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autism

Guest Posts, Autism, Fiction Fridays

Ordinary Lives

April 16, 2021
risa

by Marlene Olin

Margaret hears the sound of cabinet doors slamming. When she walks into the kitchen, her heart lurches. The walls are splattered, the floors crunchy.  But her daughter’s happy. Tomato sauce spackles Risa’s hair and her glasses. On top of a pot, steam billows.

“Dinner’s almost done,” says Risa.  A tornado of arms and legs, she whirls from the sink to the stove. “By my calculations, nine minutes tops.”

Once again Margaret glances at her kitchen. Risa has created a workspace like she’s been taught. The counter is covered with newspaper. The ingredients lined just so. Bay leaves. Garlic. Onion. Oregano. The measuring spoons and cups. The mixing bowls and slotted spoons. Not one dish will be cleaned until after dessert.  Order is everything.

“Looks great, sweetie. It’s such a help when you cook dinner.” Then Margaret mentally makes a note of the post-cleaning required long after her daughter has cleaned and gone to bed.

But there’s no denying that Risa’s happy. There’s a lift in her step and she hums while she works. When she’s finished, she walks up to Margaret. Most people would leave an ample amount of space between them. But space is subjective. Space is a loose and wobbly entity that one intuits. Instead Risa lines up toe to toe with her mother and waves a finger in Margaret’s face.

“One more step on the road to independence, Mom.”  Then she remembers her smile cards and creases the corners of her mouth.

***

Three hours later, they are lying down. Risa’s bedroom has looked the same for decades. The sheets are soft and flannel, the shelves lined with her collections. Stones. Crystals. Shells.

As always, Margaret picks a book of poems and reads. Dickinson tonight. Perhaps Browning tomorrow. Outside the window the moon waxes and wanes. Inside the words fall like waves. It’s the sound that matters, the lilt, the lull, the up and down. Meanwhile Margaret stifles yawn after yawn. Her day can’t end soon enough.

“Do you know that a giraffe just needs 1.9 hours of sleep?” says Risa.

While she turns the page, Margaret listens to the quiet of her house. A TV drones. A dryer rumbles. Somewhere her husband is lurching. Hunched, his hands clenched, his eyes darting.  A lost soul, her husband. A Victorian ghost. A daguerreotype, grayed and grim, save for the waistcoat and watch.

“Do you know that sharks have to keep moving?”  says Risa. “Do you know that sharks never sleep?”

“Never sleep?” says Margaret.

Despite herself, Margaret savors the moment. For she knows that moments like these will soon be come and gone.  This is the year that Risa’s turning forty. With the proper supervision and support, Risa will be getting her own apartment. Her bags will be packed. The house will be emptied. The shrinks, the social workers, the experts all say it’s time.

On the ceiling are Day-Glo constellations. As soon as the lamp’s turned off, they grab the light. Margaret closes her eyes. In seconds she’s transported to 1980’s. They had just moved to Miami for her husband’s new job.

  “Spring has sprung!” said the banner. Bunnies and egg-lined baskets.  A chain of pastel construction paper crisscrossed the room.

The teacher kept her voice to a whisper. “I have twenty children in my kindergarten. Twenty children and two aides. But Risa’s the one we watch. She runs with scissors. Walks into the seesaw. The other day she followed a stray dog out the school and down the block.”

What was her name?  Miss Susan or Miss Sarah. It was mythical the way she saw into the future. Like some sort of blind seer. Back then there were no catchphrases. No spectrums. No labels. Nothing to hang your hat on but despair.

“Her IQ is sky high. That’s obvious. And her knowledge of trivia endless. But she flinches at the slightest touch. She’s terrified of hugs.”

Instead of friends, Risa had pets. No dogs or cats. Margaret’s husband was allergic. To the hair. To the dander. To the pollen on their fur. Instead they adopted an ever-changing zoo. A guinea pig that kept them up all night. A savage hamster. A gerbil that found its way into the dryer duct. Saltwater fish. Freshwater fish. One morning they’d be fine. Then the next they’d be floating, a lifeless eye staring toward the light.

A fitful sleeper, Risa tosses and turns while Margaret inches closer to the edge. Of course, her daughter has no idea what awaits her. Noisy neighbors. Nosy landlords.  Butt crack plumbers. Pervs. But what Margaret fears most is the loneliness. She can see it now.  The hours of bone-crushing silence, the kind of quiet that screams.

Margaret’s dealt with pitfalls and potholes. And now an old familiar panic starts to grow.  Margaret’s learned to trust her instincts. Her instincts rarely fail her. But all she envisions are red lights and stop signs.  Risa’s own apartment? All she can hear is her voice shouting no!

Meanwhile Margaret’s bullied right and left.

From her son, the lawyer in Washington, the one who will one day bear the burden. Each rebuke is spewed with fear: “You’re not getting younger, you know.”

From the shrink. Good or bad, inspired or idiotic, the meter keeps running:  “What’s the worst that can happen?”

From the professionals in their air-conditioned offices, sweatered in smiles, gripping their coffee cups, glued to their screens: “It’s time to cut the cord, Mom.” Like Margaret’s a fucking stereotype. Like there’s an instruction manual she somehow missed.

