Five Years Later: Reflections on Life with Chronic Illness

Last month marked a rather momentous occasion in my life: the five year anniversary of the onset of my chronic fatigue syndrome (CFS). That’s right everybody. I have survived five years of living with a frequently debilitating illness. I have struggled through five years of debilitating chronic illness. Can you tell that I have some mixed feelings about this?

So many of the narratives about chronic illness that I grew up with seem to fall into one of three categories:
a) miraculous recovery
b) bitter crone
c) angelic martyr
Can you guess which category my story falls into?

That’s right! (Drum roll, please) Option d! None of the above.

I am still sick. As is evidenced by the fact that I cooked dinner on Friday, baked a dessert on Saturday, and proceeded to spend most of Sunday, Monday, and Tuesday in bed. Maybe recovery is somewhere in my future, but it isn’t in my present, and there are no guarantees.

I am not, I don’t think, a bitter crone. Certainly, people still seem to like being around me, and I have yet to get the sense that they only put up with my presence because they pity me. I still laugh, dance, and sing. I write notes, give gifts, and play with my nephew. I enjoy life.

And I am most definitely not the angelic martyr. My illness has yet to transform me into the sweet, selfless being who spends her days in bed writing letters and knitting socks. And I certainly haven’t transformed the life of a rough and tumble boy who falls in love with me, only to be devastated by the knowledge that I have an incurable disease, pushing him to go out into the world as a better man, while I waste away and die. More seriously, I get angry and anxious. I cry, complain, swear, and think about giving up. I’m human.

What I am trying to say is: life is hard and messy, and having a chronic illness only makes it harder and messier. However, that doesn’t mean that life is all bad. Some of the things in my life now are really good. I have lost a lot, but I have also gained a lot. There is much of my life before CFS that I grieve, but here’s a dirty little secret for you: I think my life now is better. And these things can all be true. It doesn’t have to be one of the other.

Let’s break it down, shall we?

The Bad

  • I had to quit my psychology degree, and this continues to be an ongoing source of grief for me. I love psychology, I love helping people, and I was set on becoming a clinical psychologist specialising in trauma. And I’m just not. Maybe one day I will be, but right now it feels out of reach. It is a dream that sits in a box under my bed, that I sometimes I pull out to wonder over, or to cry over.

  • I lost my health. This should perhaps be obvious, but I need to say it. It can be easy for me to forget that there was a time when I could cook a dinner, bake a dessert and not spend three or more days recovering. But I could, and even though I sometimes forget that, I can’t ever forget how exhausting and painful things are for me now. There is no escape. And it hurts.

  • I’ve lost friends. People who didn’t understand how impossibly hard it became for me to spend time with people, or to show up to events, and who didn’t make the effort to meet me where I was at. Everyone has their own struggles, and no one can maintain every relationship in their lives, so I’m not angry or hurt, just sad. I lost people I loved this way.

  • Life is incredibly uncertain now. Every time I think I’ve got a handle on my capacity and my ability to engage with my life, I’m proven wrong. And each time I am, I have to let go of goals, of hopes, of dreams, of plans. And that’s a lot of grief. It’s discouraging. I can’t count the number of times I’ve had to ask myself if getting back up is worth it. Are the the steps forward worth it when they are always followed by a backwards tumble?

The Good

  • I always get back up. I believe the Japanese have a proverb that translates to “fall down seven times, stand up eight”. Well, so far I have fallen down more than seven times, but I’ve stood up that number of times plus one. I have learnt that I am pretty damn strong. I mean, I’m back here right now, aren’t I?

  • On that note, I know myself better now. I have a greater understanding of what I value in life, what my passions are, how I enjoy spending my time and energy. After all, when energy is a limited resource, your priorities become pretty apparent. And because I know myself and my passions better, I am able to focus on learning, growing, and developing the skills I truly value. I have been freed up to embrace a lifestyle that suits me far better than the one I was chasing before.

  • The friendship that I have been able to maintain are deeper, stronger, and more resilient. These are people I know will stick with me through everything, and who know I value them. I’ve also developed a greater empathy for the pains and struggles of life, as well as stricter boundaries. I have always been empathic, but I have historically struggled not to be overwhelmed by that empathy. Now I know how to recognise when I am overwhelmed, and how to respond, making me a better friend and person. I understand that not everyone can understand my struggles, and I can’t understand all of other peoples’ struggles, but I also know how to show up in those times.

