Did Fibromyalgia Save Me?

The following was written in February or March of 2010.  I neglected to revise and post it until now, after reading this Esquire article and Roger Ebert’s response to it.

**DISCLAIMER: The following are just my opinions and/or my experiences.  Do not use anything in this blog to justify avoiding medical treatment or to justify anything else.  Talk to your healthcare provider and see my other disclaimers on the right.**

I was shocked to see what happened to Roger Ebert.  I didn’t see the Oprah episode first – I saw this article about it.  I had no idea that Roger Ebert had thyroid, then salivary gland, and then jaw cancer, that the surgery to remove part of his cancer-ridden jaw and the radiation caused his carotid artery to burst, or that he was left without a jaw and without a voice after his doctors saved him from bleeding to death.  I didn’t know that other parts of his body suffered as doctors tried unsuccessfully to reconstruct his jaw.  My heart broke as I watched this clip.  I actually didn’t realize he hasn’t been on TV in four years.  Four years ago…I guess that would be 2006; my fibromyalgia started in 2007, so maybe this was all coming out when I was in too much pain to know anything, or maybe it was kept quite, or maybe I was living in a cave at the time.  Anyway, as sad and heart breaking as it is to see what’s happened to him, it’s also heartwarming to see that he remains optimistic and enjoys his happy life, and that, thanks to CereProc, Roger Ebert can have his own voice back.  It’s wonderful to see that he has survived, and continues to have his voice heard.

A few months before my Fibromyalgia started, one of my doctors felt a bump on my thyroid.  The non-invasive tests couldn’t determine for sure whether the bump was benign or not, so, exactly two days before my Fibromyalgia started, I went to see the surgeon about the removal of Bobby.  That is my thyroid tumor’s name; it is to be spoken with a British accent.

Normally, I’m terrified of any kind of surgery; I’m really uncomfortable with the idea of being sliced open in any way.  Because of that fear, other than my wisdom tooth removal, I have avoided every other surgery any of my doctors have ever suggested or strongly encouraged (I think there were only two).  The Bobby-removal was different; my doctor told me I had to remove it because even if it’s benign, it could grow and because of its location, that would not be good, I assume because it could block things that I enjoy, such as eating and breathing.  I was fully convinced that this surgery wasn't one that I could avoid when the surgeon mentioned that there was a 30% chance that it was cancer.  Also helpful in convincing me was the fact that this particular surgeon was willing to do the surgery with a local anesthetic, which eliminated my fears of general anesthesia.

After my Fibromyalgia symptoms began, it became clear that my body couldn’t possibly handle surgery, so my doctor told me we could wait, so we did.  When I went to my next checkup a few months later, that doctor found that Bobby had miraculously shrunken a little.  They didn’t believe my tumor could shrink.  But it did.  So the surgery was no longer urgent -- the cancer risk was either gone or almost gone (I can’t remember which) since it had shrunken.  A few months after that, it shrunk s’more.  It has remained the same shrunken size since then (knock on wood), but that’s ok, it shrunk enough to let us all know there’s no need to remove it now (if it grows enough to cause problems, I assume that would change).

When Bobby shrunk, I realized that my Fibromyalgia, as horrible as it is, had saved me from surgery that I fear so very much.  I wondered if my body decided to do something drastic since my brain had become willing to have it sliced open; it was as if my body had to buy some time.

After seeing what happened to Roger Ebert, with his surgery going awry, I feel even more strongly that Fibromyalgia had not only saved me from surgery that I fear so intensely, but it might have also saved me from a lifetime of a different kind of disability.  As I mentioned in a previous blog posting, I’m also legally blind (from birth), so either way, another disability would have piled on struggles, and I imagine that Fibromyalgia might be a lesser evil than what could have arose.  Of course, if I’d had the surgery and something went wrong, I still could have gotten the Fibromyalgia on top of that.

