Pain, pain, pain.

Yesterday I threw everything I have in my bag of tricks at the pain and none of it worked. It’s rare that I can’t get some relief. Usually some combination of drugs, distraction, positioning, rest, meditating, icecream gets me through in a bearable level of comfort. Yesterday nothing touched the sides and it was all I could to lie there feeling it vibrate through me. No position would allow the pulsing in my hips, back, neck, shoulder, head to quiet. Sleep wouldn’t come. I scrolled into the wee hours, then into the less wee ones. The fearful, tearful hours. 3AM thoughts are never kind. They project monster shadows from under the bed. The future looks less like a life and more like an abstract smudge of pain, limitation, exclusion.

Fear is like petrol on a bonfire for pain. Our bodies naturally go into panic when pain is bad, that’s the point. It keeps us safe: Take your hand off the element, Get away from that jellyfish, Fix that broken bone. Do something. Fight or flight or freeze or fawn.

Chronic pain is counterintuitive. The fear response hypes up our amygdala. The adrenaline and projections of catastrophe increase the volume on the warning signals. The pain gets worse. We move less because it hurts more. We avoid things and our bodies learn again that those things are dangerous. It hurts more the next time we try. The cycle is vicious and has sharp teeth. Or we push through, put on a mask, cling to the things that give us life. Show up at the party, get in the sea, go to work. Crash, hard, out of sight. Cry. Medicate, in every way we can think of.

Today is all puffy eyes and wheatbags. The blessing of a new cycle of anti-inflammatories. Soft pink things. Trash tv and kindnesses from friends. More icecream, probably. Get through another day. Try not to let my fear tell my fortune.

The Little Family that Couldn’t

In the last months of the shitfire that was 2021, Emmie and I made a list of 98 possible names in a google doc called PUPPYPUPPYPUPPY. It started with Dot and ended with Leonard and held 98 futures where we had a dog in our lives. 

We trawled websites and Trademe and analysed the compatibility of sizes, ages, breeds and adoption methods. I started scrolling puppies instead of Facebook. It was a good time. 


We landed on a breed which is variously known as Shihpoo, Pooshi, or Shoodle: Shih-Tzu X Toy Poodle. There was a breeder with pups near Marton. Our favourite op-shop is in Marton, which we gratuitously took as a sign. The puppies were available on New Years day, which would give us 10 days before we needed to return to work. The internet said that it was plenty of time to get her settled, and of course the internet is never wrong. 


In the intervening weeks we did everything we could think of to prepare. I was determined that we would train this dog well, so that I could look after her with commands rather than exhausting my physical capacity. We were recommended trainers online and I read books and we listened to podcasts. The trainers made it look so easy: “potty train your dog in a week” etc etc etc. We knew from friends that it would be hard, that she would chew and bite everything and everyone, that we’d be sleep deprived for a bit. We also saw the love and joy that they derived from their relationships with their dogs, and were so excited to finally have one of our own. We figured we had the perfect set-up: our back-yard and bank account were secure, and I’d be at home most of the time to keep her company. We knew it would be an adjustment for Robot, our big black 11-year-old cat, but thought she would small enough that he would learn not to be afraid of her. The timing seemed right. 


The timing wasn’t just about housing and money, but also about babies. Emmie and I had always presumed that having a baby wasn’t going to be possible for us. I was never going to be able to carry or care for a baby, and we relied too much on Emmie’s income for her to take a year (or more) off to do so. It wasn’t a decision we thought was ours, until my family offered us some extra financial support a few years ago. We considered it very seriously, even getting to the point of asking someone to be our sperm donor. We each swung wildly from “we can definitely do this” to “we should definitely not do this”. After more than a year of deliberating, we landed on a no. In the end it was a positive improvement in my physical and mental health which swayed us. I had seen how hard having young kids is, both physically and mentally. I didn’t want to lose the hard-won gains of many years of experimenting with medications and working on pain management techniques. I had come a long way in adjusting to living with a chronic pain and fatigue and shitty mental health and felt like I had built a life that I wanted. I couldn’t bear to lose that, no matter how much I wanted children. 


