{"id":16927,"date":"2011-06-09T09:07:29","date_gmt":"2011-06-09T13:07:29","guid":{"rendered":"http:\/\/asweetlife.org\/?p=16927"},"modified":"2016-01-05T12:09:08","modified_gmt":"2016-01-05T17:09:08","slug":"symptoms-visible-and-invisible","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=16927","title":{"rendered":"Symptoms Visible and Invisible"},"content":{"rendered":"<p style=\"text-align: justify;\">I wrote <a href=\"https:\/\/asweetlife.org\/a-sweet-life-staff\/featured\/simply-human-a-doctor-confronts-his-patients-illnesses-and-his-own-diabetes\/18470\/\" rel=\"nofollow\">After the Diagnosis<\/a> to offer stories of patients living creatively with chronic illness, as well as personal insights gleaned from my decades of living with diabetes. But it&#8217;s only since publication of the book that I&#8217;ve really come to understand the difference between an illness that&#8217;s invisible and one that shows. In the past year or two I&#8217;ve developed a significant tremor in my hand, which turns out not to be an &#8220;essential tremor&#8221; but Parkinson&#8217;s disease. I sometimes feel stigmatized by this symptom, as though people are making the assumption that I&#8217;m too sick to manage not just my <a title=\"Psychology Today looks at Career\" href=\"http:\/\/www.psychologytoday.com\/basics\/career\" target=\"_blank\">career<\/a> but even the activities of daily living. It was this kind of stigma I tried to avoid for three decades, while I kept my diabetes a secret from almost everyone I knew.<\/p>\n<p style=\"text-align: justify;\"><img decoding=\"async\" class=\"alignleft lazyload\" title=\"After the Diagnoses - cover\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/asweetlife.org\/wp-content\/uploads\/2011\/06\/After-the-Diagnoses-cover-197x300.jpg\" alt=\"\" width=\"158\" height=\"240\" \/>These days, when I give talks about the book, I begin with my tremor: I raise my hand above the podium and say, &#8220;Can everyone see this?,&#8221; sometimes shaking the other hand just for good measure. Talking about, even joking about, what&#8217;s visibly wrong makes me feel more at ease, but it also seems to relax other people. If I&#8217;m okay about it, so are they. The fact that people know I &#8220;have something&#8221; is even an opportunity to open up the discussion-to air the question of stigma and encourage people to be more candid about the symptoms that plague them. I can also say that having lived my way around and through one diagnosis is helping me set my course as I begin to cope with a second one.<br \/>\nParkinson&#8217;s is scary because it&#8217;s another one of those &#8220;forever&#8221; things that will never go away; indeed, it&#8217;s going to get worse, though how fast and to what degree remain uncertain. It&#8217;s in the space of uncertainty that I&#8217;ve lived my life with diabetes, and I&#8217;m prepared to take charge of the &#8220;unknown&#8221; again. I&#8217;ve even felt paradoxically cheered by the diagnosis; now that the tremor has a name, I can take the right medicine, do the right exercises, eat and <a title=\"Psychology Today looks at Sleep\" href=\"http:\/\/www.psychologytoday.com\/basics\/sleep\">sleep<\/a> right- actually improve my life and health, as I begin to do battle with the illness.I like to think, when something is disappointing or goes wrong, don&#8217;t just fix it, make it better than it ever was. A<\/p>\n<p style=\"text-align: justify;\">setback is an opportunity to improve things. (I know, this sounds like, &#8220;if life throws you a lemon, make lemonade.&#8221; But truisms get that name because they&#8217;re true.) My aim with this new diagnosis is to be healthier than I was before, and more willing than ever to try new things, go new places, seek out new directions. I&#8217;m going to welcome uncertainty an open space in which to live.as time and illness take their toll.<\/p>\n<p style=\"text-align: justify;\"><em>Originally posted on Psychology Today.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Having lived my way around and through a type 1 diabetes diagnosis is helping me set my course as I begin to cope with Parkinson&#8217;s&#8230;<\/p>\n","protected":false},"author":92,"featured_media":41472,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"image","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1463],"tags":[126],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.9 (Yoast SEO v22.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Symptoms Visible and Invisible: Parkinson&#039;s and Diabetes<\/title>\n<meta name=\"description\" content=\"Having lived my way around and through a type 1 diabetes diagnosis is helping me set my course as I begin to cope with a diagnosis of Parkinson&#039;s disease.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/asweetlife.org\/?p=16927\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Julian Seifter M.D.\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/asweetlife.org\/?p=16927\",\"url\":\"https:\/\/asweetlife.org\/?p=16927\",\"name\":\"Symptoms Visible and Invisible: Parkinson's and Diabetes\",\"isPartOf\":{\"@id\":\"https:\/\/asweetlife.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/asweetlife.org\/?p=16927#primaryimage\"},\"image\":{\"@id\":\"https:\/\/asweetlife.org\/?p=16927#primaryimage\"},\"thumbnailUrl\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2011\/06\/iStock_Hands.jpg\",\"datePublished\":\"2011-06-09T13:07:29+00:00\",\"dateModified\":\"2016-01-05T17:09:08+00:00\",\"author\":{\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/f543db91061942bce4998f0a892377b9\"},\"description\":\"Having lived my way around and through a type 1 diabetes diagnosis is helping me set my course as I begin to cope with a diagnosis of Parkinson's disease.\",\"breadcrumb\":{\"@id\":\"https:\/\/asweetlife.org\/?p=16927#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/asweetlife.org\/?p=16927\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/asweetlife.org\/?p=16927#primaryimage\",\"url\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2011\/06\/iStock_Hands.jpg\",\"contentUrl\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2011\/06\/iStock_Hands.jpg\",\"width\":849,\"height\":565,\"caption\":\"Symptoms Visible and Invisible\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/asweetlife.org\/?p=16927#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/asweetlife.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Symptoms Visible and Invisible\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/asweetlife.org\/#website\",\"url\":\"https:\/\/asweetlife.org\/\",\"name\":\"ASweetLife\",\"description\":\"The Diabetes Magazine\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/asweetlife.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/f543db91061942bce4998f0a892377b9\",\"name\":\"Julian Seifter M.D.\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/eb7a012301c42629ddd39ec12975b141?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/eb7a012301c42629ddd39ec12975b141?s=96&d=mm&r=g\",\"caption\":\"Julian Seifter M.D.\"},\"description\":\"Julian Seifter, M.D. is one of the leading kidney specialists in the country. 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