Hope Is The Answer


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sarcoid never give up

Hope is defined as “a feeling of expectation or desire for a certain thing to happen.” Hope is a wish. It is a want but, hope is more than this. Hope is also an ambition. It is a a goal. Hope drives us to plan for more and to set our sights on a better outcome.

When you live with a disease like sarcoidosis, you have to cling to hope in order to survive. Hope is the most important ingredient in the fight against any disease. Hope is the fuel that keeps us going during the most difficult days. We have to believe, to know in our hearts, that things can and will improve for us.

Hope is a form of trust, a type of faith. Having hope means that we must believe that light will return to our lives even during our darkest moments. Hope is the unashamed abandonment of common sense. It is a belief that what is yet to be revealed will be make us more whole, restore our peace and bring us serenity.

There is no point to life without hope because hope is what gives us the determination to make better decisions for our lives. We may suffer with a chronic disease, and it is difficult, but we can control how we decide to look at our lives. Will we remain grateful or will we dwell in misery? Hope helps us pick the positive option because, things may not be the way we want them to be, but we can make a conscious decision to believe they will get better.

Hope is a choice.

It is something we can decide to have or not to have. Hope waits for us to choose it. We can be hopeful one day at a time. Hope evolves with us as we grow and change and shift in our own thinking. We must accept what cannot be changed but, we can also have courage to be hopeful even when it feels out of our reach. Hope is never out of our reach.

Living with a disease like sarcoidosis requires a lot of us. We suffer humbling loss in the wake of this disease. Our lives change and change forever. Our bodies are weak. Our minds are muddled. We don’t recognize who we’ve become. We grieve who we used to be and somehow must learn to accept who we are now, strangers in our own skin. How do you do that with grace? How do you let go of the life you once knew so well and learn to embrace the unknown that is now?

The answer is hope.

Hope is the only thing in life that is stronger than fear. Hope is brave. Hope is the only thing that makes miracles happen. Hope gives us the energy we need to keep trying. Hope is the belief that what is to come is better than what we left behind. Hope overcomes confusion. Hope makes all things possible. Hope never surrenders. Hope is limitless. Hope is a renewable resource. Hope feeds courage and courage builds our strength. Hope keeps us alive.



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S is for stupid

A is for absurd 

R is for ridiculous 

C is for cunning 

O is for obnoxious 

I is for insidious

D is for devastating 

O is for offensive 

S is for sneaky 

I is for inflammatory 

S is for senseless 

Overcoming Fear…A New World View!


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Fear isn’t exactly specific to sarcoidosis but, for me, fear is a relatively new experience. I was not a particularly fearful person before my sarcoidosis diagnosis. In fact, fear is something that has actually snuck up on me over the years that I have been chronically ill. It has taken up a quiet residence in the recesses of my mind but it is constant now and I don’t like it.

Recently, I was given a golden opportunity to travel somewhere exotic that any person in their right mind would want to go. When the chance to have this great adventure was first presented to me, my heart raced and my mind exploded with excuses why I should not go. This was rather alarming to me. I was surprised by it. I hadn’t expected to feel this way and it confused me because, even though part of me knows I live with a new steady feeling of uncertainty in my life, I hadn’t realized that this fear had become so profoundly ingrained. I know this kind of alarm is not good for me and it is not something I can give in to.

After my panic subsided, I took a deep breath and decided that I needed to take a step back from this very odd reaction and examine it further, to better understand why I felt such trepidation at the prospect of being able to spend time in paradise. My head knew what my body didn’t. This was not a normal response. So, I did what I have learned to do since my sarcoidosis diagnosis, I took a self inventory of my feelings.

Self inventory is something I do a lot now that I am chronically ill. I know that I no longer see the world the way the world really is. I see it through the eyes of a person in a broken body but, I also remember who I was before I became broken and the only way I know to keep any part of that person alive, is to fight for her, to constantly examine my motivations and judgements about the world now that my life has been taken over by sarcoidosis. Am I seeing whatever I am looking at through my broken point of view and can I get past that point of view to improve the quality of my life? These are the key questions I have to ask myself whenever something new is presented to me.

