I didn't write it but it says a lot about me & my MS.

KK
############

Understanding What Having MS Means 
by ?? 

Having MS means many things change, and a lot of them are invisible. Unlike 
having
cancer or being hurt in an accident, most people do not understand even a little
about MS and it's effects on us; and many of those who think they do know are
actually misinformed. In the spirit of informing those who wish to understand.. 
. 

These are the things that I would like you to understand about me before you 
judge
me: 

Please understand that being sick does not mean I'm no longer a human being. I 
have
to spend most of my day in considerable pain and exhaustion and if you visit I
probably don't seem like much fun to be with, but I'm still me stuck inside this
body. I still worry about school, and work, and my family and friends, and most 
of
the time I'd still like to hear you talk about yours too. 

Please understand the difference between "happy" and "healthy". When you've got 
the
flu you probably feel miserable with it for a week or two, but I've been sick 
for
years. I can't be miserable all the time, in fact, I work hard at not being
miserable. So if you're talking to me and I sound happy, it means I'm happy, 
that's
all. It doesn't mean that I'm still not in a lot of pain, or extremely tired, or
that I'm getting better, or any of those things. Please, don't say "Oh, you are
sounding better!" I am not sounding better, I am sounding happy. If you want to
comment on that, you are welcome to. 

Please understand that being able to stand for 10 minutes doesn't necessarily 
mean
that I can stand for 20 minutes or an hour. Just because I was able to stand up 
for
30 minutes yesterday doesn't mean I can do the same today. With a lot of 
diseases
and disorders one is either paralyzed, or they can move. With MS it's far more
confusing: one hour or day or week or year we may have normal - or almost 
normal -
mobility; the next hour or day or week or year we may be unable to sit, stand, 
walk,
think, remember, or even get out of bed, we may be unsociable or depressed, and
almost assuredly we are in pain. We have good days and bad, and during our good 
days
we may truly not "look sick", but we are. 

Please understand that making plans other than immediate ones is a crap shoot at
best, because we can't know how we will feel or what our physical, mental or
emotional condition will be. If we seem to hedge about making plans with you, 
please
understand it's because we truly don't know if we will be able to honor them. 
The
same applies if we have to cancel plans previously made or invitations, even at 
the
last minute - it is not personal, and it makes us as frustrated and sad as it 
does
you! That is what MS does to us, and it's how we must live our lives. It is not 
just
a matter of sucking it in, or bucking up, or psyching ourselves up; believe me 
if we
could, we would! 

Please understand that MS is variable - with each person and from person to 
person.
It is quite possible and often all too common, that one day I can walk to the 
park
and back, or bicycle 2-4 miles, or swim 12 laps, or even run with my dog; while 
the
next day I may have great difficulty getting out of bed, walking to the 
kitchen, or
be unable to walk at all without a cane, walker or other mobility aid. Please 
don't
attack me when I can't do today what I did before by saying "but you did it
yesterday!" or "you did it before!" Your frustration can not begin to compare 
to our
own frustration. The very act of planning while not knowing what condition we 
will
be in is stressful and tiring in itself. If you want me to do something with 
you, or
go someplace with you... ASK if I can. I may well dearly want to go, but simply 
be
physically unable to do so. Understand if I have to say no today, but please 
ask me
again soon. 

Please understand that "getting out and doing things" does not make me feel 
better
and can often make me seriously worse. Telling me that I need a treadmill, or 
that I
just need to lose (or gain) weight, get this exercise machine, join this gym, 
try
these classes, take these vitamins, herbs, tonics and snake-oil cures will 
frustrate
me to tears and is totally incorrect. If I was capable of doing things, don't 
you
think I would? And when I am capable, I DO! I work with my doctors and physical
therapists and follow the exercise and diet plans they prescribe. 

Another statement that hurts: "You just need to push yourself more..." 
Obviously, MS
directly impacts muscles and ours do not regenerate as quickly as yours do. 
Pushing
ourselves beyond comfortable physical limits can be dangerous and cause a severe
relapse. On the other hand, doing what we can when we can is excellent therapy 
both
physically and mentally... and we do! If I work at a part-time job for 4 hours 
one
day, my fatigue level is greater than yours if you worked a 12 hour day. Many 
days I
can still do anything I ever did as well as I ever did ... but only one thing 
per
day or week or month. Everything drains us and exhausts us exponentially more 
than a
normal, healthy person our age (whatever age that is); our recovery time is also
exponentially greater. If I go to a party or dinner and show tonight for several
hours and have a wonderful time, I do so knowing with 99% certainty that 
tomorrow I
will need all day to rest and recover, much of it spent lying down. MS
causes secondary depression in and of itself; our depression may escalate when
dealing with days on end of constant pain and limited mobility or cognitive
function. We are NOT tired because we are depressed! We are depressed because 
we are
so tired. 

When I say I can't do something because I am so fatigued, please don't say "Oh I
know what you mean! I am worn out too, but..." because you don't. MS fatigue is 
not
like any tiredness you have ever experienced, nor has anyone who does not have 
MS or
other fatigue-producing disorder. I know you mean well, but it's irritating to 
hear
because it tells me you don't understand me or my MS at all. I may well be just
plain tired - we get normally tired during remission phases just as any normal
person does - but trust me: we know the difference, and it's huge.

When we are together, please understand when I say I have to sit down, lie 
down, get
a drink, take these pills, or get into a cool place that I have to do it and do 
it
now! No, I can't walk another 5 blocks to the car, or walk back down the hill I 
just
climbed up. Don't baby me, don't hover over me, don't do things for me unless I 
ask
- we are very proud and never want to be a burden. Our independence, or what we 
can
retain of it, is of paramount importance to us! Please help by listening to and
believing what we say we need and act upon it accordingly and as quickly as
possible. You wouldn't question a known diabetics request for orange juice or
insulin, so please don't question us or urge us to 'keep on... we are almost 
there!'
Not unless you are prepared to a) carry us the rest of the way or b) call 911. 
MS
does not wait, nor does it forgive... when we say "please ... now!" it means 
now. 

If you want to suggest a cure to me, don't. It's not because I don't appreciate 
the
thought, and it's not because I don't want to get well. It's because I have had
almost every single one of my family and friends suggest something at one point 
or
another. At first I tried them all, but then I realized that I was using up so 
much
energy trying things that I was making myself sicker, not better. If there was
something that cured, or even markedly helped, all forms of MS the world would 
know
about it. If you still insist on promoting 'cures' to me or giving me 'this will
make you better' advice, do so; but understand I won't rush out and try it 
though I
may well continue to research it on my own and discuss those findings with my
doctors. 

In many ways I depend on you... people who are not sick... I need you to visit 
with
me when I am unable to go out; sometimes I may need you to help me with 
shopping,
cooking or cleaning; sometimes I may even need you to do those things for me. I 
may
need you to go with me to my doctor appointments to help me remember and 
understand
their direction, or I may just need a ride. I need you on so many different
levels... as much as possible, treat me as normally as possible, enjoy me and 
allow
me to enjoy you as much as possible, and.... as much as it's possible... 

I need you to understand me.

____________ _________ _________ _________ _________ __




 
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