A CFS Chain Letter

To whom it may concern:

This chain letter was started by a person like yourself, in the hope that it might bring relief and a bit of fun to other people afflicted with CFIDS/FMS.

Unlike most chain letters, this letter doesn’t cost anything. Simply send a copy of this letter to five other PWCs who’s lives have become equally dull and who are of the same sex as yourself. Then bundle up your spouse or significant other and send him/her to the person whose name is at the top of the list, and add your name to the bottom of it.

When your name comes to the top of the list, you will receive 6,478 companions … some of them will be dandies!

Have faith – do not break the chain. One person broke this chain and got his spouse back!

Sincerely,
Another exhausted PWC

P.S. At the time of this writing, a friend of mine received 163 lovers. Boy did she have a CFIDS flare! They buried her yesterday, but it took 6 undertakers 4 hours to get the smile off her face.

A Day in the Life of a PWC

8AM – The gate down to the Hudson was closed, which happens every time it snows. We had to take the steep upper road, if we were going to go for a walk at all. Despite the CFS, I make myself take a short walk every morning. It’s a chance for Nikki to run and for me to get a little exercise. And it’s essential for me. Even when I’m feeling stiff, achy and awful, I feel a little better if I walk for ten minutes. But uphill?? Since I got CFS, Jim and I had only walked on flat ground, flat paths, even walks, no climbing. We started.

After the first few steps, I felt like I had coals in my calves. My heart was pounding and so was my head. I could feel my pulse all over my body. I stopped, panting. Jim stopped, too, when he realized I wasn’t right behind him. The uphill path is beautiful. It curves up the Palisades, the cliffs which overhang the Hudson. It winds upward through woods which cling to the sides of the Palisades.

“I have to stop for a little,” I gasped.

“You ok?” he asked, with a worried look.

“Not really. Let me just stay here for a few minutes and you go on with Nikki.” I couldn’t look at him. I looked away.

“I’ll wait with you,” he said, as he walked towards me.

“No!” I said, too loudly. Trying to control my voice, I added, “You go on and I’ll just wait here. Nikki’s almost at the top. You go catch up with her,” I said, trying to smile, but not being able to.

How can I do this to him? He was concerned and always very supportive. I didn’t want to look at him. His conciliatory behavior towards me was real. He felt badly for me that I was so impaired in everything I tried to do. And that’s how it’s been for the past three years. I can never predict what I can do or what will set me off. My feelings…Well, it’s a little like having PMS all the time. I mean, ALL the time. At least I know what this is due to. I read that in PWCs (People With CFS) the blood flow to the brain decreases with exertion. Normally, blood flow increases to the brain. Not with CFS. If blood flow to the brain decreases, a natural concommitant is irritation, headaches, and probably other things I haven’t yet identified in me.

It’s very rough to be with someone when you’ve got this disease.

Very rough. It’s rough to be alone, though, too. Probably worse. Jim couldn’t be more understanding about what I go through. He knows that I wasn’t like this before. We used to hike for two and three hours at a time and it was exhilarating.

Jim walked on up the path towards the top. I turned around and went back down to the car. Tears leaked out of my eyes and ran down my cheeks. It was cold out and I shivered. I wiped my face with my gloved hand. Sitting inside the car on the driver’s side, I started to weep. I can still drive, I thought, but just for short periods. No more than half an hour. I know some people with CFS who take plane trips. I can’t imagine that at all. Not with CFS.

I cried, I moaned aloud. I was alone. No one would hear me. I felt sorry for myself. That’s not so bad, is it?? No, I’d given myself permission to feel sorry for myself.

I listened to the radio until he came back with Nikki. As we pulled out of the parking area, he put his hand on my thigh and it felt warm and loving. I felt a surge of anger. Why?? I don’t know. Perhaps it’s because I can’t do the things I used to, the things I want to. Perhaps it’s because I’m so dependent on him for most things.

9AM -As we ate breakfast, I felt irritated with him. Everything he did seemed to be an affront. I try to control feelings like these, but they come anyway. The worst thing is for me to say something, to give voice to these feelings, irritations. I hated watching the way he cut up the eggs with his fork, the way he added paprika to them, the way he sopped up the remainders with his rye toast. I know better, but knowing better doesn’t seem to stop it.

The wave of exhaustion which had hit me on the path, seemed to be subsiding a little. I was still tired, very tired, but my dark, bleak mood was lifting.

“What do you have to do today?” I asked, as brightly as I could. Of course he knows when I’m feeling critical, angry and about to explode. This is normal behavior for me now, with CFS. I live on some kind of nervous edge, as if everything is too much, as if I were about to fly apart, like some spring-wound mechanism on the fritz.

Scapegoating, he calls it. It’s not. It’s just that he’s there. When he was away in California to see his family a few weeks ago, I would explode, too. I didn’t hit the dog.

“Well,” he started slowly, so slowly, thinking about what he was going to do first, thinking of the words, “I’ve got to go shopping at the A&P. Then I’m going to work on that sign job for the realty agency…..What do you have to do?”

I thought of the friends I might call and the cleaning I should do.

