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67 Responses to “3 Questions & 3 Answers about Guilt and Chronic Illness”

    1. […] This post was mentioned on Twitter by Frederikke Marie S.. Frederikke Marie S. said: RT @rawarrior: 3 Questions & 3 Answers about Guilt & Chronic Illness […]

    2. Tracey says:

      Hi Kelly,

      You nailed it, I feel exactly the same. I worry also that I might be using my RA as an excuse to avoid things I don’t really want to do. (such as ironing!)

      Makes me feel better knowing that I’m not alone!



      • Good point about the guilt list.

        Now: ironing. I was a good ironer, never one to avoid work… So that little iron will have no luck making me feel guilty. I lost ironing ability yrs ago when RA got to the wrists, elbows, shoulders. Now, my hands would protest if I even tried to pick it up. They’d say: “OH NO YOU DON’T – get away from me, Iron.” And I’d listen.

    3. Martine says:

      Dear Kelly,
      Thank you so very much for sharing this with us, your readers. It puts words on these feelings I’ve been having for quite some time now, especially with regards to children! They are pretty quick to pick up my feelings and respond to the unsaid.

      Also, how hard it is not to be able to help out friends and extended family in need with homemade food, or help them do chores when sick… I feel often guilty about that. I already have to plan our own meals carefully, given that my RA is not under control, in spite of 25mg injectable mtx weekly and 2000mg sulfasalazine daily. I cannot have Humira as of yet because I responded positively to the tuberculine test.

      I meant to ask: how many of you take pain medicine daily? I’ve read comments about bouts of prednisone, but not a lot of RAers seem to medicate their pain. Am I mistaken?

      • MaryK says:

        *waves hand in air*
        I medicate my pain. I wouldn’t be able to function without pain meds. I’m a diabetic so pred is out for me. I’m happy for people who are able to manage their RA without something for pain. I get irritated at those who think that we all should do the same.
        A good pain medication should manage your pain without making you feel “high.” I’m currently on Lortab 7.5 and it does a great job for the most part of keeping my pain in check.
        I know there is a trade off here. All the medications I take for RA are at some point going to have adverse effects on my liver. This trade is worth it to me because I’m looking for a better quality of life during the days I have.
        Hope this helps answer your question, Martine. I tried not to get too ranty. 😛

      • RaRAP says:

        What do you mean by pain medicine? I don’t think that prednisone would be classed as a “pain” medicine. At least that’s not its primary mode of action from what I understand.

        I take a NSAID every day to help with pain and inflammation. For me it is a rare day when that is all I take. On better days I can get by with just Tylenol. On moderate and bad days I’ll take stronger pain relievers to help take the edge off and allow me to function as well as I can and not suffer so much. But I’ve had periods where I was taking stronger pain medicine every day for a while.

      • Martine, I do need to create a post where people can put comments on pain meds. There are lots of discussions of them on the blog but they are here and there on various posts.
        I think that most patients do require pain meds at times. You might want to read this recent post about a huge study on RA pain in women & the comments’ page. There is also a Tag that you can click on about RA Pain and you might find some discussions there.

        It is true that most of us live with an unacceptable level of daily pain – and that study confirms that fact. I’ll tell you the same thing I tell MYSELF: don’t do that if you can help it. Talk with your doctor about the pain and ask for relief until something works. Sometimes the rheum doctor won’t treat the pain (according to many patients). If you need to, you can ask your primary physician. In some states, the primary has to refer you to a pain management dr for certain prescriptions. Florida (where I am) is getting stricter with new laws, but I can still get Lortab and my rheum doc is fine with prescribing it. It does not take away my pain, but it takes the sharp edge of usually. I hope this helps you. I hate that so many of us just suffer.

      • Megan says:

        I use pain meds every day especially at night so i can sleep and not toss and turn in pain

    4. RaRAP says:


      I’m sorry that you carry this additional burden of guilt on top of illness. Perhaps it is my own personality, but I don’t fell particularly guilty about being sick or not being able to do all I want and/or the way it gets done. When I think about my limitations or times my illness let me or my family down, I feel more sadness.

      Don’t beat yourself up about it. The people that care about you understand. They know that if you could you would.

      • Thank you. I wonder if it is more typical of women to feel guilty. But then I thought that if a man were young and couldn’t work, that would probably be a struggle for him too.

