Sunday, August 06, 2000
Begin at the beginning
or write what you know. Whatever the advice, here goes.
I have had PPH for 3 years,
after diagnosis in 1997. The first round of doctors is the familiar
routine - felt "out of shape" at 24 years old and 140
lbs. Fainted sometimes. I knew it was not normal. I knew it with
every fiber of my being. Come on! What healthy young woman can't
go hiking with her friends or keep up in a game of basketball. The
whole situation was intolerable. I am a talker and blabbed on to
most important people about how I felt. This marked the first noticable
condition to being ill. My boyfriend was no help, besides he was
incredibly active and couldn't understand my feelings of inadequacy.
Let me explain that I am
an actress. In theatre at the time. And in a very physical theatre
company. We danced and played and romped. We were energetic and
glowing with youth. It was hard for me to keep up, God knows I tried.
In fact, being a dancer for so long had helped me survive as long
as I have.
So, I was in a play that
required dancing, which I pulled off with little aplomb until I
suddenly got sick. The doctor diagnosed me with Pneumonia. That
wasn't it. Finally, after many tests, they sent me to the hospital
for fear of a pulmonary embolism. I didn't have one and they sent
me on to a specialist in Houston. I am lucky to have a professional
recommended right away. Every one at the hospital knew what it was.
With a heart catheter and a dose of CCBs, which failed as they often
do, I was officially diagnosed.
In the hospital, surrounded
by specialists, with tubes sewn to my body, and the day fading fast,
my hopes dwindled. My mom saw me like this. That's what really tore
my heart. She saw me weak and wrecked, looking like I was going
to die. I mean, I only had slight SOB at that time. I could have
walked out of the hospital at any time. I regret her having seen
me like that and I know better now.
After the diagnosis, I
went home with a feeling I now consider deeply disturbing...but
normal. I felt relieved that something was wrong with me. So many
times, I had trailed behind while trekking up mountains (my friends
and family were big campers)and wished I had a disease. I actually
wished for it! Then, I had one and the outlook was horrible.
Of course, I went on-line
to see what this PPH was. That was another unfortunate introduction.
3-5 years and no cure. Ugh! But, I kept my chin high because, if
anything, I have always been an optimist. Maybe I was an exception,
maybe I was curable, maybe I didn't even have it. All of these hopes
fell apart over the years, as did my denial. But, that is part of
grieving. My mom was an active part of my false suppositions and
we spent a lot of time spouting "what ifs."
Years have passed and now
I have increased SOB with heart palpitations. I am on coumadin and
nothing else. I hope to soon take part in a clinical trial for Bosentan.
This journey has been sublimely horrible and fantastic. I owe my
increased awareness to PPH and my strength is directly related to
this disease.
I wanted to introduce myself
to begin a dialogue with myself and others who might be reading
this. I have learned that knowledge is valuable. It may hurt at
first, but it is absolutely necessary to heal. Sort of like knowing
the rules so that you can break them.
This diary is for my mind
wanderings and lessons I have learned.
Monday, August 14,
2000
I lost my job on Friday.
It was perfect, too. Writing for the internet. I could wake up whenever
I wanted and write all day in my skivies. I knew the end was coming
and am sorta glad the other shoe dropped.
My conflict now is do I
get another job or hold tight for a while. I am capable of working
outside the home, but I am blessed/cursed with a husband who makes
some nice moola. That means I can choose to stay home and culivate
my acting career which can take alot of time. However, I have found
that working from home sucks your interpersonal skills out of you.
When you never talk to anyone but cats and set your own schedule,
conversation skills dwindle. I miss having a crew of co-workers
with whom I can chat. I miss being out in the world with action
buzzing about. So, there is the reality check of needing people
to talk to and the necessity for intellectual stimulation. Plus,
no offense to stay-at-homes, but I have a college degree and many
skills. No kids means little work in the house. I am wasting away
in here! AAHHHH!
I will compromise and try
for a freelance part-time job. It's hard for us actors because we
have to work at our passion and a dayjob until we get our break.
And I am convinced I will get my break. Like Flaubert says "Talent
is long patience."
