Monday, July 23, 2012

Getting in shape, Part I

When I first started running as an adult, in earnest, it was early 1994.  I was being chased by some of the worst demons of my life.   I was running away from them and toward a kind of freedom--of thought, of emotion, of soul--that I had not experienced for most of the previous decade.

Marriages fall apart. People's belief systems alter. Appearances begin to crumble,  revealing an incomplete, imperfect frame.  These things happen with such regularity that I cringe, even now, to think that I didn't accept it then.  Or, more accurately, I didn't accept it for myself: "Those things don't happen to me," I would have said.
I struggle to describe what must have been behind that stubborn insistence that I was different from the rest of the world. Vanity?  Arrogance?  Ignorance?  A kind of innocence?
The truth is, my parents had divorced. The truth is, my belief system had already shifted once, when I made a startling move from the strict Catholic faith I grew up in to an even stricter evangelical Protestant faith,  which I floundered in without acknowledging it. The truth is, the appearance of my life wasn't so perfect.  Once, in a poem about my parents, I had written, "their life unraveled only at the edges, where it looked like ornament."
But in the Fall of 1993, I entered a graduate program in English, and every hairline crack in the foundation of my marriage crept upward with force, threatening the integrity of the structure.  I loved the academic life; what I had tolerated as plain misunderstanding when my husband had made fun of my love of books I now had to reckon for what it was: disapproval and judgment.  When I needed to read and study, when I brought books along on car trips, when I had to leave for class as he was coming home from work, my husband railed that I wasn't doing my job as his wife and the mother of our children. Then, I had to face the fully-developed roar of his fear and desire for control, which had seemed a whiny child until that point.  When the first inklings of a growing literary consciousness came to bear on me, when I felt the sheer joy that exposure to ideas brought to me, when I saw the way those ideas conflicted with my conservative life, I  critiqued those ideas to my husband, so he wouldn't see and begin to mistrust me. And I felt ashamed of myself.
The past four years of our 8-year marriage had been a struggle, since the time my husband confessed that he had been involved with a co-worker.  It had never fully developed into an affair; did it matter?  At that time, I had given birth to our second child; he was nine months old.   His older brother was just two.  Shaken to the core--who was she? what had happened? why had I not been enough?--I tried to get some details and start the slow crawl toward forgiveness.  I also kept one part of my brain separate, alert:  don't act hysterical. Don't get too angry.  Remain calm so he will keep talking.
However, once he had unburdened himself, he refused to talk more. I found out who she was, a woman who had come by our house with a gift for my infant.  He would say no more.  It's over, it's in the past. There's nothing more to say.
But larvae must wriggle and struggle, underground or water where they are buried, in order to move to the next stage.  A metamorphosis is not complete until the new creature can be exposed, its ultimate identity revealed.
For the next four years, this creature, the knowledge of this dalliance (could I call it an affair? was it an affair? I didn't even know how long it had gone on) would not rest. It writhed and squirmed, made the terrestrial surface of our marriage undulate and wave; it became hard to walk the straight path I thought I was on. It grew and swelled and the undulations became hills (I agreed to have another child).  It would not die or remain buried; I did not understand what it was or that I had helped engender it (when I was seven months pregnant with my third child, I asked my husband to kill it for good:  please, just promise me it will never happen again.  He said, I can't promise you that).  It bucked and twisted and I was lost in a landscape I thought I knew.  It rested--let me rest--only when my husband traveled for work. And when he came home, it heard his voice say I don't think you even missed me, and it commenced to thrash again.
And then it was born into its final stage.  One night, at a Bible study meeting, my husband obeyed some urge to confess himself to our group of friends. Perhaps he felt the underground tension, too, perhaps it's easier to confess to relative strangers, perhaps I will never understand why that night, that setting. He gathered the group and began talking about the woman and the attraction and the details came pouring out finally, things I had only guessed at: they had lunch together, they held hands, they acted like high school kids with their arms thrown around each other.
He had asked her if she would run away with him.
There it was, complete.  In all its ugly fullness.  Not just a few days' worth of lust.  A plan had formed, been discussed, been proposed.  She had said no. That's why it ended.
I can't remember whether we talked on the way home that night or when exactly it was in relation to my first semester of grad school, to his moving out around Christmas 1993.  I do remember something kept me weirdly subdued, unsure what to do with this information. And I remember that when I said, in desperation, in an attempt to speak the truth of the nameless pain I had borne for four years, Sometimes I just want to be free of you, he responded, How can you say that to me? I'm your husband.  And I knew then that freedom was what I needed.
I wouldn't have said freedom from the marriage. That came  over a year later, and very sadly.  I wanted time to mend the bones of my fractured identity.  When he moved out, though, the demons came rushing in:  no one from church called, or if they did, it was only to warn me not to do anything stupid.  No pastors called me.  I had few friends outside church; I was alone. Even my sister scolded me that the Bible says not to divorce.  I was on the verge of breaking down.
So, I took up running, to keep a few steps ahead of the powerful negative messages that were trying to keep me locked in a set of beliefs I could no longer openly assent to.  I took up running because of its rhythm, something I could count on and feel, that steadied me when I began to think of divorce and panic because I was not supposed to be a divorced person. And, I took up running because my life as an athlete had ended when my husband insisted I couldn't play sports because it took me away from my family.  I took up running to feel the powerful, automatic contraction and expansion of muscles, the miracle of the body stretching itself to its limits. I took up running so I could breathe even through exhaustion and so I could conquer fear at night and sleep.
I was driven to running, impelled by a need to survive, propelled by the release of constraints that had made me a strained, and strange, version of myself.
But when I was out there, I wasn't pursued. I was pursuing health and strength, stamina and flexibility.  I left behind my doubts for the concentration required by pacing, footfall, breath.  I relaxed into a routine and a route.  And when I was done with each run, I reminded myself of the beauty of the body and the body's capabilities by laying my hand on my hip to feel the muscle that pulsed there. I offered my gratitude to the universe.  And I knew the joy that comes when something belongs to you that no one can take away.


