seanan_mcguire: (discount)
seanan_mcguire ([personal profile] seanan_mcguire) wrote2009-09-16 06:39 am

Invisible conditions and the hyperkinetic author.

This is National Invisible Chronic Illness Awareness week, which is something I consider to be genuinely important. We're an appearance-based society, to a large extent, and "you don't look sick" is a far-too-common statement. [livejournal.com profile] talkstowolves has posted about her experiences living with temporomandibular joint dysfunction (TMJD), as well as a variety of other conditions. It's very eye-opening. Meanwhile, [livejournal.com profile] jimhines has posted about the frightening financial realities of diabetes.

I don't have an invisible chronic illness. What I have is an invisible chronic disability. At some point during my early to mid-teens, I managed to severely herniate three disks in my lower lumbar spine (L3-L5, for the morbidly curious). Because I was extremely overweight at the time, every doctor I saw for more than ten years said "lose weight and the pain will go away," and didn't look any deeper to see why a twenty-three year old woman was staggering into their offices screaming whenever she put her foot down and unable to straighten without vomiting.

Because the body learns to cope with things, I eventually recovered enough mobility to decide to do what the doctors were telling me, went on Weight Watchers, and lost over a hundred pounds. This wasn't as hard as it might have been, because I am a) a naturally picky eater and b) naturally really, really, "was walking a mile every morning to the convention center at the San Diego International Comic Convention, because that calmed me down enough to move calmly through the crowds" hyperactive. So "here, eat lettuce and do aerobics," not exactly the most difficult thing I'd ever heard.

Sadly, it turned out that the doctors were wrong. Being severely overweight may have made things worse, but it didn't cause the injury, and a year and a half of hard aerobics definitely made things worse. In the fall of 2007, I began experiencing numbness of my right side, culminating in losing all feeling in my right leg and nearly falling into traffic when I suddenly couldn't walk. That's when a doctor finally slapped me into an MRI machine, went "oh, crap," and started dealing with my actual injuries.

I look totally healthy. I walk quickly. I move sharply. I am 5'7", reasonably young, and apparently able-bodied. But sometimes I sit in the "people with disabilities" seats, because I literally can't stand on the train for the duration of my commute. Sometimes I glaze over while I'm talking to people, because my sciatic nerve has started screaming like my leg is full of fire ants, and I'm trying to figure out a polite way to excuse myself to go take painkillers. Sometimes I keep walking at a crazy death-march pace because I can feel the numbness creeping back, and if I don't get to my destination before I lose the temporary use of my leg, I'm going to be stuck. That's just how life is.

We may eventually pursue surgical solutions—right now, I'm doing physical therapy, restricted forms of exercise, and trying to work out a detente with my own limitations. They aren't bad enough to qualify me for full-time disability, just bad enough to be inconvenient, invisible, and keep me off roller coasters. Sometimes I meet people who blow off my limits as "whining" or "being lazy." They don't stay part of my life for long.

So please, this week, and every week, remember that appearances are deceiving; like books and their covers, you can't judge a person's health by how fast they're moving. They may just be outrunning the collapse.
trialia: Ziva David (Cote de Pablo), head down, hair wind-streamed, eyes almost closed. (Default)

[personal profile] trialia 2009-09-16 02:07 pm (UTC)(link)
You, too? Heh. Thanks for the post, hon. I'm working on mine. The funny thing is, about your last sentence: I can move faster when I'm using both my canes than I do when I'm without either.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 02:09 pm (UTC)(link)
The way my spine is balanced, I'm generally a lot faster without a cane, but I'll sometimes carry one at conventions when I'm having spinal issues, just because people are less likely to hug me before asking if I'm huggable when they see that I'm carrying a cane of some sort.
trialia: Ziva David (Cote de Pablo), head down, hair wind-streamed, eyes almost closed. (Default)

