Clinic Day again, darlings. It’s virtual today, so I’m able to liveblog it. Hehehe. I apologize for not being very faithful with these updates lately. The changes I see are very slow and gradual, but I realize if I haven’t given updates for awhile, progression can seem very abrupt to YOU. So.
Spoiler alert: Not much has changed! I’ve had this 3-5 year life expectancy disease for almost 7 years now and I’m still able to walk a little. Things are, blissfully, going slooooooooooowwww.
First appointment: Nursing! I really like my nurse. We did the ALS-FRS test, which we did a week and a half ago, so SURPRISE! no changes. I didn’t have any new demands or needs, so we mostly talked about how miserable traveling in a power chair is.
Second: Pulmonary! I got my usual headpat for being good about using my AVAPS, which as usual feels a little undeserved now that I NEED it, otherwise I have nightmares about suffocating and keep waking up ’cause I’m not breathing well. He still doesn’t think I need a feeding tube yet; normally he suggests them once breathing gets below 50%, and last we checked I was 46%. My progression, though, is so slow he’s not worried about it just yet. We’ll check my breathing soon, it’s a whole ordeal and a separate appointment to get that done now, thanks to Covid. Fucking Covid. We also spoke briefly about an ALS Association event I spoke at, since he was there. I got a headpat for that, too. Yay.
Third: OT/PT! We didn’t have much to discuss because again: slow progression. I had some questions about Hoyer lift logistics, about eventually needing to get transferred to the toilet – do they have slings that uh..accommodate that? They do. My only experience with the lift (transferring to the exam table during research appointments) involved a very coccoon-like sling and I didn’t know how TF I’d transfer in that to a toilet or commode. Answer: I won’t! There’s a much easier kind of sling. I don’t need it yet or soon, but it’s the kind of thing I wonder about as transfers get a liiiiiittle bit harder month to month. So I ask now. Otherwise, the appointment went very quickly. I was reminded that hey, dummy, wrist braces exist, in fact I own a pair, and I really very should USE THEM when holding eating utensils especially. They make things Much More Stable.
Fourth: Palliative Care! This is an appointment I don’t technically need yet, not at all, but I haven’t talked to him since 2017 so I figured a check in chat wouldn’t hurt. When last we spoke, we set up my POLST (Physicians Orders for Life Sustaining Treatment – a document that tells medical professionals how far to go in order to save my life (spoiler alert – not very), kind of an Advance Directive but with a lot more weight to it)). I found out that they do NOT have a record of my Advance Directive on file, so it’s very good we spoke today. I’ll get that right over to them. The nurse is a very pleasant man to talk to, so it was lovely to chat.
Fifth: Dietician! It wasn’t the usual lovely person, so we didn’t get to chat and I was DENIED my chance for new kitten photos. Boooo. Her stand-in was a very nice woman but we only had official stuff to talk about, so it was short. Just: Keep doing what you’re doing, call us if something comes up.
It’s a recurring theme on Clinic Day. Which is a very good thing.
Sixth: Speech therapy! It WAS the usual lovely person, and I hadn’t seen her in a YEAR, so it was good to check in with her. It was another whirlwind appointment, just: make these funny faces, eat something so I can see you swallow, drink something so I can see you swallow, everything good? OK see you in 3 months.
Seventh: Social Worker! A fifteen minute chat to see if the ALS Association can do anything for me at the moment. I thanked them for the loaner power chair, which they’ve collected. Seriously. The loan of that chair saved SO much grief and damage to my own. I’m so grateful and they are worth every dime I’ve raised on their behalf. Speeeeeeaaaaaking of whiiiiiich….
***WARNING: SHAMELESS PLUG AHEAD***
So, the Walk to Defeat ALS is happening in May this year, and it’s a virtual walk again. If ya happen to have a coupla spare bucks, maybe donate to my walk?
***WE NOW RETURN YOU TO OUR SCHEDULED POST. THANK YOU***
Eighth: Neurologist! I like my new doctor. Dr. Goslin retired rather suddenly (to us; she’d been planning it for awhile apparently) late last year. I miss her like whoa, but the new one seems to know her shit and I trust her. I don’t envy her position, though, of having to fill a particularly beloved pair of shoes. There was nothing new to report on the ALS front, but there IS another drug we could try to get rid of the daily headaches, so we’re gonna give that a shot.
And with that, we’re done! 3 hours of visits in one go, rather than eight separate appointments. I LOVE THE CLINIC DAY MODEL. IT’S SO GOOD.
I was recently asked if I would be willing to speak to a group of people about the good work that the ALS Association does. My answer was an immediate and fervent HELL YES I WILL. I’ve expounded on their virtues before, and they will certainly will do again, it occurs to me that I have never devoted a post solely to that purpose. It’s long overdue. So here it is.
I was introduced to the ALS Association the day I was diagnosed. I was immediately given a phone number and a contact name, with promises they’d be able to help me along my newfound journey with a terminal disease. I waited a couple of days to call them, of course, because I needed time to let things settle. But once I did call them, within only a few short days I was sitting with a social worker in my living room. I liked her immediately, as I’ve come to like every single person I’ve ever met who works for the organization. The social worker was kind, patient, and definitely knew her stuff. She offered her sincere condolences for my diagnosis, and introduced me to the ALS Association and everything it could do for me.
So, as she introduced me, I introduce to you – what the ALS Association does for me.
INFORMATION: They had a wealth of information for me right out of the gate. She came with a stack of booklets on what to expect from various aspects of the disease; feeding tubes, ventilators, dietary needs. Even as she was handing the booklets to me, she was quick to point out that I absolutely did not have to look at any of this information or even think about it until I was ready. If I didn’t even feel up to taking the booklets, I did not have to. They had information about coordinating the care I was going to need, with solid advice on how to arrange it, or more appropriately – how NOT to arrange it, how to designate a primary person to manage all of that for me. I was given a book for that, too. I was given information about biweekly support groups. I was given information about hiring an elder care attorney to get my affairs and estate in order. In the space of one afternoon, I had every question answered, including questions I hadn’t even thought to ask yet.
SUPPORT: the biweekly support meetings are not only a place to support and commiserate, there is usually some kind of a presentation. How to select a caregiver, and how to know when to start that process. How to use a Hoyer lift with demonstrations. That sort of thing. I’ve only been to a couple, but in every single one of them I have felt heard and cared for. It introduced me to the ALS community at large, which is a subject for another blog post soon to come. In addition to the support groups, during my quarterly clinic days one of my appointments is with my social worker and a check in to see if there’s anything else they can do for me. They put me in contact with other people in the community who had resources I need, and set me up to be a penpal with other people in need of support themselves. They joined me on my house hunt. They helped me look for a van. They found me a lawyer. The annual Walk to Defeat ALS is a huge event that raises a lot of money, and is the single greatest ALS community event, hands-down. I cannot begin to describe to you how it feels to have such a horrible disease, and to show up to one of these events and see the LITERALLY THOUSANDS of people who have showed up to support me and those similarly afflicted. It awes me every time.
RESEARCH: the money raised by the ALS Association goes to fund research, along with everything else. Very important research. The ice bucket challenge raised literally millions of dollars for this endeavor. Research is the only way we are ever going to find a cure for this disease. The ALS Association funds research that leads to clinical trials, like the clinical trial I’m currently participating in. This research WILL ultimately save lives. Until then, it is helping make lives less miserable day by day.