Tuesday, June 5, 2012

Family Psych 4

I am a lifelong Democrat--perhaps even a borderline Socialist, though I am more comfortable with the term Social Democrat. One of my earliest memories of this leaning came when, outraged at the expense of color televisions and disappointed that we couldn't afford one, I vowed solemnly to my family that when I grew up, I was going to open a store and sell TVs for $50, so that everyone could afford one.  My family guffawed at me; It doesn't work that way, they insisted.   Their resistance to my scheme only made me dig in my heels. 

Of course, in a way they were right; capitalism sets wide profit margins that forces merchants to collude.  I understand now how it works; but I still don't like it.  Just last night, watching TV with my husband, we caught a commercial for a local men's clothing store running a sale; all blazers and sport coats are half price. In addition, if a customer buys one, another one comes free for the asking: two jackets for the cost of half a regular-priced one.  I turned, indignant, to my husband and snorted, "The only reason they can manage a sale like this is that their prices are so inflated to begin with."

My lens on the world, then, hasn't changed much since I was a kid.  I am aware, though, of one inconsistency in my worldview.  Happy to extend my sympathy to consumers, the unemployed, the poor, the working poor, single parents, pro-choice proponents, juvenile delinquents, addicts--all the usual suspects in Democratic purview--I struggle to find sympathy for illness.  My dedicated convictions have not been able to penetrate the subtle undercurrent of family history.

It took a long time for my younger sister to finally get a diagnosis for the first of her two serious illnesses, diabetes insipidus.  She had developed a ravenous, round-the-clock thirst, had to run to the bathroom all the time. When water was refused, she seemed to shrink and dry up.  She literally couldn't wait for a drink or a bathroom break.  The symptoms seemed real, yet doctors were running out of ideas.  They couldn't find anything wrong with her. When they hit upon the possible condition to explain her symptoms, the test to confirm the diagnosis required my sister  go without water overnight.  By the time the test was performed the next morning, her lips were dry and literally cracked.

It is a serious thing to suspect someone is faking an illness for attention.  Worse, to blame that person, to say it out loud.  Such an accusation could have lifelong reverberations.

My sister told me, when we were both adults, that while visiting my grandmother as a child, a summer routine we all practiced, my grandmother would put her medication on top of the refrigerator, out of reach. She would tell my sister she didn't need it; she should stop pretending to be sick.  She would try to withhold water from my sister. My cousin Kim, who often stayed there at the same time, would get up at night with my sister, sneak past my uncle Maurice in his drunken slumber in a bed near the head of the stairs, quietly move a chair over to the fridge, and help her get her medication.

Doubt begins as a niggling impulse.  Who could doubt that my sister was really ill?  And yet, it had taken so long to figure out what was wrong with her. And yet, she began to require other medications that transformed her into someone always in need of attention: prednisone made her balloon in front of our eyes. And yet, she has remained ill all her life, acquiring several other conditions, a domino chain of breakdown:  histiocytosis, rheumatoid arthritis, migraines.

And yet, the summer before my sister became ill, my brother died. He was three. The two of them had shared a room, two twin beds, two sides of one coin, the younger two of four children, half a family now suddenly less than half.  One bed emptied suddenly.  One companion gone. How long did it remain in that room, a siren wail, a visible reminder that she was now singled out, alone?

When I was only thirty-eight, I was diagnosed with a herniated disc in my neck.  For six months, I walked around stiff as a dry sponge, unable to turn my head from side to side.  Among the most frustrating aspects of this condition was the fact that doctors were unable to tell me what had caused it.  I was a runner, a volleyball player, a softball player. I gardened, I landscaped, I hiked.  I hadn't injured myself. There wasn't supposed to be any opening in my life for an injury like this.

Once, venting about the unexplained onset to a friend, I recoiled in recognition when she said, "Think about what is causing you a pain in the neck in your life."

