Given: Approaching goal-setting when you're chronically ill

Ah, the New Year. And with it, all the talk/posts/encouragement about setting attainable goals, making this year your best yet, challenging yourself to grow, etc, etc.

For several years I stopped setting goals because I kept getting disappointed. Lupus and my other illness kept "interrupting" my goals. Life does that sometimes, right? But then, I realized that not making any goals was pretty negative and un-motivating. I set some goals for 2016 and 2017 and while I was able to accomplish a few, the ones that really mattered to me weren't accomplishable because of my health or things outside of my control. I have to be careful with goals because I am such a type A personality, I can easily slip into measuring my worth by accomplishments and productivity. My life right now looks very very different from what it used to (not all in a bad way!) so I am learning how to reset my definition of productivity and what it looks like in my current season.

I realized I was started to cringe when I thought of goal setting and so I started walking through an excellent goal-setting blog series by Lara Casey to see if it might change my perspective on goal setting. I love what she says:

"Cultivated goals help you grow what you've been given"

You guys. I KEEP comparing what I used to be able to do to what I can do now. "Comparison is the thief of joy" ~ Theodore Roosevelt. My goals aren't realistic to my current capability or things I've been gifted with...I am focusing on either what I used to be or what I want to come about and completely missing the here and now, completely missing what I have been given now to work with. My goal setting hasn't been motivating me or growing me - it's been breeding discontentment.

As I read through the first 3 parts of the series, I kinda got hung up on something - as much as I love the grace-filled and intentional words and process she's recommending for setting goals...things look really different when you're chronically ill...and it's left me feeling like there's something missing in this whole goal setting thing...

How do you set and achieve goals when you're chronically ill?

With chronic illness, every day can be different and huge changes can all of a sudden trumpet their way into your normal schedule, making it feel like the rug has been pulled out from under you. As you adjust, you start taking stock of where you are and what you can do and it can be easy to list the "can't anymore" instead of "can still" or even better "this is a new can/opportunity."  So how does one wisely set goals and dream dreams but also hold onto them loosely, be flexible, and willing to accept changes one can't control?

:picture my face frowning and thinking:

Spoiler - I don't have an answer, but I am going to share some thoughts that I am ruminating on and would love to hear others opinions and perspectives on this one!

The struggle:  I write down things like "exercise 3 times a week" but my reality has to reword that to "as much as I am able, be physically stronger by the end of the year" or "be as active as you can every day" and the vagueness bothers me. Again, type A and an engineer to boot - I like exactness and specificity. I wrote down "spend 1 hour every day studying for counseling certificate" and I struggle to add 17 caveats about "it's okay if your brain fizzes out 15 minutes in" or "it's okay if you have an entire week where you just have to rest and even reading is a chore".

In a world that demands exacts and black and whites and firm and strong statements, I struggle to not follow the world's status quo and believe that it's actually acceptable to be weak at times, to be vulnerable, to fail and be okay with just failing and not having to try again, but to always move on, move forward, rather than beating myself up. To celebrate and rejoice in the attempt.

Grace.

Merriam Webster defines grace as "mercy, pardon, a temporary reprieve" and in Christian beliefs, "unmerited divine favor."

It comes down to giving grace to myself. Because God has given me grace. It means allowing myself not to be perfect (gasp!) because He doesn't expect me to be perfect. I am a work in progress, He is perfecting me.

Grace isn't an excuse to just sit like a lump and wait for things to change or to not try - there are many, MANY references in Scripture with active commands to do, practice, live, love - those aren't passive make-excuses passages - they are a call to arms! But they are a call to arms within the grace of God and within His love for me.

My friend Rachel recently posted a realization (that got me thinking, thanks Rachel!) she had about resolutions and how they can be like following the Ten Commandments - some are easy to follow and some seem impossible at times (hello - don't covet (want) what your neighbor has...but those boots are SO cute, why can't I have them too?)...in Matthew, a group of priests asks Jesus "which of these commandments is the most important?" and Jesus says "you shall love the Lord your God with all your heart and with all your soul and with all your mind. This is the great and first commandment. And a second is like it "you shall love your neighbor as yourself"" (Matthew 22:36-39) - Loving God and others first allows us to follow those Ten Commandments.