FINANCIAL ASSISTANCE: twice a year, I am eligible for a $500 grant from the ALS Association to help me cover my expenses. Last year that grant paid for my medicine. And raised toilet seat. And wrist braces. I don’t even need to tell you how expensive it is to have ALS; I’ve said it before, and I’m sure you can imagine. One of my meds (for which I received a separate grant thankfully) costs $19,000 out-of-pocket. A month. Anytime you tack the word medical on top of something, it’s price goes up three times over. The cupholder on my wheelchair costs $60. The $500 could never hope to cover all of my expenses, but it is such a tremendous relief to have. A break. And all I have to do is ask for it.
EDUCATION: the ALS Association has a class in mindfulness that I was able to take. In times to come, I am very much going to need that skill, to get out of my own head when things get horrible. It was a good class. The ALS Association also hosts a research symposium, which features speakers on all of the latest research and medical trials happening. There’s always a QA session after the presentations, and I have never failed to learn something new and exciting.
PURPOSE: through the ALS Association, I’ve been able to participate in a number of extremely fulfilling projects. I’ve been interviewed for newsletters, I loaned my picture to fundraising efforts, I’ve been connected to people I can hopefully help. The moment I was diagnosed I knew I wanted to help in some way. I have been dealt a poor hand, but I can do something with it. I can help other people. Through research I can contribute to science and help find a cure. My life and death will mean something on a grander scale. The ALS Association has helped facilitate this. I cannot possibly be more grateful for that.
EQUIPMENT: the ALS Association has a wealth of equipment that they are happy and eager to share. Every single time my doctor has suggested some new piece of equipment, the ALS Association was quick to offer to loan me one. I mentioned in clinic that it was getting hard to stand up in the shower; they loaned me a shower chair. Then a shower bench when I could no longer step into the tub. They loaned me a cane. I had trepidations about graduating to a wheelchair when the time came, they loaned me one so that I could get used to being in it and try it out with no pressure. They offered to loan me a power chair to get used to it and see what kind of features I wanted. When I begin participating in clinical research in San Francisco, I was extremely nervous about having the airlines handle my wheelchair; the thing costs $47,000 and is my freedom. I was super paranoid about it getting damaged. The ALS Association loaned me a power chair for the express purpose of traveling in it so that my own chair was not at risk. The airline has managed to damage wheelchairs I was using four times in the last year and a half – I cannot even imagine what I would’ve done if that damage had been done to my personal wheelchair. I would be completely…well, screwed. They knew that damage was a risk and still very happily loaned me the chair. Because that’s what the ALS Association does. They help.
Let me be perfectly clear here: NONE OF THIS HAS COST ME A DAMN THING.
Life with ALS often feels insurmountable. With the help of the ALS Association, I feel less alone in this struggle. I feel less lost. I feel like maybe there’s a little hope for us.
If I am approaching you from behind in my wheelchair, and I gently say “excuse me?”, or tap you on the shoulder if you can’t hear me, what I need you to do is:
1) Take one or two steps forward so that I can get behind you, and 2) Watch your toes
That’s literally it. What I do not mean for you to do is:
1) Wheel around dramatically, see me in my wheelchair, apologize loudly and profusely, and make a big show of getting out of my way or 2) Injure yourself in an effort to remove yourself from my path or 3) Manhandle your friends/family and shove them out of my way
I promise you – wheelchairs are not contagious. I just need a couple extra inches of floor space, and your situational awareness so that you don’t accidentally back into me, that’s all.
Please go about your business.
*This post brought to you by the girl at Salt & Straw who literally fell into her friend’s laps trying to get out of my way last Sunday.
Excuse me while I slip into my patented Rants Pants ™.
I’m going to make a very simple, polite request of you, and then I’m going to share a maddening picture, and then I’m going to rant for a bit. Ready? Here we go!
A simple request: please do not use the phrase “wheelchair-bound” or “confined to a wheelchair”.
Here is the picture:
DISCLAIMER: I actually love the sculpture here. It’s a very sweet tribute, and a very impressive bit of engineering. The picture’s awesome except that caption.
Okay. Here’s the rant:
I get what the original picture was going for, and it’s a very sweet sentiment, and the person who posted that picture meant well. How-the-fuck-ever, it is not accurate, honest, or just. It is exactly backwards. The wheelchair is not the confinement, it is the freedom. The wheelchair is not the problem, it is the goddamn solution. Until there is a cure for ALS, the closest thing we have is motherfucking technology. This modern miracle of metal and plastic and circuitry is the only reason I have anything close to a semblance of a normal life anymore.
I ain’t confined to SHIT.
The only thing I am bound to is this defective body. I am beholden to this shit-tastic disease. I am not confined to my wheelchair. I am not bound to it. It is not some magical item that I need to spend willpower on to activate. (That was an nerd reference for nerds.) The only binding my wheelchair provides is in the very literal sense when I am seatbelted into it for safety.
My wheelchair, the $47,000 marvel of technology that is the SS Opportunity, is my freedom.
Without my wheelchair, I would’ve had to quit my job more than six months before I actually did. Because I had the wheelchair, I was able to stick it out at work and have the energy to show up every day and do my work and still have some bit of energy left at the end of the day. Without it, I often went without lunch because I simply did not have the energy to go downstairs – literally immediately downstairs – to get some lunch. Without it, I had to constantly bother my fellow employees to do basic tasks that were actually part of my job such as fetching packages and mail because I did not have free hands to carry those things because I had a death grip on my walker. Without my wheelchair, I had to agonizingly plan every aspect of my work day to best budget the limited energy I had with my walker to get around. Without my wheelchair, I would have missed every work meeting I was not able to dial into. I would have missed every break room celebration of birthdays. Without it, I spent every day dehydrated because I couldn’t bring myself to ask a coworker to bring me something to drink as often as I needed it. Without it, I literally peed my pants at work because I was not able to get to the bathroom fast enough.
Even after my disability deprived me of my job, my wheelchair continues to afford me amazing freedom. Without my wheelchair, there would be no quick trips on my own to check the mail. Without my wheelchair, I would have to ask other people to lay out my clothes for me literally every fucking day because without it I cannot get into my closet. Without it, there would be no getting out of this apartment when I go stir crazy to catch a few Pokémon or whatever. Without my wheelchair, I would be confined to bed. All the time. There would be no grocery trips, no game nights, no dinners out with friends. My wheelchair allows me to do these things. My wheelchair is literally the only thing that allows me to leave the house. At all. Ever.
I fucking love my wheelchair.
So please, please stop saying ‘bound to a wheelchair’ or ‘confined’ or any other limiting word that is the exact opposite of what a wheelchair truly is. Until medical insurance covers palanquins, it is the key to my independence and literally the most liberating thing that I own.
Okay, thank you for coming to my TED Talk. I’m going to take my Rants Pants ™ off now.
I love you. Please go about your business. And enjoy your freedom, as I enjoy mine.
I received a happy box in the mail yesterday! Something very cool was inside of it and I wanted to tell you about it.
Occasionally, I get random happy packages from certain friends. My friend Jim particularly, he sends me random boxes of completely bizarre things that he finds and thinks of me. Anything from Pez dispensers that have no head, to creepy little trinkets he finds in thrift stores, to snippets he cut out of a magazine. Lots of chicken related things. I adore getting random packages in the mail. I think everyone does, really. Something like 10 years ago, I did a happy box exchange in which I invited my friends to participate, and I sent out a box full of things that made me happy to each of them. I burned CDs of music that I like, made little packets of cake sprinkles and stickers, made happy little finger puppets from IKEA into refrigerator magnets. I included a note on everything to explain what it was and why it made me happy. Why it was important to me to include in that particular box. The idea was for it to be in exchange, and once they had received my package, they would send me a box of what made them happy back. Not everyone sent me a box back, but many did (with a couple notable people going way, way overboard above and beyond), and I adored every single one of them. Satou-chan was one of those who reciprocated (in spades).