It was fairly inevitable to start focusing on a dog after letting go of the dream of having a child. We like dogs a lot. We loudly admire every dog we pass on the street. We go to the dog beach and and try and talk to other people’s dogs on the regular. We’re often found hanging out with the dog in the kitchen at parties. So we were beyond excited to bring home the caramel coloured fluff ball that would soon be named Mojo. Emmie drove to Hunterville on New Year’s Day, and I impressed on her the importance of video calling me as soon as she had her in the car and every time they stopped. The puppy barked miserably for the full 2 ½ hours home, but as soon as she was out of her crate and with us, she was a joyful, licky, wriggly, adorable little creature. I was already in love with her before Emmie walked into the yard and put her in my arms. 


I don’t think I can quite write the experience of the 3 weeks Mojo was with us. It was so much harder than we had imagined, harder than anything else I’ve attempted. Our house, our bodies and our relationship were a complete shambles. She was never calm unless she was asleep, which required a lot of cajoling, barking and tears all around. My physical and mental health fell apart. I started having multiple panic attacks every day. I was afraid to be alone with the puppy, because my body and anxiety couldn’t keep up with her. We argued over toileting, training, feeding, baby gates, treats, commands, the cat’s misery, the dog’s misery, our own misery. She got more and more frenzied. We had to hold her like a rugby ball so she couldn’t jump up and bite our faces constantly. 


And yet she was wonderful. She was hilarious and unbelievably adorable. She loved people, and wanted to lick the face of everyone she met. She was fascinated by the world, and so anxious to get out there and see and smell everything. She was clever, and learned commands and her name super quickly. We took her to the beach and the cafe and to parties and everyone loved her. It was incredible having this tiny friend who looked at me like that, and who needed me so much. 


We tried so hard to make it work. We bought everything we could think of to make it easier and it didn’t help. We asked the internet what to do and it didn’t help. We got a trainer into our house and it didn’t help. We went to puppy training school and left in tears. We tried and tried and she got more and more frenzied and we got less and less functional. Emmie was due back at work and even with extra help via my disability support she had to take emergency leave. We knew we were doing it wrong but couldn’t figure out how to do it right. 


We both came to the conclusion that we had to give her up pretty quickly. She went back to her breeder who worked with her to settle her, and found her a new home. We don’t know where she is now, and that’s hard. She was only with us for 3 weeks, but it feels much more significant than that. All those possible futures. The grief and guilt have been huge. We miss her like billio. 


My stomach flips now every time I see a dog on the beach or the street, the way it does when I see other people’s kids on Facebook. Of course the intense things I feel about losing Mojo are largely fueled by the loss of having kids. I wanted the kid life a lot. I wanted that kind of relationship and love that only comes by being primary carer for anther being. Having a dog was supposed to be a way to experience a bit of that. 


I know grief will soften, and maybe there will be another dog one day, but right now I’m sad and angry to have lost this possibility. I think a lot about my friends who have experienced infertility and child loss, and those, like me, who never got to try. We hold it together in public, and love the children around us, but it is quietly devastating. Noone talks about it much. 


Mojo wasn’t the 76th future we wanted and expected. I imagine these is something philosophical to be learned for that. Until then we will just miss her, that tiny, soft, lovely ball of fluff. I hope she is always as loved as she was by us. 

On marching

Activism = not accessible. Mostly.

A few years ago, when I first started using a walking frame, my girlfriend and I went to join the slut walk from Courtenay Place to Civic Square. I thought I was really clever because I’d made a sign for my walker that read “Slut Walker”. It was a good march, lots of bare nipples and placards and chants. Emmie and I started somewhere in the middle of the crowd, but as we walked along, people started passing us. By the time we were half way there, the march was well ahead of us. We weren’t part of the thing anymore, we were just two people walking down the street. I pretended that it didn’t matter, but it really did. Even thinking about now it makes me cry a little bit. It’s the literal version of all the times I’ve been left behind, and felt invisible, irrelevant and excluded because of my physical ability.

