Managing chronic pain on the 12+ hour flight to New Zealand

Since developing chronic pain that accompanies an autoimmune condition, I’ve continued to indulge my love of travel, but learned to adapt my bookings and my belongings to minimize pain and maximize comfort.

 

Flights of six hours or so are regular occurrences for me and my family. I’ve had a couple of very painful trips of this duration, but, more typically, I can tolerate them by adjusting my medication slightly and employing a few aids such as wrist braces, inflatable cushions, and hot water bottles.

 

This winter, I faced the longest single flight I’ve ever taken: 12 hours and 40 minutes just for one leg from Los Angeles, CA to Auckland, New Zealand. The combination of traversing the United States from our New England home (6.5 hours), crossing the Pacific (12.7 hours), then connecting to our final destination of Christchurch, NZ on the South Island (1.4 hours) made for a total time in the air of 20.5 hours.

Of course, one must also add to that total the requisite airport waiting time required by international flight connections, customs, security, and the necessity of allowing adequate buffers in case of delays. At least two full days of my calendar were bound to be eaten up by this voyage in each direction.

After considering many options, I elected to travel in two distinct stages for both directions of travel. This meant parting ways with my husband entirely for the domestic portion of our trip. His schedule doesn’t allow for an unnecessary day spent in transit where tighter connections are possible.†

I was away from home for a total of fourteen days; DH, by taking his domestic and international flights serially on the way out—and heading home on a red eye straight off the international leg—traveled for twelve days.

Though this post isn’t really meant to be a trip report, it must be said: even two weeks is barely adequate for visiting the antipodes. If you can squeeze more days out of your schedule, use them for a trip of this magnitude.

New Zealand is awesome, and well worth every hard won vacation day.

My itinerary outbound:

BOS-PDX on Alaska Air 33, Saturday 16:20-20:10

Three night stay with family in the Pacific NW

PDX-LAX on Alaska Air 568, Tuesday 10:50-13:22

LAX-AKL on Air New Zealand 5, Tuesday 21:40-Thursday 07:20*

AKL-CHC on Air New Zealand 527, Thursday 09:00-10:20

My itinerary for the return:

CHC-AKL on Air New Zealand 574, Friday 20:00-21:20

AKL-LAX on Air New Zealand 2, Friday 22:50-13:35**

Overnight hotel stay at the Crown Plaza LAX

LAX-BOS on Virgin America flight 1360, Saturday 07:05-15:34

Itinerary adaptations to reduce pain

I’ll repeat what I feel was the single most important adaptation I made to my itinerary to accommodate my autoimmune condition and its symptoms: I took extra time.

Travel. Stop. Recover. Repeat.

Heading west, I took advantage of family who live near the Portland airport who don’t seem to mind my visits, spending three nights at their home. This sleepover gave me time to recover from the initial cross country flight and ease my body’s adjustment to a change of three time zones.

NZ Crowne Plaza LAX hotel room - 1Upon arrival in New Zealand, I had already acclimated from the Eastern to Pacific zone (USA West Coast) which represents half of the total time shock. Though the flight is lo-o-o-o-ong, most of the travel between California and New Zealand is in a southerly direction. You only drop three more time zones on that 12 hour flight.

Heading west is also usually less difficult in terms of jet lag.

Continue reading

Rushing for life experiences when chronic illness fuels your fears

I’ve had the great fortune to travel regularly throughout my life.

I enjoyed those pivotal vacation experiences of a happy middle class childhood: a couple of trips to Disneyland and bragging rights about having flown on airplanes and crossed a national border or two, if only to near neighbors Mexico and Canada.

I attended college in a different region from Home. I flew cross country at least four times a year because of this one fact. I built my desire to see the world into my educational plans, and it worked out well for me.

I didn’t even mind long distance romances in my youth, because what could offer better motivation for frequent trips? I love having a journey coming up in my calendar.

Later, working as a software engineer, I had the privilege of visiting subcontractor sites in Denmark and Spain on my employer’s dime. At the same time, I was a single, adequately employed young adult during the roaring 1990’s before the dot.com bubble burst.

For as long as I’ve had the option, I’ve traveled regularly, and I’ve enjoyed most of it. I dream of “seeing the world.” I’ll be grateful for every corner that I reach.

