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A Louder Silence

~ Victoria Borland vs. the 20th Century

A Louder Silence

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Names, Phases

27 Thursday Jun 2013

Posted by victoria in Kenny Institute, Society

≈ 1 Comment

Tags

bill bell, me, present day, rehabilitation, society

“‘Bill’ Stanley William / Willis Bell (??)”

That name is written not far beneath Elizabeth Kenny’s, in my roster of important figures in this absurdly crowded story.  So far, I’ve talked only about Kenny herself, and about her patients—and, in my last post, about myself—but there are dozens, if not hundreds, of others who figure into this story.  They are nearly as vibrant and dynamic as its central character, but were afforded nowhere near as much press coverage, and finding ways to get to know them has proven both delightful and infuriating.  

This story is vast, almost beyond my ability to see it all at once, force a wide and ever-changing vista into a single frame.  It’s yet another part of what I love about it: its enormity, and the delight I take in the knowledge that each one of the many thousands of people who passed through the Kenny Institute, for a week or a month or a year, came away with a different impression of what the place was and exactly who the people were that lived and worked there. 

Because it’s not what a thing really is that we see, that we remember.  It’s what it means to us. 

The physical therapist with that heavily annotated name is one of my favorites: one of the most interesting, and so far one of the most enigmatic.  It isn’t just that the names on his paperwork don’t match up (though they don’t, always, with William/Willis the main point of contention).  It’s that he seems to have used different names with different people—and it’s that one small quirk that has me curiously transfixed.

It was while I was talking to my interviewee Russell, who fell ill in the summer of 1940, that I figured this out: I’d asked him about the people who cared for him other than Kenny, hoping to draw out some of the names I already knew.  “[S]he had one male and one female nurse that was on her staff, Australians,” he said, but he couldn’t remember their names.

The girl was probably Mary, I told him, or else Valerie: Kenny’s adopted daughter and protégé, and her favorite physical therapist, respectively, both of whom accompanied her from Australia.  The boy’s name was almost certainly Bill, another therapist she’d trained—someone I’d heard stories about, who all of the kids seemed to adore.  I’d read a lot about Bill, and I was confident that this was Russell’s guy.  Did any of that sound familiar? I asked.

It didn’t.  Not then.  But a few minutes later, he told me about this “orderly” he’d worked with almost constantly, someone who helped him with his treatments and carried out his exercises.  Stan, he said, thoughtlessly.  Sliding out, the way things do, from dark corners of memory too cluttered to retrieve anything from when you rifle through them in the light.

And something went off in my head.

Stan.  Stanley?  Stanley William?  Bill?

I’d read people’s recollections about the somewhat unfortunately named Bill Bell, but never any—at least, none that I recall—about Stan.  And yet it’s obvious that the man Russell spoke of with such mischievous warmth in his voice was the same one who’d watched over so many others in their most fragile and brilliant moments: outgoing and deadpan and subversively indulgent, with the same Aussie drawl Kenny had. 

Stanley et cetera Bell was one of the Kenny Institute’s first staff members—he started working for Kenny in the States in 1940, and the Institute wasn’t dedicated until December of 1942—and to all appearances one of its most beloved.  Kenny summoned him from Australia the instant she was ensconced in Minneapolis; she had trained him in physical therapy at a clinic she ran in Queensland, and the two had worked closely together for his entire career to date.  As apparently skilled and authoritative as anyone else on Kenny’s staff, Bill/Stan also had a bit of a “good cop” reputation, contrasting with the women’s more severely expressed expectations.  “Stan and I got along like a million bucks,” Russell told me, grinning, and it was clear that to a lost, lonely kid looking for guidance, that meant everything.

packer_blogThe Kenny Institute, as it was in the 1940s, was, and still sometimes is, accused of being a “cult of personality”—but no hospital serving nearly a hundred people as long-term inpatients, and two or three times that during certain epidemic swells, could operate on the strength of a single individual, no matter how formidable she might have been.  Sister Kenny’s ethos permeated the place, but it’s the auxiliary staff former patients recall most vividly: the people they saw every day, sometimes more than once.  (Sometimes an exasperatingly large number of times.)  The nurses.  The “packers” who swathed their bodies in hot wool blankets to ease their cramps.  And the therapists, who coaxed them so slowly and steadily back to life.  People who knew them better than they knew themselves, at least for that brief breath-held moment in time, who bore witness to their tears and shared in their triumphs, and were both the cause and the cure of their pain. 

It was the most intimate relationship many of them had ever had—not just the children, but, by all accounts, many of the adults as well.  It amazes me how openly Kenny patients talk about their doctors and therapists—not just in retrospect, but in things they wrote while they were still in the hospital, or shortly thereafter.  They seem to have talked to them just as candidly: without any of the frightened reverence I’m used to seeing in the face of such an authority gap, they tease and question them even as they look to them for guidance.  It’s respect, and well-earned, not intimidation.

