Tiny human in the mist

Little by little it crept up on me. I feel as vulnerable as an innocent tiny human lost in the forest as the the light of day fades out and a dark and menacing mist curls its way towards me around the trees, enveloping the trunks at eye height. The mist is primeval, it radiates an intense and threatening presence and I feel myself panicked, my little heart beating like a bird fluttering uselessly entrapped in a too small cage, the bars painfully catching its wings.

Stuck in my throat is an aching lump. Droplets dwell in my tear ducts at the ready, as though all they need is to hear their marching orders, “Get in formation. March down her face. No that's not enough, run, gush like a waterfall, drench that face.”

My heart physically hurts. It feels engorged, overloaded with the injustice, loss and terror. The noise of the world feel like painful barbs, blows to my body and my brain, the light feels like the sun has moved closer to earth and burns my retina with the slightest sliver of yellow that stripes my floor if the curtain parts. My brain hurts, my skull feels tight around my head, the skin taut and pinched. The mist has overtaken the defenceless tiny human that lives inside me. She is trapped, like an ancient faerie tale, in a twisted land, dark, cold and alone and waiting for someone to save her.

But nobody comes. Nobody has heard her cries. Maybe not even me. I have steeled myself against her angst and terror filled psyche. Allowing myself only to pay attention to the now. This very moment. Because it's the only way I know how to get through. And yet something has broken, perhaps she broke through the mist I don't know, but now I hear her and she's been tugging on my heart, wrenching at my gut, choking my throat and welling my eyes up just trying to get me to listen to her and speak her truth.

She is me. The part of me that I don't let out because it feels like letting go to her will be impossible to recover from. I am terrified. Every day my life worsens and I don't know how to sustain the courage to keep facing the next moment, let alone tomorrow. I do not want you to think that I am going anywhere. I will not leave. But I cannot quiet the inner voice of the wise tiny human who lives in all of us. She is unfiltered and unwilling or too naïve to participate in pretence.

Sunday night I was so incredibly ill I thought I might die. And I know the difference between dying and feeling deathly, I've had my flirtations with death, the real ones, so I can differentiate. I have had a migraine for weeks, months even, but this was different. This was like my head was going to come off. And I had a vomiting and gastro bug picked up from a friend who had visited her friend in hospital – I should have thought, should have realised – never again post hospital visits. Then (and warning boys or the squeamish you may want to skip to the next paragraph now) I had my period. But not in the normal sense, this was previously a fortnightly visit that had not come to visit for months and it was doing a hell of a lot of catching up. It was all dark and all clots and all excruciating. Even the slightest loss of blood for me is dangerously weakening, this together with everything else and I had my perfect storm. Then I got chest pains like I've never experienced before. Intense and wrong. I felt wrong. So not right. So far removed from okay.

The paramedics came and in the dark comedy that is my life, my cat Tobey escaped for an adventure so Ma and my Dad were running around the cul-de-sac at three am attempting to herd him back into the house. Meanwhile the paramedics entered the house without noticing the prominent sign warning NO PERFUME. And Jock – the Northern Irishman, oh the irony – had been marinating in cheap cologne for three days. So he nearly killed, an already nearly dead me with his enormous cloud of neuro toxins. I had a massive seizure, got paralysed and followed it up with a sterling finish of an asthma attack.

Since it's Ekka time, the hospital was filled to the brim with the fluey, infectious and gunky sick people. I couldn't risk it. So I allowed my tear ducts to give the order and and my face was wet with streamed tears at the ridiculousness of the situation. Me, people like me, we need help the most. And yet I cannot get it. Thank you government. Thank you health system. You just may kill me yet.

Rochelle, the exceptionally kind paramedic who had thankfully refrained from marinating in her own perfume bath, told me I was the sickest and funniest patient she'd ever had the pleasure of meeting.

Ma and I had giggled our way to and from the toilet while I drooped about like a wilted flower on the walker, unable to control my muscles or limbs and she unable to control the walker.

Maybe it's Robin Williams death that has the tiny human in me yelling so loudly. We're not so different me and him. As far as human beings go. I hide my pain behind a layer of humour. He did the same. But I'm tired.

And interspersed between the dark had been moments of laughter and lightness, but like dashes that conjoin and become an unbroken line, the darkness has stitched itself together and the mist is merciless. So I think I will just stop fighting for today, and we will go to sleep under the mist, pull it over our heads like a blanket, rest on the forest floor and let the world work out its shit. I've got enough to deal with. But if you happen to hear my inner tiny human's cries, please don't ignore her. She was very brave to fight her way out.

