroom in a very hot and humid school building in which the hallways and the classrooms were not air conditioned, I had my first experience with heat intolerance. As I was busily moving books from room to room and cleaning up in preparation for my new “litter” of kids, I began having visual disturbances. At first it didn’t seem like anything serious, but because I kept working, my core temperature kept rising. I was seeing weird bursts of darkness, followed by distorted images and I also lost the ability to see the borders around anything at all. I was scared shitless and I didn’t know what to do. 

This is definitely a happy place for me, but i can sit in the shade, float in the pool, or go inside to the AC...there's a reason she's my best friend.

Once upon a time this was a happy place for me, but i could sit in the shade, float in the pool, or go inside to the AC…

I don’t remember how I drove myself home that day, but I do remember that once I got home, I called a disability attorney… because I thought my teaching days were over. I started to read about heat sensitivity and heat intolerance in MS patients, and the effect that heat can have on us. In actuality, a large percentage of us have issues thermo-regulating, which means we have “broken thermostats”.  We can suffer in extreme heat, extreme cold, or even both. After talking to the disability attorney and collecting literature from various sources about this symptom of MS, as well as a letter from my neurologist, I decided that the only way I could continue working would be to ask for a “reasonable accommodation” (ADA lingo) for air conditioning units in my classroom. When I met with my principal at the time to discuss my request, I was informed that people who had made similar requests had been told to seek employment elsewhere. I left her office holding back tears until I made it back to my classroom, locked the door, and melted in a puddle of tears in the corner of the room not visible from the door. In the end, a new principal came the next year and honored my request, after she had seen how many hoops I had jumped through (including seeing the district doctor, a sports medicine specialist) just to be able to continue doing my job. 

I even love the beach off season, like that time I spent my birthday (in April) taking pictures with a dear friend.

I even love the beach off-season, like that time I spent my birthday (in April) at the beach taking pictures.

The thing about this particular symptom of MS is that it isn’t limited to the summertime. One time, I had to be picked up early from school in December, because we had a particularly warm and humid day. I also have to be very aware of my body when I exercise, because I am always walking a very fine line between working hard and over-working. It’s a balancing act that’s not an easy one… but then again balance, generally speaking, is not something that comes easily to many MS patients, including this one. 

IMG_1983

While I love the feeling of first walking into a nice, cool house in the sweltering summertime here in NJ, I also (used to) love spending time outdoors. I like sunbathing and being tan. I like swimming. I like the beach and the boardwalk. I love all water activities like canoeing and kayaking, and white water rafting. Most of these things are not in the realm of possibility for me now, although I do spend time alternating between shade sitting and pool sitting when I have the opportunity! But still I miss those long, hot summer days. Nowadays, we seldom get to experience the beautiful spring climate, and it seems like we go straight from winter to summer. Our AC goes on in May and doesn’t go off until October. I definitely get cabin fever by the end of the summer and I start yearning for fresh air that doesn’t rob me of my ability to see. 

IMG_1979

So my point? I am lucky that I have always been able to recognize when I am starting to overheat (knocking on wood). Because of that, I carry “snap and break” ice packs, a mister, and a good old fashioned oriental fan wherever I go, regardless of the season. This week two years ago, one of our fellow warriors was not prepared. When our body temperature rises, all symptoms are magnified, speech can get slurred, and cognition can be affected. Before she realized how overheated she had become, she did not have the strength or function to seek shade or shelter. By the time anyone found her, she was sunburned and her temperature had risen to 108 degrees. She was placed on life support, but sadly, this young woman with a four year old daughter, did not survive. This is not something to be taken lightly, and the lesson applies to everyone (MS or not): listen to your bodies. You know what your “normal” feels like, and you need to pay attention to what’s not.

 

IMG_1978

I couldn’t even begin to count how many teachers in my building commented to me, “It must be nice to have air conditioning in your classroom.” I always responded that I’d gladly trade my AC units for a healthy immune system. In most cases, these co-workers were simply naive, or not thinking about what they were saying. I must admit, though, that it always left me feeling annoyed, angry, upset, and even jealous. I never wanted to be seen as getting special treatment, it was merely an accommodation that allowed me to continue to do my job to the very best of my ability…or maybe even at all. 

