Guest Voice: Living with MS in what people think is a post-COVID world

Although I feel unsafe, I understand why many have moved on from masking

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by Anne Rosales |

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A portrait of Anne Rosales.

Anne Rosales. (Photo by Annie Barnett Photography)

Anne Rosales is a mother of three grown children, grandmother, and community volunteer. She was diagnosed with multiple sclerosis (MS) in her mid-50s. She holds a Master of Business Administration from Stanford University and is a certified aging-in-place specialist. Rosales blogs about midlife health and wellness at JubilantAge.com.

Have you noticed? COVID-19 is over. Finished. Most people in the U.S. have stopped masking. Life is back to normal.

Only itā€™s not.

For those of us whoā€™re immunocompromised, the post-COVID-19 path is unclear. Like many people with MS, I take a B-cell-depleting therapy, and that can diminish the effect of the COVID-19 vaccine. I hope being fully vaccinated will enable me to fight COVID-19 if I get it, but no one knows for sure.

Here are my thoughts on living with MS in a post-COVID-19 world.

Feeling out of place

It feels weird to be one of the only people still masking indoors at busy places like the grocery store. I worry that others will think Iā€™m out of touch ā€” or worse, that Iā€™m paranoid. Iā€™m not even sure Iā€™m helping myself. How much protection does a mask provide me if no one else is wearing one?

I feel like Iā€™m back in high school, making decisions in the face of peer pressure, wishing I could just fit in. I have to remind myself that, actually, I donā€™t fit in. I have a weaker immune system than most people around me.

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My post-COVID-19 rules

To make my choices simpler, I created some rules for post-COVID-19 behavior. My husband also follows them because heā€™s in close contact with me. For example:

  • We mask in public places indoors.
  • We avoid large crowds.
  • We wear masks in airports and on planes.
  • We donā€™t bother with masks when we dine out or see friends at home.

Rules like these put my COVID-19-related decisions on autopilot. I donā€™t evaluate the health risk of each situation but merely stick to my plan.

Donā€™t judge my choices and I wonā€™t judge yours

My personal guidelines arenā€™t perfect, and I donā€™t practice them perfectly, either. At the same time, they help me feel Iā€™m doing what I can to protect myself while still rejoining the larger world.

Earlier in the pandemic, I judged people who flaunted mask mandates. I considered those who wore masks below their noses or used them as chin warmers to be selfish and ill-mannered.

But now Iā€™m learning to let it go. Iā€™m trying to take responsibility for myself and not worry about othersā€™ choices.

Obviously, this is a good lesson for other areas of life, too, but it’s not so easy to do!

A portrait of Anne Rosales flinging away her surgical mask.

The U.S. Centers for Disease Control and Prevention recommends high-risk people wear masks when national hospital admission rates are high. (Photo by Annie Barnett Photography)

Balancing competing risks

As someone whoā€™s immunocompromised, I often feel like others are so focused on resuming life as they knew it before COVID-19 that theyā€™ve lost sight of people like me.

Sometimes I think self-isolation might be the only way to stay healthy.

But Iā€™ve decided to weigh my risk of infection from being with others against the risks of loneliness and depression from spending too much time alone.

Thus, as COVID-19 rates slow and disease severity lessens, Iā€™m gradually reconnecting with my community.

As you consider how to live with MS in a post-COVID-19 world, donā€™t give up ā€” and donā€™t give in, either. Balance the competing risks you face and choose your own path forward.

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