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Posts from the ‘Living With Disability’ Category

The Burden (Revisit)

This post was originally published on November 7, 2022.

The disabled carry so much inside. On a daily basis we are challenged with what we let people know about our lives and our needs. Is it a good day or a bad day? Do we need to ask for help, and if so, how much of that help might be robbing us of our dignity? You may be thinking that we need to get over it. If you aren’t in our shoes, please think twice about that remark.

I like to think of myself as independent, though as I’ve lost more of my vision, I’ve had to ask for more assistance. I try to do as much as I can, and I’m noticing that the abled world is making it more difficult to do so. It adds to my daily burden. 

At first, I was going to write a regular post. Sitting here, I’m going to do this differently. Here it is: 

What I Do

As I 

wake, I notice

My legs

And

Scan the rest of my body.

I’m rested.

I move from the bed realizing that I can walk when others can’t do this.

I engage in morning listening to a book because

I can no longer read print easily. 

And,

I give thanks that I still can hear.

Today should be a good day. 

I think of those I know in wheelchairs 

or 

struggling to walk this day.

I hold them in my heart and hope that they will have the help they need to survive

Another day.

My mind travels to those who must have assistance in all things.

We don’t think about that much unless we’re directly affected by someone in that situation, and

I hope that caretakers will treat them with dignity on this day.

I leave the house to run errands

And

The sun shines in my eyes.

Even with sunglasses 

I strain to make sense of the path that

Is covered by foliage.

It is beautiful and crunchy and 

I love it.

But

I can’t make sense of the path with my cane.

How would I explain my reality? 

I try.

But

It is so different from yours.

You can’t really understand 

This life of mine.

Then I must explain to the abled that 

I can work, 

because they can’t imagine me doing what I do.

Should I do nothing all day

When I can do something I love? 

More of a burden

That I haven’t created.

I feel: 

Judged,

Enraged,

Worn out,

Like screaming!

I want to cry.

To protest.

To yell at people.

But

WHY? 

The disabled person’s greatest burden 

Is

That

We get lost in the shuffle 

And

Are not seen when we need to be seen.

Two Dots and a Bouncy Ball

My world has been challenged by panic-out-of-control crazy. What do I do about this? It has to do with my ability to read. The state of overwhelm is handled by slowing it all down and being able to rationally think it out. When the thinking is done, the solution is clear, and then you just work the solution.

A friend with Ushers told me that the hardest part of her process is the daily trauma of waking up with just a little less sight, slowly saying goodbye to all of her sight, but not knowing when it would all go.

Last night I listened to a woman talk about the things she could no longer do. No longer doing what we could once do is the focus of the beginning stages of the process of loss, grief, and, finally, acceptance of a new life.

While the words are easy to type out, doing them is not so simple. The anger, rage, depression, denial—and the ultimate loss of what was, for me, easy—now turns out to be a long journey. This journey results in each of us finding out what we’re really made of. It is ugly, and in the end, it can be beautiful.

And so, my own journey was re-established as Kindle took out the text-to-speech feature. I don’t like voice-over for books. What other options did I have? After researching it, asking questions, and finding out that what I’d need to do was reasonably priced, I ordered my two little dots (Amazon Echo dots). Yes, Alexa has arrived at my doorstep! The blue one will be upstairs in my bedroom, and the white grapefruit-sized dot will reside in my living room. I can program the dots to serve me in all my listening needs. I’ll be free to read where I want to read! Now to see what I can read! My Audible, Kindle, and music will be at my voice command. Thank-you, adorable dots.

Or maybe not so fast. I have to set them up with the phone app, and the phone app is in that faint, small font that some kid with x-ray vision designed. Good luck, kid, when your parent or grandparent comes at you yelling that they can’t read it. NO, you’ve robbed me of my dignity—I’m disinheriting you for this savage act. Good luck, kid—you’re gonna need it. Wait until it happens to you. Ah, but I digress.

My bouncy, happy self is not bouncing right now because the world doesn’t yet fully understand that by not making things accessible, they leave me out of activities I need to be able to do. My joy over my dots has faded to frustration and sadness. Once again, I mourn the loss of pleasure.

Once again, I have to struggle to do what sighted people do so easily. I have to ask for help to do something I could do it if I could see the screen. The joy of the new dots has passed; the bouncy ball is deflated, and once again I must seek help for the simple things that low vision blocks me from doing. I listen, and I feel it all: the deflated ball and two dots waiting to be useful to me. There are no other words for my sadness.

Please Call

This week I woke up to discover that my vision is not working as it should. I’m scared. The doc that I saw said that no, I wasn’t going blind. The doc that I saw in October of 2024 told me then that I’d maxed out what anyone could do for me as a low-vision person. New glasses won’t help. So, this coming week I’ll talk to my regular ophthalmologist, and I’ll ask her if there is anything that they can do to help me read print better. I’m typing this in 24 dpi (dots per inch). If I need to read aloud, it has to go to 36 dpi.

The above being said, I don’t like to read to others. I read slowly, and things don’t always turn out right. I have gained confidence in my public reading, but since I can’t read at my talking speed, it is something I don’t do well.

I’m scared, and it can be heard in my voice. The thought of not being able to use the sight I do have is beyond words to express. Ever since the docs put glasses on me, the work has been mine. Now, I’m feeling it all! Now, I’m beginning to look at Amsler grids. The lines aren’t wavy… and yet, something is terribly wrong. PXE and being born with cataracts, are not a good combination, and I’m the one who must cope with it.

So, I ask again: Am I going blind? I guess I’ll need to talk with the doc, and most likely get there to see her ASAP. What is going on? I’m widowed; I’m alone, and I wasn’t ready for this to happen, and yet, something is happening.

Our stories of searching for answers have their own path, and this time the adventure is not one of excitement but one of great uncertainty. Sight is something those of us who have it are thankful for—we should be. When it changes, it is traumatic, and it is needful that we find safe paths through the process.

While I was at the Visio’s Loo Erf, I observed many residents with their own adjustment issues. Most people had the need of a good therapist, and there weren’t enough to go around.

I have sat at this machine with eyes that sting. The art of adjustment is to understand when to stop working and step away. When I start work today, I’ll be dealing with seven client hours, and mails. Most things are time critical. Balance is what makes it work. Stinging eyes will be on my list to prevent. The trick is to schedule things.

As of right now, no call from the doc. Does she really understand that until I have answers, even an “I don’t know” and “We can try this” is better than sitting with what I’m sitting with now? Please, call!

It Pays to Rethink Things (Revisit)

This post was originally published on November 28, 2023.

26 April, 2023, is the day I spoke my truth for the first time. I wrote about in “When Sanctuary is Offered.” I meant every word then. Really, I did. I was also willing to give up the social life that was so destructive to my mental health.

27 November, 2023: the day my hearing deficiency was dealt with.

I don’t do 9:00 a.m. appointments. If I have to walk, take the bus, and be out of the house that early, it doesn’t work. I’ve set that limit with people. Today I had no choice and arrived ten minutes late. As it turned out, 9:30 would have been soon enough. The Monday chaos of gathering, prepping for the day, and being ready for the first clientele was interesting, and frustrating, to watch. Oh well, with my morning caffeine in me, I walked into the room. I had an agenda: better hearing aids that would be covered by the insurance. I had a list of requirements. Was I nuts? I’d soon find out.

An intense trio of hearing tests confirmed my suspicions: I’d lost a wee bit more hearing. I wasn’t shocked by the news, as I was prepared to hear the number. What I wasn’t expecting was what happened next. 

I love the “gadgets” that I’ve worn for seven years. I’ve put off getting new ones because they were the best! Well, they were the best until they weren’t, and I finally broke down and made the appointment at the ungodly hour of 9:00 in the morning. UGH!

If one has to do the unthinkable, then I advise a list of the absolute requirements. If those can’t be met, don’t do it. This is how the second half of the appointment began.

The new ear molds had been made. My ears are even petite. First item: Are these things covered? Yes. OK, let’s move on. I want the chargeable, and not the battery, type. Now, here’s the crazy part. If you go with batteries, the insurance will cover some of the cost. At 90 euros per box, and a three-week battery life per set, you will go through some boxes. I’ll buy the charger, thank you. Personally, I think the insurance didn’t think that all the way through.

Moving forward: What can you do for my hearing in a social situation? How about a microphone that does a couple of things? It will link with your desktop, and it will serve as a microphone when you need to talk with someone in a densely populated social setting. I WANT!!!! The insurance covers it. Oh yes, I’ll do it. This is the answer to multiple issues. 

By now, I’m feeling like I just had Christmas, and Santa answered my every need and want. It is true that I just inherited more chargers that will replace the ones that will be given away, but it’s a good trade-off.

My bag had three boxes in it when I left some two and a half hours later. As I walked home, I noticed the feeling of gratitude that I was feeling and took the time to honor it properly. As the gentle rain hit my umbrella, I had to focus on the path I was on. My heart was full, and as I entered my home, I was excited to try out the new gadgets. I cried when the mic put the sound into a better hearing place for me. I was calm, relaxed as the stress of listening changed from difficult to much better. 

Tomorrow is Giving Tuesday. It is a day when people in the US give to charities. While I do have a co-pay on this new hearing aid, it is not what I would have needed to spend had the insurance not covered things. 

I have no more words for what happened today. They aren’t needed. The gratitude that I feel for what I have sitting in my ears is goon enough.

The sun set around 4:30, and I’m thankful to be in a warm house. It is time for some dinner and a relaxing evening. I need to start thinking social again. Yes, I just said I’d socialize again.

Equal Opportunity Discriminator

This past week I honored those on the margins. I did a presentation on disability. It was nice to speak my truth, and to have others receive that truth from me.

There are realities that those of us with both vision and hearing loss face. When we step out our front doors, the world can be a hostile place.

My sister, who was more blind than I have been, expressed her issues with appearance this way: “If you cut your hair, I may not recognize you, so identify yourself.” As for me, I need several hours of “face time” with you so that your facial features get imprinted on my brain. Putting it all together for me is difficult because I spent the first year of my life blind.

The first year of development is when our brains learn to recognize and discriminate objects and people. As humans, we need to be able to identify people in all their detail, unlike how we would look at simple chimps or monkeys. We need a highly effective visual discrimination ability, and I have had to learn to do it because visual recognition skills develop during the first year of life. It’s been hard to do, and I’ve done much of it as an adult when I’ve been able to fully understand what I’ve needed to do to learn people’s faces. 

Stepping outside of my house also unleashes so much helpfulness in others. Then, suddenly, when I need a helpful soul, they are nowhere to be found. I think this sense of helpfulness is more about people being uncomfortable with the disabled, and needing to relieve their own discomfort. I’m fine with who I am and what I must do—even the difficult things.

Right now, the city I’m in is redoing the main street to create a better bus line. I’m cut off from my universe! The city didn’t ask me how I’d be affected, and once again I’m out in the nowhere, and they’re already two months behind.

Where’s my village?” is something I ask more frequently now. I think those in the disabled community are asking this just as much as I am these days. With the fact that villages are disappearing, I shouldn’t be shocked that, once again, I’m posting on the cruel nature of what life can look like for those of us who must cope with a less-than-abled body.

I reflect back to being asked if I’d change it all for sight. My answer is still a resounding NO! It is all about who I am and what my disability represents. To be honest, I can’t imagine who I would have become without the disability. As much as I’d like to be able to see like you and hear like you, I wouldn’t be able to deal with it now. It would be as if my brain would struggle to make sense of it all. That really is a gift I would refuse.

Just as much as I love my petite body, I do love who I am in it. So, maybe living on the margins is also about accepting ourselves on the margins.

I have said that disability is an equal opportunity discriminator: it doesn’t discriminate at all. It doesn’t care about gender, race, age, intelligence, financial status, or anything else. If your number comes up, you’ll need to learn to cope with it. So, be kind to me, as someday it could be you needing the same help you want to give me when I may or may not need it.

