A blog about my experience with chronic illness and finding hope in the darkest days

Tag: symptoms

A Different Kind of “New Normal”

The sun sets and I journey upstairs to take a shower. I pull the shower head down, let it hang. I step into the tub, I sit. I didn’t used to shower this way; I used to stand and sing. Now, I sit in silence, listening to the water spray. It’s loud, louder than I remember. Everything seems loud these days. 

Sitting in the shower has become normal to me. Preferred, almost, but only because it doesn’t exhaust me the way standing in steam does. If I had it my way, I’d be belting in home-made saunas like I used to, but with POTS and a heat intolerance, I’ve learned to adapt. To my bewilderment, I’ve found myself in the midst of what most people call a “new normal.”

I’m not the only one grappling with a ‘new normal’ right now. The phrase is plastered all over the internet, dominating news headlines, and I’d go so far as to say it was one of the most-used expressions of 2020, outshined only by the words “Zoom” and “unprecedented.” Today, “new normal” is used in reference to the pandemic and the various ways our lifestyles have changed–from face masks to social distancing, to diligent disinfecting and more. But “new normal” isn’t a novel phrase, or reserved solely for this covid-19 era. It’s a phrase that’s also popular in the world of chronic illness and that I’ve come to know very well.

A photo of popular words used during the pandemic; image from John DeMont’s article, “The Plague of Pandemic Words”

In the months leading up to my diagnosis, I went on countless social media deep-dives. Plunging through hashtags of #POTS and #dysautonomia, I was desperate to find people in the same boat as me. I was hungry for advice from people who understood and were further along on the process than I was, with residency in what many call the “the other side.” I scrolled through post after post, my thumb turning numb, hearing variants of the same message: “You will find a new normal.” But would I?

At the time, these words meant very little to me. Without an official diagnosis or the resources for a way out, this advice felt flimsy, two-dimensional, like an aspiration forever out of reach. I could see its appeal: “new normal” comforts, encourages, heartens, and gives hope. It lives dependent on the promise of flexibility and versatility, reliant on the potential of resilience and grit. But as I stayed suspended in survival mode while I waited on a diagnosis, I couldn’t comprehend what it truly meant to move forward, or what that would look like, or if I would ever.   

I heard this phrase yet again while meeting my dietician. A woman who lives with a chronic illness herself, she spoke from personal experience, assuring me that I too would eventually “find my new normal.” She promised me that one day, I won’t think twice about what supplements to take, that I would slow down and adjust to my limitations as needed, eventually settling into a slower speed and rhythm of life. She swore to me that with time, my foreign reality would become familiar, and that my debilitating symptoms would lessen as I learned to manage my condition. My dietician had no doubt in my ability to grow and adapt, believing with a steel-like, heartwarming conviction that ultimately, I’d prevail. 

I was touched and a little amazed, though I confess I wasn’t truly convinced. I couldn’t yet fathom a future beyond my reality of crawling to the bathroom, or the sleepless nights due to unforgiving symptoms, or spending hours every morning trying to force my body upright. My future was still fuzzy to me, still too uncertain to discern, and it was distorted by my growing fear that I would never be well again. In February of 2020, a “new normal” seemed impossible to me, as likely as if you told me I’d been invited to brunch on the moon. 

Theoretical picture of me having brunch on the moon. Image from Smithsonian Magazine

In a sense, the prospect of a “new normal” also felt undesirable to me. I didn’t want my reality to become normal, I wanted a refund or a time-machine; some way to transport back to my old life. To achieve a “new normal,” I would first have to accept my state of affairs and at the time, that seemed like an unreasonable request. The thought of my 2020 reality becoming normal repulsed me; I didn’t want a “new normal,” I wanted my old normal, and stat.

But fortunately, my dietician was right. The thirty pills and supplements I take every day are now as integrated into my routine as is brushing my teeth each morning. If I close my eyes, my mug of chicken broth after breakfast is just a unique cup of coffee, and has become no more unusual that pouring myself a cup of tea. With time, I have learned how to maximize my energy, designing my days around my body’s needs, and I’ve managed to carve a life out of the confines of both my illness and covid-19.

