On Emotions and Pain (Blog #751)

Currently I’m out-of-town, sitting outside at a restaurant, waiting for a dance to start at 7:30. It’s 6:00 now. I plan on driving home after the dance, and because that will be late, I’m blogging now, before the sun has gone down. I’d like to start doing this more often, blogging when I’m coherent and not exhausted and, therefore, irritable, upset, and distracted. We’ll see how it goes. I have a lot of practice blogging during the wee morning hours, and there’s certainly something to be said for writing a blog about your emotions when you’re, well, emotional.

I’ve been emotional all day. One minute I’ve been sad. Lonely. The next I’ve been laughing out loud, totally content to have the day to myself. Recently I adopted the motto “all parts are welcome,” so I guess I can’t complain when different parts (or thoughts or emotions) show up. That is, far be it from me to host a party and not attend to my guests. Not that it’s fun or comfortable to feel upset or grief, but these are the ingredients of our lives, and–in my experience–if you dampen one emotion, you dampen them all. Want to feel less joy? Shove down your sadness. It’s that simple.

I don’t like this fact any more than you do.

I spent this afternoon looking at books. I didn’t buy any (believe it or not), but I went to three stores. Before that I had brunch (pancakes and eggs) and read a book. Well, half of one–Explain Pain by David S. Butler and G. Lorimer Moseley. Honestly, it’s one of the most fascinating things I’ve read lately and explains a complex topic–pain–simply. I’m not to the “what to do about it” part yet, but the book proposes that whereas, yes, sometimes pain is due to nerve damage, structural or joint problems, or damaged tissue, this is just as often (if not more so) not the case. That is, there are plenty of instances in which there’s structural deterioration or injured tissue without pain. For example, when I tore my ACL, I didn’t feel a thing. Granted, I had some adrenaline flowing, but my knee didn’t hurt even after my adrenaline calmed down. Even though I’d severed an entire ligament.

The book says we don’t have pain centers or, um, pain buttons in our bodies. Also, just because you cut your finger, that doesn’t necessarily mean you’ll experience pain. Indeed, once my neighbor threw a hammer over our fence, and despite the fact that it hit my head, I didn’t start crying until I saw blood several seconds later. According to the book, this is because the meaning we ascribe things has a huge influence over what our bodies feel. Just as importantly, the meaning our brains ascribe things is what ultimately determines whether or not we feel pain. This is because–apparently–our bodies send signals to the brain when “something” is wrong. A cut finger, for example. Then the brain interprets that information and decides how to respond. To be clear, it has a lot of choices. It could cause you run away; it could cause you to cry. But if the brain thinks that the most appropriate choice is for you to feel pain, then that’s what you’ll feel.

In other words, to quote the book–no brain, no pain.

The book says that the basic rule of pain is that if your brain perceives a threat–if it thinks that you’re in danger, Will Robinson–you’ll feel pain. Said another way, if you feel pain, it’s because your brain thinks you’re in danger. This goes against a lot of historic wisdom, of course, but it makes sense to me. Again, because of what I experienced with my knee. Also because of people who experience pain or sensations in limbs they’ve had cut off or were never born with. Clearly in those situations the brain (and spinal cord and nervous system) are involved in the creation of physical sensation and/or pain.

I can’t wait to learn more.

This might be a stretch, but I think this “pain being related to feeling threatened” thing could be applied to our emotions. For example, this morning while getting ready at my hotel, I was dialoguing with myself about why I’ve historically felt the need to bend over backwards for certain people in my life even when my efforts were clearly fruitless. Suddenly I had a vision of an applicable memory from my childhood, and a voice in my head said, “Because if we don’t, they won’t love us.” Then I started crying. More and more, the release of tears is my signal that I’ve hit on something deep-down true. For example, when I read that pain is often felt because we feel threatened or “not safe,” I also cried.

Ugh. So much of my life I’ve felt “not safe.” Not that I feel ever-moment terrified, but I can never quite relax. It’s like my muscles are always tight, more tense than they need to be, ready to fight or flee. I can only breathe so deep. Granted, this has gotten a lot better. It IS GETTING a lot better. More and more, there’s a lot of relief in understanding that even when it’s emotional or in pain, my body is trying to help, trying to send me a message. Sweetheart, something is wrong. We need you to take another look at this. Something isn’t working for us. So if for no other reason than the fact that my strategies thus far haven’t been working for me either, I’m now making all the more gentle effort to turn my ear inward and simply listen, to finally hear and connect with my inner wisdom.

Quotes from CoCo (Marcus)

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if you're content with yourself and you're always with yourself, then what's the problem?

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Grasping for Door Knobs (Blog #639)

Last night I slept badly again–tossed and turned, had weird dreams, woke up with a headache. When I finally stumbled out of bed and used my walker to make my way into the living room this morning and my dad asked how I was, I said not so great. “Still,” I said, “I’m going to have an attitude of gratitude.” Then, since we both speak sarcasm, we laughed, and I ate chocolate cake for breakfast while I propped my injured leg up on the coffee table to help straighten it out. Honestly, this is the most painful thing I do–try to fully straighten or fully bend my knee. And whereas I’m making progress, it’s slight.

