Letting Go

Happy Mother's Day!

I've been focusing on some heavy stuff during the last five months: depression, anger, fear, misdiagnosis, illness, a near-death experience, and loss.

You know what I learned from sharing my deep dark fears and my private journey in a public space where anyone in the world can read it? Letting go has made me free.

I let go of my fear that you will judge me.

I let go of my sadness, my anger and my shame.

I let go of my need to help karma find Dr. H.C.

I let go of my fear that I will get sick again.

I may very well get sick again; I may even lose myself. But I know what to do, I've rallied support and I know that it's possible to come out on the other side standing tall and pretty much back together again.

Thank you for reading my story and for sharing your stories and advice. It has helped me let go.

I love blogging so much I don't want to let that go, so in the next week or so I will transition to an entirely new blog.

After examining my illness and depression, I want to keep it light for a while. (Though, if you know me, you'll know there will be an element of seriousness in everything I do.)

Consumerism has always been fascinating to me. I've thought about it a lot.

Take today for example, a holiday I think is one of the least commercial. Moms want to take a day off and be appreciated. Kids make a special breakfast or clean the house or write a poem in a card.

It's not about diamond rings or dozens of blood red roses.

Or is it different for you?

One Last Karma Crusade

Dear Dr. Hope Crusher,

CC: Medical Disciplinary Board

Your misdiagnosis really messed me up. I want you to read this so you don’t do the same thing to someone else.

I was referred to you because I had pain in both of my arms for no obvious reason. My family doctor thought I had arthritis, but you glanced at my file as you walked down the hall toward the examination room and decided that I had Fibromyalgia.

It had been just three months since the pain began. There was no pain in the lower half of my body at that time. You jabbed your fingers into my muscles hard enough to hurt me everywhere, not only on the tender spots, but you ignored the fact it was you who was hurting me, not my illness.

You handed me a few photocopied notes and diagrams about stretching and guided me out the door.

There was never any follow up. You didn’t recommend more tests – not even a sleep study – or more doctors. You only saw me once. My family doctor had to prescribe me pills and check in with me and help me manage my day-to-day pain and fatigue.

Because you had incorrectly labelled me with Fibromyalgia, other doctors either thought I was a hypochondriac or a lost cause, and I went for years without finding out what was really wrong with me.

After years of no sleep, even while taking the sleeping pills recommended for patients with Fibromyalgia, I got fed up and demanded a sleep study. Luck for me, I had the energy that day to advocate for health.

The sleep study uncovered a major issue with my heart. I know you’re not a cardiologist, but you’re probably smart enough to realise that cardiomyopathy causes fatigue.

Turns out all I needed were beta blockers and ACE inhibitors to make me feel better. I’m not exhausted or achey or stiff anymore, Dr. H.C. I have been living well without medication for a very long time now, Dr. H.C.

If you had taken the time to diagnose me properly, instead of trying to stuff me into a neat box and then throw me out the door, you would have saved me a lot of heartache.

If you practice medicine every day the way you practiced medicine with me that day, you are a disgrace. You should put your medical licence in that box, set it on fire and then go back to school to become a Wall Street broker.

I’d rather you fuck with my money than my life.

With all my heart,

Jenn

Dear Heart

Now that I’ve shared the depths of my depression, I want to share my joy.

For about a year and a half I was terrified that my heart wouldn’t be well enough to keep two people alive. I thought my chances of safely having a baby were slim.

I was wrong. I did get better and I did get pregnant. Sometimes life turns out better than you expect.

Before I knew everything was going to be okay, I spent a lot of energy trying to figure out what I did to break my heart. Nobody knows when my heart function started to falter.

When I was younger, I smoked and drank too much, as teenagers often do. I kept on smoking for ten years. Worse than either of those things, I held onto my bad feelings and internalized them. If sadness or anger were ever in short supply, I borrowed from my friends.

I lived with a heavy heart for years.