It’s like I wrote in the last post: this is real life.  With all of the extraneous distraction, and all of the social nicety, stripped away.  If you didn’t have the luxury of hiding from it, it was good at least to have someone with whom to share, and these were the people they could trust.  And the patients—some of them, anyway, when they were ready—plunged into this highly unusual dynamic with an abandon and a sense of freedom they didn’t seem to feel anywhere else.  You weren’t supposed to talk about it—about polio, about your fears, about much of anything at all; recollections of interactions with family and friends frequently emanate squirming discomfort.  But this specific relationship, between the Kenny patients and their therapists, that you might expect to be so fraught with expectation and fear, is both ocean-deep and light as air.

And they entrance me, coming to life on these old and crinkled pages.  It’s uncanny, in a way, to come away with such a strong impression of an individual—not just the mysterious Mr. Bell, but so many of these people, the ones who show up all the time and the ones I’ve “met” just once or twice—without actually knowing anything about them.  I have a copy of a card with Bell’s credentials on it—but most of Kenny’s resume was faked, so I have a hard time believing his is wholly straightforward.  He spent some time in the military starting in 1945, but how that came about, and why, as far as I can tell, he never returned to the Institute, remains a mystery.  He was married, with at least two children, but I don’t know anything about his family besides that they existed.

academic credentials - bellThe only thing about Bill/Stan Bell I don’t have any trouble figuring out is why he was so thoroughly beloved.  The first story I ever read about him was relayed by a man named Robert Gurney, in an interview for the book Polio’s Legacy.  Robert called him Bill.  He called him Bill, and he spoke about the winter of 1940, and learning to walk again: seventeen years old at the time, Robert insisted he couldn’t do it, but his technician felt otherwise.  After a couple unsteady laps around the therapy table, Bill announced that Robert, with Bill’s help, was going to walk back to his room.  This plan seemed difficult to protest, so off they went, until one of Robert’s friends noticed him walking alone and called out congratulations; as it turned out, Bill had stopped to “[talk] to a couple of pretty nurses,” and Robert had inadvertently kept going without him.  As soon as he realized what had happened, Robert promptly wavered and fell, but he tells it as a deeply happy story, infused with nostalgia, tinged with gratitude.

“Henry [the friend] was laughing so hard he was crying,” Gurney says, “and I was just sitting on the floor laughing.  But from then on, I walked.”

The interview is eight or nine pages long, and only one of them deals with this incident, much less Bill himself.  But I came away from those bare sentences with a distinct impression of who this person was and how he thought (though I still can’t decide whether the detour to chat up the nurses was an actual lark or just a ruse).  I feel like that’s the opposite of what usually happens, like I’m getting to know these people inside out: it’s so easy to accumulate semantic details about a person—what do you do, where are you from, where’d you go to school?—and so hard to actually learn anything about who they are.  But these people come across as so raw, so earnest, so inside-out, that it’s hard not to see them right away.  You see them in their letters, in their memos, in the stories that others tell about them, so enthusiastic and conspiratorial: the way they really were, in the day-in and day-out of a job both unforgiving and unfathomably rewarding.

That’s why I’m so curious about the name change.  About why Russell talks about Stan, and Robert reminisces about Bill, when they met him the very same summer, a span of time in which you expect there to be a united front.  Maybe it’s an odd thing to have latched onto so tightly, and with such insistent curiosity.  But names have a literally mythological power, and changing them is more than just semantic, because your name tells you—you, not just the rest of the world—so very much about who you are.  You can be a different person, with a different name.  Even if they both belong to you, and neither one is a “disguise.”

I know because I changed my name, a little less than a year ago, one little piecemeal introduction at a time, from something that merely belonged to me to something that was mine.  I’d been Tori since I was born, an abbreviation of a given name I claimed to hate, and that even my parents never meant to call me aloud: too regal, too stuffy.  I was so stubborn about it that it says Tori on my university diploma.  But about a year ago, with the world swirling around me, I started wondering if that was the person I felt like—or the person I wanted to be.  I started wondering about Tori on the cover of a book.  And then, one day, with a small and instantaneous thrill of transgression: Hi.  I’m Victoria.

I love this “new” name.  Victoria is who I chose to be.  And there are many people in my life now who know me only that way: when my yoga teacher Matt calls me out in class, it is Victoria he gently chides; Victoria is the name at the top of this page.  It startles me when I swipe my loyalty card at the chain café I’ve eaten at practically every other day since I was a teenager, and when my order comes up they call out, “Tori?”  And yet, sometimes, for reasons I can’t even fathom, a department store salesperson will ask my name, and I’ll chirp the shorter version—not because I forget, for a moment, but because it feels more appropriate.  Even though most of the time I cringe, unfairly, when I see that worn-out word, the old name, a relic of a person I’m relieved to no longer be. 

Sometimes a name is just a name.  But sometimes it’s a threshold.

