The Parts of My Chronic Illness You Don’t See

It’s easy to be a person on the outside, making assumptions. I get it. I’ve been there and am still there to some extent. We see what’s in front of us and formulate our beliefs based on our observations. It makes logical sense. However, when we judge the surface without understanding what’s going on inside, we fail to grasp the full picture.

One of the happiest times I had at the beginning of treatment! My boyfriend, Jonathan, came over and we ate dinner on the patio. I was feeling good as the antibiotics and supplements were kicking in right away — still had some physical pain, but was feeling great emotionally! What you don’t see is that just a few days later I was in deep depression and was about to give up on everything. Those who saw the happy picture on social media probably thought I was better, but in reality it was just a small moment of feeling better amidst a sea of hard days.

EVERY. SINGLE. DAY. I have other people make observations about how I look and then formulate opinions about how I must feel. They then go on to tell me how I must be feeling based on my appearance. Some days, they are correct, but a majority of the time my outer shell doesn’t begin to express the pain beneath it.

Because I truly believe that most people are well-meaning, I try to brush it off. But, it’s not that simple. The neurological symptoms of Lyme have left me with crippling anxiety and depression. I get so anxious about what other people will think that I sometimes lie to myself and to them; I tell them I’m feeling well because those are the words they already put in my mouth. I submit to their opinions because I don’t want to be judged for still being sick.

This eats me up inside as I face other guilt because as a person of faith, I believe in honesty. I don’t want to pretend, but it feels like those around me want to put me into a box — a box I cannot seem to escape.

I try to share honestly on social media and through writing because I want to bring awareness to Lyme Disease and other chronic illnesses. Before my health took a major decline and I realized that my problems were caused by more than just a lack of sleep and imperfect eating habits, I was completely naive. I had no idea that chronic illnesses caused such debilitating symptoms.

So, what don’t you see when you look at me?

A lot. I truly wish I could let you live in my body for just one day to understand the continual roller coaster. I know we all have ups and downs, but this is different.

You don’t see the pain of all types that migrates around my body.

You don’t see my limbs falling asleep, leaving me unable to walk at times.

You don’t see my hands hurting so badly that sometimes I cannot even hold a book.

You don’t see the insomnia — either being unable to fall asleep in the first place or waking up in the middle of the night and being unable to get back to sleep no matter how many good sleep habits I implement.

You don’t see the headaches.

You don’t see the jaw pain that hinders my eating.

You don’t see the intense planning I have to do just to go about my day. From the 60+ pills I have to take to the schedule for taking them, it’s a lot of work just to live.

You don’t see the emotional struggle I’ve had as I’ve been forced to release attachment to my favorite foods. Finding out that Lyme has wreaked havoc on so many systems of my body has been hard to handle. After getting testing done, I learned that I’m intolerant to gluten, dairy, soy, eggs, peanuts and a few other things. I’ve had to relearn to eat and it’s been challenging.

You don’t see how my body is cold all the time (well, unless you work with me, then you see the space heater and blanket).

You don’t see the way my desires have changed as I’ve lost interest in most things I used to like.

You don’t see the stuttering. It’s bad. When I get tired in the evenings it generally happens. My brain has thoughts I want to express, but they don’t come out in the right way. I get frustrated and upset. Those closest to me are gracious during those times, but it’s still painful. It still hurts.

I was so excited to hold my baby niece, Elise! Being an aunt is wonderful. What you don’t see in this picture is that while I enjoyed holding her, I was only able to do so for about five minutes before my arm hurt too much and I had to give her back to my sister.

One of the worst things is how fast symptoms change.

Unless you are close to me, you probably aren’t around enough to notice this, but the symptoms change quickly. I can be feeling pretty good and think it’s going to be a great day, only 20 minutes later to find myself nauseated and about ready to throw up.

My mood may be positive one moment and then five minutes later, I start crying for no apparent reason. I sometimes have to just let the tears flow.

Probably one of the greatest examples of how looks are a bad indicator of my overall health is during times when I’m out and about at community events. I could have had a decent day, so I choose to go out to a street fest downtown because I just want to feel normal.

At the street fest, I see people I know and can hold conversations with them (a big success to actually hold a conversation and enjoy it — this is not always possible with Lyme!). What usually happens later, though, is after walking for a bit, I grow tired. This isn’t just your regular tired. I know my Lyme-ridden body well enough to understand that this means things will quickly stop working.

I do my best to make it back to my apartment and then struggle to climb the stairs. By this point, the stuttering begins, making speaking nearly impossible. I am out of breath. My whole body hurts and lying down is the only thing that will help.

I know that my body could only handle a small piece of the event before being too tired to keep going, but those I was interacting with only saw the good side of me.

They only saw the “normal” Emily. The one who can carry a conversation, who can enjoy life and have fun. They didn’t see the aftermath of trying for a small moment to be like everyone else. They don’t know that going out to the street fest was the only time I left my apartment all weekend. The rest of the time was spent either on the couch, in a detox bath, or in bed.

I share my story and the side you don’t see because people with chronic illnesses are misunderstood.

Others think they can’t really be that sick if they are out getting groceries or socializing. In reality, they might not have anyone to help them buy their groceries or maybe they just needed a small window of interaction with the outside world. Even if you have the same illness as someone else, you still can’t fully comprehend what is going on in their mind and body because each of us is uniquely made. Illnesses affect everyone differently.

We should all remember that there’s more beneath the surface. Outer appearances only tell so much.


Emily Lofgren writes about reconciling faith and life’s current struggles. She was recently diagnosed with Lyme Disease and is passionate about educating others on the effects of chronic illness. Grab your free copy of her eBook Finding Hope Through the Fog. You can read more at her blog. Also find her on Facebook,Twitter, and Instagram.