Second Shift for the Sick
I had always meant to expand upon this topic, but never found the right words for it, succinct and meaningful. But, well, that’s not exactly my style either.
My job situation is still shitty, and I’m currently part-timing at a retail pharmacy as a cashier. (Sample day: Mid-20s white guy “discretely” [read:blatantly] takes a picture of me on his cell phone as I am kneeling down assembling a battery display; someone shits in the toilet paper aisle [seriously! a person! took the time to unbutton their pants and all!]; I set alarm off while fetching pushcart from back room.) “The injustices of retail,” I said to my coworker, as I nursed the scratch on my finger from pushing that toothpick in a little too hard.
But honestly, I still do, and always have, appreciated working with the public. It’s the kind of thing that reeks a little too much of bullshit to say in an interview (”Really! I love when people show visible surprise at the revelation that I can do third-grade math!”) but, well, it’s true. I like people. I am, fundamentally, the kind of person who likes spending time with people (though my severe social anxiety always masked it). I’m not a butterfly by any means — good God, I can’t stand parties, pubs, or the mall at Christmastime, and I always need time to recharge after any extended social time — but I do enjoy interacting with a variety of different people, and there are days I go home smiling because of it.
Today I met a man named Robert. He stopped by to ask how long a sale price on a can of Folgers was supposed to last, and we ended up chatting for a good ten or fifteen minutes — the line piled up behind me, but I didn’t give a damn. Robert was in a wheelchair, for whatever reason, and was there to pick up his medication, whatever it was. He got his “paycheck” on the third of every month, and only the third (read “paycheck,” there, as Social Security disability check) but right now he was fighting with Verizon, who apparently shorted him half a hundred dollars worth of minutes on his phone, and he was going back-and-forth with them to get the situation righted, and anyway he wouldn’t be able to come back for his coffee til then. I was nodding and exclaiming the whole time as he was describing how much fighting he had to do — to get his transportation to the doctor, to work, to the grocery store; to get his medicine filled correctly and on time; to keep his welfare benefits flowing smoothly (there is apparently a very common mistake that gets made on his account every couple months, and he then has to make a dozen calls here and there to get things patched up, and then a few weeks later some new worker makes the same mistake again, and…) etc. etc. etc.
God did I identify, and I didn’t have to deal with the half of what he did. The fatigue and the worry and the energy and the stress and the wasted time — and when I related as much to him (having by this point unfolded my stool and sat down over the counter) he laughed it off — “Oh hell, I’m used to it by now — doesn’t bother me.”
I hope I never get to that point. No one should ever have to get to that fucking point. No one should ever have to spend half their waking hours, no fucking exaggeration, correcting other people’s mistakes just to keep the basic necessities of life covered — and then getting attitude from those same people for being a pain in the ass to deal with.
This is a serious time sink for the ill and disabled. It is time that could be spend — you know, maybe working? bootstraps and all — could be spent writing, could be spent playing board games, or taking a bath, or spending time with loved ones, or going out to eat — or any number of other things that are totally productive, constructive, positive things to do — which, to varying effect, do make contribution to wider society.
And it’s a lot of time. This is why I call it the second shift: much like the second shift of professional women, who arrive home from work to do the domestic work their husbands do not do: this is a disproportionately larger share of time spent fighting, always fighting, pushing determinedly (or tiredly) through near-constant resistance.
Resistance — truly the best word for it — it is as though “normal,” “healthy” folk are able to move throughout the world uninhibited, like pushing your hand into thin air — but sick people, disabled people must move through a world which is set up to prohibit their full participation — like pushing your hand into a thick heavy bog.
That is privilege. The ability to swim through your sea with nary a care, completely obliviously unaware of the freedom of movement you are so fortunate to have, while the rest of us have sand bags tied to our limbs, anchors roped round our waists, our feet set in cement blocks… and to look back at us and ask, “What’s taking you so long?”
It’s exhausting. I cannot convey in words how exhausting the fight is. Always on the defensive, always saddled with the knowledge that your basic needs require a struggle, while everyone else’s basic needs are pretty much a given so long as they put in at least a half-assed drop of effort. It’s not even just time spent, it’s energy.
Look at it this way. How do you build muscle? You subject your muscles to resistance, just enough to create thousands of tiny little tears in your tissue, which your body then, with rest and nutrition, repairs — which leaves you stronger.
But this does not mean that all resistance therefore makes you stronger. Because the more you pile on, the more tiny little tears you make. And the less time you have to rest, to eat and drink well, to tend to your bodily health, the less of those tiny little tears get repaired. And you find yourself, now, with millions of tiny little tears, and not enough time or fortitude to repair even only the thousands you had before this overload.
Which means you don’t get stronger. You get weaker.
“What doesn’t kill you makes you stronger.” What unadulterated bullshit. And it has the bonus effect of implying that those who do not feel stronger after a difficult incident, those who feel fatigued and despondent, those who see themselves as in a worse place than they were when they started — it implies that those people are choosing their fate. It implies that those people get something out of their misery.
Say, all you sick people out there: does any of this sound familiar?
What’s taking you so long back there?
I get it –you must just get off on being a victim.
Robert and I wrapped up our chat — turns out he lived in Anaheim for awhile, and also attended Cal State Fullerton; what a small world! — and I moved on to the next customer, affecting the smile and the sing-song customer service voice. Hi! Do you have your [Pharmacy Name] card with you today?
But it was nice, if only for a moment, to connect with someone. To, prompted by the unspoken invitation of a new friend, reach down into myself, and connect with the real person deep inside.
