This year, my holiday plans are less busy than usual. I don’t have to cook a large meal, wrap a lot of gifts, travel much (or far), or attend a bunch of parties or festivities. There is a quiet joy in this low-key schedule, though it means the season possesses a slightly different character. I thought that the lack of holiday stress would mean I had more time to write, revise, maybe even to submit work to literary journals. The rain and chilly humidity have enervated me more than I expected, though, and some days even an hour of serious concentration seems to wipe me out.
I believe this weird exhaustion for no apparent reason is a kind of post-exertion malaise.
Post-exertion malaise (PEM) is not uncommon among people with chronic conditions such as chronic fatigue syndrome, Epstein-Barr, long covid, fibromyalgia and the like. Its key features are that the fatigue seems far out of proportion to the exercise or other exertion that preceded it, and that it is delayed–the exhaustion may set in two hours or even two days after the experience. I have had PEM, for example, after spending a lovely and high-energy day of hiking or wandering for hours around a city or museum and suddenly, without warning, “crashing” into bone weariness two hours later, or a day later (I have fibromyalgia). I’ve learned to manage the physical aspects of PEM, however. It does not happen all the time, and often I can plan for it.
Post-exertion malaise: it sounds like the title of a contemporary novel.
I’ve read studies that speculate PEM results from a sort of communications snafu among the many complex body systems: nerves, synapses, gut microbes, spine, brain, and probably processes science has yet to discover. What I wasn’t aware of until recently is that PEM can appear after mental or social “exertions” as well. Mental exertion such as submitting to journals; social exertion such as attending poetry readings, parties, family gatherings. It explains why I had to lie down for a nap at 5 pm every day the last few years I was working full-time, even though my job was a desk job. And why shopping has become such a tiring task for me.
Shopping, when you think about it, involves: 1) being in a public or social space; 2) attention to details; 3) frequent decision-making; 4) stress about finances, parking, and whether said decisions were the right ones; 5) unexpected stuff like long lines, a credit card that refuses to work, bad weather, and not finding what you were shopping for. Even if you shop online, some of these processes are involved. Yes, our brains are bombarded; and our brains are designed to filter and make efficient work of the bombarding, but perhaps that’s part of what goes awry with long covid and chronic fatigue. The filter may clog, so to speak. Brain fog and fatigue.
Similar micro-decisions go on when I send out poems to journals. Should this poem be sent to that publication? Do I like the other poems in this magazine, the editorial bent? Is this poem finished, and is it any good? Do they require a fee? Do I want to pay the fee? Are they okay with simultaneous submissions? Do they use Submittable, email, or some other method? Such analysis goes on constantly, as well as lots of even smaller decisions. I have to read the submissions guidelines carefully and, sometimes, re-format my work to suit. And then there’s the cover letter if required, and the bio–though I have a “boilerplate bio,” often it seems wrong for the journal; if they’ve asked for a personal touch or want me to stress place or background, I have to tweak the bio…and on and on. The task was never my favorite, but it didn’t exhaust me.
Because my PEM is intermittent, often I can send out a good deal of work in one sitting with no fallout, just as sometimes I can hike or walk for hours without pain or fatigue. I had almost no trouble when I was in Spain earlier this year. But this week in drizzly-snowy eastern Pennsylvania, I’m having to take too many rests after doing what seems like almost no real work. Frankly, it’s disheartening. So I’ve decided not to expect to get much done during the next two weeks and to appreciate the time I can spend reading a novel, decorating the tree, sitting by the fire, talking to loved ones by phone. No need to be disheartened.