So this weekend most of the queers I know will be marching to celebrate our community and the battles that have been fought and the people who continue to fight them. It will be colourful and beautiful and full of pride. But I won’t be there, because as far as I can tell it won’t be accessible. I could be gracious enough to sit by myself somewhere and watch and cheer as they come down the road. But (a) I’m not and (b) that would be a shit time.

There are heaps of things that can be done, like checking that the footpaths on the route are safe for wheelchairs, and letting people with impairments set the pace. TBH, a lot of the time, I still wouldn’t be able to join in, but I’d be more likely to try. I’d be less likely to be steering clear of the whole thing so I don’t have to think about it.

Accessibility gets forgotten at community events like these. It’s hard for volunteer-led organisations to do everything necessary to be fully inclusive. Resources are stretched and we all have blind spots (they usually align with our privilege spots). And yes, I should probably be joining the committee and asking the questions and making sure that someone does something. But I can’t right now because chronic pain.

I’ve recently got involved with InsideOUT, an organisation that aims to create safe spaces for young people of diverse sex, gender or sexuality. It’s run by a group of young people who try really fucking hard not to leave anyone behind. They know that there are forms of exclusion beyond the ones they’ve experienced.  I’m inspired and humbled by them. Instead of marching tomorrow, I’m gonna make them cupcakes. With two types of rainbow sprinkles.

Going out on a limb

Last November, I set out to do two things: write 30 blog posts in 30 days, and complete an online course about the anatomy of the upper limbs. I didn’t really expect to be able to do both in a month. Mostly I was just looking for the motivation to practice using voice recognition and develop some kind of “work” routine. I was aiming for two hours each day, divided into manageable chunks. Blogging was the top priority (and more appealing), so I would spend most of my days drafting posts and playing catch up for days I’d missed. The online course fell by the wayside. As I neglected the lectures and quizzes about the pathologies of the arms and hands, I developed just that; a new pathology in my arms and hands.

Posture looks simple, when you see those pictures of crash-test-dummies sitting at their computers, diligently keeping their backs straight and tummies firm. Ideally, everything is supposed to be at right angles, but it’s really hard to achieve that when you are trying to prop up sagging shoulders and the weak neck with a big heavy head on it. It’s especially hard to achieve that when you are making-do with a couch and some bits of rubber foam because the government is too cheap to provide specialist seating.

These past couple of years, I’ve been so focused on trying to support my head and shoulders while I work, I haven’t really thought about the position of my arms and hands. I’ve been getting better at using voice recognition software, but using Dragon without a mouse is pretty difficult. Actually, it’s frustrating to the point of paralysis. So while I was blogging, I would use a wireless mouse, balancing it on my knee or the couch.

So here I am, blogging away, editing and over-editing, tap tap tapping with my fingers and my hands and my wrists and my arms in all the wrong positions. It only took a few weeks to develop a secondary injury. It started as a niggle and a tingle, but it quickly reached the point where mousing for 15 minutes would leave my wrists, hands and sometimes even my armpits in pain all day. I had to concede that 30 posts in 30 days wasn’t going to happen.

It’s a terrible cliche, but so often it feels like I take a step forward, then two steps backwards. I was actually making progress with “working”, and suddenly there’s this whole new problem to deal with. Not only does it hurt to use a mouse, but now it’s also hard to chop vegetables, use scissors and floss my teeth. Luckily, with the help of my OT, a hand therapist, and some anti-inflammatories, much of the pain has subsided. It still flares up frequently, and I need to be really careful about how much I use my hands, but it’s mostly manageable. I’m learning how to use my voice to replace mouse commands, and I have an adorable new mouse shaped like a penguin with a bowtie.