• Loving God and others first will align my heart to His, to align my goals and dreams to His, to allow me grace when I struggle to be flexible with changes that come my way. 
• Loving God and others first will point me to the here and now and what I have been given so that I can cultivate goals with what I have been given and grow where I am planted and work within the space He has given me, rather than wishing for another space. It's not wrong to hope and dream, we need to, He made us that way. But our hopes and dreams must, for the one who believes in God, be rooted in Him. Trusting in His plan.
• Loving God and others first will allow me to choose joy, putting Him before me.

Y'all, I am still processing and thinking on this, so I apologize for the lack of resolution (pun intended). 

My take-away so far:
Goals are good and needed to make forward progress in anything. Goals are hard to make when you are chronically ill but illness shouldn't keep me from growth. As my bestie pointed out, I have to be creative with my goals. I have to give myself grace to not meet what society says I should look like, and rather strive to meet what God says I should look like and be like. If I focus on what God wants me to do and be and what He has given me, then contentment and hope should flow from that focus.

So, what I have been given? What have you been given? How does that change or not change the goals that you've put together for this year?

I will put in the effort that He enables me to and "...if the Lord wills, we will live and do this or that" (James 4:15).

Tambourine

We were supposed to be in Arizona today. To spend Christmas with my side of the family and hang out with sweet friends.

But we've had to postpone because my head pain and neurological symptoms from a suspected return of the lupus attacking my central nervous system (CNS) have gotten worse, not better, since they first started up again at the beginning of December. We decided it would be wise to stay close to the doctors and facilities familiar with my case.

I am bummed. I've cried and had a couple of pity parties for myself. I thought we were past this. I am tired of dealing with it. Why can't we move on?

But something surprising has been happening in my heart, a huge difference from the past few months and I feel that despite my heart hurting with the change of our plans, I'm bursting at the seams to share this difference.  I have this hope that I can't shake, not that I want to, but not even when I want to entertain my bummed-outness and disappointment does my heart get too heavy. It hasn't been too much to deal with...how can that be?

My sweet husband has something to do with that - he's so good at rolling with the punches. But even he can't be positive all the time.

It's God.

Our hope is being sustained by the Lord and I have to tell you, it's pretty amazing.

Since my last post on my struggle over the past few months for hope, I have seen God work in amazing ways, through sermons (Psalm 23 and Exodus 15:1-21), a book called Daring to Hope, and by sweet friends who suffer greatly sharing their hearts and their struggles. All with the same theme - our hope is in Him, not in our circumstances. I can be so thickheaded and stubborn, and He seems to be pulling out all the stops to remind me of what I wrote to myself in that post.

Even if not, He is still good.

A friend of mine posted this wonderful blogpost that you should read in its entirety and my favorite part was this (bold my emphasis):

"However, I have found that if I can manage to lift my eyes off of my circumstances and onto Jesus, I  find the hope I am looking for. I remember friends and family telling me last year "It'll get better" and guess what, it did! It's important to note that my circumstances didn't change at all. In fact all my worst fears of where life could go happened anyway. There has yet to be resolution to my story and in fact I am walking straight into another difficult season as I write this. So often we try to push past the suffering and pray to get to the other side as quickly as possible, when in reality God wants us to lean into him and use this pain as a way to realize how sufficient he truly is. I am learning this daily. So on those days, where it feels like you won't make it through whatever it is you're going through, remember you will not perish because God is faithful always. He is faithful no matter what, in both the triumph and the tragedy. Christmas is the perfect time to call this to mind, as we are literally celebrating the fact that God loves us so much he became flesh and dwelt among us. "

My circumstances haven't changed - I am still battling raging head pain daily, intermittent loss of hearing in my right ear, awaiting the results of MRI scans to see if there's inflammation in my brain. In fact, it seems in some ways my circumstances have changed for the worse.

But He is still good.

