Chronic Fatigue Syndrome (ME/CFS): What It Actually Feels Like
Wow! It feels nice to be back to my favourite place in the world, my blog, my love. But today it seems that the world has rotated 360 degrees. As I was trying to figure out how to tap into this new world order I thought the best way is to ask my Higher Power to guide me through. And what a better way to do that, other than recite a prayer ‘Dua Istikhara’ a supplication used by Muslims to seek guidance from Allah before making a decision. If we just read the translation of this supplication:
“O Allah, I seek guidance from Your knowledge and power and ask You from
Your great bounty. Surely, you can do it, and I am not. You know, and I do not,
and You are the Knower of the unseen. O Allah, if You know that this matter is
good for me in my religion, life, and end, then decree it for me, make it easy,
and bless it for me. But if You know that this matter is bad for me, in my
religion, my existence, and my end, then turn it away from me and turn me away
from it, and decree for me what is good wherever it may be and make me content
with it.”
This supplication brings so much
clarity to me, although in majority of the Muslim families in particular from Southeast
Asia has restricted the benevolence of this supplication to merely seeking
divine guidance before accepting or rejecting a marriage proposal. Yet there is
so much more to this Dua’s mercy which is more than receiving greenery or dark
coloured symbols in dreams. There are quite a few misconceptions like receiving
immediate answers or even delegating the task to make the supplication of Istikhara
to some saint like person. All these connotations have no direct link with
Sunnah of Prophet Muhammad saw.
So where have I been all time, to begin with it all started somewhere between 2018 and 2019 when I gradually started to lose my thoughts and words, I just could not intellectualize complicated words. In my daily life I was getting much slower, my work started to suffer as I couldn’t concentrate or do simple cognitive tasks. Even the gym and exercises were bringing sickness, headaches and extreme fatigue.
When I could have done with some relaxation and ease, my
mother started to age and for the first time in my life I was witnessing how a
very strong professional get goer began to decline. As she started to feel age
in her body, her mind was filled with anxiety as to what the future will bring
to her. She was seeing her peers, older relatives and even her younger brother
leaving this world and somehow she quietly began losing herself.
In the midst of her fears, she suddenly made me the incharge
of the family and handed over financial management of house. I was put in the
unbearable position to handle something that I hated, dreaded, feared the most
“Money”. I was and probably still so afraid of money that even seeing numbers
and stepping into a bank shuts down my brain.
So there I was already down with extreme fatigue and mental
chaos I had to not only see money but was forced to calculate and touch it.
Time started to pass and instead of getting better I was falling deeper in a
dark place.
Each day I had to struggle to sleep and felt worse on waking
up, couldn’t even stand or think properly for at least 1 -2 hours post-waking
up. It would take me 3 hours to do simple things that one could finish in 20
minutes because my brain was not able to synchronize routine tasks.
In addition to pulling up myself every day with immense will
power and physical force I had to look after an aging parent and my lovely cat
Coco, to pay the utility bills, prepare lectures for my students, order
groceries, and at times receive urgent calls at work from my cook that yogurt
is finished and I should make some immediate arrangements to send it home.
What was interesting that I was unable to ask for help from
other family members, I didn’t even realize what exactly I needed and from
whom. Whenever I tried to write, even read a few paras or even paint for
relaxation I felt dizzy as if I was about to faint.
As headaches became part of my daily life everyone around me
got panicky especially my mother. I was taken to a neurologist, thankfully
everything was fine except that I was put on migraine prevention medication.
Exercise which used to be my passion was impossible to do, post workout sickness
lingered for 3 to 4 weeks. Resultantly, I had to completely stop it.
Having no other probable cause I assumed that I had
depression- so the journey began to meet with renowned psychiatrists and
psychologists for my 24-7 tiredness and cognitive block. I have suffered from
depression and been on anti-depressants since my teenage; however, this time I
didn’t feel depressed. All I had, was physical weakness, tiredness and mental
blockage but nothing negative or depressing at the emotional level.
My experience with anti-depressants has been quite
positive, as they have been Allah’s mercy and I was able to complete my
education, enjoy my life and complete tough legal training and then started working full time. Yet they were not doing their magic anymore and my fatigue
tiredness was not going anywhere. So what was the problem?
Like everyone else in the world I also turned to google baba
for self-diagnosis. Every time I searched symptoms results showed “chronic
fatigue syndrome-CFS”. It was the most bizarre thing and I was like really! Now
tiredness is also a syndrome. What a load of absolute rubbish! CFS… I wondered if
these medical researchers would declare sneezing a syndrome. Thus I ignored and
moved on.
During my random searches for fatigue on YouTube a female
podcaster Raelan Agle popped up regularly. When I read her profile she didn’t
seem reliable as she was neither a doctor nor a psychiatrist nor a psychologist, not even a health care professional so there was no way I was going to listen to
her advice.
