Category Archives: appreciate the good life

Ten and Forty



This picture dates back to days when I was flaring before I was diagnosed with MS. I was lucky to spend the week with my mom, father-in-law and brother-in-law rafting down the Grand Canyon.

I realized a couple of weeks ago that it had been ten years ago that I had horrible headaches. For months I had headaches bad enough to wake me up in the middle of the night. The irony is the headaches would only go away with sleep. I used to ask my head, as if it were separate from me, “Why do you wake me up to tell me to sleep!” I might have yelled except J was sleeping, and the prospect of yelling with those headaches seemed abhorrent. I went to my primary care doctor, an ear nose throat doctor, an ophthalmologist, and got an MRI. I took steroids and antibiotics. I thought I had been tested nine ways to Sunday. During all this time, the headaches came in waves with good and bad days. It was like this for almost a year before I was diagnosed with “probable MS.”

However even during this time, I was incredibly lucky for I had almost an entire good week perfectly timed to allow me to go on a trip with my mom, my father-in-law, and my brother-law to go white water rafting down the Colorado River through the Grand Canyon. During this week, I rarely needed head ache meds, though this was the beginning of my realization those meds do nothing for me. It was only on the last two days that I began to have problems again. At the time, this was a very welcome break from the stress of feeling as if my eyes could shoot laser beams.

As I hit the ten year mark, it seems a natural time to look back and ask what MS has done to me.  How has it changed me?  Even with Tysabri, I still progress.  It is just a slow progress, almost imperceptible if one’s time frame is carefully chosen.  I saw a doctor on a research board comment about how much more seriously MS would be taken if all the damage happened at once.  Spread out over months and years, patients are assumed to adapt to our invisible ailments.  So, how do I see myself changed?

The biggest changes aren’t to my physical abilities.  Yes, buttoning shirts quickly was nice.  Playing competitive sports, especially soccer, was how I used to draw confidence and get over the worst parts of life.  Multitasking despite distractions sure made life easier. However, these things are small compared to the biggest change I see in myself.

The biggest change I see is far more insidious, how I measure success day to day.  For most of my life, I have tried to progress, to do better today than yesterday.  As time has gone by, I find myself ever more trying to stave off degradation rather than improve.  I run three or four times a week, and I keep track of my times and abilities to run intervals during my run.  More and more often I find myself changing goals from running a marathon to running another half marathon.  I find myself satisfied equaling glories past.

In moments of honest reflection, I have to admit much of what I see on these fronts could be as much a factor of rapidly approaching forty years old rather than ten years with Multiple Sclerosis. I simply fear MS ages me faster and faster year by year. Still, my bet is many people approaching 40 suddenly find themselves noticing all the ways we are no longer 21. C’est la vie.

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A Screwdriver in a World of Nails

Cloudy or not, life's views are often still beautiful.
Cloudy or not, life’s views are often still beautiful.

There is a saying, “If your only tool is a hammer, every problem looks like a nail.”  That’s a fine saying. For even a screw can pass for a nail, if one is willing and able to put in the extra effort to pound away. But what if one’s only tool is a screw driver?

As I look back on the week, I see many things which turned out well, but seemed so much harder than they should have been.  I find myself more and more having to throw effort and elbow grease at problems until they yield.  The thing is, I am not using a hammer to pound away at screws.  I’m using the handle of a screw driver as if it is a mallet, all the while ignoring the cracks and dents each nail imparts upon the handle.

Have you ever felt like you could solve problems only to find more and more problems for which you are not ideally prepared?  That has been my feeling all week long from having the wrong screws to rebuild a broken swing set to securing a computer at Miami airport only to find it could not load Adobe Connect.  I was able to solve both problems, but each took more time and effort while making me feel foolish for not anticipating the problem until it needed solving immediately.

This whole week has been exhausting and rewarding.  My work published our fourth publication of this cycle.  I went to St. Thomas and met with the Governor, and on the way back, I stopped in Miami airport to use the Ambassador’s club to participate in a webinar for the American Board of Internal Medicine.  To top it all off, I came home to family happy to see me.

I’m tired, but I still feel relevant, less isolated and more importantly, appreciated.  For a guy with a fairly aggressive MS, it reminds me how I should define my luck to appreciate what I still have. It has been a good week to remind me to use other tools as needed, and not to panic if the first tool grabbed does not work.

Not every problem is a screw.

I love talking with data driven politicians.  This week, I was lucky enough to spend time with John de Jongh, Jr., the governor of the U.S. Virgin Islands.
I love talking with data driven politicians. This week, I was lucky enough to spend time with John de Jongh, Jr., the governor of the U.S. Virgin Islands.
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