On The Other Side.

"...But there's another kind of hole, and that is the wound that divides family.
Sometimes the wound occurs at the moment of birth, sometimes it happens
later. We are all fixing what is broken. It is the task of a lifetime. We'll leave much unfinished for the next generation...
...I have infinite faith in the craft of surgery, but no surgeon can heal the kind of wound that divides two brothers (siblings)"

Abraham Verghese

Cutting For Stone

As I am having huge problems finding words at the moment I have resorted to using those of others.

This resonated as I read it the other day.

There's not a lot out there which acknowledges the impact of damage between siblings.

I remember in the early days of my sister's anorexia, when the wound of her violent and total rejection was still so, so raw and my flesh unaccustomed to the pain, searching high and low for books about anorexic siblings.

All I found was a reasonable amount of literature on 'Helping Your Child Eat' or 'Coping With An Anorexic Child'. That kind of thing.

A good few years ago, I figured that one day I might have found the healing and the balance I needed to help me write a book about anorexia with siblings in mind. I thought that somehow, I would be able to look on the years of loss with the glow of gentle understanding borne of the twisting grief of watching the slow suicide of a sister I loved with everything I had.

It would be called, "On the Other Side" in reference to a range of recurring nightmares I had for the first ten of the seventeen years of her illness. The dreams were all variations on the same theme... I was always stuck on the other side of the shatterproof, soundproofed window as she was mugged, the other side of the pond as she was buried in the mudslide, the other side of the turquoise lagoon as she drowned.

And the feelings are indescribable and yet, so many of us are familiar with the extraordinary pain of watching those who we love the most, kill themselves slowly and painfully, whether that be through eating disorders, drug addiction, alcohol dependency or just very, very poor life choices.

Not to minimise the angst of those who are compelled towards death by the strength of their addictions, but I honestly believe, and I'll speak only for myself in an attempt to avoid sweeping generalisations... I honestly believe that it is more painful to watch someone you love in agony than it is to be in agony yourself.

The Other Side exists for all of us at some point in our lives, but rarely to the degree that it does when it is the absurd chaos and torment of severe mental health problems and addiction that tear a family apart.

No surgeon can heal the wound that divides two sisters. If I could find one who did, I'd sell everything I ever had.

Circling at One Thousand Feet

It's ironic that as I sit down once again, to tackle the subject of eating disorders, and in particular, anorexia, I have an image of me circling my subject like a very hungry animal circles a potential feed; warily and full of tentative, watchful suspicion that what is being circled might suddenly retaliate with a defensive blow from a place which went unnoticed.

This topic. I'm afraid it has the potential to do that.

I have written a fair bit about my sister. In fact, there are a few posts here about her and although it is not easy to write about, it's more because of my sense of hopelessness around making others understand than any deep pain at the memories of the experiences.
In fact, if anything, I have very few memories and the ones I do have are almost totally devoid of any feeling.
Giant pools of nothingness swill and wash around my insides much of the time. I feel that underneath everything... under all the angst and the pain and the upset, there is nothing.
Just an empty, black void.

Hopping out of that void for a minute, it's fair to say I have been circling my own feed for a while now.
I've burnt a lot of calories with my circling.

I don't expect understanding.
In fact, if anything, I expect to be met with the same level of horror and disgust that I feel about myself.

Having such an intimate knowledge of what it is to have to stand by and watch a loved one scream and twist in an unreachable cage, shredding themselves against the razor bars, you'd think that:

1. I would have more common sense and


2. I would never be as selfish as to inflict it on those who are already so broken.

But no.
It seems that I lack the ability to apply the logic I am such close friends with and that I am clearly so completely wrapped up in myself, that I care very little that others will suffer.

I have developed an eating problem.

I don't want to call it Anorexia because that is what my sister has suffered from for over half of her years on earth, and any similarities between us disappeared long ago.
It also just feels fundamentally wrong to be "anorexic".
I'm just not LIKE that.
It's not me.
I'm not the type.

And... at any given moment, I feel in grave danger of all my control slipping away from me. In other words, I don't know if I can keep up the starvation, the denial, the ferocity of the exercise regime BUT if I even think about going easier on myself, I will be unable to stop the gorging and the uncontollable binging that will follow.

I recognise that wht I have just written lacks balance.

It is a problem I can't find an answer to.

I need extreme lack.

What I Dont Know About Anorexia

I want to try to finish what I began in the post My Sister - Anorexia Here, I established that having shared living space with anorexia, there really is very little that I don't know about it.

Seeming to be either too clinical or too compassionate, I have rarely read anything about Anorexia. In the very early stages of my sister's illness, I may have read leaflets of the kind you find in doctors' waiting rooms, but these were as far as my research went.
At 14 and with a family desperately in denial about what was happening, knowledge was not welcomed.
In fact, the only thing welcomed was a refusal to believe that this "finicky eating" was anything more than just "a phase".
I never believed it no matter how many times I was slapped or shouted down, and by the time they came round to it, it was far too late.
In my sister's case, I don't honestly believe that there was a point when it wasn't too late. But that's another post.

I digress.

Ignoring the title of this post (focus girl - focus), I DO know that the stats for anorexia make pretty grim reading.
Up to 20% of anorexics will die of complications caused by their illness. That gives the illness one of the highest mortality rates of any psychiatric illness.
Although the figures vary depending on who is publishing them, it is estimated that only about 60% of anorexics will make a "full recovery" (I'm skeptical). Of the remaining 40%, half of those will make a partial recovery although they will struggle with eating for the rest of their lives, and the remaining 20% will be unable to shake the illness and will remain seriously underweight and in and out of hospitals and clinics for as long as their bodies allow.

You can guess which percentile my sister falls into.

I also know that although again, the figure varies, it is often estimated that roughly 10% of all anorexics are male.
I would suggest that society will see this a sharp rise in the incidence of males with eating disorders. I have been watching the 'emo' culture closely and observe a worrying trend towards a blurring... a diluting, of sexuality.
(Again, another post).

So... I digress again... Perhaps to avoid...

Referring once more to the title of this post... What I DON'T know, is how, after living in the grotesquely monster like shadow of this illness for so many years, and after having been forced to witness the gaunt fear on the faces of my loved ones... (and for all the words in the English language, I will never be able to describe the agony that has etched itself on my family as they have watched so helplessly) HOW it is that I too, seem to have made this illness my ally.
It feels harsh to say that I have chosen it when I can't begin to work out how it is that this has come about; but my own locus of control won't allow me to say that I have merely "fallen prey" to it.

This is a long one and I still haven't got close to what I want to say.