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Living with Scleroderma

Reflections on the Messy Complexity of Chronicity

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body-mind balance

Mystery Guest

Evelyn Herwitz · December 17, 2019 · 4 Comments

Right before Thanksgiving one evening, while I was brushing my teeth before going to bed, I noticed an unusual beetle on the bathroom wall. It had long black-and-white antennae and was maybe just under an inch long. Red lights flashed in my head. Those antennae are a distinctive feature of the Asian Longhorned Beetle (ALB), which a few years back devastated tens of thousands of trees in my home town.

Eighteen years ago, I published a book about the demise of my city’s urban forest, and I had predicted the beetle infestation, because we have a preponderance of maple trees in our fair city, which are the ALB’s favorite food. Who was this? Could it be that a dawdling beetle (they are notoriously sluggish) had invaded my home (which would be really, really bad, because it would mean a lot of trees in our neighborhood would have to be removed to prevent further infestation)?

I ran downstairs, found a translucent plastic cup (no small glass jars or anything transparent around), grabbed some index cards and tape, and ran back upstairs. Sure enough, the beetle was still hanging out, and it barely reacted when I scooped it into the cup, then taped the index cards over the top so it couldn’t escape.

Now what? No one in the local state or federal offices that have managed the ALB infestation over the past decade would be available during the holiday weekend. I figured I’d call them the following week—except we then had a major snowstorm. I planned to keep it until I could figure out whom to call.

Meanwhile, the beetle, despite lack of food and oxygen, hung out in the sealed cup on my desk. From time to time, as I worked at my computer, it would climb up the inside of the cup. I’d watch its silhouette try to figure a way out and fall down, only to try to escape once again, like a miniature Sisyphus, condemned (by me) to endlessly repeat the same futile venture over and over. Several times when I thought it had finally died, lying so still, it would rouse after I lifted the cup to the light to see if it was still there.

I began to feel rather guilty. Who was I to trap this hapless creature, which hadn’t done anything other than wander into my bathroom at the wrong time? I didn’t want to kill it outright (although that may have been the kinder alternative), but I also didn’t want to let it go, in case it really was some kind of parasite that could destroy trees. It did not appear to have the shape of an ALB, which is chunky and has striking white spots on a black, hard shell. But what if it were an immature ALB that didn’t yet look that way?

I also began to admire it. This beetle had a lot of determination. It had an extraordinary will to survive. I finally discovered it dead in the bottom of the cup 10 days later. When I tipped out its shriveled remains, I was able to take a closer look. Comparing it to various insects that are related to the ALB,  it seemed to be a cross between a Western Conifer Seed Bug and a White Spotted Pine Sawyer. Was it a new species? A friend who heads the tree replanting effort here in the city gave me the emails of two experts to whom I could send my picture. So I did.

Hoping to hear back from them soon and solve the mystery. I’m also relieved that it doesn’t appear to be a dangerous parasite for our city’s trees. So I’m left to marvel about the will to live. Even in such a small creature, under duress, it would not give up until its body gave out. All the more so for us humans. Though I suspect, if we fail to heed the warnings of our planet’s demise, the beetles will be here long after we are gone.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

Image: Scott Umstattd

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Filed Under: Body, Mind, Sight Tagged With: body-mind balance, resilience

Yellow Roses

Evelyn Herwitz · December 10, 2019 · 6 Comments

On Monday, Al and I celebrated our 35th wedding anniversary. Actually, we started celebrating over the weekend, with Shabbat blessings in synagogue, a great performance of Pulitzer-nominated The Wolves on Saturday night, delicious Sunday brunch at a local bakery cafe, followed by a tour of the stunning Bauhaus historic home of Walter Gropius and family, a quick visit to special exhibits that deserve more time at the Worcester Art Museum, watching a quirky, funny Albanian film called Two Fingers Honey, and dinner at a cozy neighborhood Italian restaurant. Plus a special dinner on our actual anniversary Monday night. And we have still more plans for next weekend. Nothing like playing tourist in your own backyard with your best friend.

Indeed, we’ve now lived more than half of our lives together—which is astonishing, when I stop to think about it.

