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Tag: Osteoarthritis

Bruce, You Must be Feeling Better

pain looks good on other people

Yesterday, long-time reader and friend, Charles, complimented me on some of my recent writing, saying:

The several articles you put up today are very timely—-news wise—–and they are some of your best work.

I always appreciate such comments. I have never been a good judge of the quality of my work, so kind, thoughtful comments are always appreciated.

What I want to address in this short post is what else Charles said. Let me be clear, I am NOT taking Charles to task for saying this. I love and appreciate Charles, but there’s a teachable moment here that I think readers might find helpful.

Before complimenting me, Charles said:

You must be feeling better Bruce.

As countless readers, friends, and family members do, Charles sees a connection between “good” writing and how I feel physically. If my writing is perceived as “good,” then I must be feeling better. However, as my editor and my wife can tell you, some of my best work was written on days when I was quite sick, even suicidal.

I no longer have good days. I have no prospect of feeling better. The health problems I struggle with aren’t going away, and, quite frankly, they aren’t, on most days, very well managed. Writing, then, becomes a distraction of sorts, a way to take my mind off my pain and suffering. As I sit here typing this post, my body pulses with pain — and that’s after taking this or that medication. What writing does is direct my mind away from the spectacle of my life. Writing can be, for me anyway, a pain reliever of sorts. Think of it this way: your foot is throbbing with pain. You pick up a hammer and hit your hand. Problem solved. Your foot doesn’t seem so painful. This is exactly what writing does for me; a distraction that, for the time I am clicking away on my IBM keyboard, mentally reduces my pain.

Two weeks ago, I had a procedure done to temporarily lessen or stop the pain I have from gastroparesis. Unfortunately, it did not work. What treatments are left for me? Just do a Google search on “treatments for gastroparesis.” Doing so left me in despair. I have concluded that I must find a way to live with this, or not. Today, I chose to eat lunch, knowing that it would leave me feeling like I had been slugged in the abdomen. I don’t plan to give readers a running commentary on my difficulties. I just don’t have the wherewithal to do so anymore. Know that when you don’t see me post for a few days, it is for one reason alone: I can’t. And when I do post, it’s not because I “feel better,” but I do feel well enough to drag my sorry ass from the couch to the office, turn on Spotify, and write a few words that I hope readers will find helpful.

I know readers such as Charles genuinely want what’s best for me. They want me to feel better or find relief from my pain. I make no judgment on the well-meaning words of others. It beats being told by an Evangelical critic that he hopes I die and burn in Hell for eternity.

There are no more “feeling better” days ahead for me. I have resigned myself to that fact. Unless a revolutionary cure or miraculous healing comes my way, I know what lies ahead for me. And that’s okay. Not really, but hell, what am I going to do about it? Pray? Seek out a faith healer?

When you see another post by me, I hope you will say, “awesome, Bruce, is among the living!” And when the day comes when I can no longer write, please know, I will be forever grateful for your love and support.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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You can email Bruce via the Contact Form.

Living with Fibromyalgia

fibromyalgia 2

I thought I would share with my readers a bit about living with fibromyalgia. In 1995, I started feeling fatigued and had a lot of muscle aches and pains — not from overwork or any of the daily physical activities I engaged in. I just felt tired all the time, and my body ached from head to toe. After months of feeling this away, I sought help from doctors; a two-year exercise in frustration and futility. One doctor suggested that it was all in my head; that I was still grieving for my mother who died in 1991. I blew up at this “esteemed” physician, shouting at him in no uncertain terms, IT’S NOT IN MY HEAD!

I was a thirty-five-year-old pastor who, up until that time, could physically do whatever he wanted to do; from playing sports to cutting wood to car repairs to construction work. Why was I fatigued? Why did I hurt all the time? Those are the questions I wanted answered.

In 1997, I saw a new doctor in Montpelier, Ohio. For the first time, I had a physician who actually listened to me. Twenty-five years later, this man is still my primary care doctor, and most all, my friend. Doc wasn’t a miracle worker. He found my symptoms troubling, yet tests came back normal. Of course, the reason for this is that fibromyalgia is a diagnosis of exclusion. Other diseases such as multiple sclerosis and polymyalgia must be ruled out before a doctor can determine whether a patient has fibromyalgia.

For several years, I sponsored and moderated a Christian email discussion list called CHARIS (the Greek word for grace). One of the list participants was a sickly man who was an invalid. After mentioning my health problems to list members, this man contacted me and suggested that I talk to my doctor about fibromyalgia. This “providential” conversation resulted in my doctor diagnosing me with fibromyalgia. Nothing changed for me, per se. Just because you have a diagnosis doesn’t mean that all of a sudden you are on the path to healing. What the diagnosis did say to me is that my pain was not in my head; that what I was dealing with was real.

There’s no cure for fibromyalgia. Symptoms vary widely, and most fibromyalgia sufferers are women. Twenty or so years ago, I drove to the Williams County Fairgrounds to attend a fibromyalgia support group. I felt, at the time, very alone. Few people seemed to understand what I was going through. Even my family was perplexed. What happened to Bruce, to Dad?

I arrived at the support group meeting thirty minutes early. Typical Bruce Gerencser behavior — always early. My children (and Polly) have oh-so-fond memories about my lectures on being on time; that you should always be early. As I sat in the fairground parking lot, I watched as people filed into the meeting. I quickly noticed that there were NO men, I mean none. Every group member was a woman. I thought, “these women will never understand what I am going through.” So, I decided to not attend the meeting and drove home. Years later, I started blogging, and my readers became my support group. I learned that woman with fibromyalgia did, in fact, have a lot to offer me, namely understanding.

No two fibromyalgia sufferers have the same symptoms. On a scale of 1-10, I am on the 10 side of the spectrum. Fibromyalgia has affected every aspect of my life, bit by bit robbing me of the man I once was. People in my life have a hard time accepting that fibromyalgia is an incurable disease; that all that can be done is to manage the symptoms. And yes, I have read the books that suggest otherwise. Just don’t . . . whatever book title you are going to suggest or website you think will really help me, trust me, I know about it. Twenty-five years of dealing with fibromyalgia have helped make me an expert on the disease. I have read numerous books, websites, and studies about fibromyalgia. I have had to deal with well-meaning fools who email me or send me stuff in the mail they believe will cure me. Even when I beg people NOT to do this, they do it anyway. “Just take this or that supplement, Bruce, and your fibromyalgia will go away!” “Have you tried __________?” The ill-informed judgment is that I have not, when, in fact, my primary care doctor and I have tried numerous medications, supplements, off-label drugs, treatments, etc. When I came into the office and said, “Doc, I read about this new fibromyalgia treatment, what do you think?” he always said, “let’s give it a try.” His goal today remains what it was twenty-five years ago: reduce my pain and improve the quality of my life.

Over the years, I developed other health problems, namely osteoarthritis that rages through my body like a wildfire, and peripheral neuropathy that causes numbness and pain in my legs and feet. The unholy trinity of fibromyalgia, osteoarthritis, and neuropathy have so afflicted me that I hurt from the crown of my head to the bottom of my feet. There are no pain-free days, just manageable pain days, and raging pain days that make me ponder killing myself (no this is not a cry for help). Throw in a degenerative lower back problem, a tear in my shoulder labrum, and bum knees thanks to abusing them playing basketball for twenty years, and I can safely say that I am a walking, talking train wreck of a man. I wish things were different for me, but all the wishing in the world won’t cure me. So, I accept and embrace what I call my “new normal.” And my “new normal” continues to change over time. I know Doc sees it. There are those times I have heard a brief sigh from Doc as I share a new problem. Not a sigh of exasperation or impatience, but one that says he knows that I am struggling for my life. I have told him numerous times, “I don’t expect you to fix what can’t be fixed.” “All I ask is that you do what you can for me.” And he has done just that over the past two and a half decades.

