A group of highland coos - photographed by Dr Lori Beth Bisbey

My Word for 2026 is Self-Care

This year I have chosen self-care as my word of the year but I am not talking about the more obvious types of self-care – like having hot bath, going out with friends more, having a massage or a manicure. Sometimes self-care can involve pushing ourselves to do things that are truly good for use but things that we may find difficult.

I have always pushed myself to achieve.  I was diagnosed with my first autoimmune disease in 1988 at 25 years old.  The fix seemed relatively simple – just take some medication each morning, have periodic blood work.  For the most part, this worked except for the few times that the condition spiralled out of control and it took more work to get my body back in balance.

In 1995, at 32 years old, my next autoimmune disease began.  I took a large contract and I was the only provider of the training and assessment.  I caught a virus during a 6 week period where I worked 16 to 18 hours per day without having a day off.  By the time I finished this period, I was very ill and I just did not recover.   I didn’t stop working though, I spent my days off bundled up on the settee and powered through the work days.  Physically, my symptoms got worse.  It took a year for me to be referred to a specialist who did not give me a firm diagnosis and in 1997, I improved as my condition went into remission.  I did not know that this was my first flare of systemic lupus.

I had three miscarriages and was diagnosed with a new autoimmune condition in 2000 and pursued treatment which led to me having my son in 2002.  All this time, I worked 50 hour weeks on average and often collapsed during my time off – sleeping most of my free time away.  Within weeks of my son’s birth, I was extremely ill and when he was 6 months old, I was diagnosed with systemic lupus.  Within a year, I had an additional autoimmune diagnosis and in 2018 I added one final autoimmune diagnosis to my collection.

I refused to ‘give in’ to these diseases.  I didn’t live with them – I lived in spite of them.  I researched treatments, was (and am) an active participant in choosing what treatments I would use in order to manage these conditions so that I could have as normal a life as possible.  I still worked full time and rarely had to take off work for illness though I often needed to sleep on the weekend.

My doctors always told me to reduce stress and often said I needed to pace myself and to rest.  I laughed.  I could see no way to work less as that led to stress around finances.  I was never very good at resting. I often worked through holidays.  I love what I do which made it even harder to do less.

n April 2024, my mother was diagnosed as terminal.  The doctors didn’t want to give a firm time frame but when pushed said maybe one year.  I decided I would spend as much quality time with her as I could.  This meant going back and forth to the US.

 

She died at the end of October 2024.  Dealing with the estate, selling my childhood home all took through the beginning of January 2025.   Upon returning home to Scotland, the grief hit me hard.  My husband, partner and adult son urged me to consider a long break but working helped me to manage the grief.

I had developed pain in my left ankle and foot in 2020 that became progressively worse.  I tried resting it in a boot, physiotherapy, prescription insoles but it continued to get worse so that I was no longer able to even stand for more than 5 minutes without severe pain. I was becoming less and less mobile .  Finally in January 2025, I had a meeting with an orthopaedic surgeon who specialises in feet and ankles and he told me I needed surgery.  He explained that it was brutal surgery and I would need a year to 18 months to fully recover.  I decided to have the surgery in April 2025 and this made me stop, made me rest or as my partner said ‘sat (me) down’.

Since the surgery, I have learned what rest really means.  I have learned that sometimes self-care means doing nothing.  For me, self-care is about consistently doing the things that are necessary for my physical, emotional and spiritual health.   Those things that will allow me to live a joyous life for many more years, to allow me to continue to provide service to others as well.

At the beginning of December, I took a week long photography holiday with my son.  The photographs in this newsletter are ones I took while on this holiday.   I am about to head off on a trip and I will leave my laptop home.  This is the first time in my working life I have ever done that.  I am going to be 63 years old in March and it has taken me this long to learn this lesson.

Self-care means sometimes missing out.  Self-care means delegating (which is not one of my best skills!).  Self-care means spending more time being present outside of work situations.

I am sharing this with you in the hopes that sharing some of my struggle will help you to learn it sooner.  I am grateful for every moment and I remind myself (and you) that nothing is promised.  We don’t know how much time we have this time around so I try to live every day with presence, gratitude and joy.

Share on Facebook
Share on Twitter
Share on Linkdin
Share on Pinterest