What I've Been Thinking About

Maybe it's something about turning 30, but I have this urge like never before to have a baby. No, not just to have a baby, to have a baby. There, I said it. It doesn't mean I'll actually do anything about that—since that would require a lot of planning, given the sort of relationship I'm in, but I feel it deserves some attention.

Let me back up. When I was first diagnosed, I remember sitting in the office of the esteemed shoulder doctor, my head swirling with questions, hands shaking as they clutched the handwritten lists I'd written but forgotten. My eyes quickly shifted from the brilliant x-rays illuminating my useless bone held together by titanium plates and screws to the surgeon's white coat and kind face to the door. I wanted to run, to escape the future, to forget the words I'd just heard.

“What do I do now?” I stammered.

“There are support groups,” he said. “See a genetics counselor if you want to have a baby. We can talk about what to do if you need more surgery...”

No, no, NO!!

I wanted to scream, to shake him, to tell him that I didn't care about surgery or a baby, that I was 19 and that all I wanted was for him to be wrong. I've been told that my face doesn't mask emotion well, so I'm sure he got it. I know Cam did. We drove the 2 hours home in unusual quiet, occasionally making small talk.

Over the years, Cam and I talked about having a baby, but as my body got worse it seemed obvious that a pregnancy would be hard for me. Not that it would have mattered—since Cam was a little girl, she's wanted to have a baby. She carried the Poodle and her pregnancy was wonderful. I never felt I missed out on anything. Until now.

Cam thinks she might want another baby “in a few years.” Until recently, I was perfectly content, but now I am struggling. It's new. Foreign. We talk about it, but it's painful.

I don't want to give the wrong impression here. Adopting my older children was an amazing journey. I was blessed with four precious beings that I treasure each day. When I think of them, especially of Atiyyah and Miss Puggles, whose birth parents I do not know, I often think there was some sort of mix up that led to their being born into the wrong family and just taking a little longer to get to us. Since I know Old Boy and Monster's biological mother, I feel a little differently—mostly thankful. She gave us the most selfless gift of all, the gift of our boys.

It's not that I don't want to adopt another child, it's just that the internal voice won't relent. That damn maternal instinct (which should be satisfied by parenting four children despite the constant gnaw of pain and pummel of exhaustion) screams, “Time to have a baby!”

And what about that EDS anyway? I may catch some flack for this, but even if the stars were to align and my hips and spine were in good shape to carry a baby and I were off the cocktail of pharmaceuticals, I feel uneasy when I think about knowingly passing this on. Yet I feel just as badly about knowingly saying, “Uh-uh” to the little EDSers-to-be during a potential genetic counseling appointment. What if they had my eyes? My mind? My...? (And this from a staunch defender of reproductive rights. Do you see the mayhem that the big 3-0 has brought to my mind?!)

It's all hypothetical...if that. I will never be able to have a baby. This body barely holds itself together enough to support me, let alone me +1. I've known this for years. I'm fortunate that I have 4 living children. I'm fortunate that I have a partner who could potentially carry another child. I will never be able to have a baby. I've known this—somewhere within myself—for years.

Why then, does typing it bring tears to my eyes?

Chief Complaint: Exhaustion...Any Ideas???

When I was younger and yet to be diagnosed, I had my fair share awful encounters with the medical world. Doctors thought I was faking injuries and ailments, self-inflicting them, that my parents or someone around me was hurting me, that I needed to be institutionalized...the list goes on and on.

Thankfully, that's not usually the case anymore. I occasionally encounter doctors and other professionals that don't understand EDS and make insensitive comments or propose treatments that are inappropriate, but as an adult who is able to choose her own providers, I'm quite happy with my team. There is one area of exception, though.

For the past year or so, I've been exhausted. I'm not sure when my energy was zapped, but I am perpetually operating in a state of "tired"--from the moment I wake up until I go to sleep. I remember a time when I wasn't so tired; I just don't remember when it was. This was of concern to my various doctors until all the tests came back "normal." Then quite a few of them settled in to that oh-so-comfortable default position of "blame the patient." Sort of.

My neurologist said it was because I was in pain and depressed and not eating well. My rheumatologist said I didn't seem depressed but also blamed the pain. My psychiatrist agreed that I wasn't depressed and didn't know what to say about the pain. Maybe acupuncture.