My treatment has settled into a rhythm of sorts: pain medications, potent muscle relaxers, sleep medications, light aerobic exercises and walking when I am able, and hot — and I mean hot — baths. The goal is decent sleep and the reduction of my pain to a tolerable level. Some days, it’s mission accomplished. Other days, not so much. And then there are those days when the meds don’t seem to work and muscle and joint pain batter me from head to toe for hours on end. The latter leave me in tears, wishing something, anything would make it stop. In these moments, I feel very alone, even though the love of my life is right next to me.

I am sixty-three-years-old. Thanks to the issues mentioned in this post and other health problems I won’t mention lest I sound like Granny Sue at church cataloging her afflictions, what I can do in life is limited. For years, my well-intentioned mother-in-law would ask Polly if I was “feeling better,” as if I had a temporary sickness that would soon disappear. She finally understands that I don’t have days when I “feel better.” Mom used to be a big proponent of “putting mind over matter.” That is until she had her own health problems; diseases that can’t be magically wished or prayed away.

Most days, I walk with a cane, but when we take trips or I am really fatigued, I have to use a wheelchair. I still refuse to use the motorized carts at the grocery. Irrational pride, to be sure, but I would rather slowly go through the store bent over the handle of a cart than ride around the store as an advertisement for infirmity. You see, people with fibromyalgia (and osteoarthritis) often look “normal.” I can’t tell you the times I’ve gotten glares when we pull into a handicapped parking space. I get out of the car and look “normal” so people think I am taking a parking space away from someone who could really use it.

I still struggle with self-worth as a result of fibromyalgia. In my mind, I am supposed to be the breadwinner instead of my wife. I am the one who is supposed to be taking care of everything. Having OCPD doesn’t help either. Fibromyalgia is a cruel oppressor. In my mind, I tell myself, “Bruce, you can do everything and anything you want to do!” Remember the line from the Waterboy? “You can do it!” And then I hear fibromyalgia and his sister osteoarthritis laughing and mocking me. “Sure, Bruce, go ahead and try.” And try I do, often working myself into bed for days on end from relentless pain and overwhelming fatigue. Fibromyalgia snickers and says, “See, Bruce, I told you! I am the boss in this story.”

One of the hardest things I have had to come to terms with is my physical and emotional limitations. When you spend most of your life as a workaholic, a man driven to perfection, it’s hard to admit that you are no longer in control of your storyline. I certainly haven’t mastered dealing with the realities of my life. I can, all too often, overwork, and this frustrates those who love me. I have never been good at finding balance in my life. I am more of an all-in kind of person, charging hell with a squirt gun, only to find out there’s no water in the gun. I want to think I have gotten better, but I suspect what’s really changed is that Polly is now willing to put her foot down and tell me no or suggest that I take off a day or two or four and rest. I also have friends such as Carolyn, my editor, who recognize my character flaws and try to keep me from self-destructive behavior. Carolyn can recount many times that I texted to tell her that I was going to go do this or that. She wisely encourages me to take it easy; to live for another day. And sometimes Carolyn sends see several smile emojis with a message that says, “you are going to do this anyway, aren’t you?” And sure enough, I do, and the next text she gets from me is one saying I won’t be doing any writing for a few days.

I haven’t worked a W-2 job since 2005. In recent years, I have done some web design and site management work for my sister’s trade school in Arizona. This provides me a bit of income, even though I feel guilty about taking her money. This blog, after expenses, also provides me a thousand or two dollars of income. And now that I am drawing social security, I feel as if I am contributing in some small way to our material well-being. That said, I can’t help but think when I see my wife of forty-two years walk out the door to go to work that I should be the one, pick in hand, heading for the coal mine.

This is the first comprehensive post I have written about my struggles with fibromyalgia. I hope you found it helpful, and it gave you a bit of knowledge and understanding about a disease that affects millions of people.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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Your comments are welcome and appreciated. All first-time comments are moderated. Please read the commenting rules before commenting.

You can email Bruce via the Contact Form.

I Refuse to Accept This

accepting things as they are

Several years ago, I watched a sports documentary about a boxer who had brain damage from his last fight. No matter what doctors did, his condition continued to deteriorate. Finally, doctors told his wife that they had done all they could do. Both the boxer and his wife would have to accept that he was not going to get better. In fact, his health would likely get worse. The wife said, “I refuse to accept this. Surely, there is something else that can be done. A new drug, treatment, or therapy, surely there is something that can be done.”

While I understand the wife’s unwillingness to accept that her husband was never going to recover, her statement reflects a common misconception about life and the tragedies that come our way. Things don’t always get better. Sometimes, there’s nothing more that can be done. Sometimes, there’s not an answer or a cure.

I have been criticized, often behind my back, for the stoic attitude I have about my health. Since 1997, when I was first diagnosed with Fibromyalgia, I’ve seen numerous doctors, had more blood tests than I can count, and have had repeated scans, procedures, and surgeries.

My orthopedic doctor told me my osteoarthritis is like numerous wildfires burning out of control. Put one fire out and others pop up. He gathered up my x-rays and MRI scans and we looked at them. He was quite blunt, telling me that I have arthritis in EVERY joint, and that some of the damage is severe. Knees, shoulders, feet, hands, and back, all have arthritis that is causing joint damage. The why is unknown. Some days, the pain from the arthritis is severe, some days it is tolerable. Added to this is the muscle pain I have from Fibromyalgia. Every day is a pain day, with some days worse than others. I haven’t had a pain-free day in twenty-five years.

We talked about options. He was quite frank with me, saying that because the arthritis is so pervasive that I was not a good candidate for surgery. Even with my knees and shoulders, scoping them could actually make things worse, resulting in more pain. I like this doctor because he doesn’t bullshit me. His advice? Live with it. Unless I want to have total joint replacements, surgeries that have a huge risk of complications for someone like me who has a compromised immune system, I must learn to live with the pain, debility, and the ever-so-slow loss of function. All that he and other doctors can do for me is help manage the pain and try to improve my quality of life.

And I am fine with this. As I told the doctor, sucks to be me, but it is what it is. Unlike the boxer’s wife, I know there is nothing more that can be done. All the whining, complaining, praying, wishing, and hoping won’t change the fact that I have a body that is failing. All I can do is make the most of what life I have left.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

Connect with me on social media:

Your comments are welcome and appreciated. All first-time comments are moderated. Please read the commenting rules before commenting.

You can email Bruce via the Contact Form.

Understanding and Helping Those Who Live With Chronic Pain

garfield pain

Regular readers know that I live with chronic, unrelenting pain. There’s never a day that pain is not my close, personal friend. The last time I can remember a pain-free day was somewhere in the mid-1990s (I was diagnosed with fibromyalgia in 1997). Every day, like the sun coming up in the morning, I have pain. Some days are less painful, other days are more painful, and then there are what I call the please let me die days where the pain, no matter what narcotics I take, is off the charts. From the top of my head to the bottom of my feet, I hurt. New pains come and go, often returning months or years later. Some pains move in and stay, just like an adult child who says, “I just need to live here until I get back on my feet.” This is my life. I accept it as it is, doing what I can, and embracing what I can’t.