Yet, in spite of all this to-ing and fro-ing, there has been a certain rhythm to my rambling. At my youthful peak, I was not a high energy traveler. As a middle aged mother with a couple of kids in tow, my pace is typically sedate, and I prioritize comfort and convenience over the heights of adventure.

Looking back over our family travels, a pattern emerges. Every few years, we’ve had a “grand adventure.” How grand is Grand has changed with our finances and family status, but it’s always been a cycle of plan, anticipate, then go.

Maybe Go! with a capital and an exclamation mark expresses it better.

“But lately something’s changed, it ain’t hard to define…”* Or, rather, it isn’t hard to unearth the cause of the shift. I’m scrambling. I’m rushing. I’m tumbling from one trip to another without enough time to fully digest each experience.

Some of my trips bump up hard enough against the next that I feel more overwhelmed than anticipatory.

I know why I’m doing it, too. I’m afraid.

I’ve been saying yes to one trip after another because I’m afraid it will be my last chance to travel before I’m sidelined by infirmity and pain. Continue reading

Pacing yourself: good advice for chronic illness, and everyone else, too!

It’s been so long since my last post, subscribers and regular readers may have wondered if I fell off the face of the Earth. Fret no more! I’m alive, but I have hosted a major holiday party and traversed a healthy arc around our little blue planet.

Between the trip–which I’ll write about soon–and the annual marathon that is serving Thanksgiving dinner to 19 people, I have been running right at the edge of my available pool of energy.

I have been writing, but I haven’t finished anythin…*

If you can believe it, I have over 50 draft posts in various stages of completion. What I haven’t had is any stamina left at the end of these busy days to polish up a given post for presentation to my readers.

I think I’ve mentioned it before: I’m not a real-time writer. Or, at least, I’m not even attempting to keep up with the pace of life since this blog is a hobby for me. I’m writing about Really Wonderful Things because I enjoy it. I’m trying to keep it that way.

I feel bad when I fail to post regularly. I cherish the sharing aspect of my own blog and those I follow. Slacking off on my posting schedule of a mere two pieces per week leaves me feeling guilty, and even a little anxious.

What if I lose a lot of followers? What if I lose a favorite frequent commenter?

And this is where I have to remind myself of the reality of my situation. I’ve written about accepting my limitations in the context of travel, and I think I give myself plenty of permission to do so when away from home.

What’s much harder is to take my expectations down a notch at home. Real life is a marathon, not a sprint, but there are so few obvious places to let things slide when it comes to parenthood and caring for your family.

The thoughts sound like this:

“If I don’t make this one birthday count, it is gone forever. My child won’t have good memories of turning X years old.”

Or this:

“Extended family and a dozen friends are coming for Thanksgiving. If I don’t make it a good one, I’ve ruined a holiday for 20 people.”

There’s a kernel of truth here, but most of it is anxiety talking. I don’t invite over the kind of “friend” who would blame me for a Thanksgiving catastrophe. If I had family members who actively tried to lay down that kind of guilt trip, I would consciously reject it as nonsense.

Beneath my conscious mind, however, is the deeply ingrained message I’ve been internalizing since infancy that 1) opening my messy house to people as is tells them I don’t care that they’ve come, and 2) any failings in our family’s hospitality belong to me, the wife and mother.

I’ve put a lot of effort into inviting people over “in spite of” the usual state of our home. Life can be so hectic, and it is hard to find a time that works to see good friends; an unwashed load of towels or a project-in-progress in front of the TV can’t be allowed to block a chance to socialize with companionable souls. Those moments are too precious.

And all of that was before an autoimmune condition reduced my available store of energy from less-than-average to downright-low. At this point in my life, there are days where I choose between cleaning up the kitchen at the end of the day or eating dinner; some days, I fail to do either because I’m too tired to accomplish even one “trivial” task.

So when it comes to hosting Thanksgiving, for example, I had to choose between planning the menu and buying ingredients for the dinner (the main point of the event), or preparing a more comfortable guest room for out of town visitors. And did I mention that I was leaving town for an international trip 48 hours after Thanksgiving dinner?

