This Mitch Martow's medical memoir/blog titled Bend or Break that was begun in 2010 to document my struggle with Ehlers-Danlos Syndrome (EDS). A documentary film under the Bend or Break name based on these posts will be released in December 2021! This is an honest and tell-all accounting of my thoughts and experiences as both a patient and an EDS advocate. You can join the Facebook group where I share each chapter/post at this link: https://www.facebook.com/groups/163290407054413
Friday, April 20, 2018
Monday, April 16, 2018
The Talk
As the Ted x Talk date drew closer I practiced more and more often.
Eventually I was able to read it by just glancing at my q cards every few sentences. Early on in the writing process I had
said my speech was 15 minutes long and eventually it grew to 17 minutes but
there was a miscommunication and a week before the talk I was told it needed to
be 10 minutes tops. That wasn’t manageable without almost completely rewriting
it but I was able to shorten it back down to 15 minutes and they thankfully
accepted that as an exception. In terms of how it actually went there have been
delays in getting the video uploaded so for now I have to go off what those in
the audience have told me. Many friends and family came, even my old high
school staff. Everyone, even total strangers, unanimously told me it went
great. There were other talks, and let’s just say that some were far better
than others. One entrepreneur kept calling himself a visionary. He had a 6 am
flight the next day and was slated as last to speak so I did him a favour and
switched places with him. Not all the staff knew about this switch so the
speaker who went second last said to the audience before she started “I’m the
last speaker so everybody wake up!” I shouted from the audience, “Second last!”
and then started getting ready.
The plan was for them to grab a chair for me but because of the switch I
had to rush to do it myself and grab water etc. The hurrying around made me
lose my breath a bit but I didn’t notice until after I had already started the
speech or I would have waited 30 seconds. At the time I was so certain that it
was very noticeable but I found out afterwards virtually no one noticed. Within
a minute I had caught my breath and managed a steady pace. I was actually very
nervous since I’d never bared my soul to strangers before like that and a lot
of effort went into not letting that anxiety distort my voice and I succeeded
in that and a few minutes into the speech I felt completely at ease, speaking
in a friendly manner.
The one thing the nerves did affect was how
often I looked at the notes. It wasn’t bad at all but was certainly not as good
as I was when practicing. I still looked into the audience plenty and couldn’t
help but notice the awed looks on people’s faces as I got to the more juicy
bits of my past. Some looked incredulous that my seemingly healthy self has had
to deal with so much medical shit, but the entire audience was captivated. I
was too distracted to notice but I was told a good number of people gave me the
only standing ovation of the night. I had a dozen strangers come up to me
afterwards to thank me for giving the speech because of how helpful it is for
awareness. One man had chronic pain of his own and said he’s always tried to
put his thoughts into words but that I perfectly conveyed our shared plight.
Overall it was an amazing opportunity and experience to have, this is the best
possible way to improve my public speaking abilities which is crucial for both
lawyers and politicians.
Giving the Ted Talk was uplifting but this was still a difficult time
period. For years my allergy to my own sweat had been steadily worsening. It
had gotten to the point where it was having a huge impact on my happiness.
Here’s a message I sent while venting: “This sweat allergy thing is one of the
worst things that’s ever happened to me. It feels like getting stung by 1000
bees at the same time every second all over your entire body for 30 minutes
straight. The rashes have been getting more visible. At its worst it looks like
I have the chickenpox and when the pain finally recedes the relief is orgasmic.
It’s still too soon to judge the effectiveness of the antihistamines I’ve been
given. Since the attacks last the same amount of time as it takes for the
medications to work I can’t tell which is the reason for it stopping. It used
to only happen when I played nerf or was in Mexico but now it happens when the
room is just slightly too hot. My bathroom is the hottest part of the house and
going in there for 30 seconds triggers it, even in the winter. The tiniest
amount of sweat is all of a sudden a huge deal. During an attack I can’t think
about anything else until it ends. I’ve started keeping me windows open. The
triggering threshold is so tiny that the pain makes me realize I’m sweating far
before I would realize on my own. At this point it feels like I get a new
symptom every month. How the fuck am I supposed to stay sane if every time I
become able to cope with a new issue they move the damned goalpost by
introducing another one.” This is all on top of my leg pain continuing to get
worse. I’m often told to keep the tap running before drinking from it but now
it’s at the point I’m often not willing to wait standing for even a few extra seconds.
Another treatment plan recommended by my doctor is in the pipeline:
nerve blocks. He’s had them himself for his own leg pain to great effect. I’m a
lot more hopeful about ketamine because my issues aren’t limited to a single
nerve and are more musculoskeletal than neurological. If in say 5 years none of
these options help at all I’d honestly start wondering about things like
amputation. I’d rather have prosthetic legs and have no pain and be able to
sleep at night then continuing the worsening status quo. More problems keep arising.
I tore a muscle by my knee despite no recent activity. It weirdly got worse
even when I’d strain my upper body like going to pee and caused a nice big
tender bruise. There are things encouraging me to stay hopeful. Recently
someone made an anonymous $1 million dollar donation to research my specific
type of EDS.
