The Day Death Was Near

Wave

This is a story about allowing your mind to write checks your body can’t cash.

I don’t think I’ve even shared this with K, primarily because I know what she would say, and I’ve done enough self-flagellation. The long and short of it is that when you have any kind of disability, there are things you know you probably can’t do anymore, and it’s never smart to test that theory. I wasn’t smart one summer afternoon almost four years ago, and my consequence could easily have been tragic.

We were vacationing at Martha’s Vineyard, and Shodan and I were at Lucy Vincent beach while K and her girlfriend were out and about. The surf was rough, as it had been during our entire stay. There is a color coded display as you walk on the beach that describes the water conditions and what they represent in terms of surf, undertow and things of that nature. If the color of the day is red, the beach is closed. If it happens to turn red during the day, lifeguards do their best to get everyone out of the water.

On this particular day, about half-way into our trip, the color on display was one or two levels below the “do not go in” threshold. In fact, it had been that color for our entire stay. I don’t remember the exact color, but you get the point. Any fool could see that the waves were impressive, and the sound they made crashing into the beach was loud. The conditions were perfect for anyone who was into body surfing or had a boogie board. If I remember correctly, there had been a handful of people on surfboards during the previous days.

Shodan had been living in the water and was having a blast. He’d periodically call out to me to join him, but Smart Steve had resisted the call. He had ventured into ankle-deep water on a handful of occasions, and needed the cane to stay upright because the undertow was strong and the waves would occasionally crash on his legs. Smart Steve knew that if he was having a hard time in ankle deep water, going out any further would be a fools errand, particularly when he considered the fact that the tide was high and a handful of very large rocks scattered about the ocean floor, easily visible during low tide, were currently underwater.

But Foolish Steve wanted in. He hadn’t frolicked with his son all week, and knew that once he got out to about chest level, and beyond the crashing waves, the buoyancy of the water would mitigate his symptoms. Once in, he could maneuver around easily in the zero-gravity like environment, bob like a cork on the water, and enjoy the experience. The more he thought about it, the more sense it made, so Foolish Steve plotted his strategy.

Limping back to his blanket, and almost stumbling as his foot caught in the fine sand, he ditched his cane, trudged out to the surf, and waded in. Spying a large oncoming wave, he half-dove half-fell directly into it, and swam out to sea. Feeling his body rise and fall with the incoming surf, he stopped shortly thereafter, when it became obvious he had cleared the worst of the waves. Standing up in neck deep water, he surveyed the scene, saw he was well beyond the danger zone, moved closer to the shore until the water was chest deep, and stood upright.

So there I was, basking in the bright sunlight, enjoying the feel of the cool water on a warm summer day, watching the gulls fly overhead, and the mist of the surf that had crashed upon the beach drift into the cliffs. I could move freely and not feel clumsy, which allowed me to rough-house with Shodan for an extended period of time.

When it became time to return to my blanket, I had to plot an exit strategy. The smartest thing to do would have simply been to have Shodan guide me to the shore, and once it was shallow enough, walk toward the sandy beach with him leading the way, my hands on his shoulders. But, I was feeling my oats, let my bravado overtake common sense, and decided to body surf my way into shore.

This strategy worked temporarily. The first wave didn’t get me very far, so I emerged and tried to stand upright to prepare myself for the next one. I only managed to get one foot planted, and hadn’t yet taken a full breath, when the next wave slammed me from behind, and plunged me into the cauldron.

Since I was off balance to begin with when the wave hit, my feet were nowhere near the ocean floor as I was being rolled around like I was in a washer’s spin cycle. I thrashed around, trying to get my body upright, but not having the use of two good legs was a detriment. I became disoriented, but the bottom of my foot luckily scraped against the ocean floor, and I was able to dig one heel into the sand. To say my adrenaline was pumping is an understatement. That temporarily brought the spin cycle to a stop.

I tried to get both feet planted and lift my torso out of the water so I could take a breath, but another wave crashed and spun me around some more. Somehow, I remain calmed and held my breath. I think subconsciously knew I was close to shore, and that if I could hang in there, something would touch the ocean floor again. I’d be even closer to shore, which might allow me to get on my hands and knees, and at get my head out of the water.

