Transitional Spaces

Transitional Spaces

From July 7, 2024

Hallways and parking lots have been peculiar places for me until more recently.  These are common throughways between two places, often after sitting awhile or engaging in some kind of activity before travelling through them.  Whether on foot or by some kind of vehicle, our time in hallways and parking lots is usually fairly short.  Get in, get out, go through, get on to the next thing.  They are pretty mundane really, but it wasn’t always this way for me.

I came to understand that my difficulty with these two spaces was more symbolic of something else than a phobia per se:  bad things happened to me that made it difficult to move on through various stages of my life.  I have come to understand that trauma keeps a person stuck emotionally for a time even though the days come and go, one still has to get to work or school or some necessary appointment, eat, sleep, and repeat.  The feelings we experience sometimes don’t match up with the task at hand, minutes on a clock or demands of life pushing us forward.  (This gets even more difficult when interacting with the people in our lives!)  My emotional stuck-ness manifested itself in weird inner experiences that affected my ability to walk down a hallway in the darkness of night or to quickly get into my car and drive to the next stop on my To Do List or calendar.  Each played out differently, however.

There was a sense of spiritual darkness lurking in the hallway of any home I lived in as an adult.  A simple task of getting up to go to the bathroom in the middle of the night was a big ordeal; I needed to turn on a light, never entering into a dark room lest I become overwhelmed with fear.  A night light didn’t count; that was spooky too.  It’s as if I felt the presence of another being in the hallway, there to bring me harm.  He wasn’t an intruder.  He was a sixth sense even demonic being dressed as a male figure in my mind’s eye, there to taunt and torment me with this FEAR.  I really can’t explain it to someone who doesn’t know or hasn’t experienced the spiritual realm. I can just tell you that it’s real and it’s terrifying.  So as a Christian, I’d attempt to put on my “spiritual armour” as we read in Ephesians 6 and even quote scripture such as Romans 8:38-39.  We read in the book of Matthew that the Word of God was Jesus’s defense against the lies of Satan in the desert so that became my sword of the Spirit to deal with these fears as well.  A counselor who specialized in ritual abuse suggested that I put up my hand with a stop sign as I moved through the hallway.  In the end, these methods became rituals unto themselves until I was finally freed from all of it years later. 

My point is that the transitional space of a hallway marked my difficulty moving on from one moment to the next with confidence.  It took sheer will and determination to finish a project, exhausting me in the process.  Larger projects and processes had severe consequences if realized.  The biggest example:  fibromyalgia came with completing my Master’s degree.  In all, I over attended to details and still made mistakes or left things out.  In my professional life, supervisors and my fellow Occupational Therapists and Assistants would compliment the thoroughness of my documentation then cite my poor productivity at work getting it all done.  I’d leave work and sit in my car in a severe state of “brain drain,” that continued for hours afterwards; falling asleep at night usually entailed an involuntary review of the work day once again.  Letting things go in general to rest or relax was really, really hard for me.

So there I would sit in a given parking lot, needing to drive home or somewhere else with little mental ability to do so for long while.  At times this was an hour or more.  Higher level thinking skills were there but challenging to draw upon, requiring an inordinate amount of energy to transition from one task to the next, driving from one location to another.  After my ex-husband left our marriage in 2003 it got so bad that I kept a small spiral notebook in the console of my car.  I’d write down a few lines of poetry or sentences of prose to cathart, cathect, or move past the feelings that were immobilizing me.   I made lists and kept every little detail recorded on my calendar. Eventually the Lord allowed the crafting of a new life with Steve, who I call my Intended Beloved, and the excitement of our new life together carried me through the day much better than before.  What a blessing!

Then things got bad again when I developed a severe neurological illness at the end of 2011, worsening with the onset of what would eventually be labeled as a Convulsion Disorder in 2012. Not only was I spending a lot of time in my truck between appointments, you know “checking for messages” and the like, I was dealing with the sequelae of my symptoms.  Did I pick up a perfumey scent walking through the toiletry aisle in the grocery store?  Was the building moldy and now I’m in the pre-tic phase of a convulsive episode?  Quick!  Open the windows, remove my coat, eat and drink something, or just do anything to lessen the reactivity to some offending chemical or scent if I can even think rationally to do act at all.  Many times I had to call Steve when able to do so, to rescue me.  He talked me through the situation or actually came to get me and drive me home.  What an ordeal for both of us!  Steve was usually at work, needing to figure out what to say on the phone to his wife in a crisis.  At least a couple of dozen times over these 12 years of chronic illness, he has needed to drop everything he was doing to rescue me from some situation away from our home.  Very stressful indeed.