  • My understanding of God and my relationship with him has grown and matured. It looks nothing like what I thought it should look like, but it’s better now. I’m no longer in a rush to reach some nebulous finish line. Instead, I know that the joy and the growth is in the journey, and neither God nor I are interested in rushing it. If we are to be like trees planted by springs of water, we’re going to have to remember that it takes trees decades, sometimes centuries, to fully mature.

The Before

Before I got sick, I was living in a city that felt like a home, with people I adored (and still do). I was studying a subject I am passionate about, at a university that I loved, on track to do the work of my dreams. However, when ever I asked what I’d do if I had exactly one years left to live, my answer was always “not this”. So much of what I was doing only had value if I had a future. My uni days were something I needed to do in order to get to the life I actually wanted.

I loved many of the things I was doing, but the hustle of it all was exhausting. I think I was trying to become the kind of adult I thought I had to be, rather than allowing myself to grow into the kind of adult I am.

The same can be said of my faith. I was trying to become the “right kind of Christian” rather than giving my relationship with God room to grow and mature in a way that was authentic and vulnerable.

Everything was exhausting

The After

I am exhausted all the time, but, for the most part, it is an exhaustion of the body. Sometimes, okay, frequently, that exhaustion of the body can exhaust my mind and soul as well, but on the whole, I’ve found a style of living, of being, that fits so much better than the one I was trying to fit into. I love having the freedom to learn, to write, to create, to rest, to cook, and to spend time with friends. It’s how I always wanted to live.

But I would like to be well. I want to be able to work in the morning, have a cuppa with a friend in the afternoon, cook dinner in the evening, rest well at night, and be able to get up in the morning and do it all over again. I want to be able to get lost in learning a new language for hours and still be well the next day. I don’t want to have to plan what I do, when, based on how long it’s going to take me to recover. And when I do need to recover, I would like it to not take so long.

In short, I want the life I have now, but with a healthier body.

So… what’s next?

Well, in the immediate future, I finish drinking my tea. I schedule this post for publication, and I don’t look over it again, because I have done my best, and I don’t have the energy to stress about things not being perfect. I brush my teeth, maybe do a bit of crochet, and curl up in bed.

Sometime tomorrow, I will wake up. A few hours later, I’ll get out of bed, and I will do the same thing I did today: I will show up and do the best I can. And I will keep on doing that, on the good days, and the bad days. My best isn’t perfect, it’s not what I once thought it should be, and it always changes, but it is always my best in that moment. And, honestly? No one can say better.

The Compassion of God

Have you ever had a panic attack?

They’re awful!

In my experience, they feel pretty much exactly how a heart attack is supposed to feel – you think you’re going to die.  You can barely breathe, you can feel every painful heartbeat, and you want to vomit.  And, unless you hyperventilate, the people around you are unlikely to realise it’s happening.

So, I had that going on.

Then there was the depression.  You know, that not-so-little voice that tells you that you’re worthless?  That there’s nothing worth doing or living for?  Yeah, that was around. It sucked.

You’d think that was enough, yeah?

Oh no, no, no.

Have some CHRONIC FATIGUE!

So, now I have depression saying “You’re worthless – die!” and anxiety saying “Come on, do better, let’s go, you’re gonna fail!” and then chronic fatigue being like “Ha! You thought you were going to get out of bed today? Cute.”

 

Naturally, I had some questions for God.  By this stage, I knew God was good.  I knew God was faithful.  The question that was now festering in my brain was “Do you care, God?  Like, at all?  About me, as a person, not just as a sinner in need of saving.”

After a few months of struggling with this and apparently coming up with nothing, I did what I always do when I need to express myself and be heard – I took to the internet and blogged.

A couple of days later, a message showed up in my inbox from a friend.  It didn’t have much in it, just these verses from Psalm 103:13-14:

As a father has compassion on his children,
So the Lord has compassion on those who fear Him;
for He knows how we are formed,
He remembers that we are dust.
Psalm 103: 13 - 14

So, here it was the first piece of the answer that God was, and still is, giving me.

