FOGO –– Fear Of Going Out

Everybody loves an acronym, and FOMO is one that even the most chill of humans knows well. A fear of missing out –– a fear of missing the coolest party of the year on the night you chose to stay in and watch the new Gilmore Girls. A fear of missing a chance at ~ true love ~ if you pass on a Tinder date with a guy who likes the same bands you do. A fear of missing a great sale, or a funny movie, or just a solid night out with friends that you’ll replay over and over on snapchat later if you don’t go.

Chronically ill people like myself experience FOMO all the time. Being sick (very) often hinders our ability to socialize like fully able people, and I for one can say I’m constantly wondering what funny story or lifelong memory I’m missing out on when my intestines force me in on my couch on a Friday night.

Dear Crohn's - please stop being such a drag on my previously stellar social life.

But I’ve noticed that chronic illness has also gifted me another horrible acronym –– FOGO. Fear of going out. Because as much as I want to go dance to Rihanna and drink a vodka soda and be there when someone pukes off a balcony, the FOMO is often outweighed by the FOGO. Fear of going out. Fear of thinking I feel well enough only to be slapped in the proverbial face with pain that I can’t bear out in public.

I always say that if I could have one superpower, it would be teleportation. My general reason is because I live in Chicago, and during Chicago winters nothing sounds more lovely than teleporting home and never touching my boots to snow. But a slightly more real reason is that on more occasions than I could possibly count, I’ve found myself in situations where I’m a lengthy Subway ride away from home and I’m doubled over in pain.

The panic that comes with being in pain in a public setting is immeasurable. That’s why it’s usually easier to stick to my couch, where if the pain comes, I can ride it out with the comfort of my own heating pad. But what happens if I’m out to dinner with friends of friends? What happens if I’m on a date? What happens if I decided to try a cool new bar that’s not at all close to my house, and now I’m clutching my stomach in the fetal position on a 25-minute uber ride home?

Crafting an "I Miss You" letter to vodka sodas.

These are all the things I think about when I’m weighing whether or not to go out –– the FOGO versus the FOMO. It’s a toss-up on any given day which side of me will win: the adventurous 20-something who just wants to drink and dance and say “fuck it,” or the responsible sick girl who knows that the pain can come at any time and in any circumstances, and Crohn’s disease doesn’t care that you’re on a really solid first date with a guy who doesn’t brag about his summer abroad in Spain.

So I’m not saying I always stay in –– far from it –– but that while my peers are asking themselves what they should wear or what time they need to leave the house to get to a party on time, people with chronic illnesses have a slightly different prep routine that involves making sure you have emergency pain meds on you, knowing the quickest route home if you need it, and keeping your fingers crossed for a night of normalcy.

Anger is a Productive Emotion and You're Allowed to Feel It.

Anger is a productive emotion and you’re allowed to feel it.

If I could, I would stitch that on a pillow and give it to everyone I know. I would also put said pillows in every room of my house.

That’s how important a reminder I think it is. I’m a big believer in letting yourself feel your emotions–– acknowledging when life is great and you’re happy, letting yourself wallow for a few hours if you need to when you’re sad. But anger is a tougher emotion for me. It’s not as palatable to the general public, so sometimes I stray from it and pretend not to feel it.

I have the opposite of “resting bitch face.” This is to say that even if I’m in a terrible mood, you’d probably never know, because the face I’m showing the world is at best, happy, and at worst, neutral. Never angry. Never upset. Never impatient. Never an emotion that might inconvenience.

So what happens when you have every reason and right to be angry? There’s such a push for positivity, which I think is great. Positivity gets me through 99% of my days. But what about the other 1%? The days where you wake up and your symptoms are so bad you can’t get out of bed? The days where your steroid-induced tremors cause you to drop a cupcake in your own lap at a family party? The days when it feels like life is one step forward and five steps back?

Do you push yourself to look on the bright side and be more positive? I’ve tried that, but in my experience trying to force yourself to feel feelings that aren’t authentic to you at the moment will generally just make you feel worse. So I’m trying something new. I’m giving myself permission to just be angry.

I’m giving myself permission to vent, whether it’s to my best friends or my mom or my journal (or this blog). I’m giving myself permission to eat a really big piece of cake and listen to “Don’t Hurt Yourself” on repeat and channel my inner-scorned-Beyonce. I’m giving myself permission to lean into the anger and truly feel it. Because when you’re young and sick and feel like you’re missing out on real life, you’ve got some stuff to be angry about. I don’t carry it around on a daily basis and let it define me, but on the particularly bad days when anger rears its ugly head, I no longer try to force it back down into a neat little box. I let it out, and it feels good.

