The Sacrifice, written by my daughter Carmen, was published on Amazon in May 2020. This is her 2nd fictional novel that has been published. In her latest book, the main character becomes sick and eventually diagnosed with gastroparesis. Carmen does a fantastic job describing the ordeal that someone with gastroparesis may go through prior to, during, and after being diagnosed. While Eden, the main character, learns more about what's going on with her medically and how to best deal with it, she is faced with additional (non-medical) life problems as well. Through it all she tries to rely on family and friendship, while also learning more about herself. THE SACRIFICE is a fictional, creative, and emotional read. While much of the book is realistic, including the gastroparesis descriptions, there are also some unexpected twists and an element of supernatural in this book as well. Carmen’s description and details throughout the book are so vivid that it’s easy for the reader to believe they are actually there among the characters, I know I did.

About her writing, Carmen states,
"I never thought that I would be the one to write books while I was still a kid. But here I am with my second novel. I have always enjoyed writing for the most part, but during the past few months, I am truly starting to realize that I have a passion for writing. When I was just nine years old, my life completely changed. My mom was diagnosed with gastroparesis. I didn’t know what to do, or how I could help her, when she was always feeling horrible and in the hospital. With family by my side, I learned a lot throughout that year, and continue to learn more things each day.  At times, I’ve felt like everything was pouring down on me, but didn’t really know how to handle it all. I eventually learned how to open up to my family and lean more on my faith. My goal is to use my writing and experiences, along with creativity, to spread messages of encouragement to others.

I was inspired to write THE SACRIFICE because it describes the struggles teenagers can have when living with or trying to survive chronic illness and family challenges. The disease, gastroparesis, that I included in this book is the same disease that my mom has been living with. I may not have the disease, and I may not be able to feel the pain that my mom does, but I see the pain that she goes through every day in my life, and that gives me the ability to relate to it. This book is fictional and has some unexpected twists, but also expresses to the reader that you can make it through whatever troubles you are going through and you should embrace what life gives you. I hope that everyone who reads this book learns something from it as well."

Summary of THE SACRIFICE:
“Eden is a seventeen-year-old girl that is enjoying her last summer before senior year, but an unexpected curveball gets thrown at her with a life-changing disease. Her twin brother, Bennett, and best friend, Carter, stay by her side, but once a tragedy happens, she begins to feel the pain that she never imagined having. One letter ends up being the mystery that she wishes she never opened up. Will she be able to find closure, or will she give up on everything that she's ever worked for?”

You can purchase your ebook or paperback copy of THE SACRIFICE from Amazon now!! https://www.amazon.com/dp/B0892DJV6G/ref=cm_sw_r_tw_dp_U_x_12-0EbYPCRE

​Carmen’s first book, UNBREAKABLE, is also available on Amazon.

Telehealth has been slowly making it's way into society over the past couple of years. However, amid the coronavirus (COVID-19) pandemic that is reaking havoc across the world, it has become a necessity. Doctors and medical centers across the United States have begun to depend on telehealth in an effort to keep patients and medical professional safe from infection. Due to how contagious and deadly this virus is, everyone is being encouraged, and in many cases, ordered to remain at home and "social distance" themselves from others. However, other health issues and concerns, whether physical or mental, do not disappear. Therefore, telehealth is emerging as an essential way for people to receive medical attention over the phone or via live video interactions, without having to further risk acquiring or transmitting the virus.

Living with chronic illness is challenging. Open communication and dependable relationships with my doctors is important to me. When COVID-19 began it's negative impact on the United States a lot of things began to change. As cases started appearing in NC, all of my medical appointments were rescheduled out of fear and uncertainty over what to expect with the virus contagion amongst our communities. As weeks progressed, the serious threat of the virus didn't leave, in fact it increased quickly. Telehealth began emerging.

I see a clinical health psychologist a couple times a month to help me with the impact that Chronic Illness has on my life and to help me navigate the emotions and stressors that coincide. Missing or rescheduling an appointment occasionally is acceptable and manageable. But life doesn't stop, my emotions and thoughts continue, and the maintenance of my mental health is important. Unfortunately, the virus is not going anywhere anytime soon. I have no idea when it will be safe enough to visit my doctors face to face.

Yesterday, I agreed to attempt a therapy session over the phone. Prior to the appointment, I was extremely anxious, though not really sure why. I was literally afraid. My head was spinning, my eyes were teary, and my chest heavy as I awaited the phone call. For the life of me, I don't know why my body was responding this way, especially being that it was just a phone call and with someone that I know and trust. Maybe it was because I was at home, with family members in the other room. Maybe I didn't feel as "safe" enough to talk openly and privately because others may hear my thoughts and feelings. Maybe it's because I couldn't walk to my usual room and then leave after the appointment was over. Maybe it's because I didn't trust myself to open up enough, feared awkward silences or inability to talk my through the session. Maybe it was the increased possibility of distractions around me in my home. Maybe it's because I know that body language speaks louder than words sometimes, and talking on the phone takes away that aspect. Maybe it was just simply because it was new and different. Likely it was a combination of all.

