But you dont LOOK sick...

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rubywhistle

Well-known member
Joined
Aug 19, 2011
Messages
62
Location
Australia
Hi guys

This is directed at people who are not sick and its not talking about heart problems BUT it really helped me realise how hard it is to be a loved one! The truth is they dont know, what we feel or what to say...and i wouldnt either if i was them!

Let me know what you think

Ruby



"But You Don't LOOK Sick..."

10 Commandments for interacting with the chronically ill

©2006 Susan Williams, PublicHealthAlert.org

For those of you who may have, at some point, been the perpetrator of an otherwise well-intentioned comment, please understand that our illness is just as real as that of an amputee or other “visible” illness. To help aid those of you who wonder how to interact with a chronically ill person, allow me to present the Ten Commandments.

1. Thou Shalt Not Imply That We Are Not Truly Ill.
You will not convince us otherwise with remarks such as, “You LOOK good,” or “But you don’t LOOK sick.” Even if you meant them as compliments, we perceive those kind of statements as insults because they imply that you do not believe us.

2. Thou Shalt Not Imply That The Illness Can Be Easily Fixed.
People with chronic illnesses are persistent, if nothing else. We hang on, day after day. We see countless doctors, take numerous medications, do endless research, and continue hoping that the answer is just around the next corner. So please do not insult us by delivering diagnoses, remedies, or comments such as, “Why don’t you just...” or “Have you tried...” or “You should....” If it truly were that simple, I assure you that we would have done it already. We are sick, not stupid.

3. Thou Shalt Not Imply That We Brought This On Ourselves.
We did not choose to become ill, just as we do not choose to stay ill. Simply having a positive attitude is not going to solve our problem. One would never imply that a quadriplegic chose such a trial for themselves, or could get better “if they really wanted to”. Please afford chronically ill patients the same respect.

4. Thou Shalt Not Insult or Argue With Our Limitations or Behaviors.
If people with chronic illnesses push ourselves too hard, we can suffer serious consequences. Most of us have developed coping mechanisms to help us survive, and it is cruel to expect us to do more than we are able. One chronically-ill woman I know was actually told, “I wish I could have the luxury of sleeping all day.” Believe me, we would much rather be out working, playing, spending time with loved ones, participating in normal activities.

“Sleeping all day” is not a luxury for us – it is a critical necessity, one that we must take in order to protect whatever remaining health we have. Perhaps it may help to think of it in terms of being one of the medications we need to take. If you wouldn’t think of denying a diabetic their insulin, then don’t think of denying the sufferer of a chronic illness their critical need, whether it is a mid-day nap, avoidance of certain foods or environmental factors, or something else.

5. Thou Shalt Not Imply That You Can Relate To What We Are Going Through.
Unless you have a chronic illness of your own, you cannot possibly understand just how much suffering is happening. Of course you want to be compassionate and want to relate to people. But when you try to do this by telling a chronically-ill person that you are always tired too, it tends to make the person feel that you are minimizing their suffering. Try saying something more along the lines of, “This must be so hard for you,” or “I can’t imagine what you’re going through.” It really does make a difference to us.

6. Thou Shalt Be Mindful Of Other Family Members.
Chronic illness doesn’t just affect the person who has it, but the whole family as well. The trauma of the illness can evoke feelings of fear, depression, anger, and helplessness in all family members. The balance of family dynamics will most likely change, especially if it is a parent who is ill. The healthy spouse may end up taking on an overwhelming amount of responsibility, and even children will likely be involved in helping care for the ailing family member. Please keep these others in your thoughts as well, and make an effort to direct some special attention to them, without any mention of illness or disability.

Individual family members adjust in different ways and at different paces. All members might benefit from counseling to help handle the stress involved, and each family member also needs to have time to pursue their own individual interests. External support from friends, neighbors, extended family, religious institutions, and support groups may help ease some of the burden.

