Wednesday, August 26, 2020

Ailments of ego can never be treated

 There are manifold challenges of having a malady. If you have the most unusual diseases known to humankind it becomes a fateful condition where you can't afford to be ignorant and continue being tired if you desire quality and extension of your life. Knowledge is power, ignorance about your disease will lead you nowhere. I have come across a few such patients with inadequate and volatile knowledge and they haven't survived after the second surgery. Ah! Don't look at me in dismay! 


You always have a habit of putting it on the past life baggage but it's true that in every field of life, you enjoy the results of your work or suffer the results and you cannot escape it. This is your karma. You suffer or enjoy the results of your activities from time immemorial, but you can change the results of your karma and this change depends on the way you react. For every action, there is an equal and opposite reaction. What you are suffering is the karma of her past lives, it depends on your reaction towards your sufferings, how you are going to cope, get along, manage. 


Horror struck my life but there's no world for escapist and I never shuddered in fear. The doctor told me suavely about my menacing disease but I poked my old chronic illness abibibiliophoia and started acquiring knowledge and expanding my perspective.





Even superheroes can have unique diseases.


There will be an intense, sombre, indefatigable strife where you don't have to worry only about healing because recovery is a tough process that takes time and patience leaving scars behind but you have to bother about financial demands to get a proper diagnosis and the desirable treatment regime.


Few diseases of the present have little in common with the diseases of the past because of their rarity but like an owl, you have to pore over abstruse medical documents and make it your pastime with a great penchant for general science with an interest in medicine.

When you are bombarded with heavy-duty medical words of a mysterious sickness as your diagnosis by medical men who claim to possess full knowledge of those things don't become trifle too dreamy and treat their words as Gospels.

I think of the overwhelming despair of the medical practitioner roaring,




“You come and sit in my chair; let me go sit in your chair.”



Their impossibly bumptious opinionated ego deflates showing all the indications of superiority. He has earned his degree through remarkably well medical training going through the rigours of medical school, how can an inferior creature ask him questions?


This peculiar outbreak of blind rage and reprisal I faced in the unfunny days of my first brain tumour.


I spoke with authority because it was my body he would work upon and if he doesn't do a very careful job with his scalpel with full knowledge of what he was about to do then my fragile life bird would have flown away. I had the full right to know what was to be done to me.


After completing their medical degrees do they plunge into the world of unique diseases, keep themselves updated, keep track of all those maladies?



Oftentimes, I don't get dragged into the melancholia of the medical lore when I seek medical advice because if you stick with just one opinion it might result in hazardous effects or sorrowful tragedies.


When you are a medical curiosity, medical personnel make exaggerated claims of their achievements and try to draw you into an unnecessary surgery which has a drastic and dramatic effect when a non-invasive procedure is preferred to preserve your life. They forget the medical profession is all about the preservation of life. They wish to put you in cold storage because they might as well think if you go kaput you'd be useful when you are dead rather than alive because they want to make major advances by making unusual exploration and conquering certain strange and unusual diseases and reach unpredictable heights of fame.



So better not stare at them with stupefaction, even the most brilliant medical mind can make mistakes and it happened with me twice… when unwary, heedless surgeons worked for hours to save a patient's life, noted a minute detail but failed to test it for any further implications... next time it was when their negligence led to the other doctor saying "Everything is in God's hands" because they are not omniscient or omnipotent, they use their acquired knowledge and skills to save a life.


Surgeons must be very careful


When they take the knife!


Underneath their fine incisions


Stirs the Culprit —Life!- Emily Dickinson



My biggest gripe is still hope. My struggle gave birth to hope. I never uttered the word hopeless. Hope glimmered in my mind that better things are going to happen, they are always ahead waiting for me. I can get through the toughest of times. I faced every challenge that came my way with strength and hope. Hope will put me on the right path and carry me through to the end of the journey.



There was some confusion in the mind of an ego-preening medic about the brain tumours only I have been found to have in the country and I cleared it up thinking I would get some cheerful encouragement but I reeled in disbelief and utter disgust when after a few minutes I saw him blocking me off!



I forgot oil and water are not supposed to mix and I will never be accepted as a patient with brain tumours yet not brain-damaged with full thinking and analysing capacity who can understand things through reason.


What did you say? 