I was saved the trauma of having to deal with disability later in life. In an odd sort of way, I’ve had it a little easier than my siblings, who had to greet their disabilities in their thirties and forties. I grew up this way. They each had to deal with another type of existence and coming to terms with the losses that disability brings, as well as the belief that they can still do it all.

I step out my front door, walk to the bus, and then a train, and am thankful that they are there for me. I still am dwelling on the margins of society. I’m self-sufficient in a world that prizes ability.

Dear Helpful Soul (Revisit)

Originally posted on October 24, 2022.

Dear helpful soul,

I realize that when you see me at a street crossing, you want to take my arm, tell me it is clear to cross, or even help me to cross the street. Your kindness, while well meaning, is not appreciated. I’ll explain why this isn’t helpful, or needed.

I’ve been living with disability my entire life. For many within the disabled community, this has been our situation. For some who are disabled because of illness or injury, this is not the situation. Their journey into disability might be more traumatic. They may slowly lose function in an area of their body, wake up one morning to the horror of lost capacity, or find themselves in a hospital bed with a missing limb. Many of us, if not all of us, within the disabled community deal with trauma surrounding the disability, and some must cope with ongoing trauma due to a gradual loss of even more function. Imagine someone with Usher Syndrome, who faces this on a daily basis. When sight or hearing can disappear, or you watch as you see less each day, or can’t tell what is gone until there is a radical difference, it is traumatizing.

Trauma may look different for the disabled. Please, ask and listen to understand. Someone may seem to be reacting abnormally when it is normal for their circumstances. When someone lives with ongoing events that are traumatic, and treatment for the trauma doesn’t completely solve the problem, cut them some slack. They may need it.

In most of the above situations, the journey of learning to live again may take a person to a rehab center. My journey into a rehab center began with the realization that I’d lost more vision and couldn’t see as I once had been able to see. I was down to twelve percent of my vision. For me, rehab was about learning better ways of doing things, using less of my vision, and confronting myself in a new way. I’d spent most of my life trying to fit into mainstream when I didn’t fit into a mainstreamed situation. I had to come to an understanding that now, more than ever, I had to embrace new ways of doing most things. When I think of leaving my home without my cane, I cringe and know I’m not safe without it.

Why do I need a cane? At first, I thought the need for the white cane was to enable me to navigate tricky spaces. I understood that I needed the help at night, but why did I need it in daylight? The longer I used the cane, the more I became aware of a few things. The cane let me sense areas to stay away from, such as sand or gravel. Both sand and gravel do not allow me to feel what I need to feel underfoot. I need to avoid both sand and gravel because I could slip and fall. The same scenario goes for ice and snow.

The cane also serves as a warning to others that I’m not going to see you clearly. I may not see you at all because you are out of my field of vision. People need to be prepared to take evasive action to get out of my way! This brings me to my first gripe: anyone on their phone and not tuned into their environment. Do you want me to collide with you? No, you don’t. Prevent this by walking with 100 percent of your attention on the task of navigating the space you are presently in. Having had several close calls with people who have been inattentive to their environments, I know it would be appreciated by so many. We don’t want to injure you or become injured by you. While you may not be driving, you are navigating spaces, some of which are very crowded. Please look out for oncoming people because if you don’t, someone might say something like “Watch where you’re going!” to you. They’re correct in saying this to you! Your phone can wait, and if it can’t, then move to a safe space to focus on what you need to do.

If you feel I’m being harsh, I’m attempting to protect myself in an environment that isn’t always friendly to me because I can’t see everything.   

Offering Assistance

Here’s some handy advice on assisting those with visual disabilities. You’re at a street crossing where there is no signal. You can see that the traffic is nonstop (the visually impaired person may be using their hearing to know when to cross). You also see that there are gaps that would be difficult for the disabled person, even though you could make it to the other side rapidly. You could make the offer of assistance in this way: “Wow, this traffic isn’t going to slow to let you cross easily. Would it be helpful to you if I assisted you to make a faster crossing to where we need to get?” If they say yes to this question, ask them how they want you to walk with them. This approach places the disabled person in the position of accepting or declining, and it comes with a reason for the offer. It is good help that may be very much accepted and causes us to accept the offer because it isn’t a rescue, allowing us to remain dignified—and that is a win for everyone! If we’re at a signal with a walk feature, we don’t need your help.

Speech and Hearing

Imagine not being able to hear clearly. When you can’t hear clearly enough to distinguish a D from a T or and S from an F, or other consonants and vowels, the life of a hearing-impaired person becomes stressful. 

Imagine trying to spell words that you can’t hear properly. Imagine not being able to pronounce those words properly. Add the challenge of uncertainty when you’re not sure if the word you heard spoken was “who” or “shoe.” The conversation becomes draining, confusing, and if you’re in a crowded room, it can become difficult. Social situations can become a challenge. For those with a hearing loss, the issue may be about isolating as best one can. 

While at the rehab center, those who dealt with the added hearing loss gave voice to the difficulty of hearing in the crowded dining area. I spoke with staff about not being able to enjoy the mealtime, and the need to engage in conversation at the table. No one had spoken up about this issue before. I was asked for solutions. First, I was isolated. That didn’t work. I didn’t want to eat alone. The next step was to ask others in this situation if they were experiencing this. “Yes, I am!” This was the common response. The next step was to reserve a table for us. This table was on the edge of the dining area. Nope, that didn’t work. Then they put us on the other side of the space. They were hoping the distance would solve the problem. Distance didn’t work as the noise trickled into our space, and it was difficult to filter it out. When I left, they were still working on the situation.

I’m faced with the fact that I need to semi-isolate in social situations or avoid them altogether. I’ve tried it both ways, and enclosed social situations with heavy noise levels are a pass for me.

I’ve been in The Netherlands for over twenty years now. I’ve tried to learn to speak and hear Dutch. It has been a challenge to learn a second language with a hearing loss. For the most part I try my best to converse in Dutch, and for the most part people are polite. Then there are the ones that judge and condemn. I’m told it is my fault that I can’t speak this language fluently at this point in my residency. The people who respond to me negatively are few in number, and to them all I can say is that given my situation, I do my best. Don’t judge until you understand that hearing is my challenge.

So, helpful soul, please listen for understanding. Understand that I know what I need, and above all treat me, and my disabled brothers and sisters, with respect. We’re having to face this every time we step out of our front doors. Cut us some slack, please.

Leap Frog

I’m a child of an era when disability was not understood as it is now. And still there is so much that is in the unknown category.

This weekend, as I met with clients who must deal with disabled children who are in their home, and also try to teach the children who are not disabled about the need to understand and make allowances for the differences, my own upbringing flashed before me.

For some disabled children and adults, emotional development centers around the ability to develop in pace with their peers. For others, emotional development might be delayed by two to five years.

A younger sibling might surpass the older sibling in emotional maturity and leave their sibling behind. I like to think of this as leap frog for siblings. The pain and confusion for both siblings can be an issue. It can unravel the order of things in family structure. Jealousy and questioning about treatment can surface. If the disability is one where intelligence is not affected, the pain can be greater than the norm. As I heard my clients talk about all of this, my mind flashed back to my own youth. I had not been ready for certain things, but was in other ways far more mature than my peers, who didn’t have a clue about things in life that I had already had to confront and think about. I hadn’t thought about all of it in some time. It had become second nature to me.

I went off to an out-of-state college at eighteen and returned home to lovely California at twenty. I was then in a place to understand what I wanted and needed from a school. The fact is, I made a better decision at twenty for my future education. To be fair, most adolescents aren’t really ready to make major life decisions at younger ages. I knew where my interest was and took my time getting there, and in my thirties, I felt ready to follow the education I needed to fulfill the goal I had set long ago.

In 2011–2013, I participated in the rehab program at Visio Loo Erf in Apeldoorn, The Netherlands, and discovered that a culture will influence how the disabled are viewed as being able to work or having to sit it out. I remember thinking that, of course, I’d go back to work after I’m done here. Many didn’t have that attitude and would spend their days not fully engaged in life. That fifteen-month period of my life turned out to be a learning laboratory for my future life path. I was exposed to a side of disability I had not seen before.

I’ve spoken about the value of work, and how it is physical, emotional, mental, and spiritual. I’m beginning to understand how deeply the disabled are shortchanged in the “work” department when others perceive or judge that they can’t grow to their full potential. This weekend I was reminded that there are disabilities that will prevent some children from being able to go off to school when they’re eighteen, and still others who are told that the proper path is higher education when the trades might suit them better. We need capable people who will thrive in the skilled labor area. My sink needs a plumber, and my home needs a serious electrician. There is a shortage.

Is the world demanding unrealistic behaviors of this generation? I’m beginning to think that it is. While book education is great, the world needs plumbers and electricians. We need those who can fix broken things and make them work again. We need long-haul truckers, gardeners, and construction workers, to list just a few of the areas where skilled labor is necessary. The skill of the laborer is essential to our world economy.   

There are plenty of jobs that need doing, and the disabled might be good with their hands or see a path to repairing things that others can’t repair because our brains don’t see things as theirs do. The five-year-old kid who takes things apart because they want to know how it works is saying something loudly.

Skilled labor does not denote a low intelligence. The women and men who have cut my hair are skilled in understanding what my head needs to look like. They can picture it when I can’t. The carpenter knows how a piece of furniture should be made in order to function well. We need these gifted people!

Why do we force unrealistic things on people? What is it about career paths that panics so many? Keeping up with the Joneses?

I sit here writing this and think about the pain in my clients’ home, how some of it has been scripted by society, and how other parts of it might be due to not understanding the power of work that someone can do. The leap frog will be played out once again. It is played out in homes in Western society often.

I remember back to my childhood. My father couldn’t fix much at all but had a friend who was an on-call anesthesiologist at the local hospital. On his days off he liked to tinker. He said it relieved the stress from the intense work he was doing. He was our plumber. Knowing him taught me the value of the trades. And so, now I ask myself why there isn’t more of a dialogue about the trades.

A quick Google search brings up a good starting point for information on this subject: the US Department of Labor blog. Further searches will bring up articles on things the disabled should consider when opting to go the skilled labor route.

Having stated the above, and having known a guy who plumbed for the relief of it, I must mention that skilled labor needs to be valued for what it is: essential to society and its smooth functioning. High school education in the US would do well to make a case for the trades rather than singling out students in relation to “intelligence” level. The guy driving a forklift might do so because he wants to think about the book or art that is created in his head. The woman in the bakery may be using her knowledge of physics to engineer a cake that defies the norm and looks and tastes incredible.

We value the artist, and we sing our favorite songs. We marvel at the tech of a well-designed software program and are thankful when our doctor can explain what is wrong with our bodies, and why. When I need an electrician or a plumber, I’m told that I’ll have to wait because there is a shortage of skilled laborers that can do the job.

Not all work requires a higher level of education. Some work requires skilled labor and a knowledge of what makes something work. It would be nice to see students graduate and do what they want to do and have the skills to do, and not be shamed because they aren’t headed out to get more education. Our family plumber knew his physics and could save a life in the surgical theatre. My client’s kid is intelligent and understands physics. Most plumbers or electricians get the physics of clogs, flow, and making things work when things must work.    

I hope that Western society will soon settle down to allowing for career paths that make sense for each of us.

Snark

Learning to not walk funny is a process, and it is taking hours of focused training time. All of this is done in the home. I exercise on the treadmill, and I stand by a chair to do some of the work. I’m up to eight minutes on the treadmill, and it is still taking ten minutes per session for the rest of it. The goal is to get up to thirty minutes of walking time per day. At the ten-minute point I’ll try to leap to fifteen minutes twice per day, and then up to thirty minutes in one session per day.  

The truth is that this is eating my day.

