Health, life, MS

Not so sunshiny days- Depression and awareness

Depression

Last summer was the first time since adolescence that I experienced true depression. Luckily, this time I had the knowledge, wisdom and support to see it for what it was.

When I was a teenager at boarding school, I told nobody and suffered in silence until I acted out in despair and swallowed a handful of Tylenol. Nobody found out about that either. I wasn’t trying to kill myself, just trying to make the pain stop.

That phase was an exception, I consider myself blessed to be born with a generally happy disposition. As a child, the world was alive in my imagination; not only my dolls and teddy bears were alive but all living things fascinated me and talked to me. Seriously. Okay, I talked to them but I swear they talked back!

I still have the habit of talking to myself and objects around me. As a teacher, I would sometimes have parents waiting outside because they thought I was in a meeting when I was just having a grand old chat with myself. I usually have a smile on my face and I genuinely enjoy interacting with other people when I’m out in the world.

We all have days where we feel ‘blah’, the sky not so blue, the flowers not so bright. This is the necessary balance to life because if we don’t experience the lows, we can’t fully appreciate the highs. The idea of living in a utopia where nothing bad ever happens and everyone is happy all the time is appealing but unrealistic. It would be nice if we could tip the scales just a bit further in the positive direction somehow though, wouldn’t it?😉

Depression is an entirely different ogre. Depression sits in the pit of your stomach, chained to your heart, sucking all motivation and positivity from your thoughts.

Depression feels like you’re drowning in front of a crowd but no one can see you


Finding motivation and staying positive are constant challenges with any chronic illness already. The constant weight of fatigue multiplied by the pressure of depression starts to make me feel claustrophobic in my own body. Um…yeah.

I had not planned to post about depression this week, but IT’S BACK! The hard kernel of dread and doom has been festering there in my gut, as I’ve tried to control my stress, get lots of rest, eat well, exercise, meditate, communicate, blah, blah, BLAH. The cloud grows.

My question is this: why do my physical symptoms ease in the summer just for the mental monsters to come out to play? It would make more sense to get depressed in the winter when the skies are grey and the fatigue and nerve pain are at their worst. Easier to justify staying in bed with the covers pulled up to my chin then, too.

When the sun is shining, there are vegetables and plants to be tended, not to mention children(thank goodness they’re older), so guilt pokes out its claws too.

What’s there to be depressed about, for Pete’s sake? Stiff upper lip, role model, it’s okay to feel it but you still have to get on with life. All those negative inner voices that I usually scoff at, get amplified when this bugger shows up, too. Good times.

Does this happen to anyone else, this summertime depression?

Awareness

Depression is the most prevalent invisible illness in our modern world, affecting every echelon of society, yet the stigma remains. People suffer in silence and isolation and/or quietly accept the next prescription for anti-depressants, only admitting to their closest circle, if anyone, that they couldn’t handle the darkness anymore.

Depression is a common symptom of multiple sclerosis so it’s a double whammy of an invisible illness. I am fortunate to have a wonderful partner that wants to help and tries to understand what it’s like to live in my body. I feel the frustration of his helplessness that there really is nothing he can do beyond being the caring, attentive, goofy guy that he is. The best I can do is help him understand.

Analogies seem to be the most effective way to help people understand an experience they haven’t had. So, I started thinking about ways to describe depression. My depression, being usually (god, I hope so) short-lived, is the Lite version compared to what many experience day in, day out their whole lives. So I’m sure there are many better analogies out there, but these are the ones I came up with.

Depression is like:

– swallowing a cannonball that chains itself to your heart then leaks radioactive material that poisons your thoughts.

– alternately wanting to burst into tears, shriek at the sky or throw up every second even though your life is perfect.

– Voldemort sent all the Dementors inside your body where they are multiplying as they suck out your soul.

– you’ve woken in a nightmare and no matter how hard you slap yourself, you can’t wake up.

– being in a Dali painting, sliding off the surface of reality. For me, time is a huge factor because now that I’m not ‘working’, I see all the things that need doing, all the time, but my energy doesn’t measure up to my desire to get shit done. Then, depression sucks out the motivation too.

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– finding that patch of quicksand I searched for as a kid, wondering why I ever wanted to know what it felt like.

– stepping in shit, knowing that you’re standing in shit, seeing the clear path to get out of the shit, and not having enough fucks to give to bother.

– being Wile E. Coyote when the anvil ends up on his chest.

How do you describe depression?

Please share your thoughts and ideas in the comments, I’m sure there are many of you that have better analogies.

Helping other people understand using examples they can relate to is a simple way to build awareness and end the stigma.

And don’t forget the very important lesson of Eeyore:

Have a wonderful week, everyone! Thanks so much for stopping by!

❤️ Amanda

Health

The journey to diagnosis: Why so long?

