Name that Malady!

Photo: Something in My Eye

Do I have Onchocerca volvulus, or is there just an eyelash stuck in my eye?

All Other Martyrdom is Naught before Mine

This harsh, persistent pain I have, O Doctor, tell me, please,
Can it be cured by some cheap salve, Or have I some disease
Beyond the scope of modern meds And pessaries and pills,
Like something Biblical in scope, One of those icky ills
You read about in magazines, See movies-of-the-week
About so frightful that you Realize that you’re a freak
To have such creepy plague, To be afflicted so, withal,
That even specialists will cringe And dash off down the hall
To hide behind their file Cabinets until you leave
Because they’re overwhelmed by the Bizarreness they perceive
Upon your person when they see Disturbingly displayed
Such malicious malady It makes them sore afraid.
What say, Sir Doctor? You detect My source of agony?
Who suffers worse than martyrs who Have papercuts, like me!

Photo: Open Wide!

Well, shut my mouth! Maybe that nasty odor wasn’t Trimethylaminuria, but don’t just give me the brush-off.

Suicide without a Corpse

digital illustrationMichelle, a writer I greatly admire, just offered a post on her blog, wherein she details some of the characteristics of her daily experiences in life as a person with depression. As always, she makes me think. It’s not simply that I, too, am such a person—albeit one whose version of depression is as unique, individual as hers and everyone else’s—but that there are a few aspects of depression that, if not exactly universal, are amazingly common. First of these is that being sad is not depression. Sadness is to depression about like a paper cut is to getting an ice pick stuck in your eye.

I will not belittle the paper cut, real or metaphorical. Pain of the physical and the psychic sorts will always be relative to our own experiences and our own moments, and pain of any kind is inherently unpleasant and undesirable. That, I think, would be hard to argue.

But I might also say that it’s less accurate to equate sadness with depression than to call being sad, however jokingly, being “differently happy”. Sadness is a passing, ephemeral experience of the sort where the last scoop of one’s favorite ice cream flavor has been dished up and handed to the person just before her in the queue. Depression is when she has the dish of that flavor sitting right in front of her and not only doesn’t have the strength to reach over and take a spoonful of it to eat, she thinks she isn’t a good enough person to do so, if she can form such a solid thought at all, and if there were a super-powered sleeping pill that could put her peacefully to sleep forever sitting right next to the ice cream and she longed beyond words to die, she mightn’t have enough strength to reach over and take the pill either.

Suicide is a hideous thing, if you ask me. It’s tough enough that anyone would hate or fear her life and self to the degree that she sees no alternative but to end it, but of course she either knowingly accepts whatever horrible consequences her death will have on the entire rest of the universe, starting with the people who love her or she is no longer capable of recognizing that there are such people or consequences or caring about them. Beyond that, it inevitably is simply messy in the practical and logistical and legal senses. Someone will have to clean up after the fact, and the suicide doesn’t or can’t care that this will require others to deal with her corporeal remains, the legal messes she’s left behind, the tasks unfinished, and most of all, with the incurable suffering that follows when survivors realize that they couldn’t save her, might indeed have been utterly forgotten by her in the abysmal darkness of her depression.

Every individual’s best response to depression is as different as his or her version of the ailment. I am one of those whose unique combination of depression and other physical and emotional characteristics and components resisted all non-medical interventions until despite my vigorous resistance to the idea of chemical treatment I learned that that was the only useful method for me. Rather than diminishing my sense of self, it allowed me for the very first time in my four-plus decades to experience what I now believe is (and yes, probably always was) my true self. It still required being dedicated to a variety of other forms of non-chemical rehabilitation and therapy; talk therapy, meditation, and my practice of various arts and exercises mentally and physically that please and heal me all contribute to my wellness along with my meds.

I was fortunate in a way that many clinically depressed people are not: I never seriously contemplated committing suicide. I would go so far as to say that I considered it as a rather detached philosophical argument, inwardly, but I never reached the point where I so lost my will to oppose the idea of killing myself that I could let go of all the external reasons not to do so, those messy consequences others would have to undo or survive. If I valued myself so little as to want to be dead, I suppose it could be said that at least this made me think it would be that much worse of me to impose so terribly on those around me for something that wasn’t directly their problem. This sort of tautology clearly says to me that I wasn’t in imminent danger; I was busy arguing myself out of something that I didn’t really have the strength to do anyhow.

What I didn’t recognize in the midst of all of this soliloquizing was that I was committing a form of suicide, if an invisible one. True, there would be no stinking remains turning into human soap and sliming the rubber gloves of some poor janitor, no internecine paperwork to be sorted by attorneys and opportunists. But the burden on the world around me would have been just as heavy, the struggle of my loved ones just as inexorable, if I hadn’t rather literally stumbled into the intervening care that brought me to this lovely resolution where I find myself dwelling so comfortably today. Because, in my depressive brain fog and fear and self-loathing and ennui, I was rapidly forgetting how to be alive. It’s quite possible, I discovered, to die without stopping breathing, without even losing all conscious thought. A walking coma, an animate death is entirely possible in the midst of true depression.

And for that reason, I am all the more grateful that by virtue of being surrounded by people who helped to guide me in that direction, combined with being blessed, lucky, fortunate, or whatever combination thereof you prefer to name it, after my years in the dark I fell into the combination of elements that conferred a kind of wellness on me that I’d never known before. I am among you today not just as a happy and contented person, full of gratitude and amazement at what a good life I have, but also as a testament to the unfathomable differences and distances between existing and living, between something indescribably yet terribly akin to sleepwalking through life and waking up every day a little bit more…alive.