distance and connection.

DSC04719 

I'm taking off this week so I've had more time to think and write and even try something new. Yesterday's post talked about the pursuit of balance and in that spirit, I called a local yoga studio and booked an appointment for a private yoga instruction. It turned out that they could see me that afternoon, yesterday, no need to wait. Wow, snip, snap, here's a chance for some balance missy. Or at least some real movement towards it, towards trying to have more. Ask and the universe provides! Or something like that.

So I went and today I'm surprisingly stiff and sore but also very happy and more relaxed than I've been in ages. It was great and scary and promising. I had a great conversation with the instructor about my health history, my fears and concerns, my hopes. She was wonderful and as we talked, I had a revelation. A big one.

Over the years I've done a lot of thinking about diabetes. I've developed the mental side of the coping and healing process fairly well. Lately however, I've been feeling like that aspect of healing hasn't been enough. Over the years of living with diabetes and dealing with all the physical challenges it presents, I realize that I've come to create a distance from my body as a way to cope. When you don't have diabetes and you prick your finger until it bleeds, you notice. You might say ouch loudly. You might wince and shake the finger and suck it to feel better because, hell, it hurts. And then you move on. But not me. I've done that hundreds of times, thousands of times, and continue to do it many times a day. To cope, I don't think about it. I numb myself to the pain. I numb myself to the intrusion. I numb myself to the assault. Because I have to be able to keep doing it to stay healthy and ultimately, alive. And over the years, that need to numb myself to the physical pain and intrusion of diabetes (and all the other related stuff it brings like frozen shoulder and tangental surgeries), has created a distance between my heart and my body. A distance that makes perfect sense, but is at odds with the idea of balance and integration and unity as a whole person. 

Wow! That feels like a big piece of the puzzle. A very big one!

So there I was in this room with a stranger and we lay on the floor and breathed and moved slowly and in small ways. Laying the small of my back to the floor and then lifting it. Breathing in, breathing out. Simple and yet so very profound. Slow enough that my blood sugars didn't crash as is so often the case when I exercise. Slowly so that I could connect my breath to my back and abdomen and hips and legs and arms. And yes, I felt my pump site too and had to adjust the clip a couple of times to do the moves I was being asked to do. But it was ok, and not too scary because it all happened so slowly, flat on my back, with the floor there to support me the entire time. 

I feel good today. Because of the revelation and because of the effort I made to move to a new place. I feel excited about learning how to find the balance between healthy coping distance and healthy body connection. It's a delicate balance and not one I think I'll find over night. I'm not even sure I'll find it through yoga, but what I am sure about is that I will find a better one than I have right now, and that alone will be better. 

starting a new kind of balancing act.

DSC04898

For the most part I accept the fact that I have diabetes. At times I rail against it, but deep down I know that it is what it is. After writing this blog for couple of years now I have come to feel a far greater peace about what diabetes means in my life, the struggles, the annoyances, the discomfort and the down right boredom that accompanies the unending routine of it all. In a word, I've accepted the reality of life with diabetes.

What I want now is to actively balance that reality where I can. With all the discomfort diabetes brings, I want more comfort in my life to offset it, period. Which means I want a new couch, down filled, like a cloud in heaven that I can fall into at the end of a long, busy day. I want clothes that don't constrict me even though I can get away with looks that are far more "body hugging". Not dowdy but no more discomfort just for styles sake. More comfort where I can get it because I have to be uncomfortable on an ongoing basis, thanks to diabetes and all the bleeding and poking and inserting and ripping out it requires. I'll deal with that discomfort yes, but I'm getting that new couch to fall into too, thank you very much.

Diabetes also makes me feel weak sometimes. I can feel literally weak when I'm low or high, and emotionally weak when I'm worn out by one too many nights up dealing with this or that diabetes related task. Or because I've been on the inevitable blood sugar roller coaster. I also feel weak because I'm still recovering from my 2nd frozen shoulder, and still healing from the surgery in the first one for the frozen shoulder there. Between the two of them, it's been 4 years of shoulder issues and pain (with an unrelated surgery thrown in for good measure), which means I'm not too strong in my upper body. I feel weak physically and that has me feeling weak emotionally. Well in the spirit of this new way of looking at things, I also want to bring balance to this aspect of my life with diabetes. I want to get stronger so I'm starting yoga, very slowly, very, very slowly, but starting nonetheless. Where I can I want to balance my sense of weakness with a growing sense of physical strength. Where I can, when I can.

