When I first started this site, I wrote about the EDS specific surgery I got for my ankles. Before I continue here, I want to be very clear that I in no way regret getting the surgeries and I will still, if your doctor suggests it, recommend it in a heartbeat. My complications that I’m about to go into are extremely uncommon and for illustrative purposes only. This should not be taken as a warning against the surgery.
When I say that it’s been one hell of a journey…
I’ve had multiple procedures done on my right ankle and it still is not behaving, despite having one of…if not the…best in the field overseeing it. The first surgery was about 2 years ago, it might be longer at this point because I’m honestly not sure and it’s not extremely relevant the exact date. It’s gotten Pseudomonas, a car wreck that caused the stent to migrate, MRSA, a tunneling wound that went about down to the implant, Chronic regional pain syndrome(CRPS), subluxation of a different area of the foot bones that shouldn’t be happening, intense allergic responses that caused a fair sized area of skin to erupt in terribly itchy blisters and then the top layer came off, weight gain and muscle atrophy from the inability to get up and walk, and a granuloma that just won’t take the hint and die so we’ve named it Rasputin. We’ve had 3 occasions where I had to go into the OR get work done on it, and I think we’re up to…5 or 6 procedures in the office ranging from removal of the wayward stent to debridement and stitches. Meanwhile, there was just a single OR visit for the procedure on the left ankle and it’s happy as can be.
We have no idea why it continues to have all the problems it does DESPITE following orders to the best of my ability. I’ve got saline to clean it and wear a shower boot so it doesn’t get wet with tap water. I’ve been mostly on a knee scooter to get around. Needed to wear a brace off and on, and especially to sleep. Had to pack a wound with using packing gauze and sterilized tweezers. Use silver nitrate on it daily for a while and it occasionally burned significantly. PICC line with daily infusions when one of the infections wouldn’t go away. Changing the bandage of this blasted thing, several times a day, for the better part of the entire time.
We’ve tried iodosorb, silver nitrate, acetic acid, carbolic acid, calmoseptine, stitches, Aquacel AG bandages, high absorbency bandages, gauze, different types of paper tape, colloidal silver, essential oil blends, diet shifts, medicated packing gauze, regular packing gauze, injections and I’m sure others I’ve forgotten. I’ve seen my podiatrist, infectious disease, acupuncture, my primary care, physical therapy, and even networked with other wound care specialists and someone that worked in hyperbaric therapy.
We’re still working on a solution that doesn’t involve an OR again. And it’s getting so very close, but we’re not quite there yet.
But with EDS, we’re in for a marathon, not a sprint.
Despite everything I listed above…I’m generally not angry about it. That’s not to say I’m always the epitome of sunshine and rainbows. There’s absolutely days when I’ve broken down in tears because I got less than ideal news or a new suggestion to try. I have my moments of “Why am I like this? What’s wrong with me?” or similar feelings. There’s also times where I’m so angry that it oozes into every room of the house like a bad smell, my other half says I’m “filling the house with Fuck You”, because I’m so tired of looking at it and not having answers. That’s just being human, as much as emotions are icky and often involve unwanted fluid leaking out from around your eyes, it just comes with the gig.
Maybe I’m not angry all the time because I know it’s confusing. If one of the most experienced surgeons for EDS feet and ankles is confused…I’m personally more intrigued and interested in helping any way I can rather than wasting time on being angry over something that has no blame to place.
Maybe it’s because I know we’re a complicated mess where not a lot of doctors understand in general let alone the small nuances. I can’t be upset at the fact they’re confused, when there just isn’t information commonly available for them to research. Let’s face it, enough of us have seen when our friends post a bad headline on a subject that could be easily researched and learned about. This happens so much, educated folks put out articles to counter it. I’m still haunted by the fact some people needed to be told Sticking a Wasp Nest in Your Vagina is a Bad Idea. Seriously ladies…WTF? Back on topic, doctors are still just human, no matter how much we wish they were so much more. So if we can’t get people to research obvious things…you’re expecting every doctor that already has a full plate with every other patient to be able to hunt down information on your specific set of weird when you may be their only EDS patient? Sure, I could wish that it would be the standard. However, do remember that just because they graduate with a degree that says they’re a doctor…it doesn’t mean they’re at the top of their class and they’re a super geek with an eidetic memory. Also keep in mind, for a large population, they don’t need to be.
Maybe it’s because I know that because we’re a genetic mess so sometimes there’s no easy answer, I’m not expecting my visits to be super productive and helpful every time. Sometimes, they’re just checking in and making sure it’s not worse. Sometimes it’s planning for the next step. Sometimes it’s drastic steps forward. It’s very fluid. But even on the days of rapid change, we’re not sprinting towards a finish line. We’re in a long marathon with a never ending path of hurdles along the way. It doesn’t mean I stop hoping for simple and easy answers, it just means I adjust how much I expect them. We don’t get an inhaler and most of our issues are resolved. We don’t get to take a pill and that’s the end of our complications. We don’t have to like it, but it’s in our benefit to accept the reality of it.
