It takes a team

One thread of this blog since its inception is my journey through healing.  In the summer of 2012, I noticed that my elbows hurt.  The first health professional I saw thought I had tennis elbow — even though I didn’t play tennis or do any other repetitive motion activity other than swiping my iPad. That fall I began to feel tired — reeeeeeeally tired.  As a full-time mom, teacher, school administrator, and basically busy person, I had no time to be tired.  I went to a second health professional who did some blood tests and told me I was fine.

Since I knew I wasn’t fine, I kept pushing and investigating until I landed in a rheumatology office where I was given the diagnosis — psoriatic arthritis.  By then I wasn’t just tired — I was achy and struggling with psoriasis, too. Over the next 18 months I was treated with a series of medications in an attempt to find the one that would allow me to feel the best with the least side effects. I also experimented with acupuncture, massage, and nutritional interventions. All the while, I was still working full time and preparing for a major move, my youngest daughter’s graduation from high school and my oldest daughter’s graduation from college.

Then we moved.  And, if you have been following this blog, you know I committed to some time of rest and recovery.

While resting and recovering, I saw new medical professionals who said I did NOT, in fact, have psoriatic arthritis, but probably fibromyalgia.  These doctors discontinued some of the meds I was on and suggested that I insert more exercise into my life including cardio (I was already walking and doing Pilates). I resisted the fibro diagnosis, got a gym membership, and started building my team.

Now, 3.5 years after my initial symptoms and 1.5 years after moving to Michigan, I am still on the path to healing, but I am not alone.  I have assembled quite a little network of professionals who are believing with me that my health can improve and, indeed, that my entire sense of well-being might be restored.  Let me introduce my team.

Rev. John Rathje, aka my dear husband, is chief executive in charge of encouragement.  From the beginning, he has believed my invisible symptoms are real, has accompanied me to appointments whenever I have asked, has heated flax seed pillows, purchased ice packs, rubbed sore muscles, and supported my couch sitting. He also makes sure to remind me not to push too hard or do too much.

Rev. William Gatz is chief executive in charge of intercession. Since the moment he heard of my diagnosis he has prayed daily for my complete recovery.  If you know Pastor Gatz, you know this is serious business. He is a leader in prayer and intercession, especially prayer related to healing.  He also recommended that I read How Can I ask God for Physical Healing, which challenged some of my thoughts and affirmed others.

Dr. Mary Greiner, D.O. and Integrative Medicine Specialist, is the hub of my medical team.  She spends a great amount of time listening to me.  She takes a varied approach that includes, but is not limited to, pharmacology, homeopathy, nutrition, physical therapy, and lifestyle. Most importantly she believes that I can experience a better quality of life than I have now and she is willing to walk with me until I get there.

Marcy Boughton, MS PT, is the physical therapy whisperer who is subtly coercing my body into healing itself. She has manipulated my skull, my spine, my organs, my limbs, and, I dare say, my mind. The woman is filled with the spirit of God — Biblical truth oozes from her as she applies her hands to my body.  It is really quite miraculous. I have never experienced anything like it. Once a week I spend an hour on her table and leave feeling energized and supported. Marcy recommended that I read Dr. Gary Kaplan’s Total Recovery which is reshaping the way I think about health and the human body.

Dr. Greg Peroff, DC, is the chiropractic support member of this team.  He continually reminds my sacroiliac joint of where it is supposed to hang out and keeps my head screwed on straight. Like the others, he is committed to my overall well-being and applauds me as I walk down this path.

Of course I have other players — my eye doctor who treats the ocular herpes that resulted from my time on biologic medicines, my former therapist who walked with me before and during my diagnosis and helped me begin to see that my pursuit of health is not merely medical, but also psychological and spiritual, and a great team of family and friends. Soon I will be recruiting an acupuncturist and a massage therapist to round out this crew.

When I write it all down it seems a little excessive and somewhat selfish to need so many people. That is, when I look at it with my natural mind. My natural mind wants to be self-sufficient and to soldier through any difficulty without the support of anyone else.  I want to kick butts and take names.

Good thing I also have the mind of Christ that reminds me that butt-kicking and name-taking contributed to me being in this position in the first place. The mind of Christ reminds me that God connects us with others for a variety of reasons. This team is supporting me, yes, and perhaps, in some way, I am also blessing them.

