Sunday 11 October 2009

Eleni-fest: this week and CFS




Before I get into my topic of the week - CFS (Chronic Fatigue Syndrome), I'm just going to run over the schedule for this week.


Special Guests


On the 12th October, my special guest will be Mel Teshco, an Ellora's Cave (erotic romance) author. She has a choice of either  copy of her debut release Stone Cold Lover or a critique of your first chapter as a giveaway.




On the 13th, Sexy Sensation (Modern Heat) author Anne Oliver will be my special guest. She is giving away a copy her latest release, Memoirs of a Millionaire's Mistress or a copy of a title from her backlist. 




Urban Fantasy author Tracey O'hara is my special guest on the 15th. She has NCK promo pack (tote bag, T-shirt & hat) as a giveaway, and in honour of Tracey's book, Night's Cold Kiss helping Eleni-fest kick into gear, I'm adding in a wizard shaped pen too (see website competition for your chance to win a copy of NCK).  


R*BY nominated Claire Baxter will be my special guest on the 16th She will be giving away a copy of The Best Love Stories of 2009 (which has 6 of the short category nominations including Claire's The Single Dad's Patchwork Family). 




R*BY award winner and historical romance author Anne Gracie will be my special guest on the 17th. She will be giving away a copy of her R*BY award winning book, The Stolen Princess
What a fantastic line up eh?!




Blogs visiting


I will be at the Romance Writers of Australia's blog on the 14th, so pop over there for your chance to win a writer's pack & souvenir pack.











Now to the topic at hand - 
Chronic Fatigue Syndrome (CFS)


You know those days when you feel so tired, you just want to crawl into bed and sleep for a year? Yep, I get many of those days on a regular basis. Some weeks  more than others, sometimes less than other days. It's not just the fatigue, it's the aching pains of the body, the headaches, the feeling as if you are drudging waste deep in mud, your head is twirling, the emotions, and the lack of mental and physical energy. The overall sluggish feeling.


CFS is an umbrella term for those conditions where someone has had constant fatigue for more than 6 months that can't be explained by another diagnosis, does not get a huge amount of relief from resting, energy levels diminish, and there is no extra exertion to explain. Basically it is not known what the exact cause of CFS nor is there a one stop cure. You can read a fact sheet and an overview of CFS (opens a pdf document) from the ME/CFS Australia (SA) site. They can put it into words much better than I can. Yes I know I'm a writer but these folks have a better way of conveying the right information the right way. 


And here's a snippet taken from on their website -
"Well known people who are or have suffered CFS (or CFS-like illness) include: 









Charles Darwin (naturalist)

Florence Nightingale (nurse, writer, statistician)

Andrew Lloyd Webber (composer)

The Duchess of Kent (British Royal)

Linley Frame (Australian Olympic swimmer)

Barry Sheen (World Champion motorcycle rider)

Tottie Goldsmith (Australian media personality)

Johanna Griggs (Australian media personality)

Richie Richardson (former West Indies cricket captain)

Alastair Lynch (former AFL footballer)

James McDonald (AFL footballer)"

I wanted to shed light on this subject even though luckily in the last few years more and more people understand that this not a made up illness. It's real. And I live it along with many many other people.


I've had CFS for about 9-10 years (mine being largely inflammatory). But I was one of the lucky ones that initially I was able to go to work. I basically worked hard all day (in one job, I managed to grab a nap during lunch time) but I crashed as soon as I got home. I hardly saw my friends or extended family. I did eventually go to part time which helped me out. And seemed to find a balance for a little while. My work was not affected and until it did, I wouldn't give up my job. Another thing was that my employers didn't know. Again unless it interfered, I just went about doing my job.



That worked until 3 and half years ago. My CFS flared up and so did anxiety and it affected my work in a huge way. My work mates were fantastic and surprised to learn of the CFS and were a huge support to me when I tried to decide how to tackle it. I tried to keep going but my body just had enough. I was not only fatigued physically, but mentally, emotionally and even spiritually. It was a very difficult time. My family were amazing, as were my health care professionals. 


