An Open Letter to…

I wrote the following the other day to a couple of old friends who happen to also be living with chronic pain. We 3 have recently kind of formed a little support group of sorts for each other as we deal with what it is we each live through. As I wrote this to them, I just typed. I didn’t read it back or self edit or anything. Now, for this blog post, I have taken that initial spewing of emotions and cultivated it into something more. Edits here, additions there, grammatical fixes everywhere. And now, I submit to you, the following…

———-

I don’t know what I want or what I’m looking for. To never bring up my chronic pain publicly feels like I’m not being true to myself. Like I’m sparing others from having to take a second and remember that it’s not all rosy over here for me. Or, more probably, I feel like, yes, I actually have brought it up enough already. I should be mindful that it’s not all about me and no one has to keep hearing about it - they know already. God forbid I upset anyone else because I keep talking about how much my situation stinks. I wouldn’t want that. Of course. 

And that leads me to the realization that I really don’t want my writing to be all-pain-all-the-time because… what’s the point in that? It keeps me focused on it, and I get people to remember for a second what I’m dealing with, then they mindlessly (or genuinely, I don’t know) give me a “caring” or “sad” emoji before they continue scrolling on their merry way, soon to be distracted by a funny cat video 4 posts away? So what? 

No one gets it. No one could. Okay, not no one. My husband and daughter get it probably as best anyone could without being in my shoes directly. And I feel like you both get it, too, as you manage your own chronic pains and conditions. Anyone who’s lived with severe chronic pain knows what it’s like. But still. As I’ve said before, pain is a very personal experience. A very lonely, isolating experience. You know what it’s like for you. I know what it’s like for me.

Still, the fact remains… I fancy myself a writer and one of the best ways I know to get my emotions out and to put everything in order for myself is through the process of writing. It helps me. But I just, I guess, I also want to affect people with my writing as deeply as I can to let them know exactly what it is I’m trying to convey. And people everywhere with chronic pain - I want others to know. You are not alone in your solitary journey. To live vicariously through my words so my co-sufferers realize they’ve got a compadre in me. Or for those not in a similar situation, to know what it truly means to live this way.

This is not to say I want everyone to actually feel my pain. But just to understand enough about how this shift in my daily life experience has changed me and what it takes for me to get through a day. How I want to keep as active as I can, but how difficult it is for me to just stand up and walk down the hall. How when I say I’ve got chronic lower back pain, what I really mean more times than not is that it’s my legs that burn with searing, radiating pain. But that my legs also often go all pins and needles as my (literally) tethered nerves try to sort out exactly what’s going on after a big adjustment of position. How so much of my brain space is taken over by this situation I find myself in. There’s no escaping it. And therefore, because of all this, how so much of my brain space is absolutely not dedicated to interacting with people and their own problems (or joys), their passionately felt soap box speeches, their rhetorical questions that yet still seem like an answer is in hot demand. 

Or even just polite, casual conversation. To gather with and be amongst friends and chime in on a conversation about whatever. My brain isn’t there. I’m exhausted. Happy to be amongst friends, of course! But simply not able to contribute meaningfully to any friendly banter going on. Everything else seems so trivial and like someone else’s thing to deal with. Not mine. I’ve got my own thing and it’s just about all I can handle, thank you very much. And, no, I don’t want to talk about it either. I don’t know what I want, like I said at the start of this whole thing. 

And the funny thing is, it’s not that I’m even consciously thinking about my pain, my pain at any given moment. I honestly don’t feel like I’m sitting around feeling sorry for myself all that often. Especially at work. I love my job and my coworkers, and my chair there is as comfortable as I can get. I’m on the phone all day and my mind is distracted. But at home on weekends and evenings, all I’m really able to do these days is sit around. What else do you expect me to do but think about it? So when I get to writing and considering why I am the way that I am… this is what I come up with. 