Exodus 15:1-21 is the song that the Israelites sing after the Lord brings them through the Red Sea. They remember what the Lord has done, they rehearse who the Lord is to them, who He has been and will be...and their response? 

"Then Miriam the prophetess, the sister of Aaron, took a tambourine in her hand, and all the women went out after her with tambourines and dancing. And Miriam sang to them 'Sing to the Lord, for he has triumphed gloriously; the horse and his rider he has thrown into the sea." (Ex 15:20-21).

He has triumphed gloriously.

This whole Christmas season is about waiting - waiting for the glory of the Lord that completes at Easter. This is the start, the coming of Emmanuel, God with Us. And we know the end, we know He triumphs. We know He has victory. 

Our days don't go as we planned more often than not - the kids wake up on the wrong side of the bed, you lose a loved one near the holidays that seems to taint the season forever with sadness and pain, you have a hospital bag packed, ready to go in case the pain gets too bad, dreading the thought of spending Christmas in the hospital. But He has overcome the world.

"I have said these things to you, that in me you may have peace. In the world you will have tribulation. But take heart; I have overcome the world." (John 16:33).

When things change or go a different way than we'd prefer, when it seems dark and the worry and fear are relentless, let us rehearse who He is, let us grab our tambourine and shout praises to Him for what He has done and what He will do - because He is faithful!

"When we cannot find joy in our circumstances, we can find joy in God, who is unchanged and unchanging" - Katie Davis Majors "Daring to Hope"

In this season of celebrating the birth of Christ, may I, may you, be like Mary and sing, despite the unknown and incomprehensible circumstances:

"My soul magnifies the Lord, and my spirit rejoices in God my savior...for He who is mighty has done great things for me, and holy is His name." (Luke 1:46-49)

Merry Christmas!

Walls

I've been quiet on this here blog because the past few months have been really hard for me. I felt like I was getting better and then, whammo!, massive stomach and digestive issues that left me vomiting, crying in pain, unable to eat, the whole kit and caboodle. And I didn't know how to handle the change. I thought I had waited and hoped patiently over the past year for healing. The improvement I was making was so painfully slow, but at least it was there. But now this? What seems to be the resurfacing of my stomach issues (attack of the lupus!) from five years ago, but this time with more firepower? Um no.

So I built some walls. I built walls around my heart to protect it from disappointed hopes. I stopped reading my Bible and stopped journaling because my feelings were hurt, by God, and I was mad. I avoided probing questions from sweet friends about how I was doing. I put on a brave face.I felt like a fake - I mean, I write about all the things God teaches me and I love reading and studying my Bible, and here I was, lacking the enthusiasm to even open the covers, let alone read the words on the page. I prayed though. I prayed for Him to help me, to soften me, because at least He was letting me see the hardness I was creating around my heart. And I did ask for prayer from a few friends, but to be honest, it was half-hearted and I didn't think anything was going to change.

About two weeks ago, my eye was caught by a blogpost called - "Dear Bible Study Dropout" and I chuckled cynically, thinking that was kind of like me, except I had pretty much dropped the Bible. I started reading it and the first Scripture reference was this:

"for God does gave us a spirit not of fear, but of power and love and self control" - 2 Tim 1:7

Tears started pouring. I mean, we're are talking an instant emotionally response to reading this verse. I shut my computer down and the first time in many days, I opened my bible to that verse and grabbed my journal.

FEAR. 

My old buddy fear. I think that's what triggered the heart-valanche. I started writing down all the things I fear now - I fear people judging me because I am different than I used to be. I fear making mistakes in front of people who are used to seeing me at my best. I fear being able to tackle the dreams Jim and I have dreamed because my health is just so bad right now...and that leads to what I think is one of my ultimate fears right now - what if I never get better? What if I am never well enough to do such and such or be such and such?

My fears and my walls have been preventing me from hoping. And when I mustered what I thought was "hope," it was focused on getting well.

That's a hope that can fail. 

What if I don't get well? What does "well" look like? I mean, I bet every person has a different definition of what "wellness" means to them, right?