Only her friends can she count on. In darkened rooms, she sobs while they sip Chablis. “She’s going where?” They say. “You’re doing what?”

But her daughter is insistent. She’s like a dog with a bone. Pulling. Tugging. The whole world has narrowed to this one theme, this one topic, this one road.

Margaret lowers her voice, taps into some patience, and slips a mask of calmness on her face. It won’t be as easy as you think, Margaret reminds her. The words coil like an undercurrent, slipping into every conversation. You’re too kind-hearted. Not everyone is as trusting and as kind-hearted as you.

But no argument chips the concrete. Instead Risa rolls her eyes. Then she reminds her mother of her accomplishments. The 3.3 average in college. Her job at the library. Plus she’s cooked dinner for three nights straight!

***

They make apartment hunting more of a pastime than a project. Marilyn, their realtor, is a friend. Blonde, bronzed, roped with jewelry, she carves out time in her busy busy schedule. She has known Margaret and Risa since forever.

Every Sunday, it is now part of their routine.

Marilyn points out the window. Beyond the pool is Biscayne Bay. “The condo is vacated,” says Marilyn. “Its owners just fled. Tax problems. Immigration problems. Who knows?  A bedroom and two baths plus lots of light.”

Margaret struggles to find fault but finds herself tongue-tied, stumped.

“I like this place,” says Marilyn. “There’s a nice view. Incredible amenities. A party room plus a gym!”

While Margaret follows the swoop of her hand, Risa has disappeared.  They find her checking out a spider down the hall.  When she joins them, her face is vacant, her eyes glazed. Security deposits. Down payments. It’s all too much too absorb.

“Do you know that living rooms were once called parlors?” says Risa. “When you died, they laid out your body on a table. Then all your friends and relatives dropped by.”

“Really?” says Marilyn. She is listening and not listening. Punching her phone.

“Really,” says Risa. “Then one day death became a business. Morticians took the bodies, cleaned them up, and moved them to funeral parlors. Then people started calling their parlors living rooms. Get it? Living rooms.”

“Is that a fact?” says Marilyn.

“Do you know that after mating,” says Risa, “the male arachnid dies?”

It was eighth grade. All the kids in Risa’s private school were supposed to perform community service. The voices in Margaret’s head said no. The voices yelled and screamed, are you insane? But Risa pleaded, all the kids were doing it, here’s the list of places we can go.

The plan was to drop her off at the animal shelter every Saturday. Margaret insisted on her version of a hazmat suit. Long sleeves, long pants. Covered shoes. They gave Risa all the jobs no one else would do. Clean bird shit from cages. Clean dog shit from crates. Every afternoon Margaret would pick Risa up, drive her home, and direct her straight into the shower.

Still the first month went smoothly. No chore was too vile. Risa would rake her fingers through a dog’s fur and instantly decompress. She’d stroke a cat and shudder as it purred. It was the second month that proved a disaster.

A staff member named Timmy started hanging around. A scruffy beard to cover up the acne. Torn jeans and checkerboard teeth. He’d wash a dog and spray Risa with the hose until her clothes clung. Then he’d warble, look who’s got titties. He talked her into wearing white tee shirts, the more to gawk at when they clung.

Then one day he asked her along to pick up a litter. They took off in his truck, his hand slipping on and off the gear stick, digging in the space between her thighs.  You working out, Risa?  She sat up straighter, startled. You seem tense, he said. I can feel your muscles clench.

She took a shower for two hours that night. Then she plucked out all her eyelashes. Clean couldn’t get clean enough.

But Marilyn’s not on the program. While Margaret wants to press the pause button, Marilyn’s programmed to make a deal. It’s almost Thanksgiving when she finds the perfect apartment. Fully refurbished. Fort Knox Security. The place is only two miles from their house.

“I’m sending you a lease,” says Marilyn. “We’ve got to jump on this one fast.”

The three of them had just finished eating a quick dinner in the kitchen.  Margaret. Her husband. Risa. The family response is all too easy to predict.

The husband retreats to his den.

Margaret gulps an antacid followed by an Ativan chaser.

Risa puts her hands on her hips. Then she lectures her mother theatrically like she’s seen people do on TV. “Everyone has their own apartment. I’m the only person in the world without her own apartment. This is your problem, Mother. Not mine.”

“But Risa,” says Margaret scrambling for words.

Next her daughter lifts her chin toward the ceiling and starts bugling like an overgrown toad.  When she’s finished with her performance, she turns once more to Margaret.

“Do you know,” says Risa, “that a Panamanian gold frog has no outside ears? It can even ignore its own voice.”

The days slog by. Marilyn texts every hour on the hour while the three of them gnash their teeth. But the more Margaret vacillates, the more anxious Risa becomes. She gives up sleep altogether. She bites on her lips and chews on her hands, gnawing her nails to the quick.

If only there were a guidebook, thinks Margaret. A primer for extraordinary people who crave ordinary lives. The problem is so much more than geography. There’s a hole in Risa’s heart that she can’t identify let alone fill. Though Risa’s life is consumed with routine, it’s shockingly empty.  Sure she has contacts on social media. But they aren’t true connections. They aren’t real friends.