Anyway… I also don’t wish for others to only “get” the bad parts of what I’m dealing with. As someone who likes to write, I of course want others to be affected by my words no matter what my subject matter and the emotions surrounding it. I want to evoke all emotions as they apply to whatever I’m writing about. It’s just that, right now, this is the big news for me and what I don’t necessarily want to focus on in my writing, but what is choosing me as its writer. 

Phew! I’ve been wanting to blog about this, and tried to with my last post earlier this month. But I don’t think I did justice then to what I want to convey, nor do I feel like I could ever do justice to it. How do I choose just the right words and put them in just the exactly right order to make my readers understand what I want to say…to feel what I’m feeling… All of it?! The frustration, the anger, the bitter sweet nostalgia for all I used to do and no longer can? The way I feel so incredibly disabled in a way that I never have before, even though - to the outside world - I have been disabled all my life? But that label has never stopped me before, you see. I’ve walked, jumped rope, skied, shot hoops, hiked, traveled both by myself and with others, attempted roller skating, ran, driven (and still drive a regular automatic transmission), carried a pregnancy, given birth, raised a child, and on and on and on. My being disabled by Spina Bifida has very rarely, if at all, resulted in my feeling disabled.

But now. Now! I am the very picture of disabled. I am quite literally not able - sidelined, hampered - from doing physical activity of almost any kind. Even just standing in one place. Even just getting out of bed, or rolling over while I’m still in bed. Anything I do causes or exacerbates pain. Period.

Sitting or resting is the closest I can get towards pain free. But I assure you, it is not pain free. Getting up from a seated position is probably the activity that causes the most pain, followed by an ease up of said pain as I walk it off a bit. But continue that walking activity too much (like, 2 +/- minutes) and the pain and leg numbness ramps back up again. It just always is. And always keeps me down. Physically and mentally. Sigh…

I’m sure this feeling of disabledness I am dealing with is a very large part of why I fight so much against it and against receiving help of any kind. Mind you, I do ask for help, and am asking for more and more of it every day. But please don’t ask me if I need help. No! I’ve got this. I’ll let you know if I need anything. But, please, let me be the judge of this. 

Okay. I’ve written enough here. I’m just going to hit “Send” and get it out there. I’m writing to you since I know you can relate. And I’m considering turning this into an actual blog post. But first and foremost, to you both. Before I do something dumb, hit a wrong key, and lose it all. Yeah. Okay. That’s it. Thanks for “listening.”

————————-

Editing to add, and sharing again today, June 16, 2022. Tomorrow is my spinal cord detethering surgery. One more day of pain. Then, of course, pain and discomfort of post surgery and a long recovery. But then, little by little, the feeling of relief. Finally. Literally intensifying for about 18 years. Last 3+ years being the absolute worst and something not able to be ignored. Thanks to all who have seen me through this and will be there through my recovery and beyond. I don’t have the words to thank you enough. I don’t have the brain space to write a whole new post. I just want to share this again. All this pain is soon to be gone, as I can only hope that surgery will go well and do the trick. Thank you all again. It’s a long road ahead. Physical therapy to help me rebuild what I’ve lost, as much as it can be rebuilt. Here’s hoping. So grateful to and for you all. Overwhelmed that our community would even think to start a GoFundMe for us. And what an amazing outpouring we’ve seen already. Thank you all. We love you and feel so humbled to be among your beloved community.

GoFundMe

I Will Survive. And Thrive!

Hi there.

Miss me much?

I've been...surviving.

Yeah, sorry. That's it. Not great. Not even good or okay. Surviving. Sounds about right.

And, yeah, I said I'm “sorry.” But I have no need to be sorry. What am I sorry about? Not sorry that I can't and won't answer the standard greeting of "How's it going! How are you doing?!" with the expected "Great! Everything's great!". I'm not great and I'm allowed to express that. I am.