Seeing my heart on the ultrasound screen brought tears to my eyes because I knew I had neglected him and taken him for granted. I felt guilty for being unaware of my heart’s struggle, for adding to it.

In a mad bargain for wellness, I wrote my heart a letter. I asked for forgiveness. I promised to pay proper attention and to eat less salt. I told my heart that I would fend off stress if he would just keep pumping.

I’d like to believe he was listening.

My Doctor is a Hypochondriac

So there I was, barely held together with anger, on the verge of depression, in pain and exhausted. The pills the doctor had prescribed made me numb. Literally, the top two inches of my skin was desensitized by the drugs.

It was hard to advocate for myself in that state.

But I knew without a doubt that something undiscovered was happening in my body, and it was clear that nobody was willing to push for more tests after I was banished to Fibromyalgia Town.

I was getting worse, though. Waking up in the morning was depressing. The sleeping pills I took kept me asleep, but didn’t help me get the rest I needed to feel restored. I struggled to start each day when I felt like the previous day hadn’t ended. Some days I was too tired to get out of bed.

Those days pushed me to advocate for my health. I couldn’t accept that I would just get worse and worse and worse until who knows what. Until I became disabled permanently? Until I completely lost my mind?

No. I had to do something. So I went to my family doctor and pleaded with her. Because I was convinced at the time that I had MS, I asked her to send me for an MRI.

She told me, her voice full of conviction, that I didn’t have MS. She booked an MRI to humour me. I also asked her to send me for a sleep study. I figured something was wrong there. My doctor said the study would not confirm or dispel the Fibromyalgia diagnosis, but I didn’t care, I wanted to get some sleep.

Despite my doctor’s convincing tone, I thought the MRI would show MS. I was wrong.

However, it turned out that my demand for more tests would lead us to the right diagnosis in quite a roundabout way.

Karma Crusader

After talking with friends and thinking seriously about my anger, I think I know why I haven’t fully let it go.

True, it doesn’t affect me like it used to, meaning I don’t physically feel the anger even when I spend so much time reliving the memories that I can taste the blood in my mouth as though I was biting my cheek hard enough to stifle an urge to lash out.

But as Helen pointed out, the lack of a physiological reaction to the anger doesn’t mean I’ve let it go. Somewhere in my cells, I'm housing anger toward Dr. HC and Dr. Second Opinion because , at the very least, their negligible diagnosis made it incredibly difficult for me to get the proper diagnosis, which put my life at risk.

This week, I was listening to a radio interview with Dan Ariely, the author of Predictably Irrational: The Hidden Forces That Shape Our Decisions. Ariely talked about an experiment in which one guy overpaid for an item with two different groups of people: one control group, and one group of people that were purposely annoyed by the guy right before he overpaid. (The guy took a call in the middle of the interaction and rudely made the people wait without acknowledging it). The first group gave him back the extra money most of the time; the second group kept the money most of the time.

Ariely said that people didn’t keep the money because they were dishonest, but because they were trying to restore some kind of karma. In other words, the guy who treated them badly didn’t deserve the break they would have given him by fixing his mistake (paying too much).

What he said resonated with me. Big time.

I’ll admit it here and now: I am a karma crusader. If I see a wrong, I think it’s my job to right it – especially if I feel someone is being treated unfairly. My style is a bit different than that of the people in the experiment. I wouldn’t have kept his money, because I don’t think that’s right and I consciously make decisions on an hourly basis to stay in line with my morals; but after he hung up the phone I would have made him wait a bit longer than he made me wait.

So yes, I spend too much time trying to restore balance and justice into the most insignificant events. Why? If I don’t, I hold on to the anger of being unfairly treated.

Before I heard this interview, I had just realised that I’m worried letting go of my anger will give the two specialists who messed up a free pass, and they will never have to answer for their actions. My first thought to resolve it, then, was to find a way to file a formal complaint against them. Maybe it would stop it from happening to others.

