Heartburn

Through sheer chance my G.I. doctor found I had Barrett’s esophagus during a routine physical.  The lining of my esophagus was turning into that of small intestine.  That sounds scary.  The doctor asked me if I had an acid reflux.  I didn’t.  Part of  the lining of my stomach was also turning into that of small intestine.  That spelled the possible C word.  I was told I must have a silent (symptomless) acid reflux and I’ve been on medication since.  Eventually my stomach lining turned back to normal, but I still have Barrett’s esophagus.

I haven’t had stomach issues for a long time.  Definitely I didn’t have heartburn.  Then I remembered I often had stomach ache when I lived with my mom. I remembered my mom used to tell me that my younger brother had a delicate digestive system.  When he got nervous or stressed, he threw up. I didn’t thow up but I remembered that after I left home for college, I sometime induced vomiting, probably more often than average young women.

Something clicked.

My original home had been making me sick.

I ran away as far as possible.  There are a continent and Pacific ocean between my parents and me now.  I visit them once a year and that is our compromise.  I used to stay with them for more than a week.  I got depressed.  So my stay got shorter every year.  One year, after spending 4 days or so, I had a severe stomach pain.  Another year, after spending several days with my Mom, I suffered IBS like symptom for two weeks.

My mom has spent her entire married life feeding somebody.  It was her role in the family.  She has taken care of my father, who has type 1 diabetes, for half a century.  It requires a lot of work to feed a diabetic.   Both my brother and I was a light eater when we were little kids, so it has become her mission to feed us as much as we would ingest.  Through therapy, I realized that my mom force-fed me and I was exercising to set a boundary by saying,”No, thank you.”

I told her I usually didn’t eat breakfast.  I woke up to find a breakfast ready on the table.  What can I do?  I ate breakfast: ham and eggs, toasted bread, and yogurt, milk and coffee.  Mom brought a jar of homemade jam to the table and told me to add it to yogurt.  I only ate plain yogurt, so I said, “No, thank you.”  “It’s too sour without jam.  You should add it,” mom insisted.  “No, thank you,” I said.   I told her I didn’t usually have a breakfast, that she didn’t have to prepare mine.  The next morning I woke up to find the same breakfast ready on the table.  “Do you like to add the jam to your yogurt?”  My mom asked.  “No, I told you I didn’t eat sweetened yogurt,” I said.  “It doesn’t taste good without jam,” she insisted.  “No, thank you,” I said.  I set a boundary firm, don’t I?  The next morning I woke up to find the same breakfast ready on the table.  I found she had added her homemade jam in my yogurt bowl.  I didn’t say anything.  I stopped feeling.  When it doesn’t matter what I want or what I don’t want, why should I feel anything.  I swallowed the sweet yogurt in silence.  “It is good, isn’t it?” she said.  That night I had an acute stomach pain.

It isn’t about a spoonful of jam in my yogurt bowl.  The same pattern repeated again and again for lunch, dinner, snacks and everything else.   Eventually I became a foie gras geese.  No wonder I had issues around eating.   I still can’t tell if I’m really hungry or not.

I told my friend the story and she said, “You have a nice mom.  She likes to take care of you.”  She made me feel that I was a thankless brat.  I felt like throwing up.  If you force a piece of chocolate into a child’s mouth, it still tastes sweet. But it doesn’t mean the child wants it.  “I told you it was delicious, didn’t I?   You like it, don’t you?  I was right.  You were wrong..  You don’t know how you feel so I’ll tell you how you feel.  I am right and you are wong.  How you feel doesn’t matter.”   This is how we lose the ability to be ourselves…

If you still think forcing a piece of chocolate in a kid’s mouth against his/her will doesn’t matter, just substitute it with a more sinister word.

How do you feel in your body?

“How do you feel in your body?” my therapist asked.  “Fine,” I answered.  “Do you feel the floor under your feet?” he asked.  “Yes. (So what?)” I answered.  This question irritated me like a hell.  I didn’t understand what it was to do with my psychological misery.  I had two arms, two legs, feet and hands.  I was fine, thank you for asking.  “Stump your feet on the floor.”  I stumped.  “How does it feel?”  “Nothing,” I answered.

“What does it make you feel like?” the therapist asked and I looked for my feeling outside of my body, staring at the ceiling, or watching my therapist’s cat yawn. I didn’t find my feeling in my body.  My feeling didn’t reside in my body.

Disconnection is an excellent survival mechanism.  In a battlefield you won’t survive if you feel.  And for some of us, childhood was a wartime, and the body is where the battle was fought.  In Trauma and Recovery Judith Herman writes, “Traumatic events violate the autonomy of the person at the level of basic bodily integrity.  The body is invaded, injured, defiled.  Control over bodily function is often lost; in the folklore of combat and rape, this loss of control is often recounted as the most humiliating aspect of the trauma.”  Our trauma doesn’t have to be of rape or combat.  It could be grandma pinching your cheeks.

I am not saying that pinching chubby cheeks of an adorable kid is a form of child abuse.  It could be a rather innocent expression of affection.  However, when it is done repeatedly against the child’s will, it could amount to loss of “control over bodily function”.

