Jeffrey Bowen describes Meniere’s as “that bastard of a disease in my head.” He suffered for 20 years, at which point his “drop attacks” were weekly, had shunt …
Jeffrey Bowen describes Meniere’s as “that bastard of a disease in my head.” He suffered for 20 years, at which point his “drop attacks” were weekly, had shunt …
My mind is cloudy full of noise
My balance comes and goes
The world around me seems so strange
The cure nobody knows
I long to hear the silence
But with screaming in my head
No peace is there for me to find
And a silent room I dread
For whether I am all alone
Or standing in a crowd
My ears confuse my senses
And both just seem so loud
It’s like my head is not attached
Confused and filled with doubt
So light upon my shoulders
It just seems to flop about
I get quite sick and giddy
As the world rocks to and fro
And when it’s bad without a doubt
Down to the floor I go
I can’t control the retching
Which takes a hold on me
It’s like my stomach being tossed
Upon a raging sea
It difficult and miserable
As the worst days take their toll
But I hold on tight and ride it out
My head stuck in a bowl
The better days I manage
With cautious hands I guide
No longer tucked in pockets
Or lazy by my side
They balance me and reach out
To avoid a trip or fall
The swagger in my step right now
I think is really cool
So every good day that I have
I keep a smile and say
This illness will not beat me
Because, I beat it today.
My mind isn’t what it used to be.
It’s a weird thing for a 28-year-old to have to say, but unfortunately it’s true.
There was a time when productivity was a part of me and I didn’t have to make difficult decisions on how to spend my energy. There was a time when I had energy…
But no longer. Chronic illness changed all the rules. I’m not even playing the same game anymore, but some things remain the same. I still have dreams and aspirations. I still want to be successful and be happy and loved. I can still manage to get work done on my own schedule.
It’s just all so much harder now because I suffer from Meniere’s disease, and Meniere’s, like so many other chronic illnesses, causes a kind of cognitive impairment called brain fog.
In a lot of ways, brain fog is hard to describe, and experiences can vary from one illness to another. But for me, brain fog is a frustrating clouding of consciousness. It makes it hard for me to focus and concentrate, and as a consequence my work and productivity suffers. It also affects my memory. I often forget why I walk into rooms, and I frequently have trouble recalling words.
It is incredibly pervasive problem, too. The number of chronic health conditions that cause brain fog is simply staggering. From autoimmune disorders, Fibromyalgia, Diabetes, Chronic Fatigue Syndrome, and Chronic Pain to Vestibular Disorders, Chronic Migraine, Crohn’s Disease, and Depression, just to name a few. It’s a problem that affects literally hundreds of millions of people around the world.
If you are used to be being a productive person, brain fog will take the wind from your sails. The fuzzy feeling of fatigue and lack of motivation that many people experience can make it nearly impossible to accomplish anything. It can be hard to participate in daily life when your mental energy levels are constantly depleted.
Productivity and illness are two words that clearly don’t belong together, but fortunately, over the years I have found helpful strategies for improving my productivity and getting more work done.
The first rule of brain fog is to write everything down. In the past, I’ve written about ways to improve your memory. It’s an incredibly helpful practice but also quite difficult. A simpler solution is to just write everything down.
I keep stacks of index cards, pads of Post-it notes, and small notepads all over my house. It can be hard to organize all of the scraps of paper, but I don’t have to worry anymore about forgetting an idea, an appointment, or meeting my responsibilities.
I generally stick to several simple note taking strategies. For random ideas, and general note taking, I use 3”x5” index cards. I find that the small size keeps my notes concise and to the point. It also makes it easy to carry around.
I also use Post-It notes, though primarily for reminders. If there is something I need to remember, I write it down on a 3”x3” post it note and stick it to the place where I will need to remember something specific. Another good trick I’ve found is to stick post-it notes to the back of my cell phone. I do this with anything important that I need to remember in the near future. I keep a pad of post-it notes next to my bed for this exact reason. If I think of something while brushing my teeth or falling asleep, I immediately write it down and stick it to the back of my cellphone to make sure I remember it, and remember to read it in the morning.
One of the most powerful productivity tricks I’ve found is to keep a routine. When a routine becomes a habit through repetition, the brain uses less energy to accomplish task. Through a process known as “chunking”, the brain turns a complex routine into a single chunk of information, allowing us to execute a complicated set of actions on auto pilot. It’s a way for our brains to conserve energy, and it pervades our lives. According to a paper published in 2006 by a Duke University researcher, up to 40% of our daily actions are not conscious decisions we make, but automatically executed habits.
