7 Strategies for Cultivating Resilience in the Midst of Uncertainty

Receiving a chronic illness diagnosis is a life-altering event that can evoke a whirlwind of emotions including fear, uncertainty, and anxiety. Resilience is a lifeline, offering solace, cultivating strength and anchoring the mind in turbulent times. In this article, we explore strategies for developing resilience in the face of uncertainty.

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Why is it important to build emotional resilience

Resilience is the ability to adapt and thrive in the face of adversity, trauma, or significant stress. It is not a fixed trait but rather a dynamic process that can be cultivated and strengthened over time. Resilience in chronic illness encompasses coping with treatment challenges, managing emotional distress, and finding meaning and purpose in the midst of uncertainty.  

How does uncertainty cause stress

Uncertainty is a pervasive aspect of a chronic illness. From the ambiguity surrounding treatment outcomes to the unpredictable nature of chronic illness, patients are often confronted with a myriad of unknowns. This uncertainty can fuel anxiety, depression, and a sense of powerlessness, impacting mental well-being. 

Coping with the uncertainty that accompanies a chronic illness diagnosis is a multifaceted journey that requires resilience, support, and proactive self-care strategies.

Importance of acknowledging emotions

It is crucial for individuals facing a chronic illness to acknowledge and validate their emotions. From the initial shock of diagnosis to the ongoing rollercoaster of treatment, it is natural to experience a wide range of feelings. Denying or suppressing these emotions can intensify distress. Instead, creating a safe space to express feelings, whether through journaling, talking to loved ones, or seeking professional support, can help alleviate emotional burden.

Cultivating Resilience in the Midst of Uncertainty

By implementing the strategies below, individuals can develop the resilience needed to navigate the chronic illness journey with greater fortitude and strength.

1. Building a Support Network

Navigating the challenges of chronic illness alone can feel overwhelming. Building a strong support network of friends, family, healthcare professionals, and fellow survivors can provide invaluable emotional support and practical assistance. Support groups offer a great opportunity for patients and their families to come together. Surrounding oneself with positive, understanding individuals who offer encouragement, empathy, and a listening ear can bolster resilience and alleviate feelings of isolation.

2. Seeking Professional Support

Sometimes, coping with uncertainty and maintaining mental health may require professional intervention. Mental health professionals, such as therapists, counselors, or psychologists, can offer specialized support and therapeutic interventions tailored to the unique needs of patients. From cognitive-behavioral therapy to relaxation techniques, these professionals can equip individuals with coping strategies to manage anxiety, depression, and other mental health challenges associated with a diagnosis.

3. Seeking Knowledge and Understanding

Knowledge is power. Taking an active role in understanding one’s diagnosis, treatment options, and prognosis can empower individuals to make informed decisions about their care. Engaging in open and honest discussions with healthcare providers, asking questions, and seeking second opinions can demystify the fear of the unknown and instill a sense of control.

4. Practicing Self-Care

cultivating resilience
Self-care is important when cultivating resilience

Prioritizing self-care is essential for nurturing resilience in the face of chronic illness. Taking time to rest, eat well, exercise, and engage in activities that bring joy and relaxation, whether it’s spending time in nature, pursuing hobbies, or connecting with loved ones, is essential for maintaining mental health during challenging times.

Mindfulness practices, such as meditation, deep breathing exercises, and yoga, can also promote emotional well-being and reduce stress.


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5. Finding Meaning and Purpose

Finding meaning and purpose can be a powerful source of resilience. Whether it’s connecting with others who share similar experiences, volunteering to help fellow patients, or pursuing creative outlets and hobbies, finding moments of joy, fulfillment, and connection amidst adversity can foster resilience and a sense of purpose.

6. Embracing Positivity

Maintaining a positive outlook can also be quite powerful. While it’s natural to experience a range of emotions, including fear, anger, and sadness, cultivating a mindset of optimism and hope can help individuals weather the storm. Focusing on moments of gratitude, celebrating small victories, and visualizing a future beyond chronic illness can instill a sense of resilience and empowerment.

7. Cultivating Flexibility and Adaptability

Resilience is not about avoiding challenges but rather about adapting and growing in response to them. Embracing flexibility and adaptability in the face of setbacks and uncertainties can help individuals navigate the twists and turns of the chronic illness journey with resilience and grace. Finding silver linings amidst adversity, and focusing on what can be controlled rather than dwelling on what cannot, can foster a sense of hope and optimism in the face of uncertainty. Recognizing that setbacks are not only temporary, but they provide opportunities for growth can fuel resilience and perseverance.

Summary

A chronic illness diagnosis can shake individuals to their core, testing not only their physical strength but also their emotional well-being. Cultivating resilience enables them to feel hope and a sense of control amidst uncertainty. By acknowledging emotions, seeking support, empowering through education, practicing mindfulness and self-care, embracing flexibility, and seeking professional support when needed, individuals can navigate the uncertainties of chronic illness with resilience and strength.


ABOUT THE AUTHOR

Kaitlyn Carlock is an Advocacy Associate at Mesothelioma Hope

Mesothelioma Hope strives to connect mesothelioma patients with the resources they need most. Their goal is to educate and answer questions or uncertainties of a cancer diagnosis, along with helping families find health care and financial benefits to help them pay for their treatment.


The post 7 Strategies for Cultivating Resilience in the Midst of Uncertainty appeared first on Health Uprising Now.

Best Nutrient-Rich Soft Foods for Managing Painful Mouth Sores

Eating can be challenging when living with conditions like pemphigus vulgaris or ulcers. While adequate nutrition is important for healing, finding nutritional foods that aren’t abrasive and are easy to chew and swallow isn’t always easy. In this article, we’ll explore 10 soft foods for sore mouth due to pemphigus vulgaris and ulcers.

The information provided is for general informational and educational purposes only. It is not intended as medical advice, and it should not be used to diagnose or treat any health condition or illness. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or your individual health.

best foods for sore mouth
Pinterest Pin: Nutrient-Rich Soft Foods for Sore Mouth

Whether you’re suffering from oral blisters or painful lesions of pemphigus vulgaris or discomfort from ulcers, eating can be an excruciating event.  A soft food diet for sore mouth will include foods that can easily dissolve with little to no chewing.

What is a soft food diet

A soft food diet is a diet modification consisting of food that is pureed, mashed, ground, and moistened. The best soft food diet for sore mouth will include foods that are easy to chew and swallow. 