"Aha—you observant rascal. You are bonkers...are you crazy?"


 No, I am not. I keep myself well-informed so that I don't fall into the wrong hands. I love learning and gaining knowledge which brought in understanding, comprehension, a better grasp of my bizarre diseases, not to be afraid of death or lead an unlived life like a zombie.  Because in the end we only regret the chances we didn't take. Live life to the fullest and try bringing colour to my life. I feel alive, not just breathing. 


Your brain will literally change in chemical composition when you understand the monstrosity and the oddity of your disgraceful lingering illness. It has larger economic implications unless you are filthy rich. When in poverty, you face medical embarrassments, the humiliation of asking for financial help, physical suffering, money concerns but you mustn't feel fear and tedium of dying. Treasure every moment because life is too short and if anyone comments medical care has become an impossible burden, do some exploring and show them a picture of their “Standard of living.” They ought to raise their "Standard of giving".


 Let those walk away who don't want to stay because your destiny is not tied to them. Family is not about blood bond, it's about willing to hold your hands when you need them most. The right ones will not leave, in my case, only my mum stayed with me, everyone else turned their face. I don't expect anyone to understand my journey because they have never walked the same path, trudged the same hills. 


Humans have a natural desire to have more good things than he requires, but don't understand what others need...perils they face...ordeals they are going through...are they humane? Do they scoff? Do they abide by the small rule formed by society…" helping hands are better than praying lips…" If we have promised ought, let us keep our promise" but promises which are hollow, empty are worse than lies … the greatest sin as you make others believe and hope for something which you are sure you can't do…"Tis not what man does exalt him but what man would do!   "-- Robert Browning. 


There's really a good chance of getting old with silver hairs if my venerable disease gets an opportunity for good treatment, my potentials are realized and my battle with the selfish people ends.


This is not sentimental madness, this is the pain but I am a mermaid without tears. You can't assume me spineless in the first place, I dare to speak because I have nothing to lose.  I want my tangible trace existing after I am gone.


Picture credit: Akash Sharma and Amish Masarani

Sunday, August 23, 2020

Oh, Mum because of you I am ❤







It is my Mum who is the sun and like earth, I have always felt that strange adhesive power, that power of attraction holding us together since I was born. She was my only playmate.


In the beginning, I was a healthy chubby child and she used to play with me.



Dress me up and take different photographs 



But then when my brother was born. They fussed over their second child because he was visibly ill with incidents of abnormal electrical activity in his brain due to epilepsy.





I was never a sociable child and was always lost in my thoughts. I never got attention in school and what a fine school they claim to be producing gems of students. Even now my classmates don't pay any heed to me.



This made me terribly lonely as I needed some solicitude against the deluge of solitude rising from below. It felt like I was condemned to live in loneliness, never known before. Black heavy clouds covered my life, thunder rolled and amidst the bustle and noise of existence, I found myself lonesome. It felt grim in the pitch darkness where you couldn't see a single object but still, my eyes twinkled and shone and I took tiny steps ahead holding onto whatever bush or creepers came on the way in my journey.







As I grew up in my aloneness books became my only companion. I spent a good deal of time in bookshops turning over the pages of books, I used to think if only my life were a thousand years long I could read all these books. Two bookshops became my regular haunting place to which I went for an evening walk with Mum and returned loaded with wrapped up books. 





The embodiment of "Aum" with the engineer of the Universe, sat on the mountain peak at the core of creation lost in meditation but with his extra eye and wisdom, he watched my every step.



Initially, I underwent a few surgeries but ultimately was diagnosed with a disease which is not terminal in nature but will only get worse.


It started with a nasty brain tumour which I wasn't clever enough to understand.


When Philip K Dick entered my life, his words "Reality is that which, when you stop believing in it, doesn’t go away” touched my brain in the wrong way. I had odd sensations, fidgety and nervous but didn't understand my feelings. I had odd nightmares but told my mother that aliens are trying to get in touch with me so just keep everything shush! I could hear things which others couldn't and see stuff which nobody did! I asked my mother to be sure of that and was convinced either I could see ghosts and hear them or aliens are trying to get in touch with me. I was happy with the thought.



After some time elapsed my mother saw me getting violent partial seizures while in sleep, she called my father and both tried to hold down my body getting spasms but the force with which it was happening they couldn't. After I woke up I didn't remember what happened to me at night. For this brain tumour, father ran across India looking for a suitable doctor. 


