Becoming

I’ve never liked New Year's resolutions. They’ve always felt forced and contrived and seem to set us up for ultimate failure and guilt.

But there was something else awkward about them that I couldn’t put my finger on . . . until I saw a quote.

A few years ago, we attended the Bar Mitzvah of a friend’s child. It was my first time in a Jewish synagogue, so I was quite fascinated. While we waited for the meeting to start, I thumbed through one of the little books that were lined along the pews. The books had songs in them, but also quotes. A quote by Rabbi Norman Hirsh, in particular caught my attention:

“God disturbs us towards our destiny by events, and by freedom’s now urgent voice, which explodes and confirms who we are. We don’t like leaving. But God loves evolving. (From Book of Poetry “God Loves Becoming.’”)

The words, “evolving” and “becoming” were what stood out to me. I loved the idea of a life of “becoming.” Of course that is what we are all doing, but I’d never really thought of it in that way.

So here we are, at the beginning of another year, traditionally the time when we make New Year’s resolutions.

I realized that I don’t make New Year’s goals because I already have goals in progress. Some are short-term, some are long-term, and some are life-long goals that may take decades to reach fruition.

In other words, I’m always working on “becoming.” I just didn’t recognize or appreciate it.

Long after many New Year’s resolutions are forgotten, my resolutions, my goals, the “waypoints” on my journey to “becoming” will still be active and guiding my paths.

How does colitis fit into this? Of course, any chronic condition is yet another path on our earthly voyage. And all situations that require us to pass through difficult things like pain, fear, and the unknown will definitely change us. But what will they change us into? What will we “become?”

It depends on what we dwell on, where we decide to “live.” Do we live in the darkness of our disease or in the light of our hope? In the despair of our situation or the courage and potential of those good moments that are ahead or maybe even in the present but we don’t see?

Over the years I’ve known several people who have lived in the darkness of their lives (despite there being many good things) and ended up wrapped up in so many resentments that they “became” miserable. On the other hand I’ve known others who should have grown resentful and bitter because of life experiences, but who lived in hope and patience and “became” content, even happy.

New Year’s resolutions? Drops in our life buckets that can easily evaporate. Becoming? A wonderful lasting pursuit that is one of life’s sweet gifts, even if it sometimes comes by way of a chronic, painful condition.

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© Colitis Senioritis 2023

January 2023: The "Step" Dragon Rears Its Ugly Head

I did go back on prednisone, but only 25 mg (two and half pills) instead of the 40 mg (four pills) the doctor recommended and it is doing its job. I'm swinging back up. (Up and down, up and down, up and down, up and . . . well, you get the picture. )

In my December health update, I said that my G.I. doctor wanted me to go on Rinvoq, a fairly new medicine only recently approved for ulcerative colitis. Well, my insurance denied it. They want me to go on Humira or another biologic first. They call it step therapy.

What is step therapy? According to healthinsurance.org, it is "a program that requires patients to try a lower cost prescription drug that treats a given condition before 'stepping up' to a similar-acting, but more expensive drug. Step therapy is a very common cost-control strategy. Step therapy generally saves money for both the patient and the health plan."

I get it. Insurance companies are trying to keep costs down, which we all appreciate. (But do they pass on those cost savings to us or . . .) There are a lot of things about this condition "I get." But that doesn't mean it isn't frustrating. My doctor thinks a certain medicine will help, but he can't prescribe it because of insurance limitations. Arghhh . . .

The options we talked about at my last appointment were going on Rinvoq, Humira, or the doctor mentioned another medication to try, azathioprine. Or he could choose to fight the insurance. I left a message with my his office over a week ago asking what next steps we should take, but I haven't heard back. Thank goodness I have the prednisone in the meantime!

I will add another update to this post once I hear from my doctor and we decide whether to go to the next step or fight the dragon. 

JANUARY 21 Update:

I haven't heard from my doctor yet, which I'm taking to mean he's waiting to hear back from the insurance company. The prednisone is working, and I am doing much better. I tapered down to one pill a day (10mg) this morning. Thanks goodness the prednisone is keeping me fairly normal until we get this all figured out. 

Next Update: February 2023, A Surprise

Previous Update: December 2022, And The Next Medicine Coming Up to Bat is . . .

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