When Life Is Not a Box of Chocolates: A Migraine Story

Blessed be the God and Father of our Lord Jesus Christ, the Father of mercies and God of all comfort, who comforts us in all our affliction, so that we may be able to comfort those who are in any affliction, with the comfort with which we ourselves are comforted by God.
(2 Corinthians 1:3-4)

Once again, it’s confession time here on RTR… It has been some time since I’ve written a migraine post – in part because I have been struggling through a period of loathing migraine.

In some seasons, I embrace this part of my life as a gift – a useful pruning, a thorn in my flesh to keep me from becoming arrogant. A tool in the hands of the Potter as He shapes me.

In other seasons… well, let’s just say I can be a vine who talks back, clutching the discarded branches in resentful hands and questioning the Vinedresser’s skillful trimming. Such is the heart prone to wander…

There were a few weeks in which the severity (if not the frequency) was somewhat reduced. Yet one of the most vexing things about dealing with a chronic “invisible” illness is the residual symptoms. Even on days where the headache is mild, there is an ever-present fatigue. Some days it, like the headache, is pretty ignorable. Other days, I can barely function.

Last night, a mild migraine-like headache decided to roar into full throttle around 2 am. Because I am limited in the types of medication I can take, I had hoped to sleep it off but ended up fumbling for one medication around 2:15 and searching for another an hour later.

The crummy thing about migraine is the confusion which hallmarks each attack. I do not always know when the line between “ignore” and “take medicine” has been crossed. And this bleeds over into all sorts of other areas – like my hip problem which I ignored for over a decade before it, too, kept me awake nights.

But I am not here to complain. I’m really not. Today, after a pretty rough night and cancellations of highly-anticipated activities, I have been able to recover. In the past two days, I’ve slept a ridiculous amount even with last night’s interruption. And now after a nap and on the hangover (or postdrome) side of my latest migraine adventure, I feel wrung out and limp.

It is easy to feel useless when dealing with any chronic disease. It is so simple to look at all the great and wonderful things others do with their lives – homeschool moms who balance educating their kids with a career, ladies my age who have opened a business of their own, published authors, successful women. Supermoms who can raise their kids with one hand and serve at church while working full-time with the other.

It can be easy to compare…and to despair.

Another temptation is to watch my man come home exhausted after another 80 or more hour work week and feel it is my fault. If I could only bring home an income. If I could write a book worth publishing or if I had just finished college, maybe he wouldn’t feel such pressure to provide for us. For me.

But even in the aftermath of a pretty nasty neurological storm, I am thankful for my God. I am reminded my value is not in any worldly success – not even in what I do for the Lord. My value is in Him. 

He is my reward and my impetus for continuing. He and He alone comforts me – but He does not comfort me so I can feel cherished and complacent in my war against a stupid and frustrating illness.

No, He comforts me so I can comfort others.

So today, child of God, if there is any reason you feel despondent, alone, useless, or afraid, know you are not alone. Even if you do not know God, even if you have rejected His Son, Yeshua, or even mocked the very idea of His existence, there is hope.

No matter what, you are still not alone, and your rejection of Him does not guarantee His rejection of you. In God’s bewildering grace, there is always a chance for repentance. There is always a chance to turn to Him.

And He longs for you to come to Him. If you will surrender to Him, He will comfort you. And He will bring purpose to your affliction and give you an eternal hope so you may endure this life even if it grows more unendurable by the day.

Even still, I do not worship Him today because of the comfort He gives nor the hope I have, but because He is worthy. Even when I have nothing of worth to offer Him.

 

 

You Keep Using That Word…

Among my (admittedly many) favorite quotes from the movie, The Princess Bride, the sword-wielding Spaniard’s response to the rotund little Sicilian’s exclamation, “Inconceivable!” ranks pretty near the top:

You keep using that word. I do not think it means what you think it means. 

– Inigo Montoya, The Princess Bride

Which reminds me…

This coming Sunday marks the official beginning of Advent, which is probably my second favorite season in all of Christendom; surpassed only by the culmination of Lent on Resurrection Sunday. In many ways, the two seasons are inseparable to me.

