When I was in the fifth grade, I was walking to the cafeteria with the rest of my classmates. I was happily chattering to one of my friends, uncharacteristically unaware of my surroundings. One minute I was fine, and the next I was on the ground with tears in my eyes. I had walked smack into one of those old iron radiators at full speed and had slammed my right knee into it. My body went into response mode and numbed the area, so I was able to get up and make my way into the lunchroom without assistance and I thought that maybe Iād be okay. I convinced everybody that I was generally fine, and I figured all Iād walk away with was a really nasty bruise.
Unfortunately, the trauma to the area triggered an autoimmune response that I still live with (and will for the rest of my life). Ankylosing spondylitis (AS) is a genetic, chronic condition that occurs when oneās immune system attacks the cartilage in the body. It can onset randomly (generally in people who test positive for a specific genetic marker) or be triggered by trauma to a joint. The constant inflammation from the immune reaction causes the cartilage to harden into bone, often greatly reducing the range of motion, but also potentially fusing joints completely together. Since I have had the condition for so long, it had taken up residency in 90% of my joints. Fortunately it hasnāt completely fused anything together yet, but I only have a 5% range of motion in that knee that I smashed on the radiator, and am slowly losing motion in other joints as well.
The progression of my AS had plateaued for several years, which made me hope that maybe it wasnāt going to get any worse, but suddenly it began to burn through me again two years ago. Now I spend most of my day in a wheelchair and use a walker for moving around the apartment. Since our place really wasnāt built for someone who has physical limitations, it has made contributing to the household really difficult. To me, this has been the hardest part of living with AS.
When I first met my fiancĆ©, I was able to walk unassisted, cook, do chores, and go out with little difficulty ā all the things that a healthy person can do, even though I did need to take a break from time to time. Lately, though, he has had to pick up all the tasks that I have been forced to slowly drop from my routine. He now does all the cooking, 90% of the cleaning, all the household shopping, and chores like laundry and dishes.
I feel like nothing but a burden at this point. This was certainly nothing that either of us signed up for in the beginning. Heās been more than amazing about the whole thing, but I canāt help but feel guilty about how much he has had put on his shoulders by the situation. He has depression and anxiety now, and I quietly worry if itās because of everything heās had to take on because of my AS. Heād kill me if he knew I felt this way, but I canāt help it. Many times I just want to set him free so he can find someone else who can contribute and do fun things and eventually give him kids and generally be a lot more fulfilling for him. Someone who can wash her own hair and someone who can cook a meal and someone who can go for a spontaneous road trip. Someone who isnāt trapped in the body of a 90-year-old.
If you couldnāt tell from the previous paragraph, AS can also take a toll mentally and emotionally ā many AS patients deal with depression and suicidal thoughts because the levels of pain can be so high. Since AS is often an invisible disease (no visible effects), many patients also deal with families and friends who donāt really understand the amount of pain that they are in. Iāve read so many stories of wives and husbands and parents telling their loved ones with AS to āget over itā or āstop fakingā or any number of other hurtful things. Imagine being in crippling pain and not having anybody believe you ā the pain from that alone would be enough to drive someone over the edge. Fortunately, I have a supportive and (mostly) understanding family. They may not really get how severe my AS is, but they do realize that it is unbelievably painful.
However, they do not (and never will) know that I harbor a passive death wish because of the sheer amount of pain I have. There are days where all I can think of is how much easier it would be to not have to deal with the difficulty of living in my body. Iām not the type that could ever take my own life, but there are times where I wish something would happen to do the job for me. A fire. A car accident. A tornado. Electrocution. It wouldnāt matter, just as long as the end result was the same.Ā When it hurts to breathe because your ribs are fusing to your sternum and it keeps getting harder and harder to eat because your jaw is slowly fusing closed, death sounds like bliss. It sounds like a lovely nothingness free of all sensation, good or bad. Sometimes I wouldnāt care if I never laughed again if it meant Iād not have to feel my wrist hurt as much as it does right now. Sometimes I wouldnāt care if I never saw the sun again if it meant Iād not piss myself because I was too sore and therefore moved too slowly to make it to the bathroom on time. Sometimes the influence of the pain outweighs the pleasure of everything else. Then again, there are days where everything is fine regardless of the pain. Fortunately Iām still at a point where the good days far outnumber the bad ones, but I sometimes worry that that wonāt always be the case.Ā
(Any questions about living with AS? Shoot me an ask.)










