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This group is for anyone living with lupus, lupus-related diseases/syndromes or other chronic illnesses looking to explore the many facets of our lives without illness taking it all away. Although we are located in the Pacific NW (Oregon, specifically), this group is open to all who are looking to live their lives on their own terms and...more »
  • Category: Health & Science | we are located in Oregon -currently Portland-Metro area | Started September 2009

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  • My Life Works Today!

    April Book: How Can You NOT Laugh At A Time Like This? by Carla Ulbrich

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    We have chosen this book for April~ and I do think it is very fitting, considering April Fools and the promise of color with the pending Spring.

    I am contacting Carla to request her joining us here, so stay tuned. I look forward to some levity, learning and good old-fashioned irony after a long, dark winter.

    How about you?
    My Life Works Today! started this discussion 2 years ago. ( reply | permalink )

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  • Carla  Ulbrich
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    hello my friends! I'm here on Shelfari thanks to Maria and will be happy to chime in and participate in the discussion, and answer any questions. Thanks for reading! Carla

    posted 2 years ago. ( permalink )
  • My Life Works Today!
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    Okay, so life happened...again. I'm here now, though, so let's get this party started.

    I'd like to begin with a thank you to Carla for joining in and for those of you out there following along. Don't be shy or feel as though you have to contribute something enlightening here. It's simply a chance to bounce things off with the author and others who are enjoying the book, too. On that note,...

    I didn't know you entered Lupus Land so early, Carla. And, boy, what a rough entry it was! I have to say that I arrived via my kidneys as well, but didn't have half the complications. What amazes me is that you are not on any immuno-suppressants after your kidneys gave up the ghost more than once. Mine only shut down once, but the damage was enough to require me to stay on some just to keep things at a dull roar. Although I don't take as much as I used to, I just can't seem to go without too long before my legs feel like water balloons. You now personify a goal to aim for....now that I see it can happen. Thanks!

    I'm only up to Chapter Two, but I did have some questions already. When you listed your "Top Ten Annoying Things to Say to Someone Who's Just Been Diagnosed", I recognized them from hearing what others have heard over the years. I would have to say the most frequent one is the "You Don't Look Sick" comment. By the way, excellent response. Were all the comments you listed actually said to you directly or were they ones you've heard over the years? I almost fell off my chair when I reached the "punishment" one. That's a new one and it's a good thing no one has ever said that in my presence. I would NOT be able to let that one go. It's one thing to think that we have done something to bring lupus on by doing something wrong. For some reason, we are more tolerant of beating ourselves up than we are when someone else does it to us. The callousness of a comment that anyone "deserves' to be ill is unbelievable.

    My other question has to do with your openness in allowing others in so early on in your illness. I, personally, didn't let anyone step foot near the topic. I told only two people, no one knew I was in the hospital or on chemo (a sad commentary on how my hair ALWAYS looks like I'm on an IV cocktail, indeed) and the suggestion by my doc to attend a support group was met with a lot of resistance. I felt it was crucial for me to take it all on solo and, although I had to eventually relaxed my death grip on my circumstances by letting some people in on my secret, I have to say that I did what I instictively thought I needed to do and it worked for me. It sounds like you still struggled with the fierce independence, as many of us with lupus do, but found a way to work through your 'adaptation' by looking outward (performance.) I would almost expect someone to pursue music in expressing the journey back to wellness as reflective in a 'deep' way, leaning more towards spirituality. What was it about using humor and music to express illness that drew you into the direction you took?

    Finally, I am right behind you on the recommendation to have Dr. House come down with lupus. I have heard the "It's Never Lupus" statement/joke more than I would like and, even though it is said that there is no such thing as bad press,...I beg to differ. I know that lupus is a nightmare when it comes to marketing campaigns, but I believe House has done more damage than good by getting some lupus airtime during primetime. Perhaps rather than putting the community service announcements about lupus on at 3 AM, the network could've put it on during the show to handle damage control. When you're putting together your songs, where do you draw the line (if at all) on how much or what areas of the lupus experience you want to spotlight?

    Hopefully, these will get the ball rolling~ jump in, gang!

    posted 2 years ago. ( permalink )
  • Carla  Ulbrich
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    Hi there- what a great batch of questions! You sure do know how to get things rolling.

    Regarding the getting off the immune suppressants and water balloon legs, one of the many things I used to help improve my situation was compression hose. I only needed them for a few months, then amazingly my legs stopped swelling up. I was doing other things as well as wearing the hose: candida diet (I got thrush from the prednisone), chelation therapy, acupuncture, and the emotional stuff- lots of journaling, talking with friends who were good listeners, and plenty of face time doing fun stuff with friends as well, and of course writing humorous songs, which is both my hobby and my career. Everyone has to find their own mix of things, but that was the mix that worked for me.

    re: the Top 10 Annoying things to say, yes people actually said every single one of those things to me, except for "I'm sure it's nothing. You'll be fine." I was far too sick for anyone to say that. I stuck that in there in the last edit because I combined the two churchy ones ("you have a hidden sin" and "the devil is attacking you"- yes people said both those things to me. In fact, on the same day)- and that left me with a Top 9 list. Just doesn't have the same ring to it.

    I did have trouble with letting go of the fact that people were blaming me for my illness- to my face even! But eventually I realized it was the same thing they do to rape victims ("you shouldn't have worn that outfit") - blame the victim. And I realized the reason they do it is so they can convince themselves it won't happen to them. In other words, they are scared. It's not hate, it's fear. That's easier to forgive. And I had to forgive because hanging onto it was only hurting me. That being said I don't keep in contact with those people.

    I did not want to let people in on my illness. But I was sick for 2 years before getting diagnosed and I got so sick I got fired from my job. There wasn't any way to hide it. Everyone at work knew I was sick, and everyone at church was watching me lose weight (and hair)(and my job). And then I moved back to my hometown to live on my parents' couch because I couldn't take care of myself (or my cat) anymore. When I got there, I realized a family member had "outed" me to the entire community. It's a small town and everyone knows my family. There was nowhere I could go where people didn't know. I was pretty mad about that, but there was no stuffing that cat back in the bag.

    I am fiercely independent- that's probably a lupus personality trait most of us have in common. Why else would I have played the tuba in the marching band when i wasn't even 5 feet tall? It's not like I had dreamed of paying the tuba since I was a little girl. I must have had something to prove.