For someone with a chronic illness, you can use this to your advantage. If you follow a fixed daily routine, over time you will have more and more mental energy available to put toward the work you need to do. It will allow you to be more productive.
For me personally, I tend to go to sleep, wake up, exercise, meditate, and eat, at the same times every day. I also have a fixed morning routine. By the time I need to get to work and be productive, I usually haven’t had to make any decisions that day or waste any energy.
I sometimes use to-do lists, but on a daily basis, I try to focus more on priority management. On most days I tend to have a lot of relatively unimportant tasks to accomplish, and one or two that are priorities. But because I almost never have the energy to finish everything on my to-do lists, it’s incredibly important for me to know which tasks to focus on first. As long as I can address one priority, I can feel like I’ve accomplished something important for the day.
Also, instead of keeping a to-do list, it’s often far more rewarding to keep an I-did-it list. I find a list of my accomplishments to be a greater motivator then an unfinished to-do list. The latter causes anxiety while the former inspires hope and momentum.
You may not realize it, but everyone has a time of day when they are the most productive. For me, it’s after I finish my morning routine, roughly an hour after I wake up. If I have something important to do, I make sure to work on it during this time. On my most challenging days, when my brain fog and fatigue are at their worst, I can often at least get something simple done during this time. My energy has no guarantees, but I am able to get the most important things done by leveraging my most productive time of day. Take time to experiment and find out which time of the day you have the most energy and are most productive.
This may seem like a simple suggestion, but in reality it’s quite hard to put into practice. With the rise of social media, mobile devices, and web based entertainment, we face more distractions than ever before. For someone with a chronic illness, these distractions can rob us of the little bit of productivity we have left.
When you need to be productive, it takes time and energy to get into the mental space needed to complete a task. Every time you get distracted, you have to start over and re-engage with whatever you’re working on. It’s not always obvious though, and until I started writing, I didn’t realize how much time I was wasting.
For example, while writing this article, I’ve received five emails, two text messages, three phone calls, and four Facebook notifications. And every single one has disrupted my mental flow. Each time, it takes me a while to get back into the zone and sometimes, I never do.
Like many of you, I am addicted to my phone. But when I need to be productive I try to force myself to turn it off. I close my web browser and listen to ambient music to drown out any distracting background noise. It makes a huge difference.
I also try to keep an organized workspace. It may not be as problematic as a smart phone, but a cluttered working environment can be a distraction and a source of stress. I find that when I keep my office clean and organized, I am able to focus better and be more productive.
Sometimes the best way to be productive is to stop working and go for a walk. I get easily overwhelmed when I have a lot of work to do and I’m feeling brain fogged and fatigued. Sometimes I try to just push through it, but that usually makes me feel worse.
When the frustration starts to build, I always go for a walk. There’s something about walking that just seems to stimulate the mind. I find it boosts my creativity, and works incredibly well to reduce brain fog.
Walking is also all that’s needed for your brain to start releasing endorphins, your body’s “feel good” neurochemicals. Ever hear someone refer to a “runner’s high”? They’re talking about endorphins. The release of endorphins causes your stress levels to go down and your feeling of satisfaction to go up. If you are feeling brain fogged, the endorphins released during a nice long walk will help you feel better.
All of these strategies have helped me cope with brain fog and improve my productivity, but I still have not been able to eliminate brain fog from my life, try as I might. I am, however, often able to mitigate it in the moment, and if I can be productive, get my work done, and meet my responsibilities when it matters most, then the end result is ultimately the same.
You can learn to cope with your brain fog, too. No matter what chronic illness or condition you face, you can learn take back your daily life, one minute of focus at a time.
Written by Mind over Menieres.