And while Risa stays stuck, the rest of the world has moved on. Her brother has married and has two children. Even her younger cousins have families, too.

Is this something you can imagine? Margaret once asked her. Is this something that you want? When you look into the future, is this something that you see?

No, says Risa. I really can’t.

It’s a reality that Margaret has difficulty accepting. At night, she dreams of happy endings.  She pictures satin wedding gowns. A handsome groom and a multi-tiered cake.

But there’s no cooing infant in this picture. There’s no strolling down an aisle festooned with baby’s breath and ferns. Instead, Risa envisions a menagerie, a home for the lost and the neglected. There are no playpens and Pampers. Instead there’s meowing and barking. Chirping and cheeping. Room after room of flying feathers.

Her husband hides. Her son yells. Her realtor nags. And like mercury in a thermometer, her daughter’s stress shoots up. Meanwhile Margaret walks on tiptoes and speaks in whispers. It’s like living with a volcano that’s bound to explode.

“I hate you, Mother,” says Risa.

“They want signatures,” says Marilyn.

But Margaret shakes them off. There are and will be other apartments. This is another roadblock they can overcome.

She spends hours on the computer. Then she locates a special organization in Wisconsin that sells trained dogs. They aren’t service dogs. Risa would have to wait years for a service dog. But they know forty commands right off the bat.

The family response is all too easy to predict.

Risa’s eyebrows nearly jump off her head. Then she bounces up and down like she’s on a trampoline, waving her hands and wiggling her fingers. “I’m getting a dog! I’m getting a dog!”

The husband starts sneezing.

The son whines. “I always wanted a dog. We never got a dog before. Now Risa gets a dog?”

By January, the two of them are in Madison. The temperature is below zero and everything’s white. The rental car passes frozen lake after lake, the air’s still, the sky crisp. A few crazies are ice-fishing. Convenient stores sell cheese balls, cheese curds, cheese soup. Churches scream, Save Your Soul! Their laps are littered with road maps while their phones prove useless. Heading into the woods, they drive clean off the grid.

After two hours, they locate the kennel. Ten acres, a barn, and a house. A lumberjack kind of guy opens the door. Six feet tall, he’s a Paul Bunyan look-alike.  Flannel shirt. Workman boots.  Jeans.

Soon their efforts are rewarded when twenty Labrador Retriever puppies greet them. Black. Yellow. Brown. Licking. Yapping. Pawing. Deciding is impossible. Ridiculous!  With tears in her eyes, Risa becomes enamored with each and every one.

Finally, as the sun sets, a gold-colored dog picks Risa. She is sitting on the floor when a two-month-old ball of fluff waddles over, lies in her lap, and falls asleep. Smiling, Risa gives her a name. She looks like a Milly, don’t you think? Then they say their goodbyes and leave the puppy in Wisconsin to be trained. After a five-month gestation period, they’ll fly back. Then they’ll pick up the newest member of the family.

In the meantime, they get ready. They sign a lease. Purchase furniture. And every few weeks they’re emailed photos of the dog. Risa forwards them to everyone she knows. Like any proud parent, she diligently records milestones. She carries a brag book. To strangers on the bus she says, Have you seen anything cuter? To her mother she says, You’re the best.

There are commands to learn and supplies to buy. Leashes. Crates. Rawhide toys. Could Risa register for gifts at a pet store, Margaret wonders? Can I send out an announcement when our latest addition arrives? Sure, she tells her friends. Getting a new dog doesn’t have to be this hard. But when is learning to love ever easy?

Marlene Olin was born in Brooklyn, raised in Miami, and educated at the University of Michigan. Her short stories have been featured or are forthcoming in publications such as The Massachusetts Review, PANK, Catapult, and The Baltimore Review. She is the winner of the 2015 Rick DeMarinis Short Fiction Award, the 2018 So To Speak Fiction Prize, and a nominee twice for both the Pushcart and the Best of the Net prizes.

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Blow Your House Down is a powerful testimony about the ways our culture seeks to cage women in traditional narratives of self-sacrifice and erasure. Frangello uses her personal story to examine the place of women in contemporary society: the violence they experience, the rage they suppress, the ways their bodies often reveal what they cannot say aloud, and finally, what it means to transgress “being good” in order to reclaim your own life.

Pick up a copy at Bookshop.org or Amazon.

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Guest Posts, Chronic Illness, chronic pain

Hysteria & Me: An Ancient, Misogynistic Disorder is Killing Women

September 27, 2020
SYMPTOM

By Elizabeth Land Quant

On a December morning in 2017, I woke up face down next to my treadmill. The week before, a rheumatologist at Cleveland Clinic had diagnosed me with fibromyalgia, which she described as an “exercise depravation syndrome,” and told me that aerobic exercise would help my symptoms. “As long as your heart races a little and you sweat,” the doctor’s handout advised.

Now, as I lay on the floor, my heart raced like a trapped bird banging against my chest. I couldn’t take a deep breath. My pants were wet, from urine and sweat, and the nerves in my hands and feet were burning. I needed to throw up. Between the gray-tinged double vision and shaking in my legs, I couldn’t stand up, so I crawled across the floor and slowly pulled myself up the stairs.

