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Lisa Copen

Lisa Copen

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Is Living With Illness Choosing to Give In?

Posted: 05/16/11 09:59 PM ET

Nearly one in two people live with an illness, and most chronic illnesses are invisible. Conditions such as chronic fatigue syndrome to diabetes rarely have visual side effects that people can see. It creates a challenge for those who live with invisible daily chronic pain, symptoms, and side effects.

For example, though I look fine on the outside, I have lived with rheumatoid arthritis for 18 years. It has been degenerative, despite the best of medical treatments. Recent tests have revealed that I have shoulders that are so disintegrated it's amazing they still work, knees full of pieces of bone and old blood clots, and osteoporosis. I have started seeing a new rheumatologist who I hope will more aggressively treat my disease and slow down its progression. I am 42. I told my physician, "My son is 8. I need at least 10 more good years. What can I do to make this happen?"

Despite the detours, I have had the opportunity to build a nonprofit organization of nearly 15 years, to serve those who live with chronic illness, through a Christian foundation of faith. Although I believe God still heals today, He rarely does it according to our schedule. In the meantime, there is a strong need for friendship and support.

Between my family and ministry, I have ample reason to get up out of bed each day and not allow my illness to define me.

I have never given in and allowed it to consume me.

But because I do not enter marathons, audition for reality TV show contests on deserted islands, or sign up for karate class, some people assume I have.

"You've just given in to your illness," I have heard from both strangers and friends. "You need to fight it more." This is often followed by their specific advice on what I need to do to "fight it."

What defines "giving in" to your illness? There are a variety of ways that people who do not have an illness define the actions of those who are ill.

1. We are not using the alternative treatment of product that they sell that will make it all go away.
My husband was recently berated by a friend's wife, "We are so mad at you guys!"
"Why?" he asked.
"Because you won't try the water!" she replied.
Honestly, I've done my research and if I am going to go with a marketing scheme that promotes health benefits for just $200+ a month, it will be the chocolate one. I mean, who doesn't like chocolate?

2. We are seeking health assistance from doctors or medical specialists.
A friend on recently posted on a social network that he cured himself of a disease by ignoring the "mumbo jumbo of doctors" and asking his dad for advice. He claims he "never gave in." In his eyes, because I am seeing a rheumatologist with "MD" behind his name, I have chosen to give in. No one cares that my rheumatologist happens to have his own clinic about specialized medicine, and that has written books on the alternative treatments he uses with patients, in addition to Western medicine.

3. We are pacing ourselves.
Chronic illness uses up a great deal of energy and only the one who lives within the body knows what they can and cannot do on particular days. Sometimes we have to give it our best guess and make a choice, not positive if an event will cause us to be tired for twelve hours or four days. When we choose to not attend an outing we'd planned on because we are in deep pain, we frequently hear, "Oh, you are just giving in to your illness. You are letting it control you." No, we had to make a choice and we did. Healthy people will understand this when they reach about age 80.

4. are not where someone wants us to be spiritually.
We all grieve, we question, and we sometimes get depressed, regardless of our faith. But if these emotions are noticed by others they are quick to offer the spiritual version of "Don't worry, be happy." We are told that we are allowing the sin in our lives to get the better of us and it's causing our illness. We are not praying consistently, or hard enough, or in the right way. One man recently told me that I needed to try a particular alternative treatment (that he happened to sell) and if I did not, then it was obvious I was just giving in to my illness and really did not want to get well ... and that God knew that!

5. We are not doing physical activities that we are expected to do.
If you watch well known magazines written specifically for those with certain illnesses, even they are guilty of featuring people who have the disease but are still able to do extreme physical activities. A person with rheumatoid arthritis may run a 25-mile marathon and are quoted saying, "I chose to never give up." I have chosen to never give up either, but I am blessed to get my feet into extra-wide diabetic shoes and walk around the grocery store. My own limitations, or those of one who uses a wheelchair each day, is not something that is a measurement of determination or stubbornness about our disease.

Each person who live with a chronic illness knows the daily difficulties in finding a balance between living his life in the fullest way possible, and managing his disease effectively at the same time. There will be many times that our choices do not make sense to people around us. When we hold back from a new treatment or a fun outing, we will be told we are "giving in" and letting our illness define us. And when we take a chance and stretch ourselves, we will be told we are not thinking things through or considering the consequences or risks involved in our choice.