People often ask me whether my condition has advanced, or whether I’m getting worse. In lots of ways I am worse, because muscles my lower back, my arms and wrists, my head and neck have become strained and inflamed as I try and compensate for the weaknesses in my shoulders. Having said that, I am also better. I’m better at understanding where the pain comes from, and how it manifests in my brain. I’m better at managing it with drugs, pacing, and exercises. I’m better at adapting to the physical environment and using the equipment I do have. As much as it might have been useful to know more about the physiology of my upper body, learning all of this life stuff is really more important. So I’m not so sad I didn’t finish that course. And I reckon 13 blog post ain’t bad.

 

 

In praise of LEADR

When I applied to be an intern with LEADR NZ, I didn’t know it would become such a lifeline. I had finished up at Corrections, but hadn’t yet started the ill-fated temp job at NZQA. I figured I would find some way to work this in with my next full-time job; it would be difficult, but worth it for the opportunity.

LEADR is an association of dispute resolution professionals – a membership organisation for mediators. I came across LEADR when a very clever lawyer friend of mine recommended I complete their five-day mediation workshop. She said it was the most powerful training she’d ever done, and I concur. It was also the hardest training I’ve ever done; I cried twice. By the end of it, though, I felt for the first time that I’d found a profession that I believed in, and one that I could be good at.

Mediation is all about finding durable solutions to disputes. It’s used in all sorts of arenas. We have members involved with employment, families, big business, Internet domain names, human rights and housing, to name a few. I’m hooked on mediation because it’s efficient and effective. In the majority of cases, both parties walk away less poor and less traumatised than if they had pursued the dispute in court.

Over the past two years, I’ve been doing what I can for the LEADR NZ team. They operate from a three-desk office on Woodward Street that sometimes smells like Ma Higgins cookies and sometimes smells like grilled salmon sushi, depending on what’s cooking below. Initially I worked from there one day a week, but it quickly became obvious that I shouldn’t be using an ordinary office desk. Now I help with anything that can be done from home, like ongoing projects, media monitoring, planning and correspondence. I also get to be a role-player for training and assessment days, acting as a party in dispute. It’s fun and interesting and sometimes hilarious.

I can’t sing enough praises for the people at LEADR. Gabrielle and Ava, my two consecutive CEO’s, are the kind of people I want to be when I grow up. They are both intelligent, warm, powerful communicators who are able to manage a myriad of issues and still see what really matters. Margaret, who manages all the training and assessment, is better at her job than anyone I’ve ever met. She always has a million things to do, is always lovely and always cracks a wry joke when you least expect it. They didn’t take me on like this, but all three of them have walked with me as I awkwardly navigate life with a disability. There have been lots of weeks that I haven’t been up to working, and it’s always ok. On the flip-side, they still trust me to do significant work when I say I can.

Having something meaningful to do over the past couple of years, even in small measures, has made a big difference to my well-being. Plus I’ve been able to learn from the best mediators in the business, and be inspired by the incredible work they do. As far as unpaid jobs go, I reckon that’s a pretty great salary. 

Faking it

I was at a party on Saturday, sitting on the couch, drinking a mojito, talking to someone new. She asked me, what do you do? I searched through my mental list of responses and settled on the frank answer: I’m not working at the moment because I have a disability. Then I replayed the party to that point in my mind. I watched myself mixing drinks, getting the door, walking about. Really? What disability?

No one ever asks, of course, but I always find myself explaining. Over-explaining. Awkwardly stammering about upper body weakness, pain, assistive equipment. Anything to justify the disconnect between “disability” and able, social, normal looking me.

I count myself lucky to have the ability to do pretty much anything if I want to. I’m learning that it’s worth overdoing it sometimes, if it makes me feel a little bit independent or social or sane. It’s also a lot easier to ignore pain if I’m doing something fun and engaging.

I’m not sure why feel like I have to explain myself; I bet people don’t judge me half as harshly as I do. But I’m always worried they’re gonna think I’m faking it.