        • Michael Patterson says:

          As a 31 year old man with RA- who often feels like some of the dumb choices that I made in life have led me to this hell- I can tell you that guilt isn’t a female thing. I’ve expressed these feelings on here before (probably many times), but not being able to work, as a man, I feel worthless at times. I was raised that a man is someone who provides not just love to his family, but whatever financial support they may need. I am a burden on my mom and dad now, and will probably never actually have my own family (kids/wife etc). So yeah, it’s not just you girls that feel guilty, I feel guilty all the time. Despite others telling me that RA doesn’t work that way, I can’t help but wonder if I hadn’t smoked for those few years – would I have gotten RA? That’s just the tip of the iceberg…
          Thanks for all the great work you’re doing, Kelly!

    5. Shannon Trevizo says:

      I feel that being a woman who was raised in the post womens rights era we fit in a tight spot .. were told were to make money and strive to be teh best at everything work house and home kids ect..when we cant ballence it all out we tear ourselves up over it.. I BEING the first to admit it.. im my own worst enemy.. and also having a husband who isnt as warm and cozy about ra as some are i feel stress coming dwom from the family sides too.. its hard being us.. its hard being weak. and it tolls on the mind.

      • Shannon, I hear you. I was surprised how this exercise of writing this list helped me to feel better. I might read it again next time that pressure is coming in on me. Christmas was so hard this year. I am less able every year & this time I did nothing at all to help prepare – except for gifts. I was overjoyed to have gifts for my kids at least. When the guilt came about cookies or decorations, I kept dismissing it. I’ll get better at it. :rainbow:

    6. Janie May says:

      I feel guilty quite often. I am in an almost constant state of fatigue. My husband, thankfully, seems to understand. He helps where he can. But my employer does not. It is pointed out to me quite often that I am not as effective or productive in my job as expected. I even find myself dozing off at my desk in the afternoon. It has been suggested that I should go on disability (to which my Dr says no). And recently it was pointed out to me that they cannot afford to keep someone on staff who is not productive. I understand this, but at the same time, I don’t know what to do about it. My employer does not have to pay into unemployment, and there is no long or short term disability, so I’m stuck. My guilt is quickly turning into resentment. Is anyone else in this same situation?

      • Michael Patterson says:

        YES! I was for some time. I ended up with a broken foot and was forced to not work. Some months and months later I finally was approved for disability… even though my doc was very much against the idea (even telling me she is a libertarian). If I were you, I would apply for it. If you can’t do the work you used to do, apply and appeal and appeal again if you have to…. what are you supposed to do? I think anyone who has RA and wants or needs to be on disability should get approved immediately. Don’t let them tell you that you’re fine… you’re sick and it’s OK to ask for help. Get a doc who will help you if need be…. Good luck, Janie.

    7. Marie Levesque says:

      Yes, great post…I also feel guilty – mostly that I can’t do what I have wanted to do with my husband as much. Our kids are all on their own, this is “our” time, we should be traveling, enjoying life. Yes we both still work full time, so it’s not like we are retired…but when I do get time off for vacation days…I’m too tired, or hurting too much to do a lot. For that I feel guilty. I know my husband understands, but that doesn’t make it any easier…So we do try to do “easier” stuff together – watch a movie on TV or something and order a pizza, simple things.. when I do have energy or less pain, we “run with it” and do what we can!! :)

      • Martine says:

        You have a french canadian name; are you a Canadian/Quebec? I live near Sherbrooke, Quebec myself, and would just looooooove to speak with an RAer here in french (much easier to express ideas & feelings!).

    8. MaryK says:

      This is an excellent post, Kelly!
      I feel guilty quite often. At work, where I don’t always feel able to pull my share of the load. At home, where I can’t keep my house as neat as I’d like and manage household chores efficiently. In my personal relationships, where frequently I have to bow out of planned activities because I don’t feel well. I don’t like the fact that I will increasingly become a burden to my husband as the RA inevitably progresses. I hate the expense this stupid disease causes us. Whenever we have an increase in our healthcare premiums at work I want to hide under a table because I feel singlehandedly responsible for it. :sweat:
      So I shall incorporate your 3 F’s into my memory to help me fight back. Facts. Friends. Forgiveness. That works for me.

    9. Dee Maxwell says:

      I’m overwhelmed by this. When do I not feel guilty?

    10. Tracy says:

      Thanks for this post Kelly. You give a voice to the daily struggle of so many. I was raised to not let anything defeat me. So hard to accept that no matter how hard I fight I keep ending up on the losing side of this battle :(

    11. Kim Mathson says:

      You have ‘hit the nail on the head’. I too feel guilty. Fortunately my husband is a great support (we commiserate with each other as he has COPD). Unfortunately, family is always struggling to understand that this arthritis is more than just achy joints. In this aspect, I feel guilty about why I cannot do what I once did. It is easy to wallow in self pity and guilt(and some days I do), but then I garner that strength to think “darn RA, I am NOT going to let it get me” and off to the gym to work it out. That is easier said than done as we all know. I am glad to read about others who suffer as I do and know that I am not alone.
      God bless!

