Monday, September 28, 2015

15 things not to say to someone with a chronic illness or invisible illness

This was not written by me but is from the A Sweet Life Website 15 things not to say to someone with a chronic illness or invisible illness

Invisible illnesses are illnesses that you can’t see just by looking at someone. Things like Type 1 diabetes, Chronic Migraines, Lupus, Postural Orthostatic Tachycardia Syndrome, Fibromyalgia and Cyclic Vomiting Syndrome.  These may not affect your appearance, but they affect how your body functions and feels. Every day. Probably for the rest of your life.
When you say the following things to someone with a chronic illness, you probably don’t mean to hurt their feelings. A lot of the time you are just trying to understand or sympathise. Well, from the perspective of someone who lives with a chronic illness, here are 15 things you should never say to someone with a chronic illness:

1. You don’t look sick

Not everyone “looks like” what is happening to them. You would never say “you don’t look like someone who is going through a terrible divorce” if your stressed out friends still manage to put on a brave face and pull themselves together. Not all illnesses are manifested outwardly. 
  
But you don't look sick - Invisible Illness

 

 

2. You’re too young to be sick

I get this one more than #1. You can get ill or go through any kind of stressful situation no matter your age. Age is completely irrelevant here. Young, unfortunately, does not always equal disease-free. When you tell someone they’re too young to be sick, it just makes them feel even more guilty or embarrassed for having an illness they have no control over when society expects them to be healthy.  And, moreover, just because you have an illness, doesn’t mean you want to be called “sick.”

3. Everyone gets tired

That may be true. And most people are not getting enough sleep and rest. But the difference between someone with chronic illness associated fatigue and an otherwise healthy person is the level of fatigue. If I go out drinking with friends and stay up late, it could take me a week to recover. I have to carefully plan every activity of the day so that I can save energy to do all of them. The best line I’ve heard for this one is: you don’t know what fatigue is until you’ve had to rest after taking a shower. Unless you literally think to yourself“how much energy will that take?” for every single action you take during the day (including brushing teeth, combing hair, standing to do dishes, putting on makeup, cleaning, driving, etc.) then you experience a completely different kind of tired than people with certain chronic illnesses. I’m not saying you aren’t tired. Everyone does get tired. But my kind of tired is not the same as a healthy person’s kind of tired. If I push myself past the amount of energy I have in a given day, the consequences are pretty bad. See the spoon theory for more about this one.

 

4. You’re just having a bad day

I know you are trying to motivate someone and make them feel better when you say this, but it doesn’t come off like that. Personally, only about 10 people in my life see me on my bad days. If I am outside, dressed, and active, that is a good day. So instead of making someone with a chronic illness feel supported and motivated when you say this, it feels like you are brushing off their symptoms. Chronic illnesses are with you for life. You can change your lifestyle and find treatments to help them, and some of them can be “managed,” but for the most part, that person will have to deal with a lot of bad days for many years to come.

5. It must be nice not having to go to work/school

This one. Oh man. If you only knew. Sure, it can feel that way when you take a day to play hooky or a long vacation. But when you are forced not to go to work or school, even when you want to be there, it is a different story. People with chronic illnesses don’t want to fall behind in school and fight with the school district to get the accommodations they need. People with chronic illnesses don’t want to miss work and not be able to generate an income. Everyone wants independence.
Personally, I loved school and hated every day I wasn’t there. It is way more stressful not being in school and knowing all the work you will have to do to make up for it than being there on any given day. And I have loved the jobs I’ve had and been sad about every day I have missed. Believe me, it is not nice having to stay home instead of being productive, just trying to find ways to distract yourself from pain or exhaustion. It’s fun to watch TV for a day or two, but after that, I feel trapped. I guarantee anyone with a chronic illness would gladly trade in their symptoms for a full time job.

6. You need to get more exercise

Exercise is really important and no one is denying that. It helps pretty much any health condition. But it isn’t a cure-all. For someone like me, whose heart rate regularly reaches 120 bpm just from standing still, exercise isn’t always doable. I do “exercise” but it is more like physical therapy exercises than what most people would consider a good work out. But remember, everyone has limitations. For people with chronic illnesses, their physical limitations may make it harder for them to do traditional exercises. And even if they do, it will probably not be a cure for a condition that is caused by something totally different like an immune system that attacks itself or a nervous system that doesn’t regulate itself correctly.

 

7. I wish I had time to take a nap

See numbers 3 and 5, which relate to this one. To someone with a chronic illness, to whom napping is not a luxury but in fact a necessity, hearing someone say this is as much a slap in the face as hearing someone say they wish they could take a break from work or school too. Hearing anyone “wish” they could have a part of a chronic illness just shows how misinformed they are when they say this. Wishing you had more time is pretty much a universal wish. But wishing you had the time that a person with a chronic illness has is not the same. If your wish is granted, you can get more time, but you also have to get the pain, the exhaustion, and the difficulty figuring out how to be productive in society. Remember that next time you have the desire to say this.

Monday, September 14, 2015

Cyclic vomiting syndrome facts


Cyclic vomiting syndrome facts - medical author: Charles Patrick Davis, MD, PhD
  • Cyclic vomiting syndrome is a disorder that causes recurrent episodes of nausea, vomiting, and tiredness (lethargy) most often in children but may occur in all age groups.
  • Symptoms of cyclic vomiting syndrome are repeated attacks of intense nausea, vomiting, and lethargy that last anywhere from an hour to 10 days; other symptoms may include pale skin,abdominal pain, diarrhoea,headache, and an increased sensitivity to light or to sound.
  • The most common situations that cause cyclic vomiting syndrome are emotional excitement and infections; other triggers can include periods without eating, temperature extremes, lack of sleep, overexertion,allergies, ingesting certain foods or alcohol, and menstruation.
  • Cyclic vomiting syndrome has four phases: symptom-free, prodrome, vomiting, and recovery.
  • Cyclic vomiting syndrome is diagnosed by the patient's history and symptoms.
  • Treatment is done by the patient learning to avoid the causes or triggers of the disorder; however, during the prodrome, vomiting and recovery phases, medications are often used to treat the symptoms (for example, anti-nausea medications, NSAIDs, anti-migraine medications, fluid replenishment and others).
  • Complications may include pain, reflux, fainting, depression, panic disorder, and irritable bowel syndrome.
  • Cyclic vomiting syndrome is generally considered to be a variant of migraines by researchers.
  • "Cyclic vomiting syndrome plus" is considered a diagnosis when a patients also exhibit symptoms of developmental delay or intellectual disability, muscle weakness (myopathy), and/or seizures.
  • The disorder has a wide range of reported prevalence, about 4 to 2000 per 100,000 children; but seems to occur less frequently in adults although the data is not clear.
  • Researchers suggest several factors may contribute to the disorder: brain function disorder, hormonal abnormalities, GI problems,migraine-like conditions, and changes in mitochondrial DNA.
  • Some people may inherit the changes in mitochondrial DNA that may cause the disorder.