I didn’t choose the path of chronic illness, but I am choosing the path to wellness — body, soul, and spirit. I am turning away from thinking with my natural mind, and turning toward the mind of Christ. Moment by moment, I am turning.

I Corinthians 2:14, 16

14 The natural person does not accept the things of the Spirit of God, for they are folly to him, and he is not able to understand them because they are spiritually discerned16 “For who has understood the mind of the Lord so as to instruct him?” But we have the mind of Christ.

Sunday morning musing

It’s a quiet Sunday morning. Sunny and sixty degrees.  I’m sitting outside.  The chapel bell just told me that it’s 9:00 a.m.  Pairs of students walk by me, some going toward breakfast.  Some dressed as though they are walking toward church.  

We’ll be headed to church soon, too.  This morning we are visiting the chapel at the University of Michigan.  (Perhaps we should dress in mourning clothes after last night’s game. Yikes.) A few years ago some folks from this congregation visited us at our coffee house ministry in St. Louis.  They wanted to follow the model of Crave and open their own coffee house.  And, they did it.  Today we will worship with them in their coffee house.  That’s pretty cool.  

Connections.  You wouldn’t believe all the connections. 

Yesterday we were at Concordia’s first home football game and my husband introduced me to a parent of a student.  He said I had graduated from high school with his sister.  Indeed, I had!  In fact, this gentleman and I had actually attended the same congregation in a small town in Michigan in the early 1970s!  We exchanged familiar names, smiled, and shook our heads in wonder at the connections. 

Also at the game, I sat next to a man who went to Concordia with me in the 1980s.  He was a basketball player, I was a bookworm, but we were in the same English class together.  In fact, the professor who taught that class was also at the game!!!  I am not making this up!

It’s amazing until you remember that we are all sitting in the palm of His hand.  Wander around that palm long enough, talk to enough people, and you are bound to find some connections.  

I made a new connection yesterday.  I met a woman I had been hearing about for quite some time.  She took my phone number and said she would call to arrange a ‘play date’ in Ann Arbor.  How awesome does that sound?  

I have been very busy for a very long time.  I haven’t had the time or the energy to notice all the connections in my life.  They’ve been there, I just haven’t sat back and appreciated them.  I appreciate them now.  

I am very thankful for this next chapter, for this moment to be still.  

 I Corinthians 12:27

Now you are the body of Christ, and each one of you is a part of it. 

On ice

How do you filter through all the information that you are confronted with each week? I am on overload.  Let’s just look at one segment of my life and the messages I have had to decipher, filter, and interpret all week.  My health. 

On Wednesday I saw a my new rheumatologist at the U of M.  I was anticipating that she would say, “Yup, looks like you have psoriatic arthritis and you should continue with the treatment you have been using.”  That’s what my rheumatologist in St. Louis said would happen.  It didn’t go that way. 

Instead, she (and her superior) said that I probably don’t have psoriatic arthritis, but more likely fibromyalgia. I should probably discontinue the biologic medication I have been taking and do more exercise.  In fact, do 20 minutes on the elliptical each day before I go on the three-mile walk that I have been doing. (I did mention, by the way, that fatigue is my most prominent symptom, followed by joint pain, and then psoriasis.) 

So, what do I do with that?  The doctor who has been treating me for 18 months says psoriatic arthritis, moderate exercise, prescription NSAIDs, and biologics.  The doc who has known me for twenty minutes says fibromyalgia, fewer meds, more exercise.  

Well, as is my way, I got angry.  I don’t think I have fibromyalgia.  It’s true, I don’t really fit any diagnosis cleanly, but most people with autoimmune disease do not. I don’t look sick at all.  Many people with autoimmune disease do not. I felt a bit like a hypochondriac. I felt dismissed.  I fussed and fumed to my husband and my daughter into the next day. 

But, I agreed that since I am not working at the moment, and I have some time to experiment, I would try discontinuing one medication and adding more exercise. Let’s just see what happens.

 On Thursday I did twenty minutes on the elliptical and went for a three mile walk.  On Friday, I toured a fitness center and swam!  I fell in love and decided I would get a membership because I can do Pilates, yoga, swim, and use weights and cardio machines.  Saturday we sat on bleachers and watched a volleyball game and then stood while we ate burgers with some friends. After that, I went for my typical three mile walk.  