Ticktock, the clock goes round, and as it does, I still walk funny. I’ve asked the physical therapist if she sees it, and she says no. I know that when I get up from a chair, I walk goofy. So, I don’t want to sit that long. I think I’m becoming impatient with this process. When I think about it, I have to admit that it is better to be here at home than stuck in a rehab center. I can do this at home.

I’m caught up with some things, still catching up on taxes, and now I find myself attempting to figure out how to get my hair cut and my hearing aids checked. When I stop to think about things, sending me home was needed, and I need to have a driver on call until I can really walk again. Being mostly blind and not walking in a steady manner is not a good combination. Not walking well shows me how bad my vision is. It is scary to see it.

When I take notice of what it is I’m not able to see, and I allow myself to think about what fully sighted people see, I cringe. What I see when I look is the places I can’t walk safely. This last week, while heading home from the UMC in Utrecht, I was confronted with a construction mess. For sighted people who could see, the process was easy. I had to figure out that I couldn’t get to the tram and would have to take the bus down one stop, get off, and then walk to where the trams pulled in. I got lucky, and people were helpful. The shock of it all is never a good thing. Someone with Usher syndrome told me that for her, every time there was more vision loss, there was more trauma.

While I’m not affected by Usher, I do understand the risks involved in going out when you can’t see or hear as others do. It is important for me to be steady on my feet, and to get back into a safe walking mode.

As much as I post on this—and I may sound like a recording or a broken record—I have to say it again: being disabled is traumatizing.

Last week I had to call for help with something. The woman at the other end said, “Perhaps you can ask your neighbor for help.” I replied that I’d done that earlier in the week, and that while my neighbors are kind to me, I am asking you for help.

G: How would you feel if this was said to you constantly?

Rep: Oh, I understand.

G: No, you don’t.

She had nothing to say in response. She had not a clue about what I deal with daily in an abled world as a disabled woman. She never will, unless it happens to her or to someone she cares about. I hope that someday, when she’s still got all her marbles, she’s bugged by her neighbor.

And, All I Did Was Fall.

Last week the surgeon told me that I’d see him every three months for this year, and every six months for year two, and that it would take a full year to get back to normal walking. That was a hard reality to digest. My heart sank in that moment. Will this ever end? This week I’m up to four minutes, and ten seconds per treadmill session, and I’m walking slowly. The latter is by choice. I decided to go for endurance rather than the speed, as it felt right for my body; it is wrong for my head.

Enneagram type eight people connect with their bodies more than the non-body types. I listen intently as my feet move on the treadmill, and I’m listening for smooth, even steps. As I do the mostly simple exercises, I listen, and count. Some sessions are better than other times doing the same repetitive thing. I must do it. It is challenging me to be enthused about something that, in some cases, I struggle to do. Keeping myself balanced is hard. Now, I’m being told that I have to do things that I can’t do without holding on to something. I’m scared of falling. 

This break has caused a sobering feeling to come over me. My walking is more intentional. I’m more aware that I can slip and fall. I don’t want to have it happen again. I’m securing the home so that if I fall, people can get in with a secured lock system. I’m thinking of apps that enable certain information for me and about me, or maybe an iWatch that does more than show the time. Carrying the phone everywhere is difficult. It’s a reminder of what I’m feeling as I work through this process.

One of the developmental lessons that young adults learn—and here I’m speaking of adolescents and those in their early to mid-twenties— is that they are not indestructible. This lesson can be learned in any number of ways, and have varying outcomes for the young person learning the lesson. The developmental process of learning all of this is that you come to a realization that you can die.

As an older adult, the lesson becomes that you can die, and you’d better think about how to alter your life in a responsible manner. I’ve sobered up once again to a new life-altering reality. It is scary; it is annoying; it is something that challenged the ego, and we need to rebuild things. This isn’t something that is histrionic behavior: it is life telling us that it is confronting us in new ways.

As I rolled around the rehab center waiting for the leg to heal, I felt like I was wasting time, and that my carefully crafted schedule had been completely messed up and rearranged. The fall and break did the rearranging automatically. While I did walk out of the rehab center on my own, I still needed some assistance. Almost three weeks later, I returned the rolling walker and set out on a new phase of walking on my own. I’m home, unless a friend with a car comes by to take me places.

What I’ve modified is my sitting time. I also have to remember that failing to walk will cause me to walk with an awkward gait, and it all hooks into the recovery process. This growing-older-but-not-old process is different. Old is in the eighty to ninety range. There are books about all of this, and most of us don’t read them; we should read them when we’re young. When we’re young many of us don’t think about growing old, even if we have older people in our lives. We prepare for retirement but we don’t prepare for the aftermath of retirement.

This journey is one of the body and the soul. It forces me to be alert to who I am, and what can happen with every step I take. Unlike a recovering alcoholic who has done some type of recovery work and is aware of not taking a drink or using their drug of choice, there is no permanent community for growing older.

Our friendships and others we know can change on a daily basis. My mother had a friend give her a wall hanging that said something to the effect of “My friends are all dead and I suspect they think I didn’t make it to heaven.”

I have an ex-therapist who mid-career decided to specialize in geriatric patients. She was thinking ahead of her time, and I wish I had asked her what she’d learned. Once again, I pause, and I’m sobered by the fragility of life, and what I don’t know.

Somewhere I read that we should play while we’re young and do the work that we’d love to do when we’re old. The only problem with this is the aging process. I believe that society needs to teach children to take their time growing up, and to make life decisions that work for the person and not for having a lifestyle that looks good on the outside. I know people who would rather work with their hands, and who have a master’s or PhD-level of education. We need more plumbers, gardeners, welders, and more people in the trades. The trades are being abandoned.

Once again, I must stop, and I must think about my values and society’s values. It seems I’m thinking about my values a great deal more now. All I did was… fall.

Just As it Should Be

About ten days ago, I walked-rolled through my front door. My front door is still a mess; I can’t lock it well. I can’t go out because my left leg is still weak, and I’m playing catch-up here at home. It could be worse. 

What I noticed was how everything seemed shorter, as I was able to stand up again. The sink, the toilet, closet shelves, and the bed! For someone who must live in a wheelchair the rest of their life, the world is seen from a different angle. When I was using wheels, it seemed normal, and when I stood up again, my world changed.

The physical therapist just left. I have to climb the stairs differently, do some chair exercises, and all of this is to build strength.

When I went to the surgeon, I saw that it was a busted femur with two long screws inside. OK, that makes sense. I’ve been so out-of-whack that my logic hasn’t worked well. Painkillers mess you up. These painkillers don’t work like they used to. 

Back to playing catch-up. The only way I know to do this is to do one project at a time. Next are the taxes and finishing up a project that began in early February. I’m hoping to get these done this week, along with the normal stuff.

Why is it that when our lives get interrupted, it is hard to hold the focus on where we were? Maybe because where we were isn’t quite where we left it. Stuff moves around, and we move around, and we change. My kerplop on the landing, by its necessity, moved me into new territory.

This is like the funeral bubble, and kind of not like that bubble. The difference is that you don’t go to thin places—you go to new places of self-understanding. This time I’ve grown, and I’ve experienced an area of disability that I’ve learned from.

The first night I was there, the nurse got in my face and said, “You can do this.” Well, of course I can—I must. When I think back on all of it, I must have looked really scared. She was using a wheeled device to transfer me to the toilet. I was irritated by her telling me what I knew I had to do. I did set about doing it. Not rapidly. As I gained confidence that I could do a spin on one leg and not fall, I picked up my momentum. Then dressing became easier, and so did other things. 

People often say that the disabled are courageous, and maybe there are times that we are showing courage. For the most part, I believe that our acts are a part of daily living, and this is what we need to do to survive and live our lives.

Maybe there are “please do’s” for the disabled that I should list here. Just as with grief and loss, there are some helpful things you can do for us.

Do:

Allow us to do what we do normally. Things like crossing the street are second nature to low-vision and blind people. If you see someone in a wheelchair who can’t reach an item high on a shelf, ask if you may reach it for them. Do ask, and if you don’t know about a specific disability, ask us if we can explain things. Sometimes this is doable, and at other times it isn’t welcome. Use common sense. Be polite and, above all, accept the answer given. It is also OK to tell us you’re asking because you’d like to become informed. Can we refer you to a good source? With a phone it is simple to jump to a website.

Teach children how to interact with all diversity. Kids pick up queues from adults. When adults can teach proper manners and behaviours, kids learn. Kids want to be smart.

Don’t:

Don’t try to force us to do something. Being helpful also means that the person needs to do the simple things him- or herself.

Don’t rush someone. You might be able to do it faster, but it feels awful to be made to feel like you need it done to suit your own pace. I’ve had people do this with me, and it feels degrading. 

If you think it is rude, don’t do or say it.

If you mock, your children will mock, and in the long run they’ll be seen as ignorant. Kids want to be seen as fitting in appropriately.

I’m home with a new way of thinking—just as it should be.

I Will Walk Out of Here

photo of person using wheelchair

I never thought I’d be spending six weeks in a wheelchair. I also never thought I’d get so good at wheeling myself around. This ability has surprised me, and I’m proud of the fact that I’ve been able to get better at it the past six weeks. I’ve learned a few things as well.

I’ve become more patient with myself. Walking is something most people do without thinking about it. Once we’ve learned to put one foot in front of the other foot, we do it automatically. If we suffer a stroke or other brain injury, then the task of learning how to walk is something that must happen again.

Learning how to not walk is another challenge; we must wheel ourselves around just to shower, to dress, and to do all things that go along with preparing for the day. I can’t walk to what I need; right now I roll to what I need, and I must think it out. So I roll to underwear, socks, and then what I want to wear. Then, once I have that secured, I can roll to shower myself, and this will take assistance. 

I’ve had to learn to safely transfer from a bed to a wheelchair. Soon it will be devices such as a walker or a rolling walker that will give me more mobility, and then independent walking, putting one foot in front of the other.

Before I leave the chair, there are lessons that I’ll take with me.

I can do more than I thought I could do in this chair. I’m fairly self sufficient, and for a person with only 12% of her sight, that is pretty darn good. I can roll this thing anywhere I need to go. I’m still building arm strength. The arm that was damaged in the minor stroke that I had is coming into new strength. I’m asking why this wasn’t done at the time of the original rehab. It is happening now, and I’ll look for ways to keep the arm building up strength. Rolling is good physical therapy.

If I need something from nursing staff, I buzz, and then go into a queue. I’m becoming patient, and realizing that others here may not be as able as I am, and so I’m learning to wait. Waiting has also been motivation for me. Can I do the transfer alone? Can I do what I thought I needed someone to help me with on my own? Each success has built on a foundation of a new understanding and wiped out the fear that happened with the fall I took. I can do this! I’m doing this! With low vision I’m pulling this off. WOW-lesson learned: when you are put into situations that limit you, the human spirit chooses to crash, to rise, or to slowly trust that there is a way to rise to new highs. Fear only has a hold on us when we believe there is no way out of where we are. Hope offers ways to get to new places.

This week they’ll x-ray my leg, and I’ll be told if it’s safe to walk on the leg again. I’ll enter a new cycle of fear, learning to trust that I can put pressure on the leg in real time, and trusting the physiotherapists to not allow me to go faster then is prudent.

Physiotherapy by its nature is going to cause me pain. My mind by nature is questioning what happened, and if it will happen again. Now I know it can happen, and I’m doing the prep work to “Gail-proof” that house with some security measures. When stuff happens, we get cautious as we have thoughts about it happening again. It is why a grandparent warns children to not get too close to the edge: it isn’t that they want to deny fun to the children, but rather because they’ve lived long enough to know that unexpected things happen to all of us. We trust our bodies to be predictable when in reality they can be faulty, and when the faulty stuff happens we wind up in the ER asking why and hoping for good news. Listen to older people because they’ve seen more than you have by nature of living longer.