As the Convulsion Disorder became more compartmentalized, as I came to understand and release more of the demonic trappings from abuse that occurred in my past, and as my complete dependence upon the Lord for everything including the very breath of life became my way of life, the power of the transitional spaces diminished significantly.  This took time.  Now I regularly walk through the house with no lights on as I prepare for bed.  I hardly ever even think twice about it as even the habit attached to this behavior broke down then went away.  The time I spend in my truck between destinations these days is less than ever I can remember unless I am not feeling well that day.  Further, the feeling of spaciness has shifted to the end of the day, requiring a different set of coping behaviors.  But alas it may be from me simply doing more.  Perhaps bedtime will be my next area of victory?  I hope so! 

And that will be a good thingy Gentle Reader.

Start at the point of exasperation

When you reach the end of your rope then a new one must come forth

‘Cause everyone needs a hand to hold onto sometimes.

When all you can see is a dark web of experience, a broken road underfoot

Then we must cling to a crossbar strong enough to last forever.

When your body is broken, unreliable, and shaking with ravages of illness

There is no reason not to grab a hold of something eternal, transcendent, permanent, sublime.

When the pain begins as your eyes open and close each day, each night

Trust that these are a consequence of our fallen world, not your curse tender child.

When hopes get dashed over and over and over and over again

Re-examine what you are hoping for . . . the journey is alas, laced with gold.

When “challenges” plague you that would dwarf the average soul next door

Walk your own path with eyes fixed on your Maker Who is holding your heart.

When all hope is gone it is actually the perfect time Gentle Reader

To cling to our risen Christ, borne from an old rugged Cross, waiting in earnest to love you through it all.

When one day the suffering ends and your exasperation is but ashes on the dirty ground

Know that to finish well, not pretty or neat, is its own just reward. We’ve got this. He’s got us. And all will be made well.

Isaiah, 41:13, Lord holding us, take heart, trials, illness, disease, suffering, tragedy, Christian, Jesus, hope, enduring, reward

Just Breathe

The stress is crushing

Into my chest, my frame in flare

Old issues still wanting to be a friend

Screaming with the new ones, a symphony of suffering.

The stuff of life

Crowds every moment and then

The smart phone dies and hours are sucked up

In this Verizon store, that kiosk, then hours with online tech support.

My checkbook sighs

From neglect then a balancing act

Or nightmare as the expenses of preparation

Smell poorly like the “unscented” shampoo at the dog groomer!

Alas I confess

I have been here before:

A medical trip on the horizon

Brings hope but making it so: invites a nightmare.

For how does one prepare

With a brain on fire and infections too

Each vying for attention in the hours that remain

Before departing to the fabulous Mayo Clinic very soon?

Just breathe little one

The one inside that is afraid

Come to my rest my Jesus calls to my heart

Lay here your worries, your burdens; the time remaining is mine.

How fitting after Valentine’s

When I barely got to see my amazing love

That the Author of love would also come to my rescue

And all I have had to do is let go: let Him add the increase for the rest.

The rest. Hear that!

For the opening of this door

Was ordained for this season in life

The last medical records will arrive today. Go take a nap already JJ.

Prayer Request

Gathering medical records and other documents, making travel arrangements that accommodate my sensitivities, and putting together a timeline of the serious illness I have been battling for 8 1/2 years has been an emotional process for me. Just surviving to this day has been a traumatic experience. The blessings are there too yet not as clear right now with the hundreds of sheets of medical records behind me as I type this post.

I have endured so many dead ends and dashed dreams for recovery, physical damage from thousands of convulsive episodes, tens and tens of thousands of out-of-pocket expenses, and so many losses on every front of our lives. One truth is clear that I would not have survived this far without my faith in our Lord, Jesus Christ. He was my Rock when my breathing would not start in the darkness of night or my legs would not move to get me to the bathroom. Both my beloved Steve and my Lord carried me through it all to this moment in time.

Regardless of what has gone before us, Steve and I are pressing forward, hopeful for a good result at an upcoming consultation at the Mayo Clinic. For the first time since the onset of this serious illness, I get to see one of the top Doctors in neuroimmunology at THE top medical facility in the country. That is humbling. I am grateful.

