In college, fall of my sophomore year, I broke my leg in three places, resulting in a thigh down, no bending your knee, neon orange cast for 6 weeks and a walking book for 3 or so more.
The day it happened, our co-ed intramural soccer team was out on the field practicing. We had advanced to limited soccer skills, with me falling somewhere in the high middle of that skill set. Being it was just practice, some of us had shin guards on while others did not. You can guess which part of the pack I was in at the time. My shin-guardless shin met square on with my friend Eric’s shin-guarded shin and created an explosion of pain.
At the point of impact, I remember seeing stars and crumpling down on the field. After testing the waters of walking, we opted for someone to carry me back to our college ministry’s house. Little swelling or bruising existed, but lots of pain certainly did. A look-over from an off duty nurse gave the diagnosis of “just a sprain” and to “go gently” the next few days.
That night, my roommate later told me that I talked in my sleep, mostly indiscernible mumbles. The next morning, I couldn’t take it anymore; the pain was becoming simply unmanageable. After Thomas, my then sweet and new boyfriend, transported me to the ER, he went inside the to get me a wheelchair. I remember getting out of his truck with my broken leg having spasms, flopping uncontrollably from the knee down, while all three breaks in my bones rattled and I winced and fought back tears, completely unable to make it settle.
Once inside, I was asked to rate my pain. This was an activity I had never recalled doing before. The worker sat before me a laminated chart with faces to help me choose my level 1-10, with 10 being the greatest and deepest pain. One thing I knew for sure was that it hurt. The level of that hurt was the most I had ever encountered. After thinking briefly, I declared, “All I know this is the worst pain I’ve ever felt. But there has to be something in the world that hurts more………..so I am going to say a 9.”
All the people I encountered treated me like some whiny little college girl, for my leg still wasn’t overly swollen or bruised. The doctor that asked the initial questions and examined my leg before x-rays literally said, “This isn’t really a big deal here. If you will just sit still and let me look at your leg, it won’t hurt.” A few x-rays later, the doctor came back into the room and quickly spoke the words “I’m so very sorry. I really did not think your leg was broken at all. You actually have three separate breaks in your left leg.” Turns out I had a valid reason for the pain. The visit ended in a temporary cast and a pain shot in my butt, at which point I made my new and dear boyfriend turn his head and look the other way.
This event successfully stayed at the top of my pain scale experience until August last year. Breaking your face can rank pretty high as well apparently. I never remember anyone asking me at the scene, during the life-flight, or in the ER about my pain level. I guess when people can visibly see a break in your jaw, with your mandible split clear in half, along with a few open wounds on your chin, they don’t need to question too much about 1-10, cause they don’t want you to talk and the existence of pain is obvious. Later, however, when I would want some pain meds, the scale became a point of conversation. When my headaches were debilitating, while my jaw was wired and pressed so tight my teeth ached in every space, crevice, and place, when the site of the titanium plate insertion itched on the inside of my mouth, and within that closed mouth I vomited due to the pain, I wanted to say 10 but never could. I always, at least to my memory, said 9….cause something worse had to exist.
When mom was diagnosed and we began her frequent doctor appointments she was asked to choose her pain level each visit. I would sit next to her and try to spy on her pain scale choice each week. Mostly, mom would circle a 3. I wanted to often jerk the pen and clipboard from her and yell “that’s BS mom!” but I never did anything that dramatic. Some days though, the 3 actually was believable, thankfully. I never saw her circle lower and rarely saw her circle higher. One day, when she was not breathing well, aching, not eating much, and overall in a poor condition, I saw her circle a 7. That very day she was admitted to the hospital and stayed a full week. I think she might have told doctors and nurses a higher number when I wasn’t around, but 7 was the highest she ever admitted to in my presence, and 3 was her average. Eventually, I ended up telling her, “Mom, you can’t keep circling threes on the scale. It’s just not believable.” Her reply? “I know, but right at that very moment it doesn’t hurt too bad and I don’t want to be a trouble patient.”
A few months later, after Hazel’s arrival, months after mom’s diagnosis, I finally got around to reading a book, _The Fault in Our Stars_ by John Green, that my sister-in-law let me borrow when I was a on driving lock-down and still eating all my meals through a straw. I knew the premise “kids have cancer” but that was all. I ended up reading the book in 2 days, and that was not fast enough. Something about three kids to take care of made me put the book down here and there. Turns out, the main character’s name is Hazel, which is something I did not know of before naming my girl. Little did I know at the time that this book would prepare me for so much that was to come, such as mom’s “Last Good Day” and, ultimately, her passing. It was in this book that my choice of 9 finally became clear. If you haven’t read the book, you absolutely should. If you haven’t seen the movie, it is one you need to watch. But if you want to not be spoiled about it, just stop here…… cause in the book, there is a loss, and with that death, Hazel reflects upon the pain she experienced in the ER with her emptiness from losing Gus:
I called it [my ER pain] a nine because I was saving my ten. And here it was, the great and terrible ten, slamming me again and again as I lay still and alone in my bed staring at the ceiling, the waves tossing me against the rocks and then pulling me back out to sea so they could launch me again into the jagged face of the cliff, leaving me floating faceup on the water, undrowned.
The weeks since mom has died have been full tens at times, thrashings against rocky cliffs. Those moments that sneak up on me are the worse, such as Hazel beginning to crawl and me instinctively beginning to send mom the video. Some things you mentally know will be emotionally draining or sensitive, such as Daniel’s upcoming birthday, her birthday this month, Thanksgiving, etc., but those unexpected occurrences are the worse it seems, and this is a journey I’ve only begun.
It makes me figure, too, why mom kept shooting so low on the spectrum when choosing her numbers. I guess when you lose your husband suddenly, while you have 4, 6, and 12 year old children to care for, your pain scale is completely and irrevociably skewed.
I hate that the pain of losing mom is so great, even if we had some time to expect it and prepare some for it. 62 is still just too early to die, even if others have gone much sooner. And in the sadness, I get angry, cause 32 is just simply too young to not have any living parents, yet that is currently my lot.
I’ll never be able to forget her, feel nothing at the significance of my loss. There really isn’t a pain pill that takes away the pain of loss; the pangs in my stomach will always reside. Amidst the 10, however, I find peace knowing she can’t even fathom the concept of a pain scale now. I’m grateful for a faith that she shared with me that tells me this is true.
It is while journeying through the tens that I cling to scripture that can restore my soul, most recently John 16:33: “I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world.”
HE has overcome, and therefore I can claim the same. I will take heart, even on 10 days, and know that I can have a peace in troubled times.