After cleaning up my vomit, I vowed to follow my doctor’s advice and try even harder. Her handout said: “First, it is very important to know that even if the pain is worse after exercise, no injury to the body occurs.” But the next day when I tried to exercise things got worse. As the days wore on, I was unable to chew food. My neck muscles would not support my head, and I had to drink my dinner though a straw with my husband’s help. My chest hurt with every breath. I was incontinent, and my intestines became immobile. The burning in my hands and feet got so severe I couldn’t wear socks or gloves. My anxiety and depression were no longer controlled by my meds. I developed double vision and my left eye sagged. I couldn’t take care of my family anymore, or myself.

My husband worked a fulltime job, and we had three teenagers with medical and school needs. With my mother’s and sister’s help, we cobbled together a way to keep everyone fed, up on schoolwork, and attending most doctor’s appointments. Our daughter ran errands for the family after she got off work. My father-in-law picked up our boys from school as much as he could, with Uber as our back up. Dinner was made by anyone who had time that night, or we ordered. I missed countless school events like my son’s football games and my daughter’s high school homecoming coronation, memories we should have made together. I was so thankful that we could get by, but I constantly felt like a burden and a failure.

To get help, I traveled from my home in Minnesota to the Cleveland Clinic with the hope of finding answers for these symptoms. I chose this clinic because its website advertised  a clinic that works “collaboratively with multiple consultants and departments.” But instead of finding answers, after I told her that some of these symptoms had started in childhood, my rheumatologist focused her questions on whether I was traumatized as a child. I didn’t know it at the time, but the rheumatologist that I was seeing is a renowned expert in fibromyalgia, and was head of the Fibromyalgia Clinic at Cleveland Clinic.

“You’ve got severe fibromyalgia. I’m recommending intense psychiatric rehabilitation,” she said.

I found out years later that this rheumatologist conducted a study on how past abuse can indicate the severity of fibromyalgia. Her conclusion was to “recommend that abuse should be inquired about in all patients evaluated for FMS as this may give more clarity to the nature and severity of the FMS presentation and prompt the need for psychological interventions.” This doctor also recommended that severe fibromyalgia patients should not be evaluated for other diseases.

Soon after, back in Minnesota, I was erroneously diagnosed with somatic symptom and related disorders (SSRD), a psychiatric condition that is “characterized by an intense focus on physical (somatic) symptoms that causes significant distress and/or interferes with daily functioning.” They claimed my symptoms were caused by a mental illness and not a physical disease.

For decades, my anxiety, depression and physical symptoms had been attributed by doctors to my own actions. For instance, I was told by a gastroenterologist that my inability to swallow food and my intestinal motility issues were most likely brought on by limiting certain foods from my diet, like gluten and dairy (but if I ate those foods, I got hives and threw up). Other doctors said that my symptoms were present because I “worked and exercised too much and didn’t rest,” or that I was “resting too much” and became deconditioned. I was scolded for being underweight. I was scolded for being overweight. I focused too much attention on my kids and not enough on myself, causing unneeded anxiety. Another doctor said that I focused too much on myself by meditating and googling which vitamins to take, causing an unhealthy obsession with my health. I was told that I just “didn’t like getting older” and was depressed about it. So, all my physical problems – double vision, throwing up, falling down, urinating all over myself – were my fault, and all my therapy sessions, meditation, medicine, exercise, and healthy diet weren’t helping nearly enough, and somehow were making me worse. I had wondered if my kids and husband would be better off without me.

***

I started researching my new diagnoses, and found out that the diagnostic criteria for fibromyalgia and SSRD placed a red flag on patients, primarily women, who have multiple symptoms. Because I fit the criteria for these two diagnoses, I was no longer a candidate for further testing or referral to other specialists. An article in the American Academy of Family Physicians’ magazine states that SSRD “should be considered early in the evaluation of patients with unexplained symptoms to prevent unnecessary interventions and testing.” With approximately 12 million US adults misdiagnosed every year, and women and minorities 20 to 30 percent more likely to be misdiagnosed, how many women are having their “unexplained symptoms” dismissed as part of a somatic illness?

How did we get to this point in the twenty-first century where women are still repeatedly dismissed and misdiagnosed? Women are less likely to be administered pain medicine than men in emergency room settings. Women have a 50% higher chance than men of getting an incorrect diagnosis after a heart attack, and they are 30 % more likely to have a stroke misdiagnosed. Black women and other women of color face even larger disparities in the health care system compared to white women because of racial bias and discrimination. Stigma and discrimination against Transgender people limit their access to healthcare, negatively affecting their mental and physical health. A study “Women With Pain” found that “women with chronic pain conditions are more likely to be wrongly diagnosed with mental health conditions than men and prescribed psychotropic drugs, as doctors dismissed their symptoms as hysterics.”

This brought me right back to college, where a professor asked the question “what is the Greek word for uterus?” When no one answered, he paused for a dramatic beat, and then said, “Hystera. Where we get the word hysteria.” As the women in the class shifted lower into their seats, the men laughed, loudly. There even was a celebratory high five. I will never forget the absolute mortification I felt, and how instinctively I hurried to cover my scars under my shirt from multiple endometriosis and ovarian cyst surgeries. I felt betrayed by my own body.