Almost annually, I find myself saying something to the effect that I cannot gaze upon the Babe in the manger and fail to see the shadow of the Cross. Nor can I separate my thoughts from the helpless child of the First Advent without eagerly anticipating with fierce joy and dread reverence the future return of the King of kings.

One of my personal traditions during Advent is to reflect on the many Messianic prophesies of the Savior and upon the events and people recounted in the story of His birth.

Which brings me back to Inigo Montoya… sort of.

When I think of Mary, the mother of Jesus, I often wonder if she might respond similarly to our fictional fencing friend if she heard the ways we tend to use the word blessed in the Christian community.

What do I mean? In answer, let’s take a peek at an early portion of the Nativity from Scripture:

And when Elizabeth heard the greeting of Mary, the baby leaped in her womb. And Elizabeth was filled with the Holy Spirit, and she exclaimed with a loud cry, “Blessed are you among women, and blessed is the fruit of your womb!
(Luke 1:41-42)

When Elizabeth, mother of John the Baptist, heard Mary, she exclaimed to her young relative, “Blessed are you among women…!”

And so Mary was, without a doubt, eternally blessed to be the mother of the Son of Man. And yet…

Take a moment and mull over the temporal implications of her blessing.

Now the birth of Jesus Christ took place in this way. When his mother Mary had been betrothed to Joseph, before they came together she was found to be with child from the Holy Spirit.
(Matthew 1:18)

From a social standpoint, Mary’s obedience to God in this matter of motherhood was nothing short of annihilation for the reputations of both herself and her family.

An unmarried woman showing up pregnant was simply not acceptable in her culture. If no one believed her story about an angelic messenger and the Holy Spirit and the miraculous virginal conception (and honestly, would you believe your daughter or friend?), well then she was in serious danger of a grisly and uncomfortable death by stoning.

From a socially acceptable standpoint, her best bet was to appeal to her betrothed and ask him to claim the child as his own. Of course, she would be asking him to discredit himself as a Torah-observant Jew and a citizen in good standing, not to mention critically injuring both his reputation and his business… and his ability to care for her and the Child.

This scenario leaves only the ticklish business of convincing her future husband that the pregnancy is an actual miracle; a pregnancy without promiscuity, if you will.

Evidently, however, Joseph did not initially embrace the joyous news:

And her husband Joseph, being a just man and unwilling to put her to shame, resolved to divorce her quietly.
(Matthew 1:19)

Once Joseph received his own angelic visitor and was convinced that his bride-to-be was honest in her claims to virginity, the social stigma would have still remained and made life in their community less pleasant. I have to wonder if they were not somewhat relieved to take the journey to Bethlehem and so escape being the prime source of juicy gossip around the town well…

At any rate, we’ve only touched on the social ramifications of this blessing. There were many others.

Besides the likely scenario of being ostracized by her community, Mary, who was blessed among women, relaxed in the comfort of a well-stocked minivan as her husband drove the couple-hour trip to Bethlehem where they promptly checked into the region’s most renowned birthing center.

No, wait… actually, she endured a long and likely strenuous trek of approximately 150 km (96 miles) during the awkward third trimester of her pregnancy. Fun. Then she gave birth surrounded by the aroma of manure and livestock, laying her newborn Son in the animals’ feeding trough so she could recover from her labor. Many years later, she was blessed by watching her firstborn tortured, maimed, and crucified for crimes that He did not commit.

Nonetheless, she was blessed.

When we use the word, “blessed,” it bears reminding that not all blessings are comfortable or convenient in the short-term. In Christ, we are truly, eternally blessed, and because of this some of our blessings may temporarily seem more like curses.

Nonetheless, every blessing is a blessing because it is preparing us for eternity with the Lord we love.

“Blessed are those who are persecuted for righteousness’ sake, for theirs is the kingdom of heaven. Blessed are you when others revile you and persecute you and utter all kinds of evil against you falsely on my account. Rejoice and be glad, for your reward is great in heaven… ”
(Matthew 5:10-12a)

And so, in light of Monday’s public proclamation of my intention to honestly give thanks to God in all circumstances, I want to share one of my blessings with you.

