<p>I would agree with limabeans that these things vary from illness to illness and even within illnesses depending on how well or poorly a person is doing. My daughter was diagnosed with a chronic illness five years ago, at the end of her sophomore year of college. Her illness made her quite ill before medication got it somewhat under control. However, she was able to stay in school and managed to excel and graduate with numerous honors and obtained what is widely considered a very demanding job and has just landed a very difficult-to get job that she really wanted. During the first year out of college, her treatment regimen failed and she had to switch to more aggressive treatment. She’s not in remission and contends with some pain, anemia and occasional flares, but her symptoms are controlled enough that she can work and function. If this was 15 years ago when this medication did not exist, she probably would not be able to work. </p>
<p>So that leads me to the first thing I do for her – I give money for research, I raise money and I advocate for funding for research. There is currently no cure for what she has, but treatments have improved dramatically and many people, like her, who previously would have been unable to work or face a higher chance of surgeries, lead rich and and complete lives. I’ve helped her by helping her find physicians both when she was in college and even now. I keep my ear to the ground, I have gone with her when she sees a new doctor (I don’t regularly go unless there is a big decision to be made and she wants me there). I’ve helped her become savvy about the medical establishment and insurance plans and, at 24, she can hold her own very well in medical settings. I was the one who discovered that the secondary insurance provided by the drug company that reduces her co-payment for medication from $150 a month to $5. </p>
<p>There is a wonderful organization for what she has, and there is a lot of education available at conferences, etc. and they are for all family members. I sometimes go and she has gone with me on occasion. We had an unspoken agreement for a while that she’d deal with being sick, and I’d be the worrier, by which I mean I would read the literature, get e-mail notifications, raise money, and do some of the thinking about it. As she’s getting older and now a full-fledged adult, some of that is changing, but I still try to stay informed, just as I do for my husband who has some health issues. She is very appreciative of what I do and expresses it. I try not to overstep and she tells me if I do and I back off if she says I’m overstepping. I think that’s very important.</p>
<p>I’m probably one of the few people she tells when she’s having a bad day or when she wishes she could be like her friends who never have to go to the doctor or worry about health insurance. I’ve also learned to keep my mouth shut when she works too hard, doesn’t sleep enough, etc. If I want to worry, I can, but it’s not fair to put that on her. </p>
<p>I’m not clear how long it has been since your child was diagnosed but I found it took me a very long time to wrap my mind around all of it. I’m a psychotherapist and had already worked with people who deal with chronic illness, but it was a hugely life-altering experience for me when she was diagnosed. It changed who I was as a parent. It was disruptive to the natural process of autonomy that is supposed to occur in the young adult years. I wondered how I had missed it (even though three doctors got it wrong for about two years). It was frightening to read the literature, it was frightening to read about the side effects of treatment. It was difficult to realize that all the love in the world and all the good intentions, which had always stood me in such good stead as a parent, could only go so far and that much of this was beyond my control. Now, five years later, I rarely think about it unless she’s having a bad day or when she’s figuring out insurance plans, etc. and wants to discuss it. </p>
<p>She’s doing well; no, she’s thriving. She does more in a day than many people do in a week. Part of that is modern medicine, part of it is that she’s fortunate that she’s not sicker than she is, which, of course, could change, part of it is her drive to do all the things that she wants to do. But again, her situation could change, every illness is different and the course of a chronic illness can change.</p>