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.

[identity profile] brightlotusmoon.livejournal.com 2009-09-16 04:54 pm (UTC)(link)
I've got invisible chronic disabilities too (cerebral palsy, sciatica and fibromyalgia), as well as invisible chronic illnesses (epilepsy, migraines, and asthma), and I feel for you. I've been accused of being a drug addict because I take carisoprodol three times a week and thoroughly enjoy the effects it has on my pain and tension. I've been told that I don't look sick or disabled, so I can't be. Sometimes the only way I can prove my disabilities is to flash my DC Metro Access card, which is proof of disability. I've had people scoff at me and bitch me out for being too fatigued to do something. When I am walking with my cane, I am treated completely differently, because people can see that I am disabled. It makes me feel so strange.

[identity profile] seanan-mcguire.livejournal.com 2009-09-16 08:38 pm (UTC)(link)
See, I really don't understand why "I like painkillers because I dislike pain" makes you a drug addict, especially when it's been prescribed by your doctor to make you not be in pain. I am so sorry you have to deal with that crap. I hate it so hard.

[identity profile] brightlotusmoon.livejournal.com 2009-09-16 09:04 pm (UTC)(link)
It's even more ridiculous when the accusers are in a chronic pain forum -- you'd think they would understand. I posted about my experiences with Soma in a cerebral palsy community, and two separate people told me to "have fun being a junkie." And really, it was either calmly explain myself or laugh hysterically and smash my head against the keyboard. Ah, well.
Of course, after I had explained everything in detail, one person still said, "Yeah, okay, whatever, junkie."
Then I learned the pure futility of arguing with someone over the internet when that person is so intent on being right, and I decided to just let it go, let it slide past me... but it never truly slides past. It still hurts, when a faceless stranger throws those words at you. Because all you have are words on a computer screen.

I hope you make more posts like this. I love the way your mind works. It's mostly why I am adoring Rosemary and Rue, because your words feel so true and you don't hold back.

[identity profile] seanan-mcguire.livejournal.com 2009-09-17 01:03 am (UTC)(link)
...oh, good ye gods and little fishes. I understand the concern about people becoming dependent on chemical aids, I really do. At the end of the day, sometimes you take the risk just to be a functional human being.

People are hurtful on the Internet because they know they can be, and one bad comment resonates like ten positive ones. Stupid psyche.

I'm really glad you're enjoying Rosemary!

[identity profile] brightlotusmoon.livejournal.com 2009-09-17 01:20 am (UTC)(link)
Exactly.
I've read studies saying that if you are taking painkillers to truly kill pain, it is extremely difficult to become addicted. But if you keep on taking them when you are in less pain, you are more likely to become addicted. I know this, obviously, but people don't seem to understand that I am a smart little cookie, I really can look after myself! *shakes head*

People are hurtful on the Internet because they know they can be, and one bad comment resonates like ten positive ones. Stupid psyche.
This would make a great quote. May I take it and attribute it to you?

Also, I have a question about Toby. She has obviously been through so much and still is so strong. Did your own struggles with disability influence that?

[identity profile] seanan-mcguire.livejournal.com 2009-09-17 04:29 am (UTC)(link)
Yes, you absolutely can quote that. :)

In regards to Toby...I grew up below the poverty line in California. That, more than anything, influenced and created the class divides in Faerie, and taught me that I needed heroines who could get the crap kicked out of them and still keep on doing what had to be done.

[identity profile] brightlotusmoon.livejournal.com 2009-09-17 04:45 am (UTC)(link)
Nice!
I can relate, growing up below the poverty line in New York, specifically Brooklyn in the '80s. My parents, as artists, worked for the building manager in exchange for free rent and utilities, so they could devote time to making their art and raising a disabled child. I think that may have given me some influences in my own writing, because my heroines are gentle and kind and made of steel on the inside, and I think my parents helped shaped that image (also, my teachers, doctors, and physical therapists calling me a "steel flower" probably helped).
I have been taking away a lot of things about Toby Daye that you probably didn't intend when you created her, actually. But I like to think that a great writer creates characters that reflect well, that have all these facets and dimensions that even the writer might not be aware of.

[identity profile] jacylrin.livejournal.com 2009-09-18 01:40 pm (UTC)(link)
Bing bing bing!

Yeah, taking meds as prescribed to try to function? Not a junkie. Physical dependence may happen (and hell, it happens with LOTS of meds, even blood pressure pills, dipshits), but addiction, not likely. Those people piss me off. Big time.

[identity profile] brightlotusmoon.livejournal.com 2009-09-18 05:07 pm (UTC)(link)
I think the word "addiction" had become a sort of overused buzzword in this sense, and it's sad. Sure, I wish I could take Soma more often, but I won't. I don't need the drug constantly. And yet... and yet... somehow I am an addict! YAY!

My mother-in-law had a masectomy in 2004 and was give morphine for several months. She developed a mild physical dependency, but got past it well enough. I mean, it was for post-cancer surgery pain, for gods' sakes. She didn't need chemotherapy or radiation, just massive painkillers, as she already had a degenerative hip bone disease where her hip bones were crumbling, so for her, ibuprofen and Flexeril were like candy. But I never saw any addiction there, because her body devoured the medication to use for, hey pain-killing.<.i>
My reaction to Soma is similar to the tale of the Lotus Eaters in "Odysseus" -- lie back, stare at the ceiling with a dopey, blissed-out grin, laughing at every little thought, but that's because my frakking pain and tension is gone. I am suddenly free to do thinks that are not overshadowed by pain and hypertonia. People who do not have chronic pain would look at me funny, but this is my life.