Regardless, I knew that I needed to try. And though it wasn't perfect, it worked out alright. Yes, I was nervous when answering the phone. I did feel awkward, especially to begin with, but that's ok. I was able to open up, though did find myself hesitating and trying to hold back thoughts at times. All in all, it was still a worthwhile appointment and I'm glad that I gave it a chance. I expect that I will be having more phone appointments like this, possibly with my medical doctors as well, in the upcoming weeks or months, at least until the chaos of the virus calms down.  Hopefully, I'll be returning to my "normal" face to face appointments afterwards.

Everyone has their own personal opinions about telehealth. Like everything in life, it's not perfect. I understand the need for it at the moment, I can admit that it is beneficial in various situations, but I also recognize instances where it is not ideal and may hinder the doctor-patient connection. Personally, I still prefer face to face appointments, but I can see the benefits of telehealth in some circumstances and how it may actually become preferred or more convenient to some. Whether by phone or video,  I believe that telehealth will have a prominent place in the future of medicine and am thankful that it is available in times like today.

Edited on May 24, 2020 to add......
I have now had 4 phone appointments with my psychologist and a virtual video appointment with my GI. All of these "remote" appointments are a result of social distancing and new medical protocols due to the Covid pandemic and stay at home guidelines. My thoughts have improved regarding telehealth since my first appointment. I still feel a little awkward for the first few minutes of these appointments, however, being that the appointments are with doctors that I trust and am comfortable with, the appointments are efficient. (It may also help that my mental health and frame of mind have been pretty good through all of this and my medical symptoms, while still problematic have been tolerable for the most part. If I were having a very difficult time physically or emotionally, I believe in person would be better, as visual cues and physical assessment may be more necessary. But, routine follow-ups when issues are not too problematic, telehealth is proficient.

Gastroparesis is a chronic invisible illness that impacts every aspect of our lives.

We may appear "fine" on the outside, but what we deal with every day on the inside is NOT.

Gastroparesis doesn't discriminate by age or size. Some will lose a lot of weight, some actually gain.

A change in one's food diet may help improve symptoms for some, some are able to get by on liquid and/or pureed diets, and others require tubes and lines to receive their hydration and nutrition.

We struggle to find better treatments and improvements in our quality of lives.
We advocate for change, because we don't want others to have to endure what we have.

We form online friendships that become very dear to us.  Our connections help us support one another during most challenging times, celebrate achievements, and unite to make a difference. 

We are saddened with each green candle as we miss the ones that pass away, fear the loss of additional friends in the near future, and worry about our own path as we experience similar health stories of those we lose. Advocacy helps keep their memories and spirit alive in our hearts.

Special thank you to Melissa Adams Vanhouten, Shanna Harjo, Corina Castillo, and all of the Gastoparesis: Fighting for Change Advocates that helped with creating and sharing these and many more collages, ​memes, and personal stories for awareness this past month as well as other times throughout the year. ​

I saw this on Twitter today.  It touched me and made me reflect on how chronic illness can impact the ways that we see and think about ourselves. 

Most of us know what it’s like to feel broken or question your worth. Having a chronic illness, whether it’s invisible or not also can have that effect. Constantly in pain, fatigued, nauseated, and so much more can bring those flaws right before your eyes and keep them there. It is not our fault, we are not responsible for the illness, but it takes so much away from us and can make us question everything!! I know it has me time and time again.

Do I have worth? Absolutely & so do you!
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But believing that and feeling that when the smallest action takes so much out of you, when treatment plans just don’t work the way you (and others) hoped they would, when careers are lost, when vacations and family events are missed that you really wanted to attend, when no one understands how much you hurt or how rotten you feel, when you think you HAVE to hide how you feel day in and day out because you can’t stand to see your loved ones worry or hurt, when you feel so awful that you have no chance of hiding it but also don’t have the words to describe, when you look down to all of the medical scars and machines doing what your body no longer can, can make it feel nearly impossible.
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Regardless - you are special, unique, loved, and important. You still deserve to be loved, broken pieces and all, just as you are. Not only by others, but even more importantly loved by you. Allow yourself to be loved just as you are. (And yes, I’m keenly aware it’s much easier said than done.)

It's difficult to communicate to others, including to our families and ourselves, that there is no fix or cure for this awful disease, at least not yet. Depending on your individual cause, improvement may be found when the reason (other illness) is effectively managed. For the rest of us, at the moment anyway, it is all symptom treatment and management. Medicines to treat, or minimize, some symptoms that can in return create horrible side effects. Medicines to treat the side effects that were created by the medicines we were taking in hopes of alleviating symptoms. Surgery interventions that make us face a risk of making our illness worse in the off chance that it may possibly help use improve. I admit, I get frustrated with myself and others at times because I'm doing everything that I'm supposed to do, yet still sick. I know that too many of you can relate.

