The lessons that I learned, had been ill much than

ICD-10 (International Classification of Diseases 10th Revision) Divides all malaise, abnormal state, abnormality of the body into two dozen classes. I prefer a simple division of diseases into three types.

First, death. There is nothing you can do. If you have this sick, you die, and useless to resist.

Secondly, transient. December 31, 2015, I came down with something that later will call nedoanginoy. Pain in the throat, cough, fever, inability to read, watch, play, not to mention the fact to work. And with the full confidence that it will pass. Indeed, long sleep, rinse, powders - and on January 7, I in social networks, and January 8 reran the media project "We Jo».

Transient diseases leave no memory of themselves, and if they leave - something small. We can predict how long will come down. We know how to deal with it. So there is nothing to talk about. "It also will take place."

Third, chronic diseases, and on them we'll talk. This state of the body and spirit, which can not be cured. Do you live with them. I refer to as a chronic incurable any (or hardly curable) condition - an amputated leg, diabetes, HIV status. With any such state to live, unwanted effects to some degree can even loosen: in the case of a prosthetic leg, diet and insulin injections for diabetes therapy for proper HIV. But science in the next 10 years will not help grow a leg, not cure 9% of the world population for diabetes, do not banish HIV.

About diabetes I know firsthand - about 5 years ago, it was found out that my life changed forever. Of course, the shock. But you can not say that I was not ready for testing - all kinds of drops, powders and tablets from another neurological disease I have been since childhood. The very idea of ​​the body's failure to adjust to using deliberate procedure was not foreign to me.

The third state with which I began to live more recently - depressive disorder. However, doctors are not sure of their diagnosis. We continue to select therapy, and at the same time and calculate what it is.

The story I want to tell you, not about how to win depression, Cure diabetes, or repair the brain. The correct answer - nothing. Billions of people live with chronic diseases. You must be prepared for the fact that your life will be a state and keep it off, you can not.

The heroism of the few winners - a story of victory over sickness, which seemed fatal or chronic. Persuaded that everyone can (here, a description of any method - including the most quack) recover - it is useless and despicable. In the battle "against Russian urine scalpel doctor" in the case of chronic incurable diseases defeat the disease.

I'm not a doctor and therefore are not going to give advice relating directly to your illness or feelings. But I am a patient, which accompany all the way chronic incurable diseases. Over the almost 35 years I have learned a lot of lessons that, God knows, you could buy at a cheaper life. I decided to compile a short list of those who learned their diagnosis today or will face it tomorrow. In a moment of weakness, which is sure to come after such news, there is nothing to support better knowledge of what other people have learned to cope with it.

Lesson 1. Your health - not just

There is no feeling unwell for no reason. A normal, healthy person is willing. He may be tired, may be annoyed, but he can not feel, for example, urge to urinate every 15 minutes or, on the contrary, unrestrained lust. He can not just have a headache. He has not broken on friends for nothing. It is not unreasonable depression or bad mood. He does not drop, exhausted, on the couch after work. He did not have enough candy every time passes (and does not get upset if you run out of candy). is he fast asleep and easily wake up.

Any deviation from the norm - signals the body. If the signals are repeated to you that something is wrong. Self-diagnosis does not work properly - do you perceive your body is not critical. Like the ancient Greeks, you think you are the measure of things, and think because "not working" - this is a common condition, even though half of colleagues does not work either. The truth is that Half colleagues too unwell.

Remember how you felt five years ago. It was better or worse? What has changed in your perception? If you can not get to the cause, go to the doctor. Urgent. You're looking for a reason not to go - no money, time, and so on.

Know that if you really seriously ill, the active energy you are left with less and less, and your life expectancy is reduced every day for more than a day. Your task - to make sure that it is not.

Lesson 2. Never, never, never put a diagnosis

Sometimes people read the web description of the disease, concludes offended by a skeptical physician response. The doctor in this case right.

Not only have the information. We must be able to look at this information with the right perspective. The doctor studied this for a long time, and you do not. By the end of the primary steam admission "patient - doctor" usually has the same initial information. That's just not a unique perspective on the information you have in the pair could hardly fulfill the role dullish Watson, not Sherlock Holmes.

Apart from the unique perspective of Holmes have experience in cases of disclosure. He knows that the medicine is, how do you think you can help, with a high probability of side effects. Or he knows that in cases similar to yours, the best-proven another drug. Or maybe, he watched and most third case, and it was found that the similarity with a particular disease false.

