What I Learned from a Traumatic Illness

What I learned from a traumatic illness

September 1 will mark thirty years since I contracted transverse myelitis. TM is an auto-immune disorder in which a virus attacks the spine, triggering the body to attack not only the virus, but the myelin sheath around the nerves of the spine. An attack low on the spine might bring just a little numbness and tingling. But an attack high on the spine can result in quadriplegia, ventilator-dependency, and even death.

I was affected in the middle, in the thoracic region. My symptoms began with a vague feeling of numbness in my left hand, like I had slept on it wrong. Within three hours, my left arm was numb up to my shoulder as were both legs up to my lower torso. I couldn’t walk on my own. I was having trouble going to the bathroom.

I thought I was having a stroke. That’s the only thing I knew of that would cause parts of the body to suddenly go numb.

As it turns out, a number of ailments can cause sudden numbness. There was no one test to diagnose TM. Instead, tests were performed to rule out any other possible related illness. That took eight days in the hospital.

I was sent home with a few prescriptions and a plan for physical therapy.

Thankfully, I progressed from a wheelchair to a walker to a cane to walking unsteadily on my own over the course of a few months. My ability to walk has improved, but I still can’t run, jump, hop, or walk very well on uneven ground. Oddly, my balance is often affected the most when I am standing still with no support. This is due to TM’s effect on my proprioception. I’m usually fine if I can hold on to or lean against something stationery.

I am not as numb as I was, but I still don’t have full feeling in my left hand or lower legs. I have odd little nerve sensations–feeling like something is touching me when it isn’t, feeling a sudden hot sensation where there is no heat, etc. I can’t wear my wedding ring because it causes a pinging, funny-bone sensation in my hand.

But overall, I am thankful that I recovered to the point of being able to function as I needed to, to take care of my family, and to lead a relatively normal life.

I’ve been jotting down several things I have learned through this experience, and I thought I’d share them with you. I know many of you are going through physical trials or have in the past. Though our details might vary, I hope you’ll find camaraderie and encouragement here.

The unsteady trajectory of healing. It seems that often healing is a one step forward–two steps back process, feeling better one day and worse another. Often in the first couple of years after TM, I felt my symptoms were increasing to the same point they were in the beginning. Though TM is usually a one-time event, some people do have more than one attack. But repeated attacks are also signs of multiple sclerosis. So that specter was in view whenever I felt worse.

The hidden work of healing. Sometimes assessing healing is like watching paint dry. There doesn’t seem to be any progress day by day. But over time, healing gradually takes place unawares, until finally one day we can see definite progress from the previous week or month.

Riding the waves. When my husband and I were taking childbirth classes, our teacher invited a couple from her previous class to come in and share their childbirth experience. The new mom said something like this: during labor, when she wondered how many hours she was going to have to do this, she felt weary and defeated. But if she only concentrated on one contraction at a time, she was able to get through them better. She likened it to riding each wave of a surf as it came in.

That illustration has stayed with me all these years through many applications. When symptoms flared up or I had a bad day, I thought, I only have to deal with this day, this moment.

The value of rest. The first few months after TM, if I wanted to go anywhere, I would have to rest up the day of the event. Afterward, it wasn’t a matter of making myself rest: my body crashed and I couldn’t have done anything else anyway.

But I noticed I hardly ever had a cold or any other sickness during that time. I realized that maybe rest was nipping any other colds or viruses in the bud. When I began having heart rhythm issues, I couldn’t take decongestants any more. So rest and Tylenol and cough drops at the first sign of a cold became my go-to treatment. Most of the time, I got over them much faster than usual.

The need to strive. This sounds like a contradiction to the need for rest. It’s hard to balance sometimes. Usually we don’t know we’ve overdone it until it’s too late. But we don’t generally make much progress unless we stretch ourselves beyond what’s comfortable.

The value of an ordinary day. When I was in the hospital and recovering at home, one of the things I most wanted and missed was just an ordinary day like I’d had and hadn’t appreciated before.

The value of my work. As a homemaker, I can sometimes feel my work is not as important as other people’s. But when I couldn’t do my work and saw the extra pressure it put on everyone else to do what I always did, it helped me realize that I did have a helpful contribution to making family life go smoothly.

