Like most advice columnists, I get far more questions than I can use, and the only ones that get answered are the ones that are published in my column. (I wish more people understood that about the nature of advice-column writing, but that’s a topic for another day.) I think perhaps once or twice I’ve written a person back directly, not for publication. One of these happened last week, and it’s fairly obvious why the following question would have caught my eye:

My partner started a new job, and colleagues have been inviting us to dinner parties to welcome us. This would be great except that I have a digestive disorder and have strong reactions to dairy, red meat, fried food, shellfish, chocolate, and alcohol. It feels like a big imposition to give hosts this long list, especially when we barely know them and they are already being so kind. I don’t want them to feel obligated to serve some dreary menu lacking all these yummy things, or feel they need to cook extra things for me.

I need to make a good impression, not be a pain in the neck. But I can’t eat those foods; if there’s alcohol in something, I get sick pretty rapidly.

Is there a graceful way to inform hosts about my health issues but not make them feel they must go to extra trouble? Or is it better to say nothing, show up, and just eat the carrots? Or should I just stay home? Thank you!

The LW signed the letter with the initials “IBS.”

I wrote back:

I almost never e-mail directly to questions, but I’ve got a lot of food-related q’s coming up in the column, so this one won’t make it in.

I also have the digestive trifecta: IBS, gastritis, and GERD. You and I could have a good time together drinking our herbal tea (with no mint!) and playing “Forbidden Foods Bingo,” so I’m really feeling where you’re coming from.

Here’s what I’d do. I think you should go. We’re not living in the “Mad Men” era where the proper corporate wife was an essential part of her husband’s career, but still, it’s good to get to know the folks your partner will be working with. Bail on a couple of dinners, if you need to, but do try to make most of them.

For the ones you’re going to attend, call the hosts. Tell them something like, “I’m so looking forward to meeting you. Unfortunately, I am dealing with some digestive issues at the moment, and I’m on a ridiculously restricted diet. Can I bring a side dish? It would make things easier for me, and I don’t want you to have to change your menu.” Then you make your side dish, bring it (along with some non-alcoholic wine or sparkling cider), and eat that and whatever else you can have. If they protest, laugh and say, “No, believe me, I can’t eat X and Y and Z and A and B–you’re not the Canyon Ranch Spa, I don’t expect to be catered to! Besides, my partner loves all those things, and it’s not like s/he gets them at home!”

If the colleagues become close friends, you’ll work it out together over time. And I don’t know why telling people you have digestive issues “at the moment” makes them more comfortable (and less likely to tell you about the magical cure that worked for their sister-in-law) than admitting to a chronic condition, but it does.

Good luck!

“IBS” wrote back, thanked me for my advice, and said things had been going well so far.

I’m still questioning myself about that “at the moment” thing, though. I’ve been saying this a lot about myself, but that’s because I’m still working out exactly how much margin for error I have in my diet. IBS clearly knows, and doesn’t have much margin at all.

So was I going against my own principles of body acceptance, and acknowledging our “sicks,” by suggesting that IBS elide the actual nature of her condition? (It’s not a lie, per se: she is dealing with IBS “at the moment,” after all.)

Yet I find people are more comfortable, and also much less likely to pry/sympathize excessively/suggest cures, when you frame your condition as temporary. So if “I have a chronic illness and I’m not ashamed of it” is something that a person is militant about, there’s going to be the psychic cost involved of constantly dealing with the clueless. (Obviously, whether you frame an illness as short- or long-term depends on how visible it is. You can’t see that IBS and I have diseases. People like the woman with trichotillomania don’t have the luxury of this debate.)

There’s also something known as the “primacy effect” that comes into play here. People tend to place greater weight on the first pieces of information they receive. If you lead with your illness, which IBS would have to do if she’s calling people she never met to ask about their menus — that’s going to be the main thing people remember about you. By downplaying the illness and, er, up-playing her willingness to bring a side dish and enthusiasm to meet her husband’s colleagues, IBS can shift her initial impression from “the sick lady” to “the friendly lady and creative cook.”

What do you think? Was my advice good, or too namby-pamby?

Now that we’re halfway into the month, let’s talk New Year’s resolutions! I asked you all about yours a while back, and never really followed up on that.

I’ve always found the NYE resolution to be an interesting beast. On the one hand, there is something that seems very natural about a season of excess followed by a period of restraint and sacrifice: it’s a pattern you see in too many cultures and religions to ignore. On the other hand, the way so many people do NYE resolutions seems set up to guarantee failure: black-and-white absolutes, with no room for the inevitable backsliding. By the second week in February, you’ve already missed your goal of getting to the gym four times a week, so you just quit entirely.