Meniere’s disease (MD) is an inner ear disorder, characterized by stressful disabling symptoms complex of spontaneous episodic vertigo, sensorineural hearing loss, tinnitus and aural fullness.[1,2,3] The disease is chronic and its etiology is still unknown. However, the endolymphatic hydrops is the most common pathophysiologic correlate.[4,5] A number of otolaryngologists have long accepted the notion that patients with MD are subject to anxiety and tension states and that this stress can aggravate the symptoms already present. They have observed that psychological factors play a more important role in the causation and the course of MD, as well as its impact on the quality of life (QOL) of sufferers than is commonly realized.[5,6,7,8] In a large number of MD patients, the first set of attacks of vertigo and later tinnitus and deafness have been observed to follow definite underlying life stressful intolerable situation with an explosive outburst of backing up of tension. Such life stresses have been reported as death of near relatives, conflicts cantered around sexuality, abnormal avoidance of sex relationships especially among males, situations of antagonism to some individual or group important to the patient’s welfare and various other life stresses. In view of these observations, MD has received a lot of research attention from a psychological point of view. Researchers have earlier evaluated the psychosomatic theory of the disease in which they recognize that the symptoms of MD have an organic basis, but its causes were sought in psychosocial stressors and the inability of the patient to cope with stress.[5,6,7,9] On the other hand, somatopsychic theory of the disease has also been explored in which psychological disturbances associated with MD are believed to be the consequences of the disease process rather than the cause of the disease.
Whether the disease or the psychological condition comes before the other, remains unresolved and is probably not as important as understanding how the emotional and physical factors interact in MD. In other words, are there indications that interactions of certain specific emotional stressful situations, acting on a predisposing personality structure, play a role in producing the disease? In this review, an overview of the concept of interaction between the somatic factors in MD and its psychological aspects as it affects the disease’s impact on the daily life of sufferers is presented.
A wide literature search of PubMed, African Journals Online, Health Internetwork Access to Research Initiative and ovid with no date restriction was conducted with the keyword MD. The search engines returned 7047 related articles on MD. Further filtration yielded 73 articles on “psychological factors and QOL.” Extracted materials spanned between 1970 and 2010. Data from the studies were extracted and assessed for inclusion. A total of 33 studies were identified and thoroughly read. All 26 articles were prospective cohort cross-sectional studies, while two of the studies were retrospective review of Meniere’s patient treated in a tertiary institution. Four of the studies were systematic literature review articles.
In a study that reviewed the psychological aspect of MD, Van Cruijsen et al. conducted a chronological review of studies concerning the psychosomatic and somatopsychic hypotheses in MD and the combined hypotheses. They held a position that psychosomatic factors do not represent the exclusive etiologic cause of MD and that even when a somatopsychic factor seems to be present, it also does not provide the sole explanation. They suggested that the process may constitute a vicious circle: Symptoms of the disease may worsen the emotional state, which in turn may worsen the symptom perception. The authors concluded that a continuous interaction between psychological, somatic and environmental factors would be considered in interpreting this complex process.
Similarly, other studies have evaluated the interaction between psychological stress, behavioral characteristics and symptoms of MD and concluded that they produce a vicious circle.[13,19,20] In one of the studies, a questionnaire was devised to analyze life-style and behavioral characteristics in 60 MD patients compared with 936 healthy controls. The MD patients were shown to have a significantly greater stress-causative tendency in behavioral characteristics, felt stronger anxiety and presented more severe symptoms incidental to this anxiety compared to the controls. The behavioral characteristics of escape were found to be psychosomatically very harmful. It was suggested that the behavioral characteristics in MD patients, being more stress-causative than in normal controls, may play a role in the genesis of endolymphatic hydrops, possibly through stress-related hormones. Earlier studies have shown that the plasma levels of stress-related hormones such as antidiuretic hormones and catecholamines are elevated in conditions of endolymphatic hydrops including MD. These hormones were believed to alter the inner ear fluid dynamics, thereby producing auditory and vestibular dysfunction and the symptoms experienced in MD.[21,22,23]
More recently, Van Cruijsen et al. in 2006 conducted a psychological assessment of 110 MD patients and 26 controls suffering from other chronic illnesses such as acoustic neurinoma, otosclerosis, neuritis vestibularis, ototoxicity, benign paroxysmal positional dysfunction, migraine, hereditary hearing loss and partial epilepsy. They aimed to evaluate how psychological, physical and environmental factors in MD interact and why one patient develops more frequent and severe problems after getting MD than others. The authors utilized multiple validated questionnaire instruments, which included: The “daily hassles list,” which quantifies the frequency and intensity of problems in different circumstances, “coping inventory,” which was designed to assess coping with stressful situations, the five personality domains of: Neuroticism, extraversion, openness (NEO) to experience, altruism and conscientiousness were assessed with the “NEO five factor inventory,” the “symptoms checklist” was designed to measure physical and psychological complaints, the “general health questionnaire” was designed to screen for minor psychiatric disorders in the general population and the “medical outcome short form health survey” which assessed well-being and functional status (QOL). The authors found that Meniere’s patients experienced more daily hassles as well as more psychological and physical problems compared with the normative values and were less task-oriented in their way of coping with stressful situations. Their results indicated that 63% of the Meniere’s patients showed psychopathology such as anxiety and depression. In considering the duration of the illness, the patients who were longer affected by the disease had significantly more daily stressors, worse physical and social functioning and more bodily pain. However, when authors compared the psychometric results of the Meniere’s patients and the results of the control (patients with other audio-vestibular diseases), they found no significant difference in any of the psychological test results and then suggested that the psychopathology seems to be the result of having a chronic disease.
