Monthly Archives: September 2008

Multiple Sclerosis and Avoiding Isolation

Support, StockXchng.com

Here are some factors that lead me to my own MS isolation: I have a dread of being out somewhere with no bathroom in sight. I have a trick bladder and bowel, with fluctuating functionings. During remission they are somewhat stable, but not 100% reliable. I’ve had some public close calls, and I’m tired of explaining to unknowing people that I’ve got to go to the bathroom right NOW. I also have some instability with my left leg. During remission I can navigate without a cane, but I am petrified of tripping and falling. I have taken several spills in the past few years, one time seriously banging my elbow on my parents’ concrete porch as I tripped up the small step. I get nervous in new situations where there are a lot of steps or uneven terrain. Finally, if I am having MS lethargy, I want nothing more than to avoid people who might think I just have the flu or a “bug.” I get tired of well-meaning folks asking if I’m okay.

These above-mentioned physical impairments can cause me to hibernate in the house. Luckily, if I can muster up the chutzpah to try new things and go to uncharted places, I’m usually rewarded with new energy, good memories, and new esteem.

Here are some ideas for broadening your MS world and widening your community circle. There are ideas for all levels of ability:

Try an MS organization’s activities

If you are within a reasonable distance of an MS organizational chapter (wherever you live in the world), investigate planned activities with other MSers. Check out local events online or in current newsletters. If you are physically able, try to volunteer for a fundraiser, where you will meet other people with multiple sclerosis who want to help the cause. The great thing about MS societies is that no one questions your level of ability. There is no need for explanation.

Speak with a counselor about coping techniques

Oddly, many people with MS avoid contact with the outside world, but they don’t realize they can seek help for their fears. There are various types of counselors who work with people with chronic conditions. They can help people with multiple sclerosis come to terms with their fears and help them to venture out and free themselves from the self-destructive nature of isolation.

Find an MS support group

If you are not geographically near an MS organizational chapter, you might want to investigate local multiple sclerosis support groups. They can be found online by doing Google or other search engine queries, or you can find them through local hospitals or rehabilitation centers. These are great resources for MSers because trained social workers can provide plenty of information. Often the hospitals themselves have ongoing meetings.

Find support, camaraderie, and information online

Despite your physical condition, you can find lots of support online. There are message boards, websites, blogs, chat rooms, and other ways to keep connected with others. A good source for message boards and chats is MSWorld.org. Another recent discovery (learned through a fellow MSer) is the website MS Friends, where there is a 24-hour peer support line for immediate need. There are also resources and current MS news items. A fairly new MS chat room, hosted by a great blogger and neighbor (from Delaware) can be found at Joan’s blog “A Short in the Cord.” She welcomes all new chatters from anywhere around the globe. And she’s extremely nice! Last but not least, check out the MS Carnival of Bloggers for many many links to bloggers who understand. If you start your own blog, you can submit a blog post to this bi-weekly consortium of MSers. Just contact Lisa, the ringmaster. There are also several blogs that I personally read, listed to the right in the “Blogroll.”

Give credit where credit is due

Venturing out and facing the unknown or making contact with others in the same situation can be frightening. Pat yourself on the back for taking the first step.

Can’t Spell!

Bill let me know that one of the words in my last post title “The Return of Autumn and Volunteer Work ” was spelled incorrectly. I’ve just fixed the spelling of “autumn” and apologize vehemently for the mistake. Apparently the spell-check only fixes the text. Sadly, I had looked at the title numerous times and didn’t even notice until he said something.

Here’s to a reallllllly boring post with shades of OCD. No comments necessary….

The Return of Autumn and Volunteer Work

I’m glad the summer is coming to an end. We’re still having a few scorching days (90 degrees and above), but it’s summer’s last stand, I suppose. Then things calm down a bit and weather in the 60- 70 degree range takes over for a while. Good. I’m tired of the air conditioners and feeling like a limp dish rag. And I’m looking forward to some new fall endeavors.