This type of diet is optimal for people experiencing discomfort from oral lesions, sores, and ulcers. Soft food eliminates the risk of scraping, jabbing, or biting sore and inflamed tissue. This gives the mouth the opportunity to heal. 

Soft food diet for sore mouth due to pemphigus vulgaris

Pemphigus vulgaris is a rare autoimmune disease that causes painful blisters and lesions on the skin and mucous membranes. Blisters burst easily, leaving open sores. Skin that is affected peels easily when rubbed.  Areas affected include the gums, hard and soft palette, inner cheeks, and throat.

When blisters form in the mouth or throat, it can be difficult to eat or even speak. Oral blisters may make it hard to chew or swallow. Lesions also have an increased risk of getting infected.

Soft foods reduce the risk of injuring lesions from teeth or crunchy foods.   

Foods to eat for pemphigus vulgaris should include anti-inflammatory fruits, vegetables, grains, and proteins. Foods rich in vitamins A, C, E and omega-3 fatty acids can help reduce inflammation.

Soft foods to eat with mouth ulcers

Mouth ulcers are sores or erosions of the soft tissue inside the mouth. There are different types of mouth ulcers including canker sores and oral lichen planus. Recurring ulcers can also be a sign of anemia or vitamin deficiency.  The most common cause is trauma to the mouth.  

Mouth ulcers are characterized by persistent pain and difficulty eating.

Like pemphigus vulgaris, ulcers are prone to injury from hard foods as well as infection. Soft foods rich in vitamins, minerals, and antioxidants will help promote tissue repair and reduce inflammation. 


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What foods can you eat on a soft food diet

The best foods for someone dealing with pemphigus vulgaris or  ulcers will depend on the severity of your condition. Some of the foods listed below are creamy and require no chewing. Others are soft but require gentle chewing. Use your best judgment or contact your healthcare provider for further direction. 

Below is a list of nutrient-rich foods that contain vitamins and minerals to promote healing.

12 Soft Foods for Sore Mouth Due to Pemphigus Vulgaris and Ulcers

soft foods for sore mouth - applesauce
Applesauce
  1. Mashed potatoes can be made with either sweet or white potatoes. Both provide dietary fiber, B-complex vitamins, and antioxidants. In addition, sweet potatoes have anti-inflammatory properties making it an ideal food for sore mouth.
  2. Pureed Vegetables like carrots, squash, string beans, and broccoli are rich in vitamins and minerals. Steam until tender, then puree. 
  3. Soup made with a variety of pureed vegetables is an excellent source of vitamins and minerals including vitamins  A, B, C, D, E, and K, making it an optimal food for mouth ulcers. Allow soup to cool to avoid burning or irritating open sores and ulcers.
  4. Yogurt is a good source of protein and rich in probiotics. Dairy free and gluten-free options are available for those on restricted diets. Plain, unsweetened yogurt is best as added sugars can cause irritation.
  5. Smoothies consisting of fruits, leafy green vegetables, yogurt, and protein powder are easy to consume and nutrient dense.
  6. Tofu, which is made from bean curd, is a good source of protein and comes in a variety of textures. Silken tofu has a gentle texture and can be added to soups or smoothies. 
  7. Mashed avocado has a soft, creamy texture. It’s an excellent source of omega-3, fiber, and a host of vitamins and minerals. It also has a mild flavor which makes it a good candidate for any healthy soft food diet. 
  8. Applesauce is naturally sweet and contains soluble fiber, vitamin C and antioxidants. Choose the unsweetened varieties to get the biggest health bang for your buck.
  9. Cooked oatmeal is soft, warm and filling. It’s also high in dietary fiber, and is a great source of complex carbohydrates.
  10. Scrambled or boiled eggs are high in protein and heart healthy nutrients like folate, B vitamins and potassium. Just don’t put too much salt on them because that can irritate a sore mouth. 
  11. Mashed bananas are an excellent source of potassium. They can be eaten alone or added to oatmeal or smoothies. Bananas add a natural sweetness.  
  12. Cottage cheese is soft and easy to eat and  it’s a good source of calcium and protein. Serve with soft fruits, over baked potato, or served by itself for a nutritious snack or meal.

Choosing soft foods with minimal seasonings will help avoid further irritation with oral conditions like pemphigus vulgaris and ulcers.

Summary

A soft food diet plays an important role in managing the discomfort associated with conditions like pemphigus vulgaris and mouth ulcers. By incorporating these soft and nutritious foods into your meals, you can support the healing process while maintaining a well-balanced diet. Be sure to  consult with your healthcare provider or nutritionist for personalized dietary recommendations catered to your individual needs.

For more information on pemphigus vulgaris, visit the International Pemphigus and Pemphigoid Foundation.

The post Best Nutrient-Rich Soft Foods for Managing Painful Mouth Sores appeared first on Health Uprising Now.

How to Beat Constipation Naturally: 6 Tips That Don’t Involve Laxatives

Consumers spend over $1.5 billion dollars a year on laxatives. As alarming as that sounds, even more alarming is the inability to go to the bathroom. Does this sound like you? Well this article will arm you with natural remedies to support your constipation treatment regimen.

The information provided is for general informational and educational purposes only. It is not intended as medical advice, and it should not be used to diagnose or treat any health condition or illness. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or your individual health.

This post contains affiliate links. If you make a purchase through a link, I may receive a small commission, at no cost to you.

natural constipation treatment without laxatives
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Why am I constipated all the time?

Constipation can be defined as having less than 3 bowel movements per week.

Diet and a sedentary lifestyle can cause chronic constipation. The Standard American Diet, also known as the SAD diet provides little fiber-rich foods. Instead, processed foods are high in fat, sugar, and salt. 

Too much salt can reduce the water content of stool. This can cause difficult bowel movements because hard dry stool is hard to push out. Speaking of fluids, insufficient fluid is another cause of constipation. 

Certain medications, irritable bowel syndrome, pregnancy and Crohn’s Disease can also contribute to constipation.

The problem with laxatives

Laxatives can be helpful for the occasional bout of constipation that we all get from time to time. However they’re not intended to be used for extended periods.

Long term use of laxatives can cause a dependency where you’re unable to have a bowel movement without them. They can also cause dehydration, electrolyte imbalance, and damage to the nerves and muscles in the colon.