Otherwise, I am feeling
good lately. The heat is a bitch. And I thought California would
be better than Texas. Well it is except for August- the month from
Hell. I went shopping today and hauled a ton of groceries upstairs.
Whew! If only L.A. had potable drinking water, I wouldn't need 80
lbs of the bottled kind.
So, things are sort of
in limbo. Sometimes I wish I were older because I heard people in
their 30s have it all figured out. Then again, the "journey"
is all about the struggle, right? Otherwise, you wouldn't know you
were moving forward. This way, getting over hurdles serves as landmarks
for progress. Too much, Oprah.
I know that things will
get easier. I will get work from somewhere. I will land an audition
because I can act. And, someday I will not have to live in an apartment
in the Valley with only one parking spot. Meanwhile, I appreciate
the half hour drive to the ocean, the ease with which I can talk
to my husband and the endless possibilities for my career.
Next week on the Young
and the Breathless: Will Sarah make the bank? Do the cats really
understand baby talk? And Why aren't these realities on Big Brother?
Tuesday, August
22, 2000
This is a landmark day
because I landed my first part. Albeit a small one (waitress) in
a small play. Coming from a market where everyone knew me and I
got big parts all the time, this is an adjustment. But, Rome wasn't
built in a day. The most profound statement I heard recently was
work begets work. That's true.
I am also opening myself
to the universe and allowing things to happen to me. Like a job.
A job happening to me right now would be ideal. I am resisting looking
into substitution and what not because I know something better is
going to develop.
I hate that this disease
limits my life in subtle ways. I find myself watching TV and thinking
"Man, I couldn't do that." Or being envious of the casual
energy of others. They take it for granted that the well-spring
of breath is going to be there. I know I did.
I used to be so spunky.
Often called a "free spirit," I bounded about and threw
myself around willy-nilly. Now, I am way more conservative with
my strength. Maybe that's better. Just call me focused. I hope someday
I will be able to hop around with abandon once again.
What would I do if PH was
cured? -I would go dancing, long and hard. -I would take the stairs
wherever I went. -I would try kick-boxing. -I would have a child.
-I would travel to far exotic places. -I would backpack across New
Zealand. -I would never rest on my laurels. -I would live each day.
What can I do anyway? -I
can write a book -I can adopt a child -I can make people laugh -I
can dye my hair strange colors -I can paint the world -I can create
new laurels -I can live each day
Thursday, September
07, 2000
The only time I really
despise this disease is when it interferes with my creative life.
I can handle the stair issue. I can tolerate driving everywhere,
even down the street. I can even find joy in not bending down to
pick up the laundry. But when I can't behave as I'd like on an audition,
that pisses me off.
The other day I went to
an audition for a short film. The role was a woman looking for something.
Simple, right? It was in a small classroom and there were three
people watching. Well, though the script called for her to be searching
cabinets and high places, they made me look through a mess on the
floor. Twice. Frantically. At auditions, it's hard to breathe in
the best of times. So, here I am totally wiped from bending over
alot. They tried to interview me but I was so breathless that I
just wanted to get the hell out of there. I was embarrased.
Here's the dilemma. Do
I tell them that I have this lung illness that makes it hard to
breathe. If I do, they won't cast me for fear of me keeling over
during the filming. Then I will have to explain that I can handle
it if I can rest and please please give me a chance. Or, I could
not tell them and let stand the assumption that I am tremendously
out of shape and why doesn't she work out if she is an actress,
she must be lazy. Aaahhh!
I remember being younger
and stretching my comedy wings. I was so good at running around
and actively making people laugh. Now, that aspect of my personae
is all but squelched. Recently, I have had to admit that I will
probably never be able to be the type of actress I wanted. That's
ok, I still have an active face and voice. But, part of my dream
has died.
When I am in improv class,
I avoid the running around sketches, even though I would be so good
at them. I try to keep things easy for me. It's sad and I feel cheated
alot of times. But, what can I do? I have to make the best of my
situation, I guess. start working out my brain endurance.