I’ve known her for many, many years. She’s one of the very first people I ever met online and forged a real-life friendship with. We bonded over a common love of Japanese culture, writing, and a particular manga called Fushigi Yuugi. I flew all the way from Oregon to Atlanta, Georgia to attend my very first anime con with her and Holly, our other anime obsessed writer friend. It remains one of my happiest memories. I’m grateful every day that we kept in touch. She wound up moving to Arizona, and I was lucky enough to be sent there for work sometimes, and on one happy occasion we were able to sync our schedules and meet up in person again. That, also, is one of my happiest memories.
Satou-chan just sent me happy box.
She had texted me to let me know it was coming, and to confirm my address, and to apologize for the length of time it’d been since we last spoken. I truly wasn’t worried about that last thing, because communication works both ways and I’m just as guilty about not keeping in touch. I honestly don’t get offended when people go long periods of time without contacting me, because I am absolutely awful at it myself. My most cherished friendships are the ones in which I usually don’t speak to them for months, sometimes even years at a time, and when we do pick up it’s right back where we left off like no time at passed at all. My friendship with her is one of them.
Inside the box were many truly happy things. Including one of the most amazing cards I have ever seen in my entire life – it was a paper craft tray of sushi. Inside, she’d written all sorts of almost embarrassingly praising words, letting me know how much she cherished me and my friendship. The sushi card was because one of her favorite memories was of our Ariona hangouts and going to sushi together. I won’t lie; I totally cried. She also sent me stickers, because duh, and some happy fairy sparkly things, a glorious pair of socks, and probably the sweetest children’s book I have seen in forever. She said it was her favorite, and it reminded her of our friendship. (Yeah, I cried reading that, too.) Everything in the box was wrapped in tissue paper, separate little packages for me to unwrap and reveal surprises within. Every little packet had a note on it, explaining why she was giving me that particular thing, or what was on her mind when she bought it, or simply “This box contains tiny dinosaurs. I am sending them with love. <3 “
I loved every single gift, every single note, every single thought.
But the one that stood out the most, and the one that is probably my favorite thing in this whole entire box, was the note attached to a little bundle of things like lip balm, a keychain, and a little (freaking ADORABLE) notepad: “So… I realized early on that a lot of the stuff I bought for your happy box might be hard for you to use. (One reason I didn’t send.) Then I realized I had no business deciding that for you, and decided to send them anyway.”
And THAT, my friends, is how you be a fucking ALLY.
My friend and insanely talented artist and compassionate person Tamara owns a cute shop/art gallery called Redux here in Portland. She occasionally has art shows at Redux, and occasionally those gallery shows are to benefit a good cause, like for the Cat Adoption Team. She asked if I would be interested in in a show she was planning about Death Positivity. I said OH HELL YES PLEASE. She asked if I would mind it being a benefit for the ALS Association. I was all kinds of verklempt and said I thought that would be amazing. She asked if I would like to read something at the show. I said I would be honored, and I would try. This is what I wrote, and what I read tonight.
There’s a lot they don’t tell you about dying. I mean, it’s not as if terminal diagnoses come with any kind of handbook to begin with, but there are a few things one usually expects, typically to do with your specific disease. Spoiler alert: with ALS you stop being able to walk really well, or at all. You may also expect to lose the ability to speak and swallow. They tell you what kind of trajectory your disease is probably going to take, and they can usually give you some form of a timeline.
No one tells you though, how profoundly, emotionally tiring it is. I had to learn that on my own. There is a physical exhaustion that typically comes with whatever ails you, of course; hell, it’s usually one of the symptoms that told you something was wrong to begin with. But no one can properly prepare you for how soul crushingly exhausting the whole business of dying is. How the psychological process of navigating your own death saps what little energy you have to fight the physical troubles before you. How…lonely, this whole business is.
Here’s something else I had to learn for myself: it absolutely doesn’t have to be.
This is a hell of our own devising.
It’s a hell born of ignorance, paranoia, and good intention. It’s a hell that comes in slices, tiny slices of death denial force fed to us from a young age. When adults use phrases like “gone to sleep” or “gone to Heaven” to explain why Grandma isn’t going to be coming over for Christmas this year. When our beloved old pet goes to some imaginary farm to live out their twilight years. When we get older, and we learn what death is, hell is fed to us in new rules: you’re not allowed to say DEAD. Ever. They have gone to the Lord, or passed away. It’s not a dead body laid out in a coffin, their earthly remains lie…in repose. In an obscenely expensive burial chamber. Undertakers become funeral directors, graves become memorial sites, corpses become our dearly departed. A whole lexicon of mortality is denied to us, with harsh social consequence if we ever dare say BURIED instead of “laid to rest”. We cheerfully eat this poison, we send ourselves into fits of delusional paranoia as though merely mentioning someone is dead is some sort of invitation for disaster, to brush death under the carpet and never talk about it in polite company. As a society we have decided that this is healthy behavior.
But it isn’t.
Because let me tell you, this culture of death denial makes it REALLY, REALLY HARD to *be* dying. It is impossible to deal with the practicalities of the matter when no one will say it out loud. Any time you mention the D Word, you get uncomfortable silence and furtive glances and abrupt subject changes, or you get laughter and even more obvious subject changes. People are so worried about offending my delicate feelings that I am not allowed to express those feelings at all. Some have swallowed the belief that if you don’t talk about it, it magically can’t happen, or the other inane idea that thinking positive will fix everything! OH SHUSH DON’T TALK LIKE THAT THEY ARE GOING TO CURE THIS YOU WILL SEE – THE ICE BUCKETS WERE MAGIC. THOUGHTS AND PRAYERS ARE PANACEA. SHUT UP WITH YOUR DEPRESSING DEATH TALK. It is profoundly frustrating. It makes it difficult to plan what’s to become of my cats, or ask what earthly possessions would someone like to have, if they just hand wave and assure you that you have plenty of time to think about it. Later. Much later. Or never. That works too. Let’s deny that any of this is happening and just spend time together ok? Without talking about ..you know. It’s just so…morbid.
Instead, you’re expected to shut up about it, and bottle it up, and in the end you’ve spent your last days spiritually exhausted from having to pretend you’re not dying all while secretly dealing with all the emotional, physical, and bureaucratic nightmare of actually dying. And then of course it’s too late for those conversations, you’re capital D-Dead and all of your favorite things go to some charity or yard sale instead of the people who might cherish them for their history and their sentiment. Your stuff in the garbage, instead of a friend’s home, your social media accounts deleted instead of put in memorium, memories gone forever and your favorite dishes gone to your greedy aunt who will be selling them off for profit instead of your collector friend who’d actually appreciate and use them for what they are, and love them for whose they were. The letters you carefully wrote as goodbyes tossed into the recycling instead of delivered because you couldn’t tell anyone where they were. Who you are, your legacy, written over without your control or input simply because no one could look you in the eye and say “You are dying and that sucks, and since neither of us can do jack about that, I would really enjoy your cook books when you are gone.”