I suffered from chronic constipation for many years. I’ve been to several doctors for constipation treatment. Some have suggested stool softeners like Miralax. Others suggested Metamucil or Citrucel. None of those treatments worked.

The only thing that worked for me was Senokot, made from the senna plant. I took them for several weeks on and off. Without them I was unable to go to the bathroom at all.

Finally, one day I had enough. Desperate, I went to a gastroenterologist. The medication he prescribed caused diarrhea and other symptoms. 

I decided to take matters into my own hands. The constipation remedies below are the ones I found most effective for me.  

Natural Constipation Remedies Without Laxatives

Relieving chronic constipation naturally involves changing lifestyle habits. And as we all know, change is not always easy. Start small and aim for gradual change over time.

Increase dietary fiber

Fiber helps ease constipation by increasing bulk, drawing moisture into the intestines, and softening stool. Fiber can be found in fruits and vegetables, whole grains, and legumes. 

If you have food sensitivities like I do, you may find it challenging to get enough dietary fiber. Grains are an excellent source of fiber but many contain gluten. 

For me, green leafy vegetables, beans and oatmeal have been my saving grace. 

Not all oatmeal is created equal though. I like Bob’s Red Mill Organic Oatmeal because it contains 4 grams of fiber.

Helpful Tip: Check out Free Constipation Printable List of High Fiber Foods for other helpful suggestions.


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Drink more water

drink water to relieve constipation
Proper hydration is needed for constipation relief

When increasing dietary fiber, It’s important to drink enough water. Water helps the fiber to bulk up and soften stools, making it easier to eliminate.

Dehydration can cause constipation. Not drinking enough water while exercising, ill or living in a warm climate can cause dehydration. 

Eating a high fiber diet without drinking enough water can also cause dehydration.

Drinking 8-10 glasses of water daily is ideal, but listen to your body and adjust fluid intake accordingly.

Helpful Tip: Drinking water on an empty stomach first thing in the morning can help stimulate the bowels.

Exercise

Walking, jogging, cycling and other aerobic exercise helps by stimulating muscles in the intestines. This encourages bowel movements by reducing the time it takes for waste to pass through the digestive system and get eliminated.

Personally, I try to set a goal to walk 4 days each week. 

While medical experts recommend 30 minutes of moderate intensity walking, even shorter walks are beneficial. Adjust time and intensity to your fitness level.  Consistency is what’s important. 

Helpful Tip: Studies show walking after eating helps with digestion. As a result food passes more quickly through the digestive system.

Practice yoga

Certain yoga positions that involve twisting and bending help to stimulate digestion by gently massaging abdominal organs. 

Another benefit of yoga is it relieves stress. Stress activates the “fight or flight” response which causes blood flow to increase to the heart and extremities while reducing blood flow to the digestive system. 

Hormones released during the stress response slows down digestion. Subsequently, the time it takes for waste to pass through the intestines increases. 

Deep breathing and yoga activate the “rest and digest” response.

The Himalayan Yoga Institute recommends practicing yoga for an hour  

3 times a week. However, even practicing for 20 minutes a few times a week is beneficial. 

Helpful Tip: The following yoga poses can benefit those with constipation: Supine spinal twist, wind relieving pose, child’s pose, cat-cow, and the seated forward bend.

Use a potty squatty

If you ask me, the invention of the potty squatty is revolutionary. I can’t recommend it enough.

The potty squatty is basically a stool for you to rest your feet on while seated on the toilet. It simulates a squatting position and aligns the colon with the rectum. This encourages easy, complete and rapid elimination.

With the colon and rectum aligned, the need for straining is reduced. Pressure on the rectum is also minimized, which may help prevent hemorrhoids from forming. 

Helpful Tip: Keep your potty squatty right in front of your toilet so it’s available whenever you need it.

Retrain your bowels

Some of us don’t make time to go to the bathroom. We’re busy, busy, busy all the time. 

Or maybe we’ve even ignored the signals to go to the bathroom at inopportune times. Over time, constantly holding your poop can make you lose the urge to poop altogether. Really. 

It’s possible to retrain your bowels and restore your urge to “go”. The idea is to sit on the toilet around the same time each day, preferably 20 minutes after eating. Even better if you drink coffee with your meal. Bending forward is also helpful. 

Try to relax. Slow down. Breathe. I know I mentioned the impact of stress already, but it’s worth stressing that there is a gut-brain connection. Stress interferes with this connection and can lead to changes in gut function. This can cause constipation. 

I find listening to soft music helps me to relax on the potty. Others may relax by reading a book or magazine.

Helpful Tip: Over time, when the sensation to poop returns, avoid ignoring the urge to poop at all costs. Yup. That means you may need to poop at some inconvenient times and places. Just do a few courtesy flushes and keep it moving. Pun intended.

How long should you sit on the toilet to poop

Experts recommend sitting on the toilet for 10-15 minutes. You may need to repeat this during the day. Sitting too long on the toilet can set you up for hemorrhoids. 

Try stomach massage to relieve constipation

Abdominal massage help move waste

Massaging the abdomen can help by increasing blood circulation to that area. It can also help to reduce abdominal tension and stiffness, which can contribute to poor bowel movements. 

One method of abdominal massage is to place your palm on your abdomen. Massage a few drops of peppermint oil on the abdomen. Then starting at the belly button, use your fingers to make small, circular motions. Move clockwise around the naval. 

Think of your naval as the sun, and your fingers as imaginary planets orbiting around the sun. Continue around the naval, widening the circle with each revolution until you massage your entire abdomen.

Helpful Tip: Kickstart your digestive system with a morning massage.

The secret to success of any constipation treatment regimen

If you’re anything like me, you may read an article like this and make 1 or 2 changes for a limited time.  Then you get frustrated because there’s no improvement. 

As I mentioned before, consistency is key. 

But here’s the real kicker. Whether you follow my suggestions or someone else’s, consider a constipation treatment that approaches the problem from all angles. 

  • From a dietary perspective by creating more bulk.
  • From a transit time perspective by reducing the time it takes for food to travel through your digestive system.
  • From a structural perspective by facilitating the passage of stool.

Because guess what? I always drank a lot of water. And when I could eat fruit, I ate lots of it. But I was still just as constipated as ever. 

When I dealt with my constipation on all fronts, I saw lasting change. That’s not to say I never get constipated anymore. Life happens. Sometimes I get too busy and fall off the bandwagon.