    12. Do I feel guilty about having RA? No, not really. The further down this road I travel, the less guilt I feel. Being made to feel guilty by my family and friends is what I battle against everyday. Almost from the first I have had to defend myself with statements like “This is not my fault” or “I didn’t ask for this”.

      I feel frustration that I can not achieve the things I want to achieve and anger that all my plans for the future are not possible.

      My real friends understand, whether they have RA or not. Alot of the anger expressed by those who do not is frustration on their part, and something they will have to come to terms with, or walk away.

      I say to myself a hundred times a day….I’ll do what I can, and what doesn’t get done, oh well, maybe tomorrow will be better.

      Love and guilt free days to you all…

    13. First of all I want to thank and praise our Warrior Princess for coming out of her comfort zone to post this VERY IMPORTANT and personal info. Kelly, you are helping and touching lives you’ll never know about this side of heaven.

      I identify with EVERYTHING you wrote.

      I hate the guilt I feel beause I’m not the Wife, Mother, Grandmother, Sister, Aunt, Daughter-in-Law,Step-Mother, Nurse and Friend I long (and used) to be.
      I feel guilty that my grandchildren are growing up in another state, and I haven’t been able to travel to see them for a year and a 1/2.
      I hate and feel guilty about the isolation I’ve imposed on myself. I’m ashamed that I’m so vain, I don’t want people to see me this way.
      I feel guilty that my husband has to do everything, and when I see his anger and frustration growing each day.
      I feel guilty about the distance between us.

      I gave up making plans, and take it as it comes each day.
      I feel guilty that I can’t commit to anything.

      I feel guilty that I don’t have the energy or will to even try some days.

      I feel guilty that I’ve distanced myself from my 1st love, my Lord and Savior, Jesus Christ.

      I know this is where I need to start each day, with HIM, and let nothing interfere.

      I’m listening to praise and worship music right now——it really does help.

      You’ve said the rest, and I thank you with all my heart!

    14. Charlene says:

      Right on target, Kelly. Yesterday, I was going through some photos from before my diagnosis and I realized all over again how much has been lost, not only for me, but just from being able to blow and go and have so much fun with my family and friends. It brought back some really good memories, and also sadness and guilt that I am not the only one who has lost so much. Most of my grandchildren will not remember or even know the fun granny that they used to have. I know that it is not my fault, but at the same time, I feel that they have been cheated out of the great memories that they could have had.

    15. Jen says:

      I have a lot of guilt too, and am so glad to see I’m not alone.

      I am still able to work and I give so much of myself to my job working with students with severe cognitive impairments that there isn’t a lot left over at the end of the day for my own children, thanks to the RA. I often lose my voice, and so my own children get the mom with no voice and little energy, and I feel guilty about that.

      My daughter has even occasionally said “I want my old mom back!” which, of course, made the guilt astronomical. But I am trying to achieve a little more balance. Not give everything to my students and leave nothing for my kids. Sometimes that means having my daughter hang out with me after school while I work. At least we have that time together. I certainly wish I had a magic wand I could wave, but this is my new reality and I’m trying to accept the good and the bad.

      • ouch. That’s a tough one, Jen. That’s one of those times as a mom I say, “At least she knows how to express her feelings.” :/

      • Carly says:

        It must be hard to hear your daughter say that she wants her “old” mom back. I’m not sure her age, but it might be worth a shot to tell her that you agree with her and would love the “old” you back too! Maybe you can use this as an opportunity to get her involved with awareness and fundraising for RA so that other people won’t have to lose their “old moms” too.

        I’m sure you don’t want to scare her, but kids appreciate honesty.

    16. Katie says:

      I don’t know how you do it, but you always hit the nail on the head. When I feel guilty or get more depressed because I’m flaring up, or I just can’t do something or I do it and hurt worse for it, I find I hide in a game or book. Just disassociate myself with people.

      I attend the band concerts, even though sitting in the gym bleachers kills me, but it’s so important to my children. I try to remember to take a tramadol before, but I won’t ever _not_ go because I hurt. I do the same for sport events. I need to be there for them for these things, because it’s important to them, and they are important to me. They see it, though, the pain. But them being happy makes it dulled in a way.

      Again, thanks for letting me know I’m not alone.