Now is the time to pray for a cure to the daily convulsive episodes. Lord willing, I will be well! Thank you for your love and support, Gentle Reader. Love to you, JJ

New Year, New Direction

Like many times before in January these past 7 years, I am seeking a new direction for my medical care as a serious illness continues. A recent autoimmune blood test found antibodies for a particular type of central nervous system disease. So of course we are off now pursuing the next big thing! Here’s an initial brain dump on the subject (absolutely no pun intended!).

Autoimmune disease (AD) is a disease in which the body’s immune system attacks healthy cells. There are up to 100 different types of AD (depending upon which resource you use) and 3 triggers that I can discern that initiate the onset of symptoms:

  • Gene expression that gets turned on. This is where your have genetic markers for a particular condition coming from somewhere in your family tree that starts to express itself as active disease when triggered by stress, infection, toxicity, or some traumatic event.
  • Infection by bacteria, fungus, or viral agents. This appears to apply when the infection is severe or chronic.
  • Cancer. This may be a chicken-or-egg type of dynamic where a patient may never know what came first.

Docs have diagnosed me with a few conditions in the past that may be considered autoimmune disease. But it wasn’t until my Doc finally decided to start testing me for AD antibodies (Cyrex Array #7) that something concrete was identified and it is serious. The condition mimics a neurological disease that my Father had. The biotoxin illness that triggered my 7 years of chronic illness (beginning the same year in which he passed away, interestingly) and subsequent infections may also contribute to my situation. Thankfully, no cancer has been identified so we will stick with the first 2 triggers as entering me into the AD phase of my long term treatment plan.

So I started researching as usual and discovered two primary approaches to neurological disease in general: 1) manage the symptoms of a debilitating, degenerating course, or 2) treat it with immunotherapy and medications that have the potential to reverse its course when there is an AD component. My Doc suggested continuing various supplements and physical therapy. A second Functional Medicine Doc suggested a “functional medicine chiropractor” and a neurologist who specializes in Parkinson’s Disease. Of course I will consider these but I am also not going to wait around while my body deteriorates without seeking something more substantial! Fortunately it appears that for me, there may be medical treatment options including what is called IVIg that have the potential to REVERSE THE EPISODES THAT APPEAR SEIZURE-LIKE, VIRTUALLY EVERY DAY FOR NEARLY 7 YEARS!  Yes, let’s do that!

Yesterday I set up an account and submitted a brief case history for review by the Autoimmune Clinic at the Mayo Clinic in Rochester, Minnesota. Their neurologists specialize in neuroimmunology, participate in the latest research, and are willing to initiate trials of immunotherapies and medications to help their patients. I had contacted a couple of researchers directly, consulted the leader of a regional support group, watched lectures and interviews, and reviewed the literature on the factors relevant to my case. “Time is brain” and “time is cerebellum” appeared several times in the studies, suggesting not waiting around for something to happen. Overall, this field of study is very complex; I believe that I understand the main principles enough to share with my beloved Stevers and, as one accord, proceed in this new direction in my medical care.

As with anything new and complicated, there are many unknowns ahead of us. Will the neurologists accept my case and when will I be able to schedule my consultation, testing, treatment? How much, if any, will my insurance cover? How will I tolerate a lumbar puncture procedure likely needed for comprehensive diagnostic work-up even if administered under anesthesia? Will we be able to pay for the travel and out-of-pocket expenses that, for immunotherapy, could exceed tens of thousands of dollars? Can any of the treatment, if indicated, be completed locally and how many times will I need to return to Mayo Clinic (a full day of driving away from home)? In the winter when it’s too cold to camp, will I be able to tolerate staying in a hotel often laden with fragrances that trigger convulsive episodes? Will our aging and endearing pup Elle be able to travel and stay with us?

You know we are praying about all of these questions already! I am a bit frightened by the diagnosis I have been given, having worked with persons with movement disorders during my career as an Occupational Therapist. Yet I am also in awe that this information came NOW and not 3 years ago when I first considered a consultation at Mayo Clinic. We have learned so much since then, ruled out other conditions that don’t apply to me, treated conditions that put me in a better position to benefit from an Autoimmune Clinic, confirmed that this illness is not psychiatric, and know the process of travelling for medical care (as in my craniomandibular specialist whose care continues).

I feel like the expression on Elle’s face in this picture. Three paws in view and one paw under the rug with the unknowns lurking underneath there as well. Will there be Rubber Duckies or sweetness from the Lord to lighten this journey? Surely. Each phase of this time in my life has brought blessing with the hardships. Besides, you know I love road trips with Steve! And Elle!

Hang tight Gentle Reader. We may be headed north really soon! JJ