I haven't worked since that time. I didn't do anything for a very long. Reading was hard going. TV helped some. About 2 years ago, I started slowly to get back into writing and reading. Baby steps. Then the Bootcamp came along and that opened more up for me. Still more baby steps than others. I've made progress since then, but again it has to be balanced


Oh I do help out with things in RWAus, write/edit, studying very part time, and have been looking for work the last 18 months, but finding the right job has not been easy. And at the moment, my job case manager and I have decided to take a little break from job hunting.


Writing to me is the perfect job - I can write with my night owl tendencies (despite trying to break this cycle) and take breaks when I need them to balance out the day. It's still not perfect as I tend to still be a person who pushes themselves. There's pushing and there's over-pushing. I tend to fall in the latter group.



One thing about CFS that people don't realise is that even though on the outside you may look okay, on the inside you may feel truly awful. It's not something you can always 'see'. So it's akin to wearing a 'mask'. So even though I feel like my eyes are dragging down and burning, my body ready to collapse and in pain, it didn't always show. And then there are times when it does show through or I go visiting somewhere and can't keep my eyes open. Family are used to me closing my eyes abit on their couches. Some days I sluggishly move along...a snail could beat me!


While more and more people got to know about my CFS, I still held onto my old fear of prospective employers finding out, but seriously after so much time off, they would know something was up. And it was applying for the Arts grant that made me realise not to hide anymore from the wider world. Sure I didn't have to say a thing. But the choice was mine and it was freeing. It's like I 'own' the CFS now. It's why I never joined the ME/CFS association - for fear of discrimination. I was honest in one job interview (pre crash) that I had it, and even though everything had gone smashingly until that point, I think that put a huge cross next to my name, despite at the time feeling well enough to tackle the job. Then again another place offered me a casual job and was very grateful for my honesty. 


With being so mentally drained, I read about CFS in spurts in times when I do have the energy as I just didn't want information overload. I'm lucky I have one hell of understanding physician who helps me in my journey to find the right course for me. I've been along some paths that looked promising but I needed to hack my way through. It's not a static thing - CFS - there are moments you can actually feel almost 'normal' (whatever that is) and then moments when you can't keep your eyes open even though you've only been awake only for a couple of hours, or when mentally you are more awake but physically your body is aching, or vice versa. It's like a jigsaw puzzle that changes its image.



My writing buddy Nikki Logan and I were chatting via IM one day and she made a suggestion of maybe writing a story about it in a fictional setting. I'd been thinking of starting a blog and this resonated with me. I have started the blog but it's different from what I imagined. It's about Lo'EnGee who lives in the world of Fatiguedom. I will work more on the story later but I think these beginning posts are making me think of how I can convey the info...it's experimental... see what you think. Again, despite wanting to keep this up to date - it all comes down to energy.



I once heard a theory about a lady talking about lupus on a blog somewhere (& darned if I can find the link) but can be used to describe CFS. She had to explain to her friend about what it was like living her day. Basically she said you have a set number of spoons each day, say 12. You can not get more spoons and spoons can not be left over from the previous day. It takes say 3 spoons to wake up, crawl out of bed and take a shower. And so she continued to go through the day saying she couldn't do this or that because it would take more spoons than she had and needed to be mindful for the rest of the day.


I agree with the spoon theory though for me I think it is spoonfuls. Some days the spoons are heaped, others they are level, and other days there is very little or nothing there. 



When I was at the conference, you could wonder at me having CFS. I was upbeat and energetic when I was around people (well to my standards). Their positive energy and the buzz from being at a conference helped. But when I was alone and at night, my body reminded me how much it ached and I was taking pain killers every day more than once (I usually try not too have too much). When I crashed some nights I was just drained - mentally, physically, emotionally. I had a wonderful time don't get me wrong. I crammed in as much as I could into 5 days but of course I had to be prepared to rest when I returned home. Luckily for me my chiro, 'Mr Magic Fingers' as a fellow client calls him, saw me the day after I returned so I was able to get a good sleep after my appointment. Whenever I get an adjustment I know that I get the best sleeps. I still crashed but this helped lessen the depth.



