Living with Scleroderma

Reflections on the Messy Complexity of Chronicity

resilience

Aging Grace

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I turned 72 on Saturday. It was a birthday when I felt my age more than I would have liked. A couple of weeks ago, I aggravated an old lower back injury, trying to do more than I should have. Thought it was resolving, just a bit sore. Then on Wednesday afternoon, after I got back from driving once again into Boston environs to take care of my loose crown (yes, it’s finally tight and stable!), after I sat at my computer for several hours, when I tried to get up, I could hardly stand.

What the . . .  ?

It was really quite astonishing. I couldn’t get up easily or sit without pain, couldn’t walk without pain, couldn’t bend over. Called our PCP’s office and spoke with one of the nurses, asked what to do and if I needed a PT referral. She promised to get back to me, but for whatever reason, I did not hear anything, so I called the coverage after hours. That nurse, who, from background noise, appeared to be working from home and a bit distracted, nonetheless read me the notes I hadn’t received: warm compress, lidocaine patches, heating pad, rest, gentle stretching, OTC pain relief. I knew all that already, for the most part, having been through this a few years ago. But followed her suggestions.

Spent the next few days mostly on my back with a heating pad. I was able to visit with friends on the afternoon of my birthday, a very welcome break, and then go out to dinner with Al that evening, but scrapped our plan to see a play matinee on Sunday because my back felt worse again. We’ll make up for it another time.

By Sunday evening, I realized that part of the problem could be the memory foam topper on the bed, which I hadn’t flipped in months—necessary to keep it from getting too squishy, because soft bedding is not good for my back. So Al helped me remake the bed, and Monday morning I was feeling a bit better again. As I write this at my desk, I have the heating pad on my back.

Our geriatrics team called me late last week to follow up and set an appointment with our NP to make a home visit on Wednesday. So that will be my opportunity to review progress and figure out the PT question. I’m glad she can come here, one less drive and office waiting room to sit through. I’m feeling more confident that this, too, shall pass, as my mom used to say (an aphorism that used to drive me crazy, but bears remembering).

Above all, I realized that this birthday’s lesson was all about patience and being realistic about my limits. The older I get, the more relevant it becomes to remember that I need to set some boundaries for myself, even as I do my best to stay healthy and strong. My body is aging, all the more so with scleroderma, and that is just how it is.

At moments like these, I hear T.S. Eliot in my head, from The Love Song of J. Alfred Prufrock:

I grow old . . . I grow old . . .
I shall wear the bottoms of my trousers rolled. 

Here’s to another year. May we all age as gracefully as we can.

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: Julien Tromeur

And Now for Something Completely Different

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When I am not writing about living with scleroderma or helping my clients with marketing and communications strategy, I pursue my own writing. Fiction, that is—historical fiction, in particular.

Back in 2014, I began working on a novel set in World War I about a mother whose estranged daughter runs off with her beau to drive ambulances for the French war effort, and the mother’s journey to bring her back home. It took seven years to research and write, and it’s taken another four-and-a-half years of searching for a literary agent and/or publisher. But persistence finally paid off, and I’m thrilled to share that my debut novel, Line of Flight, will be published by Köehler Books this December.

I write about the process of creating historical fiction on my Substack, History Making, and you can read a bit more about how this all came about here.

You’ll also find a bunch of essays there about how I researched the novel, as well as the novel I’m working on now regarding art and censorship in Weimar Germany.

As I’ve written here before, we are all much, much more than our diagnoses. In my heart of hearts, I’m an artist. Words are my medium. I’ll be sure to post here when the book is ready for pre-order, for anyone who’d like to read about something other than living with scleroderma. Thanks.

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: Getty Images for Unsplash

700-plus

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I didn’t realize it at the time, but at the end of December, I wrote my 700th post on this site. I launched Living with Scleroderma on January 3, 2012, and have been posting nearly every week since, with time off for good behavior when on vacation.

That’s a lot of posts. While there always seems to be plenty to write about all the daily challenges of this complex disease, my goal since the beginning has been to emphasize the living over the scleroderma. Whether it is this autoimmune disease or another chronic condition, the biggest challenge of all is to understand that you are much more than your diagnosis. It is a part of you, certainly, and commands all too much attention some days. But I strive not to let my scleroderma define me.

Writing about it weekly, a good discipline in itself, has really helped me to maintain that perspective. Most days, even as I’ll curse like a sailor when I accidentally bang one of my fingers, right where the calcium is pushing just below the skin or at the jagged bone at the tip of my resorbed digits, I don’t really think about it. Scleroderma is a demanding presence in my life, but it doesn’t own me.

Because I can’t let it.

And so, Dear Reader, some of whom have been with me for the past 14 years, thanks for your interest, your comments, and your encouragement. May we all live the fullest lives we are able. Each day is a gift.

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: Beth Macdonald

Fast Forward

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Daylight Savings Time crept up on me this past weekend. Really, is it already time to set the clocks forward an hour? I find this adjustment jarring. I’d rather just let the sun tell me what time it is.

According to Harvard Health, we’d all be better off sticking to standard time. But DST has been a national law since 1966, and attempts to do away with it have consistently failed to pass Congress. Given all the insanity in Washington these days, no chance of this becoming a priority.

So, I dutifully set all our clocks ahead Saturday evening. I even went to bed an hour early, since I was pretty tired. It felt later. I should wake up fully rested, right?

Good plan. Didn’t work.

First mistake was reading a very good play after I turned off the TV. It only took me an hour, but that was the hour I thought I’d saved. Then I tried setting up my iPhone for a meditation to help me doze off, but at that moment, my phone decided it was time to update its operating system and shut down to load the software.

When that finally finished, I was too annoyed to relax. Eventually I settled down, then picked a sleepcast story that was far too interesting, all about traveling in Japan. At some point I dozed off, but then woke again to shift positions. Aargh!

By the time I finally was ready to sleep, it was at least 1:30 a.m., actually 2:30 DST. Reset my alarm for 9:00 a.m., which was 8:00 a.m. in my circadian cycle still tuned to EST. I got maybe five hours of deep sleep and gave up about 10 minutes before my alarm was set to go off.

Somehow, I still got through the day. As I write this on Sunday evening, though, I am ready to pack it in. Hopefully, my body will reset over the next couple of days. Check out that Harvard Health link, above, for some ways to ease the transition.

Sleep well, Dear Reader. Sleep well.

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: Eric Hoarau

White Out

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As I write on Monday afternoon, all is white outside, once again. We are in the midst of a blizzard that has slowed down our corner of the world. Maybe a foot-and-a-half of snow when this is over later today, maybe a little less, maybe a little more—on top of all the snow that hasn’t yet melted from last month’s storm. Al has shoveled half our drive, so far, and is taking a well-deserved break. Thankfully, we still have power and heat.

All appointments and my acting class cancelled, once again. But we’ll catch up, eventually.

Big storms are humbling. And disorienting. Is it Monday? Or still Sunday? Does it matter?

Outside, the birds and squirrels know how to cope without worrying about what day it is or what comes next. I’m trying to take my cue from them.

Stay safe out there, all.

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.