    And yeah, seriously- why has House MD singled out lupus for an anti-awareness campaign? Thanks for nothing, House!

    I did write a few serious songs and a couple meditative instrumentals when I first was recovering back in 1994, but ultimately I went with humor because 1) that's my personality and 2) the illness got so bad the 2nd time I got sick that if I didn't find a way to laugh about it, I don't know how I could have kept hanging on. Oh yeah, and 3) people are far more likely to sit there and listen to you talk about difficult topics if it's funny. Humor is the grease that keeps the wheels of communication turning. At least for me.

    I'm impressed you have so many questions and you're only on chapter 2. You're a great discussion leader! Thank you for reading.

    posted 2 years ago. ( permalink )
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  • Denise B
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    Hi Carla,

    Haven't gotten into your book yet -- but would like to. I've been down with the flu for about 4 days (sick on top of being sick). Small towns can be fierce, but are you sure people will look down on you? My parents retired to a small town in PA and believe me EVERY family had its "rather not let people know" stuff. The main thing I think people need to know is IT'S NOT CONTAGIOUS.

    I know it's hard uprooting yourself and your puddy and being back with Mom and Dad, but thank God you have that. I had to do that years ago when I went through an awful clinical depression that even meds and hospitalization didn't help.

    Post hospital, a well known and supposedly genius shrink screwed up my body so badly with a toxic combo of antidepressants that I lost feeling in my hands if I tried to lie down (as in sleep!). I had to get off them slowly on my own (didn't even have a therapist at that point), so I went up to Mom. I needed to be taken care of til I could rid my body of these poisons and figure out a game plan. Today I'm fine mood wise, but have severe CFIDS whic I'm sure was at least partially caused by the toxic anti-depressants.

    I don't know what to tell you as I don't know where this town is and you know the people best. Can you get any assistance from any kind of group there? Social services, church group, etc. Just having contact with people would kind of establish you there. Of course, again, I don't know your actual situation, but just thought I'd throw out a few ideas. People generally like to feel they are helping people and I'm sure there is some venue that would be a fit for you -- hoping.

    Sometimes independence has to exist as a fierce protection of your right to be ill, you have a right to not be superwoman, to be subject to the whims of fate like everyone. Not your fault. Anyway, I wish you heaps of good experiences and improved health.

    A friend of mine in CA has/had Lupus and felt the two things (for her) that made the difference were: anti-inflammatory diet and healing art (she's an artist as I am).

    Best of everything, don't let "them" take up space in your head rent free!

    denise

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich

      Carla Ulbrich (edited)

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      Hi Denise

      Thanks for chiming in.

      I totally agree with you about the anti-inflammatory diet (you'll see a have a big section on diet in the book) and the healing art (my art being songwriting.) I also did a lot of journaling as part of the healing journey. I often think I should keep journaling now that I am well... What gets you well keeps you well.

      The people in my hometown were not at all judgmental. I only resented that someone in my family took away my right to choose to whom and when I revealed my illness by virtually shouting it from the mountaintop before I arrived back in town. (Instead of the "rather not know" problem, someone in my family had the "let's tell everybody we see" issue).

      Thankfully, this is all water under the bridge- a very long time ago- and now that I've published a book about having lupus and getting my heath back, I can't really complain about people knowing my diagnosis. It feels far different when I'm the one choosing to reveal it. And it feels different when you're speaking from a standpoint of an illness that started 20 years ago, and is now completely under control.

      Thanks for your kind words and wishes. Hope you are over that flu soon~
      Carla

      posted 2 years ago. ( permalink )
    • Denise B
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      Thanks Carla -- I'm mostly over the flu and mainly over the killer migraine, so now back to routine of reverse sleep (can't sleep before Noon and then whole day is shot as I wake at 8PM). Trying all sorts of things, stay up longer, get up earlier, exhausting. BUT hey others have far worse issues.

      Glad your town is a good one. Some aren't. And SO GLAD you are well. I can't wait to get your book. Wish there was a story about a CFIDS person with exactly my symptoms (haha) who found the road to wellness.

      denise

      posted 2 years ago. ( permalink )
  • Jessica M
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    Hi Carla! I'll be starting your book this week, and can't wait to delve into it. Already pretty sure I'm going to find pieces to identify with - your statement that people blame you so that they can believe that it won't ever happen to them is so true!

    Anyway, off to get a book and get reading!

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich
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      thanks for reading!

      posted 2 years ago. ( permalink )
    • Denise B
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      THANK YOU for writing your book -- can't wait to get my hands on it -- a few days. Hope all is good.

      denise

      posted 2 years ago. ( permalink )
    • Carla  Ulbrich
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      glad you are coming back out from under the flu, Denise!

      posted 2 years ago. ( permalink )
  • Denise B
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    I can't wait to get your book Carla. I only wish CFIDS had some escape hatch for myself and my friends. My main disability is extreme extreme weakness, bordering on fainting. No orthostotic intolerance, no fibro, just reverse sleep and the feeling of going into shock when the weakness gets very bad.

    The ironic thing with being this weak/ill is that it makes it so hard to do things I need to do to get better or less sick: buy/cook right foods, get to doctor for thyroid blood test, saliva adrenal test, etc. I live alone so it's rough sledding, but I do my best and am grateful for all I do have.

    posted 2 years ago. ( permalink )
  • Denise B
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    Hi Carla

    Hooray, just ordered your book -- LOVE the cover, how funny and sweet. I'm a graphic designer/book designer/illustrator (or was) and this is one neat cover.

    Saw the contents and much of it "spoke" to me -- esp. gluten, soda, cheese -- big cravings -- have given up gluten for quite awhile, cheese is harder and soda is on a very very limited basis. Aaaargh.

    Can't wait til your book is in my hands. Thank you for writing and sharing and being here with us.

    hugs

    denise

    posted 2 years ago. ( permalink )
  • My Life Works Today!
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    I'm sitting on my hands so that everyone gets into the book a bit - Chapter 2 really triggered some anger I had laying low inside me. I thought it all rotted away by now, but nope.

    When everyone gets going on reading, let us know where you are and/or throw out your comments as you go~ Thanks, Carla, for being here with us!