If I had I panicked, I would have inhaled water and, with the boiling ocean tossing me around like a rag doll, drowned less than twenty feet from shore. The problem was that this particular spin cycle lasted longer than the previous one. My lungs were burning, and I realized that if I did not get air soon I’d be in serious trouble.

Fortunately, my back and butt scraped the ocean floor. I instinctively managed to get on my hands and knees, knelt upright, and poked my head out of the water. My eyes, which had been closed tight throughout the ordeal, popped open as I gratefully took a deep breath. I was still a little disoriented, but once things came into focus I could see I was facing out torwards the open sea and was immediately greeted by another wave, which hit me in the face and threw me backwards a few feet. Fortunately, my mouth was closed, and it was shallow enough by that point where I could extend my arms and push myself back onto my knees.

Shodan was in deeper water looking around to see where I was. I wasn’t sure if he had noticed what happened or recognized the trouble I was in, but his eyes locked onto mine and he smiled. I called to him and he free-styled over. When he arrived I placed him in front of me, stood up, placed my hands on his shoulders and had him lead me towards the safety of the beach. As we approached the shore, my legs, which were trembling slightly, could feel the strength of the incoming waves and the force of the undertow. I also noticed that the large rocks I had mentioned earlier were a short distance from where I finally emerged from the angry sea. If I had crashed upon those as I was being tossed around, it would have been game, set, match.

Arriving at our blanket, I sunk into the beach chair and grabbed a towel while Shodan ran back into the water. The gravity of what had just occurred hadn’t fully registered, but I knew that I was very fortunate to be breathing.

Looking back at this, I don’t remember how long I was submerged and helpless. I think it was somewhere between half a minute and a minute, but it felt much longer. The experience was harrowing, to say the least. Had I been able to fill my lungs with air before the first wave hit, the situation might not as felt as desperate, but I didn’t have that luxury. I couldn’t see anything, felt like a tumbleweed in a tornado, and was trying to stay focused so I wouldn’t do something to compound my stupidity, like inhale. Fortunately, I didn’t run out of time.

It’s funny what you think about when confronted with something like that. I remember being embarrassed that I might die on vacation in less than six feet of water, and the scene that would cause. I worried terribly about K, Shodan, my parents, and what this would do to them. I also remember thinking K would want to strangle me if she knew what was going on.

The surf did not subside during the remainder of our stay. Needless to say, other than walking along the beach, I did not step foot in the Atlantic again.

That day taught me are there are certain lines you don’t cross. I already knew that, but did not think of myself as a disabled person. I thought my symptoms might have progressed, because walking was a little harder, my limp was more pronounced, and my balance seemed more tenuous. But my progression was so incrementally slow, I wasn’t sure if this was real or my imagination. But walking in the fluffy sand was much more difficult compared to our visit the previous year. That should have been all the confirmation I needed to understand the progression was real, yet I still ventured out into that tempest. Maybe I though I was bullet-proof. Whatever the reason, it was a foolish, arrogant and reckless act.

I was lucky to survive it.

 

 

My Restless Leg

Restless leg

The potpourri of symptoms I’ve previously chronicled include a severely drooping foot, no leg strength from just above the knee, an ankle that constantly wants to turn sideways, and occasional cramps in my toes, the arch of my foot, and my calf. And let’s not forget balance, specifically the lack thereof. I’m not exaggerating when I say that a strong and sudden gust of wind can cause a loss of balance and an unexpected fall.

The one symptom I’ve never mentioned before, which happens to be the most annoying, is something called Restless Leg Syndrome (RLS).

Here is a quick definition: RLS causes unpleasant or uncomfortable sensations in the legs, creating an irresistible urge to move them. Symptoms commonly occur in the late afternoon or evening hours, and are often most severe at night when a person is sitting, resting, or lying in bed.  They also may occur when someone is inactive and sitting for extended periods (for example, when taking a trip by plane or watching a movie). There are a variety of sensations that generally occur within the limb that prompt the jerking movements: crawling, creeping, pulling, throbbing, aching, itching, and a feeling akin to an electric current. Research shows that people with MS are about four times more likely to have RLS than people in the general population.

In the scheme of things, my RLS isn’t a big deal. There is no pain or discomfort whatsoever that alerts me to its arrival.  Nonetheless, it’s aggravating to the extreme.

