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Nicole Washington Ministries

When Your Body Becomes the Enemy

Navigating Fear, Vulnerability, and the World When Chronic Illness Changes Everything

By Pastor Nicole Washington

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"I used to walk into rooms. Now I walk carefully through them. I used to drive wherever I wanted, whenever I wanted, without a second thought. Now I sit at a gas station with my heart racing, watching to see who is watching me. I did not lose my courage. I lost the body that used to carry it without effort. And learning to be brave in a body that feels exposed — that is one of the hardest things nobody warned me about."

— Pastor Nicole Washington

Opening Story — The Gas Station

I want to tell you about something that happens to me now that never happened before.

I pull into a gas station. I turn off the engine. And before I open the door — I look around.

Not casually. Not the way you glance around before stepping out of a car.

I look around with the specific alertness of someone who has assessed that they might be a target. Because I feel like one.

My thoughts are not as quick as they used to be. The dialysis, the medications, the ten near-death experiences in a single year — they have done something to the sharpness I used to rely on. My mind is sometimes foggy in a way that frightens me because I cannot always trust what I remember or what I said or whether I locked the door or whether I am reading a situation correctly.

I move differently now. I lean forward slightly when I walk. The surgeries, the access procedures, the months of hospitalization — they have changed my gait, my pace, my presence.

And I know it. Which means I assume everyone else knows it too.

I drive a decent car. I would like to drive a nicer one — a Cadillac. A Genesis. The kind of car that represents the life I have built and the woman I still am inside.

But I hesitate.

Because a nice car at a gas station when you look vulnerable — I do not want to be an easy target. I do not want someone to see a woman who moves slowly, whose thoughts are not always sharp, whose body announces its limitations before she has a chance to speak — and decide that she is an opportunity.

I am on high alert in public now. My heart beats faster than it should. I am watchful in a way I was not before.

And I want to tell you: if you have felt this — if chronic illness has made you feel exposed in the world in ways you cannot fully explain to people who have not been through it — you are not imagining it. You are not being dramatic. You are not weak.

You are navigating something real that nobody put in the patient handbook. This guide is for that.

What Nobody Tells You About Chronic Illness and Vulnerability

The medical community is very good at telling you what will happen to your body.

They tell you about the treatment schedule. The dietary restrictions. The access procedures. The medications and their interactions. The things to watch for and when to call the nurse.

They do not tell you about the gas station.

They do not tell you that your relationship with public space will change. That you will start calculating whether you can make it from the parking lot to the store entrance without sitting down. That you will choose the closer parking space not because you are lazy but because your body has a budget now and you have learned to spend it carefully.

They do not tell you that the cognitive changes — the fog, the slower processing, the moments when words do not come the way they used to — are real and documented and common among people on dialysis and people navigating serious chronic illness.

It is called uremic encephalopathy in its clinical form. In its daily lived form it is: not being able to finish a sentence the way you started it. Reaching for a word you have used ten thousand times and finding the space where it used to live temporarily empty. Reading something twice before it lands. Forgetting what you said five minutes ago and wondering if you can trust your own account of a conversation.

They do not tell you that this will affect how safe you feel in the world. Because when you cannot fully trust your mind — when the sharpness you relied on to read situations and people and rooms is operating at reduced capacity — the world feels less navigable. And a less navigable world feels more dangerous. That is not paranoia. That is a reasonable response to a real change in your cognitive resources.

The Specific Grief of Losing Your Physical Confidence

There is a grief that comes with chronic illness that does not get named often enough.

It is the grief of your former physical self.

The woman who walked into rooms. Who moved through the world without calculating the distance from the car to the door. Who drove wherever she wanted in whatever car she chose without sitting at a gas station with her heart racing.

That woman had a physical confidence that came not from vanity but from capability.

Her body did what she asked it to do. She could trust it. She could count on it. It did not announce itself before she had a chance to speak.

When that changes — when the body that used to be a reliable vehicle for your life becomes something that requires management, accommodation, and caution — something shifts in how you inhabit yourself.

You become more aware of being watched. More aware of how you appear. More aware of the gap between who you are on the inside — the woman with forty years of ministry, fifteen books, a lineage that ran toward the wounded at the 16th Street Baptist Church bombing — and what a stranger sees when they watch you walk from the car to the door.

They do not see what you know about yourself. They see the lean. The pace. The careful steps.

And you know they see it. Which makes you more watchful. Which raises your heart rate. Which makes every public space feel like a calculation rather than a destination.