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich
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      chapter 2- must be the top 10 annoying things to say to someone who's just been diagnosed.
      I bet you have some to add to the list. What might help is to voice what was said to you, then answer them in the words you wished you'd been able to say at the moment. I think you'll find that every here has been hurt by insensitive comments about their illness. Group hug!

      posted 2 years ago. ( permalink )
    • Denise B
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      Book is on its way I've been advised. Yay. Carla did you ever experience reverse sleep (sleeping during day vs. PM)? I'm having a hell of a time turning it around -- and when I do, it always sneaks back to reverse. Hoping that the Chinese herbs I'm taking as they help with this overall CFIDS, will make it easier for me to sleep at nite.

      With CFIDS, I don't remember getting many mean comments. Mostly -- when I'd say I had "Chronic Fatigue" -- people would suggest resting a lot (easy mistake with such a stupid name for this). I was pretty ignored in terms of having a serious condition and being so incapacitated by it. My sister (who I don't talk to anymore) wasn't really interested, friends just never brought it up.

      I was truly saved by joining a great meetup group in NYC where there is a monthly meeting (never well enough to get there) and a posting board -- made several good friends there.

      I'm looking forward to reading this book so much.

      denise

      posted 2 years ago. ( permalink )
    • Carla  Ulbrich
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      Ah, yes, I know reverse sleep very well. I thought you meant you woke up more tired.
      Online support groups are *such* a blessing, esp. for people on weird schedules, or who are too tired to go to a meeting in person, or live somewhere where there is no support group. They are a great resource.

      posted 2 years ago. ( permalink )
    • My Life Works Today!
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      Ha! Where do I begin, really. I'm going to re-read it...as I've sort of barged ahead (ahem)... but I remember sitting there as I read with a strange sense of guilt. Kind of caught me off guard, but your writing reminded me of so many stories I've heard and how I often feel out of the 'winners circle' because I haven't been through a quarter of the stuff. The one that really 'sunk' in was the "A Good Vein Is Hard to Find." Now, THAT I remember all too well...and still do, especially when I get one of those techs who refuse to use a butterfly needle and really should just go back to bed rather than doing hack jobs on us poor patients.

      So, with that, I'll be back with another purge of questions tonight. lol

      posted 2 years ago. ( permalink )
    • Carla  Ulbrich
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      Oh boy- War stories. This happens in AA, you know. People hear other people's horrible stories about losing everything and ending up living under a bridge, so they think in comparison they haven't suffered enough yet- so they must need to go out and drink some more before they can belong to AA.

      Secondly, some of my suffering was my own fault because I refused to go on prednisone when it was first suggested, so for 6 months I got sicker and sicker.

      If you've been diagnosed, you've suffered enough. You are part of the club as much as any of us, and my wish for you is that the worst of your illness is behind you.

      posted 2 years ago. ( permalink )
    • My Life Works Today!
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      I do see getting through what I have been through as mere character building~ my heart goes out to those whose characters resemble less human equivalencies and more superhuman qualities. I am in awe of their strength and courage - present company, included. ;)

      posted 2 years ago. ( permalink )
  • Jessica M
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    Just downloaded the book onto my Kindle and will read a bit before bed. Can't wait. :)

    posted 2 years ago. ( permalink )
  • My Life Works Today!
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    Oops, looks like I may have put my two cents in the wrong place...again. Regarding Chapter Two~

    Wait, let me first begin by saying you are the first person I've ever come across who KNOWS the Ajax song. People have given me the strangest looks when I have sung it to them to jog their memory. All I ended up getting is dangerously close to being involuntarily committed and I learned to keep that song to myself. As I get older, though, the more readily I can recall that and other, some would call "inappropriate" songs. How did we ever survive childhood and become decent adults, with this kind of trash in our heads? Actually, maybe this stuff is what made us the way were are!

    Anyway, ... Carla, your second chapter covers a lot about the medical care experience and I really appreciate how you cover the physical torment, the relationship challenges and the economic impact, as well. Our country, our society, seems to have changed the shift of health care sufficiently away from our own determination and has comfortably placed it within the hands of others, wouldn't you say? In fact, I see the shift continuing, as our medical treatment decisions have our doctors coming in second to Big Pharma grabbing the Gold Medal right out of their hands. They have become the experts in what we need - the doctors seem to have become the avenue in which we get it. What I mean is that, when we think about seeking help for health concerns, we now seem to first check the TV commercials, then we go to the doctors with the expectations (and computer printouts) to explain why a particular pill is what we want to discuss with them as though popping this pill or injecting this solution will make us as happy as the people on the TV screen. How comfortable we have become in seeking direction about some of the most important decisions of our lives from others who are deemed the experts of what is best for us.

    The costs we face when we don't have ourselves the 'expert' of our well-being are enormous. Physically, emotionally, economically. Our health care in this country has become both an embarrassment regarding the quality of care we receive as citizens and how we now need to be educated in something as simple as being told to walk once in awhile. When did this happen? The pharmaceuticals keep pushing the pills and we keep swallowing them without really considering options to how we can improve our lives by returning to some physical basics. And, for a lot less money. With more people losing their jobs and health insurance, and the politics of whether this country will ever deem health care as a basic right, I see some drastic changes in how we personally take care of ourselves coming full steam ahead and, hopefully, these shifts will be for the better - for all of us.

    We've touched on this already, but the characteristics within our personalities really do make a difference in some of the most automatic choices we make in our treatments and health decisions. You have mentioned that you knew early on that you were a scrappy gal who had a very independent nature. Looking back, and currently when you do come across lupus flares, have there been any childhood experiences or familial influences that you credit to making sure you remain the one to ultimately decide on your wellness choices?

    Speaking of familial influences,...

    Regarding my strange sense of guilt when I read the medical nightmares you have experienced, I guess I don't feel the need for more suffering as much as the stories reminding me to be grateful for having been blessed with more ease than others. I have observed in my support group research (I actually do do research...I don't just lurk), there is a tendency for support group participants to create a 'culture' that will ultimately determine the tone and purpose of the group experience. How many times have new visitors attending the support group become overwhelmed with the fright and uncertainty that you mentioned in your comment to my guilt note. In addition, I have noticed that those participants, who don't struggle as much with their lupus as other attendees, fall silent or seem to create trouble in order to justify being there as the purge of pent up sorrow and anger dominates the group check-ini time. It is those patients, who are fortunate enough to be able to manage their lupus, who choose to leave groups rather than attend and not receive the specific types of support they need.