But when I do, I know how to reverse my constipation. Quickly. No more going weeks at a time passing an occasional pellet or 2 with no substantial movement.

Putting all the pieces together

Up until now, I’ve provided you with pieces to the puzzle. Now we’re going to connect them all into a beautiful picture. One with you smiling because you’ve finally experienced relief.

You see, increasing fiber and liquids will give you the bulk you need to move things along. And it will help to soften your stool. But what good is increasing bulk if:

  • Your body no longer provides signals like, “Hey, it’s time to go potty”.
  • You’re unable to empty out completely.
  • You have a sluggish digestive system that takes forever to eliminate waste.

Do you wanna know what happens to poop that sits in your colon for a long time? Your body starts to reabsorb the moisture. Now you have dry, hard poop that you can’t push out. 

Some of us may just have slow transit time. It takes our digestive system a long time to process waste and move things out.

That’s where walking and yoga and fluids help to speed things along. Abdominal massage helps with this process too.

Massage helps to loosen up those abdominal muscles. Stress reduction helps to restore a healthy gut-brain connection.

Retraining the bowels by making time to sit on the toilet gets your body into a normal rhythm.

Elevating your feet helps to align your colon and anus so your waste can expel easier. 

Ready, aim, fire!

The bottom line? Do as much as you can, as consistently as you can, for as long as you can.

Summary

A constipation treatment that approaches your condition from all angles, can help you  experience lasting relief. Increasing fiber intake, hydration and exercise are fundamentals of any constipation treatment regimen. Managing stress, making time to go potty, elevating your feet and abdominal massage all help to move wastes along. And oh, what a relief that is.

The post How to Beat Constipation Naturally: 6 Tips That Don’t Involve Laxatives appeared first on Health Uprising Now.

Knowing When To Take a Step Back When Living With Chronic Illness

When I tell people I’m sick, they usually think I mean something short-term and contagious like the flu or a stomach bug. If I say I have a chronic illness, they picture conditions like IBS, a bad back, or chronic migraines. 

The actual reality is all this and more. Yes, and. 

“I’m sick”

I have IBS-like GI symptoms that range from mild diarrhea to agonizing intestinal pain and bloody stool. Migraines can hit me out of nowhere, obstructing my vision, garbling my speech, and sometimes lingering for more than a week. I get flu-like aches, chills, and fatigue that can last for months. Sometimes the fatigue is so intense that I can’t get out of bed, literally crawling on the floor to go to the bathroom. I get orthostatic intolerance, which means I can’t stand up without feeling like puking and/or passing out. 

My connective tissues are corrupted, so all of my joints (including my spine) pop in and out of place causing pain, instability, and a heightened fight or flight response from a brain forced to be ever on alert. My mast cells, the white blood cells responsible for things like asthma and anaphylaxis, and hives, are over-active. They are triggered by things like the sun, marshmallows, and chemicals you didn’t know were in your home or workplace. 

And those are just the big ones. That doesn’t include the symptoms that are too small for me to report in typical doctor visits, like the tingling, numbness, and pain in my extremities caused by neuropathy and spinal instability. Or the dry eyes and painful mouth and throat sores caused by my autoimmune comorbidity. Or the post-exertional malaise that can make it impossible to exercise. 

Sometimes it boggles my mind to try to recount everything that I mean by “I’m sick.” It’s like a cartoon character I saw once as a kid. He was hit by a bus but somehow kept going. Then a fridge fell out a window and crushed him. After, he was blown up by TNT explosives. Then stung by a swarm of bees, trampled by horses, caught in a fire, and pushed off a cliff. Somehow, he kept going.

And I do. I keep going. Honestly, I’m terrified to stop. I’m terrified that our society will label me lazy or weak or a burden or unworthy. I’m worried that I will label myself these things, or my parents, or my partner. But I know that sometimes, my body knows when it’s time to stop, and I need to listen.

Ever-changing chronic illness

Another thing people don’t get about complex chronic illness is that it can be simultaneously ever-changing and numbingly constant. Having diarrhea one day isn’t a big deal. Having diarrhea for fifteen years is a nightmare. But as tough as the relentless consistency can be, I much prefer it to the fickle nature of this beast. You never really know what the day will bring. Sure, I grew accustomed over the years to intestinal pain. But would I also have a migraine? Would I have any energy or be a slug on the floor? Would I be able to eat, or would every food I tried set off my mast cells? 

In Meghan O’Rourke’s incredible book The Invisible Kingdom, she uses the analogy of loss of limb. If you were to lose a leg, you would certainly face challenges, but you would wake up every day knowing that you’d need to adapt to life without a leg. With complex chronic illness, it is not this simple. Who knows which of the hundred symptoms my body will pick off the menu? Or will I be completely fine and spend the day wondering if it was all as bad as I thought because, look at me, I’m fine? There’s no way to communicate ahead of time with employers or friends. It’s hard to get them to even believe, sometimes, when each day can look so different.

Trying to get ahead of it all

In the last several years, I’ve gotten to a place where I at least know what all the options are, so when they pop up throughout the day I can say “I see you, I know what is causing you, and perhaps I have a trick that can help.” I live in fear of the days when a new symptom shows up and I have to go back to not knowing, to seeing specialists and rounds of testing and the trauma that gets dredged up.

It happened, this month. I started working full-time for the first time since my worst crash and subsequent diagnoses. I was excited – I’ve been feeling pretty stable for a year or two – but also nervous that this would cause a flare. What I didn’t expect was for it to cause a new symptom. I started feeling nauseous and bloated. Then pain in parts of my abdomen that were not my usual. Then eating became a battle and my belly swelled until I looked several months pregnant. It felt as if my stomach was paralyzed, that it simply had stopped emptying. 

This is not an abstraction, but rather a very specific fear. EDS can cause gastroparesis, which is paralysis of the stomach. I’ve had a doctor suggest that some of my GI issues were intestinal paresis, but this was different. Then I started feeling dizzy and nauseous whenever on my back, something that can be caused by arterial compression conditions like MALS, another serious complication that can arise from EDS.

And thus came the panic. 