The ironic thing about CFS is that you need energy to be sick. I mean you just want to let go and go with the flow, but you have to think about your diet, about going to appointments, about trying this and that, exercise. At times I have to admit I've had to say 'stop' and taken a break of thinking about it all the time. It takes energy.  But I've found that understanding health care professionals, understanding family, friends and co-workers make a very huge difference. I've not sought out support beyond that. Energy reasons and because I am one of the lucky ones who have had support from the start. Others unfortunately don't. You have to do right by you - and that is indeed the part I struggle with. Each day is different. I may think I can do a, b and c and maybe the day I plan them I can. But when I wake the next morning I can only cope with a and b, well that's just part of the package.


For example I'm having a blast with Eleni-fest but I've chipped away at it, stayed at the computer longer than normal, had less naps so far, to get it happening. But I have to keep the balance otherwise I will be headed for a major crash & I especially don't want that happening right now. Hence the chipping away.


Despite all the ups and downs over the years with CFS, I still feel blessed to have the support I do and that I have my writing. It has helped me in more ways than I can count. And so have stories where I have been able to escape too.


I hope you have found this post interesting and informative. 




Now while I know chocolate is not the best for those with CFS, it's okay to have some in moderation (dark preferably). I have a small packet of Haigh's chocolates, a bookmark, a little owl key-ring watch and some fantasy stickers as a giveaway.





Just make a comment below. Comments will be open all week until the end of the 17th October.




Comments now closed. Congratulations Nicky!


Be well all.
~yia~



30 comments:

The Scarf Princess said...

Congratulations on finding a balance so that you can live each day to the fullest. And you're so right about a support system, friends and family can help you get through anything.

Sara Hantz said...

Thanks for the post, I feel much better informed now. And WTG on getting your balance right. Hope you make the RWAus conference next year as I'm planning to come over from NZ for it.

Estella said...

I had never heard of CFS until now.
So glad you have achieved balance in your life.

ozambersand said...

Hi sorry to hear about your CFS. The daughter of a colleague had it so we used to discuss it a fair bit.
She linked it to a bout of glandular fever which seemed to trigger it.
She had a theory that her daughter didn't allow the body to recover properly from that. She pushed herself too hard and the body sort of collapsed from the effort.
Can you see any trigger like that associated with your onset?
Unfortunately I can't relate any cure on her behalf but she has learned to live with it, like you seem to be doing.
Here's a virtual hug from me.

Nicky Strickland said...

I'll try to be short - yeah, right. Me. Quick. *lol*!

That is a marvelous post Eleni - you have managed to capture what it can be like when fatigue is not "just being tired".

A two decade long story short. Been trying to manage endometriosis & PCOS since I was 19 & by 30 I ended up being dx with adrenal burnout as well. One of my issues was I lived on my adrenaline (stress from many angles & also a neverending battle with depression & anxiety) which in my case was disguised. A side effect of adrenaline is cortisol which for someone like me means a kind of self-medicating hormone treatment; so I felt normal.

After a particularly bad bout of insomnia I crashed big time & have spent the past approx. 6 years trying to understand what you've described beautifully with the spoon theory. I prefer your take on how heaped those spoons can be.

The RWA conference did knock me about too. After I put my partial sub in I crashed on the adrenal front (again) & it's taken me this long to sit back at the computer, face humans (I head towards agoraphobia when bad).

I'm so happy that you've 'come out' & are finding your balance levels. (What is it with library workers *LOL*). Oh and TOTALLY agree - writing is a wonderful lifestyle to balance with the real world of task.

Okay, this is my attempt at short (see this is why short stories are sooooo not my forte).

For Amber Sand - I too YEARS before I had this issue was retropspectively found to have had both glandular fever and CMV (cytomegliovirus). Two that mess with energy levels - never even suspected at the time either of them - just thought I'd had a bad year of colds.

Anna Hackett said...

Eleni --
Thanks for sharing. It's both an informative and inspirational post. I love that you understand your condition and how to manage it, that you're taking control.

Mel Teshco said...