Similar studies compared the psychological characteristics of Meniere’s patients who had been diagnosed as such by otologists with two groups of non-Meniere’s patients: Those with otologic disorders who did not have vertigo and those patients with diverse otologic disorders but who had in common vertigo as a symptom. When MD patients were compared with non-vertiginous patients, the psychological profile of the Meniere’s patients put them clearly as emotionally damaged. However, when the Meniere’s group was compared with the non-Meniere’s vertiginous group, the difference was found to be washed out and the groups were very much alike psychologically. It was reasoned that since the non-Meniere’s vertigo group had, in large measure, identifiable organic disease, the similar psychological picture that emerged when compared with the Meniere’s group, was understandably believed to be the response to the disease rather than its cause. Authors concluded that the culprit responsible for the psychological picture observed MD seem to be vertigo and added that any illness that has a symptom as disabling as vertigo can produce its own form of psychopathology.[11,16]
The results regarding personality aspects in MD remained contradictory. Sawada et al. did classify the personality structure of MD in the normal range. Similarly, Van Cruijsen et al. found no abnormal personality traits in Meniere’s patients compared with the values of their controls. On the contrary, Groen documented that MD patients exhibit a specific personality structure, characterized by high intelligence, great diligence and a strong sense of duty. Savastano et al. described MD patients as obsessive-compulsive persons, perfectionists and neurotics, who are supposed to be more vulnerable and have more stress exposure. In a study that examined the psychological profile of MD, Meniere’s patients were reported to exhibit anxious and depressive personality. In a study in which questionnaires were devised to analyze the life-style and behavioral characteristics of MD patients and a large control population, Takahashi et al. documented that patients with MD had nervous and scrupulous personalities and possessed more stress-causative tendencies in behavioral characteristics compared with the control group. De Valck et al. found a type-D personality is more prevalent in 29 MD patients compared to 59 other patients with a peripheral vestibular disorder experiencing vertigo. They also documented that, subjects with a type-D personality feel more handicapped due to their vertigo symptoms than non-type-D subjects. Similarly, it was hypothesize in two separate studies that patients with psychological distress might perceive a stronger rotational vertigo and unsteadiness than patients in a normal mood.[26,27]
Ordinarily, people encounter many episodes that may be physically and psychologically causative of stress in their day to day experiences. Even such episodes that are seemingly similar may give different impacts on different people, since their individual behaviors and sensitivities to stress may differ. In MD which is a chronic condition, a patient’s life will understandably change considerably, especially in view of its tendency to involve the contralateral ear in the course of time and the fact that the course of hearing loss is not altered by any form of treatment.[28,29] The concept “QOL” has been defined as the individual’s perception of his/her position in life in the context of the culture and value system in which they live and in relation to their goals. Thus, QOL has been analyzed in three separate domains: Physical; psychological; and environmental. The physical component refers to the physical effects of the disease, i.e. pain, fatigue or vertigo, while the psychological domain has been related to an individual’s mood in a global sense, e.g. fear or depression. The environmental domain has been evaluated from two different perspectives: Social participation and role activities.[8,14,15,25,29,30,31]
Anderson and Harris evaluated the impact of MD on the QOL using several general outcome instruments. These included the quality of well-being scale (measured a point-in-time expression of wellness and specifically, the daily effects of many symptoms related to MD in terms of functional status), the medical outcomes study SF-12 (measured both physical and mental scores) and the Center for Epidemiologic Studies-depression scale (produced a measure of psychologic depression). Their quality of well-being scale results indicated that patients with MD are severely incapacitated by their illness and in acute episodes; MD seems to be one of the most debilitating diseases compared with people who survive other debilitating illnesses. The mean Center for Epidemiologic Studies-depression scale score of patients with MD was comparatively worse than the scores of patients who were hospitalized for trauma, who were shown to be depressed as a result of serious injury as well as patients with cochlear implants. They concluded that all outcome instruments indicated that MD is serious in its physical and mental health consequences on the sufferers and that the days with acute episodes of MD symptoms are significantly worse than the days without such symptoms.
