With MS, it’s OK to let people see the unedited version of ourselves

I tend to hide my rough drafts, but there are reasons, some good, to expose them

Benjamin Hofmeister avatar

by Benjamin Hofmeister |

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Last week’s column almost didn’t happen. I’m trying out a new-to-me medication for cognitive issues, and it affected my writing process.

About halfway down that medication’s list of possible side effects was “abnormal dreams,” reported by 10% or less of users. As luck would have it, I’m in that 10% because I’ve had some impressive ones. Nothing scary, but nothing particularly enjoyable, either — just long, memorable, and very, very detailed.

You might think that those long periods of rapid eye movement, or REM, sleep mean that I had some restful nights, but you’d be wrong. After each dream, I spent about three hours awake, and then repeated the cycle until morning. That pattern, combined with a few other side effects along with my usual multiple sclerosis (MS) fatigue, led to a couple of particularly hazy days.

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Fortunately for me, that only lasted for the first few days I took the medication. Unfortunately for me, it showed in my writing. What I’d written looked less like a column and more like a collection of words assembled under threat, and very much against their will.

My usual method is to flesh out a column three or four days before it’s due, then review it about 24 hours before the deadline, make any necessary changes, and turn it in. Last week, when I opened the document to review, I wondered who exactly had written it. Entire sentences were missing, and there were multiple examples of incorrect or even inappropriate word choice. You should be glad you never saw the unedited version; it would never have survived the editing process.

My ‘unedited’ life with MS

Like the original version of that column, so much of my life with MS is never seen by the average person. What the majority of people see is the edited version.

I’m not sure exactly why that is. I’d like to think that I hold on to myself so tightly because I want to shield people from what might scare them. However, I’m beginning to think that I might be the one who’s afraid of letting anyone know what my life is like when it’s unedited.

What is my rough draft? Believe it or not, my readers get to see a somewhat more realistic version of me, but it’s probably because they’re also intimately familiar with MS. Still, readers here only see a 400-to-800-word snapshot each week. The truth is that I’m every bit as angry, frustrated, tired, and even depressed at times as anyone with this chronic disease. Edited can be dishonest, and even though I sometimes might be a little dishonest, I don’t want to be.

Who gets to see and connect with my honest self? Sadly, it’s the people who are around me the most, which means the people closest to me, the people I hold dearest. It often seems like my family suffers as much from MS as I do. After all, if I’m going to lash out, it probably won’t be to a stranger. Unedited may be honest, but it can also be cruel.

Conversely, my healthcare team, doctors, nurses, and therapists sometimes get the edited version. That’s wrong, too, because they’re the ones who need to see a real picture of me. I don’t know how many times I or my wife, who is my caregiver, catches me telling a provider that I’m doing well when it’s pretty obvious that I’m not.

I’d like to think that’s because I read all my own medical notes, and the truth often hurts to see in official writing and makes me want to edit what I present. It hasn’t always been this way, but today I try to be honest with healthcare providers because being unedited leads to me receiving the best care possible.

I wonder if my reticence to present my unedited self is just my pride and ego getting in the way. Am I afraid someone might feel pity and that it’ll grate on me? Maybe I’m afraid that if someone feels sorry for me, then I will, too. I still do sometimes, and I’m ashamed every time even though I’d be the first to tell someone with MS that it’s OK to feel sorry for yourself sometimes.

Unedited can also mean giving yourself grace — and being able to accept it.

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Note: Multiple Sclerosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Multiple Sclerosis News Today or its parent company, Bionews, and are intended to spark discussion about issues pertaining to multiple sclerosis.

Mary Preston avatar

Mary Preston

After 40+ years with this disease, I am just lately letting people see the unedited version of me. I hid my disease for so long while I was working, up till about 5 years ago. I used a cane, but always said I had "mobility" problems. Now I use 2 canes or a walker whenever I leave the house. In the next few years I may have to upgrade to a scouter/wheelchair to keep myself safe. I am finally telling people I have MS and some days I just can't hide what is going on. I now have 1.5 spastic legs and one bad foot drop that drags. This disease can drag me down some days but I am still winning the fight! I enjoy your articles very much!

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Benjamin Hofmeister avatar

Benjamin Hofmeister

I wonder if I was more edited when my disease was more invisible? Invisible to others it was never invisible to me, but I think I tried to edit it more when I didn't have something obvious to the Casual Observer.

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Lisa Kandel avatar

Lisa Kandel

I am usually edited at work and with my family. But they know when I feel not well. They can tell in my voice or just by looking at me. Today was the first day actually that I was honest with my boss who asked how I was feeling. I told him I felt like crap all week and that I was trying to be positive. Most people at work don't ask how I feel which I just attribute to people being uncomfortable with my MS. I was surprised and grateful for the question today and even more surprised that I was honest about how I felt. I usually don't like people to know, and you can't tell just by looking at me. It's kind of like you're living a lie. I've always just wanted to present well, and I know there's are so many people out there way worse off than myself. I just try to be grateful and positive. Many blessings!

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Benjamin Hofmeister avatar

Benjamin Hofmeister

I was so fortunate with work and I know it. I worked with a small Elite and close-knit group in the military, so when I got my diagnosis I was just sharing it with friends. Not everyone is so fortunate and my heart goes out to those who have to deal with the anxiety I never did.

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Kathy avatar

Kathy

This article is exactly so true. It is what I do all the time since my diagnoses on 9/12/2001. Yes, the day after 9/11.
Still to this day, anyone asks how are you, my response is I’m okay.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Kathy! Since our definition of okay is so flexible, I don't actually feel entirely dishonest when I say it.

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Foofs Widow avatar

Foofs Widow

I smell what you are stepping in brother!
I have had MS for over 35 years now, have had it since my early twenties. It caused me to have to leave my accounting job that I loved due to constant cognitive problems. I am in the SPMS phase of life with this fun and unpredictable ailment. I refuse to let it get me down (except when I fall) because I think when we give up, the devil wins. God is stronger and I will always lean on Him when life gets tough. I am currently on no injections, infusions or pills for my MS. I take meds for several annoying symptoms including pain and spasms. I would like to ask you what you are taking for the cognition issues? I would like to address a cognition medication with my neurologist as I would love to have some kind of treatment for this issue. For example this comment alone has taken me about 30 minutes to make. I am not too worried about the dreadful dreams because I do not ever remember what I dream about. I feel that any kind of help that is available would be worth trying. I pray that your journey on this medication will improve and that it will help your cognitive abilities greatly. Be well and God Bless. Thanks 😊

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Benjamin Hofmeister avatar

Benjamin Hofmeister

They

The medicine they gave me to try out for cognitive decline is called Aricept. There's a generic available which is the one I'm actually taking. It seems to be working, but it bothers me a little that it is technically an acetylcholinesterase inhibitor which is exactly what nerve gas is (just in much stronger doses). It shouldn't really bother me though since just about everything I take would hurt me if I took a stronger dose.

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