Not that I want to bring everyone around me down and halt a conversation from moving forward with a long detailed explanation of why I'm not, in fact, great. I guess I tell most people that I’m “hanging in there.” But, to people who know me and whom I consider friends or family - therefore they are already aware that I'm not feeling so great anyway - I feel safe and allowed to give at least a small update on how I really feel and what's going on with me. 

And, yes, dear Reader. I feel like we're friends. I feel like you care. Otherwise, you wouldn't be reading this. Right? Right. 

So, yeah. No. I'm not great. I'm surviving. I live with chronic back pain. Pain so bad that it radiates down my legs. Pain so bad that, even though I can't feel below my knees because of my Spina Bifida, I do in fact feel this pain that radiates from my back all the way down to my feet. Of course, it's much tempered. Below my knees it's just enough pain to notice, not really be bothered by. But I notice it. And that bothers me. 

Even at night, sleeping. If I want to roll over, I now wake up from the extreme pain I feel in the movement I'm trying to make. And often my legs even go numb, so that I have to lift and turn myself with my hands. It's an ordeal. And then I'm awake. Trying to figure out which position is the least of all the evils. Left side? Right side? Back? Who knows. Every time it seems to be different.

Sliding out of bed in the morning hurts. Getting up hurts. Walking hurts. Sitting hurts... but not as much. Sitting is best. As long as it's a good, supportive seat. The chair I'm sitting in now, at our computer, is not great. It always makes my left leg go numb. But I want to write and I'd much rather do it at the desktop than typing with one finger on my small phone. Anyway, I hear Sweetie finishing up what she's doing and so I suspect she'll be wanting to take over this space. Soon enough I'll be kicked out and have to settle in to another seat that’s not so comfortable in its own way. Hmph. 

Yeah. So I hurt. All the time. It used to be that I had to earn the pain and/or numbness. Walk a few aisles in the grocery store. (AISLE, by the way, is my go to starting word for Wordle. Lots of vowels and common consonants. I've not failed yet at getting the word. You're welcome.) Hike a bit in the woods (easy path, of course) with Sweetie and Hubby. Stand in one place for a long time. Something! But now? Nothing. I literally have to do nothing before my body reminds me, loudly and relentlessly, that I am in pain. 

And these memories of walking, hiking, standing... they're from not all that long ago, in the grand scheme of things. 4 years ago? Maybe even 3? And standing! Standing, man. I was the queen of standing in one place. In a time long ago and far away, admittedly, I worked in retail at a large, well known bookstore. And whenever I was assigned to the registers, I was a happy camper. I could stand there all shift long. Walking around behind the counter to retrieve orders for customers. Whatever needed to be done. No problem.

If I was assigned to the info desk, then I wasn’t so thrilled. Then I had to potentially walk around the store, directing customers to their chosen books. That got me tired and, eventually, in a bit of pain. Maybe. I don’t remember. But I definitely remember that I much preferred the registers. 

Anyway. What was I talking about? Oh yeah. Pain.

What is it like to be in pain All. The. Time.? Let me see if I can come up with some adjectives…

Exhausting. Depressing. Maddening. Overwhelming. Hopeless. Sad.

And yet, I am generally a happy, positive person. Or at least I used to be much more so than I am now (stupid pain!) And, as I think about my one chosen word for this year - RESILIENCE - I’m trying to think of some other positive adjectives and phrases that have come out of this experience.

Determination. Mental Strength. Acceptance. 

It’s a short list, but there it is. 

I’ve tried to research others who have written essays on chronic pain. Maybe I didn’t search enough, but I didn’t find much of anything. I specifically remember once listening to the author John Green talk about the aloneness that punctuates chronic pain. I can’t for the life of me find that audio or reading again. But I remember how good it was at defining chronic pain. It basically acknowledged how personal pain is. No one can feel the pain you’re feeling. No one can know exactly what you’re going through. Pain is as deeply personal as it is deeply felt. And one person’s ability to manage aches, twinges, and/or chronic raging pain is very different from anyone else’s ability to manage the same.