    You mention that you have a group of four gals who get together and chat. I was wondering if you have any group experiences, perhaps from earlier on in your lupus experience, that you could share with us that were particularly funny or enlightening? Anonymity ensured, of course.

    I am a big fan of Patch Adams and recently watched the movie again a few months ago. As a physician who was still very focused on healing and working in the realm of more terminal or general practice cases, how would you view someone of his nature actually working within the chronic illness realm? For many people, by the time they get to a doctor who can figure out what is going on, humor may be a very slim tight rope to walk as a physician trying to gain the trust (or cooperation) of their patient. As you mentioned, chronic means chronic and doctors don't particulalry enjoy dealing with illness that is not only incurable, but confusing, inconsistent and frustrating for everyone involved. I know you're not a physician, and I know that you may be more inclined to lean towards irony or humor than others, but when you met with Doc Adams, did you have a chance to talk to him about any differences in disease treatment management regarding the doctor-patient connection? Do you see any trouble with humor and a jolly bedside manner as perhaps being a recipe for treatment disaster? What would you offer to people, who may feel that they have lost their humor, about how they might be able to make a shift towards embracing more humor into their treatment or management choices?

    What do you gals think? How would you be if your doctor showed up with a bright red bulbous nose (not the gin-blossom sort) and made light of things during your fifteen-minute appointment you waited hours to get in to? Do you think that maybe having a doctor take the time to make a human connection would make a bigger difference in how you view managing your health? Would you like your doctors to lighten up more or do you have docs who have successfully won you over with their charm and sincerity? Do tell.

    Okay, I really should break these questions up, huh? Let's go with these for now ;)

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich
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      My publisher and i count "chapters" differently. I count each essay and they count the chapters by groups of essays.
      Now I get why chapter 2 stirred up some anger- the health care system. Ugh! If I didn't find a way to laugh about it, I seriously don't know how I could have coped.

      That being said, our health care system is a mess. And it's not funny. Our health care system is not about health and it's not about care. It's about disease management (not wellness) and profit (not humanity). Doctors have only 2 tools: drugs and surgery. And look at the results of people who are given the best medical care money can buy: Elvis, Anna Nicole Smith, Elizabeth Taylor, Michael Jackson. All medicated to death. Pills are sometimes necessary to save our lives, but they do not build up health. Yes we have to take them sometimes, but then we have to do something to improve our health so we can decrease or eliminate the prescriptions, or we'll just end up on more and more of them. Unfortunately, there is no profit in telling people to stop drinking toxic stuff like diet soda, or to eat more leafy greens. And big Pharma funds the medical schools, which probably explains why doctors get all of 3 measly hours in nutrition in their entire medical school training. They aren't holding out on us- they just aren't educated to work in a way that empowers patients.

      The Comet song. my babysitter taught me that. I get the blank stares when I sing that version, too. That and "God Bless my Underwear."

      Yes, I do inherently have the traits of a survivor- challenging authority, being assertive, using my time well in the waiting room. But you don't have to be born with those traits. You can develop them. There is a chapter in the book on that (Survivor: Kidney Island).

      I'm going to break this up into 2 replies to make it more reader-friendly.
      Carla

      posted 2 years ago. ( permalink )
  • Carla  Ulbrich
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    OK on to the topic of using humor.
    Humor absolutely must have context.
    You MUST have a rapport with someone before you walk into their sick room and start clowning around.
    Unless you are a professional clown and you know how to gauge the situation.
    Best approach is to ask for permission- would you like to be visited by a clown? Would you like to hear a joke? Would you like me to bring you some comic books or funny movies? (That one, you could probably just bring the books and movies and leave them "in case you find you're in the mood.")

    If your doctor wants to try to use humor with you, he's going to have to take the time to get to know you first, and to make sure you are open to it. If he's only going to give you the typical 8 minutes, then he should leave the clowning to the clowns. Patch spends 2-4 hours on the first visit with a patient. He earns the right to be goofy with them, because they know he cares very deeply about their welfare. Their needs are attended to, and they feel safe.

    There is an instance in the book where I fell down while I was among friends and ended up looking pretty silly. Because everyone helped me get back up and showed proper concern, I was able to laugh about it right away. In another instance, I fell (was actually accidentally pulled over a retaining wall) and before I got up people were making jokes, and I was pissed. How did they know I hadn't broken an ankle? In fact, I had a contusion on my foot. So... the lesson here, at least how I see it, is that before humor can be injected into a situation, the person who is the object of the punchline and/ or is sick needs to first know the are cared about. And if there isn't time to let them know they are cared about and to also use humor, then don't do the humor.

    posted 2 years ago. ( permalink )
  • Carla  Ulbrich
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    one last post. About our little group of 4 that met in the church basement. We only met for about 6 months, and we set a tone where we could talk about whatever we needed to, but the main idea was to share ideas of things that were helping us. Diets, books, yoga, etc.

    One gal was very overweight from the steroids, and couldn't get off them. Another would relapse every 18 months. And the 4th had been on prednisone so long she was in a wheelchair constantly getting surgeries to replace bones. Somehow she was always cheerful though.

    She told a hilarious story about the first time she was put on prednisone. She was one of the first to receive it for lupus, so they didn't know how much to give her. So they gave her a daily dose of 250 milligrams! Can you imagine? She was at a dinner party, seated at the table, and before she realized what she had done, she had grabbed the serving bowl of salad and was eating it with her hands. She probably tells it better than I do, as it happened to her.

    Ultimately, as much as I enjoyed these gals, our group sort of organically disbanded after about 6 months. But for that brief time we had a safe place where we could be ourselves.

    posted 2 years ago. ( permalink )
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    • My Life Works Today!
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      Ah, the sordid Prednisone tales of many. It is nice to be able to look back and laugh. In the moment of a Prednisone rage, however, it rarely was a chuckle that escaped these lips. Scary. ;)

      posted 2 years ago. ( permalink )
    • Carla  Ulbrich
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      yeah- prednisone stories are usually only funny later. much later...

      posted 2 years ago. ( permalink )
  • Denise B
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    Carla,

    Just got your book and true to my nature, went right to last pages. Are you well now? Wasn't sure from the last pages of the book. I hope you are.