It's nearing Christmas time, a time when Christians celebrate the coming of Christ, the one who would save the world. A lot of people back then hoped in His coming and His coming looked very very different than what people had in mind. They thought a powerful King was going to come in and save them - to right all the wrongs - to rule with kindness and wisdom and solve all the woes of the world. 

And He did - but it wasn't with flashy gold crowns and armadas of armies and putting all the evil into prison...it was by Him dying on a cross.

What the what? How could anything be the more opposite of what people back then were hoping for?

His dying on the cross did EVERYTHING for us. That's a phrase I see a lot in social media these days "that couch is EVERYTHING" or "this new design is EVERYTHING" - I get the intent, but, 

The only one or thing who is everything is Jesus. 

I am like those people, who back in Jesus' day were staring Him in the face, looking right through Him, and still searching for their savior. Those people who were confronted with all the Old Testament prophecies coming true and yet, because of their expectations of grandeur, couldn't see the King the lowly carpenter born in a stable.

So this hope I have in getting well, how I am looking at it like those people? How am I missing the hope He is giving me because I want to see something else? Do my expectations match with His and if they don't, how do I change that?

The old hymn states "my hope is built on nothing less than Jesus Christ, my righteousness."

What does it mean to put my hope in Him? It means that I bring nothing to the table, any strength or bravery or faith I have is what has been given to me by Him. My own efforts and determination, it is all tainted with my sin, my selfish thoughts and sharp words and judgements thought or uttered (Isaiah 64:6). Jesus Christ's death covered my sin and because I believe in Him and have faith that He did that for me, because He loved me so much (John 3:16, Ephesians 2:4-7) He didn't want me to be eternally separated from Him (Romans 6:22-23), I have hope of a future (Philippians 1:6), I have hope that I have His Holy Spirit in me that will give me power, and love, and self-control (2 Tim 1:6-7), I have hope that He will give me wisdom if I ask (James 1:5), I have hope that my sins, all that I have committed and will commit, are forgiven (Romans 5:10, Romans 8:3, ), I have hope that when my troubles are too much for me to bear, the Holy Spirit will pray for me when I can't find words to express my hurting heart and physical pain (Romans 8:26-27), and I have hope that yes indeed, one day I will be healed, that my body will be perfect and there will be no more tears (Romans 8:18, Rev 21:4).

There are so may more hopes (otherwise known as the promises of God). 

Those are hopes that will not fail, that can not fail. Isn't that the best definition of hope!?

I will definitely continue to pray for healing, and for my dear friends who suffer and cry out for healing as well, because He is good to grant us things' according to His will and timing. But if my healing on this Earth isn't part of His plan, my hope of it is not unmet - I know HE WILL.

Because He said He would.

His oath, His covenant, His blood,

Support me in the whelming flood;

When all around my soul gives way,

He then is all my hope and stay

On Christ the solid rock I stand, all other ground is sinking sand.

Tufts! - a medical update

Many have asked how I am doing with the meningitis recovery and the lupus stuff, so here's a medical update for ya!

Many of you saw my pics a bit ago on social media. The below is the latest - they are outta control! :-).

As my post said, I lost a lot of hair during the Cytoxan treatment I went through to stop my lupus from attacking my central nervous system (CNS). It took awhile for it to start growing back, but it's coming in now, curly! I had my last chemo treatment in February. Shortly after, I started on another,  much less harsh, treatment called Rituxan - it's administered every 4 months via two IV infusions about a week apart. I also started on Imuran (I take this daily). Both of these meds are chemo meds, but I get them at much lower doses. They suppress my immune system to keep it from attacking me. And I've been responding really well to the combo - my joint pain and fatigue have improved SO much!

The meningitis recovery is taking SO much longer than anyone anticipated. Again we *think* it was triggered or aggravated by my lupus, so the recovery has been much different than just a regular recovery from a viral/aseptic meningitis (and I know this because I actually had viral meningitis when I was 16!). My head and neck pain are MUCH improved and my pain management doc and I are working to reduce the heavy meds I am on and it's been going okay (my body doesn't handle changes well, changes flare up my lupus so we're having to balance things).

