In fairness, it was kind, the way he told me over the phone. In my mind's eye I could almost see him shrug. We have reached the end of diagnostic options. And I replied that I understood, obviously. I almost laughed. After four experts and I lost count how many procedures, it has been agreed that the displacement of various bowel segments due to chronic inflammation scars and whatever else could - in theory - be surgically repaired but what's the opposite of in theory here, maybe in fact. In fact, surgery is not an option because of the compromised immune system due to the past 10+ years of immune suppression therapy, which most likely saved my life or at least the life expectancy of my liver, kidneys, heart and lungs. Also eyes and ears. And ayway, surgery in otherwise healthy people without an autoimmune disease has a success rate at only around 50 percent.
In short, this is the shape of things from now on. Me, hoping in the morning that the small bland yet pleasant breakfast portion will not cause a wave of painful bloating that could last until evening, while creating an Ottolenghi style lunch with said bland ingredients.
I have long ago accepted how limited my personal autonomy actually has become with a body that's a site of
complication and now that eating has become a trial-by-error assault course, I can only shrug.
As Virginia Woolf said, in illness, the mind gives way to a thousand fantasies we don’t find time for in health.
Other than that, it's winter and cold and wet. I push myself outside, well wrapped, listening to a gruesome thriller, feeling slightly embarrassed for doing so when this is the view.
I could share my thoughts on stuff, like how the more feminist achievements there are, the more patriarchal violence
increases. And how the crisis situations we are living in -
climate crisis, wars, increasing poverty - motivates men to abuse and
humiliate those who are below them in the hierarchy and how this behavior is
increasingly accepted. How global
right-wing extremism celebrates a traditional, alpha image and how religious fanaticism, whether evangelical or Islamist, celebrates the
oppression of women. But then what? Right now, I just want to get from one day to the next, have a decent walk, digest my food without too much pain and find out who did it (in the thriller).
I guess if there's an upside the intermindible testing is over. and even if you were healthier the surgery might not have worked. it would have been terrible to have undergone it and get no relief.
ReplyDeleteI have my theories about why men feel the need to suppress and dominate women. We do the one thing they can't, bring new life into the world. and we do many things as well or better that they do.
my youngest granddaughter, soon to be 26, has not been able to work for almost a year. she is in near constant pain, food goes through her in the form of diarrhea. we suspect some sort of autoimmune disease. she's been on her mother's insurance but that will end when she turns 26. regardless the doctor she has been seeing is pretty worthless in my opinion and the copays for the tests and meds she recommends are beyond my daughter's ability to pay. $2000 for a month for the specific antibiotic. all this coupled with she has always had excruciating menstrual cramps, needs an ultrasound to diagnose, likely endometriosis, also very expensive. She goes on her father's insurance after the first of the year so we're hoping she will finally get the diagnosis and meds she needs. the healthcare system in this country if fucked up.
2000 for a monthly supply of an antibiotic is criminal. The average daily cost of any antibiotic in the EU is below 5 Euro. Antibiotics are tool boxes, not rare metals.
DeleteOh that's too bad that there don't seem to be options for cure for the digestive problems. I too watch what I'm eating so the plumbing can hopefully handle it. I am so glad you enjoy walks (with or without who-done-it) and can take such lovely photos. Both your quoted photos also are well chosen!
ReplyDeleteWell that sucks. I'm sorry, it can't have been easy to hear that, but also not a surprise. Modern medicine has hard limits, which we like to pretend don't exist. Have the docs ever mentioned long term TPN as an option? I just looked it up, I didn't realize how limited it was for long term treatment.
ReplyDeleteI told my husband to go see a fucking doctor yesterday. He was silent (William the Silent treatment) for most of the day and then he left me a note that said, "My problem is depression." I think he is depressed but I think he is also sick and he still needs to see a fucking doctor, which I told him. At least I know that his silence isn't directed at me now. He's a difficult man to live with.
Sorry, I got off topic. I'm glad you get to go for walks with such a lovely view. Our river is pretty much frozen over now and the world has turned brown and white for the most part, with lots of ice.
I'm going to use that last bit of advice, about what to do when children ask you hard questions. Jack asked me yesterday about the word sexy and about sex. He also had questions about pronouns which led to transgender and gay topics. Poor guy. There is so much confusing stuff to learn in the world. I told him that it doesn't matter who you love, as long as you love.
TPN is not on the cards as long as I can keep my weight within a tolerance level. I may be facing colectomy at some stage.
DeleteWell that can't have been easy to hear. And yet you are coping -- one foot in front of the other, as they say. Or one meal before the next. Or something like that.
ReplyDeleteAt least you had a beautiful (if cold) river view.
I have no easy answers on the patriarchy questions. I wish I did.
"... In the rearview window I see her smile looking out at the purple sky. She says, "I think I will never die." I tell her "That's what I think, too." And I do, I do."
ReplyDeleteThank you for your rigorous honesty and your good heart. Had to Google "Ottolenghi style" and
I wasn't finished commenting and accidentally hit "PUBLISH." Will wait to see what I wrote and then add to it (-:
ReplyDeletewas fascinated by what I learned and hope with all my heart that you enjoyed your Ottolenghi-style lunch today. My food choices are extremely limited, for different reasons, but if I go out of bounds my body tells me so in no uncertain terms.
ReplyDeleteAlways good to hear from you and see your beautiful river, affirming that you continue to live life to the fullest.
https://www.youtube.com/watch?v=_xRlojtDdEs
https://www.youtube.com/watch?v=_xRlojtDdEs
Something that I heard awhile back rattles around in my brain and I think it is very true. It is that men are afraid that women will embarrass them while women are afraid that men will kill them.
ReplyDeleteI don't think this EXPLAINS patriarchy but I think it is at least a result of it.
I am so sorry, Sabine, that you seem to have come to the end of what medical science has to offer you in this regard.
I can only say what Pixie said above. This sucks.
ReplyDeleteCongratulations on coming up with "loss of personal autonomy" - a telling descant on the duller generality "getting old". I don't care if you cribbed it from someone else, you were the phrase's first prophet as far as I'm concerned so: laurels to your brow.
ReplyDeleteWhile detesting it as an experience I warm to its precision. And to its implications. Theoretically we are all endowed with it as an option but - I suspect - the vast majority don't take it up. Many float, few consciously start the outboard motor and grasp the tiller. A gratiifying thing. I dropped my blog and managed to resume my stiuck-in-th-mud novel. Not quite te same thing but it's in the ball-park.
Needless to say I intend to use the phrase without attribution