You know, this is turning out to be an interesting exercise. Taking an aspect of diabetes and seeing what the opposite to that aspect might be and then actively going after it as a counter balance is a pretty amazing thing. Acceptance, at least in this case it seems, can beget opportunity! If diabetes is this, what is it's counter balance? Uncomfortable physically? Find more comfort physically. Weak physically? Find ways to get physically stronger. Tired and worn out? Find ways to get rest, or time out, or be still. Ying and yang. No and yes. Diabetes can definitely suck but I have it, regardless of that fact. So I'm starting to see what opportunities it offers to find pleasant, healing balance. I'm starting to at least see and test the idea more deliberately. Because at the end of the day, diabetes is what it is, so really, what have I got to lose?

DSC05861


more gentleness.

DSC05835 

I been thinking about gentleness lately. Gentle isn't the first place I go when dealing with my diabetes that's for sure. For so long I've felt hindered by the regimen of my life with this disease, annoyed by the many tasks it imposes and all the little details I have to attend to because of it. I've lived with a low grade feeling of irritation in my life because of all the little physical intrusions and the unending nature of diabetes. 

Well just recently it's started to occur to me that a lot of that irritation I feel has actually been directed at myself. I've internalized the feeling to such a degree that in a very real way, I blame myself for having got this disease and worse yet, for having to live with all the annoyances and worry and discomfort that it brings. Only now am I beginning to really see how much I blame myself for having diabetes.

This is strange to me. And sad. It doesn't make sense and yet, there it is. I've been kicking myself in ass about this disease in one way or another for the last 22 years. Amazing!

Which brings me to the subject of gentleness. I've written about it a couple of times in the past, but given how many posts I have written overall, it's most certainly not a theme I've consistently explored. For some reason now though, slowly, slowly, gentleness, as a concept, as a healing tool, as a practice, is coming to mean a lot more to my picture and experience of living with diabetes. It's only a formulating idea at this point. I honestly don't exactly know what "more gentleness" looks like yet, but I plan to actively pursue it going forward. Does it mean something as simple as more massages in my life, or maybe a day off here and there for no particular reason? Or maybe it's just permission to linger a little longer when I'm doing something that's enjoyable, like reading one more chapter of a great book rather than doing that "pressing" chore, this very minute. Or maybe it's just sitting in the sun and just being still for a while. Still, open minded, quiet. I really don't know yet, but I do plan to start finding out more consciously what more gentleness looks and feels like for me. I've learned how to take shots and blood tests and carb count and wear the pump so it seems like learning how to be more gentle to myself is a skill development I can tackle. Given all that I know how to do for the technical maintenance of my disease, it seems high time to get better at the care and feeding of my heart and soul in the process. And learning how to be more gentle to myself seems like a excellent place to start!

there is much to be grateful for.

DSC05614

It's been a couple of weeks since I've posted here. I keep asking myself if there's something I want to write about vis-a-vis diabetes and the answer keeps coming up no. Not no emphatically or full of emotion. Just a quiet no, like there's nothing much to say about it right now. Which a good thing quite frankly, because it represents a new level of acceptance and equilibrium around the subject of this disease in my life. Diabetes still rocks and rolls, it still messes with my plans and my day but for some reason that fact doesn't seem to upset me quite so much lately. And I think that is, in great part, because of being able to write this blog to a caring audience and in return, receive such kindness and support from so many people out there. This blog started out as a voice in the dark and what I've found over the past few years is a place of great warmth and lightness and comfort. Which I carry with me everyday, which means I'm less frantic about it all for longer periods of time. It's not to say that I want to stop writing this blog or that I won't need to use it to rant or grieve again, but for now, for this period I feel a new level of peace I've never experienced before. Peace, acceptance and though I'm still sad about all diabetes means and brings to my life, it seems to weigh a little less heavily on my soul these days. Which is, quite simply, a great relief.  

