Tag Archives: Pain

Living with Depression

Al Stefanelli writes:

…As I have stated, depression is often described as a feeling of unhappiness, misery, down or blue; and can also include feelings of anger, loss, intense frustration and a heavy sadness. These feelings interfere with everyday life for however long the duration. It doesn’t go away with a happy song, or a thoughtful letter. While there are many who do not understand how someone who is dealing with depression feels, I can tell you with great certainty that telling us to “cheer up,” is like telling someone with a broken leg they’d feel better if they just went out for a run. It doesn’t work that way.

As well, telling someone who is depressed that they are just “feeling sorry for themselves” is one of the most horrid thing you can say. If you think this doesn’t happen, just ask someone who suffers from depression to tell you how many times they’ve been told this, or that we shouldn’t complain (as if) and <insert story about those who have it worse> they will also tell you that this is likely the main reason they don’t talk about their depression…

Hopelessness…

…Yeah, about that. This seems to be the one that plagues me the most. Hope is a volatile word, as it means different things to different people. Some people have committed suicide, attempted suicide or have at least seriously considered it for a variety of reasons. Sometimes it’s due to the loss of material possessions or wealth. Other times it is when someone is facing a long or permanent prison sentence. Still, others have suicidal thoughts when facing a debilitating or terminal illness.

I am going to take a very short dive into religion, so forgive me the digression. Hope has a completely different meaning for people of faith. Obviously, I am not one of these people. While there are many of the faithful who understand their beliefs to be very personal in nature, there are those who feel it necessary to foist theirs upon me, and let me know that I shouldn’t “feel bad” or let the things in my life that cause me distress to “get me down” because Jesus loves me and while he may or may not choose to heal me “in this life“, when I get to heaven it’ll be all puppies and kittens and my body will be perfect and there’ll be no more sickness and disease, and I will be blissfully ignorant of those I have left behind to continue in their suffering or who will be spending an eternity suffering in some pit of doom somewhere won’t matter because Jesus will wipe tears from my eyes and you’ve got a friend in Jesus and happy happy joy joy and did I mention Jesus loves you.

As you can imagine, I have gotten into some very heated arguments with the religious crowd over this, and the fact that I am physically disabled has resulted in conversations that I have to walk away from because I get so angry that if my rhetoric escalated any higher, there’d be problems that would involve lawyers and very like the local constabulary. I can already feel my blood pressure rising, so I will get back on point and not further delve into the black hole that comprises the religious mindset.

Do I feel hopeless? Yes, actually, I do. I feel hopeless because there is no hope, at least not with regard to what physically ails me. I have so many degenerative and incurable diseases that are eating away at my nervous system, my ability for cognitive thought and my general musculature that I wake up every single day knowing that I am ever so much closer to a quality of life that I have no desire to be involved with.

Does that mean I have thoughts of killing myself? Yes, it does. Medication helps with this, and thus far has been working. Nowadays, my suicidal thoughts are put somewhere in the future, as I have a stipulation in my living will that involves a trip to the Netherlands, if by the time I am ready to call it quits, the ability to choose my time to die is not illegal here in these United States. Long live Jack Kevorkian.

Uselessness…

What makes us who we are? Have you ever thought about that? I do, a lot. I struggle with feeling useless because there are so many things I cannot do anymore. This is another one of those times where those of us who suffer with depression have to endure the insensitivity of others who think we are just having a “pity party.” Yes, we get that often.

It’s bad enough that we are forced to sit through advertisements while waiting for videos to play on the Interwebz, but I have long since stopped watching live television. I record everything, because I find myself getting extremely unsettled and angry with commercial advertising. This is one of the reasons why I have such disdain for labels, or what societies perceive as what makes the measure of an individual.

Yes, the logical part of me knows that advertising is a tool used to get people to buy products. Advertisers have to appeal to the larger audience, and most people are not physically disabled. But there’s only so many times I can watch someone running on a beach, climbing a mountain, playing some sport or another with their kids, or enjoying a venue that requires physical abilities that are way beyond those I possess before I want to crawl into a cave. There are so many places that I cannot go because they are not accessible, or things I cannot do because I lack the physical ability to participate. As a result, I spend most of my life sitting on the sidelines, as an observer.