It is true that what I’m talking about is not wisdom. I’m talking about life experiences and general knowing.

Ultimately, we’re led to do the journeying our souls and hearts need to do. The unexpected has a way of bringing us surprises that can benefit us. My fall was a seven-week life detour, and while I haven’t enjoyed it, I’ve learned from doing it.

Last week they moved me. The room I’d been in since my arrival had a view of the tree and the window in the house across the street. The image that I saw daily looked like the perfect cover for an old Nancy Drew mystery. They’ve move me to a place further away from the tree, and now I’m looking at the employee parking lot. The movement came with other changes as well. The biggest change is that I can see how far I’ve come in six weeks. I think the huge change is the fact that I’m expressing far more gratitude for what I can do and for those who have engaged with me to bring about the change. The charge nurse on my first day here looked me in the eyes and said “YOU CAN DO THIS,” and I was annoyed by that statement. Now I’ve done much, and in the next ten days I must launch myself to new heights. I will walk again. I will walk out of here. 

Change, One Fall at a Time

person sitting on wheelchair

“Raise your leg.”

It is spoken easily, and yet how often do we think about the effort it takes to lift a leg? Many of us don’t give it a second thought. We do it; we move our legs, our arms, without thought. Three weeks ago, that changed for me. I fell and broke my hip. I got lucky, as my hip didn’t shatter, and the surgeon put two screws in. I still need to stay off the hip for six weeks. I’m in a rehab center.

The “How’d you do it?” phase has come and gone. Let’s face it, citing the fall is only good for so long. What is before me is six weeks of learning to sit in a wheelchair, and being confident that I will leave here walking. It is about intention, and about understanding my reality. Right now, my reality is about getting my leg to do as I need it to do six times per day. Right now, getting my leg to raise a wee bit more with each cycle is the goal and the world I live in. Listening to my body with intention is altering the way I go about things.

This place has a two-month turnaround. Friendships aren’t made here because Europeans don’t do US-style friendships. This I know, and so I don’t expect any such thing here. I expect to work hard, to build strength, and to rehab a hip. And so I will focus on that. I watch as I tell myself to raise a leg, and I watch as the leg struggles to obey. Each day a little higher, a little easier, and somewhat stronger. I marvel at what I do as I sit in a wheelchair that is locked in the center of my room, and I am becoming more secure in many things. I need to do this, and so I dive into it.

The courage to heal from pain and trauma in one’s life is a challenge that some choose to hold on to with all they have, because they understand that the only way forward is to go through it. Every time someone writes or phones a therapist, an act of courage is taking place. Saying that you need help is an intentional act.

The evening shift just came on. The transition to less-intense activities has begun: dinner, and then the evening. My work hours are coming up; many here will retire to bed and television. I’m on the younger side for this place.

I think about intentions. What will I learn tomorrow that I didn’t know today? What new low level will I need to grasp on to and raise to a new height? It’s about simple range of motion that I don’t have yet. Just like all change: raise it higher and fight the pain. I am learning, once again, to tell myself to raise the leg higher with each try! This is how change happens. One fall at a time.

The Tram

I’m standing on the inbound platform at the UMC station as the tram pulls in, and I board. The tram isn’t full, and I find a seat facing forward, not too far from the doors. I notice the quietness of the tram, and we pull away. The next stop changes everything.

I’m in what is the medical area, and the science park. The med students board, taking every vacant seat and filling the vacant standing areas. The next stop allows for more students to board, and the tram is filled with the chatter of the students.

I’ve taken this tram ride multiple times, and this time I stop to notice the voices, the animation with which the students are speaking. Then I look at the physical behavior of the passengers. They are alive with excitement, enthusiasm, and hope, and it is catching. For the first time I’m noticing the vibrant nature of the students.

Something tells me to stop my thinking, and to watch carefully. I listen to that suggestion and I quiet my mind to listen and observe what is happening around me. That 20-minute tram ride altered how I think about others in group settings.

Normally, I avoid groups because it is chaotic, and I can’t hear others well enough to converse with them. I wrote about this in “When Sanctuary Is Offered.” As I’ve sat with this experience the past few months, some things have changed.

Could it be that I opened up to some type of new understanding? Did I rethink the present hearing aids I have? Was it a combination of things? I realized that things needed to change and I took steps, and some risks, to change things. It pays to rethink things: it did!!!

With the new gadgets approved and all mine, I will venture into new situations. With an appointment at the UMC this month, it will be interesting to experience the ride on the tram in a new way.

I’m also having a new doorbell installed in my house. It will use light, and not sound, to let me know that someone is at my door. No more missed doorbells for me! Oh, and it’s covered by the insurance!!! As mentioned in a previous post, I went shopping for a better hearing situation!

I hear the noise of the organics being picked up and pause to think about the winter winds that blew all the leaves in the universe into my front yard space. I think about the storms that put it all there, and the storms that have blown unpleasantness into my life due to disability. I recall the time when I asked Jon to answer the question of the one gift he’d give me if he could. I still feel the same way about my body. Why would I want to change my core self? Yes, it would make some things easier. It would mean that I would not need to deal with people who show frustration at the way I do things: slower than they can do the same thing. I am happy with who I am. I’m proud to advocate for those with disabilities. I’m proud to be me. It isn’t my issue; it’s yours if you can’t deal with me as a disabled person.

Once we’ve taken an inner journey and done our soul work, things change. Going inside is liberating!

This time around, the work I had to do to get to new hearing aids wasn’t as intense as other things I’ve done.

How do you know when you’ve done enough work? My experience is that the things that were hard or difficult become easier to deal with. Doing the work wipes out a level of fear that can be present when confronting the nasty and the unknown. In this phase of things, and when dealing with our lives in new ways, it is important to tack a mental reminder up: one byte at a time. I think this isn’t something we all start out doing at first; it is something we learn our way into.

Taking it slowly and not being overwhelmed by things isn’t something that comes easily for some of us. We labor under the misguided notion that we can take it all on at once. Then getting overwhelmed by the task before us hits us with a grand force of wind. POW! Sometimes anxiety builds, and we stop it all, only to discover that we’re not where we want to be with any of what we’ve dealt with.

Going inside myself enabled me to flesh it all out. This time, I’m navigating a new stretch of the river that I’m surprised I’m on. I suspect it has some new places to tie my boat up to, to leave, and to explore the new interiors I’ll engage with. I suspect that this part of the soul journey will bring new things, people, and joy into my life.

I return to the tram, and as I watch and listen, I realize that I’m learning something about myself that I haven’t been able to admit as I’ve needed to: the isolation of my hearing situation must come to an end. I’m not the widow who is sitting alone on the tram. I am the widow who is claiming the life she knows is out there in new ways. I’ll risk large groups. I now have a tool that will enable me to do just that.

This all happened because I became quiet in what I once viewed as chaos. Had I not done that, I wonder what would have happened. Time to muse on this experience some more.  

It Pays to Rethink Things

26 April, 2023, is the day I spoke my truth for the first time. I wrote about in “When Sanctuary is Offered.” I meant every word then. Really, I did. I was also willing to give up the social life that was so destructive to my mental health.

27 November, 2023: the day my hearing deficiency was dealt with.

I don’t do 9:00 a.m. appointments. If I have to walk, take the bus, and be out of the house that early, it doesn’t work. I’ve set that limit with people. Today I had no choice and arrived ten minutes late. As it turned out, 9:30 would have been soon enough. The Monday chaos of gathering, prepping for the day, and being ready for the first clientele was interesting, and frustrating, to watch. Oh well, with my morning caffeine in me, I walked into the room. I had an agenda: better hearing aids that would be covered by the insurance. I had a list of requirements. Was I nuts? I’d soon find out.

An intense trio of hearing tests confirmed my suspicions: I’d lost a wee bit more hearing. I wasn’t shocked by the news, as I was prepared to hear the number. What I wasn’t expecting was what happened next. 

I love the “gadgets” that I’ve worn for seven years. I’ve put off getting new ones because they were the best! Well, they were the best until they weren’t, and I finally broke down and made the appointment at the ungodly hour of 9:00 in the morning. UGH!

If one has to do the unthinkable, then I advise a list of the absolute requirements. If those can’t be met, don’t do it. This is how the second half of the appointment began.

The new ear molds had been made. My ears are even petite. First item: Are these things covered? Yes. OK, let’s move on. I want the chargeable, and not the battery, type. Now, here’s the crazy part. If you go with batteries, the insurance will cover some of the cost. At 90 euros per box, and a three-week battery life per set, you will go through some boxes. I’ll buy the charger, thank you. Personally, I think the insurance didn’t think that all the way through.

Moving forward: What can you do for my hearing in a social situation? How about a microphone that does a couple of things? It will link with your desktop, and it will serve as a microphone when you need to talk with someone in a densely populated social setting. I WANT!!!! The insurance covers it. Oh yes, I’ll do it. This is the answer to multiple issues. 

By now, I’m feeling like I just had Christmas, and Santa answered my every need and want. It is true that I just inherited more chargers that will replace the ones that will be given away, but it’s a good trade-off.

My bag had three boxes in it when I left some two and a half hours later. As I walked home, I noticed the feeling of gratitude that I was feeling and took the time to honor it properly. As the gentle rain hit my umbrella, I had to focus on the path I was on. My heart was full, and as I entered my home, I was excited to try out the new gadgets. I cried when the mic put the sound into a better hearing place for me. I was calm, relaxed as the stress of listening changed from difficult to much better. 

Tomorrow is Giving Tuesday. It is a day when people in the US give to charities. While I do have a co-pay on this new hearing aid, it is not what I would have needed to spend had the insurance not covered things. 

I have no more words for what happened today. They aren’t needed. The gratitude that I feel for what I have sitting in my ears is goon enough.

The sun set around 4:30, and I’m thankful to be in a warm house. It is time for some dinner and a relaxing evening. I need to start thinking social again. Yes, I just said I’d socialize again.

When No One Speaks

In July I attended a webinar on diversity. The presenter knew two things: people of color and compassion for the LGBTQIA2S community. And the presentation, or lack thereof, bombed. Just my opinion, but I know something about the subject.

What really bugged me is that he really didn’t have any presentation; he wanted people to ask him questions, and the hour was Americentric. It was an hour I’ll never get back.

Many people, when they attempt to speak about diversity, completely ignore the community that intersects all communities: the disabled. It is as if they have blinders to the reality that someday, they could become a card-carrying member of the disabled population.

When these conversations occur, if we’re mentioned at all, it is as an afterthought. This really bugs me! We have conversations about everything else that is diversity, and we even talk about use of white privilege and economic privilege, and the disabled are left blowing in the wind.

The voices that should stand for us don’t really show. Parents show for their children. Who stands for the vulnerable adults? Special interest groups? Many of those groups focus on children.

I’ve stood for myself, and I sure wish someone would use their privilege to stand for me. I’m worn out from being the justice warrior in this area. I may be an enneagram type eight, but who will speak for me when I need assistance? For the most part, I’m left to find it on my own.

Finding it on your own can be messy. And the mess in my life came to a crashing halt days after that webinar.

Lessons From Room A341

It began on July 20th, after a day in Utrecht. I woke up tired and attributed it to the running around I’d done the previous day. By Saturday morning, I had to fight to get out of bed, and Sunday I felt awful. Monday, I let the sick state of being take over, thinking that resting, plenty of fluids, and eating would fix the situation. It got worse. The next Sunday, I knew I’d better call the doctor’s office. I was sicker than I’d ever been in my life, and my gut was telling me that I needed to get to the hospital. I also needed the doctor to make a house call. My head was working well enough to know that I couldn’t care for myself. In the past week, I’d become disoriented during the night and couldn’t find my way out of my bed or my room. I couldn’t even think straight enough to turn my lamp on. This was bad. I also knew I was a physical mess. So, Monday morning I rang up the doctor’s office, and around 5:00 PM the doctor came. She called the ambulance, and I settled into more of the disorientation that was present. I was finally able to just lay in a bed.