Theda and her red shoes

Life stood still. Everything slowed down. Time moved like it was struggling through mud. It was no longer fluid. It was clunky and faltering. NOOOOOOOOOOOOOOOOOOOO was all I could hear in my head. And then I realised I was screaming it. I was hysterically screaming, “NO, NO, NO, NOOOOOOOOOOOOOOOOOOOO.”

Somehow I had collapsed in the sludge of time, I was stuck in a tangled pile of limbs on the floor. Confused by the fact that my brain could focus so intensely on the dust on the floor while my body shook with shock. Everything became crystal clear around me, and yet the world moved slowly, in chunks of moments. Moments that seemed unconnected. I lost the time between them. I still don't remember much of that day.

It used to be that people asked you where were you when they landed on the moon? Where were you when JFK was shot? Or Martin Luther King? For their contemporaries, us, it is, where were you when the Port Arthur massacre happened? Where were you when the planes hit the towers? Where were you when the Bali bombings happened? Now where where you when flight MH17 was shot down?

For those of us who are gravely ill our questions are different. We know the answers to all of those. But time is sludgy, murky, desperately cold and merged into one huge pool of invariable days, months, years and decades. But ask us where were you when Amberlin Wu died? Where were you when Theda Myint died? Where were you when Tom Hennessy Junior died? And we all immediately know.

I was in this house. Just steps from where I now sit typing. I rose from the computer and I stumbled to the top of the stairs. And then from me escaped this terrible keening noise. And as I sobbed hysterically all I could hear was this distant scream of no. It took a while to realise it was me. I was screaming.

Ma came to me, she flew up the stairs and I couldn't make words except for NO. NO. NO. NO.

Just the night before, or hours really Theda had liked a status update of mine:

Wednesday, 24 July 2013 at 19:28

“Ma and I were just singing in the shower (I was in the shower she was hosing me). Anyway I said to her ladyface you could win a granny. And keep them all on your mantelpieces.

I'm such a tool.”

I remember finding that later and wondering if I had of just made her laugh more, just done something more, maybe I could have gotten her to stay here a little longer. Theda was a soul sister. It is hard to articulate to those who have not suffered greatly every day of their lives for years on end, decades. We become naked, raw nerves. We are stripped of all the things “normal” healthy people assume as part of their identity. Independence, clothing and accessories, grooming, the way they style their house, the car they drive, where they live, their job, their house or unit or apartment, their partner, their social life, their facade. We are stripped down to the bare minimum, our world is so small that all that matters is surviving the next five seconds or minutes.

So we have a magical power. We see you. Behind your facade. We see through the little white lies you tell yourself and the lies you tell the world. The masks and costumes and material things you surround yourself with to create a perception of who you are. We see you. The real you. You cannot hide from us. And we cannot hide from each other.

It means that we become extremely close extremely fast with other gravely ill friends. We say I love you with a freedom and verbosity that would scare most healthy people. But we know the truth. We might die tomorrow and we won't go down without letting you know what we feel, no matter what you feel about it. We want to be right with the world if the inevitable happens sooner rather than later.

Theda and I became fast friends. We barely spoke. We just suffered intensely on the same battle field and knew without a doubt the other would be there should we wish to share something, to talk, to check in. We had a kinship. A love. But she just was that way. She was a huge beating heart. In her darkest moments she was altruistic and selfless. Always she thought of others first, she was innately good. She was not perfect I am certain, we do not want to martyr the dead, but she was pretty damn flawless in my eyes.

I cannot clearly articulate what it is I want to say to you. I guess I want you to remember Theda as more than someone who was sick. Because we are all more than the sum of our parts, even if the majority of our parts seem to be made of infections. Theda was a talented, beautiful, beloved member of our world. Not just for those who were ill, but anyone who she met or even touched online with a few kind words fell in love with her.

Today is Red Shoe Day, the very first annual international day of remembrance in Theda's honour for those lost to Tick and Vector Borne Diseases and other invisible illnesses. Even now Theda is changing the world just by the legacy of love she left behind.

I don't have any red shoes. I don't think Theda would mind. She knows what is in my heart. The day I fell to the floor and lost complete control of my heart, exactly a year ago today, as I wept and keened and screamed on the floor, I felt arms encircling me and a calmness wash over me. I don't know if it was Theda. I like to think it was. Suddenly I knew in my heart that she was free, that she was happy and she was in a much better place. So that is what I choose to believe. I take comfort in the fact she made a choice to leave. I wish selfishly it wasn't so, but for her, I can muster up the love I have to be happy for her freedom from suffering. She deserved it.

