manage you do

chronic is the word they give you when you’ve run out of options
“learn to live with it” they say, 
no cure – just pain management
so manage you do

you push down the fear of what the future holds,
the grief of what you’ve lost in the past 
you’ve had to grow up too fast 

the appointments, insurance battles, and phone calls
can’t afford to slip and fall 

so many lonely drives, silent cries 
pills and bills 
i wonder if i have enough will

fighting for accommodations, 
met with just another medical consultation 
i’m here, can’t you see me i want to scream
i thought you were on my team

but you smile and nod
because manage you do 

behind your laugh, there is a layer of grief 
always in pain, searching for relief 
but silently you take your meds
quietly flare in bed 

the weight of everything you’ve lost 
an unknowable, invisible cost

Ellie Chang

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