Yes, God cares.  Or at least He knows what I’m made of.  He doesn’t expect me to be Wonder Woman, and He’s not going to punish me for not being well.

 

It was some time later (I don’t remember how long) that the second – and largest – piece arrived.

Now, there’s a way of reading Bible passages called Imaginative Contemplation, and that’s what I decided to do with this one.

So, a quick explanation of Imaginative Contemplation.  When you read a story you imagine yourself in it as a character, seeing the story unfold or having the story happen to you, and you use that to notice things that God may be trying to say to you.

On to the story.

Elijah was a prophet, which means he had the tough job of going to people who were disobeying God and being like “Yo, pull yourselves together, do the right thing!”  Which, as you can imagine, was not winning him any popularity contests,

Anyway, there was a long-standing rivalry between Elijah and the prophets of Baal, who was a false god.  It all came to a head in 1 Kings 18, with Elijah challenging Baal to a contest on behalf of God.  Which God won.  Rather spectacularly.

Jezebel, however, was kind of ticked off about all of this and threatened to kill Elijah.  And she actually would have done so.  How did Elijah react?

Elijah was afraid and ran for his life. When he came to Beersheba in Judah, he left his servant there, while he himself went a day’s journey into the wilderness. He came to a broom bush, sat down under it and prayed that he might die. “I have had enough, Lord,” he said. “Take my life; I am no better than my ancestors.”
1 Kings 19: 3 - 4

“and prayed that he might die”

Those words hit hard.  ‘Cause I’ve been there.  I’ve prayed that I might die.  It’s a really, really awful place to be.  I’m certain - and saddened – that some of you know what that feels like too.

So how does God respond to Elijah’s death wish?  Does He smite him with all His smiteyness?  Let’s have a look, huh?

Then He lay down under the bush and fell asleep.
All at once an angel touched him and said, “Get up and eat.” He looked around, and there by his head was some bread baked over hot coals, and a jar of water. He ate and drank and then lay down again.
1 Kings 19: 5 - 6

Oh, oh wow…He didn’t get angry with Elijah.  He didn’t split open the heavens and start screaming “How could you?!  What are you thinking?!”

No, He let Elijah sleep.  Then He provided food and drink, encouraged him to eat, then let him sleep again.

The angel of the Lord came back a second time and touched him and said, “Get up and eat, for the journey is too much for you.” So he got up and ate and drank. Strengthened by that food, he travelled forty days and forty nights until he reached Horeb, the mountain of God.
1 Kings 19:7 - 8

Then, after Elijah has had another sleep, God wakes him up again.  And says, essentially, “I know this is all too much for you.  Have some more food.”

So Elijah does, and then he’s ready to keep going.

 

And you know, what struck me about that was that God’s response was one of care.  It wasn’t just “Ugh, I’m a faithful God so I’ll stick by you” or “I’m a good God so I’ll be good to you.”  No, it’s such a loving, understanding response.

It’s a simple “I know this is hard, I know you’re overwhelmed, so I’m going to take care of you.  Get some sleep, eat some food, stay hydrated.”

 

You know, it wasn’t until I was trying to figure out what I would say to you all today that I picked up on a particular word in the Psalm I mentioned earlier.

That word is “compassion.”

“God has compassion…”

Compassion is defined as “concern for the sufferings or misfortunes of others.”

And it comes from the Latin word “compati” which means “to suffer with.”

Put these things together, and here in Psalm 103, we are directly told that God cares about us and our suffering.  He is affected by it, He is moved by it.

And in the story of Elijah in 1 Kings 19, we get a demonstration of that compassion at work in the face of Elijah’s overwhelming “please God, just let me die” suffering.

 

So here’s where I’m at now, and here’s what I want you to take away from this:

My life looks nothing like I thought it would.  I have anxiety, depression, and chronic fatigue.  And quite frankly, it sucks.

But I’m not alone in it. God has compassion – He knows.  More importantly, He cares.

He cares for me in my suffering.  And He cares for you in yours. 

We may not always see it, we may not always feel it, but He always, always cares.