7. Thou Shalt Acknowledge Our Efforts and Celebrate Even Our Small Successes With Us.
For the chronically ill, any day that we can accomplish a task, no matter how small, is a “good” day! Our lives are often measured in terms of doctor’s visits and lab work, and our “success” measured by a rise in Natural Killer cell counts in our blood, or actually completing an entire load of laundry in just one day. Please do not look at us as if we are joking when we share these celebratory moments with you. Celebrate with us, be happy with us, and do not kill the moment by announcing that you just completed the Ironman Triathlon in record time.

8. Thou Shalt Offer Thy Specific Help.
There are so many ways to help -- the most difficult part is usually getting a chronically-ill person to accept that help. They do not want to feel like a “burden”. If you offer a vague, “Call me if I can help,” the call will probably never come. But if you are sincere, consider extending offers of specific help, such as a ride to a doctor’s appointment, or picking up a few groceries or the dry cleaning. These activities can be done in a way that does not add any extra burden to your own schedule. If you have to go to the grocery store for your own family, it really isn’t much extra work to grab an additional loaf of bread and jug of milk. If you have to swing by the post office, getting an extra roll of stamps or mailing an additional package isn’t much extra effort for you – but it can save a chronically-ill individual a lot of time, energy, and exacerbation of symptoms.

9. Thou Shalt Remember Important Events.
I’m not just talking about birthdays and Christmas. A major doctor’s appointment, lab test, or new medication are all important events to the chronically-ill person. Try to sincerely ask, “How was your appointment? How did the lab test go? How’s your new medication?” The chronically-ill person will appreciate that you remembered, and that you cared enough to ask about it.

10. Thou Shalt Get To Know The Person Behind The Illness.
The illness may be a part of us, but it’s not a part of who we ARE. We want to be known as more than “that sick person”. You may discover that we have a wickedly funny sense of humor, a creative imagination, musical talents, or any number of things that better describe who we are, and what we would rather be remembered for. (It makes for better gift ideas too -- rather than presenting us with yet another self-help book on the power of positive thinking, now you can give us a CD from our favorite singer or movie of our favorite actor instead.)

Most of all, please remember that the chronically-ill person is more than worthy of love, friendship, and support. Most chronically-ill people I know are the toughest nuts I have ever met. Indeed, I have come to believe that a chronic illness is not for wimps – rather, only the toughest of the tough can continually face the struggles of life while battling a debilitating disease. That kind of grit deserves nothing less than pure respect and admiration, even from our toughest critic -- ourselves.




http://www.anapsid.org/cnd/coping/looksick.html
 
I like this post! I can relate, as I'm sure many of us here can as well. When my valve was failing, and walking two feet was literally an effort, I wish I'd had some "comebacks" for those who actually said to me:

1. "I bet you love being on an early summer vacation!" (I was on medical leave from my teaching job). No, I would rather be at work and healthy, thanks.
2. "You look really good! You don't look sick!" Look more closely at my blood-shot eyes and my pale skin. My heart is working harder. Can you tell that I'm constantly short of breath?
3. "Were you overweight? Did you have high cholsterol?" (after surgery). No, I was at a healthy weight, my arteries are clean. I was BORN with heart disease.
4. "I totally know what you are going through. I had surgery once for an ingrown toenail." Sorry, but an ingrown toenail and valve surgery are nothing alike! Does your heart have to be stopped, do you have to be put on a heart-lung machine to get a toenail cut out?

And of course, let's not forget the imbeciles (there have been two in my experience) who have tried to dispute that I've actually had heart surgery, just because I don't have a "zipper." Nowadays, there are other ways of performing heart surgery without OHS.

Sorry if I'm "preaching to the choir." It's just that for many of us, heart problems don't present themselves like other diseases do. We can look perfectly fine but be very ill on the inside.
 
I try to not make myself such a focus and my heart condition the first thing I expect people to think of when connecting with me. Just my preference but I'm more comfortable speaking and thinking less about my 'condition' than trying to educate how I want others to 'treat me'.

Just my personal viewpoint and I know we are all very different as are our individual conditions.
 