***

In ancient Egypt, Greece, and Rome, hysteria was considered a women’s condition whose physical symptoms were thought to be attributed to a wandering uterus. Over time, the blame of these various hysteria symptoms shifted from a physical cause to a mental one. In the late 1800’s, the psychoanalyst Sigmund Freud posited that a woman’s psychological stress “converted” into physical symptoms that caused a hysterical state. Also during the Victorian Era, new diagnostic terms like “Briquet’s Syndrome,” named after French physician Paul Briquet, were given to women experiencing hysteria symptoms such as nausea, dizziness, fast heartbeat, pain all over, blurry vision, and weakness. Briquet’s Syndrome was renamed somatization disorder, which eventually became somatic symptom and related disorders. Hysteria was officially removed from the Diagnostic and Statistical Manual of Mental Disorders in 1980, but the stigma of a woman’s illness with a name meaning “melodramatic or attention seeking behavior” still remains.

***

At numerous doctor’s appointments, I was given the Patient Health Questionnaire – 15 (PHQ-15), a tool frequently used to diagnose fibromyalgia, SSRD and multiple mental illnesses, which has symptoms that are also associated with diseases that primarily affect women. The tool listed 15 symptoms and a rating scale of how severely these symptoms affected your life. Each time I checked off most if not all of the symptoms listed, including chest pain, fatigue, heart pounding, nausea, pain, shortness of breath, and stomach pain (refer to chart for complete list). In filling out the PHQ-15, I thought I was helping the doctor get closer to a diagnosis and treatment. Instead, I was checking off a list of “somatic symptoms” that pointed them away from a physical illness and toward a psychiatric disorder like SSRD. Small fiber neuropathy, autoimmune disease, ovarian cancer, autonomic dysfunction, heart disease, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, Ehlers-Danlos syndromes, and now long-term Covid 19, conditions that affect millions of women, all have symptoms listed on the PHQ-15, and on screening questions for fibromyalgia. Another devastating problem with this set up is that more and more women are afraid of speaking up about their mental health symptoms, like I was, for fear of their physical symptoms being overlooked, or labelled as psychosomatic.

Women with mental illness, and I include myself in this group, are at risk of their mental health diagnoses being used as a red flag, halting the diagnostic process of their physical symptoms being looked into as part of a physical disease. More than 1 in 5 women in the US have experienced a mental health condition in the past year.  In our modern understanding of mental health, we believe that physical symptoms often manifest as a result of a mental health disorder. The problem is not that doctors identify mental health disorders as one potential cause of physical symptoms. The problem is that those same physical symptoms could also be caused by a number of physical diseases. This is the point where the effective process of a proper diagnosis breaks down. Instead of testing and ruling out physical disease, many doctors jump to the assumption of the absence of physical disease. Having a mental illness does not make us immune to having a physical disease.

Seventy-five percent of Americans with autoimmune disease are women, according to the American Autoimmune Related Disease Association and it takes on average three years and four doctors to get a diagnosis of an autoimmune disease. The study “Frequency of Symptoms of Ovarian Cancer in Women Presenting to Primary Care Clinics” shows that even though 89% of women with early stages of ovarian cancer have a distinct set of symptoms (bloating, abdominal pain, urinary symptoms, fatigue, back pain, constipation) that they report to a doctor, “only 20% percent of cases are caught in an early stage.” How many of these women were dismissed by their doctors because their symptoms fit a somatic illness or were written off as general reproductive issues that halted further testing?

***

About a month after the Cleveland Clinic appointment, my family and I went on vacation in Florida. I almost didn’t go, but this was the only time we could coordinate a trip with all five of us. I spent most of my time in the bathroom, throwing up sips of water I kept trying to swallow. I took anti-nausea meds, Tylenol, Ativan and Imodium to sit with my family by the pool, until I would have to lie down on the bathroom tiles again.

By the time we flew home, I was severely dehydrated and doubled over in pain, but refused to go to the ER for fear I would be accused of faking my symptoms for attention or told that this was my fault and I needed to exercise more. My husband begged me to go in, and it was there that a doctor first mentioned “autonomic disorders,” and autoimmune nerve diseases that could be causing my various symptoms. When I got home from the hospital after getting IV fluids, I looked up my medical records from Cleveland Clinic. The doctor who diagnosed me with fibromyalgia wrote in my appointment notes, “has not been diagnosed with small fiber neuropathy,” a disease that could explain most of my symptoms. It would have been so easy for this rheumatologist to refer me to one of the few nerve labs in the country for a biopsy, right in her same clinic.

***

The diagnosis of fibromyalgia has helped many women get symptom relief and disability services, but has also prevented countless women from receiving a correct diagnosis. Studies show that half of fibromyalgia patients are thought to have small fiber neuropathy, a disease that Johns Hopkins describes as damage to the peripheral nervous system, the nerves that send information from the brain and spinal cord to the rest of the body. This damage can cause symptoms ranging from pain, to gastrointestinal issues, to difficulty breathing and an irregular heartbeat.

