Ex-Sighted, A New Vision Sue Boman Ex-Sighted, A New Vision Sue Boman Skillion Publishing Ponoka, Alberta All rights reserved. No part of this publication may be produced, stored in a retrieval system, or transmitted in any forms or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior permission of the copyright owner. Copyright © Sue Boman 2002 ISBN 0-9683659-3-0 National Library of Canada Cataloguing in Publication Data Boman, Sue. Ex-sighted, a new vision ISBN 0-9683659-3-0 1. Blindness--Psychological aspects. 2. Vision disorders--Psychological aspects. 3. People with visual disabilities. I. Title. HV I593.B65 2002 362.4' 1 C2002-910507-2 Acknowledgements Many thanks to: Lyle Boman - editing and formatting Carolyn Hamilton - proofreading and editing Jennifer & Jonathan Boman for their encouragement and insight FORWARD Ex-Sighted, A New Vision, is a must read for those experiencing vision loss or for anyone who has pondered how difficult it might be to be blind. Sue Boman's book reflects her own experience, and those of others, who have lived through the loss and adjustment to life without sight. The stories tell us about the personal trials, humour and joys that people who are visually impaired have experienced as they journey through life. After reading this book, blind or sighted, you will feel inspired to face anything life has to offer. Jim Sanders President & CEO Canadian National Institute for the Blind DEDICATION For old friends and new, and especially for Ali, Alisha, Anne, Bert, Brandon, Darrel, Donna, Gerry, Norma, Pat, Peggy, Boss and Wayne. PREFACE The pages of Ex-Sighted, A New Vision, have evolved as part of my personal journey. I found the onset of my own vision loss to be a very isolating experience. It was only with time that I realized I was not the only traveller on the road. I was at the beginning of a journey, and my story was only one of many. Others with vision loss have shared their stories with me. These stories have varied in detail and circumstance, but a bond of fortitude, determination and a fierce desire for independence has remained a common thread. It is this shared vision which is the foundation for this book. The CNIB (Canadian National Institute for the Blind) has over 95,000 clients across Canada. About 10% of CNIB clients are totally without sight. Most clients have some degree of sight, but not everyone who has low vision comes to the CNIB for help. Some CNIB clients are children. An increasing number of CNIB clients are seniors. One in nine Canadians over the age of sixty-five will experience a significant form of vision loss which cannot be corrected with prescription lenses. Past age eighty, the odds of this occurrence increase dramatically. However, Ex-Sighted, A New Vision, is not about statistics. The numbers are important, but they are merely the boundaries for what I have written. This book is about the inner journey. It is a story of coping and hoping. Without hope we have nothing, but with hope and a new vision for the future, we can lead fulfilled and satisfying lives. In spite of being ex sighted, a new vision both enables us and empowers us to be excited about life itself. Sue Boman Table of Contents Chapter 1 The Peaks and the Valleys ................................ 1 Chapter 2 Be True to Yourself ........................................... 21 Chapter 3 Success and Failure ......................................... 37 Chapter 4 Go the Limit ........................................................ 53 Chapter 5 Support Systems ............................................... 72 Chapter 6 Life Goes On ...................................................... 86 Chapter 7 The Best Medicine .......................................... 103 Chapter 8 Ready to Roll .................................................... 118 Chapter 9 Inside Out ......................................................... 135 Chapter 10 One Step at a Time ......................................... 145 Chapter 11 Vision ................................................................ 162 CHAPTER 1 THE PEAKS AND THE VALLEYS Kites fly highest against the wind. Winston Churchill I live on the prairies of Alberta, and I love it - wide, open spaces, clear blue skies, and seasons that announce their presence with a flourish that leaves no room for doubt. I love the blossoming freshness of Spring and the chatter of the returning birds. After the first rain, it is almost possible to actually see the budding of the new leaves as they burst from their winter hibernation. The landscape changes colours as if painted with the gradual swoop of a giant brush. Although it is brief, and often inundated with mosquitoes, I love Summer too. The warmth of the sun gives a glow to my skin, and I succumb to a gentle laziness. It is that window of time when the grass is lush and green, and the land is rich with promise. It is a time for laughter and barbeques, kids at the playground, long walks in the evening, ball games, and family reunions. 1 Then there is Fall - fields of ripened grain, the heavy rumble of farm machinery, carpets of crunchy leaves, the honk of migrating geese, the slap of the beaver's tail ringing out in the quiet of the ponds and sloughs, a decided nip in the evening air, and the first frost glistening in the morning sun. I love it all - the sounds, the sensations, the invigoration. Until there it is - the icy blast of Winter. It has been anticipated. The animal kingdom has known of its impending arrival. The birds have flown; the remnants of the summer gardens have withered and died; the frantic gathering and storing activity of the squirrels has slowed. It is time, and yes, I have learned to love an Alberta Winter too. Mild or harsh, blizzard or blue sky, Winter in Alberta has a beauty all of its own. But I digress! I live in Alberta, and as you know, the western ridge of the province is lined with mountain peaks. For those with the gift of twenty twenty vision, these same mountain peaks are starkly visible from most approaches across the wide flat expanses of the prairie. From a distance, they appear as small pyramids with snow covered crests. From the same distance, my eyes see a white blur - possibly cloud, possibly mountain, possibly just one of those mirages that float across my line of sight. But place me on the main street of Banff, or the valley at the base of Mount Edith Cavell, or on the glacier of the Columbia Ice Fields, and I would have a different story to tell. 2 When I stand in the valley beside these awesome castles of rock and turrets of stone, I am impressed by their magnitude and grandeur. This I can see! And so it is with life. It is often our experience in the valleys that enables us to see the peaks with greater clarity. Most people who experience a significant personal loss will also experience a walk in the valleys of life. Personal loss has the potential to transport us to this lonely place in the depths of an emotional valley. You will see what I mean when you read the following thoughts from some people in their first encounter with vision loss. A WALK IN THE VALLEY * When the doctor told me I had macular degeneration, I couldn't think straight. After he said the word 'blind' I really didn't hear much else. I think I was in shock. I thought, 'This can't be happening to me. I've always been so healthy.' I really couldn't believe it. Looking back, I would say it was one of the worst days of my life. 3 * I was driving home with my wife, when I suddenly realized that I couldn't see the road in front of me. It was just as fast as that. I was plenty scared, believe me. I drove the rest of the way home following the shoulder lines. The wife doesn't have a licence. I was scared all the way. They say I have macular degeneration. I think I went into a kind of depression for a while. Nothing seemed to sink in. * I was twenty-four. For a while I thought about killing myself. I couldn't see that there was any kind of life out there for me. I suppose my family were beside themselves, but at the time, I couldn't see past the edges of this big, black hole I was in. I'm not sure what got me going again, but sometimes when I look back, I still get a little scared at what I might have done. * I was stunned when my optometrist told me I wasn't going to get my full sight back. He kept talking about macular degeneration, but when I looked it up in the medical dictionary, it said it was to do with old people. I was only forty-three. I wasn't old. I spent the next few months in a flurry of frustrating visits to doctors and opthamologists. When they all told me the same thing, I started to get a real sinking feeling in the pit of my stomach. They couldn't all be wrong. I couldn't see, and that was that. I had absolutely no idea of what I was going to do next. 4 * I was lucky I suppose. My blindness was temporary. It only lasted six weeks, but I remember I was frightened, really frightened. I had no idea of how I would cope. I had three little ones at home, and just couldn't imagine how I would look after them. Fortunately, it was all corrected with surgery, but it was the most frightening experience of my life. * The bottom of my emotional adjustment came about fifteen years after my eyesight began to deteriorate. I had reached the point of total blindness, and it was a very bleak period in my life. There were tears, lots of tears. I had a real good cry, and I'm not one to cry. * I think it is fair to say that I was devastated. I had lost my husband the previous year, and couldn't believe that life was so unfair that now I was losing my sight. It all seemed a bit much to deal with, and in the beginning I cried a lot. I lost my appetite, and for a while I was taking sleeping pills to help me get through the night. I was a real mess. * My vision has deteriorated over the years, but I think the big point was when I lost my ability to read. I got really angry. Somehow I couldn't talk to anyone even my family. It was as if this was my problem, not theirs, and I wasn't going to share anything with them. It must have been really hard for them, but at the time, I was too angry to notice. When I look back now, I just thank God for their support. I wouldn't have 5 made it without them. * I was angry with the world, though I didn't really realize it at the time. I thought I was coping okay, but I kept losing my temper with everyone around me. I was irritable all the time, and couldn't really grasp what was wrong with me. The smallest thing seemed to set me off. It was an awful time. * My eyesight went so fast, I couldn't believe it. It was only one year before I lost my driver's licence. The hard part for me was that I'd never been sick in my life. I had always been so fortunate with good health. I never had headaches or backaches, never had to go to a doctor. When I finally did see an opthamologist, I started off with new glasses, then went through scores of tests. The doctors were at a loss as to what was causing it or how to resolve it. It really hit me when I couldn't drive. I felt I had lost my independence, and couldn't do a lot of things. I'd always liked to fix things and do things with my hands. Now I couldn't even mow the lawn without missing a whole bunch of spots. I ended up feeling lonely and sorry for myself. When I got in this state, I think I turned on my family and got bitter with them probably just because they were there. 6 The floors of the valleys are low indeed. Fear, anger, denial, sadness, depression, despair - the signs of grief - these are the raw emotions that sit all too close to the surface in a time of bereavement after a loss. Losing vision, whether it is sudden or gradual, total or partial, is a loss of a part of self. When we experience such a trauma, we also experience a sense of grief. Most persons take being able to see for granted. Lost eyesight marks a turning point from a way of life that has been familiar and comfortable. Loss of vision means crossing a physical and emotional hurdle. We move into a new world of the unknown, the unfamiliar, and more often than not, the uncomfortable. The lost vision may be due to illness, accident, or age. It may be the result of a genetic condition. Sometimes the loss may be accompanied by other losses. An accident which causes loss of vision may also be the cause of other health problems. Lost vision may be accompanied by loss of employment and a change in financial standing. Age related loss of vision may be accompanied by other age related losses - death of a spouse, loss of a driver's licence, a move from an independent residence to a seniors lodge. Often there may be a change in the physical ability to cope. Many times there may be a loss of independence. These changes may cause you to look back on your previous life and to view it with some nostalgia. It is 7 only natural that when the going gets tough, we sometimes take time to wish ourselves back to happier and easier days. Vision loss may not be the greatest calamity in life, but it is still loss. It is a loss that is felt even more keenly when we experience it in combination with some other loss. This combination may be quite overwhelming. When we experience any loss, it is natural to grieve. Most studies on grief focus on loss following a death, but this same material can be applied to explore the emotional effects of vision loss. Bear in mind that just as each person is unique and individual, so too will be the experience with loss and grief. However, certain generalities can be stated. Whatever else is written about grief, there are two points that are agreed upon by nearly all major researchers. * Grieving is a process. * There is no specific time frame for the process of grieving. It is at this point in my narrative that I would like to turn the text back to a more personal aspect. Perhaps you can recall a time in your life when you 8 experienced personal loss. Perhaps you would like to turn back the pages to the comments from the section 'A Walk in the Valley'. As I listened to stories of denial, hurt, anger, depression, sadness, yes, the whole gamut of emotional upheaval, I recalled vividly my own inner turmoil. I am sure that many of you were reminded of your own thoughts and feelings in your first encounter with vision loss. As I follow through with this next discussion on grief, perhaps you will be able to relate it to your own experience. I do not know where you are in this process, but as you see the chain of emotion laid out objectively in black and white (or perhaps hear it on tape as the case may be!), it should enable you to gain a clearer perspective of your own situation. If you are at the beginning of the process, I encourage you to look ahead with the knowledge that there will be an easing of the intensity of the emotions that are assailing you right now. There is a light at the end of the tunnel. If you are at the end of the process, I encourage you to look back with satisfaction that you have ridden the blast of the storm and survived. It's good to know that the light at the end of the tunnel is not the headlight of an oncoming train! 9 GRIEF Generally speaking, thanatologists, the social scientists who study death and grief, tend to categorize the grieving process into stages. The number of stages is varied, as are the labels which have been given them. However, note that this division is made more to facilitate study than for any other reason. Probably the most important point to realize for anyone who is grieving, is that the final stage of the process is one of acceptance. I especially like the wording used by Dr. John Bowlby in his writings about the grieving process.1 He describes four stages with the following labels: 1) numbing 2) yearning and searching 3) disorganization and despair 4) reorganization I suppose I find Dr. Bowlby's wording particularly apt, as it applied so well to my own situation. In the course of the many interviews I have conducted as I researched this book, I have found that, more often than not, the experiences of those interviewed could also be subsumed under Dr. Bowlby's headings. 1 Attachment and Loss, Vol. Ill Loss, John Bowlby 10 All of this is not meant to indicate that grieving is a straightforward, cut and dried process. That is far from the truth of the matter. The behaviour of grieving individuals will often be identified as swinging back and forth between one stage and another. Dr. Bowlby himself is careful to emphasize, "Admittedly these phases are not clear-cut, and any one individual may oscillate for a time back and forth between any two of them." In other words, just when you think you have it all together, (reorganization), don't be too surprised if you suddenly slip backwards to despair. I recall how taken aback I was when I first experienced this sensation. I had been progressing very nicely into a reorganization of my life as a visually impaired person, when out of the blue, a verbal trigger set me off into the depths of despair. Uncontrolled sobbing was the net result. The boundaries of each stage in the grieving process are entirely fluid, and flow easily from one to the other and back again. There is no time frame, and the process is different for everyone. The one common factor with the time element of a healthy grieving process is that the intensity of emotion should subside with time. For most of the persons with whom I spoke, numbing seemed most aptly to reflect their initial response to a diagnosis or realization of vision loss or blindness. While many researchers use the word denial to 11 describe one of the initial aspects of this stage, Bowlby uses the word disbelief. This state of mind was expressed consistently by those I interviewed. * When he (the doctor) told me I wouldn't ever be able to see again, I just sat there. I couldn't get my mind to think anything. I didn't ask any questions. I just sat there. * I felt numb. I guess I was in shock. I didn't really feel anything. * I don't remember anything about the rest of that day. I suppose I got home from the doctor's office somehow, but I don't remember it. My mind was a blank. * To tell you the truth, I didn't believe it. I thought that if I ignored it, it would all go away. I didn't talk to my family about it, or my friends. I was sure that I would wake up one morning, and that I would have my regular life back. I went through the motions of living, but inside I was more like a robot. It was only when I lost my driver's licence that it all finally hit home. * After he got the news, John seemed to go into his shell. For months he just sat in his favourite chair, not talking, not seeming to notice anything around him. I would speak to him, but it was just as if he didn't even hear me. 12 It is not unusual for the body to go into shock as a response to bad news. The brain basically shuts down, and consequently important information is often missed after the initial pronouncement of the bad news. Although information may be available, the person in shock may be unable to absorb it. Inadequate information is one of the contributing factors to the initial stage of disbelief. It is important to revisit this point after the brain is back in 'think mode' again. While this numbing stage seemed to be common as a first reaction of those I interviewed, aspects of each of the other stages outlined by Dr. Bowlby were often intermingled. For instance, a dramatic loss of sight, whether total or partial, required some immediate action on the part of those affected. This was particularly true for those persons who lived alone. Practical aspects of daily living needed to be considered. * My first concern was whether or not I could continue working. I had always driven to work. For starters I would need to find a different method of even getting to my place of employment. * I knew I couldn't work any more, but if I was to continue receiving a pay cheque to support myself, there were countless forms to be filled out. These were forms that even my sighted friends seemed to have 13 difficulty deciphering. * I wondered how I would get my groceries. Here I was, a world traveller, yet now too scared to cross the street to the corner store. * My head seemed to be spinning with all that I would need to do, but I do remember that one of the first things I did, was to get the wife to take me out to buy a good pair of walking shoes. I knew I'd be doing a lot of walking from here on in. * I live alone, and when my eyesight started to deteriorate, I think that one of the things that bothered me was a feeling of isolation. I had my daughter come to the house and write all of my important phone numbers with a fat felt marker. I posted them on the wall by the phone. I know that the phone company is really good about assistance, but at the time, I still wanted my independence. Later on I got a CCTV Reader, and I'm still able to use it for most of the reading I do. In fact, I'd be lost without it. In his writing on loss and grief, Dr. Bowlby refers to the second stage of bereavement as yearning and searching. If the search is for a deceased loved one, the best that can be hoped for is a resurfacing of memories. Many times this is the best that can be found in a search for lost vision. In both cases, these glimpses or fleeting visual images may be either 14 comforting or frustrating. In both cases, the memories help keep alive what has been lost. Eventually we will be able to look back on this phase as a cushion, or perhaps a bridge which takes us from the initial disbelief and state of apathy to the present reality. Sometimes, however, the yearning and searching for lost vision may have a more practical connotation. After the initial medical prognosis, there frequently follows an intensive search for the miracle cure or remedy. This may range from an investigation of current surgeries involving transplants to a survey of herbal treatments and vitamin supplements. There may be a search for assistive devices and technical equipment that will enhance remaining vision. The outcome of these quests will be as varied as the numerous conditions which have caused the problem. Have you experienced this? The search itself is different for everyone, but I believe there are some common points for a healthy search. * A search to improve, restore or enhance existing vision is necessary. How wasteful it would be if there was something out there to help you, and you missed it simply because you hadn't looked for it. * Ask the experts, and get a second opinion. Blindness or vision loss may be new to you, but the experts work in the field and have a wealth of 15 knowledge and information at their finger tips. * There is no satisfaction in purchasing vision aides that do not work for you. If it doesn't work for you, leave it on the shelf. * Once you have investigated every avenue and exhausted every possibility, put your search on the back burner for awhile. There comes a time when you will need to get on with your life. Even though there is nothing out there for you right now, don't give up hope completely. Optical research is progressing by leaps and bounds, and who knows what the future may hold. Keep yourself informed about current studies and findings in the field of your own eye condition. So, here you are, numbed with shock, and frustrated with the efforts of what many times seems to be a fruitless search for the miracle cure. What does Dr. Bowlby say comes next? He lists the third stage as disorganization and despair. The despair comes as the newly ex-sighted person begins to realize that it is necessary to 'redefine both self and the situation'. In other words the newly blind or visually impaired person must come to a realization of leaving the past behind, and moving on to the new situation of vision loss. This redefinition of self is the first real step forward towards acceptance. 