Friends and family often have a hard time figuring out how to interact with me. Some avoid me — out of sight out of mind, I suppose. Some stand on the periphery of my life watching as chronic pain and illness destroy the man they love. Some dare to venture a little closer, perhaps even offering to help, but I often push them away, not wanting to burden them with my problems. They have a life, I tell them, no need to be burdened with a dying old man.

The last two years have been record-setting, and not in a good way either. Not only do I continue to struggle with fibromyalgia and osteoarthritis, but after I had my gall bladder removed in August, I am dealing with bile reflux and gastritis (bile is pooling in my stomach, not draining down my intestine as it should). I have lost 105 pounds in twelve months, don’t feel like eating, and now I am having a problem with super lower blood pressure (and this is after stopping ALL of my blood pressure medications). And then there are my low blood cell counts that no doctor, so far, has been able to figure out.

I know family and friends love me and want to be “there” for me, wherever “there” is. Some of the readers of this blog — dear folks who have over the years become my friends — offer up their love and support and I deeply appreciate their kindness and compassion. I know, as people watch the spectacle of my life, they are frustrated and discouraged, knowing that this may not have a good outcome. I resigned myself to this fact a long time ago. If not today, it will be some other day, sooner rather than later, that will be my last. Like you, I want to live until I die. While I may have moments when I contemplate suicide, most days I try to live the best life possible.

Several years ago, I read a wikihow.com article titled How to Understand Someone With Chronic Pain. I thought the points in the article might be helpful for my family and friends and for others who are intimately connected to someone with chronic pain. Here are some of the points and a highlight quote from each. I encourage you to read the entire article.

Remember that being sick does not mean that the sufferer is no longer a human being.

Chronic pain sufferers spend the majority of their day in considerable pain. If one visits or lives with a chronic pain sufferer, the chronic pain sufferer may be unable to enjoy things they used to enjoy. The chronic pain sufferer remains aware, and desires to do what they used to perform. The chronic pain sufferer feels as if they are stuck inside a body in which they have little or no control. They still want to enjoy work, family, friends and leisure activities, however much pain puts that enjoyment out of reach.

Learn the code.

Chronic pain sufferers will often talk differently from people free of constant pain. A numeric pain scale is used as a quantitative measure for identification of intensity for pain so the health care providers can measure effects of treatments. The measure describes pain on a scale from 1 to 10; the 1 is “no pain at all, feel wonderful” and 10 is the “worst pain ever felt.” Do not assume the chronic pain sufferer is not experiencing pain when they say that they are fine. The chronic pain sufferer attempts to hide the pain due to lack of understanding in others.

 Recognize the difference between “happiness” and “healthy.”

When you have the flu, you probably have felt miserable. Chronic pain sufferers have experienced pain from 6 months to many years. Pain has caused them to adopt coping mechanisms that are not necessarily reflecting the real level of pain they feel.

 Listen.

The previous two steps made it clear that chronic pain sufferers can speak in code or make their pain seem lighter than the reality. The next best thing that you can do is to listen to them properly, and to make it clear that you both want to hear what they have to say and that you really have heard it. Use your listening skills to decode what they’re hiding or minimizing.

 Understand and respect the chronic pain sufferer’s physical limitations.

Being able to stand up for ten minutes doesn’t necessarily mean that the sufferer can stand up for twenty minutes, or an hour, or give you a repeat performance whenever. Just because the person managed to stand up for thirty minutes yesterday doesn’t imply that they will be able to do the same today…With chronic pain however, it is confusing to both the sufferer and the onlooker, and their ability to cope with movement can be like a yo-yo. The sufferer may not know, from day-to-day, how they are going to feel when they wake up, and each day has to be taken as it comes.

 Leave your “pep talk” for your kids and your gym buddies.

Realizing that chronic pain is variable, keep in mind that a pep talk can be aggravating and demoralizing for the chronic pain sufferer. As already noted, it’s quite possible (for many, it’s common) that one day they’re able to walk to the park and back, while the next day they’ll have trouble getting to the next room. Therefore, it’s vital that you don’t fall into the trap of saying: “But you did it before!” or “Oh, come on, I know you can do this!”

 Never use throwaway lines.

Assuming you know best by making such statements as “Ah well, that’s life, you’ll just have to deal with it”, or “You’ll get over it eventually. Until then, you’ll just have to do your best”, or worst of all, “Well, you look well enough,” etc., are lines that might make you feel done and dusted with the topic but they are both a form of distancing yourself from the person and making the sufferer feel worse and out of hope.

 Check your own patience.

If you’re impatient and want them to “just get on with it,” you risk laying a guilt trip on the person who is suffering from pain and undermining their determination to cope. They probably have the will to comply with your requests to go out and about with them but have neither the strength nor the coping capacity as a result of the pain.

 Be sensitive when suggesting medicines or alternative treatments.

Some may not appreciate suggestions, and it’s not because they don’t want to get well. They may have heard of it or tried it already or some may not be ready to cope with new treatment that can create an additional burden on their already over-burdened lives. Treatments that haven’t worked carry the emotional pain of failure, which in and of itself can make the person feel even lower.

 Don’t be put off if the chronic pain sufferer seems touchy.

If that’s the appearance, it’s probably because they are. It’s not how they try to be. As a matter of fact, they try very hard to be normal. Just try to understand. They have been going through a lot. Chronic pain is hard to understand unless you have had it. It wreaks havoc on the body and the mind. It is exhausting and exasperating. Almost all the time, they do their best to cope with this, and live their lives to the best of their ability. Just accept them as they are.

 Be helpful.

The chronic pain sufferer depends a great deal on people who are not sick to support them at home or visit them when they’re too sick to go out. Sometimes they need help with shopping, cooking, or cleaning. Others may need help with their kids. They may need help getting to the doctor, or to the store. You can be their link to the “normality” of life.

Is there anything you would add to this list? Please leave your astute observations in the comment section.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

Connect with me on social media:

Your comments are welcome and appreciated. All first-time comments are moderated. Please read the commenting rules before commenting.

You can email Bruce via the Contact Form.

Depression: It’s the Little Things

nope

Thank you to everyone who has contacted me in recent months, asking me how I am doing, health-wise. Hopefully, this post will catch everyone up on my current status. Not a cheerful, “ain’t life grand” post, but I do try to be honest and forthright about my health.

I have suffered from depression most of my adult life, especially since being diagnosed with fibromyalgia in1997.

Over the past three decades, not only have I had to contend with fibromyalgia, I’ve had to deal with osteoarthritis and neurological problems (peripheral neuropathy) that are ever so slowly robbing me of my physical strength and ability to walk. My cane and wheelchair are never far away. Some days — most days — are cane days, other days are wheelchair days. Some days are cane and wheelchair days — days when I want to use my cane to club the thoughtless people who walk in front me, try to get in front of me, or just stand there ignoring the fact that I can’t get around them. If illness and debility have taught me anything, it is that some of my fellow humans are narcissistic, self-absorbed assholes who have no time or empathy or time for others.

Every day is a pain day for me. Some days, the pain is manageable and tolerable, and it fades into the background as I write or focus on other things. Other days, the pain is standing with both feet on my neck, threatening to turn me into a weeping, pathetic, suicidal man. Most days, are a balance between these extremes. I take my pain medications and muscle relaxers, try the best I can to function, hoping to live for another day.