I woke up Sunday  in pain. I struggled to stand through the praise portion of worship because of the amount of pain in my SI joint.  I came home and rested. Yes, I had to rest after church.  Then, I thought a walk might help with the pain.  Wrong.  It got worse.  I spent the rest of the evening on ice.  I woke up this morning, made breakfast for my family, then went right back to the ice.

I would be taking an injection today if I had not agreed to discontinue my biologics.  But I am going to follow the plan.   However, in order to follow the plan, I have to get this pain under control.  So, I am trying to get in to see a chiropractor tomorrow.  Perhaps he can realign my SI and reduce my pain so that I can do more exercise.  

This is a lot of information, isn’t it?  You don’t really want to hear about all my medical stuff, do you?  It’s consuming.  And it’s only one segment of my life.  I have many other things I would like to be spending my time thinking about.  

But today, I am on the couch, on ice.  

I am trying to understand what God has for me in this next chapter of my life.  I really don’t want to spend it on the couch, or in doctors’ offices, or focusing on taking care of myself.  I am trying to be open.  I really wish this illness was in my head.  I really wish that I could just do more exercise, think positive thoughts, and get back to my old self. I don’t really think that is going to work. 

I am frustrated, but I am holding on to the hope that my new self, in this next chapter, whether in pain or not, will be a self that turns her eyes to God, that listens to His truth, and that accepts whatever He has for me. 

And in the mean time, I’ll be sitting here on ice. 

Reality

I used to get frustrated with students who sat in the writing lab staring at a blank screen.  

Guess what I have been doing for almost an hour. 

Yup. 

Busted. 

I’m sitting here in my pajamas, realizing that my cup of tea is almost empty and I have nothing to say. 

My students prayed for this moment. 

Chester is asleep under my desk.  My husband has left for work.  The remaining daughter is into her second hour of productivity. And here I sit. 

I mean, I have been a little productive.  I did send a couple of emails.  I did clear a level on Candy Crush that had been giving me trouble.  Don’t judge.  

I want to start writing about my options for ‘what’s next’, but I am committed to not discussing that at least until September.  And it’s only August 26! September 1 is Labor Day, so I can’t very well discuss career options or work on Labor Day!  So I am going to have to find something to write about between now and September 2.  That is seven whole posts!!!!!!!

Being still is hard!!!  

Of course I have to admit that I’m not just sitting in my pajamas playing Candy Crush all day.  I have managed to keep up on the laundry, cook a few meals, keep the house relatively orderly, go for walks, and meet new people every day.  

And I also have to grudgingly admit that even that has worn me out.  I woke up feeling not great today, which tells me I have to take extra care to rest.  And that makes me a bit angry.  I want to be able to do things.  I had big dreams of going to quaint coffee shops to write, of exploring Ann Arbor, of going on adventures.  I was hoping for endless possibilities. 

But today, I think the reason it’s difficult to write is that reality is jumping up and down in front of me waving its arms.  “Hey, Kristin, remember me?  Reality?  I am the knowledge that you have days like today where you struggle to get out of bed, your joints ache, you are exhausted, and you want to cry.  Do you really think you can explore ‘what’s next’ with me standing right here?” 

Hey, Reality, you suck.  

But, Reality is, after all, reality.  I do have days like this.  I won’t crawl back into bed, but I will talk myself into doing Pilates, into going for a walk, into taking a break and maybe even a nap.  I will look at the people in front of me and be thankful that I have this grace period to breathe and fully evaluate reality.  

Only when I fully grasp my new reality will I be able to see what God has next for me.  

Psalm 19:21

Many are the plans in [my] heart, 

but it is the Lord’s purpose that prevails.

 

A psalm of Kristin

Psalm 23 (Rathje Revised Version, rrv)

A psalm of Kristin

The Lord is my owner/manager, I have everything I need.
 He provides me with a new pillow-top bed,
he gives me a sweet little house beside the Huron,
    he refreshes my soul.
He plans my itinerary to put me in places where I meet the best people at just the right time.
Even though He sometimes sends me to places that others consider scary, 
 I have not been afraid,
    because He goes ahead of me and prepares the way, providing resources and assistance at every turn;
His Word and His people comfort me.