Friday, October
06, 2000
I am sitting here with
a big hole in my neck that feels like a Goiter. The aftermath of
a heart catheter two days ago. Yuck! I went in to get evaluated
for a Bosentan trial. My pressure are at 120, so gee I guess I qualify.
Now, I am on the medication and we'll see. I have a good feeling
about this one.
I got cast in a student
film as a high schooler. Since I am 27, that is pretty flattering.
Now, the challenge is to figure out how to hide the big Vampire
marks for Saturday's shoot. I think a trendy choker will work nicely.
I also skipped out on a callback the other day because I didn't
want to drive for another 2 hours. Here in L.A. we do a lot of trekking,
but I had already sat in the car for 3 hours that day. Plus, the
role was for a woman playing Russian Roulette with her boyfriend
and I was depressed enough as is.
I haven't had a major hospital
procedure in over 3 years. But, I remembered how ill it makes you
feel. Disregard the fact that I am well enough to walk out of there
anytime. The gowns and booties and IV. The tubes and monitors and
blood pressure cuffs. The assistants calling you Sweetie and the
many unknown hands on your chest feeling for your heartbeat. The
offer to remove my underwear in case they need to go in through
my leg. The possibility of having to pee laying down. Above all,
the other patients who are invariably older and sicker laying in
ICU with visitors saying "Hang on, just hang on."
And then waiting for 3
hours to be checked out. Waiting for a doctor any doctor to say
"you may go." Eventually, getting the nurse to remove
the IV and leaving without permission.
It all makes me want to
run far away to a place where youth is not spoiled by the body.
Where I am fully engaged in my good fortune. Where there are no
doctors. It all makes me feel dirty somehow.
Thursday, December
07, 2000
I knew this would happen.
I knew that in my profession, ups and downs are inevitable. Ok,
so this is a down period. That's acceptable. I must for that reason
rant into my diary.
The comedy sketch show
I was in was cancelled. We rehearsed for months and were promised
a four week run. Instead, we got a power trip by the producer and
were made to feel like naughty little children. I was disappointed
because I thought I was representing myself honestly. I was trying
to be impeccable with my word and ended up out of work after all.
That was disappointing. It always is when you meet someone that
betrays your trust, or operates under shady motivation. So, I wrote
a nasty e-mail.
Then, the dream job I thought
I had turns out to be challenging at best. My boss is majorly hard
to please and also makes me feel like a naughty child. I would like
to maintain the job because it is teaching me to be a better writer.
But, I am tres sensitive to my working environment. I once worked
as a defensive driving teacher and had to quit eventually because
the students always hated me so much. They hated being there and
I felt it like a spike in the heart.
The good news is that I
am back in funds again. Just in time for Present-mas! I am looking
forward to going home and seeing my mom. I am going to surprise
her with a return ticket to L.A. for the Oscar's (family tradition.)
My husband got a raise
and a bonus. I am super proud of him. He deserves it all and more.
It's so funny. When I list
my rants, I often forget about PPH. And then, in the end, I add,
"oh, yeah, and I have that incurable lung illness." I
am grateful that it doesn't impede on my life that much.
Sometimes I feel so impatient
with things. I can see where I want to be, but I don't know how
to get there except for waiting. I can do little things here and
there to improve my chances, but it all comes down to fortune. Such
is life, I suppose.
Tuesday, February
06, 2001
This has been a turbulent
month, made even more complicated by my participation in the Bosentan
drug trial. It is over now and I am on the real thing, so I expect
to be leaping tall buildings in a very short while.
Maybe it's because January
is a month of reckonings- coming to terms with the new year and
the mistakes/victories/suprises of the past. Maybe it's because
I am forced to tediously analyze my every physical sensation, wondering
if I am doing better. Whatever the case is, I have been to the depths
of despair this month.
It all started rather innocently.
I was having stomach pains and thought they would go away. They
didn't and I began to get worried. I keep thinking back to what
my mother said: she gets less worried about aches and pains the
longer she lives in her body. But, I am only 27, so I am a basketcase.