Theda my angel, you live in my heart. You live in my soul. You will forever be part of me. And when I sleep tonight I hope that I commune with you in my dreams.

Sweet dreams princess.

*Special thanks to my dear friend Elizabeth D'Angelo who upon the request of another darling angel in my life, Sarah-Louise Feather Jordan created this beautiful piece in remembrance. To support Theda you can order prints, bags, pillows, shirts, cards, and duvet covers with this image here .

All proceeds from the sale of this work will go towards the Theda Myint Fund, to bring much needed care and services to people suffering from invisible illnesses.

His name is ME

I must warn you, there is no escaping him. He comes to you like a jaunty salesman, using sleight of hand to sell you lies. When he asks you what you hope for, what you dream of, don't answer. He will not give them to you, he will take them from you. He is a dream eater, a hope stealer, a futures thief.

Imagine the things you love to do, the simple things, the fun things, the silly things. Now imagine the things you hope to do, big and small. Just like that he tricked you into thinking of them, and now he has stolen them from you. Gorged himself like a junkie on your hopes and dreams, so he is fat and satiated and you will go mad with the loss.

From now on you cannot travel overseas or go camping, you cannot go out to the pub or dancing, you cannot go shopping or to picnics, you cannot go to the movies or to a salon, you cannot play sport or exercise, you cannot cook dinner or drive to get takeaway, you cannot garden or even compost, you cannot walk your dog or clean your house, you cannot drive or some days walk.  And for the future, you cannot work or study, you do not have financial freedom, the pension is sparsely enough to allow you dignity, you cannot have children and you may not ever find love, you cannot own a house or build a house, you cannot buy a car new or old, you cannot live where you want, do what you want or be who you want to be. You cannot do anything by yourself. Rarely, if you are lucky you might get to do one of the can-nots but it will be at the whim of others, you cannot choose anything for yourself.

He tricked you, and now until you die your living will be like dying. But his sleight of hand is like artistry and while you live with that horror, it will be invisible to the outside eye. Occasionally your hopes will be raised when you think a discerning eye has seen through his trickery, and then you will deflate with the realisation that they have not. His mark is indelible, and he has pulled a heist so complicated you would admire his genius were you not the victim. Because while you suffer the withdrawal of your future, you will also be wracked with pain, exhausted beyond comprehension and barraged with symptoms so rare others will wonder if they are makings of your own creation. You would laugh at his audacity at the ridiculousness of his plan, but it is working. You are alone, you are close to death, just close enough to prolong the torture, not so close to death that there is relief. And yet no one sees you, no one is watching and slowly they forget you. He has alienated you so effectively that your voice is no longer heard. He has made you so small, taken everything from you, left you weak and desperate without any hope for the future.

He has the last laugh. Because when you try to tell people his name, they will look at you with incredulity. His name is ME.   

Symptomatic

My chin juts forward pulling my neck into taut visible ropes of muscle, then swings abruptly to the left drawn magnetically to a target I cannot identify, my shoulder raises in a one sided swinging shrug to meet it. My head juts forward again, eyebrows forcing themselves up announcing a surprise I do not feel, and my upper body twists. The movements are spasmodic, violent and unpredictable. It is as though my neck has lengthened and all my joints loosened, my movements not unlike a puppet with an inexperienced puppeteer, disjointed and violent. The muscles that run between the joints strain to contain and control the forceful contortion, tightening into knots of pain as they contract and release.

I try to speak and it is as though I am verbally constipated, my eyes roll sideways and upwards, my chin juts forward again, my throat constricting. Words come out eventually but they are garbled, half strangled or they stutter out in increments.

When I try to rest my body rises suddenly and frequently off the bed, like a patient being shocked with defibrillator paddles. My eyes feel as though they are bugging out of my head, they strain to break free of the constraints of my eyelids, darting dramatically to the side or scrunching emphatically like a child learning to wink.

These symptoms built up over a few days last year before I realised I should probably go to the hospital. Since we get so many weird and wonderful and ultimately inexplicable symptoms, I have a policy of giving new oddities a few days to subside before I investigate them.

This one required attention though and when I attended emergency, the doctor asked incredulously why I had not come earlier. What I was suffering with was an acute dystonic reaction to medication, so acute that staff from far and wide came to watch me do the drunken uncle contortion dance in my seat while I waited for treatment. The treatment was a reversal drug, Cogentin, given intravenously in an injection. Problem being of course that the puppeteer refused to relinquish the marionette strings, so like a possessed or crazed patient, I had to be held down by two nurses, a doctor and my sister. And still I writhed, the spasmodic disco increasing in intensity until they pinned me down again to administer another injection.