16 The trite saying 'No one said it was going to be easy', is certainly true when one faces a traumatic loss, and the loss of vision is no exception to this rule. The loss is of vision, but also of a former life style. Things are not going to be the same as they were. I am not going to dwell at length on this stage of grief. If you have been there, you know what it is like. If you haven't been there, I'm not sure there are enough words to describe it to you. The despair is like a black pit which threatens to swallow you. You are overwhelmed by persistent waves of emotion. Alternately, either a fierce rage or an unendurable sadness threatens to engulf you. You may experience a real burdening of the body and soul. It is the turning point from yearning for what is past and the realization that, if life is to continue, the past must be left behind. As I travelled my own journey through vision loss, I discovered that the intensity and frequency of the grieving emotions did indeed decrease over time. However, as I am a relatively private person, I tended to internalize most of those feelings. Consequently, a more surprising discovery came for me as I spoke with others about their journeys through grief. Even those who had appeared outwardly to adjust with apparent ease, confided that they had had a similar inner journey of sadness and hurt. In spite of the outward face they had presented to the world at large, each person had walked his or her own journey with the experience of vision loss. I found it comforting to 17 come to the understanding that we are all human and fallible. The recognition of this common bond has served to make me stronger and less isolated. It is my wish to share this knowledge now with all of you, in the hope of encouraging you in the same way. You are not alone. Each of us in the blind and visually impaired community has had his or her own journey. We have each had to tackle our own personal fears and meet the challenges that are specific to our own lives. We can never totally understand another human being, unless we physically climb right into the brain of that person. That is impossible of course, but we can talk to each other, and listen to each other in an attempt to bridge the gap of understanding. We are never alone in the shared knowledge of our struggle. We can make each other strong. All this leads us to the fourth stage of the grieving process. It is one of acceptance. Dr. Bowlby labels this as a greater or lesser degree of reorganization. Have you ever seen the movie Sliding Doors'? The film is an interesting comment on the what if's of life. The story line shows the double life of a young woman who at first misses the waiting train at the station, and in another life, arrives just in time to step through the sliding doors onto the train. The story follows both lives with the what if theme. However, a 18 clever twist at the climax reveals that only one life can be lived in a lifetime. I think that is what acceptance is all about. We are given one life, and mental deliberation of the what if's and if only's is pointless. Acceptance is grasping the life that we have been given, and living that life to the full. Each person can come to this acceptance by assuming the responsibility for the quality of his or her own life. As a rule, we cannot control the circumstances of life, but we can choose our reaction to those circumstances. In the following chapters you will read the stories of some very remarkable people who have chosen to respond in a very positive way to the circumstances of blindness and vision impairment. My life has been touched by their stories. These are people who have chosen to react to their circumstances with a new vision. What comes after the walk in the valley? It is the ascent to the peaks, of course. By its very contrast, the ascent can be exhilarating. If we choose to do so, we can emerge from the valley with a sense of hope and optimism. The peaks may not be Everest, but the climb to each summit can be a journey towards renewed self-esteem and fulfilment. If we allow it, our 19 experience with grief and vision loss, will give us a new appreciation for all that life has to offer. We will be able to concentrate not so much on what we have lost, but rather on what we have gained. 20 CHAPTER 2 BE TRUE TO YOURSELF Bert sat across the table from me. His office was comfortable yet uncluttered, with the side desk lined with computer and scanner. Bert himself was dressed in a suit and tie. His neatly trimmed hair and beard had traces of grey. As his gentle voice began to recount the familiar words of his personal journey with vision loss, I listened intently and pushed my tape recorder a little closer across the table. Bert had told the story many times. He told it in an attempt to make others stronger, but I had the impression that Bert, too, gained strength in the retelling. Now I was asking him to tell the tale for a wider audience, the one reached through the pages of this book. I had first heard Bert's story when, as a new client, I entered the doors of CNIB some fifteen years previously. When I reminded Bert of this, he recalled the occasion and smiled reflectively. When I remember that time, it makes me think ... we change. The stories I tell about when I first lost my sight are true, but that is not me today. I was a different person than I am now. Things change. 21 Bert's vision loss was originally detected during a routine eye examination by the school nurse when he was in Grade 9. Bert remembers that he had trouble reading the eye chart. Each letter seemed to be disguised by a thin white line right across his field of vision. As he focused on each letter, he had to wait for the line to disappear before he could read the print. As this happened with every letter, the test took much more time to complete than was appropriate, and the nurse referred Bert to an opthamologist. The problem had been detected, but the cause had not. This first visit led to several years of visits to opthamologists and multiple tests to probe the cause of Bert's deteriorating eyesight. When this further testing ruled out diabetes and various other health conditions, Bert became accustomed to being called before teams of doctors for periodic examinations. No one had a definite answer, but eventually a neurologist suggested the possibility of a brain tumour. The next stop was a hospital in Montreal for a repetition of all the previous tests, examinations again by teams of doctors, and finally exploratory surgery. I am really not sure how I was feeling at that time. I was just a teenager and they were talking about a brain tumour. I was fairly well together emotionally, and had good support from my mother. After the operation, the surgeon came to me and said, "I have 22 some good news for you and bad news. The bad news is that they didn't find a tumour. The good news is that your brain is nice and healthy and you're going to live till you're 99." Bert laughed. I'm going to keep him to that one! No brain tumour was good news and bad news. Bert was not overly happy, as the uncertainty was once again back in his life. However, he returned to Edmonton, and was referred to yet another opthamologist. The problem had to be in the eyes themselves. Bert also had to return to school. He was now in Grade 12, and had undergone a surgery foreign to the experience of most teenage boys. He was glad that it was winter and he could wear a toque to cover his shaved head and incision scar. For the most part he was treated well, but he does recall one incident where the toque was snatched from his head by another student. Bert remembers being most unhappy about that circumstance. Bert was now having trouble reading for more than fifteen minute intervals. The demands of schoolwork, challenging for any Grade 12 student, were pressing indeed. 23 At the time, I felt very much alone. I felt I had to rely on my own self. I was alone. No one else could assist me. It wasn't a very nice feeling. However, I've always been a very strong person - perhaps I could call it stubborn - and that helped me through. But I still remember feeling alone. I didn't know anyone else who had experienced vision loss or surgery. I felt quite alone and isolated in my experience. Bert lived by his wits at this time in his life. He did his best to pass as a sighted person. When his economics teacher called on him to expound on a textbook chapter, he remembers that he cited examples from only the first section, as he had not been able to finish reading the entire assignment. He was faking it. Much later on, he was to learn that this strategy is a common phenomenon when people first experience vision loss. I also remember that as my condition was getting worse, it was always on my mind. I would be sitting in class, and my mind would drift, and I would wonder about the size of the blind spot in my eye. At this point, it was beginning to translate to a blurred, greyish central area. I would measure the area against things on the blackboard and around the classroom. It was something that was on my mind most of the time. It really was. I don't think I was depressed, but I certainly did feel alone, and not certain what the future would hold, or how I could 24 manage things if I couldn't see to read very well. During the last years of high school, a series of incidents brought Bert both to a closer acceptance of his vision loss, and to a greater determination not to allow it to defeat him. A major blow came when he was refused admission to a college social work program. The reason for the refusal was not based on Bert's own marks, but on the failure of a girl in the previous year. This visually impaired student had experienced difficulty with the same program. Bert was very angry to think that he was being judged according to someone else, rather than by his own merits. He thought it was totally unfair of the college to assume that he would not be able to cope because someone else had been unable to do so. Bert did not give up. He went on to take General Arts and Science courses. He stuck to his original goal, and a couple of years later was accepted into the social work program at a different college. At this stage he was using large print, and family members were helpful in reading longer course material to him. It was also at this stage that the doctors decided to affix a new label to Bert's eye condition. Possibly he had Coat's Disease. He developed secondary eye conditions - cataracts and glaucoma. His recollection of the pain associated with the latter was quite 25 vivid. I was in Vancouver to see another opthamologist, and was also waiting for laser treatments. The pain in my eye was so intense, even after I had taken the prescribed pain killers. I remember standing on my head for minutes at a time to see if the different position would relieve the pressure. Although Bert's vision remained fairly stable for his college years, he was constantly aware of his problem. One professor suggested that he consider taking a lighter course load. However, even though Bert didn't have reason to believe that his sight would disappear completely, he still felt an urgency to finish his study. There was a sense that this was a race against time. Bert was still trying to pass as a sighted person, still trying to find ways of doing things so that he wouldn't have to explain that he couldn't see. In retrospect, he realizes that his attempts were not always successful. I had a U-shaped window of vision, which meant that if I wanted to actually see anyone or anything, I tended to look at them sideways. I noticed that people were looking over their shoulders when I would be talking to them. Once, at a party, a rather rude fellow called me on this, demanding that I look at him when I spoke to him. I was not happy with this 26 fellow at all, but it did draw to my awareness that this habit of mine was very noticeable. After that I decided to make others more comfortable, and I would try to look straight at them, eyeball to eyeball. It wasn't always easy to do. I had to try to remember to look straight, when really, I wanted to see. It was more disconcerting than anything, because really, I wanted to see people's faces. I wanted to see their expressions when I spoke with them. During the early years of Bert's changing vision, he had sporadic contact with CNIB. The visits were not particularly successful. He didn't want to have anything to do with CNIB and admits to being very upset and uptight. At one of these visits, he was offered taped books, but had no real comprehension of what these were. He refused. At another visit, it was suggested that he take woodworking classes. Again he refused. He felt that this was not in keeping with the direction he wanted his life to take. It was not until the end of his second year in college that the first meaningful contact took place. Bert took a summer position in social work at the CNIB. During this time, and as part of his job, he took daily Braille lessons. It was a blessing in disguise. 27 I never would have asked for the lessons myself, but it was their suggestion. They thought it would be good for me. I thought, well, it's their idea, and I'm getting paid and I'm learning something new, so no problem. That summer I took my Grade 1, and the majority of Grade 2 braille. This summer job was the beginning of a full time career for Bert. In the fall, he was offered a permanent position as a social worker with the CNIB. After some inner debate, he decided to accept, and he has had a rewarding experience with the agency. Over the years Bert has earned the respect of clients, coworkers, and administration alike. I've been with CNIB for 27 years now. I feel very fortunate to work in this kind of setting. It's a very positive setting, and there is a certain amount of freedom because the CNIB is a private agency. As Bert embarked on a career of counselling, he continued to struggle with his own vision loss. Bert's remaining sight deteriorated. Additional laser treatment was recommended and over a six month period, he had more than one thousand shots of the laser beam in his left eye. It was a very difficult time. My vision would go down; I would have a laser treatment, and the vision would start to return, which was wonderful. Then a week or 28 two after that it would decline, and I would have more laser treatment, and it would go up again. It was really, truly the roller coaster of vision loss. I found it extremely difficult. The fluctuations in Bert's vision continued as he tried to maintain a normal life in other areas. There was a job opening with the CNIB in Calgary. Bert applied and was accepted. It was a good career move, but also triggered the most difficult time in his life. Bert had never lived in Calgary before, and he had no friends or family there. He was on his own. He was dealing with the effects of recent laser treatment, facing total blindness, and beginning a more consistent use of the white cane. I was somewhat nervous, as I really hadn't taken much mobility training before, other than knowing all the techniques. Because of the change in my vision from partial to total loss of sight, the Calgary streets all seemed crooked to me. It was because of the way I held my head to see when I had some sight. Now that I had no sight, I still held my body to the side even though my eyes were now looking straight ahead. The imbalance would often cause me to walk off the edge of the curb. On my first day of work, I became quite disorientated. I found my way to the office okay, but when I retraced my route in the afternoon, it was a different story. 29 When I got off the bus, I found a construction fence where that morning I had walked on the sidewalk. As it turned out, I only thought I was lost. It was the early 1980's and there was a building boom in Calgary. During the day while I had been working, the sidewalk where I had walked in the morning had been torn up. Construction had begun on a new building and a huge fence had been erected around the area. I can laugh about it now, but it was disconcerting at the time! My time in Calgary was the most difficult personal time for me. I was totally blind, still having some laser treatment, and really didn't have any support. I didn't have any family or friends around. That was the most difficult time for me. Some people talk about going through a black or bleak emotional time in their life. That would be the time for me. It was very short-lived, but nevertheless, I could tell that that was the time when I hit the bottom of my adjustment emotionally. After that time, I did feel the upswing, but for me, that time was the bottom. I've never been to that point again. Adjusting emotionally to vision loss is the hardest thing I ever did in my life. After his stint in Calgary, Bert transferred back to CNIB in Edmonton. Life settled into a regular pattern. One of the things that Bert was learning, was that he had to adjust some of his behaviour patterns. Living as a blind person was not the same as living as 30 either a sighted person or even a person with limited sight. Without visual clues, Bert had to rely on memory and patterns of behaviour. Even little things like clearing dishes off the supper table became a learning experience. One night, Bert had decided to leave this chore until the next morning. When he came to the table in the morning, he was quite surprised to find a full jug of milk still there from the night before. Bert had deviated from his regular behaviour pattern of immediately clearing the table, and without the visual clue, had forgotten the full jug of milk. Bert moved back into his old condominium building in the city, and walked to and from work each day. One day, however, would prove to be quite different from all the others. At a summer concert on a CNIB outing, Bert met Dina, a volunteer with the agency. They got along famously right from the start. They saw each other constantly and were married within six months. This was an especially happy time for Bert. In fact, thirteen years and two daughters later, it is obvious that Bert is still delighted with married life. In the beginning, though, as well as the usual adjustments made by most young couples, Bert found some unexpected personal adjustments. 31 When I got married, I discovered I had more limitations. To that point, I had lived alone and done everything on my own. I did my own cooking, shopping, travelling, and all with no problem. When I got married, I was confronted with some of the things I couldn't do. I was really surprised by that. There was another both interesting and surprising thing that happened. When I was single I did everything by myself. Now there were two of us, and I took the opportunity to put my feet up. I thought that married life was the best. I wasn't doing it all on my own. However, there was a problem with this. After a number of months, we were expecting our first child, and Dina started to ask me to do more around the house. The interesting thing was that, inside, I felt that I couldn't do some of the things she asked me to do. These were some of the things that I had done lots before, but it was the idea that if you don't use your skills, you start to lose them. You lose the confidence. I had to struggle with that. I did recapture those skills, but it was an internal struggle. An incident a couple of years later, proved to Bert that he was back on track. Their daughter had been sick in the middle of the night. As Bert knelt by Chantal's bed, he discovered there was some cleanup and comforting to be done. Now Dina, too, must 32 have realized Bert's struggle to reclaim his independence, as when he called for her assistance with the sick room, she was able to encourage him to deal with it himself. Most parents will be able to identify with the events that followed - laundry, bath, tears and cuddles. Bert took care of the crisis of the evening, and as any other parent might do, he did it on his own. As he tumbled into bed that night, he knew that he had passed another hurdle. Bert continues to live in Edmonton with his wife, Dina, and their two young daughters, Chantal and Michelle. His personal journey with vision loss continues as he seeks and meets new challenges in his life. I always find I have to do some new things rather than the same things over and over again. I find new projects that keep me stimulated. I've always really enjoyed working with people and being with people. I want to be an instrument in being helpful with counselling, or even just providing information. In all this, my motivation has come from within myself. The drive is from within. For the most part, I've always viewed blindness as a challenge. In a sense, blindness has made me more alive. Prior to vision loss, I don't think I was overly motivated, but blindness has given me the motivation and the challenge to maintain independence. I've 33 always been a very independent person, but blindness has, as it were, brought me back to life. Life can be really good after you work through the difficult times of adjustment, the learning of skills, and the problems arising out of blindness. There can be quality of life. The big difference between being blind and not being blind is that you can't see. But you're the same person. You feel the same inside. You have the same hopes and dreams; it's just that you can't see. Life is good for Bert. He has a wonderful family and a steady job. He has good friends and colleagues. He has travelled to the mountains of Alberta and the beaches of the Gaspe Peninsula. He has enjoyed the pleasure of ice skating with his family and the thrill and exhilaration of downhill skiing. Bert enjoys life. The time I had with Bert was drawing to a close, but before I took my leave, I needed to ask him another all important question. Bert had experienced sight, partial sight and blindness. From his experience, what advice could he give to anyone who was just beginning a journey of vision loss? People do need to admit it when they have a problem with vision. Then they can work hard to overcome the difficulties. If you face it, head-on, it can 34 be dealt with. If you put it aside and don't face it, you could be dealing with the implications of that for the rest of your life. So, even though I know that everyone is different, facing problems head-on, even though they were difficult, was the best way for me. Another piece of advice is to go out and have fun. Try different things. Accept invitations, and go out and have fun. You may not do things as well as your friends, but you can still have fun. It's all in the attitude. We all need to work on a positive attitude. I think it is important to be able to share with a few people how you're really doing inside. It's wonderful to have some people around you who have some degree of vision loss, but this is not to suggest that you should design your life so that there are only blind or visually impaired people around you. That, to me, is a little too limiting. There's room for all different kinds of people in all of our lives to really broaden our lives. Be true to yourself. People need to be true to themselves. They need to go after what they want in life. They need to take from others, like social service agencies and rehabilitation agencies, what they need, and use that, but go after their own personal hopes and dreams. Don't let others dissuade you. Don't listen to all the people in the street, who will stop you to say, "Oh you poor blind person." Leave 35 that alone. Just listen to your inner self and go after your own personal dreams. You can accomplish, you truly can accomplish, whatever you want. 36 CHAPTER 3 SUCCESS AND FAILURE We only fail when we fail to try. Success! What is it? What does it mean to you? How do you feel when you experience success? Is success measured differently for blind and sighted individuals? There are many definitions of success. Webster's Dictionary states that one of the root words of succeed is the Latin cedo, meaning I go. What an interesting concept! The implication is that to succeed we must go or move or take action in some way. Certainly, we do not proceed very far in life, or in any venture, by standing still. We must go. 37 *** GO *** If you want a thing, go - if not, send. Benjamin Franklin Moving forward after a trauma of any kind is difficult. Emotional shock most often results in a physical numbness. This automatic response of the body acts as a cushion or buffer, shielding the mind from the severity of the shock. It is as if we need to pause and take a deep breath before going on to deal with the reality of the situation. With a mild shock, the body may recover within minutes. For a more severe shock, there may be a lengthier recuperation time. Moving from a sighted to a blind or visually impaired world is a traumatic experience. Just how much so varies with each individual. There are many factors that will determine the impact of the loss. What is the degree of vision loss? What is the age of the individual? Was the vision loss anticipated? Was the loss sudden or gradual? Will the vision loss result in other losses, for example, job, income, mobility and other issues related to an independent lifestyle? 