I am blessed with chronic pain from both migraine and arthritis in various joints, though I am still in my 40s.

Naturally, I am not precisely excited and thrilled with this blessing, but I do know my God will use it for His glory… as long as I cooperate with Him. And I will.

I trust Him, even in pain. If nothing else, it certainly makes the “friendship with the world” James warns us against less appealing!

And besides, my Father really does know what is best.

 

 

Finding Purpose in Pain

All we like sheep have gone astray; we have turned—every one—to his own way; and the LORD has laid on him the iniquity of us all.

He was oppressed, and he was afflicted, yet he opened not his mouth; like a lamb that is led to the slaughter, and like a sheep that before its shearers is silent, so he opened not his mouth.

(Isaiah 53:6-7)

It’s been a while since I’ve jotted out a migraine post. In fact, I realized my last one was in early September when I wrote about my latest dietary experiment.  In fact, today is  my 49th consecutive day on the ketogenic diet.

So how’s it going? Well… not bad. My first two weeks were like a dream. I had more energy and fewer headaches than normal, and what headaches I did have were extremely minor. In short, I felt well for several days all in a row – something that has not happened since… honestly, I don’t know. Ask my husband. He pays more attention than I do.  For me, it was enough to actually feel like doing things rather than merely muscling through the day until bedtime.

Unfortunately, subsequent weeks were not as remarkable. It is possible I had a touch of the virus that went around our house, but my usual crazy fatigue was an unwelcome visitor during the last weeks of September. October did not begin well, either, and last Saturday saw the blessed end of a 6-day-long, slowly building migraine that left me feeling perfectly wretched.

But that is all over, this week is looking promising, and I am feeling as wonderful as my first days on the diet. Hurrah! I have sworn to give it at least two more weeks before ‘cheating,’ and my cheat will be minor – a signature coffee beverage from a friend’s newly opened coffee shop.  (By the way, this is a shameless plug for the Fainting Goat aimed at my local readers…)

Now on the other side of the month-long energy drain and the resurgence of headache issues, I can honestly say that this whole experience – from the meningitis when my middle child was a few months old all the way through today – the ups and downs and all the in-betweens has been good.

I mean it. Despite the unpleasantness, it is really, truly good.

Not to sound like a nutcase, but I am thankful for the pain. Even today as I sit writing with a clear head and an inexplicably aching hip, I can rejoice in my suffering.  Admittedly, a large part of that rejoicing comes from the fact that some of it is past… but also because in the midst of it all, God reminds me to give thanks in ALL circumstances – including the less enjoyable ones (1 Thessalonians 5:18).

For one thing, as this morning’s reading in Isaiah 53 has reminded me, I do not deserve health, wealth, or prosperity. For countless past acts of rebellion against my Creator as well as for a continuing propensity to wander astray like some doltish sheep drifting mindlessly after what looks like a mouthful of greener grass far away from the Shepherd’s safe pasture, I deserve death.

But my gracious and incredible God gives me Life instead. And just so the spiritual ledger is not out of balance, He paid the penalty of my crimes with His own blood.

What’s more, He continually offers purpose in my pain. Though last week was discouraging and left me feeling physically spent and emotionally defeated, this week starts fresh, beginning with absolutely priceless time spent with a young lady, one of my part-time daughters, who also struggles with chronic migraine.

Because I can relate, she can speak freely and be understood – which I must say, is no small thing for those who struggle with an “invisible” disease. And because I love her, I am delighted to participate in the suffering so that I can encourage her as she fights through it and remind her that God is still good even when life looks bleak.

After all, if He did not spare His own sinless and perfect Son, the Radiance of His glory and the exact Imprint of His nature;  if the King of kings was not spared physical and emotional pain, why should I be? For I have sinned and fallen far short of God’s perfection, but by His grace I can share in my Lord’s sufferings – because even pain, when surrendered to Him, can be used for something glorious.