Along with fibromyalgia, osteoarthritis. neurological problems, and chronic pain, I’ve had three bouts with skin cancer, my gallbladder removed several months ago, a labrum tear in my shoulder, torn menisci in both of my knees, severe lower back and hip pain, diabetes, and high blood pressure. Oh, and now, my red blood cell counts are low — very low. I have been on iron supplementation for the past month. I had bloodwork done today, and I have two doctors’ appointments tomorrow. One appointment is with the orthopedic doctor to see if the problem with my lower back — the disc space at L5 — has worsened, and then an appointment with my primary care doctor. If my red blood cell counts have not improved, I will have to have a colonoscopy and an endoscopy to check for internal bleeding. Since having surgery, I have had nausea, loss of appetite, and dull headaches. I have my eyes checked, nothing abnormal there. All told, since last Thanksgiving, I have lost 70 pounds. And not because I was trying to do so.

Healthwise, my plate is full. That said, I accept my life as it is. I am a realist. I don’t try to delude myself into thinking I am a young buck running through the forest in pursuit of a doe. I am a loving, kind, passionate man who, due to genetics, luck, environmental exposure, and personal lifestyle choices, has a body that is dying at a faster rate than others my age. I am a high mileage automobile that from a distance looks good, but closer inspection reveals a lot of wear and tear.

All of this I embrace and own. It’s my life, I have to live my life on the terms dictated to me by my body. Thinking happy thoughts, putting mind over matter, pretending things are different from what they are, provide no help for me. Even when I was a young man — a healthy, strapping, strong man who hunted, hiked, cut wood, and could bend the world to my will — I tried to see things as they are.

Having my father die at age forty-nine and my mother commit suicide at age fifty-four tend to give me a particular perspective. Visiting sick and dying church members in the hospital reminded me that life is short. My experiences with the sick and dead have certainly shaped my understanding of life, and I know the path I am on, healthwise, leads to a fiery furnace. No not Hell, silly. I am going to be cremated after I die.

My counselor has told me several times that it would be unusual for a person with the health problems I have to not be depressed. He knows I struggle with suicidal thoughts, but he also knows that these thoughts are driven by the chronic, unrelenting physical pain. Through kindness, compassion, friendship, and support, he keeps me from falling down the rabbit hole, never to be seen again (though thanks to the Coronavirus Pandemic, I have not seen him in nine months).

As many depressives will tell you, it is often little things that worsen their depression. For me, it’s not the chronic illness and unrelenting pain . . . it’s the little, unexpected things that push me towards the abyss. Things such as:

  • Falling and wrenching the shoulder that has the labrum tear
  • Constipation
  • Getting out of the house so I can take photographs, only to find out I left the SD card in the card reader
  • Emails and texts to friends who never respond
  • Health advice from people I have repeatedly asked to stop pretending they are doctors
  • People asking me, have you tried this, that, this, that, this, that, this, that, this, that, this, that . . .
  • Dropping a dish on my foot
  • Stubbing my toe in the dark on something that is not where it is supposed to be; something left on the floor by one of my grandchildren
  • Nothing in the refrigerator I want to eat
  • No Internet
  • The printers running out of ink or toner
  • Microsoft screwing my desktop computer with an update, and now I have to spend precious time “fixing” it
  • Needing a quarter for a shopping cart at Aldi and not having one
  • The batteries in the remote dying just as I get comfortable in my recliner or bed
  • Making an error in the checkbook
  • Store clerks who treat me as if I have a disease, or worse yet, treat me as if I don’t exist
  • Finding out last night’s dinner stained my favorite shirt
  • The DVR not recording a show I wanted to watch
  • No milk and I want to eat a bowl of cereal
  • People not wearing face masks
  • One of my children borrowing my tools one month, one year, five years ago, not returning them, and NOW that I need them, they are nowhere to be found
  • Looking out the back window at our wild, overgrown yard, hearing the taunts of the trees, bushes, and weeds, saying, WE WIN!

Silly stuff, I know. But, here’s what you need to understand: for those who live with chronic illness and pain, there’s a cumulative effect. Their lives are already filled to the brim with the struggles that come from their illnesses. It’s often all they can do to just get out of bed and live another day. So, when small insignificant things are thrown on top of their overload, it can and does bring them crashing down.

Try to remember this the next time you think your suffering friend is overreacting to a small matter: it’s not that one thing that is the problem; it’s the accumulation of numerous small things that have left your friend or loved one curled up on the bed wanting to die.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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Nerve Pain: Please, Don’t Touch Me

dont touch me

Many Fibromyalgia sufferers have days where they can’t bear to have someone touch them. The other day, Polly came into my office and started to put her hand on my shoulder. I barked, DON’T! Polly knows when I say this that I am having a “please don’t touch me” day.

Most days, the nerves in my skin are quite sensitive. This sensitivity is part of the problem I have with chronic pain. I hurt everywhere, from head to toe. It has been over a decade since I have had a day where I could say, I feel pretty good today. Fibromyalgia primarily affects the muscles. I also have osteoarthritis, along with chronic low back pain. Fibromyalgia+osteoarthritis+back pain+nerve pain=unrelenting chronic pain. Fibromyalgia+osteoarthritis+back pain+nerve pain+narcotic pain medication+muscle relaxers=less unrelenting chronic pain.

garfield pain

As anyone who lives with chronic pain can tell you, pain medications do not make the pain go away. They lessen the pain spikes and provide a break in the pain cycle. When normally healthy people take narcotics to alleviate pain, they often feel a buzz from the drug. Some people become quite loopy. That’s not how it is for people who are on a long-term pain management regimen (as I have been for over fifteen years). Unless the chronic pain sufferer takes narcotics like Dr. House — by the handfuls — it is unlikely that they will feel a buzz or become loopy. They will feel a lessening of the pain, a break in the pain cycle, but otherwise, they will be as normal as normal is for them.

On “please, don’t touch me” days, the pain medications don’t work like they normally do. I am unsure as to the physical reason for this, but I know that I can double my pain medication on a “don’t touch me” day and it has little effect. I just have to tough it out, knowing that the next day will be maybe, I hope so, likely better.

This past Friday, Saturday, and Sunday, I worked in the office, took care of some remodeling projects, cleaned house, and trimmed trees and bushes. I worked far longer and harder than I should have, but since I am unwilling or unable to stop doing so, I must live with the consequences. And, boy, oh boy, do the consequences roll in like a freight train! Today, and probably several more days thereafter, I will have to contened with pervasive, unrelenting nerve pain. I am definitely in a “don’t touch me” phase of life.

Why I am telling you this? Perhaps you know someone who lives with chronic pain. If so, perhaps this post will give you a little insight into what they might be going through. Perhaps you have seen them grimace when someone touches or bumps into them. They might be having a “please, don’t touch me” day. If they are anything like me, they will endure the pain for the sake of not appearing crabby or difficult. Chronic pain sufferers want to be seen as “normal”, and often they will silently endure the pain unintentionally inflicted on them by others.

People who know me well will generally ask how I am doing before hugging me or shaking my hand. (COVID-19 has lessened such close encounters.) Some friends and family members know how to read my face. As much as I try to hide the pain, it reveals itself in my face and eyes. I normally have sparkling blue eyes, but when I am in a lot of pain, depressed, or physically having a difficult day, my eyes will turn gray. I don’t know WHY my eye color changes, I just know it does.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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Are You in Pain Today?

new pain schedule

Last Friday, my surgeon called and asked me to come see him at 1:30 pm today so we could go over the recent biopsy results of the fluid removed from the mass in my chest. In early December, I had a huge cyst that spanned from my breast/collarbone to my sternum/underarm drained and biopsied. The interventionist radiologist removed 360cc of fluid. I IMMEDIATELY felt relief — all praise be to Asclepius.