If you live with a chronic illness, only you are capable of making the wisest choice possible based on many factors. If you love someone with an illness, be cautious in sharing your opinion about his or her decisions. If you are genuinely concerned, instead of offering advice, ask questions, such as, "I know you must have given a lot of thought to your decision to (fill in your blank here.) What was it that persuaded you?"

Lisa Copen is the author of "Beyond Casseroles: 505 Ways to Encourage a Chronically Ill Friend" founder of National Invisible Chronic Illness Awareness Week and Rest Ministries. She is a sought-after speaker who brings joy, humor, and hope, to those who live with chronic illness, from her own 18-year journey with rheumatoid arthritis. Visit http://IFoundLisaAtHuffPost.com to for the current featured free download that will help you or someone you love cope better with chronic illness.

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09:44 PM on 06/07/2011
My thoughts exactly Lisa. Severe RA pain (and MS for me too) is something else! What a wonderful and useful ministry, thank you for sharing with us.
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11:14 PM on 06/05/2011
Living with Graves Disease is difficult and it has taken me to the deepest and darkest place of hopelessness and desperation.
I fought it with bellydancing, creative projects and achieving amazing things at work. I was getting better in July 2010 but then I physically lost my voice which was fixed by a wonderful doctor (Dr Michael Pitman) in March this year and I can speak again.
Two weeks ago, I was told that my thyroid is out of balance again. I was very sad and felt much anger but decided to continue living my life day by day. I bellydance everyday. I also started taking special bellydancing lessons - zills and drums. I began singing lessons too. Hearing my singing voice with all the notes was truly amazing and liberating especially when the last time I sang was 2007. Through singing and bellydancing made me realize there is hope and I have strength again to continue with my fight of GD. Continue living and achieving great things daily is the best relieve.
03:22 PM on 06/01/2011
Excellent article! I found myself nodding at each of the five points Lisa listed as I have experienced them all from family and friends. What people don't realize is that these attitudes cause a feeling of isolation that can eventually evolve into an actual isolation from other people and in fact, from our own lives. I would recommend that anyone would a chronic invisible illness print out a few copies of this article and leave them in strategic locations.
01:07 PM on 05/25/2011
Toni has written a wonderful book. I recommend it to everyone that has a chronic illness. And accepting my illness is not "giving in.". It's learning to live life differently is all. Not necessarily the way you wanted to, but differently.
10:03 PM on 05/23/2011
In my family of 4, each of us has at least one "invisible illness". If you look at pictures of our family, we all look healthy and active...and in many ways we are! Yet, each of us deals daily with pain, medication, and other issues related to our illnesses. And you are right, Lisa, that only the person with the illness can determine what he/she can do, based on their experience with recovery from various events/activities. In fact, it's not usually the actual event that "does us in," but the recovery time from it. So we must be wise in how we use and spend our time. Thanks for the article!
11:48 AM on 05/22/2011
I live with Reflex Sympathetic Dystrophy and I am in the 2% catagory of the spreading kind. I have learned how to accept my disease as a part of me like an arm or a leg. I go to physical therapy 3x a week, a full time dad to 3, and it is not about giving up. For me it is a part of keeping my mental status ok. The pain we feel is so intense and it has made me crumble to the floor and feel like Iam being crucified; I accept that pain because it is the pathology of the disease. Drs tell me that I probably won't be able to walk in 5 more years. That is a tough pill for anyone to swallow, but if it happens or when it does I have to be alright with that outcome. Just because a cancer patient goes into hospice doesn't mean they have given up it means they have accepted an outcome that we all might be scared of, but for them it is peace. So we need to find people that can be ok with our decisions that can support us through our times of joy as well as pain. Thank you for saying such beautiful words and hopefully making others aware that somedays are harder than others, but that doesn't mean we give up.
10:13 PM on 05/20/2011
This article really clicked with me! It was hard enough for me to learn to live with a chronic, painful and invisible illness without all the possibly well-meaning advice from people. Each of the situations mentioned in Lisa Copen's article was experienced by me and the members of my chronic pain support group. It seems like" blame the victim" is a tactic used when people want to protect themselves from the pain of true empathy as well as realizing that illness and injury can happen to anyone, anytime. Janet
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Michael Dadtka
09:34 PM on 05/20/2011
Pain is my friend.
No one really knows what it's like to live in chronic pain. Especially in these "mean" times.
03:24 AM on 05/20/2011
Thanks for posting this informative piece. I find it sad when chronic pain sufferers are made to feel like they're making it all up, exaggerating their symptoms, or worse...mentally ill. Migraine sufferers, chronic fatigue syndrome and fibromyalgia patients, suffer stigma for a disease that they did not even bring upon themselves.

