Sunday, May 31, 2015

Perils of Duty

Believe it or not, my wife Laura is not, I repeat, not a fan of spiders. In particular, large, hairy spiders. So it falls upon me, as the spouse without an aversion to arachnids, to dispatch of said spiders. Fortunately, most eight-leggers taking up residence in our household do not meet this description and I can shoo them away to live another day and feast on our home’s pests. Alas, on the eve of publishing the most recent ActiveMSers newsletter (subscribe here), an LHS--aka, large hairy spider--made its presence known in the kitchen and refused polite requests to scamper. So I was called into duty and immediately holstered a shoe. But there was a problem, actually a few problems.

Problemo uno: I have multiple sclerosis. Problemo dos: I have balance issues. And problemo tres, I feel I have duties as a spouse that I want to maintain despite my disabilities and will stubbornly do things I probably shouldn’t do. Like take out the trash, wrangle vacuums, and pull weeds without sitting down. And attempt to kill spiders. On a freshly waxed kitchen floor. In socks. After a beer.

Okay, you can already see how this is going to end. BADLY. The good news: the LHS was dispatched. The bad news: in the process of cleaning up the detritus, karma collided with that fleeting sense of accomplishment and despite using my walker “to be safe” I promptly auditioned for America’s Funniest Home Videos sans the video, and, well, the funny. Out went my feet from under me and backward I went, clocking a wall with my noggin on the way down.

Fortunately, splayed out on the ice rink, er, kitchen floor, I took a broken bone count and everything was intact. No muscles were torn. Nothing hurt except for that new knot on my wet head. And then it occurred to me that it was mighty strange that my head was wet considering that I had not just taken a shower. Uh oh. A late night ER visit and three fresh staples later (staples!), not to mention an epic pout face (see above photo), I was as good as new. Well, not new new.

When you’ve got a disease like multiple sclerosis that tries to steal long-practiced spousal duties, making peace with giving up some of these duties is paramount. We want to be helpful like we were before. We want to do the same chores we used to do. We want to be productive and efficient and worthwhile. But sometimes MS makes that challenging. Whether it’s cooking dinner or dressing a child for school or balancing the checkbook or getting the nighttime water, cutting back or letting go of some of these tasks is hard and discouraging. Maddening, even. I mean, I want to be the best husband in the world to Laura, to be her knight in shining armor. Instead, realistically I would be rendered stationary wearing anything metal and my most advanced form of weaponry would resemble a New Balance sneaker.

The realization that I have to give up some of my expected duties as a husband is enough to make me want to bang my head against the wall in frustration. But, as I unfortunately and painfully discovered, that usually just leads to staples in the head. And trust me, you don’t want staples in your head. Besides, it makes getting an MRI rather problematic, you know, with all that metal and all. And I think we can all agree, with multiple sclerosis we have enough problems already!

Tuesday, March 31, 2015

Life's a Beach

When you’ve got an annoyingly pesky disease like multiple sclerosis, some of life’s pleasures become a touch more complicated to enjoy properly. Take, for instance, the beach.

Walking aids like canes and forearm crutches suffer in the deep sand. Wheelchairs and walkers? Verboten. And then there’s the heat—hot days, hot sand, hot sun. Even the water can be paralyzing. Literally, at least for me. If it’s cold and I dip a foot in, my whole body violently convulses. So if I were to wade willy-nilly into the ocean, my last words to Mother Nature would almost certainly be something along the lines of “don’t tase me, bro” before I thrash, collapse and then vanish under the froth of two-foot surf.

But there are things one can do to make a beach excursion a bit more enjoyable. For starters, go on a cooler day, or at least go during a cooler part of the day (mornings are good). Always tote shade. Icy drinks and a cooling vest are standard weapons. If you use walking aids like forearm crutches, trekking poles and canes, tips that can handle sand are quite helpful. And coolest of all, borrow a beach-friendly wheelchair. Yes, they exist. Lifeguard stations at popular beaches may have one or two, just ask. That’s what I did on a recent San Diego trip and was surprised to find that the city’s best beaches had both manual chairs (you need a pusher) and motorized chairs available on a first-come, first-served basis.