Well done Eleni on coming 'out' about your CFS. It's amazing how many people suffer in silence, too embarassed or even ashamed to admit their health issues, so I applaud you! Having had my thyroid removed (along with radiation) I have a close understanding to how bad you can feel with zero energy =(
I'm loving your Eleni-Fest so far, and look forward to an appearance tomorrow!

Eleni Konstantine said...

Thanks everyone. Yes CFS life is a balance. Some days I have that more than others. It's a juggle and I have to listen to my body and signs to slow down. Being a stubborn Taurus I don't always listen ;) because I'm trying to do more. But that way lies a crash so I try and minimise. I'm in the process of doing that now.

Joder - yes support is so important. I don't know where I'd be without it.

Sara - I hope I make it too so I can meet you in person!

Estella - I'm glad to have made you aware of it.

Amber - I did have glandular fever in my first year of university. We went on a family trip to Greece and all I wanted to sleep all the time. I didn't know it was GF until much later. It may have contributed but as a busy type person, I thought this was because of my busy life. And in this busy world, I think people tend to push themselves further than they should. I was later working full time and studying part time - and was burning the candle at both ends and fatigue was just part of my life. It took awhile to diagnose and I've been on a learning journey ever since. And thanks for the virutal hug.

Eleni Konstantine said...

NIcky - LOL - hey I am impressed how short this response is!! *wink*.

Hugs on the two decades of managing your conditions. I agree sometimes it takes ages for a diagnosis and one thing could be covering over something else. And when I heard the spoon theory, it just clicked and it easy to picture. Hope your days are filled with heaped spoonfuls!! Glad to have you back in cyberland.

Anna - glad informative and inspirational :) Trying to take control but it doesn't always let me and sometimes what's happening in my life does upset the balance.

Mel - thanks. Yes people do that all the time. I think the last few years that people are understanding more and more about things like depression and anxiety, and the negative stigma is slowly being chipped away. I've surely seen it with CFS. One thing they did test me for was if my thyroid is working properly. It is. Hoping you too get many heaped spoonfuls to combat the low energy.

And yes can't wait to have you as my special guest tomorrow!!

Anna Jacobs said...

Well done for bringing CFS to people's attention, Eleni. There are still some people who mock those suffering from it.

I developed CFS in 1992, before it was commonly known and was very badly treated by my employer, who forced me to see a psychiatrist. The latter said there was nothing wrong with me mentally. I knew that! I knew perfectly well it was physical!

Over the next 9 years I gradually recovered to 'almost OK if I took care stage', then suddenly I developed fibroymalgia, as CFS sufferers sometimes do. I'd never even heard of it before - you have pain everywhere plus muscle weakness. It's even worse than CFS.

This time I was lucky, however, because I found a nutritional medicine doctor, who worked to slowly rebalance my body's biochemistry, which was haywire.

Today, several years later, I feel great and I'm fizzing mentally. I still have to take l-carnitine daily, however, to keep the remaining pain at bay - sports people take it to prevent pain when exercising!

I was lucky that at the same time as I developed CFS I took off as a novelist. I could stop work during the day to rest and the happiness of doing what I loved helped me cope with the problems. Today I've just had my 47th novel published (www.annajacobs.com).

Yesterday my husband, who had supported me through CFS and fibromyalgia, came rushing into my office to tell me he'd read on line that scientists had found a virus linked to CFS. I haven't had time to go exploring the Internet to find out details yet, as I'm at a crucial part in a book, but I shall.

Let's hope this means proper help for those with CFS.

Anna Jacobs

Eleni Konstantine said...

Anna thanks for sharing your story with us. It's amazing how many people believed it was not real and as you pointed out some that still do. Though I've been lucky with surrounding myself with people who don't ridicule.

The fibromyalgic pain is horrible. I would be at my physio/chiro/massage therapist every day if I could afford it. I do need to get back into my stretching exercises as that helps somewhat in the long run. Computers are not good for sitting in front of. I too take the L-Cartinine.

Congrats on your 47th novel being released!!! And that writing helped you through the very bad patch.
I am so glad you are doing better - hooray!

As for the news, let's hope this helps more people detect CFS and hopefully combat it!!

Eleni Konstantine said...