And for that, this quiet, lighter period, I am forever grateful to everyone who has read this blog and commented and sent strength and validation and kind wishes when I've needed them the most. Oh yes, there is much to be grateful for!

"when thumbs up is no comfort"

DSC05333 
Did you see the article, when thumbs up is no comfort by Jan Hoffman in this Sunday's New York Times? What a wonderful essay about how our culture approaches illness and disease (cancer in this case), about how we generally expect people dealing with health issues to buck up and inspire us, among other things. "'Whether you're a celebrity or an ordinary person, it's obligatory, no matter how badly you're feeling about it, to display optimism publicly', said Dr. Barron Lerner." The article goes on to question this cultural norm, articulating the pressure it can put on the person dealing with the disease or chronic illness. "While many patients are inspired by celebrities, others feel guilty for not being as upbeat as the celebrities appear, and angry that the gravity of the disease may be misrepresented. By being constantly reminded that they should keep their chin up, patients implicitly believe that emotional wobbliness will adversely affect their outcome." 
 
I'd go further to say that the pressure and expectation to always "keep one's chin up" can drive a person to denial or the dismissal of the magnitude of the reality of the situation at hand because, hey, at least it's not, insert "worse disease" here. Conversely, a person can come to feel that there's something fundamentally wrong with them because they can't maintain "a happy, brave face" day in and day out. I remember when I was first diagnosed with diabetes that a number of people, both friends and acquaintances, said to me that I should feel lucky because at least I didn't have cancer. On one hand I'm sure that they were trying to "look on the bright side" of what had in fact happened to me but the underlying message was so dismissive and erasing of the experience that I was actually having. I'd just been diagnosed with diabetes, a life threatening, unending, difficult disease that now meant that I'd face struggles both big and small, every single day of the rest of my life. Yes, it wasn't cancer, but still diabetes wasn't exactly a walk in the park either. For years I've struggled with the deeper pressure those comments implied, that I was supposed to feel lucky that I'd only gotten diabetes given all the diseases I could have, and as such, should put on a sunny face and get on with it. 

The truth of the matter is that it's only been through not always being upbeat and cheery about having diabetes that I've actually been able to find some of the inner strength and wisdom to use this experience as fuel to a more joyful, present and authentic life. And that strength and wisdom has only become apparent to me recently, and exists only tentatively even now. The point is that this is a dimensional, emotional and physical process, one fraught with challenges and joys, two steps forward, one step back, taking on many forms and expressions along the way.  For some this is a battle, for others a journey, but for everyone it is at it's core, a personal process and as such, unworthy of one, narrow cultural prescription. Again the article articulates this idea nicely, "'Metaphors don't just describe reality, they create reality", said Dr. Gary Reisfield. "You think you have to fight this war, and people expect you to fight." But many patients must balance arduous, often ineffective therapy with quality-of-life issues. The war metaphor, he said, places them in retreat, or as losing a battle, when, in fact, they may have made peace with their decisions. To describe a patient's process through illness, he prefers the more richly ambiguous metaphor of a journey: its byways, crossroads, u-turns, it's changing destinations; its absence of win, lose or fail."

I couldn't agree more. 

taking that extra hour.

DSC04610 
Diabetes is a series of discomforts.  At it's best, it's forgotten for chunks of time.  The longer the better.  I've spent my many years with diabetes trying to minimize the discomforts and maximize the times when they recede.  For the longest time, most of my time with diabetes as a matter of fact, I didn't realize this was how I was living, but now I see it.  And though it's sad at it's core, the reality of it has become normal for me.  

Well a funny thing has happened to me lately.  For some reason I've been having these moments of clarity that strip the emotion from the situation and leave in it's place, an insight that I can use in making the reality of my life with diabetes better.  Like the realization about the discomforts of diabetes and the time in between.  Before it was just how I went about my life, sad or angry or tired in the uncomfortable times and blissfully unaware during the times in between.  But now that I see this pattern I realize that there's some very intersting and profound truths about it.  One's that I can use in making things better for my life overall.  Minimize the discomfort, maximize the pleasure.  I'm beginning to see that I can embrace that already existing pattern and actually mindfully pursue it, rather than just exist within it.  What I see is that in seeing the pattern, I have more ability to amplify the process.  I can actally actively minimize the discomfort, maximize the pleasure.