Death positivity is the cure for that hell. We’re going to die. That is okay. It is normal, and proper, and natural. Death positivity means understanding that, and even though it ABSOLUTELY SUCKS, not letting that get in the way of your daily business. Hell, it can do nothing but improve your daily business. Ever have a brush with death? Then you know this already in your bones. Mornings seem so much brighter when you almost didn’t have another one. Flowers smell so much sweeter when you know someday you will have smelled your last. Time becomes so much more precious when you understand there is a finite quantity. Marketers understand this and bank on it, or else “limited edition” would mean nothing.
Death positivity means understanding that YOU are limited edition.
“Repose” has another meaning. A lack of activity, a calm and composed manner. At rest, but alive. At peace with what’s to come, without need for euphemisms and coverup language. Call Death what it is, and fear it less. Talk about it openly, and remove some of its bite. Let me tell you what I need in order to die at peace without dancing around the reasons why. Ask me the questions you need answered, without fear of awkward silences or recrimination. Death is weird, be curious about it. Enjoy the time we have, because it’s limited. Make plans and understand why those plans are necessary. WRITE YOUR ADVANCE DIRECTIVE. Make sure your loved ones know where it is and what’s in it. Make peace with the idea of your own death, because it is going to happen and it doesn’t have to be a nasty shock when it does. We’re all going to die. It doesn’t have to kill you before you get a chance to stop breathing.
Build a better relationship with your own pending demise. Use the words DEATH and DYING, normalize it, and maybe, just maybe, we can all have some repose before we are In Repose.
Holy SHIT people are angry about straws right now.
If you’re lucky enough to be completely ignorant of what I mean, now is a GREAT time to stop reading this entry and move on with other happier aspects of your life. No one would blame you. It would probably even save you some heartburn, because damn, there are a Lot of Opinions on the Internet right now.
Quick backstory: a picture of a turtle which had ingested some plastic straws (do not Google it, it’s super sad) has gotten a lot of people up in arms and clamoring for a worldwide ban on plastic straws. Whole and complete, no exceptions. PLASTIC IS EVIL AND MUST BE ERADICATED. This is a great and noble idea, and I fully support nature conservancy and saving the planet and all of that other awesome stuff. Go Mother Earth.
The problem, of course, is that some people actually fucking NEED plastic straws.
I have read more disability erasure bullshit in the last couple of days than I have read probably in the last year. Actual sample quote: “Why is this even a question? You just pick up the glass and drink from it, how hard is it? No one actually needs a straw ever.”
…Well, Susan, you ableist piece of shit, it actually is NOT that fucking easy. Friends who have been out with me to restaurants recently can attest to this, as they have uncomfortably watched me attempt to drink from a water glass without one. With my current rate of disability, picking up a drinking vessel means clasping it between my two fists (because MY FINGERS ARE USELESS GARBAGE MEAT NOODLES) and taking a sip before placing it back on the table, hopefully without spilling or running into anything. If I can pull it off and get the glass back to the table with a simple clink of glass on ceramic plate, I’ve done well. But that’s becoming impossible. FUN SCIENCE FACT: WATER IS HEAVY.
…I need a goddamn straw.
I currently carry around paper straws, for these instances. They’re still pretty wasteful, but it’s a compromise. Carrying around a reusable one is not practical, because I can’t operate fiddly little brushes or squeegees to clean the thing when I’m done with it, necessitating me to carry a sticky dirty straw in my purse until I can get home and ask someone to run it through a dishwasher for me. In a life already fraught with humiliating reliance on other people’s kindness for the simplest dumb stuff, and existing as an increasing imposition on others, a reusable straw is just one more fucking thing to have to ask people to take care of on my behalf. Paper straws are a concession to my disability and a temporary compromise for conservation.
I actually use a lot of disposable things, and feel ashamed for every fucking one. My liberal snowflake heart cringes every time I do, but using paper plates means I can actually lift the thing without spilling food all over my lap because ceramic is too heavy. Using a paper cup means a condensation-slick glass is not going to fall out of my hands and soak my bed when I try to quench my thirst. My hands don’t work well enough to clean out the cat food tin, so it goes in the trash. Every item disposed of makes me feel incredibly guilty, but these are things I have to do now. I don’t have the privilege of washing dishes anymore, or making my life more difficult in the name of reduce, recycle, reuse. It is an inconvenience to you, and a Major Fucking Undertaking to me. And I know in my heart that this is completely understandable, these are sacrifices ALS has demanded of me, and in the grand scheme of things, the amount of trash I accumulate is really not that big a deal.
Not to hear Susan tell it though. I am single-handedly raping the planet because I need a plastic bendy straw.
There’s an awesome chart going around on the Internet right now, and I’ve had the occasion to share it many, many times over the last few days. I’ll share it here, too, because it’s goddamn useful and I am tired of explaining why Product X is not a universally viable alternative to a disposable bendy plastic drinking straw. Observe:
Currently, I have the luxury of getting away with paper straws. Keyword here: LUXURY. Soon though, soon that will not be an option. The day is coming when I’m only able to slightly turn my head to the side to get a sip of water. Eventually, not even that. I will not be able to lift my body and position myself above a cup with a straw sticking straight up out of it in order to hydrate myself. I need that stupid little bendy thing, that corrugation that makes it almost impossible to make out of any material but plastic and makes cleaning a major undertaking instead of a quick rinse in soapy water. I need the straw to be positionable, and I don’t have a devoted full-time staff who are able to hold a cup to my lips in order to hydrate myself, or constantly wash my dishes, and all of the other things that you don’t even really think about. Because you’re not disabled and you don’t have to.
But I think about them. Because I have to.
I’m learning new things all the time, myself. Before the above chart, straws as a choking hazard didn’t really even occur to me, but now that I think about it, of course they are. Of course putting a rigid thing between your teeth is an injury hazard when your jaw suffers spasticity and clamps down for no reason. Of course temperature tolerance is going to be a concern, when you are relegated to an all liquid diet and not just sipping cool drinks or refreshments. These seemingly no-brainer ideas are new to me, even.
So I’m simply asking that maybe you pause and think about these things too, before you go off on me and people like me who actually need the fucking things. Understand that the ability to do without straws completely is a luxury. Understand there is no simple answer to the horrible problem of plastic waste. Understand that consumer waste is a tiny fucking fraction of this problem, and huge corporations need to be held much more accountable for their part. As the chart says, the burden of a solution should not rest upon this shoulders of the disabled. We are the victims of this problem, not the fucking perpetrators.
Someone who thought they were being clever asked what people did before the invention of straws then, if they are so necessary? Medical professionals answered bluntly: people aspirated liquids, got pneumonia, and died. Plastic straws are LITERAL FUCKING LIFESAVING MEDICAL DEVICES.
So Susan, I’m extremely happy for you that your reusable plastic cup and rigid ass plastic straw is a viable option. For you. Captain Planet would be really fucking proud of you. Go ahead and wear that gold star. Just please recognize that other people on this planet exist, and that your solutions are not perfect ones. Recognize them for what they are. A good idea. A place to start. The beginning of the necessary conversation.
And understand you’re not taking my plastic bendy straws away from me until I’m dead. You can quite literally have them over my dead body.
Ohh MAN my friends had some salty words about my last post. I love you bitter people. Your Machiavellian minds delight me.
The best suggestion was to go ahead and make reservations somewhere and then just not show up. Instead? I have devised a better, a saltier plan. You guys want guilt? You want to play the emotional blackmail game? FINE.
Here’s the invite to my official retirement party:
My ALS Clinic team is getting a new doctor. Dr. Goslin called me and said they were putting together a newsletter to welcome him, and asked if I would write something about my experiences with the clinic. “Hopefully positive,” she said, and she needn’t have worried. I told her I’d be delighted. This is what I wrote.