First of all, I can’t control it. Without warning, a jolt electric current surges into my lower leg, causing the toes to curl upward and the foot to lift. Sometimes it’s a quick twitch, and other times it lasts a few seconds, where the big toe is trying its damnedest to touch my shin, or the leg sticks straight out with the heel pointing forward, before it flops back to earth.

Secondly, when the twitching begins, it can occur as many as three times per minute. Do the math. It’s hard to enjoy anything when your leg acts like a flopping fish desperately trying to find its way back into the water.

I’m not self conscious about the way I walk or things of that nature, but I am about this, primarily because I think it looks bizzare. When someone parks in a handicapped space or you see someone with a cane, you expect to see them them walk differently or have a more difficult time getting about. Imagine sitting next to someone who looks perfectly healthy at work, in a movie theater, a sporting event, a wedding, or sitting in their living room over drinks, and their foot/leg begins to spasm and doesn’t stop. If you get too close, you might even get kicked.

The spasms always occur when I’ve been sitting for extended periods of time, like right now as I’m writing this piece. They can and do occur at work, but all I have to do is get up and walk around to make the twitching disappear. I don’t always do that because the spasms don’t impact my ability to do my job, but there are other times where getting up and walking around is impossible, like when I’m driving.

I have to be extremely careful when the leg starts flailing while I’m driving, because my bad leg is the right one, which controls the accelerator and brake. Try accelerating or braking  when your foot is trying to curl backwards. I’ve learned to brake with my left foot if necessary, and most of the time I can coast the few seconds during which the spasm occurs. If I’m on the highway when this happens, cruise control comes in handy. Nonetheless, my next new car is going to have to be equipped with hand controls whether I like it or not.

If I am at a public event or gathering of some kind, I don’t stay on my feet for extended periods of time, which means I’m usually sitting. In these situations I try to make sure there is some distance between me and the person I am sitting next to or across from, and do whatever I can to hide my legs. Sometimes, I’ll cross my feet to prevent the leg from protruding too far should the spasms start.

Then there is the issue of trying to fall asleep when RLS is active. In K’s recent post, she rightfully said that I don’t get enough sleep, but one of the reasons for this is that it doesn’t seem to matter what is going on with the leg when I’m dead tired. I’ll still fall asleep in five to ten minutes. Otherwise, the twitching, which occurs almost every night night, makes it hard to get comfortable.  I become restless, annoyed, and eventually wide awake. Of course, I could walk around to make it stop, but it takes more than a brief stroll for that to occur. Either way, it takes a while before sleep comes, and I get even less sleep in the process.

These are some of the reasons why I find RLS so annoying, but it is not the reason

K lamented that I do a lot of things that Shodan can and probably should do. Why? Because it gives me a sense of control over my tormentor. From my perspective, giving into MS by letting others do the work I am still capable of doing is like conceding to an enemy that wants me  to wave the white flag of surrender, which I simply refuse to do. So even though snow removal is very difficult, and I do stuff in the yard that my son could do more easily and in a fraction of the time, I find ways to compensate, which allows me to complete the task. This is all about my will being stronger than the MS, and not letting it get the best of me.

None of that works with RLS.  It’s as if the disease is taunting me. “So you think you can ignore me? You think you have control?” it whispers. “Let’s test that theory while I fuck with your leg for a little while. See how that works for you!”

I am absolutely impotent in this situation, which serves as a not so subtle reminder that I’m denying this inconvenient truth: if and when MS decides to throw the hammer down and takes control over everything I stubbornly cling to, I will be powerless to stop it.

And that is what bugs me the most.

Marriage and MS

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Steve has asked me to guest write for his blog. So here it is, from the spouse’s perspective. As I write this, we are spending the day at Yale Smilow Cancer Hospital, where Steve receives his infusions. Walking around this facility, it’s difficult not to be humbled. I found myself strolling behind a preteen girl riding a motorized wheelchair sporting a Make-a-Wish back pack. I ached for the young woman, perhaps in her early twenties, laboriously shuffling along with her walker, determined to make it to the infusion chair on her own, as well as the brave young boy, no more than eight years old, hooked to the apheresis apparatus.