A little bit here, a little bit there.

After breakfast I did my first set of rehab exercises for the day, then iced my leg. Then I read, took a nap, ate a snack, and did the exercises/ice thing again. Then I ate dinner, and now I’m blogging while drinking a chocolate shake, which I’m assuming is what my post-operation directions had in mind when they told me to “eat nutritious foods because they help you heal.” After this, it’ll be the exercises/ice thing again, then back to bed for HOPEFULLY a good night’s rest.

Clearly, my days after surgery are revolving around physical therapy and ice packs, and I hate that. I hate that a month ago it was easy to get in and out of bed, in and out of a chair, and in and out of shower, and now I have to think like MacGyver to do any of those things. I hate that everything from getting a Q-Tip to changing my underwear now has to be “thought out.” Last night during The Great Sleep Disaster of 2018, I woke up at four in the morning sweating; my shirt was soaked. Not like I had a fever, but it was definitely damp. Anyway, I got up to change shirts, and despite the fact that my closet is only five feet from the end of my bed, I had to think about things. What am I going to hold on to? What am I going to lean against?

I think it’s the leaning against thing that pisses me off the most. I guess it’d be more accurate to say “that I have the hardest time accepting.” For so long I’ve done everything on my own. Easily flitted from here to there. And now I’m finding myself in countless awkward positions–hopping on one leg, using crutches, grasping for door knobs–just to change a shirt. Byron Katie says that we’re always supported. By life or whatever. Like, if you’re sitting in a chair, the chair’s holding you, and the ground’s holding the chair. And if you trip and fall, well, there’s the ground again, holding you. Most people, of course, would be mad about the trip, but her point (I think) is that in this moment–right here, right now–the trip is over.

From this perspective, I can’t do anything about that dance accident I had four weeks ago. It’s over. But I can recognize that I’m currently in a warm bed and my leg is resting on a pillow. Supported. And I can try–try–to be grateful for my one good leg, for crutches, and for door knobs. For anything I need to lean against.

Since it’s day three after surgery and my directions said I could, this evening (after dinner) I removed the gauze and bandages around my knee. Ugh. There was a lot of dried blood. Also, there were staples, which I wasn’t completely prepared for. You know, sometimes they do things laparoscopically. And whereas there were two such incision points, there were also two “cuts,” one with five staples, and one with twelve. (Prepare yourself, since I’m going to post a picture.) Honestly, I can’t figure out how I feel about these incisions. I mean, I’m grateful that I’ve been repaired, but my knee looks like the side of Frankenstein’s face. I don’t know, I guess it’s the finality of the whole thing. This really happened. I’m going to have a scar.

All things considered, it could be worse. After I took the bandages off, I carefully navigated my way into the bathtub and cleaned up for the first time in four days. Phew, did that feel good. Also, it was exhausting, getting in and out of the tub. Seriously, this is a lot of emotional back and forth–feeling grateful, feeling pissed. But this is life. It’s never just one thing.

Whenever I finish blogging, I’m going to cover my staples with bandages as instructed. However, for now, my view is essentially your view in the picture. 17 shiny staples staring back at me. Earlier today while trying to climb into bed, my left knee gave out–er, faltered–and I fell back into the bed. Now I see why. It’s been though a lot. But this has happened a few times, when all my strength wasn’t there, and I’ve had to catch myself. My point is, there’s always that uncertainty–Am I going to be able to hold myself up? This is something I thought a lot about during the night last night, the applicable metaphors regarding this injury. Because these are some of my greatest fears–Can I walk tall and move confidently forward in the world? Can I support myself?

A few times since starting tonight’s blog, I’ve reached down with my left hand to simply feel my knee. Physically, it’s a little swollen, tender, and–um–leaky. (That’s gross, I know, but this is real life and facts are facts.) When I put my hand on my knee, I can’t help but cry. It’s like I’m putting my hand on the shoulder of a dear friend who feels sad and tired. Oh so tired. Like it’s been though a lot, and not just this last month. At the same time, it feels willing to heal, willing to try again, willing to support me like it has for all these years, despite my never having given it any credit for all its hard work until now. It seems to say, We’ve got this. Be patient. Grasping for door knobs is only temporary. I hope this makes sense. More and more, I really do believe our bodies are trying to communicate with us.

More and more, I’m trying to listen.

Quotes from CoCo (Marcus)

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I believe that God is moving small universes to communicate with me and with all of us, answering prayers and sending signs in unplanned moments, the touch of a friend's hand, and the very air we breathe.

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A Day for Hoping (Blog #624)

It’s 8:30 on a Friday night, and I’ve been doing laundry for the last three hours and eating peanut butter by the spoonful. I know–I live a sexy life. (Try not to be jealous.) During my second load of laundry (of three), a pair of athletic shorts I’ve had since Jesus was a small boy got “hung up” in the dryer. I guess the drawstring snagged on the lint catcher. When I pulled the shorts out, the string was wound up tighter than a spring. Alas, the string was beyond repair, since it was sewn into the shorts and there was no way I could re-thread it. So grabbing a pair of scissors, I snipped the string and removed it altogether.

