On Strength 04/19/2012
 
My significant other calls me his Willow.  For many years I loved the pet name, assuming the moniker was because of my thin frame, long nose (he also calls me his greyhound but that is a story for another blog post), and a play on my last name of Willis.  Over the years he confided in me that although he initially called me willow because of my willowy frame he said the name matched me further because I could handle anything that life hurled at me, sometimes with gale-force wind, and I would bend but not become uprooted.  A strength he has matched with mine time and again, my twin willow with our arms hooked together yet also reaching up to the sunshine, our roots grounding us firmly. 

When IC overcame my body there were many times I thought that I did not have the strength to make it through one more day.  It is because of a few close friends and my dear fiancee that I found a strength that I never thought I possessed, hidden deep inside.  I encounter this same strength every day whenever I 'meet' a new IC patient across the many miles.  Hearing their stories my heart squeezes at the amount of pain that they endure, the self-catherizations, the nights spent asleep on the bathroom floor, their tales of family and friends deserting them when they need them the most.  Yet, they wake up every day and find the strength to not only care for themselves, moving about the world in a body now riddled with pain, but many of them are still fulfilling roles of wife, mother, sister, coworker, or caregiver to an aging family member. 

Many IC patients are quiet about their disease and of their horrific pain.  Some of my closest IC friends are artists, writers, wives and passionate and caring friends to me.  Their strength becomes my strength and I revel in their fortitude and their resolve to live a fully developed life in spite of their pain. Strength has many names and many faces, just like those of us living with IC.  You see we are all willow trees.
 
 
Even celebrities know the truth of it: it is hard to stay in a relationship these days, but it is even doubly difficult to do so when placed in the middle of both internal and external pressures.  Songwriters hoped their words have a more lasting impression once set to a memorable tune.  As if a melody can stitch the words into your heart permanently.  The examples of staying with your mate through thick and thin applies to both sexes:

'Stand by Your Man' and 'Are you Strong Enough to be my Man?' are just a couple song titles that pop into my head as I remember the songs with the theme of togetherness in spite of the world pressing in.  It seems so easy to stick by someone's side when the money is coming in and you both have your health.  It is a far different story when one person in the relationship becomes ill.  When I say ill I do not mean to imply someone with an every day common cold or allergy, but someone with a life-altering illness or accident that leaves that person in utter pain and shock as they are forced into a life completely different and unalterable than the life they lived before.

Sadly, a devastating illness such as Fibromyalgia, Lou Gehrig's disease or IC are too much for some individuals to handle and instead of staying in the relationship through 'thick or thin' or 'for better or for worse', they leave and in their wake leave someone more emotionally hurting than the summation of their physical pain.  A wound like that takes a very long time to heal.  So when I read IC patient's tales about spouses or boyfriends/girlfriends leaving them because they could not deal with supporting someone with a complicated and serious disease, my heart goes out to them.  My only words of advice would be to know that if they cannot support you in your pain how can you trust them to support you when life is only paved in roses?  This is an unreasonable and unreal view of the world.  Although the pain of losing them is real I would hope that someday you might see that their leaving you allowed you to grow into a better person. 

Living with a chronic pain disease is not an easy thing but it does leave one with the ability to look at what (and who) are really important in life.  Life is whittled down to its barest essentials: sleep, food and love.  Sometimes the love of  a good friend or family member fills in the gap where a romantic partner might have once been.  Hold on to the people that fill you with love and support and let those go who make you feel guilty or ashamed for feeling pain and for 'getting' a chronic disease.  The people that stand by your side through thick and thin are the only people that should really matter to you. 
 
 
Slowly, gently night unfurls its splendor
Grasp it, sense it, tremulous and tender
Turn your face away from the garish light of day
Turn your thoughts away from cold unfeeling light
And listen to the music of the night

Close your eyes and surrender to your darkest dreams
Purge your thoughts of the life you knew before