At the same time, I am on the Bosentan trials. Funny, isn't it,
how life goes on and doesn't pause for our troubles.
So, I was plunged into
this depression suddenly. I am a very happy person normally, as
dysfunctional as that is. I have been depressed a few times: when
my boyfriend dumped me to travel the world, I didn't leave the house
for 2 months. During that void, I learned to drink and made McDonalds
my second home. I bummed out after college when I realized a theatre
degree will only buy you a ticket out of town. I'm pretty sure there
was some chocolate binging involved in that recovery. In any case,
I have given up drinking and if I see another fudge brownie after
Christmas, I will puke.
Now, when I am depressed,
I talk. To everyone. "Whah! I am so bummed and I don't know
why." This leads to reciprocal emoting and pretty soon I am
receiving e-cards with cheery messages and everyone is asking me
"how are you feeling?" which you and I know just leads
to the birth of unreasonable tears.
Ok, so I am over that depression.
And what did I learn? I must live in the present or I will go insane.
That is the hardest thing for me to do. I am always thinking ahead-
an hour ahead or a week ahead. "What's on TV tonight"
or "How am I going to land an agent?" The answer never
comes and I wind up spending an afternoon out of my reality. It's
especially important for PPHers to live in the moment. After all,
tomorrow might be a crappy day where you can't even look at a flight
of stairs. But, today, right now, I am feeling good.
I have begun giving off
a little prayer to the universe when I am doing well. Like today:
thanks to the powers of our creation that I am healthy and pain
free. AMEN!
I have been struggling
more with the idea that I must pursue a homeopathic medical plan.
Part of me thinks that I shouldn't divert my energies, go traditional
or alternative but not both. But, when my pain is non life threatening,
like this stomach thing, it is easy to envision a less invasive
form of treatment, like acupuncture or herbs. My gastro wants to
give me an endoscopy just to see if I have an ulcer, which he thinks
I don't. My God, a tube down the throat with sedation just to see.
I don't have to do this.
When I had my heart cath
to start the Bosentan study, I felt so miserable. Here I am, not
really sick, in a hospital, attached to all these tubes, for a test.
It makes you feel powerless and robs you of vitality. I can imagine
an endoscopy will make me feel the same way. I have to think about
it for a while. I say that now cause my stomach pain is gone today
(Thank the Universe). Little Miss Wimpy may sing a different tune
tomorrow.
On the career front, I
haven't found an agent yet but am still looking. I had 2 auditions
last week and am excited about the beginning of pilot season. The
thing about L.A. is that if it doesn't work out this year, there
is a new project in the works every year for the rest of my life
(if need be, but my husband probably wants to retire in a nice city).
My predictions for the
coming year:
Laying roots and creating
a home Finding the pulse of the city and taking a blood sample Giving
myself permission to fail Having a hell of a good time in our new
house and getting a dog!
Monday, April 09,
2001
April 9, 2001
It's been a while. I have
now entered phase two in the whole grief/illness/reckoning experience.
My, aren't we learning so much having to live with this bothersome
dis-EASE. I kept telling myself that I will fill in the diary when
I am feeling better, when I am feeling better, when I am feeling
better... You'd think around the third promise I would notice that,
hey, I am not feeling better. So, get ready for a long one.
Illness is so connected
with emotion and bargaining and logic. I have been thinking for
about 6 months now that I can figure out a way to feel better. If
I think about it long enough or research far enough, I can crack
this PPH code. What must I do to cure myself. Can I wish myself
into a better state of mind that will somehow regenerate my lungs?
Can I meditate to lower my heart rate and thus bolster my energy?
I will slowly dissasemble my body specialist by specialist until
every nook and cranny has been x-rayed, probed and pictured. Then,
I will be able to say "I am the lucky one because I figured
it out."
How egotistical of me to
believe that I am so entirely different. I'm Sarah, my lungs are
stronger and my heart is a fighter. I will never need Flolan because
I am better than that- I can survive until they find a cure if need
be. I will presist because I am made of tougher stuff. Well, guess
what, the bubble has burst. The final nail in the coffin. The tribe
has spoken:
I am the same as everyone
else. My flesh is weak and I am vulnerable. I can't think myself
healthy. I have no control over how I feel right now. It's not because
I am holding bad chi in my 4th chakra or because I have unresolved
issues with my sexuality. It's because I am sick. Cut and print.