Everyday, I deal with troublesome symptoms. I used to be an active mother and teacher, a career I absolutely loved, but unfortunately had to eventually resign from due to my health. The evening of February 16, 2013 I went to bed as a "normal" 35 year old and woke up the following morning to an unexpected life of chronic illness. One where food was no longer a pleasure, but instead a nightmare of pain, nausea, and vomiting. I spent months unable to eat anything at all, in and out of ERs and doctor offices dehydrated, in pain, and in need for someone to listen to and actually willing to help me. However, I was unable to find any answers or relief with the exception of IV fluids, usually accompanied with blame for allowing myself to become dehydrated. According to them, I just needed to drink more water, what they didn't understand was I couldn't take in anything without drastic debilitating symptoms. It took numerous different doctors and two hospitals before I FINALLY found someone that understood the reality and severity of my health issues, took my condition seriously, and admitted me for the first of many hospitalizations. Even today, I still fear meeting new doctors as a result of some of the negative, degrading, and hopeless experiences I have been through. Thankfully, through determination and God's grace, I currently have an awesome medical team of doctors that authentically care about me, my quality of life, and that I can actually feel comfortable with trusting. 

At this time, the majority of my nutrition literally enters my small intestines through my GJ feeding tube I've had since 2013 and then exits my small intestines through the ileostomy that I've had since 2016, when I had my colon removed due to colonic inertia. Due to chronic dehydration, I have had a few PICC lines and PORTS. Both are types of central lines that are threaded through a vein to the entrance of the heart, but differ in the location they are placed and how they are accessed. I, personally, have a PICC right now to infuse Lactated Ringers at home throughout the week and for a couple of iron infusions when I am anemic. (Other people may use central lines for things such as saline hydration, TPN, antibiotics, and/or chemo.)

Having central lines can most definitely be beneficial but also come at a great risk for central line blood infections and sepsis. I have been hospitalized numerous times for infections that required removal of my line, broad course antibiotics while inpatient at hospital for at least a week, sometimes longer, and then having a new line placed. I have had friends, likely you have as well, that died as a result of central line bloodstream infections. It is a scary risk, but necessary for some in order to have any kind of quality of life. 

Daily I deal with pain, nausea, and fatigue. The majority of all of my health problems can be labeled as chronic GI motility disorders, (recently being rebranded as Disorders of Gut-Brain Interaction by Dr Drossman and the Rome Foundation). The Research Enhancement Act is a bi-partisan bill that we are currently trying to have co-sponsored and passed in the House of Representatives. It is also known as H.R. 3396. If passed, it can help increase research and awareness for GI motility disorders including but not limited to gastroparesis, colonic inertia, GERD, achalasia, and pseudo-obstruction. Even if our problems are not cured in the immediate future, better awareness, more effective treatment options, and improved understandings of the causes and impact of these illnesses on our lives and our family's lives can. Our successful #DCgreen2019 Gastroparesis March on Washington patient rally, our Facebook live Virtual March on Washington event, and our attendance and participation in legislature meetings with IFFGD (International Foundation for GI Motility Disorders) at their Hill Day event show that together we can, and will, make our voices heard to make a difference. 

In closing, I want to encourage each of you to never give up. Keep advocating for yourself and/or your loved ones. Find a doctor that is right for you. If you're not getting answers or aren't satisfied with the care that you are receiving, keep searching. You know your body best. When plagued with chronic illness we learn very quickly how important it is to actually create a medical team, one that knows and understands us and wants to work WITH us on devising the most effective plan for our personal best quality of life. Communication, empathy, and compassionate care are all beneficial along with medical knowledge.

Learn from your experiences, allow them to make you stronger. Remember you are NEVER alone. You will have difficult days, we all do. You may have days that you feel like giving up, I know I have. And that's okay! If you need to take it one day, one hour, or heck even one minute at a time - do so. B-R-E-A-T-H-E. Reach out for a supportive hand or a sympathetic ear when needed. Nothing is wrong with that. There's a whole community of people that care for you and are here for you, whether it's family and friends nearby, ones you connect with online, or both. I promise you are not alone. On more tolerable days, if possible, offer helping hands or ears to others. It doesn't matter if it's in person, by mail, over the internet, or by phone. Small actions can make a positive difference in someone else's day or even life, just like they can for you. Find a way to have your voice heard. Whether it's by social media, writing, talking, attending conferences or events, contacting your legislators, or something else - you have a purpose and you have a message that can make a difference. You may even discover that sharing your experiences helps you feel better mentally and emotionally. To me it helps bring the feeling of purpose and meaning to my life.