Ok. I understand that chronic pain can cause depression, which can fatigue. I'm really not depressed, though. And on top of the constant fatigue, I also have crushing "attacks" where I suddenly feel completely exhausted and out-of-it, as though I've been awake for days. When these come on, [which is more likely mid-morning, late-afternoon or after being in the sun] I can barely keep my eyes open. (I think this is due to a weird ocular sensation, but it's hard to explain.) When Cam witnesses these, she can see a physical change, although she's not certain the change would be obvious to people who don't know me, besides my seeming tired.

My internist was concerned about narcolepsy, so I had a sleep study. Of course, I couldn't sleep that night--go figure. What the study did show was a complete absence of REM sleep and mildly reduced sleep efficiency. The physician reviewer attributed the lack of REM to my Fentanyl & Dilaudid and still considered the study fairly normal. I do need to have another one, including the MSLT now that I'm out of my cast.

Has anyone experienced this? What do you think? I'd love some opinions, answers and treatment suggestions...this exhaustion is what cripples me more than the pain, fusions, GERD and all other symptoms combined, if that says anything.

Thanks in advance.

*Xan

When A Doc Gets It

Of course it's been nearly 2 months since my last entry...what else is new?!

In my defense, my computer was virus-stricken during that 2 month period. It just returned to me, thanks to my Ninja-Warrior Brother-in-Law who also happens to be a PC repairman. Here's some unsolicited advice (this is my blog, after all): Back up your files, especially pictures and videos of your loved ones. I managed to recover most of what I lost, but it was no easy feat.

When I last wrote, I was not-so-patiently waiting for that darn cast to come off. I'm happy to report that it was removed as scheduled and that I've been hobbling on two feet, assisted by my trusty walking boot and forearm crutch/es for some time now. Even better, at my 2 month follow up, my ankle appeared to be solidly fused. That was great news, as solid union wasn't really expected until about 4 months. I'm all for speedy healing.

I had a milestone birthday this year (complete with a fabulous surprise party), but I'm not too broken up about it. I don't feel any older than I did last year, and despite being a mama and hobbling around like an 85 year old great-grandma, I still have difficulty seeing myself as a real adult. (College students just seem younger each year—what gives? And high schoolers—don't even get me started!) So getting older didn't bother me too much. What did bother me that day was the news Cam brought home from the hospital about my orthopedic surgeon—that he was leaving the practice and moving out of state.

I spent the rest of the day with a lump in the back of my throat. Ortho-Doc has been my only specialist up until this year. I started seeing him the year after he joined the practice here, right after he finished his fellowship. In the beginning, he was very eager to fix me, to do for my right shoulder what no one had been able to do for the left. And while he always respected my wishes when it came to treatment, to surgery, it wasn't until my first (or maybe second) right shoulder surgery failed that he began to truly understand how I ended up with a left shoulder fusion at the ripe old age of 19. Since then, he's let me make all the decisions. When I want to go the surgical route, we come up with a procedure. When I want to try injections or pain management or physical therapy, he facilitates that. In a most un-surgeonly way, he actually listens and involves me in my own treatment. The thought of having to find someone else to deal with me (especially when many surgeons don't want to touch an EDSer with a 10 foot pole) was most unsettling, especially since I'm still in need of more work on my shoulder.

Turns out all is not yet lost. When I actually went in to see Ortho-Doc, he confirmed that he is leaving the practice, but he'll only be about 2 hours away. While I've been quite spoiled over the past few years by being able to roll out of bed ½ hour before my ortho appointments, I'll take the drive if it means not having to deal with someone new! Thankfully my new insurance covers out-of-state specialists. I'm angry and eternally grateful all at once...grateful that I have doctors who are actually willing to [try to] figure me out, treat my pain, and treat me with dignity. STILL, I am angry that this disorder and the thought of losing one of the members of my “team” reduces me to an anxious mess (on my birthday, no less) and that the anxiety isn't unwarranted!

Every doctor should be like Ortho-Doc. Every doctor should “get” it, should treat patients well, involve them in their own care. I'm finding that more and more doctors are at least minimally informed about Ehlers-Danlos Syndrome and are eager to learn. I've had fewer “Oh, so you're a circus freak,” remarks recently. I think we're getting there. Still, I'm going to hold on to the good ones I have!