I’m grateful to G-d, to my body that has often saved itself, and to the Universe, that I didn’t have surgery that could have potentially caused so many other problems.  The surgeon who would have performed the Bobby removal is probably a great surgeon, but I can only imagine that a celebrity like Roger Ebert probably had a great surgeon as well; there are always risks with surgery.  I’m really grateful, even to Rachel (my fibromyalgia’s name), that I didn’t have surgery at that time.

Beyond the obvious irony of one horrible debilitating syndrome saving me from other terrible things that could have been, there is further irony in Rachel saving me from Bobby-removal.  I’ve read that it is thought that Fibromyalgia can be triggered by a physically or emotionally traumatic event, and I believe the impending removal of Bobby and part of my thyroid gland might have been the emotional trauma that might have summoned Rachel.  As I mentioned, it was exactly two days before the onset of my Fibromyalgia symptoms that I saw the surgeon and became fully convinced that I should have the surgery, and became aware of the 30% chance that Bobby was malignant.  I should have been freaking out – I should have been an emotional wreck.  But I wasn’t – I couldn’t even cry (despite my attempts).  It was too much to handle, so I detached, I didn’t feel anything, at least not as strongly as I should have, and normally would have.  My Fibromyalgia symptoms began with what appeared to be a terrible (unknown) viral infection (based on how my body reacted), and that was very possibly the physical trauma that helped trigger my Fibromyalgia (I’ve read that Fibromyalgia can start with a big infection).  However, I believe that the unfelt emotional trauma of a (second in two years) cancer scare and intense fears of impending surgery might have also contributed to the onset of my Fibromyalgia – the very Fibromyalgia that saved me from the surgery that I so feared and bought time for my body to confirm that my tumor is benign.  Knock on wood.

Oh Em Fibro-Glee

SPOILER ALERT – Glee Season 2 “The Sue Sylvester Shuffle” is described briefly below.

I got so ridiculously excited when Sue Sylvester mentioned Fibromyalgia on the post-Super Bowl episode of Glee.  While attempting to convince the sharp-as-a-marble Brittany to sign a release to consent to being shot out of a canon, Sue explained, “that cannon has two little baby twin cannons at home, and one more on the way, and if you refuse to sign this, well, those little baby cannons might just go hungry…And the Mama Cannon has fibromyalgia, so she can’t work.”  Needless to say, I was filled with gleeful joy as laughter erupted from within me; Fibromyalgia made it to primetime (again – it was mentioned on House once, where it was also recognized as a real disease).

Not only does Fibro-Glee provide another notch in the legitimacy and acceptance that only pop culture can provide, but Sue’s statement also justifies the necessity of disability status for Fibro sufferers.  I’ve read on the internets that if one has Fibromyalgia and wishes to be considered disabled by the government, one would be better off having another, more recognized and more clearly diagnosable disability.  For that reason, I realized that I’m lucky to be legally blind.  I’ve been finding that the government, doctors, and people in general are more accepting of Fibro these days, compared to what I’ve read about from just a few years ago, which is fantastic.  However, I think the transition is still incomplete.

I know at least one person who doesn’t seem to understand why I don’t work.  I always get the sense that this person feels that I’m wasting my life, and perhaps being lazy.  In his defense, I don’t think I ever really explained to him what I’m about to explain here.  To his credit, he is otherwise very much understanding of my condition, and, other than this, has always been incredibly supportive and helpful with all that I’ve gone through.  I think I appear more like a normal (yes, I said “a normal” lol) than I really am, as I think most Fibromyalgia sufferers do, and so, even this person who knows what horrors I went through doesn’t realize that while I’m 80 billion times better now than I was before physical therapy, I’m still very much limited and very far from being a normal.

Because of this one person who comes to mind and the other people who I’m sure also exist who feel this way, I often feel that they must be right – that I’m wasting my life and just being lazy with this not working business.  To avoid the inevitable depression that follows these thoughts, I have to remind myself of my limitations (which can itself be depressing as well).  I should mention, there are also a lot of people in my life who have only encouraged my laziness –  oopsies – I mean who have been extraordinarily understanding of my not working.  Despite my poor attempt at humor, I am very much grateful to those people.  Strangely, I also appreciate and understand the ones who think I should be working since I know they mean well and I know they aren’t thinking of the limitations that no one should ever have to think about.