It’s hard not to fear what’s ahead

Another thing about chronic illness is that it is made bearable by forming community. Sick friends are amazing and spoonie communities can be literal lifesavers. Yet being as well connected to the chronic illness community as I am also means that I know too much. I know people with my conditions who have been bed-bound for years, use feeding tubes for nutrition, and are slowly dying. I have seen the downward spiral time and again – a mast cell flare makes eating a challenge and causes worsened joint laxity and PEM, rendering exercise impossible, which then causes POTS to worsen, which increases the brain’s stress response, which worsens all symptoms and causes additional complications… it spirals on and on until you’re too unstable to even receive treatments.

I’ve seen it happen. It’s hard not to fear that I will be next. But the fear makes everything so much worse

So, I reloaded my meditation app, got some extra babysitters, increased my therapy sessions, and tried really hard to be zen while ordering tests for MALS, gastroparesis, and other motility issues. I decided that the most likely cause was autonomic since my POTS was also out of control, so I doubled down on salt and water and exercised when I could. Things seemed to clear up a bit. I felt my stomach empty one day and was hit with a need to be in the bathroom forever, as well as a righteous hunger.

After days of eating ravenously and feeling like I was going to puke if I didn’t constantly have something in my mouth, I felt it shift again. My stomach was getting tighter, my belly was swelling, and it was getting harder and harder to get food down, despite the hunger.

I’m in the grey area. I am not so sick that I have severe gastroparesis or MALS. I can mostly get by, go to work, and be somewhat of a parent (with help). But some days it’s too much. Every time I stand up I have to choke down the vomit and will my vision and control of my limbs to return. My despair and fear creep back up. What if I can’t work? What if I’m just not cut out for having a career? Or for being a working mother? What if I have to spend another day feeling this miserable and nauseous, hungry but unable to eat? What if I’m not sick enough to test positive for the big ones like gastroparesis but too sick to be ok without treatment/intervention?

Ari, chronic illness warrior, spending time with her daughter.
Ari spending some time with her baby

What’s next for me

What I keep reminding myself is that just as possible is the upward spiral. I’ve seen it happen – resting and self-care calm the nervous system, allowing mast cells to chill enough to tolerate a few more foods. This new nutrition (and joy!) gives enough of a boost to introduce some new movement or activity, if not exercise. This movement tightens up the joints and further soothes the nervous system… over time, each decrease in symptoms allows for new treatments, activities, and energy/emotional boosts. The dominoes fall into place until everything stabilizes.

I’ve seen it happen both ways. I feel like I’m on the brink of a spiral. I know that stress and fear can tip it downward, while rest and self-love can spin things up. It is hard, in this world, to accept that resting is the most important job sometimes. But for myself, my family, my friends, my daughter, the students I hope to teach in the future, and the adventures I hope to enjoy, I need, so desperately, to let myself rest.

And so, while I love my work here so dearly, I will be taking some time off to heal. I can’t express enough the importance of role models with chronic illness like Emily, who have openly taken this time for themselves, to help me feel powerful, rather than weak, in my decision. I am so grateful for this community and for the time I have spent with you. And I can’t wait to come back, once I have given my body time for its upward spiral.

The post Knowing When To Take a Step Back When Living With Chronic Illness appeared first on Mighty Well Journal.

Disability and (In)Visibility: Not All Disabilities Are Visible

This week was the start of Disability Pride Month. We’ve loved seeing posts from our Friends in the Fight sharing their own stories of disability, both the challenges and the pride! One theme that comes up a lot in lived experiences of disability is the nuances of visibility. What makes some disabilities visible? Whether from physical markers, mobility aids, or other medical devices, how does disability visibility change the way individuals and systems in our society recognize disabilities as “valid”? How does it affect our ability to get accommodations and quality health care? 

@zebratissues, @mxdevin, @thediabetesdiva pictured above!

Here are a few things to keep in mind about disability visibility:

1. Mobility aids and other devices are not shameful

Having a disability can be challenging. Some disabilities, however, don’t need to hamper the quality of life with the right accommodations and tools! Devices like wheelchairs, canes, walkers, hearing aids, feeding tubes, vascular access catheters, and so many more, are incredible innovations that can drastically improve life with disabilities. They should be viewed as beautiful, life-giving tools.

Unfortunately, abled people – and representation in the media – often view these tools as negatives. They are visual reminders that someone faces challenges, which bring up uncomfortable emotions. It’s often those closest to us who have the most trouble with these visual reminders because they feel the grief involved in watching someone you love struggle. Mobility aids and medical devices are also markers of difference, something our society hasn’t always taught us to embrace. 

Disability communities are working hard to remove the stigma around devices. There is nothing shameful about using the tools and technologies available to enhance your life! We all do this – we use phone reminders to help us remember things. We use cars and bikes to make travel easier. And we use subtitles in situations when we can’t understand something being said. So why would there be anything shameful about using a wheelchair to get around? Or a cane for balance, hearing aids, or a tube to get the nutrition or medication that helps us stay strong? 

2. Not all disabilities are “visible”

Many disabilities are visible. Our society has taught us to look for wheelchairs, white canes, or scars as a proof of disability. But this is a wildly incomplete picture! People may have disabilities related to hearing, vision, memory, comprehension, communication, pain, energy, fainting, balance… You likely know someone who struggles with one of these issues, possibly without your knowledge! They may qualify for accommodations in school, at work, when traveling, or in receiving income. These barriers can be just as disabling as the disabilities we are taught to look for. 

Invisible disabilities come with their own benefits and challenges. When no one can tell that you are disabled, you don’t have to ward off as much stigma. You can “pass” as abled when wanted. You can choose who is worth telling and who is not. And, you can present any of your identities when meeting someone new, without “disabled” being the identity they first notice. 

Invisibility is not always a benefit, however. It often requires more communication. When seeking accommodations such as different lighting or a space reserved for people with disabilities, we are often asked for justification. “You don’t look disabled” can be used as a challenge, requiring further advocacy. This invalidation of our needs can feel emotionally draining, even triggering. It may be more difficult to receive the disability payments, health care, or accommodations we truly need. We also may be more likely to push through dangerous situations rather than seeking support because we are used to trying to pass abled, or because we are too exhausted to deal with the pushback.

The gray area

And then there are the disabilities that exist in the gray area between visible and invisible. We may have physical markers that are sometimes hidden, or devices that we don’t need all the time. In this gray area, we experience the benefits and challenges of both disability visibility and invisibility. It is ok to go back and forth in whether or not your disabilities are seen! It is ok to use these times of visibility to find support and community, or to just show pride in your disability! We use this flexibility in our other identities – wearing a religious symbol in some situations but not in others, or sharing our sexual orientation with some but not disclosing it with others. It is normal and does not mean you are faking.