Dinner would have to be pizza again. “I have a lot waiting to be done. I keep making a list and transferring the items to the next list. It’s been going on for days…”

“I know. It must be so frustrating. How are you feeling now?”

“Exhausted, but a little better,” I said, as I put the dishes in the dishwasher. He sat and watched as I cleaned up the breakfast table. At least I can do this, and efficiently, quickly, too. A year ago, I couldn’t. I didn’t have the strength.

Noon – The computer was on and I was trying to read. It was about noon when I heard Jim downstairs. I should go down and help him put away the groceries, I thought, as I turned off the computer. I had gotten two letters written, but hadn’t paid the bills yet. Leave it!

When I came downstairs to the kitchen, he was eating a cookie, one of the big, oatmeal kind he likes. The bags were on the table, on the floor, on the counter. I suddenly felt overwhelmed, and sat down at the table. Jim sat down across from me, eating his second oatmeal cookie. I’m not going to cry, I thought. Why should I cry? He had already put the ice cream, the milk and yogurt in the refrigerator. I know it’s not about that. It’s just that I used to do these things alone, no help, unless I asked for it. I’d go shopping early, not like he does, which seems like it’s anytime. And I’d put it all away, one, two, three. I got up and put the rest away, folded up the bags, felt a fury rising in my chest, like an explosion about to happen.

2:30PM – Mid-afternoon and the article I was trying to read made no sense to me anymore. I had to keep rereading. If I read in short spurts, it works for a while. I have to sit up at my desk and take breaks by playing a computer game, called Pipe Dream. You connect pipes before the white band comes to destroy them all. You win if you connect all of them, in whatever pattern, trying to get as many points as possible, before the white stuff flows through them. They have to connect. If they don’t, the white stuff wins. Idiotic time killer. But it works for me. I’ve been reading a lot lately, doing it just like this. Two minutes of reading, two minutes of Pipe Dream. The kitty jumped up on my lap, and started purring loudly. She’s so sweet. She puts her paw on my face to ask me to talk to her. Then she lies down on my lap, curling up to fit me and purring. I cuddled her and talked baby talk to her, with her head in the crook of my arm, my nose almost against hers. Finally, I put her down. I was so tired. I had to lie down.

3PM – Oprah’s guest, talking about having been abused as a child, having recovered the memory through therapy. Switching channels, Phil has four men who call themselves God’s gift to women. I opt for that, turning the sound down as low as I could still hear it. I’m just drifting now, the words from the TV combining with some dream that I won’t remember later. The phone rings. I pick it up, my neck twisting as I do so. I hear Jim saying, “She’s taking a nap now.” My friend Claire’s voice saying, “Oh, just tell her I called. How are you doing?” I carefully hang up, not having the strength to say hello, how are you.

Not everything has to do with CFS, though it does permeate my life. Some of the problems are ones that I’d have even without it. Also, there are times when I feel almost like normal, when I enjoy a few minutes without remembering that I have CFS. Those are few, though.

Yesterday, Jim took a lunch break. He works at home and eats lunch sometime around 1PM. I heard the sound of his guitar. That’s rare. I listened for a few minutes. It sounded very good, very soothing. He was just doodling on it. I had stuff to finish at my desk, and it was almost time for my nap. Three PM is the outside limit for me on that. But 1:30 PM or not, work waiting for me to finish, I went downstairs to the sun porch, where he sat on the couch, playing his guitar. “Sounds wonderful,” I said, with a smile.

“Yeah?” he said, a bit doubtfully, because he’s always frustrated by not being able to play as he’d like.

“Yeah,” I said. “I don’t want to interrupt. Just play.”

He played a bit, sounding like the Carter Family tape we’d heard in the car that morning. Then, he stopped, suddenly shy of me, shy from hearing what he hears as inadequate playing. “Is it in tune?”

“It sounds out a little. Why don’t you tune it to the piano?”

“I can’t hear whether the note is higher or lower. I can’t match them. It’s useless.”

“Just tune the strings to each other,” I told him.

“I can’t. I just can’t hear the differences.”

“I’ll help,” I said and he began to tune the strings to each other, waiting for me to say whether they were in tune, whether to turn the key up or down.

He got it in tune and asked, “Doesn’t this make you want to play?”

“Yeah, I’d like to, but once I start….I have to tune mine, too, you know. And it won’t be in tune with yours. And I’m so tired. You play.”

He played some more. Some blues riffs which sounded good. I did feel like playing and finally got up to get my guitar and tune it. I played a few tunes and sang.

“Don’t you want to tune yours to mine?”

“I can’t,” he said.

“Oh, come on,” I said, “I’ll help.”

We played together, I sang, he sang a bit, and it went on for half an hour. I was exhausted. I put my guitar away, told him I loved to hear him play, to please continue, that I was sorry I interrupted him, and that I’d love to hear it from upstairs. I’ve always loved to play the guitar and sing. I’ve done it since I was about twelve or so. Perhaps, in another lifetime, I’ll be a folk singer. Wish I could have my old life back. I’d settle for that.