-Music of the Night, Phantom of the Opera

    The dark of night holds connotations of terror, death and the unseen in most aspects of current society.  Whether in books, movies or musicals such as Phantom of the Opera, darkness is when nightmares are revealed and when creatures deemed unfit for the light of day can haunt and play.  When IC racked my body with incalculable pain I felt that I was living a waking nightmare in which I was tortured with pain and constant trips to the bathroom.  Now that my IC is in remission and the pain that was my constant companion of five years is in the shadow land I still feel its presence like fog clinging to the underside of a footbridge. 
    During my darkest days I searched my mind's memory for what it was like to have simply five minutes free from the pain, but as much as I tried, I could not remember what it was like to be pain free because the pain was so intense.  I thought that when my IC went into remission that the same effect would occur and that I would not be able to recall the sheer pain and terror of IC, but I find that the pain memory surfaces readily, a night demon surfacing during the daylight.  In the shadows of my memory I sometimes have a silent scream when I have a minor flareup from food or from monthly hormonal changes as I wonder if this could be the flareup that sends me back to pain all day every day. 
    It was so easy to embrace the darkness and to dance with the Phantom of pain and darkness set to his own night music.  My life of pain stripped away friends, family, food, sex, and work that I had completely 'purged all thoughts of the life I knew before' because the life I lived before was gone.  Even in IC remission I am a changed person and I can never really go back to being the person before I was touched by pain and left without so many of life's simple pleasures.  But I am fine with this knowledge-and I embrace it!  There will always be room in my life for life lesson's and I can now say that pain is quite the teacher.  I will never forget the pain of IC but I will also strive to never forget the lessons of IC.  That being said I will always think that Christine made the wrong choice in not embracing the darkness and falling in love with the Phantom of the Opera as I always have.  For even in real life, dark fairy tales can have a somewhat happy ending, right?
 
 
 
Earlier today I decided to read through some of my IC journals and I find that my bladder once spoke to me through pain and urinary frequency, but now I speak on behalf of painful bladders worldwide.  It is both a humbling and daunting experience to find a large spike of blog readers or to receive notes from women (and men) from all over the world who have IC who tell me that my writing inspires them.  That is the very reason that I built this website and blog in the first place, but I must admit that for many months it felt like my words were going out into cyberworld, unread, flushed away. 

I am glad that the words are finding a home in a common thread of IC, although it does make me sad to know that we have met because our bladders are filled with sadness and stabbing pain.  My IC journals are filled with chicken scratch handwriting as it seemed that the constant vaginal and bladder pain prevented me from even holding my pen the same way that I had prior to IC.  If I've never written this in a blog before let me say it now: my IC pain consisted of incessant, severe stabbing pain within my vagina, and a bladder that felt too small, raw and filled with sandy grit whenever it filled with urine.  I spent countless nights crying on the toilet, wondering why I could only have five minutes without pain directly after urinating, and how sitting on the toilet could make me feel better (was it gravity or my posture or some other unexplained reason?). 

I flipped to the back cover of my journal and my bladder and my heart clinched as one into an involuntary squeeze of sadness: a pencil drawing that I had forgotten about, myself naked and crying with a large safety pin piercing through my vagina and bladder, my bare feet standing next to flowers withering away.  My long hair curling into snarls in the wind.  As I look closer I see tiny ripples in the page that are slightly raised from the rest of the page.  Tears that fell years ago, finding their companion with the pencil figure, now long since dried out. 

If my bladder could speak to you today it would say to never give up hope in finding ways of making your bladder better.  There exist many avenues in the world of IC that simply did not exist ten or even five years ago.  One good and supportive friend is better than ten insensitive ones, so stick with your one good friend and tell them thank you with since gratitude.  If your partner makes the journey along with you and your IC their love is written in the sands of time.  Love them. Thank them.  Let everyone know of their commitment and grace because it is so easy to leave someone with IC, but it it truly the better person who stays for the long haul.  (N., I thank you again in this post for your love of me and your trust that I could improve my IC on my own terms, with the doctors and treatments of my choosing.)  And to everyone who reads my blogs: thank you and I will strive to be an even better bladder blogger in 2011.  My bladder is telling me that there is always room for letting things go with the flow.




 
 
"Man is made by his belief. As he believes, so he is."
Johann Wolfgang von Goethe

The spirit of a season filled with numerous religious holidays either renews or calls in to questions one's beliefs.  By definition, the word belief does not always have to encompass a religious thought or pretext, but in our modern society it does seem that most belief systems encompass religion to some capacity.  It is with this understanding, along with the knowledge that many people remind us during this holiday season to remember to stop and reflect upon the true meaning of the season, that upon reflection I thought it was  a great season to reflect on what I believe when it comes to the beliefs that I hold regarding my body (mind, body and spirit). 