Thanks to Ariely, I think there is another solution. In most cases, I will fold up my cape and let karma figure things out without my help.

(Because Dr. HC may misdiagnose more people, I think I have to do more, but Dr. Second Opinion was just a jerk, as far as I'm concerned, so he will fall into the 'most cases' category)

Folding the cape means giving people a break for no reason at all, and especially when they don’t seem to deserve it. If I can dole out at least one break a day, I think I can change my life. And if you do it with me, we might be able to change the world.

Portable Fences

I’m finding it hard to write about anger.

I knew how to be angry, how to use it to keep going, and even how to direct it toward threats; but I didn’t sit down one day after being misdiagnosed and decide to get angry for all the benefits.

Anger was a reaction to a series of events that left me feeling almost hopeless. It’s an emotion that was hard for me to control. I let it consume me and affect many aspects of my life.

Somewhere between anger and depression, there was a great deal of self pity. Even though it was always tempered by the fact that my illness was not life-threatening, and I was learning too much about life-threatening illnesses to ignore the blessing, my pity and anger brought me to hurt people on occasion.

This is why it’s hard to write about. I feel awful for hurting people and embarrassed that I acted so disgusting some days.

I didn’t physically lash out. In some cases I was judgemental, in others plain mean, and most of the time my lack of interaction either directly or indirectly hurt friends and family. I carried a portable electric fence in my pocket. When I was angry, people knew.

To those that I hurt, I am sorry. I hope this journal gives you some insight into my actions, and I hope that you’ll give me a chance to connect with you if you haven’t already.

Carrying anger has been harmful. At the time, I didn’t know how to feel it only when it was useful and then let it go.

I’m not sure if I’m good at letting it go these days either. I’m still angry with Dr. Second Opinion and the other doctors who made me feel stupid and useless. But I can feel the anger without feeling the physical effects, like a heavy heartbeat and tense muscles and headaches.

Is that letting go?

Anger Loves Me

I think anger and depression are only separated by helplessness and hopelessness.

My illness and the doctors who misdiagnosed my illness made me feel helpless, but my anger gave me power in some situations, and knowing that I still had some power helped me remain hopeful that I would eventually find health again.

Though anger let me feel alive, there was only one time it actually helped me.

A few years ago I ran into a confrontational toughy in her mid-forties. Her fifteen-year-old beat-up Mercedes was parked at the pump of a small gas station. When I pulled up to the pump, I couldn’t get close enough because the Mercedes was hogging up the space. So I turned off my engine and waited for her to finish.

I watched her walk back from the store after paying for the gas and then get in her car. For some weird, possibly territorial reason, this woman aggressively gestured for me to back up so she wouldn’t have to reverse and go around my car.

Before sizing up the situation, which included the facts that the has-been party girl was bigger than me and had two male passengers, I shook my head and rolled my eyes. She hated the fact that I didn’t act as commanded. She got out of the car.

By this time, of course, my heart was pounding, but thanks to my flowing anger, I was ready for a fight.

This is another surreal moment in my life. As she approached the car I wasn’t sure what to expect. My window was open and my seat belt was on. She stood next to my car and got right in my face. She grabbed my door, her fingertips inside of my car. She called me out as if we were guests on Jerry Springer.

She expected to have the advantage by taking advantage of the element of surprise.

But I surprised her by undoing my seat belt and opening my door.

Honestly, I didn’t get out of my car to fight; I got out to protect myself. Years before this incident, I had seen a high school friend get attacked through a car window. And I really didn’t mean to hit her in the stomach with my car door when I threw it open. I was glowing with adrenaline and I had misjudged the space she had suddenly made between herself and my car when she saw me put my hand on the handle.

In thirty seconds, by instantly answering her call to fight, I turned the element of surprise around and threw it in her face. It wasn’t something that I thought out; it was just something I did because anger was at the ready.

