Friday, May 02, 2008

The narration of disabily: when the story goes on without us

Sometimes the story carries on without us. That’s what happened to me for much of the day. After waking and spending an hour reading the Blue Cross BC 2007 annual report; finding the name and direct number of the senior vice president of Human Resources at Blue Cross, and calling her to discuss possible training issues in the call center. I later received a call from a manager of claims and service, Melanie, who was the opposite of everything I expected; she did not say, “company policy” or “not possible” a dozen times but rather thinks like, “We have failed in our service of your needs and need to expedite this claim.” Wha? Oh darn, now my righteous anger has nowhere to go.

I explained my emotional situation and some of the wording of the forms and discussed the medical needs behind the claim as well as emphasized that prior to this our dealing with Blue Cross had been positive. Melanie (who DOES have a last name and gave it to me), said she is going to deal with my supplier and call me on a daily basis to let me know the progress. Huzzah!

I also asked her to not be punitive to the people from the call center who had obviously little options and who suffered what I phrased a “lapse in adequate training.” And she agreed it was a good opportunity as an example for training. I don’t know if you have every seen me on a roll as a “bullshit detector” but when Linda came out telling me about the two hours conversation with Blue Cross I went on full mode, and to be honest, you really don’t want to be on the end of that. I apologized to both Melanie AND to the vice president for the concentration camp comment but pointed out that probably the response that Pacific Blue Cross DID NOT want coming from customer service reps was, “Yup, I’m just like that, I’m following orders!”

I actually had to end the call early with Melanie because I was unable to breathe and looked down and saw that not my finger nails but parts of my fingers were blue. I tried to make it to the door and the oxygen but only got about four feet. After several minutes I was able to reach the dropped portable phone and call Linda. She could understand me enough to leave work and come home. She found me and put on the oxygen, then my home care came. After about an hour I was strong enough to be moved to The Chair. Linda left and my caregiver stayed. Thirty minutes later I had some sort of seizure which paralyzed my right side and turned it kind of purple. Here is a picture of my hand. It also made it impossible to speak and for a while my face writhed on the right side before it ended up in dropsy.

My caregiver stayed with me an hour, giving me liquids by straw and interpreting my small left hand signals. And then she left and I was stuck there in the chair until Linda came home. I know that for many people this is how things go, but it was a first for me, to have almost no use of the left arm and none of the right. I just had my body and head supported by the chair as I stared at what I was pointed toward, a one foot by two foot patch of sky. It was raining.

I think this is where I am suppose to have all these profound thoughts while in a body that is unresponsive; do chess games or think about cooking recipes. Sorry, not that kind of person: mostly my thought was, “wow, this REALLY sucks” and “I hope a bird accidentally flies into my window so I have something new to stare at.” The left hand came back as well as part of my neck which meant I could sent some emails letter by letter and watch some Law and Order. Also, since I left the camera near the computer I used to take a picture of my face, which has a wee bit of dropsy. PLEASE, don’t use THIS pic of me as your screen saver. I took a picture of my right arm since it was a couple hours and the words, “Blood sausage” kept coming to mind when I looked at it.
And that was about it. Linda came home and manipulated me into a wheelchair and into bed and I slept and now though I don’t smile EXACTLY even, I have more use of both hands. So, for another day, I escape (meaning that could be how I am...from now on, but it isn't). I thought it important to write about this because this is my life: 10K on Sunday, housebound in pain on Monday/Tuesday, off to fight the establishment and bricklayers on Thursday and spend an hour staring at our thread count and then another hour or two at what was a pretty unremarkable piece of sky. And yeah, tomorrow, if I can hold a racket, I will probably be off to play badminton. So if you think I am wheeling from one adventure to another, you would be right, it is just some of the adventure is of the mundane variety (breathing is always high up there).

Between the pain of last night, when my blood pressure was 167/149, and today when the caregiver held my head and torso until the synthetic opium kicked in as I struggled to suck in each breath, yeah, I thought, “Is this what I am hanging on for?” Not that moment of extreme pain and darkness I get where I think, “well, maybe this is it.” But that other thought over dozens of minutes, when the question of “Why??” seems high.

