Okay, you've all heard it. About how MSers fake their symptoms so they can be accepted into trials. About how neurologists have to judge the story and see if they believe it before treating. About how MSers demand more more more all the time and insist on treatment even when their symptoms don't warrant it.
No?
Well I have heard this from three sources in the past two weeks (two live, one on Memorex), and I don't know quite how to react.
Burning down my neuro's office seems extreme.
Yelling in the privacy of my own home seems ineffectual.
Slapping the person who implied I was malingering is chargable.
So I'm settling for the middle road and writing here.
Okay, I'm mad.
Hmm.
So, you get told you have a chronic incurable debilitating disease. You are told you have to take expensive medications for the rest of your life or risk crippling disability. You are told you have lesions and holes in your brain.
Some of us wallow in self-pity. I did that, for about a year. I figure that's pretty normal. But once I bonded on the idea of a walk in tub, I was fine, really. For the most part, though I can't help grieving some of my losses.
("of all the things I've lost, I miss my mind the most...")
It's hard to be cheerful all the time when you have muscle spasms and numbness and forget where anything is and can no longer do simple math without thinking really hard and have to leave work because few employers would put up with a 2 hour nap every afternoon. But wotthehell, Archie, toujours gai, as Mehitabel the cat would say.
So, if you're me, you give your head a shake and start exercising. You exercise every day. You ignore the fact that this means the rest of the day is a writeoff because you know that if you don't exercise, your balance gets worse, your muscles atrophy, you feel more pain, you get fat(ter). Exercising means that your muscles are capable of walking the dog.
Exercising means that you still can walk, even if some days it takes more concentration than it really should and your feet cramp up afterwards and you notice that that old left leg just isn't swinging forward the way it should. But you plunge on and you do your best because you are fighting the disability, damn it, with all the energy you've got.
BUT you're still numb, you can't see properly, you can kiss sexuality goodbye, you still walk like a drunk when tired and a certain amount of your zest for living vanishes along with your energy.
And then you interact with your doctor.
And he treats you like those things, those smallish things that exist and ruin your life, those smallish things that shine most bright because of all your hard work stretching and moving and exercising even when you are beyond tired and your positive thinking and sense of humour about not being able to feel your lips or having them tango dance every time you go to the dentist - those things that still bother you - he treats them as if they are nothing, as if you should be grateful, as if you are wasting his time.
And in a way, you are. There's nothing that can be done for you in any case. Well, except more drugs. Which cost more money. And have side effects and dubious efficacy.
And then there's the support you need to maintain your status as disabled, that status that means you get an income even though you are too tired to work for one, even though, as an employee, you'd be pretty damn unreliable. And that he holds over your head like a sword of Damocles, in his might, swinging it to and fro, to and fro.
It's no wonder people with MS are telling the tales of their worst days, not their best. Minimize your symptoms at your peril, lest your funding be removed. Minimize your pain, or forget those nights when you couldn't sleep because of spasms, and you get scorn.
It's no wonder people hop on the comet trails of every possible treatment that doesn't involve their neurologist, even if the hope is as ephemeral as those trails, just to avoid that scorn, that feeling of being examined and found wanting as a person and a patient. I'm sure half of the benefits found through CCSVI treatment come from someone listening to the patient, and showing some caring.
I've lived with ongoing pain most of my life. It's from a variety of causes, probably not all MS, but I've lived with it and dealt with it and moved on. I resent like hell being told I malinger, when I ignored the symptoms of MS until I went blind one day (thank heavens, for a short time only) so that I wouldn't bother the medical establishment. I ignored the symptoms of a kidney stone and coped on my own with it so I wouldn't have to go to emergency. If I am saying now that I CAN'T DO IT, then by god, I CAN'T DO IT.
I am reminded of my favourite patient when I was teaching nurses. They were going to give her a bath and they had placed her in a bath chair to raise her up and into a huge tub. She was stark naked, up about five feet in the air, and she was hollering, "Come here! Come here so I can kick you!"
I feel as powerless as she was, and just about as mad.
A blog about living with MS. Why Mad Sow? In homage to Denny Crane, on the TV program Boston Legal. Every time he forgot something, he'd point to his head and say "Mad Cow." I refer to my MS, primarily a cognitive thing at present, as my Mad Sow.
Showing posts with label disability insurance. Show all posts
Showing posts with label disability insurance. Show all posts
February 5, 2011
May 25, 2010
feeling growly
I truly hate being at the beck and call of the disability folks. Generally, they have been kind, relatively friendly, and caring. But they can turn on a dime and I find it terrifying, especially with this disease and its changeability.
Lately I get the feeling they think I am malingering. And it terrifies me. They can pull my payments anytime they choose and I am out on the street. Literally.
I'd write more, but it's just too damn upsetting to think about.
Nothing like having a progressive, life changing disease that isn't QUITE enough to make me be considered as disabled. Because SOME days I can move and think.
Lately I get the feeling they think I am malingering. And it terrifies me. They can pull my payments anytime they choose and I am out on the street. Literally.
I'd write more, but it's just too damn upsetting to think about.
Nothing like having a progressive, life changing disease that isn't QUITE enough to make me be considered as disabled. Because SOME days I can move and think.
April 22, 2010
Disability, schmisability
What's a gal to do? I exercise, practice balance strategies, try to eat right and look after myself rest-wise. So when I go to see my neurologist, my disease seems quiescent. This is good for me, but not so good when you are dependent on disability. He says I look okay to him, I agree. But the brain functioning - that's the key - the blinding fatigue, the emotional lability, the pain, yes the pain.
