rivka: (phrenological head)
[personal profile] rivka
I think most people who read this journal know that I have orthopedic disabilities. The overwhelmingly dominant one for most of my life was my congenital hip dysplasia, which led to multiple childhood surgeries, a particularly unpleasant side effect called avascular necrosis of the femoral head, osteoarthritis by the age of 11, (literally) crippling pain and increasing disability in my late teens and early 20s, and then a miraculous hip replacement at age 23 that reversed the downward trend.

The residual effects of what used to be my primary disability are pretty subtle. I can't run at all or do any kind of high-impact exercise, and the flexibility and range of motion in my right leg are limited. My right leg is noticeably shorter than my left; I wear a lift in my right shoe and sometimes (often? usually? I confess that I don't really notice this) walk with a limp. On the other hand, when I'm in adequate shape I can easily hike five miles or so over rough terrain, and I no longer have chronic pain or routinely take pain medication.

That's kind of a strange feeling. I went through some complicated emotional work surrounding my self-identification as a person with a disability, and the social, emotional, interpersonal, behavioral, and medical consequences thereof. Then the major factors underlying that self-identification melted away. Believe me, I'm thrilled about that. There's absolutely nothing in the world like not being in tooth-grindingly awful pain every day of your life. I highly recommend it. But it's weird.

So it's easy for me to think of myself as nondisabled now, except, of course, that I'm not. I also have this right arm that is half as long as the left; small-handed; missing a finger; incapable of bending at the elbow; and fairly restricted in movement at the shoulder. Most people would, uh, probably think of that as a disability.

I tend not to, unless I'm reminded. I don't think about the things I can't do with my arm, because I've never been able to do them. I was born this way. I can't carry big heavy stuff very well, but then, it seems like a lot of women can't - or don't. The other stuff is kind of harder to mentally generate: I can't bring both hands to my face or hair, which means that when I had long hair I couldn't braid it or put in a ponytail. I can't lift myself with my arms, such as levering myself out of a pool onto the deck. Some kinds of underarm turns in dancing are awkward. That's... I'm sure there are other things, but I can't think of any.

Other people do tend to notice my arm, of course. The funny thing is that although it should be very, very obvious, some people don't notice until they've known me for months. (In my experience, people who notice right away don't mention it or ask me about it. People who take a while are surprised enough when they do notice that it overwhelms their socialization not to ask.) Probably many more people do notice that the arm is short, but don't realize that it has restricted mobility unless it comes up in conversation.

There's a developmental pattern to it, too, as you would expect. Really little kids - my preschool-aged RE students, for example, or Alex's friends - don't typically notice that anything is different about my arm. At around five or six years old, kids notice and are very curious and ask. After about age seven or eight, they notice but know that they're not supposed to ask.

(For the record: I totally don't mind when young children ask. I usually give them a simple three-part answer: I was born this way, isn't it interesting that everyone is made differently from each other, it doesn't hurt or bother me at all.)

I had good friends in grad school who had young twins. I first met the twins when they were about three years old. When they were five or six, I went over to visit one day and suddenly they couldn't be in the same room with me - they kept running out. Fortunately, we were all good enough friends that their father was able to establish, and then tell me, that the problem was that they had suddenly noticed my right arm and were curious, but were overwhelmed by the knowledge that they shouldn't ask or stare. He told me, and I called them in and offered them the opportunity to take a good look, touch my arm, and ask questions. That solved the problem. But, I mean, I had known the twins for years at that point.

I wondered how it would be with Alex. Because I'm her mother and we're so often physically entwined, she's noticed the differences far earlier than most kids seem to. She counts my fingers, for example. Or sometimes it comes up in conversation: "hold my big hand for this," or "I can't reach that with my little hand." So she's very aware that I have a little hand and a big hand, and nine fingers, and that she has two big hands and ten fingers. (She had to ask about that, actually. "Which one is my little hand?" "You don't have one. You have two big hands.") She doesn't seem to be at all aware that this constitutes a disability or a problem, and she doesn't seem to be aware that it makes me different or strange in any way.

In the car the other day, she was playing a game. "How many shoulders do people have? Two! How many noses do people have? One!" (I'm not sure where this game came from, or why it was fun. I've learned not to ask.)

"How many fingers do people have? Ten!" she said.

"How many fingers do I have?" I asked her.

"Nine!" she said immediately. Then she added, "But some moms have ten fingers."

"Most moms do have ten fingers," I agreed.

"Most moms have a big hand and a little hand," she said authoritatively.

"Really? Does Miss Emily have a big hand and a little hand? ...How about Miss Suzanne? ...How about Allie and Nick's mom?"

None of them did, she agreed.

"Most moms have two big hands, just like you and Papa," I explained. "My little hand is special."

