Saturday, August 01, 2009

Part I: Wanting to be ‘not here’

There is a heat wave. With the heat wave I sit in a small box, and stare at the wall. This is where I do things. This is where I am. For all time, for as long as I can remember. The windows in my bedroom and study are insulated with foam and tiling and so I wake in darkness, I sleep my twice a day in darkness, darkness and my four feet by two feet is where I live. The computer and INDY sit by the air conditioner. Other people walk outside I see on the internet. I imagine things, I remember things, like jogging. But now I sit in my space between two walls.
There is a heat wave which stayed above 32 degrees C. for a week. It makes it too hot to sleep as I sleep on ice and wake in pain from my skin stretched, my veins bulging from being unable to sweat. I have no way to cool myself down. The apartment gets hotter every day. The workers do not touch me; there was one that used to touch me but they took her away. So since I sleep as Linda returns home and she sleeps as I awake, and often she is so hot, hotter than the heat wave, that a hug is an assault of pain. And yet my body yearns for touch. Yearns to see outside, to see a bird, to see anything but the wall.

In prison everyone gets a hour ‘in the yard’ – they get to see the sky and the sun and talk to people. Even people in high security lockdown get time ‘in the yard’. To not go outside or see outside or talk to anyone is a punishment, it is called Solitary. And even there the prisoner has the guard. “Sometimes all the prisoner has is the guard” says the ex-prisoner in Life. Meaning, humans are so desperate for someone that they will obey to get love or just talking: Stockholm syndrome, animals dying without companionship. Rabbits have plushies and are next to each other, cats get to come out or visit. They are not in pain for all memory, in each second. They are not alone.

When I go to see the cats, it is MY time to see the sky. The cats can see it every day.

I am in pain, yes, a pain which cannot be endured. A lot of people say, “It is amazing what people can endure.” Except they can’t. This is pain, emotional pain, or mental pain, or physical pain, or all three that wears and wears and grooves into you until you split in two. Just because they haven't split in two, or gone home and placed a rope in water and then tied the knots and cut the ends as the rope dried. Just because they haven't done this and cut the blood to the brain doesn't mean they are enduring each day, minute, second with equal amazement for those who go to shows, and BBQ's and visit gardens. They are not enduring, they are eroding silently.

People commit suicide. In concentration camps they used to walk into the wire. They walk into the wire in order to be shot and end it. they did that even though they got to see the sky, and they had an hour, near sunset when they could talk and look forward to maybe meat in the soup, it was, according to a Hungarian who survived, the best part of the day: to see a bird, to talk to friends, to move and jostle in line, to be human. They say that those who survived, who did not walk into the wire were those with hope. Religion for some, vengeance for some, family, whatever it took, you needed to get hope or you would die inside, and the body only followed. The pain I am in grinds me every day a little lower. I burn out, I go below burn out. When Linda burns out she is treated; there are units and counselors that deal with caregiver burn-out. She goes to a group on Monday for support. There are books and all of these say that the most important part is ‘your survival’. That there is no point having ‘two victims’. Am I a victim? Helpless?

Caregivers need respites, they are told to talk to people, to have people they can talk to about problems, about how they feel, frustrations, to go on vacations, to get away, to have friends they can be intimate in conversation with and intimate in touch with. Linda is told that I cannot give her everything she needs. And I can’t. I want to hold her and stroke her at the end of a day, and listen to her problems and take them on me. But I can’t. Yesterday, she is the one who feeds me. She is the one who helps me breathe; in last evening, in last night, in this morning.

But Linda cannot be or provide everything I need in the hour or two she sees me. I need people to talk to, people to be with, people to be intimate with, to have touch that does not hurt, to be cared for. I need a vacation, a respite from the pain, the physical pain, the emotional pain, and the mental. Books and groups talk to Linda about dealing about loss. Yet I deal with loss every week, alone. They want to help Linda, save Linda because she is one of the living. 'Survive' they tell her: Survive First.