Mighty Well products were created out of this gray area. Our PICCPerfectⓇ PICC Line Covers are made to keep medical devices discreet in those moments when you’d rather not have your health be at the forefront of people’s minds. But with bolder color and pattern options, they can also be a fantastic conversation starter when you’re feeling proud and wanting to be visible!

Our medical backpack is made to look like a regular designer backpack, so that you can infuse, tube feed, or just carry all of your medical gear on the go, without anyone having to know. But it can also be a way to proudly bring that part of your life out of your private spaces, to bring others into what your life is really like. And for those times when you want the world to know that you need them to mask up or give you space, but don’t want to have to justify or advocate, you can let our immunocompromised gear do the talking.

Click here to see more of our products designed by patients with disabilities!

Mobility aids, a common sign of disability visibility
Some common mobility aids, including the PICCPerfect® PICC Line Cover

3. Disabilities can wax and wane

Not only is it ok to let your visibility be fluid, but sometimes disabilities themselves can come and go. Someone with disabling headaches may be out and about one day and unable to move the next. Cognitive impairment can fluctuate. Pain flares and joint dysfunction are not always steady. Even disabilities involving vision or wheelchairs can go up and down over time.

This can pose a challenge since we tend to view people as either abled or disabled. But someone who lives with disabilities can also have times when they don’t experience these challenges and don’t need accommodations. This does not mean that it is made up or that they don’t genuinely need these supports at other times. It also doesn’t change their identity – people may identify as disabled even if their disability hasn’t flared in years. Our experience with disability can be formative in the development of our personality, how we live every day, and in the communities we are part of.

Many folks with disabilities are accused of “faking” when in these times of health and strength – and the internet has only heightened this. These periods should be a time to live life to the fullest, without worrying about this perception. It is important to be a source of support for people no matter how abled they seem, instead of assuming that they aren’t disabled anymore or minimizing the challenges they faced previously. 

Remember also that you might not know what work is happening behind the scenes. Perhaps this period of ability is only made possible by significant effort, medications, therapies, or lifestyle changes. The time, energy, and money spent on this work also impact this person’s life, and to minimize that by assuming they no longer face challenges doesn’t do justice to everything they are going through. If they run out of funds or energy to keep up this hard work, and thus slip back into a period of worsening disability, it is not their “fault” for letting it happen.

4. Ableism can also wear many faces

Some disabilities come with grief, discomfort, and limitation. For others, the disability itself is not so bad! In fact, living with disabilities can bring us wonderful communities, increased empathy and critical thinking, resilience, and a deep understanding of our bodies and minds. We can thrive, without feeling held back, in environments that are accessible. When our needs are met and we aren’t confronted with stigma, we can reach our full potential. In many cases, it’s not disability but rather ableism that makes life difficult. 

Just as disabilities can come in many forms, so does the ableism we face. It can be systemic, such as fighting through red tape to get the rights and benefits you qualify for under the Americans with Disabilities Act (ADA). It can be fighting to make your disabilities recognized as valid to friends, coworkers, and even doctors who may have been taught to assume that it is all in your head. Or, it may be in small moments when you make an assumption about someone based on their disability or shy away from someone because their difference makes you uncomfortable.

Like any form of implicit bias, we all – including disabled folks – carry these problematic assumptions. There is no need to feel ashamed of this, as shame is rarely a productive emotion. It is important, however, that we watch for our own ableism and work to unlearn these beliefs and reactions. Happy Disability Pride month to all, regardless of (in)visibility! Share your disability story with us in our Friends in the Fight Facebook group, or tag us on Instagram, Facebook, or Twitter.

The post Disability and (In)Visibility: Not All Disabilities Are Visible appeared first on Mighty Well Journal.

Myasthenia Gravis Awareness Month

June is Myasthenia Gravis Awareness Month.  If you have never heard of MG, you are not alone!  We reached out to Friend in the Fight Katie McCurdy to shed some light on this autoimmune condition that affects tens of thousands of Americans.

Katie McCurdy is an autoimmune patient, designer, and founder of Pictal Health, a company helping patients tell their health stories visually. Learn more at katiemccurdy.com and pictalhealth.com.

diagnosis 

When I was 13, I was sitting at dinner with my family and my mom said, “why are you laughing like that?” I ran to look in the mirror and was met with a strange, snarling expression instead of my usual laughing face. 

The symptoms came on that quickly. Perhaps it wasn’t overnight, but it was very fast. Sudden facial weakness meant I was having trouble smiling and playing the clarinet, and my arms tired while washing or brushing my hair. My eyes felt droopy and I had double vision while looking to the right. I felt fatigued all the time.

I was incredibly lucky that my pediatrician immediately suspected Myasthenia Gravis, a neuromuscular autoimmune that causes weakness. She referred me to a local neurologist who confirmed the diagnosis within weeks of my first symptoms. 

symptoms 

Myasthenic weakness is caused by a breakdown in the nerve synapse. But what that weakness looks like can be different from person to person; they call MG the ‘snowflake’ disease because it affects everyone differently. 

There are common sub-conditions: Ocular MG, which affects just the eyes and causes double vision and eye drooping, and Generalized MG which causes more widespread weakness. Many people with generalized MG have weakness in their limbs that makes it difficult to stand, walk, and lift their arms above their head. As someone’s symptoms worsen during a flare, they may have trouble talking, chewing, swallowing, and even breathing – this is called a myasthenia crisis and can potentially be deadly. 

I am lucky that my symptoms have not affected my limbs too much, and I have also never had a breathing crisis. But my facial weakness – the inability to smile or make normal facial expressions – affected me mentally and emotionally for 25 years. I would avoid talking to people in public if I wasn’t having a strong face day. I would worry that my smile/snarl would come across as sarcastic or just plain weird. 

diagnostic delays

Many people face years of symptoms before finally getting their diagnosis (the average time to get an autoimmune diagnosis is about 4.5 years). I am grateful my path was so short and efficient. 

I have personally known people who have been through horrible, demoralizing diagnostic journeys on their way to an MG diagnosis. A family friend, a man in his 70s, went through multiple eye surgeries that attempted to ‘fix’ his newly droopy eye; but since the eye was drooping due to MG muscle weakness, these surgeries were ineffective and frankly totally inappropriate – his ophthalmologist should have known that MG could be the cause of a droopy eye. 