Realizing this has taken
all of my soul and mind. It ends a long journey from "I don't
even have PPH" to "I have PPH and it affects me like everyone
else." It's so funny. Most of us spend our whole lives trying
to fit in. I wanted to be different. Special. Now, I just want to
feel normal.
So, fact-wise. I am on
the Bosentan post-study meaning I finished the trial and am on the
real thing. At the beginning of the trial, I was feeling pretty
good. More energy, longer walk tests. Then, they started messing
with the dose and everything went downhill. My walks suffered. I
developed a full feeling in my head and chest. My stomach started
feeling bloated and I kept getting faint. Then, I got back on the
low dose, they upped it and just last week lowered it again. I still
feel like crap. In fact, I have never felt crappier, thank you very
much. I almost fainted while dropping books at the library. My right
arm hurts when I "get my blood up" as I call it. I can
hardly walk across the house without feeling tired. This is it-
this is the worse I want to feel. I can't go anywhere and am captive
in my new house. This sucks.
Now, the reckoning. Cause
a person can hardly be trapped in a house in the Valley of L.A.
without doing some collective reasoning. I am a failure because
Bosentan may not be working for me. What's wrong with Sarah when
doctors all say, "Bosentan is a miracle drug, we are very excited
about it." Why won't it work for me? Does God hate me?
Thought process #2: What
is to become of me? How can I be an actress when I can hardly walk
to the audition and only want to wear overalls all day? Who overcomes
this kind of obstacle? What casting director finds that desirable?
Do I have to throw away my dream since forever cause I don't have
the energy?
Thought process #3: What
comes next? Flolan or nothing. Can't very well feel like this for
much longer. Not when Flolan is such a wonder. Also, must note sneaking
fear...if Bosentan didn't work, Flolan might not either. And then,
I am truly screwed.
This has all been wandering
around in my brain. Stomping on my good vibrations and bumming me
out. I have been hesitant to write it down because I wanted to get
it all figured out and solved first. But, this week I have realized
I am not going to solve this one by myself. This is the next phase,
where I need to throw it up to the universe. I surrender. Now what?
Monday, May 14,
2001
They say you can't go home
again. But, you can surely visit. My last few months have been a
roller coaster of emotions, the most recent of which is relief.
I have been so uncomfortable for such a long time that I knew better
times had to be ahead. So, finally, I did some reading and matched
my symptoms to those of water retention. It helped that my ankles
and lower back had started to swell. My stomach was so big that
every time I went out, which, granted, wasn't often, people would
ask me if I was pregnant. C'mon. Women, especially, should know
better.
It is imperative that patients
take control of their fate. That means reading all we can on PPH
and its many complications. Reading about medications and side effects.
That way, we can plot a course for our own recoveries. Well, I read
about Lasix and aldactone and urged my doctor to put me on them.
I guess he didn't immediatley suspect water retention was my problem.
But, I was convinced that I was in heart failure. I was wrong. And
he finally put me on lasix.
Well, the first day I lost
5 pounds. And slept on my stomach! The following week, I lost 10
more pounds. He upped the dose again and I lost 10 more. So, here
I am 20 pounds lighter and feeling like a new person. When we are
sick, we so easily adjust to different feelings and conditions.
It's like I got a new body very quickly. I forgot how good it felt
to be able to take a nap without coughing. I can see my knee bones
and my shoulder bones. My legs cross differently due to the skinny
thighs. More importantly, my stomach is a lot less full. I have
lost about 2 dress sizes and weigh what I did in college.
Now, I like being skinny
as much as the next supermodel, but I really like feeling normal
again. Makes me wonder how long I had been retaining so much water.
Years? I am excited about shopping for new clothes and my self-image
has improved 10 fold.
