Friday, October 31, 2014

Can't See the Stars.

I can't see the stars anymore.

It occurred to me as I was driving through downtown one evening. The glimmer and beauty of the lights surrounded me again, filling my heart with hope and reaffirming me that all in this world was ok, was going to be ok - no matter what. 
Faith is a lot like that, I guess. I can't see it, but I know it's there. Even when I can see the stars - outside of the city - the day comes eventually. It takes them away. But still, I know that they are there.

My life has relied on a lot of faith since starting school here. Faith that it's all worth it. Faith that I'll make it through. And lots, lots of faith in God. If you asked me whether I had changed since beginning Graduate School at Mercer, I would reel a little bit. Because the difference shocks even me, despite that I am the same person. I don't feel the same. My life consists of waking up, going to class, studying almost all of the time, getting lunch prepared, occasionally taking a break, and going to sleep to do it all over again. On the weekends - I work. I have to make specific time for "regular daily activities" such as laundry and vacuuming. It's all a numbers game, as to how much time I want to take away from my studies - how much can I afford to take?

When I'm out with friends, I talk about PT. When I look at magazines of clothes, suddenly I don't only see dresses - shirts - I see muscles, acromion processes and forearm tendons. I make PT jokes. My Facebook consists of posts about a. school and b. work, usually. I ask my friends to let me practice Manual Muscle Testing on them. I wear my little orange and black Mercer jacket proudly. PT is what I have that is mine - to hold and to show and to work for as proof of the life that I have worked hard so much of my life for. PT isn't my whole life, but it's undoubtedly a huge portion of it, and that will inevitably change a person. It has become the filter through which I see life.

And life, in the meantime, I realize does not stop for PT school. I'm tired? Too bad... I have two personal days out of the semester and today I am not using one of them. Diabetes? Still a pain - still have to deal. Have to wake up and go to school. I can either chose to get enough sleep and stress about studying later, or get some studying done and be super tired in the morning. I don't want to study? I have to put in more hours... have to pass my anatomy exam. Personal life? It's not nonexistent, as my focus on PT might have you think. It happens all around me, waxes and wanes, makes me happy and makes me sad. And no matter what, I have to live to through it all. Keep pushing forward, push past, push on - life doesn't stop, and neither must I.

I must live in a world where I can't see the stars anymore. I know they are there, but the city lights have taken their place. And everything is still the same, but it's all quite different, because of this fact. I am thankful, nonetheless. I have faith that they will light my way through this journey I have chosen to take. Those lights are beautiful all the same.

Sunday, October 12, 2014

21!

The now-annual list of weird things to do for my birthday is up!

- jump into the swimming pool before school with all my clothes on (if the pool isn't covered)
- if pool is covered, find a plan B.
- wake up in time to buy coffee before school.
- wear a nice dress.
- go to the park.
- buy a new music album.
- buy a used book at the bookstore down the street.
- buy this awesome beer.
- take a walk around the school at lunch time (since I can't get out of class). Also, do handstands in the grass.
- call someone I haven't talked to in a while.
- stargaze.
- (like last year) drop 21 pennies randomly everywhere.
- compliment a stranger.

Making my birthday awesome to set it apart from every other day - one random thing at a time!

Thursday, October 2, 2014

"If Worse Comes to Worse, I Mean, We'll Just Pay For It."

Those were the words I uttered to the nurse my last day in the hospital after my diagnosis.

Before I left, I was told that I would not be allowed to leave unless I left with medication. The problem was, I didn't have health insurance then. I had never thought I would need it. People always ask me, "well won't you be covered under your parent's health insurance?"
But, we always self paid. There wasn't any reason not to - my mom and I were healthy people.
It was a decision out of my control anyways, a decision that my mother or my parents controlled. I didn't care - I wasn't paying for any of my medical expenses anyways, of which there were few. Shots when needed (I hated shots so much), the optometrist, contact lenses. I was picture perfect healthy and hadn't been in the hospital for anything since the day I was born.

Rewind back a couple of years, and the picture of me was this:

All I can think is oblivious. Innocent to all of this nonsense that my world now runs amuck in. Diabetes is what I live, breathe, eat, sleep. Do you know what it's like to go to bed every night and in the back of your mind, remember that there might come the night when.... you don't wake up? See posts on your Diabetes Facebook page about another soul lost - another coma leading to death from hyperglycemia, or a night time low caught too late?