[personal profile] trialia 2009-09-16 02:11 pm (UTC)(link)
*nod* The last time someone giving "free hugs" hugged me at a con, he dislocated my shoulder. *short laugh* But this is a big reason I continue with my Elphaba costume, because the great whacking broomstick I carry is a very good substitute for a cane, when I'm wearing gloves.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 02:14 pm (UTC)(link)
I hit people with my shiny wand, which goes very nicely with my puffy pink Glinda dress. Ah, Wicked, is there anything you can't do?
trialia: Ziva David (Cote de Pablo), head down, hair wind-streamed, eyes almost closed. ([me] elphie closeup)

[personal profile] trialia 2009-09-16 02:17 pm (UTC)(link)
*giggles* Nice! Hehe, that just reminds me of the time [livejournal.com profile] tjh102 and I dressed up as Glinda and Elphaba to see Wicked in the West End a couple of months after it started there - we got front row seats, and Idina spotted the two of us during "One Short Day", pointed us out to Helen and the two of them got the giggles in the middle of a line. It was awesome. XD

[identity profile] jaylake.livejournal.com 2009-09-16 02:31 pm (UTC)(link)
Speaking from experience, cancer's kind of like that. Unless you're on chemo, or in surgical recovery, you can be quite ill and be apparently hale and able bodied. Not to mention the emotional and mental distortions it induces...

In my case, 16 months after colonic resectioning to deal with said cancer, I still don't have normal bowel function. As a result, I spend a lot more time in the bathroom than anyone who doesn't know me well thinks I should. (On long airplane flights, sometimes, for example, where hanging out in the bathroom is a sign of either illicit smoking or terrorist plotting.) That's not on a par with skipping out of your car in the disabled parking spot, but it occasionally causes issues.

Good luck to you.

[identity profile] magsmom.livejournal.com 2009-09-16 02:40 pm (UTC)(link)
"remember that appearances are deceiving; like books and their covers, you can't judge a person's health by how fast they're moving. They may just be outrunning the collapse."

Great line! I may have to steal it.

I don't have any hidden disabilities/illnesses/conditions, except for my current shoulder injury. And that's hidden only until I move my arm and then collapse in pain. (I'm no stoic). I feel bad for those who have to suffer in silence.




[identity profile] http://users.livejournal.com/la_marquise_de_/ 2009-09-16 02:42 pm (UTC)(link)
Ouch. My best friend has a similar condition. I know how excruciating it can be. Sympathy.

[identity profile] ladymondegreen.livejournal.com 2009-09-16 02:54 pm (UTC)(link)
So long as we never need to break out the bubble. That would be a holy terror. On the other hand, no one would be able to hug you.

[identity profile] jimhines.livejournal.com 2009-09-16 02:55 pm (UTC)(link)
"every doctor I saw for more than ten years said 'lose weight and the pain will go away.'"

::Stabbity stab stab stab!!!::

Okay, I'm done now. For the moment. I may be back to express more stabbity at this later. But I absolutely despise the approach of "You're overweight, so we're not going to bother looking into any deeper conditions, or even to believe you when you tell us something more is going on here."

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 02:57 pm (UTC)(link)
That is awesome.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 02:57 pm (UTC)(link)
I would like a bubble. I would save a lot in plane fare.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 03:03 pm (UTC)(link)
I can absolutely see that causing issues. I sprained my bladder at one point. Combine that with painkillers that make me pee a lot, and wow, was I the queen of the pretty tile room. People got very weird about that in public places, either assuming I was direly ill, or doing something horribly wrong in there.

I don't think we should go around assuming everyone's secretly sick, but I do think we need to remember that not everything is visible. I don't park in handicapped spots, 'cause I don't need them. My baby sister used to drive our grandmother, who was handicapped, and would sometimes be running back to the car to get gramma's meds, only to get scolded for clearly abusing the handicapped space.

Good luck to you, too. I'm glad you're here.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 03:04 pm (UTC)(link)
I'm very stoic. It's that, or never get out of bed. This has led to me being yelled at by doctors, who really want to know when it hurts.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 03:04 pm (UTC)(link)
It sucks, but we endure.

[identity profile] bercilakslady.livejournal.com 2009-09-16 03:05 pm (UTC)(link)
I've heard this as "I don't want to go to a doctor who will tell me to install Linux". I'm overweight and don't have associated health problems (knock pixels), but I still need to be careful about what doctor I see, just in case something does go wrong.