The fact is, to my knowledge, there aren’t many jobs where it’s acceptable to suddenly need to take off work for anywhere between a day and two months because of a flare-up that you can’t always prevent or predict.  Even if there were such a job, there are so many fibro-limitations.  I don’t know how other people’s Fibro is, so I will only speak for myself.  I can’t sit, stand, walk, or lie down for too long.  I realize the latter is irrelevant for most jobs, unless one is considering the oldest profession, in which case Fibromyalgia is likely the least of one’s problems.  I can’t be on the phone for too long because either 1) with a handset, my hand, arm, shoulder…hips, toes, etc could end up hurting (okay, maybe not toes, but really, anything goes with Fibro) or 2) with a hands free device that attaches in any way to my ear or the rest of my head because my head, ear, jaw, etc will end up hurting a lot more than my hand etc would with a handset, or 3) speaker phone because that’s just inappropriate in a business setting, and quite frankly irritating for all parties.

Aside from all the little technicalities that most people never have to think about, there is also the stress.  Stress can very easily cause pain, and since one of my two biggest goals in life has become avoiding pain, that logically means avoiding stress.  The funny thing is, I occasionally forget that stress causes pain, and I wonder if that’s really all that true.  Inevitably, something stresses me, and inevitably, I’m reminded that yeah, it really does cause pain.  Obviously, the point of all this is, there aren’t too many stress-free jobs out there.

I want to mention that I know there are Fibromyalgia sufferers who do work, and I admire those people more than words can express.  I wonder if there are any legally blind Fibro sufferers who work.  I should also mention that I know of at least one person who retired early after trying to continue to work after a Fibromyalgia diagnosis and experienced tremendous improvements after doing so.  I know that people have to work, whether it hurts or not, and I am truly grateful that at this time, I don’t have to.

Even as I write this, I feel like I’m making excuses and I really am just lazy and don’t wanna work, and I just wanna bang on the drum all day (What?  I don’t play the drums, why would I sing that?  Don’t be scared, dear Blog Reader, I wasn't really singing that.  At least not out loud, but maybe in my head).  I’m finding it hard to write “But I need to realize and accept that I’m not just being lazy and making excuses.  I have two disabilities, and the one that some people don’t think is real is so much more disabling than the 'real' one ever was.”  But there, I wrote it, though in quotes, so it’s not real.

Fibromyalgia changed my perspective on everything – it changed my goals and it changed what I view as success.  The two most important goals in my life now are to avoid pain and to avoid alienating friends and family (the latter can unfortunately happen when pain is involved, as can be seen on House MD).  Thanks to physical therapy and some other things I do (such as walking, taking fish oil, and going to my chiropractor), I have succeeded and continue to succeed in not being in truly unbearable pain (knock on wood!).  Because of this, my continued limitations and continued (relatively) bearable pain are not failures; they are my life now, and I’m okay with that, as long as the real, immobilizing, and previously unimaginable pain stays away.

UPDATE: June 22, 2012

I just found this nice thing containing advice on working from home with Fibromyalgia.  If a Fibromyalgia sufferer is able to find a way to do this in a fulfilling and not-too-painful way, I think it is wonderful and admirable.  Interestingly, the author mentions blogging as a method of working, so, technically then, I do work from home via this and my other blog.  Of course, I can’t tell you where the other blog is because the blog that you’re looking at right now is written by my secret identity (Fibro-Girl) and the other blog is written by my real identity, and I am in the fibro-closet.  Anyway, despite these two fibro-jobs that I apparently have, the advertising that runs on my blogs hasn’t yet made me a gozillionaire.  But woohoo, I do (sort of) work!  (Emphasis on “sort of”).