38 What support systems are in place at the time of the loss? How has the person coped with other losses in the past? If you, the reader, are the one affected by vision loss, and even if you have answered the above questions in a negative light, do not give up hope, as there is one factor which is already riding in your favour. If you are reading this book, you have responded in a positive way to the most important question of all. Are you willing to move forward from the inaction of first shock towards being ex-sighted with a new outlook. If you are ready to investigate the possibilities of success in a blind or visually impaired world, the desire to go forward will, in itself, lead to success. Attitude and action are the keys. Success comes in the climb and that climb begins with the first step on the pathway. Be ready to GO. *** GO WITH DIRECTION *** Even if you're on the right track, you'll get run over if you sit there long enough. Will Rogers So, we need to get moving, but the sheer fact of becoming ex-sighted often leads us into an initial state of immobility. It is important for our well-being 39 that we do not stay too long in this state, but it is a confusing time. The world as we have known it has changed, and we need to change ourselves in order to function in this new environment. Most of the time we recognize that there needs to be a reorientation of our goals, but this shift in direction often leads to indecision. We need to be able to let go of the past before we can shape the future. We need to be alert to the concept of formulating new goals for ourselves. How do we know when we are on the right track? How do we know which direction to take? How can we set new goals in this unfamiliar world of blindness or vision impairment? When I spoke with Ali, I thought he had some interesting answers to those questions in his life. Ali was working as a successful real estate agent when he first noticed some changes in his vision. Increasingly he was bumping into things, or knocking things over. Gradually he became aware of a pattern that was more than momentary clumsiness. In the real estate business, he spent a lot of time on the road, and he was conscious of small errors in judgment as far as his driving was concerned. Something was definitely wrong, and Ali decided to seek medical help. The doctor confirmed that Ali had glaucoma, and advised him to discontinue driving. 40 For Ali, this was life changing news. To work in real estate, a person needs to be able to drive. Ali had to give up his business, and consider a new direction. At that point I was a little depressed, as I wondered what I was going to do now. I asked myself what was special to me. Then at one moment, one meditative moment, I felt that maybe I had this something that I had never explored. I always liked colours as a child. I liked shapes, but I liked colours more. I thought that maybe this was something that I should do. So that's how I started. The public library was the first resource for Ali's new project. Ali lived in the city, and his library had a special needs section, where librarians assisted him in researching this new topic of interest. On the topic of art, there was a wealth of information, and Ali absorbed it all. With his glaucoma, Ali was still able to see print, and it was mainly his peripheral vision that had been affected. He was still able to see the colours he loved, and with his new knowledge of technique, he began painting. I have seen Ali's work, and it is a wonderful kaleidoscope of colour. He now has a variety of artistic creations which he markets on greeting cards. He has also displayed his work at the CNIB offices in Calgary. 41 I know the frustrations of poor vision. I am not able to do a lot of marketing of my work because of not being able to drive, and I am handicapped in that sense. But I have been successful. I am fortunate that I have been successful. People tell me that I'm very talented, and fortunate that I can do this artwork. I tell them that I can do artwork, but that they are talented too. You are talented in some other field. My talent was not so much in producing and marketing my greeting cards, but in doing them in the first place. When Ali's life changed because of his glaucoma, he was able to change the direction of his goals. He recognized that he would not be able to continue with his former career. He searched for another interest, then followed through with his pursuit of that interest. He established a broad outline of what he wanted to do, that is, to paint, and then he outlined several steps that would enable him to accomplish his goal. It was as he became successful with each of these smaller steps that Ali was able to work towards his larger dream. Ali shifted direction, but how does he know he is now on the right track? He is happy! He is happy with his artwork and excited about sharing it with others. He is going with direction. 42 *** GO WITH DARING *** Life is a daring adventure - or nothing! Helen Keller Taking a chance or doing something new is a sure fire way to get the adrenalin going. Even a small step out of one's comfort zone can promote a feeling of revitalization. If we continue in daily activities without deviation, we live without motivation or challenge. Stepping beyond one's comfort zone, or risk taking, stimulates our enthusiasm for life. Now before I continue, I want to stress that I am not advocating behaviour that will place you in personal danger. Not at all. While we may catch our collective breath at the death defying feats of some Houdini or Evil Knievil like characters, the world population would be decimated in short order, were we all to emulate their example. Neither does risk taking involve behaviour that strives to prove we are superhuman in spite of what we have lost. Overcompensation is not risk taking. Consider this story. A rather senior man had just lost much of his sight. He insisted on shovelling the heavy snow off his driveway immediately after every winter storm, and 43 then clambered up on his roof to clear the snow there as well. His family were concerned about the possibility of either a heart attack or a serious fall, and mentioned the problem to the man's counsellor. When she broached the subject at the next session, the man explained that since losing his sight, these two jobs had become very important to him. The counsellor asked how he had handled them when he was still able to see. "Well," the senior responded, "I hired someone to clear the roof, and as for the driveway, well, I let the wife take care of that." Striving to do something just to show someone else we are still capable, can be exhausting and not very satisfying. It is what the senior of this last story was attempting. Risk taking behaviour that is both energizing and satisfying is the kind that has an inner motivation. A daring approach to life does not necessitate jumping off the deep end, nor does it involve overcompensatory behaviour. But what does it mean? It is the ability to extend ourselves, and to reach for our potential. We dare to go not so much in our actions, but in our attitude. The opportunities of confronting new challenges are far more abundant when we come face to face with adversity. Do you agree with the following statements? 44 * When we move from a sighted world to one of vision loss, the world becomes a scarier place. * When we move from a sighted world to one of vision loss, we are faced with a brand new set of ground rules and conditions. The stability and regular pattern of life in a sighted world changes dramatically with the onset of vision loss. When we are confronted with vision loss, we need a new kind of grit, determination and daring to see us through. The circumstance of becoming ex- sighted provides us with an opportunity to reevaluate our attitude to life. It gives us the opportunity to make life a daring adventure, and as Helen Keller stated, to make it more than nothing! What is success? The journey of each person will present its own challenges. What is a challenge for you, may be a breeze for the next person. Bear in mind that the reverse is also true. What is a breeze for you, may prove to be very challenging for someone else. To approach life with daring means identifying your own hurdles, and bunching up your own courage to face your own hidden fears. It is in this way that you will be able to measure success by a personal standard. For Erik Weihenmayer,1 success meant climbing to the summit of Everest. 1 First blind climber to reach the summit of Mt. Everest 45 For some, it means walking alone to the end of the block. For Bert, (see Chapter 2) in one of the earlier days of his blindness, it meant a walk to the corner store. He often tells clients the following story of one of his earlier experiences. I remember one day near the time when I had first lost my sight. I had come home to my apartment, and was out of cigarettes. (I don't smoke any more, but believe me, that was not the time that I contemplated giving up the habit.) It was not a particularly nice day, and I was craving a cigarette. I went through the route in my head - out the door, turn right, cross the street, the store is on the right hand side twenty paces. But what if I got lost? Would I be able to find the store? Would I be able to find my apartment again? Was I crazy to be going out there on my own, with my only guide a white cane? In the end I decided not to take the chance, and do you know, that is the first time I felt really blind. It was pretty devastating. The next week, and this story doesn't say much about my organizational skills at the time, I came home from work again, and found that once more I was out of cigarettes. I really wanted a cigarette, and some junk food wouldn't be bad either. This time, in addition to my fears of the previous week, there was a good Alberta blizzard blowing. Again, I went 46 through the route in my head. Could I do it? This time, I decided to risk it. I went out the door, turned right, walked forward. The wind howled, drowning out much of the traffic noise. When I came to the intersection, I listened carefully, and when I thought there was a cessation of the rumble of the traffic, I stepped forward. When I crossed, I was a bit surprised to feel a snow covered car on my left. I hadn't remembered a driveway. By the time I had taken a few more steps, my worst fears were realized. I was lost. I had absolutely no idea where I was. I was standing still, contemplating my next move, when I heard a car pull up beside me. The driver had rolled down his window. "Are you lost, buddy?" When I answered in the affirmative, I discovered that I had definitely strayed, and was now standing in the middle of one of the main city streets. I thanked the good Samaritan, and re-orientated, set off for the corner store. The drifts of snow made it difficult for my cane to feel the way, and the wind howled about me, but I accomplished my mission. Can you guess how I felt when I arrived back at my apartment? 47 I felt elated!! I had done it. I had done it on my own! I felt a fierce sense of pride. Accomplishments come in many forms. Bert's story illustrates that it is not the nature of the task that is so important, but rather the attempt to achieve a goal we have set ourselves. The success is not the perfect execution of that task, but the fact that we have tried. *** GO WITH YOUR DREAMS *** What you can do, or dream you can do, begin it. Goethe Dreams can be fleeting. They can be bright and distant like the stars. They can also be the spark that lights a new enthusiasm, a spark that ignites a new energy. When we decide to follow the dream, that's when we can really start to live. There is a scene from the movie, Good Luck, which especially illustrates what I mean. Lem's dream is to enter a white water rafting race in Oregon. Lem is confined to a wheelchair and at the beginning of the movie his dream is just a fantasy. Then through a series of movieland twists of fate, Lem meets Ole, who has recently lost his sight in a football accident. Lem cajoles Ole into buying into his dream. 48 In this particular scene, the two friends, one in a wheelchair and the other blind, are doing a practice run on the upper section of the river. You must try to picture this. The raft is a bright blue pontoon. Ole, being the stronger of the two, is seated in front. Lem is seated in his wheelchair directly behind Ole so he can steer and give directions. The sky is blue and the trees are green. The sunlight is glinting off the water, and all is peaceful - peaceful that is until the pair hear the sound of the white water rapids ahead. In seconds, the raft is gripped relentlessly by the rushing water. The blue pontoon bounces around, careening perilously close to some very large rocks until finally it overturns. The two adventurers are tossed violently into the surging river. The raft disappears from sight. After some thrashing about in what could have been a complete tragedy and catastrophe, the two manage to haul themselves to safety on the bank. Lem, whose wheelchair has also been washed away somewhere downstream, laughs with exhilaration. When he exclaims how fantastic he feels, his friend, Ole wonders if he is missing something in the situation! They have nearly drowned. They are stranded hundreds of miles from anywhere, and they are seriously limited in terms of mobility. With comic 49 astonishment, he expresses this thought to Lem. Lem is not abashed. "Feel your heart, man," encourages Lem. "Feel your heart. This is living." As the two would-be rafters place their hands over their hearts, a look of utter satisfaction is evident on each face. They had not conquered the white water, but they had conquered their own apprehensions and survived! They were following their dream. This was living! Success comes in cans, not in cannots. Sailing down a river in Oregon, painting the dancing colours of the Northern Lights, walking to the corner store in Edmonton, these are all success stories. What do they have in common? Can you guess? Do you know? Each person reached down for that extra ounce of daring and moved forward. The story of Lem and Ole is fictional. The stories of Bert and Ali are real life adventure stories. All are illustrations of the measure of success. What does success mean to you? While it is never wise to measure success by the yard stick of other people, in a struggle with vision loss, it is more important than ever that you be the judge and jury in 50 your own success story. Each person has his or her own goals and aspirations. The motivation for each person's actions is personal. To create your own success story, you must decide what is important to you. Ask yourself these questions: What is it that has top priority in my life? What is it that I need to do? What is it that I want to do? What things or people are important to me at this point in my life? Notice that last question. It implies that we need to be re-evaluating our goals at different times in our lives. Any change, whether it is employment, family status, vision loss, or even geographic location, frequently means a shift in personal goals. Think about it. Think of yourself. What is it that you want to do today? What are your dreams for tomorrow? Think about next year. Where do you want to be five years from now? Set yourself in motion. Remember that word, succeed. To succeed, you must GO, but only YOU can set the starting and finishing lines for your race. 51 The measure of success is strictly internal. Whatever goal you set for yourself, whatever your situation in life, the attempt to achieve that goal will measure success for you. Dream your dream. Formulate your plan. Go forward with some action. Failure isn't falling down. It's staying down. Mary Pickford If this is the beginning of a journey of vision loss for you, remind yourself that it will be a learning phase. You may need to relearn even the basic tasks of daily living. Try to be patient. It will come with time and practice. How many new challenges are out there? There are as many as you care to dream. The world does become a scarier place when you lose your ability to see, but be brave. Give it a go! Success is achieved as you move forward in pursuit of your dreams. 52 CHAPTER 4 GO THE LIMIT Tears ran down Norma's cheeks and she gave an audible sob. She felt out of her depth, and wondered what on earth had prompted her to contemplate what now seemed like an insane undertaking. She was going to fly by herself to a place where she knew no one. She was going to stay there for four weeks away from all her familiar support systems. Was she crazy? She couldn't see for goodness sake! She felt another wave of panic sweep over her. Her husband and son had driven her to the airport, and at the edge of her consciousness, she could hear them now making encouraging noises. Perhaps if they knew how scared she was, she could persuade them to take her home again. It wasn't too late and she really didn't want to go any more. She must have been out of her mind when she applied to the Seeing Eye School. No one would blame her if she backed out now. After all, she did have a good reason. She was, in fact, terrified! That was Norma of just over ten years ago. As I sat with Norma in the August sunshine, I tried to fit this image of her with the Norma I saw in front of me now. 53 Today's Norma is bright, cheerful, enthusiastic and confident. What had brought about this transformation? I had known Norma for six years, and had met both of her guide dogs, but obviously there was much that I didn't know. Norma's relationship with her first guide dog, Quoddy, had been a life changing experience for her, and I was eager to hear of how Norma had come to that point in her life, and where she had come to since then. So, let us start at the beginning and I will tell you Norma's story just as she told it to me. Norma was diagnosed with retinal pigmentosa when she was in her early twenties. She had gone to her opthamologist anticipating that she might need a prescription for new glasses. When she was told she had retinal pigmentosa, the diagnosis was beyond her comprehension. The doctor told me I had RP. At that particular time, it was just as if someone had told me that I was wearing a red shirt. It didn't mean anything to me. I had never heard of RP and was totally oblivious as to what would happen. There was no history of RP in my family. Even when the doctor told me I shouldn't drive, it still didn't ring a bell that this was going to be serious. 54 When Norma told her husband the news, he had a similar blank reaction. Neither Norma nor her husband had ever had a thought in their minds about any eye condition, far less about how their world could change because of one. They had absolutely no understanding of what this news would mean for them. The doctor had written the words on paper - retinal pigmentosa. Norma and her husband did some research and found more information, but as there was no dramatic alteration in Norma's eyesight, the news still didn't sink in. It was like it was happening to another person. There was no big change in what I could see. The news really didn't seem to affect my life. In the years that followed, that was exactly the way it was. Norma was a busy working mother with two children at home. There was some vision loss but it was gradual enough that Norma was able to deal with it without any particular duress or worry about the future. Coping was something she had been doing, albeit unknowingly, for years before the RP diagnosis. Even as a child she had had difficulty with night vision. She remembers being quite disorientated if ever she awoke during the night. At the time she thought that this was probably how everyone saw in the dark. Now in her twenties, 55 Norma was experiencing more difficulty with light changes, colour discrimination and depth perception. However, she was still able to cope fairly well, without any major changes in regular routines. The big change for Norma came when she was no longer able to see print. That's when it really started to affect my life, and it seemed to happen very quickly. It seemed like I could read, and then I used magnifiers, and then there was no more print. It happened within months. That's when it started to affect my life. It was a huge blow. Norma had always been a very self-reliant person, but now found she was unable to read and unable to work at her former job. Her confidence level plummeted. Her independent spirit, which now works well in her favour, at that time worked against her. She found it difficult to ask for help. Unfortunately, for me, when I thought of help from the CNIB or from any other agency, I thought of failure. It was a sign I had failed. If I had to go to them, it meant that I had lost everything. Instead of being there to help me to adjust, it was an admission that I had no sight left. 56 It is only in retrospect that Norma is able to look at this point in her life with more objectivity. With the experience behind her, she can see how much easier her life could have been had she been able to accept the help that was offered to her, not only by CNIB, but also by family, friends, and others in the community. I think I was in denial. Even when the print started to go, I could still see things fairly well. I felt I had nothing in common with other visually impaired people. I felt uncomfortable around them. I didn't need them. I'm sure I was in denial, but when you have some sort of vision, I think it's like that. Even when I lost the print, I thought, that's fine, I can still do lots of other things. I can still get around. The fine details were going, and I couldn't see some colours, but I could still see. It was such a gradual thing, that you kind of adjust to each little thing one at a time. One doctor described it to me as being like a piece of Swiss cheese, where the holes in the cheese were where you can see through, but the cheese of course you can't. That's kind of the way I could see. With the cheese there is no pattern where the holes are, and that is what my vision was like. With RP everybody is different. It's never exactly the same. It never goes the same, because it's nerve endings that are dying. With a lot of people with RP, 57 you lose the peripheral first. That's why it's sometimes known as 'tunnel vision'. I lost more of the central vision first, but everyone is different. With the loss of her ability to see print, and the loss of her job, Norma slid into a deep depression, and a state of silent rage. She cocooned herself in her house, rarely going out into what had become for her an unsafe and unfamiliar environment. She was still refusing help from anyone, and isolated herself even from her own family. I think my whole brain had shut down, because I lost my confidence in myself. I came from being able to work every day and look after my kids, to feeling as if I could do nothing. I was afraid to leave my house. I was so depressed and I felt so worthless. Norma was angry, but still felt unable to share her feelings with anyone. Wrapped up in her own misery, she was unable to see how those closest to her were also hurting and in pain. It is a regret which she is only now able to voice aloud. If I have any influence on anybody, it's that I hope they would know that this vision loss, or any loss, does not affect you alone. It's not just your problem. I ignored the feelings and hurt of those around me, but I know now that it wasn't just my problem alone. I think now how selfish I must have been to think that 58 there was just me dealing with it. Norma is not sure exactly how or when she began the climb out of her depression. In spite of everything, a small part of her mind clung tenaciously to hope. Norma's family continued to be supportive, and one sister was especially encouraging and persistent. Eventually Norma decided to go for counselling. Norma had reached a point where she either had to ask for help, or just give up. The counselling brought more tears, but also a renewed anger which, this time, seemed to stimulate her to action. I really hit bottom. I thought I was living, but then I thought, this isn't life. No one can live like this. When I first went to the counsellor I couldn't even talk without bawling. When someone came from CNIB, I cried for two hours, and she did nothing but hand me Kleenex. But it was the start. I needed to get back into control. It was all a struggle. Nothing was easy. Even to talk about her vision loss was difficult, but Norma persisted. She worked diligently with orientation and mobility training, drumming up the courage to go out again. 59 Starting with a white cane was the hardest thing I have ever done. I had to be out there with a cane and admit that I couldn't see. The public would know that I couldn't see because I had this stupid white stick. It was around this time that Norma began volunteering at the local CNIB office. Being asked to do this was another boost to Norma's confidence. The idea that someone believed in her and trusted her to do a job gave her new hope. There was a sense of purpose to her life again. That, to me, was my door opener. I was put into a situation where they had confidence in me, and I did it! I was given responsibility again. I had to take the bus to the office by myself. The first time I was terrified, but every day it got easier. I had the skills and I had to practise using them. The volunteer and community work was my life line, and in some ways it still is. The move from white cane to guide dog was the next step. Norma became adept in her use of the white cane, but still didn't feel that she had a lot of confidence in herself. She would still get into situations where she felt uneasy. She knew that her family still worried about her when she was out alone. Gradually she began to entertain the idea of applying for a guide dog. 60 She talked with other dog owners, and researched several schools. Eventually she came to the conclusion that she could have more freedom and more confidence if she had a dog. She filled out the application forms and sent them off to two schools whose philosophy and dog ownership policy she preferred over others she had read about. The Seeing Eye School in Morristown, New Jersey, responded promptly to her enquiry and the process was begun. Four months later she received a phone call with the news that there was a spot for her in the next training session. Now that the die was cast, Norma wavered back and forth in an agony of indecision. Should she or shouldn't she? Could she or couldn't she? The Seeing Eye School was patient and sympathetic. They understood her dilemma, and yes, she could change her mind right up to the last minute if she decided that a guide dog was not right for her. This all brings us to Norma at the airport. It is a picture of Norma still oscillating; Norma still fearful and unsure. It is also a picture of Norma still obstinately independent, and still ready to attempt this one more step into the unknown. It was the scariest trip I ever had in my life. I was terrified. My husband was reassuring, but it was still very scary. 