CFIDS - Chronic Fatigue … My Story & Resources
Can you explain what it’s like?
Remember the last time you fell ill with the flu, or something that exhausted you? After a number of days of severe weakness you thought, “Ok, I’m getting better … I’ll get up and …” (go to the store, make some food, take a shower). Soon-after you felt dizzy and exhausted and returned to the couch/bed thinking, “Ooo, I overdid it.”
That’s my life. Every day. Except I no longer push myself … if I do that I can wake up exhausted!
One of the easiest ways to understand the chronic exhaustion (which is literally the tip of the iceberg, in terms of multiple-malfunctioning physiological-neurological issues) part of ME/CFIDS, and how I have to manage my daily use of energy is through reading about the Spoon Theory or The Energy Envelope Theory.
There were previously years of daily pain, exhaustion, emotional and physical overwhelm (imagine a really bad flu for years) and I won’t sugar coat it: there was such neurological brain-fog overwhelm, with so much stiffness, that it would (and can, a lot less these days) drive my mind to believe that’s all there will ever be. It got so bad that I went through years of clinical depression and suicidal feelings.
Imagine that you’ve stayed up all night, you have the flu, there’s a car alarm going off just outside your door, your dog is barking, and you haven’t eaten in 48 hours. That’s what it can feel like if I haven’t managed my energy output.
So, what do I do?
So, I’ve lived with the flu 24/7/365 … for almost 3 decades.
I see MD’s, I get massage, see a TCM, go to a chiropractor, see a hypnotherapist, meditate, and I have a lovely life within my energy envelope. There have been periods of greater illness and less, depending on what I’ve been exposed to (mold/depression) or where my life stress is currently residing.
I work with a “functional medicine” MD who specializes in “acquired environmental illnesses” – the hope is she can help me reboot my brain and body, but in all honesty I don’t expect to ever be ‘back to’ what I once was.
I do what you do: I weigh out what I can and can’t get done in a day (read the Spoon Theory page). I see MD’s, I rest, I don’t hike, swim, bike, run or anything that overtaxes my immune, energy, or emotions — anything (which is everything) that uses up energy in you uses up 50x the amount of energy in me … you can ‘recharge’ overnight, that same recharge may take me 3-10 days.
Aren’t you bitter?
The thing I close with is this: adversity will either make me complain and look at the shit side of life, or teach me that life is amazing and full of joy, wonder, and love – on the days when CFIDS has me by the throat I can, sometimes, remember this … when I can’t I do remember: “This too shall pass.”
I call CFIDS the "spiritual meathook” because I’ve had to adapt and love life on life’s terms, not mine. Things that might bother the average person (pain, exhaustion) are issues I’ve learned to live with, like a messy roommate! I’m no saint but I do have a much higher tolerance for what others might consider suffering.
It’s a karmic journey: one that has taught me a lot about privilege, gratitude, and appreciation.
What happened?
In 1993 I partook in a meal with my roommates of fresh mussels and linguine. We were 8 gay men living in Provincetown, Massachusetts sharing a house for the summer.
Just afterwards we all fell deathly ill, coming down with the liver infection disease “Hepatitis A” (CDC). My roommates recovered from the constant fatigue, sleepy sickness, digestion/liver issues within weeks – I never have.
This is what’s known as an “onset incident/illness.” Something triggers the immune system (stress, illness) and bang! it goes haywire.
What is it?
“Myalgic Encephalomyelitis (ME/CFIDS) is a chronic, inflammatory, physically and neurological and immune-mediated disease that presents with symptoms involving multiple bodily systems. It is frequently triggered by a viral infection or a flu-like illness. ME/CFIDS presents with symptoms in the central nervous system (CNS), autonomic nervous system (ANS), immune system, cardiovascular system, endocrine system, digestive system, and musculoskeletal system.”
“It is possible that ME/CFS is caused by a change in the person’s immune system and the way it responds to infection or stress. ME/CFS shares some features of autoimmune illnesses (diseases in which the immune system attacks healthy tissues in own body, like in rheumatoid arthritis).”
What do you mean by ‘energy’?
We each have a system that creates energy in our bodies (Mitochondrion/ATP) the gas tank, so to speak. In very simplistic terms mine is too busy fighting ghosts (high titers of infections) that it thinks are problematic. Some are a real threat (mold) some are not (Herpes Human Virus 6).
You can refill your gas tank overnight and empty the entire contents the next day on a 5 hour hike (maybe), I have to drip out the contents of my gas tank and it takes me days/weeks to refill mine — if I budget my energy my life is OK. If I don’t the exhaustion, body/joint pain, emotional overload, poor digestion, restless sleep, and general malaise come screaming back.
What can you do to help me?
Remember that your well trained mind won’t see me as Differently Abled. If you spend enough time with me you’ll see my daily practices of rest and effort. If there are things we can do together remember that I’ll need accomodation: we drive to the “hike” (for instance), and it’s a flat paved path that I can walk for a total of 30 minutes; remember that high stimulation isn’t my friend so I wont stay out late, go to a concert, or go to a street protest.
Read all you can, for about an hour; then remember that the first thing I want you to remember about me is that I’m queer, bi-racial/bi-cultural, and differently abled. Then the first thing I want you to forget about me is all of that: get to know me for who I am, not my “differences.”
Remember that if you can: go for an hour hike, go skiing, bike ride a leisurely afternoon for hours, lift weights, or do morning aerobics … I can’t. And likely never will. When you see me it’s when I’m functioning well – the rest of the time I’m very carefully managing my energy output and my symptoms.
“The purpose of life is a life of purpose.”
Thank you for reading. Don’t wait until life kicks you in the privates to apprecaite it … it might be too late. Love, Kenji.