Reflections on the year 2023

Kerissa Lee • January 1, 2024

"Let us know; let us press on to know the LORD; his going out is sure as the dawn; he will come to us as the showers, as the spring rains that water the earth."

Hosea 6:3



Dear friends,


If you’ve been a long time reader of Pain With Purpose, you probably know my tradition of writing a post reflecting on the previous year. 😊  Get ready….this will definitely be my longest post in a while!


Compared to 2022 (which had no surgeries, hospitalizations, ER visits, or infections!), 2023 was a doozy. Looking back, I believe the Lord in His providence was giving me a nice long, stable break in 2022 to help prepare me for this past year. ❀️

 

God answered our prayers in that I was physically able to have a part in my brother Curtis and Courtney’s wedding in February. I had so much fun using my hand lettering skills to create all the wedding signage for them. Living with chronic health issues for the past 13+ years, I sometimes can feel stuck where it feels like you’ll always be known as the “sick person.” So it was such a blessing to join in the wedding festivities like a healthy, “normal” human being and just have fun as a bridesmaid! Truly a gift from God! We all have special memories we’ll never forget from that beautiful day. 😍


But, things started going downhill the following week. *Note: any sentence/paragraph you read in asterisks means the issue is ongoing.*


-Just 3 days after their wedding, I battled sepsis for the 5th time because my central line had a tiny hole in it (from old age) where bacteria got in. I underwent bedside surgery to get that infected line removed and have PICC line #1 placed. In addition to the many fevers, chills, vomiting/retching, severe nystagmus, and intense body pain, my multiple IVs in both arms kept blowing/infiltrating from all the heavy duty IV antibiotics and medications—it felt like my veins were being shredded. πŸ˜”

-I caught a bad GI infection (C-DIFF 😩) on top of being septic due to all the hospital germs. 😷

-Had surgery in April for a port-a-cath placement below my collarbone. My PICC line was removed, and I also had my j-tube replaced to a new one.

-One week later, I had a severe allergic reaction to the surgical glue over my port incision. Had to go to the ED to get PICC line #2 placed.

-About 5 weeks later, my port incision was healed well enough to get my port re-accessed and my PICC line removed once again.

-Soon after that, my somewhat new j-tube got stuck in the wall of my abdomen. Had to get it removed and have another one placed again. My general surgeon experienced great difficulty removing it, though, so she basically had to yank it out which was so traumatic—I bled a lot and burst into tears. 😭 

-Due to that traumatic procedure, my abdomen started developing a huge abscess. My mom had to take me to the ED at 3 AM in August because of horrendous abdominal pain. I had to undergo bedside surgery to have the abscess opened up and get a drain placed.

-My port site also started developing another allergic reaction around the same time, so I had to get PICC line #3 placed.

-The abscess got even worse which required multiple visits to my surgeon’s office. The resident had to flush more of the pus out and pack gauze into the incisions since the drain wasn’t helping.

-I was prescribed high dose antibiotics, but they ended up causing neuro-toxicity symptoms. One symptom I experienced was hyperkinesia—I had to constantly keep moving, and it was terrible during the night!

-The area next to my j-tube never healed properly after the abscess was gone, so my doctors referred me to the wound care center. *I continue to see them every 2 weeks because the skin does not have healthy tissue and is also so raw and painful. It hurts terribly when I eat acidic or spicy foods because bile leaks around my tube and burns the area even more. I have to get a 3rd j-tube replacement soon..* 😣

-In September, my legs started aching constantly.. I’ve had small fiber neuropathy for many years now, and that pain feels like your feet are burning and on fire. When this deep, bone-like aching pain in my legs began, it was very hard to experience on top of the nerve pain. πŸ₯Ί  *The deep aching leg pain together with the neuropathy still continues to this day. Sometimes my arms ache as well, and I just feel miserable with so much going on.*

-Every major infection and allergic reaction I dealt with throughout the year caused my mast cell activation syndrome (MCAS) to go haywire. Mast cells are immune cells that protect our bodies from pathogens and allergens. I sadly had constant reactions to the adhesive dressings over my PICC line, and my infusion nurses exhausted all hypoallergenic options. *I now have to have twice a week PICC dressing changes because my PICC site gets all inflamed/burned from reacting to everything (even cotton gauze under the dressing). The rash/itching is terribly aggravating day and night because I can’t scratch underneath the PICC dressing. The goal is to use my port once again and stop using the PICC (especially because PICCs aren’t a long term option, and time is ticking), but it can’t happen until my MCAS is more under control.* 😞