It may be that you have multiple diseases. Serious disruption of the body do not go alone. Then head hurts from the one from the other stomach and constipation are dictated by and did the third reason. Only a doctor can understand the cunning reactions in your body. Do not forget to tell him about any take pills, allergies, lack of vaccinations, travel, part of the "transitory" diseases. A good doctor appreciates the completeness of the information is paramount. Be persistent, if there is the slightest suspicion that is not easy. Go back to where you are transported to the reception hour. Put everything. Prepare before the arrival.

You will be assigned tests, additional research, and (if you're reading this), likely to report a diagnosis.

Lesson 3. You can choose how you live

So, you have a diagnosis, and you are a doctor in it more or less assured. In the case of chronic incurable diseases which it means that your life is turned aside. Now you will live in a new way. Understand that you will find. In addition to therapy, discomfort and living standards fall should go back to the words of the first lesson about the activities of energy.

Find out how much you have left. It is easiest to show on the scale (unfortunately not for each disease and each country can be found data, the following is a study that first came to hand, and demonstrates quite well an approach).

Assume that you have the Briton 55 years. In 50 years you have been diagnosed - type II diabetes. You do not quit, you have pressure 180, blood sugar is constantly upgraded, as, indeed, and cholesterol levels. Statistically British researchers give you 13.2 years of life. With a high probability you will dig (burn) before you turn 69. It is a pity, because the average Briton (man) lives 79 years.

Progonim another option. All the same, only you do not smoke, cholesterol in your rate for sugar you watch, and the pressure 120, as an astronaut. In this case, you will live 21.1 years and is likely to come away from the life in 76-77 years.

The "good" scenario, the disease has stolen you 2-3 years and could - 10. And she is not stealing once. Every day is costing you more without treatment than a day. The average Briton 55 years expect to live for 24 years. If he ignores the advice of doctors, just each day goes for two.

I have two news for you, and both are bad.

First of all, life is short. In Russia, the average life expectancy is 70.5 years. If you are male, you are likely to will live 65 years (according to the WHO in 2013 - 63), if a woman - perhaps make it to 77 (according to WHO data for 2013 - 75). In the picture a man in blue, red woman.

Secondly, chronic diseases often manifest themselves not in 50 or 55 years, and 30-35. Imagine that you are Russian, you 35 and you have left 28-30 years old, not 44, like your British peer.

The principle of "day two" halves the already small remnant. As a result, it is likely to leave you in a better world shortly after the 50th anniversary of the increased danger. But the therapy is almost guaranteed to postpone this danger for the 60-year limit.

Lesson 4. Haggle with your doctor

The American psychologist Elizabeth Kubler-Ross, studying the behavior of patients after the announcement of them fatal diagnosis, highlighting the famous five stages:

1. Negation.
2. Anger.
3. Bargain.
4. Depression.
5. Adoption.

Since then, scientists have found that not every patient goes through all these stages, and the order of steps may vary. But the scheme is so convenient and humanity that has taken root.

It is clear that in the case of chronic and non-fatal diseases of the patient different reaction (personally, I prefer to think that it is softer and more productive).

Kubler Ross distributed stage for chronic diseases like:

1. Negation.
2. Anger.
3. Fear.
4. Sadness.
5. Adoption.

In my case, the anger stage as such was absent, and the adoption instead of humility in the standard model has led to the drawing up of a constructive plan of life. In your case, too, everything can go scheme.

While you are going through one stage after another, it is important to add a stage of bargaining and the right Deal disease. It is only important to find a good helper in the deal. This, of course, the doctor.

Shortly after the diagnosis, you will be assigned therapy. The doctor says to be careful, to recommend certain lifestyle and medications, warn about side effects.

News about your health should not prevent you from living a full life. Here and start trading. Its subject - the quality of life against life expectancy.

Imagine a beautiful figure. Rare, museum-quality toy. It can give children a toy to quickly bring a little happiness and will be ruthlessly broken in two weeks. You can ask handle it carefully - and the older child will give her the youngest a few months. You can put behind glass - for years to come. It can be stored in the box and show only occasionally. Your Health - a fragile toy, which is already broken. Matter how careful you are applying to it, it depends on your lifetime.

Strategy in which you will take everything from life, spit on the advice of experts - not the most profitable in the world today, where even some male patients are able to live up to eighty.

Very often, your doctor may suggest several options for therapy. It is important not to choose one that is used by all, and the one that is right for you. It's hard not to give an example themselves - to be able to meet with partners and colleagues, I have chosen a costly, but much less so confining my treatment. In Russia my way insulin is used less than 5% of the population.