My ex-boyfriend had a habit of pinching.  He pinched his daughter, he pinched his nephews and he pinched me.  It was his way of saying, “Hey Sweetie.”   I can’t speak for his daughter or nephews, but when he pinched me I felt a rage surging up deep in my body.  “Stop it,” I yelled.  “Don’t pinch me, ever.”  He pinched me a couple of more times, and every time I reacted violently.  Then thankfully he stopped pinching.  He listened to me.  While pinching itself didn’t hurt much, it triggered an uncontrollable anger out of nowhere.

When I was a little girl, my childless aunt doted on me.  She literally tried to eat me with a spoon.  Since she was the source of love and affection, and chocolate and candies and dolls and all the goodies, I clung to her.  She used to tease me by doing something I didn’t like.   The more I shrank from, the more she seemed enjoying.  She used to lick my face, saying I was so cute that she wanted to eat me up.  It was wet and yucky.  I said, “No!!!” but she was much bigger and stronger.  She told me that she loved me and that I should let her do whatever she wanted to do.  Sometimes, she bribed me with goodies.  It’s an innocent expression of affection, isn’t it?   Pinching was a variation.  I don’t remember who pinched me, but it does not matter.  It told me the same story.  My feeling does not matter.  I don’t have control over my body.  They have.  And I am an ungrateful brat if I don’t appreciate the affection the adults are giving to me.  Tolerating the feeling of discomfort will be rewarded with chocolate, or whatever goodies.  Got it?  Just replace the word “pinching” or “licking” with “touching improperly.” It tells the same story of trauma.  “The traumatic event thus destroys the belief that one can be oneself in relation to others”(Herman 53).

When I was a little girl I told my mum that my tummy ached.  I told her that I would feel better if she let me eat a piece of bread.  She didn’t give me bread and took me to a family doctor.  It turned out that I was not sick but just hungry.  I didn’t know the word to explain the intense sensation I felt in my belly.  What I felt in stomach, aching for food, was denied as not legitimate by adults. When I was a teenager, I had a painful period.  I told that I had severe cramps and couldn’t move.  My father said, “No, you don’t.  You are lazy.”  My mom didn’t protest.  (Later I found that my mom never had a painful period in her life, and she couldn’t imagine how bad it could be.)  Thus in my early ages I learned not to trust the feeling in my body.

We lose the ability to connect to one’s body little by little.  When someone in authority, such as parents and teachers, tells us we have to feel certain way again and again while we don’t feel that way, it becomes unsafe to be ourselves.  Others in our life take away our connection to the body.  We gain artificial limbs and body parts instead, which function very well.   Nobody notices it’s artificial.  Sometimes they could be much more useful than real limbs, just like a sword loaded limb, since we don’t feel pain.  Eventually we might even forget they are not real. When one suffers a hugely traumatic experience and survives, the disconnection between mind and body could be much harder to reconcile.

About the photo: I took the photo of the glass sculpture at Corning Museum of Glass. Unfortunately  I don’t know the artist’s name.

Respect What Hits You in the Gut

Once in a while something hits you in the gut.  It could be anything.

I was in an Anatomy class.  Dissecting cadavers forces students to face the reality of life and death.  It might trigger something you didn’t know it was there.

Each person has their own trigger quietly waiting for them.   It could be the scar tissue left by triple bypass surgery brutally adhered to the ribcage.   It could be the massive adipose tissue in which the person’s life story was stored.   It could be just realizing being alive juxtaposed with the death.

I was aware that something could hit me.  After all, we were looking inside human bodies, our bodies.  Almost 3 weeks had passed and a couple of days were left till the end of the workshop.  So far I managed not to step on my trigger which I had no idea about.  Surprisingly nothing about cadavers really bothered me.  I felt I was in peace.

When I came back to the gross anatomy lab from the lunch break, there was something going on.   On a stainless steel dissection table, something unfamiliar to me were placed.  They were so red.  The sight slightly shocked me.  I couldn’t guess what they were.

They were placenta donated by happy new mothers.   Three of them lined up with umbilical cords attached.  They were massive and looked alive.

I was speechless.  Students started to gather for the presentation by the midwife.   One of the cord was in true knot.  “The baby did it,” the midwife said.  “The baby swam around in the placenta.  The baby was born fine.”  A male student realized his wife had an unusually large-sized afterbirth and wanted to know the reason behind it.  “A large placenta usually is compensating for the baby,” the midwife said.

And it hit me in the gut.

I couldn’t stay there anymore.  I quietly moved out of the crowd.  The male student asked me if I was O.K.  I realized I was crying.  I retreated to my cadaver.

And I have no idea what hit me.  I don’t have any trauma related to placenta or childbirth.

Later the midwife came to acknowledge my reaction.

“I have no idea,” I said with tears flowing from my eyes.  “See? Just talking about it does this to me.”

“It could be yours,” she said.

“Mine?  I’ve never been pregnant.”

“No, I mean the one you were in.”

“I don’t know.”

“You don’t have to know.  It’s important just to acknowledge that it’s there.”

“Damn.  I found another (issue to work on) when I thought I was well-done.”

“It sucks, doesn’t it.”

“Yes, it never ends.”

I still don’t know what hit me.  Every time I talk about my encounter with placenta, I still feel the tears running down my cheeks and I don’t have any emotional association with it.

So at this time of my life, I just respect what hit me in the gut, acknowledge it is there, and hold my psyche gently.  There will be the day we see each other again.