    Looking forward to reading it from the beginning, you have great spirit and a real talent.

    denise

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich
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      Spoiler alert! yes, I am healthy now.
      I am on one medication- a low dose of blood pressure medication.
      I exercise, I work, I go out and have fun, and I no longer have to limit myself to "one big thing a day."
      Although I do try to pace myself.

      My blood tests still read positive for lupus, so I am not just free to *not* think about my health. But really, who is?
      Anyone who is careless with their health will eventually pay the price. I'm just keenly aware of it because of my history.

      Funny thing is I'm so careful about my diet, getting enough sleep, eating my veggies, etc. that I don't remember the last time I even had a cold. I would like to get off the BP med, but other than that I'm pretty happy with my current state of health.

      posted 2 years ago. ( permalink )
    • My Life Works Today!
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      I'm fascinated by how your lupus still shows up in your blood work and your kidneys failed not once, but twice. Yet, you don't need an immuno-suppressant! That's great! My kidneys shut down only once and my lab work all shows normal (for four years now) with no lupus activity, but if I go without my Cellcept for too long, my kidneys throw a tizzy fit (well, not a major one, but enough to get me holding water and losing protein.) Just goes to show how each of us have our own unique kind of lupus...and that there is always hope for a better day ahead, huh?

      posted 2 years ago. ( permalink )
    • Carla  Ulbrich

      Carla Ulbrich (edited)

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      Lupus is definitely one of the illnesses that clearly demonstrates how unique each of us is (are?) biologically.

      If I got into failure again, I'll need an immune suppressant, but my goal is always to get off it as soon as I can once i'm stable, because the long-term effects of those drugs (not the mention the short-term effects of prednisone) are scary.

      If you have the resources and energy, I think many different forms of natural healing are effective against lupus. If, however, you are deathly ill and do not have someone to treat you every day with acupuncture or some other form of natural healing, or to prepare and feed you easily digested highly nutritious organic food, you will probably have to go on the meds so you can get strong enough to start doing things to rebuild your health. That has been my approach. I wanted to go all-natural, and in fact I was getting well with no meds after the stroke. Just acupuncture and organic food. Then I stupidly decided to go on a road trip and it set me back so far I ended up in the hospital and on meds. So, I believe from my experience, getting lupus under control can be done completely naturally, but you need energy, or if you don't gave energy, then lots of help. If you have neither energy nor help, then you may need meds, at least for a while.


      One thing I learned that I think everyone here knows, but it bears repeating:
      The one thing that is not an option is doing nothing. I tried that. Bad results.

      posted 2 years ago. ( permalink )
  • Denise B
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    Oh that is truly great Carla. I know you went through so much. Congrats to you!

    I have a rough time getting everything done to be healthy. I have CFIDS and am extremely weak most of the time, also live in a walk up apartment building - I'm on the 6th floor (ugh). As I live alone, it's me or no one to get things done. Very discouraging -- need to get good veggies, but need to get out to get those. I'm pretty sure I can't afford Fresh Direct, but will check that.

    Eating right is so important and I crave things like chips, cookies, aaargh. Have cut way way back on these, but every time I have a "flare" and am too weak to shop or prepare the right meals, BAM back to garbage. You're a great inspiration to me and I appreciate your sharing. Say a little prayer I can do well on the Chinese herbs (which I'm on now) and eventually get to a point of wellness where I can at least get out and participate in life. Mostly can only drag myself out once a week.

    CFIDS and Lupus -- not sure of the overlaps. I know that anti-inflammatory is not a crucial element in CFIDS and it is in Lupus. Mood is very affected in CFIDS and I can get very very low.

    All in all, I'm grateful I don't have Fibro, have social security, food stamps and a rent stabilized apt. Would like to have more than Social Security to live on, but grateful for what I do have.

    posted 2 years ago. ( permalink )
  • Denise B
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    Your comments re eating your veggies, watching your diet etc. inspired me to check out Fresh Direct as I'm stuck home so much. Turns out not to be expensive + free delivery for 2 mos. Going to definitely do this, so I can make sure I'm eating right.

    Thank you for your comments that made me think "hey I could have had a veggie." Or something like that.

    posted 2 years ago. ( permalink )
  • Carla  Ulbrich
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    It can be a vicious cycle of not feeling well enough ot take care of yourself- I have been there! But kudos to you for finding a way to get those veggies to your front door! Can you post the info so the rest of us can check out their services?

    posted 2 years ago. ( permalink )
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    • Denise B
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      It's called Fresh Direct and people love it. http://www.freshdirect.com/index.jsp
      You need to input your zip code. Right now they have a promo of a .01 delivery charge for 2 mos which is great. Regular delivery charge not high ($7 for my zip code).

      Prices usually lower than my supermarket and quality I've heard is very good.
      You can get all info there, plus their phone number.

      They'll deliver in a 2 hour window of your choice til (I believe) 9PM.
      You can order the day before you need things, so it's quite convenient.

      Go to tan bar at the top of site, click on say, organic, various organic food types pop up, I click on veggies.

      They don't accept food stamps. I haven't used Fresh Direct yet, need to use my food stamps, so dragging butt to supermarket today. Good to set up account (which I did) for those days when getting out is sheer impossibility. Hope this helps. : )

      posted 2 years ago. ( permalink )
    • My Life Works Today!
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      Thanks for the info, Denise! As for my area, I'm looking at a local service here that sounds like a great resource and may be my back up for my doula work, thanks to another lousy winter/spring for gardening. The service is called Organics To You (http://organicstoyou.org/home/index.html ) and is one of many actually 'sprouting up' here in the metro area...yay! Oregon is still relatively rural, but the metro area is finally getting the clue that keeping our nutrition as close to the original source is the best thing we can do for our health~ not necessarily having a close relationship with a pharma company. For those of us in a position to rely less on meds and are free of pain, self-management is easier and doable. My position is in helping those of us, who do have to rely on meds more and have pain, integrate healthy nutrition into their daily lives and maybe be able to ease off on them a bit.

      posted 2 years ago. ( permalink )
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    Hi everyone, I'm still alive. My mom, who lives with me, has had pneumonia for the past three weeks and that has kept me moving. I admit to being just slightly irritated at the fact that it took my 70-year-old mother to get my buns moving, and not my own common sense. Anyway,...