How can you really know, when you first marry, whether you’ll be able to keep your relationship fun and surprising, let alone weather all of life’s inevitable storms, and discover that your love for one another will continue to strengthen and flourish?  Honestly, you can’t. Intuition, experience, mutual attraction, a pinch of luck—all are factors, but not determinants. I just know that the first time Al showed up on my doorstep, he surprised me with a dozen yellow tea roses. No one had ever done that before. And the first time he gave me one of his big bear hugs, I felt safe and peaceful.

All these years since, through many, many challenges with health, family, jobs, and more, he’s remained that same steady source of calm, security, optimism, and wonderment. He has the most generous heart of anyone I have ever met, infinite patience for all the mishegas of my scleroderma, and an endearing curiosity and playfulness that can push me out of my comfort zone, but often for the better. Even when he drives me crazy, and I, him, we always manage to work it through and come out stronger.

We’re a lot grayer than those two young adults who smile so blissfully in our wedding portrait. It was good that we didn’t know what lay ahead, starting with the discovery, shortly after returning from our Cape Cod honeymoon, that I had a serious autoimmune disease, with scleroderma being the ultimate diagnosis three years later. All that seems ancient history, now.

The best definition I’ve ever heard of a good marriage or partnership is to be each other’s oasis. Looking back over the past 35 years, I think we’re there. Whatever comes next, I am most grateful.

P.S. This marks my 400th blog post on Living with Scleroderma. How fitting for this to be the subject! To all of you, Dear Readers, thanks for following along.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

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Filed Under: Body, Hearing, Mind, Sight, Smell, Taste, Touch Tagged With: body-mind balance, managing chronic disease, mindfulness, resilience, travel

First Snow

Evelyn Herwitz · December 3, 2019 · Leave a Comment

Immersed in whiteness, once again. Our first snow of the season began Sunday night, and by Monday morning, our world was transformed by billions of fluffy flakes, cloaking secrets beneath a foot’s accumulation. More snow is on the way as I write, looking out my bay window onto yews, their evergreen branches bowed by the weight of last night’s visitation.

The house is warm. Al saved himself a gym workout by shoveling the drive, and the roads are plowed. I rescheduled Tuesday appointments in Boston to avoid an anticipated messy commute as the storm lingers along the coast. I ate oatmeal for breakfast, and there’s last night’s soup for lunch.

Snow forces the world to slow down. Arriving as it did during the Thanksgiving weekend, I know many folks were not thrilled. Our younger daughter was wise enough to return to Philadelphia on Saturday to avoid what became a nightmare of travel woes as the storm approached the Northeast. Across the country, travel conditions were abysmal.

Still, here in my own little world, I’m grateful for the change of pace. We live such hectic lives, with too many demands for attention, angst, and outrage. Snow storms have a way of forcing us to stop, recalibrate, and rethink what is truly essential. Staring at that blank, white canvas that conceals flaws and inspires such wonderment, I am grateful for the peaceful quiet.

A brilliant red cardinal perches on the yew’s bended boughs, in magnificent contrast to white and green. A black-capped chickadee, white breast puffed against the cold, hops amidst the branches, scattering snow. A tufted titmouse scrabbles on my windowsill. I’m glad our bird feeder is full.

Soon enough, life’s realities will crash through. But for this fleeting day, at least, beauty reigns in a pristine world.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

Image: Robert Thiemann

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Filed Under: Body, Hearing, Mind, Sight Tagged With: body-mind balance, mindfulness, resilience

Mercurial

Evelyn Herwitz · November 12, 2019 · 4 Comments

As I write on Monday, Mercury is making history for us Earthlings by revealing its silhouette while passing between us and the sun. The next Mercury transit won’t occur until 2032. Pretty cool (or hot, depending on which side of the planet we’re talking about—day side temps go up to 800 degrees Fahrenheit, while the dark side can drop to minus 290 F). You can watch a short NASA video of the phenomenon here.

Then there’s the fact that Mercury has been in retrograde for the third time in 2019, from October 31 to November 20. That means the first planet in our solar system appears to go backwards in its orbit, an optical illusion. According to astrologists (as opposed to astronomers), this explains any mishaps you’ve been having lately with technology or relationships, since Mercury, named for the Roman messenger god, governs communications.

Certainly, there’s no rigorous scientific evidence to back up that belief, but Mercury in retrograde sure makes a convenient scapegoat for all the stuff that’s seemed out of whack in my life, of late. These episodes include my recent fall (knee is still healing, although X-rays on Friday reassured me that nothing was broken), the disappearance of my very talented hair stylist (she left her salon and has dropped out of contact, to my great dismay), getting a really nasty cold for the past week (now in remission), and missing a significant typo on a printing job (expensive fix).