It is not hyperbolic to state that ALS is one of the worst things that can happen to someone. Second perhaps only to Alzheimer’s disease in the completely undignified and terrifying way it kills, a diagnosis of ALS is absolutely devastating. It is also not hyperbolic to state that one of the best weapons against the ravages of this disease is the multidisciplinary ALS clinic. I personally cannot imagine going through this disease without my care team. A dedicated team of experts coming together to get the big picture and provide not only treatment, but expectations and support, is a luxury very few people are ever gifted with.
The ALS clinic makes the journey not only better, but perhaps even possible at all. Scheduling so many appointments with so many separate providers would become a job in itself; a Herculean task when one is already exhausted from just continuing to be alive. One day every three months for a four hour whirlwind tour of health is a tremendous relief of burden, even without considering the travel times. In addition to the vast benefit of freed time and effort, the end-of-day consultation when the whole team comes together to talk about me as a whole and complete person, instead of a series of interesting little snippets, provides for a much better plan of attack. A completely holistic and complete picture of me as a person with ALS, instead of a case file of how ALS is affecting Patient X with regards to diet/respiratory/insert-your-favorite-discipline-here. It is so much better for the patient when doctors talk to each other – who knew?
ALS affects each person differently, and we collectively know so little about it that research on one’s own is almost pointless. It’s only through the collective care and knowledge of the team at Providence that I’ve been able to get a grasp on my disease at all. Every question I ask is answered, every minor complaint met with compassion and understanding, and above it all, the concern I’m given is genuine. I’ve never had such a beautiful working relationship with medical professionals before. The care and compassion of this clinic’s providers are one of the greatest tools a person with ALS could ever hope to have; a wonderful consolation prize.
If ALS is a Pandora’s box of symptoms and troubles, then the ALS clinic is the remaining hope. I’m wholly grateful for this resource. I literally could not do this without it.
I’d like to formally ask all of you guys to do something that you really ought to be doing anyway:
When you wash your hands, and splash water on the counter, wipe it up.
Again, you should be doing this anyway. But I ask this of you, because I can’t support my own weight on my own two feet anymore, so I have to lean against the counter to turn the faucet on to wash my hands, so I get a big wet line across my gut. And my hands don’t work very well, so I usually have to lean on my elbows to get them under the water and rub them together to soap up, so now I’m also wet to the elbows.
Just, dry your hands, then run that towel across the counter before you throw it away. I promise it’s not hard. I’ve always done it, when my body worked like yours does, so I know it’s possible.
I have always been a spooky kid. From a young age, I have been fascinated by the aesthetic of death, the graves and skeletons and ghosts, and later Victorian memorial photography and mourning jewelry. I was peripherally aware of death, of course, my whole life. We all are. It wasn’t until Jack Kevorkian came into the American consciousness that I learned that I had Definite Opinions about capital D DEATH as an absolute, as well as an aesthetic. I found that I strongly believe we all ought to have control over our own mortality, and had my first real experience with how afraid society is to discuss the subject at all. Later, when going through the Diagnosis Cha Cha, I experienced my first profound frustration with peoples’ willingness – and even their ABILITY – to discuss it at all.
Today I attended my first Death Cafe.
You can learn about them here: http://deathcafe.com/ It’s essentially a safe space to talk freely and openly about death, and it’s meant to be a really positive experience. I first found out about them through the Order of the Good Death; I’ve fangirled about Caitlyn Doughty and her Ask a Mortician video series before. I finally worked up the nerve to sign up and attend one; my hesitation was not at all about the subject matter, but about, you know…that whole show up and talk to total strangers. This is what I do here, of course, but in a more one-sided capacity. It was a space to get to know other death-curious people, exchange ideas, and finally -FINALLY – be allowed to talk freely about this whole ‘death’ thing.
We had a wonderful facilitator at the table, who was warm, inclusive, and knowledgeable. There was a young woman who had older parents and didn’t know how to talk to them about death, a wonderful older woman who had the same frustrations with being unable to talk to her loved ones about death, and an artist who works with the dying to design their own crematory urns.
FUCKING AWESOME, RIGHT!?!
…Damn right I got her contact info.
We all spoke for about two hours, about everything from death acceptance to memorial services and keepsakes to death-positive media. I learned about POST/POLST forms (a beefed up Advance Directive that is hot pink and you put it on your fridge so the ambulance folk know what you want). I got a very warm and supportive hug. I taught a delightfully sweary old woman the phrase “lalochezia”. I learned about support groups that aren’t support groups at all for the recently bereaved. We talked about how America doesn’t really have its own death rituals as a culture, and so when it comes to death, we are all at a loss as to what to do. I mean, wen someone dies, you show up with a casserole, but then what? We don’t have societal rules and custom for how to treat the dead, besides paying total strangers to come deal with it and sweep the whole thing under a clinical rug. We’ve become divorced from Death, and it is a damn shame.
I will definitely be attending more of these. It was a pleasant afternoon of drinking tea, eating cookies, and having a chat about things you don’t normally get to talk freely about. I highly recommend you seek one out in your neighborhood. The more we talk about this, the more normal it becomes, and the more healthy our attitude towards death as a culture becomes. And this is a good thing. It helps the dying to not feel so alienated. It helps the grieving to not feel so alone. It helps us all to know what to do, how to have these conversations while we still can.
Knowledge is power, indeed, and by talking about death, we destroy some of its mystique and its terror. We make it normal, and we help each other through impending loss – be it even our own departure. I want to be able to have these conversations with my loved ones, but until that becomes normal and okay, I can have these conversations with strangers.
I have been granted the singular privilege to bear witness to her grief.
My friend had her father ripped from this earth, eaten alive by cancer while everyone helplessly stood by. Cancer’s a motherfucker like that. Especially it seems, with men; men of an age too stubborn to admit Something Is Wrong until it’s too late, and pride stops them from accepting all of the treatments, all of the chances. Her father was like my grandfather, that way. My grandfather died of prostate cancer, and had refused potential treatments and surgeries because they’d make him ‘less of a man’ or some bullshit, but he fought on his own terms. It was his decision to make. And her father’s.
He had lived in South Dakota, and she had to return, to disposition his estate. She invited me along, because it’s beautiful there. I said yes, because goddammit someone needed to be there while she walked through her father’s place and went through his things. And because I’d never been. And she needed an ally. I went with her in the mindset to be as helpful as possible, to make this transition as easy as possible, to shield her the best I could from the inevitable shitstorm that happens when someone dies.
We had many, many conversations about grief, over the six days we spent together. I’ve always found, and I’m not alone in this observation, that grief brings out the absolute worst in people. Normally loving and trusting people are suddenly quibbling over who gets grandma’s Jell-O mold, and Brother X is angry that dad only left him $20k, but Brother Y got the house, even though Brother Y moved his whole family and job and world to be close to Dad to help him when he got sick and Brother Y never even called who cares because it should be split equal. Meanwhile Aunt Fran is going through the medicine cabinet and the liquor, and Neighbor Q has claimed that heirloom quilt even though you’ve never met her before she INSISTS that she came over like, ALL THE TIME to help and he said she could have it and starts crying, and they let her have it even though we’re all pretty sure Grandma made it for him when he was sick with measles when he was 12 and maybe she’d like it back, to keep her warm at the nursing home while she mourns the son she somehow outlived.