You shower me with blessings and make me oblivious to any enemies.
You fill my fridge with food and my glass with nice red wine, until it overflows.
Surely your goodness and love will follow me
    all the days of my life (I don’t know why I would ever doubt that after all your faithfulness to me)
and I will dwell in the house of the Lord
    forever (with some pretty amazing people that have gone before and beside me).

Details, details, details

Today is a detail day — schedule the oil change, get the groceries,  call the university, fold the laundry, etc.  I have lots to do…actually lots to do all week long. 

These details were a bit overwhelming last night when we had just returned from dropping off the baby at college eight hours away.  And, I’m a little irritated at the moment that I can’t just lie around and mope.  Already I am laughing at myself. 

It’s all by God’s design isn’t it?  He knew in advance that I would be a little torn up today — worrying, grieving, overthinking — so he made sure my plate was full for a bit.  It’s all good stuff — family visiting tonight through Friday, an appointment with a specialist, some cooking, some cleaning, and definitely some writing.  

I will find some time in the midst of the details to grieve a little, to wallow a little, to mope a little.  But, I will have to wipe the tears and drag myself out of bed to get a few things done.  

After all, one daughter is still here!  In fact, she greeted us last night when we returned from our trip with a warm dinner and lots of energy!  I couldn’t bring myself to write a grocery list, but she could.  I was overwhelmed at the thought of laundry, but she had it started!  God’s design.  He knew that if they were all gone at once, I would be overcome by loneliness.  He’s easing me into the empty nest.  

My niece is coming to visit tonight, bringing more energy into our home.  Two twenty-one year olds full of possibility and promise — they will take a road trip tomorrow!  What fun! They will leave me here to write, think, rest, and grieve for a couple of days, then they will bring their energy back.  

Do you see that detail?  God was setting up the details ahead of time, taking care of me, knowing exactly what I needed.  He knew I needed to do for a little while and then be for a little while.  He knew I needed people in my house for a while.  He knew what I needed before I even asked.  He’s got August taken care of, so that I can face September.  He’s always looking out for me, and for you. 

The Lord is my rock, my fortress, and my deliverer;  

my god is my rock, in whom I take refuge,

my shield and the horn of my salvation, my stronghold. 

Psalm 18:2

 

Going with the flow

Imagine me lying on an inflatable raft and floating down a river on a beautiful Michigan day.  That is how life has been the last couple of days.  With this full house, I have refrained from creating my everyday to-do list. And I have been trying something different — going with the flow. 

Going with the flow has meant staying up until 1:00 am or later — two nights in a row.  It has meant that yesterday I woke up at 10:20 am!  I have written my blog in the middle of the night.  I have eaten a warm kale, cilantro, black bean salad created by one daughter and black bean (gluten-free) brownies created by the other daughter.  I have gone on a walk with Chester, started a Grisham book, and watched Sabrina. I took a walk on campus which equated to a walk down memory lane.  

Sounds pretty lovely, doesn’t it? So, I wonder if I will allow myself to go with the flow a little more often. 

This goes back to my doing v. being still theme.  I am trying to explore the fact that doing and being still do not have to be in opposition.  The two can co-exist.  In fact, in all my floating around yesterday, I did get my migraine-suffering daughter in to see an acupuncturist and also discovered that two miles from our new home is the leading migraine headache clinic in the nation.  Yes, while floating, we got her a comprehensive appointment for next week. 

But I didn’t really accomplish anything else.  This is new for me, the one who has measured my value by the number of things I get done and how well I do them.  It is new for me to see the overgrown flower bed and acknowledge that I want to do something to it without jumping right up and tearing out the weeds right away.  It is new for me to be comfortable co-existing with the unfinished, unsettled, unpolished.  

But floating is nice.  See how sparkly the water is?  Hear the wind blowing?  

Right now I am sitting in my adirondack chair on my porch, looking at the scene in the photo above.  Coffee was just delivered to me. Tomorrow we pack up our daughter to move to college, but today I am going to continue to float.  

Come to me, all you who are weary and burdened, and I will give you rest. 

Matthew 11:28