Fibromyalgia shares many of the same symptoms of small fiber neuropathy (SFN), but the main difference is that SFN can be definitively tested for and treated, whereas the underlying causes of fibromyalgia are unknown and treatments only address symptoms. A quick and painless skin biopsy can confirm the SFN diagnosis, and if positive, further diagnostics can find a medical cause of the neuropathy in the majority of patients. Prompt treatment can prevent further damage to the nerves, and in some cases, the medical cause of small fiber neuropathy can even be cured.

After researching my symptoms, I convinced an open-minded neurologist in Minneapolis to conduct testing including a skin biopsy and a tilt table test. The biopsy revealed severe small fiber neuropathy, and further testing found Post Orthostatic Tachycardia Syndrome (an autonomic disorder that affects heart rate, blood pressure, and causes many other symptoms). I was also diagnosed with Myasthenia Gravis, a progressive, potentially life-threatening neuromuscular disease which can be fatal with too much exertion (so much for “even if the pain is worse after exercise, no injury to the body occurs”). A year later I was diagnosed with a hypothyroid disorder and asthma, both of which I was told I have had for years. I could not have fought for and received the right tests if I didn’t have a good health care plan, time to research, and money to pay for thousands of dollars of out of pocket costs.

I had missed out on so many of my kids’ events, as well as countless birthdays, anniversaries and holidays. If I had been given a tilt table test or a nerve biopsy instead of being continually misdiagnosed, maybe I could have started the right medications and been more present in my children’s lives while they were still growing up.

***

Being disabled itself doesn’t upset or scare me. I learned that I can live a full and happy disabled life by watching my father work and travel the world with his portable oxygen tank in his backpack. I’m angry about all the time I wasted blaming myself for a disease that was not my fault and all the years fighting for tests and medicine that could have slowed down or stopped the progression of these diseases. However, I am privileged to have the resources I need to live a comfortable life that allows me time to take care of myself.  It is unacceptable that in this country only well-to-do people with disabilities are able to live comfortably, while so many people are forced to fight to obtain correct diagnoses, assistance, adequate health care and safe housing.

When doctors are taught to hold back diagnostic testing based on the number of symptoms a patient has, and considering that so many illnesses that affect women have multiple symptoms, including potentially deadly ones like ovarian cancer, it’s not hard to understand why so many women have been misdiagnosed.

Elizabeth Land Quant is an autistic, queer, disabled writer, wife, and mom to three grown kids, two cats and a very spoiled dog. She studied Latin, Greek and political science at St. Olaf College, and splits her time between Minneapolis and Hot Springs, Arkansas. She researches and writes about her experiences with disability, autism, family, and her undying love for TV. Elizabeth writes poetry, fiction and nonfiction and is currently writing her first novel.  She has been published in Disability Acts.

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Guest Posts, Autism

Don’t Panic, I’m Only Autistic; or Welcome to Autism Acceptance Month

April 16, 2019
autism

By Susanna Donato

Just over a year ago, on March 23, I was diagnosed with autism. By now, I’ve shared that information with many people in my life, including family, friends, and colleagues. Some of them, when I’ve explained, have said something along the lines of, “Oh! Yeah, you’re a little different, but I thought that was just a Susanna thing!”

Still, even though I don’t think “coming out” as autistic—sharing what’s essentially a medical diagnosis—is an obligation, I’m starting to feel a little lily-livered about posting resources and information and commenting on other people’s posts without sharing the reason I’m doing so or my perspective.

I’ve been reluctant to “go public” mainly because I don’t want people to judge me. When I told one friend, he took a step back and asked if I was OK.

I’m OK. I’m definitely OK. Autism isn’t contagious. It isn’t a deteriorating condition. And there are so many people like me. While the stereotype of autism may still be a boy with verbal and/or intellectual challenges—and don’t get me wrong, those individuals absolutely are present and deserve the same rights as anyone!—half or more have IQs that are average to above average, sometimes way above average. (Though non-speaking doesn’t mean non-communicative.) Lots of us are women, and a bunch are nonbinary or identify in other ways. And all of us, God willing, grow up and become adults. Continue Reading…

Guest Posts, No Bullshit Motherhood, parenting

Attachment Parenting

November 10, 2016

*An amazing picture Jesse drew of his family, putting them in two pairs.

By Kendra Lubalin

Sadie is wrapped around my leg, her surprisingly strong thighs and arms tightly squeezing her body to mine, attached.  She says “I don’t know why I ever stopped nursing!  If I hadn’t I could still suck on your boobs every day!”  She is six years old, but her face is pressed to my calf so tightly, her yearning voice so authentically in pain, that I can’t laugh.

She wants to be so close that she doesn’t know how to get there.  It’s an impossible amount of closeness to achieve.  She wants my membranes to be permeable so she can swim inside me, she wants to pass though me like a ghost, but solid and warm – blood mixing with blood, breath with breath, heartbeat with heartbeat.  If she could crawl back inside the womb I’m still not sure she could satiate the desire she has to own me, to make me hers.  She whispers to me that she will put a window into my stomach, so she can live in there and still see her friends.

Straddling my lap she grabs my face in her hands and goes eye to eye, foreheads touching.