5:00 PM – When I woke up an hour later, Phil’s program was over and the news was on. I ached all over, didn’t feel refreshed, but knew I’d be better than I was earlier once I got up and moved around a bit. I dozed off again. When I finally got myself up, it was 5:15. I could see the light in Jim’s studio. He was still working. He works in a converted garage, a little house with two rooms, a bathroom, a kitchen sink and a comfortable, upholstered chair and a couple of straight-backed, wooden chairs. He’d be over by 6, I knew. If dinner wasn’t waiting, he’d make it. Or ask me if I wanted something brought in.

I thought about going down and making pasta and some salad, a light meal, which would be ok with him. He doesn’t make as much of a fuss as I do about what we eat for dinner. When I was sicker, I needed to have a more formal meal. Without it, my days seemed to meld into night and sleep and the next day without any markers. But now, though I like to have a good meal, it doesn’t matter as much. Probably it’s because I’m cooking again now, once in a while. He cooked for most of the first two years that I had CFS. I like my cooking better than his, I must admit. Tonight it would have to be pizza, which it was.

I sometimes am not fit to live with.

Jim is the kind of person who’s most often lost in his thoughts. Since I’ve often made a fuss about this, he’s tried very hard to be there when we sit across from each other at mealtime. I can almost see when his mind starts to wander, though. And then my voice feels as though it loses sense. Meaning is gone if the listener isn’t listening. And I have few listeners and people I can listen to. Since the CFS, I have had a hard time keeping appointments in the evening or even afternoon. I see so few people. It’s all on Jim then.

7PM – Watching McNeil/Lehrer with Jim. We’re both half-sitting up on the bed. Sometimes it’s good to watch. We start to talk about whatever we’re watching. Sometimes, even, I can feel the old enthusiasm for ideas take hold of me. This always makes me feel alive and I can talk for a while. But then, I lose my train of thought at times.

I’m lying on my side, facing away from Jim. He pulls up my sweater and the silk undershirt and starts stroking my back.

“Scratch,” I say, feeling the warmth of his hand and the itchy places all over my back.

He scratches. There’s a really bad itch right in the middle of my back, on one side of my spine. I couldn’t possibly reach it, I know. There was a time when I could have done so fairly easily. Twenty-five years of yoga makes you very flexible. Ever since I got CFS, I haven’t been able to do yoga. I’ve tried, again and again. It took two years of trying every so often before I read that diaphragmatic breathing is not what we PWCs can do, that our breathing is rather shallow. No wonder I can’t do yoga. I thought it was my lack of concentration which prevented me from doing it. It wasn’t. And this made more sense. There are times, a few minutes here and there, when I can concentrate. Even then, I couldn’t do the yoga. Diaphragmatic breathing is essential to all the yoga movements. Take a deep breath in and release it slowly as you begin the movement. I can’t take a deep breath in. It catches, it’s forced, it just doesn’t happen.

Jim is stroking my back again, his hand pulling at the waist of my jeans. I open the snap and loosen my pants. His hand slips down to cross the top of my behind. I’m feeling it, feeling like having him stroke me between my legs. I take my pants off, Jim helping by pulling on the legs. Then, I’m naked below my waist with my socks on still. My sweater and undershirt are pulled up over my breasts. I turn over towards him and he holds me, arms wrapped around me, one hand sliding down over my ass.

He’s hard as he gets on top of me. I raise my legs to open them for him. I can feel the burning in my legs from the exertion, but I want him. He enters me.

Suddenly, I’m exhausted. I have to lower my legs. He accomodates me by putting his legs on the outside of mine, still inside me. His weight, even though he’s resting on his elbows, is too much for me. I feel I will suffocate. I push at his chest. He knows I’m not pushing him away, knows that this happens often now. He gets off and I roll on my side, away from him. He enters again, from the back. It’s fine, though I’m now very tired. Problem is that when I’m so tired, the feeling can fade, desire can leave. It does.

8:30PM- Time for me to get online again, to sign on to America Online. The story of my involvement with AOL would take a lot of writing, a chapter all by itself. To make it very short, my son Tom gave me the software to America Online and a modem, which connects the computer to the telephone. When Tom first hooked it up for me, I tried to find a CFS support group online. There was nothing. A year and a half later, after many tries to get one started, another PWC and I finally had our first session of the group. We had a handful of people then and now our mailing list is up to about one-hundred people. I also started The Women’s Room, named after Marilyn French’s book, and it’s been running for almost three years now. Last June, CNN online asked me to run a women’s issues conference, which I’ve been doing ever since. Tonight, our topic is called Mirror, Mirror:What Do Women See? I’ve done this one before, about self-image versus desired image. I could probably do it once a month, since we all think too much about how we look. The conference runs from 9PM to 10:45 PM.

11PM – I finally signed off. Very good session. Lots of participation, with some men there, too. But now I’m wound up. The sessions take a lot of concentration. Sometimes it’s hard to follow the discussion if many people are typing at once. Why I can do this, and not other things, I have no idea. This is tiring to me, but not as exhausting as a face-to-face conversation or even talking on the phone for an hour or two. I can do it and, right now, it’s about the only identity I feel is mine. I can’t imagine what I’d feel like without doing these conferences. They take quite a bit of reading beforehand, in addition to writing back and forth via Email with guests who are scheduled for particular subjects. It lends a focus to my life, this online work, a sense of doing something good, something possibly even vital. Certainly, for me it is life-saving to have some involvement in the world.

