I had a bit of an epiphany last week while sitting in Cheryl’s office.
For those who might be new, Cheryl, aka My Precious, is my shrink. After almost 20 years of therapy Cheryl is also my friend and we share a diagnosis (MS, duh) which makes our random coupling oh-so-many years ago even more strangely wonderful. Last Tuesday I got all crazy and ambitious and dragged myself to downtown Pittsburgh and walked the 567 steps to actually sit in Cheryl’s office.
Since my confinement (that’s what I’m calling it now…it makes me giggle…OK sorry I’m back). Ahem. Since my confinement, Cheryl and I have been doing our sessions by telephone and I have to tell you, it’s a struggle for both of us. Neither of us can focus to save our lives. I’m probably reading the latest urgent email in my inbox as I’m talking about my life that’s falling apart and she’s probably doing any number of things unrelated to my therapy session which could include eating (peanuts, a salted apple, hunks of cheese) or drinking (bad coffee and/or water) or going to the bathroom (we’re very close). We both miss entire sides of our conversation when having therapy by phone. I dragged myself to the Gateway Towers to visit her in person because I really needed to focus.
I’ve had a spell of stressful situations some related to my MS, some not-so-much, and I was reaching a point of critical mass. Potential physical and mental breakdowns were on the very near horizon. I needed to figure out a way to release the pressure valve on my daily life or bad things were gonna happen, possibly worse things than the bad things that have already been happening on a day-to-day basis since completing Lemtrada Round 1 in early November.
I won’t make you sit through our entire dialogue before I tell you my revelation. I mean, it would be funny if I did do that because Cheryl is hilarious, but you might be getting sick of being my plus-one in my weekly therapy sessions so I’m trying to be sensitive to your needs.
Someone, not Einstein, once said that the definition of insanity was doing the same thing over and over again but expecting different results. I realized I’d been doing exactly that. Again. Of course, like most of my epiphanies, I’ve had this one before too. I’m nothing if not consistent. But back to my most recent epiphany, because I think it’s important even if it’s repetitive.
For the last three freaking years (it’s been that long since my diagnosis) I keep comparing my life, my abilities, my experiences etc., against the standard of my life pre-MS. I keep holding myself to the rather ridiculous standards I’d created for myself over the last 20-plus years that I’ve lived alone, independent and busy growing my very best life. I could do most anything. I was at the top of my game when I was diagnosed at 48 years old. I was living MY dream. When considering the daily random bodily betrayals that were happening, I would tell myself, “I should be able to do this! I should be fine.”
But I wasn’t fine. I wasn’t even a little bit fine.
Then another thing dawned on me that is probably very obvious to anyone who actually knows me. The comparison between who I was then and who I am now and what I should and shouldn’t be able to do is utter crap because the thing is, this weird symptom shit started well before my diagnosis on December 1, 2015 when I was 48 years old. I am acting like my body should be able to do all the things I used to be able to handle with one arm tied behind my back, standing on one foot, but the thing is, I hadn’t been OK for kind of a long time before that fateful day when I was given my answer. I hadn’t been OK for a good long while, actually.
The problem with writing so much stuff down every day is that you simply cannot bullshit yourself. I can go into my journal and actually read for myself what my life was really like before diagnosis. Things were happening. Bad things. My symptoms started about three years before my 48th birthday. I brushed them off but I was in good company. I had quite a few medical professionals of various specialties who were quite happy to let me think I was imagining things, so I rolled with that. I was still as good as I used to be! I should be fine!
Flash forward to the aftermath of this long, strange trip that I call recovery from Round 1 of Lemtrada. I’m beating myself over the head with all of the things I should want, should be able to do, should be doing better by now. So many shoulds.
I should sleep more (or less). I should eat better (or differently). I should be able to walk more than 800 steps a day without feeling like I’m going to collapse. I should want to wear cute clothes and daily creative makeup application and have a thriving social life. I should be able to get myself to the office daily. I should want to go places and do things and be around people. I should slap on a happy face and get out there with my rollator in my cute outfit and show everyone how MS doesn’t have me! I should be able to manage my life, my work, my symptoms and my mental health like I ALWAYS have.