“You are mine.  Only mine.” Continue Reading…

Autism, Guest Posts, Special Needs

The Seventeenth Ring

October 6, 2016
autism

By Jayne Schroeder

His small hands, the only notice of what was to come; tiny fists clenched tight and shaking from the sudden storm of rage brewing inside. The yelling, incoherent screams of anger. His hands, now unclenched, his index finger waving wildly, signifying blame to an unknown source an arm’s length away. I wonder just how bad it will get this time. How long will it last and how will it end? I complete a quick scan of the room looking for possible items in his path I fear cannot be replaced. I catch sight of his iPad and my laptop, and I send a silent plea to the Universe. I make a mental note of the blue cup of water on the coffee table, but that’s the last thing I’m thinking about. It’s just water.

My third child was born with an extra twenty-first chromosome on Earth Day, seventeen years ago. It’s not lost on me that his love for every animal and human on this planet is given equally and unconditionally. There is an innocence so breathtakingly beautiful with the living out loud approach he takes in life. He is not self-conscious; the polar opposite of most typically developing teenagers, what you see is what you get. Contrary to the most popular of pre-conceived notions regarding Down syndrome, he is not happy all the time. He is human. Just like you, his emotions run the full spectrum. He does not think twice about letting you know what he is feeling in any particular moment. It can be both beautiful and painful to watch. Continue Reading…

Guest Posts, death

Letting Go

April 22, 2016
pet

By Liane Kupferberg Carter

I get the news moments before my 21 year old autistic son Mickey gets home. The biopsy is back: our fourteen year old cat Fudge has lymphoma.

I still manage to greet Mickey cheerfully when he walks through the door. But he knows me too well. “Do you have sad news for me? Is Fudge dead?”

So much for the myth that people with autism have no empathy.

We try a course of chemo. She responds better than we expect. But late one Sunday night, Fudge suddenly pees on the carpet. She has never done this. She staggers, and looks spacey. Something is very, very wrong. When I pick her up, she is limp.

“Is Fudge dying?” Mickey asks. Continue Reading…

courage, Family, Fear, Guest Posts, motherhood

(Dis)connections

November 29, 2015

By Lisa Porter

Daisy loves to wear wings and fluffy dresses. When she encounters someone that she deems to be filled with interesting energy, she hugs without asking, or requests a hug and invites engagement in a world full of disengagement. She admires beautiful hair, mermaid tails, cute babies, and dresses that are ‘just like a wedding.’ Her conversations are most frequently with an old sewing machine, the ‘dipper’ (stars), and the crows in the fig tree. She doesn’t abide boundaries based on social norms. Daisy is 11. She is one of the most awake beings that I know. Living with her has forced me to be curious about the brain and the concept of plasticity. Because of Daisy, I believe in everyone’s capacity to change, adapt habits, and learn to communicate without words. She has converted me into a missionary, preaching the overlooked wisdom of the sensory system, as I observe her struggle to manage all of the typical sensory input that I unconsciously process.

The disabilities emerged slowly. She missed milestones, started wearing glasses at four months, had eye surgery at seven months, didn’t crawl, and didn’t walk until she was almost two. I remember the day when it really sunk in…the day that she started at a school for two year olds with special needs. We had moved from New York City to San Diego for my academic job when she was a newborn. This change was supposed to open the ‘perfect’ chapter in my life, transitioning from the professional theater to the academic and making room for this baby. Instead, and on the day that she started at a ‘special’ school, sadness took me hostage. I remember thinking, anything other than her intellect. Today, she is officially labeled with an intellectual disability, also known as Autism Spectrum Disorder. In terms of how American society traditionally measures achievements, potential, and quality of life, she is ‘less than.’ All of the words that begin with ‘dis’ sting with the stigma of ‘less than.’ Disappointment, dismay, disparage, disarray, disgust, disrepair, disillusion, disregard, dismantle, disruption.

The completely normal pregnancy, birth, and first few weeks of her life, led me to believe I had a shot at a typical parenting experience. I remember asking at the moment Daisy was born, ‘does she have ten fingers and ten toes?’ And indeed, she does. I knew parenting would change me forever, just not like this, not like this. Nine years after that first day at the special school, my worst-case scenario is now my daily life.

My husband and I took a trip to Berlin when Daisy was about five. Until then, I had never fully understood that during the Holocaust, those with disabilities were killed first and without delay. The Nazis dismissed them as worthless and unsalvageable. I remember that realization as a moment of deep clarity about the intensity of the struggle ahead. This was a time to transform into a warrior who could advocate for my daughter, leading us into the battle. Continue Reading…

Binders, Guest Posts, parenting

Consumed

July 16, 2015

By Liane Kupferberg Carter

I am at a fish restaurant in the theater district the first time it happens. My sister in law Susan and I have tickets for the matinee performance of “Love, Loss and What I Wore.”  I have just ordered the filet of sole, when suddenly the room gets too bright, the clatter of glassware too loud. A swell of nausea washes over me. My heart pounds; my throat constricts. I can’t breathe. Is it the smell of seafood? A panic attack?

I flee to the ladies’ room. Eventually the sick feelings subside.

But several days later it happens again. Nausea.  Racing heart. Tightness. I go see the cardiologist.

“Everything checks out okay,” she says. “I don’t think it’s your heart. You should see the gastroenterologist.”