This insight is changing how I'm looking at my life these days.  Before I might have thought this was a selfish way to live but from where I sit with the reality of the inevitable discomforts and struggles diabetes will present, I'm getting more aggressive about seeking the pleasure in my life.  I find that I am asking myself more about what will give me pleasure in this day, this project, this weekend. Of course, I can't avoid all frustrations and struggles that are a part of everyday life but I can have some more say over many of my choices.  And where I can have say, I'm finding that I'm at least stopping for a moment and considering the options in a way I've never done before.  Minimize the discomfort, maximize the pleasure or comfort or fun.

Which translates into lot's of little decisions and many new yesses and no's where before the opposite would happen.  Yes on the 100% cotton sheets, no on that 2nd episode of law and order.  No on reading that horrifying story about something I can do nothing about and yes on that 2nd walk with the dogs.  Little stuff that amplifies the happy times, the soul feeding adventures, the moments of pure joy.  I'm starting to see the day full of choices and though I can never totally get away from the inevitable struggles and physical challenges diabetes presents, I'm finding that this way of looking at my life helps minimize the toll those difficult times take on me.  Overall, I can feel a new gentleness towards myself that lightens the sting of diabetes.  

A friend recently said to me after I'd shared I'd had a bad night with low bloodsugar, why didn't I just sleep an extra an hour.  And she was right.  Why not?  Maximize the pleasure, minimize the discomfort.  

PS. sorry about no photo on this post but typepad has "upgraded" the compose function on their system and for some unknown reason it's not letting me upload images on my G4 ibook, which I use when I'm traveling as I am right now.  Argh!  I'll post the image when I get home in a few days.  Sorry. 

Postscript: I'm home.  Bigger computer, uploaded the photograph.  Enjoy!

opportunity?

Dsc05453

I've been thinking about what aimee mullins said about the opportunities her disabilities have presented her. On one level I recoil at the idea of seeing disability or chronic illness this way, fearing that the tired, "be positive", new age-y proselytising is just around the corner. But I don't honestly think she was just saying "look on the bright side" here either. Hm. Opportunity. At the end of the day, that hasn't been a concept I've every really considered in terms of my diabetes. Coping, trying to feel whole, aiming for grace, yes. Opportunity, not so much.

The other day, at a quiet moment, a very clear and simple question just popped into my head. If I were to consider the idea of opportunity in this experience of chronic illness and diabetes, what would that look like and mean? What is the opportunity, if any, does my diabetes offer me? The question just hung there in the air, quietly, lightly, without any judgement. It was a bit profound actually, to hold up this experience I've had, that I'm having at this very moment and turn it around to look at it from a completely different vantage point. What is the opportunity my diabetes offers me? I'd never asked myself that question. Never.

What happened next was surprising. Again, quietly, as if suspended in air, a tentative answer presented itself. If I look at my diabetes and all the hoopla and time I have to devote and details I have to focus on as my true reality, what comes up is this. Diabetes offers me the opportunity to gently, justifiably, kindly tend to my health. It offers me the chance to truly and deeply care for myself. It offers me a life path of nurturing and care, not unlike a gardener tending to their garden or a parent nurturing their beloved child. Diabetes offers me the chance to pay attention to my body, my health and ultimately, to life itself.

That's the answer that presented itself when I asked the question. There it was.

Now I'm not saying that this idea negates all the other things I feel about diabetes, the loss, the burden, the weariness. But it's interesting to add to the "hand of diabetes truths" the idea of embracing the opportunity it presents. I'm not sure I totally buy this yet but I'm certainly open to considering it. Up until now I've only seen diabetes as a thing that gets in the way of living a full life rather than a chance to profoundly celebrate living. At the very least, it's an interesting idea to hold in my heart for a while. And hey, if it brings me some peace and comfort in the process, it's certainly worth the consideration.

inside out.