I was really anxious to pull through at work because I started
to get late in my submissions or lagged in preparation; but like always Allah
showed His mercy and my colleagues helped me immensely and even my boss was very patient and understanding as my condition worsened over the time.
There were days when I would become bedridden even the
smallest chores took a toll on me. During these intense fatigue days all I could
do was lie on my sofa all day and sleep, and on waking up I would look at my
work desk and simply try to walk a few steps to answer an email or respond to a call or even message back. But nothing was possible, I had to even move to
Dubai for a few months to get better, my two wonderful friends, Azi and Abru,
were there, eager to meet me. Yet every time, I had to cancel because I
couldn’t even walk to the door. I didn’t understand what was happening to me,
so I didn’t know what to tell them. Saying that I was simply too tired to meet
felt embarrassing.
This didn’t happen just once—it happened with my relatives and friends and many other people as well. Instead of telling them I wasn’t up for meeting, I would quietly disappear, because talking and explaining would tire me even more, and staying silent felt much easier.
On those days as I could not do
anything else I listened to Raelan Agle. When I actually watched her videos she
made a lot of sense and to my great surprise she also went through exactly
the same condition as I was in.
There is actually a medical term
for my condition: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).
The World Health Organization recognized Myalgic Encephalomyelitis (ME) as a
neurological disease in 1969 when it included it in the ICD-8 classification of
diseases. The US government’s Centers for Disease Control and Prevention
describes ME/CFS as a serious and often long-lasting illness that prevents
people from carrying out their usual activities, making both physical and
mental exertion difficult.
According to the Mayo Clinic, it
is a serious, long-term neuro-immune disease characterized by profound fatigue,
cognitive dysfunction, sleep problems, pain, and autonomic dysfunction, all of
which worsen with activity (a phenomenon known as post-exertional malaise-PEM).
There is currently no known cause
or cure for this condition and is therefore managed symptomatically. In severe
cases, some patients remain homebound or even bedbound for decades; even basic
tasks like using the toilet or personal hygiene can become extremely difficult.
Relationships, families, and marriages suffer, many people lose their jobs with
little community support.
Fortunately, some developed countries, such as the USA, the
UK, and many in the EU, recognize ME/CFS as a legitimate health condition and
provide benefits and government support. However, in many places, it is still
dismissed as a psychological issue—often misdiagnosed as depression.
Yet there is light at the end of the tunnel that people do
better and some even return to their previous energetic life. It requires effort
which is not physical but emotional and spiritual; this illness literally stops
the world for a person and one becomes only a witness of the frailty of life. Whenever
possible even with a pinch of energy to keep telling yourself that you can and you
will get out of this. It is that one point which compels one to only focus on their
health and well-being, to stop from running after things that don’t matter, to
throw away the emotional baggage of childhood, loss and pain or whatever that
is making us heavy. Because this condition forces us to remove the past burdens
as they are making us really tired.
I had to also give up on the version of myself which does
not align with my energy. I am not a get goer, hard core ambitious person, all I
needed was to slow down and really try to understand who I am now and what actually
serves me better. Looking back I could now clearly see my pattern from my childhood as I avoided sporty activities and preferred low impact activities.
No wonder my classmates and some of my teachers used to call me lazy daisy. I remember whenever I had to play cricket in school I would always fight to do batting and tell the other batsman/kid to do my running on the pitch as I would not move an inch. While playing badminton with mum she used to get irritated that I would only take hit when the bird is right on my face as I refused to jump or run sideways.
Even when I started to practice law I used to work like a crazy person for 3 days, give my 200 percent and on the fourth, fifth and sixth day collapse with flu and fatigue. Luckily a miracle happened I received an unexpected offer to do chamber work in a corporate law firm and then I was back into my flow with less physical exertion I would work for weeks before I used to crash. Once my salary was also deducted due to my absences but fortunately I performed very well on good days so the decision was reversed.
I think the problem happened when I tried to over perform of
course I started to receive appreciation of how perfect and organized my work
was. I became addicted to my work and the cycle of over-performing and getting
great results. Of course it was an unsustainable plan and totally out of my
league.
Now on this day I am able to write these words so maybe
something is rewiring in brain and I believe to be on the path of recovery.
Every day is new and I have to take things slowly at my own pace, while prioritizing
my well-being, and most significantly retraining myself to be comfortable with
imperfections. Watching what I eat and
avoid nutritional deficiencies is crucial since exercise is out of the question for
some time, so I try to stay active within my energy limits.
I am under my own care and hoping to get back on a new track. Before
I leave I wanted to share that University of East Anglia and Oxford Biodynamics
has achieved a ground breaking blood test, though still under medical trial,
but it is believed to diagnose ME/CFS with 96% accuracy. Through this test doctor will
be able to see a specific and consistent pattern in the way DNA is folded in
the patients of ME/CFS. In patients with ME/CFS, this DNA pattern is unique and
is not found in healthy individuals.
So with high hopes and deep desire to return to this
platform soon, I take your leave for now...
Sonya.
20 April 2026

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