Three days ago, full of fire, finished a 10K, people giving me congrats, I was feeling like, “Why shouldn’t I live at least two more years. I don't see why not?”

This afternoon, after only 18 hours of pain exquisite, after waking up at 6:30 so hot that it took four ice packs to stop the moaning pain another view pops up. A doctors appointment with more parts of me “officially” failing and no offered solution and I wonder HOW, if this is what a few degrees warmer does to me how I will survive summer. I don’t have perspective, I am exhausted, burnt out and in pain. My caregiver found me on the floor and kept saying, “What is it you want honey?” Linda told her, “She’s saying, she “won” not “want”.” (I had beaten Blue Cross, but at what cost?) Of course the calls kept coming; at 4:30 Linda picked up the phone and said, “Well, I COULD put her (me) on the phone with you but you won’t be able to understand anything she tries to say.”

Anyway, I am sure that great things happened, and people went into gardens and into town and lived full lives. Today, that story passed me by. It was just heartbeats, breathing and getting from floor to chair to bed and back to chair. Surely that is some sort of narration of disability.

21 comments:

A Bear in the Woods said...

There are billions and billions of stories out there and yours is one of them.
I've learned a lot from you.

cheryl g said...

Hey Sis

Fair warning to you that I will do an assesment when I see you and we can discuss what adventures we will have. At this point just from the pictures I strongly suggest giving badminton a miss even if you can hold a racket.

It's supposed to be nice tomorrow. Do you have peanuts? Visiting the squirrels might be a fun choice.

See you in less than 12 hours.

Elizabeth McClung said...

Bear in the woods: Thanks - ditto.

Cheryl: Oh great THIS is what I great from an older sister - I am SO recovered, I can speak AND use my hands, not at the same time but hey...

FridaWrites said...

Ooh, I'm up late for a change. Good for you for calling up the chain with the insurance co. The woman who called you sir and the other man who was so rude probably thought they could get away with it and that no one would bother or be able to figure out how to complain.

Neil said...

Ah, nothing like the "recorded for training purposes" tapes to get action when the reviewer hears "human right complaint!"

You're a brave woman, Beth. I wouldn't have the courage to post a photo of myself feeling like you look.

Clues are like UFOs. Some people are looking for them, some are willing to believe they exist and be led to them, and some won't admit their existence. It sounds like you found someone today who might be willing to realize that the clues are out there.

I nearly posted something terribly tactless and clueless last night. Fortunately, I revised it, and this morning I realized what an idiot I nearly proved my self to be. I THINK I'm a little closer to having a clue today.

Thanks for doing your best to lead us non-disabled ones to the light, Beth. I know it's a bloody nuisance to have to wage the same battles over and over, but eventually, the world will get it. I hope!

Sending positive vibes, hugs, and best wishes...

Elizabeth McClung said...

Frida: I won, but I've yet to see the bed - and as Linda says, "what cost to you?" Thanks

Neil: Well one advantage is *I* was the one recording the conversations, I told the people yesterday that and I told the people today that. I also recorded the exact times I talked to each person so it was easy for them to find each person and thier log.

As for the picture - I think I just got insulted! Seriously, didn't I say this was a ride though the up and the down - my life isn't all about smiling and having control over my body and I thought it important to show that (yeash! What bed head, well, floor head to be exact!)

I don't know what you are beating yourself up over but I am sure it is not as bad as you think - you haven't impressed me with your evil, to put it mildly (yeah, that WAS a backhanded compliment).

Stephanie said...

Good that you finally got some movement on your bed. (Wait, I didn't mean that kind of movement...)

I think a lesson that we all can take from this is that whenever we have to deal with insurance agents, bureaucrats or anyone who has the power to deny us something that we need, record the call.