My mental focus and capability are continuing to return. I still struggle with holding multiple pieces of info in my head and putting them together. Like doing mental math. Or making sense of someone telling me a plan or instructions. I often have folks say "oh, well I have trouble with that too" and the difference is, I didn't use to...I was trained to be able to look at lots of data and pull together a story (and backups to that story :-) ), so it's been an adjustment to feel like my brain isn't working right. I also have what we call "brain stutters" - it's when I know what I want to say, but I can't get it to come out, or come out correctly (sometimes I'll just blurt out words that have NOTHING to do with the situation). This has gotten SO much better and usually only happens now when I'm tired or upset or have a lot of inputs coming in (restaurants that are too loud or busy, multiple conversations going on around me, etc). My head will get tired/start hurting after watching a movie that's "busy" or after reading for too long, so I've learned to work with those limits. I've been playing a game on my phone that deals with patterns and strategy and I've found it's helped a ton when it comes to looking for things on shelves, scanning traffic, etc. I used to get so tired and confused trying to find things on the shelves of grocery stores, or even just trying to find lost keys in the house. That fatigue doesn't happen very often anymore...yay! And I've improved enough to where I was able to help my church with logistics and organizing help during Harvey. There is no way I could have done that 2 months ago. Progress people.

Physically, I am starting to both look and feel more myself. I actually gained 44 pounds from the steroids and I'll just say it was a painful struggle to process how much my body changed. As I've come off meds (specifically the steroids), my heart rate (which was 123 RESTING) has totally returned to normal, so physical activity isn't as frustrating (that moment when you want to exercise but after 5 minutes your heart rate is almost 200...). I started swimming again back in April and it's been slow, but I've been able to lose 20lbs (throughout all of this, I've maintained my clean-eating, gluten-free/dairy free diet, so really not many changes in eating habits, just getting off the meds and getting back to exercise). It's been SO nice to be able to do some camping trips and travel and be able to handle it. I look forward to when I am not just "handling it" but just doing it, you know? Just another PSA- but don't take your health for granted. Use what you've been given and enjoy it and be thankful.

SO MUCH PROGRESS!!!

If you would have told me a year ago, I'd still be working to recover and stabilize, well, I would have cried. I think when faced with scary things, it's so important to take things one day at a time. I can tell you my biggest doubt and fear moments come when I get ahead of God. His mercies are new every morning, the bible says that (Lamentations 3:22-23)...that means, take it one day at a time. He knows us and how we will freak out if we try and figure out the whole path ahead. We can't see what progress we will make, what healing will happen, but He does. So rather than try and think and ponder and imagine, I continually work to let Him be God, not me, and instead focus on doing what He wants me to do each day - seek to love and honor Him in all that I do.

So the forward medical plan for me is to continue on the Rituxan and Imuran. And continue to reduce the meds I started after the meningitis (and we're close!). The only way to check to see if the lupus is still impacting my CNS is to do spinal taps (lumbar puncture - they take out some cerebrospinal fluid to check it), and they don't just randomly check your CSF (Thank GOD!), so my doc says we just watch for symptoms. I'm hoping the lupus just leaves my brain alone now and so far, there are no other indications.

As with all auto-immune diseases, the goal is stabilizing the disease so that you go into remission. Each slight improvement increases quality of life and therefore, every step forward is good, appreciated, and not taken for granted!

There you go - medical update. It's a lot of GOOD, isn't it? You'll notice that I didn't touch on the emotional/spiritual aspects of progress because that's a whole lot messier and part of the other blog posts that are coming that I mentioned awhile ago. :-)

Thank you all for continuing to stick with us and pray for us and encourage us. And it's definitely "us" - Jim has been the most supportive, gracious, patient, and loving husband through all of this and it has NOT been easy on him either. It's been really neat to see how God has grown him as a caregiver, in empathy and compassion,  and I've relied on his "at the end of the day, our goal is to look more like Jesus, that's it" statement so many times to help me not worry about the future and take things one day at a time. Jim truly is my best friend.