With huge inflatable wheels that look like doughnuts the size of Homer Simpson’s belly, these chairs just bounce over the sand, inspiring finger-points of envy from every child under the age of 12. To up the awesome factor, aim for the water and you’ll find it floats! (Much to my chagrin, the motorized chairs do not feature a propeller—I’m smelling a marketing idea here.)

I’ll be honest, it was the most fun I’ve had on the beach—and in the ocean—in years and years, way before I even had MS. It took me back to my childhood when I would spend entire summers at the community pool. I was that tanned kid with a big smile and bleached, sandy white hair, the one who rode his 3-speed banana-seat bike in his bare feet anywhere and everywhere. I was free. While my beach wheelchair might have lacked a banana seat, I was a kid again. And I was free again.

Thursday, February 26, 2015

When Patient Becomes Caregiver

It was bound to happen at some point. You don’t prepare for it—you never do. But when my wife Laura was told the newly discovered lump in her breast was growing quickly and needed to be removed immediately, our roles as patient and caregiver were violently upended. Funny, I recently was featured on WebMD talking about, of all things, the importance of caregivers. Now, without warning, I was forced to become one. Gulp.

Breast cancer runs in Laura’s family. Her grandmother was diagnosed with it in her 40s. Her wonderful mother tragically passed away from it at the age of 66. This was no joke. And that was a problem. As I mentally cataloged all of my potential skills as a caregiver, which took all of a few seconds, I concluded that my greatest caregiving asset was… humor. Jeezo.

I wasn’t going to relieve the stress of her lumpectomy surgery with lame bosom jokes (What did one boob say to the other boob? You are my breast friend. Groan.) Physical humor was out, too, because if I accidentally hurt myself joking around—something I am quite capable of—Laura surely would assign me the task of purchasing a doghouse… when we don’t have a dog. (At which point, I probably would have brought up some silly trivia about the phrase “in the doghouse” and how it was a type of sleeping shelter on an old sailing ship that was notoriously uncomfortable. And then I’d pick out sheets that matched the living room couch and make myself comfortable.)

Fortunately I discovered my caregiving skillset was deeper than I anticipated. Maybe not so much in the physical sense—other than rewrapping her dressings and getting the occasional glass of water—but I could support her in so many other ways. And yes, I did manage to make her smile without getting into too much trouble, although getting her to agree to be photographed prior to surgery was a bit of a stretch.

How did it all go? Swimmingly. My biggest challenge as caregiver was making sure I didn’t fall onto her needle-prepped chest kissing her good luck before the surgery. From there things just got easier. Her recovery was swift and she was a perfect patient. Ah, but of course—she must have learned from the best! Please note that previous sentence drips of sarcasm.

And the tumor? Benign. It feels so good to breathe again.

Thursday, February 12, 2015

Perils of Furniture Surfing

If you’ve ever had walking issues due to multiple sclerosis, you are bound to have experience in the sport of surfing, specifically furniture/wall/appliance surfing. One engages in said sport by eschewing practical walking aids—a cane, a walker, forearm crutches, etc.—in favor ricocheting off of solid objects in one’s home.

Here’s how it works. Say you decide you want another beer … yet you find yourself sitting on the couch eating Cheetos while cursing your wonky legs. “I hate you, wonky legs,” you mutter (with or without expletives). Then for reasons unknown, you opt to step over your cane—conveniently resting aside the couch—to channel legendary surfer Kelly Slater. Off to the kitchen you go! Couch armrest to end table to wingback chair to family room wall to fireplace mantle to dining room wall to dining room chair to dining room table to kitchen wall to pantry doorknob to countertop to sink (nice hand holds!) back to countertop, and then finally to refrigerator handles. Cowabunga! You just rode that barrel and exited the green room unscathed! Now simply open the fridge, get your beer, and resurf your steps, which is cake since there is now a fresh smear of Cheeto orange all over your house.

But, as veterans know, shooting the tube can be gnarly if surfing is not done smartly and safely. To avoid being a Barney, aka a lame surfer, you have to keep your eyes peeled for potential perils, like men in gray suits—in other words: sharks. House sharks are things you should not grab for support. Floor lamps. Recliners that rock. Christmas trees. Lightweight tri-fold Shoji screen room dividers made primarily of paper. The horns of poorly mounted faux animal heads. Yes, the list of “sharks” is practically endless.

