Am I losing my joints?

July 30, 2018

First it was my wrists. Then my knees. Then my fingers and then my toes. Every few years some new joints began to hurt. Until this year.

Suddenly, all at once, things are doing downhill fast. In the past several months I have developed pain in my feet, thumbs, and shoulders. The foot pain is from arthritis, and it is especially disturbing because I had x-rays done 3 years ago that were fine. In only 3 years there has been marked deterioration and we don’t know why. The thumb pain is from tendonitis, something I’ve never had before. We don’t even know about the shoulder pain yet.

A few months ago, none of these bothered me at all. Now, walking has become more painful than ever, my favorite hobbies of crocheting and knitting are extremely limited, reaching for things is painful, picking anything up hurts, sleeping is harder, and I am freaking out.

Why is this happening all at once?!? Well-meaning friends suggest that it’s weather-related, but I know my body, and it’s not that simple. And besides, let’s say it’s the weather for the sake of argument. How does that help me? That only means that for months every year I’ll be in extra pain? And over time, as the climate continues to change, it will only get worse. So that’s NOT reassuring. Besides, it’s not weather-related. The tendonitis could be, but that began before the heat and humidity set in. And weather did not cause the arthritis in my feet or the bone spurs that are developing.

I keep wondering: how much worse will this get?

For years I have assumed that eventually all of my joints would be come painful, but I expected things to continue in that every-other-year pattern. I would have been in my 50s before things got really widespread. Now, in my 30s, I’m seeing the progression and it ain’t pretty. What will happen if I can’t use my thumbs? How will I function? What if walking becomes even more difficult? What if what if what if?

What ifs aren’t helpful, but I’m only human, and I can’t help but think about it. I’m following doctors’ orders: stop standing on my toes, limit crocheting and knitting, do handy therapy exercises, wear new orthodics…. but it’s not helping. At least, not yet. And besides, the goals with those are to lessen the pain. The doctors agree that this new pain will be permanent. And that makes it extra difficult when well-meaning friends hear about what’s happening and say that hopefully it will go away. When I say it won’t, that this is permanent, they get uncomfortable. They want to offer reassurances but there are none to offer. I get that. I’m the same way when someone I care about is hurting. Still, it sucks that people keep suggesting it will get better. Haven’t they learned? ALL of my pain is permanent. Sometimes it improves, but it never goes away.

Today is a calm day. Last week I was so upset that I couldn’t even write about this. I’m sure I will have many more calm days and many more upset days. In the meantime, I need to find some rational, logical part of my brain to start figuring out why my joints are suddenly causing me pain so much more quickly than they used to. Then maybe, just maybe, I might stand a chance at slowing things down.


Forgetting that I can’t work

July 13, 2018

She was telling me about her search for a part time job that would both meet her logistical criteria and be interesting for her. After years of working just a few hours each week from home, she wanted a change. Just listening, I got excited, and remembered the feeling of accomplishment I got when I worked. I started thinking that I should look for a job, too. Then I quickly came back down to Earth.

Of course I couldn’t work. She stopped working because she could: her part time work from home was lucrative, and her husband earned good money. She was in fine health and there was no reason for her not to get work if she wanted to. I, on the other hand, can’t work. I am too sick. Even my attempts to work part time from home have failed, resulting in worsening health and little money. My only success so far has been dog sitting. I love it, but it doesn’t cover my bills and it doesn’t use my brain the way my former jobs once did.

The strange thing is that this isn’t the first time I’ve forgotten I can’t do something. I had to stop working almost SEVEN year ago. This isn’t new. Yet sometimes I forget. Because I still feel like the old me sometimes, like someone who can go on dates and go out with friends and work full time and clean my own apartment. Maybe I didn’t always enjoying doing all of those things, but I did them. And now I can’t.

I struggle to reconcile who I was, who I feel I should be, and who I am. They’re all me, but somehow, they’re not. My abilities and disabilities alter my personality in ways I don’t expect, but then leave other parts intact, much to my surprise. So I forget. I forget that I can’t go on a hike or swim before heading to a party or get a job. And forgetting isn’t the problem. Remembering is the problem. Because remembering sucks. Remembering brings it all crashing back.

