The Drawing Board

a journey in chronic pain

Mary Ann Farley

Mary Ann Farley
Location
Hoboken, New Jersey, USA
Birthday
January 18
Company
www.maryannfarley.com
Bio
In 1999, at the very same time I was diagnosed with a serious blood clotting disorder (Essential Thrombocythemia), I also felt my face explode in a type of pain that no one could explain. After 13 months, I finally learned that it was osteonecrosis of the jaw (also known as NICO), a complication of the blood/bone marrow illness. I've had untold numbers of surgeries during this time, having spent most of it in pain. In 2004, the blood condition caused an internal massive hemmorhage during which I lost 70% of my blood volume, which in turn made the jaw infection much worse. This blog will detail my journey with chronic pain and all of its accompanying complications and emotions. I'll try to be as honest as possible without shooting myself.

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NOVEMBER 22, 2009 8:25PM

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Today the pain is relentless and over the top. I just got off the phone with my friend Anne and I was sobbing. I said the truth that I've been thinking of for awhile now, which is that I don't want to live this way anymore. It's not that I don't want to live; I don't want to live like this.

Too many days are spent lying on the couch, never even getting out of my pajamas.

The last few mornings, I've been overcome with sleepiness, despite this new diet, which I'd been hoping would help, but it obviously isn't doing much. I felt an initial burst of energy, but my state has dissolved into a type of strange slumber. I've been buying healthy foods, cooking good meals, getting enough sleep, going to the gym a few times a week, but what's it all for when I only end up back at square one? Why bother when life is merely surviving and not living?

This afternoon I spent a few hours on the web, looking for other surgeons in the country who've perhaps had more success in treating this condition than the ones I've been to, but I don't see how they're any different.

I also found my way back to an old support group list, which I'd forgotten about. Apparently, I was there eight months ago, hoping to find help, just like hundreds of others from around the world who feel somewhat better after surgery, only to decline back into a diseased state. It was strange to see my name and read my words, realizing that nothing has really changed since then. I did have another surgery during this time, but the pain left me for just a few days before it came throbbing back.

It's an unbearable existence.

I saw Richard Branson on TV today and was reminded that just before all this started, I was planning to take flying lessons, not so much to learn how to fly, but to do a funny photo essay of the experience. I'd even bought an aviator cap and goggles, and had storyboarded the goofy adventure, hoping I'd have funny teachers who'd be willing to join in on the fun. I even had the airport and flight school picked out.

But that's all behind me now. And the cruel truth is that, despite all of my explorations into the meaning of suffering, chronic pain is meaningless. I simply drew a bad card in life, and it's not much more complicated than that.

I began writing this blog to give meaning to this experience, but I'm finding that, despite my best hopes and efforts, I'm not going to write my way out of this. My hope was that through my writing, I could help others, and of course, myself. I was praying that if I could find a path out of this mess, I could maybe provide hope for those laboring through their own unthinkable existence. But I see now that there is no way out. This is what it is, and judging from my research and my experience, it's not going to change.

And so I have to decide...do I want to live this way for the remaining 25 or 30 years of my life? What's the point? Five years ago, my depression over this landed me in a psychiatric hospital as I was suicidal. But the feelings I have now aren't so much based upon depression but rather on a logical conclusion that this is just no way to live.

When I've had thoughts like this before, my nieces would immediately come into my mind, and what I would be taking from them if I were no longer here. I'm the only aunt they have, and as my own aunts were so important to me growing up, I know that if they didn't have me in their lives, they would be the less for it.

But my thinking has shifted tonight. They're young; Sarah has just turned three, and Catherine will be five in January. Their parents are wonderful, and with or without me, I know they'll be okay. It would be a shock for everyone if I were to end my suffering, but my family and friends all know what I've been through. I'm sure they would forgive me. Yes, there would be anger, but not at me, I don't think. They would simply feel sad that such suffering could take out such a vibrant person...a person they loved.