Ten years later, I am symptom-free, a bona fide miracle.  I don't even have the residual pain under my left shoulder blade that dogged me after the majority of the neck pain subsided.  I am also blessedly free of the man I was with then, whose neuroses and passive-aggressive tendencies nearly broke me.  He was paranoid, depressed, unhealthy in a legion of ways; prime among them was his refusal to get consistent treatment.  He hated dogs and I think my children and I think, eventually, me. My life with him was a constant struggle I eventually shrugged out from under. 

My relationship with him is the one thing for which I harbor guilt.   It unfurls endlessly, fabric off a bolt, whenever I think of him.  If only I would have avoided it, I think, and then I chastise myself for not avoiding it.  There is nothing positive--not a thing--I took from our 6 years together. Nothing I am grateful for or miss.  In addition, I believe I brought on the irritation in my neck from the stress I invited into my life through him.  It is my fault; in a way, I made myself sick.

There. I said it.  I do believe that there is a mind/body connection, perhaps psychosomatic.  Sometimes, people's illnesses do reflect in a metaphorical way their condition in life, their needs or neuroses or quirks or unacknowledged fears.

But I do not believe my sister made herself ill.  But I do believe my brother's death shook her to the core, more than I can ever know.  But I do wonder:  does illness shape lives or do lives shape illnesses?  But I do know:  we can become, literally, our worst fears.

I was terrified of my herniated disc, of redefining myself as an inactive person, a person whose condition forced changes:  I couldn't carry the laundry basket up the stairs, I had to take muscle relaxants to sleep,  I had to have a special neck roll for my pillow, I had to work out with a neck weight each day, I had to stretch my neck 3 times a day, I couldn't run or bike or play volleyball.  My life was not my own during that six months; I wriggled under the discomfort a shifting identity brought me. I wanted control back; I wanted to preserve my well-developed sense of agency and control.

If that makes me neurotic, I will have to live with it.

The other thing for which I harbor guilt is a subtle, gut reaction of skepticism whenever I hear about an illness, especially a prolonged or chronic one.  I despise the part of me that despises weakness and analyzes other people's lives, looking for clues to their vulnerabilities.  A person who looks at others that way, it seems, must feel superior, above the pale.  I don't want to be that person, riding on a wave of arrogance that is bound to crash into sand pounded hard by its own settling.

Saturday, March 31, 2012

PRIVACY (revised)

A few years ago, cell phones became de rigueur and blue-tooth headsets became the norm.  (Before that, I am told, blue-tooth headsets signified some inner-circle membership, some coolness that the general population was prevented from experiencing.)  Since then, I have craved privacy, since we seem to have so little of it left.
   
When something is private, it is either personal (that is, confined to one person or well-defined group) or not expressed (that is, what we never say out loud belongs to our thought alone).  In the past, a well-defined group meant a small cotillion of friends or a tight family circle, or those who shared our beliefs and attended the same church.  Even when we felt most at home in our well-chosen groups, there would be thoughts that never escaped our lips--things we were reluctant to say out loud, even in the presence of good, supportive friends.  In other words, sometimes we were private even in the presence of those to whom most of our inner life was exposed.  That means that some inner-life details were forever private:  i.e. unexpressed.
Cell phones and other technology have redefined the world for us;  now, a well-defined group seems to be whomever is in the public bathroom at the same time we are to hear our unfettered expressions.  Cell phones have encouraged us to put aside the other sense of privacy, that sense of keeping things to oneself (to be fair:  more than cell phones are to blame. Social media, easy access to website-generating programs, and the ability to blog one's undigested thoughts are also culpable.  I know. I am such a blogger, though I hope my thoughts are more than just unmeditated outbursts).  In short, we have either forgotten what it means to keep some things private, or we have so blurred the line between public and private that the two blend like water colors on a palette, or we no longer care about the distinction.
I just turned forty-nine.  In no one's estimation am I old.  Yet, I feel old-fashioned when I think about these changing perceptions of privacy.  I rail against -- not technology, exactly-- but unbridled freedom, the unconsidered offering.  Two impulses seem prominent to me, two that would best be checked more assiduously than they are now.
The first impulse is for complete, unconsidered disclosure.  At its core, that impulse hides another:  seeking attention no matter the cost.  Facebook is perhaps the biggest encourager in this regard. The social media site has become an easy fix;  many people seek and receive instant validation, and sometimes I am among them.  I want to be clear:  it is good to support one's friends, to validate. But Facebook and our obsessive use of it has flattened any scale for balance there may once have been.  Most posts receive the same enthusiastic response, whether the writers have just run a marathon or simply turned in an assignment that was due or washed the dishes.
It may just be my perspective, but unqualified support doesn't mean as much as the kind that is meted out per the strength of the accomplishment. When my mother said she was proud of me, I knew it was because I had gone above and beyond. For better or worse, she expected me to vigorously meet the minimum requirements. Only when I exceeded them did she think I deserved praise. I carry that attitude with me into my work, where committee participation is expected. When I sit on committees and do what I am asked to do, I resent any overt expressions of gratitude (they sound fawning to me); I am simply doing my job. 