Dsc05577

I'm heading back from the art center design conference at the moment, sitting in the airport, bone tired. It was a pretty good conference in a number of ways, interesting speakers, a wide range of topics discussed and the opportunity to see people I've come to know over the years but only see at this sort of event. As with any of experience like this, there were some very special presentations and insights I'm taking away and will ponder for days to come. Tops on that list for me was an unexpected exchange between the moderater john hockenberry and one of the last speakers of the event, aimee mullins.

john hockenberry is truly the best moderator I've seen at the many conferences I've attended in my career, bar none. He's brilliant at providing insightful analysis and personal thoughts throughout the event which serves to connect one speaker to the next and keeps the flow and energy of the event high throughout. He's also funny, charming and entertaining in his own right. And, he also happens to be a person who lives with a wheelchair because of a spinal cord injury, which on one level has absolutely no baring on anything, and yet on another more personal one, remains utterly significant for me. I remember the first time I attended this conference and watched this man command the stage with such intelligence, skill and humanity. I remember being moved and surprised in spite of myself. As a person who has struggled with the invisibility of my own health issues, it was truly a revelation to see another person whose physical differences couldn't be hidden, present to the world so wholly and comfortably in his own skin. I remember thinking that I was being offered an opportunity to learn something about my own journey with physicality through his.

Well 4 years later, this is still the case. This year the conference invited an amazing woman to present, the world class athlete, actress and model, aimee mullins, who also happens to be a double amputee. Very accomplished and stunningly beautiful, this woman who'd I'd seen from afar in many magazines and art pieces, was a real force of nature in person. Self confident, strong and positive without being pollyanna or denying of what her physical experience meant, I found myself rivetted by her talk. Again, like 4 years before, I felt as if I was being offered a rare opportunity to learn about my own physical challenges through another person's experience and view. And that felt powerful and precious, like a gift being presented to me by the universe.

But, I'm getting a bit ahead of myself. Before ms. mullins spoke, mr. hockenberry introduced her as he had done with all the other speakers. But this time, unlike the others, he began with a personal story about his own experience in rehab soon after his accident. As he told the story of having an intellectual realization about his body's new, strange reference point and consequent adjustment to moving through the world in a wheelchair instead of a walking person, and of trying to engage the attending physician in conversation about this idea, only to be tacitly dismissed by the doctor. I noticed a pitch in his voice that I hadn't heard before. It probably wasn't obvious to most of the people in audience I imagine, but I heard it immediately. It was that deep, quiet, shock of realizing you'd become something different than you were before, that you were becoming someone objectified and abstracted. In his voice I heard that horrible feeling of being made invisible, of having one's new life experience ignored and dismissed. mr. hockenberry was describing his new physical experience to a person who now only saw him as paraplegic (other) and not as an intellectually curious person too. I may be projecting or all wrong here, but that's what I thought I heard, quietly, underlying his story and voice. He went on to desribe this moment as the beginning of a profound isolation of experience, that in the absense of interest or curiosity on the part of the doctor he was trying to talk to, he entered what he thought was a very singular and particular journey alone.

And I immediately knew what he was talking about. Though in different circumstances and with a very different physical condition, I knew that feeling. I knew that loneliness and feeling of invisibility and dismissal too.