I was pondering what my own 2010 resolutions and goals should be, and then more or less got handed a new set by my doctors: quit drinking, and change my entire eating pattern. Which was a little more ambitious than anything I was planning to carve out for myself, I tell you what. Here’s what’s helped:

1. Not having a choice. I’ve never been a fan of the classic AA notion that one must “hit bottom” (is that still a going concern in AA, or have they more or less dropped that idea?) before making a change. Still, there’s something to be said for having one’s doctor say “Yes, there is a real problem, and you can and must stop this problem now.” (Funny, on the other blog we are discussing why people write in to advice columns, and one thing that a number of folks mentioned, that hadn’t really occurred to me, was that the columnist not only provides a reality check, but also a sort of kick in the butt, just as my doctor did for me. Having someone say not only, “Yes, you’re right, there is a problem,” but say “And you need to do something about it now.”)

2. Quick feedback. I think this is something that scuttles a lot of NYE resolutions — people simply don’t see results fast enough, so they get discouraged and quit. I was lucky, because I felt markedly better after only a few days of getting on the right meds and knocking off the booze and spice. But let’s face it, a lot of good habits actually make you feel worse when you start. Sure, going to the gym will give you more energy and a better mood … after a few weeks. Before that, it will make you tired and cranky. So if the behavioral change itself won’t give you immediate, positive feedback, figure out a way to implement some little reward system, so you’ll know you’re getting somewhere.

3. Taking positive action. It’s always easier to do something than to not do something. (As you read the rest of this post, do not think of a white bear. See?) I’ve decided to look at my new diet as a chance to explore new cooking techniques and ingredients, rather than as simply giving up X, Y, and Z. WES alluded to a similar idea:

I think I have stumbled on an epiphany for my new year’s resolutions. In the past those pesky resolutions were things I knew I **should** do even if I didn’t want to do them. However this year I am making my goals shorter and more in tune with what I want to do. And if I finish them before the year is up great, I might do new ones in July!

So rather than my resolution to go on a diet my resolution is to crochet more and learn a new technique. It is a calming activity, allows me to be creative, and while still a sedentary activity it has the added bonus of you really cannot eat/munch while crocheting. And snacking is a big weakness of mine so really it should be a win win.

4. Communication and support. The research on the extent to which social networks affect behavior is impressive and grows more every day. We need our friends to support the kinds of things we do, the kind of person we want to be. It’s been immensely good for me to be able to write about my health issues here, and feel that by doing so, I’ve opened up a forum for other people to share their own experiences. It’s also been good to have a couple of weeks of minimal socializing, so I can get my new habits well under control before having to attend a cocktail party. And Mr. Improbable and I have had a number of conversations about how his life (since I do the cooking) will and won’t change.

Some further thoughts on your comments …

TJ wrote, “I’m not big on New Year’s resolutions (those always seem a little overwhelming), but I (along with my family) make resolutions with a more limited time frame.” I like that; I like that a lot. Make goals for a month or so, not for the entire year. I wonder if that isn’t what people do anyway, really … there’s the New Year’s Eve goals, and then spring cleaning and getting in shape for summer, and then back-to-school season.

Anne with an E wrote, “I resolve to stop waiting until the time is right/we have the dough to throw a huge shindig before inviting people over. Pizza and game night for six is just as fun as a BBQ for thirty (with a lot less cleanup.)” YES! I figured this out about four or five years ago and it was quite a revelation. And with six or eight people, everyone can really get to know each other. (Note for Bostonians — Redbones BBQ delivers, and they are very good. They also have enough good sides that any vegetarians will be taken care of. Highly recommended for informal parties.)

Military Mom wrote:

My first resolution is to stop agreeing to do or help with activities without REALLY stopping to assess if I have time or want to do it. Up until now I’ve volunteered when other people need help and have almost always regretted it afterwards. My second is to try to lower my stress level. This will require the rest of my family to step up and help, but I think they are recognizing my stress is affecting my health…and therefore their lives too…

Good luck with those two, obviously related, resolutions. I’m sure it’s something many, many of us can relate to.

How about the rest of you? How are your resolutions working out?

Christmas was quite delightful this year (the belatedness of the annual Mystery Milo notwithstanding). We had a good group of folks with us, and “Sherlock Holmes” certainly didn’t disappoint as far as holiday escapism, and the uncanny desirability of Robert Downey Jr., were concerned.

