Sunday, August 10, 2014

Waiting for Gilligan: Part 2

There was an oft-repeated joke about the Professor on Gilligan’s Island and it went like this: If he could make a washing machine from bamboo, a Geiger counter from spare parts, and jet fuel from plants, why couldn’t he fix the boat and get the castaways off the island? In similar fashion, the Well Spouse who has been rudely thrust into the new role will ask the same question. Why can’t it be fixed? Almost every week, it looked as if the seven hapless victims of the Minnow’s wreck would finally be rescued. Alas and alack, by the time the credits rolled, all hope had been dashed on the same rocks that wrecked the Minnow and the castaways found themselves sitting around the same campfire, lamenting their fate.

It took us 26 surgeries to realize that, for Ron, more invasive procedures would not help the situation. In fact, his abdominal muscles were so weakened by so many repeated surgeries and his immune system so compromised by repeated infections, that he developed an enlarged heart, suffered mini attacks, and eventually needed to have a pace-maker/ defibrillator installed. I wonder what parts from the Island the Professor would have used for that?

One of the many roles of the Well Spouse is to continue to be optimistic, even when it appears all hope is lost. I was exhausted by surgery number 20, willing to throw in the towel and admit defeat. The mountain of medical bills had grown proportionally with each procedure. But Ron accused me, more than once, of “not wanting him to get well” (yeah, because I liked all the burdens I was carrying so much), so we ploughed ahead. After every surgeon we consulted—and the list was immensely long—vetoed anymore surgery, we began to look for alternative means of relief.

While Ron continued to hope for a miracle, I came to realize a few years into this insane journey that not only would rescue not come, a miracle cure was also a remote possibility.  Here is where the cheer-leader role of the Well Spouse gets a little murky. We want to believe in a cure, but our feet are mired in clay. We have also come to suspect—as our Ill Spouse has not—that we are too far into the journey to ever go back. Ron might want to turn back the clock fourteen years, but the kids have grown and gone on with their own lives. And, to a large extent, so have I.
Because there is no rescue for us. We need to learn to rescue ourselves. We remake ourselves each and every day. We find our own places of refuge—a few moments with a cup of tea on the back porch, a fifteen minute trip to the bookstore, an evening out to dinner with a friend. I made a very conscious decision at Year Two of this journey as the Well Spouse: I could not let this control my life anymore than it had to. I could not lose myself in what was only one aspect of me. I was sorry as could be that the illnesses needed to control my husband, but I refused to let it destroy me or my kids.

I’ve made good on my promise. Despite the hospital trips and the medical bills and all the things I need to do as the Well Spouse, I think of myself foremost as writer and teacher, not care giver.  I recognize that I have gained much these last fourteen years. Even if Ron were to be cured tomorrow, there would be no going back.

Gilligan’s Island lasted for three years. We watched each week as yet another potential rescue was thwarted , usually by Gilligan. The end of the third season left the Castaways on the uncharted island because, at the time, a fourth season had been planned. In 1978, the seven passengers of the S.S. Minnow appeared again in Rescue from Gilligan’s Island. After 15 years, they returned to their own lives, only to find that things on the mainland had changed. Eventually, a planned Christmas reunion aboard the Minnow II led to another shipwreck, with the cast once again back on the island. There was a sense of relief; this was what they knew. This had become home.

My life as a Well Spouse is not easy; sometimes it is darn hard. But it is what I know. The roles I need to fulfill, for Ron and for my students, are familiar to me. I no longer look for rescue. I no longer need to be rescued.