mr. hockenberry then went on to describe how he had met ms. mullins 30 years later and how their proceeding conversation about their personal experience with physical disability was a revelation to him. He described how he quickly realized that here was a person who understood what he was talking about to the disinterested doctor so many years before. Here was a person who was not only fascinated by the ideas of different physical vantage points and the dynamics of navigation, but one who had also developed language and philosophy around it. She fundamentally understood his intellectual curiosity around his physicality and also seemed to embody the fact that the intellectual and philosophical exploration of the experience was key to living life fully and whole. What followed was a remarkable hour of two interesting and accomplished people discussing their physicality, their exploration of it and their development of a philosophy and sense of opportunity around it. I sat in the audience and watched in amazement as these people talked about ideas I'd grappled with for so many years. It was so strange and wonderful to watch two other people consider, explore and even disagree about physicality, disability and the idea of differentness because of it, in public and with such vigor. It displayed a new normalcy, some of my normalcy as a person with a chronic illness, for all the world to see, publicly and without pity or shame. I felt so validated in my own intellectual instinct and curiosity around my own disease process and journey because of this. And beyond that validation, I was lucky enough to witness a real and robust exploration of ideas and viewpoints that I have rarely seen or participated in. Suddenly I realized how unique and unprecedented this was, that this public conversation had moved far beyond the usual idea of loss and struggle, the outside in view of disease and disability that normally defines the conversation, the one where grief and invisibility and struggle are the focus. Instead I was watching two smart, whole people having a knowledgeable and probing discussion from the vantage of inside out. They were demonstrating a new type of normal I'd never really experienced before. Not a less than normalcy but actually a more than view of normal, brought to bear because of this journey with the physical. Asset, not just disability. Opportunity, not just loss. And at the end of the day, what ultimately I take away from this event is that this journey of chronic illness is a profoundly human one, deep, exciting, personal, tragic and full of possibility all at the same time. The more that it's talked about, privately, publicly, intellectually, artistically, personally, the more that becomes clear. To me. To the world. The more it's talked about and explored the clearer the humanity of this journey becomes.

And that's a very, very good thing don't you think?

2nd annual diabetes mine design challenge.

Dsc04623

In the spirit of design matters, check out the wonderful 2nd annual diabetes mine design challenge. It's this kind of activism and vision that can bring about real change. I imagine somebody out there in the world, putting pen to paper as we speak, designing something that wouldn't have been designed before, something that will make our lives better, thanks to this challenge. One person, one challenge, one solution can bring about so much progress and positive change. Much thanks to amy for leading the charge!

Let the designing begin!

worried about worrying.

Dart_1_2

In the spirit of full disclosure I have to admit that I come from worrying stock, so I come by the behavior honestly.  My grandmother was a worrier, my mother is a worrier, and yes, I'm one too.  It's in our dna, if that's possible.  Or at least it's part of our family culture, just like being political or not might be.  Or using cilantro in your food.  Or driving a certain brand of car.  Some families do it one way, others another.  In mine, worrying is just something we do. 

So given the fact that I have a natural tendency to worry, it doesn't surprise me that I do so when it comes to diabetes.  Living a long time with any chronic illness, and with diabetes in particular, what with all the details and vagaries you have to manage, presents lots of opportunity for worry.  In the immediate: did I take enough insulin?  Will that walk make me go low?  Was their hidden fat in that meal that will send my blood sugars sky high in the next couple of hours?  Yep, there's lots to get a worrier worrying here.  And then of course there's the long term stuff to worry about.  Complications.  Physical things related to diabetes that you didn't know about until you start having it happen, like frozen shoulder or thyroid disease or whatever.  Who knew until the doctor says "oh yes, diabetics have a higher chance of getting x".  Yes indeed, chronic illness has so much that serves as fodder for worry.

Because I tend worry anyway, and because I have a disease that presents lot's of stuff to worry about, I am realizing how much I'm living in a low grade state of worry everyday.  Worse yet, I'm beginning to realize that this worry state spills over into the rest of my life and quite frankly, is making me become something I'm not thrilled about.  Every pain, every stiffness, every natural aging thing like needing glasses or having a mammogram every year or aching more after activity, everything makes me worry a little.  Is it something serious?  Is it something I need to see the doctor for?  Is it yet another cause for worry?  And then I say no, it's fine, don't worry. But inevitably I think "but what if I'm ignoring something I should be paying attention to".  God knows one thing diabetes has taught me to do is pay attention to the slightest changes and details.  How do I only turn that on for diabetes and keep it off for everything else?  How do I know what is really worthy of worry?  And more importantly, how do get some time off from worry when I never get time off from diabetes?  How do I strike the right balance between appropriate vigilance and too much worry?

All good questions and not surprisingly now I'm worried I won't ever figure it out.  Ok so that's a joke (but not totally)!