    So, we all have probably finished the book at this point, right? Hopefully, we can get in a few more thoughts and chats before we all head off for the summer (yeah, like that is ever going to show up.)

    Regarding being a reformed crapatarian ~ perfect terminology, by the way, Carla ~ kudos to you. I think you could probably cover another whole book on the topic of (and state of) our food supply, choices and misconceptions. As a long-ago vegetarian ( who turned wild meat convert about seven years ago) and predominantly conscious of what I eat, the common struggles I faced when I was at my worst health-wise had to do with my fellow roomies. I had two little girls initially, then I found myself in a relationship where three additional girls were added to the mix of five kids total. The newbies, of course, thrived on crap whereas my girls started out doing fine, then fell to the culinary darkside by listening to the others. I ended up having to cook for an army to cover a lot of palates and it was frustrating as well as exhausting. You stand your ground in your book about healthy eating. I was wondering if your boyfriend, now husband, was on board with you early on, is on board right now, or if you have any challenges in teaming up together on the food front? Who does the cooking, primarily, or is it shared? Any fav recipes you'd like to share? (*hint)

    This may have been covered already in an earlier comment by Denise - but I'm trying to bring in the moms out here. ;)

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich

      Carla Ulbrich (edited)

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      Sadly, eating healthy is now, in this country, the same thing as being anti-social. Most gatherings I go to, there is crap everywhere. Candy, cakes, sugar, fried food, hot dogs, sodas, diet sodas, etc. When I'm traveling and trying to find food, most of what is available- McDonald's, Subway, KFC, Taco bell, Sonic, etc. is either just not even really food, or is packed with gluten and meat. Or both. In a pinch, I got to Wendy's, order 3 side ceasar salads and a baked potato and throw away (or give back) the croutons.

      My husband eats mostly wheat and meat, the 2 things I don't eat. So we cook our own food. And for me, as I am a notoriously bad cook, cooking means cutting up a salad (spring mix, spinach, or romaine lettuce and whatever other veggies I feel like throwing in) and heating up a can of black beans or organic refried beans, or an Amy's frozen entree. Once in a while i heat up an Amy's gluten free (rice crust) pizza and split that and a huge salad with the hubby. Those are the days when he's too tired to make his own food, or there is nothing of his food left in the house to eat.

      Eating out is tough. I try to find places with great salad bars (Ruby Tuesdays is a big chain; down south there is Ryan's and Golden Corral). Or we go to Japanese and I bring my own GF soy sauce. Or a steak house, because they usually have a decent caesar salad and some side dishes with veggies. Anywhere else, I try to look at the menu ahead of time and make sure they have real salads, not just a few pieces of iceberg covered in bacon, eggs, cheese and nuts.

      There are a couple places that serve gluten free pizzas and even pasta, and a place in NY city where I treat myself once or twice a year that serves gluten free vegan mac and cheese (can you believe it?). There is a bakery on the next block that makes increidble GF cupcakes. I reserve those for special occasions, because it's still a pile of carbs, fat, sugar. But a treat like that helps me stay on the wagon the rest of the time.

      And then there is the family gathering thing. I bring my own food. It's rude, but they seem to be learning to deal with it. Even though his family is Italian and I'm sure I'm insulting them.

      I also keep larabars in my purse. The are made of fruit and nuts, so they're not glorified candy bars. That's my emergency supply in case everything else fails, and it often does.

      So basically, we deal with it by taking care of our own food. I realize that is not an option for everyone, but this is how we do it.

      posted 2 years ago. ( permalink )
    • Denise B
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      As I'm home so much that I cook for myself all the time -- super easy recipes which I make a large quantity of - then freeze in portion size containers. I have zero energy, so these are really easy: veggie soups and veggie chili are my fav's. I don't have a microwave (don't want one). When I want to eat a frozen soup or portion of frozen chili, I just run hot water over the bottom of the container, it slips out easily into a pan which I heat gently.

      I also love salads and make a big batch of salad dressing at one time, so no need to do it each time. I use unfiltered, cold pressed, XV Olive Oil + Braggs unfiltered apple cider vinegar, a bit of Stevia, salt and spices. Love sprinkling Delicious Dill flakes on salad which is usually red leaf lettuce. Still eating ricotta and mozzarella (non organic), but hoping to get either organic or use tofu more.

      I like knowing every single ingredient in what I eat. If I go out, I might just have a grilled cheese at my local coffee shop. I'll sautee chicken cutlets (organic) also, but trying so hard to go meatless.

      Carla -- any idiot can cook BELIEVE me -- so you can avoid the pitfalls of "natural" ingredients (hmmm, natural what, haha).

      posted 2 years ago. ( permalink )
    • Carla  Ulbrich
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      that is a great tip for getting frozen food to come out of the container. clever!
      You have no idea my knack for making food taste disgusting when I cook. My repeated attempts are genuinely nauseating and end up in the trash. It was a little easier when I was eating meat and wheat, but I still struck out pretty often back then.

      However, my salads are always delicious. And thankfully, eating salad is one of the best things you can do for improving diet.
      I also make delicious smoothies from just fruit and rice milk and/ or ice. Also simple, natural, delicious, healthy.
      The simpler I keep it, and the less I involve actual pots and pans, the lower the odds it will be gross. Fortunately, that is also a good rule for making healthy food- few ingredients, and not overcooked.

      posted 2 years ago. ( permalink )
  • My Life Works Today!
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    Your mention of the World Laughter Club hit home with me, as I work closely with a Laughter Yoga instructor. The feeling "...like an idiot" comment is a huge barrier that many people face in considering laughter exercise. I admit to being a little self-conscious and I know I'm not the only one. For someone who clearly seeks the joy in life (rather than "being right", right?), did you go through the training or did you just learn about it? If you have been through it, can you give us a little summary of your experience? I suspect that the laughter leap from 'average josie' to 'jolly josie' is one thing, but moving from 'lupus louise' to 'jolly josie' seems to be a huge undertaking. Did you feel that way?

    posted 2 years ago. ( permalink )
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    • Carla  Ulbrich
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      I have not gone through the training, but I have been directly exposed to and participated in the exercises at the AATH (Assoc. for applied and therapeutic humor) conference. In fact, just last month, I was at the conference and one of the main speakers was the man who invented laughter yoga in India.

