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YOU can't see: Lupus or other auto-immune diseases (not just
    disorders). Just because I smile through my pain does not mean I’m not ill,
    really ill. 
 
Think about this before you judge others:
 Having Lupus means many things change, and a lot of them are invisible. Most
    people are misinformed about Lupus.
 
 
In the essence 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 doesn’t mean I’m not 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 me stuck
    inside this body. I still worry about my children going to school, finances,
    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, but I’ve been sick for years. I can’t be miserable all the time,
    in fact, I work hard at not being miserable. I’d like nothing more than to
    be able to get on the floor and play with my little boys, color with them,
    play Play Doh. But, once I get on the floor, it’s not that easy to get back
    up. 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 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 sound great!" It’s not that I sound great, I am
    sounding happy, because I may be happy at that moment. If you want to
    comment on that, you're welcome.
 
 -Furthermore, many of my symptoms aren’t always visible to people who don’t
    know me “well”. If you see me and I look fine, this doesn’t mean I’m not in
    pain, not exhausted, etc. Please don’t say "Well, you look
    alright!" Especially if I’ve just told you I feel sick/have been very sick.
    I can look ok and still be very ill. Telling me I look ok not only will not
    help me feel better but will make me feel you are casting doubt on the fact
    I feel so bad. Feeling ill is hard enough without having to continually struggle
    to make people believe you are, indeed, sick.
 
 -Please understand that being able to stand for ten minutes doesn’t
    necessarily mean that I can stand up for twenty minutes, or an hour. And,
    just because I manage to stand up for sixty minutes yesterday doesn’t mean
    that I can do the same today. With a lot of diseases you’re either
    paralyzed with pain, or you can move. With Lupus it gets more confusing.
 
 -Please repeat the above paragraph substituting "sitting",
    "walking", "thinking", "being sociable" and
    so on.... it applies to everything. That's what Lupus does to you.
 
 -Please understand that Lupus is variable. It's quite possible (for me, its
    common) that one day I am able to go out for the day, while the next day
    I'll have trouble getting to the kitchen. Please don't attack me when I'm
    ill by saying "But you did it before!" if you want me to do
    something then ask if I can. I may need to cancel an invitation at the last
    minute. If this happens please do not take it personally.
 
 -Please understand that "getting out and doing things" does not
    make me feel better, and can often make me seriously worse. Telling me I
    need a treadmill , or that I just need to lose (or gain) weight, get this
    exercise machine, join this gym, try these classes... may frustrate me to
    tears, and is not correct....if I was capable of doing these things , don't
    you know that I would?
 
 -Obviously Lupus deals directly with the immune system and because our
    immune systems doesn’t work the way yours does, this does far more damage
    than good and could result in recovery time in days or weeks or months from
    a single activity. Also, Lupus may cause secondary depression (wouldn’t you
    get depressed if you were hurting and exhausted for years on end?!) but it
    is not created by depression.
 
 -Please understand that if I say I have to sit down/lie down/take these
    pills now, that I do have to do it right now...it cant be put off or
    forgotten just because I'm out for the day (or whatever). Lupus does not
    forgive & Lupus doesn't discriminate.
 
 
 
-Another thing that happens with Lupus, that is not
    forgiving; “stress”. If our body gets too stressed out or we’re too
    fatigued, our immune system goes into a “flare”. A “flare” is our body’s
    worst nightmare. There is no time frame or time limit on the flare. One
    persons flare isn’t the same as the next persons flare. Flares are
    excruciating painful. 
-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 friends suggest one at one
    point or another. If there was something that cured or even helped all
    people with Lupus, then we'd know about it. This is not a drug company
    conspiracy. There is worldwide networking (both on and off the Internet)
    between people with Lupus and if something worked we would know.
 
 -I need you to understand me.
 
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