Posts Tagged ‘chronic fatigue syndrome’

Endurance

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"I Want to Start a Revolution from my Bed"

"I Want to Start a Revolution from my Bed"


 

I’m pleased to announce that the Yale Journal for Humanities in Medicine has published “Endurance,” my essay about chronic fatigue syndrome. You can read it here: Yale Journal for Humanities in Medicine.

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Pity Party

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You are invited to an honest-to-goodness, true blue, no-holds-barred Pity Party in honor of Lunden and her life of suffering and deprivation. There will be no playing of the miniature finger violins. Not even a regular violin will do. No, Lunden’s story of suffering and deprivation can only be met with a full-on cello. The real thing. If you have one, you are welcome to bring it.

Not long ago, I wrote an invitation to my pity party. I imagined that if I could have an actual pity party, the real deal, that it might help me heal. One of the lingering effects of this illness is the feeling that I am alone, an outsider. People don’t understand that I am seriously ill. So I think pity gets a bad rap. People diagnosed with cancer get pity, but people with chronic fatigue syndrome get, “Oh, I get tired, too. Have you tried hot yoga?”

I don’t know if I will ever summon the courage to host my very own pity party. But on a recent Friday night I may have gotten the next best thing.

The theme that night at Portland Playback Theater was “Before and After: Stories of Life-Changing Moments.” I was nervous all day. I was pretty sure I would tell the story of my illness. Before: not sick. After: sick.

Portland Playback Theater performs every First Friday in the vestibule of the First Parish Church on Congress Street here in Portland, Maine. It is community theater at its very best. A member of the audience volunteers to get out of her seat and join the “conductor” in a chair on the stage, facing the audience. Then she tell her story. The conductor reassures her if she is nervous, asks a few questions, and then gives the troupe a brief directive. The teller then moves to a chair at the front of the audience and watches her story played back to her.

On this night, Bob, a burly outdoorsy type, was the conductor. I sat down next to him and began my story.

Last time I was here, I told a story about meeting a handsome man who taught me to tango. Afterwards, a number of people came up to me to tell me how much they envied me, what a blessed life I seem to have. I thought about it later, thought about the other stories I have told here. The story about the Italian woman on the plane who invited me back to her village and took me in for three days. The muscular Belizean man I saw from across the crowded bar one Christmas Eve, who later became my “Christmas present.” And when I thought of these stories, I thought, Gee, these stories make it seem like I really am blessed.

Bob said, “And in real life you’re not?”

And I said, That’s just the thing. I have not felt blessed.

I stopped. I said, I’m always nervous when I get up here, but today I’m more nervous than usual. Because this is important. I felt my voice wobble, just a bit, as the tears welled up behind my eyes.

Bob said, “Look around at the audience. They’re right here with you.” I did, and they were.

All my life, I have not felt blessed. When I was twenty I moved to Maine to start my adult life. I wanted to be free. To find meaningful work. To take the bull by the horns. But within a couple months I noticed I felt very tired. It got so bad, I finally went to the doctor. The doctor told me I had mono, but it stretched out into chronic fatigue syndrome. When I was first sick, I was so tired that even walking half a block down the street to the corner store wiped me out for the day. I felt the audience exhale in a way that told me they heard me, they heard how ill I had been, and they were stunned at how bad it was. The doctor told me I was just depressed and to go back to work.

I have lived with this illness for twenty years. My energy has improved and I don’t get depressed the way that I used to. I’m able to have a full life, and I work part-time at a job I love as a therapist. But still, I live with this illness every day. I developed multiple chemical sensitivity, which means I get headaches when I am exposed to chemicals like perfumes and air fresheners, cleaning products and fresh paint. And I have food allergies so bad I can’t eat any grains or any sweeteners. It is hard. I feel oppressed by my own body. And it makes me feel like an outsider, because most people don’t understand anything about it.

But when I thought over the stories I have told here, I began to see the ways that I am blessed. A year and a half ago I signed up for a writing workshop that was going to be facilitated by Meredith Hall, who wrote a beautiful memoir called Without a Map, which is in its own way a book about being an outsider. I had been so touched by the book that there was no way I could pass up the chance to take a workshop with her. I had even written her a fan letter. Well, the group of us—all women—we just got along so beautifully that we decided to get together once every season. Meredith, too.

After our last get-together, as I was pulling out of Meredith’s driveway after a long day of writing and talking and eating and laughing, I found myself thinking, My life is pretty good. So I do feel blessed, I said, tearing up. And it seems like things are just getting better and better.