      • Dear Katie,
        you know how I do it! we are walking on the same road. 😉

      • Tracy says:

        I love that Katie:
        “but I won’t ever _not_ go because I hurt. I do the same for sport events. I need to be there for them for these things, because it’s important to them, and they are important to me. They see it, though, the pain. But them being happy makes it dulled in a way”.
        I feel and do the same…..So next time when you are sitting there on that bleacher wishing someone behind you won’t want to talk with you because it hurts sooo much to try to crane your neck…..know that I am right there with you :)

    17. Raini says:

      Oh Lord, the guilt. The ever-present monkey on my back. I’ve lost the man I thought I would grow old with, friends, my job…all due to RA. And I feel guilty every damned day! That I can’t work, contribute to society, have enough money to help out my college kid when she needs it, clean my stupid apartment, babysit for my niece, help cook holiday meals, plan baby showers…I feel useless and guilty because I am.
      Thank you Kelly, for bringing this out. It’s hard to think about, and I too, like a previous post, lose myself in games or books to block out the guilt and mental anguish over something I cannot control, or get rid of.

    18. Genevieve says:

      Your so right ! We should not feel guilty, but it’s easier to say than to do it.
      What I do not to feel this way, for example when I can’t do something, I explain why. So people know and understand what’s happening. Like: “I can’t come to your party because I’m too ill, but this doesn’t mean I don’t care, and I will come to see you as soon as I can”.
      Sound simple, but just to explain, can help.

    19. Rick Phillips says:

      Hi Kelly, just letting you know as a 37 yr old man with RA. The guilt is there both about the pain to stop doing things and also about been the main bread winner. Fortunately for me and my family we were wise/lucky enough that we took out income protection years before, so money has not had to weigh so heavily on our minds. As my counsellor said no one in their right minds would put there hand up for this, therefore there should be no guilt towards having this disease!!
      P.s Thanks for all you do for this blog I enjoy reading it and it’s articles
      Rick Phillips, Melbourne, Australia

    20. I feel guilty for all the things that I cannot do, or when my kids say, “aww, mommy!” when I hurt. I don’t want them to think that! I really don’t want them to be concerned with my pain or inability to do things. I feel guilty that I am working and am on these boards (I feel I can hurt at home or hurt at work and at least be doing something). It makes me feel like an imposter. I feel guilty that I really just want to take a long vacation. But can’t. And that I can have biologics when others can’t. I feel guilty just taking time for myself, when that’s all I seem to do. I want to be rid of RA and just be what I was. But I tell myself that for every one of us, we are delt cards, and this is a card I was delt with, to deal with. All I can do is try, I guess.

    21. Phil says:

      Yes I feel bad that things like clothes washing, dishes and cooking are not evenly shared anymore. I still work but feel guilty that I don’t get it all done. I feel guilty when I feel good if I do things for myself instead of for others. I understand that I shouldnt always feel this way.
      I forgive myself often, but it doesn’t help me sleep.
      Reading blogs such as yours and comments on them makes me feel less alone and a bit hopeful sometimes.
      Hang in there, we are all in this together.
      Phil from Syracuse

    22. jeannie says:

      Before RA took a tight grip on my life, I was a GO GETTER! My friends called me the “Ever ready Bunny”. Now I take naps,cry from time to time from the losses, but NO GUILT! It isn’t my fault none of us asked for this gawd awful disease!
      No one can make us feel guilty but us. If other people try to lay guilt on us that is just “their stuff” I think they feel helpless that they cannot fix us maybe resentful that they have to pick up the slack, but it IS NOT OUR FAULT they know it too they are just human.
      Having a supportive family really helps, but even the best of intentions of our loved ones can fall short sometimes, but we cannot take it personally. Having said all this sometimes the guilt creeps in a little but my mantra is “Riding the guilt train is a waste of time as it NEVER leaves the depot! LOL

    23. Jane Robbins says:

      I feel most guilty when I am unable to keep my grandchildren when they want to spend time with me and their grandpa. I know it is hard for them to understand that I just don’t have the strength to care for them when they are here. My housework suffers from my RA, I used to keep my house clean, now I can only try to keep up with what has to be done, there are always clothes needing to be washed, dishes in the sink, floors needing to be mopped! My poor husband has to prepare his meals more often than not, but I am so fortunate, he never complains.When I am feeling good, I usually overdo and end up paying for it double time! But I am sure all who have RA do feel guilty when you are not able to do things that we were once able to do! But we just have to realize we have to take it one day at a time, do what we can and leave the rest until we are feeling better. Thank you so much, Kelly, for being a sounding board for all of us. Jane

    24. I have to be offline for a few hours, but please leave your comments anyway & I’ll be back asap to reply. Thanks.

    25. Elizabeth Schrader says:

      I feel guilty when I have to cancel plans or bow out at the last minute. I’m very lucky to have a supportive husband and friends. When I was first diagnosed, 10 years ago, a good friend gave me a part time job so I could feel like I was accomplishing something. It made all the difference in the world. I own my own company so I don’t get looks from the boss, or have to explain why I’m limping today or why I’m not very productive today. And my husband is my business partner and my employee. And, I would never have started my own business if not for RA. I remind myself of that and all of my friends who help me when I call.