That's all I have tonight. I don't know that there will be any more posts to write, no matter what decision I make. This blog has been an 18-month experiment, to see if it could somehow help, but I think I've reached the end.

I'm tired and in agony. And I can't stop crying.

This is no way to live.


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I have no words for this. I am so sorry for your suffering. Blessings to you.
ohhhhhhhhhhhhhhhhhhhhhhh, dear woman

I wish I lived near you

I wish I could come over

I wish I could do something, anything.....

I'm scared for you tonight.... and so sorry for this pain

Please do try another surgeon, please try. They are NOT always the same. They have different skills, different trainings, different understandings.

Your nieces... you cannot be replaced. You cannot be.

I'm not saying anything right... I'm trying to get something off into the universe for you...

love, love, love
I wish I could help somehow, someway. My thoughts are with you and hope tommorrow a small miracle comes your way. Peace to you...I am so very sorry
anything i would write feels insignificant compared to what you're dealing with, but i will hold you in my prayers...
I wish I could say something that would be meaningful. I wish you peace.
They say people who are prayed for or sent healing thoughts heal faster. Although I am not sure I am a believer, I am going to send healing thoughts and prayers to you strongly tonight, all I guess we can do, may you gain some relief in some way. Love to you Rita
Being in a somewhat similar position myself, I have to say, you need to do what is right for YOU, not what you *think* is right for your family or circle of influence, including those of us on OS. It may seem heartless and cruel to say, but this is your life, and your decision, whatever you do. If you've exhausted all of the options, or are simply too exhausted, physically, mentally and emotionally, to continue, then let your life...and, yes, even your death, be your legacy. Your pain and suffering CAN have a positive influence on others, even in death, if you communicate with family and show them how whatever you decide is the best decision for you. Your neices may learn to appreciate the strength and courage you have to know when it is time to stop fighting and let fate take its course. But, the decision is up to you. I am not encouraging you to do anything drastic. I am simply saying that, whatever you decide, you should do it for yourself, not anyone else
I can't imagine. If it helps to have your hand held through the night by strangers in the far off dark, here is mine. I'll absorb a piece of your pain and in return, receive a piece of your courage.

- Susan
Not much I could add . . . sending thoughts/prayers of warmth, peace, comfort, and clarity. Blessings, Mary Ann.
Mary, I so wish I could give you a hug and tell you everything will be alright. Maybe you won't be able to take flying lessons, but you can take pleasure in the little things like I do, there is always hope my friend. Keep writing!
I'm going to start with a gentle hug for you.

Then I am going to make a suggestion... PLEASE ask your doctor about something called Prialt. Prialt is made from the toxin of a sea snail, it is 1000 times more potent than morphine and other opiates and (best of all) is NON-addictive. The biggest drawback that *I* have found to it (and I was one of the initial patients that it was tested on so I have been on it for several years now) is that you wind up wearing what LOOKS like an insulin pump that pumps the medication directly into the fluid around your spinal cord. It is TRULY a "miracle drug" for those who suffer chronic pain. It is NOT just for people who suffer from one type of chronic pain... it's for anyone who is in chronic pain that other forms of pain relief have been unsuccessful for. PLEASE before you make the choice that you are currently thinking of at least TRY Prialt.

I know it sounds like I am "pushing" a particular drug like a pharma rep but the fact is that I would have been in a wheelchair about 5 years ago if not for my choosing to be part of the initial study with regards to the effectiveness of the drug in question and my continuing use of the drug in question.

More gentle hugs. Along with a few dozen healing thoughts and prayers.