-In December, I sought a second opinion with another mast cell specialist a few weeks ago, and she agreed that my severe leg pain and other current symptoms are due to inflammation from the MCAS flare-up. *She started me on a treatment, but I will share an update on that another time.*


As you can see, there were some very dark days in 2023. 😒 When something new always happened on top of everything else, it got so overwhelming. I cried out to God many times, saying, “I can’t do this without Your strength. I need you, Lord!” And you know what? God heard each and every prayer. This verse came to mind from 2 Timothy 4:17: “But the Lord stood by me and strengthened me, so that through me the message might be fully proclaimed and all the Gentiles might hear it. So I was rescued from the lion’s mouth.” Every dark day…every time there was bad news…every moment when the pain was so heavy to bear, God armed me with the grace and strength to “share in suffering as a good soldier of Christ Jesus” (2 Timothy 2:3). And with His help, I made it through a rough year.


I don’t know what will happen in 2024. Maybe there will be even more dark days. But, no matter what happens ahead, Isaiah 50:10 reminds me, “Let him who walks in darkness and has no light trust in the name of the Lord and rely on his God.” So, as I pick up my cross daily this new year, I pray that I will keep trusting in the Lord and continue running with endurance the race that is set before me (Hebrews 12:1).


To close, I want to give thanks and praise to God for how He always stood by me and strengthened me through the highs and lows of 2023. He never abandoned me. He is a faithful and compassionate God! I also want to thank all of YOU who have stood by my side and lifted me up with your steadfast prayers. ❀️  I am so humbled each time you say a prayer on my behalf or like/comment on my posts with such caring words. Your love and kindness blesses me time and time again! πŸ₯°


Happy New Year!