Bob asked, “Can you pinpoint the moment when things started to turn around?”

And I said, Well, my improvement has come at a glacial pace. But a long time ago, almost ten years ago, I was talking one day on the phone with my friend Gail about how much it sucked to be sick and how mad I was at my body for letting me down. And she said, “Do you hear how you are talking about your body? How do you expect to get better when you think of your body as the enemy?” That was a real wake-up call for me. I realized I needed to change my attitude about my body. I needed to be gentler with it.

Bob thanked me for my story and asked me to sit in the teller’s chair, facing the actors. He asked me to choose an actor to play me. I chose Erin, who has a round face like mine. And then the play began.

One of the actors threw a gray cloth over Erin and she stooped down under the weight of it. “Oh, I am so tired. Why am I so tired?” Another actor, Marsha, stepped forward and stood next to her. “I’m your body,” she said, hunched and dejected. “I’m sorry.”

The other actors flurried around Erin and her (my) body. One proclaimed, “It’s all in your head.” Another said, “You’re just depressed. You need to get a job.” Erin said, “I can’t eat any cake, any ice cream. I hate you, body! Why have you let me down?”

Marsha hunched even lower. “I’m sorry. I can’t help it.”

I sat there in the moment, totally absorbed. My eyes welled up with tears. I felt heard. I felt seen. And I had a whole audience behind me, and they were hearing and seeing my story, too.

But now, as I sit to type it, I feel I cannot capture the beauty and heart of the thing. I wished, as I watched the drama unfold before me, that I had a video camera, so I could capture it and save it. If I had, I would watch it now, so I could get it down right.

What happened next? Oh. Erin was on the phone with my friend Gail (played by Emily), and Gail said, “Don’t you see how you’re talking about your body?” And Marsha, my body, all drooped and sad, said, “Yeah, it hurts me. I’m sorry I let you down.” And Erin said, “You’re right. I need to be gentler to my body.” And Marsha stood up a little straighter. And the fabric dropped off of Erin and she stood straighter, too, and she said, “You know, maybe I am blessed, after all. Yes, I am blessed.”

I put my hands together under my chin in a gesture of gratitude and made a little bow to each actor and to Bob. Then I walked back to my seat.

Later in the evening, a young woman in her early twenties got up and wept as she told a story about how painful her parents’ divorce was to her, but she realized later, “like that other woman,” that in some ways she had been blessed. She was so tender and young up there on stage and I was touched that my story had influenced her to tell hers.

When the night ended, a woman who teaches dance turned around and told me she understands how it feels to be betrayed by your body. She was once so disabled by panic attacks she never could have come to an event like Playback. Her voice caught as she said, “Dance saved me.” A woman from the troupe came up to thank me for my story and tell me how much she loves Meredith’s book. And a man I soon recognized as Val, a fan of my writing, whom I first met at the Maine Writers and Publishers Alliance workshops at Haystack, put his hand on my shoulder and said my story had brought a tear to his eye. He said he had lost track of my email address and wanted to make sure he wasn’t missing any of my blog. He said, “You must keep writing. It’s important, what you’re working on.” I told him I would be getting back to it, finally, this week.

I approached the troupe clustered at the front of the room to thank them again. Emily said, reaching her arms around me, “I want to give you a hug.” Marsha thanked me for the story, and said that it opened up the audience beautifully. “We’re always glad to get a Lunden story.”

Again, I was amazed. I had been reluctant to raise my hand, thinking, “They must be saying, ‘Oh, enough already. Put your hand down and let somebody else tell for once.’” I always think they must be thinking that. That I must sit down and be quiet. That I am being greedy, taking up everybody’s time to tell my stories, when other people have stories, too. It is hard to believe, still, that people want to hear what I have to say.

And this time, I told my tenderest story. My story touched people, and their compassion was a blessing to me.

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On Not Being Productive

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With this new discovery of the possible connection between the XMRV retrovirus and  Chronic Fatigue and Immune Dysfunction Syndrome (CFIDS), I am struck by the magnitude of the desperation for a biological explanation in the CFIDS community. All of us with CFIDS are so excited. But it’s a retrovirus! Like HIV! And we don’t know how it is transmitted. And retroviruses don’t go away. Ever. They hide out in the body and wreak havoc. Strangely, however, even this sentence relaxes me: “They hide out in the body and wreak havoc.” Because havoc has been wreaked. And now there is a suspected culprit. And doctors will have to stand up and pay attention.