The value of help. People from church brought meals, cleaned bathrooms, babysat, prayed, sent cards, and let us know they cared. A group of men installed a handrail on the stairs and safety bars in the bathroom.

People often wonder what to do to help in a crisis. It varies according to the person and the situation. But I’d encourage praying about it and then doing what the Lord lays on your heart. For instance, one lady brought over a puzzle, and she and my oldest son sat and worked it at the kitchen table while we talked. We’d had to go back and forth to so many doctor’s visits, either taking the kids with us or to babysitters, and that quiet activity was a balm. Yet if someone had asked me what I needed, I never would have thought of a puzzle and quiet conversation.

The mental cost. This is something I didn’t realize until a few years ago. I was reading of a woman who had been in a horrific accident where she was hit by a bus, flying through the air until she landed on the street with multiple broken bones. On the one year anniversary of her accident, she wrote that she had healed physically, but still suffered triggers that affected her mentally and emotionally.

That statement was like a light bulb coming on in my mind.

For maybe a year or two after TM, I suffered from panic attacks. I didn’t tell anyone. This was in an era when many Christians were adamantly against psychiatry. We had seen a documentary about the dangers of Xanax. I was afraid of being shipped off to a psychiatrist and being put on psychotic drugs.

In fact, I was given Xanax while in the hospital, but no one ever explained why. I don’t remember that it had much of an effect. But I didn’t want to continue it.

So even as I healed physically and enjoyed time with my family and getting back to church, I didn’t realize that I was still shaken up mentally and emotionally. I think part of it is that the world no longer felt secure. We know that anything can happen any time–but when it does, life doesn’t seem safe any more.

In truth, this world was never meant to be our safe place. Our shelter and security comes from God. But it takes a while to remember that, or to apply it in new ways, when our lives are severely shaken.

Mental and emotional healing may take just as much of an up-and-down trajectory as physical healing and may leave us with limps, scars, or tender places.

Things evened out over time, but I wish I had talked to my neurologist or primary care doctor.about all this while it was going on. Thankfully, we understand mental issues better now than we did then.

Lessons from limitations. I’ve written about this before, but one of the biggest lessons was that even though I couldn’t do everything I had done before, that didn’t mean I couldn’t do anything. We all face limitations of some kind–physical, financial, relational, season of life, etc. Our limits don’t hinder our ministry: they just define it.

Happy stress is still stress. A nurse shared this with Mittu when Timothy was in the NICU for 10 1/2 weeks. It rang a bell with me, too. Even with events I am dearly looking forward to, I have to pace myself.

Faith during uncertainty. For the first couple of years after TM, I never knew what my symptoms and capabilities would be any given day. I felt bad when plans with the family had to be canceled, though they were understanding. I didn’t know how long symptoms would go on or what level of recovery I would eventually reach. I was used to getting medical problems fixed, either with medication or a procedure. Living with the unknown for so long was wearing, but it caused us to rely on God moment by moment and trust Him for the future.

The joy of finding others. We got our first family personal computer about six weeks after my diagnosis, and transverse myelitis was the first thing I looked up. I found an email subscriber list of TM patients and caregivers. No one else I knew outside of the medical community had ever heard of TM. To find people who knew what I was talking about, who could answer questions and compare notes, was a godsend.

Dealing with “what ifs.” We lived in a split-level house, and I couldn’t use the stairs at first. Would we need to move? I had three sons, the youngest just two years old. Would I be able to take care of them? We had just started our second year of home schooling. Would I be able to continue? About a third of TM patients don’t regain anything they lost at onset. What if I didn’t? Or what if it got worse? What if I developed MS? What if the doctors missed something? Living with uncertainty isn’t comfortable, but God’s Word assured me He was with me and cared for me. I didn’t know what the future held, but I could trust Him to meet my needs and lead us day by day.

It’s okay to have bad days, to cry, to lament. I used to think that in order to be a good testimony, I had to project “victory” and positivity all the time. That’s not only inauthentic, it’s unrelateable. In the psalms, we see people pouring out their confusion, questions, anguish, physical, mental, emotional, and spiritual pains. Eventually they remind themselves of what they know to be true about God’s character and ways, and they rest in Him even though the circumstances may not have changed.