Love, Kerissa


By Kerissa Lee January 3, 2026
Dear friends, As I reflect back on 2025, January started off looking very bleak. I had just recovered from yet another “mitochondrial crash” in December 2024, but my neck weakness was still significant and unresolved. I mentioned this many times, but I’ve never before experienced such severe muscle pain in my neck—it felt like my neck was doing a constant “plank exercise” 24/7. I cried so much and needed relief. 😭 Before this, I also truly took for granted how vital neck muscles are for ALL movement. Even simply standing requires neck strength to hold the head up. I was confined to my bed and the recliner because the neck weakness/pain was so debilitating. At the beginning of January was my long-awaited appointment with the neuromuscular neurologist at the University of Washington. But, the outcome was very disappointing because he simply took these symptoms to mean mitochondrial disease progression. My eyes are watering and my nose stings as I type this with emotion because I didn’t know (like I do now) what the following months would hold. I really did wonder if I was starting to die because not only did I have this disabling neck weakness but I also experienced severe nystagmus every single day (it never happened this frequently before). The brain is what controls eye movement, so my brain wasn’t getting enough energy needed for the simple act of moving the eyes. In February, after several blood tests came back with more “bad” autoimmune markers and I also started dealing with unusual joint pain in both elbows and shoulders, one of my doctors had me start taking 2 powerful antioxidants: N-Acetyl Cysteine (NAC) and Liposomal Glutathione. NAC, specifically, has shown that it can be beneficial for Lupus, an autoimmune disorder. We weren’t sure yet if my symptoms were early signs of Lupus, but my doctor recommended these antioxidants anyways for the mitochondrial depletion. When May came around, I once again had another “mito crash” with significant muscle weakness all over my body (not just in my neck), droopy eyelids, nausea, and increased pain. I was so thankful, though, that we were able to manage this one at home and I didn’t need to be admitted! Even more amazing was the fact that this was the month I noticed I could slightly lift my head half an inch off of the pillow (when lying down). Was God healing my neck? πŸ₯Ή June was a big month. As many of you know, 2 separate muscle biopsies show that I have Mitochondrial DNA Depletion Syndrome, but the doctors still can’t pinpoint the genetic mutation responsible for this depletion. So the OHSU metabolic team and I all wrote letters to apply to the NIH Undiagnosed Diseases Network (UDN). And God answered the first of many prayers as my case was surprisingly accepted. πŸ₯² I don’t currently have a recent update regarding this study as they told us it could take months or even years for anything to happen if anything happens at all (I should email them for an update). Last I heard, the team was analyzing all of my raw genetic data. At the end of June, my internal medicine doctor referred me to the Complex Pain clinic since I was still experiencing so much pain and needing high doses of pain meds. The specialist started me on Buprenorphine, but it’s been a rough go of it. It definitely helps the pain to become more manageable (another answer to prayer!), but it also causes horrible insomnia which I’m still dealing with. 😞 My sleep specialist said I’m basically experiencing a bad case of chronic jet lag—I’m simply exhausted and cannot fall asleep until 4:30-6:00 AM! 😭 A previous blog post shares about the “catch 22” I’m in. I’d so appreciate continued prayer for my sleep. It’s been very hard. :( July through September was amazing as I noticed that my neck weakness had improved a little more each day to the point that it eventually fully resolved….!! I truly could cry tears of joy and gratitude! πŸ₯ΉπŸ₯Ή Even my physical therapist started noticing that I didn’t have to hold my head up with my hands when moving around! God answered everyone’s prayers, and I fully believe he miraculously healed me in this area!! Yes, it could be that the 2 antioxidants helped, or it could be that I had finally recovered 9+ months later from something like Viral Myositis of the neck from fighting a viral infection in Hawaii in October 2024. My doctors just don’t know fully. But I am in awe at God’s lovingkindness and great mercy. πŸ₯Ήβ€οΈ 2 verses come to mind... One is from Ephesians 2:4–“But God, being rich in mercy, because of the great love with which he loved us..” And the other is Philippians 2:27–“Indeed he was ill, near to death. But God had mercy on him..” The phrase “But God” sticks out to me. It reminds me that God is the one who has a plan and purpose for our lives, and it may be totally different than what we think is best or what we’d like. I don’t know what I would say or how I would act if the neck weakness still persisted to this day.. It would be extremely hard, and I know I would struggle greatly mentally and spiritually. But I also know 100% that God would faithfully sustain me like he did during those long, dark months from October 2024 to May 2025 and on.. God’s mercy continues to be so evident as I’m physically in even better shape than I was back in 2023. πŸ₯Ή Aside from my sleep, I’m doing so well that I might even have to find a part time job sometime down the road! I don’t know how long this “stable” period will last, and I know life could quickly change again in the blink of an eye (like it has in the past).. But, while I’m stable, I’m having the MOST JOY feeling quite “normal” and being strong enough/having the energy to babysit my almost 6-month old foster nephew. πŸ’™ He’s over 17 pounds now, and every time I hold him, it’s such a GIFT from the Lord to have the muscle strength for carrying/lifting him! I wanted to end this on a joyous note by sharing one last thing that happened in 2025–the opening of my Pain With Purpose Shop around my 33rd birthday this past October! ☺️ It’s a joy selling my handlettered designs (just a heads-up, my card inventory clearance sale ends on the 5th!). 😊 It’s also SO special that my church’s Care Ministry can send encouragement cards I’ve designed to those in our church body who are experiencing suffering. This gives me a little purpose since it’s sometimes hard not to feel useless living with a chronic illness (I’m sure many of you who are suffering can definitely relate..). 😒 Unless something major happens again, I think this might be my last health update for a while as I’m so enjoying this stable season—I continually thank God for it and don’t want to take one moment for granted! I love you all and am so grateful that you are here with me in the valleys and on the mountain tops. πŸ’š ο»Ώ