Beloved, do not be surprised at the fiery trial when it comes upon you to test you, as though something strange were happening to you. But rejoice insofar as you share Christ’s sufferings, that you may also rejoice and be glad when his glory is revealed.
(1 Peter 4:12-13)

 

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Adventures in Migrania

Today is Day 7 of yet another experiment with yours truly serving as both research analyst and guinea pig.

While I wait on my April appointment with a headache specialist, some friends convinced me to try (another) dietary approach to dealing with the fatigue and pain associated with chronic migraine. So it is that I find myself trying out a diet that flies in the face of everything I have ever associated with healthy eating: I am on a ketogenic diet.

Today is only the seventh day, and so I do not yet know if it will actually help the headache situation or not. However, the last seven days have been the best I’ve had in weeks.

I was told both by my friends and through all my research that I should expect to feel perfectly lousy for the first few days.  Dutifully, I blocked out a couple of days on the schedule and began the diet last Wednesday fully expecting to wake up on Thursday or Friday with the so-called “keto flu.”

But I didn’t. If anything, those two days were better than average for me. Who knew?

So far, seven days into eating extremely minimal carbohydrates, a moderate amount of protein, and high fat content, I find I am still feeling better than usual. Admittedly, I was exhausted and a little sluggish yesterday, but I strongly suspect that it has more to do with an enormous energy expenditure plus inadequate consumption the day before. Besides feeling lethargic, I was also hungry all day which lends credence to my theory.

I suppose a 14-mile hike fueled by a couple of boiled eggs and a handful of nuts will do that to a body.

At any rate, my first week has been promising. I haven’t had significant head pain since the day before and the first day of beginning ketogenic dining. With the exception of last Thursday and yesterday, I have not suffered the debilitating fatigue that has long been a marker of my days.

And honestly, Thursday’s crash could easily have been due to the 48-hour migraine that preceded it and I’ve already mentioned the possible cause of yesterday’s listlessness.  However, during the hike, my energy never flagged and I enjoyed every single minute of the trek.

If this works, I plan to make it a lifestyle and not just a “diet.” I’m certain I will “cheat” here or there down the road, but in all honesty, any food that becomes associated in my mind with pain becomes less desirable anyway.

For instance, I know that wheat is a killer for me. After enduring weeks of ocular migraine, a constant underlying headache, and increased severity of “full-blown” migraines following each intentional cheat or unintentional wheat consumption, I do not miss cookies or cake. I’d rather have less pain, thanks.

That being said, if there is something as simple as a dietary change, no matter how radical it may be, that could help me get off the meds and gain some of my life back, I’m in for the long haul. I’ve counted the cost and decided that even if I have to give up sweets forever, I am resolved to focus on thankfulness for all the years I enjoyed them rather than indulge in self-pity for whatever time I cannot.

As I type those words, I cannot help but note that my attitude towards following Christ ought to reflect the same principle. If obeying Him and drawing close to Him means giving up anything at all, no matter how much temporal pleasure it may bring, it is worth it. I will follow Him, no matter what the cost because He is worthy.

There, too, I have counted the cost… and both the cost and reward in Him are so much higher than mere physical well-being.

Whoever does not bear his own cross and come after me cannot be my disciple. For which of you, desiring to build a tower, does not first sit down and count the cost, whether he has enough to complete it?
(Luke 14:27-28)

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My Mind is Set

For those who live according to the flesh set their minds on the things of the flesh, but those who live according to the Spirit set their minds on the things of the Spirit. For to set the mind on the flesh is death, but to set the mind on the Spirit is life and peace.
(Romans 8:5-6)

In a candid moment, I might tell you that I am often tempted to self-pity. In truth, I have indulged in it far too often.  Of course, it could be argued that I have a good excuse to do so, for my peculiar set of issues includes migraines, arthritis in my spine and big toe joints, muscle spasms in my neck and upper spine… well, it can be a lot. Suffice to say that most days it is not so much a question of if pain is present but to what extent.

But I have learned that even the best excuses do not negate sin when it is present. When I have chosen to feel sorry for my poor little self, my Father has brought it to my attention that the root of my self-pity is self-focus. Self-focus is, of course, just a tidier-sounding name for idolatry. In short, it is sin.