    26. Lyn says:

      This is not offered as a solution for anyone else, just a commentary: I seem to have structured my older life to feel as little guilt as possible, by living alone, but in a bldg. with 35 people, and have gotten the message across that I’m not available for pop-in visits, and that I sleep late. Lest I sound anti-social, let me assure you I have more friends than anyone needs, and am social and active, but I can go around my apartment moaning when I need to, nap when I need to, eat what and when I need to, and give in to laziness if I want to. I feel far less guilt (still some if my bed isn’t made, LOL) than when I was a wife, mom, baby-sitting grandmother, and/or breadwinner and had to take time to rest.

    27. Wendy says:

      You said one thing that really hit a nerve with me.
      I often feel so guilty about how much my medical bills are. When you said,”I am sure that if someone else in my family were sick, money for treatment would be no object.”
      You are so right. Even if it were a friend I would be giving money to help them out. Why do I feel like people shouldn’t want to give the same for me?
      This helped. I’m sure I’ve heard it before, but probably from someone who is healthy, and well, that just doesn’t mean the same.
      Thank you for sharing.


      • Thanks Wendy. I’m reading a week behind since I was offline due to illness. I think we all help each other – the comments are fascinating & comforting to me to read today.

    28. Myrna says:

      That’s really touch my heart, cause it reflect me like a mirror….

    29. Charizza says:

      I was haunted by this “guilt” thing since the start of the year. And this led on to self-pity…no wonder I was really under the weather the past week.

      But then I remembered that there are still things that I can do (though limited). Limited but then I can still do them…I’m not totally incapacitated… :-))

      You are right…we should not feel guilty. 😀

    30. Janie May…I am in this situation too…Have you tried the medication Provigil or Nuvigil? I take Provigil and it helps reduce my fatigue drastically…I could not continue working without it!!! It is not covered by alot of insurance companies for the off-label use in RA but the manufacturer offers an assistance program…I did not know how I could keep working until my PCP gave me samples…Just a suggestion…

    31. I feel guilty when:I cant help my daughter with her wedding plans..when i cant make dinnner…when i cant make love…when i cant clean the house..when i havent taken a shower for 2 days…when i cant go see my mom…when i cant go buy groceries…when i cant do the laundry…when i cant cook holiday dinner…when i cant keep my grandsons…when i cant get out of bed…when i cant work with my husband..when when when when when when…………………………………………………………………………………

    32. […] having the energy to make a from-scratch dinner for my family.  (For more about guilt and RA see this great post and comments from the RA Warrior website.)  But when I feel good, I will do what I […]

    33. Michael Patterson says:

      your hope was that this helped others with these feelings of guilt……….well, mission accomplished!

    34. julie says:

      I agee with a lot of the things covered in your blog. Guilt is a huge obstacle sometimes and friends still have their own lives to live with or without a chronic illness. RA is just the latest in my long list of maladies since being diagnosed with multiple immune disease. It all began with Lupus 24 yrs ago and it never seems to end. When times are good I wonder what is going to hit me next.The internet and blogs like this have helped me a great deal understand and gather information. Thank you

    35. Kim says:

      Just my opinin..but I doesnt help when you hear..well if you do wouldnt have that problem..drink this,drink that….we all hear it i’m sure..then when your told”things happen for a reason” it starts you thinking..then self doubt..which starts the quilty feelings…I’ll even add drs into this..because we also hear it from them..take pred.but at the same time loose weight…so we feel quilt from those things as well…..

      Just a thought


    36. Rachel says:

      I sometimes wonder if you are in my head. Thank you. I really needed to read this. Even though my husband is very supportive and offers the same advise or thoughts as here, it helps to hear it elsewhere.

    37. tracy skinner says:

      I also take pain meds everyday to help manage my rd/ra and fibromyalgia . I.actually at times feel guilty for being on them and sometimes I feel ashamed. Its like.if anyone finds out you are automatically a drug addict. I hate reminding my Dr about needing refills he doesn’t make comments and he is in no way ugly about it its just the way I guess society has painted such a picture. Now his nurse on the other hand she is snotty about it and when she hands it to you she cuts her eyes and when u say thank you she goes mmmhmmm like u really.don’t need it. I have gotten to where I only answer her questions and I don’t say anything else to her when I go. I have mentioned it and.she is that way with everyone but is no excuse. Sorry for ranting this subject just makes me upset cause how we are perceived by society.