[identity profile] jaylake.livejournal.com 2009-09-16 03:06 pm (UTC)(link)
Likewise, and thank you. :)

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 03:14 pm (UTC)(link)
Oh, trust me, I have buckets of stabbity on the topic, and spread them liberally about. Did I have health conditions related to being overweight? Well, yeah. You've met me. I do not have a frame that can healthily or safely sustain the size I was at. So when I lost the weight, a lot of things got better. Did I need an exercise program actually approved by a doctor who'd bothered to learn my physical limitations before they said "yeah, just join a gym"? Oh, hell yeah.

I know a lot of people who are above current societal "weight guidelines" and are healthier than I'll ever be. It's a factor, not a guarantee. Except when doctors turn everything into a matter of weight, and make it a self-fulfilling prophecy.

[identity profile] angel-vixen.livejournal.com 2009-09-16 03:16 pm (UTC)(link)
remember that appearances are deceiving; like books and their covers, you can't judge a person's health by how fast they're moving. They may just be outrunning the collapse.

That is an awful truth, but you've put it better than I could. My dad and I both personally know far too well how that works.

AngelVixen :-)
beable: (Default)

[personal profile] beable 2009-09-16 03:17 pm (UTC)(link)
I have a friend whose doctor refused to treat things like her PCOS, Hair-In, or migraines, or almost anything else unless she'll go on a diet.

She was on diets most of her life. They were bad for her. They made her less healthy. It may be weird that her "healthy" functional weight is something that the medical establishment would consider morbidly obese, but at her current weight she can:

- take the stairs to her former 12th floor apartment
- walk around for 8+ hours at a steady pace
- use her sister's kids (ages 5-7) as chest flies

Thus she is in better physical shape in terms of fitness and exercise than most people I know, fat or thin.
Edited 2009-09-16 15:21 (UTC)

[identity profile] janetmiles.livejournal.com 2009-09-16 03:21 pm (UTC)(link)
::Stabbity stab stab stab!!!::

Amen.

[identity profile] linenoise.livejournal.com 2009-09-16 03:23 pm (UTC)(link)
I've often been required, when dealing with a new physician or massage therapist, to forcibly recalibrate their methods of perceiving my pain levels. My pain tolerance is kinda obscene, after so many years of just *coping*, because the problems weren't easily fixed, and the meds didn't do much. So I explain to them that when I start visibly wincing, most non-chronic-pain people would've probably already started crying.

It was really fun about six weeks ago, when I pulled my back hard enough that it was going into full spasms, and I literally couldn't turn to my left at all, and I took a muscle relaxant and a handful of advil and went and stood in a kitchen and cooked for five hours, because, well, I had class and I couldn't afford to skip. If I stopped moving because something hurt, I wouldn't ever leave the house.
ext_14676: (Default)

[identity profile] bkwrrm-tx.livejournal.com 2009-09-16 03:24 pm (UTC)(link)
So please, this week, and every week, remember that appearances are deceiving; like books and their covers, you can't judge a person's health by how fast they're moving. They may just be outrunning the collapse.

This. Right there.

You win.

*hugs*

[identity profile] jacylrin.livejournal.com 2009-09-16 03:29 pm (UTC)(link)
I <3 you. Having a host of invisible illnesses, plus being fat (in large part DUE TO the meds and illnesses), some doctors have a way of setting me off (OK, many ways of setting me off). Fortunately I have a good general practitioner and, when I go back to him after I finish nursing, a good rheumatologist.

Sometimes I'm walking fast because it's going to hurt whether I'm going fast or slow, and I might as well get it the hell over with so I can sit back down, not that sitting always makes it better, anyway.

Canes are also useful for beating people who give you crap. I knew someone with MS who took to "accidentally" putting her cane down on people's feet who took the handicap stall who she knew didn't need it (especially ones who went in even when they saw her coming with her cane), since getting up without handrails was getting more and more difficult.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 03:30 pm (UTC)(link)
Oh, amen. "Gosh, it hurts to breathe. Better go to work!" was my rallying cry for years. If you can make me visibly wince, you may well have torn something.

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