This is real. This happens to more people navigating serious illness than will ever say it out loud. You are not alone in this.

The Cognitive Piece — What Is Actually Happening

I want to speak directly about the mind piece because it is the one people talk about least and fear most.

Dialysis patients — particularly those on hemodialysis — frequently experience what is clinically called cognitive impairment related to kidney disease.

What this means in plain language: The buildup of toxins that dialysis removes also affects brain function between sessions. The process of dialysis itself — the removal and return of blood, the fluid shifts, the blood pressure changes — affects cerebral blood flow. Medications, anemia, disrupted sleep, and the cumulative stress of managing a serious chronic illness all contribute to cognitive changes.

This is not you becoming less. This is your brain working harder under more difficult conditions than it was designed to handle alone.

The fog is real. The slower processing is real. The word retrieval challenges are real. The difficulty trusting your own memory is real. And none of it means you are losing your mind. It means your mind is under significant stress and it needs support — medical, practical, and spiritual.

Practically

Write things down. More than you used to. Not because you have to but because it protects you. Keep a simple daily note on your phone. What you said. What you decided. What you need to remember. This is not weakness. This is strategy.

Medically

Talk to your care team specifically about cognitive symptoms. There are interventions. There are things that can help. You do not have to accept the fog as permanent.

Spiritually

The mind that is covered by God is not at the mercy of what the body is doing. That does not make the fog disappear. But it means the fog does not get the final word about who you are.

The Vulnerability That Comes From Being Seen Differently

There is a particular kind of vulnerability that comes with knowing you are being perceived differently than you used to be.

Before chronic illness, I walked into rooms with the confidence of a woman who had been preaching since she was twelve. A woman who had built ministries, written books, counseled leaders, and raised children. A woman whose presence preceded her introduction.

Now I walk into rooms aware that what people see first is not my résumé. It is my body. The lean. The pace. The careful steps.

That awareness changes how you move through the world. It makes you more watchful. It makes you calculate who is noticing what. It makes you wonder — in a way you never had to wonder before — whether you are being assessed as an easy mark.

This is not vanity. This is not pride. This is the specific vulnerability of someone whose body cannot hide what it is going through. And in a world where predators look for vulnerability, the awareness of being visibly vulnerable is a survival instinct, not a character flaw.

The hypervigilance — the racing heart at the gas station, the constant scanning of surroundings, the decision to avoid certain places at certain times — these are not symptoms of a spiritual problem. They are the reasonable response of a woman who knows her body cannot defend itself the way it used to and is compensating with heightened awareness.

God gave you that instinct. The question is not whether you should be aware. The question is how you manage the awareness so it does not become the only thing you feel.

Practical Wisdom for Navigating Public Vulnerability

I do not want to only name the problem. I want to give you some things that have helped me — not because they fix everything, but because they make the navigating more manageable.

1. Have a Plan Before You Leave the House

Know where you are going. Know where you will park. Know how far the walk is from the car to the door. Know what time of day the place is busiest and whether that makes you feel safer or more overwhelmed. The goal is not to live in fear — the goal is to reduce the number of decisions you have to make when you are already managing your body. Decision fatigue is real. Reduce it where you can.

2. Choose Your Gas Stations

This sounds small. It is not. Find one or two gas stations on your regular routes that are well-lit, busy enough to feel safe but not so busy that you feel overwhelmed, with pumps that are visible from the street. Make those your stations. The familiarity reduces the cognitive load. You know the layout. You know the rhythm. One less thing to assess.

3. Get the Car You Want

I mean this. If you can afford the Cadillac or the Genesis or whatever car represents the life you have built — get it. Do not let fear of being targeted keep you from the things that represent who you actually are. Take reasonable precautions. Be aware of your surroundings. But do not shrink your life to fit the fear. The woman who survived ten near-death experiences in a single year deserves the car she wants. Period.

4. Let Someone Come With You

When you can, bring someone. A friend. A family member. Someone from church. You do not have to explain why. Just say, "I would love the company." Having another person with you changes the calculation — for you and for anyone who might be watching. And it reminds you that you are not navigating this alone.

5. Protect Your Cognitive Resources

Do not schedule cognitively demanding tasks back to back. Give your brain recovery time between things that require focus. If you have a medical appointment in the morning, do not schedule an important conversation in the afternoon. The fog is real. Work with it, not against it. And when you forget something or lose a word mid-sentence — give yourself grace. Your brain is working harder than most people's. It deserves kindness, not criticism.