In some jurisdictions you may be legally required to tell the other party that you are recording them, but that is OK. Announcing: "This call is being recorded for my records/protection" may help them be on their best behaviour and make them aware that any fib they may try to fob off on you will be on the record.

If you have to deal face to face, get one of those MP3 players that can also record, turn it on and place it on the desk in plain view.

As Beth says, keep logs of times and also get the person to say their name on the recording.

The tools of our surveillance society can also be used by the People.

SharonMV said...

Glad you were able to fight & win that battle with the insurance co., but wish it hadn't taken so much out of you. I agree with Cheryl - I think the squirrels would be happy to see you.
Life with all it's narratives goes on without me every day. But my story will still be worth telling, I hope.
Thank you again for sharing yours - all of it, ups & downs,

Sharon

Lene Andersen said...

Congrats on getting through to Blue Cross. Amazing how bugging the higher-ups can move things along, eh?

The rest of the day sounds awful. I appreciate your willingness to document everything - both good and bad. That takes a lot of guts. And couldn't the worker at least have parked you in front of the TV?

Glad you're still here.

p.s. I'm with Cheryl. Stay away from badminton until next weekend.

Heather said...

You look bad in the photo--pale and exhausted. But it's the other half of the boxing and wheeling photographs. All part of the story.

But why oh why do you have "neural spasm" written on your arm?

Oh and a total tangent: you might find a recording by David Halperin called "Tragedy Into Melodrama: Towards a Poetics of Gay Male Culture" interesting. He's working though some of the same narrative issues that you're facing. What genres and tropes can be used to construct a narrative about experiences that are not seen as fully human?

http://www.tvo.org/podcasts/bi/audio/BI_Full_Halperin_021608.mp3

Dawn Allenbach said...

We all have days where we wonder why we're still doing what we're doing, but some of us have those days more often. You have always struck me as the kind of person who puts your all into everything you do, thus your good and bad are at extremes. You keep going, though, because you DO still have the good days.

I also dare to say your love for Linda keeps you around a while, too.

Dawn Allenbach said...

Cheryl -- I hope you do manage to talk her into squirrels rather than badminton.

Beth -- Listen to your sister! She's an EMT, for cryin' out loud.

yanub said...

Congratulations on getting through to a human. I am amazed that Hell, Inc., has any on staff.

I like you putting up pictures of yourself not looking your best. I'm one of the majority guilty of only ever showing people pictures of me that look good. And you never see a picture of me, so that tells you something right there. You, on the other hand, are brave in being who you are, no matter what you look like in any sense.

I don't see this particular story as having gone on without you. Though the paperwork finish took place without you, it would not have come about at all if you hadn't been ringing the bells. You are quite the mover and shaker, even when you are lying on the floor. I hope you are now up to celebrating your victory in some way.

Neil said...

No, Beth, no insult intended, honestly! Since you were being so honest, I simply took the honesty ball and ran with it. You LOOK like you feel like crap; I've felt like crap and imagine I don't look much different from that photo on occasions; and I wouldn't have the courage to post how *I* look when I think I feel like you feel when you loo...

[deep sigh] I'm digging myself deeper, aren't I?

Okay dear beautiful Beth; I'm sorry if my comment came across as an insult. I offer two hugs as an apology and I promise I won't use that shot as a screen saver.

But you DO look much better playing tennis on YouTube - for those who haven't seen it. I was trying to find out why Wheelchair Dancer uses that name, and ran across Briana Walker, and others strutting their stuff on YouTube. I - well, I'm close to saying "I wish I could do that." However, I'm sure you'll understand why I'm having second thoughts. Let's just say that I'm in awe of all that strength and grace. I respect your anonymity, WCD, but I confess I'd love to see you perform too.

Elizabeth McClung said...

Stephanie: I just keep a record of all interactions because when someone promises something on date X and date Y and then date Z you can say, "Well on blah blah you said this and on blah blah.....what evidence do you have now that I should believe you. And with my brain, I record most things now, particularly doctors specialist appointments.