So if you’re angry at the world on a given day–– because you haven’t gotten the promotion you deserve, or because you’re feeling underappreciated in your relationship, or because a sexual predator just won the presidency and you can’t even win a freaking sweepstakes–– really feel it. And use that anger to fuel something else, whether it’s a creative pursuit, or a foray into political advocacy, or just a really great shower sing-a-long to Alanis Morissette (the ultimate “angry and not sorry about it” woman of our time). Anger, when harnessed correctly, can make us powerful little storms, as long as we know how to control it without letting it control us. So be happy, be sad, be mad–– be whatever it is you are today, and know that it’s okay.

This is Illness in Trump's America.

I am never allowed to forget my illness. I am never allowed to turn away. Every day when I wake up and walk over to my painstakingly organized pill box, I am reminded. Every time I have to plan life around a different specialized doctor’s appointment, I am reminded. Every time a happy occasion or a night out with my friends is ruined by extreme pain, I am reminded.

And now, every time I turn on the news and see our new president-elect, I am reminded.

I am reminded that (half of) the American people chose to elect a bigot. A man who mocks disabled people, who speaks about people from other countries in a way that is terrifyingly similar to Hitler, who has sexually assaulted women. And a man who has stated again and again that one of his first acts in office will be to repeal the Affordable Care Act.

While the term “Obamacare” gets thrown around a lot, I’ve found that in conversation many people don’t actually seem to know what it means. While I am not on Obamacare, I do benefit immensely from some of the law’s major tenets. “Benefit” feels like a funny word for it, though –– benefit implies I’m getting something fun and extra, like a cupcake or a 401k. The “benefits” I receive from the ACA keep me alive and well enough to live a life that most people take for granted.

Thanks to Obamacare, companies can’t discriminate against me for my pre-existing condition. Without this aspect of American healthcare, I could easily be refused insurance by any company simply because I am actually sick. Obamacare also bans providers from instituting lifetime caps on benefits. Under the previous system, insurance companies would cover you up to a certain dollar amount, and then you were on your own. Spoiler alert: short of actual millionaires, I don’t know of any chronically ill or disabled people who can afford to be on their own.

So on election night, after they announced Pennsylvania, I cried. I cried openly and without abandon, and I haven’t stopped much since. I cried for women’s right to choose. I cried for gay couples who will have people trying to invalidate their love. I cried for Muslims, and for Mexicans, and for black communities everywhere. And I cried for my future.

I cried because I was the first kid in my class to learn how to read. I cried because I was the one who won the spelling bees, and kicked the ACT’s ass, and stayed up past my bedtime reading about presidential history and how we invented peanut butter. I cried because I have never stopped working hard, whether it was getting a 4.0 my senior year on 19 credit hours or beating out thousands of other young writers to secure an internship with a national news publication. I cried because I am 24 years-old working in a great job that I love and am good at.

I cried because all of that could be for nothing.

If the ACA is repealed and replaced with what the Republican Party says they want (which seems to be either a. nothing, or b., a plan without the concessions that chronically ill people need), I will hit my lifetime cap. I will hit my lifetime cap faster than you can say “pre-existing condition.” In addition to the expensive tests and procedures I get on a regular basis, I am on a medication that costs upwards of $30,000 every 8 weeks. It’s not hard to hit a benefits cap when that’s what you’re working with.

In Trump’s America, I have to pay $15,000 a month out of pocket. I cannot do that, as most people can’t. My only choice is to go off of my medication. Without my medication, I am not well enough to work. I become bedridden and have to go on disability. The little girl who raised her hand too much and always did the extra credit becomes the adult woman who can’t work. This is Trump’s America.

The past few days I’ve been thinking about what I want for myself in life. It’s not a long list anymore. I want the opportunity to be well. I want to opportunity to work hard, and save my money, and be financially free and independent. I want to be able to support my own children someday. I want the same things that everyone else has the opportunity to have. I don’t think I’m asking for much.

So while the past few days have been spent mourning the progressive and inspiring next-four-years we could have had, I no longer have time to cry. I have to work. I have to talk to people, and tell them what’s at stake.

I have to make sure I don’t let down the little girl who won the spelling bee. She still has work to do.