The nurse came out to the waiting area and called my name. Someone new. “Where’s MY nurse . . . dammit, I have no time to train a new one,” I thought.

Into the room, we went. I could hear my doctor talking to another patient next door. He seemed in a good mood, but then he always seemed that way.

The nurse took my blood pressure and pulse. Then she asked, “Are you in pain today?”

If there is one question that raises my hackles, it is this one. “Can’t you read my chart? See right there where it says the patient has fibromyalgia, osteoarthritis, nerve pain, and is on narcotic pain management. Pay attention.”

For a brief snarky second, I wanted to say, “Praise Jesus, I went to a Benny Hinn Miracle Meeting® on Saturday, and God healed me of everything except the cyst that is growing again in my chest.” Instead, I said, “Yes, I am always in pain.”

Then the nurse asked me another question that I despise answering, “On a scale of one to ten, what’s your pain level?”

I replied, “I hate pain charts. Pain charts are subjective, a waste of time.”

I got the “look,” you know that look that says, “Give me a fucking number so I can enter it in the proper box on your chart.”

I replied, “six.”

Hell, it could have been ten or three or twelve. By what standard am I being asked to judge the level of my pain? Such a silly way to determine pain levels and what, if any, treatment is appropriate.

The surgeon entered the room with a medical student in tow. We traded a bit of chit chat and then moved to discussing the biopsy results and his recommended course of treatment. I told him the cyst had returned and was growing larger by the day. I stood up and had him feel the cyst. I turned to the medical student — a woman — and asked her if she would like to feel the cyst. She said, “yes,” and proceeded to put her hand above my right breast. The surgeon had her feel above the left breast too so she knew what normal felt and looked like.

The surgeon told me that removing the cyst could be a difficult operation due to its proximity and depth. His suggestion was for the radiologist to drain the cyst again and then inject it with a sclerosing agent. Hopefully, this procedure will stop the fluid from accumulating again.

The surgeon asked Polly and I if we had any questions. Both of us said, “no.” He then asked Polly how she was doing and if she was scheduled to see him soon (he is the doctor who will be reversing her colectomy). Polly answered in the affirmative. The surgeon and his student left, and my regular nurse came in to talk to me about scheduling the procedure. Hopefully, I will have it done in the next fourteen days.

The surgeon? He had left the office after seeing me and quickly made his way across the street to the hospital. Waiting for him was a young girl who needed emergency surgery.

What is your opinion of pain charts? Please share your thoughts in the comment section.

Bruce Gerencser, 66, lives in rural Northwest Ohio with his wife of 45 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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Your comments are welcome and appreciated. All first-time comments are moderated. Please read the commenting rules before commenting.

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Please Do Not Offer or Send Me Unsolicited Medical Advice

chronic illness

My health is very much a part of my story. It is impossible for readers to understand where I have come from and where I am today without me telling them about my struggles with chronic pain, fibromyalgia, and osteoarthritis. Over the past decade, I’ve not been shy about sharing with readers my health history. Unfortunately, in doing so, I have opened myself up to unsolicited medical advice from people who have diagnosed me from afar. In recent years, I have received emails, letters, telephone calls, texts, packages, and personal visits from people who are certain they know the cure for what ails me.

One woman — a former church member — would stop by my house every few weeks hoping to sell me super-duper, cure-all shakes that she was certain would return me to perfect health. I had to hide in my bedroom and have Polly lie to her about my availability. After months of attempts to evangelize me, the woman finally took the hint and stopped. At the time, she was on the shakes. Today? She has abandoned this miracle cure and continues to face debilitating health problems.

Well-meaning people have told me that this or that drug, this or that supplement, reiki, spinal adjustment, surgery, acupuncture, iridology, yoga, chakra alignment, mindfulness, homeopathic concoctions, essential oils, Native American rituals, magnets, diets — need I go on? — would infallibly cure me. Today, I received in the mail a list of books from a blog reader — some of which I have read — that, if followed, would supposedly put an end to my chronic pain. The gist of the books is this: your pain is all in your head.

I go out of my way to avoid interaction with readers when they put on lab coats and play doctors. I either ignore them altogether or I quickly say “thank you” and change the conversation. Yet, it seems no matter how many times I say, PLEASE DO NOT OFFER OR SEND ME UNSOLICITED MEDICAL ADVICE, people continue to ignore my request and offer advice anyway. What is it that says to some readers that they are free to disrespect me as a person? Is there anything ambiguous or unclear in PLEASE DO NOT OFFER OR SEND ME UNSOLICITED MEDICAL ADVICE? Do some readers think I am stupid or ignorant or lacking competent medical care?

I get it. I am the kind of writer who has swung open the door of his life, inviting such advice. However, I have politely asked that people not give me unsolicited medical advice. How hard can it be for readers (and family members) to respect my wishes and leave me alone? Can they not see that their tactics are no different from those used by Jehovah’s Witnesses or evangelizers from Independent Fundamentalist Baptist churches? “Sir, we are here today to offer you something that will change and transform your life!” Never mind the fact, that I am not ignorant about what they are peddling, be it Jesus or a “cure” for Fibromyalgia.

Let me be clear. I am under the care of a team of competent medical professionals. I am well-educated concerning my afflictions. Unless researchers come up with new treatments, I am going to die “Just as I am.” I have resigned myself to the fact that a combination of what ails me will eventually lead to my demise. And I am okay with that. I do what I can to manage my symptoms. If I read of something that “might” be helpful, I bring it up to my primary care doctor. In the twenty-three years he has cared for me, he has NEVER said no to me; never refused an off-label drug or treatment that “might” alleviate my pain and suffering. “Let’s try it and see if it works.”  My orthopedic doctor treats me in a similar manner. He knows, based on x-rays, CT scans, and MRIs, that I have arthritis from head to toe. He knows that surgery is not a good option for me, so he does what he can to alleviate my pain. The scans tell him that the pain is not in my head.

unsolicited medical adviceI know that writing this post and making it prominently available will do little to stop certain readers offering unsolicited medical advice. It is not like I can ban them or anything. As long as I have a widely read blog and make it easy for people to contact me, I am going to receive emails, letters, telephone calls, texts, packages, and personal visits from pretend doctors. That doesn’t mean, however, that I can’t bitch about it. Praise Loki for the power of bitching, amen? Amen!

Let me conclude this post with several excerpts from articles that address the issue of unsolicited medical advice. The first article is titled, Your Unsolicited Health Advice Isn’t Just Irritating. It’s Damaging. Sarah Blahovec writes:

You may be thinking, “These people [people who offer unsolicited medical advice] sound irritating, sure, but why are you making such a big fuss? They’re just trying to help!”

Of course, I get that they’re trying to help, and in some cases, it really is just a pet peeve that I’ll politely accept or decline and move on. But the thing is that constant unsolicited advice, questioning, and imploring to try something different becomes very invalidating. You don’t just hear a helpful tip to try, you hear that you aren’t trying hard enough, that using medication to treat your condition means that you’re giving up or aren’t willing to seek out a non-medicinal alternative. You hear that all of the work that you and your doctors have done, the tests, the procedures, the trial and error of different combinations of medications and treatments aren’t enough, and that you need to try a different path. You hear that if you did give these suggestions a shot in the past, you didn’t try long or hard enough, you weren’t following it correctly, or you bailed and took “the easy way out.”