61 Norma has not regretted taking that step. The trip went well, and so did the four week training session with Quoddy, her new German Shepherd. The school was wonderful. They welcomed me with open arms. It was unbelievable. I felt so comfortable. They talked to everyone with such ease and respect. I felt like just another normal person. It just amazed me. As I listened to Norma speak, I was reminded of an emergent butterfly. When her blindness had accelerated, she had shut herself away in a protective layer, with sleep as the only panacea. Now she was testing her wings again. The world had always been there, but she was seeing it with new eyes, the eyes of the soul. Norma's group at the Seeing Eye School consisted of five new owners, the dogs and a trainer. There were four similar groups in the class. The first two days were spent in general orientation, and then the serious training began. Norma found that as well as bonding with Quoddy, she also bonded with the other new dog owners. I had come from a smaller community. Now I was in a centre where there were blind people from all walks of life. There was such a camaraderie with these people, and such an attitude of independence. It was 62 so inspirational to me. It was like a whole new world. I still have two of the closest friends that I will ever have, just from that experience. The whole thing was a life changing experience. Norma described the bonding time with Quoddy. It was not all smooth sailing. For starters, Norma couldn't even pronounce the name of her dog, though she knew it meant 'moccasin'. Quoddy resisted Norma's initial attempts to show affection, moving away from her to a far corner of the room. At the first meal, Quoddy bit through her leash and ran back to the room to hide on her mat. Norma was devastated and was convinced that Quoddy didn't even like her. She made another tearful phone call home. However, she persisted with the training and the discipline, and at the end of the month, she and the eighteen month old Quoddy emerged as a team. When Norma's husband met her at the airport, he was amazed at the transformation. Norma's whole posture was changed. She held her head and shoulders erect. She beamed with a new air of confidence. Norma affirmed his observation. With the cane I felt very clumsy. With the dog I really feel a sense of independence. She's my eyes, and I feel I can go anywhere safely. It's like the security of holding someone's hand. When you hold the harness, it's just like holding someone's hand. Even 63 though you give the dog directions, you can have confidence in the dog and feel safe. Norma returned home and picked up the threads of a regular life again. With Quoddy, she went shopping, walked in the park, caught the bus, and volunteered at the CNIB office. She began visits to local schools, explaining to the children what life is like for a blind or visually impaired person. She took Quoddy with her on these school visits and talked about the role of a working guide dog. She accepted an invitation to be a client representative on the CNIB board, travelling to attend meetings in Calgary. She sat on the National Broadcast Reading Service Board, travelling with Quoddy to attend meetings in Toronto. There have also been some unfortunate experiences. The first came only six months after Norma brought Quoddy home. Norma had decided to join a fitness centre, and the owner didn't want to allow Quoddy on the premises. Over time, there have been a few instances when taxicab drivers and restaurant managers have attempted to refuse Quoddy access. In her first encounters with this uninformed behaviour, Norma was angry and emotional. These days she treats the incidents with calm resolve. I look at it now as an opportunity to educate, and I do that instead of getting angry. I try to deal with things calmly, and with the view that it's more their problem 64 than mine. I don't get upset any more. It's not worth it. I do advocate on behalf of guide dogs, and I would prosecute if it came to that, but I don't take it personally. It irks me, but on the other hand, I have met so many nice cab drivers and so many nice people, I just feel sad for the others. Norma now has a second guide dog. The decision to retire Quoddy and apply for this second dog was not made lightly. Norma's family had become quite attached to Quoddy, and were reluctant to consider a replacement dog who might usurp Quoddy's position in the family home. However, Quoddy had had some health problems, and Norma no longer felt quite as secure when she was out with her. The transition from one dog to another can be a problem for dog owners. It is a little like the toddler's reaction to a new baby in the house, except that a bit more is involved. The original dog is used to working on a daily basis with the blind client, and the new dog has been trained to take on this same responsibility. As well as the issue of responsibility of work, the two dogs may just plain not get along. Norma was torn between loyalty to Quoddy and a need for a younger dog to take over. In the end she decided to apply for a second dog, keep Quoddy on trial, and see how the arrangement would work out. Fortunately for everyone, it was a great success and 65 the two dogs fell into easy companionship with no jealousy for attention or work rivalry shown by either. Loretta, Norma's second dog, was also acquired from the Seeing Eye School. Again Norma flew to New Jersey. This time she felt more prepared for the training sessions, and eager to meet the new class participants. Even with the prior knowledge of the scope of the retraining program, Norma was still a little surprised by her reaction to it. Retraining is different. You have to bond again. You have to build the confidence in both the dog and yourself. During the training session with Loretta, Norma was offered an opportunity to work with her dog in New York City. Although Norma didn't need the experience of working her dog in a large city, she was excited by the prospect of playing tourist. She took the training session, and found it was an amazing experience. I knew after that adventure, I could go anywhere. Loretta worked so well. When I put her to the test, she shone. We did everything. We went down Broadway. We walked by theatres, studios and restaurants. We went everywhere. It was an incredible experience. Loretta worked through construction sites and traffic. There were curbs, people and even horses. There were noises 66 everywhere - birds chirping overhead and steam hissing from the grates in the sidewalk. New York had everything and we did it all. My two dogs were very different. Quoddy was a Shepherd and had a very aloof personality. She needed her own space and let me know that. She was not very comfortable in crowds but she was a very serious working dog and very protective of me. Loretta is a Golden Retriever, and has a very playful personality. She is more comfortable in social situations, but she can also be distracted easily. I sense this, and know that I need to give her lots of direction. Loretta has been with Norma for nearly a year now, and the two are developing a bond and confidence in each other. Norma is still very busy with committee and volunteer work with the CNIB. Her children have grown, and she now has a delightful granddaughter. Norma is not superhuman. She has struggled with the issues of vision loss as have many others. However, Norma has chosen to approach this with an attitude of both humour and optimism. It is not easy. Coping with blindness and vision loss never is, and there will be more hurdles to come. Both of Norma's grown children have now been diagnosed with retinal pigmentosa. It is a hurt that Norma feels more keenly than her own diagnosis, but with it, she 67 also feels a sense of responsibility. Even though I can do nothing to change the diagnosis, or change the hurt, there is something I can do. I can be an example for them so that they don't go through what I did. I know they will have to go through the anger and the hurt and the disappointment. But hopefully, with what we know now, and with my experiences, they will get through that more quickly and easily than I did. I feel I have a responsibility to show them that life can still be happy and fulfilling. When we started our interview, I had asked Norma to tell me about her dogs. I knew it was a subject that was close to her heart. Most people who have dogs love to talk about them. They're like your kids. You like to brag about them and you like to talk about them. You are with them all the time, so they become a part of your life. I never mind questions. I would rather people talk to me than about me and my dog. I especially like to talk to the kids because they ask the best questions. I feel that as a guide dog user, I have a responsibility to educate people. On occasion, Norma's dogs have given her an opportunity to share her philosophy of life and the choices she has made in her approach to her blind- 68 ness. Once during a presentation to an ECS class, a little girl asked Norma if she liked being blind. Although it would be rare to find a blind person who would prefer blindness over sight, Norma knew that this was not an answer that the five year old would understand, so she answered like this. You know, I don't really like being blind. I would love to be able to see if you have brown hair or blonde hair, or if your shirt is pink or purple or red. I would love to be able to see your face and your smile, but because my eyes are broken, I can't do that. But because my eyes are broken, I get to come into your classroom. I get to bring my dog, and I get to talk to you about people who can't see. You get to meet my dog, and I get to meet special people like you. If I wasn't blind, I wouldn't be here doing this. Norma loves going to the schools and she loves talking to people. She loves her committee work and her volunteer work in the community. She loves spending time with her family, and looking after her very delightful granddaughter. After working through the initial difficulties and the changes brought about by her blindness, Norma has chosen to look for the positive aspects in life. Norma has a strong conviction of a purpose in life. In some way, the testing of her faith has made it stronger. 69 I've always felt that there was a God, and I have found strength in that. I think there is a plan. I don't think we live on this earth and things just happen. I think things are meant to be the way God has planned them. I think that gives me some sense of comfort, thinking that even if I don't have a plan, He does. I definitely lean on God a lot. Whatever path that I thought my life was going to take, there's been a change of direction. But obviously there was a reason. I have seen a different way of living, and a different way of seeing people and being involved in their lives. This is not the path that I would have chosen, but I have been fortunate and I hope that I have done some good. Norma has also been able to use her experience both with vision loss and with other losses in her life to give her added strength. She attributes this to what she terms her stubborn nature, but which I will call her tenacious spirit. I am not willing to let many people or things defeat me. I think I have been there, when I was really depressed, and I don't ever want to go back there again. I think that knowing that, has kept me strong. When I think of the past pain and the hurt, I know I don't ever want to do that again. 70 My final question for Norma was revealing in her response. When I asked Norma for her advice to the newly blind, I was sure that her answers were guidelines she was striving to follow in her own life. Don't short change yourself. If you want something, you'll figure out a way to do it. Don't limit anything. If you think that you can do it, go for it. 71 CHAPTER 5 SUPPORT SYSTEMS No man is an island, entire of itself. John Donne Support comes in many forms. The one constant factor is that we all need it. In the complicated world in which we live, each person needs support for even basic survival. People are social beings and gain emotional sustenance from being in the company of others. We tend to both laugh and cry more freely and more frequently when we are with another person. Even on a fictional level, Daniel Defoe created Man Friday to be with Robinson Crusoe on the otherwise deserted island. *** FAMILY *** For most of us, family is the best support system that we could ever have or hope for. In a functional family each member supports the others unconditionally. The relationship which begins at birth, follows each member for life. A functional family is not necessarily 72 one of traditional nature, but it is supportive, with each member caring deeply about the welfare of the other individuals and about the family unit as a whole. Of course, this is the ideal. When family support works, it works extremely well. Many people with whom I spoke mentioned the support of family members as being a critical factor in their ability to cope with vision loss. Those who had not had the benefit of this family support noted its lack. They cited its absence as a detrimental factor, hampering their adjustment to lost vision. It is unfortunate that this family support is not always a given. Parents die; siblings move away; we are not all blessed with a spouse and children. There may be estrangement and discord within families. The non-support of family members can have a negative impact, whereas positive family support definitely contributes to the well being of both sighted and non sighted alike. *** FRIENDS *** While we are not able to plan, choose and arrange our family life, we are able to choose our friends. This is not meant to be a glib statement. It is not always easy to find a true friend, but when we do, life just doesn't get much better. I am reminded of a few lines 73 scrawled by a high school friend in my old autograph book. Autograph books were popular in my high school days, and I have kept mine over the years. My friend wrote - True friends are like diamonds, Treasured and rare. New friends are like autumn leaves, Found everywhere. Although it has been a few years since my friend penned these lines on the school bus one afternoon, we have kept in touch. We now live on different continents, but I continue to think of my friend as one of those precious diamonds. Friendship is a bond that needs to be nurtured. To maintain and strengthen this bond you must be loyal and loving. You must be kind and caring. You must be both giving and forgiving. But wait, you say! You ask me if perhaps I am going about this in reverse. Isn't the support supposed to be for the person who cannot see. Absolutely so, and from my experience, this is the way it happens. Have you ever noticed the construction of a bridge? The builders start from opposite banks of the river and reach out the two spans to join in the middle. Friendship is like that. We need to reach out to the 74 other person, knowing that as he or she reaches out in return, we will meet in the middle. Often the initial reaching out across the void may cause feelings of vulnerability. Do it anyway. There is always a giving of self with the first offers of friendship. Try to remember the bridge. When the two sides connect, they are welded together. The bridge becomes a safe passage for all who travel across it, and a protection for all who sail beneath it. When two friends connect, it is just like that. A strong friendship will be open and inclusive of others around it. When you reach out to someone else, you will receive the support you need. New friends are like autumn leaves, found everywhere. True friends are rare gems, but it doesn't hurt to scatter your path with a few autumn leaves as well. If you want to develop a positive attitude towards life, surround yourself with people who think in a positive way. Try to put an emotional distance between yourself and those who have a negative attitude towards life. Do you remember what Bert said in Chapter 2? When people come to you in the street and say, 'oh you poor blind person', leave that alone. Don't go there. 75 What excellent advice! We need to disassociate ourselves from people who give us negative thoughts and negative feelings. If we surround ourselves with pity, we will become pitiful. Now do you remember Norma's statement when she was talking about the people she met at the Seeing Eye School? (Chapter 4). Norma commented that the people she met displayed such a spirit of independence. They were inspirational to her. These were people she liked being around. They made her feel good. She felt her own confidence and self-esteem boosted simply by being in their company. We need to strive to find this type of companionship in our daily lives. By surrounding ourselves with uplifting people, we will be lifted up. This is a support system. *** FORMAL SUPPORT GROUPS *** Everything I have written so far could be applied to both sighted and blind individuals alike. Everyone can benefit from the support of loyal friends and family members. What about the special needs of a visually impaired person? What additional support systems should a blind or visually impaired person have in place? 76 Many people who have suffered an adversity of some sort find it helpful to belong to a support group. In this setting, opportunities are provided for sharing common problems and challenges. The group may then explore possible solutions to problems and ways of coping with such challenges. One function of a support group is to provide an opportunity to air concerns that are specific to the group. In a support group for persons with vision loss, there may be an opportunity to discuss particular eye conditions and the specific effect they have on one's vision. A conversation with someone who has actually had the experience will likely give a different slant or perspective than a similar discussion with one's opthamologist. While no one can ever totally understand another person, the common denominator of vision loss does provide a broader base for understanding. There is an empathy that exists between two blind persons that does not exist between a blind and a sighted person, no matter how closely knit the relationship may be in all other areas. I think this last is a very difficult and somewhat disconcerting concept for the sighted spouse, child or parent of a blind individual. Some sighted persons feel hurt or slighted that they are not able to share this very personal aspect of the blind person's life. However, where the sighted person does not feel threatened, but rather is able to encourage this other support relationship, it seems that a new dimension 77 is added to the original blind/sighted bond. A new strength is evident all round. In support groups for those with vision loss, members can share the challenges they face because of diminished eyesight. There can be a sharing of information and of new research. Up to date technology can be previewed and displayed. Guest speakers may share motivational and inspirational personal stories. A support group meeting should leave members with a positive feeling about themselves and about vision loss. If the group doesn't do this, then it is not fulfilling its function of support. The most successful support groups are both up close and personal. If you felt this personal welcome when you joined your support group, you can help perpetuate the tradition for other new members to the group. The following stories were fairly typical of the ones I heard from persons who were content with their membership in a support group. * I didn't join a group for about a year after my initial vision loss. I just didn't feel ready. My worker from the CNIB had encouraged me to join, but it wasn't until another member of the group started phoning me that I actually attended my first meeting. He made me feel very welcome, and after that, would phone me if I missed a meeting, just to let me know what had happened. It took a while before I really felt 78 comfortable with the group, but now I try to do the same for other new members as my friend did for me. * It took me about two years before I even admitted I had a vision problem and could go to a meeting. During that time, one of the members would call me every so often to let me know what was going on. There was no pressure, just the gentle reminder that I was always welcome at their meetings. When I finally did go, I wondered what had taken me so long. Now I am a leader of a support group myself. * I knew there was a support group in town, but the thought of walking into a room full of strangers was quite frightening. It wasn't until a neighbour suggested that she go with me, that I took the plunge. Now I rarely miss a meeting. Many towns and cities across the country are home to support groups for those with vision loss. If you are unable to find one in your area, contact your nearest CNIB office. They will either give you the appropriate information, or perhaps assist you in starting a new support group. The CNIB, or Canadian National Institute for the Blind, was established in 1918. It is a private agency with a national base and provides services to over 95,000 clients. The CNIB has district centres in most major cities across Canada. A wide range of services 79 are provided - counselling, rehabilitation and mobility training. Some centres offer Braille lessons and computer courses. Some offices maintain a children's area and lend toys designed for blind and visually impaired children. There is an extensive national tape and Braille lending library. In Alberta, there is a province wide network of support groups for seniors with vision loss. Many offices keep a collection of low vision aides and have information on high technical assistive devices and computer programs. Staff members at CNIB are well qualified to answer most questions asked by those who face vision loss. The CNIB is recognized world wide for its progressive approach in the field of vision loss. It is an excellent contact when support of a practical nature is required. * CANES AND THE CANINE CONNECTION * Guide dogs and white canes are also a form of support. Surprisingly, only a small percentage of people who could benefit from a white cane actually come through the doors of CNIB to ask for one. More often than not, it is the counsellor who suggests the cane. This gentle persistence sometimes even involves physically placing the cane in the client's hand. The white cane is officially a symbol of blindness, courage and an independent spirit. For many beginning white cane users, this definition does not extend 80 beyond the initial word 'blindness'. They feel awkward, clumsy, obvious, and disabled with a cane in their hands. It is usually only after mobility training, and as proficiency improves, that the cane becomes a more useful support tool. One man described his experience this way. I was totally without sight when I started using my white cane. For me, it was like the first flight from the nest. It was like opening that cage door to freedom. I really felt a sense of freedom to be able to get out again. Guide dogs are different. They are intelligent, living, breathing creatures. You can interact with a dog, whereas it is impossible to interact with a stick. On the other side of the coin, you don't have to feed and pick up after a cane! Most new guide dog owners have already mastered the technique of using a white cane. In fact, this is most often a prerequisite for application to a guide dog training school. It is a fairly obvious prerequisite as most of the skills used with a guide dog are the same skills required when using a white cane. The subsequent transition to handling a guide dog is then made that much easier. The training at the guide dog school is intensive, and the new owners, in nearly 100% of cases, emerge from the school with a new sense of confidence. 