In previous blog posts I have discussed an epiphany that I had that an onset of a chronic pain disease can have similar stages as outlined in the commonly studied "7 Stages of Grief" as presented by modern day psychologists.  Along this same vein I would state that we can hold different belief patterns within our minds and therefore throughout our entire bodies regarding how ill or conversely, and much more positively, how healthy our bodies are (or are going to be through various courses of action).  It has taken me years of reading and studying religious and spiritual belief systems from Christianity to Zen Buddhism to realize that most teach (and believe) that our bodies are amazing and sometimes unexplainable organisms capable of oftentimes spontaneous 'healing'.  Because of the aforementioned myriad of belief systems I still feel obligated to put the word healing in quotes because some people believe that the very act of 'healing' or 'being healed' comes from within or from God (or god(s)) and so therefore there remains a completely different perspective on where the healing comes from as well as who or what should get kudos. 

In my opinion, no matter where the healing comes from, our attitude should be one of thankfulness and gratitude as well as provide us with the opportunity for reflecting upon the lessons that the pain was trying to teach us.  If we are still in pain then perhaps we should work on our belief system at whatever level we are most comfortable with.  Perhaps deep down at a very cellular level we do not completely believe that we can or will get better, even though we regularly attend church or synagogue.  From a biological perspective, studies have proven that the human body is continually in a stage of renewal (healing) which we witness every day if we are only to pay attention (applying lotion to our dry, flaky skin and cleaning out our hair brush, etc.)  So imagine what could happen to our belief system(s) if we combined it with what has scientifically been proven?  Emotional healing can occur through psychotherapy and/or counseling, but as we have heard we have to want to overcome our pasts and believe that the psychologist is going to help us.  We have to make the choice to eat more healthy, to walk instead of watching TV, and to read books or articles that support or perhaps even challenge our beliefs on the healing capabilities of the human body. 

I do know that when my IC was at pain and urinary frequency levels that were off the charts it was hard to believe that I could get well.  An 'ah ha' moment occurred when I began to chart feelings of higher pain and depression when I surrounded myself with on-line IC patients nay-saying every doctor and treatment protocol available.  I decided to make the choice to believe that I could get better.  The first step was by isolating myself from the naysayers and I began to read all manner of spiritual and religious tracts to support my journey towards health.  I learned Sanskrit as part of my yoga practice.  I listened to meditation CDs prior to going to bed.  I made the hard choices to never cheat on the difficult IC diet so I could chart (and praise) my progress.  So many little choices I had to make along the way towards my health happened but only after I made the choice to believe that I was going to get well.  In this season of gift giving and reflection I challenge you to reflect upon your beliefs and to perhaps make new year's resolutions that will support your beliefs as well as  your health within the new year.  I believe in good health.  Do you?
 
 
I was a different person before IC.  Before I knew about the searing constant companion of pain that would color my days with a blackened haze where I measured each moment of the day according to how many hours, minutes, seconds until I could crawl under the sheets and fall asleep, closed off from the pain at last.  When I did not have chronic pain I laughed more but I was also less empathetic to the pain in others.  I had less patience driving on the highway and felt that minor mistakes made on, say, a credit card statement was the ultimate battle in which I could belittle the person and come out on top.  I could win.  I was better.  HEALTHY. 

My version of healthy included taking a daily birth control pill and drinking wine with meals and mixed drinks during after work socializing and networking functions.  I mistakenly thought burying my past and living in anger in the present was a healthy way to live.  I tailgated. I swore. I broke off friendships over the most minor of infractions.  I worked 40-50 hour work weeks and forced myself to take on a full course load in college.  I demanded people's attention, empathy, kudos and respect.

The pain of IC changed me.  I lost part of my identity along with the diagnosis.  Initially I thought that I had become less of a person.  That I was now part of the 'others': the UNHEALTHY.  I felt isolated and alone.  All of the friends who loved my laugh and my wit and commiserating with me over drinks dropped away when IC rendered me unable to eat 'normally' or drink alcohol ever again.  Family did not understand what I was dealing with.  A college degree, once a proud badge of hard work (graduating cum laude, all while working full-time!) seemed pointless if I was now going to be a penniless chronic pain person.  Pain was now my master and servant and friend and family.  I bowed to the absurd while I slept next to the porcelain throne in between bouts of painful urination which happened 5-10 times an hour. 

I lost my self-esteem, my self-worth and my job (due to a lay-off).  I lost friends and estranged myself from most of my family relationships.  I lost my sexual identity.  I lost my slowly developing wine palette.  So many things that were such a deep-rooted part of myself were all lost overnight. 