Except for I have not been that person in a very long time. I started staying home more around the age of 45. MS didn’t do that to me. Maturity, experience and comfort in my own skin did that to me. I stopped feeling like I had to be trying so hard ALL of the time. So, I just didn’t do it. I stopped trying to be the coolest 40-plus-year-old advertising executive that all the kids wanted to be. I just didn’t have it in me anymore. I started focusing on other things like family, quality time with my favorite people (i.e. Me and a few select friends) and basically living in the peaceful knowledge that I had already been there and done that, got the t-shirt, wore the t-shirt out and no longer wanted to do anything with that shirt other than maybe toss it on the floor for my kitties to roll around on. I felt content, some of the time, in my new peaceful, happy life. It wasn’t a perfect life, by any means, but it was mine and it was pretty damn awesome.
Now post-MS, post-Lemtrada me all of the sudden thinks I should be into the idea of going back to my old top-speed, makeup-wearing, expensive-fashion buying socializing ways! I find myself wanting to be on the way up in my job again (mostly forgetting how hard it was to be that young woman working her life away, always battling with whoever was in my way trying to hold me back). I tell myself I should be able to do things. I should want to do things. I should be doing everything differently so I can get back to feeling like ME. But that was the old me. Not the new me I started to become, and kind of liked, pre-MS bullshit starting.
All of this comparing, in general, has to stop for me. I tell myself “I should… (fill in the latest inane thing I’ve decided is important)” about a thousand times a day.
I told Cheryl, “I’ve decide to stop shoulding all over the place. I’ve shoulded myself to death. I’m exhausted from all the things I should be doing. I should be leaving the house more. I should be walking more than 800 steps a day. I should care more about my looks, my fashion choices – the face I put out there in the world. I shouldn’t sleep so much. Read so much. Be so much in my own head. I should try harder at pretty much everything, according to me. But what would happen if I just gave up shoulding all together? What would happen if I stopped shoulding all over myself every minute of every day?”
Cheryl did the thing I love most when I’m in her presence. She smiled a little smile and wrote something in pencil on the yellow legal pad that sits on her knee the entire time I’m in her office. I’ve looked at those pencil scribbles on the yellow page before and I’m not sure they’re even actual words, not in any language I can discern. I think she saves them, too! But when she smiles her little smile and scribbles on her yellow legal pad of nonsense, I know I’ve done good. I know she’s thrilled that I finally see what she could see for a very long time. I’ve had an a-ha moment that might put me in the running for Client of the Year 2019 and it’s not even officially spring yet! By-the-by, that’s probably not a real thing, Client of the Year, but I’ve taken great pride in winning said award consecutive years from 2015 through present. And yes, I do realize that she probably says that to all of her long-time clients. I don’t even care. I’m still proud.
But the bigger news is that I’ve actually stopped shoulding all over myself since I left her office that fateful day almost a full week ago. I’ve just stopped.
When my silly brain starts to tell me what I should and shouldn’t be doing more or less of, I cut my spotted brain right off at the pass. I should do exactly what I want to do to make myself feel better. If I’m stiff, I will stretch. Not because I should but because it makes me feel better. If I’m tired, I will rest because that’s what my body needs in that moment. If I’m too weak and off balance to feel safe in the Outside World, I will stay inside where I am fortunate enough to be both warm and (relatively) safe. I will wear my comfy clothes. I will look at the cold, slippery sidewalks from INSIDE my house because that’s where I want to be. For now! It could all change tomorrow. Or next week…or in a few months. And if it does (or doesn’t) I need to try and be OK with it, one way or the other.
There is no should. There is just what is and isn’t.
My body will tell me what it can and can’t handle. If it’s leaning more on the can’t side lately, I have to remember to be nice to it and not beat it up with so many evil shoulds. If 15 minutes on my Cubii mini-elliptical makes me feel like I can’t move my legs afterwards, it’s OK to do ten minutes. It’s also OK to do 5 minutes or none at all on a very bad day. It’s just the way it is.
One of the amazing things about making it to the ripe old age of 52 is the inherent lack of fucks there are to give any more. By shoulding my life away, I’m walking away from the pure beauty of being a (relatively) independent woman of a certain age. Should is a thing of the past. Should is what I did when I was young and didn’t know any better. I do know better now. That box of fucks is going right back under the bed, where it belongs. I hope I can leave it there for good.