I've composed a list of 100 excellent websites and blogs for CFS and fibromyalgia patients. I hope somebody finds this useful-

http://www.b12patch.com/blog/fibromyalgia/100-best-sites-for-fibromyalgia-or-chronic-fatigue-information/

This is from a vitamin B12 patch page- incidentally, there's an unusually high correlation between vitamin B12 deficiency, CFS and fibromyalgia.

Thank you for allowing my comments.
04:40 PM on 05/18/2011
Family members are the hardest to deal with when it comes to this. They just don't understand when I don't participate in family activities. It's easier to say no to strangers than family, because family never goes away. This is a great article, Lisa!
03:11 PM on 05/18/2011
Mrs. Copen absolutely hits the mark for so many of us - those choosing to stay at home, for example, on Christmas Day than run to every family party; those choosing to eat and drink what we feel we need to or are advised by our physicians to than what others (even others who live with the same illnesses) eat and drink; those choosing to live as healthy as we know how and take life slowly rather than chase the wind and end up with more infections or spend long days trying our hardest to rest (and rest is not only not moving on a couch or bed).

I know through my illnesses I am able to help others, those who share my faith or not. My grief for the losses I've suffered in the past twelve years are not visible, either, but I know I am doing my best - yes, my best - to not give up on life. I am still an active woman who supports my community and places such as Rest Ministries. I still have goals, although rearranged and more lax than before. To me, I see those afflicted with chronic illnesses as beautiful, and when my healthy friends are sick, they realize the grace needed for people just like me.
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Beth Hill
04:15 AM on 05/18/2011
so on the mark! Why do people think they know everything when they have no idea what you're going through or who you are? This happens in so many arenas though, not just chronic illness. Areas like weight, or how to take care of your home etc. people always have to stick in their two cents and solve your problems. I usually shut down people trying to tell me about therapies or thinking positively or asking the universe pretty quickly. I say something like, "I appreciate your concern and I know you mean well but the idea that I am not being positive enough or sending the universe the right energy makes it sound like my chronic fatigue and pain are my fault and I don't appreciate that. I live with this everyday and sometimes. I just need to vent. It's hard to live like this everyday." I probably am not always so tactful, but that's the general idea. :-)
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Lisa Copen
01:03 PM on 05/18/2011
Beth, you are right that it happens in many areas of life, doesn't it. For those of us on the receiving end, it helps us build compassion so we don't always offer our best advice to others! I think you handle it beautifully when someone offers their opinion. it's not always easy!
08:48 PM on 05/17/2011
As a 46-year survivor of RA, I have heard and felt and thought every word in your article. Thank you for articulating so well what those like us endure on a daily basis. Sadly, the worst of it usually comes from the ones we love most.
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07:20 PM on 05/17/2011
Next time someone tells you what you should be doing/should have done, send them here:
http://www.butyoudontlooksick.com/articles/written-by-christine/the-spoon-theory-written-by-christine-miserandino/

And people, PLEASE encourage your lawmakers to set aside money for researching autoimmune disease: http://www.aarda.org/advocacy_issues.php
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Lisa Copen
01:04 PM on 05/18/2011
yes, Christine over at bydls is a friend of mine! If only we could have more spoons!
03:54 PM on 05/17/2011
Living with a condition is a very personal matter. Luckily we have a choice, if its easier to live with the condition than try to over come it with a healthy lifestyle then other must respect this choice. Living healthy is not the easier road but believe me it is more pleasurable. http://blog.mydiscoverhealth.com/
09:38 AM on 05/18/2011
unfortunately lifestyle and living healthy do not solve everything. they may help many things, but they are often not an answer to really overcoming a condition