But...then I found my way and slowly began the very long and painful healing process.  Along the way I lost my anger and my pride and I gained so much more through lessons of severe pain and heartache.  I have gained my voice and my strength and a discernment for supportive relationships.  I have regained my self-esteem, my self-worth and I now have a new identity as a person living with a chronic pain disease.  Like the saying goes: I might have IC, but it doesn't have me.  I would not want to be the person that I was before IC.  Some things are worth losing, after all.
 
 
As the final days of October taunt us filled with falling leaves, frost-covered mornings and jack-o-lantern grins from front porches, I am filled with a sense of hope that this month was also full of others spreading awareness about living with IC.  My hope for the coming Octobers?  Blue ribbons worn proudly next to pink ribbons in solidarity.  Although October is the official month for IC Awareness it is important to remember that all of us IC advocates and patients must continue to raise awareness of IC the other eleven months of the year. 

This year I will partake in Halloween festivities with local celebrations happening all weekend long.  Yes, I am even going to dress in costume this year as a Steampunkesque vampire, but I still hold in recent memory the Halloweens in which nothing seemed scarier than living the rest of my life with IC.  Depressed by the IC diet, unable to eat a single piece of Halloween candy, and the thought of wearing a tight Halloween costume left me in tears.  To me IC was the scariest costume anyone could come up with on Halloween!  So this year as I cinch my blue corset (blue for IC, of course) and slip into character I will think of all of my IC sisters and brothers battling this scary disease every single moment of every single day.  I still can't eat the Halloween candy or drink an alcoholic beverage, but I can revel in the celebrations and feel a part of something cultural and ritualistic.  But IC will always be a part of who I have become and that is neither trick or treat. 

 
 
Let me set the record straight.  I have never been diagnosed with a terminal disease.  I have, however, endured over a year of 'what ifs', invasive and painful medical tests, medications that do not work and questions by friends and family who did not understand that there was something definably and medically wrong with me, even though I had no official diagnosis to provide them (or myself).  I struggled for months as I researched on line all of the possibilities of 101 seemingly related conditions, diseases and ailments that all of the pain and symptoms might be. 

When I stumbled upon the unknown and unpronounceable disease known as Interstitial Cystitis on the Internet, my heart and my bladder clanged in matching sombre notes: This is it.  But my head did not want to believe a diagnosis of IC with its haunting and horrific definitions which begin with the word: incurable.  Please let it be anything but IC!  My mind cried.  When the doctor finally stated the words Interstitial Cystitis to me, the words circled and circled and circled the room until they found a place in my saddened heart. 

I thought these words prior to, during the diagnosis, and after diagnosis of IC aloud to a few close family and friends: Why does it have to be incurable IC?  I wish that it was cancer!  I have to live the rest of my life with this excruciating pain? I want to die! 

So please understand me, dear readers, when I say how difficult it sometimes is to hear and see all of the very widespread awareness/coverage/funding for cancer, while IC still gets minimal press.  I somehow doubt that it was by accident that the IC supportors, associations and patients made the month of October the official month for IC awareness, sharing the month and very much overshadowed by breast cancer awareness. 

It makes me wonder: Do people have the same circling and dizzying feeling when the doctor confirms their suspicions and announces they have incurable cancer?  Do their lives pass before their eyes?  I try to understand what this moment must be like and I try to be supportive, sympathetic and empathetic to this sad and devastating diagnosis.  Yet, until that moment happens I cannot imagine it correctly.

But (and bear with me please) I do sometimes wish for the same wave of empathy to cross someone's face when I explain that I have been living with a chronic and painful illness for five years when I tell people I have IC.  For there to be an instant of recognition, not only of the disease but of what living with the illness is like and how it affects my daily life including my food choices, relationships, etc.  I would love to see large corporations and heavy-hitting celebrities throw their status and their charitable tax-free donations towards finding a cure or better treatment protocols for IC (and Fibromyalgia, MS, Lupus and all of the other painful chronic conditions that millions suffer from) with the same conviction that they give towards funding cancer research.  I wish when I wear a blue ribbon or post one on Facebook that other people ask how they can support me as well as others struggling daily with IC. 

Living with IC can feel like your life is rushing away in front of your eyes and you become two people: me before IC and me with IC.  With a diagnosis of cancer there are two outcomes: overcoming cancer or passing away.  With an incurable and painful disease your outcome is: to live your life (and who knows how long that will be) with the pain and symptoms and often with the chance that the pain will increase with age.  Thoughts of suicide frequent many of us with IC (I had them.  I am not ashamed to admit this).  Life with a chronic disease colors everything around you. Death seems like a good option sometimes. 