So I will try to support my new friend in her search for a part time job, while also trying to stay grounded in the knowledge that I am unable to do the same. Because right now, that’s my reality.


Feeling too disabled to protest

June 29, 2018

Like in many cities around the country, there will be a big protest in Boston tomorrow, and I won’t be there. Not because I don’t want to be there, but because my health stops me.

At first I thought I might borrow a wheelchair like I did a couple weeks ago for the Pride parade. A friend even said she’d push the chair, and I really appreciated that. That spark of hope lasted for about 45 seconds. Then I remembered the weather forecast.

Until now, we have had surprisingly not-horrible-by-my-standards weather for this time of year. But that ended this week. And tomorrow is supposed to be the worst of them all: 97 degrees and a dew point that the forecasters are calling “oppressive.” The thing is, I struggle when the dew point is what everyone else considers reasonable, so you can imagine how well I do when it’s “oppressive”! For me, that means difficulty breathing, lots of sweating, my already suffering adrenals struggling even more to do their job, more pain than usual, etc. I could end up suffering not just for a day or two. I could have a major health setback. So I can’t go.

I would like to participate in some other substantial way. I can’t donate to funds, since my income doesn’t even support my own expenses.

So I do what I can. I post a lot on social media to make people aware. I don’t know how many people are actually seeing what I post, or how many care, or how many didn’t already know what I’m posting about, but if I get even one person to vote this fall who wouldn’t otherwise, then it’s worth it.

I am trying to humanize the situation for my friends and acquaintances. For most of them, Trump’s and the GOP’s policies are horrible, but don’t affect anyone they know. I’m trying to show them that isn’t true.

Of course, this is harder because I won’t post on social media about being on SSDI or food stamps. My “real” friends know, but I don’t want to share that online. Still, I do talk about how my health insurance is at risk, and the real consequences that could bring for me. I talk about not being about to work, about being queer, about being Jewish, about being a woman, and how these policies will affect me because of those various aspects of myself.

It’s not enough, but it’s a start.

I feel incredibly frustrated and yes, even angry, that I can’t protest tomorrow. Over and over I have had to miss out on these protests. Instead, I am trying to remind myself that maybe what I am doing is helping in some small way.

And in that vein, dear reader, let me ask you to please vote! I know that many of you aren’t in the U.S. but I’m guessing it’s important for you to vote, too. And for those of you in the U.S. with chronic illness, it is especially important for you to look at who is going to be on your ballot this November and what their policies are. Our lives are at risk. We are facing limits to healthcare access, cuts to social security as well as medicare and medicaid, not to mention cuts to food stamps and housing services. There is so much more that I could say, but I will just mention these few things that on their own should worry us all. This November we will see many seats in the House of Representatives as well as the Senate up for grabs, and it’s important to vote in folks who will fight for us, not hurt us. At the same time, many governors’ seats will be voted on, as well as other state and local seats, and those are also super important. If you ever want to learn more about any of this, just let me know and I will be glad to discuss it.

Either way, if you are in the U.S. then put November 6, 2018 on your calendar and be sure to vote! And if you won’t be able to get to your polling station, contact your town or city hall well in advance to get an absentee ballot. You can vote from home!

Even if, like me, you can’t get out to protest in person, you can protest with your ballot. Let’s do this!


An unexpected cause of pain: being short

May 19, 2018

Of all the things in life that can cause pain, you would never think of being short as one of them, would you? I’m not talking about being short due to some genetic condition or illness. I just mean, you know, short.

My mother is 5’2″. My father’s mother was 5’3″ before she shrunk in her later years. I was expected to be at least my mother’s height, but then scoliosis caused me to stop getting taller as my spine compressed a bit, and I ended up only being 5’1″. Ok, almost. Hey, my driver’s license says 5’1″ and I’m sticking with it!

Two weeks ago I was diagnosed with arthritis in the joint of the big toe on my right foot. Since that toe is essential for walking, and now it’s painful, this isn’t good. And I’m only in my 30s, so I need it to work for a long time to come. This sucks.

There’s a long list of things my doctor says I can no longer do: run, jump, sprint, stand on my toes, wear high heels….. hold on! Back up! Not stand on my toes?!?