The only part that made me slightly unhappy was when we went to Changsho for dinner afterward. We got the big table with the lazy susan — does anything speak of joy and inclusiveness more than the big table with the lazy susan in a Chinese restaurant, I ask you — and sure enough, I was That Person who had to take her entree off the lazy susan and hoard it to herself, because I couldn’t share what anyone else had ordered.

I’m going to be That Person for a while, it seems. Essentially, there is more bad acid floating around in my gastrointestinal system than at a Grateful Dead tribute band concert, and I need to change a lot of eating habits fast. After a couple of months, when things calm down, I should be able to have the occasional quesadilla or slice of pizza.

But until then, I’m one of Those People, those people who can’t share. I can break bread with you, but that’s about it. Oh, and those fabulous Ugly Wintry Mix cocktails you all came up with? Yep. None of those, either. Which means I might now encounter Mr. or Ms. Pushytipples of my own, now that I’m not drinking much. (Or, more likely in my case, Mr. or Ms. Terribly-Concerned. I can have a drink occasionally — very occasionally — and while I appreciate being warned of things like unexpected rum in eggnog and habaneros in the queso dip, I also appreciate being treated like an adult. I am at the moment eternally grateful to one of the Fabulous Bureaucrats, whom I had dinner with two days after my diagnosis, and who unblinkingly sat through my dithering about whether or not ketchup was on my new list of forbidden foods, as well as my consumption of two glasses of white wine. The FB in question knows me well enough to know that I can’t change all my habits overnight, but change they will when I set my mind to it.)

Before all of this mishegoss went down, of course, I knew that food and identity were deeply linked, as were food and sociability: it’s pretty much what the food chapter of my book is about. But having to make a lot of changes, fast, brings certain issues into even sharper perspective.

For one thing, there was this brilliant you-know-you’re-middle-aged-when moment a few weeks ago, when I met a friend at Casablanca for a cocktail-hour business meeting. He immediately apologized and said he couldn’t eat, because he had a colonoscopy the next day; I, of course, couldn’t drink, as I have gastritis. (We ordered hot waters, he shared his broth with me, and we left a really good tip.) Not sharing food turns out to be as good a bonding experience as sharing it, though I doubt restaurateurs would agree.

It’s also been interesting to see how many of my friends with a strong ethnic identity have been quick to share recipes from their own cuisine with me. I’m not just appreciating their food; I need it. Their Greek, Bosnian, Filipino, Russian recipes will save me from my own sick body and restore me to health.

So in at least two cases, having restrictive food rules has brought me closer to people who either have similar — permanent or temporary — restrictions, or people whose ethnic identity is complemented and complimented by what I can eat. I’m sure I’ll run into others, as time goes on: people who disbelieve in my condition, or the way my doctors and I are treating it; people who will take it as a personal affront that I cannot eat or drink their particular favorite food; people who, one way or the other, make my biological condition into some kind of metaphor of rejection, perhaps rejection of something they hold dear.

Yesterday’s “Coupling” addressed that, from the perspective of a food consultant/chef who finds it impossible to form relationships with men who have food rules. She writes, “Gradually, I realized that a willingness to try new foods spoke to a person’s general openness to the world and new experiences.”

It may. Or it may speak to a person’s number of taste buds, or to their immune system or bowel functioning. Our bodily processes may be a metaphor for deeper psychological issues — or they may simply be the sometimes working, sometimes on-the-fritz results of a complicated and frankly klugey system. (No offense, but how anyone over the age of 25 can believe in Intelligent Design is beyond me. Wait ’til your knees start going and see how intelligently you think you were designed then, kid.)

I have a chronic illness that flares up from time to time. If you’re a personal friend*, you probably know what it is; if you aren’t, you don’t need to. It’s not life-threatening, or even painful, but it’s capable of knocking me down to about 30% of operating capacity for days at a time. There’s medicine that helps — sometimes — and things I can do to minimize the chances of a flareup — sometimes. The body is a complex system affected in many ways by many things, and there’s no easy if-X-then-Y with this one.

(The main reason I’m not saying what it is isn’t because I’m terribly private, or that it’s terribly disgusting, but because people feel compelled, when hearing of another’s illness, to either share their own stories of much worse suffering or else suggest this new medicine or diet or asana that worked wonders for their sister-in-law who had the exact same thing, really! Neither of these are lines of discourse that most sick people are at home to. Although it does motivate us to get our strength back, so we can pop you one.)