The Lost Days

I feel like that's a fairly dramatic and not entirely true title, but it's what I am feeling so I am going with it. These days, August 11-28, are my "lost "days from last year. The days I was in the hospital. I know they aren't truly "lost" - lots of things happened, lots of good happened. But they are my lost moments, plans, and look-forward-tos. And there is a type of grieving that happens when you look back at what might have been. It's okay to look back, but not okay to stay there. Often, looking back allows remembering and being able to see a bit of the bigger picture, one can generally be amazed at the good and great that happened. And we hope, in looking back, to see a reason, a purpose, for whatever it is we are reflecting on. But often times, we can't yet, or might never.
How does one come to terms with the "might-have-beens" and "shoulda-woulda-couldas?"

I've been talking to a couple of gals who have also recently passed that one year milestone, one year since something unexpected and life-altering happened and you're still not where you thought you'd be, normalcy or "new normalcy" as I like to call it, hasn't been obtained. And I found agreement with the feeling of dread as that day approached. And the almost guilty feeling of being sad about what felt lost because, as a believer in Christ, as a follower of Him, I am supposed to remember and know that He is sovereign, and good, and that all things work together for those who love God and have been called by Him (Romans 8:28). And I DO believe that. But it can be hard to remember in dark moments and it doesn't keep the real tears or real feelings from crowding in  - tears and feelings that He gave me, gave us - so, how do I process?

I don't know.

I'm still figuring this out, as are my gal-pals in suffering. One thing I know, is to speak truth against the lies and to not entertain the might-have-beens. To give them their time, acknowledge, grieve, and to set them on the shelf and look forward. As all things that you set on a shelf, it can be taken back off, and I have to fight that urge. I have to put something in its place. For me, I am finding that reciting to myself how I have seen Him move - through a friend or doctor, through my husband - to encourage me and remind me that I am not alone and that He is there. I remember where I was and where I am now. I'm finding the cost of choosing joy in this - the laying aside my expectations and goals for progress and re-accepting His. Reminding myself and being reminded by all the lovely friends and family I am surrounded by, that progress continues to be made, and that His timing is perfect, and that I truly have a wonderful life, despite the fact that the past year didn't meet my hopes.

"Weep deeply for the life you hoped for. Then wash your face. Trust God. And embrace the life you have." - John Piper 

I've been trying to put together a single post summarizing this past year. It's not going to happen. There's just too many flavors to try and mix into the pot.  So, I am going to sit and marvel and share tidbits and musings and hopefully the TRUTHS that He gives me over these next couple of weeks. Remembering, praising, reflecting, and continuing to heal - spirit and body. Because I know there are others walking through hard stuff and feel like me, trying to figure out the balance between grieving and moving forward; giving praise for His gracious sustaining and giving prayer for future hopes and dreams.

And one of those lost days has already been replaced.

Last August 12th, we were supposed to go to Brazos Bend to watch the Perseid Meteor shower, but it was my second night in the hospital. This past Saturday (August 12th), we went to Brazos Bend and watched the shower. We saw a handful in the hours that we were out there (the peak of the shower was way past our bedtime). We sat on the same dock where Jim asked me to be his wife and watched the stars fall. And rejoiced that we could be there.

I am thinking that lost days can be rewritten by choosing joy.

Courage, dear heart!

Print by Ruth Chou Simons of Gracelaced

Have you ever had an identity crisis? I did, years ago when inflammation around my spine took me out of running and triathlon. It took awhile, but God showed me that I am not defined by what I do, how much I do, but by the fact that I belong to Him, I am His daughter.

I've been having to remind myself of that a lot recently. I find myself not recognizing me. I am afraid to try new things. I am afraid to attempt things I used to do but haven't done in awhile. I feel a sense of relief when I return home after an outing; home is my safe place. You see, I know how I will react and respond (for the most part) when I am at home. I know how much noise and chatter I can handle. I know how much outside stimuli (book, movie, music) I can handle. Remove me from the house and it becomes a big unknown to me. Will my head start hurting too much? What if I get confused talking to the cashier? What if my now almost constant nausea makes me throw up in a friend's car? What if I just start crying in the middle of talking to someone? 