Upon further examination of my overwhelming dread at the thought this adventure presented to me, I realized something. I realized that the fear was coming from the fact that my world now is small, very small. The thought of leaving the cocoon that I have created for myself is scary. I live in a cocoon now for a reason. It is safe here. I have routines that help me manage the symptoms of my disease in this cloistered place of comfort and familiarity. In this sheltered place, I sometimes forget that there is a big world out there and, apparently I’ve become a little afraid of it. In this sheltered place I can sometimes fool myself into believing I am physically and emotionally stronger than I really am.

After I better understood my fear, I realized another thing. I can’t let it rule my life and the moment I figured that out, I also realized that I have to take this adventure even if it scares me. While living on my cocoon is okay sometimes, it is not okay to be suffocated by it. The world is a big beautiful place and even if I am sometimes frightened by it, I need to remember that it is still better to remain part of it whenever I can than to shrink and wither in worry and angst in a completely collapsed place of illness and disease.

I will accept that taking this adventure is scary for me, that it will be an effort for me to stretch myself outside of my zone of comfort and routine. I will also and perhaps more importantly, acknowledge that it is good to be physically well enough to accept this challenge. There was a time I wasn’t and there may be times in the future when I’m not. I will embrace this adventure as a chance and a lesson to grow beyond my disease and to live my life, truly and completely. I will be grateful for the insight this trip as given me about how fear seems to be impacting my world view and I will continue to strive to overcome it wherever and however I can. Fear will not rule me.

The Beast…The Ogre…The Monster!


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When it comes on, it takes over your body like a demon possessed. There is no stopping it or sleeping it away. It enters your body, your bones, your muscles at will. It leaves only when it has had its fill.

Like a zombie, you move through the day stumbling, staggering and teetering. You lurch, you wobble, you reel. You lack your once finely tuned agility. Nimble dexterity, a thing of the past.

Fatigue invades your soul and assaults your very being. It takes your dignity, your pride and your passion. The world is dull and dark, as the weight of your own body crushes your spirit and your hope.

Your mind is muddy, dank, depressed and thick. Thoughts come at a snail’s pace and are vague, indistinct and confused. Your brain is full of cobwebs and dust. Your flesh feels like fuzzy unbrushed morning teeth, after a night sleeping with your mouth open.

It is the most unpleasant of out of body experiences as you feel the core of who you are slipping into the most cavernous abyss and a heaviness too big to fight covers you in a doomed sort of melancholy.

Fatigue ravenously snacks on your vitality and the more energy it takes, the stronger it seems to get, growing like that creature from the movie The Blob. It expands and widens as it barrels through your body, unstoppable in its determination to destroy your life and dreams.

It replaces your motivation with profound apathy and emptiness. When it is finished with you, it leaves you resembling a wet noodle, soft and flaccid after being soaked in water too long. After shaking you within an inch of your life, it throws you on the ground, damp and gnarled. You feel shredded and somehow forever shattered in its wake.

It is cruel. It is indifferent. It is savage. It is viciously diabolical in its desire to upend your life. It is ruthless. It is spiteful. It is fiendish. It is singleminded in its mission to demolish your once vibrant world and obliterate your enthusiasm for adventure.

Fatigue is a beast.

Fatigue is an ogre

Fatigue is a monster.

Nothing Like A Good List To Demonstrate The Point!


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sarcoid hope FB

Yesterday, I posted a list of all of the known possible symptoms/complications of sarcoidosis for “Awareness Month.” The length of the list and some of the things on it were even a surprise to some people who have the disease. Since yesterday’s list was a hit, I thought for today’s post I’d simply list all of the known side effects of the treatment available for sarcoidosis.