I put on makeup the other
day for the first time in about a month. I put on pants. Ok, they
didn't fit, but it is a step up from the mumu I was wearing. I dyed
my hair a fiery red! To go with my new nailcolor.
As far as Bosentan goes...I
still have my doubts. I have also met and talked with some other
folks on the medication. They seem to be having similar feelings,
meaning they feel ok but not supergreat. They haven't experienced
a miracle revitalizing. Which suggests to me, Bosentan takes longer
than doctors think to work or we need a higher dose. In any case,
I don't think Flolaners should be jealous of a miracle cure.
During my bad period, I
did a lot of thinking about Flolan and quality of life. I decided
that it is important to feel better, regardless of any inconvenience.
It is important to live and live well. The rest is gravy. So, I
welcomed the possibility of Flolan into my life. After considering
Flolan, UT-15 is easy. Now, that I am stable yet still limited energy-wise,
I can see the future and am not scared. I welcome any changes with
open arms.
We'll see what happens
in the near future. Hopefully, I can resume my life again. All I
can say is that PPH is like a giant snaking river. We swim as hard
and as fast as we can. Then, we drop out for a while, resting on
the shore. When we catch our breath, we rejoin the stream because
the water keeps flowing. Regardless of us, the water runs on. For
me, that is a comforting thought.
Tuesday, June 05,
2001
Ah, to be young and in love.
The flowers smell sweeter, the sun is blinding. My heart expands
from something other than PPh. Life is good. I have recaptured my
age. I have planted a flag on the northernmost hemisphere proclaiming
myself queen of the world. And isn't it about time? I mean months
have gone by when I haven't imagined a painted nail or begun to
visualize the theatre. My butt has been rooted to the chair in a
slump of careful exhaustion. Just now, I am breathing again. It
all started when my husband, Tim, and I went out for my first movie
screening, albeit a student film. But my head was 30 feet tall!
Afterward, around midnight, we had chili cheese fries at Fatburger.
May not sound romantic, but it was one of the best nights I have
had all year. I felt young and unstoppable. I felt wicked and momentary.
I felt 28! Slowly, very slowly I am discovering the world again.
Three trips out, then five stops. Walk to the parking lot and maybe
carry books into the library. All without stopping to catch my breath.
The curled up edges of my horizon are peeling back just a little.
Enough for me to see inside. Once I lost 25 pounds of water weight,
everything started to change. Lasix at 80mg took care of that pesky
edema. Little by little, my stomach has shrunk back to normal. The
UPS guy asked me if I had had the baby. My cough is gone and my
stomach cramps have disappeared. I still get tired if I do too much.
Pacing myself is the key. I am now on 125mg of Bosentan. Which they
say is the ideal dose. My doctor is not into checking pressures,
so I haven't explored that. But, I feel better everyday. Except
for lightheadedness or what I call a free buzz when I stand up,
no side effects. The frustrating part and a warning for all those
that might go on Bosentan after reading this is my doctor expected
it to work way too quickly. He gave it a few months. Well, it is
just two little pills a day. So, I say more time is needed. I have
been on the real thing since February and am just recently feeling
better. Not perfect, stairs are still scary, but my energy is back
and things seem possible again. So, I have this new body and it
is freaking me out. In a good way. I wouldn't recommend the diruetic
method of weight loss, but it sure worked for me. My clavicles stick
out and my hindquarters won't support my granny panties anymore.
I dropped two dress sizes. My God, was I retaining water for such
a long time? I mean, I was the same weight for 4 years. Now, my
wedding ring won't fit. Ah, the perks of possible heart failure...
I am reawakening. The long months when I was feeling like death
are behind me. Summer is here. I want to put on a bathing suit and
bury my toes in the sand because I can breath again. Yippee!
Thursday, August
23, 2001
Happy Anniversary, dear
diary! It's been a year since we met and I see the beginnings
of a beautiful friendship.
I just returned from a
visit to Texas in honor of my ten-year high school reunion. Eeek.
For the first time since PPH, I used my head when traveling. Here's
the deal: I am only 28 and seem to think myself too strong to use
the baggage check-in. After all, only a few years ago, I was backpacking
across Europe. But, the last time I flew I almost died of exhaustion.