So that’s a moment—a pair of them, in fact—I wish I somehow could have witnessed: whatever the space was between Stan/Bill’s two introductions, and whatever spontaneous impulse triggered the change.  Maybe different people seemed to need different things.  Maybe different contexts brought different levels of comfort.  Maybe he was still trying to figure out who he was going to be in the U.S., and whether that was any different from the person he had been back in Australia.  Maybe it’s nothing.  Maybe he went by both names as a matter of course, and the kids he worked with picked their favorite as shorthand.  Maybe one of the boys whose stories I’ve mentioned couldn’t remember at all, and paperwork or an interested family member supplied a name different from the one he used every day.  Or maybe there was somebody else named Bill, or Stan, on one of those wards, and that someone was unusually protective of his name.

blog_picnicI probably won’t ever know.  Not that particular detail, so specific, and so likely inconsequential, no matter how much I want to read into it.  I’ll keep gathering stories, the ones about Stan and the ones about Bill, and I’ll figure out the truth, if not about the name, then about the things that happened, and I’ll line them up for you: in the proper order, and with proper annotation, and with as little of the conjecture I’m making right now as possible.  But the writing of this book is about more than just that, and that’s one of the things I’ve been grappling with over the last few weeks, writing and thinking such personal things.

I have no idea where I heard this story (yet another damning piece of evidence against my bibliographic skills, which before I started this project left very much to be desired), but it bears repeating anyway.  Whether this is a yarn about a real place or an urban legend, a kind of artist’s parable, I don’t know, but it goes like this: there was once a little bookstore with only two sections.  Over one cluster of shelves hung a sign that read Facts—nonfiction.  And over the other?  Truth.  The fiction section.

When I first heard that little tale, fiction was the only thing I wrote—at least, the only thing I wrote of my own volition, and the only writing I shared with others that didn’t come back with a letter grade attached.  I loved the story then, and I love it still, but it sounds different to me, after all these years, because my situation is different now.  I write both.  And I think about that anecdote now, and I wonder: why choose just one?

There are things in my novel that reference actual reality, but I didn’t put them there because I wanted anyone to learn anything.  Fiction sits on the side of truth, at least when it’s doing its job as it should, and no one asks from it anything more than that—which is exactly as it ought to be.  But nonfiction, that’s a different animal.  There’s an implied derision in that simple word: facts.  It conjures a sterility we remember from textbooks, and it’s a legitimate criticism: I am deeply buried in facts, trying to wade through the existing literature on the history of polio, and it can be stifling.  I love to read the scientific papers of the time, which have a sort of sly elegance and cleverness the modern journals I studied in college totally lack, but the secondary sources, the academic tomes, are dry and impersonal in a way that feels to me almost heart-wrenching. 

It’s important to provide accurate reportage, and a worthy accounting of the truth.  But I love this story because it’s about people.  People, and their lives and hearts and minds.  People’s families, people’s memories, people’s heritage and hopes.  Writers of nonfiction shy from those things, too often.  Hoping, perhaps, that people will be able to extract the appropriate feelings from an endlessly unspooling reel of names, dates, and featureless interactions, or perhaps just afraid of accusations of bias or inaccuracy.  But that’s the one thing the little bookstore parable has right: facts aren’t, intrinsically, connected to truth.  The people I’m writing about deserve better than to be reduced to sweeping generalizations and gut-wrenchingly vague statistics.  And they also deserve for someone to tell their stories correctly.

That’s why I look for those signatures, on Bill Stanley Willis William Bell’s letters, and why I pore so carefully over the accounts of those he worked with.  Because I think that facts can tell us the truth, if we understand that there’s more there to speak than mere procedure.  I love the way the whole world talks to itself: the way the specificity of these anecdotes becomes, always, universal, and the way semantic details can reveal intimate and tender emotions.  It’s curiosity about people that leads me to recognize the gaps in my factual, biographical knowledge.  It’s because I want explanations for the events and quotations and little quirks of behavior that allowed this thing, this crazy improbability that was the Kenny Institute, to happen the way that it did.  And the discoveries I’ve made that way are what convinces me that even good math can add up to something greater than the sum of its parts.

That this story is so emotionally clear and so factually opaque is both its glory and its misery, and I’ve been sledgehammered by that a dozen times since I’ve gotten to Minneapolis.  The folders and folders and folders of misfiled letters and papers shuffled like cards in a poker shoe over at the Historical Society are heart-stoppingly overwhelming, and the photographs and jokey newsletters written by Kenny’s patients feel like coming up for air.  But I fight through the one to shore up the other.  Because—like I’ve said before—I want people to see this thing the way that I do, and I know that means giving you something to latch onto that makes sense.  Something that’s real.  Something that’s true.

However you choose to interpret that, and whatever name it goes by.

On Being Moved

18 Tuesday Jun 2013

Posted by victoria in Present Day, Real Life

≈ 3 Comments

Tags

introduction, me, minneapolis, moving, present day, real life

Firstly: I owe you an apology. 

It’s been almost three weeks since I’ve posted anything, and I didn’t mean to take so much time off from updating the blog.  This site is a vehicle for many things—cheif among them educating people about my topic, and keeping them up on the progress of the project—and I’ve been delinquent in both of those arenas.  Because there are things I haven’t told you, because I haven’t had a chance.  Because I was yanked from something I thought I understood into something that became much more than I bargained for.