Oh I did forget to mention Anna that I have read your book 'The Corrigan Legacy' which you had written a major character with CFS. Really well blended with the rest of the story. I borrowed it from my library. So people if you want to see CFS in a fictional setting, check it out.

Unknown said...

Wonderful post. Thank you for talking about this subject. My husband has had chronic fatigue in the past, though thankfully for the moment the worst of it seems to be over. He is a big strong man, and when his illness was most intense he could barely make it from the bedroom to the couch.

I admire your strength and sympathise with your battle.

Cait :)

Eleni Konstantine said...

Cait, thank you for your kind words.

Am so glad the worst is over for your husband. I bet seeing such a big strong man being affected that way brought home the realism of this illness for those around him. I am sure your support helped greatly.

Anonymous said...

Eleni,
Great bog about CFS. So many times it is hard to explain to people. My CFS and Fibromyalgia started after a dental accident 7years ago left me with an infection in my jaw bone. But being stubborn, it's taken me 7 years to understand it's all about pacing yourself,and not overdoing it.
The silver lining in the cloud is that it meant joining RWA, staying home and writing. What a fantastic bonus that is! And how wonderful it is to have online friends on those days you're too tired to go out.
My motto is that when life deals you lemons, you laugh, make lemonade, and if you're realy lucky, you get to sell that lemonade as a bestseller.
That's my dream anyway, and hope you get yours, Eleni,
Suzi

AJ Blythe said...

Hey Eleni, it's hard dealing with a medical condition people just don't understand.

I have a few myself (the most debilitating being superior oblique myokymia) - it's difficult to cope with and can leave me unable to drive, read, sit at the computer (write), watch tv.... But like you seem to be doing, you learn to deal with it. And it's wonderful having family who can rally around at the down times.

I'm glad you've opened the doors on your CFS and I hope it empowers you and lets you take back more control of your life (as you seem to have done).

Eleni Konstantine said...

Suzi - it's amazing what can trigger this off. I think we keep on trying to push ourselves to be as we 'were' and it takes time to learn this. Even now, I have to remind myself to slow down on my good days and not overdo it. At least you found RWA during this time and writing - and having online friends and community is so wonderful. I love your motto, especially the laughing and selling the lemonade :)) I really do hope you get your dream. Thanks for telling us your story.

Anita - I had to look up your condition not being familiar with it, and can see how debilitating it can be and must be frustrating when it strikes. Thanks for sharing and making me aware of this. Support and understanding a key ingredients I think when you have to deal with a bad patch.

Take care ladies.

Eleni Konstantine said...

Thanks everyone for your comments and sharing your experiences.

I wanted to make an example here of today. I've been busy doing Eleni-fest but we are renovating part of the kitchen and needed to give the areas a good clean. Between this I was doing laundry and trying to answer everyone's comments. What I found that was by 6pm I was exhausted but wanted to watch True Blood, so I had a little nap, watched my TV program and felt better for it. Still feel tired but I feel better for having stopped.

So remember listen to your body and take care of yourselves.

Neely said...

Eleni,
the article that Anna referred to was published in the New York Times on October 8th. I will send the copy that I made in MS Word to you, but since so many of your posters share the problem or have friends/family who do, they might like to follow it up. Keep well.

ikkinlala said...

Thanks for sharing this - it was very informative.

Christina Phillips said...

Thanks for sharing Eleni, a very informative post. You're so right about getting the balance right and resting when your body needs it. Two close relatives suffered from CFS, one after GF and an extended use of antibiotics, and the other after extended use of antibiotics (could be coincidence - they weren't related to each other btw)

Take care! (and fingers crossed see you at the Oz conference in 2010!)

Angie Peters said...

Thanks for sharing your story, Eleni. It's always inspiring when I hear other people's stories and coping strategies in dealing with debilitating chronic illnesses such as CFS.

I was diagnosed with fibromyalgia 6 years ago, but had symptoms 12 years ago (yep, 6 long frustrating years of seeing health professionals to get a diagnosis!). Sometimes I wonder whether I have CFS as well, as the fatigue is so debilitating at times. Some days it's like having a brain fog, and it's challenging to get through the work day.