Van Cruijsen et al. documented poorer QOL scores among the 110 Meniere’s patients compared with normative values, with their patients showing more limitations due to their restricted physical functioning as well as showed a worse general health perception and poorer social functioning with less vitality. Authors also found that the QOL was significantly worse in patients with more severe symptoms. They however reported coping strategies and the frequency of daily stressors to be the same in the low and high severity symptom group. It was suggested that the severity of the symptoms has more effect on the QOL, than coping or daily stressors in MD.
Kinney et al. investigated the long term effect of MD on hearing and QOL in 51 selected Meniere’s patients who were at least 1 year post treatment using validated disease specific QOL measure questionnaire designed to quantify the hearing loss, tinnitus and dizziness handicap. These included “hearing handicap inventory for adults” designed to evaluate the emotional and social consequences of hearing impairment; the “dizziness handicap inventory” assessed the functional, emotional and physical consequence of dizziness; the “tinnitus handicap inventory”; and the “SF-36 health survey,” which assessed physical functioning, role limitations, social functioning, bodily pain, general mental and general health perception. They found that the emotional aspect of MD was more handicapping than the physical components. Authors concluded that patients with MD have more emotional disability than physical disability.
The influence of vertigo, hearing impairment and tinnitus on the daily life of Meniere’s and non-Meniere’s patients has also been studied. Söderman et al. found that MD patients experience a bad QOL and they indicated that vertigo is the most influencing factor on the major implications of this disease on their daily lives.
Cohen et al. investigated the influence of these symptoms on the QOL of 51 MD patients who filled in a self-administered questionnaire designed to investigate the physical, psychological and environmental domains of the QOL. The authors found that vertigo is the most bothersome symptom influencing a subject’s performance at work, followed by hearing loss. This however contrasts with the results of a study designed to investigate the influence of vertigo, hearing impairment and tinnitus on the daily life of 514 MD patients in which the subjects reported most discomfort from tinnitus. However, the results also showed that these 3 major symptoms had a strong negative effect on the daily life of MD patients, with 75% of the subjects avoiding certain everyday activities or situations because of the disease. More than half of the subjects were reported to have stated that they never felt free of discomfort from the illness, even though 36% gave examples of situations in which they felt free of the discomforts of the symptoms of MD such as: Being on holiday, being in the country-side, being at home alone, being on diets, when flying and when doing spots activities.
The impacts of vertigo attacks on the QOL of non-Meniere’s vertiginous patient and in comparison with Meniere’s patients have also been evaluated. Bamiou et al. documented higher disability and handicap score among patients with a unilateral vestibular disorder after excluding MD, than the normative values. In a study that compared the level of psychological distress and disability in groups of patients with vertigo, the researchers reported that patients with only vertigo experience the same level of anxiety, depression and somatic complaints compared with Meniere’s patients. It was concluded that vertigo impacts negatively on the QOL of sufferers regardless of the pathology De Valck et al. evaluated the level of handicap exhibited by 5 pathological groups of 88 vertigo patients which included 29 Meniere’s patients, using the “Dizziness Handicap Inventory.” The non-Meniere’s groups that were also evaluated include: Benign paroxysmal positional vertigo (BPPV) of the posterior semicircular canal (23), vestibular neuritis (8), vestibular schwannoma (20) and post-traumatic non-BPPV vertigo (8). They reported high handicap score in all the 5 groups, even though those with type-D personality had higher scores.
Thus, in MD the frightening attacks of vertigo seem likely to produce and increase the level of anxiety thereby worsening the emotional state and the resultant anxiety provokes various symptoms probably through disorders of the autonomic nervous system occasioned by the increased levels of stress-related hormones. Hence, a vicious circle of interaction between somatic organic symptoms of MD and resultant psychological stress develops. Understandably, those with predisposing psychological personality characteristics are more likely to suffer more impact of this vicious cycle on their QOL than Meniere’s patients whose personalities are in the normal range.
In MD, there seem to exist a vicious circle of interaction between the somatic symptoms especially vertigo and resultant emotional disturbances, which in turn tend to provoke some other somatic symptoms. The QOL of the sufferers is severely incapacitated by the illness, especially the psychological well-being, which manifest mainly with anxiety and depression, dominating the physical and environmental disturbances. Worse QOL tends to occur in Meniere’s patients with more severe vertigo symptom.
