The Importance of Offering Ourselves Grace Along the IPF Journey

Indulge me for one minute and think of some of the firsts you’ve experienced. What comes to mind? Is it the first time you tied your shoes? The first time you held your firstborn? The first time you drove a stick shift?
If you flawlessly executed that last one on your first try, then let me congratulate you. If you didn’t, what was your response? Did you offer yourself grace?
PF is a journey of firsts
Following my January 2017 diagnosis of idiopathic pulmonary fibrosis (IPF), I soon discovered that on this journey, firsts would come along fast and often for both patients and caregivers. Some you pick up quickly, while others require several attempts to master. New firsts may come up as PF progresses, or when the patient returns home post-transplant.
Patients may be frustrated by new challenges, limitations, and medical procedures. If your physical capabilities are impaired, you may need assistance with even routine daily tasks. For some, seeking assistance may be a first.
As an IPF patient, I didn’t always get tests right the first time. I recall one swallow test where I drank a liquid and was asked to swallow on command. It took me a few attempts to get the timing down.
In pulmonary rehabilitation, I had to be reminded several times early on about proper weightlifting techniques. In my defense, I have never enjoyed weightlifting as a form of exercise.
Once I was extubated following my bilateral lung transplant in July 2021, I took my first breath on my own with my new lungs. It was an anxious moment for me, but after that breath, I didn’t look back.
Caregivers also experience their own firsts on the IPF journey, often finding themselves in a new role. My wife, Susan, became my second set of eyes and ears in medical appointments and learned to change an oxygen cylinder and clean incisions like she’d been doing it all her life. The truth is, those things were new to her.
Susan also found herself taking over most tasks outside our home, in part because of the COVID-19 restrictions my care team implemented. It was Susan’s first time doing many of these tasks.
Our loved ones experienced some firsts also. For more than two years, we didn’t allow people into our home. This was a significant change for many close friends and family who were accustomed to simply walking in. Visits began taking place on the porch, with more than 6 feet of separation between us.
Mastering grace
While the concept behind many firsts is simple, the execution can be far from it. Regardless of your role, you may feel frustrated trying things for the first time. That’s OK. Please give yourself and those around you some grace.
My journey has led me to be more mindful about this, as IPF can be an incredibly humbling disease. I admit I haven’t mastered it completely and am a work in progress. Still, I believe that as I continue to grow, I become better at providing grace to those around me.
Five years into this journey, with a bilateral lung transplant behind us, Susan and I are still experiencing firsts. We still get frustrated, but we can now laugh at ourselves and commit to getting better at whatever the challenge is. We try not to allow the frustration to get the better of us. That is grace.
Ironically, I have learned that giving myself grace is the hardest challenge. I think this is true for many people with pulmonary fibrosis. We’re often hardest on ourselves and more critical of our performance than we need to be.
The concept of grace is simple, and although mastering it takes some practice, it’s worth the investment. Susan has helped me improve tremendously. If she sees that I’m frustrated by a challenge, she’ll simply say, “Grace.” It immediately alerts me to be gentle with myself. Grace is another tool that helps me make every breath count.
Note: Pulmonary Fibrosis 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 Pulmonary Fibrosis News or its parent company, Bionews, and are intended to spark discussion about issues pertaining to pulmonary fibrosis.
Darlene Cochran
Sam this is the kindest article you could possibly write! Being kind to oneself is such a hard thing to do. Our expectations have always been high, and we cannot get there. Thanks, a timely reminder as I fuss at me for not being able to do something simple. (This occurs on most of my days) This will help me feel better about who I am and who I am becoming. I will work to remember and stay in a state of Grace! Again, thanks for opening my eyes!!
Samuel Kirton
Darlene,
Thanks for reading the column and your comments. I always find your comments to be so insightful.
Sam ...
Deborah Herbert
Thank you so much for sharing
Samuel Kirton
Deborah,
Thank you so much for reading the column and your comment!
Sam ...
Paul Polidano
How very inspiring Samual - Thank you for sharing.
Stay safe.
PaulP -Melbourne Aust
Samuel Kirton
Paul,
Thanks for reading the column and your comment. Be well!
Sam ...
jerry reynolds
Feeling gracious about life in general but somewhat disgraced since learning of my diagnosis of IPF at the early age of 80. If we can go to the moon, than, surely we can find some resolution to a cure for this despicable, distressful disease which leaves many of us feeling "too bad" because we're "too old".
Samuel Kirton
Jerry,
Thanks for reading my column and your comments. Sadly, you are not alone in what you are experiencing. I can tell you that I have witnessed a number of brilliant minds working very hard to resolve the complex intricacies of pulmonary fibrosis. I do believe that one day research will prevail.
Sam ...
John Gould
One thing I noticed about myself is that when my blood O2 is low, I have to force out words I speak and I sound like I am raising my voice, or sound angry when I'm not. But also I get irritable with those around me, like recently during a layover and exiting and boarding the plane with all my carry one I had to manage - we need to listen to our tone when low blood O2 happens when our breathing cough comes on and when we are out if breath.
Thanks
John
John Gould
Listen to you tone when talking, especially to your wife or other primary caregiver. My wife are very opinionated, especially with each other. Talking is my primary energy taker and breath taker and blood O2 lowerer - I've had to learn to just stop talking to my wife when we both feel we're right in a conversation, instead of needing the last word. Also, I've had go learn to "don't sweat the small stuff" - with PF there is a lot more small stuff to let go of - PF having the disease and being a caregiver adds a ton more stressful small stuff to our daily lives and marriage. Imagine it if your spouse was the one with OF and you were their caregiver - put yourself in their shoes - they didn't ask for this thrust upon second job.
Thanks
John
John Gould
I am a type A high energy guy, I get a lot done during my work days - before PF I had a tough time cutting myself some slack. I've had to learn to cut myself some slack and take days off and slow down. But now with PF it controls my energy, for instance I've stopped putting dishes in the dishwasher, not because I can't do it, but because it will take energy I need at work or later that day or else I have to come home early because I run out of energy to keep working - so my wife has to put my dishes in the dishwasher and she sometime says - if you can do so and do, why can't you put your dishes in the dishwasher - and I say, because I need that energy later - not a very good reason in her eyes.
After getting PF slowly I had to slow down at or stop doing things I always had done, some things were ok to let go of like playing competitive tennis and no harm no foul, but many things my wife had to do and do her things too - wearing her out. We PF patients need to understand this and say thank you much more often to our spouses, right?
Thanks
John
Samuel Kirton
John,
I could not agree more... thanks those who care for us and walk this journey with us are integral to our journey.
Sam...