The disadvantage is that I can’t slow down fast enough, can’t unwind quickly. I never could, even before I got CFS. But now, with the adrenaline coursing through me, I have to play Pipe Dream again. To finish a whole game takes about forty minutes. I sit and play and think about what was said in the discussion online. I’m finally unwinding, and pick up the book on dogs I was reading.

I lost the game on the sixth of the nineteen levels. Damn! I won’t start another one.

It’s now 11:30. Time for bed.

11:45 PM – Jim is curled up, facing away from the TV, which is still on. He leaves it on for me, knowing that I may watch for a while. As I slip into bed, I turn the sound down even further. He turns towards me, making a comfortable sleep sound.

“How did it go?” he asks.

“Fine. Really good tonight. Lots of people and a good discussion.”

He’s snoring. He didn’t hear me. Or did he? He turns away again and I stroke his back. He murmurs appreciatively. The cat jumps on the bed and kneads the blanket. With my left hand, I stroke her. Jim is fast asleep. I am not. My eyes feel sore, they hurt. I watch Unsolved Mysteries. Robert Stack’s voice makes me sleepy, always. I put in my night guard to prevent a sore jaw in the morning, take my glasses off, and turn off the TV.

My Mind

Chronic Fatigue Syndrome does things to your mind. It can lower your IQ by as much as forty points. Short term memory is almost nonexistent. I watched it happen, as if I could stand outside myself, as if my mind was assessing my mind.

When I first got sick, I thought it was a bad case of the flu. After several weeks of no let up, I thought I had a bad case of mononucleosis. I had had it in college and this felt very much like it, only worse. I had malaise, aches and pains, a sore throat and a low grade fever. I was extremely exhausted and walking felt like wading through jello. Between doctor’s appointments I lay on the couch.

What a great time to catch up on my reading, I thought. By the end of the second book, I noticed that I had to reread pages, paragraphs, that I didn’t know what I’d just read. It became a strain to read at all. I love doing crossword puzzles, but I had already noticed that I wasn’t able to finish them in ten minutes like I was used to doing. Some days were worse than others. If you’re a crossword puzzle fan, you know that if you put the puzzle aside when you’ve gone through it once, you can pick it up later or the next day and simply finish it – just as if some part of your mind had been working on it the entire day without your awareness. I’ve always marveled at that. But now, picking it up later didn’t help. I couldn’t finish. As the weeks wore on and I wasn’t any better, I noticed that my ability to solve puzzles grew even worse. Huge gaps in the puzzles. I had the feeling that the word was right on the tip of my tongue or my mind, but I couldn’t retrieve it for the life of me.

I’m usually pretty good at remembering names. Not now. I watch TV, see some actor I’ve seen many times before, say Jeff Bridges, and not be able to remember his name.

With a feeling of great frustration, I ask Jim to tell me. The first few times I did this, he looked at me with surprise. I’m usually the name supplier. Not more than ten minutes later I think, “What’s that actor’s name again?” I struggle with this for a few minutes, using every technique I can think of to try to recall the name–what Jim looked like when he told me, the movies I’ve seen with this actor–but although I could see the movies in my mind, I couldn’t remember the names of those either.

I understand why that woman committed suicide last year after getting a diagnosis of Alzheimer’s. By now, I’ve read quite a bit about Chronic Fatigue and know that it affects the brain. One publication had articles which discussed EEGs which showed that the temporal lobes slow down with this disease.

But CFS patients get better, they say. It’s not a progressive disease. I’ll just have to wait it out.

I’m a photographer and a writer. Since last January, when I got CFS, I haven’t had the energy to stand in my darkroom printing or even to take pictures. My photography work is on hold. I’ve been writing poetry reviews, essays and short stories for years. Early on, I accepted the fact that I wouldn’t write a short story for a while. Then I got nervous. What if my editor at Contact II sent me books to review? How would I manage?

It was in June, five months after I got sick, when I was sent a book to review. It was called Raven Tells Stories: A Collection of Writings by Native Alaskans. By then, my crossword puzzle ability had improved slightly, very slightly. I still wasn’t able to read a novel, much less the academic journals I enjoy so much, like Signs, Representations and Human Sexuality. How would I manage this? But to my surprise I was happy to have a new book to review. Perhaps, I thought, it’s a good sign that I’m excited to begin this one.

I took copious notes and read the poems aloud to Jim. I even looked in my journals for relevant articles about Native American cultures. Since I have only a couple of hours in the morning when my brain seems to function, I used this time only for the book. After a few days of note taking, I sat down at the computer to transcribe them. This is the way I’ve always worked. Read the book, take notes and then put it into the computer so that I can add to them, move them around as necessary and so gradually build the review. But, as I read the notes I had taken, I saw that they were meaningless. I threw them out.

I was shocked and very upset. I felt like crying. My mind was that far gone that I hadn’t taken coherent notes. What was I going to do? How could I have written such nonsense? The notes said nothing of substance. I didn’t have the basis for any kind of review here.

