A Return to Best Practices, A Re-visit DRAFT

Early in my journey with chronic illness, I wrote this piece as I was just figuring out all the factors that contribute to my wellness. This past Monday, I posted this piece, a commitment to adjusting some behaviors that had morphed during Covid. What follows is a piece I wrote in August of 2019, further evidence that in order to stay well, I must continue to return to my best practices.

Early in this blog, much of my content was about my ongoing journey through chronic illness — pain, fatigue, and issues with my eyes and skin. I don’t write about it much any more, because most of my symptoms have leveled out; I don’t often have a crisis. Sure, pain is still present every day; yes, my eyes can give me challenges from time to time; and, of course, my skin continues to be my first alert system. However, for the most part, I have found a new rhythm that sustains my health and has even allowed me to work full-time and enjoy life outside of work. (Read my latest health update from March here.)

In fact, I’ve been in this rhythm so long, that I can forget how miserable I was just a few years ago — when I had to limit myself to 1-2 activities a day, when I frequently found myself doubled over in pain or lying on the bathroom floor waiting to throw up, when I had to lie down for a while in the morning and in the afternoon due to extreme fatigue. Yeah, it was really that bad, so now when I work 40 hour weeks for months in a row, occasionally meet friends for dinner after work, or travel two weekends in a row, and suffer no consequences, I can get a little amnesia — the kind of amnesia that leads me to push the limits.

For the past month, I have been pushing the limits. We have had out of town visitors at least four times and have attended two family reunions, one wedding, one dance lesson, and at least two dinner dates with friends. No problem. I was feeling fine. Yes, I had to go to bed early a couple times, but I recovered quickly. I was able to keep writing most mornings, do yoga, go for walks, and still manage my regular household tasks like groceries, laundry, and cooking. I didn’t miss work or cancel any plans.

But this past week, I kicked it up a notch — I threw all caution to the wind.

After church last Sunday, my husband and I shopped for a few hours while we waited for new tires to be installed on our car. Monday, we met after work to grab a quick bite before cheering on our son in a local 5k; we even hung out with him for a while afterward. Tuesday, I attended my end-of-summer staff party complete with Chipotle and trivia. Wednesday, I met an old friend from high school for a quick reunion. Thursday, I ate out, played, and laughed with my son and godson. What a fun week!

And it might have been ok, if I hadn’t missed my last PT appointment or skipped my chiropractor for three weeks running, if I hadn’t been up later than usual every single night, if I hadn’t omitted yoga four days in a row, if I hadn’t had the corn chips with my Chipotle, if I hadn’t had two slices of pizza (all that gluten and dairy) at work on Wednesday, or if I hadn’t said, “sure Ethiopian food will be fine.”

People often ask me, “What do you notice when you avoid gluten and dairy?” or “Does yoga really help you?” or “Really, a chiropractor makes a big difference?” or “That PT sounds weird, are you sure it works?”

I typically say something like, “I’m not sure what does what, but I know that when I do all the things, I feel good enough to live my life. When I don’t do the things, I’m on the couch or in the bed.”

After a month of rich living, I abandoned my good practices for a week, and when I woke up Friday morning, I felt rough — my head hurt, my eyes were begging to be closed, I was nauseous, and I really thought I wouldn’t make it through my work day. I allowed myself an extra 30 minutes in bed, then begged the hot shower for transformation.

I dragged myself to work, mentally marking the four-hour countdown to lunch hour when I would finally see the chiropractor. It was a particularly challenging morning at work — complete with schedule changes, atypical student behavior, and two parent meetings –but I did my best and made it to lunch time.

I willed myself to drive to the chiropractor, rubbing my aching neck and fight back nausea. I was miserable. “Please, Jesus, let this adjustment at least alleviate this headache.” The chiropractor may have said, “wow” a couple of times as he moved up and down my spine putting each piece back in its assigned location, and he may have said, “well, that should make a difference” as we heard the pop of my sacroiliac joint jumping back into place. I can’t remember exactly what happened, because he then applied acupressure to two spots right below my eyes and then two spots on my forehead and the pain of my headache was instantly cut in half. I was astounded and relieved.

I walked to my car promising the doctor (and myself) that I’d return on my regular schedule. I drove back to work, where my office manager met me with a Whole Foods delivery — warm goodness without gluten or dairy or corn. I sat at my laptop with an ice cold Coke and my roasted chicken and vegetables and began to feel well again.

It was a quick turnaround — unlike the systemic flares from just a few years ago that would take 24 to 48 hours, this one lasted only about six hours. Just long enough to scare me straight.

All during those six hours I was picturing the tile of the bathroom floor and imagining myself packed in ice on the couch. I had forgotten those realities, but they showed up to remind me to return to my best practices.

I made a home-cooked meal on Friday night — roasted pork cutlets with rice and sautéed fresh vegetables and then slept for nine hours. I started Saturday with writing, yoga, and oatmeal before heading to a 90-minute structural medicine appointment where the practitioner moved all the muscles and ligaments to support the chiropractor’s work. I spent the afternoon doing food prep — making Kristin-friendly muffins and cutting up veggies and melon– and organizing my office. I finished the evening with three episodes of Queer Eye because it’s wholesome and friendly and hopeful.

I’m writing this on Sunday morning, and I’ve already journaled, done yoga, and am writing now to remember — that the full life that I enjoy is a gift. In a little while, I will head to church where I will give thanks for this gift– this physical restoration that is a mere shadow of the more complete restoration that has been happening inside. I will give thanks for both, and I will continue to return to all of my best practices.

Addendum: It’s now Monday morning. Yesterday on our drive to church, my husband and I started filling our day with visits and errands, and chores. We had quite a list, so we both agreed to “see how it goes.” By the end of church and a congregational meeting, I had decided I needed to see a doctor; I had symptoms that suggested an infection. So, we drove to our practice’s walk-in clinic to have me checked out. No infection, just more evidence of inflammation–I needed more than twenty-four hours to recover, apparently.

So, we scrapped our plans, came home to nutritious leftovers, an hour at the puzzle, a nap, and two episodes of The Great British Baking Show — yes, we’ve pulled out all the stops! In a little while, I will start my week with a trip to the physical therapist for the final “laying on of hands” in this series.

I am so thankful for my current health and this journey I’ve been on — a journey that tangibly shows me the value of self-care, a journey that allows me to do my best and gives me grace to recover when I’ve gone off the rails, a journey that reminds me to return to my best practices.

For from his fullness we have all received, grace upon grace.

John 1:6

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