It hasn’t been an arbitrary silence, however sudden it might have been.  But it was a quiet that fell without warning, I know.  (It feels especially egregious to me to have left you all hanging in the wake of my emphatic, anthemic last post.)  What to me has been three weeks more chaotic than any in recent memory has been three weeks of radio silence for you.  A blank space, a mystery.  A vanishing act.  And, at least right now, at the beginning of this post, only I know where I’ve reappeared.

The story I’m telling is all about perspective.  And so, for the moment, is mine.

A little less than three weeks ago—three weeks that feels like forever, a miniature lifetime not quite my own—I packed up my apartment in Chicago, and watched the past I knew vanish into two dozen cardboard cartons.  I’d been considering a move since February, but it wasn’t finalized until April, and nothing felt real until it was happening all at once.  Until the internet access clicked off, and the counters had been wiped down for the third time, and the keys were just lying there, on the table where I used to toss the mail.

IMG_5222Three weeks ago, give or take, I threw my stuff into a U-Haul, and I came here.  To this quiet house on a near-silent street, where on Sunday evenings no one breathes, and the sound of fingers on laptop keys bounces noisy off brand-new hardwood floors.  A huge blackboard hangs on the wall, blank, for now, but raw with possibility, and on the floor a lamp beams out pale, softly colored light.  It’s a grownup house, far more so than any I’ve lived in before, thoughtful in the way it’s put together, and the atmospheric statement it makes.  I’m the one who made it that way, over three or four whirlwind days of trips to Target and IKEA furniture assembly, but there’s still something sort of bewildering about it.  Something fragile and unreal.

I live in Minneapolis now: a cozy two-bedroom on the outskirts of a neighborhood called Uptown, a few blocks away from Lake Calhoun.  And the transition, which I thought would go so smooth and seamlessly, has changed me in ways I never could have imagined.

IMG_2401It feels strange to take any part of the story I’m telling for my own, and to feel connected to it so strongly in the present, but it’s been very much on my mind in these last weeks.  What it means to be sidelined by something unexpected, and to vanish from a world you share with others into a different one, a smaller one, where you find yourself both more and less alone.  A world that can be terrifying, in the possibilities that bloom when you least expect them, when a path you thought was modest and well-defined branches out to dozens of possible successes and failures.

Only so much of any intensely personal journey can be shared.  There are limitations on words, ones I grapple with every day, in trying to illustrate the stories of people whose heads I will never entirely inhabit.  (Nor is this challenge confined just to the problems of history; though I haven’t talked about it here, I’m also a fiction writer, working on a novel in tandem with this book.)  I haven’t even defined them all for myself, the things that have changed since I came here, and that makes the seismic shifts even more difficult to articulate.

But I can say this, and easily enough: even with an overstuffed U-Haul, and all the things I brought with me, I left even more behind.

I came here to be closer to my research.  To take the next step in teasing out the truth of the saga I’ve promised to recount, and get a better idea of how to go about the writing process itself.  My apartment is a twenty-minute drive from the Historical Society in St. Paul, where they keep those archival boxes I’m always talking about, the ones that spill out stories like a thousand points of light.  The site of the original Kenny Institute, the building stripped of its façade (and its purpose), but still recognizably connected to the one in the photo at the top of this page, is a ten-minute drive from my apartment.  If there are more people to interview, they are most likely here, or at least their descendants are; my new friend Russell lives in a nearby suburb.  The modern Sister Kenny Rehabilitation Institute is (or was, but more on that later) still operating in the Twin Cities, and how much they might be able to tell me of what I want to know remains to be seen.

I knew I was coming here for a reason.  But I didn’t realize it wasn’t any of the ones I’ve listed.  I didn’t realize that what I’d find in this new home was something I never knew I was looking for, in the midst of a landscape almost entirely divorced from the map I followed to get here.

The first time I ever came to Minneapolis—this city itself, not its wayward brother St. Paul, where I spent research weekends two blustery Januaries in a row—was the middle of this last April.  It was the trip on which I found the place I live, when after a long day of frustration and disappointment I stepped into my new living room and asked, “Where do I sign?”  But the trip wasn’t supposed to focus on the hunt for an apartment, which, even with my lease in Chicago rapidly running down, felt more like a lark than anything else.  I was here for something on the surface very different, but equally dear to my heart: a yoga teaching seminar with the brilliant Matthew Sanford, whose work I’ve admired ever since I found out about it last year.

I got my yoga teacher training certification about a year ago, at the fitness-focused studio where I practiced in Chicago; it seemed like a good opportunity, and a good next step for something that had become incredibly important in my life.  I have always lived amidst deafening noise, struggling with anxiety and a chronic lack of confidence, and learning to breathe through yoga infused both my personal and creative lives with new energy, new hope.  It was an arena where I thought I might find a deeper connection between myself, and the things inside my head, and other people, and the outside world, all spaces segregated inside me by improbably high walls.  But before long I realized I didn’t have the time in my life, or any real longing in my heart, to teach conventional yoga.  Leading the Spandex-clad denizens of Wrigleyville through asanas—the fancy word for poses—meant mostly to tone a part of their body with a similar name, was not the personal development I needed.