I started again the next day. I wasn’t going to give up so easily. This time, I sat down at my desk with the book, in front of the computer, and began. I had to literally clear everything off my desk other than the computer and the book. I took new notes, telling myself to read very carefully, pay attention, and most of all, to be sure to stop as soon as I got tired. My instructions to myself worked. I’ve never taken so long to do a review and I don’t know how I did it exactly, but I had found a different way to concentrate. I could not sit on the couch, the chair, or lie in the bed to read, to take notes. That didn’t work. I had to do it this way, at my desk, sitting upright, in front of the computer, with no other distractions.

When I put all my notes together, I realized that I had gone over the same sections twice and made almost identical notes each time. My memory wasn’t serving me well at all. Two sets of notes about the same material! But, at the end, despite all the unnecessary repetition, the review was done. And it made sense.

I gave it to Jim to read. “This may be the best one you’ve written,” he said. “It’s completely clear, not as complex as your reviews usually are.”

“Is it too simple?” I asked.

“No, not at all, it’s good, very good.”

Since then, I’ve written two short stories. I used the same technique–clear the desk and write directly on the computer. A friend of mine who regularly critiques my work said that my writing has become terser and clearer. She says I’ve improved, she likes it better now than before.

The puzzles still rarely get done, but they are closer to it now on some days. I still don’t remember the names of actors. When I’ve told friends about this, they laugh and say they have trouble remembering things, too. Just a sign of aging, they say. I’m fifty-three and certainly one’s short term memory doesn’t improve with age. But no matter what friends say, what they’re going through is nothing like this. I’m not like I was before, eleven months ago.

I’ve said that I only have a few hours in the morning in which I can work with any lucidity. What to do the rest of the day? I doze on the couch. I watch some TV. I try to do crossword puzzles. Then, for my fifty-third birthday, my son Tom gave me a most wonderful gift, something which has made a big difference in my life. He bought me a modem and the software for America Online. A modem connects the computer to the phone. The software is one of many on line services available, like Compuserve, Prodigy and Genie.

Once Jim helped me set it up, I was able to tap into the most marvelous means of communication. Suddenly, I was no longer so cut off from the world. I could talk to people all over the United States. Best of all, I discovered that I could do this at any time, even at night when the rates are lower. For some reason, this does not require the same kind of concentration as reading or writing. It’s more like talking.

I now belong to several writers workshops on line, get stories uploaded to me weekly and send my critiques to the members of the various workshops. Most of the stories are not terribly good, but the critiquing seems to have sharpened my mind somewhat. By saying what is wrong with a story, I’ve learned to be more critical of my own writing.

Also, I’ve developed some interesting friendships with people I’ve never seen. I look forward to talking with them, and taking part in group discussions. I’ve even organized a women’s discussion group, called The Women’s Room, which meets every Thursday at 9 PM for an hour or so. What an amazing thing this is! How grateful I am to Tom for thinking of this for me.

Last but certainly not least, because of being on line, I’m in touch with other people who have CFS! We compare symptoms and solutions. Though there are no cures at this point, it’s helpful to know what people have tried and how they manage. Also, America Online has a software library. I’ve downloaded some software which enables me to connect with bulletin boards around the country. There’s even a Chronic Fatigue Bulletin Board. This lists the latest information on CFS.

Now, as I sit here at my computer typing, it’s 2 PM and I’m exhausted. I’m starting to feel shaky, which is what happens when I’ve overdone it. Time to lie down now. I’ll take today’s Times and try to do the crossword puzzle. At least it’ll tell me how my mind is today.

My Doctor

“Are you depressed?” Bob, my doctor, asked after he finished examining me.

“I suppose I could always find a reason to be,” I said and smiled stiffly. (A rush of rage, how many times would a man tell me I’m depressed, that I have some sort of vague woman’s problem?) “No, I’m not. This isn’t the way I am at all when I’m depressed. Something’s wrong with me. It feels like mono.” (Is there something wrong with me? Or am I depressed?)

“Well, we could test for that,” he said, turning away. (He’s rude. Why does he turn his back to me while he’s talking?) “How long did you say you’ve been sick?”

“It’s been six weeks. (I said that before, several times. What can I do to make him pay attention and listen to me?) I thought it was some kind of flu, but it hasn’t gone away. I still have a fever and–”

“99 isn’t a fever, you know,” he said and looked me in the eye.

I was beginning to feel like a crock, a malingerer. “For me, it really is a fever. I usually have about 97 in the morning. And the main thing is that I’m so exhausted all the time.” (Don’t whine at him, Eva. That’s what he expects a woman to do. Don’t try to convince him. Just tell him.)

“Sounds to me like depression. Well, I’ll have the technician take your blood. Even if you do have mono, there’s nothing to do about it.” With that, he walked out of the examining room.

I know the signs of depression and I didn’t have them. I was eating regularly, although I could no longer drink my usual beer in the evening and had developed an aversion to coke, coffee and even meat. I wasn’t losing weight, was involved in my photography, although I had no energy to go into the darkroom to print. I had a show coming up in a couple of months and a lot of work to do for it.

