The Pain That Isn't There
July 08, 2018
So many of the dishes I enjoy cooking require a fair amount of chopping. Like last night's hash -- potatoes, some leftover smoked brisket, an onion, a poblano pepper. All cut into half inch dice. A lot of chopping. Since I don't have much fine motor control it's inevitable that I cut myself. Not often, but frequently enough that I can't say it's rare.
One of the advantages of the spinal cord damage that transverse myelitis has left me with is that the cutting doesn't hurt. I hardly feel it. It's more likely that the hand holding the knife registers that I've cut into something that isn't the celery stalk I'm trying to focus on without noticing that the ring finger of the hand holding the celery has curved underneath the stalk just as I'm pulling the knife along the center. (This was a few months ago prepping the soffritto for my bolognese). The blood clues me in. It's a nuisance.
It isn't that my hands are numb. Far from it. I have lots of sensation. There's the constant buzzy tingling in both hands from above the wrist to the tips of my fingers, as if I'd slept on the elbow wrong and the hands are just waking up. Occasionally there'll be bursts of sensation at the tips of a finger, a little explosion seeming to have just gone off on the surface of the skin. Random sharp pains at the wrist or the thumb joint come and go. None of these are "real." That is, they're not an accurate reflection of something physiologically happening in my hands. They're the artifact of the garbling of the signals those nerves are trying to send to my brain through that inch or two of demyelinated spinal cord just below my neck. As if the individual wires in a cable had the insulation stripped off and the signal was short-circuited on its way up the line. The stiffness, the effort required to bend the fingers or to straighten them again is the garbling going the other way -- my brain trying to control the fingers, but unable to get a clear signal to the necessary nerves.
Given all of the work going into that miscommunication in both directions I'm hardly surprised that when I cut myself the nerves don't seem even to try to send the shock of that sensation up to the brain. There's too much already in the way. So I feel the pain that isn't there and don't feel the pain that is. I try to be careful.
The twenty or twenty-five minutes a day of guitar practice is going well. I'm working on the ring finger of my left hand. I need a D major chord in almost everything I play, and bringing that finger around to the D note on the 2nd string has been taking about an extra beat. But I discovered the other day that if, when I'm bringing the index and middle fingers around to their positions, I tighten the muscle across my left shoulder blade, the ring finger keeps up. For now, I have to remember to consciously trigger that muscle, but give me a few thousand more repetitions and it should become routine. I suppose, in the old days, I used all the muscles in my arm to form chords, but it was subtle and automatic enough that I never really noticed.
Among the very many things I've learned in the last five and a half years is how stunningly complex the movements of a healthy body are and how little conscious thought is required. The intricate mystical ballet of muscles and nerves combining to have fingers do everything from playing the piano to brain surgery to a fifteen year old girl talking on an airplane to a blind and deaf man. Marvelous.
In my world, none of it is automatic anymore. Everything has to be done with intention. Let the attention waver for a moment and blood wells up from the tip of my finger. But find the right muscle to flex and I can hit that D chord.
A food processor with a chopping blade can substitute (think sufficing, not perfection). It requires some modification of menu prep procedures, but it does reduce the cuts.
Posted by: David King | July 08, 2018 at 08:52 PM