Matthew Sanford sometimes teaches yoga to people who wear Spandex, and care how they look from the rear.  (I know because I’m one of them.)  But he also teaches “nontraditional” yoga to people with disabilities—trying to bring to their lives not just the traditional benefits of yoga (mindfulness, calm, self-reflection, and, yes, fitness) but also something else, something bigger.  A sense of their bodies as intrinsically whole, and intrinsically valuable, still beautifully connected to and conversant with their minds, whatever their practical limitations or neurological sensations might be.  And he does it all from the wheelchair he’s lived in since he was thirteen, his world transformed instantaneously by a car accident.

552918_10151405600957582_1853169899_nThe world inside my head softens, when someone speaks directly to my heart.  Just reading about Matt’s work melted me, and I knew right away that that was what I wanted to be involved with.  The practical challenge of figuring out how to adapt the essence of poses without losing what they try to tell us about the way we exist in the world (“teach the experience,” as Matt puts it), and the subtler challenge of really being with someone as you go through that together.  The challenge of real presence.

I took his first training session, like I said, in April, and then the follow-up, second-level program in May.  What happened inside those light-filled rooms was amazing to me, and unlike so much else in life it existed with all the superfluity stripped away.  This is real, Matt kept telling us—the teacher trainees, and his students, too.  This is real life. 

And I thought, yeah.

Because it’s the same way I feel about this project, and my novel, too, and the parts of my personal life that I hold the most dear.  It speaks to the same impulse as the concept of art, and the sanctity of language—which, for me, is just the most convenient stand-in for the idea of honest communication in general.  To put one’s hands on a yoga student, or to sit with someone as they confide a transformative story, or write the story of something that never happened, but could have, and share it with someone who understands—that is the closing of a chasm, the bridging of a gap.  It is a stretch toward truth by two parties who are both interested in finding it, rather than avoiding it, for fear it might feel uncomfortable.

Matt teaches his adaptive classes at a place called the Courage Center, a facility with both in- and outpatient clients, working to help those with disabilities live more independent lives.  And in a partnership that seems to have rocked the local healthcare world significantly, but that I had managed not to hear about until I got here, it was recently absorbed into one of the local hospital systems—the same one that manages the modern Sister Kenny Institute.  Neither one will exist any longer independent of the other.  And what that meant didn’t hit me until I filed the paperwork to assist in Matt’s class, and got an e-mail back from the volunteer liason at the newly established conglomeration: “Volunteering at Courage Kenny Rehabilitation Institute.”

I came here in part to be near the Institute, which I hear is still doing pretty remarkable work.  But I never imagined I’d work there, or in the place that it’s becoming: a place sort of sentimentally near to my heart, which is both new and old and at a crossroads.  Kind of like me.

One of the things I love about the Kenny story, and that of the Kenny Institute specifically, is the sense of cohesion it provided for the people who lived there.  The hospital’s philosophy gave the patients a framework for understanding the world and their place in it, and whether and how what had happened meant that had to change.  It gave them a way to weld everything together, to take a blast furnace of confusion and frustration and anger and put it to work.  And that insistence on wholeness of body and soul, on not just picking up the pieces but taking the time to fit them together into a life that made sense, was everything.

IMG_5267

I write about wholeness a lot, and spend a lot of time reflecting on it, but it’s something I’ve never really had.  The welded life I love so much is one I’ve never lived.  The things that I loved, and the different aspects of the person I wanted to be, and the concerns that I always thought were important, never had a chance to manifest all at once.  I could do a handful of things at the same time, and if something crucial was missing, I would go looking for it when something else changed, or I found more time, or things weren’t quite as difficult.  When I was less anxious about how people might see me, or what they might think, if my carefully curated worlds collided.

But it isn’t true.  The realization came suddenly, and hard, in this new living room: that the day when things are easier, or I have more time, or fewer preoccupations, is never going to come.  There are a million moments of right now in a lifetime, each one different, and weighted down with context.  But right now is the only thing that there will ever be.

I was eighteen years old when I moved to Chicago.  I knew a lot about what, and who, and where, I didn’t want to be.  (An Apple computer salesperson, stuck in the suburbs of Baltimore, four years out of college and without any idea where to go, or whether I might ever fit in.)  But I never felt truly empowered to choose something different.  I never found a community where I could be myself, or people with whom I felt compelled to get seriously involved.  I yearned for independence: the feeling of independence, of agency, which is far more ephemeral than people realize.  I lived on my own for years without ever feeling empowered to drive my own life in the direction I felt it was really meant to go.