In dealing with chronic pain, one thing I have learned above all else is that when my focus is on myself, my circumstances, or even the pain, it overwhelms me. I feel a bit like Peter who asked the Lord if he could join Him walking across the water – and he did! At least, he did until he took a look at the storm all around him. Then poor Peter began to sink (see Matthew 14:28-31).

When I take my eyes off the Lord and fix them on my problems, I also begin to sink into despair or self-pity. In my case, the words of Romans 8:6 are very literal – if my mind is set on my malfunctioning flesh, it leads to death of joy, of peace, of patience, and other such things.

However, if I can set my mind on the Author and Perfecter of my faith, the One who endured so much in order to set my mind free from sin, I find that my self-pity is replaced by reverence and awe. My joy is renewed. My hope is restored.

Rather than worrying about my own suffering, fixing my mind on the Spirit of God reminds me to see instead the suffering of those around me. Often, their suffering is far greater than my own, particularly if they do not share the hope I have in Christ and the undercurrent of joy in Him that is pervasive even in my darkest moments.

Gracious Father, today I publicly repent of idolatry of self. Please forgive me for every time past that I have failed to trust You in the midst of pain or difficulty, displaying a fixation on the problems rather than setting my mind on Your Spirit. You are enough for me; help me not to forget it in a time of testing. Fix my mind firmly on You, increasing my faith and giving me unwavering trust in Your name and ways. Use me – pain and all – for Your glory and let the life and peace of the Holy Spirit shine brightly through me to help those around mesunrise003, amen. 

You keep him in perfect peace whose mind is stayed on you, because he trusts in you. Trust in the LORD forever, for the LORD GOD is an everlasting rock.
(Isaiah 26:3-4)

 

 

 

Pain Chronicles: In All Circumstances

Rejoice always, pray without ceasing, give thanks in all circumstances; for this is the will of God in Christ Jesus for you.
(1 Thessalonians 5:16-18)

If living with chronic pain has taught me nothing else, at least I have learned to give thanks to God despite it.

Does this mean that I always feel thankful? No.

I wish I could say that my heart was eternally brimming with gratitude and thanksgiving poured in a continual fountain from my lips, but to say so would be a grave deceit.

Yet make no mistake: the fault is not in my God, but in me. 

I freely confess that I am not always thankful. I particularly struggle in the prodrome phase of migraine, which in my case resembles nothing less than a mild-to-moderate psychotic break. In fact, so peculiar is the flavor of despair and/or rage during a prodrome that my husband and children have been able to accurately predict my migraines for years now.

More often than not, I feel shame rather than thanksgiving for that fact.

When another prodrome has mellowed into mere pain, sometimes I find myself falling prey to self-loathing, wishing that I were a better example for the children or less of a burden on my husband or any number of other things.

However…

All of this – the good and the bad – serves only to remind me that the enemy of our souls desires to use every single circumstance as a wedge to drive us further from God and from each other.

But on the flip side, God can and will use each circumstance for good and for His glory if we will surrender it to Him.

So today, I publicly surrender. I am choosing to look past both discomfort and my emotional response to it and praise God for the valuable lessons I have learned and for those I am still learning in the school of pain.

I am thankful for my weakness because it forces me to rely more on my God.

I am thankful for for crazy mood swings because they remind me that my salvation does not depend on how I feel but on what my Lord has done.

I am thankful that having an invisible illness tends to make me weigh the motives of others with greater compassion. Perhaps that rude lady in the grocery store is dealing with a migraine prodrome, or perhaps the man who cut me off on the interstate had an ocular migraine and very literally did not see me, or perhaps the person who jostled me as I walked did so because some joint pain caused them to stumble, or…

I am thankful for my family, who put up with me when I’m not sure I would put up with myself.

I am thankful that my God is bigger than pain, particularly since in the mix of arthritis, back and neck issues, migraine, and stomach trouble from too many years of carelessness with NSAIDs there are very few days where nothing hurts.

I am thankful for a husband who is patient and kind – even when I am not.

I am thankful that my Lord Jesus chose to experience both the physical and emotional aspects of pain by walking in His creation as a man. Let that sink in a minute. Lord, every time we feel pain or suffer, remind us that You have shared in that experience by Your own deliberate choice and praise You for Your compassion.

