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Reflections on the Messy Complexity of Chronicity

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resilience

January Blues

Evelyn Herwitz · January 13, 2015 · Leave a Comment

Are we there, yet? I mean, springtime. Not even halfway through January, and I’ve had enough, already. I know, I know. Central Massachusetts is not North Dakota or the Yukon or Siberia. My heartfelt sympathies if you live anywhere nearby. But I really, really hate this.

Last week, the Arctic Vortex, or whatever you want to label evil cold weather patterns, sucked all the warmth out of the air. True, we’d been spoiled by unseasonably balmy weather prior to that. But days in the teens and nights in the single digits are not my idea of a good time.

On Thursday, the worst day of all, I decided to brave the cold, regardless, and spend it as planned in Cambridge. This required some strategizing.

I was taking the train to Boston. But Wednesday evening, I realized that neither I nor Al had cash for my ticket, which I had to buy on the train since there is no active ticket counter at our station. I did not want to have to go to the bank on the way, because it was going to be minus-20F windchill and I was not going to try to manipulate the outdoor ATM from my car or leave my car any more than necessary to enter a building. What to do?

Then I remembered my “T” app on my iPhone. Easy-peasy. All I had to do was purchase the MBTA commuter rail ticket and activate it when I got on the train. Just in case we lost Internet service in the morning due to the extreme cold (like I said, I was in high strategy mode), I made my purchase that night. The app came in handy the next morning, too, when I made sure the train was running on time.

My next challenge came Thursday morning. As I confessed last week, I had damaged both Al’s and my car with a back-up mishap that required a new bumper for my Prius and a repaired door on his Civic. My work was completed Wednesday evening. When I went into our garage, I immediately realized:

a) my car reeked of paint fumes; and
b) I had left my car key in the house because Al had driven it back from the body shop.

This required a scramble with the house key, which I managed to drop on the garage floor and struggled to pick up because, well, I can’t easily pick up flat metal objects. So I had to take off my gloves to pry it from the floor. Which made my fingers numb. I said a few choice words.

Once I finally started the car, I knew I was going to have to drive with the window cracked or risk feeling nauseated by the time I got to the train station. On the coldest day of the year. So I cranked up the heat, opened the back passenger window an inch and set forth.

Fortunately, my Prius has a great heater.

For once, I actually got to the train station with enough time to walk to the train without rushing. Ours is a huge, turn-of-the-20th-century station from the grand era of rail travel, so there was no problem waiting indoors instead of on the platform. And, as it turned out, the train pulled in just as I left my car in the open air garage. So I walked through the garage to the station garbed in two layers of sweaters, a wool shawl, wool pants, leg warmers, my heavy down coat, shearling hat, insulated gloves, poofy hood and a warm scarf to hold it all together. I looked ridiculous, but then again, I’m so used to looking ridiculous in weather that most people don’t consider cold that it didn’t really matter. Plus everyone else was bundled head-to-toe, too.

Fortunately, the heaters on the train worked. We pulled out of the station with the car’s front doors stuck open, but a hardy passenger got up from his seat and closed them, since the conductor was nowhere to be seen. I spent the next hour-and-a-half working on a client project on my laptop, very pleased to be riding and not driving in what proved to be horrible traffic, from what I could see on the Mass Pike Extension as we neared Boston.

The worst part of my trip was the walk from the train platform into South Station, bitter cold. Once inside, it was tolerable on the way to the Red Line. My next excursion outdoors—from the Red Line exit to the inside of a Marriott where I waited for my friend to pick me up—left me a bit queasy from breathing frigid air, even through my scarf, but the feeling passed once I got in the building.

Reversing the trip later in the day, I was glad I hadn’t let the bitter weather get the better of me. I relaxed into my seat on the train, noted the horrible traffic westbound on the Pike Extension with smug satisfaction, then returned to working on my novel for the rest of the ride home. My Prius still smelled like paint fumes, even after airing out in the station garage all day, but the heater kicked in quickly enough so that I could crack the window on the short drive to our house and still stay comfortable.

Best of all? When I pulled into our driveway, it was just barely sunset at a quarter to five. The Ice Man may still cometh, but at least the days are getting longer.

Photo Credit: Sangudo via Compfight cc

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.

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Filed Under: Body, Mind, Sight, Smell, Touch Tagged With: body image, body-mind balance, hands, how to stay warm, managing chronic disease, Raynaud's, resilience

The Big Bang

Evelyn Herwitz · January 6, 2015 · 6 Comments

Last Tuesday night, I was backing out of our driveway, minding my own business and listening to music, when, WHAM, I hit something. Now I’m a careful driver, and I had checked both directions before moving. It was really dark out. I was not happy.

I pulled over to the side of the road to see what happened. Not only had I hit something—I had hit Al’s Honda Civic. He’d parked on the street, because our eldest was home visiting and her car was in his normal spot to the side of the driveway, but I didn’t see his car when I backed out.

Not only had I hit Al’s car, but I’d dented the passenger door on the driver’s side. Thirty seconds at five miles an hour. Hundreds of dollars of damage. I hurried back into the house to tell him.