    38. Kathi jones says:

      Guilt is just a way of life now. Fear is what worries me, no husband , just adult kids currently underemployed enough to stay here and help me out. I have 5 kids, three have moved on. That is what you want for them, until this RAD came along after the very needed divorce. It’s the work that supports our life style, my work , me clearing a thousand dollars a week, my bills, my worries. The pain is getting ridiculous, a swollen hand a swollen foot, another infection, shingles, missing too much work. And now I got hurt at work, I am on their radar , I am someone who is frail, at 55 years old , 35 years almost, in a field I cannot retire from yet, not until another 13 years….haha. If I try to get another job, my dependability will be in question. I work in a large unit with a huge staff, eager for overtime, if I move to an easier but radically smaller staff, I will disappoint. So I am okay with the guilt, next year I am mailing the Christmas gifts from QVC Amazon and HSN right to their doors. That doesn’t sound too bad until you learn that all but one child lives in my zip code! Lazy, no, still thoughtful, just not wrapping. My secret is planning how to get away from the pain, if I lose my job, my benefits, my meds , my ability to care for others physically , how bad will the depression get ? SSD, is not enough to get by on , that is not the answer, sell the house now? Find a husband and blindside him? That is a joke, especially since I don’t go out or date. I live in fear, that someone will roll over my foot with a shopping cart, or hip check me as a joke, or the 25 year old drunk driver that slammed into my beautiful paid off car last year at a red light. Not fair, well everybody gets something, sorry to ramble, but fear makes me do weird things. Love you Kelly and appreciate all you do for us and especially what your family does to make it all happen.

    39. Kris says:

      My Feelings In General: I feel guilty when the grocery store bagger asks if I need help to my car and I always say “no, I’ve got it, thanks.” WHY do I say no? Because I guess I feel then I have lost control of something i can no longer do. I need to let go of that and accept the help. I feel guilty that I had to add more meds to my work ’emergency medical form’ at work. Adding on Methotrexate and Tramadol. I already take five meds a day for PCOS -Metabolic Syndrome and have three doctors on my contact sheet now I am adding a Rheumatologist and more meds?? God forbid I was reluctant to turn that in. My co-worker who manages our personel files had a look of horror on her face when I gave her back the form because when I was first diagnosed it was for Palindromic Rheumatism and I became vegan thinking that was going to save me-maybe my cholesterol levels, yes. This co-worker is into herbs etc and always tries to give her impression that one should try to go natural first. Yes, well I’ve done that and I am done with it. Give me the Methotrexate and bring on the pain meds. I stay away from her now because I am tired of her asking how I am. I am tired of anyone asking how I am because I have to use energy to do it and no one understands or they want to hear you are suffering -isn’t that awful that some enjoy knowing that someone is having a hard time in life. So I have learned very quickly to keep my mouth shut at all costs. There are the folks and some are family who have told me to buck up and learn to live with it (usually older folks-who have Osteo) or those who want a day by day play of how I am doing and can they help me do anything. Those who mean well can exhaust me too. One lady at work had the nerve to ask me how the chemo (MTX) went after the first night I took it. She the stared at me like a hungry dog waiting for a bone as if she wanted me to tell her I barfed all night and chunks of my hair fell out. I told her I popped the pill in my mouth swallowed it and went to bed. I then gave her a Cheshire Cat grin and walked away. The nerve of her. I am learning that each day is different from the next and pain can be worse or less as well as energy levels. I am just getting my pain managed as within two months of my first Rheumy appt if has progressed so quickly. My MD started me on MTX last Wed as he told me it is progressing and he is not waiting around to see what happens. I realize that I am very fortunate that he is taking aggressive action. I am sero-negative at this time which he told me can also change. My husband and I have grown closer and we try to walk together at least 3 times a week. Sometimes I can do 5 miles sometimes 2. The pain is mostly in my wrists and hands. L hip/lower back and knees. Less so in the knees and ankles. I don’t know anyone personally with this disease. So this blog is a great place reach out to others. Thanks Kelly.

    40. Ann Brazeel says:

      Kelly, once again you have confronted a problem that seems to be shared by most people with RAD. I was diagnosed with RAD in 2007, & guilt has been a problem for me from the very beginning. I was the mother of a special needs child for 32 years. He was autistic, my only child, & the happiest & most loving person I ever knew. He had started living in a group home in 2004. I got him at least once a month for a weekend visit from the time he moved in until about a year ago when due to the progression of my disease it had become increasingly hard for me to keep him for 2-3 days, he was extremely active & required constant supervision 24/7, even during the night as he would wake up at all hours. So for the last year the visits were less often & sometimes for a shorter period of time. Six months ago, my son died in his sleep. He was not sick, the coroner did an autopsy & could find no reason for his death. Thankfully the weekend before, he was home for a visit, it was his 32nd birthday & we had a party with the works! He was happy & so sweet, it was the best weekend visit we’d had in a long time! He was not very verbal, but that weekend he had said “I love you Mom”! I can’t tell you how my heart felt when those words came out of his mouth! On Sunday we took him back to his group home which was awesome & he loved it! The following Friday night he passed away. Now I am left with the guilt of not spending as much time with him that last year of his life because I was too sick. If I had known, maybe I would have tried harder.