Part of my New Year’s resolutions last week was to get better. To heal myself. Not physically, because I can’t do that, but to reconcile my body and my mind and my responsibilities and my relationships so that I don’t make things any worse than they have to be. I recently finished Loretta Lynn’s second autobiography, Still Woman Enough, and one line jumped out for its pure simplicity and sense: “I do not believe in pain if there is any way around it.” A woman who has had as much pain in her life as Loretta Lynn damn well knows what she’s talking about, and damn well knows that pain does not ennoble. We’ll be talking about Ms. Lynn — and about Tina Turner, too — a bit later.

I wasn’t intending to spend my New Year’s energy on that project, but guess what, the Days of Awe this year turned into the Days of Aw Crap, It’s Back Again. If the days between Rosh Hashanah and Yom Kippur are like a dangerous ocean voyage, the good Lord decreed that I was going to spend most of my time in sickbay. So I figured, okay, that’s my challenge for this year. It wasn’t what I’d planned to focus on, but you can’t order up life lessons like they’re adult-ed seminars. God don’t run no JuCo.

Anyway, here are my resolutions:

1. Don’t use my illness as an excuse to get out of doing things that I really can do, and that would be good for me, but that I just don’t want to do. Sometimes I will bail out on things when I’m sick because I’m embarrassed to compromise. I don’t want to call a friend and say, “I can’t make our dinner date tonight because I don’t feel well, but I’d love to see you–could you come over for a quick after-work cup of tea instead?” It’s easier to pretend that “something came up” and I need to reschedule entirely. I feel weird going to the gym and only working out for 15 minutes. It’s easier not to go at all. But hey, my friends love and accept me, and I’m sure everyone at the gym is paying attention to their own workouts and not timing mine.

… but …

2. Don’t be all macho or martyrish and force myself to do things that I really can’t. I’m not doing anyone any favors by promising things I can’t deliver. Nor am I doing myself any favors by pushing my limits, either because I don’t want to believe that I have them, or because I want to punish myself for being so weak and stupid as to get sick in the first place.

3. Do what I can to keep it under control. Oh, all right — it’s a stomach thing, okay? And I will pop you one if you give me unsolicited advice. Anyway, the point is, there’s certain things I can eat or avoid eating that put me at lesser risk for having a flareup. Small, frequent, high-fiber/high-fat meals are good; coffee and raw vegetables and too much rich food are bad. Sometimes. Mostly. Like I said, it’s a complex system.

… but …

4. Don’t blame myself when I do get sick, even if I got sick during a time when I wasn’t eating “right.” I’m not ignoring the reality of the connection — although as mentioned it’s by no means a hard-and-fast causality — between my habits and my health, but I truly don’t have to paint it in moral terms. Getting sick doesn’t mean God is punishing me for having a latte. It means I took a small gamble and lost. And we take a gamble every day just by getting out of bed, let alone leaving the house.

… and finally …

5. When I’m sick, to realize that the inevitable feelings of low self-worth and hopelessness are part of the symptoms. I don’t have to fight the feelings, but I don’t have to believe in them, either. That’s a tricky line to walk, but I think I can do it. I did pretty well with that last week, and I’m proud of myself for it.

I’m posting this because maybe you haz a sick, too. A lot of people do. And a lot of us are ashamed of it. We are a problem-solving, can-do, bootstrapping nation with a medical tradition that doesn’t handle chronic and complicated illnesses terribly well. (I’m about the furthest thing from a New Ager when it comes to medicine — don’t give me a smudge stick and healing dances if I need penicillin, already. But that doesn’t mean I think Western medicine has it all figured out right now. If it did, we wouldn’t continue to do research.) And 21st-century American culture has raised body-shaming to something akin to a religious tradition.

So maybe if you haz a sick, you could stop beating yourself up over it. Do the right thing by yourself, as much as you can, and when you can’t, well, that’s life. You can’t always be perfect, and even if suffering is the price you pay for a fall, that doesn’t mean it’s the price you deserve to pay.

Love yourself. Forgive yourself. Heal yourself.

Comments open, and please don’t take my “Don’t give me advice!” screeches to mean that I don’t want to hear what’s worked for you in dealing with your own chronic or recurrent illnesses. I very much do. I mean, please don’t tell me what to eat, that’s all.

*I’ve always thought the term “personal friend” was redundant and stupid, and in most cases, it is. But sometimes it is the right phrase. I do feel I have a relationship with my regular readers and commenters, but you aren’t people I know in everyday life. Friends, but not “personal friends.”