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Life with multiple sclerosis

The Multiple Sclerosis Paradox

The following first appeared on Multiple Sclerosis News Today:

https://multiplesclerosisnewstoday.com/columns/2022/07/04/the-multiple-sclerosis-paradox/

“Thanks, I hate it.”

Odd way to begin a column, I know. I suppose I’d better explain myself.

That phrase regularly appears in memes and other pop culture media as an expression of dislike for an image or tweet. No one seems to know where or from whom it originated, so I don’t feel too guilty about using it for my own ends.

For me, it’s an expression of both gratitude and abhorrence at the same time. For instance, you can be grateful for the spirit in which a gift was given while despising the gift itself (that sweater from your grandmother, for example). It’s a classic contradiction, and while I certainly don’t consider multiple sclerosis to be a gift, it works well to shed light on a phenomenon that I’ve dubbed the multiple sclerosis paradox.

Let’s look at a few examples.

For obvious reasons, I seek the majority of my camaraderie, advice, and emotional support from the multiple sclerosis and rare disease community. The people I interact with in this small community, via support groups, BioNews (the parent company of this website), online forums, and social media platforms, are some of the most wonderful people I’ve ever known, but I wish we’d never met.

Harsh? Yeah, it is. I’m afraid there’s really no way to soften the blow. Put a slightly different way, I’m so happy to be a part of this community, but I wish none of us qualified for it. There’s no animosity intended. It’s just a somewhat painful contradiction, and I don’t like it at all. Then again, I don’t think I’m supposed to.

As another example, my family and friends go out of their way to accommodate my disability, yet they somehow don’t make me feel disabled (a kind of paradox in and of itself). I am inexpressibly grateful, but I wish they never had to do so because I wish I didn’t need any accommodations.

Along those lines, I didn’t plan on it, but I genuinely enjoy being retired at 47. I love being at home with my wife and young children (I should say that more), but I’m not happy that having a disease was what made it possible. I can be a bit of a handful at times, but I think they like having me around, even if they don’t like the reason I am.

Moving on, I have wheelchairs, ramps, ankle-foot orthoses, reachers, an intrathecal baclofen pump, and so on. I’m glad these tools exist. After all, they keep me involved in my own life and the lives of my loved ones. I wouldn’t want to consider their alternatives, but I wish I didn’t need any of them.

I’ve learned a great deal about MS since I was diagnosed (you could say it has my undivided attention), but I wish I’d never heard of it. I like my neurologists, but I wish we’d never met. The research they do is fascinating and fills me with hope, but I wish there were no need for them to do it and for me to have hope in it.

These are just a few examples of the multiple sclerosis paradox. I invite you to leave a comment detailing your own examples. Thank you for reading this column, but I wish there was no reason for you to ever need or want to.

Categories
Life with multiple sclerosis

Multiple Sclerosis and Postprandial Somnolence

Image from Kitchenatics.com

Here in the U.S. we recently celebrated our Independence Day. In typical, inexplicable, fashion, my friends and family went above and beyond to include and accomodate me. I’d like to pretend it’s because I’m so likeable, but it really is, inexplicable.

Nothing will show you who your true friends are quite like a chronic disease.

Typical of our celebrations, there were all sorts of entertainment, a chance to be among people you love, and food. Lots and lots of food, centered around copious amounts of grilled meats.

It would be a gross exaggeration to say that I ate my body weight in barbequed ribs; maybe the body weight of one of my kids. The point is, I ate a very big meal and paid for it by being sleepy and overly sluggish for the rest of the day. More so than someone without multiple sclerosis and that’s not an exaggeration.

Like many, I was prone to a “food coma”, properly known as postprandial somnolence, after a big meal long before I had my first MS symptom. The reasons or possible causes include things like post meal blood flow, time of day, size and composition of the meal, etc. However, people with MS seem to be more affected, (or perhaps, more commonly affected?) based on a few studies regarding MS and PPS.

Does this imply that I experience PPS because I have MS, or that I always experienced PPS and it’s just more noticeable/made worse by MS? Is it simply that, like with everything else, my body has to work several times harder to accomplish something and these are the results?

That may just be all philosophical. My personal takeway is that there is no part of my life that is unaffected by my PPMS. Not even gluttony, apparently.

Will I take precautions? Eat smaller portions? Eat less carbohydrates?

I’ll try, but when good food is involved….probably not.

That’ll show MS!