Facebook seems to invite the unqualified glee and loyalty of a groupie.  I confess that I squirm at such bald pleas for attention.  I was raised to value modesty over everything. If I or one of my sisters talked about ourselves too much, we were reminded not to be selfish. We called it bragging. That ingrained attitude has its drawbacks; I find it hard to promote my own work even though my professional development depends on it. 

The second impulse is related to the first: namely, thinking that every conversation one has is important enough to be overheard.  I suppose this records itself in our brain waves as the simple truth, a procession of nearly-perfect premises:  I have a cell phone.  I can be reached around the clock. People who are available 24/7 are important cogs in the wheel of progress (hence the blue-tooth devices). Therefore, my cell makes me significant!  So I can talk on my phone any time; people may even want to overhear me, since my conversations are obviously filled with wisdom.
No one who has sat in a bathroom stall and listened to someone argue in the next stall with their soon-to-be-ex will object to my plea for a little tempering of this me-first-me-always impulse. 

What this public display robs us of is the ability to sympathize.  When we hear stories like this over dinner or coffee, stories that we recognize, that break our hearts, that make us enraged at the low-down capabilities of our brothers and sisters, we are quick to offer our undying support. That's because the person telling us has had a chance to call us to see if we're free for the evening, has had time to plan, to go home from work and change into jeans and a T-shirt that has no connection to the bastard who just let her go. S/he has had a little time for introspection, for reflection.  What we hear of the story is considered; it's not all red-hot and blathering.

When it is not directed at us, when we overhear the (still) heated exchanges, we see the person at his/her worst. Unedited.  In the bathroom stall, with water and the hand dryer running,  with the sound of adhesive strips from sanitary pads being torn away, it is hard to get any perspective.  The words grate on our ears just as harshly as the unwelcome sound of the metal lid of the sanitary napkin disposal bin closing.  Yes, we are in a public place; yes, we sometimes have no choice but to pee there.  But that discomfort should be respected, not trod upon.  In other words, don't make me more uncomfortable than I already am, exposing my most private bodily functions in public, by exposing your private life--over which you have some say, some choice--in the stall next to me.

What I fear most about our confusion over privacy in the "Cloud" era is that it debilitates us:  we don't know any more when to keep anything to ourselves. If there is an audience, we reason, we should hurl our thoughts outward.
How little peace can take root in such an atmosphere.  There IS a peace that comes from sheltering some thoughts from public consumption.  I have learned, perhaps a little late at almost 50, that not everything my mind dwells on must be shared.

Wednesday, February 29, 2012

Family Psych 3

It's hard to be half-pregnant. Or half-hungry or half-full. But we use the word to modify conditions that shouldn't need any modification: "half-crazy"; "half-cocked"; "half-drunk" to indicate being so far gone that there's no real way of stopping the person.

Or, we mean to suggest the opposite: still time to reconsider or retreat from said state by changing some behavior. Once, half-drunk, I . . . The statement assures that the person is in control, or mostly in control. "Half-drunk" indicates a shred of sanity, a shared sense of fun. A wink-wink. We all know what that's like, right? A phrase that invites identification with the brief interval where it's possible to choose differently. We win, no matter the choice.

But reality may differ. Once, half-drunk, I walked by myself at 1:00 am. around the mile and a half loop that snakes through my neighborhood. My life was in chaos: my husband and I were at odds over my middle son, who was living at home but drinking and getting high and (confirmed later) dealing drugs from our suburban home.

No one even noticed I was gone. If I had been "half-sober" instead of "half-drunk," I wouldn't have made that sojourn--I would have gone upstairs to my husband and spoken about my feelings, seeking resolution. Instead, returning home, I launched into a tirade of irrational anger--another common strategy to keep real feelings at bay--because no one had bothered to wonder about me or follow me. The fact that I had returned home alive paled in comparison to my indignation: why wasn't someone watching out for me?

That night, I desperately sought whatever would make my life manageable. Attention? Ignorance? Solitude. I didn't know. Failure to admit the chaos and the fact that I didn't know what to do about it should have been key. But, "half-drunk," I mistook the "key" for a weakness.

My behavior that night didn't arise out of nowhere. I was long schooled in the lesson of "make it be enough." After all, my family was only "half-fractured." Our single mother appeared on the surface to be competent, capable, in control--who else did she need to make her whole? Forget for a minute that our father was out carousing with alcohol and other women. Forget that he never paid child support. Forget that instead of contributing to my chronically ill sister's well-being, instead he cashed insurance checks and kept the money for himself. Forget that we were so young that we forgave him, heedless of any other response.

Her practiced aura of control deeply influenced us. We were rarely angry at our father. We rarely thought of him as the "bad guy."

It is only years later that I can look back on these events and release an audible gasp: how could we have been so blind? He was at best a half-father, nominal in all respects. My sister's health suffered directly as a result of his selfishness (or mental illness--it was so hard to tell). The money he spent on other women and their children (there were always children) should have been spent to reduce the accumulating bills that my sister's mysterious illnesses required. He should have handed the money directly over to my mother or my sister, a fistful of real bills that would have made a palpable difference in our lives.