If you've stuck with me this far let me reiterate that I have lost family members and, very recently, a dear friend to cancer.  Sadly, my friend understood what it is like to receive a diagnosis of two painful chronic diseases (one of which was IC) and then after living in excruciating pain for over three years she developed and then later succumbed to complications from breast cancer.  Our friendship will always be sacred to me and if she were alive I know her opinion of which diagnosis was the scariest for her to endure.  Along that same vein, I have a close family member that is living each day with a diagnosis of terminal cancer hanging over her head.  When we spoke recently I had a clarity about the whole terminal illness/chronic illness dilemma: we each think we want the opposite diagnosis, but we are incapable of changing what the fates have handed to us.  So we try to learn the lesson, hug our loved ones and await the final chapter of our lives. 

For those of us with a longer waiting period (and with chronic pain) I say: Stand up and let your voices be heard about what it is really like living with IC.  The more aware people become about IC the more funding, research and, perhaps, empathy, will be raised.  It is a Pandora's Box filled with equal parts sadness and enlightenment if we ponder the which is better/worse incurable disease/cancer scenario.  So I will close the door and turn the key on this post by saying that we are all courageous fighters. 

 
 
Health care reform within the United States is receiving a firestorm of attention and activity from both politicians and individuals right now.  I will not share political opinion on this website as that is both inappropriate but also not what the focus of this website is about.  On the other hand, it is impossible for me not to address health care reform, being that I lived for five years with a painful and chronic illness (IC/PBS) and utilized Western and holistic treatments to find relief from the unrelenting pain.

 Initially I was so shocked and tired and worn out from the intense pain that I drove literally in circles from doctor to specialist to doctor to find some answers.  It's funny looking back now that I felt such pure relief just being told an official name for my disease, as if by name alone the disease and I were a real pair.  Once I finally received the diagnosis of IC, I thought there would be a magic pill that I could take and that my doctors would be full of empathy, support and a real understanding of IC.  Instead, most doctors didn't even know what IC was, or if they knew what IC was they wanted to put me on anti-depressants and send me to psychologists so I could learn to live with the pain.  I clung to Western medicine like a stowaway lost in the icy seas after the Titanic sank for many years.  I had been taught (like millions of other Americans) that Western medicine will take care of everything if you just follow their tests, their procedures, their medications.  But if you happen to fall outside those parameters and are unfortunate enough to get a chronic disease that little is known about (when fortunes are being put towards curing other well-known diseases), it can be a sad and lonely world floating in your raft trying to avoid the icy flotsam in the water. 

I believe in doctors and I believe in the power of a good health care system.  I feel that health care shouldn't solely be for the rich or for those already in good health.  I know too many friends and relatives living with extremely painful diseases, and would never deny them their medication or their treatments to ease their pain and sleeplessness.  But I do know what helped me rid my body of IC and what currently prevents me from getting colds and other ailments: being proactive about my health care each and every day.  It's in the choices I make about eating leafy greens, removing pork and beef from my diet.  I eat whole grains, drink kombucha, and take vitamins and supplements.  I exercise and soak up the suns natural Vitamin D. 

It is a lifestyle change that I chose from the bowels of despair from living with IC that continues to change my decisions every day.  It is a choice of being proactive, not reactive when it comes to my health.  We all share this choice when it comes to our health care.  I hope that health care reform comes from within, not through government or other interactions.
 
 
IC is a painful teacher.  Most of us who get IC endure intense pain, humiliation and a complete lifestyle change seemingly overnight.  The lessons we learn are numerous and profound.  In the midst of all this pain and chaos that fills our day to day lives, it's hard to appreciate much of life, let alone step back and reflect on what we now find to be truths.

These truths include the fact that we are stronger and more resilient than we ever gave ourselves credit for.  Our capacity for pain, embarrassment and sleepless nights is both mind numbing and mind boggling.  We learn that a painful and chronic disease has physical, emotional and spiritual components.  One of the harder truths involves the connectedness between diet and the pain and inflammation cycle with IC.  And we finally find the empowerment that comes after realizing that we can make choices about our treatment of IC. 

Years after my IC went into remission after five grueling years of complete diet change, acupuncture, and yeast and bacteria elimination I find myself helping other women find their road to recovery from emotional trauma, yeast infections and other ailments.  I am saddened by their struggles and feel blessed to be able to offer advice or potential remedies pulled from living with IC for so many years.  I realize that the pain was not for naught.  I hope that it changed my perspective about life; and I hope that I continue to meet brave men and women who seek each day to improve their lives.