But it’s easy to tell me I’m depressed. I’ll almost believe it. I remember when I had PMS symptoms, long before it was legitimized by a name. Twenty-five years ago, I told my psychiatrist husband, now my ex, that I felt like I was being taken over by some chemicals, that I was a different person a few days before getting my period.

“You just don’t like being a woman,” he said. “It’s a sign of depression.”

“No! I love being a woman. It’s like something is entirely different about me. Everything looks bleak and I cry so easily. Then I get my period, and it lifts.”

He shook his head. That kind of response is enough to make anyone depressed. I’ve been told so often that I don’t know what I’m talking about, that I don’t feel what I’m feeling. (And am I feeling these things? Do I always have to doubt what I feel, even when I’m sure? I should be a state leader, a Margaret Thatcher, Indira Ghandi. Maybe they’d treat me differently. Or even Madonna. What does she get told by her doctors?)

When I had a miscarriage two years after my first son was born, I was told by my gynecologist, “The body takes care of itself. You won’t get pregnant now for a couple of months till you’ve recovered from the miscarriage.” Three weeks later, I told my husband that I felt that I was pregnant again. He said, “But you haven’t even had a period. You’re not pregnant. It’s just wishful thinking.” Then I called my doctor and told him. He said, “No, you’re not pregnant. I know you’d like to be, but I told you before, the body takes care of itself. Wait till next month and then call me.” But that wishful thinking turned out to be Paul, my second son. (A kind of hollow triumph to be right about these things that I feel, I know.)

The nurse came in to take my blood. The first stab missed the vein. By the third try, she got it and I felt faint, my usual reaction to being poked by an inept with a needle. (Would she be more careful with a man? I wonder.)

“Lie down for a few minutes. You’ll be okay,” she said as she left the room with the vial of my blood. (That dark brown black red of my blood, so casually taken, so casually treated, like me. And will I trust the results of the test?)

Bob came in again. “Give me a call tomorrow and I’ll let you know. I don’t think you have mono. Probably you’ll feel better in a couple of weeks. Just take it easy.” And then he was gone. (Damn him! I should have talked about my work, the pictures I had to print, mat and frame. Then he would have been impressed. He has such contempt for women who don’t work.)

As I pulled on my jeans, I suddenly felt woozy and had to lean against the wall. It was cold, very cold. A shiver passed through my body and a burning tingle covered my thighs. Something was definitely wrong with me. And it wasn’t depression. (Fear, a cold fear clutched me. Maybe I was going to die of whatever this was.)

At home, I lay down on the couch and covered myself to the chin with a carriage blanket. The shivers hadn’t subsided. I fell asleep. It was noon.

I woke up when Jim came in.

“How are you, baby? What’d Bob say?”

I told him Bob said I was depressed.

“You’re not depressed! You’re sick! Damn it! And he’s been so good when you’ve had those cysts in your breasts. You’ve always trusted him.”

“Yes, at least till now. He was terrific with the fibrocystic disease. Never let me worry about a lump for longer than it took to have them aspirated. Well, I guess we’ll see.” (Don’t make Jim worry more than he is already. He’s been so helpful.)

At that time, I didn’t even have the strength to cut vegetables, much less go shopping. And our two-hour hikes, well, we hadn’t been on a walk of any kind for six weeks. He was doing all the cleaning, everything he usually did plus my share. He fed me, did the laundry, sat with me for hours holding my hand or stroking my hair as I lay on the couch, too exhausted to move. (I’m going to die. I know everyone does. But I’m going to die of this. I know it.)

I lay there thinking about Bob. His wife, Mary, had been a photography student of mine for five years. She got to be a really fine printer in my darkroom. She had the feeling and perfectionism for this discipline. Once the lessons stopped, we realized we missed seeing each other and became good friends. Shortly thereafter, I began to see Bob as my internist and was more than satisfied with his care, so prompt, so considerate. (But he’s opnionated and rigid and stammers when he gets excited. He respects me because I work at photography. I’m a photographer. A housewife, which I am, too, is not to be respected. He has no respect for his wife.)

Maybe I was depressed. (And maybe I want to be out of the whole picture, an invalid, like Hans Castorp in Thomas Mann’s Magic Mountain. I read it when I was a teenager and my mother was constantly accusing me of being lazy.) But then what about the fever I had every single day? He said it wasn’t really a fever. If it’s not 100 or over, I know that doctors don’t take it seriously. (Maybe it’s not a fever. Maybe I’m imagining this feeling. But the thermometer doesn’t lie. I even bought another one to check the first one out.) I had aches and pains all over, especially in my joints. I was exhausted all the time. Couldn’t even take a short walk. And last year, we took two and three hour hikes.

Over the next week, I spoke to several friends. One asked me if I was depressed. Another said it sounded like a bad case of the flu and I should give it time. And another said she’d ask her doctor husband about it. He told her to tell me to have my doctor test for Lyme disease and cytomegalic virus, that there were other diseases that presented similar symptoms and my doctor should test me for them. (Why couldn’t he call me himself? Why does it have to go through my friend Carol? I would call him if I had this kind of information to give him.)

I called Bob two weeks after my visit to his office. “OK,” he said, “You don’t have mono, we know that now, and I don’t think you have anything else. But come on down and we’ll test for cytomegalic virus.”