You say patience, I hear F*You
Now, despite me saying that I’m not angry all the time, one thing I do have that tips me over the edge is my level of patience. Oddly, this usually surprises people that know me. I do really detailed paintings on feathers, cross stitch, and beadwork with tiny seed beads. People assume I have the patience of a saint. I do not. I’m full of stubborn ambition that I will accomplish a goal that is set in front of me. If that means ruining 20+ feathers on my way to figure out how to get it to do what I want…I’ll do it. If my cross stitch project takes 5 years because it’s absurdly huge…I’ll do it. I may cuss at it and scream occasionally, but I’ll do it.
When people ask how I’ve managed to do all the things along the road to healing. Stubborn ambition. Stuffing stuff into an inch deep hole in my ankle will help it? Kay. Get out of my way. I got this. Walking on a very angry nerve will desensitize it so it stops screaming so loud? Kay. Someone walk with me in case I pass out from pain, but don’t try and stop me. Numbing agent wearing off but I still need stitches? Kay. I’ll yelp and whine, but just get it done. Stubborn. Ambition.
I don’t deal well with the concept of patience. I want a goal to work towards. Something to do in order to help me get there. It’s one thing if the pain is significant to the point where it’s excruciating to do much more than lie in bed. It’s another when you just have Rasputin the granuloma that follows its own rules for existence and mocks you by returning no matter what steps you take (or don’t take). When you aren’t in pain and yet you just have to kinda sit there and watch your other half do the majority of the house chores, and cook, and feed the animals, and……you get the picture. Yet Rasputin pretends to sleep and comes back with a vengeance without any discernible reason.
When there’s nothing to do to help, I go a bit stir crazy. I don’t like to just sit and wait and hope. If you tell me “you need to sit with it up for now because having it level with help defy gravity pulling fluid to your foot and therefor reduce the drainage and the moisture level”, I got this. I am doing a thing to achieve a specific goal. I will sit with my leg up at work and at home and try not to even be in the car for long. To the outsider, it looks like patience with letting myself heal. In reality, I’m working on a task. That task just happens to need me to be stationary. So if you tell me, “you just have to be patient”…to what end? Why? Will it help? How? I don’t understand. I need it to heal, if patience will not help in specific, I’ve no need for it.
This is accentuated if someone tries to tell me that I have to be patient to wait for the implementation of some divine plan. I have to learn to be patient because something else thinks it’s important for me and is implementing a plan without involving me in it first? Nah, I’m good, thanks. If it’s that important, said divine presences are free to make themselves known and I’ll be open to suggestion. Until then, I’ve better things to do than wait around in hope simply being patient will fix a damned thing.
How to twist it to my benefit
I’m not implying this is a good way to look at things. It works (mostly) for me, and I don’t have any designs to change it any time soon. HOWEVER, at it’s core, I’m sharing this because I’ve mixed in a bit of how I turn a flaw into something I can work around for my benefit. Did you catch it?
By definition, patience is the capacity to accept or tolerate delay, trouble, or suffering without getting angry or upset. Personally, being told to “be patient” has managed to work against any of those virtuous qualities I’ve worked to attain. So…I found ways to be patient, without calling it that.
I’ll call it taking the time to understand the reality of my circumstances and giving empathy to those that are working with me.
I call it discovering reasons behind why I should be stationary and simply wait for healing to happen.
I call it stubborn ambition when I need to accept the fact that it’s a long road ahead of me that may not have a pleasant ending instead of just a hop, skip and a jump to a full recovery.
I won’t call it patience, because to me, patience is when you handle it gracefully inside and out. To me, it’s not when you’ve engineered reasons behind why allowing delays or experiencing suffering isn’t something to be angry about. Perhaps you might see it otherwise and think with all I’ve faced, that you’d be angry and I must be exuding grace no matter what I perceive in myself. I don’t think it really matters though.
The most important thing I hope you take away in all of this is there is always a way to turn things in a different perspective to work for you. It’s not about giving people too much leeway on not doing their job when you have a doctor that isn’t able to help you. It’s not about forgiving and allowing yourself to be treated badly, it’s deciding what you can impact and what is out of your control and acting from there. It’s about shifting things so you are not held down by their actions or lack thereof. It’s not about never getting angry and heartbroken, it’s about what you do after in order to help yourself keep moving forward.
So it’s okay to not have the patience of a Saint. It’s okay to get frustrated or angry. It’s okay to yell and scream at your circumstances.
Just don’t forget that the significantly more important thing is to be able to come back from that in order to do whatever you need to. Be mad at the doctor that dismissed you, vent and rage, and then find one that is better suited to your care needs. Don’t give other people or bad circumstances the power over your life. Keep at it because you are worth it.
I’m not going to tell you to just be patient. Or good things come to those that wait. But I will tell you that you can’t find the good things of you stop looking for them. May you always find the strength to keep up working towards your goal one more day. ❤️