I have my theory that it’s because of a cosmic sense of entitlement. My one true, real, and serious beef with the Universe, is that it doesn’t stop and let you catch your breath when something horrible happens. So out of nowhere, my grandfather died, and I wasn’t allowed to catch my breath at all, I was suddenly thrown into funeral arrangements and visiting relatives I’d never met, and holy GOD, people can you LEAVE ME ALONE, my GRANDPA just died. And the thing is, they’re going through the same thing. Holy shit, my FATHER just died. My BROTHER just died. And we all walk around with this gaping hole in our souls, and it feels like the goddamned universe owes us something for the incredible injury it just caused. And when the materials are settled, you feel entitled to it all, because Jesus God, that was your GRANDPA. The Universe just took your Grandpa, you deserve that fucking stereo of his, something, a piece of him, a memory of the times you were laughing and frustrated trying to teach him how to USE the thing, and the dance party you had to his old music when he finally got it. And next to you, your uncle is thinking, holy fuck, I just lost my DAD. The universe took my Dad, the LEAST it could do is give me his stereo, that I bought him for Christmas that one year. Everyone is bleeding, mourning, thinking that no one else in the room has the slightest fucking CLUE how badly this hurts.
And they don’t. They can’t. Just as you are blinded to THEIR pain, by yours. Everyone is hollow and aching, and scrambling for what they believe the world owes them. In the process, their grief causes harm, the worst comes out in people, and the ending of a life all too often proves to be the ending of relationships. Arguments over funeral arrangements cost friendships. Dispositioning the estate has torn families apart forever.
I watched this process from the outside, flavoring it with my own experiences, because her father and my grandfather had VERY much in common. It was impossible not to draw parallels. Two very strong, hardworking men, good with their hands, generous to a fault, loving, open hearts, strong faith and strong backs. And very easily taken advantage of by unscrupulous people. It was hard watching her have to be The Bad Guy, because she has no record of ‘gentlemen’s agreements’ and no, she wasn’t about to give up two thirds of a property just because they were friends, and it just didn’t seem to get through peoples’ heads that yes, this all belongs to HER now. They’d lost their friend and felt entitled to things, but she was his DAUGHTER and he entrusted her to take care of his estate.
I helped her go through his things, and decide what to donate, what to throw away, what to keep. It was like tiptoeing through someone else’s life, all at once mundane and profound. You get a secret glimpse into someone’s private life, and it feels like sneaking and prying, though they’re not there to mind it. Dirty dishes still in the sink. Half packs of gum on the kitchen counter. Mundane. A shelf of books, a peek into the sorts of things that entertained him. Profound. Clearing out the bathroom of half-used toiletries. Intimate. A total stranger, putting a dead man’s clothes in a bag for donation. Invasive. Every new thing a question for his daughter, “What would you like done with these?” Overwhelmed.
And through this, I gained incredible insight.
I had gone with the express intention of helping her through some serious shit, and provide happy distractions while she showed me around the very beautiful places, but I wound up with a concrete and valuable reaffirmation of a lesson I had already learned. A solid restatement of something I already knew to my core.
DO NOT PUT OFF SETTLING YOUR FUCKING ESTATE.
WRITE YOUR MOTHERFUCKING WILL.
Decide what you want to do with all of your shit, BEFORE you die.
He didn’t want to think about it, and I don’t blame him, really. In his case, settling his affairs was outright admitting he didn’t believe he could beat cancer. Not at ALL because he didn’t love his daughter and didn’t want to make things easier for her, but just because he was afraid. So even though she asked the hard questions, and he knew he should answer them, he couldn’t. He couldn’t face that fear, that pain, that reality. A friend of mine failed to settle his affairs and left his wife in chaos because he didn’t want to think about it. I haven’t sealed up my things because I am lazy and believe I still have some time. There’s a thousand excuses why not to, but it comes down to, it’s boring and depressing, and you’ve told yourself you’ve got time to think about that.
But maybe you don’t. That’s why NOW is the time to settle your affairs. You need to have a Living Will, at least. Those cost nothing. But you should have a plan, a document that lists who’s in charge of your bank accounts, your online accounts, your healthcare decisions, who gets your shit. You should have that settled NOW, before you know your clock is ticking. Because it still is, even if you don’t hear it right now. Everyone should have a plan for what becomes of them, their things, their feelings should be known. Even 12 year olds. Who gets your diary and your band posters?
I realize, more than you know, that it’s really hard to think about. It sucks. A lot. Your brain goes all staticky because you don’t want to imagine that world you no longer exist in. I believe it is literally impossible for the human brain to fully grasp the concept of your own death. It’s too big an idea for your brain to hold. But you have to make this plan. You have to make your wishes known. You have to write down somewhere, how to access all of your accounts. You have to decide who is going to have to be burdened with making sure your will is known and carried out.
Because the alternative is making your wife collapse into tears because you have so much fucking paperwork to sort through and you never talked about what was important and where your passwords are. The alternative is some shifty relative making off with your sewing machine even though you meant for it to go to your sister, but no one knew that because you never fucking wrote that down anywhere. The alternative is someone accidentally donating that book to Goodwill that you had hollowed out and stored ten thousand dollars in. The alternative is your wayward child completely fucking over her siblings because you didn’t SAY who should settle your estate, and your children are too buried in their grief to care as much as they should. The alternative is causing your loved ones a world of hurt and unfairness, on top of the aching loss of YOU, because you found it too depressing to think about. Only now they’re drowning in that depression, and you’ve left them no handholds.
The alternative is my friend, buried up to her neck in funeral arrangements and memorial services and going through her dead father’s belongings and trying to determine what’s valuable while fending off opportunists. Too busy to allow herself to grieve, unable to let herself fall apart, because her father didn’t want to have those conversations while he lived. And so now she lives in a state of suspended grief, unsure when it will all come crashing in, willing herself to keep it together just a little bit longer. When it’s not fair that she HAS to. This was her FATHER. She loved him with her life. She took care of him in his final moments, and the Universe owes it to her to let her mourn.
But the Universe is not fair, because it doesn’t allow us to catch our breath when something important goes bad.
The Universe is an asshole. You don’t have to be. Do your best to not add insult to injury and get your shit together BEFORE you need to.
Check this out, it’s all wrapped up for you with guides and checklists and shit. I’m even going to put this on the sidebar.
Clinic Day! Also, should you send me that article about ALS? (Spoiler alert: yes you should) Promising research! How my disease is progressing. And some VERY EXCITING NEWS. Like, I am nearly in tears for pretty much this entire video because I am going to lose my shit I swear to God you guys.
Last year? Boooyyyyy HOWDY was I aware of it. It struck me as poetic timing, the month after my diagnosis was Awareness Month. That’s when I really began to tell people about my own diagnosis, that’s when I made my universe aware that this was happening. I became an expert in describing what it was and why it was bad and why it was going to be okay, really.
It was a harried, confusing time for everyone, and a month of big decisions. I still hadn’t decided to sell my house yet, or wait until my symptoms made it necessary. I decided ultimately to move on the sale, thinking I’d rather have the ability to make the new house mine than stick it out. Which is good, because already it’s impossible to carry things up the stairs with both hands. I ask people to carry things for me, when they can. Even emptying the litter box and taking it downstairs is a trial. So I’m very glad I started when I did.
