What not to say to someone grieving their multiple sclerosis

Even well-meaning words can wound by minimizing our mourning process

Benjamin Hofmeister avatar

by Benjamin Hofmeister |

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If I were to ask a random person to name the favorite catchphrase of Charles M. Schulz’s character Charlie Brown, the answer would almost invariably be “Oh, good grief!” Although Charlie used it for any number of situations and possibly in place of something stronger, he may have had a point.

Now, I personally don’t use the word “good” very often when describing grief because it’s a little hard for me to think of it that way. I prefer “healthy” or “natural” grief instead. But the reality is that the process of grieving is actually a good thing.

Until I was diagnosed with multiple sclerosis (MS), I thought the grieving process applied only to those who’d lost a loved one. I’ve since found that life with the debilitating symptoms of an incurable disease comes with feelings of loss that are another form of grief, and just as valid.

National Grief Awareness Day on Aug. 30 is designed to help us acknowledge and understand this set of feelings. Rather than focusing on what to do to support someone who’s grieving, I’d like to focus this year on what not to do, or specifically, what not to say.

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My thoughts on what not to say could be applied to any type of grief, so when I found a recent Verywell Mind article on the subject, I had an easy time applying a few of its points to life with MS. I’m not implying that people shouldn’t support me or attempt to cheer me up as I grieve. I just want to make the point that there’s a wrong way to do that, so I’d like people to stop saying the following:

“I know how you feel.”

My answer to those words would be “No, you don’t,” because everyone’s MS experience is unique to them. Even if we both had the same type of MS and the exact same symptoms for the exact same amount of time, I’m a unique person and deal with all of it differently than anyone else.

Further, when anyone says they know how I feel, I infer that they think I’m suffering the wrong way or not suffering as they would. Besides that, I don’t want anyone to feel exactly as I do because it doesn’t feel great, and despite my otherwise having a good life, I wouldn’t wish multiple sclerosis on anyone.

Here’s another: Even though I know what they mean, I don’t want anyone to tell me, “At least you had time to prepare.” I’ve had four shoulder dislocations. The last three happened suddenly and were painful, but those don’t compare to the first, which happened during my Army training.

With that one, my watch and wrist became tangled in the lines of my parachute. Once I was on the ground, a gust of wind hit the parachute, stretching out my arm and popping my shoulder out of its socket. It may have been more psychologically than solely physically painful, but I can assure you that watching something happen slowly and not being able to stop it was definitely not less painful than having it happen quickly.

That segues nicely into my next point, which is to please stop telling me, “Be strong.” Compared with a physical and visible injury like a dislocated shoulder, grieving over a lot of invisible symptoms may seem strange. But when what we mourn is unseen, the pain is also invisible. And whether pain is seen or unseen, it’s hard to be strong and hold it all together when what I need is to fall apart and grieve naturally.

Finally, please don’t tell me, “You need to move on.” Whatever a person means by that statement, I feel it minimizes my experience. No one “moves on” from grief. It’s a lifelong process and doesn’t have a stopping point. As people learn to handle grief, it may seem to go away, but it never really does. When trying to process a disease that changes as frequently as MS does, there’s absolutely no moving on or getting over it.

If I sounded overly harsh in my responses, it’s because I still have some guilt. I picked those four points from the website because I’ve said all those things myself. My words here are advice for anyone who doesn’t know better — and chastisement for myself.

Let yourself grieve your multiple sclerosis, and encourage those nearby to allow you to do it.

If you haven’t already, I encourage you to join the forum on this website. We can chat there about this topic or any other you want to discuss. I look forward to seeing you there.


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.

Lisa Kandel avatar

Lisa Kandel

I do feel like I grieved when I moved in to secondary progressive MS. It took a while for me to get adjusted to my new norm, but I believe I've done it. It's taken over two years, but I'm at peace with it. I was at the neurologist office yesterday and he told me I had a lot of lesions on my brain. Normally that would have sent me in to a tailspin, but I was just grateful I had no lesions on my spine. God is sovereign over all so I'm not sweating it. Have a blessed day and be a blessing. May God be with you!

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thank you as always Lisa! I think I do better adjusting to my new normal... if it ever stayed normal for more than a month tops LOL

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Karen J Rippens avatar

Karen J Rippens

Thank you. This is so good. I would also love an arrticle on other things not to say to someonw with MS. My "favorite" is when I tell someone I have MS they reply with "I'm sorrry", as if I was dying. The best response to this I have ever been able to muster is silence and a dark side-eye.

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Ian R avatar

Ian R

But they are right. MS reduces life expectancy by 7-10 years on average.

The EDSS scale states that:

9.5 in bed but you can’t communicate, eat or swallow

10 death due to MS

For most people death comes after 30 - 40 years after diagnosis. Survival rates should improve with better treatments/ care. Only a couple of months ago a footballer died of MS aged 45. He’d had MS for ten years.

I think MS should be treated more seriously - like cancer. It’s a pretty awful disease.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Karen! Right after I was diagnosed an acquaintance heard me talking about it with an army doctor and asked what I had. When I said multiple sclerosis he went pale and asked how long they were giving me. I had to shake my head and say that it's not fatal. He didn't wanted to know if it was the same thing that Michael J fox has and I had to shake my head again and explain that Parkinson's is totally different. He then assured me that he knew what I was talking about and asked if I'd considered bee sting therapy. At that point I had to point out that 5 minutes ago he had no clue what I was talking about but now felt informed enough to offer me alternative medical advice.