Within our little community we have often talked about how the treatment for this disease is sometimes worse than the disease itself. There are no curative treatments offered for sarcoidosis. Treatment is for symptom management only and to reduce the potential for organ damage in whatever organ or organs the disease can be found. Remember, sarcoidosis can strike anywhere in the body!

Treatments for sarcoidosis are mostly limited to high doses of corticosteroids, immunosuppressants and low dose chemo therapy…all for extended periods of time. So, deciding if or when to receive treatment is a very personal choice and depends largely on how badly symptoms are impacting one’s quality of life and if organs are being damaged by the presence of granulomas. (In case you forgot, granulomas are those pesky clumps of cells that form in our bodies because our immune system has gone off the rails!)

With all of this in mind and in no particular order, here is a list of possible side effects from the treatments available to those of us with sarcoidosis. Just like yesterday, I am sure once I publish this list, my readers with the disease will inform me of even more side effects/complications from treatment.

There is nothing easy about sarcoidosis!

  • Weight gain
  • Mood changes
  • Moon face
  • Dizziness/Fainting*
  • Headache
  • General irritability
  • Noisy rattling breathing
  • Pounding in the ears
  • Red burning feeling to the face
  • Swelling to hands and feet
  • Brain fog – trouble thinking and speaking*
  • Blurred vision
  • Fast beating/Irregular heartbeat*
  • Chest pain
  • Black tarry stool
  • Hair loss
  • Nausea*
  • Mouth sores
  • Stomach pain*
  • Metal taste in mouth*
  • Dry mouth*
  • Increased fatigue*
  • Joint pain
  • Drowsiness
  • Bone pain
  • Feelings of anxiety/nervousness*
  • Shakiness*
  • Nerve damage*
  • Fever/Chills
  • Cough
  • Hoarseness
  • Shortness of breath
  • Lung damage/Fibrosis
  • Lower back pain
  • Increased risk for colds/flu/pneumonia*
  • Jaundice
  • Liver damage
  • Usual bleeding
  • Low white blood cell counts
  • Bruising easily*
  • Loss of appetite
  • Muscle pain
  • Acne
  • Constipation
  • General weakness*
  • Numbness and tingling to feet
  • Diarrhea
  • Edema
  • Changes in urination
  • Hives and itching
  • Skin changes/growths
  • Pale skin
  • Increase risk of cancer
  • stuffy nose/Sinus pain
  • Sore throat
  • Increased risk for developing diabetes

(*My side effects)

Symptoms, Symptoms and Hey..More Symptoms!


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Sarcoidosis is called a “snowflake disease” because no two people experience it exactly the same way. While some people have similar symptoms and stories, the disease is very individualized. How it will progress is anyone’s guess. How each person responds to treatment is also a medical mystery and the number of symptoms one might experience differs greatly. In fact, the symptoms of sarcoidosis are so vast that for today’s “Sarcoidosis Awareness Month” post, I am simply going to list all of the symptoms/complications that I am aware someone can have with this disease. I’m 100% sure that after I publish this list, other suffers will have more to add!

  • Shortness of breath*
  • Dry cough*
  • Chest tightness*
  • Wheezing*
  • Hypoxemia*
  • Pulmonary hypertension
  • Swollen lymph nodes*
  • Headaches/Migraines
  • Fatigue*
  • General malaise*
  • Fevers*
  • Skin sores*
  • Skin discoloration*
  • Itchy skin
  • Rotting teeth
  • Bone pain*
  • Formation of cysts on the bone*
  • Muscle pain*
  • Muscle weakness*
  • Numbness and tingling to extremities
  • Joint pain
  • Arthritis
  • Nerve pain*
  • Small fiber neuropathy*
  • Bell’s palsy
  • Stomach pain
  • Digestive problems
  • Food sensitivities*
  • Bladder problems
  • Problems sleeping/Insomnia
  • Sleep disorders/Sleep apnea
  • Brain fog and confusion*
  • Sexual dysfunction
  • Night sweats
  • Being cold all the time*
  • Wild fluctuations in body temperature
  • Blurred vision
  • Sensitivity to light*
  • Blindness
  • Unintended weight loss*
  • Chest pain
  • Fainting*
  • Dizziness
  • Irregular heartbeat*
  • Edema
  • Complete organ failure
  • Stroke
  • Depression
  • Nasal stuffiness
  • Excessive nasal drip*
  • Frequent nasal infections
  • Hoarse voice
  • Kidney stones
  • Hearing loss
  • Seizures
  • Enlarged liver
  • Enlarged spleen
  • High blood pressure
  • High cholesterol
  • Hypervitaminosis-D
  • Weight gain