To Al’s great credit, he didn’t get upset or angry. He gave me a hug. We went outside to look at the door. It still opened and closed properly. He told me not to worry and to go on to my weaving class. For the next hour-and-a-half, as I wove, all I could think of was that I was determined to make the repairs, regardless of the cost.

Then I got home and took a closer look at my Prius. Not only had I dented Al’s car door, but I had cracked my rear bumper. It’s fiberglass, one piece. More dollars flying out the window. How is it possible to be driving so slowly and do so much damage to two cars?

The day after New Year’s, Al took the cars to a trusted autobody shop and got the estimates. Well, it wasn’t as bad as I expected, but it was bad enough—$750 to repair both. Oh, boy. We decided to go ahead, because I wanted to fix what I’d messed up.

So, for the next couple of weeks, we’ll have one or the other car in the shop. We’ll find the money somehow, the cars will look as if nothing had ever happened, and I will most certainly try not to make that expensive mistake again.

With a few more days’ hindsight, here are my bigger takeaways:

The older I get, the more closely I have to pay attention when driving at night.

I’m very lucky to have such a good husband who doesn’t get mad when I bang up his car.

We’re fortunate to be able to repair both cars, even if it will take a few more months to pay off the credit card.

They’re just cars. They aren’t people. No one was hurt.

Now, if only I could find a body shop that would make me good as new for $750—that would be something.

Photo Credit: Flickr Creative Commons

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.

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

Resolved

Evelyn Herwitz · December 30, 2014 · 2 Comments

How did it get to be almost 2015, already? Time to retrain myself to write the correct year on checks, once again (yes, I’m one of those people who still writes paper checks). And the correct year when I actually write notes or letters by hand (gasp!). And when I track versions of electronic documents. Or date invoices. Or write the date at the top of a page in my journal.

It’s also time for some New Year’s resolutions. Of course, you can make resolutions to do something better/different any day of the year. But there’s something about revising your habit of how you write the date, an act that filters into so many small daily tasks, that prompts a sense of newness, fresh starts, opportunity for change.

So, here’s my list of healthful resolutions for 2015, half-way through the teens decade of the new millennium:

  1. Enhance my weekly exercise routine. I do stretches every morning and Pilates once a week. But I stopped taking dance classes last summer—mainly because I was getting bored and the class involved a long drive. Time to check out a class closer to home or find something better. But I have to move, more, to keep my joints in shape and stay strong.
  2. Say thank-you to someone for something specific, each day. It’s all too easy to get stuck in all the things that go wrong. Expressing gratitude not only helps me appreciate all the good in my life—it also makes someone else’s day better.
  3. Declutter our home. This is a work in progress, to repair, repurpose or recycle what we don’t need and replace what’s broken and beyond fixing. We really don’t need so much stuff. And I feel better when our space is simplified.
  4. Favor locally grown, organic produce. It’s healthier, and it helps the planet.
  5. Write the first draft of my novel. Yes, I’m getting serious about my fiction. Started a novel in the fall, and my goal is to have a solid draft by this time next year. Investing time in my own art is central to my being—and well-being.
  6. Go/do/see someplace/something new each month. I want to keep growing.
  7. Limit multitasking. I’m really good at this, but it drains my brain. This is Part One of slowing down and focusing on what’s really important.
  8. Limit my to-do list to what I can actually accomplish in a reasonable period of time. This is Part Two.
  9. Spend undistracted quality time with family and friends. Silence the iPhone and put it out of sight. (Yes, Al, you can quote me to myself.)
  10. Give back to my community. I have to be careful with volunteer commitments, not to overextend myself and drain my energy. But I’ve found a pretty good balance between family, work and volunteering at present, and I want to continue as long as I’m able.

As 2014 draws to a close, my thanks to all of you who read this blog, to those who have shared your thoughts and feelings, and to all who care to understand what it means to live with a complex disease like scleroderma. My best wishes for a healthy, fulfilling, joyful and prosperous New Year!

Photo Credit: JoePhilipson via Compfight cc

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.

 

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

Power and Light

Evelyn Herwitz · December 16, 2014 · 2 Comments

I have a new item on my to-do list: Figure out whether we should stick with our current (no pun intended) electricity supplier, or find a more competitive source. This is important, because the rates are jumping on January 1, and we rely on electricity to power our heat pumps, which I rely on to stay warm and keep my Raynaud’s in check.

We switched over to the pumps from oil heat a couple of years ago, in an effort to make our home more energy efficient. We’ve certainly saved a lot on oil (only use one tankful a year, now), but I have to be very careful how I use the heat pumps, to manage our electric bill. There’s a pump in each room, which allows for customized, zoned heat. I try to limit which pumps are on according to where I am in the house during the course of the day.

For the most part, the heat pumps work well, but when the temperature drops below about 15 degrees Fahrenheit, we have to revert to a mix of oil and baseboard electric heat. Also, there have been days already when it’s just been so windy and cold that I’ve turned on the baseboard heat (less efficient, supposedly) in my little office and the kitchen, because it feels more even.

So, Sunday night I began sorting through all the potential options and learning about kilowatt hour charges for electric supply, plus distribution charges and more. It’s a lot to tackle, and we need to figure it out before January 1, when the rates jump.