81 Greg, of Calgary, said that his dog, Pecos, had given him freedom, friendship and fitness. These three words were constant in the comments I heard from the guide dog users with whom I spoke. However, not all comments were as profound as this one. * Pat was walking down the street with her guide dog, Pedersen, when a small voice piped up behind her. "Look, Mommy. There's a Golden Receiver!" * A man in a store spotted a Black Lab in harness. His question to the owner showed a few gaps in his knowledge of the blind community and the white cane as its symbol. He commented, "I thought all guide dogs were white?" * A certain young man, after transferring from a white cane to a guide dog, said, "I don't think people look at me so strangely now when I walk down the street and talk to my dog." * One young man had just returned to the city with his first guide dog. I'm sure the following comment was not included in his original application for the dog. When I asked for his thoughts, his response was immediate. "My dog is a great way to pick up chicks!" * Then there is my personal favourite. Six year old Seltic lives in the same house as her grandmother who now has a second guide dog. Seltic was asked 82 how things would be different if her grandma could see. "Well," she responded thoughtfully. "At least there wouldn't be so much dog hair around the house!" Although guide dogs are not for everyone, for those who choose them, they are a very positive support in leading an independent life. Approximately one percent of CNIB clients are guide dog users. Information about guide dog training schools is available from CNIB offices. *** BRAILLE *** Approximately 15% of CNIB clients read Braille. Braille is a touch system of reading and writing. The letters of the alphabet are presented in a series of six raised dots arranged in two vertical rows. These six dots are called a cell, and specific combinations and positioning of the dots represent each letter. Braille writing can be done with a brailler, or a slate and a stylus. Learning to use Braille is much like learning to use any second language. A lot depends on one's desire to learn and the value one places on the finished task. If the end result is valued and seen as important, more effort will be expended in achieving it. As with other learning, the age of the learner plays an 83 important role. Brandon (see Chapter 6), was genuinely amused when I told him of my difficulties with my first Braille lessons. Brandon had taken his first Braille lessons in his early school years, and now at age twelve, is quite proficient. I am on the down side of the learning curve, and imagine that I will be struggling to decipher the little dots for some time yet to come. Braille is a tactile language. It is more easily learned by sensitive fingers. It is not a spoken language, but one used for reading and writing. Braille symbols are now used on technical assistive devices for the blind. For instance, on a Braille and Speak, braille letters can be typed in and audibly repeated to the user. *** TECHNOLOGY *** Technology has progressed at an amazing rate in many areas, and the field of optical assistive devices has been no exception. Computer technology has made dramatic progress in even the past few years. A blind person may type, print or braille, into a computer and have this read back either letter by letter, or word by word. Printed material can be fed onto a scanner and the computer operator can choose from a selection of voices to have the material read back. The voice can be adjusted to the preferred speed or volume. Stops and starts on the 84 printed page are also possible. As well as the voice program, large print programs are available. Other supports for visually impaired persons include a variety of magnifiers. There are almost too many magnifiers to count - hand held magnifiers, magnifiers with lights, magnifiers with automatic focus, magnifiers with light adjustment, pocket sized magnifiers, and those which are as large as your television screen. There are talking watches, clocks, weigh scales and date books. There are large print playing cards and bingo cards. There are CCTV readers (Closed Circuit Television Readers) marketed by a variety of manufacturers. If you take the time to investigate, there will be something to support you in your particular degree of vision loss. It will not bring back your eyesight, but in these days of modern technology, most people are able to find some device or program to assist with independent daily living. *** THE VITAL LINK *** So, there you have it - people, technology and you. Yes, you! You are the vital link. You are the one who must locate both the people and the technology and then decide how to use them. Neither will be a support for you unless you choose to make them so. 85 CHAPTER 6 LIFE GOES ON In three words, I can sum up everything I know about life. It goes on. Robert Frost It was October, 1989 when Donna and Darrel became proud parents for the second time around. Their daughter, Alisha, had been born two years earlier. Now they had a son to add to the family unit, and they were delighted. They named their new son, Brandon. The first days home from the hospital were a flurry of excitement and activity. Visitors came and went, baby clothes were washed, folded and sorted, and night time feedings once again became part of the household routine. The new baby brought back memories of Alisha as a newborn. There were many similarities, but Donna also noticed that this baby did not respond to numerous stimuli in the same way as her first child. Donna knew that all infants were 86 different and she tried not to make comparisons. Still the differences between the two babies were both puzzling and even a little disturbing. I would go in to change him at night. You know how most people squint their eyes up when the light is suddenly turned on? Well Brandon never did. He was always just awake, with his eyes wide open. He loved the swing, but he didn't look around a lot. Loud noises would startle him, and he wasn't especially interested in toys that were just for holding. That Christmas we noticed that Brandon didn't watch the coloured lights and that his eyes didn't follow the movement of toys that we held in front of him. Donna decided to mention their concerns to the health nurse at Brandon's three month check up. When Brandon's eyes didn't respond to the little flashlight test, the nurse recommended that Donna and Darrel have Brandon checked by a doctor. The family physician confirmed that there was definitely something wrong but added that because Brandon's eyes were travelling together, he was not blind. It was a huge relief. Something was wrong as Donna and Darrel had suspected, but they could fix it. Everything was going to be all right! 87 The family doctor had recommended a specialist, so that was the next step. Donna and Darrel were totally unprepared for this doctor's diagnosis. The specialist declared that Brandon was blind. There was nothing that could be done to correct the problem. Through a daze of disbelief, Donna and Darrel heard the name of Brandon's eye condition, Leber's congenital amaurosis. They listened to the explanation of what it meant. Donna recalled their feelings. It was a really hard adjustment. First we were told that Brandon was not blind. Then we were told that he was. Brandon's eye condition was genetic, but we had never heard of anyone who had had it before. At this point in time, Donna and Darrel had not known anyone who had experienced vision loss. The thought of blindness was totally new to them, and they had no concept of how their lives would change, or of how Brandon would be able to cope as a non-sighted child. It was a confusing time. Brandon was put through a series of tests which merely served to confirm the cause of his blindness. Brandon was not quite six months old. Donna remembers coming home at night, lying awake in bed, gazing at the ceiling in the dark, wondering what the future would hold for Brandon. She wondered how he would be able to cope with the everyday things of life - eating, dressing himself, 88 playing, learning. She wondered how she and Darrel would be able to help him. I didn't know how it was going to work out. Our whole concept of life is sight, and Brandon couldn't see. Everyone in Brandon's family was affected by what was happening, but because of their limited experience with blindness, there was confusion in their expectations for his future. It was a stroke of good fortune that Donna's sister thought of contacting the CNIB. A worker travelled to their rural community and met with the whole family. Donna spoke to me about that meeting. We talked to the worker at CNIB, and he was excellent. The reason that Brandon is the way he is now is because of this gentleman. He explained what it was like living with a visually impaired or blind person. The one thing he said to all of us was that the worst thing we could do to Brandon was to feel sorry for him. The case worker allayed the family fears of having to send Brandon away to a special school for the blind. He told them that this archaic philosophy was a thing of the past. Brandon would be able to attend a regular school in a regular classroom, just as Alisha would. 89 It was probably after this meeting that Darrel started to come to terms with Brandon's vision impairment. His first reaction had been both shock and surprise. At first I had wondered if there was any possibility that anything could be done. Later on we found out that there was nothing that we could do about it, so the only thing we could do was to accept it and move forward with it. So that's what we've done. I felt that the best thing we could do was to move forward, get whatever it was that he needed or could be available for him, and have him move forward. It's no good standing there and whining and crying about it. We just had to get going and move forward. The case worker also explained the importance of tactile experience in the early learning stages for a blind person. Donna remembers his advice well. He told us that if Brandon wanted to touch anything, we should let him touch it, just as long as he wasn't going to get hurt. So, that's what we did. The worker brought suitcases of toys for Brandon to play with. One time he brought boxes and boxes of those little plastic balls. We set up a swimming pool, complete with a slide, in our living room. We filled the pool with the plastic balls and that was Brandon's fun. 90 If Brandon wanted to listen to a special kind of music on the stereo, that's what he did. As for toys, anything noisy and that moved, were ones we chose for him. Feely shirts, feely toys - that's what his life has been - anything different that he could touch or hear or smell. Donna and Darrel learned that having a blind child at home meant that they had to be more creative in their approach. They encouraged Brandon to explore and touch everything that they could possibly think of. The worker had told us to let Brandon experience anything, so we did. Brandon used to love to play in the toilet, so we let him. We made the downstairs toilet off limits to anyone except Brandon. It was his play room. Eating jello was interesting. He had it everywhere, because he had to feel it before he ate it. It was all very different. Alisha was Brandon's playmate at home. She also played with Brandon's new toys. She loved playing with the plastic balls in the living room, and a favourite game was splashing water around in the kitchen sinks. It was only as Brandon started to walk that Alisha remembers noticing that there was anything different about her brother. 91 I know my parents would have told me that Brandon was blind, and I think I always knew, but I was probably around four or five when I first really noticed it. Brandon would bump into things when he was walking. I knew this was unusual, as I had a friend with a little brother and he didn't bump into things in the same way. Alisha adopted the same matter of fact acceptance of Brandon's blindness as was demonstrated by her parents. Apart from Brandon's special toys, with which both children played, theirs was a normal happy childhood. At this point, Brandon could see or sense large shapes of clearly contrasting colours. This so-called 'facial vision' allowed Brandon to differentiate between the white walls and dark brown doors in his home. Brandon had started school before he, himself, first took notice of his blindness. It seems to me I've always known, but I think it was probably when I was in Grade 1, that I started realizing that I couldn't see and that other people could. I didn't really notice it in kindergarten, but in Grade 1 there was more stuff on paper. I had to get things done separately and no one else did. That was when I started to figure it out. School was a whole new ball game for everyone. The local school had never before accommodated a blind or visually impaired student, and the admin- 92 istration was concerned about the practical and financial ramifications for the school. Donna and Darrel were also placed in a new situation. They found that they had to be vocal and forceful in ensuring that the school system was going to meet Brandon's special needs. This very active involvement was a new experience for the young parents. They threaded their way through unfamiliar paper work and other red tape channels to apply for educational funding. Darrel remembered some advice given to them by one of the CNIB counsellors. This person told us that we would find that we had to fight more. He said we would just have to dig in and not accept 'no' for an answer. Darrel found he could do practically anything when it came to working for something for Brandon. He was the trouble shooter. He would talk to anyone and everyone to get things done. Everyone was concerned about Brandon's education, but there were so many aspects to consider his learning in the classroom, his safety on the playground and in the hallways, his special need to use braille and to receive classroom instructions orally, the opportunity to socialize with his peers. Donna and Darrel met with the school administration to work out what would be the best solutions for all these challenges. 93 Brandon had started learning braille in kindergarten. While the other children were learning their A,B,C's on paper, Brandon learned his with braille. Donna had also taken braille lessons and was amazed at how quickly Brandon was able to pick up this new language. When I took the course, I remember thinking, 'how is Brandon ever going to learn all this! It's so hard.' For me it was the whole second language thing with a lot of new rules. I had to remind myself that Brandon didn't know anything else. He didn't know print. It was foreign to us, but Brandon actually picked up the braille very easily. He had all the braille done, the contractions and numbers and everything, by Grade 2. It was mind boggling to us. While Donna was taking her own braille course, she learned from the instructor that many blind children often didn't spell very well. The instructor explained that for braille users, this was because everything was contracted. Donna discussed this with Brandon's aide. She didn't want Brandon to be handicapped by an inability to spell English print. We decided that Brandon would learn to spell both ways, Braille and English. That was easier said than done, because he was basically learning twice. There was more to his learning than the other kids had. It was okay, and he came through it, but there 94 were days when I thought, 'why does he have to know all this?' But he does need to know it. He has to work harder than anybody else, just to be at the same spot as his sighted peers. He is fortunate that he is only visually impaired and not challenged in any other way. In the beginning school years, socializing on the playground was a bit of a problem. If Brandon's aide or teacher were to accompany him at recess, it would defeat the purpose. So, fellow students were enlisted as sighted guides. Brandon had to learn the hard way that not all of his peers could be trusted with this responsibility. Donna related an incident when Brandon was in Grade 2. He came home from school that day with this huge goose egg and a note from the teacher. The class had been going to the gym for an assembly. Brandon was assigned a sighted guide, but the two boys didn't get along very well. When they arrived at the gym entry, this boy purposely led Brandon into the centre steel beam which separated the double doors. Brandon's head rammed straight into the beam. Donna continued, You get angry, but it's one of those things where you think, these things are going to happen, so you have to deal with them. There's no sense getting mad at this other boy. We just 95 explained to Brandon that he was not to allow that boy to guide him any more. We told Brandon that if he didn't feel comfortable with someone guiding him, it was his responsibility to speak up and say so. Sometimes it was just an accident. There were times when the kids would forget that Brandon was blind. They would all be running, and run Brandon right into the bleachers or something. They would all see the bleachers and turn, but Brandon would keep running. Sometimes it's good to hear those kind of things, because it reinforces that Brandon is normal, but at other times it makes you scared. I would worry that the same thing might happen when they were crossing a street. What if there was a car there, and the other kid stopped and Brandon didn't! They might be walking side by side, but if Brandon didn't have his hold on the other kid when he stopped, he might just keep on walking. As it is for most students, Brandon's teachers have played an important role in his learning. Some teachers have adapted very well to teaching a blind student. Others have not. Brandon is articulate, intelligent and has a good memory, but he still needs to receive classroom instructions orally or in braille. One of the best years so far for Brandon was the year of the ant colony. The class had set up an ant colony, 96 and over the course of the year observed and fed the ants. Brandon got to do everything, including cutting up the apple pieces for the ants. He passed out pencils and collected papers, taking his turn with the other students. The teacher that year was excellent in that she spoke everything she wrote on the board. Brandon always knew exactly where he was at any given minute of the day. It was a good year. Until now, Brandon and Alisha have attended the same schools, and Alisha has learned to keep an unobtrusive eye on Brandon. This was not so important in the early years, as Brandon was usually with his aide. These days, Alisha, as the older sister, feels a sense of responsibility. I've always felt protective of Brandon. Sometimes there are kids who will tease him, especially on the school bus. That really gets me going. It gets me really mad. My friends think that Brandon is pretty cool. I think they feel protective of Brandon too. They like to ask questions about him. A lot of people in the hallway will recognize me as 'Brandon's sister'. I think they ask me questions because they're scared to ask Brandon to his face. Brandon talked about school in the same matter of fact way as most twelve year olds. He is now in 97 Grade 7, and spoke about the methods he uses for accessing information. I'm starting to get more into the tape, as the texts are getting longer, and there's just not enough room for the braille. I have an aide at school and the teachers are supposed to give her the material ahead of time. When they do, she transcribes everything to braille for me. When they don't, she reads it out to me. I do my assignments on a brailler, but I give the teachers a print copy. Brandon's favourite school subjects are Science, French and Drama. His least favourite is Math. His friends, he says, don't seem to care much one way or the other that he can't see. They treat him as they would any other person. Brandon talked openly of school work and school friends, but with a reticence that is perhaps typical of other boys his age, totally neglected to mention the first school dance that he had recently attended. Twelve years ago, Donna and Darrel had decided to bring Brandon up as a regular kid in a regular household. As far as I could see, they have succeeded. Together, they have achieved an everyday lifestyle in extraordinary circumstances. This is a remarkable family. Darrel expressed the family philosophy in the following way. 98 Our biggest goal was to raise Brandon to be independent. We had to make sure that everything, in terms of equipment and assistance, was available for him. We had to make sure that he had everything that he needed. Sometimes it took a lot of fighting, and sometimes it was right there. In the beginning we had to change our learning. We had to think of different ways of letting him know what was dangerous to him, especially falling off something. It was a lot of moving back and forth to let him know where things were at. There were some things he wanted to do, and if we weren't sure how he could do it, we tried to adapt it. That was learning for us. In the beginning, we were doing a lot of things for Brandon, but now as he's older, he knows his way around, and it's very seldom you have to do anything for him any more. It's been a learning process for everybody. A lot of times I forget he's blind. Sometimes, for instance, Brandon will be looking for something, and he'll come to me, and I'll say, 'Well, go have another look. Maybe you just didn't look in the right spot.' Then I'll realize that maybe it's lying somewhere where he can't feel around for it, so I'll go up and tell him where it's at, so he can get it. But I do forget sometimes that he can't see. 99 I've had to change a few things in the yard. Now Brandon can ride his bike up and down the driveway, and up and down the bridge. (The bridge is a 130 foot wooden ramp that Darrel has built at the front of the house.) He has that mastered now. I remember the day I finished building the bridge. Brandon came riding his bike down it so fast I thought my heart would stop. Darrel chuckled. I told him if he couldn't stop and rode through the screen door of the house, he'd have to replace it himself. He's not scared to do anything. Alisha laughed and chimed in, Do you remember the time when he crashed into the power pole in the yard? Donna added, And one time he crashed right into the tree! Brandon went through quite a few bikes. He often came in with scratches and bruises. He just loves speed. He's really looking forward to going downhill skiing with the school next month. I think he'll love it. Darrel continued. A lot of parents are amazed at what he does. They're scared that their own kids might get hurt and they want to put a metal suit around them. Brandon has been into everything. Yes, he has burnt his hand on the stove. He's fallen downstairs and wiped out on his bike. Once he was bucked off one of the horses and cracked his collar bone. Actually, 100 I'll never forget that one. We were there but not close enough to do anything, and I just watched him arc off into the air and land on the icy ground. He's done everything, and we've tried not to overprotect him. He's had his fair share of what other kids get into, and we've tried to let him. He's pretty well experienced everything that a sighted kid has experienced. In the beginning we had to think about a lot of the things we did. Now we are at the point where we just do things automatically. Life just carries on. Brandon told me how he liked to hang out with his friends. When his friends came to visit, they often played outside, running and laughing and climbing the hay bales in the field. When he met his friends in town, they might go to a movie or watch a video at someone's house. I heard how Brandon liked Star Trek, and how he really liked playing computer games. I watched as Brandon and Darrel did that father-son jostling thing around the living room. I was there to see Brandon arm wrestling with his aunt and his cousins. I watched in awe as he ate a huge bowl of ice cream. There was nothing out of the ordinary here, and yet... there was more! 101 Although Donna and Darrel had tried to make sure that Brandon didn't miss out on any of the normal childhood experiences, they could not shield him from some of the experiences associated with his blindness. Brandon has had to learn to be independent in both his actions and his thinking at an earlier age than his sighted peers. He has had the experience of learning to use a white cane - a bigger one every two years or so. He is excited about the prospect of having his own guide dog - he is not quite old enough yet. He has learned to use braille. He has learned to use his mind and his memory so he doesn't get disorientated. In twelve years, Brandon has seen more opthamologists and eye specialists than many of us would see in a lifetime. He has had cataract surgery. He is a whiz on the computer and