The difference between me and a lot of the people I meet every day is that I am bitterly, lucidly aware of my mortality. Every day. That sounds over dramatic. But as it does, it is true. Don't misinterpret that statement, though. I live by the mantra, "look around the room, around the world. Everyone you see has problems that are as big to them as yours are to you." Diabetes is my problem, it's true - and other people have problems, big and small both. We all have our struggles to deal with. This blog is simply my take on how this particular problem of mine effects my life every day. And what I mean by a more lucid, heavy awareness of my mortality is just the fact that someone like me literally has the power to take their life and hold it in their hands. I hold my life before me, close my eyes and see the fragile thread that it is. It is a beautiful gift that God has bequeathed to me. Extinguished in a second, and yet it is the only absolute that I have ever known, is what I have experienced within the walls of this body I call my own.  And every day, I make a decison. 

I will treat myself. I won't give myself too much insulin. I'll give myself the right amount -- how I treat myself today will effect myself 2, 5, 20 years down the road through possible complications. 

My life now effects everything I will every experience in the future. And when I'm low? Sometimes I sit there, and I look up at the ceiling, I close my eyes, I think - my life kisses the lips of death if I choose not to treat. It's literally that easy to slip away. And the beautiful thing is, that I always will treat myself - there is and never will be any doubt about that. But every time I think this, I am reminded again of just all the reasons of why I do. And life means so much more because of that. I fight not because I have to or ever wanted to, but this fight came to me, and demanded that I face it.

And when people say, "I could never have Diabetes. Oh, I hate needles to much. I'd rather die."
Part of me is upset, because I never wanted this struggle, just like you wouldn't want it.
But the other half wants to take their hand, look them in the eyes, and let the walls I have built around my life fall for just that moment as I say:

"That's the beautiful thing about humans. We never truly realize how strong of fighters that we are until that's what we have to be."

And can I take a moment to call that out in regards to myself? I have a lot of flaws, for a human. More than I care to admit. But despite all of my flaws, if I had to pick one characteristic about me that I found most pure and unpolluted, that I was most proud of, that was my shining feature, it would be this:

My drive. That spark within me, a fire that will never go out. I will never give up. I am resilient. No matter what challenges face me, I may need my moment to cry and rebalance - but I will do what it takes to adjust and overcome. And I always, always will. It's who I am, to the very deepest core of me.

And so the point of all this long, drawn out dialogue was this - let me bring it back around -
I never thought about healthcare until I had to. I looked down on government insurance assistance programs. I had lofty views, and now I'm stuck on the receiving end of a government aide program that I am at the mercy of to give me the medicine I need while I am a student with no insurance coverage. And now, I'm losing that too.

The moment in the hospital - when I told the nurse, "Oh, if worse comes to worse, we'll just pay for the medicine so that I can leave." - That was when Diabetes hit me for the umpteenth time in the face:

This singular fact - Living with Diabetes didn't just suck. Living with Diabetes was very, very expensive, as the nurse sucked in a breath, looked at me and said, "It's not likely, sweetie. That medication is very, very expensive."

And sure thing, long story short, life got complicated fast, with numbers like these:

Hospital stay for the 5 days: $21,000.97 (something like that)
Insulin and supplies for the month: $800.00
Doctor's visit: $75.00
Lab work: $400.00

I now have different motivations, different perspectives on health care than I did before. But I will go into politics later. If you're reading this now, just know this - I am scared. I went to the insulin companies themselves and found out I might qualify for patient assistance programs that provide free insulin to people uninsured like I will be. The problem is - Mercer requires health insurance, and health insurance is either expensive, or has huge copays, or doesn't cover the insulin I need, which makes it even worse, in a sense, and more expensive for me to have insurance than to not. How F***** up is that? The very system that is supposed to "help" me requires me to purchase insurance that I would literally be likely better off without. And so now, I'm back at ground one,  and reeling to figure out what to do.

Switch my residency to GA and apply for Medicaid here?
Purchase Mercer's health care policy (which doesn't help my case) and beg the drug companies to still consider my Patient Assistance Program Application? There's another $1800 a year -
Seek insurance elsewhere? If it doesn't cover my insulin, simply depend on what I've saved up for the next few years and buy as needed?

Basically, I realize I'm just going to have to ride out the next couple of years. Three more years, I tell myself. Three years... and maybe I have a shot of finally getting coverage and getting out of this non-insured, or arguably even worse, under-insured nightmare.

I want to cry, but I'm telling myself that God has this covered, and we'll figure it out. I feel alone sometimes, but the kindness and the help of others reminds me that I am not alone, and I'll never have to be. And while I still feel tempted to finish this blog, go sit on a bench in the cool, nostalgic fall weather outside and let the tears of overwhelmed-ness pour down my face, I realize that now is not the time.
Strength is what I need, and strength is what I have. I will fight, like I always have done.

I will make a way.