I am thankful He chose to pay in full the cost of my sin even though I did not deserve it and even though I continue not to deserve it.

I am thankful that because He did, I am not a slave to either pain or any emotion generated by it, and I am equally thankful that He is patient with me when I forget that I am a free woman and drag around my rusty old chains once more.

I am thankful that He does not need me, but that He still allows me to participate in spreading the word of His goodness and glory even though I have often made a mess of things in my silly little attempts.

Even in the midst of circumstances that tempt me to knuckle under to despair, I intentionally (and maybe even defiantly!) give thanks, because despite the unpredictable flux of my mental state, the Rock of Ages is steadfast and His love endures forever!

 

Migraine

“Life is pain, Highness. Anyone who says differently is selling something.” — Dread Pirate Roberts aka Westly;  The Princess Bride

For some people, this is not just a clever line from a movie; it is quite literally true.

There are many “invisible” illnesses (ie- Lyme disease, MS, lupus, et al), and while I’ve known several people who struggle with them, there is one that I am very – one might say intimately – familiar with: Chronic migraine.

For the last 12 years, I have been dealing with a poorly-understood headache condition that is most commonly diagnosed as chronic migraine, although I have also received diagnoses of cluster headaches and occipital neuralgia (which really just means pain at the base of the skull and is more a description than a diagnosis) and even trigeminal neuralgia (which, again, just means pain in areas supplied by the trigemnial nerve).

But the one diagnosis that has dogged me persistently is chronic migraine, meaning 15 or more headache days per month. I cannot describe it better than the headache specialists at Johns Hopkins already have, so I will quote from their website:

Most migraines typically last a few hours to a couple of days and respond well to specific treatments. However, in some patients, The migraine is particularly severe and long-lasting—and may even become chronic, occurring continuously for weeks, months, or even years on end. If improperly managed or left untreated, intermittent migraines may essentially transform into a chronic daily headache, with continuous and smoldering symptoms that periodically erupt into a “full-blown” migraine.

That’s pretty much my life in a nutshell. And I have learned to cope.

Although I have mentioned migraine in the past (here and here and here for those who are interested), it has been rare for me to dedicate an entire post to nothing more than migraine (except, perhaps, for a serial post about being thankful for the lessons of migraine beginning here although I didn’t re-read the entire thing because, well… I’m currently fighting a migraine).

In the main, I’ve avoided it because I do not want to fall into the habit of complaining. Recently, however, I’ve found that discussion of the problem with others who suffer or who care for a migraine sufferer can be useful, even helpful, so long as I am careful not to merely moan and groan but point to tips and tricks I’ve learned or how God has used an unpleasant circumstance for His good and glory (which He has many times).

So after a couple of suggestions from friends new and old, I think I’m going to try something new on here. On the off chance it gives hope to one person or makes a single soul feel less alone, I am going to dedicate Mondays on this blog to a discussion on migraine. May the Lord set a guard over my… ah, over my fingers, I suppose… and use this space and discussion for His purposes and glory, and may I resist any temptation to whine!

As always, I welcome any comments, feedback, sharing of your own migraine stories, or whatever else you may wish to say so long as foul language, insults or derision aimed at anyone else, and so forth are avoided.

So starting Monday, look for a post about what migraine is… and what it is not. Perhaps, even, we can pray for one another that God may be glorified either because of or despite migraine. Certainly, we can pray that God may bring comfort to those who suffer without His peace.

Blessings to you!

Bear one another’s burdens, and so fulfill the law of Christ.
(Galatians 6:2)

**Update July 2017: Although I had fully intended to write about my migraine journey and the spiritual lessons therein each Monday, in my real life of teenagers, work, church, and everything else, it is not happening.

It would seem that actually coping with migraines and the associated fatigue, brain fog , etc., etc. does not necessarily lend itself to such ambitious aims. So instead of every single Monday, I will just put every migraine-related post in a category (cleverly called “migraine”) where interested parties can find these posts and read them at their leisure… 

Thanks!