And this fear, it's silly, because, when I finally do these things I fear, I can usually do them, maybe not to where I used to be, but I can do them (like swimming backstroke after months of not using the muscles in my upper back because the steroid swelling was so bad). I am continuing to make progress. The immunospressive cocktail of Rituxan and  Imuran is helping my joints to be less painful and I've starting to work with my rheumo doc and pain management doc to wean of certain medications - and that's been going well. My focus and mental endurance is also continue to slowly increase. So my fear isn't even valid for the most part. But its still there and still real, which means it needs to be confronted.

Being fearful isn't a new thing to me. God and I have addressed that before and I am so thankful for being able to go back and read my journals and my blogs to remind myself of the truths He taught me.

"When I am afraid, I put my trust in you, in God, whose name I praise, in God I trust; I shall not be afraid, what can flesh do to me?" (Psalm 56:3-4)

"He keeps Him in perfect peace, whose mind is stayed on you, because he trusts in you. Trust in the Lord forever, for the Lord God is an everlasting rock." (Isaiah 26:3-4) 

I am finding that as I am trying to teach myself not to be fearful, I can't just leave the space fear used to occupy empty, I need to fill it with something. I need to fill that space with the opposite of fear: courage.

What's courage? Merriam-webster defines it as "mental or moral strength to venture, persevere and to withstand danger, fear, or difficulty.

Well, I've tried the mental pep talks, they help, but it's not lasting, because it's me talking to me. I need Him to talk to me. And then I need to speak His word to me, not my words, those are fleeting and shallow. His word is living and active. My courage needs to be based in how He equips and sustains me to tackle the new, the untried, or the old familiar, not in my ability, capability, determination, or attitude (don't get me wrong, those help for sure, but they aren't the end all be all). Courage is a matter of the heart. And I need to ask myself, who has my heart? 

Our hearts can be many things - our loved ones, our positions and titles at work, our experiences, the outdoors, techy devices, knowledge, food, coffee ;-). None of those are bad, but as I get used to this new Melissa, the one who is more cautious than before, the one who can be tentative rather than decisive, the one who second guesses instead of forging ahead with confidence, I am realizing again how much I define myself by what I do, what I accomplish. 

My last day at NASA was this past Friday. It was the right decision, but hard because of how much I loved working there - the people, the mission, the cool factor :-). I left a position that I knew (usually) how to handle, what to do and how to get things done.

And the future yawns blankly and dimly before me. 

I've left something I know and can do well at, to stare overwhelmed and, to be honest, fearfully into the possibilities of biblical counseling and motherhood through foster/adoption. What if I can't do those things? What if I fail? What if my brain and my lupus cause all sorts of hiccups and mountains and stumbles? And I find I step fearfully back, dragging my feet, pausing overlong, questioning. This type-A, recovering perfectionist doesn't have a to-do list or a game plan. And the fear of the unknown, of failing, or regret begins to work its way into my heart.

How do I become courageous?

Courage comes from reminding myself of what He has done for me, of His faithfulness through the years. Of recalling to mind all the times He's blown my expectations, hopes, and dreams out of the water by showing up bigger and better than I could have ever imagined.

And this God? This God isn't a one-time God. He shows up EVERY SINGLE TIME. He's consistent, He's faithful.

Great is Thy faithfulness!

"The Lord is my shepherd, I shall not want" (Psalm 23)

"Be strong, and let your heart take courage, all you who hope in the Lord" (Psalm 31)

"He who has prepared us for this very thing is God, who has given us the Spirit as a guarantee. So we are always of good courage..." (2 Corinthians 5:5-7).

Courage is hope in a way - courage buffers the heart to press on and look forward, to hope, because of the past faithfulness of the Lord. 

If fear of the unknown, the seemingly impossible, the new, or the unwelcome old is causing you to tremble, to delay - join me in taking courage! Let us remember how He has been faithful. The Lord is with us and He equips us for all that He gives us to walk through and handle, whether it be health trials, financial struggles, struggling relationships, the unknown, the "might-have-beens". He knows.