We coped. Coping seemed "whole," not "half," like the efforts my father made to see my sister and I on the weekends. Coping seemed the only real choice we had. We took pride in our ability to "rise above" our misfortunes. We were our mother's daughters, after all.

But coping is really "half," not "whole." We wanted to be better than our father, whose efforts we accepted grimly. We wanted to make it clear (to whomever was paying attention) that we were better than that effort-- better than him. But we wanted to accomplish that without saying it--especially without saying it to our father at whom the message was aimed.  Pretending to be without needs, clinging to indirectness as a way of shoring up ravaged emotions and psyches is not healthy or whole.

So we pursued our "half-survival." I was half-successful at the various jobs I worked in high school so that I would have money to buy all my own clothes. I wanted the freedom that financial independence (even at age 14) appears to give. Now, years later, I suspect my classmates saw through my facade. I suspect they saw my half-life for what it was and agreed to be friends with me anyway. How could I have hidden the evidence: the single pair of "popular" pants that were to sustain me, along with the 3 or 4 different tops?

Even now, I obliterate the difference between half and whole, in my nightly dreams and my waking life. I must believe I can sustain and maintain. For, how can I ever admit that I need help, that I am only half-capable? I am fully. I must be. That which I need to be.
Those who know my history can follow the path that verifies that the "fully" may really be a "half." That "half" I use sparingly. If I am truly "half-drunk," it is only because it is so fearful to be so fully. . . anything. Fully-drunk implies a loss of control, a heedlessness of responsibility. Half- it will be for now. If that is my source of self-control and a sign of my participation in the world, I will have to accept that.

Monday, December 19, 2011

Family Psych 2

In graduate school, I liked almost everything I read, with one notable exception: Hawthorne's Blithedale Romance. The course was a survey of the American novel; we read 17 major American novels in 15 weeks. On the week we discussed Hawthorne, I sputtered and raged about the pathetic narrator and his pathetic excuses, his self-absorption and self-importance. It was such a shrill outburst that, fifteen years later when I ran into one of my classmates at an academic conference, she mentioned that she vividly remembered it.

Normally, I like pathetic narrators, since I believe we are all pathetic from time to time, by which I mean that we all deserve sympathy. Who hasn't abandoned the veneer of social correctness at least once, publicly begging for attention, or pity, or love? Who hasn't unreasonably complained about a friend or spouse or lover, playing the righteous victim? Who hasn't voiced suspicions that "someone" has it in for us, which shows mainly our own fragility and paranoia, not a deep, hidden plot against us? Emotions are complex--or at least what prompts our noticing and processing them is complex; often we despise what we most fear in ourselves. Flaws, in general, make us human, and human nature is such that we ought to give each other a break.

I have always struggled with giving myself a break, though I try to be generous in understanding others' needs for a break. With chronic illness in a family, it becomes difficult, since so many breaks must be given to the ill person whose needs dominate the dynamic. There don't seem to be any leftover breaks to give away. No one asked me or my older sister, Terri, to be hard on ourselves. No one insisted that we didn't cut ourselves any slack; we did it to ourselves--rather, it was our reaction to growing up in a household with an ill sibling. We compensated; our younger sister was truly sick and required attention, medication, rest, treatments. We knew she was forced to tolerate pain and discomfort, the loss of her hair and control over her weight. Could we ever have any illness or difficulty or problem to compare to hers? It didn't seem so.

Of course, it was not a competition; we weren't asked to compare ourselves to her. But that's the way developing reasoning works; we watched her, helpless, lose her normal life to a swirl of hospital stays and radiation treatments. We watched our mother thin with worry, work three jobs to keep up with the bills. We watched our father, a planet in orbit around us, keep his distance and refrain from helping in any practical way. He brought teddy bears and balloons to the hospital, but he never paid child support or took extra time with Terri and me. Therefore, we could not make the situation worse by having anything really wrong with us. We could not really need anything significant. There simply wasn't enough of anything to go around.

The word compensation seems apt for our response, because it suggests making up for something, making reparations, making amends. We didn't do anything, yet we felt guilty: for our sister's pain, for our mother's anxiety, for our sister's helplessness. For ours. We couldn't do anything to help except not need any help. Any physical illness was out of the question.

This mentality pervaded our family, a silent and insidious presence. The strength of it presented itself to me specifically, since I had a small "something" to deal with: sometimes I passed out. The first time, I had been to the dentist getting several teeth pulled to make room in my crowded mouth. It was raining, and my mother left me under the dentist's awning while she drove the car up. The last thing I remember was watching her fade in the slant of rain as she ran in the parking lot. Then, I was on the ground, a stranger kneeling beside me, and my mother appeared and the stranger said I had fainted.