None of it visible to my neuro's eye. Especially since I know what he sees - an overweight greying 50+ woman who he doesn't bother to get to know.
He is filling out the forms for me again, for my insurance company to approve or disapprove. I know I can't work. I've tried short jaunts, the occasional foray into what-ifs. They don't understand.
So what's a girl to do? Try and take care of herself, thus limiting the ravages of this disease on her body? Or let it all go to hell to appease the guardians of the disability cheque?
It's a conundrum.
Adding to my general state of splendour is my new diagnosis of diabetes and hypertension. So, to deal with this, I want to exercise. Within my limits. So I throw myself out for a walk and spend today lethargic and in pain, muscles spasming all over.
I guess what it comes down to is that we can never win.
None of it visible to my neuro's eye. Especially since I know what he sees - an overweight greying 50+ woman who he doesn't bother to get to know.
He is filling out the forms for me again, for my insurance company to approve or disapprove. I know I can't work. I've tried short jaunts, the occasional foray into what-ifs. They don't understand.
So what's a girl to do? Try and take care of herself, thus limiting the ravages of this disease on her body? Or let it all go to hell to appease the guardians of the disability cheque?
It's a conundrum.
Adding to my general state of splendour is my new diagnosis of diabetes and hypertension. So, to deal with this, I want to exercise. Within my limits. So I throw myself out for a walk and spend today lethargic and in pain, muscles spasming all over.
I guess what it comes down to is that we can never win.
April 6, 2010
I am slowly going crazy, 1,2,3,4,5,6, switch
crazy slowly going am I, 6,5,4,3,2,1,switch....
as Sharon, Lois and Bram would have sung....
So here's the thing. Last year at this time I was barely coherent, exhausted, challenged with walking, numb, intellectually slowed.
This year, I'm the same, but my wobblies are a bit better, and now they are gesturing at me with the whole, maybe it isn't the MS causing the problems thing. Because I don't have a lot of spots on my brain. And, I suspect, because I am fifty and overweight. Oh, and I have grey hair.
So, I feel completely inconsequentialled out of life, while still left with the disability. Which of course I'm starting to think must all be in my head, right? Since I am not actually falling down and all. My arsehole neuro actually wrote several "supposedely"s in my history - ouch! So now I'm just making this up?
And then my disability cheque goes walkabout, and all I can think is oh GOD they are going to bounce me just cos total numbness and overwhelming fatigue and all that isn't enough, despite thinking it was enough before, and then I think, what about if they viewed my trip as a reason to punish me off...
And then I wonder if I really AM crazy and if my fatigue after almost any activity is just me being lazy or depressed or some such thing.
It's making me feel awful. Help!
as Sharon, Lois and Bram would have sung....
So here's the thing. Last year at this time I was barely coherent, exhausted, challenged with walking, numb, intellectually slowed.This year, I'm the same, but my wobblies are a bit better, and now they are gesturing at me with the whole, maybe it isn't the MS causing the problems thing. Because I don't have a lot of spots on my brain. And, I suspect, because I am fifty and overweight. Oh, and I have grey hair.
So, I feel completely inconsequentialled out of life, while still left with the disability. Which of course I'm starting to think must all be in my head, right? Since I am not actually falling down and all. My arsehole neuro actually wrote several "supposedely"s in my history - ouch! So now I'm just making this up?
And then my disability cheque goes walkabout, and all I can think is oh GOD they are going to bounce me just cos total numbness and overwhelming fatigue and all that isn't enough, despite thinking it was enough before, and then I think, what about if they viewed my trip as a reason to punish me off...
And then I wonder if I really AM crazy and if my fatigue after almost any activity is just me being lazy or depressed or some such thing.
It's making me feel awful. Help!
February 10, 2010
Juggling through disability
Strangely, this photo came up when I googled cat juggling - and yet....these are dogs....Sortof speaks to my experiences (long and ongoing) with disability. Here's the latest:
For good or ill, I have been approved to get disability through Canada Pension Plan. This tells me that yes, I am disabled (every time someone tells me this I grieve the more...) but it means I get a certain amount of money through our social security system.
Do I see it?
Nope.
It goes to my long-term disability provider (insurance from work), so I am no further ahead.
Oh, and because I received the abysmally low "Employment Insurance" for a couple of months while waiting for the somewhat more tolerable disability insurance (a whole $1700 a month for EI, about twice that for disability, thank heavens), I may have to pay some of that back thanks to being approved for disability.
Good news is, I can earn SOME money on CPP disability - up to a whopping $4000 a year. Bad news is, I can't on my work disability. They would prob claw it back.
And biggest treat of all, the whole mess is taxable! Hoo hah! So if I ever step just that little bit ahead, I am totally screwed. I'm close enough to the tax cut off where any extra money means another percentage being taken off.
I'm puzzled. Everyone KNOWS that people with disabilities such as MS have the prospect of increasing disability and expenses hanging about all the time. It doesn't kill us, but, like giving up cheese and chocolate and wine to benefit your heart, MS just makes life seem longer.
Seemingly much longer if I can't work. Or increase my income in any way without penalty. Here in Canada, we can't write off our mortgage interest, so even buying a home is a problem.
So it is a bit like trying to juggle cats, only to find out they are dogs after all....
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