    41. Tish says:

      Well said, guess my putting on a smile each day and trying to cope with the limitations has been giving me nightmares riddled with silly stuff about letting my family down,being an outsider looking ,all kinds of crazy stuff my therapist helps me sort through. The desire to go back to my healthy state of being has been on my mind alot and with her help I can understand that chronic illness is a bugger and this too is part of my letting go of things I feel guilty about. Thank you for being here.

    42. Kathy says:

      Hi, this is my first time here. Your article was right on point!I feel guilty daily about the overwhelming fatigue and pain/ stiffness that keeps me from doing so many things I feel responsible for doing. That said folks here have a wonderful gift that I do not have: this blog. You have each other to lend support and see, I do not have RA, I have severe psoriatic arthritis. To my knowledge there are no communities for me.Many folks have never even heard of it. I have long wished for a community like this to be a part of.I am here through your article on PA.Best of luck to everyone and God Bless.

    43. alesita says:

      this is the first time I write a comment. I started reading your blog recently, as I just was diagnosed. I find it quite useful, I mean… I feel like I’m totally lost, I don’t know what to expect, even if I’m surrounded by rheumatologists (my father in law is one of the best rheumatologists in my country, what are the odds? even if I don’t like mixing things, I just had to make him part of my treatment, at least at the beggining)… the fact that nobody can tell what will happen is very strange.

      Well, I’m commenting here because it’s not the first time with illness (chronic or not) and I totally relate with what you’re telling.

      I suffer from depression since I was 17 (I’m almost 28 now) and it doesn’t seem it will go away, at least not soon. When I was 20 I started having an eating disorder (anorexia). I’m a lot better now, but I know I’ll never recover. I mean, nobody does it fully. Even if you seem to behave normally, chances are your head is still obsessed with food, at different levels. eating will never feel “natural” for you. And you know that any stressful event in your life may lead you to relapse.
      Now it’s RA’s turn. As I told you I was recently diagnosed (luckily, it was early in the disease, because I just kept googleing my simptoms and already went to the rheumatologist KNOWING there was something wrong… even my father in law thought it was nothing… but it turned out they already spotted erosions in my MRI).

      I have a lot of strange feelings going through my head. I find it easier to cope with guilt, as I had to manage it when I got sick before. I mean, I just felt I was ruining everybody’s life. When I was in my worst times with anorexia, I was even aggresive. For my family and ex boyfriend, it was not only the sadness of watching a loved one trying to dissapear, but they had to deal with my anger because of them wanting to help me. I just wanted everybody to go away and isolate my suffering. I felt it was my fault, and I just deserved to suffer on my own.

      the fact is you’ll never stop feeling guilty. as you say, feelings are not “controllable”. that’s one of the first things I learnt in therapy, because it helped me manage my anorexia (I felt that I was pure crap, that I deserved to die, but I had to think rationally about all the things I was capable to do, all the people that loved me, and just believe that I was worth living, until I eventually started FEELING it). The guilt never went away, I’m still sad because I knew I hurt a lot of people and some things I will never recover. They’ll never be the same, and I won’t either. I’m not worried about myself, I learnt a lot, even if it was the worst time of my life. I grew more than I would have grown ever. But I just feel guilty about what I put my family through; even if they also learnt and grew, I think they didn’t need to suffer so much.

      Well… that’s a little how I feel about RA, and it’s just starting. I live with my boyfriend now, and he’s always there for me. ALWAYS. he just cares so much, I think my diagnosis affected him more than me. and I know I’ll feel guilty (I already do), but I just think: I’d do exactly the same for him.