These are not solutions that make the vulnerability disappear. They are tools that make the vulnerability more navigable. And sometimes navigable is enough.

What God Says About the Vulnerable Body

The apostle Paul knew something about living in a body that did not cooperate.

He called what he was dealing with "a thorn in the flesh" — and scholars have debated for centuries what exactly it was. A physical condition? A chronic illness? A disability acquired through persecution? We do not know the specifics. But we know his response to God about it, and we know God's response back.

2 Corinthians 12:9–10 (NIV)

"But he said to me, 'My grace is sufficient for you, for my power is made perfect in weakness.' Therefore I will boast all the more gladly about my weaknesses, so that Christ's power may rest on me. That is why, for Christ's sake, I delight in weaknesses, in insults, in hardships, in persecutions, in difficulties. For when I am weak, then I am strong."

Let me say this as plainly as I know how: God does not need your body to be strong for His power to be visible. In fact, the text suggests the opposite. His power is made perfect — complete, fully realized, undeniable — in weakness.

That does not mean your weakness is a punishment you must endure. It means your weakness is a platform God uses to display what only He can do. The gas station fear, the cognitive fog, the slower pace, the careful steps — none of it disqualifies you from being a vessel of God's power. In some way that is hard to hold onto when you feel exposed, it qualifies you.

You are not less useful to God because your body is less reliable. You are not less valuable because you feel less capable. The God who spoke galaxies into existence does not need your physical strength to accomplish His purposes through your life. He needs your availability. And vulnerability does not make you unavailable. It makes you dependent. Which — if we are reading Paul correctly — is exactly where the power flows best.

The Identity That Does Not Change

I want to close the teaching portion with this, because it is the thing that has held me together when the other things were falling apart.

Your body is not your identity. Your cognitive speed is not your identity. Your physical capability is not your identity. Your ability to walk into a room without calculating the distance from the car to the door is not your identity.

You are still the woman God called. Still the minister. Still the mother. Still the professional. Still the friend. Still the daughter. Still the woman with the lineage of faith that runs toward the wounded at the 16th Street Baptist Church bombing.

Nothing about what your body is doing right now changes who you are. Nothing about how you have to move through public space changes whose you are.

The woman who walks carefully through gas station parking lots is the same woman who has preached the gospel across this country. The woman whose heart races when she feels exposed is the same woman who has counseled leaders, written books, and raised children in the faith. The woman whose words do not always come the way they used to is the same woman God entrusted with a message that has changed lives. The body is different. The calling is not. The capacity is different. The identity is not.

I am writing this as much to myself as I am writing it to you. Because I need to hear it. I need to be reminded that the gas station does not define me. The fog does not define me. The lean does not define me.

What defines me — what defines you — is the God who called you, the purpose He placed inside you, and the identity He gave you that no illness, no treatment, no physical limitation can take away.

You are still here. And the woman who is still here is still carrying everything God placed inside her. The packaging looks different. The contents are the same. And the contents are what matter.

Reflection Questions

1.When have you felt most physically vulnerable in public? What was the situation, and what did you feel in your body in that moment?

2.What parts of your former physical self do you grieve the most? Have you given yourself permission to name that grief out loud?

3.How have cognitive changes — the fog, the slower processing, the word retrieval challenges — affected your sense of safety in the world? Have you talked to anyone about this?

4.Which of the five practical strategies (plan, gas stations, car, bring someone, protect cognitive resources) resonates most with where you are right now? Which one could you implement this week?

5.Read 2 Corinthians 12:9–10 slowly. What would it mean for you to believe that God's power is made perfect in your weakness — not despite it, not after it is healed, but in it?

6.What is one thing about your identity that chronic illness has not changed — and cannot change? Speak it out loud. Write it down. Let it land.

Action Steps

Step 1: Name the grief

Write down what you miss about your former physical self. Be specific. Name the losses. You cannot grieve what you will not name. This is not complaining. This is truth-telling. And truth-telling is the beginning of healing.

Step 2: Identify your safe spaces

Make a list of the places where you feel most physically safe — the grocery store with good lighting, the gas station on the main road, the church entrance where someone always greets you. Build your routines around these. Familiarity reduces cognitive load.

Step 3: Talk to your care team about cognitive symptoms

If you have not specifically discussed cognitive changes with your doctor or dialysis team, do it. There may be interventions — medication adjustments, treatment schedule changes, supplements, cognitive exercises — that can help. You do not have to just accept the fog.