There were many of these episodes: when I scraped my toe on the pavement riding my bike barefoot; when I was sick with the flu and literally fell into the bathroom while waiting for my mother to come out; when my sister cut her leg wide open on a nail; when I had to watch a First Aid movie in Health class. I was always hot, flushed, and disoriented when I regained consciousness. And guilty. I had lost control. Again. I was weak when I should have been able to be strong.

My sisters reinforced my guilt by resenting me; they thought I was doing it on purpose to get out of school or to get attention. They often said so. They said I could help it if I wanted to. They said I focused on my own pain so much that I would finally keel over. They said I focused on myself so that I would keel over. They may perhaps even still think so.

What they didn't say but what was implied, hidden in the silences between their words, was that my fainting didn't deserve much attention. It wasn't serious. It wasn't serious enough, anyway. It couldn't compare to the seriousness of my sister's ongoing battles, nor garner the kind of sympathy we held in reserve for her and spent lavishly.

She still deserves our sympathy, since her illnesses continue. Every holiday gathering, every family birthday party is shot through with concern for her, albeit often unvoiced.

My older sister Terri once told me that my morning sickness during pregnancy would go away if I just got out of bed and exercised. She said if I didn't, I had let the sickness win. In truth, she is at least as hard on herself as she was on me, for my fainting spells. We are ruthless in our downplaying of our own limitations; we try not to accept any limitations.

So mighty was the power of our mode of compensation that I waited until I was an adult to mention my fainting to a doctor. When I asked, I was nonchalant: Sometimes I just faint; it's no big deal, but it's kind of irritating. I found out the cause; it has a name, it is a real thing: vasovagal syncope. Under periods of extreme stress, such as that caused by the sight of blood or pain, blood pressure and heart rate drop, which reduces blood flow to the brain. I could accept this diagnosis without guilt, except for the fact that the condition is described like this: "when your body overreacts to triggers such as . . ." And there it is, my family's weird dysfunction over sympathy verified by a medical text. It is my doing, my fault, which is what the word overreacts suggests.

No wonder I get so irritable when I come down with the flu, thinking to myself every time, What is wrong with me?

Tuesday, November 1, 2011

Family Psych, Part I

1972 was THE year for my family. I turned nine years old, my parents announced their divorce, my 3-year old brother died, and my sister became ill, the beginning of a life-long battle with several ongoing illnesses.

The fashion boom of flowing garments--bell bottoms and caftans--and skin-bearing midriff tops and halters perfectly reflected my position: I was both exposed and hidden. Where did the children of divorce end up in that era? I didn't know, but I wasn't going to talk to my friends about it; they all had two parents who mostly ignored my situation--a great stroke of grace--by including me as if I were a child of a normal home. And the children of grief? Of that I wasn't sure, either, but we did not end up in a therapist's office or even the school counselor's office. To my knowledge, no one at the school ever talked with me about my brother. There I was, there we were: in plain sight, hiding pain that changed our family for good.

When I recall this half-year of calamity, I tend to rank the losses: the hardest was certainly my brother's death, especially since I wasn't present when he took the fall that knocked him unconscious. I never saw his still, but still living, body, as my sisters did, nor the crowd of neighbors and relatives that gathered as if drawn by a magnet. When I arrived home, summoned by a neighbor, I entered a scene that was already set. All had their grief, already, welling up, a formidable wall. They were in process, I was outside it all. Everything I heard was secondhand, broken. An explanation, not an experience. I cried, too, when I learned what had happened, but I never shared in that original numbness that the sight of a small boy, immobile, invites. I only had images conjured from their descriptions. That has been my greatest grief and shame. And resentment. I wasn't there; I failed. It can't be made up, an absence of that magnitude. Unable to say goodbye to him, consciously or not, I hold him still in memory and seek peace that will not come.

Second on the list of difficulties: my sister's illness. Complications from her ongoing illness rock our family to this day. Though at the time it seemed more bearable than the loss of our brother, now it seems more central to who we are, who we've become. Chronic illness is an illness in itself, infecting the family; we all take on symptoms of disconnection, of role playing, of trying to ignore what asserts itself in every conversation we have. Many scenes come to mind:

Five years old, she sits on my father's lap in the bathroom, her eyes rolling back in her head, her head lolling back on my father's shoulder. Her body is jerking, her mouth open. My father seems caught between trying to comfort her and trying to stop the weird jerking. I am standing in the doorway, but even though I'm just seven, I know she can't see me. Later we learn what this was called: convulsions. From a high fever. The beginning of it all?

In the fall of 1972, she was thirsty all the time. She woke at night, her lips parched, she thirsted all day at school. Her lips swelled, her body swelled from fluids, she couldn't get permission to go to the bathroom from suspicious teachers. Many trips to the doctor resulted in a diagnosis: diabetes insipidus. Not regular diabetes, but something else. The treatment was daily shots to be administered by my mother.

