Archive for the ‘ALS Progression’ Category

What does it mean to be a presence? What if you can’t hang?

Wednesday, March 31st, 2010 by annemarie

I’ve never been a homebody, not until last fall. I was always an out and about type person. Perhaps it’s due to having worked in the service industry most of my life, but I think more of a function of my love of being social. I loved sitting in the bar of a high end restaurant having dinner alone or with friends and meeting the people around me. It is one of my favorite things to do. I was able to be with all my different groups of friends by planning outings and visits and runnning hither and yon, and had a splendid time just BEING with them. I would often plan 2-3 meetings in one evening so I could fit everyone in. Even when I couldn’t talk all that much I would hang out with them enjoying their company. Well, now I’m afraid I have committed the cardinal sin of my youth- I CAN’T HANG!

Eh. Oh well. I was out now I’m in, as Marianne Williamson says in one of her many books. Time to transition into a new world: I am IN and I am in LOVE with facebook. Bless that little red haired dollface that invented it! With out it I was ALONE (especially being unable to talk on the phone), now I am reconnected, and able to reach my peeps with a single message! How fantastic is that? This blog and tools like facebook allow me to be present in new ways in the world. True it is an online virtual presence, one step away from 2nd life I suppose, however it is a presence that makes my personal appearances all the more powerful and focused. It allows me to craft my message and be a public person without all the chit chat and gossipy blather that passes for witty repartee these days. It brings power to my speaking and typing. It is I dare say an new ecology to swim in and to influence. ( thank you John Patterson)

Case in point: I was listening to an interview with Tony Judt from an NPR broadcast that my friend Megan Barr sent me via Facebook.
That interview inspired this blog post. Mr. Judt was remarking on how his presence has faded from the day to day lives of his children and family…as he is confined to a wheelchair and attached to medical equipment in his journey with ALS. He likened ALS to being a prisoner in an ever shrinking room. A room that you know someday is going to crush you ~you just don’t know when. His assessment is as accurate as it is terrifying. I am not as far along in my journey as Mr. Judt ~ in my experience I am not as confined just yet, though my speech is so limited I’ve begun to deal with the reality of it being non-existent. His words beg a question: an inquiry into what is it to be present in people’s lives now? What does that mean, what does that look like?

I am in the midst of that exact transition. I am frequently confronted with not having the energy to leave my home, even for scheduled appointments. Some of this may be the lingering effects of surgery however it’s more and more common all the time. I’d just rather not. The truth is when I’m at home alone~ I forget I’m sick. I have very little experience of being ill or being weak, in fact most of the time I feel pretty good and am very happy. I’m engaged in several projects that stimulate my mind and I’ve got gobs and gobs to type about between writing the workbook for the Master Plan, creating the classrooms for the Master Class I lead on Saturday mornings, and several other projects involving being an empowered patient and an empowered caregiver. I think my friends and family will understand that if I EXPERIENCE BEING WELL MORE OFTEN AT HOME, then I should stay home more often!

So if one wants to be present and with people and yet can’t summon the enegry to walk out the door – how can you maintain a presence in your friends and families lives? Given that it’s all about communication, I’m relying more heavily on technology. Facebook chats while being on the phone seem to work well thus far~ as we can hear each other and they have the experience of talking to me ~ and I can acknowledge what’s being said w a mono syllabic response, they get to “be” with me in some way. I’ve actually held coaching sessions in this way when distance has prohibited a face to face. It will soon be time for type to speech software and I think for a touchscreen type pad. My typing is getting worse and worse, lots of double hits on letters and missed letters and frequently transposed order of letters etc etc. I am so grateful to live at a time where the impact of ALS is limited by the advent of new technologies and tools.

I don’t have an answer for the title question yet, I’m still sitting in the inquiry. What I can see is the advantages we now have though one could say they’ve displaced old fashioned visits from friends and family, but I don’t really see it that way. Visits are great and the frosting on the cake of being connected.

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Things I miss…and dealing with ongoing grief.

Friday, March 26th, 2010 by annemarie

I was not at all looking at dealing with ongoing grief…until in the midst of my pain filled days last week I posted some whiny complaint on my facebook page: something of the order of being sick and tired of being sick and tired…(I really try not to post complaints because they are so annoying, however once in awhile it’s just inauthentic to post anything else!) My friend Ruth Mortenson said the folowing:
Here’s a perspective you might find interesting from James Van Praagh: When any kind of a terrible illness disrupts our lives, we enter a state of ongoing grief. As with any grief, we must go through it, and look for opportunities amidst the pain and sorrow. We have to keep our focus on the bigger picture, because all our experiences have purpose and meaning.

I HAD NO IDEA. DUH. Of course I would be grieving, especially with a condition like ALS where your capacities are eaten away bit by bit! I can actually see that I have been in a continual state of grief for years…the death of the cells that make my motor run, my hands grab, lift and pull, my legs balance~ in heels. I took my trip to LA and Vegas in December and it was so arduous to travel I said in the middle of it to my friend John- I think this may be my last independent trip! Of course I’m grieving, what a marvelous thing!

I AM GRIEVING AND I’VE BEEN ACTING LIKE I’M NOT! COMPLETELY OPERATING ON TOP OF IT.
This makes so much sense. Time to tell the truth. Time to distinguish the grief and move through it. Of course it is.

All in all I miss remarkably few things from my full capacity pre-symptomatic life, however from time to time I really miss some very simple things. I say pre-symptomatic because I exprienced symptoms for 5.5 years before I was diagnosed with ALS. There are times I miss not having a diagnosis, while limbo was frustrating I was also free of any conversation of what to expect…what was coming…so there was no future of decline and desintigration laid out before me as inevitable. (I believe there are answers and methods to maintain functionality and general wellbeing. Most of these methods are not recognized by the medical community as relevant or possible. That however is another conversation for another time.)

Things I miss:
The ability to breathe deeply and hold my breath

The ability to swim with out panic because of my breath
The ability to cut my own food
The ability to dance with out losing my breath in 15 seconds
I miss sleeping on my tummy
I miss being able to have conversation in a bar without having to write it on a note
I miss eating the occassional steak
I miss shopping for high heeled shoes and the clothes that look best with them!
Taking long walks along the lake
Taking a cab without having to write out tha address of where i’m going
I miss my humor! Being able to be funny with a well place retort or remark! I am limited to gestures.
I miss being able to speak with out focusing on my breath control
I miss being confident that I can get great service anywhere, because of how great I am with people!
I miss being known as intelligent, when you sound as if your deaf, people often treat you as if you are dumb.

I miss being able to flirt, to say hello clearly.
I miss being able to kiss
I miss working out!
I miss feeling like I could defend myself if something happened~ I am too vulnerable

I could go on … but it makes me cry. Perhaps that’s the point, step 1 in grieving~ have a cry why don’t you?
Then I suppose I’ll get pissed, which is a hell of alot better than resigned! And on goes the cycle of grief…my question is with all the tiny losses, how do you grieve appropriately – is there even such a thing as appropriate grief in an ongoing situation? Do you manage it and schedule time for it always or does it errupt like an emotional zit from time to time? Perhaps this is why the emotional lability symptom is associated with ALS~ to give us permission to cry at the drop of a fork… and have that be OK.

Either way now that I have distinguished the ongoing grief cycle and embraced it at least I can begin to deal with it. I wasn’t being responsible for it before and I can see how that limited me and my power in transcending ALS. And that my friends just won’t do!

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