Be well!

*Xan

Rainy Day Rant

Someday I'd like to believe I won't have to apologize for the length of time between posts. (Absence makes the heart grow fonder?) I am sorry, though. My dear Puggle (AKA my sweet daughter) had a few rough months, but is feeling better. Nope, I haven't updated her blog either. She does have a CarePage, so if you want to stay slightly more up-to-date on her medical stuff, send me an e-mail. Now let's get to it.

I wrote an entire post about my ankle fusion, which went off without a hitch on April 28^th. I'd like to think it was informative, so I'll probably post it sometime in the near future. (I'm guessing some of you have bad ankles, too and might like to know a little more about the whole ordeal. Short synopsis: it wasn't so bad. I think I'm in more pain from having been on crutches for 19 days than from the surgery. I may have a different opinion once I start walking on the screwed-together ankle, I suppose.)

But for now, I have an entirely different agenda. If you'd like a totally feel-good post, you might want to read elsewhere. I may have mentioned earlier that I'm not always a most cheerful person. Although I've brightened up considerably since my emo-ish adolescent days, I don't quite fit in with the other PTO moms. And if I were to pick an alternate title for this post, I'd borrow the words of a bendy friend and go for: “Dear EDS, Fuck You.”

I'm not sure if it's the 19 days of hobbling or the 3 days of rain or the 2 sickly children, but I've had enough. I've had enough of the damn cast, the hospital bed, the feeling of impotence as I watch my family live their lives from whatever seat I'm consigned to at the time. I miss my bedroom, located on the unattainable 2^nd floor of our house. I miss the time when traveling from the living room to the kitchen didn't require prior planning. I miss feeling like a contributing member of anything.

I went in yesterday and had my stitches removed and a new (hopefully final) cast put on my ankle. If all goes as planned, in two weeks, I'll be out of this cast and back in a walking boot (although there will likely come instructions not to do much walking.) This will give me the freedom to climb stairs, carry the Puggle, and do a whole lot more without difficulty (drive, shower, etc.)

Why, then, can't I just look forward to the nicely-fused, cast-free future (i.e. May 31^st @ 9 am, not that anyone's keeping track)?

Because EDS just hasn't given me a break—EVER. Every time I thought, “This is it; I'm done,” out popped some new symptom to be dealt with. Dislocations or pain or dysautonomia or migraines or seizures or reflux or medication intolerance. It's been a long time since I've felt like ME...sometimes I don't even know how that's supposed to feel anymore.

Then again...just when I've resigned myself to a certain level of disability, hope does seem to shine through. Last year, I thought I was wheelchair-headed for sure, but now I don't know. I managed to walk pretty well for a while this year. My new knee brace is promising. My new ankle is promising. I finally found a medication that stopped the headaches. And while I may not be able to eat bagels, my stomach and I are on slightly better terms than we were last year.

So here's the truth—I'm scared. I'm scared of what the future holds. I'm afraid of failure. I'm afraid I will never be able to stop crying.

That may not be very encouraging for those of you who are newly diagnosed or wanted something uplifting, but that's the truth. I want a life that is more than a collection of diagnoses and a laundry list of (failed) surgeries. I want a life in spite of it. I have 4 children who need me. When I was first told I had EDS, at age 19, it meant little to me. It explained my crazy joints and rationalized a shoulder fusion. I had no idea how great the impact would be. I don't think my doctors knew. Ugh. (And if they could see me now!!)

A rheumatologist I saw had this to say about EDS:

“We used to call EDS 'Benign' because it doesn't destroy the joints in the same way as say, Rheumatoid Arthritis, does without treatment. We no longer call it benign because while it may not destroy your joints, it destroys your life.”

True.

But while I'm glad ecstatic for the understanding, and while I am afraid of what the future holds, I refuse to let EDS destroy my life.

And while I don't knock any of the following, I just wish there was treatment besides writing, crying and camaraderie. And joint fusion.

-Xan

P.S. I will have better things to write about in the near future. So thanks for reading and I'd by honored if you continued to do so!

Good Bones, Bad Bones and My Beef with Winter

I saw my ortho doc on Tuesday for the monthly shoulder check. In the beginning, I think he was just waiting for something to go wrong, but now 3 months after surgery, my shoulder is starting to feel better and the bones still look good. This time he also wanted to get x-rays of my ankle, which has been causing me a great deal of pain lately.