In the meantime, I had to cancel every appointment I had scheduled to take my work around, to see friends, to go to a concert on a Saturday night, etc. (What a good excuse not to take my pictures around. I hate doing it, hate the rejections. Maybe I’m copping out?) I went to Bob’s office again. He wasn’t there, but his technician knew that I was coming for another blood test. Again, the poking and subsequent faintness. I lay down, dizzy and shivering, after she was done. When I came out, Jim drove us home. (I felt woozy at the wheel, too upset–or what?–to drive home.)

The test came back negative. “How about Lyme disease?” I asked Bob. “And aren’t there other conditions that look like this? Shouldn’t we be testing for other things?” (Please listen to me! Do something!)

“I don’t think we’re going to find anything, Eva. It seems to be some kind of flu.”

“But this is like some awful case of mono,” I said to him. “I had mono my first year of college. It was like this, but this is much worse.”

“Well, come on into the office and we’ll run another test.” (He’s just humoring me. He thinks I’m a crock, a woman who has nothing better to do than to be hypochondriacal.)

Altogether, he did four tests, several weeks apart. All of them came back negative. My arm looked like a junkie’s, black and blue marks and holes all over the soft skin in the crook of my arm. I called Mary, Bob’s wife.

“You’re still sick?” she said. “This doesn’t sound like you at all. I’ll talk to Bob.” (Another friend told me I shouldn’t call my doctor’s wife. It wasn’t right, she said, to drag her into this. That’s not the way one should handle things. I didn’t agree.)

I called Bob a few days later to say I was feeling the same way, fever, awful aches and pains and extreme exhaustion which wouldn’t go away. “I have a show coming up in a couple of months and I don’t know how I’ll manage to get ready for it.”

“Yes, of course, your show” he said and I could hear that he was impressed by the fact of the work I had before me, that I wasn’t merely a housewife. “I don’t know what to do,” he said. “Maybe you should see an infectious disease specialist. I know of two in the area. They’re both good and work in the same office.” (Does he not want to be bothered with me anymore? Or is he really at a loss?)

I called the doctors’ office immediately and a few days later went to see Dr. Koch. A young man, somewhere in his thirties, he did a complete physical examination, took the most thorough history I’ve ever had, and altogether spent an hour with me. His attention alone was worth the three-hundred dollars it cost. (A hell of a way to be, to be so grateful if a man listens.)

“We’ll have to run a lot of tests to rule out other things, but you seem to have Chronic Fatigue Syndrome.”

“Really?” I asked, feeling relieved just at having a name to attach to this.

“Looks like it. I’ve got several patients with this.”

“How long does it last?”

“Six to eight months, sometimes longer. But I think you’ll get over it soon.”

“How long can it last? I’m not getting any better.”

“Well, one of my women patients has had it for three years.”

“Three years?!?”

“Yes. But I don’t think you will have it for that long. Maybe a couple of months more. I’ve seen worse cases than yours. But let’s wait for the test results. You can give me a call next week.”

“Sometimes I have a really hard heartbeat. I feel my heart, not fast, but pounding. Is that a symptom of this?”

“You’re probably just anxious.” (There it is again. Later, I read that this is one of the many possible symptoms with CFS.)

Since there are no specific tests for Chronic Fatigue, the diagnosis is reached by the presenting symptoms and by ruling out quite a number of other diseases, like lupus erythematosis, multiple sclerosis, and so on–all autoimmune dysfunctions.(Like AIDS!) The other finding with CFS is a much elevated T cell count. (With AIDS, the T cell count goes down. Wonder if I can transmit this to someone else.) T cells are white blood cells which fight infection.

The following week, Dr. Koch returned my call. “Hello, Eva? This is Dr. Koch. All the tests were negative, but your T cell count is elevated, way above two thousand. You definitely have Chronic Fatigue.” (He’s calling me Eva and himself by a title and his patronymic.)

“What do I do? Can I take something?”

“Rest, that’s all you can do. There’s no treatment for it. Eat a good diet, get some exercise, as much as you can without pushing, and rest. You’ll probably get better in a couple of months. Call me every once in a while or if your symptoms get worse.”

It’s been seven months since that phone call, eleven months since I got this. I do call Dr. Koch every couple of months. As with most doctors, I have to leave at least one message, sometimes three, before he calls me. When he does, it’s always the same: “Hello, Eva? This is Dr. Koch…..” I want to say to him, How about if I call you Jeff? Or maybe you want to call me Mrs. Shaderowfsky.”

This should be the least of my problems now, that Bob didn’t take me seriously at first and that Dr. Koch calls me by my first name when he introduces himself by his last.

I spoke to Bob about a month after I saw Dr. Koch and told him all about the examination, the careful history taking and the diagnosis.

“That’s a lesson to me. I didn’t know that the yuppie flu or chronic fatigue was anything other than depression.”

I’ve got to give him credit for saying that, at least.

I’m still the same, sometimes a little better, sometimes not. Dr. Koch no longer says I’ll be over it soon. It’s been almost a year now.

:: Yawn ::

OhmiGAWD what a night! I really must commend the gods of slumber one of these days for their unique sense of humour.