My mother practiced on an orange she held in one hand, jabbing a needle into it viciously with the other. Our neighbor, Mrs. Sayler, a nurse, oversaw this paltry training. Sometimes Mrs. Sayler gave the shots, which were always administered in our kitchen, with my sister sitting on a chair, her pants pulled down to her knees, one of her smock tops hanging down, hiding her underpants. My mother took over and started the mother-daughter ritual that would define them: she held the needle, swabbed my sister's thigh with alcohol, then poised the needle above the leg. My sister screamed every time, tensed up, sometimes so much the needle couldn't penetrate her skin far enough to dispense the medication. Her screams, my mother's shaking hands, the blood-spiked cotton balls that collected on top of the kitchen garbage: symbols, reminders of a pain that wasn't going to go away.

Hospitals. The antiseptic smell, the plastic trays of food, containers of juice with peel-off tops. Cafeterias where we sometimes got to go through the line or buy cans of soup from vending machines. Flowers, teddy bears, cards everywhere. My sister propped up, laced around with IVs and tubes, the backs of her hands swollen and bruised with needle marks. Our stilted conversation. How are you feeling? When will you come home? The mystery was deeply embedded: no one knew what was wrong with her. We didn't know what to say or do. Our visits were important to our sister, we were told.

At home: evenings of quiet when my mother was at the hospital. She'd call on the phone to make sure we had done our homework, a dime each time. For a while, our grandmother lived with us; then we got homemade dinner, complete with a glass of milk, a few TV shows, a normal bedtime. When my mother got home early enough, we got good night hugs, very few explanations. We didn't know what questions to ask. Our mother's obvious exhaustion prevented our asking anything.

Answers, finally. A rare blood disease, histiocytosis. A cancer-type illness that attacks healthy tissue, causing tumors, growths, pain. Now we prep for round 2: surgeries, radiation, prednisone that made our sister swell before our eyes. She was home more, often sitting on our mother's lap while we older girls--too old to need attention like this, we thought--stood apart, observing.

High school is a blur of surgeries and failed attempts. My sister tries violin, she tries sports. Nothing works. My mother continues to insist on swimming classes, long past the time Trish needs to learn to swim. She can't be like us. She has few friends. When Terri and I break away from our mother's rigid control to drink and get high, Trish watches us, wary. She doesn't tattle; the distance between us grows, takes on a life of its own. Once, caught with our pot, my mother hauls Terri and me to a drug counselor. We sit, enraged, refusing to speak. Trish is asked, sometimes, to try a pain management class. She says she doesn't need it. Our mother goes on church retreats, comes home crying, hugging us, telling us how she is learning to let her anger out.

How many surgeries? Too many to count. How much radiation? Enough to make her hair fall out. She is the bride, at her marriage, with just a rug of hair covering her scalp. A ritual begins: surgery day, we all gather in the Family Waiting Room. Children are left at babysitters, our role is clear: to wait for the news. Dr. __________ comes out, a tall, handsome, dark-haired man. He couldn't find anything. He thinks he got it all this time. He had to scrape at the mandible, in the sinus cavities, at the mastoid. She will need follow up radiation. She will not need follow up radiation. Some of the pain afterwards will be from nerve damage. She could have surgery to sever those nerves, but she would lose control of half her face. But her pain, really, is hard to explain. She has more pain, the doctor says, than most people would have--than she should have. Eventually, he refuses to operate on her anymore.

Migraines, regular diabetes, rheumatoid arthritis. The histiocytosis, which is generally a childhood illness, outgrown after puberty. Has my sister gone through puberty? We can't tell. Baby-faced, heavy, stubborn. Once she refused hormone treatment to ensure her full passage through puberty and regular menstrual periods. I've had enough medication, she insists. More illnesses, piling up like train cars leaving the track. One disaster leading to another. Constant pain, especially at night. She sleeps sitting up. She rarely sleeps. Family vacations nearly impossible. She says she doesn't need sleep. Once, she falls while home alone, hitting her rib cage on the side of the tub, her head on the bathroom counter. Rather than call 911--I was going to be fine, she tells me later--she waits 7 hours for her husband to get home from work.

I fall recently, trying to move something too heavy for one person, sprain my thumb. I can't drive, call my son, since my husband is out of town. He drives me to the clinic, where I find there is really nothing wrong with me that rest and ice and ibuprofen won't cure. My sister is so sad for me, when I tell her, that she almost cries, and I hang up the phone, like always, guilty.

Thursday, September 22, 2011

The Un-runner

When I was a child, a series of commercials for 7-Up, the Un-Cola, ran. The slogan was hyphenated. Even at a young age, I thought that was important. I remember the smooth-voiced, white Panama-hat-wearing pitchman repeating it as a mantra: 7-Up. It's the Un-Cola. I remember a cascade of clear liquid filling a wine glass of ice cubes. I remember the sound, the  fizzle. 7-Up. The Un-Cola.

Un- does not mean non-. A nonmember is in a different class, entirely, than a member. Un- suggests productive difference. Untied means freedom. Uninhibited means the same. Unfettered, unapproachable, unambiguouos, unhouseled (Shakespeare's words filter through my mind constantly, unleashing a string of associations). The Un-Cola was a soda pop unlike all regular ones; it was touted as something so different that it had a purpose. Now I understand that purpose was marketing for profit; then, I was just taken in by the image, the texture of sound, the promise of utter liberation.