IMG_5258

I spent a long time shy and embarrassed about my writing, about my past, my philosophy, my life.  I still haven’t talked very much about my background, but I’m planning to; I want you to know me, and why I’m doing this, as well as you come to know the people who populate the sepia picture I’m painting.  I don’t want to write myself into my own book; the end product this blog teases is about Elizabeth Kenny, and the people she helped (and some of those she couldn’t), not about me.  But talking about the process is inevitably a way of talking about myself, especially now that my thousand shattered lives are sharpening, finally, to a single point.

I lived a yoga life, before.  A life as a fiction writer, and a separate life as someone embarking on a research project that seemed impossibly audacious, given my background: an undergrad degree in biology didn’t seem legitimate enough to speak on such a momentous topic, and my five years in the pediatric ER of Johns Hopkins Hospital felt like an inadequate explanation of my interest in medicine.  I never talked about my writing with strangers.  I’ve lived lives in secret, and lives that were highly visible but not quite true.  I’ve never spent much time trying to fit into others’ expectations, but I have spent long years being wistfully misinterpreted by the people around me.  I have tried silence, and I have tried angry, self-righteous defiance, but I have never tried acceptance.  I have never stood still in the midst of myself and acknowledged the things about me that are unchangeably true, or honestly tried to escape the traps I fell into by accident, and than stayed in out of fear and inertia, the ones filled up with easy, painful lies.

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What does it mean to embrace being lost, when it takes even more bravery to admit to being found?  There is no agreed-upon scorecard in life, at least not one any useful number of people will agree on; you will never know if you’ve “won.”  The only judge worth listening to is the barely audible voice inside your head, whispering breathily that you’ve done the right thing, and it’s all too easy not to listen.  Because what if you’re wrong?  What if it’s made-up, and this thing seems so wonderfully laden with potential just because it happens to be better than the terrible situation you’d been mired in before?  What if you are merely the victim of a fresh landscape, and the wishful thinking that comes along with it?

What if it doesn’t matter?  Who the hell cares?  Wishful thinking is a cynic’s synonym for hope.  Perception is reality.  And we write our own stories every minute we’re alive.

Everything is different here.  The weather is different: unseasonably cool and sticky, and unremittingly gray (unusually, the locals promise), with a ceiling of clouds that peel like wallpaper.  The people are different: they move more slowly than I’m used to, and talk more sharply, about places and things whose names I don’t know.  The neighborhood is another world, with its quiet residential streets and quilted flower gardens, sitting apart from the vintage shops and bike vendors and dive bars on Lyndale.  There are as many restaurants in my entire neighborhood as there were in the five blocks around my old place.  Even more of the twentysomething hipsters stalking down the streets sport slashes of neon color in their short-cut hair, but they look more out of place than they did in Chicago.  More ostentatious, but quietly so, circumscribed in their defiance.

I am different here, but not because of any of that.  Because when everything you know falls away, your first instinct is to do everything in your power to find those things again, and snatch them back, keep them safe.  And the liberation in realizing that maybe they aren’t the ones you need after all—that is beautiful, and terrifying.  And something it’s going to take a lot longer than three weeks to sort out.

My journey is far less dramatic than that of the kids that I write about.  I have not been blindsided, traumatized, or terrorized (at least not in the short term); if my world has been upended, it has been by something that at least on the surface I chose.  But that doesn’t mean I know exactly where I am, or have a good grasp on where I’m going, or that keeping the faith is always—or ever—simple.  It’s a positive change, this one that I find myself so unexpectedly facing, but it is one I feel unprepared to handle, even as I hope to use it as a springboard to the kind of wonder I’ve never successfully held.  I’m hoping I can learn from them—Kenny’s kids, the ones that I feel I’m watching over, now, in this place with so many memories, and so many echoes of beauty.  With fortitude, and a little bit of luck, I’m here not just to tell their story, but to follow their example.

I am definitely still a little lost here.  But sometimes, when you’re lucky, in being lost to the world, you get a chance to find yourself.

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A Statement of Intent

26 Friday Apr 2013

Posted by victoria in Introduction

≈ 1 Comment

Tags

elizabeth kenny, introduction, me, polio, writing

The syrupy exhaustion descends a little at a time, a slow slide of the dimmer switch on the world, darkness fogging your thoughts.  The world seems suspended, or maybe that’s you—something’s off about your relationship to the ground.  Gravity isn’t working quite right, and it’s making you dizzy, and you can’t remember what you’re scared of.  You’re drenched in clammy sweat, even though that doesn’t make sense, because the droplets are running off unevenly, pooling in between the constellations of goosebumps on your skin.  There’s a miserable knot in your stomach, and your limbs are filled with shifting sand.  The pressure tightening around your temples has such physical weight it feels like you should be able to shake it off, but when you try the pain just clamps down harder.

It’s 1940, and you are inside your worst nightmare, and you’re afraid to even tell anyone, for fear of what they’ll do.