Once the nurse found Steve’s vein on both arms, and the process began, I sat with him to chat. It’s a boring procedure, as he must stay awake while squeezing a rubber ball to facilitate blood flow. I’m not good with blood, but I’ve become accustomed to bearing witness to such things. I’m thankful that I wasn’t there for the visit where the machine malfunctioned, spilling blood all over the place.

Steve and I have been married thirty years, and during that time we’ve gone through many happy moments as well as more than enough difficult times, thank you very much. I am also well aware that we are blessed, and many people have been dealt an even tougher hand.

I often joke that one man is quite enough, but in reality, I believe that marriage is sacred. Marriage is tough, and many nuptials succumb to real-world pressures. As young couples, we bask in the joy of a wedding, never really thinking about the actual wording of those vows. Few of us realize the importance of “through good times and bad, in sickness and in health.” If you stay together long enough, none will escape the bad times, and rarely will a couple avoid the sickness part. It’s not easy.

In our case, I was the partner with the chronic ailments – migraines and stomach woes were part of the deal. Steve was supportive and steady, plodding through whatever came our way. While I had more endurance for pushing myself through exhaustion and icky days, Steve was hardier. He went about his day, living on little sleep (I can’t even argue about it anymore), and enjoying good health.

So, when he first described his initial symptoms, I urged him to see a doctor. And when the initial diagnosis came back as “tight hamstrings,” I said bullshit, and sent him to another. When he was formally diagnosed with MS, my initial feeling was shock. My friends acted like it was the end of the world, and yet, a part of me knew that Steve would take this on as he had everything, strong and steadfast, placing one foot in front of the other. Little did I know, that this would become a metaphor for his life, as he struggled to simply get around.

Having said that, my husband can be a pain-in-the-ass, and MS has made him even more so. He refuses to get enough sleep, he pushes himself when he shouldn’t, and he argues with me every time I urge him to pass on the heavy lifting to our son. “I can do it!” he’ll say. He reminds me of a stubborn toddler. I try to understand that it’s a matter of pride and independence, but really, we all have to let go of those twenty-year-old capabilities.

Speaking of arguing, my once easy-going, go-with-the-flow man, isn’t flowing anywhere. I swear what Steve has lost in physical ability he has gained in debating acuity. I say black he says white, my apple, his orange. You get the point.

After knee surgery, I hobbled around with a cane. My shoulder ached, my back felt out of whack, and I couldn’t imagine dealing with this, Every. Single. Day. It gave me a brief glimpse into what he must endure, dragging that leg around, and yet, try as I might to be patient, I sometimes find myself annoyed when he blocks me into a corner, or walks right in front of me, necessitating a quick pivot around him. All in the name of balance. Or his lack of it. Secretly, I think there are times he uses his MS, perhaps not even consciously. “Honey, why don’t you just throw the cat food can in the garage bin?” “I want to conserve my walking.” I don’t always understand how six more steps could make a difference, but then if every step is a feat of balance, and he’s tired on top of it, I suppose it does.

And then there is the worry and angst. Worry about his health, worry about my ability to take care of him and our family, worry that this horrible illness might break his spirit; and angst from watching him struggle. Sometimes it actually hurts to watch him walk up the stairs. Other days, I want to scream out loud when I see him schlepping around the yard, dragging a garden hose or carrying something cumbersome. Sometimes I do. “Let Shodan carry it,” I yell out the screen door. “I can do it myself,” the toddler screams back.

And then, when I find myself exhausted and frustrated, and even a bit pissed, taking care of the house, my mother, my son, meals, laundry, house maintenance, I try to remember to take a breath and count my blessings. Steve is still able to work, and this affords us a nice standard of living. His MS has progressed, but not as quickly as it could have and may still. When I find myself panicking about the future, I try to embrace his idea that whatever may come will come. Most important, I know that we are in this together.

If you enjoyed reading this essay, I would be most appreciative if you would Like and Follow my author page and pass the word!! https://www.facebook.com/kimmarkesichauthorpage/

 

 

Relationships

Relationships

Author’s note: Wouldn’t you know it? My wife’s post had more views than any of the others that preceded it. I’ll be hearing about that one for a while.  Be on the lookout for an occasional post from K in the future. In all likelihood, it will occur after the pain-in-the- ass husband has gotten her to the point where she needs to vent.