That was that. I find it interesting that to Alex, I am so much her mother that it is impossible to separate my individual characteristics from the characteristics of mothers-in-general, even when the difference should be blindingly obvious. She has never seen another mother with one little hand, but if her mother has one? Then it's evidently just a motherly kind of thing.

Date: 2008-08-20 11:28 pm (UTC)
From: [identity profile] rivka.livejournal.com
I think it's safe to say that no one has ever described me as "dainty" before. ;-) I do have to ask: were the other three people mothers? Was Alex onto something I didn't yet understand?

The hip replacement really was an amazing thing. It came after a long string of more-or-less failed medicine, which made it seem all the more miraculous.

Date: 2008-08-21 12:49 am (UTC)
From: [identity profile] bosssio.livejournal.com
I have to say, your post about your hip replacement puts your comment to me about congenital hip dysplasia in new light (the one where I cavalierly mentioned I was also born with congenital hip dysplasia but they somehow fixed it when I was a baby and I never had any problems, and you mentioned years of pain and surgery to correct yours...).

I had always put this fact about my birth in a "odd but irrelevant" category - like the fact that my second toe is bigger than my big toe.

Instead, perhaps it should be put in the same category of my nearsightedness - where, but for the grace of medicine, I would be seriously disabled. I am considered legally blind without corrective lenses (as are many severely nearsighted individuals), and without glasses, I would be unable to function in most of society. But I have glasses, and therefore, poof, the disability is gone.

My aunt, who, as a result of a stroke at age 7 months due to whooping cough, has limited mobility in her right side, cannot use her right hand, and walks with a mild limp. Despite the fact that these limitations don't really limit her all that much (her current limitations are more due to age than anything else), she was socially discriminated against due to her "disability" - prevented from attending university, told the best she could hope for was a life care taking my grandfather (who was pretty emotionally abusive, and diabetic and needed full time care after his wife died).

Dunno, it makes it all clearer how much disability comes from other people and not inherent limitations in the individual. The Social model vs the medical one, I think it is called.

Date: 2008-08-21 02:19 am (UTC)
From: [identity profile] ex-serenejo.livejournal.com
I had always put this fact about my birth in a "odd but irrelevant" category - like the fact that my second toe is bigger than my big toe.

This reminded me of an experience I had recently.

(Background: When I was a child, I had severely pigeon-toed legs/feet. I was in a wheelchair by the time I was 6, but then I had major surgery on both legs to straighten them out, spent most of a year in either casts or rehab, and really haven't had a problem since. I mean, the surgery was at age 7, and my memories of the 4th grade, when I was 8, don't involve any problems with mobility at all. I stand funny when I'm at rest, to my mother's chagrin, but I can walk fine.)

The recent experience was when I went to the foot doctor for a consult on what my GP thought was a bunion. I don't have a bunion. I have deformed feet -- deformed enough that I really didn't need to tell the foot doctor about it. He could see from the x-rays. And it was weird -- I had never (even when I was in a wheelchair) thought of my feet/legs as deformed -- just crooked, and then straightened. It really never occurred to me that my feet might not be shaped like other people's feet. They're really, really not.

(Proof that I'm weird is that I found this information about myself fascinating, not unpleasant in any way.)

Date: 2008-08-21 03:17 pm (UTC)
From: [identity profile] rivka.livejournal.com
In my experience, when you have health problems as a little kid which don't noticeably carry over into adult problems, you often grow up understanding those health problems in a little-kid way. I had to sit down with my mother, as an adult, and memorize the list of surgeries I had as a kid and what they did - even though I'd been there for them, and had the rationales explained, I didn't understand them from an adult perspective.

The biggest discrepancy for me was that, when I was a kid, I always thought that each surgery would be the last. Then I was always surprised when another surgery was proposed. I mentioned that to my parents once, in adulthood, and they were surprised (and dismayed): from their perspective, it had always been clear that I would need many surgeries, and they certainly never told me that any given one would be the last. I drew my own incorrect conclusions.

So I wonder if your mother has always known that your feet are deformed, and assumed you knew, and never thought to mention it explicitly.

Date: 2008-08-21 10:40 am (UTC)
From: [identity profile] acceberskoorb.livejournal.com
Well, you know, I have very dainty toes, but one certainly wouldn't describe me as dainty, let's not get carried away!

One was definitely a mom the other two I'm not sure...hmm...

I suppose only those miracles that come in the wake of pain, suffering, tragedy and enforced patience actually get called miracles. I remember having a conversation with my new roommate freshman year of college about how people who have suffered are far more interesting than people who have suffered less, though I am quite sure that we were both holding onto the thought in the back of our brains that we wouldn't mind being a little less interesting.

Dainty

Date: 2008-08-28 02:38 am (UTC)
hazelchaz: (Default)
From: [personal profile] hazelchaz
Really? Sometimes I see anyone smaller than me as "dainty." And anyone bigger as "large."

Although my wife is defined as "just right..."

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