 



After fifteen days of admission,  when the doctor saw I was reading "Minority Report " in the hospital bed he denied doing the surgery but I was told these very words “Come at the last moment when the tumour grows to the size of a Deus ball” it was also added that there was a chance of getting paralyzed for life.



My father sought out a tiny nursing home in Kolkata with minimum facilities where ultimately the surgery of the tumour was done in 2006. A  craniotomy (open brain surgery) of tumours extremely vascular in nature was done.  A biopsy would make them bleed resulting in a stroke. I woke up with paralysis on the left side. After the craniotomy, I experienced total numbness on my left side and I couldn't close my fingers and make a fist. But this was sorted out by proper physiotherapy and exercise and I got back the control of my limbs but even now I don't have sensations in my fingertips. 


Currently, I am suffering the consequences as Leptomeningeal dissemination of hemangioblastomas (HB) of the central nervous system (CNS) which is extremely rare. Between 1902 and 2013, approximately 132 cases were reported. Without previous surgery such cases haven't been reported, it is due to spillage and spread of tumour cells through the cerebrospinal fluid(CSF) space in patients with a genetic predisposition to the condition. I made up my mind to keep myself well-informed so that I don't get into such situations.







I thought if everything is written in destiny or it is my past life baggage why should I pray? 




God smiled,


 "In every field of life, you enjoy the results of your work or suffer the results and you cannot escape it. This is your karma. You suffer or enjoy the results of your activities from time immemorial, but you can change the results of your karma and this change depends on the way you react. For every action, there is an equal and opposite reaction. What you are suffering is the karma of her past lives, it depends on your reaction towards your sufferings, how you are going to cope, get along, manage. Maybe on some pages of your life, I have given you lifelines and I want to be with you to watch how you are coping or help you."




It was God's wish he wanted to be with me in every struggle I face, hence he made my mother through whom he can be with me always, also during my ordeals. Thus, she's an exclusive creation of God only for me. When I am ill her thoughts gladden me and give me the will to fight and the warrior inside me fights till the end.





She prayed that I get my liver transplant.




Took me out to the Kolkata amusement park after the transplant. 



Cared for my high fever before MDR-Tb was diagnosed







Dispelling fear out of my mind.


She has pulled me out of kidney cancer on her own.





Fought with the nagging landlord together 



Went to Medanta every day for dressing the wound of debridement in the wintry days of December and January.



Took me to Medanta immediately when I got a sudden pain at the site of debridement early in the morning.





She quit her favourite sweets and ice cream because I can't have them.






We had several adventures together







My pain and worsening disease sometimes make me cranky. But she is the only one who understands what interesting things are going on inside my head. The nice crackling sounds of burning logs or the metallic confusion. Telling my doctor about my excruciating painful and odd life, and the burning tongue with the bump on it which doesn't move properly no matter how much I try or while trying to swallow 20 pills getting choked and every struggle makes me exhausted.




If I tell someone about my current experience with my brain it looks like a film script and their reactions are







But Mum treats me seriously, even my crankiness.




I'm afraid that the road looks longer




I choke on all the words which I never let reach my lips




Mum only can  feel the pain it inflicts




In my madness




With her calmness




She lends me her ear




Putting meaning in my meaningless life




Ward off my silliest fear




Her unconditional love




Her smile makes the journey worthwhile




Never let me break down and cry




I shall  stay strong because the road is long




Aye, we'd reach together by sunset.





It is because of her care I am living and because of her daring.




As anger which comes in with the pain and weird feelings ebbs and flows I  feel ashamed because anger, bitterness, outrage is a part of my brain disease. I find the sun shining gloriously, singing birds and celebrations with mum so delightful. I understand mum had been exploited and overburdened by her in-laws, how she had taken care of me and suffered herself as her own kith and kin turned their backs on her.  She had never known soundness, only struggle. With age, she too is getting tired and irritable tackling all the work single-handedly. She needs to be taken care of. I can realise her pain is indescribable, unspeakable, disgusting but so is mum's life-long struggle.




Every day I pray for the same mother in my next life, if it really exists. Perhaps in the next life, I'll be able to really care for her, as of now I am dependent on her in many ways.




