Darla Nagel
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Lightening the Shadow

Reviews of Books for Patients with Chronic Illnesses

7/1/2019

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As a patient with a chronic illness and a biomedical copyeditor, I often read books including medical conditions or research at my leisure (off the clock). Here are two book reviews (cross-posted to Barnes & Noble and Goodreads).

The Day I Forgot - But Will Always Remember by Dr. Brenda Brown
Dr. Brown shows the frightful nature of sudden cardiac arrest and the invisible yet disabling aftereffects that can occur. Her words as well as photos will resonate with many readers. She has written this account as part of her recovery, yet this book isn’t just about her: Appendices contain other survivors’ stories and resources that every person should know about. After all, sudden cardiac arrest can happen to anyone. Disclosure: I copyedited a substantial portion of this book.

An Elegant Defense: The Extraordinary New Science of the Immune System by Matt Richtel
Richtel’s book manages quite a feat: binding storytelling with science. By naming, describing, and assigning images (e.g., first responders, scouts, police officers) to different cell types, he makes the immune system science readable and applicable not only to the four patients profiled but also to any patient or physician. Have you wondered what advantages immunotherapy holds over chemo? Have you wondered why autoimmune disorders are so tough to treat and they continue to become more common? Is it really so bad to skip handwashing and antibiotics now and then? Top scientists and medical doctors offer their insight on these questions and more. Readers will be fascinated at how many mechanisms our immune system has to control.
 
As a biomedical copyeditor who still has many concepts to learn, this book has been immensely valuable for not reading like a textbook. The one personal drawback of this book is that as an agnostic, Richtel can’t see that the overwhelming complexity of human immunity had to have been divinely created, not evolved, and that human “diversity” alone won’t be enough to solve the medical problems humanity has gotten itself into.  


Words and books
Pierre Metivier, Flickr Creative Commons

Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to encourage patients and educate health care professionals. To receive quarterly updates from her, email darla.nagel {a} gmail.com.
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Pacing Strategies for Patients with Chronic Illnesses

4/8/2019

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Pacing: strategizing time and energy to avoid overexertion. Tips for doing this:
  • Decrease level of activity before tiring events
  • Stick to a daily and weekly routine
  • Plan challenging tasks for the time of day when your energy is highest
  • Do as many tasks as possible from a seated or reclining position
  • Alternate low- and high-impact activities
  • Schedule break times for rest​
Adapted from a 2010 worksheet by Bruce Campbell and Charles Lapp

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to help other patients and enlighten health care professionals about our experiences. If you’d like to receive quarterly updates from her, sign up by emailing darla.nagel@gmail.com.
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What It Costs to Self-Publish a Memoir

1/15/2019

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I self-published Lightening the Shadow in print and e-book versions through IngramSpark with worldwide distribution in September 2018. This is what it cost and the royalties I'd made as of year-end 2018. I hope this helps others who are thinking about self-publishing. Ask me any questions in the comments.
Publishing Costs
Publishing costs for Lightening the Shadow

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to educate others about our experiences. If you'd like to receive quarterly updates from her, email darla.nagel {a} gmail.com.
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Inspirational Quote for People with Disabilities #5

1/2/2019

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“Don’t let life happen to you; go happen to life!” —Crystal Paine, owner of MoneySavingMom.com

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to educate others about our experiences. If you'd like to receive quarterly updates from her, email darla.nagel {a} gmail.com.
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What Are the Energy Envelope and Spoon Theory?

12/19/2018

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Both terms refer to the limited energy of patients with myalgic encephalomyelitis and other greatly fatiguing illnesses. “Energy envelope,” borrowed from the practice of limiting spending by using only the amount of cash set aside in an envelope for a period, refers to how much energy a patient can exert in a period without worsened symptoms. Spoon theory is best explained by its first publisher. If a spoonie (patient) runs out of spoons (energy), worsened symptoms result.
 
I hope this makes caregivers and health science students more understanding of myalgic encephalomyelitis patients’ limitations and invisible struggles. Ask me any questions in the comments. #mecfs #pwme #invisibleillness

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. If you'd like to receive quarterly updates from her, email darla.nagel {a} gmail.com.
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What Is Brain Fog?

11/23/2018

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Brain fog is the inability to think something through in a connected way and to concentrate, with short-term memory loss on the side. “Brain barricade” would better describe it. Going from sitting to standing takes not only muscles but also cognitive attention. Deciding what task to do next takes the ability to imagine “What if…”
​
Brain fog can paralyze the mind the way a broken back can paralyze the limbs. Messages just don’t go through. If the brain can’t communicate with the body, daily activities, let alone intellectual pursuits, are nearly impossible.

I hope this makes caregivers and health sciences students more understanding of myalgic encephalomyelitis patients’ limitations and invisible struggles. Ask me any questions in the comments. Next time I’ll explain postexertional malaise.
Picture
Brain Brick Wall (image created by me)

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to help other patients and enlighten health care professionals about our experiences. If you’d like to receive quarterly updates from her, sign up by emailing darla.nagel@gmail.com.
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What Remission Is Like: Scared of My Shadow

8/25/2018

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I'm feeling better than I have in years and taking on more work than ever. However, the metaphor of my ME/CFS as a heavy shadow remains apt because now instead of being one me, it's lingering behind me, following me. It won't go away. It's always there. I keep looking back at it to see how big it is. What will it do next?
Shadow
Photo: Damien Walmsley, Flickr Creative Commons
Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to help other patients and enlighten health care professionals about our experiences. If you’d like to receive quarterly updates from her, sign up by emailing darla.nagel@gmail.com.
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Second Memoir Excerpt Published!

8/10/2018

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Breath & Shadow published—and paid for—my submission of an excerpt from Lightening the Shadow! Read it here: ​https://www.abilitymaine.org/BS2018Summer/%22Instant-Relief%22  

​I thank the staff. I also got an email from Kaleidoscope expressing interest in a third excerpt, but a new editor-in-chief is about to come on board. He or she will need to review my excerpt and make the final decision.

As for the full book, it's nearly ready for production and has benefited from the work of cover designer Michael Brady Design and proofreader Sharyn Mathews. Launch date: September 6, 2018. 
 
Thanks for following my book's progress!

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to help other patients and enlighten health care professionals about our experiences. If you’d like to receive quarterly updates from her, sign up by emailing darla.nagel@gmail.com.
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ME Protest Song Now Live: Thanks, Musicians!

4/24/2018

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Myalgic encephalomyelitis patients from seven countries sent recordings of themselves singing the chorus of "Blowin' in the Wind" so that another patient could produce a parody of the song. Hear our (yes, I'm one of the singers) protest against flawed theories and research and insufficient funding and understanding of ME.

Thanks to all who participated. Here's to the power of music!

Darla Nagel is an editor and writing tutor who has an invisible chronic illness. She wants to help other patients and enlighten health care professionals about our experiences. If you’d like to be alerted whenever she writes a new post, sign up by emailing darla.nagel@gmail.com.
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Donate to Libraries to Educate about ME

4/12/2018

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One ME activist has turned to libraries to spread ME awareness. Cindy Downey has donated copies of the award-winning documentary Unrest, and in this article I wrote for #MEAction, she shares her advice for donating. Thanks, Cindy, for inspiring me to donate a copy of Unrest locally!
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    Author:
    ​Darla Nagel

    Darla copyedits biomedical research and writes natural health magazine articles while living with an invisible chronic illness. She has a big appetite for chocolate despite being a health nut.

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