Wednesday, February 19, 2020

When Doctors Lose Hope

Doctors aren’t miracle workers. We want them to be and we want, or all too often need, them to be
the source of our hope. Perhaps it’s unfair to put that kind of responsibility upon them but where else
are we supposed to put it. 

I’m lucky enough to have a rheumatologist who actually cares about my wellbeing but today he was
at a loss as to what we should do next. As I am writing this, I am sitting in Starbucks with huge
plaques of psoriasis on both my forearms. I’ve caught the women to either side of me staring at my
arms. My hips are both on fire today, a leftover symptom from when I went outside my comfort zone
and attended a Vancouver Canucks game. Two of my fingers in my right hand are causing me more
trouble than they ever have before. It is clear that my current Taltz regiment is, at the very least,
inadequate and far more likely to be losing its effectiveness all together.

Don’t get me wrong. I know that I am lucky to be living in a country where pharmacare covers the
cost of Taltz in the first place, with each injection costing well over $1500 CDN, and that’s atop the
specialist and general practitioner appointments, as well as the monthly blood tests which are also
covered. However, when all that effort leads to no results it’s difficult to be thankful for very much. 

And perhaps that’s what makes this all so hard, no forward movement. Hell, I don’t think I’m even
holding in one place anymore, instead being dragged backwards no matter how hard I struggle. So
when the doctors are giving up on hope for you it becomes impossible to keep looking forward
because you’re constantly checking over your shoulder for what hellishness is behind you. We will
all face that moment in our lifetime when we have to accept the eventual decline and failure of our
bodies, unless of course something tragic robs you of the ‘opportunity’. I had hoped, in 2012 when I
asked for help, that there was going to be some possibility of forward momentum for the foreseeable
future. That positive outlook lasted at most for two years until I hurt my knee once again and was laid
up, had to stop running and eventually walking.

After that moment, my entire life has been in a backwards direction. I failed my way out of school. I
put back on all my weight. My mental state has been in steady decline, despite the occasional bump
of a good day a couple times a year. My financial situation is about to take a huge turn for the
worse, with my income dropping as much as 40%. I eat and drink because those are the only
reliable things I have in my control which I know will give me an all too short feeling of contentment,
even knowing the incredible guilt I will feel later that day or the next. 

I am alive today not because i fear death but because of what my suicide would do to my mother.
Not even the prospect of finishing and compiling my book is a reason to keep going. Where do I go
from here that isn’t backwards into the mire of loneliness, addiction and utter morbid gluttony?

x

Monday, February 10, 2020

Tears flowed and pugs gave hugs.


My mother and sister came for a visit this afternoon and brought Larry, my sister’s pug,
to spend some time as well. We talked about what I’ve been doing to pass the time,
my new diagnosis of BPD and what was going to happen when I’m sent home on
Monday. Larry, of course, wanted to be the centre of attention, and insisted on being
atop the picnic table we were sitting at. My mood was rather somber despite the
welcome visit and Larry must have sensed this so he walked over to me at sat right
in front of my face. He then turned slightly sideways and put his head on my shoulder,
giving me a hug.



I placed my arms around him and we sat like that for about 20 seconds, allowing my
sister to take this excellent picture. When he backed off he stood up and his tail curled
up, just like a happy pug does, and he gave me a kiss before walking away, happy that
he’d gotten the attention from me that he was looking for. 


It’s hours later and I still can’t believe that happened and each time I think about it tears
begin to well up in my eyes. If you look at the picture you can almost see that he feels
sad for me and knew exactly what he was doing and I’ve never needed or appreciated a
hug more than the one my sister’s dog gave me this afternoon. Wil Wheaton often half
jokes that we don’t deserve dogs and after what happened today, I’m inclined to agree. 

Compared to that hug, all the time and hugs I got from my mom and sister seem to
matter just a little bit less than I thought they would at the beginning of the day.