I consider myself a person of reason, and place a great deal of importance on logic. However, logic has little to do with feeling, and in spite of the fact that I have been and continue to be blessed (yes, I used the B-word) by so many of my readers over the years with your comments about how something I wrote touched you in some way or another (even when what I write pisses you off), I still spend time in this particular pit in the valley of depression.

The reality is that I require assistance in many areas of my life. I require the use of a mobility device, which is problematic because either I am stuck sitting down (wheelchair) or I have only one hand with which to use for anything. I get lost a lot, thus driving – even in my own neighborhood – usually requires someone to navigate for me. GPS? Yeah, I have two. They constantly screw me because of concentration issues, I’ve almost wrecked many times while trying to use one. I am frankly amazed I made it to Alabama a couple of months ago without winding up in Ogden, Utah.

My memory has gotten so bad that I don’t remember things like TV shows or movies I’ve seen, sometimes multiple times. I cannot recall dates, appointments, medication schedules, verbal instructions, people’s names, important dates, where I might be at any given moment (we call that “spacing out“), to eat a scheduled meal, if I’ve taken my pills (that has almost landed me in the hospital a time or two), where I put something (sometimes stuff that isn’t mine – and good luck finding it) and a plethora of other things that require my family to take time out of their day to help me exist.

While I have come to terms with this, it doesn’t change the way I feel about requiring a caregiver for things that I had always attributed to the inevitable result of aging. However, when I was young, I figured this wouldn’t happen until I was in my eighties. I am forty-nine years old. I am not even old enough to join AARP. So, yeah, I feel kinda useless, and there’s no way around the fact that it sucks. The irony here is that humanity has evolved as a reasoning, bi-pedal species through mutation by natural selection, and I have been naturally selected by mutation to be bi-pedally impaired with a corroding brain…

You can read the rest of the article here.

Most long-time readers of this blog will readily see that Stefanelli and I have physical debilities that are very similar. I was especially drawn to this post because of the mental difficulties Stefanelli has. I appreciate his openness about depression and memory loss.

It is surprising to some people when I tell them that my lack of mobility and constant pain are not the two biggest issues for me. They certainly dominate my life and of late they have r-e-a-l-l-y been at the forefront of my day-to-day struggles, but depression and memory loss are THE two issues that frustrate me the most.

Depression has been a part of my life for as long as I can remember. It comes, it goes, but it is never gone for good. Life is a complex mixture for me…pain, mobility loss, memory loss, and depression. I have those chicken and egg, which came first, discussions with myself. If I “felt” better would I be as depressed as I am? Probably not, but I suffered with depression long before having the health problems I now have.

Having to constantly give in and readjust my life often fuels my depression. I have the normal age-related problems that men my age have and I can live with that. It is the other stuff…the pain, the loss of mobility, memory loss, incontinence, and lack of restful sleep… things I can’t change, that often fuel my depression.

Life becomes this overwhelming mess that can, on many days, be quite overwhelming. I tell myself most every day, Bruce you can’t live in the past. You must adjust to your new normal. It is what it is…I know how my life is and I know I can’t change it BUT I have never been able to simply let go and embrace how life is.

I suspect I am going to fight hard as I go into the night. My counselor has pointed out to me that I don’t let go of things easily and my family doctor has told me that that may be good. By fighting against loss it gives me reason to live.

When the day comes that I am consigned to the bed or recliner with no hope of walking or doing any of the things I love to do, then my life is over. I am not one of those people who thinks that life is worth living no matter what. I have watched a lot of people die ever so slowly, wishing that the suffering would end. I don’t want to be like that in the end.

Stefanelli concludes his post with:

This was a difficult piece for me to write. While I am an intensely private person in meatspace, I have a very public life online – particularly within my social networks and on this blog. I believe that if it hadn’t been for the advent of these digital venues of communication that I would have sunk so deep into depression, I would likely have already taken my own life. It is a sobering realization.

I find it easy, even therapeutic, to be so transparent with total strangers. I am sure any psychiatrists out there will have a field day with this one. Bring it on. There is a silver lining to this, though. Many of you have become close friends, even though we’ve never met face to face. I have relationships with some of you via the Internet, telephone and video that are as strong as any relationship that one can have with a neighbor or someone they know from work, or whatnot. You are all real to me, and some of you are dear to me – and some of you I love, honestly.