The random picture above is to prove my recent accomplishment of leaving the shoulds behind. That’s me up there in a car selfie on the left. I went out to lunch in a public place, in my comfy clothes without make up but with my family, because a miracle occurred and it stopped being so frigging cold on a day that my legs were semi-operational. The other picture is the view of the sunny day outside of my front door today. On any other warm, sunny day I might have felt like I should go out and push my crappy legs around on the sidewalk. But these legs weren’t fully operational today. I was stumbling all over the place this morning. Badly. Outside was probably not in the cards but looking at outside from my open front door is perhaps the next best thing.
I had a good, should-free day. Here’s hoping they continue.
Anneen
March 11, 2019 9:23 pmYou’re doing better! That’s why you look so good in your Instagram picture.
A little at a time but you’re getting there. Woohoo!! 🎊
As for the comparing. Yeah I do that too. I’ve been dx for 16 years. I still think I should be able to do a ton of things. I even complained to my neuro last week about this. She looked at me like I was crazy. It sucks sometimes not to be able to function like a regular human. I even check the help wanted ads despite being on SSD since diagnosis. I just torture myself. 😂
Must be an MSer thing.
Btw not going off Tysabri. Neuro said not everyone has a positive experience with Ocrevus. (I knew that already bc of you.) So still on Tysabri until I become JCV+. And no to the A pill you mentioned. I’m not walking as bad as I feel I am. 🙄. And the cold weather isn’t helping me. Too bad she didn’t write me a script for Fla! 😂
bethnigro0212@gmail.com
March 11, 2019 9:37 pmI’m kind of glad you’re sticking with Tysabri. If it’s working for you, for now anyway, I say stick with it. Sounds like you have a great neuro. That helps things enormously! It’s finally not arctic cold here right now. I mean it didn’t get me outside TODAY but it sure was nice to have the door open. 😉
Anneen
March 11, 2019 9:39 pmThe sun was out and it was 53 on LI. Now if every day can keep getting better and better!
bethnigro0212@gmail.com
March 11, 2019 9:43 pmI really hope it’s the last of the ridiculously cold stuff. 🤞🏻
Beth Thompson
March 11, 2019 10:14 pmI am SO PROUD of you and happy for you. We all get there in our own way and in our own time. I’m so glad you’ve decided not to should on yourself anymore and that you put that box of fucks back under the bed where it belongs. I think as time goes on you’ll look back and think, why did I wait so long?? Have a wonderful week, Beth, reading this post made my day. ❤️
Annie82
March 12, 2019 3:26 pmCongrats Beth! Another great post!
I still grapple with Acceptance, too. And — I’m doing more resting when my body says “rest today!”
People are saying I look better. That’s because I’m not pushing myself as much and I FEEL better. I’m saying “no” more and not feeling that, because I said “yes” a week ago or a day ago, I need to keep to the “yes” if I’m not feeling up to doing whatever I thought I’d feel up to doing.
Self care is now Job 1. I want to be mobile for as long as possible! (Guess that’s a Should, but if it keeps me eating healthier and doing PT and getting more exercise, it’s not a bad thing.)
May we both keep listening to our bodies – and being OK with our choices.
Happy Almost Spring!
bethnigro0212@gmail.com
March 12, 2019 11:24 pmI love that idea, Annie! Every day is a practice in trying not to should, isn’t it? I’m so happy you have a focus on self care. 🙂
Debra
March 12, 2019 4:26 pmI think you are a brave and courageous woman. I am 53 and was diagnosed at 27. Self doubt is a formidable opponent but my philosophy is never surrender. Thank God I haven’t had to yet. Whether it’s a mixture of pride and stubbornness I am not sure, but I will to strive to be the best me I can be until I can no longer do it. Keep up the good fight.