To the same degree, I’ve grown “immune” to the oddity of face masks in public. It no longer seems unusual to visit with my grandparents on the driveway as opposed to inside their kitchen, and I’ve gotten used to swapping out hugs for hand-waving, even though I do miss the former. I’ve seen first-hand from my experience with chronic illness that humans carry a remarkable capacity to adapt, so it comes as no surprise to me how we have adjusted to pandemic life: conducting classes online, building collections of reusable face masks, and finding ways to carry on when the life we knew was halted. 

But even though I meet all the qualifications required for “new normal” status, if you asked me, I’d confess that my life still doesn’t feel normal. It’s more so that I have gotten used to its weirdness; nothing about healing from chronic illness in the middle of a pandemic feels normal to me. 

An all-time favorite writer of mine, Suleika Jaouad, is also familiar with the expression “new normal.” Having been diagnosed with leukemia at the grand old age of 22, she knows first-hand how illness can sever a life, interrupting what was and forever altering what’s to come. In her 2013 NPR interview, she confesses, “I don’t like the expression new normal because I think life doesn’t really go back to normal.” She revamps the phrase instead, rebranding it as “new different.”

I like the concept of “new different.” I like the way it allows for radical, necessary change, and I like the way it accepts the present as it is, without any comparisons to The Before. The phrase “new different” allows our lives to continue changing as they inevitably will, while shedding the facade that we can ever recreate the past. Unlike “new normal,” “new different” welcomes change, opening the door to more and more life.

A photo of my mom, who helps me embrace my “new different.”

Two days ago, I went on a walk to check the mail. It’s a short walk, not too far, but on my way back, I kept walking. Up the street and around the cul-de-sac, talking my time while crossing the deserted road. I kept walking because it felt good. I repeat: I was exercising upright and it felt good. It was a sensation that in my depths of my illness, I was certain I would never have again. 

It was liberating to have the choice to keep walking. To have the freedom to control the duration of my walk, instead of surrendering to symptoms that often make that choice for me. It was liberating to leave my limitations at home, to have a break from being chaperoned by relentless fatigue and dizziness. As I approached a stop sign, I thought to myself, “What an incredible moment this is.” I was acutely aware of how remarkable it was to be walking and well after everything my body’s been through. I felt strong and content, borderline euphoric. I felt like my old self again, only more grateful this time. 

Like many, I made plans that shattered and crumbled to ruins while my life and reality fundamentally transformed. Like many, I’ve had to adapt and adjust to conditions that at times, were frankly unimaginable. Like many, I’m wading knee-deep in an aftermath, discovering what it means to find a “new normal,” or “new different.”

As I recover, it’s tempting to try to resuscitate the life I lived and the person I was prior to developing POTS. But illness, like other hard things, have a way of changing you to your core. And the longer I trudge through the aftermath, the more apparent it’s become that I will never again be the girl I was from before I fell ill. And maybe that’s the whole point. Maybe the point is not to find a new normal, but to find a new different, over and over again.

The Worst Possible Question

“So are you all better now?”

I was asked this question once, a little over a year ago. I was standing on stage at the time, shaking from a mix of nervousness and malaise. Not only did I feel unprepared for the musical theatre final exam performance I was about to give to my professors, but I realized I was unprepared to answer a question as loaded as this one.

When I received this question, I had spent the previous five weeks juggling classes with doctor’s appointments and an assortment of debilitating symptoms, and the thought of opening my mouth and singing Italian arias seemed like an impossible request. I was still waiting on referrals that were over a month away, constantly calling doctor’s offices to check on waitlists and possible openings while also recovering from an unexpected trip to the ER. Most people in my circle of friends and professors knew I was battling health issues, but none of them understood the full extent of that struggle. It felt as if I had a front-row seat to the unraveling of my old life but at the time, I seemed to be the only one who knew it was ending.

Those six words and their question mark peered over me like a magnifying glass. Standing on stage atop the small blue X, I imagined myself shrinking to the size of an ant, scurrying in circles under the collective gaze of my inquiring, well-meaning professors.