We hardly remember what the word means, now, but for fifty years, from the turn of the twentieth century to just past its midpoint, there was nothing in the world more instinctually terrifying than the specter of polio.  More permanent than the Depression, more personal than any war, it had the power to upend lives almost overnight, transforming healthy citizens into weak, cramping phantasms, struggling for breath.  Once the illness began, there was virtually no treatment, and certainly no cure.  No way to know who would escape unharmed, who would be paralyzed, who might lose their life.

Polio victims left home in ambulances, and they came back transformed.  Whether or not they returned in wheelchairs, supported by crutches or canes or the heavy metal leg braces that for so long functioned as cultural shorthand for the disease, they were newly burdened, weighted, in a way no one else seemed quite able to fathom.  And that metamorphosis held an entire nation in terrified thrall.

Because polio changed people.  And not just on the outside.

We have—and, especially, people had then—this preconceived notion that being disabled isn’t supposed to change you as a person.  It seems rude, somehow, to assume that someone with significant physical challenges differs from able-bodied people in matters beyond the simply practical, and offensive to suggest that they are really other, that they see the world differently.

But they are.  Different.  They are different in the same way as all of us, shaped by their experiences—and those experiences, especially in the 1930s and 40s, bore little resemblance to those of the unafflicted (to use a contemporary term).  They spent weeks in dark isolation wards, separated from their families, foggy from the brain infection and largely ignored by their doctors.  Inpatient rehabilitation lasted months or years, sometimes in gentle kind places, sometimes in militant, miserable ones.  Some endured dozens of surgeries; others were subjected to draconian therapy regimens that involved months in body casts or strapped in rigid splints.  All went through unspeakable pain—physical pain, and the pain of loss, which feels no less agonizing, and hardly less concrete.

media-1.phpThis disease laid people bare, shaken and shattered, and even those who beat the odds to walk back into the world unencumbered had to find a way to rebuild from the trauma.  Some changed for the worse; others, in the end, perhaps for the better.  Who each person became depended on who they were to begin with, and how they were treated, and the people they met on their strange and sometimes devastating journey.  And even at the time the public gawked like spectators at a zoo, trying desperately to wrap their heads around the horror, unable to see it the way the survivors themselves did: as everyday, dogged reality, sometimes inspiring, sometimes bleak, never predictable.

By the sixties, just a few short years after the advent of Jonas Salk’s famous vaccine, we’d forgotten any of this had ever happened.

I have written and rewritten this segment a thousand times, because I don’t want to fall prey to the reductionism you see in so many other dealings with the topic.  Because I want you to hear this story the way that I do, see these people the way they really were.  I want to tell you what really happened, insofar as I can find that out, not tell a story about what happened: the things that transpired here form neither a comforting narrative of triumph nor a sensationalized story of pain.  It’s just a story, about people, and about those who tried to take care of them.  It’s a story I think is worth remembering.  Something that still informs our national attitude of determination and bravado, for better or for worse.  Something I think we shouldn’t lose sight of.

But we have lost sight: of the tremendous impact of this part of our history, and the fact that it happened at all.  I read an interview once, in a remarkable compilation of first-person accounts called Polio’s Legacy, in which someone recalled being asked by younger neighbors if his children were “okay;” presumably they thought that the “polio” that kept him in leg braces was hereditary, or somehow still catching.

We haven’t forgotten polio simply because we have the luxury of ignorance, or because the problem is obsolete.  We forgot because we pushed it from our minds.  We beat it, this terrible thing that stalked us for so many years, and so why should we acknowledge it?  Why dwell on a nightmare after the waking?

It’s not accurate, exactly, to say we don’t talk about polio at all, or that people don’t think it’s important.  Dozens of books have been written about it; David Oshinsky’s Polio: An American Story won a Pulitzer prize when it came out in 2005.  We still talk about the disease plenty when we discuss the FDR presidency, or the ongoing vaccination debate (ask me how I feel about that sometime).  But when we look back on it as a historical phenomenon, what people focus on is the race for a cure through prevention, our victory over polio, or else the sheer faceless horror of the disease.  They rack up numbers of cases and children left helpless and paralyzed; they talk about the economic burden of the disease, or the hysteria it engendered.  They talk about polio as a phenomenon.  They talk about polio as an all-consuming fear.

They don’t talk about polio as something that happened to people.  We lose track of our humanity, in those breathless chronologies, maybe because we are ignorant, or maybe because we’re afraid.

It’s not much different than it was at the time, when polio was still a scourge to be dreaded, and smiling poster children solicited donations on every corner while the survivors themselves stayed home, cast out for the unavoidable reality of their braces and canes, and the fact that they didn’t always grin.  It’s easier to think about the macrocosm of war than about each individual battle.  Wars can be won; it’s in the trenches that we pay the price for victory, and unless you’ve been drafted, it’s an easy fact to overlook.  Behind each clinical sentence in a history book, or the bulleted list of symptoms on the Mayo Clinic web site, is, or was, a human being.