Let’s start by stating the obvious: living with a chronic condition sucks. It changes your life by not only placing physical limitations on what you can do, but also provides mental and emotional challenges that did not previously exist. A future that may once have had limitless potential is confronted with storm clouds as far as the eye can see.

All of which make relationships so important. Whether it’s your spouse, life partner, good friend(s) or all of the above, loving relationships make you feel whole and help distract you from your struggles.

Relationships are the ballast that keep our listing ships afloat. They are the mortar that keep our psyche intact. The people in these relationships accept us for who we are, not what we once were or may be. They pick us up when we are down, and kick us in the ass when we’re feeling sorry for ourselves. The sum of these are so vital for us to maintain our self esteem and keep plodding forward.

One of the many things living with something a chronic condition teaches you is how solid the relationships in your life truly are.

I’d like to believe that “in good times and bad, through better or worse, in sickness and in health” mean something, but I’m not naive. Health issues can break up the best of established marriages, and cripple new ones. They are especially corrosive when kids are involved. My MS journey validated what I always knew but perhaps never fully appreciated: K is an exceptional, wonderful human being and I’m lucky to have her.

In terms of relationships with friends, the only benefit of getting something like MS in middle-age is your friends are long-established, and you don’t need to hang with them as much because you have a history and have already carved out lives for yourselves. When you do connect, the atmosphere is laid back, low key, and comparatively mellow. The danger of being isolated and alone due to physical limitations is low.

Finding and/or maintaining friends and lovers in your twenties is much harder when a chronic condition invades your world. Appetites are insatiable at that age. You’re  ravenously exploring what life has to offer. Hanging with the crowd becomes impossible when you’re health weighs you down. While it might not be their intention, it’s hard for friends not to leave you in the dust in that situation. After all, life is a 100 yard sprint at that stage of your life. That’s hard to accomplish with an anchor chained to your leg, and you, tragically, are that anchor.

friends

As far as dating is concerned, not hanging with a crowd makes it difficult to meet and mingle, plus there is the issue of how much to disclose and when to disclose it. Honesty is such an important foundation in any relationship, but if you are forthcoming about a condition like MS from the start, you run the risk of not even getting out of the batter’s box. But if you aren’t forthcoming at all or lie about it, you’ll eventually be exposed as a liar and a fraud, which is worse. Most people aren’t willing to look past your flaws if you can’t be trusted. Talk about a dilemma!

Then there is the issue of feeling lousy or living with pain. It hard to feel or muster the fire and passion that’s taken for granted at that age when that twin-headed monster lurks.  My only advice is to be persistent, stay true to yourself, hope the best, and when you unearth that hard-to-find diamond who looks beyond all that, hold on as tightly as you can without smothering them.

Some may subscribe to the premise that my life took a cruel turn. I can’t deny  there is some truth that assumption, but I don’t dwell on it because my condition didn’t surface until I was close to fifty years of age. That isn’t ancient by any measure, and my retirement years will no doubt be different from what I hoped. Hell, my fifties have been a lot different from what I expected. But, I was able to live it up in my youth, and the years that followed the diagnosis haven’t changed my ability to enjoy life. I can live with that. The last decade has certainly had some challenges and difficulties, but the pace of my life was already beginning to wind down when MS came calling, making the bitter pill easier to swallow. I’m pretty chill when it comes to my reality.

If I were in my late teens or twenties? I’d be a basket case. The perspective my life experience has provided is extremely difficult if not impossible to grasp if you’ve been saddled with this at such a tender age.

My heart bleeds for anyone who has.

An Attempt at Poetry

Poem

Inspired by Tom Being Tom, and encouraged by Susan at Floweringink, here is my inaugural (and very possibly only) attempt at poetry

Adrift

In a restless void

With no compass or sextant

To guide me

Castaway

From life’s normalcy 

Without pity or remorse

Those shores are distant

Never to return

Destination

Unknown and alien

No sails unfurled 

No charted course

On an endless sea

Clouds

Angry bruises

Swallow my horizon

Foreshadow the tempest

Of a raging gale

Despair

Will capsize my ship

An indulgent luxury

Its charm seductive

Its consequences tragic

So tempting

Trust

Surrendering the rudder

I lay on the deck

Close my eyes

Let go of the fear

Yearn for the sun’s embrace

The glory of a new day

And destiny

A Cold Shower

Shower

Before I get started, A BIG THANK YOU to Tom, of Tom Being Tom fame, for being a guest author last week. Your contributions were well received and much appreciated Tom. A handful of other bloggers, and some published authors, whose writing I enjoy and admire have also graciously agreed to contribute to this blog when the mood strikes them. I’m looking forward to reading what they have to say with great anticipation.

