Sunday, February 20, 2011

The Remaining Sunlight

When I first started this blog, I wanted to find a way to tell my story and speak its harsh reality while still being sure to maintain a sense of hope and optimism. My primary focus, of course, was to raise awareness about how devastating and all-consuming ME/CFS can be, and to show that, though the name may be trivial, the disease most certainly is not.

However, I also wanted to emphasize that we are in no way defined by our illness. ME/CFS may ruthlessly prevent us from fulfilling many of our dreams, but it has clearly not taken away the dreams themselves. People with ME/CFS were once healthy, often extremely active individuals. We were going about our lives like everyone else when we just happened to fall ill -- typically quite suddenly from a viral infection, and certainly through no fault of our own. We desperately want to get well in order to have the privilege of once again living our lives to the fullest.

With these ideas as part of my focus, sometimes (particularly when I'm experiencing an acute crash) I wonder if I may give the impression I handle my illness and my circumstances with greater ease than I actually do.

ME/CFS is brutal. It defies description because it is so far beyond any normal experience of exhaustion or sickness. When faced with such a severe level of illness on a regular basis -- day after day, year after year -- one has no choice but to find a means through which to cope. Over time, I've learned to do this by focusing on the positive, maintaining my sense of humor, and looking within to seek out the small moments of grace. I resolved early on in this battle that I would not let ME/CFS destroy my spirit in the same way it had destroyed my body. And on most days, I do this quite well. My spirits remain strong, determined and hopeful.

However, as anyone would, I have a harder time during a setback. As I have previously stated, it can be quite a challenge to remain consistently optimistic when you feel so sick you can barely move. Not impossible, of course, but difficult.

I recently suffered another long-standing crash. This is my life in the last 14 years, and the nature of this unrelenting disease. Just when I feel like things are improving, I make one wrong move or reach too far, and I am back down again. It's like continuously taking a step forward and then falling a hundred steps back.

While my resolve holds firm, I have to be honest in saying this kind of life can test the extremes of one's endurance at times: the constant battle, the repeated setbacks despite your best intentions, the lack of answers, lack of treatment, the misunderstandings, and the countless downfalls from one wrong movement or one tiny misstep.

I once equated the experience of ME/CFS to what I imagine it would feel like, at least to some degree, to be in an abusive relationship. I say imagine, because fortunately I've never actually been in an abusive relationship (please take note, CDC). However, I would presume that a child who gets brutally beaten every time he/she reaches for a cookie eventually learns to stop reaching for cookies, or to seek out other means so as to not get caught. But what if your abuser (ME/CFS) never, for even one second, leaves your side? And what if your cookie is washing your hair? What if you get beaten over and over again just for trying to get out of bed? For reading one too many words? For speaking?

When punished so severely and repeatedly for such minor activity, I can't help but get discouraged. As my fellow ME/CFS blogging friend, Alexis, described in one of her recent posts, I too tend to go through stages. The first is anger and denial. After fourteen years and what has to be literally hundreds of setbacks, I am still shocked when it happens. Somehow, I continuously convince myself that each crash will be the last, and that things can only get better. And then I reach too far beyond that invisible line once more, and my health plummets yet again.

At its very worst, I have been barely able to move. I have had more days and nights that I care to recall where every breath felt agonizing; where I could feel the energy it takes just to swallow. The experience can be beyond brutal. "No," I think to myself when it first hits, "this is not happening to me again. I cannot face this yet again."

After awhile, I have no choice but to move into acceptance, and attempt to find new adjustments and changes to help lessen the severity and duration of the setback as best I can. Once the agony lifts even slightly, I am so relieved to be remotely functional again, to not be in almost intolerable physical distress all hours of the day, that I am able to find some grace in that, and thus return to a place of gratitude once more.

Things are thankfully a little better than when this crash first began, though I am still in the process of trying to bounce back. In light of the fluctuations in my health, as well as some possible upcoming activity that will no doubt require all my energy, I've decided to take a step back from blogging for a little while and try my best at taking my own advice and learning to be more patient with what is.

Blogging has been an amazing experience these last (almost two!) years, and I am so grateful for the improved cognition that has allowed me to participate in a bit more online activity. I feel especially blessed by all the amazing people I have met as a result, and the wonderful friendships I have been able to form. The many letters and comments I have received over the years have touched me deeply, and they inspire me to keep writing. However, at this time, I feel I need to focus more fully on my health. I will still be around here and there, just perhaps not as frequently for awhile.

For now, I will leave you with a few photos of some of my most recent bird visitors (click on the photos to enlarge them). No matter how bad things get for me in my small world, I am always so grateful for the song that exists in theirs. They remind me to keep singing even if my song must currently be silent, and to stay focused on what sunlight still remains to me.

Cooper's Hawk
(he was much bigger than he appears!)

Cooper's Hawk

Road Runner (beep beep)

Finch Singing

Finches Munching

Another Finch Munching

Mourning Dove and Goldfinches

House Finch Flying Above Goldfinches

Hummingbird

Female Cardinal

Gilded Flicker Woodpecker

"Hey, isn't it my turn yet?"

Two Finches Kissing
"Get a room!" says the third finch :)


Finch at sunrise



Birds sing after a storm; why shouldn't people feel as free
to delight in whatever sunlight remains to them?
--Rose Kennedy


Here's hoping there will soon be more sunlight for us all.

Saturday, February 12, 2011

Becoming Visible: Advocacy and Awareness

There are several new ME/CFS awareness and advocacy efforts currently in place that I wanted to share with you.

First, Dominique at 4Walls and A View has just launched Invisible Awareness, a website to promote personal ME/CFS stories in the hopes of making our plight more visible. On the 12th of each month (in honor of May 12th Awareness Day), there will be a new article featuring someone's individual experience with ME/CFS and how it has affected his/her life. The goal is for everyone to then share the website on various social outlets so that it reaches more people. In this way, we will be helping to raise awareness "1 story at a time."