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Tom A avatar

Tom A

They tried that in the mid 90's. Didn't work.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

You would not believe some of the things that people have suggested I try..... actually, wait a minute, you probably would.

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valantin Solyman avatar

valantin Solyman

Well, I am glad I read your column, I actually read it always. Now tell me about 4 things that you wants us to tell you. I am asking this because my son David has MS and sometimes I wonder what to say or not to say.
Thanks
Val
PS: I do really enjoy your writing.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Valentin! Close family or any caregiver might just be excluded from my advice. It's really about the way a suggestion is delivered, but in general, I wouldn't want anyone to give me advice unless they were 100% committed to helping me see it through. What I mean is, there's a big difference between a stranger suggesting I just try harder and my wife suggesting the same thing, because I know she's actually going to help me try, or know when I'm at my limit. Those closest to me also get a break, because they are more inclined to know what motivates me and when. My wife knows when to challenge me and how to and maybe more importantly when it's not the right time to use that approach.

I can see I'm going to have to write another column just on that. Thanks for the inspiration

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Leslie Pinsky avatar

Leslie Pinsky

Loved your article tremendously! Tell it like it is. I’m so glad you’ve kept your sense of humor. I also enjoyed your sarcasm. Are you from NY? Lol
I share your illness. I’m going to share your article with my family. They never ask how I’m doing

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Hi Leslie, no I'm not from New York unless you count the several months my family lived there before moving to Pennsylvania after they immigrated from Germany. Sarcasm is a second language in my family regardless.

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Jyoti Ronghe avatar

Jyoti Ronghe

I am living with Secondary Progressive MS since 1998. 63 yrs old

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Hi Jyoti! Thank you for reading and taking the time to comment! I sometimes wonder if I started off as relapsing remitting and only was diagnosed after it changed to secondary Progressive, or if I was really Progressive from the beginning. In the grand scheme of things, I suppose it really doesn't matter, but I wonder anyway.

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Ian R avatar

Ian R

Thanks Ben,

As a fellow MSer I know how you feel. I’d suggest you need to move on.

All the best

I

PS Be strong

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Cheers Ian 😆.......and good grief!

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Ian R avatar

Ian R

I was trying to make the point that I’m not too bothered about what people say or don’t say to me. For most MSers, their concerns are: when will I need to use a wheelchair?; when will I have to give up work?; will I see my kids graduate / marry? When I limp along with my crutch, I often get asked by strangers “are you waiting for a knee replacement?”. I just nod. No offence taken, just wish it was true. MS bores me to death and the last thing I want to do is bore a stranger or anyone else. At 60 years old, I’m following the approach of my relatives who had to endure the Blitz or fight in France. No moaning, no support groups, no therapy or CBT… They just got on with life as best they could. I couldn’t think of any thing worse that joining an MS support group. Note: these are just my views.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

You made your point well. It's actually fun to throw an MS pun or two back and forth. Thank you for indulging me.

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Sharon avatar

Sharon

I live near Talladega and have had MS approximately 20 years. It still changes daily! I have seen many become completely crippled or in a wheelchair. I have some bad days but an truly blessed to live a pretty normal life. I thank God for giving me daily strength.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Hi Sharon, thanks for the comment! Wow you're just down the road! You are so right, it changes daily if not hourly and a normal life, or at least a good one is a blessing not to be dismissed.

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David Bottomley avatar

David Bottomley

From a felllow MS person(71 year old male living in Scotland ) this is just to say that I am a great admirer of your inspiring columns and your frank honesty. ( I was diagnosed 18-19 years ago with RRMS )

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Julia avatar

Julia

Ha, just this afternoon as i was paddeling along on my tricycle in the citycentre, three very clean-cut, well dressed but slightly conservative looking boys stopped me. They informed me (in dutch!) that jesus had a plan éven for me, (am i lucky or what?) That god would look out for me. And if they could pray for me. NowTHÀT is a very good example of something i dont need to hear, going around my day, minding my own business, having ms.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Julia! That exact thing is covered on the website I took my ideas from.

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Julia avatar

Julia

Hey benjamin,
I must check it out sometime then!
Keep up your good work, it's a relief and delight

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Helen Dimmer avatar

Helen Dimmer

Thanks for bringing this out! I've felt for some time that I was failing God and my relationships with not being able to move forward to the degree that I think others expect of me. I was diagnosed in 2019 with PPMS; then the pandemic hit and a few months later, when all the hospitals were not allowing visitors even for those patients who were dying, my husband had a sudden brain hemorrhage and was summarily diagnosed with glioblastoma. He died in 2021, two months after I was given full, permanent disability. When you say that grief never ends, that's true, and it was reassuring to actually hear that from someone. I've never been someone that was self-centered, so I wake up every day and could be just as happy with not waking up. It's an odd existence, but while I'm here, and since I am still waking up to another day, I try to have a good outlook, but I feel like I'm just going through the motions. Thanks for giving voice to this unseen, daily challenge!

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