There I am, snoozing away, when I realize there’s a cat on my head. Ohhh kayyyy….

Wait a minute: A CAT ON MY HEAD!?!?! (Where’s the dog!?!)

The dog is at the foot of the bed, contemplating how she can get at the cat without stampeding over me and thereby getting herself killed. Every now and then she bounces in place, woofs, and makes a swift foray to one side of the bed or the other. The cat purrs louder and makes rude gestures at the dog.

“How the h*** did you get in here, Arthur?” I enquire. Arthur purrs and investigates my ear with a wet nose. “Silly human,” sez she, “I slipped in while that idiot dog was out in the kitchen, of course.”

Well this is unacceptable. I detach the cat from my head…the dog bounces joyously, thinking it’s feeding time. For the next ten minutes I try to evict the cat (RUN, kitty!!!) while holding the dog back. Nope. Cat looks at me like I’m out of my mind while the dog nearly strangles herself by leaning on her collar, front feet suspended at least six inches from the floor.

OK, I pick UP the cat…warning the dog in explicit terms jsut what will happen to her if she tries anything…and heave her (the cat) out into the hallway. The dog gives chase and for the next five minutes all I can hear is the scrabbling of doggie claws on newly-waxed hardwood and a lot of hissing and spitting. Next thing I know…ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZOOOOOM! The cat is back in my room, now under the bed, while my 50 lb German Shepherd tries to wedge herself under six inches of clearance to join said puddy-tat. Arthur laughs mockingly and makes more rude gestures. The dog runs around and around the bed from one side to the other. “Hyuk hyuk! Get da kitty! Duh…yup!”

“No, you can’t have the kitty,” sez I, contemplating my watch wrathfully. It’s 4:30 of the a.m. Way too early to put the dog out (she likes to howl; my neighbors tolerate it by day, but I think they’d say it with bullets by night).

The cat hisses occasionally, just to keep the dog in a frenzy. I continue to ponder. Finally, the inevitable hits: I must lock the dog up in the laundryroom til it’s a decent enough hour to let her out. So I stagger once more from my wee trundle bed. “Come on Mozz, come on you *^%&$%$$%%^%&% &$^#^%$ &%^$%^ idiot dog,” say I in sugary tones.

She boings and leaps and bounces after me, leaving a smirking feline behind. Into the laundry room we go. She spies her door (the one that leads to her pen). “Oh GOODIE! I’m gonna get to go outside and bark and howl a whole bunch.”

WRONG!!

WHAM! I slams the laundry room door in her face, almost turning her into a pug. “Good night, Mozz,” I call sweetly, and stumble back to bed. It is now about 5:00 a.m.

The fun has only begun. Mozza begins to howl. Sheba, our little dog, takes up harmony. Arthur emerges from under the bed and re-establishes herself on my head. I spend the next half hour convincing her that she doesn’t really want to sleep on my head. She goes away and I slide into a coma. I wake an hour or so later to find another cat…this one MUCH larger (16 lbs worth of Maine Coon Tabby)…sleeping on my chest. I open a jaundiced eye and contemplate her furry little face. “Comfy?” I ask. Oh yes indeed, thank you very much.

I’m too tired to think, let alone move. I fall asleep again. I wake up half an hour later. I have one cat on my head, another on my chest. Both purring in harmony. Right. I fall asleep again. Half an hour later, I wake up. My head is now conspicuously cat-less (kind of hard to overlook), but I still feel like someone dropped a fuzzy cement block on my chest. Yup, she’s still there. I evict said cement block by the simple expedient of turning over (why hadn’t I thought of that before?). I snuggle down under the blankies and am about to drift off again when the dog starts howling.

“Tough s***,” I mutter, “You shoulda thought of that before you started chasing kitties.”

And I go back to sleep. For another whole half hour. It’s now 8 of the a.m. and as late as I ever sleep, before or since the dd, regardless of how little or how much slumber I’ve had during the night. I wonder if the dog has eaten my wheelchair (which is currently parked in the laundryroom while my car is off getting a facelift). I think in terms of coffee.

The cats, their duty faithfully fulfilled, have vanished. I sit up. I swear. I knock back a fistful of Advil to dull the thundering in my head. The dog barks. My bladder threatens mutiny. I deal with the bladder (in the company of the 16 pounder whose thankless task it is to supervise such activities). I stumble and shuffle to the laundry room. I open the door. Mozza leaps out, cavorting joyfully, sniffs noses with the cats, and starts galloping toward my room.

“FORGET IT!” I holler down the hall at her. “It’s time for you to go outside.” She’s not buying it. I wrestle her spring-loaded carcass out the dog-door and slam it. WHEW! She lopes off to the far end of her pen and barks a good morning to the neighbor’s dog, who replies in kind before they settle down for a good howl.

I go in search of coffee, tripping over assorted and sundry feline personnel in the process. Open the front door. The nightshift cats come in, the dayshift cats go out. The coffeepot gurgles and groans, slowly filling the carafe with the elixer of life.

And so begins a new day…

Real stories from real people with a mysterious illness which is only beginning to be understood. Myalgic Encephalomyelitis, more commonly called Chronic Fatigue Syndrome or ME/CFS