The thing is, a decade ago, before I was ill, this series of disturbing neurological symptoms would have had me scurrying in a panic to the emergency immediately. But with hard won experience of sceptical, dismissive and condescending doctors, I avoid emergency rooms unless it is absolutely necessary. Even then I am loathe to go. Because when I go to the hospital despite the clear acuteness of my illness and whatever symptoms are threatening my life at that moment, the doctors put on their blinkers, become tunnel-visioned and refuse to see what's right in front of them. I could be having a heart-attack in front of them and they would simply raise their eyebrows at my theatrics.

I am now suffering my third bout of Dystonia. And I am not sure why the latest attack has happened. But how incredibly sad is it that, their behaviour, causes me to suffer unnecessarily rather than face their discrimination?

So instead of avoidance, I have decided in future to pose a few questions to my treating doctor/s. (Well in the case I can speak, otherwise I might just have to type them out.) Firstly, do they love anyone who is ill with CFS/ME? Secondly, if not, have they read ten or more research papers on diagnosis and treatment of CFS/ME in the last year? Thirdly, if their answer is no to both questions, how can they be so arrogant as to assume to speak with any authority on my illness? Their qualification to speak on CFS/ME is non-existent. It would be like a biologist attempting to speak on entomology. They are both sciences, but they are poles apart. And lastly, with no appropriate qualification I would appreciate that they reconsider their perception of my illness until they are better informed.

In the meantime I will suffer this contorted dance, symptomatic of acute Dystonia and I will dread the hospital and their derision, symptomatic of the medical industry's continued pursuit of ignorance of our illness.  Somebody investigate the cause of the symptoms, please and then we might find treatment.

Death

When I sleep tonight, curled up in bed, wracked with pain, weak and defeated, I will huddle under a blanket of Death.  I am lucky in this present, that there are several layers between me and Death so its scratchy coldness does not rub abrasively against my skin tormenting my dreams with its false intimacy.  But in the early morning hours, when my subconscious is untethered I sometimes hear Death whispering sweet nothings, beckoning me elsewhere.  And one day I fear I will wake swaddled in Death, too weak to unwrap myself. 

Death is such a distant prospect for most people.  It is an idea, an imagined place, a remote destination.  I think it must be hard for healthy folk to understand what it is to be stalked relentlessly by Death.  To know that in the moments when you have not heard from it, you are being watched, chased from afar.  And then the distance closes and Death becomes bolder, aggressive, and ever present. 

We do not speak of it often; we don’t think you will believe us.  But we feel it, the membrane of protection between us and Death is woefully thin.  Sometimes it thickens like scar tissue on leathered skin, but mostly it is a miniscule layer that is permeated by tormenting forces – virus upon virus, bacterial infections, excruciating pain signals, cognitive dysfunction, spasming muscles, and neural symptoms – and sometimes all at once.

Today we lost a CFS warrior, a bright star, a creative mind, an intuitive soul.  I do not know yet if she died from our illness or complications from it, but either way we all know it will not be classified as caused by CFS or ME.

She has reinforced my belief that we must not go quietly into the night.  That we should give voice to the truth, that Death is ever present, that for those of us who are very ill, we visit with Death often, sometimes stoically fending it off, other times doing our best to just ignore it.   Sometimes we even manage to put a little distance between us, but in quiet moments of joy, we remember Death will come hurtling back just as soon as we stop being careful.

So for those skeptics who torment us, you cannot die of hypochondria, perhaps you need to challenge your belief system.  For the scientists who debate and play political games, we do not give a shit which one of you is right, all we care about is trying to have a future that doesn’t involve sleeping with Death every day.  And for sanctimonious, self satisfied students who take joy in finding fault in the work of others, you have every right to make a point, but you do not need to be vindictive to do it.  I want the truth, I don’t want a fairytale, I’m a big girl, for f*%k’s sake I battle Death every day, but don’t be an asshole when we are all slowly dying.

Doctor Danger

I have always had this really strong sense of morality, of right and wrong, so much so I feel ill if I do something that goes against what I believe to be good or appropriate behaviour.  If I have a heated argument with someone, or snap at them because I’m in a bad mood I will always apologise almost immediately and take responsibility for my role in the situation.  That being said, I am no saint and there are many moments in my life I am not proud of.