The comfort of Scripture. Finding help and hope in the Bible was not new to me, but God’s Word helped me in special ways during this time. For example, the night before I was scheduled for an MRI, nearly every medical person who came into my hospital room asked me if I was claustrophobic. I didn’t know–I had never been in a position to feel claustrophobic before. I wanted to tell them that their questions were making me feel claustrophobic! I was told that they could give me something to calm my nerves, but it needed to be done a certain amount of time before the MRI. I opted not to take anything.

They stressed to me the importance of being still in the MRI machine. Before the MRI, the verses from my Daily Light on the Daily Path devotional were all about being still: “Sit still, my daughter” (Ruth 3:18); “Be still, and know that I am God” (Psalm 46:10); “Commune with your own heart upon your bed, and be still” (Psalm 4:4), and others. Those words kept running through my mind while I was in the MRI machine, and I remained calm. I even dozed off.

In the following months, other verses stood out to me. “The Lord strengthen him upon the bed of languishing: thou wilt make all his bed in his sickness” (Psalm 41:3); “In all their affliction he was afflicted, and the angel of his presence saved them: in his love and in his pity he redeemed them; and he bare them, and carried them all the days of old” (Isaiah 63:9); “And he said unto me, My grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities, that the power of Christ may rest upon me” (2 Corinthians 12:9), “Though he cause grief, he will have compassion according to the abundance of his steadfast love; for he does not afflict from his heart or grieve the children of men” (Lamentations 3:32-33), and so many others.

How about you? What has God taught you and how has He helped you in illness?

1 Peter 5:10

(I often link up with some of these bloggers.)

A public service announcement concerning walkers

No, not the walkers babies use, but the ones the elderly or disabled use.

1. Do not pull or jerk on the walker, even if trying to help the person over a bump. There are several reasons for this:

  • It throws them off balance.
  • The walker is an extension of themselves and it is an invasion of their personal space as much as if you pulled on their arm.
  • It can make them feel helpless and embarrassed.

Sometimes, however, the person may appreciate a little assistance if they are having trouble maneuvering. If you see someone trying to get their walker up a step or over a hump, be patient and observe for a moment and see if they are doing all right or seem frustrated. If you think they might like help, offer first. “Mrs. Jones, can I help you get your walker over this step here?” Don’t just jump in and jerk it. Gently lift it, especially being careful if they are leaning on it for balance: you may need to let them take your arm as well, depending on whether they can balance on their own for a moment or need help with a step.

2. The person with a walker usually understands that he or she is a little slow and you may want to get around them, and that’s fine, but please don’t cut in too closely — the sudden movement and closeness can also cause balance to waver.

3. Some people can’t stand long even with a walker. They would love to talk with you, but may need to sit down first.

4. If you see someone coming with a walker, please move out of their way. Often they feel conspicuous and cumbersome and are embarrassed to ask. Some are not, though, and will just call out a cheery, “Beep, beep!” or something similar — please don’t be offended.

5. Similarly, please don’t be offended if they accidentally bump into you. Sometimes, especially with older people, their depth perception is affected as well. Some might not even be aware that they bumped you, but most would be horrified.

I am writing both from the perspective of having used a walker for several months after TM, but also from my elderly mother-in-law’s perspective now. I think most people mean well, but have just never thought about or experienced some of these things from the point of view of one using a walker. A little patience and thoughtfulness are much appreciated.

Please feel free to share anything I may have forgotten or not thought about, but please keep it positive. I don’t want people to think we’re ranting or griping at them, but rather just informing and educating.

Time Travel Tuesday: Accidents or illness

My Life as Annie’s weekly Time Travel Tuesday question for today is:

What’s the most serious accident or illness you have ever had?