“But no one except Lucy knew that as it circled the mast it had whispered to her, "Courage, dear heart," and the voice, she felt sure, was Aslan's, and with the voice a delicious smell breathed in her face.” (C.S. Lewis, The Voyage of the Dawn Treader)

Stripes

Check out my new walking shoes!

The Maizie-dog and I walk about 1.5 miles almost every morning. We tried 2 miles one day and my joints and my head were all "nope." But, yay progress! Jim and I also went swimming the other night. I swam laps for about 20 minutes (lots of breaks!)- I did get dizzy but it passed pretty quickly. I am hoping to renew my membership soon and add swimming to my physical activity. Since I am now on a maintenance dose of steriods (have to be - the high doses of prednisone (steroid) caused my adrenal glands to shut down (adrenal glands produce cortisol, the natural steroid that all of us need). It's an expected effect of high dose, long term steroids. It can take a year or two for my adrenal glands to wake up again, so for now, low dose prednisone. But the low dose means I should be able to start shedding the extra pounds gained from the steroids. And that's going to be tough because it's a hard weight to lose and I can't get my heart rate too high before my head pain gets too intense. So, another way for me to practice patience and perseverance.

I finished my second round of the new immunosuppresive med (Rituxan, it's actually another chemo med but not as harsh as the one I needed the port for). My next round isn't until August. So far, I haven't noticed any improvement and we're actually have trouble getting some of my lupus symptoms stabilized. Extreme fatigue, finger/toe/hip joint inflammation/pain, face rash, and fevers. We've upped the dosage of one med and added a super strong anti-inflammatory med that used to work well for me. And then there's my head.

Ah, my head.

So there is definite progress. The pain has reached a tolerable steady state and peaks when I try to read or focus intensely on something (like painting or sewing or writing). I am able to read for about 20 minutes before the head pain is a bit much for me. My eyes get blurry too, so I just have to rest and both the pain and the eyesight get better, so that's good.

But

I broke a sweat trying to figure out how to hang some pictures on the wall today. Literally sweating and head pain galore. It's a gallery wall. And I can't figure out how to lay out the frames.

Humbling.

Oh the number of things I still take for granted, even after previous trials where I thought I learned not to take them for granted.

I've had a few days recently where I am oh so aware of how broken my body is. Chemo did a doozy on me (major hair loss, skin issues.) One night as I stood applying a "grow your hair back faster" spray and three different lotions to help with after effects of chemo and high dose prednisone, I just started crying. I am so broken. My body is so broken.

But

This second "but" is a "but God," you know, the best kind of "but." Easter Sunday I sat in the side room at church (the worship music is still too loud for my head) and I heard one of the men reading from Isaiah 53. I pulled it up on my Kindle (yay big text size!) and read along and did a "whoa, repeat that again" on verse 5.

"But He was pierced for our transgressions; He was crushed for our iniquities; upon Him was the chastisement that brought us peace, and with his wounds we are healed."

Healed. I am healed. I'm living in a "already, not yet" form of body. It's going to 100% healed someday because He's already done the work.

God loved me so much that He sent His son to die for me so that I can have eternal life...in a brand new, no blemishes, no swollen joints no rashy skin, or eye-blurring head pain, body.

This, His wounds, the stripes made by whips, this makes it worth it. It makes each day doable. Because the healing has already taken place. Both my heart and my sin, and my body.

So as I make baby steps in increasing my capability for house chores and exercise and fun outdoor things, as I discipline myself to set down the book and give my brain a rest, as I work with my team of docs to find the right cocktail of meds to get me on the right path to continue to regain my previous abilities and capabilities, I can handle the setbacks, the rough days or nights, the disappointed hopes, the not met yet goals, the challenges of hanging frames in a way that pleases the eye. I can handle them because He is able to the uttermost to help, heal, comfort, provide, and sustain me. And to day by day make me more like Him. And then when we see the improvement, the progress, the carefully arranged picture frames, we (and hopefully you) will see Him in all of those.

By His wounds, His stripes. I am healed. Oh, what a happy, happy day.