For me, I have the wall and the pain, and the darkness. And I die inside a little, though I am not dead yet. No time in the yard, no sky, just pain, and nightmares, and pain. And burning out that like so much is not treated. Not treated because I will not live and they have nothing to offer in terms of hope, even for the pain.

I am a human being, equal to the person who lives here, who leaves here and the workers who come then go: to go and interact and talk to a dozen people or more a day. I just don’t live the life of other human beings, don’t experience what they experience. I have no TV. I have no radio. I am often ill, particularly during heat waves and only up a few hours. I try to catch up on emails. I try to keep my word and blog and yet, the wall asks me, “For what?” I tell it, “Because I keep my word.”

This is the time where people are busy with family, and work, or finding work, or vacations and I have the getting up, spending 50% of my day working full on to keep myself alive; to move my intestine, to monitor my liquids, to monitor my oxygen. Myself. And while I am not tilting at windmills or doing dangerous things, I am EFM, Elizabeth Fucking McClung, because I am tired of death hanging over my head. And so my fight is in the minutes, and going in and out of sanity, and the pain, which is double when it is hot, painful AND uncomfortable. I try to hold on to anything, anything at all that will get me another hour, another day. I am exhausted, I sleep, a day is done, the noise of construction wakes me. I have no human contact, and I am in pain, and discomfort, trying to do a bowel evacuation. I try for four hours. At the end, my hand cannot pick up a few hours. The evacuation failed. I will have to try again tomorrow. I sleep.

I get up and I write. I have no joy in the little things because I cannot feel them. I live in a sterile environment. I have no back yard. I have no outside at all. Just the wall. I cannot anticipate food as I do not get hungry. I cannot want a nice cold drink as I do not get thirsty. I cannot have a nice bath as I cannot feel the heat and would pass out. All my favorite foods of before are gone as I have no taste buds in my tongue, no feeling in my mouth. I know I have burnt myself while eating or drinking when the skin comes down off the roof of my mouth. Yesterday I sit with milk of magnesia in my mouth for 20 seconds while Linda finds water. It is the same as champagne. I snack on things easy to eat and swallow without breathing them in. I have a few taste buds in the back of my throat and they can taste sweet, so I like sweet things sometimes. I do not dream of food, or vacations, or anything. This is the fight I fight, to not die inside that day, to stay sane that day. To write. Without human or other contact. To continue.

A few days ago at the animal shelter I realized that in petting the cat, it was too noisy and I could not, anywhere on both hands, feel to know if the cat was purring. Purring is….was a pleasure for me, to know that I am liked, or they are pleased. I cannot feel the purr, I cannot feel the bite, I only see the blood.

For my doctorate I applied to nine countries, including Indonesia and South Africa because I was so tired of HERE. I wanted to be ‘not here’. I don’t know if you can understand that feeling.

I am tired of having the sign ‘dying’ hanging over me. I am tired of care workers who never touch me, never talk to me (it tells them not to in my care plan, decided by a nurse I did not see). I am tired of never seeing a bird, a squirrel, a tree, a bit of sky, a cloud, the moon. I am tired that I cannot smell, that I am always so cold it does hurt, so I can live, and in pain except when I am bloated and hot and in pain and I have to go in front of the air conditioner, or put on the vest of ice. Then I go back and sleep on ice. I want a poster on my wall. Or a picture. I am tired of never having a single day when I don’t have to monitor myself every 10 minutes I am alive. I am tired of being considered by the people in groups and organizations as not someone who is worth spending time on because I am not going to survive. I am triaged into the ‘dying’ camp and watch while Linda survives. What is her hope? What is mine?

Read on..

6 comments:

JaneB said...