(* My symptoms)

A New Take On “So, You Don’t Look Sick”


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Those of us with invisible chronic conditions often hear that we don’t look sick and within our circle, we have a lot of conversation about how this makes us feel. Many talk about how it makes them feel discounted, like what they are experiencing isn’t real or doesn’t matter, simply because it can’t be seen. Plus, we’ve all gotten very good at hiding the subtle side of being persistently sick.

I used to get annoyed when people would tell me that I don’t look sick. I understand the demoralizing feeling that comes with not feeling validated for your experience simply because someone does not understand it. I think this feeling is the strongest when you are newly diagnosed with a chronic disease/disability. Your world is turning upside down and it is a very scary time so validation is very important and, to not get it because you look better than you feel…hurts.

Now that I’ve been diagnosed for several years, I have a few new thoughts to add to the “You don’t look sick” conversation. I no longer get mad. I know how I was before I become chronically ill and while I never meant any malicious intent, I am sure that I said and did ignorant things to people who were in the boat I am in now, without ever realizing what I was doing. So, I cut people who don’t get it a lot more slack. Plus, I just don’t care anymore. I don’t care what other people think about the way I look. I know the truth and that is all that really matters. I also know that just because I suffer constant pain, I have every right to look as good as I want to look!

Recently though, I’ve had a newer thought on the subject. Not that long ago, I saw a person in a wheelchair outside of a store, probably waiting to be picked up. The person that I saw was clearly disabled, cerebral palsy maybe, I don’t know for sure but, whatever this person was living with was not invisible. As I looked at this person, a thought struck me like a thunder bolt and it’s one I never had before. I became grateful that my disease is invisible. I’m not being remotely critical of anyone with a visible disability here. It’s not this person’s fault their disability is visible any more than it is mine isn’t but, I realized that when your disease is invisible, at least you have some control over it. You have control over it in a way you simply don’t when it’s just out there for all to see.

I have a choice to let people know I am chronically ill/disabled or to blend in. I don’t ever have to explain myself to anyone or to receive pitiful looks from people who might wrongly believe my life is harder than theirs just because I can’t do everything I want to do. There is something to be said for being able to blend in when you want to. There are times that blending into every day society is just easier. It gives me an escape from my own reality that the visually disabled never get. I can forget. They can’t. They are reminded of their physical challenges constantly. I am not. I mean I am, because of how I feel but not because of how other people react to me. That’s what I mean when I say, at least I have some control. I can avoid other people’s pitiful pity whenever I want to. I’m actually grateful for that and I’d never thought about the fact that there are actually some advantages to having an invisible illness. This is one of them.

Because my disease/disability is not obvious, I have the advantage of living in two worlds. People don’t stare at me. I don’t feel their glare as I do my grocery shopping or try to enjoy an evening out with friends. I don’t usually have people automatically assume things about me unless I tell them I have an invisible chronic disease. It’s only then that I am sometimes forced to deal with their ignorance but for the visually chronically ill/disabled, dealing with ignorance is a constant. One may not better than the other, invisible versus visible, they are just different. Being chronically ill/disabled is hard but the realization for me that having in invisible illness actually gives me some control, is a new and empowering thought!