We are the Mum and Princess



The fearless survivors who had many adventures in life.



Where father gave up but mum never did and still treats both children equally as her heart cries for her son who is far away from her.






Tuesday, August 18, 2020

When lightening strikes!

 



I have a long glorious history of serious illnesses because of my entry into the world at the wrong time. I have led a notably psychedelic life and I confess that I was both puzzled and fascinated. I can’t say it wasn’t without strife because, in the beginning, it felt ghostly and here I will talk about one such ghostly ailment.


It was a warm October morning and I was in a merry mood having a good time because of the approaching Durga Pujas. I always try to make most of the time with my mother. The season is very inviting and makes us happy and less anxious. I sat down with a book determined to enjoy it thoroughly but suddenly out of the blue something zapped across my right eye. The jolt of lightening appeared repeatedly. It lasted for a few seconds to a few minutes but it was difficult to keep my right eye open. This continued for the next few days but the pain was gone as abruptly as it appeared. I underwent an MRI scan and it confirmed the diagnosis of trigeminal neuralgia.



In trigeminal neuralgia (TN), the trigeminal nerve's function is disrupted. It is the most excruciating pain known to humanity-- this intense, stabbing, electric shock-like pain is caused by irritation of the trigeminal nerve, which sends branches to the forehead, cheek and jaw. Sometimes called the suicide disease. Bilateral presentation is rare. 


Pharmaceutical science has medications to control the pain.


O’ I am in pain, tell me if there is any magical potion?”


The medical man put his attention,


Found a vessel pressing a nerve in the brain.


Leading to spasms of intense pain.


Stabbing pain, eyes tear,


Foggy vision, colours faded, 


The sky is blue


Is it true?


I feel light-headed.


Trigeminal neuralgia can make me constantly frown,


But doesn’t have the nerve to put my spirits down.


I scowl in vexation.


 

I was initially put on medicine but it mostly didn’t contain the pain. I had fleeting jabbing pain which would fade away,  at the most in a few hours. Pulses of electricity travelled through my cheeks. Doctors upped and upped my dosage but I was not satisfied.



I went somewhere else for consultation on less invasive procedures because the treating doctors were telling the haunting medical lore the melancholia of which was that Microvascular decompression (MVD) surgery is the only hope and while doing so they'd do a biopsy of my leptomeningeal hemangioblastomas not caring about the drastic and dramatic effect, not considering the highly vascular nature of the tumours---that they are richly supplied with blood vessels. A biopsy would make them bleed resulting in a stroke. After my first brain tumour surgery, done in 2006 I woke up with paralysis on the left side. After the craniotomy ( open brain surgery) I experienced total numbness in my arms and hands and I couldn't close my fingers and make a fist. But this was sorted out by proper physiotherapy and exercise and I got back the control of my limbs but even now I don't have sensations in my fingertips. Looking at tumour cells in the cerebrospinal fluid under high-resolution MRI scans are all that is necessary for an accurate diagnosis. A biopsy isn't required for diagnosis as it may cause meningitis and blood loss thereby cell spillage.


There it was confirmed by the doctor that the left-hand side pain which is milder than the right-hand side is also due to trigeminal neuralgia. Thus I have a bilateral manifestation of trigeminal neuralgia. The trigeminal nerve has three branches: ophthalmic, maxillary, and mandibular. According to the doctor it is rarely seen that bilateral trigeminal neuralgia with pain in all three branches on both sides.


I revisited the neurologist who previously diagnosed it. A new medicine was added to my list of medicines. I asked him that if it's true I had bilateral trigeminal neuralgia...he gave a knowing wink and said but the pain in the left side is milder...why should he hide it from me? Who is he to decide the intensity of my pain? Mistaking the pain in the jaw for a dental pain I sought the help of a dentist. Because of my low immunity, I acquired some infection and got 105F fever. I wouldn't have suffered if he hadn't held back the truth from me.


But the major thing that happened after the medicine was added was my BP plunged down. I have tachycardia and high BP most of the time. I take medicine for that. I stopped the medicine and drank lots of fluids but to no avail. Doctors persisted in their decision of choice of medicine... He kept commanding in a military-like way that I have to take those medicines and my only respite from the overwhelming pain is the MVD surgery. It was because of that stubbornness that I ended up vomiting the entire night losing three kilos in the process.