It is frustrating to constantly hear the message that not only are you not trying hard enough to improve your own health, but that you and your doctors are not the most knowledgeable about your medical and lifestyle needs. A stranger or acquaintance took it upon themselves to say that they know more about your condition from a bit of Googling and a few books than your doctor with their experience and education, and you with your everyday, lived experience of actually having the medical condition. It is emotionally damaging to not only hear that you aren’t living with your disease correctly, but to always have to educate others on why their unsolicited advice is unwanted and harmful. Unfortunately, they usually just they reply that you’re overreacting and become offended that you won’t take their suggestion. This only adds to the emotional pain, and very often, the physical pain of a medical condition that can be triggered by stressful situations.

My message is this: please, please do not give advice when it is not specifically requested. If someone wants information about your lifestyle, your choice, or your product, they will ask you and they will do the research. If you do give advice and somebody says that they aren’t interested or asks you to stop, just respect their wishes. Nobody should be coerced into trying something they don’t want to try, and if you push forward with your advice, not only would they not listen, but they may become stressed, hurt, and invalidated by your inability to respect their wishes.

Trust that disabled and chronically ill people and their medical teams are the most knowledgeable about their own health and their medical and lifestyle needs. Trust that they will seek out you or the proper sources if they’re interested in what you have to offer. And out of respect for disabled and chronically ill people everywhere, please stop forcing your unsolicited advice upon those who don’t want it.

In an article titled, Please Give Me Your Support, Not Unsolicited Medical Advice, Megan Klenke writes:

I would rather spend the rest of my days banging my head against a wall than to continue trying to explain to people that their essential oils and kale will not cure me. OK, I’m being dramatic, but not as much as you might think!

If you’re anything like me, when you first became chronically ill (if you’re reading this as someone who’s sick), you possibly went through a naive stage early on in your illness. The stage where you believed the random person in an elevator who’s known you for two whole minutes who said that snake oil was God’s gift to the ill, or your aunt’s cousin’s brother’s half-sister who swears by this new detox where you only eat eggs for a month and every illness ever will be reversed, or some crap like that.

But seriously, there was a period of time at the beginning of me being sick that I desperately held onto the belief that I had control and would get better, so I tried anything and everything anyone presented to me. The worst was this “joint juice” concoction my dad ordered off an infomercial that tasted worse than words can describe. Yuck.

After awhile, it became something I did out of spite. Eventually there were few things left that I hadn’t tried, but when someone offered me something new, I would try it to prove to them how wrong they were.

When people constantly offer up these things, especially after I’ve spent time telling them my story, it doesn’t come off as helpful. I know, I know. People generally mean well. Sure. I’d like to say I believe that. But there’s condescension there almost always. And disbelief. And disrespect. It’s a smack in the face. It’s basically people saying to me that I just must not be doing enough or else I’d be better.

We as humans don’t like to lose control. We don’t. I certainly don’t. It’s not fun. We try to control every aspect of our lives. We love to plan out how every minute of everyday is meant to be spent and we think we can control that.

But the truth is, we can’t control everything. We cannot always control our bodies and our health. I know it’s scary to realize this, but it’s true. And I think that’s a big reason why one of the most common reactions people have to finding out that I’m chronically ill is to give me advice (that I didn’t ask for) on how to get better (from my incurable diseases). They want to help, but they want even more to keep up the illusion of control in their world. They’d rather believe that it’s essentially my fault that I’m not better because I’m not doing something right, because I don’t have the proper self-control, than to acknowledge the lack of control we have over our lives.

So what all of this unsolicited advice says to me is, “I didn’t listen to anything you just said because I’m scared of facing our lack of control and my mortality. I think you just don’t know what you’re talking about. I know better.”

That’s the truth of it. So the next time you’re thinking about offering up unsolicited advice to someone who’s chronically ill, it’s probably best to just…not.

Thank you for your love, kindness, and support. Many of you have come alongside me and brought understanding and encouragement during difficult times. It is enough for me to know that people care.

About Bruce Gerencser

Bruce Gerencser, 62, lives in rural Northwest Ohio with his wife of 41 years. He and his wife have six grown children and twelve grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist. For more information about Bruce, please read the About page.

Are you on Social Media? Follow Bruce on Facebook and Twitter.

Thank you for reading this post. Please share your thoughts in the comment section. If you are a first-time commenter, please read the commenting policy before wowing readers with your words. All first-time comments are moderated. If you would like to contact Bruce directly, please use the contact form to do so.

Donations are always appreciated. Donations on a monthly basis can be made through Patreon. One-time donations can be made through PayPal.

Living with Unrelenting Chronic Pain: Just Another Day in Paradise

pain-looks-good-on-other-people

I begin each day with pain. No matter how much medication I take, pain, from the bottom of my feet to the top of my head, is ever with me. There’s never a day when pain is not front and center, demanding attention. Afternoon turns to evening. Hopefully, I have felt strong enough to sit down in my office and write a few words for this blog. As I type this post, my hands remind me that osteoarthritis is my ever-present “friend.” Someday, I will push the keyboard away and say to the pain, “you win.” Not today, but no promise that tomorrow won’t be the end of my run. I fear what happens to me when I quit; when I say, “I have had enough.”

By the time the clock says 10:00 pm in the eastern time zone, my body says, “enough! I shan’t go any farther!” Two decades of struggling with fibromyalgia have taught me to recognize when it’s time to surrender for the day. “Wave the white flag, Bruce, and live for another day,” I tell myself. As I slump into my recliner, turn on Pardon the Interruption, and adjust the sound, tears come to my eyes. “Why live another day, knowing that tomorrow will be no different from today?” No matter how much I try to think happy thoughts and “put mind over matter,” reality reminds me that it is a bitch, a taskmaster with no concern for my suffering and pain. “Tough shit, Bruce. This is your life, deal with it.”

I hear the front door open. It’s Polly coming home from work. The clock strikes 2:30 am. We trade pleasantries, ask questions of one another, eat a snack, and finish the day off with The Daily Show. Now it’s time for the final act of the day, bedtime. I drag my pained, fatigued body to my side of the bed, plug my iPad into the wall charger, put on my Bluetooth headphones, and run one of the video streaming apps — usually Hulu. Of late, I am re-watching the Los Angeles police drama Southland. Polly touches me gently on my back and says, “good night.” I reply, “I love you.” Polly will quickly fall to sleep, but not me. Sleep for me will not come until pain and sleep medications do their work — that is, IF they do their work. Some nights, this process takes an hour. Other nights, it takes two, maybe three hours for sleep to win the victory.

And then, I do this all over again. There’s never a day without pain and fatigue. Never. I am not sure my family and friends understand this. Oh, they try, but for people who have not lived with never-ending, unrelenting chronic pain, there’s no frame of reference for them. How can someone “understand” that which they have not experienced? I photographed a local high school basketball game tonight — the first game of the season. As I entered the building, a school official said to me (and Bethany), “how are you folks doing tonight?” His voice rang with happiness and enthusiasm. He was what I call “chipper.” Before I could “think” of how I wanted to answer him, I blurted out, “do you really want to know?” His face told me that he was not expecting THAT answer. I quickly rescued him from the uncomfortableness of the moment. “Let me give you the standard human answer, “I’m fine. I am always fine!” And with that, I made my way to the gymnasium. Of course, I am not “fine.” I am sure some of you might be thinking, “Bruce, if you are not “fine,” why did you shoot the basketball game? “Why not stay home, rest, and take it easy?” Truth be told, it doesn’t matter where I am or what I do, I can’t escape the pain. Might as well try to do something I love to do than sit around and lose a few more brain cells watching TV. I know of only two “solutions” for my pain: death or pharmaceutical fog, neither of which I am willing to entertain. At least not today, anyway.