This is perfect for me, because one of the other aspects of my depression has resulted in me becoming very withdrawn from interacting in the world outside of cyberspace. Sometimes I don’t leave my house for days. Usually it’s because of my physical disabilities, but sometimes it’s because I’d rather be here, on the other side of your screen. The one love I have that has endured and has kept me relatively sane is writing. I’ve written millions of words, and for as long as I am able to do so, I will continue…

My sentiments are the same as his. This blog (but not the social networks) has been a lifeline for me, an oasis in the midst of Desert Despair. Like Stefanelli, I don’t get out of the house much. Over the past three weeks I have been outside our home four times. I can’t drive any longer (though I still do drive on very short jaunts to town) so I must depend on others to take me any place I want to go. I hate to be a “bother” so I don’t ask people to take me places. Most weeks, we go to the store for groceries and we eat at a restaurant while we are out. Sometimes, I will “think” I have more energy than I actually do and this usually results in me overdoing.

Do you health problems that affect your day-to-day life? Do suffer with depression? Has your life changed as a result? Please share your thoughts in the comments.

The Unthinkable

It’s 4:00 A.M.

She has been asleep for two hours.

I envy her ability to fall asleep in a matter of a few minutes.

Even when I was in good health, it took hours for me to wind down and fall asleep.

The doctor says, I have a mind that never seems to shut off.

Tonight sleeps eludes me, not because of my ever-running mind, but because my body is wracked with pain.

From head to toe, my body screams in protest.

I want to scream too.

I am already crying.

I am waiting for my friend to show up. It has been an hour and a half now.

Soon, I hope, very soon.

When my friend, the narcotic, finally arrives, I might be able to finally sleep.

It usually takes two hours before I can feel the pain start to subside.

Soon.

I think of my mother who put a gun to her chest and pulled the trigger, ripping a hole in her heart.

Twenty years ago, I couldn’t understand why she did what she did.

I do now.

I now understand how a life of pain and debility can bring a person to despair for life itself.

And to consider the unthinkable.

I think of my kids.

I love them.

I think of my grandkids.

I love them. What joy they have brought into my life.

Is my love for them enough to pull back the thoughts of the unthinkable?

Tomorrow will be another day like today.

The weather might be different, the delicious food she cooks for me will change, but one thing is certain…

Pain will be waiting for me when I climb into bed.

Pain will mockingly say to me, I  will win this battle some day.

And if I can’t win, I will reduce you to a junkie living from pain fix to pain fix.

Maybe.

When thoughts of kids and grandkids can’t stem the thoughts of the unthinkable…

I turn to gaze at the woman who for thirty-four years has shared a bed with me.

I quietly touch her, she is alive, a reminder of all we have shared together in this life.

No matter what the storms of life have brought our way, she remains my friend and lover.

My rock and shelter in time of storm.

We promised never leave or forsake one another.

I promised…

I can’t promise that I will never come to the place that I can no longer bear the pain.

Boast not thyself of tomorrow, for thou knowest not what a day may bring forth, the Bible says.

How true.

Every day must be taken on its own terms.

My friend has finally done his work.

Thoughts of the unthinkable begin to fade.

I feel sleep coming on.

Until tomorrow…

* this is not a cry for help, a solicitation for medical advice, or a request for understanding.

The New Normal

If you have a strong body and good health you are indeed blessed.

I remember a day when I had good health and a strong body.

I remember being able to do whatever I wanted to do.

I remember hours spent playing basketball or softball.

I remember playing tackle football after church.

I remember walking for hours in the woods hunting deer, rabbits, or squirrels.

I remember hiking in the Huachuca Mountains.

I remember hiking to the top of Miller Peak.

I remember working long hours, with little sleep, and getting up and doing it all over again. And doing this for days and weeks on end.

I remember what it is to be a man’s man.

But, that is all I have these days……..just memories of a life that once was, a life I will never, ever have again.

Usually, at this point, someone is thinking, “I wonder if he has tried______________?”