I want to talk about the journey to ms diagnosis. For some, the trip is brutally short. Bam! They wake up and their whole left side is paralyzed, or they’re blind in one eye. Terrifying. No question that any person would head to the hospital, or at least the doctor and they would be taken seriously.

Usually, a trip to the ER would mean an MRI, possible lumbar puncture (sooo glad I avoided that!) and subsequent diagnosis of multiple sclerosis. Some get picky and call it CIS (clinically isolated syndrome) until the monster rears its ugly head again, hence the multiple in multiple sclerosis.

I suspect many people in this position start connecting the dots of other strange symptoms they’ve had for years, once the inciting incident of the diagnosis journey appears, with the exception of those diagnosed very young, of course. I can’t really speak to that though, because that was not my journey.

What about those who present with weird virus-y symptoms?

The first episode of fatigue, brain fog and vertigo when I was 22, had me sleeping in the back of my orange Westfalia on the streets of Puebla, Mexico, alone, peeing in the sink for three days. I figured it was a strange Mexican virus – thankfully not from Montezuma!

The second incident two years later, in Lagos, Portugal, I was stuck in a tent in a cinderblock wall campground, with stereos blaring on every side, peeing (sometimes unsuccessfully) in bottles, in front of my boyfriend. I knew then he was a keeper! 😊💕 Okay, bladder issues are certainly an ms symptom but enough about urine!

A couple of months before my first relapse. I sold the van to my brother. He never knew this story. Sorry dude! 😬

I had one more relapse the following year, during my final teaching practicum. The monster’s timing is exquisite. The doctors that I saw during these times, in the early 1990s, checked for parasites and infections because of the travelling link but when they found nothing, they shrugged and pushed me out the door.

Then, the monster slept. With the exception of some ear-splitting tinnitus when we lived in New Zealand which was ascribed to stress (believable as we were living on a student’s income halfway around the world with a newborn), I had no relapses for about 13 years.

After the birth of our third child and subsequently returning to work part-time, I started having these weird ‘blips’, that I again thought was a virus. Pretty soon, I realized it was hitting me every six months or so, knocking me out for longer each time.

There was no paralysis. No blindness. No alarming symptoms that justified an emergency room visit. Just an exhaustion that felt like the power of gravity had increased ten thousandfold, a weird bubbly feeling in my head and an all over body ache that made me feel like I’d been poisoned.

I saw so many doctors during this time, and every single one of them listened to my symptoms, frowned, shrugged and told me to stop working so hard. Or maybe I was depressed. Or it was just a virus. Or it was idiopathic. That last word, meaning ‘they just can’t figure it the hell out’ was said by a very tall, male doctor looming over me in his office, forcing me to crane my neck to look up at him. The subtext of his message was ‘get over it, lady’.

Two problems

I have two problems with this. First, the number one symptom of ms is fatigue, which was my number one symptom. Also, I live in Canada which has one of the highest rates of ms in the world (MS Society of Canada estimates 1 in 340 people), yet NOT ONE of the 15-20 doctors I saw ever mentioned it.

I don’t think this is solely an issue related to the difficulty of diagnosing multiple sclerosis because it is such a misunderstood, unpredictable, individual disease. It’s a women’s health issue generally. I have heard so many stories about women’s health concerns being dismissed or downplayed or worse, drugged by overworked, distracted doctors.

Why is this? Do doctors really think women have nothing better to do than come to their office to ‘whine’ about something that’s ‘all in their head’? I’ve gotten equally dismissive treatment from both men and women doctors, so it’s not a patriarchal problem. It’s as though those that enter the hallowed halls of physician-dom are doomed to condescend to women, believing they’re choosing to spend their lives pretending to feel like shit, just to get attention.

I never watched the Golden Girls, but this clip explains it brilliantly.

You go, Bea! I would like to go back and have it out with some of the doctors who made me feel ashamed and ridiculous for pursuing answers when I knew something was wrong.

Conclusion

I am sharing my personal diagnosis story today because awareness is still so lacking about this ugly disease, despite how common it is. When I was undiagnosed, I searched all over the internet for people sharing stories like mine and found very, very few. Also, I think women need to support each other in managing their health, and that starts with conversation.

If you or anyone you know is experiencing strange symptoms, don’t ignore them. Advocate for yourself, you know your body better than anyone else can. Don’t let doctors blow you off and don’t stop searching until you get the answers you need.

Doctors hate it when you use ‘Dr. Google’, and you do have to be really, really careful. But until we sort out a healthcare system where doctors aren’t working on an assembly line, it seems to be the most knowledgeable, and least condescending doctor around. No offence to any of the doctors out there with integrity, I just haven’t met any of you.

Do you have a crazy diagnosis story? Please share, I’d love to hear from you.

❤️ Amanda

By the way, it was a naturopath that finally listened to my story and first mentioned the words multiple sclerosis. I was finally diagnosed 23 years after my first relapse.