I am honored to have the first featured article on the website! You can find it by clicking on the image below.


Some of you will already recognize my story, but please do check it out and share it with others so that the website gets lots of visibility. Please also consider contributing your own personal story to be featured at a later date. For more information on the site's goals and mission, as well as on how to get involved, please contact/visit Dominique directly at 4 Walls and A View, or at the Invisible Awareness website.

There are also several other new advocacy efforts in place to help increase awareness and raise funds for ME/CFS research. One such effort is blogger Lee Lee's project Art for XMRV, a website where artists can contribute their work for sale, and others can purchase them in the form of note cards. All proceeds (100%) will go to the Whittemore Peterson Institute (WPI). Click below for more information, or to purchase some of the beautiful artwork already submitted! You can also join the community board on Facebook.


My friend and fellow blogger, Vikki, has also teamed together with others to create a fundraising effort for the Whittemore Peterson Institute called Count Me In. The goal is to get as many people as possible to pledge just $1 on the 20th of each month to the WPI. That's only $12 a year! It may not seem like much, but it adds up. The fundraising event raised over $600 on it's opening day last month. If interested, please see the link above, visit Vikki's blog, or join the effort on Facebook for monthly reminders.

Of course, you can always go directly to the Whittemore Peterson Institute website to donate as well.

Peggy Munson, author of the book Stricken: Voices from the Hidden Epidemic Chronic Fatigue Syndrome, has called patients to take action through her new advocacy effort called The Exit Project: Groundswell Campaign. To participate, you need only take a photo of yourself lying down with an X somewhere in the picture (X for XMRV and for being X'd out by illness). Then write a short blurb about how ME/CFS has grounded you and altered/changed your life. Submit the photo along with your story (it need not be long) to Peggy for inclusion on her website, then email it to various government officials so that they hear our plight. For more specific details and instructions, please click below to read Peggy's full description. The more people we have participating, the stronger our collective voice. (Note: you do NOT need to have been tested for XMRV to be included; anyone with ME/CFS is invited to submit a photo).




In other efforts, the ME/CFS Worldwide Patient Alliance is a new advocacy group formed in August 2010 in response to "a community-wide call for greater patient empowerment and influence." They placed the first ever ad about ME/CFS in the Washington Post this past December. Please visit their website to find out how you can get involved in their "Show 'em Your Mad - Fax the Ad!" campaign, as well as other upcoming advocacy efforts. You may also want to visit their newly launched Zazzle.com store to purchase some cool merchandise and help them raise funds.

Other ongoing awareness campaigns already mentioned on this site that you may want to visit include the Blue Ribbon Campaign and the Sock it to ME Campaign.

If you haven't already done so, you can also watch my new awareness video -- What is ME/CFS? -- and be sure to pass it on and spread the word.

As many of you know, there have been a lot of ongoing negative politics (to put it politely) at the CDC and NIH in terms of ME/CFS research in the last 25 years. These politics continue to cause delay of solid biophysical research, as well as the hope for viable treatments in the near future.

The history of the CDC's reaction to ME/CFS since the initial outbreak in the U.S. in the early 1980's has been, quite frankly, rather abominable. Dr. Elizabeth Unger, has recently been selected as the new head of the CDC CFS program, and thus far, she seems to be advocating for more of the same. Please consider signing a petition which urges the CDC to promptly change the direction of their CFS program toward more biophysical research.




Petitions by Change.org|Start a Petition »


[Update 2/13/11: Dr. Unger has responded to the petition. Please see PANDORA's announcement here. The petition will close on February 15th. Thank you to all who signed!]

Last October, the CFS Advisory Committee once again met to provide recommendations to the Secretary of Health on what directions to take in terms of both CFS research and strategic planning. A copy of those recommendations can be found here. If you agree with these recommendations, please take a moment to send a letter to the Secretary of Health, ask her to implement them and let her know we are awaiting her response. The letter is already written for you -- just fill in the blanks with the appropriate info. It only takes a couple seconds! Of course, if you prefer, you can also write your own letter instead.

From what I understand, there has been quite a bit of internal disagreement within the ME/CFS community on how and whether we as patients can unite and rally together for our cause (e.g., see Mindy Kitei's editorial "We Are Not Crumbs," and Marly Silverman's commentary Time to Make a Difference Together).

I have not been following the debate very closely, as I am too sick to be active on message boards or follow too many blogs. Perhaps I am therefore a bit naive. However, my own opinion on the matter is that those who are willing and able MUST find a way to unite.

Unity doesn't mean we have to always agree with each other. It doesn't mean we cannot offer constructive criticism or advice on what directions any organization may want to take to move forward. It means simply that we must agree on a common goal, and work towards that goal with mutual respect and some measure of solidarity.

I think we all want change. We want the WPI to get funded. We want more biophysical research, new direction at the CDC and NIH, increased awareness within the medical community and the public at large. We also want clinical trials, and research into treatment that propels us forward toward a cure.

Working together, we CAN make a difference and ignite change. I urge you to take as many actions above as possible. A lot of people have asked me what they can do to help, and these are just a few small things that can ultimately make a huge difference. It's time for our voices to be heard. It is only then that we can move forward towards better research, treatment and a cure.

Thank you!!

UPDATE 11/26/11:   Many things have changed since this post was originally published:
  • The Invisible Awareness website has been changed to Becoming Visible 4ME
  • Art for XMRV has changed its name to Art for ME. Proceeds will go toward an ME/CFS institute to be decided upon at a later date
  • Count Me In has ended its campaign
  • The Exit Project has ceased.