Seanan McGuire (seanan_mcguire) wrote,
Seanan McGuire
seanan_mcguire

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Invisible conditions and the hyperkinetic author.

This is National Invisible Chronic Illness Awareness week, which is something I consider to be genuinely important. We're an appearance-based society, to a large extent, and "you don't look sick" is a far-too-common statement. talkstowolves has posted about her experiences living with temporomandibular joint dysfunction (TMJD), as well as a variety of other conditions. It's very eye-opening. Meanwhile, jimhines has posted about the frightening financial realities of diabetes.

I don't have an invisible chronic illness. What I have is an invisible chronic disability. At some point during my early to mid-teens, I managed to severely herniate three disks in my lower lumbar spine (L3-L5, for the morbidly curious). Because I was extremely overweight at the time, every doctor I saw for more than ten years said "lose weight and the pain will go away," and didn't look any deeper to see why a twenty-three year old woman was staggering into their offices screaming whenever she put her foot down and unable to straighten without vomiting.

Because the body learns to cope with things, I eventually recovered enough mobility to decide to do what the doctors were telling me, went on Weight Watchers, and lost over a hundred pounds. This wasn't as hard as it might have been, because I am a) a naturally picky eater and b) naturally really, really, "was walking a mile every morning to the convention center at the San Diego International Comic Convention, because that calmed me down enough to move calmly through the crowds" hyperactive. So "here, eat lettuce and do aerobics," not exactly the most difficult thing I'd ever heard.

Sadly, it turned out that the doctors were wrong. Being severely overweight may have made things worse, but it didn't cause the injury, and a year and a half of hard aerobics definitely made things worse. In the fall of 2007, I began experiencing numbness of my right side, culminating in losing all feeling in my right leg and nearly falling into traffic when I suddenly couldn't walk. That's when a doctor finally slapped me into an MRI machine, went "oh, crap," and started dealing with my actual injuries.

I look totally healthy. I walk quickly. I move sharply. I am 5'7", reasonably young, and apparently able-bodied. But sometimes I sit in the "people with disabilities" seats, because I literally can't stand on the train for the duration of my commute. Sometimes I glaze over while I'm talking to people, because my sciatic nerve has started screaming like my leg is full of fire ants, and I'm trying to figure out a polite way to excuse myself to go take painkillers. Sometimes I keep walking at a crazy death-march pace because I can feel the numbness creeping back, and if I don't get to my destination before I lose the temporary use of my leg, I'm going to be stuck. That's just how life is.

We may eventually pursue surgical solutions—right now, I'm doing physical therapy, restricted forms of exercise, and trying to work out a detente with my own limitations. They aren't bad enough to qualify me for full-time disability, just bad enough to be inconvenient, invisible, and keep me off roller coasters. Sometimes I meet people who blow off my limits as "whining" or "being lazy." They don't stay part of my life for long.

So please, this week, and every week, remember that appearances are deceiving; like books and their covers, you can't judge a person's health by how fast they're moving. They may just be outrunning the collapse.
Tags: contemplation, medical fu, state of the blonde
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  • 165 comments
I feel quite strongly about this concept. I don't personally have an invisible illness or disability, but I got dirty looks on the bus when I asked if I could sit, a few days after knee surgery (I asked my doctors for a knee brace, so if my knee decided to give out and flat-out drop me, which it did a few times, people would realize it was an injury thing, and the doctors said no, and they told me not to use crutches after the first post-op day). Generally, I look like a somewhat chubby 27 year old in average health (though I still get carded for rated R movies, so maybe I look like a semi-chubby teen in average health). My husband is significantly overweight, and has gotten the "just lose weight" line from doctors before. He went in for a sprained ankle that he twisted at work due to a customer almost running into him with a shopping cart, and the doctor, without even looking at his ankle, said "it's because you're fat", and didn't give him anything or offer any advice at all. Other than his weight, he's generally quite healthy (there was a life-threatening issue recently, but it's unrelated).

As a more severe example of what you're talking about, there's my uncle's long-time girlfriend. I can't remember the name of what she has, but it's a hereditary condition, and it generally kills you by the time you're 30 or so. She was on a waiting list for both new lungs and a new heart, but she took herself off the list, since they weren't sure it'd prolong her life significantly, anyway. She's currently receiving experimental treatment through UCLA, and she has a tiny little medication dispenser attached at her waist/hip, like some diabetics do. Otherwise, she is a healthy-looking, very pretty 29 year old, with tattoos and a punk hairstyle, and people give her the dirtiest looks when she parks in a handicap spot (she does have a permit, but because no one can easily SEE the disability, they assume she's a horrible person). It's not obvious from looking at her that my uncle's found her not breathing and without a heartbeat twice before, or that she can't walk very far without tiring, or even watch much in the way of scary movies, in case it gets her heart rate up too fast and sets it out of whack.

So, thanks for posting about this. Really.
You're very welcome, and wow. I wish your uncle's girlfriend wasn't providing such a reality check for people who think everyone with a disability is visible from space.