The Good, the Bad, and the Ugly of Getting a Cold

What happens when an acute illness visits a chronic illness.

Posted Oct 18, 2012

Source: Pixabay

I used to think nothing of getting a cold. I ignored it as an irritation that didn’t stop me from doing things—even going to work. But now that I’m chronically ill, a cold is a big deal. Here's what I'm calling  the good, the bad, and the ugly of getting a cold (although what follows could apply to any acute illness).

The Bad: Sleep Disruption

Usually, how well I’ve slept the night before is the most important indicator of how I’ll feel the following day. Unfortunately, sleep disruption is in full force when I have a cold. All the ingredients for interrupted sleep are present: a sore throat, a runny or congested nose, a tickly cough. 

The Good: No Choice But to Cut Back on Activities

As I note in “Confessions of a Sick Person,” the author of How to Be Sick doesn’t always know how to be sick. I tend to push my limits rather than stay within my energy envelope. But when I have a cold, I’m forced to take better care of myself, and that is a good thing.

The Good and the Bad: Something to Share

The Good: Finally, health-wise, I have something in common with friends and family: I’m contagious!

The Bad: Finally, health-wise, I have something in common with friends and family: I’m contagious!

The Bad: Isolation

Aside from my husband's company, with few exceptions, my socializing is confined to short visits once a week with two good friends. If I have a cold, however, I have to cancel with them. It's hard because it heightens my awareness of just how isolated I am from in-person contact.

The Ugly: I Can’t Tell If What’s Acute May Be Becoming Chronic

Some of the symptoms I get only when I have a cold are symptoms that are already suffered by others with chronic pain and illness. These new symptoms mix with my chronic ones, and together they feel like part of one disease. This makes me worry that maybe some of these symptoms will turn out not to be acute at all, but are new additions to my chronic illness. That's an ugly thought!

The Good: Maybe...Just Maybe...I'll Recover My Health!

Whenever I get an acute illness, along with the "ugly" concern that I have new chronic symptoms, I always think that that maybe, when I recover, the acute illness will have left in its wake a normal immune system, meaning I’ll no longer be sick! It didn’t happen the last time I had a cold, but maybe, just maybe, next time!

© 2012 Toni Bernhard. Thank you for reading my work. I'm the author of three books:

How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and Their Caregivers (Second Edition) 2018

How to Live Well with Chronic Pain and Illness: A Mindful Guide (2015)

How to Wake Up: A Buddhist-Inspired Guide to Navigating Joy and Sorrow (2013)

All of my books are available in audio format from Amazon,, and iTunes.

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You might also enjoy "Sleep Hygiene for the Rest of Us."