Oh dear, I really have neglected my poor blog this year. I remember a very excited (and clueless) Michelle being convinced that she’d have so much time to devote to her blog (amongst other projects) because, I mean, how much time would this whole PhD thing actually demand? Um, turns out quite a lot actually. It’s been a very busy year with the fieldwork stage of my research, developing my academic writing and involvement in some great disability projects. But sadly at the expense of writing here. I shall try to be better.
In my last post here, all the way back in January (*blush*), I shared a bit about the state of my sight and yesterday I went to the ophthalmologist for the first time in over ten years. I mostly went to get SARS forms sorted and to get an updated proof of disability letter (because apparently legal blindness does run the risk of not being a permanent condition, okay) but thought it would be a good opportunity to get the old retina checked out too.
When I was little going to the ophthalmologist felt like an epic road trip even though it was only a drive to Somerset West. In my head it was the same caliber of annual road trip as the one we made to see my grandparents in McGregor just before Christmas. There were snacks packed for me and my brother (who often had to tag along) or sometimes (great excitement) lunch out either before or after the visit. I didn’t mind going to the “eye doctor” even though at times it could be a bit baffling, what with all the crazy devices and lights. The only thing that really freaked me out was having my pupils dilated with drops and the blue fog this left me in for a while. I remember having my visual field tested by having to say when I could see a little, fluffy mouse on a pencil (um, not a real one…I mean a real pencil, not a real mouse impaled on a pencil…that took a dark turn…a mouse employed to cling to the end of a pencil…that’s better…) being moved from the periphery into the centre of my vision and, of course, the obligatory Snellen Test.
The Snellen Test (or whatever they’re using nowadays) is a funny old thing for those of us with severe visual impairment. It can be very anxiety provoking. As a child I knew, even though no one had ever explicitly said so, that what would make the adults happy was if I could see. Of course people want you to see, especially your terrified parents, they imagine how difficult your life is going to be if you can’t. There’s also a little twinge of shame (very hard to describe) that comes when one is not able to recite fluidly the letters on the chart despite the fact that everyone in the room (including you) knows that you’ll only be able to see the first (maybe the second) row. It’s quite easy to become familiar with an eye chart, either on purpose or just from regular testing. For me it was the latter. I remember saying to my doctor, “It’s W X but I don’t know if I can see it or if I just know it”. I know for others though that learning the eye chart was a defense mechanism against embarrassment especially when eyes were being tested in a group setting such as a visit from the school nurse. There’s also a strange need to preserve the feelings of the person administering the test. Again, this is hard to explain, but, even as a young child, I just didn’t want them to feel bad. Many years ago I was getting new glasses (these were hugely magnified lenses I wore when reading and writing, in conjunction with a hand-held magnifier, that an optometrist cleverly shaped to fit regular frames) and for some reason a new lady at the practice, unfamiliar with my case, insisted on me doing an eye test even though me and my father told her this was unnecessary as we just needed a repeat of my usual lenses. Needless to say I couldn’t read any of the chart with the left eye and only the first giant “E” with the right. I also told her that as I knew it was an E anyway that definitely helped my ability to “see” it. She was completely flustered and sort of said, “Yes, I see, your eyes are quite bad then?” The dominant feeling I was left with, over riding my irritation at not being listened to and the usual shame-twinge of failing at the eye chart, was sympathy for the lady in question as she grappled noticeably with what on earth to do with me. I just felt bad that I’d made her so uncomfortable by my inability to see.