Knowing that the pain will never go away does give me a sense of certainty. I can’t escape the pain. All I can do is to choose what to do and where to go. Well-meaning people will say to me, “Bruce, I saw you at the store today. You must be feeling better!” “No, I am not feeling better. I feel like shit. My body feels like it has been hit by a truck — twice,” I have said to no one, ever. Instead, I pretend the well-wisher is oh-so perceptive. That’s the nature of the chronic pain game. Better to live a lie than burden (and bore) people with the truth. Rare is the person who really wants to know and understand how you are feeling. And that’s okay. I really don’t want to know about your hemorrhoids either.

Tomorrow begins the holiday season for the Gerencser family. Polly, along with our daughters, daughters-in-law, and granddaughters, will gather at our home to make pies — pumpkin, cherry, apple, and pecan — for Thanksgiving. If anything can temper my pain, it’s food, family, and football. If anything can give me a reason to punch the time clock for another day, it’s Polly, my children, and grandchildren. For them, I’m thankful.

Addendum:

The girls popped the first four pumpkins pies in the oven today and started cooking them. Fifteen minutes into the process, the power went out! We were without electricity for eight hours. We’ve had high winds today, and this led to an outage. Pie day was moved to our youngest daughter’s home. Just another story to add to Gerencser family Thanksgiving lore.

I hope you and yours have a wonderful Thanksgiving!

About Bruce Gerencser

Bruce Gerencser, 62, lives in rural Northwest Ohio with his wife of 41 years. He and his wife have six grown children and twelve grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist. For more information about Bruce, please read the About page.

Are you on Social Media? Follow Bruce on Facebook and Twitter.

Thank you for reading this post. Please share your thoughts in the comment section. If you are a first-time commenter, please read the commenting policy before wowing readers with your words. All first-time comments are moderated. If you would like to contact Bruce directly, please use the contact form to do so.

Donations are always appreciated. Donations on a monthly basis can be made through Patreon. One-time donations can be made through PayPal.

The Daily Indignities of the Physically Disabled

handicapped bathroom

Warning! Bathroom talk ahead. If you can’t bear to read about bodily functions, it might be best if you stop reading after the story about the baseball game.

I am physically disabled. Due to muscle and joint problems — which have left me with increasing debility and pain — I always walk with a cane or use a wheelchair. Anyone who has ever seen me walk can immediately tell that I have physical problems. When entering the grocery store, people will often wait until I make it to the door and then walk in behind me. If I see that this is happening, I usually say, oh no, you go ahead. I am a slow-moving vehicle. We all have a laugh and they quickly walk through the door.

Slow-moving vehicle — that describes me well. I can’t run, bend forward more than forty to sixty degrees, and I am prone to falling, especially when I hit raised sidewalks or miss seeing that there is a step ahead. Fortunately, I have not broken anything. I have, however, pulled neck, back, and hamstring muscles, along with injuring my shoulders, knees, and ankles. Often, the greatest injury comes when I try to keep myself from falling; that moment where I tense up my body and try to stay balanced. On more than a few occasions, I have kept myself from crashing to the ground, only to be unable to get out of bed the next day because I pulled this or that muscle or wrenched this or that joint. Such is life …

It would be easy for me to throw in the towel and resign myself to never going out in public again. I have all the physical reasons necessary to justify becoming a full-time couch potato. Of course, giving in only hastens my death. I know I need to be as active as possible, so I push myself to do things that cause physical exertion and pain. Athletes often wear shirts that say No Pain, No Gain. I remember living out that mantra as a young man when I played baseball and basketball; and even as an adult athlete — well into my thirties. Today, it’s lots of pain, period.

I am now sixty-one years old. I know there is coming a day when I won’t be able to carry out even the limited things I now do. Every year brings decreased mobility. I struggle psychologically with watching my wife do many of the things I used to do. I find it embarrassing to watch Polly weed-eating the yard or doing other physical activities that were once my domain. There are times I feel less of a man when Polly does these things, but I know she’s doing them because she loves me. There are times she will do things only to make sure that I CAN’T do them, knowing that I will try to do them, causing myself increased suffering and pain.

Today, I went to a nearby golf course to shoot photographs for a local high school golf team. Two years ago, I started shooting high school sports. I take the photos free of charge. I see it as a way to give back to the local school district and to provide parents with professional quality photographs of their athlete children. I know parents appreciate the photos, and on the back end it has driven some paying business my way.

I arrived at golf course around 3:30 PM. This was my first time shooting a golf match. I was nervous about how best to photograph the golfers, what aperture and shutter speed to use, and how much walking I would need to do. As always, my sidekick, my twenty-nine year old daughter with Down syndrome, was with me. I talked to the coaches, learning how the players would play the course. I thought, man I really need to rent a cart. (I always pay my own freight, be it tickets or golf cart rentals.) I went in the clubhouse to inquire about a cart, only to find out none was available.

As I exited the clubhouse, a man came up to me and said, Bruce, is that you? I paused for a moment, and then he gave me his name. He was my last pastor, a young United Methodist cleric whom I really liked. He and I had numerous conversations about theology, history, and life. Both he and his wife were delightful people to be around. I thought he and his family had moved away a couple years ago, but discovered they still lived in the area and their two oldest sons were on the golf team. We had a delightful talk, and I was reminded of how much I missed talking to him.

While we were talking, several golfers finished their round and returned their carts. The wife of my former pastor said, Bruce, you ought to see if they have a cart for you. Good idea, I thought. I went into the clubhouse and inquired as to cart availability. The girl taking care of cart rentals said, yes, two carts just came in. I told her, great! I am here to photograph the match for __________ school. She had me sign the rental sheet, and then said the cart would be free of charge. Come to find out, unbeknownst to both of us, the owner/manager of the course had promised my cart to one of the coaches.

I took the key for the cart, and off I went to the tee for the first hole and the green for the ninth hole. I had planned to drive to the other holes, hoping to catch all the school’s players in action. One of the coaches told me that the groups were staggered, so everyone one of them would eventually end up either driving off the tee for the first hole or putting on the green of the ninth hole.

As I was standing, waiting for match to begin, I chatted with one of coaches, the aforementioned pastor and his wife, and a photographer for the local newspaper. This was the first time the coach and I had any sort of extended conversation — light chit-chat as we awaited the start of the match. As we were talking, the manager/owner came up and joined our group. He let it be known that my cart was the coach’s cart. I replied, no it is mine. He said, no it’s not. Did you pay for it? That cart belongs to the coach. I reserved it for him. Confused, I replied, the girl up at the clubhouse gave me the cart. I am here to photograph the match for ______________.  The manager/owner, with a stern face, replied, I didn’t know that. No apology, no sorry for the misunderstanding or let me see what I can work out.

The coach let it be known that he was fine with me having the cart. Once I determined I could do what I needed to do without the cart, I went to the coach and said, here you can have the cart, I’ll be fine. The coach knew I was disabled. He coaches several other sports I have photographed. He said, are you sure? I replied, yep, and then made a joke about having a stroke and his name being the last words on my lips.