47 Things…


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Today is my 47th birthday. I’d really rather not spend it sitting here writing a blog about my life with sarcoidosis. I want to celebrate life today and that’s what I am going to do but, before I do that in honor of my birthday and sarcoidosis awareness month, I will share forty seven things I have learned since being diagnosed with sarcoidosis: (In no particular order)

  1. Live every day like it’s your last

2. Doctors don’t know everything!

3. When you’re blue…write a gratitude list…it always helps change your perspective.

4. Stop doing things you don’t like doing.

5. Eating a clean diet does make you feel better.

6. Regular exercise actually helps fight fatigue.

7. Having a dog is great company on long lonely sick days.

8. The internet can be a magic place for human connection with others in the same boat.

9. Being vegan is awesome!

10. Ultimately we are all alone in the end.

11. Taking time to rest is important.

12. Pushing yourself is a must.

13. Don’t ever give up even when it’s bleak.

14. It always gets better.

15. Being in nature is better than medicine.

16. Taking up hobbies helps fill the time and is good for the brain.

17. You don’t need to explain yourself to other people.

18. Looking your best will help you feel better.

19. It’s okay to get mad but it’s not okay to stay angry.

20. The loss you feel from living with a chronic disease is real.

21. Happiness is a choice.

22. Don’t use your disease as excuse.

23. You can break your sugar addition.

24. Remove stress from your life.

25. Set boundaries that are good for you.

26. Always have goals.

27. If you are having trouble reaching your goals, change your approach.

28. Cry sometimes. It’s good for you.

29. Laugh every day.

30. Have a sense of humor about yourself.

31. Don’t expect other people to understand what your disease puts you through.

32. Life is short.

33. Don’t let sarcoidosis define you. You are more than your disease.

34. If you’re always right…you won’t be happy.

35. It’s okay that you world got smaller.

36. Tell the ones you love how you feel about them.

37. Be nice…you never know what another person is going through.

38. Life is beautiful.

39. Cooking healthy food can be fun.

40. Don’t give up on a cure!

41. Keep your doctor appointments even when you don’t want to go.

42. Other people will give you advice you didn’t ask for and don’t need.

43. In every difficult situation, look for the lesson.

44. Be present.

45. Have fun with your brain fog.

46. Don’t live in the past.

47. Life is what you make it.

The Odd Couple


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sarcoid changed my life

So far for sarcoidosis awareness month, I’ve written a lot about the challenges I and others face. It’s probably a no brainer to some degree, to understand that diseases are hard to live with, even ones most people know little about or have never heard of. Sarcoidosis is hard to live with and I make no bones about that. There is however, another side to life with this disease and I think it deserves to be highlighted. Some with this disease may agree with me and some may not. I can only speak from my own experience on this one.

With all the darkness that comes from life in a diseased body, there also comes equal and sometimes greater light. That light, isn’t exactly a light. It’s enlightenment. Having a chronic, life changing disease gave me a couple of options. I could either wither and drown in its presence, allowing it to define my entire world view or, I could use my struggles with it to build my inner strength and summon courage I never knew I had to change my world view. Sarcoidosis put me at a crossroad and I had a decision to make…wilt or thrive.

Over the years that I’ve had this disease, I have grieved losses. My body no longer cooperates the way I want it too. Breath does not come easily. I have lost friends who have moved on without me because I can’t keep up and I lost a career that I loved. I would be foolish to deny there hasn’t been emotional pain and real hardship from having sarcoidosis and I’m generally not known to be a fool. Yet despite these losses, or maybe because of them, I have become acutely aware of what really matters.

Sarcoidosis and gratitude are an odd coupling but I have to say that since being diagnosed with this disease and settling into all that it means to have it, I have become an extremely grateful human being. There is something about losing the ease of good health, that made me realize how much I took for granted. I didn’t see that what I thought I deserved, what I thought I earned, really never actually belonged to me.

One could argue that sarcoidosis took my life and it did. It took my life as I was knew it but, I would argue that it gave me a new one, one I did not ask for but one I find myself in a place of great comfort to have. Were it not for this disease, I would still be flitting about fusing over all the nuances in my life that aren’t just so. I would be bouncing from superficial problem to superficial problem, putting my energy and effort into frivolous endeavors. I don’t care anymore who said what to who or why. I’m no longer focused on getting my fair share. I don’t keep score and I don’t compare myself to anyone else.