Maybe our struggles make us stronger; maybe they make us weaker. It doesn’t matter. We work with the tools we are given, and we still make something whole and beautiful, something worthy, something satisfying. Why do we have to come out of every fight bigger and “better”? Why can’t we be broken and hurt? Why can’t we cry, why can’t we curse, why can’t we be angry and disappointed and let down sometimes?
Right — because we wouldn’t want to make the rest of you face up to the damage you do to our lives. We wouldn’t want to “burden” you, wouldn’t want you to have to do anything to maybe reduce a little bit the fighting we have to do to live our lives. We wouldn’t want to make you have to think about how your actions and attitudes affect other people — wouldn’t want to make you uncomfortable.
When we are allowed to be angry, to be sad, to be bitter and disappointed, we are allowed to be human. When we are denied these emotions, we are denied our humanity. We are denied the full range of human experience.
It is fundamentally unfair — to weigh a person down disproportionately — to pile more and more shit atop their back — and then to grow indignant when that person lets out a sigh under the pressure — much less looks straight at you and lets rest the responsibility where it belongs. But this is how we treat each other — immigrants, queer folk, the disabled, those of color, the poor and disadvantaged — because we are fundamentally uncomfortable owning up to our own power.
Life would be so much better if we realized how much power we all have over each other — and how much power everyone else has over us — our interdependency. It is the concept out of which disability grows. And life would be so much better if we could look at this fact and see, not
scary,
or
unknown,
but
opportunity.















Hoyden About Town
| Thursday, November 13, 2008 | 3:12 am[...] Amandaw has a superb post up at Three Rivers Blog: Second Shift for the Sick. [...]
lauredhel
| Thursday, November 13, 2008 | 3:13 amThis is a bloody marvellous post.
shades of blue
| Thursday, November 13, 2008 | 3:31 amThank you. I’ve spent today practically in tears trying to convey to my concerned loved ones just how exhausted I feel, and why, so this post has rung very, very true for me.
Dave Bath
| Thursday, November 13, 2008 | 5:13 amThe “second shift” metaphor is brilliant! Or perhaps “third shift” if you are working and a parent. (So, just as the third shift is finishing, it’s already time to start the next first shift…. aaaaaaaah! So relieved I’m over that stage!)
I hope that you get the same break I did: every decade a new type of drug (or treatment / aid / technique) is developed that means the second shift is a shorter one.
I always remember an anecdote my pharmacology lecturer told us, about a young woman back in the 1920s with malignant hypertension, with the only available treatment something that nearly wiped out response to things like adrenaline, almost immobilising her. By the late 70’s, when I was at uni, this lady was having a “wonderful life”, that the “decades of hell” were worth it, because the drugs had become more specific every decade, and her capacity to do things was now on a par with everyone else her age. Nice story. I didn’t know then I’d be needing it a decade later to cheer me up.
Dave Baths last blog post..Revenge of the Nerds
Book Girl
| Thursday, November 13, 2008 | 5:50 amI needed to read this today, a day where I have yet again been worn down to the bone, and then some. I haven’t been able to write anything coherent about how hard things are for a long time, they have been to hard to let anything else through. Thank you for writing what I can’t.
Book Girls last blog post..How is it possible…
Bene
| Thursday, November 13, 2008 | 9:28 pmWhile I’m not certain if you meant this only in the context of physical illness and disability, it speaks to me from the mental illness POV also. This expresses all the things I haven’t been able to say when people ask me why I’m so tired, why I can’t seem to summon the energy to ‘be productive’. And thank you for helping me gain some context for the POV of people with chronic illness/disability.(via Hoyden)
annaham
| Saturday, November 15, 2008 | 12:20 amI’m so glad you posted this. I’ve been recovering from an unfortunate ER visit (and recovering from all of the meds I’ve been on for the past couple of days), and I *needed* to read this to know I’m not alone. I’ve been just barely making it–took some time off from school/work/other commitments, but getting back on that horse has been tough.
Long story short, I’m totally exhausted (more so than usual), and it’s nice to know that I’m not the only one. (Also, thanks for linking me!)
annahams last blog post.."Traditional Marriage," My Ass
amandaw
| Saturday, November 15, 2008 | 9:50 amBene - I’ve purposefully trained myself to stop buying into the artificial separation of mental/physical illness, much as though dental and vision aren’t important parts of bodily health. Mental illness is/can be a form of disability exactly as physical can — if it, or society’s way of dealing with it, prevents you from full participation on society — ie access. And many illnesses have both mental and physical components.
And the second shift is all the more exhausting when it comes to mental illness — my severe social anxiety was not at all aided by that sheer exhaustion when it came to fighting for access. You are already fighting just to keep yourself going in everyday life, and then you have to fight with your phone company, your landlord, your pharmacy, your boss? You get tuckered out really quick with all that going on. And healthy folk rarely see that side of things - they don’t realize. It’s not just a minor stress that we should be able to “think positive” our way through. It is an all-encompassing burden, one we never really escape. Maybe once in awhile their bank gives them trouble — but we face that EVERY day, in EVERY effort in EVERY area. What you feel during that occasional stress does not equal what you feel during that chronic stress.
So… ya. I get you. I hate it when people don’t seem to get why I seem so tired, when I haven’t been doing anything that they can see. Sometimes it’s just the fm (comes with the territory) but sometimes it’s emotional exhaustion. And it keeps me from even being able to chat with a friend for five minutes. It’s not a small thing.
On heart, strength, endurance and engagement, or, a 2008 review « Zero at the Bone
| Wednesday, December 31, 2008 | 1:28 am[...] personal and the political came together for me more than ever before, and I learned so much about reframing language relating to disability, about rape apologism in the legal system, about honouring our menstruation. And there was much by [...]
three rivers fog » 2SftS
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