I want an answer. An explanation. I want something to hang my hat on. I want it to make sense. I remember how relieved Alice James[1] was to get a diagnosis of breast cancer. Breast cancer! A death sentence:

To him who waits, all things come!….Ever since I have been ill, I have longed and longed for some palpable disease, no matter how conventionally dreadful a label it might have, but I was always driven back to stagger alone under the monstrous mass of subjective sensations, which that sympathetic being “the medical man” had no higher inspiration than to assure me I was personally responsible for, washing his hands of me with a graceful complacency under my very nose. (Diary, pp. 206-7)

If I had a retrovirus I could say, “Well, the reason I am so tired is that I have a retrovirus. I should rest.”

And speaking of that, of rest and the need for it, versus the drive to productivity, I was thinking, this afternoon, about how tired I was, and about this newly discovered retrovirus, and I was thinking about how much I want to do in the world, and feeling frustrated by how little of it I accomplish, and I believe I was feeling a little angry at myself, a little self-reproach, and then I had to remind myself that I’m sick. I always have to remind myself that I am sick. Otherwise, I take it on myself, this burden of not getting enough done. I think there’s something wrong with me, myself, with my essence, rather than something wrong with my body. And I thought about the passage that Charlotte Perkins Gilman[2], my other soul sister wrote:

After I was finally free, in 1890, wreck though I was, there was a surprising output of work, some of my best. I think that if I could have had a period of care and rest then, I might have made full recovery. But the ensuing four years in California were the hardest of my life. The result has been a lasting loss of power, total in some directions, partial in others; the necessity for a laboriously acquired laziness foreign to both temperament and conviction, a crippled life.

But since my public activities do not show weakness, nor my writings, and since brain and nerve disorder is not visible, short of lunacy or literal “prostration,” this lifetime of limitation and wretchedness, when I mention it, is flatly disbelieved. When I am forced to refuse invitations, to back out of work that seems easy, to own that I cannot read a heavy book, apologetically alleging this weakness of mind, friends gibber amiably, “I wish I had your mind!” I wish they had, for a while, as a punishment for doubting my word. What confuses them is the visible work I have been able to accomplish. They see activity, achievement, they do not see blank months of idleness; nor can they see what the work would have been if the powerful mind I had to begin with had not broken at twenty-four. [The Living of Charlotte Perkins Gilman, p. 98.]

Ach! The heartbreak! I know, Charlotte! I know!

And I thought of the Dylan Thomas quote,

Do not go gentle into that good night,

Old age should burn and rave at close of day;

Rage, rage against the dying of the light.

He was talking about death, but the poem inspires me to continue to fight against all of the constraints of my illness, to make something of myself, to bring something to this world, to leave something behind me when I go.

The life coaches have a thing they suggest. They suggest that in addition to writing a list of things to do every day, that at the end of the day one also write a list of things accomplished. I think this is a grand idea.

I got completely exhausted today at work, but I helped six people negotiate their ways through their own challenging circumstances. I scheduled an appointment with the podiatrist and called the library to renew an interlibrary loan book. I kept up on my email and Facebook. I cooked breakfast and lunch and dinner. I came home and did some writing. This, for example. And I cut my nails while having a good laugh with Marina about the challenges of our illnesses, and about the little voice that always says, “You should be doing more, and doing it better.” The voice that discounts the illness.

She told me about a 14-year-old girl with Marfan syndrome[3] who has become an outspoken activist in the community. She and her mother were boarding a plane when the flight attendant told the mother she was only allowed one carry-on. The mother explained that her daughter is disabled by Marfan syndrome and is not able to lift more than 10 pounds, so she was carrying both of their bags. The flight attendant was unswayed. In fact, she called security and had mother and daughter taken away.

As Marina was telling me this story, I interrupted to say, “Push her off the plane!” I meant the flight attendant. And I meant when it was in flight. I hated that flight attendant.

Talking it over with Marina, however, I realized once again that Jung was right about the shadow self. That flight attendant represents a part of me that I hate: the narrow-minded part that discounts my disability and tells me I need to do better at doing more.


[1] Alice, the sister of the writer Henry James and the philosopher William James, suffered throughout her life with neurasthenia, a 19th century illness that caused symptoms similar to those of CFIDS.

[2] The 19th century author of the feminist classic, “The Yellow Wall-Paper,” who also endured neurasthenia all of her life.

[3] A genetic disorder that causes weakness in the connective tissue, resulting in heart problems and vision problems, among other things.

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