In the same way the next time, the next time I consulted about neurological problems, with the doctor, we were looking for is not just a tablet, but a means that would preserve the flexibility of mind. It makes no sense to prolong your life, if you can not work productively.

This selection took several months, different doctors offered different options, but for now it seems that we are close to the goal. Without bargaining would have been much worse, believe me.

Lesson 5. Do not trust himself entirely to alternative medicine

Any medications and methods, which efficiency has not been proved scientifically (any!) May not work or may be just a hoax. There are allegations communication classes that you calm down, remove the stress, give you hope - belief in God, a higher power, the healing power of mummies and anything else.

Make two lists. At first make money, guaranteed to be acting on the body - your prescribed medications, lifestyle, and so on.. In the second - means that, what do you thinkFacilitate your condition. We certainly all individually. Can you believe that prayer will help the tablet dissolve better. It is possible - that meditation heals cancer. It is possible - that the raw food diet the best that humanity has invented after pranoedeniya.

Now, pay attention. Never confuse a roster spot and never let the item in the second list to the first impact. If you believe in prayer tablet - at first drink a pill and pray as you want. But if you gastritis doctor prescribed a certain diet - do not without the consent of your doctor to switch to the power of natural light. This will end badly.

From the moment of diagnosis and suitable treatment for you there is an absolute priority of the first over the second list. Otherwise you will die earlier than they wanted.

Here is an example of successful rise Steve JobsWho tried to treat operable (!) Cancer herbs, launching himself to the extreme. He made the mistake of changing the list of places. Your task - to live longer than Steve Jobs, who reached 56 years old - practically nothing, even by Russian standards. His stupidity costly to all of humanity.

Lesson 6. Your health - not your

Chronic illness is often sculpts people fatalists - whether that is how much is released, as is, and none of your business what I do with him - my health is mine. In most cases, it's a lie.

Often, chronic diseases are diagnosed in people over 30. By this age, many patients have got a family and children, work, repay loanHelp parents, that is included in the system with several dependents or dependent agents.

If chronic illness prevents them from working, this affects all participants in the system. Loans are becoming prohibitive, therapy requires funds, reduced accumulation difficult to provide children and parents. In a similar crisis healthy person seeking second jobs. In the case of chronic diseases additional labor creates a new load, the ratio of "1 day 1 day" is shifted in an undesirable direction.

This is the main problem that you will solve the rest of his life. Not a question of "why me" (because) or "how to cure it" (no), and the question of responsibility for your loved ones. Every day should bring you closer to solving the problem of "how to maintain and improve the quality of life for my family."

Here, every experience is different and the board can not be. For example, I discovered that another chronic disease is easier experienced in the status of an independent specialists and teachers, than the employee, sharing her lifetime of strictly limited exchange rate. If for a long time, five years ago, I decided otherwise, now, at the beginning of 2016, all of my therapy might be different (like the country of residence).

Lesson 7. Plan

The book illustrator Yana Frank "Muse and the Beast"To me has made a great impression tale about how John was faced with a terrible disease, is draining all the juice and do not let it draw more than ten minutes at a time. She defeated the disease, realizing their potential and put steps under strict control. If every ten minutes need a break, we have to know what you zaymoshsya 10, 20 and 30 minutes.

Two necessary conditions for the effective management - accounting and control. Health limits your time and active energy. That means we need to put time and energy control, make serve yourself.

Think of it not as a restriction but as an opportunity to restore order in his life. Games, TV shows, aimless pastime from the moment you read these lines, rose sharply. Spend time aimlessly, in the end, we can only in the absence of the target; it is unlikely that you will have at least a day without a goal since that day.

This is not an example of the so-called positive thinking - to sleep 7-8 hours a day for a patient-Chronicle is the same (and sometimes more important) the purpose, as well as to make a million. The realization that life finally appeared clear rules, the violation of which deprives the allotted time, not only cleans the brain, but also free from convention.

Lesson last. Opportunities around you

Any news, any event, an accident - good or bad - seen as an opportunity. Turn it upside down, if necessary, to disassemble and reassemble.

Denial, anger, fear, sadness - all in the eye of the beholder. In your eye, and you are not to blame, that they became briefly sighted. Close your eyes, think as a child you thought that the world consists of unclimbed roads and you, when you grow up, always walked it from end to end all at once and at the same time.

So. You do not seem.

Alexander Amzin