It felt as if I had a front-row seat to the unraveling of my old life but at the time, I seemed to be the only one who knew it was ending.”

My mind went into overdrive as the minion operating my brain scrambled through crumbling towers of hurt. How would I reveal there was an unnamed, invisible illness running rampant beneath my skin? How would I disclose that my lack of a diagnosis meant a lack of adequate treatment and a lack of adequate treatment meant a progression of my already debilitating symptoms? How would I explain that underneath my fancy dress and full face of makeup, I had never felt more unwell, that the short walk to that auditorium was a disabling excursion that would wipe me out for the rest of the day?

Under the bright yellow light inside the auditorium, I struggled to find the words that would fully illustrate my predicament. As I stalled and stammered, the bright lights appeared to close in on me like a tight, unmoving spotlight, and I half wished I’d look up to see it coming from a search helicopter overhead, arriving just in time to rescue me from the suffocating situation.

The panicked minion operating my mind.

I didn’t know how to tell my professors that I wasn’t “all better now”, that I wouldn’t be for quite a while, and that I was at the beginning of a diagnosis journey I was terrified to embark on. And even if I did somehow manage to find the words, would they even believe me? I stood before them in a full face of makeup plus heels and curled hair and a formal, flattering dress. I looked like all the other well, abled college students, resembling an attractive, healthy version of myself when really, it all felt like an extravagant costume. The attire that really suited me was back in my dorm, a crinkled mess of smelly sweatpants and a sweater, paired with a heating pad and my laptop for yet another evening in bed.

The rest of this memory is fuzzy now, and I can’t quite remember how exactly I replied. I’m almost certain I said something polite and gentle, probably adding a tasteful, weak laugh to mask my surprise and exasperation. I can tell you with full certainty that I didn’t say what I truly wanted to say, which would’ve been something along the lines of, “THIS IS THE WORST POSSIBLE QUESTION YOU COULD ASK SOMEONE WITH DEBILITATING, ONGOING HEALTH ISSUES!” I can tell you with unwavering confidence that I responded in a way that I always felt I had to: too kind, too polite, sacrificing my comfort for someone else’s.

Now, I have to give credit to the professor who asked me this question. They didn’t know what was wrong with me, and frankly, neither did I. My illness was still undiagnosed and also invisible, so only I truly knew the intensity of my symptoms. But from the very first appointment with my internist, I understood finding a name and explanation for my wide assortment of symptoms would be a long, tedious process. Referrals, I learned, took time, as does waiting for insurance approval and tracking said symptoms, and searching for a diagnosis can be a long, brutal game of ruling everything else out.

Eight months after receiving this question, I finally was diagnosed with Postural Orthostatic Tachycardia Syndrome (also called ‘POTS’). For those of you who don’t know, POTS is a dysfunction of the autonomic nervous system that is characterized by rapid heart rate, dizziness, and fatigue among other symptoms whenever the body is upright. Thanks to a grueling tilt-table test, at last I could put a name to what I was experiencing; to say I was relieved is an understatement.

Because there is no cure for POTS, treatment consists of managing symptoms. This is typically done through medication, physical therapy, and increased salt and fluids, however one of the challenges to POTS is there is no “POTS Pill”. Because the autonomic nervous system controls the entire body, this can lead to the need for various MD specialists as well as individualized treatment, due to the fact that this condition affects every patient differently. Will I be stuck with symptoms forever? It’s hard to say, but my neurologist is hopeful I’ll recover in two years (this depends on the cause of POTS – for some people, POTS is a lifelong battle, but prognoses are general estimate anyways). So after these two years, will I be free from POTS forever, never to have another symptom or flare again? I truly don’t have an answer to that, but that sounds like a dream come true.

It’s certainly daunting to be diagnosed with a chronic illness (especially when you’re young!! But that’s a blog post for another day…). It sounds like a hellish promise (“curse” is fitting too) that one will feel horrible every day, all of the time, for as long as they shall live. The reality is, there are good days and bad days, and on average, I land somewhere in the middle. In other words, I’m a frequent flier between the land of well and unwell.

