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Ask HN: How do you deal with chronic illness?

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Ask HN: How do you deal with chronic illness?

#1
I've been reading about people who have chronic conditions, some of which can be quite challenging. I'm currently going through something relatively minor myself.

But it got me wondering, for those living with a chronic illness (not necessarily terminal), how do you deal with the stress of it?

Re: Ask HN: How do you deal with chronic illness?

#2
Chemistry can help. balance its cost vs the cost of the stress making you worse / slowing your healing, and it may be a bargain worth making... or not. We haven't got Fukitol(tm) but the natural pharmacopeia offers many options and human genius has expanded that beyond the bounds of absurdity.

we mammals are good at ignoring things, too. Ignore the things you can't do, enjoy the things you can all the more. Ignore the things you can't prevent and ignore the regrets of the things you couldn't do.

Re: Ask HN: How do you deal with chronic illness?

#3
I've had MS for probably about 5 years now. Thankfully my case is relatively mild, but it can still be both disruptive and stressful at times (especially during my first few attacks, prior to formal diagnosis).

I spent a lot of time obsessing over it and the rest of my life was suffering as a result (it really exacerbated my trouble sleeping into a serious problem). In order to combat this I mostly tried to spend my time either being productive or doing whatever recreational activities my condition would allow.

Over time, as I started to eliminate worries (diagnosis, medication, learning what would cause flair-ups and just generally coming to a better understanding of it), it's become more or less routine/normal. Can't say the same will apply to other people, but that's how it has played out for me so far.

Best of luck and apologies that I can't give a more helpful answer.

Re: Ask HN: How do you deal with chronic illness?

#4

I've had MS for probably about 5 years now. Thankfully my case is relatively mild, but it can still be both disruptive and stressful at times (especially during my first few attacks, prior to formal diagnosis). I spent a lot of time obsessing over it and the rest of my life was suffering as a result (it really exacerbated my trouble sleeping into a serious problem). In order to combat this I mostly tried to spend my…

Thanks for the perspective. I appreciate it.

And I wish you well.

Re: Ask HN: How do you deal with chronic illness?

#5
You can’t let it dictate anything. If it hurts to go to the gym, still go. Find the constraints that allow you to do what you want to do without aggravating your body too much, and build some pain tolerance. Psychological tolerance is a must as well, but you almost have no choice but to develop that unless you literally want to never progress.

This is advice for people that make it out of their critical treatment phase and now must manage the rest of their life with the aftermath.

Re: Ask HN: How do you deal with chronic illness?

#6

Chemistry can help. balance its cost vs the cost of the stress making you worse / slowing your healing, and it may be a bargain worth making... or not. We haven't got Fukitol(tm) but the natural pharmacopeia offers many options and human genius has expanded that beyond the bounds of absurdity. we mammals are good at ignoring things, too. Ignore the things you can't do, enjoy the things you can all the more. Ignore th…

I think that, even if you ignore or don't notice pain, it still will have, in the long run, some effect on your psyche. The same way prolonged background noise will turn you insane even if you're not hearing it. I think in a lot of cases, chronic conditions are co-morbid with depression not because people actively weep over being in pain, but because a constant pain signal ends up having an effect on how the brain is wired. In my case, even though I ignore/don't notice pain most of the time, it definitely increased my general sensibility to regular pain and discomfort, physical or psychological. Ignoring your own body also leads to derealization, also in my case. But if I sit down and practice mindfulness, it makes it easier to deal with. Something I think about often is that picture of the Tibetan monk setting himself on fire. He's not ignoring the pain, he's very much aware of it, but he's detached from it.

Re: Ask HN: How do you deal with chronic illness?

#7

You can’t let it dictate anything. If it hurts to go to the gym, still go. Find the constraints that allow you to do what you want to do without aggravating your body too much, and build some pain tolerance. Psychological tolerance is a must as well, but you almost have no choice but to develop that unless you literally want to never progress. This is advice for people that make it out of their critical treatment pha…

Have you dealt with a serious chronic health issue? It's a lot easier to say these things than to actually do them.

For example, it's a lot harder than it sounds to find the constraints between aggravating your body / causing additional problems, and doing what you want to do. I still struggle with it, five years after my first hospital stay

Re: Ask HN: How do you deal with chronic illness?

#8
Live with it. Most of the time it is worth it. Do you want to disclose what you have?

I had a super rare form of gluten intolerance that caused problems all my life. Was only picked up in my 30ies. Made a difference like day and night. I wonder what I could have achieved if it had been picked up earlier.

Re: Ask HN: How do you deal with chronic illness?

#9
One day at a time.

Since you cannot cure that illness, I recommend fixing everything in your life that you have control on and that might help you feel better.

Sleep well, eat a good diet, skip fast-food and alcohol when possible, etc. This won't cure it (don't listen to people that say it will) but it will make your overall life better. This will make it so that when the chronic illness hits you, you're at a more stable place.

Most of all, remember that it's not your fault if you fall down after doing your best. You have something that is external to your control and it's bound to win fights at time. Take the time to get better then stand up again. One day at a time.

If it is safe for you to do so, talk about it with your HR or your manager. They should understand that sometimes, you will be focused on that illness instead of workplace productivity. That's okay, that's how it should be. Trying to win both at the same time is how you burn yourself up.

There will be some unconscious bias against you, you'll need to play your cards well. Some people will try to support you yet come hard at you when you drop the ball. Remind them that you are doing your best and that the cause is out of your control, but don't waste your time trying to argue your way into changing their opinion of you. Some people will have empathy, others won't no matter what. Surround yourself with allies and built a support network. You may even meet other people that have chronic illnesses, and they will understand you the best.

I find that it's better to say as little as possible, you have the right to privacy after all. Your coworkers don't have to know the details of your life.

It's a marathon, really.

Re: Ask HN: How do you deal with chronic illness?

#10

You can’t let it dictate anything. If it hurts to go to the gym, still go. Find the constraints that allow you to do what you want to do without aggravating your body too much, and build some pain tolerance. Psychological tolerance is a must as well, but you almost have no choice but to develop that unless you literally want to never progress. This is advice for people that make it out of their critical treatment pha…

Have you dealt with a serious chronic health issue? It's a lot easier to say these things than to actually do them. For example, it's a lot harder than it sounds to find the constraints between aggravating your body / causing additional problems, and doing what you want to do. I still struggle with it, five years after my first hospital stay

I interpreted the parent comment as... it's gonna hurt no matter what you do, so you may as well do what you wanna do while managing your condition as needed.
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