I’m back volunteering at the library system. I’ve been there most Fridays ( for 2 and 1/2 hours ) since the beginning of July, helping with their literacy program by processing books for kids in social service custody. More recently I’ve worked with the system’s database to edit volunteers’ info and add new volunteers to the database. And the coordinator of the literacy program will have me come in another day each week to help with some of the PR stuff (phone calls, appointments, etc.) The last piece of the library volunteer puzzle is resuming my role as an English conversation group leader. It’s fun and helpful for foreign-born patrons to practice talking in a casual setting. Almost more like a weekly club to meet other immigrants and converse. I did this for several months in the beginning of this year until working and volunteering flattened me.

I like the whole volunteering premise. There is not so much pressure to be well and “on.” Somehow, with this notion, it makes it easier for me to schlep myself in to volunteer . I admit that I don’t have a ton of hours: less than 10 a week. But as my therapist once said, sometimes it’s important to thoughtfully build up a routine that will have a chance of lasting. So I’ll see what I’m capable of in the coming months. One of the ironies in my life right now is that I got accepted into an online library science program through San Jose State University in July. I’ve taken a non-matriculated class already, and 6 months ago this news of acceptance would have thrilled me, but since I am currently in work limboland, I’ll just wait until this winter and decide whether to pursue something that might not come to pass.

I would like to do some more work with my MS Society chapter. I’ve volunteered at their walk and bike events, but I’d like to be more closely involved with MS patient support. The nearest location is sort of a hike, but maybe there is something I can do from home. That’s the beauty of computer technology.

My last addition is to get to a yoga class, which I’ve been dodging for a while now. I guess I’m a little fearful of falling, since my balance is for shit. So I need to bolster myself up and just go. And Nadja has told me that yoga is great for MS. I keep reading this in MS books, too.

So I’m really just thinking out loud, but I have an easier time seeing things through if I write them down or tell them to someone like you.


Multiple Sclerosis and Isolation

Isolation, Microsoft.com

Having a chronic illness like MS can be difficult enough, but add to it the tendency to isolate oneself from others, and the burden can become overwhelming. There are various reasons for isolating behavior:

Shame stemming from physical impairments

This affects patients in different ways, depending on levels of outward disabilities. MS patients who can pass as “healthy” people may become panicky about being around others who do not know about their disease. Disclosure is not as necessary until an MSer who looks fine proves otherwise. Vague abnormalities may give someone away: a limp, an unsteady gait, muscle twitches, excessive bathroom usage, sudden exhaustion, and so on. Those with greater outward disabilities have their own issues of being strong in the face of public ignorance and dismissal. Living with these questionable imperfections can take a toll on a person who is tired of explaining multiple sclerosis to others. Sometimes avoiding others outside of an immediate circle is easier.

Not feeling understood by the general population

Let’s face it: MS is weird, sometimes frightening, messy, and not well-understood by most people. I didn’t know much about it myself until I contracted it. People with multiple sclerosis need to feel understood for their limitations, outward symptoms, hidden illness, and their tendency towards anxiety and depression. Family and close friends can often be counted on to be understanding, but what about the rest of the world? The grocery store clerk doesn’t know why Mary is so slow taking her change when the line behind her is piling up. Office mates might not understand that when Jim needs to go to the bathroom, it’s often an emergency. How do people with multiple sclerosis deal with these unknowing folks? Holing up and avoiding others can be a solution.

Lack of MS resources, community activities, and Society support

Not everyone lives near a local MS Society chapter and can get involved with planned activities, use resources, or meet others with multiple sclerosis. Physical isolation is more common than people think. In my state there are 3 MS society chapters, all in the central and northern regions. The southern region, which accounts for 1/3 of the state, has no representation. I live about 35 minutes from my closest chapter, but I wonder what other MS patients down in south Jersey do to feel connected to the multiple sclerosis community?

Physical isolation due to disability

The reasons for this can be various: physical inability to leave the home (unaided), public places that are not wheelchair- or scooter-accessible, lack of a social network due to being out of the workforce or living away from family and friends, moderate to severe fatigue, debilitating depression, and so on. This can be the most heartbreaking cause for MS isolation. Multiple sclerosis can physically flatten a person and make it extremely difficult to get out. The social isolation stems from being at home and not having a good support network. And depression can physically flatten just as surely as any other MS symptom.

****My next MS article, “Multiple Sclerosis and Avoiding Isolation”, will discuss ideas for widening the community circle. In the meantime, find more MS articles, information, and stories in the “Categories” and “Blogroll” to the right.

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