Image of an airplane.

That being said, I have yet to have a day that was entirely symptom-free since developing POTS a rough two years ago. Symptoms still constantly interrupt my life, and even though I’ve learned how to integrate these limitations and restraints, I’m far from liberated by this debilitating illness.

But despite the frequency of my many, many symptoms (lol), the intensity has lessoned recently. Thanks to my doctors, physical therapy, and my magical dietician, I can tolerate much more activity than I could just a few months ago, and I have gained back quite a bit of freedom and independence. (Last week I drove myself to and fro my physical therapy session, which in total is over an hour of driving AND I worked out for an hour AND I stopped for lunch AND I took the long way home!! Major win!). These past few months have been much kinder and bearable for me, and oddly enough, in this time of better days, I’ve found myself asking that same loaded question.

“So are you all better now?”

Because I am doing better, there is a part of me that assumes I have to be “all better now”. That I can’t ever step backwards, that I can’t still be sad about getting sick, that I must be happy and grateful about all my progress and achievements. And in a way, it makes a lot of sense. Why wouldn’t I be happy about not feeling as sick as I used to? That alone is reason to celebrate! But the reality is, I’m still processing all I’ve been through. The reality is, I’m still not where I’d like to be. The reality is, I still feel sad that I have POTS. Still totally enraged. Still utterly in shock.

Even as I recover physically from POTS, there are hurdles in my mind that I’m continuously tripping over. There is a fear that follows me everywhere I go of what symptoms might arise, what activity might spark a flare, or what new episode might take over my body. This loss of control is still terrifying to me, and this disabling fear lurks in the background of my life like a camouflaged predator I can never outrun.

I’m doing better, but I’m not “all better now”. I hope one day I might be, but for now, I take it day by day. Healing from chronic illness often feels like a daily dance of baby footsteps; sometimes forwards, sometimes back, sometimes it’s merely a side shuffle, but the key is to just keep moving. These steps can feel discouraging when everyone else is whizzing past in a smooth, effortless waltz, but I choose to keep dancing with the hope that one day, all these baby footsteps might take me to that hazy horizon of healing, to that final, epic finish line of recovery, and to the top of this mountain where I can look down and say “I made it. I actually finally made it”.

My POTS Playlist

Music is medicine for me. It’s been one of my biggest joys since I was four years old, and so many of my childhood memories took place around a piano, practicing for recitals, jamming with my grandfather, or exploring the keys and creating melodies of my own. For eighteen years, music was a constant source of light in my life. In elementary school, I counted the minutes until music class. In middle school, I divided my time between orchestra, choir, and rehearsals for the school musical. High school was one, giant blur of voice lessons and musical theatre soundtracks as I drove to and from various musical theatre rehearsals. My home was wherever music was and that was perfectly fine by me. It was absolutely ideal, actually.

In 2018, after twenty three college auditions for musical theatre programs across the country, I landed at a small liberal arts college in Nashville, Tennessee. Known for its acclaimed music school and connections in the country music industry, I spent my freshman year of college with “I can’t believe this is my life” moments, pinching myself as I jumped from practice room to practice room, my days full of voice lessons, piano lessons, choir rehearsals, and more. But my freshman year was also filled with symptoms. And as the months went on, I watched an unnamed illness pull me away from the life I’d always dreamed about and worked tirelessly to build. When my illness forced me to withdraw from school at the beginning of my sophomore semester, I returned to my childhood home exhausted and angry and unable to stomach all I’d lost.

For three months, I blocked music out of my life. Car rides became silent except for the dull humming of the engine. Showers were no longer a place for song but a chamber of symptoms I dreaded entering. I traded my guitar for a pen, swapping out songwriting for journaling as I let words fill the rapidly growing, empty void inside me. In this time, I discovered how much I loved writing, one of the few creative acts I could still manage in my limited condition, but I also realized my deep love for music simply wasn’t going anywhere. It wouldn’t conveniently go away because I was no longer a music student. In fact, my love for music was alive more than ever before, but it was an unfamiliar, unbearable ache that was far too tender to touch.