I’m gonna move to Newtown where the people are nice

Next week I am moving to Wilson Street. It has a big sunny deck and a heat pump and feels like a home. Jessie and Laura live there. Jessie studies forget-me-not’s, and she and I have been friends since high school. Laura is a speech therapist from America who likes blue-grass music.

Wilson Street is close to the pool and town and Moshim’s Discount Grocery Store. People that live down the road include my girl Emmie, my sister Kath, my goddaughter Beatrix and her mum Heather Superjohn.

There is just one step to the front door at Wilson Street. It’ s a flat street, so I’ll be able to walk down it sometimes. It’s not the perfect house for accessibility, but it’s a hundred times better than the hundred steps in Days Bay.

I didn’t plan on moving out. Jessie just mentioned that I might want to move in. Then I realised that, with a bit of help, it would be possible. It’s never felt like that before; somewhere along the line, living independently stopped being out of the question. I was surprised and very pleased.

So I lined up a bit of help and said yes.  I can’t wait.

Musical chairs

A few people have asked me recently how I’m getting on with finding a wheelchair. The short answer is, terribly. I’ve been avoiding  giving the long answer, because just talking about it makes me want to scream. But here goes.

Initially, things actually looked quite encouraging. Enable NZ happened to have a power-chair in store with the functions we figured I might need. I was able to try that, and a manual chair, within a couple of months. The manual chair is new and light and has a fancy honeycomb cushion. The power-chair goes up and down and back and forth and fast and slow and is very nifty. My technician estimates it’s probably worth about $18,000, which is pretty generous for public funding. But neither are worth much to me.

At the moment, when I use either of the chairs for a decent length of time, my pain levels shoot up. Not only is the pain more intense, but it spreads further into my head and neck, and it lasts for longer. I don’t know exactly why, but something about the positioning and support (or lack thereof) just doesn’t work for my body.  I’ve explained this to my OT and physio on numerous occasions, but they always just make me feel like I’m being fussy. Like I’m asking for chorizo instead of mushrooms with my big breakfast. They don’t seem to understand that if the chairs cause additional pain, they don’t meet my needs, and they’re not worth using.

The DHB did order a new backrest and headrest for me to try, but when these weren’t successful, they weren’t willing to keep looking for other, more suitable products. When I make suggestions from my own research, the answer is always “that won’t work”; but no-one seems interested in finding a solution that will. There has been very little analysis of my posture or musculature, and zero thought about what might exist beyond this one power-chair, which has proved over and over to be unhelpful.

Having a wheelchair that supports me adequately would open a whole range of opportunities for me. It would mean that I could commit to social events and voluntary or paid work, because I’d know that I could sit for a while in any location. I’m sick of turning down offers and leaving early and desperately looking for walls to lean my head against. I’ve been in the system for eighteen months, and it feels like I’ve spent most of that time in the too-hard basket. The hospital should be trying harder and thinking much much smarter to find a solution.

Why can’t we be as good at serving complex health needs as we are at serving brunch?

Hero-busting

Last week, 3 News’ Mike McRoberts ran the New York marathon. Nobody noticed much, because we were busy balking at the Roastbusters and the police. Turns out McRoberts’ report was something to balk at too. He quoted Peter Loft, the head of the Achilles Foundation, an organisation which helps disabled athletes complete the marathon, saying:

They come here with disabilities — and they leave feeling like full human beings.

One of my favourite bloggers, Philip Patson, has written a post here that covers the main issues with this statement, so I won’t go into it again. One thing I do want to talk about, though, is what McRoberts said when Patson questioned him on Twitter:

Feeling emotional and needing to find inspiration are how we are socially conditioned to respond to disability.

What I notice about this statement is that McRoberts acknowledges that our “need” for inspiration from people with disabilities is socially constructed. Of course, he doesn’t then go on to say that he, and the mainstream media, are the preferred suppliers for that construction. I didn’t realise how damaging the dominance of the “disabled hero” was until I faced disability myself.