Until the recent past, when I needed to wake up early for something
important I’d sacrifice a few days waking up a few hours earlier each day to
get ready. I’d let myself sleep for 5 hours tops and force myself to stay awake
without napping. Now even if I sleep 9 hours I risk accidentally napping since
the increased pain has further worsened sleeping. As a result my only real
option is doing the opposite of what I used to, waking up as late as possible
each day until the clock reaches a normal wakeup time. This strategy has the
downside of making me nocturnal for about 1/3 of my nights which is why my
Facebook friends notice I’m awake at such odd times.
This new strategy of sleeping in later every day has revealed my sleep
issues are even weirder than I realized before. I somehow (due to pain) manage
to get very behind in sleep without feeling sleepy. I get more and more tired
and I get heavy bags under my eyes while it feels like I haven’t slept in days
in terms of how my head felt. Yet I’m not sleepy at all and so end up being
involuntarily awake for literally 30 hours.
Being behind in sleep also causes gastro issues even though I’m not
sleepy, just extremely tired from being behind. I get allodynia (sensation
wrongly registered as pain) on my face which causes me to do odd things. If you
see my hand kind of resting on my cheek with my palm facing away that’s a sure-fire
way of knowing I’m extremely uncomfortable from exhaustion induced allodynia.
It gets so bad sometimes I can’t wear my headphones to distract myself from how
bad it is. It’s weird but I do this
because just lightly touching my face gives me a feeling to focus on other than
the pain and exhaustion. This typically only starts to occur when I’ve been
awake for more than 22 hours. Basically I get all the symptoms of being
exhausted except the sleepiness and when I finally do fall asleep I need to
sleep for 18 hours. It wasn’t very long ago I only needed 10 hours tops to
function well. Either there’s something very strange and hidden about the way
my brain works or my pain is just so bad it completely negates any hope of
feeling sleepy in a reasonable timeframe due to the increased alertness
response. Due to the fact I’m only able to be productive for the first 12 hours
I’m awake maximum, this means my productivity window has become even tinier
than before. Otherwise it’d be like trying to write an essay while you have a
severe migraine; it’s just not possible.
All this means that I’m awake but too tired to concentrate for at least
18 hours. Then I fall asleep for another 18 hours and obviously can’t work then
either. After that you have to factor in the days of constant doctor
appointments and of course taking time to eat something. I just have no time to
get anything done anymore so if I don’t get something to improve my situation
(ketamine pills hopefully) in time for the next semester I’ll have to
temporarily drop out of university. In my very first semester at the University
of Guelph I was almost able to manage 3 courses at a time but could easily do
2. Now I can barely do one, the only reason I’m able to finish one course in my
4th semester is because I saw this coming and so worked my ass off
in the first month of the semester while I still had the chance. For the rest
of the hours when I can’t concentrate it would seem like I have a huge amount
of free time and while that’s technically true, it’s not really free if all you
can do is watch TV or lie in bed awake. All I want to do is fast forward to the
next day.
I of course won’t be able to go to summer camp for the first time since 2005.
Even if my sleep improved I worry my sweat allergy would prevent me from going.
I’ll just have to wait for the weather to get warmer to see how that plays out.
For now this whole volatile sleep pattern is very disorienting. It’s hard to
remember when you last showered or brushed your teeth when you’re awake for 30
hours instead of 14. To optimize the situation every night I have to try to do
really annoying math to figure out when to take my first, third, and second set
of pills, when to try to go to bed, and when to set my alarm to wake up. It’s
simple plus or minus math but when you’re exhausted and heavily medicated with
sedatives it becomes very hard and headache inducing. I’d try to make educated
guesses based on how I was feeling in figuring out how long I’ll likely be
awake. The tricky part is planning things out several days in advance because
of some important event I need to wake up at a specific time for. I have to
make a chart that says “If I go to sleep now I’ll probably wake up then
tomorrow. Based on how much sleep I’ll be getting I’ll probably be too alert to
fall asleep for this long that night. Then I have to do the same thing for the
next day and the next day.” The worst part is you can make flawless decisions
and still get screwed when god gives you the middle finger and causes
unpredictable pain spikes or my medications decide to go on strike and stop
doing their job for a while. I basically need to be far more incapacitated to
sleep now even relative to myself a few years ago.
My medication cocktail needs to
give me essentially total cognitive and sensory deprivation to allow me to
sleep through the pain. If I can even attempt to form a coherent thought then
I won’t ‘Fall asleep’ which is why I don’t like to say ‘fall asleep.’ In
actuality my meds just knock me out. I might as well be in a coma again at that
point. When I finally have a good day I often get angry because I can’t help
but think to myself how much I would accomplish if every day was like this.
Honestly studying 12 hours on a good day is way easier than studying half an
hour on a bad day.
These aren't even half the needles I got for my allergy test.This is a pain scale I found that I think is 100% accurate. My pain now never goes below 8 and during the worst pain spikes it goes up to 9. I'd say 9.5 is like being tortured by the CIA and 10 is being set on fire so it's quite insane that I get to 9.
This is just the beginning of a rash attack, it actually gets much worse. Those red areas sting horribly.
Ridiculously dry feet. Increased medication side effect?
Reading glasses because when I wake up my medications from the night make my eyes extremely dilated.
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