My illness shook up my life like an earthquake and as it did, the inseparable relationship I had with music shattered. That constant source of joy and strength I depended on throughout my childhood slipped through the cracks of the broken life I was left with. As I trudged through the dark, uncharted terrain of the medical world, I needed music more than ever, but anytime I turned on a song and tried to sing along, I was reminded of how much I had loved and lost. Music eased my pain while also adding to it, and for a while, it was simply easier to shut it out of my life completely.

And yet, there were songs I came back to again and again throughout my journey with POTS. Songs that nursed me back to health, songs I clung to like a life raft in the raging ocean of illness. Songs I have compiled into a playlist, and want to share with you.

Click on the title of the song to have a listen.

  1. Keep Breathing by Ingrid Michaelson is a very special song to me. As my illness progressed during my freshman year of college, I remember lying in my bed, scared out of my mind, listening to this song on repeat until I fell asleep. I didn’t know what was wrong with my body or how I’d muster up the strength to walk to classes the following morning, but this song held my hand, tugging me through the rest of the seemingly never-ending semester one breath at a time.
  2. Wild Horses by Birdy is what I call my “fight song”. I play it whenever I need some strength or extra encouragement to help me get through a tough day. My favorite line is in the chorus, and it goes, “I will survive and be the one who’s stronger”. It reminds of the resilience I’ve gained from POTS and pushes me to keep trudging forward.
  3. Good to Be Alone by Theo Katzman is a song my best friend Hannah introduced to me. She kindly made a playlist for me a few months ago and this was my favorite song from it by far. During the time I spent unwell at home while my friends were off at school, I felt incredibly disconnected and isolated from the rest of the world. This song made me feel more comfortable about being alone while simultaneously reminding me of my best friend. I love the line, “However hard I hit the gas/the engine don’t run half as fast/as it once did” because it reminds me of the struggle of adjusting to my body’s new limitations.
  4. The Eye by Brandi Carlile was a huge source of peace for me. I like the line, “You can dance in a hurricane/But only if you’re standing in the eye” because I feel as though it gives me permission to appreciate the joy and small breaks of delight that are scattered amidst the daily struggles of chronic illness. There’s peace within the eye of a hurricane, and sometimes it provides a brief moment of rest to survive the next wave.
  5. War of My Life by John Mayer is another fight song for me. It helps me trudge forward and gives me strength when I’m freshly out of stock. I love the line, “Got no choice but to fight till it’s done”, because that encapsulates the reality of battling illness. While I certainly never chose this struggle, all I can do is find a way to keep moving forward. Really, that’s always felt like the only option I had.
  6. I Guess I’ll Just Lie Here by Noah Reid. The title says it all. I throw on this song whenever I’m having a flare and am not able to be as active as I would like. The slow, somber acoustics usually match my mood on these types of days…
  7. Re:Stacks by Bon Iver is almost the opposite of #6. The acoustic guitar is so sweet and calming to me, and has quickly become one of my favorite songs of all time. I throw it on if I’m ever overstimulated, as I find it soothing to my overactive nervous system, and the line, “Everything that happens is from now on” in the beginning really speaks to me because of all the ways I feel my illness has changed me. My life will be forever different from having POTS, and this line helps me accept that truth. All in all, this song is just so beautiful to me.
  8. Whatever You Do by Brandi Carlile. If I had to pick one song to sum up POTS, this one might be it. The lyric, “I’ve never met a morning I could get through” at the beginning of the second verse means so much to me because mornings are usually the hardest part of my day. It is such a struggle to get my body vertical and functioning after a night of being horizontal and dehydrated, and I physically can’t just “hop out of bed” anymore. The line in the chorus that goes, “There’s a road left behind me that I’d rather not speak of/And a hard one ahead of me too” always felt so relevant to me, encapsulating the struggle of being roped into a long, painful journey and feeling forcefully stuck in the present because both the past and future are too daunting to think about. There are so many memories from ER visits and doctor appointments that I wish I could forget, and sometimes it’s unnerving to look ahead and see such a long, tedious journey to recovery. This song always found me when I felt stuck in the middle of it all, swimming in weariness and overwhelmed by my reality, and I found strength in the following chorus lyric that goes, “But I’ve got a life to live, too”. I always heard it as “But I’ve got a life to live to”, and it reminded me of what I’m fighting for and why I keep forging ahead on the hard road ahead of me.