General verdict was that although the ankle x-rays looked good, bone-wise, the instability and pain aren't just going to go away. Fusion is still my best bet, as the one orthopedic procedure I've been satisfied with throughout all of this is my shoulder fusion. I told him I wanted at least six months to think about it; he offered to get me a better ankle brace while I figure it all out.

If only things could ever go as planned.

Winter is here in New England. On Tuesday, a sudden dip in temperature turned local roads and sidewalks into sheer ice. Unwilling to risk life, limb or child, I was quite hermetic between mid-day Tuesday and Thursday afternoon, when I had to drop my car off at the dealership for some repairs. By that point, most of the ice and snow seemed less hazardous—or so I thought until I slipped on the way out of the auto repair shop. I landed in a heap on my “good” knee, twisting my “bad” ankle beneath me. Despite being a little banged up, I felt less hurt than I was mortified and quickly regained my composure in order to right myself.

Getting up was worse than falling. As soon as I stepped on my ankle, I could tell it was bad, even through my snow boots. I usually have pain, but enough stability to walk in a brace without dislocating. Now it seemed, my ankle was clunking in and out with each step. (Cam was so disgusted by the noise that she all but forbade me to walk.) When I did walk on it, I immediately saw stars.

Back to ortho doc. (2 appts in 4 days: not exactly the sort of record I'm going for.) His words: “I've never seen anything like this.” With EDS, I get that a lot. Nothing fractured or dislocated, but Tuesday's “good looking bones” now had remarkably more joint space. Not surprising that the bones were sliding around much more than usual. Ortho doc's hope is that the fall caused some bleeding and swelling which temporarily worsened things; my fear is that I'm going to be stuck this way until the fusion, which I didn't want to schedule hastily.

For now I'm back in a walking boot with a rocker sole, so at least the audible clunking and associated waves of nausea have subsided. My fear of requiring emergency surgery, at least, was allayed. The boot allows me to walk and keep up with life, a privilege I don't take lightly.

Really hoping that the snow/ice/freezing part of winter is over. Please?

Staying Well When Life Goes Wrong

People who know me in real life would probably laugh at the thought of me writing a feel-good blog post. I'm not a negative person, per se. I'm just, well...intense. Passionate.  A hell raiser. I'd like to think of myself as injustice intolerant.

Recently, it seems many people I know just haven't had a break--whether their troubles are their own health, that of a loved one, financial difficulties, grief and loss issues or some combination. Beyond that, there have been a number of devastating events reported on the local, national and international level. Here in New England, it's bitterly cold, which only seems to magnify the pain.

But while I could probably give a million reasons NOT to be happy, I'd actually like to change focus--not to the million reasons to be happy, but to the importance of taking care of yourself when nothing seems to go right.

I know, I know--you've heard it before. It sounds hokey. And the fact of the matter is, I'm no expert on the subject of self-care, self-soothing, etc. You could Google either of those terms and probably get lots more ideas than I will provide. But here's a reminder to do it! Do something nice for YOU. Do something that makes you feel better and be ok with that.

Want ideas from a twisted sister? Fine. These things help me:

·         curling up on the couch with my Snuggie and watching something completely mindless

·         taking a bath

·         playing around with photos on Picnik

·         drinking coffee, sometimes even flavored

·         looking through/organizing old photos

·         sleeping

·         reading the Onion, finding articles with stumbleupon

·         finding new blogs, feeds to read

·         buying new socks--especially patterned!

Again, find something for YOU. Find something that makes you feel better and schedule it into your day. Make yourself a priority, even if only for 15 minutes. And if you're able to get physical activity, I'd highly recommend it. I was a competitive swimmer for many years and being in the pool improved my mood like nothing else. And even after that, before my body really couldn’t hack it, I felt better after getting out of the house and running. Or walking. Or hobbling.

Also, for those of you with chronic pain or fatigue, I cannot express how important it is to maintain human contact. As hard as it can be, especially on a bad day, to pick up the phone and call a friend or a relative, it can make such a difference. I love spending time with my best friend because it helps me forget about everything else in life for a while and just feel normal. Even if you don't feel like calling anyone you know, make a point to go out in the world. Smile at a stranger. We're all in this mess together.