With all the hype about disabled athletes persevering through adversity, the message is that anyone can do anything. It’s bullshit. I was never going to be an athlete before I was disabled, but there’s no way in hell that I could be now. Any kind of intensive sport would leave me in pain, and if I pushed through the pain, I would do further damage to my muscles. That’s the reality for a lot of people with disabilities, and the picture we are so often presented with doesn’t match up. It’s easy to feel like a failure when you can’t make your bed in the morning, if the poster-boy for cripples is climbing a mountain with prosthetic legs.

These athletes deserve full credit for their achievements (except maybe Oscar Pistorius). I don’t for a second want to belittle what they have accomplished. What we should be celebrating more frequently is people with disabilities living normal lives, contributing to their communities and overcoming barriers to their independence. Go find inspiration and feel emotional about that, Mike.

In praise of the 11 o’clock ladies

I have a lot of gripes about the deficits of the public-health system, but I do have to thank them for introducing me to hydrotherapy. Last year, a physiotherapist from Hutt Hospital put me on a six-week treatment course in their ancient physio pool. She taught me a gentle exercise routine for my upper body, and showed me how to use flotation devices to support myself to move about in the pool. When my six weeks were up, I graduated to an unsupervised group which used the pool for half an hour at eleven-thirty each Tuesday and Thursday.

When I showed up for my first unstructured session, I found that I was the only person getting into the water, though there were a gaggle of women in their 60s and 70s heading for the changing room. It turned out that my “group” consisted of me, and occasionally a very round woman in her 70s who was recovering from a hip replacement but couldn’t remember which hip it had been. For company I had Ellen, the twenty-something physio assistant. She was pregnant and spent her Saturday nights at the Cossie Club in Upper Hutt, listening to her boyfriend’s covers band.

I learned that the eleven o’clock ladies were a group from Arthritis NZ who had been coming to the pool together for years. I listened to them as I shared their changing room or waited for their stragglers to make their way out of the pool, politely cursing the cold. Over the weeks I came to recognise them individually by their swimsuits, their different pained walks and their cheerful – or grizzling – interactions with Ellen. Often I would arrive early, and Ellen would let me join the last few women in the water as they finished up their exercises. They welcomed me enthusiastically, complemented my swimwear, and missed no opportunity to tell me about their grandchildren. At some point Francine (seventy-ish, purple togs, gold jewellery, cleavage) invited me to join them for morning tea at the hospital cafe, where they would meet after each session in the pool.

Because I was spending a lot of time by myself at that point, coffee with the eleven o’clock ladies became a much-needed ritual. I would always arrive after them, and they would interrupt their conversation to fuss about making a space at the table for me and my walker. The chat never strayed far from grandchildren and domestic life, but they weren’t your usual group of Lower Hutt grandmas. I enjoyed watching their stories unfold like characters in a novel, each coffee-date chapter in elaborating a little more on their past and current lives.

Grace, stoic and selfless, lived with the daily trial of Lupus, but never complained about her own symptoms, even when it was obvious she was suffering badly. Maria, shy and pale, wore the thickest glasses I’ve ever seen. Helen lived in a council flat in Epuni, and was surprisingly candid about the abuse in her past. Linda, an Australian property manager, enthusiastically warned against renting to Samoans. Annie, younger and slimmer than the others, had moved to Lower Hutt from China for her husband’s business interests. Shanthi’s kids had left home, and she was filling the gap with a community arts project.

They were all so different, but they were strong allies, and very generous with each other. I often noticed them swapping sewing patterns or excess beetroot, and we all received baked goods at Christmas. They welcomed me into their club and were delighted that I was half their age. They asked every week how my driving was going and always noticed if my mobility was worse than usual. They knew all about pain and weren’t afraid to talk about it, but always made me smile. The 11 o’clock ladies were an unlikely support group for a twenty-eight year old coming to terms with Muscular Dystrophy, but I couldn’t have asked for better.