  9. Be Where You Are by Birdtalker is hands-down the most comforting song I know. The amount of peace this song brought me throughout the ups and downs of my chronic illness is immeasurable, and I’m convinced I wouldn’t have been able to get through this past year without it. “Be Where You Are” is a blueprint for how to get through hard times and I highly suggest carving out four minutes of your day to give it a listen.
  10. Dog Days by Maggie Rogers. The pre-chorus of this song is so powerful to me. The lyrics go, “And if you had a bad week/just let me touch your cheek/Oh, and I’ll be there waiting/when you get frustrated/I know things are changing/But darling, I’m saying/I’ll be singing you in all of my songs”. These lyrics are so personal, and this song always made me feel like Maggie was singing directly to me, like somehow she knew exactly what I was going through. Through her music, Maggie become almost like a friend to me, rooting me on and encouraging me whenever I needed it the most.
  11. You’ve Got A Friend by Carole King is a song I always popped on when my friends seemed so far away. As I mentioned above, illness can be incredibly isolating and I spent so much of my free time during my freshman year at college alone in my dorm room, exhausted in bed. This song got me through some of my loneliest moments, and made it feel like someone was there with me, holding my hand and guiding me forward.
  12. In the Meantime by Jess Ray is another song that brought me comfort (noticing a trend yet?) throughout my experience with chronic illness. The chorus really stuck to me, and it goes, “And in time/I’ll let you in on everything I’m planning/When it’s time/I’ll let you see everything you’re asking me”. It ends with, “But I’m gonna satisfy/Everything in the meantime”. When I couldn’t make sense of the rapid, unwanted change that flooded my life, this song untangled the knot of worries in my mind. When it felt like I was free falling into pitch black, rock bottom, this song held me, cushioning my descent like a parachute.
  13. Farther Along by Josh Garrels is one of the best feel-good songs I know. I play this song on my happy days, and I love the main lyric, “Farther along we’ll know all about it/Farther along we’ll understand why”. It reminds me to take the sunny days whenever they come, and to worry less about trying to figure everything out. This song is a big breath of fresh air and almost always manages to put a smile on my face.
  14. Until I Die by Brandi Carlile. Another Brandi Carlile…okay, you got me! I’m a big fan! Her music is just so good and her lyrics always seem to resonate with me. The line at the end of the chorus that goes, “I made my mind/To live until I die” reminds me of when I was at my worst, thinking about all I wish I had done before I became so physically limited. I remember being driven past a tennis court thinking, “Why have I never played tennis before?? When I was fit and healthy and perfectly able?!” Developing a chronic illness has certainly shifted my perspective in an infinite number of ways, and it has pushed me to savor ordinary, small joys that I used to take for granted. Also, mark my word, I will learn to play tennis one day!
  15. Back in my Body by Maggie Rogers. I’m going to end this list with another song from my girl Maggie. In a body that can feel stolen by chronic illness, it is a miraculous victory when old pieces of myself peek out through all the symptoms. I like to play this song in those precious moments where I feel like the Alli I’ve always known again, and celebrate the times I finally feel back in my body. The line “This time I know I’m fighting/This time I know I’m back in my body” always encourages me to keep fighting for as many of these treasured moments as possible.

I listen to music much more often these days and sing whenever I get the chance. My relationship with music has certainly changed because of all I’ve been through, but I have learned that no matter what, in some way, music will always be a part of my life. Singing and listening to music has become a large part of my healing process, and these songs restore me in a way no medication could; they are food for a ravenous soul and a bandaid for a battered spirit.

Much love from my ears to yours,

Alli

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