Unfortunately, I've had to deal with some people's ridicule and disbelief about my condition because, as you say, you look 'normal' on the outside. When I told one GP that I was fatigued all the time, she told me to stop being lazy and get up and 'do things'! I got rid of her quick fast.

It's hard juggling full-time work with managing a household, as well as writing. Unfortunately, most employers have an expectation that you will perform the same as everyone else no matter what. Some days are better than others, as you know...

Anyhow, thanks once again for shedding light on CFS and lifting the lid of silence about this illness.

I'm going to give L-carnitine a try. I take magnesium powder to assist with muscle pain. And yes, I can relate to the overdoing it on occasion :)

Eleni Konstantine said...

Neely thank you for the information.
the link is: http://www.nytimes.com/2009/10/09/health/research/09virus.html

Anna sent me through the following:
http://chronicfatigue.about.com/b/2009/10/10/retrovirus-implicated-in-chronic-fatigue-syndrome-fibromyalgia.htm

These studies are certainly worth keeping an eye out. I have a great doctor who is up-to-date with all the research.

Eleni Konstantine said...

ikkinlala - i'm glad you found this informative.

Christina - I actually rest up today and took a nap. Have been missing out more than not these last few weeks. Re your relatives I hope they are fine now. As for use of antibiotics, maybe the overuse of it didn't help and may not have been the cause but a trigger? That's the thing for CFS - no one link to every case.

Angie - Sorry it took you 6 years for a diagnosis. I suppose 12 years ago, there was less known about it and not every doctor believes it. As you found out. Urrrghh on your behalf btw. Glad you got rid of her. How very unhelpful. And that is such a huge part of this. Having support.

As for having CFS as well as fibromyalgia, you could be right. There is an overlap between the two and so the lines become blurry from what I've read. And you hit the nail on the head when you said 'brain fog'. That's the description that many use for describing CFS.

I feel for you for having to work full time and manage a household. And yes it's true about employers - it's why I didn't get one job, I'm sure.

As for getting through the work day, I used to take little naps (but that depends on your place of work and if there is room to nap). My naps were usually about 45 mins long in a storage room where I kept a mat and blanket thanks to my very understanding boss. I used to also when I was having a really tired moment, get up and go get some water or make a cup of herbal tea just to freshen me up a smidgen. Or make trips to the toilet so you can rest your eyes even for a couple of minutes. Drinking the amount of water and tea helps you achieve needing to go all the time ;)) I wish you all the best and thanks for sharing your story.

Sue BT said...

Hi Eleni,
Thanks so much for your blog entry on CFS (and for Eleni-fest).

I had a friend who had CFS after a bout of pneumonia.

She got CFS at a time where most medical professionals didn't understand it. Bad enough to deal with the symptoms- very hard to battle the people supposed to be treating you when getting up a flight of stairs is a challenge to your energy levels.

I'm glad to hear you have good medical and chiropractic support, because it was hard for her. I'm also glad to hear you're listening to your body!

Take care.

Eleni Konstantine said...

Sue - thanks for popping in. I'm sorry to hear about your friend and the time when she had to deal with it. How horrible for her. It makes such a difference when you have support.

Sussan Marz said...

I've known a few people with CFS. I don't think it's something that ever goes away, but a condition they've learned to manage.

Thanks for sharing and great to see the support here.

PS: Sorry I'm late to the party

Eleni Konstantine said...

No Sussan, you're not late. This party is still going! Glad you can join us. Yes I think for many that's the case that it's a matter of management.

It has been wonderful seeing everyone's support here. Thank you to all...

Eleni Konstantine said...

Congratulations to Nicky for being chosen by the Random Name Picker!

And thank you for everyone coming along to comment on CFS and for lending your support. You all rock!

Nicky Strickland said...

Thanks Eleni! Squee! I think you've done a great job in opening up on a topic that many endure in silence.

When I was first dx with some of my conditions, people couldn't even pronounce them - now they can have a bit of understanding and it's a lot easier (for others dx & dealing).

The more it's out in the open, the easier it is for everyone to understand. For those dealing with it - are able to deal with it. Bravo!

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