After eight hours in an ER, and the staff finally able to get the proper IV and other things inserted into my body, I was moved to a room on the same floor for observation. That Tuesday, they finally sent me upstairs to a room. I think it was evening by then. Wednesday, after cultures were grown, I found out my diagnosis. I’ll say that it wasn’t the E. coli that was doing bad things to me—they could cure that with antibiotics—it was the kidneys and my diabetes that went completely out of control. My personal education was about to expand, and I was also about to expand other people’s education as I lay in a bed in room A341.

If there is one thing I don’t like, it is having to explain the why of, after over twenty years of living in this wonderful country, my Dutch is so bad, and why I can’t speak more of it. Being hearing impaired and learning Dutch do not pair well. As languages go, this one is like a spoiled child who keeps wanting to change the rules because no one has told them NO. I lay in the bed, minus my hearing aids, having to tell people to speak only English. The fact that my vision was bugging out on me was less of a worry. I also had to deal with that.

I’m having to explain this to people when I’m really sick, not fully understanding what is going on, and my head is being hit with not knowing what I need to do to process it all. And, to top it off, I’m weak.

I’ve come to the conclusion that teaching hospitals at universities work better for me. I don’t have to explain things.

I’m angry, and all I want is to be shown some consideration, because nothing is working correctly. Why do I need to explain this to everyone? I fantasized about what I’d say when I could write. I don’t remember what I thought. I do remember that it hurt to think about it. I was really too sick to think straight.

The Upside and the Downside

Having my meals brought to me, and discovering that someone in the kitchen was able to do fish that tasted amazing, was wonderful. I had to admit that if one is sick, this is the way to do it. Yet, not having physical visitors took its toll. Messenger and Zoom phone helped with that.

Most of what I’ve learned I’ve discovered since discharge. It’s been eye opening.

When I use the word “sick” in the bullet points below, I am speaking of the “sick” that puts one in the hospital, and that requires longer recovery periods:

  • Being sick can cause trauma to build.
  • Being sick can cause someone to become self-centered.
  • Being sick can close our eyes to the lessons we need to learn around our own situations, and how we treat others.
  • Being sick means we need to listen to others when they tell us to slow down and nap during the day.

I feel awful about the self-centeredness and realize now that it stemmed from trying to recover too fast.

I’m convinced that there are times when nursing staff don’t understand the behavior they are seeing. Trauma can build due to uncertainty, and in the early days of my hospitalization, I didn’t understand that what was going on could have killed me. I was in a daze, and nobody picked up on it. I had told a friend during my time at home that “I don’t have good sick skills.” This is because as a child, what I learned post all of the normal stuff children get was not much. I was a healthy person. It has caught up with me. It is also my personality. I don’t like to stay in bed. I share this because of the fourth bullet point listed above. My doctor told me to take the time to nap if I felt I was tired. She also told me to begin to build up walking strength slowly using my treadmill. I tried to ignore self-care the first few days I was home. Then I made an effort to follow her suggestions, and I found that my strength was returning! 

If we listen to our bodies, we can learn wonderful things! It’s been over a month since this began, and today I’m enjoying a pleasant afternoon at my computer. I’m gaining strength, enjoying insights, learning about myself and others, and understanding that my challenge is to keep healthy in new ways. I’ll keep this short so that I can exercise a wee bit of self-care. I’m doing well with this new routine of mine. I just wish I wouldn’t need to do so much explaining… and yet that is what we in the disabled community must do.

When Sanctuary Is Offered

I recently had an experience that I need to talk about. I was deeply impacted by what happened to me, and how it is affecting my life.

While I was in the USA during April, my hearing, or lack thereof, crept in and hit me on the head in a way that hasn’t happened before. I’ve always stuffed it, compromised, and passed off the fact that in a crowded room I can’t hear well at all. I’ve tolerated conversations that drive me to the point of severe sensory overload. I’ve behaved as if I don’t really have a choice but to be socially polite and endure the pain that is causing my head to melt down from sensory overload.

On Wednesday, April 26, I snapped. Maybe it was because I was with friends; it could have been because the noise levels built up slowly over time. Or maybe it was something else. Whatever it was, it all came together in an instant, and I could no longer endure what I’d put up with for years.

I’ve heard it all when I tell people that for me, social situations are beyond difficult. “We can isolate you in a corner.” This is the most common thing said to me. What has never been asked is this: “Gail, what do you experience in a room?” I’ll tell you: What it sounds like when I’m in a room with conversations buzzing around me is like noise coming at me all once—so much noise that nothing can be filtered out. Hundreds of conversations flooding into my brain that I hear simultaneously, and I have no means of screening out the voices that I need to hear in order to have an intelligent conversation.

I’m not kidding around when I tell people that attending social events is like fingers on the chalkboard! Ultimately, I feel as if I’m not believed. A person with normal hearing can focus in on the conversation, discriminate, and carry on in a crowded room. Even with the hearing tech I have, there is not a solution to tune out the disruption of a crowd. I’d love a hearing aid that tunes out a crowded room. They aren’t to be had.

What this all boils down to is the choice to engage socially or to withdraw from group participation. That evening in April changed the way I’ll do things in the future. While sitting at a table in a church social hall, my friend urged me to leave the room and seek out a quiet place. I didn’t want to do that because I didn’t want to look like I was being rude by withdrawing. I had come to be with people, not separate from them. She kept urging me to leave, and then her husband walked me out of the room and into the chapel where the noise came through but was tolerable. I was still fully aware of the noise, and it was tolerable. There we sat. He listened, and I let it out.

I suspect what I let out in spoken words were words so many others with a hearing loss might have uttered. “This is so hard.” Crying, and being disgusted by my vulnerability, yet not being able to stop the tears, I slowly realized that for the first time in forever I was strong enough to speak my truth and the truth of others: It is beyond hard—it is more like impossible to do what we do. I came to know, and understand, that socializing is something I’m better off not doing.

Socializing is something that is not enjoyable for me. It taxes my head and my hearing. I can’t understand conversations and at times might not give a correct response and be looked at as if I’m a Martian. I can’t read lips due to my visual impairment, and that makes it harder. I’m in strike-out mode from the very beginning of the situation. So, count me out.

I’m done compromising when a compromise won’t ever work. I’m done with people not understanding the reality of my hearing situation. I’m done being nice because being nice won’t get me what I need in social situations. Done.

Now, you’re thinking, certainly, that there is help. Try a google search, try several searches, try to find a simulation of what we go through. You won’t find that information. What you will be told is to get your hearing checked. If you’ve got friends that you want to help with a fix, there isn’t a fix. 

The downside to this is the social cut-off, and the isolation it brings. Saying no to social events cuts one off from so much. I’m taken back to the time when, as a teen, I quit doing dances because I was not asked to dance, and I was too scared to ask anyone to dance—even the “girls’ choice”—so I stopped going. This has its parallels. The difference is that I’m older and making the decision to meet the needs of being disabled. As I sit here typing, there is the uncomfortable feeling that I’m doing this for myself, knowing that it will cut me off in so many ways. I’ll now have to deal with holding a line, dealing with well-meaning people who want to make themselves feel better about things than listening to what I’m telling them. What I feel, and have to do, makes people uncomfortable. Staying home, staying in, and keeping my head in a good place is something I need to do for so many reasons. Please honor me by honoring my needs. Listen to someone when they say NO. There are good and healthy reasons for the boundaries disabled people set.

Realize that I can do a small group in a quiet space. If you really want to see me, call, drop by to say hello, and leave the mention of group contact out of it. I’ll most likely know what is happening. I’m not going to become antisocial.

This experience has taken me to the thought of legislating accessibility. While the US government has put the Americans with Disability Act (ADA) into place, and government web sites and buildings must comply with the ADA, it does follow that a business or other organizations must do so. Smart business owners have made things accessible. Ramps and ATM/PIN machines are two examples of accessibility. The catch here is that one cannot create quiet social places. I get it. There are things that cannot be mandated or legislated. I must care for myself, and sometimes that means speaking up, being an obnoxious person, and fighting for a peaceful environment. One night this last April, I found some peace in a sanctuary where I was heard. Being heard has led me to caring for myself, and a journey to speak out for others.

The path forward is to educate. It begins by listening to understand another person’s reality and their point of view. It progresses when we each become sensitive enough to consistently honor another’s truth, not by fixing it but by honoring their reality and what is needed to meet their needs. Maybe it is sanctuary.

Adult Work Is Life Work

This weekend I spent several hours completing some Continuing Education Units (CEU), so that I can renew my license. I’m at the point in the process where I’ve done the required courses and can now attend to the exploration of new things. This is where the fun of learning comes in. This time around, my focus on deepening learning took me to learning something I know something but not enough about: LGBTQ2s or LGBTQIA+, the choice is yours. 

I have friends and know people who claim identity in this community. I work with those who claim residency in the LGBTQ2s community. The weekend of learning was helpful, and I learned some things I didn’t know from an instructor who really knows his stuff. It was time well spent. 

All of this got me thinking about the process of coming out to oneself, and to others. Coming out isn’t a one-time event: it is a constant. There is risk in uttering the sentence that includes the words “I’m lesbian, gay, bisexual, trans or queer.” The person speaking those words in a conversation of one or one hundred is putting themself out there in a way that you might never have to, or need to, do. It’s a risk. Then I got to thinking about my own truths. 

I’ve been a part of the disabled community all my life. How much do those I work with and associate with really understand about my daily life and what it takes to do what I do? 

I’ve made mention here that I have a spiritual life. I don’t talk about it; it’s private. We’re in a time of Lent, and this season I felt the need to add to the process rather than fast from something. I added in the need to interact more, and in many ways come out fully as the disabled person that I am. My faith community accepts everyone. LGBTQ2s, the person of color, and the disabled. At times it challenges us to have some difficult conversations. Last night, after a month of services around service and giving, and bringing in the voices of my sisters who are disabled and a part of this community, I came out. 

Speaking my truth was soul wrenching. It took six takes to produce a video that I could share—a video where the tears weren’t streaming down my cheeks. A video in which I let anger, but not rage, show. A video where I could speak my heart and soul, and let the words stand. It was raw. I’ve done raw before, and this was raw. 

Most of the time, when the disabled explain their disability, we tend to work up a pleasant presentation that informs and instructs. This wasn’t that type of pitch. This caused me to really think about what I wanted to say, and not say. Still, at the end of the service, I found myself sitting with the tears streaming down my cheeks. I’m still raw. 

Coming out is about sharing, embracing, and being embraced. Coming out is also about risking something new, and discovering where the support in your village resides: who will stay, who might need to leave. And leaving the village has to be an option for safety reasons. At some point, the former resident may do the work needed to return as a productive village member. Hold the option of leaving and returning, and the hard conversations around that as a possibility: it happens. 

If coming out is a process, it is also seasonal. We mourn in different ways throughout our lives; we reframe, rethink, and return to explore places we thought had been completely explored and thought through. In our exploring we discover new ways of being, and new places to dig deeper. The work of life is not done until the last breath is taken. 

If the work of life is never completed, if coming out to ourselves and to others is always a work in progress, what options do we have to get on with the work in all of its wonderfulness? How do we embrace the joyous, work through the difficulties, resolve, rediscover, and then move forward?

There are two ways that I will talk about. Both versions of self-discovery are useful. Both can lead to the same outcome. Both are lifelong. The first is to find a therapist who does long-term growth or insight work. This is about depth, and not running from your personal truth. It is about putting someone on your payroll who will walk with you as you discover the places in your life that you need to move to. It has nothing to do with behavior and everything to do with relationships. The greatest area of focus will become the relationship you’ve built with yourself. 