By Kerissa Lee December 28, 2025
Lucy and I hope you all had a wonderful Christmas! πŸŽ„β€οΈ Yesterday, she turned 5 years old!! Where has the time gone?! She brings so much joy and laughter to our whole family—we love her more than words. πŸ₯° To celebrate and as this year comes to a close, my Pain With Purpose Shop is having a sale—I would love to clear out some of my old card inventory to make room for fresh, new designs in 2026!! ☺️ All cards have been marked down to $1.50 each. In addition, I’m also happy to share a promo code for FREE “first class” shipping which will work for all orders of up to 8 cards (unfortunately, an order of more than 8 cards switches to priority shipping..). To apply this offer, enter the code GOODBYE2025 to deduct the “first class” shipping fee. ✨ This sale and promo code will last through January 5th, 2026! Please don’t feel pressure at all to order from me…some of you buy my cards at full price, so I wanted to mark the card prices down for a bit! I’m so thankful for you all—your many prayers all these years have truly uplifted and encouraged me. I pray you have a blessed and happy new year!! πŸ€— Stay tuned for my annual “reflections” blog post… ❀️
By Kerissa Lee November 17, 2025
Dear friends, Thank you so much for praying for me when I had that bad reaction to the autoimmune medication last month. I’m so incredibly blessed by your love and support. ❀️ I saw rheumatology recently, and instead of trying to prevent actual autoimmune disease from starting, they want to just monitor without any medication therapy. In other words, they want to see if more symptoms like fevers or rashes will appear (besides the joint pain that I already experience).. The medicine I did try (which worsened my mitochondrial symptoms) is actually the “safest” out there, and the other treatments for autoimmune disorders are much harder on the body—the team doesn’t think I’ll tolerate those well.. It’s difficult for them to know if all the bad antibodies that have been found in my blood will cause “actual” disease, and only time will tell.. So the plan is to just monitor and follow up with them in February. I wanted to see if my body could recover from this setback without having my IV fluids switched to a higher dextrose percentage. But by the last week of October (week 3 of this mitochondrial flare), the muscle weakness and increased pain all over was sadly still persisting, so I told my doctor. He sent in a new IV fluids order with the higher dextrose, and I’ve been receiving it for about 2 weeks now. I have definitely noticed an improvement in the muscle weakness which has been a huge blessing from the Lord. It was such a gift to feel well enough to go to a friend’s wedding reception at my church last week. πŸ₯Ή My cup was filled because I haven’t been able to see so many church friends in years! Regarding the piece of plaque that traveled to a small artery in my retina, I just had the carotid duplex scan completed last Tuesday to see if there’s any narrowing in the neck arteries. I also have the heart echocardiogram scheduled for tomorrow. My biggest, ongoing struggle has been my sleep. I’ve sadly been in a “catch 22” situation for many months now. I mentioned before that I was started on a new and safer pain medication this year. A rare side effect is insomnia, and it’s simply horrible. Night after night, every single day, I’m not able to fall asleep until after 4-6 AM. 😒 Believe me, I’ve tried every type of trick…from different sleep medications that my sleep specialist has prescribed, to all sorts of sleep supplements, praying, listening to worship music or white noise, stopping caffeine intake, etc. Nothing helps. The thing is, if I didn’t take this “new” pain medication, the pain from Mitochondrial DNA Depletion Syndrome is difficult to manage and it’s like an 8-9 on the pain scale. So then I’m up through the night, in horrible pain, and not able to sleep. But when I do take this medication, the pain is manageable, and it’s much safer to be on... Yet, I can’t sleep well while on it... Catch 22. I don’t know what to do, and it’s hard not to feel alone in this struggle. I’m so thankful to God that my health in other areas has been pretty stable.. In fact, this month (November) marks ONE WHOLE YEAR since I was last admitted to the hospital! Isn’t that soo amazing? Aside from these occasional mitochondrial flares/crashes (which happened in December, May, and October), I’ve been doing incredibly well, now that the neck weakness has resolved. But, this sleep struggle persists day after day.. I would love to be able to attend my church’s morning service in person or do many other activities in the morning. 😞 But I’m super exhausted. So many times, I ask God, “How do I go on and keep doing this every single night?” One thing I’ve learned is that God’s grace is truly sufficient for each day. He is the one who supplies me with the energy and grace to keep enduring. It’s hard, and I don’t know how long this sleep trial will last.. But, as Thanksgiving draws near, I’m reminded that I do have so much to be thankful for. Some of the biggest things: being physically able to help babysit my 4-month old foster nephew, shopping at the grocery store, having hand strength to design new note cards like the ones shown here, no longer experiencing neck weakness, and much more. The verse from Zephaniah I recently hand lettered above has been so encouraging lately. God is right by my side; he is mighty to save and will keep helping me through anything that I face. ❀️ ο»Ώ