IMG_1980

Heat intolerance goes well beyond disliking the heat or being uncomfortable in it. It’s a serious condition that can make all of our symptoms flare. If you are heat intolerant, please be prepared, and educate those around you so that they can help you if need be. No one wants to see another warrior succumb so tragically and unnecessarily. Even though I have been aware of my heat intolerance for many years now, I still never realized how serious it could be. Now there’s no way I could ever forget. 

(RIP, Sarah)

Diagnosiversary

In preparation for my blog this week, I decided to read what I had written about my diagnosiversary in past years, because I just can’t let June 2 slip by without acknowledging it. I read through the entry, and I realized that on this, the 16th anniversary of my diagnosis of Multiple Sclerosis, I would have written the same exact thing I shared last year (which I shared from the year before, and the year before that) on the topic. The feelings I experienced on that day, and during the weeks and months that followed, are still as raw and as powerful as they were 16 years ago. It doesn’t matter how much time passes, telling the story immediately brings me back to that moment in time, so here’s what I have shared in years past. Nothing has changed about that day, except year 16 has brought many challenges, but it has also brought many more rewards for which I am grateful every single day. Last year, I thought I was a bad ass and attempted a Spartan Race to acknowledge where I am all these years later. This year, I showed a little more common sense and spent the day in the best way possible: with my satsang of Gypsy Soul Sisters continuing our studies towards our 300 hour Yoga Teacher Certification. Much smarter of me… plus no sprained ankles or massive injuries to add to regret! So here’s what you go through when you are diagnosed with a chronic, progressive, and debilitating disease. 


Nothing says FU to MS like a strong Warrior II pose. I feel so powerful whenever I take a Warrior pose in yoga because the word “Warrior” is how I describe anyone who lives with a chronic illness.

June 2 is a very special day for me. It’s a random day, and it probably means nothing to anyone but me (and possibly my husband). It’s an anniversary that does not celebrate a milestone or an accomplishment, but June 2, 2003 is a date that I will never forget. On that day, I was given a diagnosis that undoubtedly has changed the course of my life.

Every year on June 2, I am brought back to that day, now [sixteen] years ago. I relive the details of the day moment by moment. I remember what I ate for breakfast (oatmeal), and I remember what I was wearing (white and blue plaid capri pants, a blue button down shirt, and white and blue sneakers). I remember stopping at Dunkin Donuts for a large iced coffee (black) on the way to school. I remember the panic attacks. All. Day. Long. I remember that I had permission to leave after my last teaching period so that I could get to my appointment on time. I remember that my appointment was at 2:30, and I remember that Bruce took a half a day so that he could go with me.

So we got in the car, not talking to each other at all. On the way to the neurology appointment, we stopped at the radiology office to pick up a copy of the MRI results, just in case the doctor hadn’t yet received them. They kindly folded the paper and put it inside an envelope. In the elevator up to the doctor’s office, Bruce asked me if I was going to open the envelope. Without hesitation I said no way. I knew I wouldn’t understand what was written there, and why not just have these last moments together before the inevitable?

We sat in the doctor’s office, staring at each other, waiting for for him to deliver the news. We didn’t talk. I was too busy having one panic attack after another to even attempt a conversation. After what seemed like an eternity, we finally heard his footsteps approaching. We heard him pause outside the door, and we heard him pull my chart out of the bin outside the room. Then, to our complete and utter shock, we heard him let out a huge sigh, before knocking once and entering the room.

The doctor walked in, greeted us, and told us that I have Multiple Sclerosis. From that moment on, it was as if I was watching someone else’s life unfold. I only heard bits and pieces because my mind began racing. To be fair, I was not yet educated on MS, but at that moment, it felt like I was given a death sentence. We know now that MS is fatal in only the rarest, most severe of cases, yet there was a part of me that did, indeed, die that day. The road ahead of me required a complicated detour that I was not sure I could even navigate.