I can remember the exact instant when everything changed.
It’s seared into my brain like a photograph.
My doctor was supposed to help me. He was going to explain the vertigo and make it stop. It’s his job after all. You get sick and the doctor helps you get better. How could I have known?
My doctor spoke the words and in the blink of an eye, a terrible potential was made real. The problem wasn’t going to go away. The problem was permanent, and for a long time everything seemed impossible.
Meniere’s disease demanded so much of me. I missed so many opportunities, as if saying no would keep me safe.
But more often than not it was fear, not Meniere’s disease that held me back, and it took me a long time to understand that I often suffered more from regret.
I have always loved to write. I still have folders filled with old poems, stories and notes from when I was a kid. But I never considered myself a writer, and after I was diagnosed with Meniere’s disease, I didn’t write for a long time.
But nine months ago, as I was falling asleep I had an impossible idea. I realized that just maybe, I knew something that could help others and would be worth writing about.
I had successfully managed my Meniere’s symptoms for a while, but it had taken me so long to get to that point. My journey was chaos.
As I reflected back I realized that, for me, and for a long time, the missing ingredient was hope. I knew there had to be others who were still struggling. I wanted to start writing again. I wanted to share my story, but I was afraid.
I wrote five articles before I even created the blog. I was terrified to share my ideas with the world. When I finally set up the website and clicked publish for the first time, I panicked. It seemed like such a bad idea. Who was I to give advice on anything?
But slowly, I found all of you. I put myself out there and the community caught me with open arms. There were a lot of times when I was ready to give up. But you all kept me going when I wasn’t sure if I could… or if I should. I am forever grateful to the community and to all of my readers. You all have inspired me and helped me grow. I learn from you every day.
At some point, though, I realized the blog would never be big enough to say everything I needed to say.
Maybe I could write a book? No I could never write a book…that’s impossible. I dismissed the thought immediately. But it kept coming back. I couldn’t shake the feeling that it was something I needed to do.
Eventually I decided it was too important to not at least give it a try. It started with a list of 10 ideas. Those 10 ideas evolved into an outline. I dove deep and started researching to expand my understanding.
But I was absolutely overwhelmed. For several days I sat down to face the blank page. But the words wouldn’t come. How could I ever write a book?
Martin Luther King Jr. once said, “If I cannot do great things, I can do small things in a great way.”
My first real breakthrough came when I read this quote and changed my approach. Could I write a book? No, that was still impossible. But I could definitely write 300 words. I made a decision to sit down and write just 300 words every day. Most days it was a terrible experience. But often, I would come back the next day to find something beautiful left behind.
And as time went on, it started to build and build. Until one day, several months later, I realized that my manuscript was finished. 300 words at a time, I had accomplished the impossible.
I couldn’t help but smile. In my wildest dreams, I never thought I could write a book.
So what impossible idea keeps you up at night?
If you are anything like me, there is probably something you want to do, right now. And while Meniere’s disease will limit you, you can overcome the fear. You can achieve the impossible, too.
For the ultimate secret is that most impossible things can be broken down into small possible pieces. And those pieces will slowly build over time.
I am proud and excited to announce that my book is finally near completion and will be available on Amazon in the next several weeks.
I have written the book that I wish I could have read when I was first diagnosed. But it’s not just for the newly diagnosed. It’s for everyone else too, no matter how long you have suffered. It’s a book that will even help your family and friends understand, and better support you.
The chaos, anxiety, and depression that come with Meniere’s disease can cripple you. There is enough conflicting information to make your head spin. It can destroy your quality of life.
But there is also so much hope. I wrote this book to show you that. To show you the potential and opportunity that lies trapped within you. To show you that there is always room for improvement and that you can learn to manage your symptoms and live in harmony with your disease. To show you that you can learn to thrive again.
And though I’m nervous to release my book out into the world, I am proud, and finally ready to put myself out there, one more time.
But no matter what next happens next, I encourage you to have always have hope. Find your impossible idea. Pursue it, nurture it, and share it with the world.
You can achieve the impossible, too.
Even with Meniere’s disease, you have the power to make a difference, never forget that.
I’m giving away 10 FREE advanced release eBook copies of my new book: Mind Over Meniere’s – How I Conquered Meniere’s Disease and Learned to Thrive!
To win a copy, sign up for my email list here, and leave a comment below explaining what impossible thing you would love to do! 10 Winners will be selected from the comments at random on August 20th, 2015.