I’ve lived with auto immune diseases and related conditions that come with this territory for 40 years. That’s plenty of time to learn a few things about what living with illness can do to you and what you can learn from this.
#1 on my Top 10 ( David Letterman‘s Top 10) Chronic Illness Life Lessons would be: Engaging work gets me out of bed each morning, no matter how badly my body is screaming, no.
Maybe because I already had a high degree of resilience when I entered the Kingdom of the Sick, being able to get up again while my body is taking the blows is critical to my well being.
I’m know I’m lucky. I’ve got family and friends whom I love and value deeply – they’re my sustenance. But my lifeline to resilience has always been work, the place where I become something more than a person with illness. The nature of the work can vary: paid or unpaid, alone or on a team, virtual or in person. But to maintain resilience, the work must use my skills, provide a sense of value and purpose and most importantly, engage me.
This isn’t true for everyone, obviously, but I’m also not alone. I haven’t come across anyone in my coaching practice who wouldn’t say the same thing: Working, in whatever way possible, at the least provides helpful daily structure, and at it’s best, provides a sense of purpose, competence and value. It can also be an antidote to poverty.
Sad to say, too often work fails to live up to it’s potential. But when it does, it’s a tonic for the soul.
That said, there is no doubt in my mind that it’s especially difficult, and for too many, impossible, to continue to work in any capacity while living with unpredictable, waxing and waning health problems.
When I was 40, I was already living with multiple sclerosis when I developed ulcerative colitis. As my health plummeted, I could barely get out of bed to take care of my family, never mind get to my job. Forced to leave the workforce, I was unprepared for the deep hole this left in my life. It wasn’t just the loss of my income. I lost routine patterns, my sense of self, the ‘normalcy’ that I was desperately trying to hold onto.
As I became somewhat healthier, I wanted to return to work. But I faced questions I’d never thought about before. I knew I couldn’t physically return to the career I’d built over 20 years. But I had no idea where to go from there. What could I do? Who would hire me? What did I have the strength to do?
I can’t count how many emails I’ve gotten from people with various chronic illnesses who want to leave employment to start their own business. No doubt, this seems like the easiest way to get the flexibility you need when you’re living with unpredictable, debilitating symptoms. But if your life is already stressed to the max with challenge, the purpose for change is to minimize what’s difficult and maximize what isn’t. You don’t want to waste precious resources pursuing dreams that land you back at zero.
Re-entering the workforce at age 46, I started with a blank slate. All I had was a resume of 20 years of solid employment in jobs I could no longer physically manage. I also had some ideas of what I wanted to do but no clue how to make that happen in my current state. After 10 years of trial and error, I landed here. Looking back, I can see that each new work experience taught me something about what it would take for me to keep working. So, what did I learn?
I absolutely need:
- To like what I do enough to get me out of bed . . . especially on the really hard days.
- To do work that provides a feeling of value and competency . . . when my body is anything but.
- To be able to do the work regardless of my physical capacity . . . since my health is so highly unpredictable.
In her article, “When Your Bed is Your Desk” , Hilary Jastrum writes, “If you have to pay bills, you have to work. The good news is entrepreneurship, freelancing, and remote work are offering chronic illness and disability sufferers more opportunities than ever to do what they love, be financially independent and make a difference.”
Really good points. Jastrum offers 5 inspiring stories of women who live with chronic illness and can work from bed. From my own experience and from working with many hundreds of people around this challenge, though, I’ve learned that it’s not enough to believe it’s possible. Unpredictable and debilitating symptoms typically negatively impact both your competencies and your ability to just show up. Whether you’re working for yourself or for others, the key is having the capacity to do your job, regardless of your health.
Through the years of trial and error, I developed a skill set and a business that matched my 3 ‘must have’ needs. But I knew that working this way would only be possible because the capacity for working for myself..
Are health challenges leading you to consider self-employment? You might start by asking yourself, do I have:
- Clear focus and self-imposed discipline. This could be the single, most important competency when you work for yourself. Yes, you can learn tricks for time management, etc. But without the focus and self-discipline to use these tools, your great idea will stay just that, an idea.
- Clarity regarding your physical, emotional and financial needs and what’s required to do this work as an entrepreneur. (I’ve created a self-assessment for this in my workbook, Keep Working with Chronic Illness).
- Competence in a skill set that adapts to entrepreneurship, freelancing and remote work and that is in demand.
Are you shaking your head No — to 1 or all 3? If so, ask yourself,
- What would make it possible for me to be able to work this way?
- What options do I have that I haven’t thought about?
Alyson K. says
I fervently believe you are right about the right kind of work–work that is uplifting (sometimes literally, in that it is the only thing that can get your tired, aching body out of bed) is essential to one’s mental well-being. I tell this regularly to therapists who want to help me get out of unhealthy coping mechanisms: when I’ve been able to do work I value, I have no need for those coping mechanisms. I have to admit, though, that I’ve been stymied with what could work for me. I can no longer be a college professor–even preparing one guest lecture is proving too much for my brain fog, extreme fatigue, and trouble with access to scholarly resources. I regularly look at postings for online work, but either I don’t meet the requirements (I’m not a programmer/coder), or the job requires typing skills that my crippled hands can’t handle, even with voice recognition software. I’ve come to accept that managing my health is my full-time job now, and that while the old me wouldn’t have found that meaningful, I can find meaning in it because I know my health matters to other people in my life.
Leigh A Peltier says
Thank you for this wonderful post. I have continued a full time stressful insurance sales career for 20 years after RA diagnosis. It gives me more flexibility than a structured office job and there are days I just want to log in from my home office in my PJ’s. In fact recently i logged into a video meeting with my team hoping they wouldn’t notice I had on my bathrobe. I did get busted and we still laugh about it and I tell my boss I’m going to show up at the office for a meeting in my bathrobe!!
I love my job and I know it’s what has helped me continue to thrive. I have purpose, dont have to worry about health insurance and keep moving.
RA be damned
Rosalind Joffe says
Thank you for sharing that, Alyson. Your story is not uncommon, is it? It’s not enough just to ‘wish’ something to be true. We have to have the capacity to make it happen. It sounds like you are developing your capacity to be ‘where you are’ and find meaning in that. I wish you well on your journey.
Rosalind Joffe says
Thank you for writing. Ahh, Leigh, you are a fortunate person — you’ve had the good luck in getting this job to begin with and to have the skills to build on that good luck. Only those living in this world with chronic illness could possibly think that anyone with RA is fortunate. I’m delighted to hear your story. Thank you.