Thanks Ruby!!
It'd be helpfull if healthy people got it, or even tried to but nothing we say will change them. I was likely guilty of many thoughtless remarks. The fact is, untill chronic illness is your reality, you will never understand. That's the joy of health.
 
Explaining chronic pain to someone who has not experienced it, is like trying to describe color to a person who has been blind since berth. Pain, and vision, are experiential. It is not possible for someone who is in chronic pain to hide from it, but those who are around it, can easily hide. They hide in their avoidance, they hide it in their ignorance, they hide it their denial. Mostly they hide it in their fear. The fear of a loved one that seems lost to them, the fear of a loved one that they may lose, the fear that it might have been them. And out of that last fear, comes embarrassment, and out of the embarrassment comes the remarks you pointed out.

I have lived in chronic pain for the last 16 years and what I know for sure, is that those around me changed more than I did. I became stronger, and they become weaker.
 
I really appreciate the last part. I am toughest on myself. My family and friends always tell me what a strong woman I am and how encouraging my example is to others. I appreciate those comments from others, I need to tell myself those things too. I have always looked at the glass half full no matter what situation I'm in, and right now, it's pretty hard because I am sick with endocarditis and a perivalvular abcess. I have had 3 hospital stays and one ER visit in the last five weeks. But, it could be worse.
 
Oh yeah, and let's not forget the moron who says, "well, if your valve ever gives out, you can just go in and get another one, right??!" Oh right, I forgot, I can go just go to the "VALVE" store and get one!!!

Great post, BTW! I'm sure all of us can relate to it!
 
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This should be posted ... nearly everywhere.....

*sighs*



Cort | 38.m.IL | pigValve + paceMaker | 5 Monte Carlos + 1 Caprice Classic
* PRE-SURGERY PARTY = ~5:30p-10:30p, Saturday, 10/29/2011 at Beef Villa, 1225 W Spring St, S Elgin IL *
"Why can't that be me?" __ 3 Doors Down __ 'If I Could Be Like That'
 
That really moved me Ruby. Thank you for the post. Cort....let's paste that on every billboard we can find in Chicago. :) Hope you are well my friend. You are in my thoughts and prayers!
 
My (large-10 brothers and sisters) I think figured it was outpatient surgery????? (AVR). I had to take a train to the city (this is Calif, we don't DO trains) because everyone was too busy to to take me there. My dad's wife was going there, but on a different week.... Told her I was in cardio rehab now and she looked at me like I was confused or mistaken...."but your surgery was... MONTHS ago!" They make them by the barrel out here?????
Thank you for the POST!!!!!!
 
Cort....let's paste that on every billboard we can find in Chicago. :)

Heh ... that's a GREAT idea! Plenty billboards around, that's for sure!


LUVMyBirman said:
Hope you are well my friend. You are in my thoughts and prayers!

*nods* Thank you! I am OK ... just frustrated at the moment.



Cort | 38.m.IL | pigValve + paceMaker | 5 Monte Carlos + 1 Caprice Classic
* PRE-SURGERY PARTY = ~5:30p-10:30p, Saturday, 10/29/2011 at Beef Villa, 1225 W Spring St, S Elgin IL *
"There's so much I need to say to you" __ Phil Collins __ 'Take A Look At Me Now / Against All Odds'
 
My (large-10 brothers and sisters) I think figured it was outpatient surgery????? (AVR). I had to take a train to the city (this is Calif, we don't DO trains) because everyone was too busy to to take me there. My dad's wife was going there, but on a different week.... Told her I was in cardio rehab now and she looked at me like I was confused or mistaken...."but your surgery was... MONTHS ago!" They make them by the barrel out here?????
Thank you for the POST!!!!!!

OMG!!!! yes it would appear that many So. Cal people are just a little self-centered, but not all. Many of my friends could not comprehend that I was having valve replacement and not by-pass surgery, but after a while of trying to explain, I just said the standard Valley girl reply "WHATEVER!!)
 
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