The rest of those are no problem at all, but I stand on my toes All. The. Time!

In these past 2 weeks, and in the 2 months of pain leading up to the diagnosis, I realized that I stand on my toes even more than I had thought. I do this for things that you would never guess (unless you’re a fellow short person.) Some of it isn’t too surprising: reaching items on the top shelf in the grocery store. Looking through a clothes rack that’s too high (why do stores put them so high up?!) But then there are the things you wouldn’t guess, like reaching the shelves in my kitchen cabinets and getting things off a shelf in my closet.

And then there are the things that have been shocking my doctors and friends as I mention them. Things like sitting on a bus or subway, where I’m not “standing” on my toes, but my toes are in that same position just so that they can touch the floor. Ditto sitting on a toilet. This is true at home, where I keep a step stool next to the toilet to rest my feet on. I began doing that years ago for comfort, so that I could actually sit without leaning far forward to put my feet down, during the hours that I would be on the toilet dealing with diarrhea and nausea (thank goodness that’s mostly improved!) It’s so much worse on public toilets, which tend to be higher. When I drive, I mostly press the pedals with my toes. After all, it’s hard to get my foot flat on the pedal, thanks to my short legs.

Then there are chairs and couches. When I was couch shopping, I had to try a lot of couches before I found one where my knees could bend. Most are so deep, my knees don’t reach to the end of the couch. But even so, my feet don’t entirely touch the floor unless I put a pillow behind my back, which isn’t the most comfortable thing. Without that, I have three options: put my feet on the coffee table, tuck my legs up on the couch under me, or have only my toes on the floor. The first I can only do for so long, so I usually do the second, which leads to neck and back pain.

When I had surgery on my other foot a few years ago, I spent several months in casts. I wore a sneaker on my other foot with a lift on it, so that my hips wouldn’t be misaligned. Part way into my recovery, I noticed something shocking: my neck and back pain were gone! I think it was for a few reasons:

First, I was sitting upright. I wasn’t leaning to the side or putting my feet up under me or next to my body. I couldn’t. I was mostly sitting with my feet up on the coffee table, to keep the injured foot elevated. Sometimes I sat upright, and with the extra few inches I had, my feet could now rest on the floor!

I also found that not having to reach up so far to get things out of kitchen cabinets made a big difference for my neck. It’s simply a matter of degree. We all reach up, but I had to reach up more, often over my head, and I guess those movements all added up.

On top of that, when I washed dishes, instead of hunching my shoulders as I reached up over the edge of the sink, then down into it, I was now simply reaching straight down. Wow!

Finally, I wasn’t driving. At all. I was recently driving a much taller friend, and she commented that my shoulders don’t go back against the seat when I drive. Well of course they don’t! How could they? I would need to have the steering wheel practically in my face in order to put my shoulders back. My physical therapist told me to use a lumbar support. I mentioned it would be annoying to adjust it every time I leaned forward and it slipped out of place. She said I shouldn’t be leaning forward. But she’s an average height. So doesn’t realize that I have to lean forward just a bit to reach the radio, heat, and air conditioning controls, not to mention seeing all sorts of awkward angles when I make turns or park.

This society is simply not designed for short people. A short friend told me about the joys of traveling to India, where the average height is lower than it is here in the United States. She said that she marveled at her ability to put her feet on the floor of the bus when she sat, and to reach items on shelves. It sounds marvelous!

Unfortunately, I live in a society designed for taller people. Until recently, I only thought of this as an inconvenience. I ask strangers to get things off of shelves in stores for me. I keep a step stool in every room of my house so I can reach items. I don’t use the top shelves in my kitchen cabinets because, even with the step stools, I can’t reach them. I can’t carry suitcases, tote bags, and other items, the way taller people do, because I can’t let my arms hang down; the items would drag on the floor. Instead, I need to raise these items up to clear the ground, and that’s hard and sometimes impossible.

Ok, I live with those inconveniences.

But now I have realized the pain it has caused me. And I resent that. Not that I can change it, but I resent it.

At home I will try to wear shoes with lifts, which is absurd, because I should be able to walk barefoot in my own home if that’s what I want to do. But there are no solutions to driving, sitting, and the myriad other ways that our society is causing me additional pain, simply because I am short.