I had to walk far to my connection and the stewardess was holding
the flight. She said, "hurry- come on," and I started
crying and said, "please, just give me a second." You
know how it is: I had no breath left in me. All the while nobody
offered to help with my bag. It was God awful. Then, I got really
sick and during my "down time" I realized who am I that
I can't use some help. After all, I am alive and that seems
to be everything I am guaranteed. So, this time, I checked my bag
and just carried a purse. Aaahhh- the sweet relief. At the gate,
my mom met me with a wheelchair. Ok, here's another first. I
let her take me but I was screaming with embarassment. Again, who
am I that I need this special service. I didn't use the chair
on the way back and regretted it- so that shows me.
I also had yet another
first yesterday when I used the electric cart in the supermarket.
Honestly, I felt really stupid. I am sooo incredibly aware of what
other people must think of me- driving around and looking so healthy.
I would almost rather feel tired than brave the possible bad thoughts
of strangers. Weak, huh? But, I am still learning.
Anyway, back at the reunion.
So we all piled into the local American Legion Hall which I haven't
visited since I was ten for professional wrestling featuring the
Rich twins and Rowdy Randy Piper. This time, there was less sweat
but some of the outfits were the same. My ex-compatriots looked
fabulous overall and some were their parents. But, I felt like I
held my own. I didn't tell anyone about my disease. And I was
ready to go after about an hour of "where do you live, what
do you do, are you married/have kids?"
After that, I visited my
college friends who are a totally different crowd. Talk of cow roundups
was replaced with predictions of Hillary Clinton. We ate fancy meals
with cloth napkins instead of burritos with chili and cheese. We
drank wine instead of Lone Star beer. Don't get me wrong, I
like my Texanisms as much as the next Bubba, but it was refreshing
delving into a more sophisticated world.
I did tell them all about
my disease which my mom has dubbed "The Affliction." You
know it's strange when you talk about PH because people have
one of a few different reactions. Some are totally interested and
want to know about cures and drugs and symptoms. Others are so scared,
their lips turn white. They want to get it over with and move on.
Some think they have heard of this hypertension before and why don't
you try some exercise. So, I try to keep my explanations short.
Then there is the inevitable
comment, "well, you look great." Then the defensive return,
"thanks, muscle atrophy will do that for you." But, comebacks
aside, I have this thing I do. I know it is going to take a few
attempts at normalcy before my friends realize I am not the same
and stop trying to behave that way. For instance, I am driving and
they tell me to park in the lot behind the restaurant. They point
and whine and I have to say "shutup I am going to park as close
as possible and you can all bite me." A short stunned silence
before they all crack up and say "Sarah's back." But,
with enough stubborn resistance, they stop trying to make me walk
places and accept it. We PHers have to fight outward appearances
all the time.
Otherwise, my bad weeks
are shortening into bad days. I feel tired less and less often.
One day many months ago when I was just emerging from the sick time,
I decided to get a haircut. You see, I had been living the entire
year for other people. I thought if I had longer hair I would be
more "marketable" as an actress. But, I hated it and felt
like an imposter everyday. I didn't recognize myself and just
ended up feeling like a fraud. So, I cut it. I chopped it. I died
it black and spiked it up. Now, people see me- revitalized and self-aware
and they say "nice hair." If only they knew, it was my
soul that got the makeover.
Thursday, October
25, 2001
Sometimes I can see things
clearly, like a sharp outline against a dark sky. Other times, I
am thrown by the crowded and various passages that stand before
me. I think I have things figured out then it all dissipates like
sugar in water. My greatest solace is that others are equally transfigured
and stripped and we can at least all share our confusion.
The tragedy on September
11th woke me from a sound sleep. I was slumbering gratefully having
landed on a plateau of easy times. My husband literally shook me
from my dreams on that day to tell me the world was changed. I,
like many people, spent a week with eyes wide and fingers clenched.
I couldn't stop watching television. When I finally turned it
off, I craved the barren images even more.