All good things must come to an end.

This morning, at the direction of my primary care physician, I saw an orthopedic surgeon who specializes in knees and sports injuries. This ended up being the best thing, and I consider it “an act of the universe” because I only called to make the appointment yesterday. Having looked at my MRI, the surgeon explained that as a result of my accident two weeks ago, I’d 1) bruised a bone, which was no deal at all, 2) torn my lateral meniscus, which was a small deal, and 3) severed my ACL, which was a big deal. He went on to say that the meniscus acts as a shock absorber and is basically a backup system for your joints. “They help stave off arthritis,” he said, “and I tell people that if you make it to 40 with yours intact, you’ve gotten your money’s worth. You’re 38, so close enough.” Then he said that because your ACL runs THROUGH your kneecap and gets a limited supply of blood, it CAN’T repair or heal itself when badly damaged.

“Yours is dying as we speak,” he said.

So that felt good.

The surgeon proposed shaving off the damaged part of my meniscus (since sewing a meniscus back together doesn’t work) and reconstructing my ACL with part of my own patellar tendon (the tendon just below one’s kneecap). He said, “If we used a cadaver’s, you’d heal faster, but your own will function slightly better. Since you’re an active person and I want you as strong as possible, I’d suggest using your own.” And then–get this shit. For the last thirteen days I’ve been hopping around on one leg, using crutches, using a walker. But like some sort of FAITH HEALER, this guy today said, “Stop using your crutches. Stop using your brace. I want you WALKING before surgery.”

Remembering how my leg gave out while I was performing two weeks, I sat there in disbelief.

The surgeon went on to explain that “you don’t need your ACL to walk,” since it’s responsible for twisting and pivoting movements, but other muscles, ligaments, and tendons are responsible for everyday getting around. Then he talked me through straightening my leg out fully and bending it to at least ninety degrees. Y’all, I almost fainted the pain was so awful. But the surgeon said, “If you think a loose knee is bad, you should try a stiff one.” (I thought, I’d rather try a stiff drink.) Still, his point was that I’ve gotta get my leg moving through its normal range of motion both before and after surgery so that my knee doesn’t “lock down.” Plus, he said movement would help reduce swelling, which I have plenty of.

So we have a plan. Surgery is scheduled for December 26. (Merry Christmas, Marcus Coker.) If you’d like, send cards, flowers, chocolates, and handsome, eligible bachelors to me by way of my parents.

Believe it or not, after all this time of my being fearful of putting weight on my left leg, I walked out of the surgeon’s office and have been walking the rest of the day. Sure, it’s not overly graceful walking–I’m not ready for the runway–but this is huge progress. Hell, I’ve even been walking up and down stairs. And whereas I can sometimes feel my knee strain, the surgeon said, “Don’t worry. You won’t do any damage. It’s ALREADY TORN.”

So that was a nice reminder.

Here’s a picture of the brace I no longer have to wear. Notice the cat (Oscar) peeking over the kitchen island.

Considering the fact that I haven’t fallen down yet, I’m thrilled about being able to walk. Honestly, I’ve been more optimistic today than I have been in the last two weeks. Like, life doesn’t completely suck. What does suck, I’ll admit, are these stretching exercises. Straightening my leg isn’t so bad, but bending it hurts like hell. I get nauseated every time I go past a certain point. Still, I’m determined to slowly make progress, since we’re talking about my potential for future movement here. To that end, I’m also not letting myself “cheat” on the stairs, as in only using my good leg to push myself up. Rather, I’m doing things like I normally would.

Push with my right leg, push with my left leg (say a curse word).
Push with my right leg, push with my left leg (say a curse word).

Even with limited range of motion and trepidation in my steps, having both my legs back is a game changer. Part of me wishes I’d known to “take up thy bed and walk” sooner, but this way I have a greater appreciation for all the “simple” things I took for granted before. Things like being able to get up and get myself a glass of water, do my own laundry, or even take a shower without sitting down or having to tie the handheld sprayer to an overhead mirror with the strap of a fluffy scubby thingy. (See picture below.)

Today is a day for hoping.

The way I’m thinking about my severing my ACL is the way I’m thinking about my cutting the drawstring in my athletic shorts this evening. All good things must come to an end. (It was nice knowing you.) This moment is my new normal. And whereas part of me is fearful (I’ve been afraid to put weight on my leg for the last two weeks), another part is hopeful. Even confident. While driving home from the surgeon’s office, it was weird, it was like I could hear my leg talking to me. Not out loud of course, but our bodies are alive and our cells are conscious, so why couldn’t they talk to us? Anyway, I felt like mine was saying, “We can do this. We can support you.” This is huge, the idea that my body and I are working together here, that we’re stronger than I previously believed, and that our future looks bright.

Yes, today is a day for hoping.

Quotes from CoCo (Marcus)

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We are surrounded by the light.

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