The me at the party and the me at home are different

I put in effort to have a social life while handling Cushing's disease symptoms

Noura Costany avatar

by Noura Costany |

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Lately, I’ve been getting my period every two weeks. While I work on getting that back to normal, I’m losing a lot of blood, and my body is especially fatigued because I lack iron. That was especially hard during the holiday season, when I was trying to put my best foot forward but needed regular rest. I was having trouble waking and socializing, and even eating felt like a chore.

Sometimes, I think, people believe that the me they see is the person I am 24/7. They get the idea that I’m not as sick from Cushing’s disease as I say I am, or that I’m better off than I was a year or six months ago. In reality, I do a lot of prep before seeing people. And during that prep time, they wouldn’t recognize me.

I’ve wanted to shout that truth from the rooftops more than usual lately.

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How I maintain a social life while managing a chronic illness

Before an event

Before an event, be it a party, concert, or even just dinner with friends, I have to prepare myself. I take a nice bath to relax my muscles, and then I check out the location. Is it accessible, and if not, will I even be able to go? Prepping my body and mentality to even step foot outside my apartment takes much more effort than many people realize.

If the place is safe for me, I’ll pack up any medication and supplies I could possibly need, including heating pads, pain medication, alcohol pads, and emergency meds. I’ll put on comfortable shoes and pack extra socks and pads in case my period comes early (again). I’ll also take water for the extreme thirst I’m always facing.

At the event

I usually try to put my best foot forward when I’m around other people. Even if I’m in pain, I’ll grin and bear it. Part of my resolve is because I don’t want people to notice what I’m dealing with, and part of it is that I don’t want to make everything about my illness all the time. It can be tiring to talk about it, especially when my symptoms are stagnant.

But the me that everyone typically sees — the smiling, laughing me — is more of a rarity in my life. That’s the me I want you to see. And I love that person, who’s a part of the whole me. But I wish people understood the effort it takes for me to be that smiling person, even for just a few hours.

After the event

This part is the hardest, by far. After any event, I need time to recover. If it’s a long event, such as a wedding, I might need a week of recovery. If it’s smaller, such as a dinner out, I might feel better by the next morning. I sleep on a heating pad and take it easy. This practice might seem relaxing, but it’s horrible for me. I can barely stay awake when recovering, work is out of the question, and I spend most of my time curled up and watching television shows.

I want everyone in my life to understand that the me they see is the best version of me. But other versions of me create the whole person. I don’t resent others who don’t need all this pre- and post-care, but I’d like them to consider all I’ve done for just an hour of socializing.

You can also follow my journey on TikTok and YouTube.


Note: Cushing’s Disease News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Cushing’s Disease News or its parent company, Bionews, and are intended to spark discussion about issues pertaining to Cushing’s.

Linda Gross avatar

Linda Gross

Your columns always ring true for me. For example, I rarely socialize because of the effort it takes to participate with others, even with my grandchildren. Recently my husband had spinal surgery and I have been his caregiver instead of the other way around. Just bringing him a cup of water has been exhausting and the stress of his illness has caused a major flare up in my fibromyalgia, which I also have. For the first time, we have had to look at other care options and have had to ask our grown children for help. We have always been the family caregivers and this new life stage has been challenging. At the same time, I have realized how very loved we are.

Thank you for sharing your experiences with Cushing’s, not just the physical aspects but also the mental and emotional challenges you experience.

I want to wish all who have Cushing’s disease a new year of better health and self care.

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Noura Costany avatar

Noura Costany

Thank you so much for this comment. It warmed my heart. I'm so sorry you're going through all of that, but I'm so happy you have a support system that loves you so much. Wishing you a wonderful new year.

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