Guide for Friends and Family

When someone is newly diagnosed with a known, serious, and potentially fatal condition, like cancer, their community gathers together to support the patient and their family. Someone takes charge to organize meal trains, people regularly check in to find out how the patient is feeling and how the family is managing, people take the time to consider what kinds of accommodations might help the patient feel more comfortable, people demonstrate an understanding and recognition that the patient and their family is suffering and needs support.

When my dad was diagnosed with terminal cancer when I was 13, our community gathered together to support our family. Friends drove my parents up and back from Connecticut to NYC for my dad’s treatment, made sure we always had groceries and meals, made sure my sister and I had rides, and so much more.

One of my dad’s nurses once told my mom that she could always tell when someone had been sick for a long time because the number of cards and flowers would always decrease or disappear, the amount of attention that sick person and their family would receive would dwindle.

Though we were incredibly fortunate with the support we received for the four-and-a-quarter years my dad was sick, there were people who seemed to run out of stamina supporting us - and seemingly forgot to do so after my dad died.

As I’ve gotten older and have had time to reflect, I’ve come to believe that the reason for the decrease in support that so many experience has more to do with overwhelm and cluelessness than it has to do with indifference. Most of us are living very busy lives, often struggling just to keep up with our own personal needs - so adding on helping others can seem unmanageable, especially to do so long-term. I’ve also come to learn that a lot of people don’t know how to support other people and might worry that they might be in the way or intruding or generally feel insecure about how to reach out.

I think the same explanation applies for why people don’t tend to offer adequate support and understanding to those of us living with chronic conditions. I believe there’s an additional challenge in the chronic illness context because unless you are living with such a condition or you’re a regular witness to someone who is, you very likely don’t understand what our experience is.

While every person living with a chronic condition has a different experience, there are many common threads. My hope is to use this website to educate our communities about what life can be like for someone living with chronic conditions - the physical, emotional, mental aspects that can make us feel “other.”

Whether you are aware of it or not, you know someone with at least one chronic condition. These conditions are not rare - they are rarely diagnosed, and rarely talked about. I can assure you that someone in your community, whether it’s a friend, family member, colleague, or neighbor, could benefit from you learning what our lives are like and learning to show more compassion and empathy.

Suggestions

  • Check in periodically via email, text, phone calls, or in person and ask “how are you feeling today?” or “how have you been feeling lately?”

  • Recognize that, depending on how we’re doing, we might take a while to respond to you and that our preferred mode of communication may change. When I’m fatigued or struggling with vocal dysfunction or recovering from a flare, talking on the phone isn’t an option and I’m more inclined to communicate via text or email. Consider asking what the best way to keep in touch is.

    • Ex. “Hi friend, I wanted to check in and see how you’re feeling. No pressure to respond, just wanted to let you know I was thinking about you. Let me know if you need anything and how I can support you.”

  • Keep in mind that someone can feel okay one minute and lousy the next, can look amazing and feel horrible, can be able to do X activity today and unable to do X again tomorrow, can be able to do X activity and unable to do Y, and may not be able to predict what they’ll be able to manage in advance.

  • If you extend an invitation to someone with a chronic condition, and the person frequently says “no,” don’t give up.

    • Consider asking the person: “is there something about doing X that isn’t manageable for you and, if so, what would be manageable for you?” or “how can I help you to not push yourself too far?”

    • Consider saying: “I understand that your energy is low/you may not be feeling great, so don’t worry if you need to leave early/change plans/cancel last minute.”

  • Create an environment where your chronic condition friends or family can have the option to:

    • Sit down, lie down, lounge, stand up, wiggle, stretch, shake, roll around on myofascial release balls, put legs up the wall, do other weird-ish looking things that are absolutely essential for getting through the day

    • Bring their own food and water

    • Request that guests refrain from wearing scents

    • Arrive late, leave early, come and go as necessary depending on their needs

  • Create a scent-free environment. Products to avoid or inquire about include: cleaning products, beauty products with natural or synthetic fragrance, perfume, cologne, air fresheners, flowers with fragrance, smoke, incense, essential oils, food ingredients with strong scents (i.e., onion, garlic, cilantro, hot peppers, etc.).

  • Many of us with chronic conditions are also immunocompromised and need to be particularly careful with our exposure to viruses and infections. Please keep that in mind when planning events. Consider organizing events that are outside and not crowded whenever possible, and requiring masks and HEPA air filters for indoor events.

What (not) to say…

  • If I say...

    I have brain fog.

  • Don't say...

    I can’t tell, you seem fine.

  • Do say...

    That must be frustrating, exhausting, hard.

    Feel free to slow down or take a break if you need to.

  • If I say...

    I feel sick, in pain, terrible, etc.

  • Don't say...

    But you don’t look sick.

    You look so healthy.

    You’re too young for that.

    But you’ve accomplished so much - you couldn’t have done so if you were as unwell as you claim.

    Get well soon!

    Have you tried [yoga, therapy, pain killers, etc.]?

  • Do say...

    I’m so sorry you’re not feeling well.

    Is there anything I can do to help you feel more comfortable?

  • If I say...

    I don’t have the energy to…

  • Don't say...

    But you did X yesterday/this morning/at some point in life.

    But you seem fine

    But you’re young!

  • Do say...

    I understand, don’t worry about it.

    I understand, we’ll miss you.

    I understand, let me know if there’s a way we could make X work for you this time or another time.

  • If I say...

    I can’t eat certain foods or drink alcohol.

  • Don't say...

    OMG, I would rather die.

    Well at least you’ll always be skinny.

  • Do say...

    That must be really difficult.

    That must be so isolating.

    It must be so hard when everyone around you is always talking about food. I’ll try to remember not to go on and on about food.

    It must be so hard that social gatherings are often focused around food. Let’s make a plan that doesn’t revolve around food.

    How can I make it safe and comfortable for you to join us for a social gathering that involves food?

  • If I say...

    I have a lot of allergies that can be life threatening.

  • Don't say...

    So you’re a bubble girl/boy.

    No you don’t.

  • Do say...

    That must be so isolating and scary.

    Let me know how I can help you feel safer when you come to my home or when we get together.