We now return you to the regularly scheduled program………….

When I was first diagnosed, I received a lot of advice from various outlets, the primary one being that I should seek the help of an “expert” in the MS field. I wasn’t keen on that idea at first, but eventually warmed up to it. After all, there is nothing wrong with a second opinion, and I became increasingly curious about what they might have to say or recommend.

Johns-Hopkins emerged as the preeminent facility closest to home. Making an appointment was easy, and I wasn’t choosy about who I saw because I assumed they were all good.  Once the date and time was set, I signed the necessary releases so they could obtain my MRI results and medical records, then booked a round-trip flight to Baltimore and a room at the Inner Harbor Marriot. When I subsequently mentioned the trip to a good friend, he decided to drive from his home in Pennsylvania and hang out with me for the weekend. This made the upcoming journey seem like a fun thing to look forward to, rather than a solitary business venture.

We met in the hotel lobby shortly before noon that Friday morning, discussed our plans for the weekend, and he asked if I wanted him to join me for my 1:15 pm appointment. I had never considered it, but thought it might be a good idea. Having another set of eyes and ears would help insure I didn’t miss anything the doctor had to say. This turned out to be a wise decision, but for different reasons.

Both of us had worked in the healthcare arena our entire careers and were not intimidated or awed by hospitals or clinicians. Nonetheless, I was apprehensive about the appointment and what I might learn, good or bad, from it. After all, this was Johns-Hopkins, and they knew their shit. It felt like I was going to court to be sentenced by the judge.

Once we arrived, the registration process didn’t take long and we were ushered to the clinic, then escorted to a treatment room. A few minutes later the physician arrived, and introductions were made.

I started rattling off things about myself, my clinical history, and why I chose to come to Hopkins. Then I started asking a bunch of questions about treatment, prognosis, and things of that nature. Looking back on it, I’m sure it was obvious that I had made a pilgrimage to what I thought was the MS mecca of the eastern seaboard.

It turned out to be more like Dorthy meeting the Wizard of Oz, because when I had finished talking, he gazed at me with a look that was a combination of indifference and boredom. The first words he said were:

“When has medicine cured anything?”

Talk about a buzzkill.

At first I wasn’t sure I heard him correctly, then scrambled to try to hide what I’m sure was the crestfallen look on my face. For the next fifteen minutes, he asked a few questions and provided information regarding what I might consider doing in terms of treatment, diet, and things of that nature, but that is all a blur to me now. I had tuned him out, and picked up the pieces of what I didn’t hear from my friend later on.

I was dumbfounded. After all, what this guy just said, or so I thought, was “why did you come all the way down here, you idiot. You’re fucked, don’t you know that?  If you’re looking for encouragement you came to the wrong place.” Whether that was fair or not, I could not believe I came all the way from Connecticut to what I presumed was one of the premier MS institutions in the country to be treated like this. I wasn’t looking for a cure because I knew none existed. What I was looking for was information, validation, encouragement and, most importantly, a reason for hope. Instead, I received an ice cold shower.

My friend and I left the treatment room in silence, headed to the main hospital lobby, and sat in one of the sofas. I turned to him and asked “did that really happen?” He smirked and replied, “I was about to ask you the same thing. I can’t believe he actually said that.”

The remainder of the weekend was spent exploring the Inner Harbor, taking in an Orioles game at Camden Yards, and enjoying the fine cuisine the city had to offer. We cracked jokes over dinner and drinks about the healthcare business in general and that physician in particular, so the trip was not an entire waste.

I’m not sharing this story to declare this physician did me a favor, and how grateful I am for it. At the time I was incredulous, confused, and rip-snorting pissed. His general demeanor and attitude irritated me the most. Besides, I didn’t totally agree with what he said, but didn’t want to debate the point. I may be splitting hairs here, but didn’t medicine solve polio and several other scourges?