This May, I’m aware of ALS. I’m aware of the changes it’s made, both in my physical ability, the outlook on certain things, and the way people interact with me. I’m aware of the strength I’ve lost. I’m aware of the independence it’s taking away from me. I’m aware of the sudden burden of time, watching it slip away, wanting to do as much as I can with it while at the same time wanting to do nothing at all and just rest. I’m aware of my friends coming to terms with the disease for themselves, and either stepping up or stepping down. Both are fine. Everyone carries this weight separately, and I’m proud of people for realizing early that this is too much to carry – I’d very much rather them know this now, than force themselves to hold up until they break. And suddenly the support beam below me is gone. It’s better for both of us to realize this now. I’m aware of the amount of freakin’ PAPERWORK involved with dying. The diagnosis should really come with an administrative assistant. Danielle is helping and doing a fantastic job, but it’s not fair for her to have to deal with the bureaucracy AND the emotions.
I’m aware of changes. I’m aware that I don’t have as much time as I’d like to think. 10% of people with ALS live longer than 10 years, and I firmly believe that I will be among them, but I’m no longer so certain that I WANT to be around that long, depending on the decline.
I’m aware, and in awe, of the love and the support that came seemingly out of nowhere. I’ve never in my life been so inspired by the people around me, overwhelmed by the willingness to sacrifice for me, so many questioning voices: “How can I help?”. I’m aware of the amazing group of individuals surrounding me, each with their own talents and lives to live, but somehow willing to reach out and be part of my problem. Willingly burdening themselves with a battle they know is already lost, but wanting to make the loss a little easier.
I’m aware of how amazing my life really is. And I guess, in a fucked up way, I’m thankful for ALS showing me all of this. I’m aware of how bizarre that seems. I mean, I’d still be very very happy if it fucked off forever, but I guess if it’s gonna kill me, the least it could do was show me a little mercy and awesomeness. Most people don’t get to know how much people actually care for them, and what impact people have felt from their existence. I’ve been shown that, and told that. I’ve heard many of the lovely things people say at your funeral, while I’m still alive. And because of that, I’m very aware of the need to show people appreciation and love while you’re still around. How important it is to tell someone without prompt that you adore them and you’re glad they’re a part of your life.
I’m aware of how cheesy that sounds.
Today, I’m aware that I am a different person than I was a year ago, and will continue to change, but I will cling desperately to my optimism and humor and spit in Death’s face. Well, more of a girlyfight slappy flailing, spitting is gross. Eventually I’ll welcome her, but for now, I’m aware of so much more life that needs to be lived and so many more words to write. I’m aware of how much left there is to live.
Thank you all for being a part of it. I love you. I hope you’re aware of that.
I imagine a lot of people out there share my weekly regime of tipping pills from many bottles into little plastic containers that mark the days by day and night. Times were, I took nothing (though my recurrent anemia said I really ought to be taking iron, and my living in Oregon says some vitamin D would be good). Occasionally I’d get a wild hair and buy some supplements and taking them maybe a week or two before I tired of it. I don’t have the luxury of tiring of it and setting the pills aside anymore, so once a week, I pull many bottles off of the apothecary shelves, and count them out into little daily pods.
9 in the morning. Gabapentin (twitches/cramps), riluzole (the only ALS drug), buproprion (for depression), armodafinil (for energy), citalopram (for anxiety), ranitidine (for heartburn caused by these pills), vitamin D (for missed sunshine), coconut oil (because maybe it helps, studies are out). Usually magnesium (for muscles and nerves), but I’m out of it just now.
At 2PM, another gabapentin.
When I get home, another riluzole and buproprion. Also vitamin C, iron, and a multivitamin (because you know why). Yes that is a children’s chewable. Deal with it.
At 10PM, another gabapentin.
5 of these are to deal with effects of ALS. One is to counter the effects of the drugs I take to deal with the effects of ALS. And then supplements, because my body needs all the help it can get. So many pills, and I have never calculated how much this costs me per day. Maybe I ought to. I’d probably be afraid. And then there’s the three optionals I have; cyclobenzaprine (for really bad headaches and stress tightness), lorazepam (for when I start to freak out), and zolpidem tartrate (for when I can’t sleep). I don’t take those very often. The cyclobenzaprine (flexeril) is an emergency maneuver – I’m prone to headaches and this is for when they last for days and for fucks’ sake I just want to relax and sleep. The lorazepam (ativan) is usually taken as a preventative when I am going in to a stressful situation (why hello, legal paperwork regarding my death) or when I have panic attacks. And I’ve had the zolpidem tartrate (ambien) on prescription for ages because I sleep for SHIT. But I rarely ever take it, one bottle of 30 of them lasted me nearly 6 months. They’re also an emergency maneuver (hello, trying to fall asleep with CPAP for the first time), reactionary rather than preventative.
And there is another one out there. A possible addition to my chemical combination.
It’s called GM604. There has been a very limited trial, it’s still crazy early, but they’ve shown it to slow the progression of the disease, and even one specific trial showed a minor return of ability. As you might expect, there are a lot of people trying to get it fast-tracked through FDA approval. There’s a petition here, and a Google Group here. The company producing it is called Genervon, which sounds like something Transformers use to make new Transformers. They’ve been keeping the world aware of their progress through press releases.
At the moment, Genervon is awaiting a decision from the FDA. If they’re approved, GM604 will be available and covered by insurance. If they’re not, they must continue through Phase 3 trials, which even at an accelerated rate that the FDA has promised will still take 3 years. Which means most of the people alive with ALS today will not live to see it. There really hasn’t been enough evidence, though, that it works. There’s enough evidence to prove that they should keep studying it, and have further trials, definitely. But not enough to prove it works.
“But we QUITE LITERALLY DO NOT HAVE THE TIME TO WAIT,” says just about everyone with ALS or caretaking someone or in the Silk Circle somehow. “GIVE US THE DRUG.”
“We don’t have enough tests to prove it’s safe,” says the FDA.
“What’s it gonna do,” ALS peeps say, “kill us!?”
And so the world waits. Maybe this is a miracle drug. It’s certainly not a cure, but it may be a substantial step.
Next stop: someone stealing the formula from Genervon and producing it in Mexico. Cue many, many ALS peeps taking vacations in Mexico. Because they just want to live awhile longer and will risk anything to get it. Their life is literally on the line.
I don’t know how I feel about it either way, to be honest. My progression might be slow enough that I’ll live to see the results of that trial. But I also fully identify with wanting to take a chance, if it means more time. More ability. More quality of shortened life. I’ve already said I would participate in trials, and I meant it. If I can create clinical data for this drug by taking it and checking in with doctors, sign me up. If it kills me faster, well, now you have a data point. And if it doesn’t, you also have a data point. From a medical trial standpoint, you win either way. From my standpoint, I might come out better than I went in. Or I might die, which I was going to do anyway. I definitely want to see more testing. Either controlled by the FDA or released into the wild and see what happens.
I’m excited that there is SOMETHING happening, in any case. Even if it’s potentially one more pill in my cases.
I’ve gone on and on before about how grateful I am for the support I’ve gotten, how much I appreciate the support I’ve been given, how blown away at the love I’ve been shown. It’s probably become a little bit tiresome.
Well, suck it. There’s a lot more coming.
I admit I totally got press-ganged into doing the Walk in the first place. The Veterans Resource Group had a table in the cafe at work. I stopped by to chat, and met another person who ALSO had ALS for the first time. (I’ve met a fair few since then. We’re a small crew, but we run – or hobble or ride – in the same circles.) Part of the table’s purpose, besides awareness, was to recruit people for the Walk to Defeat ALS. “You should form a team,” I was told. “I bet you’d get a lot of support.”