Oh lord, do I know the 'I don't want to be here' feeling. I want to go home - but where or what is 'home'? I long for a place that feels safe and loving and nurtures me instead of constantaly draining my energy and strength from the moment I wake, but I can't even say if it's a physical place or a relationship or a person or a job or state of health that I want. To go away, to be not here, here in this body, this life... but what if it's worse, where I go? Hamlet's dilemma...

A second thing I wanted to say, it is so awful how 'dying' and 'living' people seem to be separated in your city. We are ALL DYING, you say that in your self-description and it's true, the one thing certain in life. We all die. We will all die. And we don't know when. Your disease might kill you - or a plane might land on your apartment block and kill everyone in it. Or the caregiver might have a heart-attack or an allergic reaction or fall under a bus in the next hour. Life is tenuous. I hate thinking about that sort of thing, it's HUMAN to hate thinking about it - but facing it, embracing it, living in spite of it, is about becoming more human. The place you live seems to be so afraid of death, it denies dying. And that is so cruel, so stupid, so blind. I am so angry for you - and so grateful that at least there is email, the internet, that these impersonal typed words might convey a little of my feelings to you, be a fleeting virtual brush of the hand that let you know you are not totally alone.

Baba Yaga said...

Your care plan is clearly misnamed.

There are so many kinds of loneliness... the loneliness of unwanted solitude (or of unwanted company, but that's another thing) - of simply not sharing space; the loneliness of rejection; the loneliness of experience which cannot be shared, or if shared, understood; the loneliness of not having one's humanity acknowledged by those one encounters in passing...

Most ordinary loneliness is composed of only one or two kinds, and yours seems compounded of varying degrees of all. (Not to deny the value of the friendships you have. But one or two people can't well make up the entire weight of one's need for 3-dimensional interaction, and the 2-dimensional variety, wonderful as it can be, is of a different kind.)

Your caregivers might alleviate at least the last of those in a heartbeat, and instead exacerbate it. I cannot imagine what human being thinks any service can be called 'care' which lacks the ordinary kindness of speech, or touch.

No, endurance and not having died yet of one's suffering are not the same.

And for the loss of purring - that, of all you list, seems especially poignant. The loss of those smallest sensory pleasures is a loss indeed.

To be practical a minute, could flowers brighten your time in durance vile? Or is it entirely unfeasible to rearrange so that you can look through your prison bars, instead of only at walls? If you have sound on the computer, I know one can find radio and television programmes online, or podcasts: I don't know how much you could receive of the Beeb's programming, from a North American ISP, but World Service programming should be available at least. http://www.bbc.co.uk/radio

I don't know, probably you've thought of all of those things.

Raccoon said...

Well, at least you're describing yourself as human in this post. That's a plus.

But your name is not Donna Quixote.

I've felt like "not being here" at times, but I've never had to look forward to what you're going through. I don't think so, anyway.

32°C is what, about 87°F? While I could be out in it, for a short while, that's still a bit warm even for me.

I think this has been discussed before, but do cold baths help?

And the caregivers not being allowed to talk with you... that's just someone being petty. I'm sorry that you have to go through that.

Elizabeth McClung said...

Jane B: Yes, I wake every day not knowing where I am. Where IS home? Yes, when will I find a place that is like you descibe?

I do think that Victoria, being small unlike the 2 million over in Vancouver has groups for grief, groups for suvivors and groups for those who have relatives dying because we have a population where over 30% are over 60 years old. So that has a demand. I guess the 70, 80 or other age people are supposed to not know what is going on - well since I have been passed often while racing by joggers of that age, I have changed my views that older means any drop in capacity or awareness, beyond certain limitations. But mostly these are ignored for stereotypes. As for people with disabilities, I can pretty much name every female in a wheelchair in downtown Victoria. I know most males as well. That's why I would have to go 40 miles to play wheelchair basketball or go to vancouver for anything else. So the health system, with budget cuts, has eliminated not just help for the dying but for example, an entire unit of specialized trained RN's for people with Spina Bifida. ARG!