There are many other things I would rather be doing right now than a cost-benefit analysis of our electrical supply options.

On the other hand, I’m glad we at least have options and aren’t necessarily stuck with a big rate hike. And I’m very grateful to have the means to keep our home warm enough for my body, with my broken internal thermostat, and a husband who doesn’t mind the added expense.

It’s just a cost of living with scleroderma in New England.

My quest for more cost-efficient power comes as we begin the festival of Hanukkah. We light the first candle this evening. I look forward to this holiday every year, because it always falls near the Winter Solstice. So with each candle that we light for the eight days of the festival, we’re getting closer to the point when the days will start getting longer again. Just knowing there will be more sunlight soon always gives me a boost, despite the cold temperatures outside (and higher energy bills, whatever the source).

When you light Hanukkah candles, you’re not supposed to use them to illuminate a room or as a source of light for work. You’re just supposed place the hanukkiah, an eight-branched candelabra, in a window, where the flickering candles can be seen from the street—silently, peacefully conveying their profound message of religious freedom and liberation from oppression.

Power and light come in many forms. On Hanukkah, both are free.

Happy holidays.

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.

Photo Credit: ** RCB ** via Compfight cc

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Filed Under: Body, Mind, Sight, Touch Tagged With: hands, how to stay warm, managing chronic disease, Raynaud's, resilience

30th

Evelyn Herwitz · December 9, 2014 · 12 Comments

December 9, 1984. It is sunny, unseasonably warm for Massachusetts. A good omen. I’m getting married today. It’s my second time around, his first. We’ve both been on our own for several years, and now, after knowing each other for just about nine months, we’re taking the big chance that our instinct is right and we’re meant to spend the rest of our lives together.

Our rabbi—who was Al’s Hebrew School teacher growing up, and my mentor when I landed in this community after my divorce—is performing the wedding. He’s responsible for our meeting. (He gave Al my name and number, then later apologized for not asking my permission first. We’ve laughed about this many times, since.)

After an eventful ceremony (one of our friends, who is helping to hold up our wedding canopy, faints, and my dad steps in to take his place, but we’re so absorbed in each other we don’t notice), after a great party with kosher Chinese food and Klezmer music, we drive to Cape Cod for our honeymoon. We discover the magic of Nauset Beach, in December, at night. The sand is phosphorescent and sparkles in the moonlight.

Thirty years later. A Nor’easter is whipping up the coast, but fortunately it’s bringing only rain and wind, not mountains of snow. We’re going out to dinner tonight to celebrate our anniversary. On Friday, our daughters are coming home from their respective graduate programs for Shabbat dinner, the first time in months we’ve all been together, just the four of us, for a meal. Their idea.

I feel so fortunate to be writing these words. Simple things, dinner out with your husband of three decades, Friday night dinner at home with your grown daughters. We’re thinking about what else we might do, later this year, to celebrate coming this far together. But right now, this feels just right.

Our first year together was fraught with medical crises. Only a month after our wedding, I learned I had some kind of auto-immune disease—maybe rheumatoid arthritis, maybe lupus, maybe scleroderma. Just as I had put my life back together again, it all seemed to be unraveling. Later that first year, Al’s mom had the first of two strokes. Al wore himself out, running back and forth to the hospital to visit her, working and leading a youth group. He came down with mononucleosis, his spleen ruptured, and he needed emergency surgery. When they opened him up, the surgeon found six pints of blood in his abdomen. He was held together by a blood clot.

Al came home from the hospital the day before our first anniversary. In the decades that have followed, we’ve each had our share of medical scares, and we’ve seen Al’s mother and both of my parents through the illnesses that eventually took their lives. We’ve been in and out of hospitals and ER’s with our daughters, too.

But we’ve been lucky. So very lucky. With all the medical challenges, with all the stresses of raising a family and keeping our daughters safe in a troubled world and providing them with a good education and making ends meet and finding work and surviving layoffs and starting my own business—with all of that, and much more, we’re still here. Together.

Over the weekend, Al and I decided to sort through all the books, the many, many books in our home, to give away the ones we no longer want and make room for the ones we want to keep. I can’t take books off the shelves easily. It hurts my hands. So Al did all the moving and shuffling and reorganizing, while we talked through what should go where. Do you want these alphabetized? he asked. Yes, but within categories, I said, like poems, plays, essays. Ok, he said, how about this way? We worked like that for several hours, Saturday night and Sunday, too. We can now find all of our books. But the best part—it was fun.

Maybe it’s taken all that’s come before to be able to sit back and appreciate the simple beauty of being able to organize a few thousand books with your husband on a cold wintery weekend, when your hands don’t work, and his do. It’s the kind of deep, abiding, dependable love you can only discover through traveling a rough road together.

Marriage is hard work, especially with a chronic disease as an unwanted third partner. I wish we could have gotten to this place without my scleroderma. But maybe there was no other way. And I’m very grateful that we’ve made it this far.

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.

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Filed Under: Body, Mind, Touch Tagged With: hands, managing chronic disease, 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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