For almost 4 months now, I have been an un-runner. This is not the same as a nonrunner, someone automatically excluded from the category. A nonrunner is someone not interested now--perhaps ever--in running. A nonrunner, we can assume, disdains running in any form. Non suggests "against." Suggests "Not me," or "Not in my lifetime." Whereas an un-runner is someone in the same class as runners who is simply different. A runner who has undergone a sea change.

Ah, Melville. We owe so much to the earnest man who gave us Ishmael, Quequeeg, the Great White Whale, the Quest. Monomania.

I have been a runner since 1994, and I have not been on a run since August 17. It is now September 23 (more than a month, in case you're calculating). I can be precise because that's precisely the point: my life has played out, in some ways, on my schedule of runs. On August 17, I guiltily tread along for 2 1/2 miles, in pain most of the time, but triumphant: I could still do it! I had been hobbling along for 3 months, running sporadically, often in significant pain. I intended to establish something.

I did. I established that I am not a doctor, don't act like one, don't have the knowledge of one. The doctor, in his infinite wisdom, assured me that at some point I wouldn't be an un-runner. But that was after the 3 months I pushed myself to run, when I didn't know what was wrong with me, when the rhythmic striking of each foot on the ground translated to a rhythmic demonstration of a drumming technique on my Achilles' tendon. No pain, no gain? I had believed that religiously. But it hurt, and I was getting nowhere.

I didn't understand, entirely, the mechanics of ankles, but I did understand pain. And embraced it.

The doctor was a "specialist." If I ran the world, he would have been the person I would have seen first, since I knew that what was wrong with me had special privilege and status (in my mind) because I qualified as a "serious" runner (think longevity). That meant regular workouts, over a period of--let me count--yes, 17 years. But, I had to wait to see him until my insurance approved; that meant a 15-second visit with a General Practitioner who knew nothing about me or any kind of foot ailment. And then a 6-week wait.

Perhaps I am warped for paying special attention to the specialist's nurse, who effectively told me that 1) running had already done irreparable damage to my body, and 2) that I needed to do whatever the doctor said (and he would likely say that I should STOP, for good). She was cheerful, in a Nurse Ratchet kind of way. When I refused to get on the scale, as I often do in doctors' offices, she sniffed. "OK, but if you have to have surgery, then I will weigh you. Surgery patients need to have anesthetic, and we need to know how much to give."

I stood for a brief second, transfixed. She was so dedicated. But perhaps to the wrong cause. I was nowhere near the sad predicament of a person who needed surgery.

I was not wooed by her sympathetic manner, or by her certainty that the doctor would take a hard line and forbid me the life I once took for granted. He didn't, in fact. But he did tell me to "take it easy" for a month. I knew what that meant. Rest, Ice, Compression, Elevation. Home treatment. No running. Ibuprofen every 4 hours and exercises explained to me on sheets of Xeroxed paper.

I am nothing if not faithful. I have complied with this routine for some 4 weeks. I get up in the morning, down my calcium/Vitamin D supplement and 3 Ibuprofen, then lace up my shoes and stretch my tendons and other lower-leg muscles. All day, in intervals, I shake 3 brick-red ibuprofen into my hand and swallow them.

I have not gone for a real run for a month (I want to name the gap in weeks, but it will be too depressing). Instead, against all advice from prosaic nurses, I walk. But it is not the same.

And that is my real lesson from this experience. Sure, people have to admit their physical limitations. I have worn reading glasses for 5 years; at first I resisted, but now I can read menus and books without holding them at arms' length and squinting. But walking? Really?

It is not the same. That is why I have to define it as a transitional form of exercise. My legs stride along, my forehead drips sweat, my arms swing, crooked, in time with my steps. But a real workout?

Not a chance.

Today it was rainy and blustery, so I did my distance on my treadmill. A treadmill--any kind of stationary exercise-- is misleading. One feels as if one is moving along. But obviously, one is not.

I am on a quest to remove the Un- from my identity. I have to succumb to being an un-runner for now; my left heel, my arch, and the ball of that foot ache with a regular, throbbing insistence. I wince along, a gait that belongs to infirm individuals, or those who don't know enough to do right.

I hope for another chance to fly along, feet touching ground lightly then leaving the earth, briefly, only to touch down again. I count myself, still, in the class of runners. I own 3 good pairs of running shoes, and I plan to buy more. So what if I happen to be on hiatus?

I look a little different, forging a way along the route where I still notice runners, unencumbered by injury or limitation, whom I waved to before. Now I merely nod, scrappy, mincing along the path. Why does no one send out a courtesy message as they pass me? On your left, I used to call as I skirted the slow, the awkward, the merely lazy.

We don't notify those whom we cannot see. I remain invisible to most of those I identified with before. The others? They don't know me either. I am unknowable. An un-runner. Unidentifiable. Unreliable. Unused to this hard vision of compromise.