Alas I discovered after a recent mishap, there also are degrees of Barneyism, from mildly dorky to full-on moron. For example, after you cook a slab of bacon and move the hot pan off the even hotter stove, DO NOT UNDER ANY CIRCUMSTANCES then use the convenient cast iron grate of said hot stove for support. This dawned on me as rather obvious while I was running my left hand under cold water for 15 minutes as Laura fetched my cane while trying not to injure her neck due to repeatedly shaking her head in exasperation.

Yes, even though I typically avoid furniture surfing (and even warn against it due to potential mishaps), I went full Barney. No, I’m not proud of singeing my palm or freaking out my wife. But it could have been worse. I could have pulled a Barney while hanging eleven (uh, Google at your own risk). The lesson here: wade carefully into such waters and always use your walking aids. Or just blindly ignore my advice. Surf’s up!

Wednesday, January 14, 2015

Preparing the Comeback

When you use walking aids—and are under the age of 70—you are going to get questions. It doesn't matter if you are using a cane, trekking poles, forearms crutches, walker, or pogo stick (not recommended, by the way). People are curious and have an unquenchable desire to eat one's own foot. This is particularly true when using said walking aids in an unfamiliar way, say trekking poleswith rubber tipsaway from the trailEven I'll admit it does look a bit strange to be walking around Costco with gear more suited to scale Kilimanjaro (although granted the store is large enough to nearly qualify as a leg on the Appalachian Trail if one walks the entire length of each aisle). Of course you expect to get the occasional quizzical look or two. Perhaps the head-snapping double-take. Maybe a question about your disability or a misguided "get well soon." But the snarky, “I don’t see any snow” comments sort of piss me off. Not enough to make me want to clunk these jerks in the head with my Black Diamonds, but enough for me to stew about it. 

My stew reached a rolling boil when, while exploring an historic Bhutanese temple back in 2008some dude (presumably British, not that there is anything wrong with being British) said to me, “Chap, it’s not snowing.” I paused. At the time, I responded with only a smile. But for the next hour I decided to prepare a list of comebacks to make these idiots question their idiotic statements. Option one: a full frontal assault. "In my world where my body is being ravaged by multiple sclerosis, it’s a blizzard every single day." Bam! Okay, that might be a touch harsh. Option two: “I’m training to climb Mount Everest, and nothing interrupts my training schedule, not even a trip to the grocery store. I see you are not in training by your lack of poles and that Haagen Daz in your cart.” Option three made me smile widest"You don’t see any snow? Well… I don’t see any assholes. Oh, wait. Yes I do.”  

Alas, I always just smirk and nod, but it is cathartic coming up with snappy returns that will forever stay in my back pocket. Probably.  

Portions originally published June 26, 2008. Edited and expanded. 

Tuesday, October 28, 2014

Running with the Bulls

We were woefully early for dinner. The hotel’s restaurant opened early to cater to tourists and when we sat down to dine at 8:45 p.m., not a single table was taken. See, dinner in most of Spain doesn’t really start until 9:30, maybe 10 at night. For a pair from Albuquerque, where the evening “rush” happens as early as 5:30, eating at our typical bedtime took some getting used to. Back home, the last time we saw midnight might have been New Year ’s Eve. Uh, New Year’s Eve, 2008. Now we were lucky to get the check before the next day arrived.

As an MSer, staying up late typically holds about as much appeal as sunbathing midafternoon in the parking lot of a Walmart on a sweltering, humid summer day in Houston. But after living with this disease for nearly a decade, I’ve learned that if I don’t adapt and adjust, I’ll face unkind consequences. In this case, starvation and a hungry, grumpy wife.

Travel always tosses curveballs into your daily routine, just like MS does. Fatigue can trample you like a wayward bull terrorizing the streets of Pamplona (I survived). Some hills are just too steep to safely navigate. Sandy beaches slowed my already slow walk to a crawl. Cobblestones meant I had to pick a very careful path. And at times, stairs were simply unavoidable if I wanted to see some sites, like the otherworldly rooftops of famed architect Antoni Gaudi.