Whatever you were going to put in the blank space, I have tried it. Diets. Foods. Drugs. Supplements. Tests.

Been there, done that.

I know you care and that’s why you send me the “new” information you have found. I know you want me to be in good health again.

But, it is not to be.

There is no fixing me.

God didn’t fix me, prayer didn’t fix me, and all the king’s horses and all the king’s men can’t put Bruce’s body back together again.

Life becomes one, slow, painful slide towards death.

Sometimes, I get periods of time where life flattens out. No new problems to deal with, no new adversity to fight.

These times become what I call The New Normal.

18 months ago, my right elbow started swelling and hurting. I went to the orthopedic doctor and he gave me a cortisone shot. The elbow problem went away.

About 9 months ago, my left elbow started swelling and hurting. I went to the orthopedic doctor just like before but this time the cortisone shot only lasted for a while and then the elbow began swelling and hurting again.

There isn’t anything structurally wrong with my left elbow. It just swells and hurts. It has been this way for months now.

My left elbow problem becomes a part of The New Normal.

Just one more thing to add to a long list of things I must deal with every day.

Think this is no big deal?

Add to the elbow problem, swollen and painful hands. Add to this chronic, never-far-from-me, lower back pain.

Then………think about wiping your ass.

A simple bodily function, yet it requires me to grit me teeth to stand the pain as  I try to do what billions of people do every day.

The New Normal.

Family and friends rarely inquire these days about how I am doing. I understand. They see me handling The New Normal so they assume I am doing just fine. They have their own lives to live, their own problems.

Those of us who life which chronic illness and disability often feel like we are just another piece of furniture. While everyone else is busy living life to its fullest, we just try to get by til tomorrow. They get so used to use being right where we are that they forget about us. Often, we become invisible to those we love the most.

I have no answers to this problem. I don’t fault my family and friends. I have very little to offer them these days. I don’t contribute like they do. I am just taking up space.  In the busy-ness of life family and friends assume that I will be here tomorrow. Just like every other day. I am right where I always am. A life that pretty much covers the distance from the bedroom, to the bathroom, to the Man Cave, and to the living room.

If I feel up to it  my world expands to the yard or a short drive to a nearby town to shop or eat. These trips become harder and harder to do. When you can’t drive you have to rely on others to take you here and there and let’s face it………they have a life too. So…….for the most part, I suffer in quietness and loneliness. Maybe I should have been a hermit.

This is my New Normal.

I have no power to change any of this. All I can do is adjust to my New Normal.

One of the hardest things for someone with a chronic illness to do is to embrace their reality. We remember a past when things were different. We remember a different life. In many ways, chronic, debilitating illness has made us into a different person. Whoever we were before is long gone. We must accept who we are NOW.

Often, the great struggle is not with pain or lack of mobility. The biggest battleground is the mind. With our mind we can bring up memories of the past. With our mind we can survey the present. With our mind we can gaze into the future. Often, despair sets in.

It should come as no surprise that many people who have chronic, debilitating illness see a counselor on a regular basis. The mental toll such illness brings is overwhelming. Struggles over meaning and purpose become matters of life and death. The counselor often becomes the firewall between the sick person and the gun or pills. I know that is how it is for me.

For you who are healthy and full of vim and vigor this post probably sounds defeatist or even whiny. “I should be glad I am alive or that I have a spouse and children who love me,” some might say.

I wouldn’t argue these points but I do wonder how they might respond to life if they had to walk in my shoes for awhile?

Imagine losing your strength and vitality. Imagine losing the capacity to work and do things that give your life meaning and purpose. Imagine there never being a day or moment that you are not in pain. Imagine your life being reduced to sitting in a recliner and watching TV hours on end. Imagine not being able to drive and having to be driven everywhere you go. Imagine a life of walking with a cane or being wheeled around in a wheelchair. Imagine this is your life day in and day out. Imagine going to sleep only to wake up and start it all over again.

This is my New Normal.

I write this post not as a complaint or an attempt to elicit sympathy or understanding. I write this post to give voice to my fellow sufferers. I write so they can know that there is someone else who understands. Perhaps, united in our suffering, we will find the necessary strength to make it another day.

Pictures: Bitstrips and Lisa Copen