We left the doctor’s office in a total daze. Suddenly we were occupying space in a world that was completely different for us, yet for everyone else it was unchanged. In this drastically different world, what did we do? We went to Target. I guess we were searching for some sense of normalcy in this new, unknown world of ours. We sat in the car afterwards and called our families to share the news. It wasn’t exactly the kind of news I looked forward to delivering, but at least I finally had an answer. After months of appointments, X-rays, MRIs, blood work, evoked potentials, and cognitive and neurological tests, I was done. It’s not what I wanted nor what I expected, but it was something. The phone calls I made on June 2, 2003 were some of the most difficult conversations I have ever had in my entire life.

Following my diagnosis, Bruce and I holed up at home, and didn’t speak to many people other than each other. Some friends called to offer support, and others dropped off the face of the earth. All the relationships in my life were tested, and certainly the dynamic within them shifted. I learned a lot about my friends, and mourned the loss of many who did not know how to deal with my diagnosis. Sadly, this happens with every relapse, but [16] years later, my coping mechanism for that kind of loss has been fine-tuned, and I have built a support system that holds up.

On this day every year, I take inventory of my life since diagnosis. It has not been an easy journey, but it has been amazingly rewarding in so many ways. Since my diagnosis, I have learned that I am stronger than I ever imagined I could be. Everyone has an inner strength, but not everyone realizes it because you don’t summon that strength until you need it. I have discovered my voice to educate and to raise awareness, and my passion for patient advocacy. These are integral parts of who I am, and without MS I don’t know who I’d be right now. One thing I know for sure is that on my diagnosiversary, I always give thanks to the powers that be for all of the parts of me that MS has made better, and for all the things I am still capable of doing despite the MonSter.

For [16] years I have acknowledged the importance of my diagnosiversary, and this year is no different. I’m still grateful for the many gifts I’ve been given, and even though my journey has not always been an easy one, I know that every bump in the road makes me a stronger, better version of myself. I don’t celebrate the anniversary that falls on this day. I celebrate all the things that I have managed to accomplish, all the things I can do, and all the things I am, MS and all.

I would be lost without this guy, my rock, who has been at my side every step of the way, regardless how rough the terrain has been. **photo credit: Idalia Photography**

Diagnosiversary

In preparation for my blog this week, I decided to read what I had written about my diagnosiversary in past years, because I just can’t let June 2 slip by without acknowledging it. I read through the entry, and I realized that on this, the 16th anniversary of my diagnosis of Multiple Sclerosis, I would have written the same exact thing I shared last year (which I shared from the year before, and the year before that) on the topic. The feelings I experienced on that day, and during the weeks and months that followed, are still as raw and as powerful as they were 16 years ago. It doesn’t matter how much time passes, telling the story immediately brings me back to that moment in time, so here’s what I have shared in years past. Nothing has changed about that day, except year 16 has brought many challenges, but it has also brought many more rewards for which I am grateful every single day. Last year, I thought I was a bad ass and attempted a Spartan Race to acknowledge where I am all these years later. This year, I showed a little more common sense and spent the day in the best way possible: with my satsang of Gypsy Soul Sisters continuing our studies towards our 300 hour Yoga Teacher Certification. Much smarter of me… plus no sprained ankles or massive injuries to add to regret! So here’s what you go through when you are diagnosed with a chronic, progressive, and debilitating disease. 


Nothing says FU to MS like a strong Warrior II pose. I feel so powerful whenever I take a Warrior pose in yoga because the word “Warrior” is how I describe anyone who lives with a chronic illness.

June 2 is a very special day for me. It’s a random day, and it probably means nothing to anyone but me (and possibly my husband). It’s an anniversary that does not celebrate a milestone or an accomplishment, but June 2, 2003 is a date that I will never forget. On that day, I was given a diagnosis that undoubtedly has changed the course of my life.