      He showed us some videos, answered questions, and explained his thinking behind the laughter yoga. He said he really didn't have much sense of humor growing up, but doing the laughter yoga daily has actually made him funnier and able to appreciate humor much more.

      Sure, it's harder to make the leap when you're up against so many more challenges than someone with no illness or pain, but in fact, we are the ones who need the therapeutic benefits of laughter and humor the most.

      Are you aware of Norman Cousins' book Anatomy of an Illness? Pretty sure i mentioned that in the book. He was very ill and in a lot of pain and no drugs gave him any relief. He finally found relief through laughing at Three Stooges movies. This is not laughter yoga, because he is actually using something to make him laugh, rather than just laughing as an exercise. But he got the same benefits.

      posted 2 years ago. ( permalink )
  • My Life Works Today!
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    I want to say that your take on the Three Faces of Carla is very good. Especially the second one: The Patient's Face. How distorted our selves become when facing ill health. We become burdened with having to keep these identities hidden, altered, minimized and coordinated depending on the situations we 'face', the people we are dealing with, the chaos that is going on inside of ourselves and the hopes we carry. We often hear others, who are also living with health challenges, talk about not being the person they used to be or going through, in essence, an identity crisis when confronted with a body that no longer cooperates. I completely agree with you and loved the fact that your tee shirt choice was about you, not lupus. I follow the same road in keeping my health challenges as a part of me, but not the whole enchilada.

    During crisis, as you talk about in the Designer Label chapter, some people reclaim a sense of self by turning to putting a disclaimer on their identity rather than keeping their perspective all inclusive of who they are as a whole person. You resist mentoning having a chronic disease, because it feels too much like you've accepted that it will always be a part of your life. Later, you touch on the way illness is often spoken about using war terminology. The terms "survivor", "attack", 'enemy", "killer cells" or phrases like "I have lupus, but it doesn't have me", and "I'm a lupus fighter" do carry a great deal of threat in the way they feel as we hear them...and we hear them... a lot. I'm struck by the conflict in how on the one hand we (not just you) do resist bringing on board the baggage that a life with illness involves as a way to keep up your hope and perspective as life-giving. On the other hand, we all fall into the innate fight or flight response of surviving and remaining 'diligent' in the battle going on under our surface (and, for some, on the surface, too.)

    I used to refer to my immune system as suspecting my kidneys are making WMDs - weapons of mass distruction - and, thus, causing lupus to occur: sending out brigade after brigade, waves of soldiers to canvass the territory in search of where they are hiding them, destroying everything in their path. You, too, mention the phrase "collateral damage" and how, even without confirmation that there are WMDs, the troops are franticly tromping around trashing the good in search of the bad, convinced they are doing what is best for me. My immune system is doing its job - just not very well. It has its loyalty to my person, but a misguided sense of duty.

    But I stopped using this description, usually tongue-in-cheek, because it began to make me sad. How can I both learn to love my own being without seeing it as screwed up? Let's face it, it actually is.

    The language we sometimes use when trying to bolster our confidence in attaining wellness is wrought with aggressive or defensive undertones. How do you balance that for yourself? You are clearly a fighter - a strong sense of what is and what is not acceptable. You are diligent and regimented in your wellness choices. You maintain your place behind your wheel. For cancer, the use of "survivor" is a way to boost their immune system's ability to obliterate the tumor that is destroying them. For us with lupus, it is our own immune systems that we are confronting. In order to heal our entire selves, do you think using war or fight metaphors to seek wellness may perhaps affect us in a negative way? Do you think seeking healing for lupus is the same as it is for someone battling cancer? Technically, way we are both friend AND foe, which muddies that identity crisis even further. Wouldn't seeking peace ultimately require a resolution or truce in the existence of both within ourselves? In other words, how can we avoid accepting our disease and still seek a resolution?
    (Oops, let me introduce myself~ Devil's Advocate, at your service. I'm just throwing this out there for chatter and not arguing against anything that you've written. I'm ornery, as in the cantankerous definition.)

    Does anyone else feel at odds with themselves, when it comes to not knowing who or what the real enemy is?

    posted 2 years ago. ( permalink )
  • Carla  Ulbrich
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    thanks for the thoughtful and intelligent post, devil's advocate. This is a great topic, and one every one of us with a diagnosis of chronic illness struggles with.

    For me, the acceptance vs. fighting issue can all be boiled down to contemplations on the serenity prayer:
    God, grant me the serenity to accept the things I cannot change
    The courage to change the things I can
    And the wisdom to know the difference.

    Therapists, support groups, well-meaning friends, etc. will insist that you just accept your illness and stop fighting it.
    Acceptance is important, but not to be confused with resignation.
    Fighting it is not the same thing as denying it. Denial is the worst of all options, because as long as you're lying to yourself about how sick you are, you can't make clear-headed decisions. Take that from me, the voice of experience.

    So, as much as acceptance and self-honesty are crucial, courage is also vital, and not to be overlooked. We can put so much emphasis on acceptance that we don't do anything about the part we do have control over- what we eat, how much friendship and happiness and meaning there is on our lives.

    Maybe a lifeboat is a good analogy. If you were our in the middle of the sea stranded on a lifeboat, denial would not serve you well. You wouldn't be careful to protect yourself from the sun, or to find food- fish or birds- or preserve what food and water you had on board- or to try to chart a course towards safety, or to keep up morale among your fellow passengers. This is the part you can control. The fact that it happened in the first place is the part you have to accept.

    The cancer people are a great resource. So much money and attention is put towards cancer, and much of what they learn can benefit other diseases, especially the mind-body stuff, the emotional stuff, alternative medicine. Some cancer folks have trouble coming up with a good image as well, because they are so kind they don't want to kill anything, even cancer cells. They have to imagine they are just sending them to a better place.

    For us, I think it is about achieving balance and peace within our bodies. Really, that is the truth for all diseases, IMO. Restoring health. And there is more in common than from one disease to the next, in terms of what will help.