Another friend has faced extreme medical gaslighting because she is one of the 10% of MG patients who do not have detectable biomarkers that could lead straight to a diagnosis – and she happens to have a mental health history. She has been told over and over that her symptoms are in her head, as she struggled to walk, stand, hold her head up, chew, swallow, and even breathe – classic and dangerous symptoms of runaway MG. 

treatments

Fortunately, there are a few different treatments for MG patients. I’m not an expert in all of them, but I’ve taken a medication called Mestinon for 30 years; I’ve also taken the corticosteroid Prednisone for 25 years. (My doctors are not happy about this, as Prednisone leads to osteoporosis and other side effects, but my body has become dependent on it so I continue to take a low dose daily.) Prednisone is one of many immunosuppressants, drugs that reduce the immune system’s activity and therefore reduce autoimmune symptoms. I take another immunosuppressant called Cellcept, which was originally used in organ transplant patients. 

Even with these three drugs, my symptoms were still noticeable and interfered with my daily life. Finally, in 2017 I started IVIG – IV Immunoglobulin infusions. Within a few days, my MG symptoms were simply gone. I had a strong smile for the first time in 25 years. My voice strength came back, and my eyes felt more ‘open.’ I felt more alert. I could fully participate in yoga classes, and my arms and legs quickly became stronger. Now I get home infusions (administered by my awesome home infusion nurse Amy) two days per month, for five hours each day. 

Finding a treatment that works has been life-changing. I’ve had more strength and energy at work, and finally don’t have to worry my voice will give out when I’m giving presentations. My inner extrovert has finally been released: I am happy to stop and talk to any friend or acquaintance at any time! 

So life is drastically improved for me (though I still deal with rolling symptoms from my other autoimmune condition, Sjogren’s Syndrome, and allergic symptoms resulting from Mast Cell Activation Syndrome.) 

IVIG has worked for me, but it doesn’t help everyone. Many people continue to try different treatments without fully resolving their symptoms. Right now, there are some new MG drugs being released – I feel hopeful that patients like me will have lots of options and that more folks will find something that works for them. 

community 

I haven’t really been an active part of any MG communities. Since I got MG when I was 13, and the condition mostly affects older people, it was hard for me to identify with others at the MG support groups I attended. I did travel to Miami one year to attend the Myasthenia Gravis Foundation of America’s annual conference, and I met lots of other young people there; the experience was really important to me and helped underscore just how different each person’s symptoms are. 

tips for other MG patients

Find a doctor who listens and who understands MG. My neurologist, Michael Hehir at the University of Vermont Medical Center, always makes time to answer my questions and is up-to-date on best practices and treatment options for MG. It’s a huge relief to know I have a doctor I can count on. 

My first neurologist gave me a tip that I’ve used many times: If you’re having double vision due to MG, wear an eyepatch or put a piece of scotch tape over one lens of a pair of glasses. This effectively limits your vision to one eye and makes it easier to get through your day.

Watch out for magnesium. This supplement can be helpful for many, but it can also flare MG symptoms. I’ve re-learned this recently.

Stress and lack of sleep are big symptom triggers for me, and I suspect they are for others. Stress management is one of the best things we can do for ourselves. 

It’s worth playing with dietary changes to see if this helps your symptoms. I have found that my autoimmune symptoms calm down when I avoid foods that have dairy and gluten. But each person’s food triggers are different.

And of course, be kind to yourself and meet yourself where you are! With autoimmune conditions, we don’t know what each day will bring. 

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4 Tips to Foster Disability Inclusion in the Workplace

Diversity inclusion in the workplace can have benefits for all involved.  Not only does it make our society more equitable, but having diverse perspectives – and listening to those voices – is good for business.  We all bring different experiences and strengths and are mightier together™.

Wanting to be more inclusive is wonderful, but hiring more diversity without shifting the culture and setup of your workplace can actually be harmful, as the new employees may find themselves in situations that do not meet their needs. If creating an inclusive work environment feels overwhelming, that’s ok! Change is hard, especially when unsure of the best way to go about it.

As a company led by patients with disabilities, we know what it’s like to find the right work environment.  We’ve written about searching for jobs that fit your needs and advocating when needs aren’t met. But the heavy lifting doesn’t need to be all on employees!  If you are an employer wanting to make your own business more inclusive for folks with chronic illness and disabilities, here are some tips to get you started:

1. Job sites focused on disability inclusion in the workplace.

Inclusion of employees with disabilities may seem trickier than the inclusion of folks of diverse races or genders.  Some employers worry that this may mean disabled workers won’t be able to do a good job.  It’s true that, by definition, our disabilities may make aspects of a traditional job difficult, but that does not mean we are any less capable or valuable than abled employees.  We all have strengths and weaknesses.  Someone unable to access a second-floor office may be an outstanding leader.  Someone with a compromised immune system who needs to work from home at times may be incredibly efficient.  Someone with hearing impairments may be uniquely creative.  The label “disabled” does not actually tell you anything about an employee’s potential.  In fact, the only thing it does tell you is that this individual has had to find their way in a world that is often not accommodating; this need for frequent workarounds creates tremendous resilience, problem-solving, and communication skills – all extremely valuable in a workplace.

This understanding that people with illness and disabilities are uniquely capable workers was the foundation for Chronically Capable, an organization that helps connect sick and/or disabled job seekers with inclusive employers.  It was founded by Hannah Olson, a disabled Lyme-warrior who knew her potential was much more than what she could bring to an unaccommodating workplace.  It works like other job listing sites, but more than just searching for skill sets, resumes, and job descriptions, Chronically Capable asks its users about specific accommodations – can you offer flexible hours? Remote work? Visual aids?  Even better, Chronically Capable provides education and resources for employers, so not only can you attract jobseekers by displaying which accommodations you are able to provide now, but they can make your journey to becoming more inclusive much easier.