Every year on June 2, I am brought back to that day, now [sixteen] years ago. I relive the details of the day moment by moment. I remember what I ate for breakfast (oatmeal), and I remember what I was wearing (white and blue plaid capri pants, a blue button down shirt, and white and blue sneakers). I remember stopping at Dunkin Donuts for a large iced coffee (black) on the way to school. I remember the panic attacks. All. Day. Long. I remember that I had permission to leave after my last teaching period so that I could get to my appointment on time. I remember that my appointment was at 2:30, and I remember that Bruce took a half a day so that he could go with me.

So we got in the car, not talking to each other at all. On the way to the neurology appointment, we stopped at the radiology office to pick up a copy of the MRI results, just in case the doctor hadn’t yet received them. They kindly folded the paper and put it inside an envelope. In the elevator up to the doctor’s office, Bruce asked me if I was going to open the envelope. Without hesitation I said no way. I knew I wouldn’t understand what was written there, and why not just have these last moments together before the inevitable?

We sat in the doctor’s office, staring at each other, waiting for for him to deliver the news. We didn’t talk. I was too busy having one panic attack after another to even attempt a conversation. After what seemed like an eternity, we finally heard his footsteps approaching. We heard him pause outside the door, and we heard him pull my chart out of the bin outside the room. Then, to our complete and utter shock, we heard him let out a huge sigh, before knocking once and entering the room.

The doctor walked in, greeted us, and told us that I have Multiple Sclerosis. From that moment on, it was as if I was watching someone else’s life unfold. I only heard bits and pieces because my mind began racing. To be fair, I was not yet educated on MS, but at that moment, it felt like I was given a death sentence. We know now that MS is fatal in only the rarest, most severe of cases, yet there was a part of me that did, indeed, die that day. The road ahead of me required a complicated detour that I was not sure I could even navigate.

We left the doctor’s office in a total daze. Suddenly we were occupying space in a world that was completely different for us, yet for everyone else it was unchanged. In this drastically different world, what did we do? We went to Target. I guess we were searching for some sense of normalcy in this new, unknown world of ours. We sat in the car afterwards and called our families to share the news. It wasn’t exactly the kind of news I looked forward to delivering, but at least I finally had an answer. After months of appointments, X-rays, MRIs, blood work, evoked potentials, and cognitive and neurological tests, I was done. It’s not what I wanted nor what I expected, but it was something. The phone calls I made on June 2, 2003 were some of the most difficult conversations I have ever had in my entire life.

Following my diagnosis, Bruce and I holed up at home, and didn’t speak to many people other than each other. Some friends called to offer support, and others dropped off the face of the earth. All the relationships in my life were tested, and certainly the dynamic within them shifted. I learned a lot about my friends, and mourned the loss of many who did not know how to deal with my diagnosis. Sadly, this happens with every relapse, but [16] years later, my coping mechanism for that kind of loss has been fine-tuned, and I have built a support system that holds up.

On this day every year, I take inventory of my life since diagnosis. It has not been an easy journey, but it has been amazingly rewarding in so many ways. Since my diagnosis, I have learned that I am stronger than I ever imagined I could be. Everyone has an inner strength, but not everyone realizes it because you don’t summon that strength until you need it. I have discovered my voice to educate and to raise awareness, and my passion for patient advocacy. These are integral parts of who I am, and without MS I don’t know who I’d be right now. One thing I know for sure is that on my diagnosiversary, I always give thanks to the powers that be for all of the parts of me that MS has made better, and for all the things I am still capable of doing despite the MonSter.

For [16] years I have acknowledged the importance of my diagnosiversary, and this year is no different. I’m still grateful for the many gifts I’ve been given, and even though my journey has not always been an easy one, I know that every bump in the road makes me a stronger, better version of myself. I don’t celebrate the anniversary that falls on this day. I celebrate all the things that I have managed to accomplish, all the things I can do, and all the things I am, MS and all.

I would be lost without this guy, my rock, who has been at my side every step of the way, regardless how rough the terrain has been. **photo credit: Idalia Photography**