Thursday, May 31, 2012

How many times do I have to explain?

By Kim Friday, April 03, 2009

There is a lot going on in my world, just like most people out there.  The difference is that I can't keep up now that I have RA.  My daughter is graduating from college, which entails a move.  One of my best friends is getting married.  This is the busy time of year at work.  Then my daughter calls last week and announces that she is engaged and we recieved an invitation to a b-day party this weekend.  I know I am blessed and don't want to tempt fate by complaining because I think after 4 and 1/2 months on Plaquenil it may be working.  I feel much less miserable and am afraid that if I do everything I would "normally" do, it will come back.  Is there a way to gracefully manage all of this or will people just eventually stop inviting me or asking me to do my magic coordinating?

I'm so tired, please bear with me.  Any advice would be appreciated.

Sitting on the side lines
4/ 3/09 8:40pm

First of all, I think what you are describing is referred to as "fear avoidance" which can keep chronic pain suffers from doing activities they fear will make their symptoms worse. The problem is that if left unchecked (or rather, untested), this type of avoidance can actually lead to worse disability.

 

Now, having said that, it is important for us to know our limitations. The way to know them is to a) ask our doc, and b) find out the hard way! I am always learning my limitations, as they change so much!! Just reading all the stuff you have coming your way, I get exhausted! I imagine you are feeling the same dread.

 

One thing I have learned is that sometimes, if something is important to me or my loved ones, I have to suck it up and go for it...and pay later. I try to schedule in the "pay out" time when I have to do more things than normal. If, for instance, I have company coming in from out of town, I plan ahead, rest ahead, and plan for rest each day. Then, I plan for downtime after all the festivities. It's all about priorities.

 

Also, I am the worst at getting ahead of myself. I get stressed about things that are going to happen way before they happen! Try to stay in the moment, prioritize your energies, and allow time in your scheduling to account for unforeseen physical reactions (like going to a wedding, but skipping the reception because you slipped off your shoes in the car and can't get them back on your swollen feet!).

 

Prioritize. Delegate. Learn to say no, but take the chance on saying yes if it is really important!

4/ 4/09 9:35am

Thank you for the encouragement to reach past my fear and experience some major milestones in my loved ones lives.  I avoid certain activities also because I don't want to explain that I can't go any more, that I've "hit a wall".  The pain is easier to get used to than the looks on people's faces when I remind them that I'm kinda sick.  I can't blame them for wanting to believe that I'm fine now, because I want to believe that more than anything.

You reminded me that life isn't either all good or all bad.  I'll enjoy as much of the upcoming preparations and festivities as I can, which in the end will be much better than bowing out and not participating at all.  Thanks too for reminding me to pay attention to my limitations and build in time for rest.  So many details.  RA takes more planning than any party!

Lene Andersen, Health Guide
4/13/09 12:38pm


Learning to work within your limits is an essential part of living well with RA, but it is very hard. Especially if you've always been very involved in assisting others. Yes, there are things that you have to do because there important to the people you love, but you also have to remember that if you exhaust yourself, you ultimately won't be of any help to them at all. Having a honest and loving conversation about your limitations with the people who have asked you to help them in something that's important to both of you may be a good idea. That way you can find ways to be of assistance that don't tax your resources in the same way as something very physical. E.g., instead of packing boxes, you can call different moving companies and get quotes. You go to the birthday party, but leave earlier than you normally would and helping your friend plan the wedding could involve making phone calls to get resources and information rather than running around, etc. You can still help, but need to find a way to draw boundaries so it doesn't suck up all your energy. It can be a difficult line to walk, learning to put yourself first, but like I mentioned above, if you don't take care of yourself first, there will likely quickly come a time where you can't take care of other people.

4/22/09 7:07pm

How do I know my limits until I push them?  We went to FLA last week and I walked a couple of miles each day, a couple of times more like 5.  I started having pain about 5 days in, but only had a couple more to go and got some extra rest laying about.  A few days after coming home my hip began aching as I was driving home.  Within an hour I could not walk without excruciating pain worse than I have ever felt with RA.  I missed the next day of work when I awoke to pain in both hips.  I feel pretty stupid, but also enlightened.  Today I'm still hurting, but it is bearable.  Now to work on getting back to where I was...dang it.

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By Kim— Last Modified: 09/20/10, First Published: 04/03/09