I, for instance, believe myself to be able to withstand pain very well. Heck, I’ve been in one form of pain or another for going on two decades now. I’m a pro! And nary a complaint has anyone ever heard from me. Much. Ask me how I am a few years ago and, yes, I was great! You betcha! Couldn’t be better. All the while I was just past experiencing the worst pain ever after accompanying Hubby at the grocery store. Mindset was much more “that was then, this is now”, meaning, sure I was in pain. But it’s over now and forgotten. Moving right along! 

But now. Oof. There’s no escaping it. And I complain more. At least to Hubby, anyway. But others see it too and understand. What’s so maddening is that I don’t know what to do about it. I’ve tried it all. Physical therapy (I hate it. I won’t do it at home). Chiropractic (is it doing anything really? It doesn’t seem to be doing a darn thing. And maybe it’s even harming me). Cold laser therapy (huge wast of money). Nerve stimulator placement (well, I tried for that, but we all remember how that turned out.) Acupuncture (oh, how some of those needles stung! And again, no relief felt). Meds (no med, prescribed or store bought has given me anything more than a mild relief). I’ve even recently been to several appointments with a urologist to see if I could resolve any issues in that department so that I could revisit the idea of the nerve stimulator. Crickets… Anyway. The list goes on. All done in a valiant attempt to avoid major back surgery. 

And so. Here we are. No resolution. Still in pain. Getting worse all the time. I don’t know whether to sit more and rest, since sitting feels like the least painful thing I can do. Or if moving more is the way to go. Sure, it hurts to move, but being active seems like it should keep me strong and ultimately be beneficial to the whole situation. I don’t know.

To move, or not to move. That is the question. I want to keep moving! I do keep moving. Sure, I now own my own wheelchair for use when we three go on adventures so I no longer have to walk. I’m grateful to have this and enjoy the freedom it gives me whenever I use it. BUT. I am not about to transition to using it all the time. I’m still walking. I’m still capable of getting around in small spaces, taking care of my needs. I’m good to go.

Honestly, I feel like if I start using the wheelchair more regularly, that I’ll never get up. That will be it. I’m done for. And that’s not the life I want to lead. Not yet. I’ve got some good days left in me still before I sit down. 

So. Where are we, then? What can I possibly do? Well let me tell ya.

I’m going to move forward with having back surgery. And in my case that means detethering surgery. The very thing I’ve been saying I absolutely want to avoid. Yet here we are. And I’m excited. Well, as excited as I can be to go in for major back surgery that’s known to be risky at best. 

But at this point, as far as I can figure, it’s the only option I’ve got. 

I was excited about the nerve stimulator surgery. But they don’t want to have me. Fine. And at this point I’ve realized that I don’t want to mask the pain anyway. It’s much better to fix something than hide it. Anyway, my main reason for not having the surgery was because I don’t want to lose any of my abilities. But you know what? I’m already losing my abilities, as in I can’t walk without crutches now. I used to be able to walk around the house without a cane or anything. But now I cannot function without the crutches. So, given that, if the surgery effects me so that I need to use crutches from now on, at least I’ll use them pain-free. Or if I’m put in a wheelchair for the rest of my life, I’ll at least be there without pain. And that sounds just fine to me. 

So what’s the next step? I’ve already spoken with my PCP and she’s put in the referral to the neurosurgeon. That appointment is made for later this month. I presume she (Yes! A female neurosurgeon! I love it!) will want me to have updated MRIs done. Once those are done and reviewed, I’d guess it’d be go time. Except that I presume this is considered an elective surgery. So I don’t know, given these Covid times we live in, when I’ll actually have this done. I’m hoping sooner rather than later, but we’ll see. 

And that’s it. I’ve made the decision and I’m looking forward to the other side. 

The day when I will no longer just survive. But a life where I will thrive!