Mighty Well Co-founders Emily Levy and Maria Gomez
Mighty Well Co-founders, Emily Levy and Maria Gomez

2. Explore accommodations for disability inclusion in the workplace

Ok, so you want to be more inclusive and are willing to learn what that might mean for your company. Still, the legal side of providing the necessary accommodations for folks with disabilities have you feeling nervous.  That’s ok – if the ADA (Americans with Disabilities Act) is not familiar, this resource can help you navigate its nuances.  Nervous about holding conversations with your employees about what “reasonable accommodations” might look like?  Here is a guide to help you think things through before a meeting with a disabled employee.  And finally, here is a list of potential accommodations that can help you think outside the box!

3. Small steps can make a big difference for disability inclusion in the workplace

If you have not lived with chronic illness or disabilities, you may feel overwhelmed when considering how to accommodate the vast array of disabilities employees face.  The good news is that there are many small steps you can take that make a massive difference.  Not only that, but most of these tweaks can benefit all employees – not just those with relevant disabilities!  For example, written agendas sent before meetings may help people with brain fog or hearing impairments; they are also good for introverts.  Here are a few examples:

  • Live captions on zoom calls and videos
  • Spaces with different lighting/noise-level options and scent-free spaces
  • Seating (and standing) options
  • A refrigerator can help with tricky food needs, medications, or breastfeeding moms
  • Accessible presentations
  • Remote work options

4. Disability inclusion in the workplace

The Covid-19 pandemic has held a magnifying glass to the gears that keep our society running.  While it has come with significant pitfalls, many people with illness and disabilities have actually found their needs are better met since 2020.  Remote work allows us to be in our own space with all the supplies and accessibility we need.  It also tends to allow for a more flexible schedule, so anyone who benefits from naps, daytime IV infusions, or frequent meals no longer has to make these needs visible.  We can work lying down or in comfortable clothes. 

We know these changes are possible.  Now is the time to make these options available even when not in lockdown.  Yes, working in person can benefit collaboration, morale, informal check-ins, etc.  But having the option for remote work when it’s not necessary opens the doors to many who would otherwise be unable to meet their potential.  For folks with conditions that come and go, being able to work remotely during a flare could mean the difference between continuing to work vs. having to take a leave of absence.  Note that, like all accommodations, it is likely that abled employees will benefit as well.  Parents may appreciate being able to work from home when their kids are sick.  People with long commutes may get more done if they do not have to waste an hour to navigate transit.

Not only are our workplaces in a state of flux from the pandemic, but we also have a worker shortage.  Advertising that you value disability inclusion in the workplace – and using this fluctuating time to shift your environment to be inclusive – can give you an edge in attracting the talent you want.

The post 4 Tips to Foster Disability Inclusion in the Workplace appeared first on Mighty Well Journal.

Halsey Celebrates New Diagnoses

Singer-songwriter Halsey is all about realness.  They have been open about struggles with endometriosis for years.  When they had their first baby last July, they publicly spoke about prioritizing time with their son over time spent trying to get back into shape, and posted a gloriously honest video about what postpartum bodies can look and feel like.  They were upset over comments about how good they looked after performing on SNL; they shared all the work, costuming, and lighting that goes into that image, and that they wanted the world to see what their body really looks like.

More recently, Halsey started getting comments that they “look sick” or had lost too much weight.  Halsey responded by sharing that they looked sick “BC I AM!”  They had been experiencing increased symptoms ever since pregnancy and were still looking for answers.  This month (right in time for Ehlers-Danlos Awareness Month!) Halsey finally got the diagnoses they’d been seeking for years, after being hospitalized for anaphylaxis.  The list includes EDS, MCAS, POTS, and Sjogren’s, in addition to the previously diagnosed endometriosis.

Fans were dismayed to hear that Halsey was sick, but the singer was actually relieved!  Those of us who took years to find our own diagnoses may understand this response – Halsey shared that they’d always been sick, they just finally have validation!  They are hopeful that they can use this new information to heal and get back into the things they love.

Halsey posted on Instagram about the gaslighting they’d experienced before these diagnoses, saying “I went to doctors for 8 years. Trying to figure out what was wrong with me. I was called crazy and anxious and lazy amongst other things… When I wasn’t working I was essentially confined to my home for fear of how I’d feel when I woke up each morning. It took me a long time to get to even having a diagnosis so I’m celebrating!”

We are so grateful for people like Halsey sharing what life with these conditions is truly like!  We celebrate this news with you, Halsey, and wish you well on what we hope is a healing journey ♡

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Top 2 Digital Medication Organizers

When I was 24, horribly ill and desperate for a diagnosis, I went to my doctor seeking answers. She was very kind and listened politely but said, “You’re actually quite healthy.” Dumbstruck, I asked how she had come to that conclusion after hearing my symptoms. She replied, “Well, you’re not on any medications.” I can still feel my heart drop into my stomach just thinking of those words. Is being sick with no diagnosis “healthy”? Is being diagnosed with no known treatments or cures “healthy”? I could not help but laugh at its absurdity.

I found my diagnosis a year after that visit (and my vow to find a new doctor). And so began a slew of treatments. Some were helpful; some were not. Still, others were simply nutritional to supplement my strict elimination diet. When I finally had so many pills (in addition to multiple vials of liquid medication) that I had to buy a jumbo-sized pill box, I actually laughed out loud. If only that doctor could see me now!

Keeping track of these medications is dizzying on the best of days and near impossible with thick brain fog. Yet staying on top of things is so crucial to staying healthy. I am grateful for organizer heavens like the Self Care Case that keep all my gear in one place, but that’s only part of the puzzle. Being able to remember to take medications on time is a challenge of its own. You can read more on my creative tips for managing medications here.

We recently reached out to our Friends in the Fight™ to find out what digital organizers have helped them keep track of medications. Here are some of the cool tools they suggested:

1. MediSafe

MediSafe is a customizable app created to help patients keep track of medications. It offers an easy platform to create a medication schedule and “just-in-time interventions” to keep you on top of that schedule. The technology can also identify trends of when you tend to forget or mix up medications and offer suggestions to help you develop better habits. While the app is patient-centered, you can also share your account with your care team – both medical providers and loved ones – so that you don’t have to do this alone.

2. Drugs.com

This is a website with helpful information about medications and the conditions they treat. The list of resources offered is quite long but includes comparison tools, a drug interaction checker, and discount cards. Their medication guide app helps you keep track of your medications and create a printable medication record to share with your providers – no more racking your brain and getting a hand cramp from writing them all down before every visit.

Do you have a system or tool that works for you? Let us know in the comments below or join the conversation in our Friends in the Fight™ Facebook group!

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