Tidying the great room where we hold the party was such a distant last on my list of priorities, it was hard to even see it at the horizon.

Without a doubt, I get some flak about these failings from people who truly don’t understand how I can be taking a break on the couch when people are coming over within hours and my house “looks like this.” I know that I need that break or I won’t be able to stand on my bad foot to prepare a meal; not everyone can or will understand that point.

Honestly, I hope they never come to a point of realizing how hard simple things can be for someone with chronic illness. It really stinks. I wouldn’t wish is on my worst enemy.

Add to my list of “the hard work” of hosting a large party the effort to reject others’ unrealistic expectations for me. It may be the hardest thing I deal with at some events!

We welcome others into our homes to share time, experiences, and the very real products of our hearts. We cook for each other and care for each other because we can, and because we want to.

When I take whatever energy I have and translate that into action in real terms, it is a gift to those I love. I choose to believe it will be received that way, whether I make a fancy shape of it or hand it over in a messy bundle.

This holiday season, I hope we can all focus on why we invite others to share with us. Spend a little less effort on worrying about how you measure up! If you find yourself leaning toward the latter, back up a step and take a breath.

It’s a privilege to be free to celebrate as we see fit.

It’s an honor to host friends and loved ones in our homes, and to have more than we need to share.

Try not to go down the rabbit hole of should have and could be; be grateful to enjoy what is, here and now, and those who’ve graced you with their presence.

And, if someone makes you feel less than great for what you have to offer, leave them to their negativity and add it to your list of blessings. At least you are glad for what you have, and who you are!

I will try to do a little better about piping up twice a week and staying in touch with my followers. I sincerely wish for a season of peace, abundance, and joy to everyone reading, and everyone else besides.

Cheers!

*Quoting a cute, hand-drawn postcard I had pinned outside my college dorm room. I wonder where that card has gone…

Letting reality be good enough: enjoying travel in spite of chronic pain

Sometimes, reality intervenes between our ideal experience and one we can achieve.

Since being diagnosed with an autoimmune condition, I’ve found myself having to adjust my expectations for many facets of life. That includes my hobbies, which can be hard enough to prioritize for a stay at home mother of two.

One of my favorite things is travel. I’m not a full on globetrotter like some, but my trips—planning them as well as taking them—are great highlights of my life.

In the past year, I’ve had to cancel much-loved annual jaunts due to flaring symptoms. I’ve had to “waste” money already spent on non-refundable tickets, and I’ve regretted going on excursions for which I was in no condition to participate.

I’ve found myself asking:

Should I even try to travel for pleasure anymore now that I’ve been diagnosed with autoimmune disease?”

My answer to that question—when the flare passes, and when the pain and exhaustion have subsided—is that I should. In fact, I must carry on.

If I don’t persevere, the disease wins. If I give up what I love, I’m choosing misery over joy. I never want to live that way.

I got dealt a bad hand this time around, but it’s the only one I’ve got to play. I can make the best of it, or I can quit the game. I could just watch the other players, but what fun would that be? That’s not the life for me. Nor would I wish such circumstances on anyone else.

With that said, here are a few tips for putting some of the pleasure back in travel for a traveler with a chronic condition. Continue reading

Pain makes me less approachable; pain makes you like me less

When I’m in pain, I am certain that I’m less receptive to the good in the world around me.

A recent study showed that it is possible to diagnose depression remotely by analyzing the photos people post to social media. Depressed people view the world so differently, their acts of self-expression change.

Along similar lines, I’ve noticed that I view people around me in a different light when my chronic pain flares. I’ve caught myself cynically judging the sincerity of a smile on a woman’s face, or angry at a pedestrian for his freedom to walk presumably without pain.

This isn’t my natural personality. I have a sincere love for—and trust in the goodness of—humanity that my darling husband finds charmingly(?) naive.Untitled

I like to joke that I’m a functional misanthrope, but that’s got more to do with my introversion and some social anxiety than any real disdain for humanity. I am overjoyed by the heights of human achievement. I believe that we, as a species, will persevere and do wonderful things.

That’s my perspective. That’s who I really am.

Pain, however, distorts my every impression.

And, I’m less likeable when I’m in pain. Continue reading