The Marathon of Management: Steady Pacing Through Chronic Condition Flares
By Lauren Amphlett

Living with a chronic condition is like navigating a course with varied terrain. It’s not a journey that will end in recovery in the conventional sense, as the condition itself persists. Instead, it is about managing the fluctuations—periods of stability interspersed with challenging exacerbations or complications like infections or additional illnesses.

In the world of distance running, there’s a strategy known as “go slow to go fast.” It’s a principle that initially seems counterintuitive; to achieve speed and efficiency in a race, a runner must first invest time in slow, steady-paced training. But, in running, this approach builds a robust foundation of aerobic fitness, reducing injury risk and preparing the body for the demands of faster running in the future. In essence, “go slow to go fast” is not just about running—it’s a metaphor for any process that requires building strength and resilience, one step at a time, and for individuals navigating the complexities of chronic conditions, adopting this philosophy could help manage their health over time by learning to listen to their body and respecting its need for gradual progression. Just as runners build their pace over time to avoid burnout, patients could benefit from looking at their journey with patience and persistence—understanding that managing a chronic condition often requires a slow and steady approach to maintain health and prevent exacerbations.


Setting Achievable Goals

After a flare-up, complications or other illnesses, it’s important to reassess and set realistic goals tailored to current capabilities. Like a runner adjusting their training post-injury, patients must recalibrate their expectations and focus on attainable health milestones – no matter how small. Adapting goals accordingly can help to maintain progress without overstepping physical limits.

Crafting a Personalised Management Plan

Chronic conditions require a personalised management plan, one that considers the unpredictability and variability of symptoms. Drawing on a parallel with a runner’s individualised training regime, patients can benefit from a bespoke plan that accommodates their fluctuating health, devised with input from healthcare professionals.

Embracing Consistency and Patience

Consistent management and the patience to accept slower progress at times are essential when living with a chronic condition, and symptoms will often present challenging days; finding strength in routine and maintaining a slow and steady approach on these days is important. 

Recognising and Celebrating Progress

In the marathon that is chronic condition management, small victories can be profound. Celebrating the days when symptoms are managed effectively or when you can do that little bit more will bolster spirits and encourage continued effort.

Adjusting to Health Fluctuations

Just as a runner must listen to their body and adjust their training accordingly, patients with chronic conditions must remain flexible, adapting their management strategies in response to changes in their health – even if this means scaling back activities on a bad day. 

Leaning on Your Support Team

The role of a support system is indispensable when living with a chronic illness. The encouragement from healthcare providers, family, and support groups can provide immense comfort and practical help during more challenging times.


Envisioning Your ‘Finish Line’

While there may not be a traditional ‘finish line’ in chronic condition management, defining personal milestones and envisioning moments of reprieve can be incredibly motivating. Each phase of improved health or successful adaptation to a health challenge can be seen as its finish line, a testament to the patient’s resilience.


The metaphor “go slow to go fast” transcends the realm of running. It can offer a powerful perspective for those managing chronic conditions like aspergillosis. It’s a reminder that resilience often requires a measured approach, where understanding limits and gradually extending them is key to sustainable health management. This journey, punctuated by careful pacing and an awareness of our bodies, allows for periods of rest and recovery, which are just as important as the times of activity and progress. By embracing this principle, individuals can navigate their health challenges and build towards better days with confidence. While the finish line may differ in this marathon of management, each step taken at the right pace is a stride towards living a fuller life, regardless of the terrain ahead.