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Living with Scleroderma

Reflections on the Messy Complexity of Chronicity

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COVID-19

Coping Mechanisms

Evelyn Herwitz · March 31, 2020 · 2 Comments

I hope this post finds you and your loved ones safe and well.

I’m grateful to report that the only inconvenience I’m experiencing at present is damp, chilly weather that has kept me from taking a walk over the weekend. This should be my greatest problem in a pandemic.

It even hailed for about ten minutes on Sunday night, pea- to marble-sized chunks of ice that flung out of the sky, hammering our kitchen skylights and bouncing on our deck. As a trained weather spotter, I dutifully reported in to the National Weather Service office in Taunton, Mass., and the guy who answered could even hear the racket over the phone.

Nature has been teaching us a lot of hard lessons lately about unpredictability, risk, and our precious, fragile lives. When I wake up in the morning and take a deep breath, I’m grateful that my lungs fill easily, painlessly; that my temperature is normal; that Al here at home and my adult daughters in their respective cities are all well.

But sleep does not always come easily or consistently. I woke too early Monday morning from some kind of dream about COVID-19, wondering why Prince Harry and Meghan would move to LA right now. Doesn’t Canada have a better health care system? (Of course, with their wealth, health care costs are not an issue.) Just one measure of how too much news is penetrating my brain.

So I have been trying to figure out a way to cope with this pandemic and fears about my family’s health, for the long haul. I cannot keep riding the anxiety roller coaster, one day feeling calm and absorbed in my work or other activities, the next, waking up to remember we’re still stuck in this unfolding horror story and imagining the worst.

It’s simply not good for my health. When I first developed scleroderma more than 35 years ago, I was coming off a divorce, anxious and stressed and depressed, pumping far too much adrenaline into my system for too long. I have no proof, but I believe that months of fight-or-flight response triggered the onset of my disease. Research indicates that my hunch is a good one.

So, here’s where I’m at, as the pandemic continues its inexorable spread:

I have a great writer’s imagination. It is not helping me right now. I have to trust that I will be able to deal with whatever COVID-19 dishes up for me and my family as best I can. I can’t anticipate it, because there is no way to know what may or may not happen. I’ve done my due diligence research about local resources and what first steps to take if one of us gets sick. I’m following our city’s response team briefings, as well as our governor’s, and reliable media resources. I listen to Dr. Fauci and am very grateful for his presence.

I need to go on a COVID-19 news/social media diet and restrict my reading, watching, and listening to certain times and time limits during the day. Still struggling with that one, but I find myself adjusting to the awareness that the numbers are just going to keep going up for a while. I can’t change the reality of our present crisis. I can only do my part to follow the public health guidelines. So staying informed is important, but the value-added of each additional report about the latest scary detail is not adding to my understanding or well being.

Meditation really helps me to calm down. So does writing. So does listening to my favorite music. So does visiting online with family and friends, or writing longer emails to people I haven’t seen in a while, or calling on the phone. Walks are a necessity, as long as the weather permits.

When I have time in the evenings, I’m removing old childhood photos from Herwitz family albums to be digitized, and musing about how little we know about how life will turn out. One of my favorites is a portrait my father took of me and my mother when I was about 15 months old. I’m staring into the camera with an annoyed glare, probably tired of the photo shoot, as my mother holds me in her lap. There’s a bandage on her finger from where I had bitten her—a story she loved to tell, to rib me.

I’m usually smiling in most of those childhood images. But in that one photo, there’s a feisty determination in my eyes that gives me encouragement. It’s a quality that has served me well in learning to live with scleroderma—with an emphasis on live. It’s as if I’m telling myself, across the decades, that I and my loved ones will find our way through this, too.

God-willing, we all will. Stay home, stay safe, and keep washing those hands.

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 Tagged With: body-mind balance, COVID-19, managing chronic disease, mindfulness, resilience

It’s Always Sunny in Philadelphia

Evelyn Herwitz · March 17, 2020 · Leave a Comment

This past weekend, I flew to Philadelphia to spend a long-planned weekend with my younger daughter. We had originally intended to enjoy the Art Museum, dining out, and some quality mother-daughter time, to mark her birthday next week. I was also going as her support for a medical diagnostic procedure on Monday. But with the intensifying spread of COVID-19, the decision to travel was complex.

Driving to Philly from our home takes a good six hours. The flight takes under an hour from our local airport, which is a ten minute drive from our house. Under normal circumstances, it’s a no-brainer.

But flying is now fraught with worries about the risks of picking up the coronavirus in public spaces—and spreading it to others. My daughter was quite concerned for my health and willing to postpone my visit. I, however, was not willing to give up so easily.

Ultimately, after conferring with my long-time rheumatologist about my risks of dealing with the virus, and given that I have no coronavirus symptoms, nor have I knowingly come in contact with anyone who has traveled abroad to hot spots, I decided that I would make the trip. I took extra precautions, wearing latex gloves in the airport and on the plane, wiping down my seat belt, arm rests and head rest with disinfectants, not using the tray table. The flight is on a small American Eagle jet, and it was only a third full both ways, so no trouble staying three to six feet away from fellow passengers. No one was notably coughing.

I kept a wide berth from other travelers as I walked through and waited in airports. My daughter picked me up in Philly on Friday, and I sat a safe distance from my congenial Lyft driver on the way to the airport Monday afternoon. (I gave him a good tip, because business is understandably slow.) Al was waiting for me when my flight arrived back home.

Over the weekend, we had a very meaningful mother-daughter visit, with some important conversations about what’s happening and what could happen, a talk that could only occur in person. We ate in, took a sunny walk around the Art Museum (which was closed) and along part of the Schuylkill River Trail, did some sewing and crafts, and binge-watched Netflix series. I took her to her medical appointment, and, thankfully, all went well. Given all the uncertainty about travel in coming weeks and months, it was all the more important to visit now, when it was still possible.

Back here in Massachusetts, schools and universities are closed, restaurants and bars shuttered except for take out, and many people are now telecommuting. Public gatherings are restricted to no more than 25 people. My synagogue is closed, though conducting daily minyan via Zoom. My dentist is closed except for emergencies over the next few weeks. My weaving studio is on hiatus. My German classes are canceled this week and shifting to online next week. My gym is closed. Grocery stores and pharmacies are exempt from these restrictions, so far. Al’s work has shifted to a hybrid of work-from-home and in-person visits to his social work clients. I am well-accustomed to working from home, so my daytime schedule is status quo. Others are not so fortunate.

I’m sure that you, Dear Reader, are experiencing similar disruptions. None of us knows what is next. All I know is that I’m glad I went to see my daughter while I still could, and I’m glad I’m back home.

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, Taste, Touch Tagged With: anxiety, body-mind balance, COVID-19, managing chronic disease, resilience, travel

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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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