But as a rule, generally, you want me on your side.  I will stand up to the bully, I will face off with the aggressor, I will protect those I love, or even those who simply need an ally.  So as I watch my community of friends trying to live with this awful condition (CFS/ME) while being discriminated against, I become increasingly furious at how unjust it all is.  Truly it overwhelms me.

In Australia, we are eligible for the disability pension, (as we should be, many of us are house or even bed bound) and yet we cannot access disability support services.  We can get access to transport, but only if we say that the medical treatment we need transport for is not related to our illness.  We are dismissed as hypochondriacs, and yet we die off in numbers that are not documented because our deaths are reclassified as something else.  We commit suicide because no one listens, the pain is too much, the invisibility too great and the frustration too intense.

What scares me more than all of that; is the abuse of power by doctors.  Some years ago I flirted enthusiastically with death after contracting viral pneumonia, I was hospitalised for a week by a lovely respiratory specialist, but not before an ignorant doctor in emergency told me that I was wasting his time, that he could do nothing for me, that I should just go home and not bother coming back.  Thankfully I ignored him; returned the next morning to see the specialist only to be admitted immediately, having to be monitored every half hour for that week, until eventually I had improved enough to be discharged.  But what about someone who wasn’t as strong as me, what if they didn’t have the balls to ignore the doctor and fight back?  What would have become of them?

There are so many stories like this, of close scrapes, of feeling organs shut down, feeling your heart strain from simply moving, of having to crawl because you cannot walk to the bathroom, of going days without showers, of returning repeatedly to the emergency room suffering with excruciating pain and illness, only to be admitted to psychiatric wards.  All over the world there are stories of people who suffer with this illness, but because we do not fit in the neat little boxes designed to make doctors feel smart and safe, we are treated like hypochondriacs.

Imagine having HIV before anyone knew what it was.  Imagine feeling this rotten wrong thing wrapping tendrils round your system.  Imagine going to the hospital, telling them your diagnosis and watching their body language change and their tone lower to condescension.  You know it’s biological, you know it is not psychosomatic, you know there is something rotten inside you, but they just look at you dismissively and talk quietly with the nurse about discharging you with some paracetamol.  As you become more outraged at their treatment of you, you are so ill, so tired, in so much pain, you cry and raise your voice in frustration.  They nod to you and steal glances with each other, you are only reinforcing their belief it’s all in your head.  Can you imagine living like that?  Needing help and treatment, yet unable to seek it for fear you will be intentionally misinterpreted and maligned?

That is what it is to have our diagnosis.  That is why we say we would rather have Cancer or HIV or other politically incorrect things.  Not because we don’t understand the gravity of those illnesses, having experienced what we have we would never doubt nor underestimate the suffering of others.  No it is because those illnesses have treatment, awareness, options, research, support, and statistics on survival or death.  People look at me incredulously when I say I would rather have most any other life threatening illness.  But if you were to walk in my shoes, you would understand.  There is no certainty, but I can fight against that; there is no treatment, but I can pray for one, but to have people treat you like a hypochondriac while you suffer so much quietly against all hope… that is too much.  I would rather know the likelihood of my death, than to have to fight not only this insidious illness, but with the very people who have been entrusted with the job of treating me, and yet instead they shake their heads and dismiss my suffering because I refuse to fit into their neat little boxes.  And the irony of all ironies, those few brave doctors that risk treating us, specialising in the treatment of our illness, face the same treatment metered out to us by their colleagues.  They too are ridiculed and scoffed at.  The rare doctor that can think laterally and outside the box is the one that can treat this enigma, but few risk ruining their career by doing it.

A quote from, Dr. Nancy G. Klimas, who is a director of the department of immunology of the University of Miami School of Medicine and director of research for clinical AIDS/H.I.V. research at the Miami Veterans Affairs Medical Center. 

“My H.I.V. patients for the most part are hale and hearty thanks to three decades of intense and excellent research and billions of dollars invested. Many of my C.F.S. patients, on the other hand, are terribly ill and unable to work or participate in the care of their families.

I split my clinical time between the two illnesses, and I can tell you if I had to choose between the two illnesses (in 2009) I would rather have H.I.V. But C.F.S., which impacts a million people in the United States alone, has had a small fraction of the research dollars directed towards it.”

Source: http://consults.blogs.nytimes.com/2009/10/15/readers-ask-a-virus-linked-to-chronic-fatigue-syndrome/

Dr. Mark Loveless, head of the AIDS and Chronic Fatigue Syndrome Clinic at Oregon Health Sciences University, in 1995 testimony at a congressional briefing, noted that a "Chronic Fatigue Syndrome patient feels effectively the same every day as an AIDS patient feels two months before death."

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