When my oldest son was about nine months old, I had to have gallbladder surgery; when my second son was two years old, I had to have half my thyroid gland removed due to a marble-sized (and thankfully benign) nodule. So when my third son was born, my doctor joked, “What body part would you like for me to remove now?” I assured him I’d like to keep the rest. But when Jesse was almost two, one morning I was going about my normal routine when my left hand started to feel a little funny, like I had slept on it wrong. I kept shaking and flexing it while making my husband’s lunch for him to take with him to work, but the numbish feeling was increasing and climbing up my arm. Then the same sensation began in my feet and climbed up my legs. Within a few hours I could not walk on my own and was having trouble using the restroom. One eyelid began to droop. I thought I was having a stroke. A trip to two ERs on the longest day of my life, eight days of hospitalization, and multitudes of all sorts of tests later (told in more detail here), the diagnosis came back: transverse myelitis.

My first reaction was, “What?! Who has ever heard of that?”

Thankfully my doctor had. I learned much later that this can often be missed or misdiagnosed. Teens who get it, in particular, are often accused of it all being “in their head.” The problem is that there is not one definitive test for it. They have to test for and rule out multiple sclerosis, lupus, Guillain-Barre syndrome and multitudes of other ailments before making the diagnosis.

Transverse myelitis basically involves a virus making its way to your spine. It can often occur after a viral illness or a vaccination, though in my case and many others it comes seemingly out of nowhere. There are some similarities of symptoms but there are some differences depending on where along the spine it hits. The higher up the inflammation, the worse the damage. Some people recover completely or very nearly completely, some don’t recover much at all, and many of us have some recovery with some long lasting nerve damage. The last scenario is my situation.

I had a three-day course of iv steroids in the hospital and then began three months of physical therapy at home. Gradually I began to walk with a walker, then a cane, then somewhat unsteadily on my own. The first two weeks were exhausting: cleaning up with a little “sponge bath” in the hospital and sitting up in the chair for the nurses to change my bed sheets left me drenched with sweat and crawling back into bed to sleep for hours. Gradually energy levels improved, but I still don’t have a lot of stamina. My balance is still sometimes a problem, more so when I am standing still than when I am walking (my physical therapist gave me a name for that, but I can’t remember what it was). My right leg doesn’t feel pain or cold; my left hand has a delayed reaction to pain. There are still numbish feelings (not totally asleep and without feeling, but not normal sensation) in both legs and my left arm — thankfully my right arm was never affected. I get muscle spasms in my back and wear an Icy Hot or Absorpine Jr. pain patch almost daily. There are still a few “bathroom issues,” but I’ll spare you the details. 🙂 It’s much better than it was, however.

But I am thankful it was no worse and that I recovered enough to basically be able to function as a wife and mom. I am thankful for the prayers and support and practical help of friends and church members. I am thankful that God is “our refuge and strength, a very present help in trouble (Psalm 46:1). I am thankful for God’s Word and the strength it imparts and the promises it gives, such as in II Corinthians 12:8-10:

8 For this thing I besought the Lord thrice, that it might depart from me.

9 And he said unto me, My grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities, that the power of Christ may rest upon me.

10 Therefore I take pleasure in infirmities, in reproaches, in necessities, in persecutions, in distresses for Christ’s sake: for when I am weak, then am I strong.

One of my reasons for starting a blog was to be a help to others with TM, and my “pages” in the upper right-hand corner list several more posts concerning dealing with TM.

The other part of Annie’s question had to do with accidents. Thankfully I’ve never had a serious one, but the only one in which I was in the car (one other occurred when I accidentally left the car in Drive at the top of a hill while I got something from it to return to a friend, but it rolled down and hit a tree with no occupants) occurred in college when Jim and I were engaged and I was driving his car with a bunch of girls home to the dorms from church. An oncoming car swerved into my lane, hit me, and then swerved back into his lane and went on, never stopping. The car was totaled, but no one was hurt, thankfully. And, thankfully, a faculty couple was behind us and saw the whole thing and was able to give a statement to the police and help us get back to school. And my fiance was in a car with a bunch of guys coming home from church also: they normally didn’t take the street we were on, but did that night and came upon the accident, so he was able to give the police the car registration and insurance information. So, though it shook us all up at the time, it was relatively minor, as accidents go, and we were able to get that first “Honey, I put a dent in the car…” hurdle out of the way before we got married. 🙂