Teens and young adults were uniquely suceptible to paralysis, a pretty widely distributed fact, but the fact itself doesn’t address the sixteen-year-old who hugged her limp knees in bed, wondering if anyone would ever want to marry her, wondering if she’d ever make love.  Discussions of the extreme (but ineffective) isolation measures never speak specifically of the parents who circled the outsides of hospitals until they found their child’s window, because during an epidemic a knock and a wave was as close as they could get.  Knowing how much money the March of Dimes spent on splints doesn’t give us a chance to ask how they made the boy who laid for months with his arms at right angles feel.  Iron lungs had children in them—children who sometimes dressed them up in Halloween costumes.

Every single time I talk about my project, this project, each time I reach out to shake a new hand, I hear another story.  It pours out of people like something pressurized too long: My dad had polio, they’ll say.  Or My grandmother.  Their eyes go wide, and a weight lifts as they soften, like it’s good to say it, like it’s a relief to talk to someone who knows what they’re talking about.  The boy down the street was in an iron lung.

I had polio, they say, sometimes, quietly.  And then, always, some variation on Wow, because even—maybe especially—for the people I’d never have guessed that about, the ones who seem physically totally intact, the reminder has its own gravity.  Its own power to turn back the clock. 

There are plenty of things about myself I don’t usually share; some of them happened an awfully long time ago, long enough that hardly anyone knows.  And every single time I get close to someone, there comes a tipping point in the conversation, a threshold where I want to say it, but I don’t, usually, because it isn’t really relevant, except in that space inside my head that begs for a voice.  Just because you can’t see it doesn’t mean it didn’t change me.  Just because it doesn’t “matter” to whatever we’re discussing right now doesn’t mean there isn’t some part of me that wants you to know.

I feel incredibly lucky to hear those stories from others.  To be the one entrusted with them, at least for that fleeting moment.  Maybe people don’t talk about it because they imagine it won’t interest anyone, or because they’re still afraid of censure, or maybe it just doesn’t occur to them, in the rush and reality of everyday life.  But there is a void there.  There is something left unsaid.  I see it almost every day.  It’s a void I don’t think anyone else is trying to fill.

It’s a void that was filled at the time mostly by a remarkable and enigmatic woman named Elizabeth Kenny.  A nurse from the rural Australian bushlands, her unique regimen of treatment for the disease not only revolutionized the field of physical therapy but changed her patients forever, in a way that entirely transcended their mobility.  Conventional wisdom about polio held that paralysis was absolute, and that exercise was dangerous, with passivity the only possible source of redemption.  She rejected that worldview completely, insisting that not all weakness had to be permanent, that helpless submission to the medical machine wasn’t necessarily the appropriate response to the situation, and that imperfection shouldn’t bring with it a secret shame—and her method worked beautifully.  Doctors hated her.  Patients loved her.  And she didn’t seem much fussed either way.

EKI Dedication

Back in 1940, when Kenny first stepped onto U.S. soil, she was entering into a society that liked its brave, idealized concept of polio survivors a lot better than it liked the real thing.  The medical institution was filled to bursting with doctors who felt existentially threatened, unable to cope with their helplessness in the face of the disease.  They treated their patients as collections of muscle-testing results and constellations of symptoms, because to acknowledge their humanity would mean acknowledging their suffering.  And acknowledging their suffering would mean acknowledging they’d failed.  So they pushed them harder, straightened their twisted limbs with ever-increasing violence, so that they could be closer to normal, and the tension could fade from the air.

For nurse Kenny the very idea of allowing those kinds of metrics to define a patient, a person, was anathema.  She, too, saw the intrinsic humanity in her patients, and she wanted for them true recovery, rather than some objective standard of performance.  She was more interested in how her patients felt than in how far they could or couldn’t walk.  And she knew, that to ever get better—whether better meant walking unassisted, or better meant self-acceptance—honesty and wholeness, rather than some fragmented medical identity, was what was required.  Her therapeutic technique was what earned her recovery rates more than twice the average of the day.  But it was her therapeutic philosophy that left her patients filled with admiration rather than fear, and inner peace instead of self-reproach.

It wasn’t a person’s life you feared for when they came down with polio—it was their ability to live.  And even if she couldn’t repair a broken body every time, it was in assuaging this fear that Elizabeth Kenny healed.  It’s a tremendous story of persistence and triumph and hope, and a terrible one, too, of prejudice and darkness and inalterable loss.  It’s a story that has more to do with the scars you can’t see than the ones that you can.  And I’m in the process of writing a book about it, and her, and about the Minneapolis clinic where she did her best work—the book this site is intended to accompany.

I’m not the most logical steward of this story.  I’m twenty-one years old, born the year the Kenny Institute celebrated its fiftieth anniversary.  I run marathons and listen to cringeworthy pop music; my laptop is grafted to me like a third limb, and my hair is sometimes dyed firetruck red.  But I’ve been fascinated by this story for a long time, and I believe it desperately needs to be told.  So I’m taking comfort in this: Elizabeth Kenny—almost six feet tall, self-taught, and frequently lacking in social graces—was not an especially logical hero.

I can’t wait to tell you more.

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