For me her feelings have reminded me of a blog I had meant to post on my birthday, but never quite got the nerve. The timing wasn’t right. I was filled with fear and doubt. But, today, in honor of Angela, I am posting what birthdays have come to mean to me in hopes that it will help her see the true blessing of this day.
A Different Take on Birthdays
Unlike so many women who see the passing of another year as an assault on their youth, I’ve actually come to see birthdays as a great accomplishment. I love the American Cancer Society advertisements with famous people singing happy birthday in honor of living another year cancer-free. (In fact, last year on my birthday, I actually happened upon one of those internet video ads whereby Celine Dion serenaded me with my own personal birthday song - coincidence, or the universe working as it magically does?) The reality is that every year of life is the ultimate gift, and for anyone living with any type of illness or personal challenge, it is the ultimate achievement.
On Coming Out with Chronic Illness
Although I have never truly "come out" in my blogs (and in many cases in my personal life) regarding the full consequences of my chronic illness, I am slowly learning to live and speak my truth. I have been living with chronic illness since my early 20s (that's around 15 years for anyone dying to do the math), and I’ve been blogging for over four years now. Yet, in all that time I have only toyed with the idea of being more of an outspoken advocate for women's health issues. My fear has always kept me quiet.
Fear of ...?
What's to fear you might ask? That's a good question, and one I ask myself regularly. The answer however is extremely complicated and emotional, and I haven't figured it all out just yet. But, in short, it boils down to a fear of judgment - that people would see me as less than I really am. I have worried that if I publicly discussed my illnesses that I would slam the door on various opportunities in career, education, even friendship. I worried that potential employers would question my capabilities thinking I was not a good worker or the best health writer for the job. Or worse, that people would label me as a "whiner" because they couldn't fully relate to the challenges I experience, or the many ways in which I work on bettering myself and my situation every day.
What Chronic Illness Creates
My reality of course is far different from any of those judgments, as I suspect is the case for many sick women who go about their days keeping their illness under wraps. Illness has forced me to become incredibly efficient and savvy. I know how to maximize my energies and talents in ways that healthier individuals often don't - mostly because they don't need to - but also because they haven't learned how to truly appreciate their abilities and use them with a passion and appreciation. In short, I am actually smarter, more compassionate, more driven now than I was before I was diagnosed with several autoimmune diseases.
The Big Reveal
So, [deep breath] here it goes, here are the details of my descent into chronic illness...
I was diagnosed with Hashimoto's Thyroiditis when I was just 22. Since Hashimoto's is an autoimmune disease, it meant that my body was slowly attacking and destroying my thyroid gland. In retrospect the diagnosis wasn't especially surprising since my Mom also had that genetic illness. (As an aside my Maternal Grandmother had Insulin-dependent Diabetes, my Uncle has Parkinson's and my Cousin has MS which are all autoimmune conditions, so the genetic component is pretty strong for me.) Genes alone don’t predict if someone gets autoimmune disease, but having them present makes it much easier for fate to step in. And, fate when it comes to autoimmune disease can be triggered by a great many things – toxins, stress, viruses, hormones, nutritional deficiencies, etc. There are probably as many causes of autoimmune disease as there are types (over 100). Personally, I suspect that I had low vitamin D levels as the product of living in the Northeast (RI). In addition, as a teenager I ate very poorly, constantly dieting and restricting my fat intake, not to mention I was a classic overachiever participating in multiple sports while juggling jobs and honor’s classes. That stressful combination, teamed with the hormonal changes of puberty, left me at a greater risk for illness to set in in my teens which is when I suspect I actually developed the disease.
At the time of diagnosis I was having a routine physical so that I could start my Dietetic Internship. The diagnosis was actually a bit of a relief because throughout high school and college I had to nap frequently and I couldn't lose weight no matter what I tried. So finally having a diagnosis was a blessing. It was quite lucky too since it is very rare that physicians catch the disease in young women. The classic symptoms - fatigue, weight gain, dry skin, coarse hair, low blood pressure, puffy face, intolerance to cold - all applied, but I thought they were all normal so I never really complained. Had I not been fortunate enough to see my mother's endocrinologist for that fateful visit, I don't think the illness would have ever been caught that early.
The years since diagnosis have been rocky. I have watched my thyroid levels teeter back and forth leaving me exhausted one month, and riddled with anxiety (a symptom of hyperthyroidism) the next. The autoimmune response has spread to other parts of my body leaving me with Sjogren’s Syndrome and gluten intolerance. I struggle daily with fatigue and problems with digestion. And, naturally I have bad days where life just doesn’t seem fair or even tolerable. But, overall I know I am lucky. Being sick has given me a greater sense of compassion, it has helped me drop the notion of perfection and it has forced me to learn about health in a way that no amount of education could ever instill. It makes me a better writer, a better friend, a better daughter. And, it even has forced me to surround myself with more loving and caring friends (like Angela).
It’s All Relative
I share this tale of woe simply to say life really is all relative. Sometimes we begin to measure our lives by the wrong yard sticks. We think that ever passing year should bring success, money or other tangible reward. But, maybe each passing year should simply serve as a reminder to always look at the bright side of things. Maybe that is why we represent each year with a candle? The more candles on the birthday cake, the brighter the flame.