What next? Given all the bad news here on Earth these days, it’s easy to get paranoid. Or blame another planet.

Of course, none of my problems are truly earth-shattering. My body can still heal itself, thank goodness, my hair will grow back after the poor haircut I got last week from a less experienced stylist, and the print job was salvaged. The stories we tell ourselves to explain frustrating, annoying, stupid, upsetting events often don’t make much more sense, when held up to the light, than the notion that a planet controls our lives.

Time slips through our fingers like mercury—or quicksilver, if you prefer. Mishaps pass. Misfortunes change. The next time Mercury transits across the sun, I hope all of us will be in a much better place.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

Image: Hermes and Athena, fresco by Bartholomeus Spranger, circa 1585, Prague Castle, via Wikimedia Commons.

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Filed Under: Body, Mind, Touch Tagged With: body-mind balance, managing chronic disease, mindfulness, resilience

Trousers Rolled

Evelyn Herwitz · October 29, 2019 · 4 Comments

My grandmother, who was a stylish woman into her 90s, did not like growing old. “These aren’t the golden years,” she’d say. “They’re copper.”

Now that I’m 65, I have a lot more empathy for her sentiments. I don’t feel old, and I don’t think she ever did, either. But our bodies have a way of refuting that belief. All the more so with a disease like scleroderma.

I was in my late twenties when I first began to experience mysterious symptoms of arthralgia and swollen fingers, plus Raynaud’s and fatigue. When I was diagnosed in my early thirties, I quickly realized that what should have been a decade of coming into my own was, instead, a time of aging prematurely. My friends all had kids, already. Everyone else was full of energy and plans for the future. By contrast, Al and I were struggling with infertility, and I was always cold, achey, tired, stiff, losing the use of my hands, watching my face become more narrow and tight, and constantly experiencing strange symptoms, like painful breathing that turned out to be a bout of pleurisy.

It was hard to share with anyone but Al. I didn’t like going to the local scleroderma support group, because the vibe was all about how bad everyone felt. My doctors were supportive and knowledgeable, and physician friends provided some comfort. But, basically, I just kept my feelings to myself.

As my health began to improve (due to Penicillamine, which has since been discredited in the medical literature as a treatment for scleroderma, due to small research sample sizes, but which I believe saved my life), and our two wonderful daughters arrived—one by adoption and the other, by birth—I regained some dexterity and most of my energy. I went on to have a very full and active life. Thankfully, I still do.

But I also was always aware that my body was still aging faster than most of my peers’. Now that we’re all in our ’60s and early ’70s, however, that comparative trajectory has evened out. Our bodies fail, one way or another, at some point or another. All those years of dealing with limitations have given me one strange advantage—I’ve been managing with less for so long, that the inevitable losses of dexterity, mobility, and energy, as well as accompanying discomforts, just aren’t that upsetting. They’re simply familiar.

Not that I would wish scleroderma or any other long-term chronic illness on anyone at a young age—or any age, for that matter. But learning to cope with physical limits over decades has certainly made this transition somewhat easier. Or, perhaps, more silver than copper.

P.S. If you’re wondering about the title for this post, it’s drawn from The Love Song of J. Alfred Prufrock, by T.S.Eliot, a poem that takes on new depth for me with each passing year.

Evelyn Herwitz blogs weekly about living fully with chronic disease, the inside of baseballs, turtles and frogs, J.S. Bach, the meaning of life and whatever else she happens to be thinking about at livingwithscleroderma.com. Please view Privacy Policy here.

Image: Pineapple Supply Co.

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Filed Under: Body, Mind, Touch Tagged With: aging, body-mind balance, finger ulcers, hands, managing chronic disease, mindfulness, Raynaud's, resilience

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About the Writer

When not writing about living fully with chronic health challenges, Evelyn Herwitz helps her marketing clients tell great stories about their good works. She would love to win a MacArthur grant and write fiction all day. Read More…

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I am not a doctor . . .

. . . and don’t play one on TV. While I strive for accuracy based on my 40-plus years of living with scleroderma, none of what I write should be taken as medical advice for your specific condition.

Scleroderma manifests uniquely in each individual. Please seek expert medical care. You’ll find websites with links to medical professionals in Resources.

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