When people don't seem to understand us or our children or our situation, it hurts. Sometimes it's easier to avoid talking about the difficult topics than it is to confront the people in our lives who mean well but just don't get it. (This sort of gets into that whole, "But you don't look sick..." issue, which I’m also not the authority on.) It takes time. I was diagnosed with EDS 11 years ago and it's still a work in progress. I'd like to believe that people have the best intentions. I know that my own independence (and stubborness, and shame...) is often what forces people to keep their distance. I also know that when people are so upset by a situation (e.g. the death of a child or the illness of a once-strong adult), they react in ways that seem counterintuitive: by shying away rather than embracing, by remaining silent instead of comforting. Humans are odd, imperfect creatures.

So again...if you're struggling right now for any reason, please know that you're not alone. Take care of yourself, allow yourself to be cared for and if the burden is too much ASK FOR HELP. It's ok. It doesn’t make you weak to need someone. It makes you human.

I don’t know why I felt so compelled to write this instead of sleeping, but I really hope that someone reads it at the right time.

Hang in there and keep raising hell!! You’re all in my thoughts.

Cyber-hugs from the non-hugger,

Xan

After re-reading, I thought I should also note:

If you [or someone you know] are really at your end and feeling as though you may hurt yourself or someone else, get help NOW. A mental health emergency should be treated like any medical emergency. Call 911, emergency services or get to an ER or mental health emergency service location. Need to talk to someone first? In the US, the National Suicide Prevention Lifeline is 1-800-273-TALK (8255). I'd like to think that life's worth living, despite all the hard stuff, but sometimes it takes a little help to get there.

Still Twisted

Sometime in November, my laptop decided it hated me. As in, I shut it off one night and it decided it just didn't want to work AT ALL the next morning. I just got it back from Dell with no indication as to what was wrong in the first place, but it's working again, so here I am.

(I wish I could have slept through 8 weeks!)

Actually, the "Holiday Season" was fairly pleasant! There's nothing like Christmas with 4 little kids. I had more than a fair share of painful, rotten days in November and December, but they were improved by cuddling on the couch and watching Christmas movies with my kiddos. On the better days, we did all the things we set out to do this year. Cam and Old Boy decorated the house with Christmas lights, we went to a number of events, made cookies, decorate gingerbread houses, got a real tree...Good stuff. This was the first year without Atiyyah that things didn't feel soul-crushing, the first year in this house and hopefully the first of many more good things! Now that Christmas and New Years are over, we're headed into New England's deep mid-winter of frozen gloom, but I'm glad to have the laptop back and to re-connect with my "friends in the box."

I received a Snuggie and slippers for Christmas, so my couch days are now a bit more comfortable. The Snuggie was sort of a gag gift from Cam, but after I let her borrow it one night, she went out and bought one for herself. I would highly recommend it for anyone who's spending as much time on the couch as I am these days. To be fair, there's not a lot to it...it really is just a "blanket with sleeves". And blanket is a bit of an over-exaggeration. It's a single layer of fleece with sleeves and a pocket or two. If I didn't need to spend so much time being horizontal, I could certainly sew one. "I bet I could improve it too!"--bonus points if you can guess my favorite movie from that line, without Google-- But alas, EDS has got me down these days, and I'm thankful for my pre-fab Snuggie.

Other than the couch and the Snuggie...thinking about a few surgeries. Fun, right?! But, seriously, I need an ankle fusion, as my left ankle is a dislocating disaster. I went through a big made-up surgery for it last year, but it showed early signs of failure that have progressed to constant pain despite non-operative treatment. Cam is starting classes with the hope of changing careers and the Puggle has some invasive procedures/surgery ahead, so we're thinking late August 2011, which will give us some time to prepare, get through the Puggle's struggles and for me to be off crutches by next winter.

But for now, I'm more concerned with the day-to-day than with anything 7 months away--major surgery or not. The Poodle is now a walking maniac, the Puggle is becoming more playful, Monster and Old Boy are enjoying snow days and hot chocolate and wintery things while I seriously consider moving to a more temperate climate.

I hope you're all comfortable in your bodies in your life. And to quote the first line of my favorite Christmas letter this year, "I hope this finds you well and if not, that 2011 is a better year for you!"