The second option centers around spiritual direction. Spiritual directors, like therapists, have various areas of focus. As our spirituality is as individual as we are, so is the direction. This isn’t about an authoritarian person telling you what to do: this is about you discovering how spirituality is working in your life, and where you are feeling pulled, led, or, for some people, called. It works the same way as therapy in that we sit and talk. Maybe I light a candle, ring a sound bowl, or offer a prayer, if that is what the person desires. Sometimes we both sit in silence and reflect on what has been said. The sessions usually happen once per month, last an hour, or sometimes longer. SD is a place that is well suited to come out to yourself on multiple issues. If you need to do some therapy around something, you’ll be told to seek out a good therapist to do that portion of the work. 

Both therapy and direction can focus on the spiritual if the therapist has the ability to do spiritual work. SD, on the other hand, doesn’t touch that type of change or “fixing.” Directors don’t look to fix. 

I now realize that my life would have been deeply enriched by spiritual direction. I’m glad I know of it and can offer direction as part of what I do. 

At the end of this writing session, I sigh, breathe deeply, scan my body to see where I’ve gone, and how I feel. Not so raw, and somewhere else. Where have I moved? I don’t know. There will be more to come on this, I’m sure.  

Where’s the Village?

Anger, rage, and the ongoing process of being shoved to the margins as a disabled person: it places the disabled in a position of being labeled as angry, and while some of the label might be justified, not all of our anger as a community is justified.

This past week I was given feedback (privately) that I have anger issues around disability. It has caused me to experience some sleepless nights, and to question how much of my own stuff I’ve worked through.

After sitting with the feedback, crying, and realizing that I don’t want to offend or put people off in such a manner that I would not gain support of the issues I’m passionate about, I decided that I do have some unresolved issues.

The issue around the anger is twofold. The first part of the anger stems from how society has misunderstood the disabled, underestimated us, and passed judgement on what we as individuals can and can’t do and what we need to make our lives work. This in itself is enough to cause riots, and the riots don’t happen. Why? Because we don’t have the energy to riot: we’re burned out. 

We’re burned out because we’ve reached out to different communities and we get put to the marginal space once again. It sounds like this: “Sure, we care about you as a disabled person, but ____ takes precedence. We’ll get back to you and address it.”  When someone uses “but” in this way, it feels like a negative. It feels like everything before the “but” just got washed out to sea. 

The Americans with Disabilities Act (ADA) solved some physical issues. Someone in a wheelchair can access an ATM/PIN machine. There are ramps, not always convenient to the wheelchair-bound person who needs easy access. There is still the battle with health care about what one needs or doesn’t need. I hope you’re getting the idea. I haven’t even touched on government issues. In the government arena, it is both good and bad. Oh, do I lump education in with government? It is society.

Then the other part of the issue arises, and this is an emotional killer: a disabled person can be ignored, discounted, not believed, ridiculed, or told that they look weird or act strangely. And, in 2023, the hardest insult of all is “Why were you born?”

Is it any wonder I’m royally pissed off around this issue? No. 

I realize that I can’t save or fix the world. I can only guide someone to a resolution of their issues. I can only do my personal work around my own issues, and sometimes that is a daily chore. So, in an effort to heal misperception, I’ll offer up some tips. 

Nature does what nature does and nobody is to blame but nature. Nature does its own thing during pregnancy and sometimes nature creates a person with a disability, an orphan disease, or a deformity that can’t be surgically corrected. It’s a part of life, and for the believer, God didn’t do this to your child or to you. You are not being punished. Life happens and each of us are the lucky souls that get to deal with what life deals to us each day. 

Sometimes injury happens. Injury can take many forms: a car accident, a sporting accident, a bad fall, a stroke, a fire, a natural disaster, a fight in which one person is injured. Even a person who is trying to protect themselves from danger can make a choice that creates disability. How a person arrives in the wheelchair, deformed, blind, deaf, or brain injured is the backstory that each disabled person must come to terms with.

A good definition for Traumatic Brain Injury (TBI) is a sudden injury that causes damage to the brain. It may happen when there is a blow, bump, or jolt to the head. This is a closed head injury. A TBI can also happen when an object penetrates the skull. This is a penetrating injury. Talk to a competent physical therapist and they’ll be able to tell of ways people get injured that I haven’t listed above. 

We each have a back story: What’s yours? Remember the kid you saw having the meltdown in the grocery store, and the parent just stood there, and you passed judgement? Not so fast! The meltdown may be due to something other than poor parenting. It might be that the child is overstimulated by the environment: too much noise, music, too many people, and not enough brain development to use words to disclose what is happening on the inside. A parent with a disabled child understands that during a meltdown might be the wrong time to swoop in and remove the child in distress from wherever they happen to be at the time of the meltdown. If the parent knows that they could be injured by the child, it’s a hard call. Are you thinking that the parent needs to leave their child home? The parent might not be able to afford the luxury of a qualified caretaker for the time it would take to run all the errands in the universe. This might be their only option. 

Once, while on a chat site, the issue of getting hired came up. The person wasn’t hired because the company want “that weird-looking person working as the receptionist”—a job that this person was qualified to work at. When companies hold this attitude towards the disabled, they drive the person to a place of unemployment. If a person with a degree can’t become employed, what do they do? If they try to get government assistance and are told that they fail to qualify for benefits because they are employable, what are they to do? If they make the effort to work with a job coach, and the job coach has little to no training in working with the disabled population, where does this person go for help? They wind up in chats, the crazy builds, the anger builds, and those who can are told they can’t. This is an issue! 

Money doesn’t grow on trees, and a government can’t finance all of it. True, and companies could do better as well. This issue is for another post. This is complex. None of us live in a utopia. Some of us are able to create a supportive village that can lend a hand. If it takes a village to raise a child, it takes the village reaching out the greater community to assist with those who are disabled in our society. I’ve only touched on a few key points here. 

The village is where it begins. Maybe someone in your village can begin by writing letters, making phone calls, and learning how to assist with the disabled child or adult. Offering to understand the backstory, the lack of resources, and the battle that a parent might be fighting between working and caretaking are all good steps to understanding the meltdown in the grocery store. 

Why do I have anger issues around disability? Because there are not enough caring villagers who will stand up and lend a hand. Please, become a caring village member and find out about someone you might enjoy knowing. 

Gratitude for Tech

In early November, on a lazy Friday afternoon at around 3:00 PM, my tech world blew up. The power went out in our neighborhood, and with it, my computer died. While I knew it might be repairable, I also knew this was not the first round with this issue. Getting it to the repair place would be one thing; the other thing was whether I wanted to spend the dough to have it blow up yet a third time. The next day I ordered a new machine. That machine arrived three weeks later. In the meantime, I was on my iPad, and had to deal with eye strain. 

This time I began to notice that I depend on my tech, and I need to use my Mac for work, and to do some basic tasks. I was in panic and upset mode. I think I drove a few people to collectively shaking their heads.

Technology is a gift, and a curse. As a society we’ve surrendered ourselves to machines with screens, social media, and a connected lifestyle. I didn’t grow up this way. As a kid I had to ride the bus to the library, have the librarian locate the proper microfiche, and then copy information. Copy, paste, and cut weren’t options. Research, advertising, and social connection were so different! Google makes our lives simpler. Yet, here I am typing this tech lament. Why? 

Over the past few months, I’ve ranted about issues surrounding disability, and how many don’t really get how we roll. What works for you may be a far cry from what will work for us. What works for one disabled soul will not work for another. This time it isn’t about cutting us slack: it’s about understanding our panic and why the loss of tech is different for us. For us, it can become a crisis.  

I’ve been thinking about this for some time now, and it stems back to childhood for some of us. It’s about parenting and beyond. 

There was a time in our history when a child was born, and the doctor sent the baby home with the parents to let them discover that “something isn’t quite right with our newborn child.” I was lucky because my parents understood what they were and weren’t seeing at six weeks old. In 2022 we understand what disability looks like at birth, and we’re aware of what it might look like in early childhood. This translates to being able to provide resources that will enable a child to succeed in school and in life at an early age. It also means that if tech is to be part of that process it can be delivered to them. Individual Education Plans (IEPs) can be structured for the the child to include needed assistance. (OK, if and when the system works well.) Providing reliable, accurate information to both children and parents is a huge portion of the process.

There is another part of the issue that isn’t tech, and it affects us deeply. It is about having accurate information for lifelong interaction. That information comes from two sources: professionals and parents.  

If someone is born with the disability, they are dependent on parents to lay groundwork so that as adults they understand their situation. If they become disabled later in life, doctors and other professionals need to companion with them to enable the disabled person to gain a complete understanding of what is going on in their mind and body.

The knowledge we have now, versus what the medical profession could have told me in 1970 when I was transiting the education system, has changed.  

I’m not here to talk about teachers. They are the frontline. I will say that teachers are there to teach. A checked-in parent can assist the teacher to ensure that their child is given the best possible shot at succeeding in life beyond the classroom walls. 

How do we help? I will spend the time here talking about skills. 

Do children have the study skills they need to compete in the real world? Are they given the chance to work to their full potential? For instance: a child with a learning disability may need to learn in a different manner than a child that doesn’t have that disability. The learning-disabled child may be very gifted, and need the stimulation of an Advanced Placement (AP) class in high school. Are they given that chance? Learning disability means that a person needs to get information into their head in a different manner than how they may be taught. Tech comes into its own here. The ability to hear the text read, to talk it out, and to even feel something might be options here. 

Processing disorders are common, and once it is understood that a student needs to think things through differently, it changes the game. 

Tech can be a gift. We can level the playing field with accessibility features that count. Audible, Kindle, Book Share, and other options open up the world to the visually impaired and people who deal with a variety of processing and learning issues. Now children who might have been told that obtaining an education beyond the basics of K-12 find themselves applying to graduate programs!  

What is understood now wasn’t understood when I was born. Back then my options were: learn to type and/or learn to read braille. Typing was the logical choice. Was I viewed as a higher education candidate? No, not as a child. As an adult that became possible. As an undergrad the Americans with Disabilities Act (ADA) paved the way. I had readers that enabled me to consume volumes of information. They had eyes and could point out things I couldn’t see. It was the tech that put me on the same level as everyone else. The tech didn’t come about until my grad school days. Now, I can’t function without it. I am back at the crisis situation, and what it did to me.  

I think that this piece is more of a post about being thankful for what I have as someone with very low vision. While I can see a face on Zoom, hear the distress in a person’s voice, and understand that tears are coming, I couldn’t do it without all this tech. 

I did have a tech crisis, but today I’m thankful that I have tech at the ready, and that I can move forward with a more appreciative heart.

The Burden

The disabled carry so much inside. On a daily basis we are challenged with what we let people know about our lives and our needs. Is it a good day or a bad day? Do we need to ask for help, and if so, how much of that help might be robbing us of our dignity? You may be thinking that we need to get over it. If you aren’t in our shoes, please think twice about that remark.

I like to think of myself as independent, though as I’ve lost more of my vision, I’ve had to ask for more assistance. I try to do as much as I can, and I’m noticing that the abled world is making it more difficult to do so. It adds to my daily burden. 

At first, I was going to write a regular post. Sitting here, I’m going to do this differently. Here it is: 

What I Do

As I 

wake, I notice

My legs

And

Scan the rest of my body.

I’m rested.

I move from the bed realizing that I can walk when others can’t do this.

I engage in morning listening to a book because

I can no longer read print easily. 

And,

I give thanks that I still can hear.

Today should be a good day. 

I think of those I know in wheelchairs 

or 

struggling to walk this day.

I hold them in my heart and hope that they will have the help they need to survive

Another day.

My mind travels to those who must have assistance in all things.

We don’t think about that much unless we’re directly affected by someone in that situation, and

I hope that caretakers will treat them with dignity on this day.

I leave the house to run errands

And

The sun shines in my eyes.