Ely
Dear Mary Ann,

I wish that if I were in the same room with you right now, I could make a lap and you could curl up in it. I can't say that I understand your sustained physical pain, but mentally, emotionally I was once in so much anguish I wanted to end it all. As I was reading how tired you are with this new food regimen it struck me how maybe your body is responding well to it and wants to rest and recuperate. Does that ring true at all? That maybe it's trying to marshal its defenses? I haven't a clue; just being hopeful. You sound like you need some. I will keep you in my prayers, whether or not you believe in that sort of thing.
You've helped me. I think about you a lot. I think about the fact that you keep trying. My medical problems are not as bad as yours but they are devastating to my self-image, not to mention my plans and finances. I detest the humiliating dependence on other people. But I see other people with worse conditions--you, zuma, PSM, Rutilus, others--dealing with pain and disability and it really does help. It's not about being united in misery, it's about recognizing the personality that remains when those activities and abilities that defined us are gone, maybe because we connect in a place that is pure mind. It's about recognizing that you can still be important to others, have a place, in spite of having to say good-bye to achievement and independence.

I won't say anything trite like "hang in there" but I do hope you follow up on MrsRaptor's recommendation and at least investigate this medication. Surgeons are very different. I have a roster of orthopedic miracle workers who keep me mobile. They're better than other doctors, which is why professional athletes and dancers go to them. You might still find a doctor who is better than average, which is what you need. It sucks to be on meds all the time. It sucks to have surgery or some intense procedure every few months. Believe me, I know. I have no way of making that better. I can't for me. The only thing worth living for in the end is your connection to others.

I think about you a lot.
I just want to say, there are those of us with you. No one can say with any certainty what you should do. But I do know, that many times, this passes. It may not end, but it may pass,

I am sorry. I remember banging my head (literally) against a wall hoping to make the pain more focused and less overall. It was dark. I get that. Please let me know if more personal contact might help.
Sending comfort and caring; I wish there could be more.
You made me feel your pain and though it is most likely a very small piece, I am now carrying that piece for you.

Keep trying.

Please.
Nourishment comes to us in different forms. You are feeding your body goodness. You are also still in withdrawal from nicotine, caffeine, sugar. Please be patient with your body. It wants Health. It doesn't know how to want anything less. Perhaps the body needs the rest, for reasons it hasn't communicated with you yet.
This health experiment Has Just Begun. Every health experiment like this needs a good month of Honestly working the program. And being loving to all your parts whilst you are honestly doing it. If you need sleep, your body is not lying to you, do you think? No. So give your Beautiful Self Every Good Thing you need to Succeed. Goddamn it. You are worth it. Your words are worth it. Your words heal us. Your art. And your self. Whether or not you know this yet.
Mary Ann, thank you for this. Pax.
my heart aches for you --i am so sorry ---i wish i could do something for you xoxoxoxoxox sandy
I'm terribly sorry! This is awful. Please, dont give up hope. Not now. There must be other options. Get some rest and rethink this another day. Please take care,
I want to visualize some sort of aura to send yorway that would rid you of pain. I can only send words and say all of us are thinking of you....
Tears fall.

Valid in what you feel and say, and while others WILL disagree, I have yet to see much meaning in suffering. It is akin to a hand of poker and getting dealt the worst one ever....but in this game there's no trading in the cards and you won't ever win.

But I do know this: you wrote "need you" and I hand it back and say "DITTO."

Somehow in the tiny crevices where cynicism has yet to reach its unwieldy, carnivorous hand.....hope stays lit, an ember against a sky of darkness.

Your gift is writing, tho I know this offers little comfort..... and maybe the there is comfort is :

to start, your neices won't fare as well if Auntie is gone and somehow must explain why you are suddenly gone.
then, there's me ad others somewhat like me, who suffer and argue with Pain and give up and go on and quit and cry and try and wonder and just the gentle understanding, which I would take I would take I would take away from you with a *SNAP* of my fingers I would, an understanding that strangely enough offers said ember another light "fheewww" of breath to help keep it alit.

You and expression are 'required reading' for those who hurt and more so for those who cannot comprehend.

Hang on li' bird and walk on toe in front of the other.

Pain is not dismissed nor feelings invalidated but you know,

I need YOU. Keep writing, please.

I am listening and I hear you.... A
I'm so sorry for your pain.