I think one of the most tense questions to be asked as a person, and especially as a child, with vision loss is, “Can you see that?” I remember being tested for a magnifying glass and having to say, “No” quite a lot in response to, “Can you see that?” Before the right strength was found. Again, that strange shame of not being able to see and knowing how badly everyone (especially the seller of the assistive device) wants you to. I had a similar experience more recently when a company asked me if I would like to try out a very fancy piece of assistive tech of which they were obviously very proud. I felt transported back in time as I answered, “No” and “Still no” as the magnification was adjusted and finally, yes, I could read the text before me albeit painstakingly slowly and with the discomfort of a bulky device that made me look like RoboCop (not a good look for me, you’ll be surprised to learn). I was, to be quite frank, underwhelmed, especially given the speed at which I am able to read and write with text to speech software, but the sellers of this device seemed so pleased with my slow and stilted reading, determined that I must see, that reading with one’s eyes was the first prize and, to be fair, I’m sure it is for some (probably many) low vision people. What made me feel uncomfortable about this experience was how my adaptation to my sight loss, my ability to work efficiently with the tools I prefer, was disregarded by professionals who seemed totally invested in sight (or some form of sight) as the best option for me. I felt like I was expected to have a miraculous, “Wow!” Moment (especially when they asked me to look at my mom through the device) and, under that pressure, I just told them what they wanted to hear when, in fact, I saw no notable improvement. I think, and I’ve said this here before, there is often a real sense of panic and sorrow in sighted people encountering the blindness of someone else. This places those of us actually experiencing the sight loss in a position where we feel we have to manage the emotions of others, often professionals, in relation to our disability.
I spoke to a friend recently about how she felt she had to tell and show her eye specialist that she was okay, that her life was not one long, endless suffering, that she was happy, successful and fulfilled. As if she was saying, “It’s okay that you couldn’t fix this one, don’t worry about it, I’m fine, really, I’m fine”. I can only imagine how hard it must be for a health professional to have to say, “I’m sorry, there’s nothing I can do” and I realised yesterday as I chatted to my ophthalmologist (who has been my doctor since I was four) how much he has to manage the hopes of the people who come to him for answers about conditions that are often just not treatable. Of course people want to see. Losing your vision is hard, it’s a real loss for you and the people who love you. Many of the posts here share how difficult my own adaptation to sight loss was (and continues to be).
I’m not sure if it is the difficulty of this journey that has made me quite resistant to the idea of cure or any kind of sight-restoring intervention, because I am. I guess I feel a bit like, “I’ve worked so hard to weave this thing into my identity and now I don’t know who I’d be without it”. I get very uncomfortable when talk of medical advancements or experimental treatments arises. Of course, I have one of the most researched conditions so that helps. I get very cringey when there is some feature in the media about some new medical breakthrough and me and my parents get messages to, “turn on the T.V. now” or newspaper clippings or tagged on social media. I know these things often come from a place of genuine care and concern and I also know that there are many visually impaired people who follow this kind of news closely and with great interest, but I can’t seem to muster the same kind of investment. For me these news items feel almost like a threat to my Michelle-ness and in the face of this I feel that I must assure everyone that, “I’m fine though, really”. And, again, this is also about managing emotional responses to the reality of sight loss, the sympathy of the (mostly) randoms handing over the newspaper cuttings and the hope and disappointment of the people who love you and, if I’m very honest, your own mixed up feelings about disability as well.
What was great for me as I chatted to my doctor this week was that he recognised my adaptation to blindness as really important, just as important as any intervention he could offer me. Turns out I’m a candidate for cataract surgery (yes, those little buggers have done some serious growing over the last ten years apparently) but if my adaptation to sight loss means that I don’t find their symptoms (extremely blurry vision and ‘eye floaters’) distressing or a major hinderance to doing my life at this point then I feel I’m not going to put myself through the bother, and that decision was totally respected by my doctor. I realised through the visit how far me and my family have come in the past decade. The last time I saw this doctor was pre-guide dog, pre-any kind of assistive tech (I was reading a gigantic Politics textbook with a magnifier and almost crying from the pain in my neck and shoulders, not nice), pre-any sort of comfort with the word “blind” and pre-developing my own disability standpoint. What the doctor said as I got ready to leave was, “You’ve got a hell of a handle on this thing” and, while that’s definitely not true all of the time and has nothing to do with any amazing thing I did within myself and everything to do with the people in my life who do this with me, it was good to realise that we have come some way along.