bethnigro0212@gmail.com
March 12, 2019 11:25 pmWhatever it’s a mixture of, you’re making it and that’s what’s important. Living with this disease for so long, you’re the courageous one. 💕
Kacie
March 13, 2019 12:41 amLove your writing and love this post especially. I don’t think you realize how eloquently you speak for those of us without your writing skills but a shared dx. Those ‘shoulds’ are killer. I retired in June of 2016 from a career that I was proud of and had let define me. When you let your career define you and then struggle to keep up because MS has had its way with your brain, it causes the ‘shoulds’ to swirl around and around you. The ‘shoulds’ haunted me for a while before I realized that I was just setting myself up for depressed thinking and enormous daily frustration. People say I look so much better than when I was working. Well…without the stress of being a female in tech and without the daily battles at work with my MS deficits and without a daily 4 hour round trip commute, I had time and motivation to improve my overall health. So yeah…I look the best I have in decades! Crazy that! I’m trying to pay attention to what my body and spotted brain tell me I need instead of arbitrary ‘shoulds’ but I’m still a work in progress. And at the ripe old age of 61, and with 20 years since dx, I also don’t have any more f***s to give. So there!
bethnigro0212@gmail.com
March 13, 2019 11:03 amIt makes me so happy to think my writing speaks for anyone beyond myself. It’s really an amazing compliment. Thank you. At 20 years in, you’re someone I could learn from. And I’m gonna try to leave my box of (those things) under the damn bed where they belong. 💕
Annie82
March 13, 2019 4:07 pmKacie – great insights! Like you, I’m 61 and I retired 2+ years ago from a career in tech, which defined me.
And, like you, I now have time to focus on nutrition, exercise, rest — and giving back (when I can).
Sometimes I miss the world of work, like this afternoon when a former colleague phoned. She’s in such a different world than I am and I felt a bit left out.
But my health doesn’t miss working. Not for a minute!
bethnigro0212@gmail.com
March 13, 2019 5:18 pmI am a tad bit envious. I’m not in the position right now to walk away. But you guys get it. It’s not just about my sense of self anymore – it’s about my source of income and health insurance. Im single. Live alone. It complicates the whole situation. I have to keep telling myself that it will eventually work itself out. 🥴
Anneen
March 13, 2019 5:32 pmYou need to apply for SS disability. You should have no problem getting approved.
Annie82
March 13, 2019 6:12 pmGood point Anneen. And — even with SSD, it seems to take another couple of years to get Medicare, so keeping medical insurance can be an issue.
Beth — do you qualify for LTD from your company’s plan? That plus COBRA could help if you qualify. Often, the LTD policies have Pre-Existing Condition clauses that make it difficult to qualify.
Paying the bills and keeping medical insurance are huge issues for so many of us…MS is such a tough disease in so many ways!
bethnigro0212@gmail.com
March 13, 2019 9:00 pmYeah…I’m not even close to ready to go there yet. I have too much going on. Sounds crazy but my job is part of what keeps me going. That one bit of independence is too important to me. I can’t give it up.
bethnigro0212@gmail.com
March 14, 2019 8:21 amI was rejected for incremental LTD based on my MS as a pre-existing condition. I still have access to it providing 40% of my salary but I’m nowhere near ready to do that yet. I’d like to avoid it altogether. But I hear you about the focus on health.
Anneen
March 13, 2019 6:29 pmIt takes 2 years to get Medicare.
Kathleen Engel
March 18, 2019 2:57 pmHi, Beth:
My name is Kathleen Engel and I am an editor at Health Monitor Network in Montvale, NJ. My company publishes guides on various health conditions that are distributed free to people through doctors’ offices.
Right now I am working on the next issue of our Guide to Living with MS, and in my research, came across your site. I am writing to see if you might be willing to share 3 or 4 strategies or tips that have helped you with our readers, who will pick up this guide in their neurologist’s office. I would run your photo along with your tips, Beth. To warn you, it is possible that our art department would want to schedule a photo shoot with you.
I would be happy to send you a couple of PDFs of previous issues, so you have an idea of what our guides look like before deciding whether you’d like to participate. Please email me at my work address: kathleene@healthmonitor.com, and I’ll get them out to you ASAP.
If you are willing to talk with me, I’d be happy to call you at a time that’s convenient for you. And if you prefer to give me your tips by email, that’s fine, too—whatever is easiest for you!
Many thanks!
Best,
Kathleen
bethnigro0212@gmail.com
March 18, 2019 4:05 pmHey Kathleen…I would be thrilled to participate. I will email you to discuss and set up a time to chat. Thanks for reaching out.