The reason for sharing this story is to tell you about the two invaluable lessons I learned from this experience which have guided me throughout my MS journey, and apply to anyone suffering from a chronic condition.

Lesson one is to be your advocate and decision maker regarding your health and treatment. Don’t search for the Holy Grail because it does not exist. Finding a  knowledgeable clinician you connect with is paramount, and you can find one nearby if you look hard enough.

Lesson two is to learn as much as you can about what is ailing you, and don’t automatically defer to your clinician just because of who they are. Ask a ton of questions, don’t worry about whether they may be “stupid”, and if something doesn’t feel right, don’t do it.

I didn’t practice either of these until after the Hopkins experience. Otherwise I never would have agreed to self-inject with both Betaseron, and then Copaxone. I had primary-progressive MS, and knew these drugs were not clinically effective for it, yet I agreed to take them because that was what my neurologist suggested. Needless to say, they didn’t do a thing for me other than cause occasional pain from the injection, bruising and welts.

I also would not have agreed to having a spinal tap in the neurologist’s office. I knew they were generally performed at a hospital, and thought I might be more comfortable and relaxed in that setting, yet agreed to the office because that’s what he wanted and I trusted him. It turned out to be a bad idea, and I wound up going to the hospital anyway after four unsuccessful attempts at drawing fluid. I changed neurologists shortly thereafter.

The Hopkins gambit opened my eyes to what I was doing wrong and helped transform me from being a docile mouse who agreed to anything my doctor said, to someone who took ownership of an uncertain future.  I found a new neurologist, and have been with him for the last eight years. He is on top of all the research, and has a wealth of information concerning what has and hasn’t worked for the thousands of patients he has treated over the years. He shares the pros and cons of any recommendation he might suggest based on this knowledge provided I ask the questions, which allows me to chart my own course.

To this day I don’t understand why that doctor at Johns-Hopkins said what he said or acted the way he did, and often wondered if he treated all first-time patients the same way. Out of curiosity, I checked to see if he still worked there before I started writing this entry, and wasn’t surprised to learn that he did not. He’s on the faculty at the National Institute of Neurological Disorders and Stroke in Bethesda, MD.

A research and academic environment like the NINDS sounds like a perfect place for this guy. After all, his bedside manner left a lot to be desired.

 

 

 

 

The Final Straw?

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Blizzard Brody visited our state back in December, but in hindsight it was a Blizzard in name only.  Yes it snowed, but the snowfall was not intense. Yes it was windy, but no power was lost and no trees were damaged. We’ve had some cold snaps since that storm, and a few snow events, but nothing cringe-worthy. Other than the fact that we’re into March and everyone is sick of winter, it’s been a pretty tame one.

Two days ago the talking heads started hyping winter storm Edna, and people overreacted as usual. Gas stations had lines going into them, and grocery stores were being wiped clean. You see, this storm was allegedly going to dump a bunch of wet, heavy snow on the region and pack winds that could cause damage. Heart attack snow, as the guy who does most of my driveway calls it.

Accumulation predictions had grown, which got my attention, but that was mostly for the Northwest Hills. Nonetheless, I decided to work from home yesterday. After all, even though we could get 6 to 12 inches when it was over, who wants to commute in that shit? According to the forecast, the snow would start around seven in the morning, intensify by ten, and conclude by ten in the evening.  When seven in the morning rolled around, it was cloudy and dry. By ten, there was a light rain falling.

The southeastern part of the state was supposed to get most of the rain and not a lot of snow. Maybe 3-4 inches. So when it started raining, I figured the storm’s track had moved. When I finished my work later in the afternoon, it was still drizzling. A few fat flakes would occasionally mix in, but nothing was coating the roads or ground.

I breathed a sigh of relief because my son, who I will refer to as Shodan, had a heavy cold and K was battling a nasty sinus infection. I was two days removed from a stomach virus myself, so I was more than happy that the weathermen screwed up yet another forecast and I wouldn’t have to worry about snow removal that night.

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Less than an hour later there were white-out conditions, and it remained that way for another seven hours. Knowing this stuff was going to be saturated with water and heavy as hell, I decided to remove the snow in stages because the last thing I wanted was to remove maybe a foot of wet heavy snow all at once. My not so big blower wouldn’t be able to handle that, which meant a lot of shovel work would be required, which was simply not going to happen.