    I searched for 20 years to get some acceptable answers about illness- why it happens, and what can we do about it? And I felt my questions were finally sufficiently answered when i read Never Be Sick Again, and also Eat To Live. Here are 2 men who studied healthy people instead of studying sick people, and asked, why are these populations healthy? Why do certain groups of people never get sick? And it turned out to be very simple: they eat organic food (it's just called food; they pull it out of the ground and eat it), get lots of exercise, sunshine and fresh air, and they have a tight community. There's no pollution. There are no processed foods. Modern conveniences have not reached them. And when the conveniences do reach them, they start getting sick. The American way of life is very unhealthy. So much so that becoming healthy is actually being counter-cultural.

    so, getting back to your topic of how is our approach different from those who have cancer... Yes our immune system is the problem. I like to say mine is confused. And that something got into my system that's not supposed to be there, and it's trying to get rid of it. It's like someone under a lot of stress who can't think straight. So I just want to help it calm down, reboot, and re-orient itself.

    BTW there is a CD you can buy by Belleruth Naparstek on healing images for people with lupus (and many other CDs for various illnesses).

    If you don't mind being looked at a little strange, you can talk to your immune system, and to your food, and to your herbs and drugs, and tell them exactly what you would like them to do for you. I have done this, and I believe it helps. If it only helps because I believe it will help, I'm OK with that.

    Also, during times when I've been really ill, I journal every day, sometimes for hours, pondering topics just like these. And I go for walks. And it really helps me sort things out. There is no one book that is going to answer every question that every person with any disease has about their experience.

    However, each book can shed a little more light and help you to start asking the right questions so that ultimately, you can find your own answers. The answers you find yourself- those little light bulbs that go off, the "aha!" moments- those are the ones that stick with you. So, for my book, and every book you read on the topic, pay attention to the things that really ring true as well as the things that tick you off. And I encourage you to journal on those topics, or take them for a walk.

    Meanwhile, I would love to hear how others visualize things in terms of healing images.

    posted 2 years ago. ( permalink )
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    • Denise B
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      Within my CFIDS, I have a bad bacteria called Chlamydia Pneumoniae which is in the lungs and cannibalizes your red blood cells taking their iron and oxygen - which leave me feeling short of breath and weak very often.

      I imagine my healthy red blood cells as sapphires glistening and sparkling as they wack the blazes out of the Cpn bugs. I imagine them growing in number and the sparkling is rapid and strong -- Disneyesque.

      hugs

      posted 2 years ago. ( permalink )
  • My Life Works Today!
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    Okay, ladies, it appears things have slowed down here and me being absent may have caused an early demise. I know the whole month with my sick mom really crunched the amount of time I had available to do it all. I don't want to end this on a silent note, though.

    I know we have all moved onto the next book, but let's take a minute to thank Carla for being a sport in dropping by, adding in some additional thoughts and offering this gem of a book. I just posted a little snippet about it on my website and stand by what I say about you having a perspective about living with lupus/chronic illness that I found really refreshing. We all have stories to share and I value the diversity out there, but so few authors write about health challenges that touch on the absurdity of our situations and put those absurdities into a positive, forward-moving light as well as I think you did, Carla. Maybe I just get you, but I found myself saying "Yes!" every few minutes and it felt good to acknowledge my frustration without the heavy emotional baggage.

    We do carry the baggage, it can't be helped, but letting it drop once-in-awhile and shaking our head in bewilderment while laughing feels really good. So does the feeling that taking charge of our situations sometimes means getting back to basics before clutching for another pill (if possible). It is something we all know in our minds to be the better way to go, but I think our fear really keeps us from exploring many of our options. Your book pushes fearless healing while recognizing it isn't an easy thing to do sometimes. Your book will be one I'm sure to revisit when I need a perspective jolt or cleanse. Thank you for being a great resource both in your writing and performing that adds some lightness to our experiences.

    I'm wishing you lots of fun this summer and continued wellness~ let me know if you're ever in Oregon, as I would love to have a chance to meet you!

    In fact, that goes for all of you who take part in these discussions. If you have any books that you're interested in reading the next round beginning this Fall, send me an email or put it here in the discussions.

    Smiles and laughter~
    Maria

    posted 1 year ago. ( permalink )
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    • Denise B
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      I've had the concentration of a amoeba lately -- I have Carla's book right here and want to read it. But have given in to the heat/humidity. I plan on starting it this week. I very much like these book discussions, but I guess we are all operating on such low energy that dips are to be expected.

      Cheers

      denise

      posted 1 year ago. ( permalink )
    • My Life Works Today!
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      LOL~ no problem. I keep these discussions open and this is definitely one I see stopping by and adding to over time. I know what you mean about the heat and humidity, although I confess that it would be nice to have a little bit out here. The cold, damp rain is really getting to me and, besides feeling like a mole, it really gets my joints/muscles all knotted up. Hope things ease up for you soon and we'll see you when you can stop by.

      :)

      posted 1 year ago. ( permalink )
    • Carla  Ulbrich

      Carla Ulbrich (edited)

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      Thanks so much for the wonderful post on your blog about the book- it seems you really do "get" me, and I deeply appreciate that. Thank you for facilitating the discussion, asking great questions, and for all you do to help others to feel better, and also all you've done via your blog and elsewhere for the last few years to work to create awareness for lupus.

      I hope I do get to Oregon sometime- would love to meet you, Maria! And please look me up if you're in NJ. or even NYC- I'm only an hour from there.

      Cheers everyone else. Well wishes, and if you feel like posting something later after you've had a chance to read more, it's OK with me.

      posted 1 year ago. ( permalink )
  • G R

    G R 

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    I have enjoyed reading postings. I was a bit too caught up in my own drama/illness over the winter and didn't check in for ages but I am going to get this book and read it. I had a bad winter and I feel like the lupus is kicking my tush right now. I think this book might be just what I need. Thanks to Carla for her posts.

    G-

    posted 1 year ago. ( permalink )
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    • My Life Works Today!
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      It has been a lousy winter- I hear you and so do many others it seems. I'm hoping the summer brings some fun and relaxation for all of us, although the heat and sun brings on a lot of other, well, crap.

      I think you'll like the book and feel free to add to this discussion when you read it - there is a lot that we didn't cover simply because we were all hit with mack trucks.

      Take it easy and hope you (and your tush) are feeling better soon~

      posted 1 year ago. ( permalink )
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