he sees for himself the possibility of becoming a computer programmer or technical engineer. He has learned to accept all of the above as part of an average day and way of life. He has learned that life goes on, and as it is with most young people, he has learned to live it in the present. Brandon's story is not complete. He is, after all, only twelve years old. Life does go on, and for Brandon, there is much more to come. 102 CHAPTER 7 THE BEST MEDICINE Learn to laugh. A sense of humour can cure most of life's ills. In all areas of life, laughter is the best medicine. It is the support system that can carry us through nearly every situation. Physiologically, laughter enhances our well-being. Laughter stimulates the release of endorphins into our system. This chemical reaction really does make us feel better. Laughter promotes a 'high' that is similar to the one experienced by runners and other athletes after physical exertion. Alternately, when we are angry or upset, our muscles tense and we tend to expend energy in what is most often an unproductive way. Unhappy people tend to eat and sleep poorly, and get sick more frequently. Most of us experience feelings of anger, sadness, irritability, even depression, on a short term basis. It is part of our human nature. It is when we hold on to 103 those feelings, that we have a problem. Perpetually unhappy people often become lonely people too, as others avoid their company. Laughter, on the other hand, makes those around us feel good. It is a contagious condition. If we are able to laugh at a situation that would otherwise be uncomfortable, our cheerful reaction will put those around us more at ease. Sometimes it is difficult to see humour in a situation, but if the ability to see humour does not come naturally, it is something that can be learned. When you look for the lighter side of life, you will be surprised at how often you will find it. If you do this consistently, the habit will soon become part of your make-up. While all this holds true for life in general, it is even more important to consider this philosophy when it comes to living life as a blind or visually impaired person. I think this is so because when we live with a vision impairment, we are far more likely to get ourselves into either embarrassing or uncomfortable situations. There are far more opportunities for laughter! Many of us encounter vision loss during our adult years, and at that point need to learn new skills. Have you ever watched a toddler learning to walk, or listened to a baby's first words? Are you, in fact, 104 smiling now as you recall your own youngster's first steps and tumbles? Do you remember your baby's first words, words which were likely incomprehensible to anyone except to you, the doting parent? Learning new skills often involves so called mistakes, or as I prefer to phrase it, opportunities for new learning. If we are able to view these 'mistakes' as part of the learning process, we may also view them as opportunities to find humour. Becoming visually impaired when you are an adult does require learning new skills, and it is obvious that there are going to be some stumbling blocks along the way. We, who to this point have been competent and capable, now find ourselves on unfamiliar ground. Learning to laugh at some of the situations we encounter could well enable us to continue this learning process with a more positive attitude. When it comes to the use of a white cane, nearly everyone with whom I spoke, had a story to tell. Most of these anecdotes were taken from the learning stage of the use of the cane. Nearly all were told to me with great humour. I am sure that white cane users will be able to identify with some of the following. * I spent the first year with my white cane shopping for purses. I didn't buy a purse unless it was big 105 enough to hold my folded up white cane. Obviously, I didn't use my cane much, but I had a great collection of purses. * I went through eighteen canes in my first year. Most of them were legitimate losses. Some were just worn out, and some were the hazards of mobility - fences, sewer drains and the like. I remember coming home one day. I was quite close to my house, when the tip of my cane found the perfect slot between the grates on the sewer drain. Down she went, and that was the end of another one! * I was on my way to the dentist. On the elevator, my companion was a shorter, elderly woman. She was very helpful, friendly and chatty. In fact, when the elevator reached my floor, I felt I could hardly interrupt her chatter without appearing to be rude. As I was gradually easing my cane forward to step from the elevator, the doors slid closed. I knew immediately that the lower part of my cane had been caught by the closing doors. Not only that, the doors didn't re-open as is usually the case. My elevator companion panicked and, helpful to the core, began to pull on the handle of my cane. It was of the fold up variety, and the only thing that happened was that the inside elastic started to stretch. All I wanted her to do was to press the 'door open' button, but she just kept pulling on my cane. 106 Finally, someone in the hall outside the elevator saw the end of my white cane sticking out, and pressed the button from there. I'm not sure what would have happened had the elevator actually started to ascend again. * I like to dream. I dream in colour and twenty-twenty vision. In fact, I would be sad if I ever lost the images in my dreams. I hope I will always be able to have sight in my dreams. Initially, I dreamt only as a sighted person, and there were no blindness related issues in my dreams at all. Then bit by bit, some aspects of my blindness crept in. I remember one of the first times this happened. I dreamed I had lost my white cane, and I was walking down the street looking for my own white cane that I had lost. Now I ask you, how ironic is that? A blind man, behaving like a sighted person, and looking for a lost white cane! * I remember my very first experience with the white cane. I went to the CNIB and asked for one. They were hesitant about giving it to me without any training, but I persisted. That same day they gave me a quick lesson around the building. It was a breeze, up and down the hallway, and around the auditorium. I had no sight at all at this time, but inside the building it was not hard to navigate when I had a wall on each side of the hallway. 107 When I got home, I thought I would take a quick cruise around the block. Well, I made it the first stretch down to the corner, made the turn, but wouldn't you know it, I ended up in the back alley and got myself totally turned around. It was winter and there weren't too many landmarks. Instead of doing the sensible and proper thing, I put both my arms up and out in front of me like Herman Munster and started staggering around in the alley. To this day I am not sure what made me stop in my tracks at this one point, but I did. As I gently eased my nose forward, I found that my face was centimetres away from being stuck to an icy power pole. My arms were stretched out on either side of it. Funny in retrospect, but I think I might not have laughed so hard had I broken my nose against the power pole.... * It was a Saturday, and I had been working overtime at the office. I lived only ten blocks away, so I had decided to walk home. On my route, there was a Safeway store. It was across an intersection and then there was a bit of a driveway. I was walking with my cane, back and forth in front of me, when suddenly it hit some metal and went clunk! I couldn't budge my cane. It was stuck. The next thing I knew it started moving away from me. My hand was still on the cane, but I could feel it moving away from me towards the busier street. I thought to myself, 'I'm 108 not hanging on to this cane and being dragged down the street,' so I let go of it. I didn't hear it fall or anything. I stood there and wondered what to do next. My mobility instructor had never told me what to do if someone stole my cane. I contemplated my moves. There were people coming out of the Safeway store. Should I call out and let them know that I was blind and ask for their help? Perhaps I should try to walk the two blocks back to the office and pick up a replacement cane? I was still standing there thinking of all this, when a teenage boy came running up behind me. In an excited voice, he called out, "Mister, mister, here's your cane. I saw the whole thing!" Apparently what had happened was that my cane had got stuck in the back part of a car bumper, and the driver, being quite oblivious to this, had driven away. The young man had chased the car down the street until a few blocks further on, the cane had dislodged. The teenager had scooped it up, and brought it back to me. I thanked him and continued on my way. In my imagination, I can still see my cane sticking out of the bumper of that car! 109 It's not just the white cane that provides an opportunity for bizarre or unusual things to happen. As I met with various groups of blind and visually impaired people, I often found my sides to be nearly splitting with laughter at the stories that were shared. Many were tales of situations that had evolved because of limited vision. Sometimes the humour of the situation came about as the visually impaired person tried to fake being someone with sight. Many were situations that could only be appreciated for their humour in retrospect. * I remember going on a date. This was when I was in high school. I had limited vision, but was still trying to present myself as a sighted person. When we arrived at the theatre, I asked my date if she wanted any popcorn or pop. She declined, and we went in to sit down. Just as the movie was starting, she changed her mind. Dutifully I got up and went back to the foyer to buy the popcorn and pop. With the goodies in my hands I went back inside the theatre. As I stepped inside, the door closed behind me, and everything was totally black. I stood there and thought to myself, 'How will I find her again? How will I explain at the end of the movie, that I couldn't find my way back to our seats? I can't stand back here for the whole movie!' Fortunately for me there was a bright day scene in the movie, so I started walking forward. As I passed 110 our seats, my date saw me, and called out, so it did all work out fine. * I had a friend in high school who always wore a lime green sweater and faded blue jeans. One noon hour as I was walking down the hallway, I saw him leaning against the pop machine. I rolled up my scribbler, and as I walked by gave him a friendly but hefty jab with it in the stomach. He tumbled and sprawled on the floor. As I looked down, I realized my mistake. This wasn't my friend at all, but fortunately I was bigger than this fellow, so I just apologized and went on my way. I think he was somewhat surprised! * I came out of the grocery store, hopped into the passenger seat of the van and, talking all the while, arranged the plastic shopping bags around my feet. I was quite surprised when I looked up to find that the driver was not my husband. With my limited vision, I had jumped into the wrong van. Thank goodness I could see enough to know that I was sitting next to the wrong man. With as much aplomb as I could muster, I gathered my shopping bags together again, wished the gentleman a good day, and alighted from the van. I had been surprised, but I don't think I was nearly as surprised as the driver! * I had decided that as my husband was going to be a little late coming home from work, I would do the barbeque myself. I had prepared all the salads and 111 the meat was marinated. I stepped out onto the deck, and felt my way to the barbeque. Now where was that barbeque cover? I knew that my husband had bought a new one, but where was it? I searched everywhere - hands and knees over the deck, and even in the back yard. Nothing! Well, it was a windy day, so I guessed that it had just blown away. I made my way back to the barbeque, turned it on to warm it up, then went back inside to get the meat. When I came back out the door, the smell was horrific. I knew I had discovered the missing plastic cover. It had been windy that morning, and my husband had put the cover inside the metal lid to stop it from blowing away. Now, as I lifted the lid, bits of burnt plastic floated into the early evening air. It was at this point in the drama that my husband came home. Through gulping sobs I managed to gasp out what a mess I had made of everything. Bless his heart! He held me close and whispered, "It's okay, hon, it could have been worse." My mind reeled. I could not imagine how this could have been worse. "It's okay," he said again. "You know, you could have burned the steak!" 112 * I was staying with friends and had forgotten to bring my large digit alarm clock. My guest bed was in the basement. It was pitch black down there, but I assured my hosts that I would be fine. They lent me a clock so I would be able to 'see' the time for our early morning appointment. I was too proud to admit that I couldn't see anything on the face of this clock, but as I was habitually an early riser, I thanked them and told them I would see them in the morning. I was exhausted and went straight to sleep, waking some time later to the noise of footsteps on the main floor. 'It must be morning,' I thought. I gazed pointlessly at the little clock they had given me. No clues there, but I might as well get up. The guest bathroom was also downstairs, so I showered, shampooed my hair, dressed for my appointment, and packed my suitcase. Then I paused. It was very quiet upstairs. Perhaps they were eating breakfast. You have guessed the rest of the story, I know. When I ventured upstairs, it was pitch black up there too. No one was up. I found the kitchen clock, whose numbers I could make out. Four o'clock. It was four o'clock in the morning! 113 I didn't tell my hosts of my goof, but my support group had a good laugh, and my husband is buying me a talking watch for Christmas. * Have you ever had horseradish on your baked potato? I have, and I don't recommend it! However, in a dimly lit restaurant when the condiments were passed around, I was too proud to admit my inability to distinguish between them. As I took my first mouthful, I realized my error. It is the kind of mistake you will only make once. Now I either ask, or take a dab of butter! * My daughter and I were visiting my distant but very dignified aunt. It was one of those occasions where one needed to practise using all the social graces. I had not seen this aunt for many years and rather than go through complicated explanations, had decided that for the short duration of this visit, I would bluff my way as a sighted person. It was time for afternoon tea, and the cups and saucers were passed around. The delicate sugar bowl was passed next, and I guess I can only be thankful that the spoon was also small and delicate. With great care, I dipped the spoon, and carefully poured the sugar onto the table next to my cup. I was oblivious, but my daughter watched my actions in stunned silence. 114 Mercifully, she waited until the visit was over before she described to me what I had done. As we giggled hysterically, we decided that a policy of honesty about my vision loss would be less embarrassing than the little pile of sugar I had left on the coffee table. There are stories galore, and if any of the above have brought a smile to your lips, I hope that you will feel more comfortable in sharing some of your own tales. Practise looking for the lighter side of life. Your sense of humour is a valuable tool. Learn to use it. The former have all been true stories, but what of jokes that are told at the expense of the blind? When is it appropriate to laugh? For me, the bottom line is that I laugh when I think it is funny, and most times that depends more on my mood at the time, rather than on the quality of the joke itself. Let me tell you this little story about myself, and a joke that was told to me, along with my reaction to it. I had been staying away from home. The support that I had anticipated would be there for me was unavailable. I was alone, and practically everything that could go wrong did. I got lost in the street; I was disorientated inside the hotel; I had difficulty with the buffet breakfast; I greeted plants in the hallway, and bumped into guests in the lobby. It was like being at the base camp of vision loss all over again. I had a 115 pretty miserable three days. However, now that my business was over, I was on my way to the airport. My cab driver was friendly and chatty, but my mood was still glum and I was feeling sorry for myself. I was barely paying attention, when, seemingly out of the blue, my driver turned to me with his joke. Three blondes walked into a building. Significant pause. You'd think that one of them would have seen it! I looked at my driver in disbelief. Which part of my person had he failed to notice. My hair was distinctly blond tipped, and my white cane, which I had used to enter his cab, was folded on my lap. Was this a blonde joke, or a blind joke? Either way, I found it to be in poor taste, and was further unimpressed when my driver, taking my silence as an inability to see the humour, proceeded to explain the joke more fully. This is not the end of the story. We arrived at the airport terminal, and I asked the driver to let me out precisely at the door. I had not been to this particular airport before, but reassured that I was going to be let off at the door, I felt I could manage. When we pulled up, I paid my fare, stretched out my cane, and with luggage in hand, walked straight into the side of the building! Where was the door? I tried again a few 116 steps in either direction. No door! Totally confused by now, I did a couple of pivots with my cane. Suddenly I heard the swoosh of an automatic door some twenty feet to my left. My driver had not understood that the 'precisely at the door' of the sighted world is not the same thing as the 'precisely at the door' of the vision impaired. As I set off in the direction of the sound, I nearly started to laugh aloud. I kept remembering my driver's joke. I hadn't heard him pull away from the curb, and I wondered if he saw the double humour of the situation. Was he, too, remembering his joke as he watched me re-enact it right in front of him just moments after the telling? My mood lightened. The joke at which I had initially scowled, now had me smiling all the way to the ticket counter. Share your stories and your jokes with others. We all laugh more in the company of others, as laughter shared is laughter doubled. Try not to take things too personally. I am quite sure that my cab driver did not intend to insult me with his reference to either my blond hair or my white cane. It was just a funny story. We can learn to handle many of life's ills with greater ease, if we approach them with a sense of humour. Did you know that being blind actually gives you a crack at immortality? When it comes time to kick the bucket, there's a good chance you may miss! 117 CHAPTER 8 READY TO ROLL You know you're over the hill when someone says 'surfing', and you think of sand and waves. The seniors I spoke with are not over the hill, but they are ready to roll. They are ready to roll into action. Many have taken computer courses and know what it means to 'surf the Net'. They use the Internet on a regular basis. They are excited about innovative technology and assistive devices for those with vision loss. The seniors I spoke with are also involved in their communities. They volunteer. As much as possible, they are physically active. Many belong to exercise groups or are involved with a sports activity or program. They may have reached some sort of chronological peak, but for most, it has just been a brief pause before they roll into action on the next project. 118 I have chosen to record stories of only two seniors with vision loss, but I have spoken with many more. I met some amazing older persons in my travels. They were people who showed determination, a zest for life, and a zany sense of humour. I had an incredibly good time doing the research for this portion of Ex- Sighted, A New Vision. I wish I had the space to include all the stories I heard, but perhaps that will be the subject of another book. Anne At age 83 years, Anne is recreating herself. Eight years ago Anne's life changed dramatically. Eight years ago Anne's husband passed away and Anne lost her central vision due to macular degeneration. Now Anne is putting back the pieces and reestablishing herself in her new life. She is finding out just who she is and where she stands in her life as a visually impaired person. Anne and Keith had been married for forty-six years when Anne's world turned upside down. The couple were friends and lovers. They were a team, with one complementing the other. They were business partners, working in tandem. They were proud of each other's accomplishments. Keith was a design engineer, and Anne had trained as a nurse. They had no children and as a close-knit twosome, became even 119 more devoted to each other. In the beginning years of their marriage, Anne worked in a large city hospital. Later, when an opportunity arose to work in a busy doctor's office, she jumped at the chance, and worked there for eighteen years. In the meantime, Keith was pursuing a successful engineering career. However, the advent of computers soon beckoned him in a new direction, and Keith was one of the first in the city to get involved in software design. He began an independent business, and when Anne left the doctor's office, she became a dedicated colleague in this new venture. Anne and Keith enjoyed the benefits and the hard work of a home based business. They enjoyed an active social life with other professional friends. They were interested in local and national political issues and kept abreast of global events. They loved to travel. They were happy. The first hint of impending disaster came one bright, sunny day in July as Anne and Keith were preparing for a little travel jaunt. Keith was waxing the exterior of their motorhome, and Anne was polishing. The sun glinted off the shiny sides of the vehicle. In spite of the glare, Anne continued working diligently. When they came inside again, Anne turned on the television set, and was startled to find that she couldn't see the screen. 120 At first she thought of a detached retina, and immediately sought medical attention. She soon discovered that her problem was macular degeneration, and the lost eyesight was not going to return. The condition was irreversible. The doctor told me there was nothing he could do. I should go home and wait for the other eye to go. I was angry. I thought, I'm in the nursing profession, and I know you can do so many things. Doctors can do heart transplants, yet they can't do anything for my eyes! I was furious that there was nothing they could do for me. I couldn't believe that there was nothing that could be done. I was very distraught. As the news of her vision loss was beginning to sink in, Anne was hit with another blow. Her husband, who had not been well for the past year, suddenly took a turn for the worse. Within a week he was gone and Anne was alone. The enormity of the loss was almost more than she could bear, and Anne slid into a deep depression. Anne's aloneness was compounded by the isolation brought about by her vision loss. At her last visit to the specialist, the doctor had told her that the first year would be the worst. This was prophetic, but the doctor could not have predicted how particularly true this would be in Anne's situation. Anne was experiencing a double loss and the subsequent grief 121 associated with each. She was devastated. It was only through sheer force of will that she managed to get through each day. It was at this point that Anne made her first contact with the CNIB. She could still see a little bit of print, so it was suggested that she try magnifiers for reading. After a short time, they didn't work well enough for her, so Anne progressed to a CCTV Reader (Closed Circuit TV Reader). What really helped me was my CCTV Reader. It was a tremendous boon to me. I could read all my bank statements, write my own cheques, and stay independent. Staying independent was very important to me. However, Anne's doctor had been right. The first year was the hardest. Every day was a challenge. Anne struggled to deal with the accumulated paper work associated with her husband's death and the closing of the home based business. A rehabilitation worker from CNIB visited and helped her set up her home so she could cope with daily living. The worker marked the dials on her radio, stove, microwave and other appliances with tactile bubbles. Each morning, Anne would set herself small tasks and goals for the day. 122 Today, I will walk around the block. Today, I will buy groceries. Today, I will go to the bank. Today, I will ride the bus downtown. As Anne met these small practical challenges, she began to heal. The rehabilitation worker encouraged her to continue practising her computer skills. In the past, Keith had always been on hand to help her with these. Now she was on her own. She was more than a little apprehensive. Anne felt alone and blind, but she stuck to her motto of 'one day at a time'. For possibly the first year of her vision loss, Anne felt herself caught between a rock and a hard place. She was alone, yet she felt unable to reach out to other people. She was uncomfortable around blind and visually impaired people, as being with them identified her as being visually impaired as well. She felt inadequate around her sighted friends for she was very aware of what she was missing and of the things she could no longer do. Any sort of social mix seemed to be a traumatic experience. At the end of the year, Anne finally felt ready to join a support group at CNIB. It was a beginning but Anne had to learn to be more comfortable in this social situation. By nature she was a shy person. She found she needed to 'psych herself up' when she went out. It was hard being blind, and it was hard being alone. 