She didn’t back down immediately, but she didn’t throw a punch either. She got back in her car after some face-saving encouragement from her friends, and then she reversed and drove around my car.

Luck played some part in getting me out of the situation without a broken nose and a criminal charge, but if I wasn’t regularly raging during that period in my life, I would have hesitated. I have no doubt that hesitation would have changed the outcome of that confrontation.

But living angry is hard on health and relationships.

It helped me stifle depression for a while and avoid one ass kicking. Was it worth it?

Has anger ever helped you?

Rage, Rage

When Dr. Second Opinion locked me into the Fibromyalgia diagnosis, I was trapped. His official word was the heavy canvas blanket that started to smother me.

Even though I knew, at the very least, that it wasn’t the whole story, I didn’t have the energy to fight two specialists. Energy was a scarce, barely renewable resource back then, and hope had just been listed as an endangered species.

True, I gave up before the physical exam was over, but when I got home that night, having put some distance between myself and that scoundrel, I could clearly see how he had wronged me. As the healthy, able-minded expert in our duo, Dr. Second Opinion was obligated to get the input that he required to make an informed decision.

He stabbed his fingertips into more than twenty points on my body without much response. He needed my input to make his diagnosis, but I stopped talking after the first three or four points. He didn’t even bother to acknowledge the fact that I had stopped answering his questions.

What was wrong with these two doctors? Why was the first one an idiot who just wanted to get me out of his office? Why was the second one an asshole who was more concerned about his relationship with the first doctor than with the health of a young woman?

When I stopped answering questions and started asking them, I got angry.

My hatred for these two specialists was the green that grew on me like moss. And allowing myself to feel rage for my own situation opened the gate to feeling rage for the Leukemia that was killing my mom-in-law.

A wave of rage filled the hole I was living in, floating me for quite a while.

The anger triggered a physiological response in my body: adrenaline rushed through my blood stream and my heart pounded. This raging energy gave me new life; and the ability to face a threat standing tall. As old-fashioned as our fight-or-flight defense mechanism is, it certainly isn’t obsolete.

My new found attitude had consequences, for sure, but for a time I felt unstoppable.

Fibromyalgia? Fibro-go-fuck-yourself.

Don't be Afraid

When I was sick, angry and depressed, I felt lonely.

I wasn’t alone because I didn’t talk about it, though that didn’t help; I was alone because nobody close to me was going through the same thing.

My mother-in-law was sick in a much different way. There is no hemming and hawing about how real cancer is, or how deadly. It’s not something you fuck around with.

Fibromyalgia on the other hand...

People act funny when they know you’re sick. For the most part, they’re worried to say the wrong thing. Sometimes saying nothing is the wrong thing.

We live in a social world that’s hard to navigate under normal circumstances, and when you throw anger and depression and illness into the mix, it can seem impossible. We have our own experiences with depression and anger that colour our feelings and shape our actions. And we have either had encounters with sickness or not.

My grandma died of lung cancer a year after my mom-in-law died. As hard as it was to be back in a hospital room, it was harder to be in the waiting room. And in the future, though I’m not religious, it will be hard to be in a hospital chapel. Much harder to listen to last rites.

There was nothing easy about watching my grandma die, but my relationship with hospital rooms had already been negotiated, so there was one less thing to worry about.

Before I was sick, I suspected how lonely it would be, and now that I know, I’m less concerned with saying the wrong thing when someone I love is sick or angry or depressed.

If you’re afraid to reach out to your depressed daughter, or to your angry neighbour, don’t be. Even the tiniest gesture will give that person a moment of refuge from a world of loneliness. If you’re not sure what to say, start with ‘Hey’. If you normally say ‘Hey’ and nothing else, add a question like ‘How are you?’, and if you normally talk to them every day, but don’t discuss emotions, say something like, ‘Hey, you seem sad today.’ Later, you might add, ‘Is everything okay?’.

One day when she isn’t depressed, she may reach back.