"3-2-1 Happy New Year!" Is it? When that ball dropped in Times Square did you have some New Year's resolutions all ready to start January second?

I'm really going to start an exercise program - I'm going to lose those extra pounds - No more bad habits! - I won't be so sensitive - I'll save more money

Most of us have at least reflected on a list of aspirations to accomplish but then March 23rd rolls around and we feel like a failure. Some of the goals we haven't done a single thing about but feel guilty.

The concept of setting resolutions is worthy and helpful for most people. When you are chronically ill, however, resolutions can be wearisome and even scary. Most of the time our bodies and our health, therefore our lives, are out of our control. The effects of chronic pain can be devastating I you dwell on it. Though losing five pounds a month seems reasonable, a prescription of medication can quickly add on the pounds, despite our best dieting efforts. Even small goals seem hopeless.

The rationale behind why we don't meet our goals is very reasonable.

> I'm going to exercise more . . . And then I have surgery and my illness is exasperated. Even my doctor said to take it easy and not overdo right now.

> I'm going to get rid of those extra pounds . . . It seems every chronic pain medication I get has a list of side effects that say, "May cause weight gain." May? They all do!

> I'm going to stop spending so much money . . . And then one emergency room visit sets you back two-thousand dollars

So what do we do? Where do we begin?

First, if you didn't set any goals in January, give yourself a pat on the back. No universal rule has been broken that said you must start your New Year's goals in January. The month of January is a time for recovery. You're likely exhausted from the holidays, the travel, or visiting relatives. And most people with illness pack December's calendar full of doctor's appointments too, before their health insurance deductibles all start over in the new years. If you've managed to survive January without any colds or infections, you're in the minority. And in most parts of the country the weather alone can make you feel disabled.

Secondly, make a few simple changes and don't label "resolutions." When you make your visit to Starbucks ask for the "sugar-free vanilla, breve, misto." (That's coffee with steamed half-and-half, with a touch of vanilla. It has fewer carbs, no sugar.) Rather than splurging on the "muffin" covered in chocolate chips have the sugar-free banana walnut cake (Trust me on this. . .heavenly!) Talk to a dietician about what habits you could start that would make a difference in the long run.



Thirdly, make a list of some of the things you value and want to strive for. Don't just say you are going to "save some money" but instead, think about what you really want to save it for. Have you longed to visit a relative but you've not been able to afford an airline ticket to go visit? Though saving money to repair your car may not seem like a fun use of that saved money, surely you value your freedom to have your own transportation. Put your list on the refrigerator or your bathroom mirror so you can frequently recall just why it is you are sacrificing those large white chocolate mochas.

Fourthly, find a friend who has an illness who will unite in supporting you with your goals and you hers. Stress management helps illness and a healthy friend who says, "Well, you're never going to lose any weight until you join me at the gym. They have a new boot camp special that would be perfect for you!" will quickly leave you depressed and disheartened. Chronic pain and depression often go hand in hand. Our health is so out of our control that it's important to have someone who can help you see what goals are reasonable and which ones are a bit irrational under the circumstances.

Fifth, don't be so hard on yourself. When you make a less than perfect choice, give yourself the gift of grace, not guilt. You will have hundreds of do-overs in the next month to make better choices. Strive for making the right choice at least half the time and then take small steps forward, encouraged by your success. And remember, not doing certain things that are detrimental to your goals count as successes too. Skipping the drive-thru restaurant for that large fry you were craving was an admirable choice!

Lastly, set goals that are fun too! Stress and illness is draining and not everything in our lives needs to be fixed. There is no better chronic pain relief than adding more joy to your life. Call people you've met in the past that you admire and ask them if they would have breakfast with you. Go to the movies each month. And when you meet a step towards your goal, such as cleaning out the closet to become more organized, reward yourself. Go buy a chic new hat that brings out the diva side of you that you've been hiding. Living with chronic pain means forcing yourself being silly sometimes.

If you have supportive friends and down-to-earth expectations, by the end of the year you will find that you are one of the few people who actually met some of those "resolutions." And everyone has some of their goals that are left for next year's calendar! So celebrate the fact that you have found some joy along the journey of reaching towards some new habits, despite living with illness.