This Is What Hypothyroidism Is

Some symptoms of hypothyroidism:

• Depression
• Cold intolerance
• Menstrual irregularities
• Sleep disturbances
• Cognitive impairment
• FATIGUE**

"Fatigue". Hypothyroidism has redefined what "fatigue" means to me. I used to think I felt "fatigue" after pulling an all-nighter. I thought that running a mile was the most physically exhausting thing I had ever done. I now long for those innocent days.

If, for some inexplicable reason, you want to know how I was feeling, go out one evening and do heavy physical labor. Till dawn. Come home and relax for half an hour or so, just until it's time to get up for work.

Can you feel the creaky, aching exhaustion pervading every last fiber in your body? You just want to lie down again, but you can't, because you have the whole day ahead of you, and you must spend it being energetic, patient, and very, very happy.

Throughout your pathetically short four-hour day, you find yourself failing miserably. You are unnaturally sleepy. People are asking you things--important things!--and you can't muster the energy to give much more than an apathetic, half-assed answer based on your flawed understanding of their semi-coherent words. You could be falling from the sky in a burning jet plane, but dammit, who cares? The only thing you want from life is to close your eyes! And thus the day carries on.

When it's all over, you can't actually remember what you talked about, who you talked to, or if any of this actually happened or if it was another one of those vivid dreams that keep you flailing around all night.

You're vaguely aware as you walk home, that some other beings are moving around you, but your swollen, blackened eyes are too overwhelmed by the sun and the non-existent fog for you to properly acknowledge their existence. You're also vaguely aware that the air is much, much too hot and that your body is wracked with nauseating shooting pains.

But it doesn't matter that your body is self-destructing, as long as you can lie down. Your sole purpose in life has become lying down in bed for the remaining 20 hours of your day, eyes closed.

You're ok as long as you do that. But you're not ok if you try to do housework, answer the phone, wash the dishes, grade papers, surf the internet, or even keep your eyes open. You've got to ration your energy to one task per day, and usually that task is finding food to temporarily diminish your abnormal appetite.

Eventually, you fall into a disturbed, shallow sleep from which you awaken every two hours to go to the bathroom, hungry and haunted by your dreams, which are somehow more real than your waking hours.

You wake up in the morning--face puffy, lips puffy, hands puffy, feet and ankles puffy, knees hardly able to bend, your belly distended from fat and water retention--and as conscious thought begins to piece itself together, you slowly realize that today--you get to do it all over again.