I’m not saying that before this disease I was shallow and unable to appreciate my life. I’ve always had some awareness that my life is blessed but, there is something powerful in being humbled by illness and disease. It has changed me. The blessings I feel now are far greater in number and much more deeply rooted in the understanding that I don’t actually deserve the good that I have. I am, for reasons not known to me, favored. Sarcoidosis has actually taught me to think this way, to see life as an immeasurable gift, something to be cherished….even when it’s difficult.

This might sound disingenuous, but part of me is actually very grateful for my disease and that’s the truth. This peaceful reality hasn’t always been true. I was angry about being sick once. I was sad about it too. Sometimes I’m still sad about it but I don’t get angry about it anymore. I’ve come to understand that every person carries their own heavy load of something. Mine happens to be navigating a life with a chronic and potentially life threatening disease. It hasn’t been an easy experience but it has been an insightful one.

Sarcoidosis has been my greatest teacher, a mentor of sorts. It has taught me how to accept what is ultimately out of my control and in that process, it has shown me that the only thing that I’ve ever really had control over is my attitude and reaction to any given situation. Sarcoidosis has taken but it has also given and because of this I have learned the value of appreciating what I have when I have it because it might be gone tomorrow.

I don’t know what lies ahead for me in regard to my disease but I know whatever the future holds, I will face it with grace and I will deal with it from a place of thanksgiving for the life I have already had. Having sarcoidosis does not take away my ability to be joyful and to see the what is good all around me. If anything, having sarcoidosis has only magnified my desire to be at peace with the world and to accept what is as what is meant to be.

Sneaky Little Bastard


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I don’t know a nice way to say this, probably because quite simply, there isn’t one but I find this disease to be a sneaky little bastard.

Why do I say this? So many reasons, but let me start by saying that its unpredictability is nothing short of maddening. The path it takes twists and turns like a dangerous mountain highway and sometimes it feels like the oncoming traffic is going to smack you squarely to your core.

First there is the path to diagnosis. Since sarcoidosis is a disease of exclusion and a mimicker you can be told you have anything from lupus to MS to cancer to name a few. You are poked and prodded and x-rayed and scanned. You are biopsied again and again. Finally after you’ve been terrified out of your mind with worry that you’ve got the big “C”, you are suddenly and abruptly told…nope…it’s sarcoidosis.

Then, you get told that having sarcoidosis is a good thing. Really and truly…that’s actually what they tell you! How about that. A good thing. A few months of treatment and you should be on your way back to a normal and healthy life. Hope soars that you will easily go into remission. You quickly figure out, however, that your symptoms are not in fact easily managed. The drugs they put you on have wicked and evil side effects. You either become a bloated monster, or in my case, a shrinking violet losing strength by the day.

The symptoms begin to mount. At first it was just a little shortness of breath. Now you cough all the time, wheeze, get wildly unpredictable fevers and, night sweats that make you want to call the fire department for relief as you feel the flames shooting out of your pores. A fatigue sets in that makes you feel like every single step is like trying to slog through a muddy field but the mud is waist high. Eventually, a range of other weird and difficult to describe aches and pains creep up on you like a child playing a prank you never saw coming and it doesn’t make you laugh. Headaches, joint pain, back pain, bone pain, numbness, cold extremities, muscle aches, weird burning sensations and on and on. Your doctors can’t explain these strange symptoms and sometimes they look at you like they don’t even believe you but, it’s real…it’s all real!

To top it all off, everyone tells you how great you look. They say well meaning things that actually cut to the core. Things like, “Gee, you don’t look sick”. Or my personal favorite, “Wow, but you look great. How sick can you be?” Their comments, meant to make you feel good, only leave you feeling more alien in your own skin.