[identity profile] linenoise.livejournal.com 2009-09-17 03:20 am (UTC)(link)
Soma is the greatest thing in the history of *ever*. I have so much love for that drug it isn't even funny. (I have never abused it, nor been addicted, nor been even tempted.)

On the one hand, yes I recognize that it has enormous potential for abuse. On the other hand, it *makes the pain stop*. Making the pain stop is *awesome*.

I don't actually have chronic illness, I just have some really jacked up genetics and a twisted skeletal system that breaks a lot. Generally, when I've broken something, the pain levels are way beyond OTC painkillers. And opiates generally don't *work* for me. Weird drug metabolism, on top of the weird skeletal issues. Muscle relaxants, though... Muscle relaxants are godlike, and I love them to death. There's nothing else that will do the job, when I'm having a bad day.

There's a handful of related statements that I've learned over the years about trying to argue with stupid people on the internet. Two of them are fairly mild, and one of them is kinda pejorative. I'll skip the pejorative for now. "Never argue with a pig, you'll both get dirty, but the pig likes it." "Never argue with an idiot, they'll drag you down to their level and then beat you with experience."

Consuming the drugs that make life worth living doesn't make you a junkie, and the morons that can't understand that aren't worth spitting on. Don't let the bastard grind you down.

[identity profile] brightlotusmoon.livejournal.com 2009-09-17 03:38 am (UTC)(link)
Isn't it lovely? It was named after the Vedic ritual drink that contains, among other things, lotus extract (which I have ingested and enjoyed as a marvelous painkiller). Soma is the only medication that can make the symptoms of my cerebral palsy almost vanish for a few hours, which I find extraordinary (it's cerebral palsy after all, it doesn't get better). I can get that on a much smaller scale with large doses of l-tryptophan, passion flower and valerian, but it's not quite the same.

"Never argue with an idiot, they'll drag you down to their level and then beat you with experience."

Nice! I shall certainly remember that.

[identity profile] jacylrin.livejournal.com 2009-09-18 01:41 pm (UTC)(link)
Yay, Soma! Unfortunately it stopped working for me. I may have been off it long enough now that I can try it again after I stop nursing. I could certainly use a decent night's sleep with less FMS pain...

[identity profile] brightlotusmoon.livejournal.com 2009-09-18 05:13 pm (UTC)(link)
Aww, it stopped working? I feel sad for you.Really, that drug changed m life. I was on Flexeril for over a year before my husband was prescribed Soma for a herniated disc, and I decided to take one to see what it did -- and I literally ran to my doctor's office, patiently (hah) explained why I thought I should take the drug, had a two-hour discussion with her (we're very close), and finally promised her to check in now and then. I feel like a completely different person while I am on Soma. It didn't do much for my husband other than help him sleep, but it did the most wonderful things for me. Then I found out that people with cerebral palsy are often prescribed Soma. So, hey.

Oh, I also am big on herbal supplements; I was raised that way and I do a ton of research. Have you tried Valerian, Passionflower, Magnesium, and L-Tryptophan? You may need to take large doses, but I have found that the combination works in some way for many people. They should be okay during the nursing period. How long do to plan to nurse?

[identity profile] jacylrin.livejournal.com 2009-09-18 05:49 pm (UTC)(link)
A lot of herbal supplements, especially for immune stuff, have vitamin C in them. I'm allergic, and get all I can handle from my diet. I'm sticking to barebones intake until I finish nursing, which will probably be in the next few months. All depends on getting her to sleep through the night, since I'm not interested in traipsing downstairs to make a bottle. During the day she has cow's milk. "Boo-boo" (as she has dubbed it) is reserved for bedtime.

[identity profile] brightlotusmoon.livejournal.com 2009-09-18 06:04 pm (UTC)(link)
*nods* I hear ya.
"Boo-boo." That's awesome. I love when babies and small children have their own words for things. It's like when I was a baby and called Snoopy "Noony."

[identity profile] jacylrin.livejournal.com 2009-09-18 05:50 pm (UTC)(link)
Plus, with IBS-D, lots of stuff irritates the digestion. So yeah, I hate trying new stuff. I will, but after I finish nursing.

[identity profile] brightlotusmoon.livejournal.com 2009-09-18 06:07 pm (UTC)(link)
Oooh, I'm so so sorry! Not even probiotics and fiber helps? That really really sucks. I don't have IBS, thank the gods, but I do have digestive upset if I eat too much of certain foods. Thankfully, I can stave it off with probiotics and psyllium husk and apple pectin and bentonite, but I feel like reaching out to try and help others who can't find good relief.

[identity profile] jacylrin.livejournal.com 2009-09-18 06:18 pm (UTC)(link)
No, fiber makes it worse. Probiotics don't make much difference at all. Bentyl helps, but I can't take that while nursing. So I just use generic Immodium as necessary. And know where all the bathrooms are, of course.