I dread the idea of someone threading a camera down my throat. But the nausea quickly becomes unrelenting. I feel systemically sick. After I wake nauseated one night, teeth chattering, I schedule the endoscopy. When I wake up from the anesthesia, the doctor tells me, “The good news is that you don’t have an ulcer. You have some reflux. We’ll have the biopsy back in a week. We’ll start you on a proton pump inhibitor, but if you don’t feel better, come back and we’ll explore further.”

The futuristic-sounding proton pump inhibitor, it turns out, is a fancy name for a Nexium- type medication.  I am hopeful. And for a few weeks I do feel better.  Then the nausea and constriction come back.  The doctor calls it non-specific gastritis. Is he suggesting this is all in my head?  Anxiety gnaws at me. I start to dread eating. I find myself cancelling social appointments, because they all revolve around meals. I am consumed with feeling ill. I think about the many meanings of that word consumed.  Swallowed.  Spent. Drained.  Depleted.   Devoured.  Destroyed.  I wake in the night with a suffocating sense of my own mortality, thinking, I can’t be sick.  Mothers of special needs children have to live forever.

I return to the doctor. He palpates my stomach and weighs me.  I have lost 12 pounds. “I think the medication isn’t helping as much because you have a hybrid form of gastric reflux and irritable bowel,” he says. “Are you under stress?”

I tell him that my younger son, Mickey, has autism and epilepsy.  He nods sympathetically. “Okay, let’s just get an abdominal ultrasound to rule some things out.” Continue Reading…

Guest Posts, motherhood, parenting, Special Needs

Down Is Up: On Parenting a Child With Special Needs.

November 6, 2014

beauty-hunting-jen-logo-blackBy Anna Yarrow.

My daughter stands in the middle of a shallow pond, yelling, “If you love me, come and get me! Do you want me? Do you care?” I rest in a patch of shade, watching hordes of children and chaperones traipsing over a wooden bridge; an epileptic girl who fainted at the old schoolhouse, her face weary, limbs floppy in the aftermath; hearing-impaired students in red t-shirts, marching single file, absorbing this living-history museum with their turbo eyes, fingers dancing shadow puppets between them.

“Fine then Mom! I guess I’ll have to stay here . . . Forever! . . . Way past midnight!”

The tremor in her voice tells me there’s sand itching in her socks. Cicadas buzz in the cottonwood trees, volume cranked to unbearable. A canker sore stings her gums. Lunch uneaten. All factors tipping us towards melt-down. A teacher calls, “Time to go, kids!” I wave at the 2nd grade class as they jostle back to the bus. A boy asks, “Why does she get to stay in the water?”

I drove my daughter separately, in case she got wet and muddy, or needed to leave the field trip early. Water usually calms her, but today she’s rocking, hands in tight fists, moaning, “You have to come get me . . . “

I peel off my boots, roll up my jeans, and approach her, soothing, “It’s okay . . . I do want you . . . Please, let’s go.” She grabs my waist and holds tight, pretending she can’t walk. Words like ‘manipulation’ and ‘discipline’ flash across my mind (residue from my spare-the-rod-spoil-the-child upbringing). I’m triggered by her anxious questions: what is love what is want what is care?

She’s silent when I say, “I love you.” (But at least she doesn’t reply, “I don’t love you!” like years past.)

I escort her through heat and blowing dust, and “I’m tired!” towards the parking lot. She asks, “Can we can stop at the library on our way home?” I agree, and remind myself to breathe.

Reality feels slippery after a tantrum. Memories of previous episodes conglomerate in my ribcage, taunting: out-of-control! I judge the day’s events while driving. Pond, yelling, and desperation. Mother frazzled and inept. I give my daughter a carton of almond milk, and fumble the radio, finding her favorite country music station.

Yellow lines blur around a sharp bend. Oncoming vehicle red or orange spooks me and I swerve my Jeep off the road. Slow motion skid on dirt, hello sagebrush, windshield shattering. We’re crashing, tipping, rolling. My arm reaches out to protect her, and I promise, “WE ARE OKAY. WE ARE NOT HURT.”

And she believes me.

Hanging upside-down like bats. My legs pretzel the steering wheel. Engine sounds wrong, so I turn the key. Undo her seatbelt. She falls to the ceiling, surrounded by nuggets of turquoise glass. I say: “We had an accident, but we’re safe!“ She glows with surprise and says, “That felt like zero gravity!” I wonder why I don’t feel sorry. Why we’re not crying. Why all of this feels right somehow.

Continue Reading…

Guest Posts, parenting, Special Needs

Before You Judge Me.

October 8, 2014

beauty-hunting-jen-logo-black

By Rachel Pastiloff.

When you are out in the world, be it at a restaurant, grocery shopping, driving in traffic, or at the doctor’s office, and you see a child screaming and a mother losing her cool and grabbing that child by the arm and being stern: BE CAREFUL BEFORE YOU JUDGE THEM.

Be careful placing judgment upon others, for you know not what battles they are fighting.

Before you judge me, or anyone. Take a breath. Consider what you might not know. Look inward. Look outward. Whatever it is, realize this: you may never have any idea of someone else’s story, so judging them is a tricky business.

Continue Reading…