123 But the turn around had begun. Anne began to rebuild. She talked about it as 'recreating' her life. She would build on the foundation of her past to create, her future. She wanted to go on with her life. Anne became involved with the Seniors With Vision Loss Support Group, eventually facilitating one such group. In that capacity, she was very active in finding community resource people to speak at support group meetings. As a CNIB client representative she has spoken in public forums and to the media. She has been on television three times and has been interviewed several times by members of the press. She has travelled from Alberta to Toronto and Ottawa with a CNIB group. As a client representative for seniors, she has spoken at Camp Jo1. During the International Year of the Older Person Anne even had her picture taken with Jean Chretien. In the past eight years, Anne has become involved with various groups, both in the CNIB and in the community at large. She stays physically active, and has been a facilitator of an exercise group for seniors with vision loss. She has taken several computer courses and uses a large print program on her home computer. She is still keenly interested in global affairs, and is investigating a web site that will give her access to this type of information. 1 Lake Joseph is a CNIB retreat and conference centre in Ontario. 124 Currently, Anne lives independently, and works hard to maintain that status. She has an extended family, and receives good support from a special nephew and his wife. Anne's brother, Don, has been particularly instrumental in inspiring her enthusiasm for life, and in igniting her curiosity about computers and other assistive devices. Anne has made a conscious effort to accept her life as a visually impaired person, and has made a determined decision to go forward with it. I think it's all a matter of attitude. You need to accept that you're blind, that you're not going to be able to do all the things that you did when you were sighted. You need to adapt to the change in your life. I think you learn all of that, but the big thing is accepting that you're blind, and trying to get over your grieving. I have learned to adjust and I've learned to accomplish. Since I've been blind, I've learned to do things that I may not have done had I still been able to see. Life would have been very different for me if it had not been for what happened eight years ago. Nowadays, Anne is up front about her visual problems though she does not emphasize her disability. If she needs assistance, she asks for it. If she doesn't, she bluffs. She feels comfortable in social situations with either blind or sighted people. She continues to set personal goals for herself. Her latest challenge is learning to play bridge with large print cards. 125 Anne is enthusiastic about life. She is energetic and happy. She is recreating herself. She is becoming the kind of person she would like to be both in spite of, and because of, her vision disability. Anne is going forward with her life. Peggy Peggy was born in Alberta and grew up in an idyllic setting north of Edmonton. Her father was a fur farmer, and Peggy loved the freedom afforded by this lifestyle. She spent many hours roaming the hills, lakes, and trees with her brother and sisters. On cold winter nights they sat inside by a blazing fire. The family relocation from city to country had averted the brunt of the Depression, and Peggy remembers her childhood as being carefree and happy. In her late teens Peggy met a young man from the same district. She and Jim married and had two sons, but there was a war on in Europe. Jim left for overseas, and Peggy looked after things on the home front. When the fighting was over, Jim returned home, and the family pulled up roots and moved to another rural community where Jim found work as a mechanic. Three more children were added to the family. 126 These were happy and fulfilling years. Peggy was a full time wife and mother. In the new town, she set out to meet people and make friends. She had always had a strong church affiliation, and now she joined the local United Church. The children were enrolled in Sunday School, and Peggy began what was to be a lifetime of volunteering with the church. Over the years she has been a church elder, and has held every position that was possible in the church women's group. As I sat with Peggy in her dining room, she proudly pointed to a shiny plaque hanging on the wall. It had been presented to Peggy for her twenty-three years of service as secretary of the area presbytery. Having spent so many busy and active years in volunteer service in her church and community, it was quite a blow to Peggy when she came down with a rare viral infection nearly seven years ago. The condition, polymyalgia rheumatica, was extremely painful. The associated muscle deterioration put an immediate stop to many of Peggy's activities. Within a few months, the pain was so intense that I couldn't sleep at night. In the day, I walked with two canes. I had no strength in my muscles. The doctor didn't diagnose me right away, because it was such an unusual condition. 127 When the correct diagnosis was finally made, medication was prescribed and Peggy began an exercise program to rebuild weakened muscles. This double treatment was effective, but unfortunately, there had been another effect of the debilitating condition. Over the months, the muscles around Peggy's eyes had also been weakened, and Peggy noticed changes in her vision. It all came on slowly, and at first I didn't realize what was happening. It was a gradual thing. Then I noticed that I was seeing my colour television in black and white. Colours became difficult to distinguish, and I couldn't see the colour of even the vegetables on my plate. Around this time, Peggy also had cataract surgery on her left eye. She began to notice other changes. She had trouble with dim lighting. She was having difficulty reading her hymn book at church. She was no longer confident driving her car. A trip to the optometrist confirmed the beginning of wet macular degeneration. Within the same time frame, a trip to a city opthamologist revealed a detached retina. At this date in time, Peggy is not even sure of the order or progression of events. It just seemed to be one thing after another. 128 The optometrist told me that the good news was that I would never be totally blind, but the bad news was that glasses wouldn't help. He also said I shouldn't drive any more. I was disappointed with that. However, Peggy was not defeated by the news. She began a series of laser treatments to stop the bleeding in her eyes. Peggy also remembered how daily physical exercise and medication had restored her other body muscles. Now she embarked on an eye exercise program, took vitamin supplements, and practised using her peripheral vision. At first when I heard I had macular, I felt a little sorry for myself. I thought, 'well, I'll just go downstairs and have a little cry about this.' Instead, I decided, 'Get up, girl. There's other things you can do!' I didn't tell people right away. I thought people would think I was an oddity because I had lost my sight. The first year was difficult, as Peggy backed off from doing some of her usual jobs. It was hard admitting that she couldn't do certain things because she couldn't see. Because she was still managing and coping so well, she found that many people didn't understand the extent and impact of her vision loss. She was hurt and angered by their reaction. Between appointments and adjustments, it was nearly twelve months before she made her first contact with CNIB. 129 I dragged my heels a bit that first year. There were so many other things going on. When I went to the CNIB in the city, they gave me my ID card and my white cane. I bought a talking watch and a clock with big letters, and my son bought me a halogen light. Armed with these devices, Peggy returned home with a new determination to live a full life as a visually impaired person. She had a new understanding of what her life could be like, and she felt ready to tackle whatever came her way. I had to swallow a bit of pride when it came to using the white cane, but I knew it would get me across the street safely, so I was prepared to use it. I've always been an independent person, so I think that helped. I walk everywhere. I always cross at the intersection, and I always hold my cane high so the motorists can see it. The very next week after her visit to CNIB, Peggy joined a local support group. This support group was part of an Alberta network of similar groups for seniors who had experienced vision loss. It was a hard thing to do, to walk into that new group. It wasn't so much that it was hard to admit that I had vision loss, and I did know most of the people in the group already. It was more that by going to this group, I was admitting that this was the beginning of 130 a new way of life. Peggy began attending meetings regularly. She became an enthusiastic member of the support group, and six months later was asked to attend a facilitator training session. I jumped right in. I felt so good when I went to that session, I came back home with information just bubbling out of me. Since that time, I've had such fun working with people with vision loss. I slipped right into this new work of facilitating and being with vision loss people. I enjoy being with these people more than I do with sighted people. We have a special feeling for one another. We enjoy what we see in life. There is a happiness and a love there that I can't find anywhere else. It is something that is just deep within me. At age 81 years, Peggy is a bundle of energy and enthusiasm. She has continued as a facilitator in the support group and attends provincial training sessions. She is a regular visitor to eleven CNIB clients in the local seniors lodge, and also visits at the local hospital. For the past six years, Peggy has worked tirelessly on behalf of the visually impaired and blind community. She is a fearless spokesperson for the local 131 support group. She has conferred with the mayor, town council and the Chamber of Commerce. She has debated issues such as sidewalk safety and audible traffic lights. She has worked closely with the local Lions Club in spearheading a 'Walk for Independence'. This fund raiser is now held annually in her community and raises money for the Seniors With Vision Loss Support Groups in Alberta. In the first organized walk, in a town of around 6,000, over $3,000 was raised. Three years later, this amount was doubled. Peggy is a very spiritual person and enjoys her participation in church life. She still occasionally writes articles for the church newsletter, and one of her special joys is church camp in the summer. On those hot July days, Peggy takes delight in jobs like scooping out the ice cream for the young campers. She assured me that she could still see well enough for that. There have been changes in Peggy's life over the past seven years. Today, the house that Peggy and Jim moved into forty-seven years ago, has a few minor additions. The halogen light holds a prominent place on the dining room table. A lighted magnifier sits on the kitchen counter. Beside the large digit telephone is a black felt marker, and at her bedside is a clunky blue tape player. There is a pair of good walking shoes and a folded white cane by the front 132 door. These are the tools that Peggy uses to continue with her active lifestyle. Peggy has had to learn to adapt her life to accommodate her vision loss. As a young girl, she could have spotted a needle in a haystack. In fact, for the greater part of her adult life, Peggy was blessed with excellent vision. Peggy has learned to change her ways, but she hasn't changed herself. I'm a fighter. I'm a born fighter. I have a strong spirituality and a closeness to God. I have the presence of God around me all the time. My faith keeps me going. I also have a love of people. I love to talk to people and I love to listen. I love nature - the lakes and the hills. I love the night. I'm a bit of a night owl. Peggy wants to continue doing the things she's doing as long as she is physically able. She doesn't feel like an eighty year old. She wants to see the rest of her grandchildren graduate. Mostly, Peggy would like to educate the people in her community about the challenges faced by the blind and visually impaired. She wants to educate the public as to the significance of the white cane. She would like to continue as a facilitator for her support group and attend workshops, particularly 133 those focused on macular degeneration. It is her hope that the Walk for Independence will continue and that she will be able to be a part of its organization. She wants to continue volunteering. I'm not sad that I'm blind. There is so much to do and so much to enjoy in life. I do thank God that it's only vision loss that has affected me. I can cope with that. I can still hear the birds sing, and hear the little children laugh. There are so many good things in life. It seems when you're blind, you have an inner vision. Everybody is good to me and I try to be gracious and appreciative. I didn't know Peggy when she was a youngster or as a young woman or even in her middle age. Today Peggy is both a grandmother and a great grandmother. I first met Peggy six years ago, but I cannot imagine the Peggy of the past being any different from the Peggy of today. She is energetic, enthusiastic and involved with people and life. Peggy is educating the sighted community simply by the way in which she lives her life. If you would like to know more about Grandma Peggy, you can find her on the Internet at www.cnib.ca Anne and Peggy are but two people who have encountered vision loss in their mature years. They are representative of many seniors who have faced this life crisis with courage, humour and determination. 134 CHAPTER 9 INSIDE OUT The good thing about blindness is that we get to know each other from the inside out. A new friend taught me this. We had met at a conference and found we had much in common in the way we viewed life in our blind and visually impaired worlds. After the conference, we kept in touch. We shared confidences and talked about common experiences and challenges. It was only after some time had elapsed that I realized that my new friend had no idea of what I looked like. My friend was blind, and had no first impressions of my outer self other than a handshake and our conversation together. What a gift this is! The inability to see can actually be used to see more. By getting all the details of the book cover out of the way, we can delve more deeply into the contents of the book itself. Instead of dwelling on the fact that we cannot see the details of another's face, hair or clothing, we can use our ears, hearts 135 and minds to focus on an inner image. If we care to use it, this is the gift of inner vision, the gift of insight. Blind and visually impaired individuals are forced to look beyond physical appearance. Certainly for the totally blind, and in many instances for those with low vision, imperfections of physical appearance are either not noticed at all, or at the least, become unimportant. What a different world it might be if sighted persons were given this same opportunity to experience meeting someone new without the benefit, or perhaps I should say, the barrier of sight. Would it be possible to break down prejudice if we were unable to see race, age or gender, or would we merely set new prejudices, judging others by voice and accent? Prejudice or preference? They are both responsible for setting the boundaries of human interaction. What are your first impressions when meeting someone new? How do you gather information about someone you meet for the first time? If your vision is very limited, or if you are totally blind, do you form a mental image of another person when you converse for the first time? Have you ever discovered if your mental image of someone is close to the truth? When does physical appearance become important to you, or does it actually cease to matter? 136 These were some of the questions I asked as I prepared to write this chapter. The responses I received bore a similarity which was not particularly surprising. * I do picture people. I do develop a picture, but it's not terribly accurate. Appearance is important, but physical appearance is no longer really important to me. It's not an issue with me any more. * What do I notice about people? Well, I usually shake hands with people I meet. I notice that sometimes, they're nervous. Sometimes their hands are sweaty. Sometimes their hands are really cold or hot. I notice the temperature. I notice the fleshiness of their hands. If their hands are fleshy, it may mean that the person is on the heavy side as well. * I notice the voice. If the voice is coming from way up or way down, it suggests the height of the person. I notice accents. Also the words that people select tell me a lot about the person. Sometimes I can tell a mood. I can pick up a tremendous amount from voice * The tone, the words, how people speak. * For me, it's personality, and the things that come with that. A handshake says a lot. I interpret a good solid handshake as someone who is willing to talk to me, someone who is a bit outgoing. I was a people watcher when I could see, so I guess I still wonder if 137 people look like their personality. * For me it's voice. Voice is one of the first things that you hear, so I wonder how does this person look in relation to their voice. I talk on the phone a lot. When, for instance, I listen to a man with a brusque, husky voice, I wonder if he is as big as he sounds. Then you get some voices that are lovely to listen to, and I wonder if they look anything like they sound. * I usually try to listen to the voice, but one night I was watching a talk show on TV. The woman being interviewed had the most beautiful voice I had ever heard. I was curious enough to ask my wife what this person looked like. Apparently she was quite frumpy in her appearance, and not very attractive at all. I was very surprised, and even a little disappointed. Since then I have wondered if I would have noticed her lovely voice if I had been able to see her first. * Sometimes I have a memory of a particular cologne or perfume, and when I smell it again, I wonder if the wearer looks anything like that other person in my memory. * Sometimes I ask people what they look like, but not always. It depends on how comfortable I feel with that person. Some people would find the question intrusive, and with some people, I'm just not interested in finding out what they look like. 138 * Facial details disappear for me, so I pick up a lot from the way people move. I am often curious about age, so movement gives me clues about that. Of course, I always notice the voice. * Appearances now don't matter as much as they used to. I think that most times that's a really good thing. I can usually perceive shape and size, taller, thinner, heavier. I don't know why, but I don't think you need to actually see someone to know how tall they are. I do notice that. But I do get the perception that each person is just a person, and I think that's a good thing about not being able to see. When a person is unable to see, conversation plays an important role in the 'getting to know you' phase of a relationship. Dialogue gives the blind or visually impaired person important clues about a new acquaintance. The back and forth banter of the spoken word etches out the boundaries of the new relationship. This kind of verbal exchange is particularly evident with behaviour related to courtship. The flirtations of body language and facial expression that are used in the sighted world need to be translated to flirtatious dialogue with verbal cues and responses. As is also the case in the sighted world, some people become very adept at playing this particular social game. 139 Of course, no matter what is said about the advantages of learning about inner character first, there are some distinct disadvantages to being unable to see the outer appearance. It often pays to have a sense of humour in this respect. * I remember visiting Donna after her chemotherapy treatments. Donna knew that she was terminally ill, but was still self-conscious about her appearance, particularly her recent hair loss. She always wore a wig or scarf. On the afternoon in question, Donna wasn't feeling well at all, and our conversation was both emotional and intense. We spoke of the issues of life and death that confront us all, and the immediacy of these concerns to Donna. It was enough to give anyone a headache, and Donna moved her hand to touch her head. Horrors! No wig! Donna was mortified. She moved to cover her shiny scalp and almost began to weep. While Donna was concerned about her bare head, I was still trying to figure out what was wrong. It was at that point that she realized the absurdity of the situation. When she explained it to me, we both began to laugh. 140 In spite of our proximity, my limited vision had made me unaware that there was anything awry with Donna's appearance. We had shared only our inner selves. I am glad that we were able to share laughter in what turned out to be our last visit together. Sometimes the humorous aspects of a situation can only be appreciated in retrospect. I overheard the following exchange at a support group meeting one afternoon. * 'How would you like to go out for coffee some time?' the young man asked his new acquaintance. 'It's possible,' was the response. Some more idle chit chat followed. 'So,' continued the young man, 'you sound like a very nice person. I'll bet you're good looking too. So, what would you be...in your thirties?' 'Oh no,' said the woman coquettishly. 'You'd have to go higher than that.' 'What then, your forties? Your voice sounds really young!' 'Much higher than forties,' the woman answered, suddenly realizing where the conversation was 141 headed. 'You can't be in your fifties,' said the would be suitor, also realizing that he had made an error in his previous estimation of the situation. 'No,' said the woman, a little hesitantly now. 