Sharon: Thanks, Linda thanks me for putting this post out becuase she said it isn't all about me looking good or doing exciting stuff but the whole picture. And sometimes the narration is simply, "Had bad day, couldn't get out of bed"

Lene: Well it does help becuase the higher ups are trained to say, "No, stay away" but are the ones making policies to "help people"

Uh, I guess they would have if I HAD a TV, but I don't so, um, I guess a bit of sky is good enough.

Baha! Too late, I was on oxy on morning and went to badminton anyway.

Heather: thanks, exactly, it is the other side and it is the side I don't get to control, this is what autonomic failure means, nice unpredicatable actions (Linda would say "Well if didn't do X, Y, and Z all the time, maybe it wouldn't be so unpredictable" - and I reply, "Okay, but if I didn't do X, Y and Z, I would be a boring person...."

I needed to write something on my arm to tell my careworker why it looked like a bunch of snakes had invaded my face. I will look at David and get back to you.

Dawn: Yeah, I tend toward extremes, and I play so I pay, only there isn't always a direct connection. And Linda helps me keep things in perspective.

And I managed to convince Cheryl that badminton was best for BOTH of us (hey, that's the job of little sisters - to get what they want!).

Yanub: Thanks, I did want to put up something to show people a bito f what my doctors and workers see and yeah, I am a little in shock that they seem to want to work with me instead of over my body. I will celebrate WHEN I am in my new bed.

Neil: I got what you meant, but I still had to give you a hard time with it. And yeah, I do look better playing tennis, but I was in spasms until 3:00 am after we took that video. Oh well, that's just how things go, at least for me. I just have to launch myself forward in the chair anyway and do it, because lying still and hoping Mr. D. doesn't notice me isn't going to work. So might as well play when I can and rest when I must. And when things go, "Hmmm, half of my face is sliding off" - then that a rest day.

Raccoon said...

Reminds me of how I spent most of the first month after my rehab: sitting in a wheelchair staring out the window.

Sweetie, be careful of pressure sores -- you already have poor circulation and the sores can creep up on you really fast.

As for insurance companies, I've had to bite my tongue more than a couple of times. But you manage to get a name, and a phone number, so that's a step in the right direction to getting you what you need.

Raccoon

Neil said...

Badminton is good. But what about the poor, starving squirrels? They need their Queen! Do not forget your subjects, my Lady!

I hope it was a good day, and you can sleep tonight.

Love, badminton, squirrels, and a Cause to keep you busy: what more could Beth want?

Hugs to both of you, and to Cheryl!

Neil said...

Oh; Miyazaki's "Spirited Away" was okay, but is the "real" version available in Canada at all? I meant to call the most likely source for it but forgot today.

Thanks!

Lene Andersen said...

"(Linda would say "Well if didn't do X, Y, and Z all the time, maybe it wouldn't be so unpredictable" - and I reply, "Okay, but if I didn't do X, Y and Z, I would be a boring person....""

Just to be one of those annoying sisters/cousins/whatever we are, maybe Linda is right. Or maybe there's a happier medium, y'know, one that doesn't contribute to your face sliding off? I get that you're an all or nothing kind of person (because I live there, too) and too much caution isn't good, but it could be argued that dialing it down just a smidge might make the bad days a little less bad. Could be worth investigating perhaps?

Just throwing it out there. ;)

rachelcreative said...

Looking for something uplifting to say and am about as succseful at that asyou were being all zen whilst staring at the sky. :o)

So i'll just say I'm up for reading the sh!t times as much as the upbeat stuff.

i wish for nothing but good times and joy for you. if there's still awful times i'm still listening.

(excuse typing - done something hurty and bad to my arm. sure it will pass quickly tho)

Gaina said...

Your carer LEFT YOU!? In that state!? If that's care I'd hate to see their definition of neglect!

You'll get your spoons back, don't worry (some of them might be a little bent, granted but you'll get them back *wink*).

re the photos: You mean a person's fingers aren't supposed to be that shade of purple? Oh crap...haha

I hope you have a GOOD week xxx