      You have to accept you’ll feel guilty, you have to learn to live with it and think rationally. You know you’d do the same for your loved ones… in fact, with your blog, you’re supporting US. think about it when you feel guilty. :)

      I want to tell you that I also started a blog when I got diagnosed. It’s in spanish, so you can google translate it if you want to read.

      however it’s just my experience, as I told since my first post, I’m kind of lost. I’m learning lots of things fast (I’m naturally curious, I’m a biologist and I did a lot of subjects in immunity and immunochemistry… the fun fact is I almost started researching in immunomodulation, but I found most of the work is done torturing animals to show the effects of stress in immunity, and I just didn’t want to make animals suffer, so I’m now an evolutionary biologist with a little passion for immunology… life can be SO ironic xD)
      so I do a lot of research. sometimes it’s not easy for me to read about this, but I try to focus as a biologist, not as a patient xD… and I want to share what I learn with the world, try to help someone. In my life a lot of people helped me, so it’s my way to make things even.. and make catharsis xD

      well that’s it.. I wrote a lot.. I’ll try to comment on more posts, even if they’re old, I’m chaotically jumping from post to post since I was diagnosed, so… you’ll hear more of me.


    44. Andy Spooner says:

      Hi Kelly,
      I do not have RA. My daughter does. Another perspective of guilt and RA.
      – The cause is unknown, but likely from part genetics and part environment. We gave her both her genes and her environment. I feel guilty.
      – The extra burden and pain she will likely have for the rest of her life. Things she has had to give up already (HS Swimming). Medical costs for her. Weekly shots. I feel guilty.
      – My poor coping skills. Not spending enough time with my other kids and wife. Amongst other things
      She handles it better than I do, I need to handle it better for her sake and mine.

    45. Mel Mason says:

      I’ve been coming here for a while now, but never commented before. This topic gets me. Do I feel guilt? Every. Single. day. I have an 11 yo beautiful , smart, funny daughter who is stuck with a mom who is sick all the time. I doubt she remembers the mom who used to do all kinds of things with her. I have a wonderful hard working husband who works his tail off to provide for us. He totally doesn’t get it when it comes to my RA, but he tries. I’m s SAHM now, have been since daughter was 3, hubby is self employed, so we carry our own health insurance, which is crazy expensive, & we STILL have a $6000 deductible. I feel so guilty about how much we spend on my health care needs. I’d love to go back to work (I’m a nurse) just to have less expensive health insurance, and to pay off some debt, but there’s no way I could do it with my health issues, and I doubt I’d be eligible for disability since I haven’t worked in so long. I feel guilty for asking for pain meds, have had Drs treat me like I’m some kind of junkie. My rheumy won’t prescribe pain meds at all, which I find odd, since she’s treating people with legitimate chronic pain. My PCP prescribes tramadol, which often doesn’t help at all, and nucynta (which is a newer narcotic pain med) in very limited amounts, and it’s just not enough. I still have many, many days where I’m just plain miserable and can’t function. I don’t expect to be pain free, but I don’t think it’s too much to ask to have my pain taken seriously and treated properly so that its at least bearable. I have an appt Monday, and am gonna have to try to broach the topic with my doc, and I dread it. I have a feeling shes gonna be resistant to the idea of increasing them. She really didn’t wanna prescribe the nucynta in the first place. But she doesn’t want me taking prednisone to help control the constant flares, either, so I fell like she’s left me no other choice. How in the world do people ever get doctors to prescribe pain meds for ANYTHING?? I’ve never misused pain meds, so I don’t know what the issue is. And my mom and brother (who are otherwise wonderful) think that anybody who takes pain meds on a regular basis is an addict. What nobody gets is I would rather not take them, but I have to in order to survive and function. I’d rather have the biologics and DMARDs and anti inflammatories work to control the disease so I DON’T need the meds. Wish me luck and say a little prayer for me for my appt Mon that my doc is receptive and understanding of my concerns. Maybe a pain management referral is in order. I’d rather not have one more Doctor I have to go see…it’s exhausting. But if it means getting some relief, I’ll do it!!

      Sorry for venting! Clearly the guilt and lack of adequate pain control is a sore spot with me! The last couple months have been particularly brutal in terms of pain & fatigue, & so far, my RA has been resistant to treatment. May be switching biologics soon. And now I feel guilty for whining & complaining! Lol

    46. Kathy says:

      As someone with major depression for my entire adult life (I’m almost 72), my RA causes so many “can’ts” in my life that I’m very angry. My “real” depression is under control, but I get so angry and hopeless; my biggest issue is that I have to be taken care of much of the time and I know it will get worse. I can’t tell anyone how badly I just want all this to be over so my dear husband can get on with a normal life. He insists it’s not an issue, that he loves me deeply (which I know to be true), but I love him and this isn’t fair. I sometimes think about suicide so he doesn’t have to put up with this, but I know it would devastate him and my sisters (I have no children). Does anyone else with RA think this way? This is my RA talking, not the major depression. I know the difference! I’m so angry that I “can’t” do stuff anymore and he has to do everything. Not fair to him…it’s not so much pain as overwhelming fatigue and soreness. I have a great rheumatologist and therapist but I’m still so churned up.

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