I never knew how to cry because I was born without the vital emotion fear but when Trigeminal Neuralgia attacked me


Irrepressible pain


Gloom hysteria


I am Trigeminal Neuralgia


Daggers stab eyes 


Shedding tear


Sending a wave of fear 


I learnt to cry as a jabbing pain as if a live electric cable was held against her eyes, cheeks, jaw and teeth.


A bolt of pain shot up the face,


Reached the farthest limit,


With disdain without grace,


Sneaking into the throat,


As quiet as a mouse


Huddling behind the ear,


Pulsating in the mouth,


Strange tic


Distorting face so quick, 


Drilling teeth, eye swelling,


Making it tormented house,


 A bedistressful dwelling--


Jumping off, crossing sides


Jumps and attacks and hides


It's a race against time,


A gloomy struggle all-day


As the predicament shook me to the core


It's a dreadful dream, a nightmare


That I battle every day and more


Heat or cold, the baleful row


Can't thrust me into diabolical shadow,


Behind the darkness of the scare,


Is the sparkling cloud,


And the sun shining bright and so proud. 


My heart stopped jumping with joy, enjoying the elixir of life and as I learnt to shed tears of wicked pain hugging my mother at night when the soul screamed out with the agony and howling in pain. I hugged my mother and muttered and cried as a bolt of lightning right out of nowhere started me hitting again and again.


All my life I have kept looking for hope. I have undergone countless surgeries including cancer and liver transplant and a few life-threatening ones but I have never stopped hoping. Hope sustains us. I got this hope from Mumbai who said he could definitely treat me by cyberknife radiosurgery. 


I applied to many trusts one said it's done but rejected at the last moment with words that  "it is too expensive", next one just denied that there are many genuine cases waiting and the other one said they had helped me earlier but they have now started helping children.


I got support and kindness and the cyberknife of the right side-- the most painful side happened and we returned in time just before the covid19 lockdown. The nerve was shot with a high dosage of radiation to destroy it. But the pain in the left side remains as the left side is still pending. Also, there is trouble swallowing, stabbing in the throat bumps in the tongue which I can't figure out.



Now the left side hurts such that I can't smile, let alone talk. I mostly feel paingry.



I feel I can predict the weather better than the weatherman.


I'm afraid that the road looks longer

I choke on all the words which I never let reach my lips

Mum only can  feel the pain it inflicts

In my madness

With her calmness

She lends me her ear

Putting meaning in my meaningless life

Ward off my silliest fear

Her unconditional love

Her smile makes the journey worthwhile

Never let me break down and cry

I shall  stay strong because the road is long

Aye, we'd reach together by sunset.



There is a concern that immunocompromised patients are at a greater risk of morbidity and mortality due to COVID-19 infection, although data on liver transplant patients is limited at present. Post-transplant patients are advised to avoid hospital visits and use telemedicine thus we are prisoners in our own home until it is safe outside.


The pandemic has forced a delay in the treatment of my chronic illness. Due to the unpreparedness of such a sudden event and not maintaining social distancing, during the lockdown and not wearing a mask it has spread. Now it's difficult to handle it until a genuine vaccine is developed. This way many educated people have put the lives of the vulnerable in jeopardy and many are suffering but I don't know if there is anyone like me, immunocompromised and with lung damage because of MDR-TB and getting lancinating pain due to Trigeminal neuralgia. Wearing a mask isn't painful and has any discomfort but it says that I care about everyone. 






The mind is a powerful weapon they say, 

Knowledge is the mainstay.


As the catastrophe happened, 

Educate the public and allay fear, 

Alleviate the gloom of doom.


Prepare, be aware,

Avoid public places, 

Refrain touching faces, 

Stay clear,

Life is not unfair,

Soon days will be brightened. 


In jeopardy  may humans stand,

But by maintaining distance,

Not travelling to any distant land;

Ensuring safety of the vulnerable, 

Being responsible, together we stand. 


Isolation is not perdition.

Not being utterly hopeless,

But being fearless,

Facing rigidly in calmness

Can bring the nemesis of pathogenesis.


The sinister brute would cast off its crown,

As time frown,

Monsters, cruel, fierce and base;

Causing deaths of life-forms in a brief time,

Would decay and fall,

Die a death approved by all.