I think where I live, dying is for the old, not for 'me' - and so someone like me, young, successful who didn't do drugs, never smoked, never really drank, never got drunk, exercised, did everything that is 'right' to get sick, - if I can get sick and be dying in agony.....so can they. And yes, they are in strong, strong denial about that - so the only places for me to respite are facilities with people 40 years older than me where I have to use a bedpan and stay in my bed (So our 'care' manager says).

Baba Yaga: Yes, irony heavy on 'care' - I guess they didn't specify if they did or not, so maybe it is the 'we don't care plan' just shortened?

Yes, most of my life I have been lonely due to one or more of the types you so elegantly describe, but now, the ache, the yearning that builds. It makes me crazy and crying on Sunday nights knowing Linda will leave for another 5 days. It is not a mind reaction, it is a body reaction, a sudden depression.

Thank you for understanding about the purring. It seems that even the little things which can be so precious in the heart to sustain are lost. or being lost. And that is what makes it hard. I want to do more than endure.

I try flowers but they die in the dark so quickly, and I have limited space. I will keep trying. I could have the BBC on but I am so busy working, working, I need to reorder things so that I am not always playing catch up - that is really IS okay to be sick for three days and not have to spend all the energy catching up.

Raccoon: Yes, I am trying to fight those dark urges and thoughts. I am a sort of human, just not the same sort as others, with the same experiences; everyone seems to have shared experiences of 'did you see the rain' or did you do this, and I don't, I don't lunch with friends, I don't see outside, I don't have dinner at a resturant, I don't have people drop by, I don't have family except Linda and Cheryl.

What? I think the end of that books was wrong, if you don't try, then a sex worker will never be seen as a pure and fair maiden; and those who are accepted as just part of the 'system' will never be seen to be overthrowning. I may not win, I may not be able to even do all that I try, but I want to keep trying to try.

It was like 30 c indoors, and 35-40 outside. Pain. Pain.

I can't take a bath, but I can't remember why, I might be the bruising or shape of the tub, I will ask Linda. Also I go into shock quite easily.

The first page of my care plan instructs workers to a) not talk to me and b) tells them nine times to call 911 if I basically ever look or rest or do anything that they could help me with, they are not, and to call 911 (which costs me $86).

Yeah, petty.

cheryl g said...

One aspect of your illness I hate the most is how it robs you and Linda and I of touching. When your pain levels are ultra-high like when you are dealing with a heat wave touch causes you so much more pain. The vibration from someone walking in the room causes you pain. There are so many times when I want to hold you and shield you and I know my touch will be too painful. I hope that I can caress you with words but it is a poor substitute for actual touch.

I often wish circumstances allowed me to take more time off from work to spend here with you. I wish I could be there all the time to talk, to laugh, to help you go outside more, to ease your isolation with my physical presence instead of being present by email. I want to help you find hope, find reasons to not walk into the wires.

The loss of the pleasures of feeling the vibration of a cats purr, enjoying the flavours of a favourite meal, hugging and being hugged anytime, spending time outside in the sun… these are aspects of your illness I hate the most. This awful illness which steals away every thing that gives quality to life, which steals the memories of the good, happy times, which just relentlessly takes little by little. If I could I would take your illness upon myself to free you.

Having worked in emergency medicine I understand the need to triage in emergency situations like multiple casualty incidences. However triage should only be used then. You should not be triaged on a daily basis. The medicos should instead be concentrating on doing what is necessary to improve your quality of life. The fact that they don’t is a major sign of how f***ed up the health care system is in Victoria.

Stephanie said...

I know what you mean of wanting to be 'not here' -- I've felt it most of my life, living the normal life that everyone else seems to be happy with. But I don't see what there is to be happy with here, getting As, and just following the routine. That's why I studied abroad last semester. I wanted to be 'not here', and I found what I was looking for in Germany and Austria. I can't wait to go back.

Over 32C for over a week. I feel so bad for you. That's hot.