Little did I know, Edna, which was not a blizzard, would put Brody to shame. Eighteen inches of snow fell over a six or seven hour period, so you do the math regarding how heavy it was coming down. The pictures you see here don’t do the storm justice because about a third of the snow had melted by the time I took them.

The first time I went out with the blower (Shodan had already taken a shower and was down for the count) four inches had already accumulated, and it took two hours to remove it from the section of the driveway the plow guy can’t reach, in addition to the front and back sidewalks.

After I came in and collapsed on the recliner for rest in front of the telly, I reluctantly ventured out back for the next go around and there was an additional eight inches on the ground. It was at that point I knew this storm was trouble. The wind was howling, the snow was coming down sideways, and at one point, a clap of thunder erupted and a flash of lightning whited everything out, scaring the hell out of me in the process.

When I was out there, my ankle was constantly bending, and it almost got to the point where I was walking on the side of the ankle instead of the bottom of my foot. The entire leg was so weak I could barely move it, and my good leg was screaming because it had to compensate for the compromised one. The back and hamstrings weren’t pleased either.

At one point, the bolt assembly that holds blower handle was loose, which I didn’t know, and became dislodged. Half the handle was in my hand, and I could not control the blower, which was slowly rolling down a small decline, and I had to hurry to keep pace with it before it came to rest in a snow bank. How I remained upright is beyond me. I was not happy, said every bad word I know, and made up a few in the process, for a solid minute.

The immediate issue was to find the bolt and screw because if I didn’t, they would get buried in the snow and perhaps lost forever, rendering the blower useless. So I got on my hands and knees, which was a chore, strained my eyes and blindly ran my gloved hands across the driveway surface in a raging snowstorm, hoping to see or find something that looked or felt like a long bolt and large hand screw. Fortunately, this happened quickly. Now that the “easy” part was over, I had to get back on my feet.

The first two attempts failed, so I literally crawled on my hands and knees to a car that was parked nearby, pull myself up, reassembled the handle, and get back to work. Round two took almost three hours and I didn’t even attempt the sidewalks.

When I was done, it was still snowing, and my leg wouldn’t move at all. I literally dragged it behind me until I got inside, laboriously removed the boots, knee brace, the AFO brace, which actually turned out to be a detriment, then peeled off a saturated coat, hat, gloves, scarf, snow pants, sweats and undergarments in a heap onto towel laid on the floor. I trudged up those long stairs, took a shower, gingerly headed back downstairs to the kitchen and poured myself a whiskey (no ice). It was close to 11pm, and sipped my drink in the quiet stillness.

Thoughts were swirling in my head: I can’t do this anymore, I don’t want to do this anymore, I can’t physically do this anymore, and I am so tired of dealing with this.

As stubborn as I am, and as much as I try not to give into this disability, I’m not stupid, and some things can’t be ignored. Storm Edna was a cold slap in the face in that regard. Twenty minutes later I fell into bed, my body ached from head to toe, and quickly fell asleep.

To add insult to injury, we lost power early this morning. My birthday morning. Not that I was surprised. The snow had coated all the tree limbs like a coating of white wax. It was a pretty spectacular sight actually, but all the limbs were bending terribly and you knew some would eventually snap. And snap they did. Over 40% of our town lost power, but ours fortunately came back on about a half hour ago. At least I’ll be warm tonight, be able to enjoy a hot meal and take a comfortable shower.

Still, the sidewalks and the snow that fell after I came in for the night had to be removed. It was a piece of cake by comparison, but I ache all over,

So now this whole moving thing becomes serious, not that is wasn’t before, because I don’t want to go through this again next winter. The need is more urgent with no solution in sight.  Maybe we’ll have to reassess out priorities. The easiest and most practical thing to do is move into one of those over 55 communities where all the outside stuff is taken care of, but I hate that idea. Plus they aren’t cheap and I would still have to make the interior ADA compliant.

There isn’t any land available in the section of town we want that has city water, so does that mean we need to look at neighboring towns? Don’t really like that option either. But something might have to give because that clicking clock has suddenly become very loud.

Meanwhile, I will enjoy the rest of my birthday and pray like hell that the next coastal storm/nor’easter that is forecast for Monday is a total rain event. I can’t take another yesterday.