After an hour or so, I found myself quite fatigued, so I decided to call it a day. I went to the clubhouse to let the girl who handles the rentals know that I had given the cart to _____________. I then told her that the owner/manager thoroughly embarrassed me in public. I explained to her what happened and recounted what he said. She had no idea the cart was reserved for the coach (who, by the way, said if he got a cart he would chauffeur me from hole to hole). She asked if I wanted to talk to manager/owner. Still angry over his words, I replied, no, he’s an asshole and that’s all I need to know. She profusely apologized, but I stopped her, saying, hey it wasn’t your fault, it was his. As is often the case, low-level employees feel the brunt of criticisms over things they had nothing to do with. I always make sure to let them know that my ire and dissatisfaction is directed at the offender, and not them.

Several weeks ago, Polly and I, along with Bethany, attended a Toledo Mud Hens/Louisville Bats baseball game. Two of our sons and their children were also at the game. I was quite fatigued before the start of the game, and by the end — due to the heat and humidity — I felt quite distressed physically. Thanks to my failure to take care of myself and drink enough fluids, I began to notice the symptoms of heat exhaustion. The game was nearing its conclusion, but there were fireworks afterward and we wanted to see them. I turned to Polly and said, We really need to go. I’m sorry, but I really feel sick: light-headed, clammy, weak. 

I told my children I wasn’t feeling well, and then we made the long, arduous climb to the concourse. By the time I reached the peak of Mount Kilimanjaro, I was short of breath and could hardly walk. I had a momentary thought of telling Polly that I needed medical attention, but I thought, we are parked close by, and I if I take it slowly — as a turtle “running” across the road — I will make it to our car.

I finally made it to the exit, thinking, I made it. All I have to do cross the street, walk a couple of hundred of feet, and sweet, wonderful, life-saving air conditioning awaits me. I noticed a Toledo police officer was blocking the street and forcing people to walk elsewhere (due to the fireworks). I thought, the car is right there. I can see the ship on the horizon, deliverance draws nigh.

Polly was walking behind me with Bethany, and unbeknownst to me, she decided to walk to the corner and cross the street. I went up to the officer and said, I am really, really sick. I would like to cross the street here so I can quickly get to the car. He replied, what’s wrong with you? At that moment, I wanted to, with what meager strength I had left, scream at the officer. Instead I told him I was really sick; that I felt weak and clammy. If the officer had bothered to LOOK at me, he would have noticed that I was profusely sweating; that my shirt, ball cap, and pants were soaked with sweat; that I was walking with f-u-i-c-k-i-n-g cane. Instead, he replied, if you are so sick, how come no one is helping you? I turned, thinking Polly was behind me, only to find out she was half a city block away, crossing the street at the crosswalk. I told the officer, that my “help” was at the street corner. Look I am really, really sick, I said. I just need to get to my car. The officer looked at me with a stern face, one that said, I don’t believe a word you are saying, and said, Go on… (meaning cross the street). For a brief moment, I thought about dropping over in the street from exhaustion, thus proving the point that I really was sick. Instead, I slowly motored on, reaching the car just as Polly arrived with the keys. She unlocked the doors, and I collapsed into the passenger’s front seat. Polly quickly started the car and turned on the air conditioning. I stripped off my sweat-filled shirt and hat and tossed them into the back seat. I made it, I told myself, knowing that I had pushed myself too hard and that I could have collapsed from heat exhaustion. Lesson learned — maybe.

Last weekend, Polly and I, along with Sinnuh (my latest nickname for Bethany, a corruption of the word Sinner, from the hit TV show on the USA Network) went to the Henry County Fair. We planned to tour the grounds and then watch the tractor pull. We found good seats and settled in to watch turbocharged, fuel-injected 1,800 horsepower machines see how far they could pull a weight sled. A perfect night for me: loud tractors and the smell of alcohol fuel; much like the smells at the dirt tracks I frequent.

An hour or so into the show, I felt THAT. I said to myself, no, please God no, not THAT!  As is God’s custom, he was nowhere to be found. I turned to Polly and said, I need to use the bathroom. She replied, okay. I told her, not that kind of using the bathroom. I am all cramped up. She looked at me with lugubriousness, knowing how fearful I was of using public bathrooms to take a shit. This, by far, is the one thing I fear the most. Dirty toilets, single-ply toilet paper, lack of privacy, did I mention dirty toilets? I get distressed just thinking about having to use a public toilet.

I always try to make sure my bladder and intestinal tract are empty before I go to a public event. When I left the house, I thought I was good to go, or better put good not to go. Unfortunately, I will occasionally have what I call the mother of all shits — an experience I don’t wish on anyone. I can “feel” when one is coming on, and that’s exactly what I felt at the tractor pull.

As I stood to make my way down to the concourse, I let out a big fart. I am sure the people behind me thought, OH MY GOD. I, one the other hand, was grateful that it was gas and not fecal matter. Built back in the days when privacy and handicapped access were not important, the bathrooms were under the grandstands. I knew using the toilet was going to be an adventure; adventure as in having to spend the day with Donald Trump. Not g-o-o-d.

man using toilet

Waves of cramps let me know that I better find the bathroom soon. I entered the bathroom, looked at no one (it’s a man thing) and made my way to the farthest stall. Finally, I thought, I made it. I quickly dropped my pants, checked the toilet seat for pee, and boom all of Polly’s wonderful cooking — and three crunchy tacos from Taco Bell — exited my body. The stall door had no latch, so as I sat there doing my business, I held the door shut with the handle of my cane. I hoped that the busy kids who entered the bathroom would see my cane and not try to expose Santa in all his glory.

I sat there for a few minutes, reading emails on my phone and letting my muscles relax. I stood up to wipe my ass, only to find out that the toilet paper was the cheapest single-ply toilet paper you could buy. Awful stuff. A sure guarantee that you will end up with shit on your fingers. Worse yet, the stall walls only came half way up my chest. Here I was, leaning against the plywood stall wall so I could wipe my ass — which is an ordeal in and of itself — looking as if I was peering over into the next stall, breaking the cardinal man-club rule: no looking. (Due to a loss of mobility, cleaning up after defecating is quite challenging. The doctor suggested Polly could help. I told him point blank, my wife is never going to wipe my ass. NEVER! I would rather be dead than have her do that for me!) Finally, I pulled up my pants, only to find out that my suspenders were wet and stained from lying on the pee-soaked floor. After a few moments of reflective cussing, I got myself together, ready to watch the next class of tractors.

Just as I was getting ready to exit the stall, my bowels said, oh no you don’t big boy. A sluggish meal had finally made it to my sphincter muscle and it was demanding exit. I thought, @#$%#@, really?  Yes, really. And so, knowing the sluggish meal would not wait, down went my pants, down went my ass on an undersized, low-profile toilet, and down went the last contents of my bowel. I once again read my email and approved comments as I waited for the physical calm to come. Finally, it arrived, and I stood, gathered up a long strand of single-ply toilet paper, tripled it over, attempted to make my ass look presentable, pulled up my pants, zipped them, pulled my pee-stained suspenders over my shoulders, and exited the stall. I made my way back to the grandstand, telling Polly that I had the mother of all bowel movements, and that my pants and suspenders will definitely need washed.  We looked at each other, smiled, laughed a bit, realizing that this was just another day in the life and times of Bruce Gerencser.

Bruce Gerencser