Accepting What I Can and Cannot Do

The hardest part in my nearly 40-year journey with multiple sclerosis (MS) is coming to terms with the difference between what I think I can do and what I can actually do.
Unpredictability and Fatigue
Let me give you a stark example. I am sitting at my desk with a wedding invitation to which I have to respond. I am no longer just that sweet person in a wheelchair. Things have moved beyond that. Let me tell you how things feel at my end: Everything feels like it’s spinning out of control. The unpredictability of everything — particularly my level of fatigue, but also my ability to move, level of brain fog, and relentless mood swings — is now front and center, swirling around me constantly.
The worst part is that I don't have enough of a brain to deal with all this. How is it possible to not have enough of a brain? I couldn’t imagine such a thing, until I started getting tired when there was too much on my plate. The only way to remedy this is to take a rest. I cannot emphasize enough that it is important to take frequent breaks. I just never know when fatigue will immobilize me.
Accepting That It’s Just Too Much
Now the part about the wedding invitation on my desk.
How will I get a dress, get ready for the wedding, and endure all the movements that go into dressing? Or transfer from my wheelchair into a car, in the winter? And, most tiring of all, how will I deal with all the stimuli and talking to people with compromised speech and a tongue that feels like it’s wading through quicksand?
I realize that I simply can’t suck it up anymore, hoping it all works out. I choose to accept that I cannot, because I don’t really have a choice.
So I have simplified my stress and have chosen not to go to the wedding. In the long game, there are just a mountain of things stacked against me. This is unfair and I know it, but I am pretty sure I need to rise up tall and handle it. All my “responsibilities” in life have slowly been taken away, but only now am I slowly realizing what I can and can’t realistically do.
Some Relief in Saying ‘No’
This is all so difficult to accept. I felt the tiredness around just preparing for the wedding, in addition to all the rest of it. Choices like these, based on what I can realistically do, have now taken on a life of their own.
If I had my way, I would somehow plow through the difficulties and attend the event, but I can no longer do that.
Another example of an upcoming event: A group of my college friends will celebrate our 60th birthday together. We all met when we were about 17 or so, so of course I want to go. But as I thought about what would be involved in doing so, better judgment prevailed. There is absolutely no way I can attempt it. So I said no to this, too.
Things have changed for me; I am definitely fighting less.
I Found Strength in a New Mindset
It has taken a lot for me to get this far. I look at the need to hang back a bit as acceptance. These two situations — missing a friend’s wedding and missing a get-together with my classmates — are two huge things I am missing out on. One of the things I had to do to deal with this was to reframe why I was missing out: Everyone involved knows it’s because of MS, and not because of anything about me.
I have fought long and hard to make living with MS seem natural when it is not. I work twice as hard as most people do to do the same things. It is all about energy, and when I don’t have it, I look down on myself.
I just have to learn that not fighting and saving energy will give me other strength.
Once I have realized this, I have a new mission, which is to forge a new path forward. Sounds easy doesn’t it?
I am the first to admit that I am stubborn, with obsessive tendencies. But in learning to live with acceptance, I am learning to let go of unnecessary stress. The wedding situation has worked itself out with a future visit from the couple. My classmates have agreed to have the party here, so I won’t have to travel to participate.
Where there is a will, there is a way!
None of this is easy. More situations will come up, but I have to think of what is best for me.
Acceptance is not a cop-out; it's a place that has taken a long time to arrive at.
Important: The views and opinions expressed in this article are those of the author and not Everyday Health.

Mona Sen
Author
Mona Sen was diagnosed with multiple sclerosis at age 20, and she now educates others on the challenges of living with the disease. She is currently a support group leader and co-facilitator in upstate New York, where she has given numerous talks and presentations.
She earned a degree in psychology from Wells College in 1987 and a master's in occupational therapy from Washington University School of Medicine in 2007.