Tuesday, February 10, 2015

Disability

I've been taking skiing lessons. Downhill, cross-country, Nordic - it's all the same at the moment as the terrain is necessarily flat while I learn to balance, and balancing is something I now find myself unable to do. The downhill coaches have been supportive (pun unintended, although their support has sometimes been needed whether it's the physical grabbing of my arm to help me back onto my feet or a timely shove to keep me upright), but we've reached a point where they have suggested I might want to consider their Adaptive Ski program. 

 The Adaptive Ski programs in the Smugglers' Notch and Stowe areas are amazing. Specialist instructors use a variety of equipment to enable a wide range of individuals to be able to ski. I've seen blind skiers making rapid descents with their guides, and teams of instructors supporting children in wheelchairs as they come down some of the other slopes. I saw a woman with a zimmer frame/walker type device riding the chair lift, her skis dangling, her walker swaying precariously over my head, and a massive smile on her face as she passed (I'll confess I was relieved she didn't try to wave). Both resorts are fierce believers that skiing should be for everyone. I recently read an interview with the parents of a severely autistic girl who was learning to communicate through skiing: the sense of movement freed something inside her and allowed new kinds of communication to come through. That's amazing, isn't it!

But I'm struggling with the notion that I might be best suited to an adaptive program. I don't think of myself as disabled - but then who does? Perhaps the issue is less to do with how I see myself and more to do with how society sees me and the things I try and do. We live in a society which exists around an assumed polarity between people who are 'normal' (that idealized standard of health and ability, independence and functionality) and people who are 'disabled'. But that's a clumsy definition of disability. The concept of disability (and any physical therapists' attempts to measure it) emerges from an understanding of 'activity limitations'. This begs the question of what kinds of activity it is reasonable for an individual to expect to be able to engage in. The last time my 'disability' was measured by the physical therapist, I scored highly. 

My most recent x-ray, showing the
fusion of 4 vertebrae and the metalwork
I'll wear for the rest of my life.
If you saw me walking down the street, you probably wouldn't notice I have any disabilities. I walk like one of those 'normal' people - unassisted and balanced and able to easily navigate to where I want to go.  Looking in from the outside you won't know about the metalwork in my neck, the absence of sensation in my left foot (a definite benefit in winter weather), the fact that I can no longer remember what's it like to wash my hands without wanting to cry out in pain. I can safely drive a car. Friends sometimes notice I can't turn towards them while we're talking, but it's easy to set up furniture so that's not a big deal. I did meet one woman who told me she knew I'd broken my neck because I moved like an automaton and kept staring at a fixed point in space, but no-one else has said anything so I think she was just being rude. 

My point here is that, in relation to being able to walk about, cook and eat meals, and chauffeur the children, I don't have any real activity limitations. Should that be enough? Shouldn't that be enough? Given that I broke my neck in two places, I suspect many people reading this will say 'Be grateful for what you've got. You're fine!' 

But I live in skiing territory. I watch people of all ages, shapes and sizes wander around in their skiing equipment, with the haze of anticipation of that day's snow in their eyes or the post-ski adrenalin-reds coloring their cheeks. I've joined skiing classes with people of all ages, shapes and sizes and watched them progress from beginner slopes to chair lifts while I ski in circles and fall over. I'm friends with a network of women in their 60s and 70s, the 'Mountain Mamas', who hike during summer months and ski during winter. There is a great sense of celebration when they turn 70 because ski lift tickets are free for seventy year olds and over. I want to ski with them. I'm 41 years old, and I can't. 

In spring, I want to ride my bike. My physical therapist is working with me towards this goal, but he's been pragmatic about the unlikelihood of me being able to ride the bike I have / the bike I want to ride because my neck won't allow the flexion needed for me to look where I'm going. I might be able to ride a 'sit-up-and-beg' bike, but I live on the side of a mountain. City bikes don't do well on steep gradients and mud tracks. 

I bought Nathan a pool table, and I'm able to take easy shots when the balls are near me. If I try to angle myself for a long shot, the pain is so severe that I get double vision. In those circumstances, I tend to aim for the middle of the 'two' balls and hope no-one notices the difference, then I make an excuse and say I'd prefer to be doing my knitting.

In summer, I want to get back in a kayak and explore Lake Champlain. I've always been a fairly good kayaker - I have good upper body strength and the skills have always come easily to me. My surgeon has told me I might be able to kayak for up to an hour at a time, but I'll pay for it the next day. 'Paying for it' is medical speak for more pain. I have had 5 completely pain free days since breaking my neck. I no longer expect to have a 'pain-free' day when I wake up in a morning. I used to imagine all day kayak trips with my daughters and Nathan, followed by camping out on one of the islands. It's a nice daydream, but probably needs to be shelved next to the one where I can sing like Nina Simone. 

I don't mean to sound sorry for myself because I'm not. I'm glad to be alive and I feel tremendously fortunate to have the wonderful life I am able to live. But I am learning to recognize I have limitations, that I'm not going to be able to easily pick up many of the things I was able to do before my fall. 

There is a conversation which has recurred a lot over the past few months. People who know me a little and know of my accident look at me with eyes filled with compassion and say, 'Are you better now?' 
What answer can I give? If better means back to 'normal', back to how I was before the fall, then no. I'm not better and never will be. But then, as another friend recently pointed out, 'normal' is a setting on the tumble drier. 
Perhaps the better question should be 'Are you happy?' And the answer is unequivocally 'yes, I'm happy and I'm fortunate and I love my life...' but I wish I'd bloody well taken skiing lessons last year rather than waiting until now.

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