I was of two opinions on that. On the one hand, it’s asking for something. I’m not good at that. On the other hand, a tiny irrational fear, ‘what if I form a team and no one shows up?’ While I was debating this in my head, a coworker walked up to the table to see what I was up to.
“Vashti’s making a walk team, do you want to join her?”
He looked at me, “You are?”
And that’s how it started. I put up a poster outside my cube, I wore the red wristband, I talked openly and honestly about the diagnosis when I was asked, but I felt really weird about asking my friends to come over in support of me. I caved and asked my friends to help me name the team at least. We had a lot of really good suggestions, but in the end, The Godzilla Squad won out. On the 16th, I posted my team link.
On the 17th of August – the next DAY, for those of you playing at home – I was at 17 members and over $1000 raised.
To say I was overwhelmed is a gross understatement. So, fun fact! I’d never cried for joy before. I always thought it would be kind of cool if something like that happened to me, but I am not sentimental in the right ways, I guess, so it never happened. Until then.
The Ice Bucket Challenge gained serious momentum, and so did my team. On the 26th, I was at $3k and 26 people. A dear friend of mine in Sacramento also started a team in my name, Team Dinsdale. We met online waaaaaaaaaayyyyyyyy back in the day, before the Internet was a thing, when you had to dial directly in to someone’s computer and leave messages on a digital bulletin board. In the BBS days, my first handle was Dinsdale.
Life continued its usual frantic pace, there was a lot happening, and before I knew it, it was the final weekend. I had four people staying at my house to attend, and one flew in from Sacramento to be here for me. I was spoiled absolutely ROTTEN that weekend, with homemade Ethiopian food of amazingness, fancyface ice cream and donuts for dessert, and the best company a girl could ever ask for.
And then, Walk Day. This is my team:
Amazing people, every one.
We gathered in a spot that was strategic and awesome until the live band started playing. Right. Bloody. There. But we were VERY easily distinguishable in the crowd with the hoodies (OMG SO AMAZING LEENDAH I LOVE YOU) and Danielle, my main babe, had printed out the kitten-vs-Godzilla picture I’d been using for my Walk page, and attached them to an umbrella. And Matt. Oh my golly Matt. He had commissioned a mighty cape of DOOM and a head cover for his staff:
IS THAT NOT AWESOME.
Yes of course it is, don’t even bother answering.
There were a LOT of people there. Oh my god so many. I’m really glad I had my team around me so I was constantly distracted by OH MY GOD HI I HAVEN’T SEEN YOU IN FOREVER instead of ..holy crap I am in the biggest of big crowds and this sucks. We borrowed wheelchairs,Danielle and I, because I can walk a mile, but it sucks, and I think three is out of the question. Danielle had to borrow one because her foot is borked and it hurts her a lot to be on her feet at ALL and walking three miles is similarly out of the question.
It was a FANTASTIC walk. Well. Roll. I got pushed. The chair was surprisingly easy to wheel myself around in, but I had a lot of people willing to help me out. There’d been cold and rain suddenly, but it cleared up in time to be LOVELY for the walk day. Even a little too warm to wear the hoodies all day, for they were made of fleece and are SO COMFY AND WARM but maybe not the best when standing for a while in direct sunlight. Megan was the smart one, she held the umbrella. Some surprise faces showed up – I didn’t expect my older brother there, he told me he had to work but then didn’t have to! – and met a couple new friend-of-friend faces and did not at ALL have time to introduce everybody to everybody. We walked a really pleasant stroll along the waterfront, and groups connected and drifted as we walked.
We finished, exultant, and some of us stayed for a picnic, and some of us had to get back on the road.
I am so. so. so incredibly grateful. I am grateful to everyone who came. Everyone who couldn’t come but donated. Everyone who couldn’t come OR donate, but thought about me.
In the end, my team was 49 members strong, more than 35 of whom showed up to walk, and $5460 raised.
I’ve always strived to be the kind of person someone would care deeply about, and like having around. I …I guess I managed that, if the support and love I’ve been shown is ANY kind of indicator.
I love you all. You’re amazing and the world is lucky to have you in it.
Longer post to come. But I am so, so grateful to everyone that came out to show me love and support today. So grateful to those that could not but wanted to. So grateful to everyone everywhere who ever gave a shit about another human being. I am so glad to be alive and in such excellent company.
The Ice Bucket Challenge was amazing in bringing awareness about ALS to the general public. It’s gotten to the point now where when I say ALS, there might be a reaction, and I don’t have to continue, “..Lou Gehrig’s?” People are starting to know what ALS is. And that’s WONDERFUL.
But we’ve still got a way to go.
I am looking forward to a time when someone asks what’s wrong, I say ALS, and there is complete understanding. Not just “oh that’s pretty bad, isn’t it?” but “Oh, this is terminal, I’m so sorry.” It would spare me so many awkward conversations about treatment prospects and recovery times. There’s no gentle way to say, “There is no treatment. This is a death sentence.” It’s hard to drop that on someone and tell them that you’re okay, honestly, in the next breath. “I’m going to die. But it’s okay.”
It would be so much easier if they understood the implications already so that I can be spared giving people tidings of death with every conversation about my disease. Not just the mortality part, but the whole gradually becoming stuck in a meat shell until I suffocate part. It would spare so much awkwardness. I can’t even imagine someone having one of these superficial conversations with me, learning I have ALS, and then Googling it later and HOLY SWEET MOTHER OF GOD THIS IS AWFUL IF I HAD KNOWN I WOULD HAVE BEEN SO MUCH MORE SYMPATHETIC OH GOD SHE PROBABLY THINKS I’M THE MOST UNFEELING PERSON EVER. (I don’t. I promise.) But the alternative is unlimited conversations like this:
“Hi, how are you?”
“I’m going to die horribly, thanks, but otherwise grand. How are you?”
Okay, so: story time!
I ran into a coworker in the hall a little bit ago. He’s not with my group, but he works on my floor so I see him a lot. Really nice guy, though we got off to a rough start – we met in an argument over who had booked a conference room (I did! And I proved it!) and he was really bitter and snarky at us even though I GAVE him the room and we just found another one. But he had the good grace to make a point of finding me later to apologize and explain that he was really frustrated with getting kicked out of rooms a lot that day because I guess his admin sucked and didn’t actually reserve ANYTHING. But he was sorry he took it out on me. And we’ve been happy acquaintances since.
…Anyway. He stopped me in the hallway and asked me how I was doing. It was a genuine, “How are you?”, instead of the generic “How are you” that you pray to God the other person will just superficially say “Fine! You?” and you both can go about your day. He was actually concerned, and I was a little confused because we hadn’t talked about my disease before – had he seen the spot on the news?
“I’m good,” I answered him honestly. “Doing alright.”
He voiced that he had seen my walking kind of deteriorating and was wondering if I was okay.
“Ah, that. Well, I have ALS.”
There was a little bit of recognition there, and he sympathetically told me, “I’m sorry to hear that.”
“Thank you. But I’m doing okay.”
“So it’s a progressive thing?”
“Yep, someday I’ll be in a wheelchair.” I shrugged.
“Oh. Is it hereditary?”
“Sometimes. Not with me, but 10% of cases. Usually it just comes out of the blue.”
He was sympathetic, nodding.
“But nothing hurts,” I continued. “I’m doing okay. I’ll be working as long as I can.”
We’d reached the end of the hallway where our paths split. He gave me a warm smile and said, “Please let me know if I can help you in any way.” And he meant it.
I was touched. “..Thank you, I will.”
He turned to go, and said in farewell. “Well, I hope you feel better.”