Step 4: Practice the one-sentence explanation

When you need to explain your limitations to someone — why you need to sit, why you need to leave early, why you cannot do what you used to do — have one sentence ready. Something like: "My body has a budget now and I have learned to spend it carefully." You do not owe anyone your full medical history. One sentence is enough.

Step 5: Memorize 2 Corinthians 12:9

Put it somewhere you will see it every day — your phone wallpaper, your bathroom mirror, your dialysis bag. "My grace is sufficient for you, for my power is made perfect in weakness." Let it become the background music of your days.

A Prayer for the Vulnerable Body

Father,

I come to You in a body that does not always feel safe. A body that moves differently now. A body that announces its limitations before I have a chance to speak. And I come to You with a mind that is sometimes foggy — that reaches for words and finds empty spaces, that processes more slowly than it used to, that makes me feel more vulnerable than I want to admit.

Lord, You said Your power is made perfect in weakness. I am bringing You a lot of weakness to work with. Take it. Use it. Let Your power rest on me in the very places where I feel most exposed.

Protect me in public spaces. Give me wisdom about where to go and when. Sharpen my awareness without letting it become anxiety. Help me to be watchful without being fearful. And surround me with people who will come with me — literally and spiritually — so I do not have to navigate this alone.

For the grief of my former physical self — receive it. Hold it. Redeem it. Do not let it become bitterness or despair. Let it become a doorway to a deeper dependence on You, which is not weakness in Your economy — it is the place where power flows.

And for the woman reading this who feels exposed in ways she cannot fully explain — meet her at her gas station. Calm her racing heart. Remind her that she is not an easy target. She is a daughter of the King. And nothing about what her body is doing right now changes that.

In Jesus' name,

Amen.

Declarations for the Vulnerable Body

My body is not my identity. My calling is intact. My purpose is unchanged.

God's power is made perfect in my weakness. The places where I feel most exposed are the places where His power can be most visible.

I am not an easy target. I am a daughter of the King, covered by His protection in every public space I enter.

The fog does not define me. The pace does not define me. The lean does not define me. I am still who God says I am.

I give myself permission to grieve what my body used to do, while still embracing what my body can do now. Both are true. Both are valid.

I will not shrink my life to fit the fear. I will take reasonable precautions and then I will live — fully, boldly, without apology.

Key Scriptures for This Season

2 Corinthians 12:9–10 (NIV)

"My grace is sufficient for you, for my power is made perfect in weakness." Therefore I will boast all the more gladly about my weaknesses, so that Christ's power may rest on me.

Psalm 46:1 (NIV)

God is our refuge and strength, an ever-present help in trouble.

Isaiah 41:10 (NIV)

So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand.

Psalm 139:14 (NIV)

I praise you because I am fearfully and wonderfully made; your works are wonderful, I know that full well.

Isaiah 40:29 (NIV)

He gives strength to the weary and increases the power of the weak.

A Final Word

I want to leave you with this image, because it is the one I hold onto when the gas station fear rises up.

You are not a woman who has been diminished by what her body is going through. You are a woman who is navigating something most people will never have to navigate — and you are still standing. Still going. Still here.

The gas station is just a gas station. Your racing heart is just a heart that is protecting you. The fog is just a brain that is working harder than most. And the lean is just a body that has been through war and survived.

None of it diminishes who you are. None of it reduces what you carry. None of it changes whose you are.

I see you. I am you. And I believe God is not finished with either of us.

Still Here. Still Carrying Everything God Placed Inside Me. The packaging looks different. The contents are the same. And the contents are what matter.

— Pastor Nicole Washington

About Pastor Nicole Washington

Pastor Nicole Washington is a minister, author of fifteen books, speaker, and the founder of Nicole Washington Ministries. She has served in ministry for over forty years — preaching, teaching, counseling, and creating resources that help people navigate life's hardest seasons with faith and resilience.

She is a dialysis patient navigating end-stage renal disease — and the founder of the Still Here movement, which declares that surviving is not the same as living and that every person still drawing breath still has purpose.

Her teaching is marked by raw honesty about her own journey, deep biblical grounding, and an unshakeable conviction that God is not finished with any of us. She does not teach from theory. She teaches from the room — the dialysis chair, the hospital bed, the gas station, and every place where faith meets the unvarnished reality of a body under siege.

She holds degrees in Organizational Leadership and Christian Counseling and is the author of the I Say What God Says book series and the Still Here Wisdom Series.

Learn more about Pastor Nicole