Grace

Age at interview: 57
Age at diagnosis: 27
Outline: Grace was diagnosed with MS after not being able to move her toe. At first, her doctors doubted that something was wrong. Grace persisted to get a diagnosis and eventually found the medical care she needed. Today, Grace experiences symptoms that she describes as invisible including fatigue, pain in her spine, muscle twitching, balance issues, tremors in her right hand, and the MS bearhug. Through the years, Grace has adapted to her MS and developed a system for managing her symptoms that works best for her.
Background: Grace lives in a small town where she spends her time knitting, being outside, and connecting with friends and fellow church members. Because MS symptoms made it hard for her to work, Grace retired at the age of forty. Grace’s spirituality and robust support system helps her manage having MS. She identifies as a heterosexual White female.

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Grace’s first MS symptom was an area of numbness on her leg during college that she couldn’t feel. While that symptom went away, over the next five years little things started to appear that would come and go. During this five-year period, Grace saw many specialists before the appropriate diagnosis was made, including neurologists, orthopedists, and a neurosurgeon. For example, when she couldn’t move her toe, her doctor attributed it to a spinal disc issue and recommended physical therapy (PT). Grace was skeptical of this diagnosis and knew that something was “not right.” Through her employer, Grace switched to a Preferred Provider Organization (PPO) insurance company that allowed her to see a neurologist. MRI testing confirmed that Grace had Multiple Sclerosis (MS). Immediately after this diagnosis, Grace was hospitalized for 5 days. After this episode, all of her MS symptoms subsided for 5 years. She then had a severe relapse and was hospitalized and eventually bed bound for three and half months. Grace calls her MS “the gift that keeps giving” because eighteen months later, she again experienced MS symptoms that required medical treatment. She has not had any major relapses for many years, although she continues to experience symptoms that are not visible to others including fatigue, spinal pain, problems with balance, muscle twitching when tired, and feeling overwhelmed in high information and intense social settings.  If she tries to push through symptoms, Grace experiences an “MS hangover.” She will get tremors and her legs or hands and be extremely fatigued for many days. Grace is taking CellCept and her MS is currently stable.

Not being believed by her doctors and being told that there was nothing wrong was hurtful to Grace. Grace had an aunt with MS and she “knew what MS looked like” and how it could affect people’s family. She was very sad to receive her MS diagnosis. However, the diagnosis also felt like validation that her symptoms were not all in her mind and that there was something truly wrong with her. Her relapses scared her because of the uncertainty about the future that surrounded them. Retiring at forty was difficult for Grace because this meant that she lost the connection with her coworkers and felt a sense of loss that part of her or what defines her was gone. Grace’s family, friends, and church members were extremely supportive throughout the period of initial diagnosis. Grace uses her spirituality to get through challenges in life, including MS. She finds that MS is an isolating kind of disease that affects relationships and has reduced her social circle. Grace lives by herself and has to actively cultivate relationships with people who can help her. She has one aunt and three cousins who are also diagnosed with MS, and they serve as a “built-in support system” who can empathize and provide advice. Grace’s biggest worry about MS is the implications of her cognitive symptoms as she ages. Grace wishes that her doctors would acknowledge and discuss cognitive fatigue and talk to her about how MS can impact the aging process.

 

Grace waited for the right time to tell people about her MS diagnosis.

Grace waited for the right time to tell people about her MS diagnosis.

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Well, when I was first diagnosed, my family all knew. They knew it at work that I was in the hospital. I don't know the extent of what was said with my friends and stuff. My close friends know. I don't necessarily broadcast it to everyone around me, more acquaintances. Because I don't want it to be the-- I don't want people to look at me differently, and I think, to me, I was like, well, it really doesn't matter at this point. It's not impacting anything. So, I don't really say much. Like I said, until I get closer to someone.  So, I met a lady and we got to be friends. And then I didn't tell her for a long time, and then finally we were talking one day, and she said that she was tested for MS at one point. And I said, oh, you were? Because, I said, that's what I have. And so, we were talking about it. And so, I look-- I kind of don't necessarily tell that to everyone, but just when I feel comfortable, I think, when I want to do that.

 

Grace emphasizes the importance of a good bedside manner. 

Grace emphasizes the importance of a good bedside manner. 

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But it's also hard to have MS. And that patient that comes in, we're tired when we come in sometimes, because we've used all our energy just to get there. And so, I guess having patience. A little bit of humor helps. I've had my one doctor tell me-- because he was trying different meds with me and things like that, he said, “We're going to add something to the cocktail.” And just to lighten things up a little bit, I thought that was kind of funny. And I guess just trying to know the patient just as a person and not as something you learned about in med school. And, "Oh, and this is interesting. I learned about this in med school." That's a person. So that's probably would be like when you have it.