RA

Surviving disease

Thursday, April 12, 2012

Insomnia: my perfect paradox


It doesn't make sense when you think about it. RA comes with so many symptoms: pain, swelling, stiffness, pain, malaise, fatigue, pain. I mean, one would think that the never-ending sickness would put you right to sleep. Isn't that what our bodies are trained to do? When illness strikes, we just laze around while our immune system fights off the problem--it needs all the energy it can get. Like when you have the flu, and all you want is to sleep it away. Similar thing—body is always in attack mode, and therefore constantly exhausted. With my body in a constant state of attack, even against my own body, I should be utterly exhausted from the experience. 

I am.

My body knows this. My body is familiar with the exhaustion, it welcomes it. It wants nothing more than to lay down on a bed, couch, floor, anything that won’t move. My body is sick, and feels that the only way it can recover is to rest. It's my mind what refuses to shut down. Even when every bit of energy is ripped from my body, every ounce of motivation, every morsel readiness, my mind is on alert. My mind knows enough about the nature of my disease, that it doesn’t want to give in to my sleepy indulgences because it knows what they can do.

I think it's fear. When I lay my head on my pillow at night the only thing that will come of it is pain. Fatigue cannot be remedied with sleep. I’m not just tired. Fatigue means I am completely unreachable. Sleep will not help that. My subconscious is fearful of waking up, of feeling the disease replenished in my body, of repeating the same process over and over. When I go to sleep I am welcoming the next day's battle, welcoming the disease to strengthen itself while I sleep. If my body is not having to supply the energy to move around and talk and live life normally, it can focus on healing itself. The problem is that “healing” my body is hurting it. Everything inside me is confused, and when my immune system thinks it is attacking something bad, it’s just attacking the good parts of my body—my joints. While I sleep my immune system begins a cruel assault on what it thinks to be the enemy, but is not. I wake up in the aftermath of battle, with fresh and tender wounds surrounded in pain. Wouldn't you be afraid to? 

My brain is tapping into my fight or flight instincts, and it's fleeing. It is running away in the only way it knows how: by preventing the RA from building up while I sleep. What normally would be a method for healing the body, is what I am trying to escape most. Sleep is as much the enemy to me as the disease itself, no matter how much I may need it. Hours will tick by. 12am, 1, 2, sometimes all the way to 4am before by body’s needs overcome my brain’s anxiety. Heat will flash through my body as my brain wrestles against my body. Most nights it is bearable, but other times I lie there shivering cold then suddenly damp with sweat. Sleep is a hard subject for me. It rarely comes when I want it, and rarely leaves me when I wish it to.

It's a dreadful concept. The one thing my exhausted body wants, is the one thing my brain fears. A fight that is sure to last the rest of my life.

Guess which one is winning?