 Even so, travel with MS can lead to special opportunities. Heck, I went into the back rooms of Gaudi’s masterpieces—people gaped at me behind glass doors as I enjoyed unprecedented access. I rode the King of Spain’s elevator at his Royal Palace in Madrid. (Given that there are 3,418 rooms, our paths sadly never crossed.) At an 11th century monastery I enjoyed a private concert, complete with soaring arias, as the rest of the tourists on my tour of the World Heritage Site trundled upstairs. (The organist and singer conveniently were practicing for an upcoming wedding, and I was happy to chill in the ground-floor chapel.)

 Of course there were the misadventures that somehow follow me around whenever I step foot outside my front door. Like the time I locked myself into a handicapped bathroom so securely it took nearly 15 minutes, a credit card, and a bit of prayer to jigger the stuck lock open. Visions of Spanish firefighters sawing through the door as a flotilla of television news cameras captured the extraction on national TV were thankfully not realized. And then there was the time we somehow, unbelievably, ended up at the finish line of a road race exactly where runners were sprinting for the ribbon. There apparently was a good reason such an appealing gap existed in the sea of euphoric pink-shirted sweaty people. “Hombre with Esclerosis Multiple Causa 27-Persona Accidente“ the headline was certain to scream before Laura pushed my wheelchair at a clip that I swore broke the sound barrier.

Ah, life with multiple sclerosis. Homer (the Greek poet, not the Simpson) once wrote “the journey is the thing.” Indeed it is. In his tale The Odyssey, it took Odysseus ten perilous years to return home to Ithaca after the fall of Troy. Meh, whatev. I’m already in my 10th year of my personal MS odyssey, and I intend to press on as long as the heart beats, forever adapting to my ever-changing world. I have to. All of us with this disease have to.

Now of course Homer prophetically also wrote that “even a fool learns something once it hits him.” Like a pack of runners barreling into you while unwisely crossing the finish line of a road race that is at its conclusion. Touché, Mr. Homer, touché.

Tuesday, September 16, 2014

On Your Left

This past weekend for the first time in more than half a decade, I was spending the afternoon on the bike trail. And admittedly it was thrilling to take in all the scenery that was passing me by… uh, quite literally passing me by. I was passed by teams of spandex-clad cyclists with matching road bikes. I was passed by friends out for a leisurely Saturday ride. I was passed by an overweight dad on his son’s too-small squeaky mountain bike. (Admittedly, at this this point I started looking over my shoulder for grandmothers riding fixies festooned with baskets and bells.) “On your left” was the repeated refrain. And I did not care. I finally was cycling again… with my wife, outside, on a brilliant day.
Sure I was traveling at a speed more accustomed to joggers. I pedaled up tiny hills at such a lazy pace that the sun’s position in the sky visibly changed before summiting. Heck, to keep pace with me when she wasn’t sprinting ahead to get a little exercise, Laura nearly had to pull trick-riding moves to balance on her two-wheeler. In the past, this might have frustrated me immensely. After all I used to be a regular cyclist, even organizing special event rides on this very trail (e.g., Bike for a Burrito, slogan “it’s a gas”).
Over time, though, I’ve learned that when you have multiple sclerosis, there is little to be gained by bundling valuable energies into mourning the body of your past. Savor the present instead, and turn shortcomings into opportunities.
On this afternoon I was going so slowly, I could stare down animals along the trail that in the past would have skittered for shelter as I romped by. I could overhear curious kids squeal to their parents to look, loook, LOOOOK at that cool bike and how badly they wanted one. I could daydream to the hypnotic fishing-reel tck-tck-tck of the rear hubs when I coasted on the flats. And I could marvel as future Olympians steamrolled down the trail directly toward me. Egad, daydream over!
Seriously. Long-distance runners from the women’s 2016 Japanese team were training that day, taking advantage of Albuquerque’s mile-high altitude and perfect 70-degree weather. Coaches, each laden with a half dozen stopwatches, monitored their every step. Members of the squad kindly nodded my direction as our paths crossed. Perhaps one day I’ll have to learn how to say “左手に” to pass these marathoners while speeding along on my trike, but for now I’m quite content to be the slow dude on the right.