I figured out how to rescue myself.
Gilligans Island title card.jpg

Wednesday, August 6, 2014

Waiting for Gilligan-Part I

We are at Hahnemann Hospital in Philadelphia for the second day of Ron’s ketamine infusions and I am pretty much done the school work I have brought for the 5 hour wait. Now I am reading, knitting, and writing. The knitting is a shawl begun last week at Bethany beach and is almost finished, the book is Marian Cohen’s Dirty Details, and the writing is this, my ever-present journal which sometimes transfers to my blog but may just as often stay trapped inside the paper covers. An orange “CRPS” awareness bracelet –a gift from Danielle’s mother this morning—is on my right wrist. I read some of Dani’s blog last night, a cheerful account of her own battle with complex regional pain syndrome. When I saw Dani yesterday, after her treatment, she was not so cheerful but was in intense pain. On the way up in the elevator this morning, Dani’s mother commented, “It is so hard to have an ill child.” I nodded in agreement, knowing that having an ill spouse is no picnic either. As we exited the elevator and steered our patients towards the infusion room, she asked me, “What do people do who have no caregivers?”
No idea.
I do know that I am, in this waiting room off of Broad Street, finding other Well Spouses—or well parents—and benefitting from the shared experiences. Despite whatever initial event –accident, surgery, stroke—brought them to this place, we all share a hard-won knowledge: no one is coming to rescue us.
Most of us felt, in the early days of our journey as well spouses or care-givers, that surely this could not now be our lives! It had to be a cruel joke, this sudden thrust of total responsibility for another’s care and feeding. Far different than suddenly being sent home with a new baby to cuddle, the people we came home from hospitals with were ill, sullen, demanding, and messy. There were no cute smiles or gurgles, no playing “this little piggy” with feet often too painful to wear shoes, no welcoming gifts in pink or blue paper.
“This cannot be it!” we all thought. “Surely we will get help. Surely the—fill in the blank here with universe, God, government, hospital, the good people at State Farm—will not allow this sorry condition to continue.” So, at the beginning, we fulfilled our given roles as caregivers as cheerfully as we could, convinced it would be temporary. We would, sooner or later, be rescued. Like those castaways on Gilligan’s Island, we lived in hope.
It was not so bad, at the beginning. We got some help from friends and neighbors, people at work or at church. They would stop by now and again, bringing a hot meal or offering to do a load of laundry. It is what I came to think of as the “novelty phase.” Just as new grandmas are eager to help out the exhausted new mother, people came.
But a chronic illness does not go away. The well-meaning, good people with casserole dishes go back to their own lives. “Call if you need help,” they say in parting. And we caregivers nod, knowing that we will never make the call. There will be no rescue.
Cohen, in Dirty Details, admits to having tantrums when she realized that rescue would never come. My method of dealing with it all was different: I accepted every burden, every messy task, every indignity as my due. Retribution, perhaps, for some forgotten sin. I suffered for years in a strained silence, waiting for rescue, praying for rescue, but never asking.
I would pass fellow teachers in the hallway and wonder why they did not see my Well Spouse status and offer me—I don’t know—an out? An arm? A prayer? Something. Anything.
But Well Spouses have what Cohen calls an “invisible disability.” When we are with our Ill Spouses, helping them negotiate walkers down hallways, someone will open a door or offer to carry a bag. But without our Ill Spouses by our sides, no one can see our disability. We are still disabled, still working too many hours to support a family that used to have two incomes, still going home to cook dinner and change the catheter bag, relieve the day nurse, run the vacuum cleaner, make a meal our Ill Spouses can digest, run endless loads of smelly laundry, then collapse into a boneless heap after our Ill Spouses are settled for the night, knowing that a solid night’s uninterrupted sleep is a myth.
If only, as Cohen states, the would-be rescuers would not wait to be called but would offer substantive help, such as, “I’m coming over on Thursday night to watch the game with Ron, so take the evening off”, or “I’m headed to the market on Monday. Give me your list”, or “I made two roasts last night and I am dropping one off.”
Some of these things have happened from time to time and I have been grateful. I do not mean to complain. But my Ill Spouse’s problem is not an appendectomy that will be healed. Ron is, like so many, chronically ill and has been for fourteen years. We deal with the after-effects of the accident—TBI, CRPS, COPD, atonic bladder, depression—on a daily basis. We have come to accept them as members of the family, here to stay.
Here is where I, along with Cohen, make the impossible wish; all of you who are friends of the long-suffering Well Spouse or Well Parent need to get together and work it out. Not a once a year benefit to pay for out-of-pocket medical expenses—although it would be nice if even one of Ron’s $225 ketamine treatments could be covered—but on a permanent basis. Offer, say, to do the marketing once a month or clean my house every second Tuesday or visit Ron during the World Series. Take my Ill Spouse to the barber every six weeks or maybe buy us dinner on a day with an “e” in its name. Anything, as long as it is consistent and done willingly—not out of guilt—without waiting for the Well Spouse to pick up the phone.
Because a woman or man who works sixty hours a week at three jobs, who spends  evenings doing housework and laundry and caring for the Ill Spouse, who tries to squeeze in some church ministry, who can only do any writing before the sun rises, is not going to pick up the phone and call you. There is just no time.
So, like those castaways on Gilligan’s Island, we know there will be no rescue. But we continue to look for that search plane in the sky, the one that will finally and forever take us off the Island of the Well Spouse.