seanan_mcguire: (discount)
[personal profile] seanan_mcguire
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.

Date: 2009-09-16 06:43 pm (UTC)
From: [identity profile] scholarinexile.livejournal.com
One of my girlfriends has just been diagnosed with fibromyalgia. Talk about an invisible illness...it makes almost everything hurt, and yet a substantial chunk of the medical community continues to deny its existence. Her parents don't even believe that she's sick (and think that, if she is, it's a punishment from God for being bi and poly, but that's a whole other story). So I certainly know where you're coming from. ::big hugs:: I hope the less invasive methods enable you to get some relief.

And if I may ask...as an anatomy professor, I'm very curious about how you managed to herniate all three of those vertebrae simultaneously. That's a good trick.

Date: 2009-09-16 08:51 pm (UTC)
From: [identity profile] seanan-mcguire.livejournal.com
Honestly, if I knew how I did it, I'd tell you, because I really wish I knew. It happened when I was a teen, and then it got ignored for so long that I don't remember what caused the initial injury.

Date: 2009-09-16 08:53 pm (UTC)
From: [identity profile] scholarinexile.livejournal.com
In some ways, that's even more astounding. Thus confirming that you, like I, live in Interesting Times.
Edited Date: 2009-09-16 08:54 pm (UTC)

Date: 2009-09-17 12:57 pm (UTC)
From: [identity profile] okayokayigive.livejournal.com
I'm a fibro sufferer too, and the medical denial is sometimes harder to deal with than the illness. I was fortunate enough to find a rheumatologist who not only believed in my pain but helped me learn to cope. It never really goes away (at least for me), but I have no many better days than I used to have.

Having those better days makes this invisible illness all the more invisible for me, though - I can go months without having a really bad flare-up, and then suddenly I am incapable of doing pretty much anything without absolute tears. Of course, then people that don't know me are full of "WTF? You were lifting heaving things/doing heavy-duty exercise/insert random activity here yesterday, and now you're saying you can't empty the shredder? Whiner."

When I was originally diagnosed, I found that fibro forums and support groups were of little help - if your girlfriend needs a shoulder, sounding board, or just someone to talk to to say "the inside of my left knee hurts because I accidentally brushed it the wrong way with a towel" who's been there (and is, coincidentally, also poly and therefore gets that dynamic), please feel free to send her my way.

Date: 2009-09-17 05:45 pm (UTC)
From: [identity profile] scholarinexile.livejournal.com
Much appreciated. I may do that. Thank you.

Date: 2009-09-17 06:08 pm (UTC)
From: [identity profile] okayokayigive.livejournal.com
You're very welcome.

Date: 2009-09-18 05:54 am (UTC)
From: [identity profile] starmalachite.livejournal.com
Another fibro veteran, likewise reporting for recruit orientation. In any case, please give her my best wishes.

Date: 2009-09-18 03:27 pm (UTC)
From: [identity profile] scholarinexile.livejournal.com
You guys rock. Thanks so much! My girlfriend is [livejournal.com profile] chaeri, and I'll be passing your names on to her as well.

Date: 2009-09-18 01:51 pm (UTC)
From: [identity profile] jacylrin.livejournal.com
Ditto on feeling free to send her my way!

Date: 2009-09-18 01:51 pm (UTC)
From: [identity profile] jacylrin.livejournal.com
As a bi poly with FMS, may I also?

Date: 2009-09-18 02:03 pm (UTC)
From: [identity profile] okayokayigive.livejournal.com
Sure thing. Through LJ is fine, and dani at hotgluemedia dot com works, too.

*gentle hugs to all who need them*

Date: 2009-09-18 01:50 pm (UTC)
From: [identity profile] jacylrin.livejournal.com
Cool! Well, not cool that she has FMS, but cool to find another bi poly person with FMS :-)

Fortunately (?), since my FMS is probably part of whatever autoimmune clusterf&$k causes my RA, the medical community is a little more accepting. But there are still SOOOOOoooo many people who prefer rectal cranial insertion.

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