Even with sunglasses 

I strain to make sense of the path that

Is covered by foliage.

It is beautiful and crunchy and 

I love it.

But

I can’t make sense of the path with my cane.

How would I explain my reality? 

I try.

But

It is so different from yours.

You can’t really understand 

This life of mine.

Then I must explain to the abled that 

I can work, 

because they can’t imagine me doing what I do.

Should I do nothing all day

When I can do something I love? 

More of a burden

That I haven’t created.

I feel: 

Judged,

Enraged,

Worn out,

Like screaming!

I want to cry.

To protest.

To yell at people.

But

WHY? 

The disabled person’s greatest burden 

Is

That

We get lost in the shuffle 

And

Are not seen when we need to be seen.

Dear Helpful Soul

Dear helpful soul,

I realize that when you see me at a street crossing, you want to take my arm, tell me it is clear to cross, or even help me to cross the street. Your kindness, while well meaning, is not appreciated. I’ll explain why this isn’t helpful, or needed.

I’ve been living with disability my entire life. For many within the disabled community, this has been our situation. For some who are disabled because of illness or injury, this is not the situation. Their journey into disability might be more traumatic. They may slowly lose function in an area of their body, wake up one morning to the horror of lost capacity, or find themselves in a hospital bed with a missing limb. Many of us, if not all of us, within the disabled community deal with trauma surrounding the disability, and some must cope with ongoing trauma due to a gradual loss of even more function. Imagine someone with Usher Syndrome, who faces this on a daily basis. When sight or hearing can disappear, or you watch as you see less each day, or can’t tell what is gone until there is a radical difference, it is traumatizing.

Trauma may look different for the disabled. Please, ask and listen to understand. Someone may seem to be reacting abnormally when it is normal for their circumstances. When someone lives with ongoing events that are traumatic, and treatment for the trauma doesn’t completely solve the problem, cut them some slack. They may need it.

In most of the above situations, the journey of learning to live again may take a person to a rehab center. My journey into a rehab center began with the realization that I’d lost more vision and couldn’t see as I once had been able to see. I was down to twelve percent of my vision. For me, rehab was about learning better ways of doing things, using less of my vision, and confronting myself in a new way. I’d spent most of my life trying to fit into mainstream when I didn’t fit into a mainstreamed situation. I had to come to an understanding that now, more than ever, I had to embrace new ways of doing most things. When I think of leaving my home without my cane, I cringe and know I’m not safe without it.

Why do I need a cane? At first, I thought the need for the white cane was to enable me to navigate tricky spaces. I understood that I needed the help at night, but why did I need it in daylight? The longer I used the cane, the more I became aware of a few things. The cane let me sense areas to stay away from, such as sand or gravel. Both sand and gravel do not allow me to feel what I need to feel underfoot. I need to avoid both sand and gravel because I could slip and fall. The same scenario goes for ice and snow.

The cane also serves as a warning to others that I’m not going to see you clearly. I may not see you at all because you are out of my field of vision. People need to be prepared to take evasive action to get out of my way! This brings me to my first gripe: anyone on their phone and not tuned into their environment. Do you want me to collide with you? No, you don’t. Prevent this by walking with 100 percent of your attention on the task of navigating the space you are presently in. Having had several close calls with people who have been inattentive to their environments, I know it would be appreciated by so many. We don’t want to injure you or become injured by you. While you may not be driving, you are navigating spaces, some of which are very crowded. Please look out for oncoming people because if you don’t, someone might say something like “Watch where you’re going!” to you. They’re correct in saying this to you! Your phone can wait, and if it can’t, then move to a safe space to focus on what you need to do.

If you feel I’m being harsh, I’m attempting to protect myself in an environment that isn’t always friendly to me because I can’t see everything.   

Offering Assistance

Here’s some handy advice on assisting those with visual disabilities. You’re at a street crossing where there is no signal. You can see that the traffic is nonstop (the visually impaired person may be using their hearing to know when to cross). You also see that there are gaps that would be difficult for the disabled person, even though you could make it to the other side rapidly. You could make the offer of assistance in this way: “Wow, this traffic isn’t going to slow to let you cross easily. Would it be helpful to you if I assisted you to make a faster crossing to where we need to get?” If they say yes to this question, ask them how they want you to walk with them. This approach places the disabled person in the position of accepting or declining, and it comes with a reason for the offer. It is good help that may be very much accepted and causes us to accept the offer because it isn’t a rescue, allowing us to remain dignified—and that is a win for everyone! If we’re at a signal with a walk feature, we don’t need your help.

Speech and Hearing

Imagine not being able to hear clearly. When you can’t hear clearly enough to distinguish a D from a T or and S from an F, or other consonants and vowels, the life of a hearing-impaired person becomes stressful. 

Imagine trying to spell words that you can’t hear properly. Imagine not being able to pronounce those words properly. Add the challenge of uncertainty when you’re not sure if the word you heard spoken was “who” or “shoe.” The conversation becomes draining, confusing, and if you’re in a crowded room, it can become difficult. Social situations can become a challenge. For those with a hearing loss, the issue may be about isolating as best one can. 

While at the rehab center, those who dealt with the added hearing loss gave voice to the difficulty of hearing in the crowded dining area. I spoke with staff about not being able to enjoy the mealtime, and the need to engage in conversation at the table. No one had spoken up about this issue before. I was asked for solutions. First, I was isolated. That didn’t work. I didn’t want to eat alone. The next step was to ask others in this situation if they were experiencing this. “Yes, I am!” This was the common response. The next step was to reserve a table for us. This table was on the edge of the dining area. Nope, that didn’t work. Then they put us on the other side of the space. They were hoping the distance would solve the problem. Distance didn’t work as the noise trickled into our space, and it was difficult to filter it out. When I left, they were still working on the situation.

I’m faced with the fact that I need to semi-isolate in social situations or avoid them altogether. I’ve tried it both ways, and enclosed social situations with heavy noise levels are a pass for me.

I’ve been in The Netherlands for over twenty years now. I’ve tried to learn to speak and hear Dutch. It has been a challenge to learn a second language with a hearing loss. For the most part I try my best to converse in Dutch, and for the most part people are polite. Then there are the ones that judge and condemn. I’m told it is my fault that I can’t speak this language fluently at this point in my residency. The people who respond to me negatively are few in number, and to them all I can say is that given my situation, I do my best. Don’t judge until you understand that hearing is my challenge.

So, helpful soul, please listen for understanding. Understand that I know what I need, and above all treat me, and my disabled brothers and sisters, with respect. We’re having to face this every time we step out of our front doors. Cut us some slack, please.

Leaving the Safe Space: Part 1 of the Holiday Journey

On August 31st I boarded a flight that took me to Wales. I’d be there for three weeks. What I didn’t expect was that I’d get an education on my disability. I observed myself in ways that I hadn’t done in years, and I discovered that environments can be illusions. It was a great holiday and learning experience. 

Before Jon’s death, I had created a safe environment for myself in this home. I’d forgotten how hard I worked to accomplish the deed. Jon had his space, and all other spaces were “Gail friendly.” After his death, I put the final touch on this place. The final touch was doing the front yard, to make it safe for me to be in. It took years, and careful thinking, to do it right. I needed to look inside of myself and ask, “What is and isn’t safe about this? What do I need to work in my home?” I realized that I needed to order new office and bedroom blinds, lay better flooring, and move things around in the kitchen. I reworked where furniture was placed in the living room. This home has become so safe that I haven’t wanted to notice its safety, and I became oblivious to what I had created. I realize now that I didn’t want to leave my safe haven. Now, I will leave more often because of what I learned. I need to get out, get away, and return refreshed. Yes, I needed this holiday, and I needed to learn some things about myself.

There is a process of becoming reconciled with one’s own disability. When we’re born with it, we adjust slowly. It feels normal to us. As children we naturally think that the world may be the same for others. I thought, at first, that how I saw was normal. Then I matured and found out that while I saw less than others, my vision didn’t work the same way. My seeing was radically different. Talk about a shocker! An example of normal versus abnormal would be like going into a functional home and finding out that not all families fight all the time. For a kid who comes from an abusive situation, this is a great deal to process, and then to attempt to unscramble on their own. My vision issues were present from the beginning; as such, my parents normalized things. From a young age I had to deal with what might be considered an adult issue—I had to figure it out. No one thought to help me make sense of it because I didn’t know, at first, what I should be asking.

I’ve been sighted since I was a one-year-old. My vision, what I have of it, is what I have. It’s my normal. Lack of vision didn’t slow me down: I found constructive ways to make things happen.

That was the way it was—until it changed. It changed for me one cold November evening when I engaged in some Night Walking. That night the world became unsafe for me, and I discovered I’d lost vision. That night led me to the ophthalmologist, realizing I might need a guide dog named Maira. It would also lead me to a place called Loo Erf, and fifteen months of rehab with the help of Koninklijk Visio. While the Loo Erf was a lesson in adjusting and confronting my vision once again, it forced me into the realization that I had lost more vision due to the PXE I lived with (Thanks, but Not This Gift). Looking back, I thought I’d done all the work. I was wrong. There is always more to discover!

One of the issues that I’ve had to deal with, and I’m not alone in this, is that I need to control the environment. I need good lighting, the best seating I can get in any room, a good hearing situation, and spaces that allow me to function as normally as possible. I’m not a control freak, but I need to see and hear it all. This also came up at the Loo Erf with my mentor, who thought I was being controlling. He consulted with another mentor who worked with visual and hearing issues, who informed him that I wasn’t controlling, but rather I was doing what I needed to do to gain environmental control in order to maximize the best situation for myself.  The holiday was a lesson in gratitude for my environment, and also a lesson in what I can’t do by myself. YIKES!!! I discovered a list of “can’t-do-it-alone items.”

I can’t eat in poorly lit places anymore; I can’t walk and explore new places without assistance; it is harder to adapt to new places rapidly. While I can navigate a new location by creating a map in my head, I may not see all of the dangers without a sighted person to alert me to them and prepare for them. And so it was that “Myrtle Mae” (my cane) and I had a grand time in Wales, and I had sighted people with me the entire holiday. And yet, I still silently freaked out when the new space came up. It was a cross between wanting the adventure of it all and freaking out that in order to have the adventure of it all, I had to do new places that were not safe or familiar. It could have, but didn’t, traumatize me. I know how to deal with such things now.

My cottage mate, Sara, was a gem. She sacrificed exploration to allow me my limited abilities. On Saturday, while I crashed, she went out exploring. I’m glad she did. Grace and Ken were loving, kind and gracious, and they took me to Joe’s Ice Cream Parlour. Claire was her wonderful self; we talked and giggled and learned from each other. (Thanks for the taco run.) Sue and Paul were delightful. None of them made me feel ashamed, awkward, or incapable. If I needed “eyes,” they became “eyes.” Unpacking and repacking is never easy for me. Taking the suitcase down and setting it up again was not fun. Everyone was stellar during the time I was slowly coming to terms with a reality I wouldn’t connect with until I walked through my front door. The reality: my home is what I need to have in order to make things work for me visually. I’ll leave because returning will reinforce some good things. I’ll leave home because I need the time away from my home with a holiday.

Looking back, I realize that, along with the cough from hell, I was dealing with a vague uncertainty that hit me each time I walked outside, had to learn a new place, or navigate something else that was new. Myrtle Mae and I walked, but I was never alone. The fact is that I only have 12% of my vision left, and that isn’t a great deal of vision. It’s enough to consume tacos and to do the things I did. I’ve returned home to a Gail-friendly home. It is good. 

I’m still in shock over what I learned, and know that my reality is far different from the safety of this home. It is unsettling. It is real and what I and so many other disabled people face when we leave safe environments.

The Hitch: Part 2

Is preparing to go on holiday always a hassle? I got all the crazy put into place and found another crazy but not-so-crazy something waiting to greet me: my calendar! I think I need to travel more often. It could serve to keep me on my toes.