You begin to withdraw, not because you want to but, because the disease is having its way with you. You simply no longer have the energy to participate the way you once did and you realize some people think you are faking it. This only adds to the demoralizing sense of frustration you already feel for having this stupid disease in the first place! A feeling of complete and utter loneliness begins to set in. You are entirely misunderstood by your doctors, your family, your friends, your co-workers, your neighbors, your pets….you name it…no one gets you anymore…some days you don’t get yourself. You wonder where you’ve gone and if you’ll ever be back.

Suddenly you have a good day! You slept well, no night sweats keeping you up, tossing and turning with covers on and covers off and, covers on again after the sweat finally dries and you are left freezing like someone left you out in the cold without your coat and hat. You have energy as a result of sleeping well so you decide to tackle a long overdue project around the house. You’re so happy to feel human again.

One of two things happens next; Either you get through it without incident and are as proud of yourself as you would be by your child brining home their first A grade from school. Or, half way through the project you realize that you bit off more than you can chew and yet another home improvement project only gets done half way. It starts to feel like your house might fall down around you. You never lived like this before this monster crept into your being, leaving “To-do lists” undone and your home in disarray.

If you managed to complete the project and are beaming with pride, you start to ever so subtly fool yourself into thinking you’ve got this nasty disease licked. You start planning for tomorrow’s chores, full of aspiration.  Sadly, when the next day comes, you wake up feeling like you were hit by an eighteen wheeler and realize how wrong you were. You tell yourself that you won’t ever let yourself get fooled again! Resolve in the knowledge that this disease is actually bigger than you are, you tell yourself that you’ve got a handle on it. You readjust your expectations.

A deep despair sets in as you start to notice that life is a house of cards, at any moment it could all come crashing in. You didn’t realize that readjusting your expectations really meant that you had to say goodbye to your old life. You find yourself engulfed in unrelenting grief. You know that you need to fight off the weight of this depressing new reality.

Out of the blue, another good day. This time it’s a trip to the doctor where you are told your CT scan or x-ray or whatever test it is they decide to give you that day looks good. You think, maybe I will beat this S.O.B! After all, you are doing all the right things. You have changed your eating habits, you are taking your medications as prescribed, you are trying to exercise as much as you can. You have learned to listen to your body. You begin to feel like you are the captain of your own ship once again. You’re in control! Remission looks to be around the corner. Brighter days are ahead for sure!

In the meantime, what you desperately fail to realize is that you have only grown accustom to your new normal. You are in fact, short of breath all the time but, you no longer notice it. You are fatigued all the time but, you have learned to slog your way through the heaviness of this strange new world. You don’t realize that most people don’t have pain screaming through their body day in and day out. You have unknowingly put on those waist high boots and are in fact pulling yourself through the mud and the muck every day. It has just become normal. You think you’re doing great and you’re so proud of yourself for overcoming the beast.

When you go to your next six month follow up, take your pulmonary function tests or whatever tests you are given that particular visit, you learn just the opposite. You learn that despite a clearer x-ray, your lung function continues to worsen. Your goals haven’t actually changed at all. You are still in the same place you were when this sneaky little bastard took hold. Now the most you can hope for is stability. Remission is no longer discussed. You can only hope to stay off oxygen as long as possible. The damage is done and it is significant. It cannot be undone. There is no healing in sight.

Eventually, you realize that life goes on, although forever altered. You know that you must continue to do what you can to live as well as you can. You must bury and say goodbye to the old you. Life will never be what it was and as you bury your old self and say goodbye, you realize one thing. You become sure that you will never let this sneaky little bastard get the better of you again. You know once and for all this is serious stuff and that you are now locked in a battle of wills against this lousy disease. You know that you have to accept the new you and you know you will never allow yourself to be fooled by this sneaky bastard of a disease ever again.

(Originally written January of 2014 – when I was only a few years into my diagnosis and still trying to figure out what life was going to be like with sarcoidosis. Now I know…now I know that it’s a battle and I intend to WIN!)