I’m an optimist, but sometimes Parkinson’s fatigue is too much

It's not like tiredness, but rather exhaustion on a cellular level

Written by Mollie Lombardi |

Column banner for Unshakable Optimist by Mollie Lombardi

Having a chronic illness is exhausting in so many ways. I’ve described Parkinson’s disease as being exhausted physically on a cellular level. It’s not like being tired after running a foot race or sleeping poorly the night before. On a molecular level, it’s like my cells and neurons are incredibly, unrelentingly tired just from trying to keep myself upright and move through the day.

Then there’s the mental exhaustion. I’m constantly thinking about my day before it happens. When do I take my meds? Where will I sit? Will it be noisy, meaning that I’ll have to work to be heard? How far will I need to walk? Are there stairs? With worrying about everything and then actually having to do it, it’s like going through a day twice.

There’s also emotional exhaustion. On the one hand, I’ve cultivated an optimistic persona. Generally, I am optimistic. I like being a voice for this community, inspiring others, and being a good soldier. But being a strong voice and cheering everyone on is exhausting, too.

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Column banner for Unshakable Optimist by Mollie Lombardi

Choosing to be positive is better than getting stuck at the pity party

Even writing this column can be exhausting. Don’t get me wrong, I adore this job and the community, and my bosses are amazing. They are inspiring, caring, thoughtful, and endlessly accommodating and considerate. But I also have a full-time job in addition to this one. On Sunday mornings, when I sit down to write, I’m often inspired by some idea or event from the previous week. But sometimes, like today, my brain just wants to say, “Nope! Not gonna function right now.” Even my hands tell me they’re tired and don’t want to type.

I often add the caveat “but I’m still lucky” to thoughts like those above — and I am. I have two jobs I enjoy and can do from home. I have family, friends, and good doctors. But as a good friend tells me time and again, I’m allowed to just be tired without having to justify it. So, today, I am. I’m crying uncle, just for a bit. I’ll be back at it tomorrow, and next week, and next year.

But today, even this column is a little shorter than usual. It’s a bare-minimum, get-through-it kind of day. We all have them. So I need to ask for your help.

You know how in a choir, the group can seem to hold a note forever? That’s because a choir works together and listens to each other, and they can tell when one of them needs a breath. They don’t all take a breath at the same time, because then the sound would stop. Without a perceptible gesture, they know when someone needs a break, and the choir carries on making its beautiful sound.

Today, I’m taking a breath. You can be the optimist, the fighter, the voice for this amazing community. The strong one. I know you can do it, and I’ll be here breathing, ready to join the song again in a moment.


Note: Parkinson’s News Today 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 another 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 Parkinson’s News Today or its parent company, Bionews, and are intended to spark discussion about issues pertaining to Parkinson’s disease.

Rick Hutchinson avatar

Rick Hutchinson

Thanks for sharing. Nice to know I’m not alone.

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Charley McCurdy avatar

Charley McCurdy

Dear Mollie; You done good as we say in the South. You put words to my physical feelings. God Bless, Charley

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William Palmer avatar

William Palmer

Thank you, Mollie. Your analogy is stunning. I have never heard of it. I love "They don’t all take a breath at the same time, because then the sound would stop."

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Liza Prunuske avatar

Liza Prunuske

Thank you for this column! I read you regularly, and this column has touched me more than any other. I, for one, am very glad you "cried uncle."

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Jack wiles avatar

Jack wiles

I have fatigue to the point where if I don’t lay down or sit down. I feel like falling. My fatigue controls my life.

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Diane Kile avatar

Diane Kile

Mollie I’m having a tired day today as well. I’ve been diagnosed for around 5 years and you’ve been my role model for a few years. So I’m glad to hear that you get tired too and that you’ve given yourself permission to take some time off and rest. I will too. Thanks!

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Mary Jo Hines avatar

Mary Jo Hines

I just read your letter! It was great that I’m not alone and I feel tired as well. Didn’t think about a cellular level, but that’s what it is , a cellular level of tiredness! I get up early MWF for a silver sneakers class and just seeing the older folks standing up and I can’t makes me wonder , is life fair? Thanks for writing ! ❤️

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John Citron avatar

John Citron

Mollie,

I hear you on that fatigue!

When I've mentioned I'm fatigued, people say "Oh, I'm tired too". I've said fatigue isn't just being tired. Fatigue is like your cell phone battery being completely run down but unable to charge for a very long time.

I agree, staying positive and doing things you like makes a lot of difference in how we're affected. Having said that, don't push yourself on days when you feel strong. I know it's hard not to do that. It's like having a delicious meal and dessert that you want to keep going back to, but in the end like a delicious meal, an awesome full-energy day is only a tease and the fatigue will be even more overwhelming again as if to make up for your good day.

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Robin Downey avatar

Robin Downey

Your article on exhaustion in Parkinson’s was spot on. Best description of how I feel. Will share with family members and friends to help them understand. Thanks for sharing.

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Alecia Mallett avatar

Alecia Mallett

Mollie- thank you for that awesome article. I am a full time caregiver for my spouse of 43 years. He is 14 years into his PD diagnosis and I am sure that your description of being tired is what he feels; I know that I feel that way sometimes and I am only the caregiver. Thanks for being strong!

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Roxanne Minch avatar

Roxanne Minch

Thank you for your honesty. It gave me permission to go easy on myself!

Roxanne Minch

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