The above sentiment is healthy, and yet, I don’t like to travel due to what I wrote about in the first post; here I am poised to do this again. I know I’ll love it once I’m there; it’s the getting-there part that is annoying me. It’s also the fact that I’m self-employed, and the secretary/boss has to make sure all things are buttoned up before going. The hitch? People with low vision don’t do things fast; we do them slowly.

I can listen to stuff on audio that is at a faster speed than you might think possible. It takes time to learn to do it. When it comes to seeing, I look slowly to make sure I don’t see it wrong. So, clearing my schedule takes more time. Everything does. I wish it were not so.

The most frustrating thing I deal with is the “abled” who get bugged because I’m not doing it fast enough. Do your work, people! I am not your problem. Your inability to exercise patience with me is your issue, not mine. My independence is not up for grabs. Is yours?

Maybe the biggest hitch in our lives is people who aren’t willing to allow those of us with lesser physical abilities the opportunity to create our own ways of independent functioning. Those of us who have done our work know our limits. We ask for help when needed. The chances are high that in therapy, a rehab center, or somewhere else, we’ve had to come to terms with hard realities that haven’t broken us. If they did break us, it was only until we scraped ourselves off the emotional floor and got up again, knowing we could rebuild ourselves. We’re secure in what we need and don’t need. We don’t need others trying to feel comfortable for their own sake.

I spent fifteen months in a vision rehab center, learning how to do new things independently, without the use of my eyes. The two most essential skills I learned were how to talk to others about what I see and don’t see, and the ability to face the ugly truth about what my life really is. Simply stated, I learned to deal with messiness in constructive ways.

I spent one hour every week being confronted by the sweetest woman. She could match her clothes to a coffee cup and dish out confrontation of the highest caliber. She made me think, reframe, and understand myself as a person with disability. Most of the residents didn’t like the process; I inhaled it!

Our independence comes at deep personal growth, and often we pay a price for that growth. We lose friends who can’t deal with the fact that life is messy. We gain new friends who get that the messes of our lives encourage the roots we’ve planted to go deeper, to reach the water that is buried deep within the earth of our souls.

We’re strong; we can stand for ourselves. So, cut the worship narrative—we don’t need it!  We’ve dug down in places you may have not gone yet. You may have dug in soil we’ve not been in. Let’s learn from one another by offering up the needed insights we can give to each other.

I’ll settle into a slow, methodical clearing of my calendar this week. The days of fun, laughter with friends, eating, and discovery are near at hand! Time to move towards it. Hopefully there won’t be any holiday hitch.

The Hitch

I’m planning my holiday, and over the next two weeks I need to firm things up. During the past few weeks, I’ve come to understand that Covid-19 set me back in the travel department. I had not realized this until I started this process of booking flights, making sure I could get to where I was going, getting the proper testing done, and making sure that I can get to the airport. When you’re disabled, can’t drive, and depend on third parties to make things happen, it puts a kink in things.

There is a part of me that doesn’t want to deal with any of this; I just want to stay home and not deal with the hassle of it all. I know I can’t do that. So, I better face up to the hassle and get it all done.

Meanwhile, I’ll tell you about why being disabled and traveling when you’re single is such a major pain-in-the-everywhere.

When the average person plans a trip, they plan the trip, get themselves to the airport easily, check in, find the gate, and get on the plane. When the average disabled person plans a trip, there are added complications: HOW am I going to get to the airport? Is my needed assistance set up and confirmed? Is the airline I’m flying on friendly to people with my particular disability? Are the airports friendly to people with disabilities? If I’m on public transit, is it reliable? If I’m in a taxi, is it reliable? If friends are helping, are they dependable?

Now, add to all the above that I’ve got to meet travel requirements for airlines and countries before I board a flight! Can I get to a testing center? Do I need to ask someone to take me to the center? When do I need to make the appointment? Are the sites for the information accessible?

By this time, I want to curl up, call it off, and stay home. That won’t do.

This leads me to people I know who use travel services that support the disabled, at a slightly higher rate. They pair people with companions. For some people, this works well. For me, I’m not really interested in this type of thing. So, I have to deal with the annoyance of creating and doing it myself. Visiting friends for this holiday is the best option.

Don’t take this the wrong way: travel is skewed to favor those who can easily do it. It brings back memories of family activities where my siblings would be able to get to the accessible places; my mother felt like she needed to stay with me, and I felt guilty over depriving her of being with the rest of the family. “Mom, I can watch,” were words often spoken. The memory hurts. Now, I don’t just watch—I join in on my own terms as best I can.

I use the “wheelchair” service, I get assistance, I have cards in large type for safety instructions, and I meet some very nice people who are there to help me get to where I need to go.

This time around I’ll connect with friends that I love. I’ll explore beaches and other places, knowing that those I’m with will understand that I don’t see the world as they do. This time I’m staying in a cute but quirky cottage by the sea—some wonderful locations that will afford me more beach time than I’ve had in almost a decade—and I’m going to eat my way through all destinations. Eating is one thing that I can do without issues! So, let the feasting begin the moment the wheels are down and I’m on terra firma!

This week I prep so that next week I can relax about it. This week, I’ll embrace the insanity and make sure it is all ready for the safe, fun, event-filled days I’m hoping for. Next week I’ll reward myself for a planning job well done. Well, that’s the plan right now.

Minor Stroke of…

*Note: This happened in 2014. The similarities between a minor stroke and grief are mind-blowing.

October 3rd was a glorious and warm fall day. Jon and I were visiting friends. The drive south was warm and sunny, and we were having a great conversation. The visit was great and we were now headed home for a nice long weekend. We were in Utrecht, stuck in traffic, and I was getting tired. I put my head down. “We need to leave for home earlier,” I said. Once again, rush hour.

Pulling into Huizen, we decided to run to the store for butter, and I stayed in the car because I was just so tired. It was then that I lost all strength in my neck. I couldn’t keep my neck up! Weird as it was, I ignored it. Jon helped me into the house and I just sat on the sofa. He made dinner and we watched television.

It was after a bit of whatever-it-was-we-were-watching that we took a pause and he noticed me. I felt terrible and my right leg and left arm felt funny. He said that my face looked like it was drooping. We called the after-hours doctors. They sent a doctor out. I knew then that something was really wrong, and that I was headed to, as Jon and I call it, the “big house.” Yet another medical adventure was underway.

After the doctor took a look and got my history, he phoned Utrecht UMC. It was determined that I would go there, as my records were there and they knew about my situation.

The best way to describe what happened to me is that I felt detached from my world, and my body was not in my control. I felt suspended in space and at the same time, as if I were a heavy, limp weight that had to be helped to do things. My right leg felt like it was suspended in mid-air. I would later be able to state that I felt as if my leg were “drunk.”

Ambulances are weird spaces. They can be disorienting and scary. Instinctively I knew I was having a stroke but I didn’t want to verbalize it. That was too terrible a concept to utter. At the time I just wanted Jon to be with me, and it seemed like it took him forever to get there. As usual, there had been a car accident, so the doctor was off with somebody else.

Finally at 2:00 am, I sent Jon home. They’d be coming for me to admit me, and he needed rest. As it turned out, I won the hospital lotto that night and was wheeled into a private room. Now that was luck! Peace was to be mine in the days that followed as my health crisis unfolded. It had only begun on that Friday evening.

Before admitting me they had done a CT scan, but not an MRI: That would be done Monday. CT scans don’t show everything and this one was no exception. I had lots of symptoms that didn’t seem to last, or make sense. By mid-Sunday my right leg felt paralyzed. As I lay there wondering what was coming next, I thought, What if my lungs shut down? What if I can’t breathe? Or, what if I die in this room all alone? Now, that got me thinking. Being alone in this situation was scary. I would later beg a nurse not to leave me in the middle of the night. He was great and stayed until I calmed down.

By this time in the process, I needed assistance in getting around. It was not fun and certainly somewhat embarrassing, but you do what you have to do to keep what dignity you can. My speech was also being affected in strange ways; it was different from anything I had experienced before. The left side of my face felt like it had puffed up, as well as my tongue, and I was speaking weirdly. I was now scared. The nurses just watched.

Throughout the entire process they kept asking me to rate the pain. The rating was never higher than an eight. I had suffered worse pain with a pancreatitis attack! They kept asking and I kept telling them where things stood.

Monday came and I wound up getting an MRI. Then it was time to wait. And wait I did.

Jon came and it felt safe. Then the three doctors came in. There were no smiles. This isn’t good news, I thought. I heard the word “stroke” and then I was swirling in words. The whole thing sounded like the voice of the teacher in Charlie Brown. I just faded in and out and thought, What have I lost? I was sure that my right leg and left arm were damaged. Anything else? I thought as I lay there taking an inventory.

I wanted to scream “STOP!” so I could process this. “STOP! You are going way too fast! I’m falling behind!” Jon was now upset and asking why they had not done the MRI sooner. Why had they not seen the stroke on Friday? We thought I had not had a stroke because of the CT scan. Yet in my gut I had known I was having a stroke. I’d just had the weekend to believe otherwise. Why had I deluded myself?

Now I had to tell my family what the real situation was. I knew this would disturb my mother—it did. She was already thinking that I’d die. Thousands of miles away, she wasn’t taking it well. I only found that out when I spoke to my sister. The friends we’d visited on Friday had contacted Jon to see how I was doing. Upon finding out now that I’d suffered a stroke, they drove up to the UMC to be there and offer support.

The nice thing about private rooms is that nursing staff will let you violate the rules with visitors. They stayed until nearly 10:00 pm. Then they left, and Jon followed shortly after. I was now alone. I had to now make a choice about medication. That seemed to be one thing I remembered in the earlier conversation.

The last thing I wanted to deal with at this point in time was vision loss. I had to decide if I was willing to risk just that. Did I want to risk going blind but still be functional? I knew it could happen. It was a chance I had to take. I had to risk taking a drug that would save my body from another stroke but could wipe out the remaining 12% of my sight. I spent Tuesday agonizing over the choice, knowing that I had to accept the pill or whatever it was I was in for. I was still symptomatic and Wednesday it was decided for me. I drank the powder that would be a daily routine until forever.

Wednesday also brought with it a friend who knew of a great rehab center that was 15 minutes from home. I am so thankful that Marion knew where I could go for the needed rehab. Sometimes you get lucky with the right information when you least expect it. I feel very fortunate that way. So, I might not have had a say in medication usage, but I did get to have a say in where the rehab was to be done. I was learning that I had to take what positives were handed to me and accept them. The anger at the negatives would come in time and all too soon.

I got lucky in that there has been no major damage. You never get well from a stroke. You can recover a certain amount of usage and strength. You can learn to manage energy wisely and move on. But, you don’t get well. That will never happen, and believing that you will get well is a myth. So, I’ve entered the recovery and learning phase of post minor stroke in my life.

I have shed tears, felt despair and emptiness, and at times feel like I’m a burden to Jon. He is listening and offering support. I know this isn’t easy on him either. It is a balancing act of allowing him bad days as well.

I appreciate that friends and family want to send kind thoughts and prayers. I think that is more of a comfort to them because somehow they feel as if they are helping. It is nice to be thought of in that way when I am so far from you. What I need is help and at this point that means phone calls and visits, as well as a meal so that Jon doesn’t have to shoulder it all by himself.

I just folded some laundry and I’m wiped out. You don’t know how much energy you consume until you don’t have any to put out. In the past few weeks my life has changed. I know it will change more. Some things will be good and others won’t be so easy. I got lucky; it could have been so much worse, and I’m thankful that it wasn’t. I will recover all I can. I will build strength up in as many ways as I can. I have begun the fight in simple ways. This is something I know how to do: the inner warrior is back. I’m ready to fight for everything I can recover.