There is a handy way of explaining energy levels and how your energy is used in the chronic illness community. It’s called the spoon theory. This article offers a nice explanation of it. With endo, my body is constantly fighting off inflammatory reactions, which cost a lot of energy. As a result, I deal with near chronic fatigue. On a regular day, I am okay in my spoon supply, provided that I don’t have to run any unexpected errands. When faced with a busy social calendar, I have to plan accordingly, and may have to forfeit on an event or invitation, in order to preserve my energy.
A change in medication can have a large impact on this. About two years ago, my regular medication was unavailable (there was a country- if not worldwide shortage) so I was temporarily prescribed a different kind. Same active ingredient, same use and dosage, but different additives. I felt horrible. I’ll spare you some of the more intimate side effects I experienced, but what’s relevant to today’s post is that it affected my energy levels in a negative way. My fatigue worsened to the point where I barely made it through a workweek, and spent most of my weekends sleeping to try and replenish my spoons. I would count it a good week if I got a few household chores done, and meeting up with friends or taking my pug to an off-leash area was a challenge. Needless to say, I was relieved when my regular medication became available again and I could stop taking the substitute.
For me, and for many others with chronic illness, it’s not just a matter of depleted energy supplies, though. There is also the issue of symptoms flaring up, as well as ever present, if fluctuating, pain levels. When pain has kept me awake most of the night, I start the day with fewer spoons than usual. Tasks I can perform on a regular day would then result in a deficit, so I have to pick and choose what I can and cannot do.
It’s even more inconvenient when pain flares up while I’m already out (at work, at a party, with friends, anywhere that is not the comfort of my own apartment). Countless times I’ve had to cut a night out short, or switch to water and painkillers in order not to. My friends are very understanding when it happens, but I can’t help feeling guilty for going home early. Alcohol and fizzy drinks may play a part in this, so I’ve tried to limit my consumption. However, I do enjoy a drink when going out, so I’ve made it a point to try and discover which beverages cause issues and which don’t. For example, fizzy drinks are problematic due to the carbonation as well as the sugars in it, so I opt for Coke Zero and alternate with non-carbonated drinks. Cider poses less of an issue than beer, so when available, I’ll have some cider. I do enjoy a beer or two, though, but more on that in a later post.
In conclusion, when a person without health issues goes out to do something fun, they hardly have to think about it. As a woman with a chronic condition which includes pain and fatigue, I have to carefully plan my outings, have contingency plans in place, need to mind my food and drink intake, and have to keep in mind that I might have to cancel at the last minute or cut the outing short.
Chronic illness isn’t a walk in the park – even those can be tricky for us.