My reaction to this mass
murder was fascination, anger, forgiveness and anxiety. I talked
about freedom and wrote peace on my arm. I watched for revenge and
hoped for patience. As the shock wore off, I was able to claim a
more distant stance and realized something. Americans are going
through what we PHers have already experienced. Namely, a look at
their own demise. We are all imagining simultaneously what it would
be like to lose your life. And, ain't it a bitch?
Suddenly, the unwashed
dishes become unimportant. Suddenly, the distant future shrivels
up like a pruny fruit and we are left with just ourselves. Only
our hearts and minds to lead us. No guarantee of a lifetime. Nobody
is promised anything. Welcome to my world.
As the days grow shorter
and the numbness deepens into acceptance, I feel hardened. More
than ever, a sense of randomness overtakes me. Why me? Why them?
Why anyone? Then, I get tired of trying to figure it out and just
think, "s**t happens." Now it is more important than ever
to live as if we only get one chance. For me, that translates into
tons and tons of questions about my career and my family. Do I still
try to become an actress or do I give in to the writing bug? Should
I move out of the hell that is L.A. and take up residence in the
South of France? How long do you struggle for your dreams before
you try something else? Do you live for a higher purpose or do you
just live?
Meanwhile, back at the
ranch, my husband wants to quit his meaningless job. My mother is
retiring and becoming a full-time RVer. And my brother is auditioning
future mates like there's not tomorrow. See what I mean? No
matter how frustrating and hazy my own search for clarity is, everyone
around me is undergoing a similar ass-kicking. And that feels good.
Monday, March 25, 2002
I thought the day
after the Oscars would be a good day to add a new entry. The slate
has been wiped clean and anything is possible. Kudos have been awarded,
egos stroked and the future is wide open. At least that's how
it seems here in L.A.
And, honestly, that's
how it seems in my life as well. I love the Spring. How the sun
is unflinchingly bright and the sweaters and socks drop off bodies
like snakeskins. My mood seems permanently attached to the whims
of the clouds. And sunny days are my favorite, favorite, favorite.
These past few months have been sublime.
I guess it all started
when I went to a support group meeting in Torrance. There was a
good collection of people there- on Flolan, Tracleer, UT-15 and
nothing at all. We talked about new meds coming out and the conference
and each other. It was my second such meeting. Upon entering the
lobby, I held the elevator for a few folks who said "you go
ahead." I knew exactly what they meant. The short walk from
the parking lot had exhausted me a year before. Then I looked around
the gathering and felt lucky for the first time in a while. I was
full of energy and talk. I felt like the top ten percent, the valedictorian.
From then on, my
body kept blossoming more and more. I walked to the drug store.
Can you imagine? Ok, it's only like a block away but still.
The news was enough to amaze the husband. I saved it until he got
home so I could watch realization dawn on his face.
The next day I was
driving and got something stuck under the car. I pulled over and
"ran around" to pull it out. That's exactly how I
would describe it. It has been so long since I "ran around"
or "hurried over" or "dashed along." I forgot
how you take it for granted that when you need the strength, it
will be there. I have felt so good lately. Motivated physically
and well, almost normal. My cheeks carry a distinctive flush from
Tracleer but it is becoming. And this all seemed to happen within
the last month or so. But, I feel like I have turned a corner.
I still have bad
days where I want to sit all day or my stomach won't cooperate,
but overall, I wake up ready to go. I have been on Tracleer for
over a year. I figure it is just now showing a true difference.
So, all those waiting, be patient.
Maybe it's all
related to my ordinary life. I am writing a screenplay and it is
so fun. I feel like I have a purpose again. My mom has moved out
here to join my brother and I and the family is complete. The sun
is shining. Everything seems brighter like after a good rain-only
it doesn't rain here in L.A. So, all those factors combined
with my new well of energy make for a pretty good time.
I wish everyone
could feel as light. Maybe some day we all will.
On September
8, 2002, Sarah Ing passed away. Sarah has been a contributor
to
the PHCentral diaries since August of 2000, and it has been my
pleasure to correspond with this positive and creative young
woman
during this time. I will definitely remember Sarah.
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