'Actually I've just turned eighty.' After a laugh and a giggle from both, they made arrangements to go out for coffee anyway. Whether a person looks at blindness and vision impairment as a gift or as a liability is up to that person alone. It is a choice. If it is viewed as a liability, it will become one. If it is viewed as a gift, it will become one. The decision is the responsibility of each individual. Norma (see Chapter 4) says this. I remember when I was younger and able to see, and how I would often perceive people's ideals by how they looked. Now when I meet someone and I can't see them, I really have a sense of them being human. They are just people. I don't really care if they are pink or blue or whatever. They are people just like you and me. Maybe their situation or economic standing is different than ours, but they still have the same feelings, thoughts, worries and 142 apprehensions that we do. I think this way of looking at people is such a good thing. I think it is one of the real positives of being blind. What is your choice? If you are blind or visually impaired, are you willing to accept this gift? Are you prepared to use your insight to explore the inner nature of your fellow human beings? The choice is yours. A small addendum is necessary here. Just because we, the blind and visually impaired, are forced to look beyond the outer appearances to an inner person, does not mean that the sighted world views us in the same way. Too often, the image of a white cane, dark glasses or a dog in harness conveys only the concept of blindness. Too often, the individual with the dog, the cane or the glasses is seen only as blind. It is an interesting reversal of all that I have written at the beginning of this chapter. Many of the blind and visually impaired persons with whom I spoke had observed this disparity. The ways in which they were identified as blind first and person second, were various and frequently subtle. The newly blind seemed to be most sensitive to the nuances of this behaviour of their sighted counterparts. Sighted persons who had no previous contact or experience with vision loss were the most likely to display inappropriate reactions when first meeting a 143 blind or visually impaired person. While I am not sure what inferences should be drawn from these observations, I was impressed that some blind and visually impaired persons had chosen to use these reactions as an opportunity to educate and inform. Instead of being aggravated, irritated and annoyed by the sighted person's inability to see beyond their blindness, they reframed the encounter in a more positive light. They would explain the significance of the white cane, the importance of the dark glasses or the purpose of a working guide dog. Many were very intentional in their responses. Gerry (see Chapter 10) put it this way. I feel we are all ambassadors, whether we want to recognize that title or not. I feel that if I can talk to one person in a day and leave them with a thought or two about blindness that they didn't have before, then that's been a successful day. 144 CHAPTER 10 ONE STEP AT A TIME When I first met Gerry, I found him to be both an upbeat and out-going person. It was obvious that Gerry liked people and that they liked him back. He knew how to listen and he knew how to talk. He could be serious when the situation required, but had a lively sense of humour that readily put others at their ease. He made those around him feel good just by being in his company. I would venture to say that if you were to meet Gerry today, or tomorrow, you would share this same opinion. But don't be fooled. No, I'm not saying that Gerry's good nature is a mask or a facade. Gerry's inner self is as honest and generous as his outer self. Gerry has chosen to approach life in this positive way. The amazing part is that he has done so in spite of, or perhaps even because of, his personal journey into the world of vision loss. Gerry is blind. Not everyone I have spoken with has wanted me to record their personal story, but when I asked Gerry if he was willing to share his story, his answer was very 145 positive. I asked him why he wanted to do this, and again his response was clear and sure. I want people to understand what it is like to be blind. If they could walk for just one day in my shoes, they would understand, but as that isn't possible, the next best thing I can do is to tell them. I've never been one to cry, 'oh poor me, I'm blind', but I would like people to know and understand what life is like for a blind person. So Gerry told me his story, and I hope I have done it justice in the retelling. It is a story told from the heart, with no embellishment. It tells of the ups and downs, the highs and lows. It is a story of fortitude and determination. It is a story of courage and resolve. It is the story of one person's endeavour to see the challenges of life, not as obstacles, but as opportunities. So, let us start at the beginning. Gerry grew up in North Battleford, Saskatchewan. He was a middle child and the only boy. At age six, Gerry was diagnosed with diabetes. As a youngster, Gerry attended the local school three blocks away from home. His mother died when he was eleven. In high school, Gerry developed an interest in sports, almost to the exclusion of any academic aspects of the school program. He was cheerful and energetic, but his life was relatively aimless and without purpose. 146 One of the most significant events of Gerry's young life was the onset of his diabetes. Although he didn't realize it at the time, this diagnosis was to be the first step in his journey towards a world of darkness. Gerry has several memories of those early years. He remembers that it was New Year's Eve, as he lay on the couch, feeling sicker than a dog, before his parents took him to the local emergency room. After the diabetes diagnosis, there followed a lengthy stay in University Hospital in Saskatoon, where Gerry learned the art of taking his insulin needle. He remembers the nasty taste of accidentally biting into a practice orange which he had injected with water. He remembers visits from his parents. He remembers the hospital school. Most of all, he remembers a fierce, almost overwhelming longing to be back home with the security of family and familiar surroundings. Hospitals can be lonely places for little people. When Gerry did return home again, life settled into a regular family routine. There were school friends during the day, and two sisters at home each night. There were regular medical appointments. Gerry's mother usually accompanied him to these. There was always the constant needle. Gerry cannot even remember a time in his life without his insulin needle. But one of the hardest parts for Gerry, as with many young diabetics with growing appetites, was the strict 147 diet control. I especially remember being told that I could only eat certain things, and I could only have so much of a certain food. I couldn't have sweet things. I remember going to birthday parties, and somebody's mother would forget I was diabetic, only to remember at the last minute and snatch the cake and ice cream away from in front of me. I remember special days at school, days like Christmas and Halloween. I took my own special lunch, but when the cookies were passed around, I would wonder if I could grab one and get it down before anyone noticed. Occasionally, I would cheat and go to the store and buy myself a chocolate bar. So, childhood passed into adolescence, and adolescence into young adulthood. After Grade 12, Gerry drifted into one job and then another. Sports and the usual after the game party occupied much of Gerry's leisure time. Gerry developed both an acceptance of his condition, and a resolve not to allow it to dictate his life. It was never really, 'poor me' or 'why me'. It was just something that I had. I don't know how consciously I decided this, but I always had it in the back of my mind that it was never going to slow me down, or control me. I was very active in sports, and doing everything that a quote, unquote normal kid would 148 do. There was just the needle every morning, and the feeling I got when I needed to eat. Although Gerry doesn't remember a specific time of being told of the complications that could develop with diabetes, he knew what they were. I remember as a kid, lying in bed at night, and closing my eyes. I had been told that blindness was one of the complications. I would close my eyes and think that this could happen. But then I would open my eyes, and think, but it'll never happen to me. Maybe to someone else, but it won't happen to me. In spite of all of this, blindness when it came, came swiftly and unexpectedly. It was to be a new battle, and the struggle was not going to be an easy one. It was the Spring when Gerry first noticed some disturbing changes in his eyesight. At first it was night driving. Playing ball became difficult. Things in general were fuzzy and less distinct. At this point, Gerry did not suspect that his diabetes could be the cause of his diminished vision, but a trip to the eye doctor told a different story. The doctor took a picture of my eye, and actually showed it to me. It looked like a ring of fire with the flames coming inward. That was, of course, the bleeding blood vessels. It was kind of a neat picture, 149 but I realized that there was more to it for me than just changing glasses. It was clear that the diabetic retinopathy had set in. Laser treatments followed, and Gerry remained optimistic. In November, on his 25th birthday, he flew to Vancouver for surgery. The retinas on both eyes were partially detached and there was a build up of scar tissue from the laser treatment. The surgeons hoped to rectify these problems, and placed a silicone bubble behind the left retina to hold it in place. The prognosis was hopeful. Gerry was told that he should maintain 80% of his vision. But the prognosis was wrong. By December, Gerry's vision was gone. I had no idea that my vision was going to be gone until I woke up that one morning. When I went to bed that night I could see colours and outlines and blurred shapes. When I woke up in the morning, it was total darkness. I remember getting up and thinking that I maybe wasn't fully awake. I was blinking and even doing things like pulling on my eyelids to make sure they were open. Then I bounced off the dresser and bounced off the wall and realized something had happened. I went to the doctor and he said that I was going to have to get used to life with very little or no sight. 150 Gerry's world had changed. Overnight he had slipped from a life of limited vision into one of complete and absolute darkness. I realized very quickly how important limited vision is as compared to no vision at all. For instance, I could fairly easily pour a cup of coffee with limited vision. My whole perspective changed, when I realized that I was doing that the week earlier, but now, suddenly, the coffee pot seemed hotter, and the diameter of the cup seemed smaller. Everything had changed. I remember thinking, well how am I going to shave? Surprisingly enough, as soon as I started shaving as a totally blind person, I was much better at it. I was much more careful. I went a lot slower, thinking that, boy, this big razor could just slice my head off if I get going a little too quickly! There were lots of practical adjustments, some obviously of more importance than others. At noon, I had watched Gerry taking his blood sugar levels, and was amazed at how expertly he got the tiny drop of blood exactly on his audible counter. He sensed me watching, grinned and commented, You have no idea how much practice that took! In spite of his experience with limited vision, Gerry had had no mobility training or education in daily living skills. He learned very early on that he had great support from both his family and CNIB, but in 151 the initial stages of blindness, he knew instinctively that he needed time to be emotionally and psychologically ready to accept that help. The day to day adjustments of life were present in his every waking moment. I had trouble getting from the bedroom to the living room and from the living room to the kitchen. I couldn't walk the twenty steps to the end of my driveway without getting lost. Getting groceries and food preparation was a big issue. I felt totally dependent on the good will of family and friends for all my needs. Gerry spent most of that winter in his basement suite. He spent a lot of time sitting in his kitchen staring at the floor. He oscillated from being deep in thought, to a mind set that was totally blank. He felt adrift. He did what he wanted to do, when he wanted to do it. He got night and day completely turned around. (Later on he was to learn that this is not an unusual phenomenon for the newly blind.) He often slept away the day and spent the night in mindless activity. The onset of Gerry's blindness was dramatic, but it was not an isolated event in his life. His father had died only a short time before, and other issues also claimed his attention and concentration. It was a long winter. Nowadays Gerry is able to look back and identify many of the emotions that assailed him at 152 that stage of his life. I think when the finality of it hit home, it was like a kick in the stomach. At the time I was also dealing with other emotional issues, particularly the death of my father. After my sight went, there were a lot of mixed emotions. It was very comparable to the grieving process. I was angry and wondered why did this have to happen to me. I was frustrated when I knew that something was right in front of me, yet I couldn't see it. I was very sad thinking that there were going to be a lot of things I couldn't do any more. I bargained with God. You know. God, if you will only give me a little bit of sight back, I'll do this or quit doing that or whatever. I went through all the stages of the grieving process before I took those first few small initial steps towards moving on. The warmth of the springtime melted the snow, and nibbled at the edges of Gerry's mood of depression. His winter hibernation had been stifling, and he felt restless. He emerged into the sunshine with the beginnings of hope and a growing acceptance of his new condition. Using a white cane was a huge step in this acceptance, but also a step towards a new freedom in mobility. At first, Gerry was extremely reluctant to 153 take advantage of this mobility tool. When I first got my cane, I hadn't had any training in how to use it, so when I went out, it was 50% bravado and 50% totally scared. But the thing that I was most scared about initially, was people seeing that white cane in my hand. That was a label. It meant I was blind. What would people think? How would they react? That was a big thing for me. Fortunately for Gerry, it was at this point that his older brother-in-law took him aside for a little heart to heart chat. Gerry didn't repeat the exact words of the conversation, but the message of the pep talk was clear. He could sit in his room hiding behind his cane, or else he could get up, get going, and get on with his life again. The advice prodded Gerry into action. By the end of the summer, Gerry felt ready to attend a three week Independent Living Skills Program offered by the CNIB. It was his second attempt. His first attempt in the spring had lasted only until dinner time on the first day. This time he felt ready to the point of being both excited and even eager. The three week program was the catalyst that Gerry needed. Before the program was over, my heart was just screaming at me that this was what I wanted to do for the rest of my life. Inside of that three week program, my life changed. I realized that I wanted to do this 154 with other people. I wanted to work with blind and visually impaired people. So, dear reader, are you thinking that this is a touching happy ending to Gerry's story? Of course, it is not! Gerry's decision was merely the first rung on the ladder. Gerry learned immediately that the requirements for a social services worker at CNIB extended beyond his likeable personality and new found desire to be of service in the blind community. He needed either related work experience or university education. He had neither. However, through the Independent Living Skills Program, Gerry had been fired with a burning enthusiasm and a new motivation. In the fall, Gerry registered as a full time student with the University of Regina. It had been a busy summer. Gerry had moved to a new apartment in a different city, registered for classes, applied for student loans, acquired a volunteer reader through CNIB, learned keyboarding skills, and was in the process of learning how to operate a talking computer. He was, in fact, laying the foundations not only for a new career, but for a new lifestyle. One of the blessings in disguise around losing my sight, was that it gave me a sense of direction in life, certainly in terms of career goals and choices. By the 155 time I went to university, ten years after high school, I had a completely different outlook. I felt that I had a purpose, a sense of direction, and I think the most important thing at that time, was that I was ready to learn. I was open to that and excited about that, and still am to this day. From this flying start, Gerry didn't look back. In October of the following year, he flew to Ottawa to collect his new guide dog. My guide dog, Ozzie, was an incredible thing for me. I'm a dog lover anyway, but the sense of independence that I felt with my dog, I compare it to going from a roller skate to a Cadillac. I could get around well with my white cane, but I felt I could fly when I had my dog. In the spring of 1991, Gerry began his golf career. Although Gerry regards his success in life as a series of small successes, certainly one of his major accomplishments would be his prowess on the golf course. From what started out as a few tentative putts on an outing with a friend, Gerry has moved on to greater achievements. He had played golf as a sighted person, but confessed that, at that time, his aim was to hit the ball as hard as he could and hope that it found the hole somewhere along the way. As a blind golfer with a new coach, Gerry learned there was more to the game than that. 156 Dick (Gerry's coach) was fantastic. He taught me the concepts of a good and proper golf swing. Once I started to get the grasp of that, I was hitting the ball further than I was when I could see. Gerry continued to work on his swing. In addition to improving his physical well-being, the outdoor activity lifted his spirits as a whole. Gerry was launched into a new environment of both blind and sighted persons where the focus was not so much on vision, but on a shared passion for golf. Gerry joined the International Blind Golf tournament circuit. In his first year, he placed fourth in the provincial blind golf tournament, and second in the Western Canadian championship. He was hooked. He allowed his name to stand as director on various boards and took an active role in the organization of many blind golf tournaments. He has since served two terms as president of the Western Canadian Blind Golf Association. In 1997, he organized the first Canadian Open, which turned out to be a huge international event. He has been a prime player in the move to amalgamate the Western and Eastern Blind Golf Associations under one national umbrella. He has worked tirelessly in the field of public awareness. As a player, Gerry has represented Canada in Japan, Scotland, England and the United States. He is often in demand as a celebrity golfer at charity tournaments, and sees this as yet another 157 opportunity to promote the sport and increase awareness of the blind and visually impaired community. Gerry takes this responsibility seriously in all areas of his life. Being an ambassador for blind and visually impaired people is one of the things that spurs him on in his zest for life. I think we are all ambassadors, whether we want to recognize that title or not. It's an ongoing educating process. We, the blind and visually impaired, are forever educating sighted society, and that's something that I love to do. I feel that if I can talk to one person in a day and leave them with a thought or two about blindness that they didn't have before, then that's been a successful day. So, where is Gerry today? He is still working for CNIB, (seven years now), still taking university courses, (he maintains an 80% average), and still playing blind golf, willingly offering both his time and talent to promote public awareness of the sport. He has retired Ozzie, but in keeping with a promise he made nine years earlier, has kept him at home to enjoy that retirement. At this point, Gerry has chosen not to apply for another working guide dog. On a personal level, Gerry is involved in a loving relationship, and with wedding bells on the horizon, Gerry is a happy man. Shannon has brought a spe- 158 cial joy to his life. He continues to receive support from other close friends and family members. On a spiritual level, Gerry speaks very frankly of a deepening faith and his relationship with God. I think that my relationship with God has furthered and fostered my zest for life. It's given me some ways to look at things differently. I realize that no matter how bad things get in a day, they are going to get better. Every dark night is followed by a sunlit day. Gerry's life of blindness has been a whirlwind of activity. As we talked, he wondered aloud about the passage of time. What had happened to the days and months of the past twelve years? The long hours of that first bleak winter, although remembered as yesterday, seemed eons ago. He confessed that his present goal was to slow down the pace, and spend more time on the things that were personally important to him. Gerry has done a complete turn around. He has come from a 'why me attitude' to a 'why not me philosophy'. It is an attitude which he has cultivated over the years of his blindness, and which he continues to cultivate to this day. A lot of life is attitude. I lost my sight when I was twenty-five. I could have basically folded things up 159 and said that's it, and fallen into a life of whatever. And I almost did. I could have, but thank God for that three week program that August. It changed everything for me, and for the better. I choose to look at my vision loss as totally a blessing in disguise. Whereas once I would think, 'why me', I look at that now, and think, 'why not me'? I'm the perfect guy to be going out and talking to people about blindness and visual impairment. I know what it's like to have had sight, and I know what it's like to lose it. I know what it's like to live the life of a person who is blind. I am living the life of a person who is blind. I think of every day as a learning experience and I'm thankful for that. I get up in the morning, and I'm not looking at it as, oh God, another day as being blind. I look at it as an opportunity and think, what is this day going to bring. I go to bed at night and can thank God for a wonderful day, no matter what has happened in it. Gerry gave me his full attention when I asked him for his advice to the newly blind or visually impaired. His words of wisdom seemed to me, to be a reflection of his own attitude to life. The most important advice that I can give is to take it slow, and to listen to your heart. Take it one step at a 160 time, bit by bit, step by step, day by day. Listen to your heart. Because you're not using your eyes as much, or maybe not at all, let your heart give you direction. I found with my own self, that as long as I listened to what the voice in my heart was saying, I was fine. I think that it's also important to remember that you do not become a different person when you lose your vision or some of it. You're still you. I'm still me. Some things will change, but I don't think we, as people, change a whole lot. That's important to remember. Sometimes we tend to overcompensate when things are taken away from us, but if a person can be who they are, and continue to be who they are, it really doesn't matter how much sight they have or they don't have. What does the future hold for Gerry? No one can see around that particular corner, but I am sure that Gerry will greet his future with the same gutsy determination and optimism with which he has faced his past. I believe that Gerry has gained an inner strength in his journey with blindness. It is a strength which will serve him well in whatever lies ahead. Gerry is eagerly anticipating the next chapter in his life. What of the future? Only time will tell, but it is the same for Gerry as it is for each of us. The journey continues. 161 CHAPTER 11 VISION I may have lost my eyesight, but I haven't lost any of my vision. Wayne Phillips It was one of our first conversations together. Gerry turned to me and asked, "Sue, do you ever get tired of being visually impaired?" I was taken aback. Did I ever get tired of being visually impaired? I had never seriously considered the question before. Although at the time my answer to Gerry was fairly noncommittal, from inside my head a little voice was screaming, "Yes, yes! Yes, I do!" Yes, there are days when I am tired of being visually impaired. I am frustrated when I drop, spill or trip. I am irritated when I cannot read the directions on a pill bottle, find a telephone number, or read a menu. I am sad when I cannot recognize the face of a friend in the street, study my favourite paintings, or identify the coloured wings of the birds outside my window. I am tired when I need the extra time to plan and 162 organize my day so that I will be able to maintain my maximum independence. I am all of these things, but thank God, not all at the same time and not all on the same day! No matter what I have written about the stages of grief and no matter how much I believe that grieving over a loss is a process, the nostalgia for a past life with sight sometimes overtakes me. Others with whom I have spoken have also mentioned these brief flashbacks of emotion. * It can come back in an instant. As soon as I get myself into a situation where my confidence is down or I don't feel secure, I can get back into it. I have to think, calm myself down, stop dwelling on everything, and start concentrating on the skills I've learned. That's what I have to go back to. Stressful situations are the worst. * I have good skills with my cane, but I can still panic when I get turned around. I know it's not the end of the world being lost, but it can still make my heart pound. * When I listened to this fellow talk, it was an instant flashback to my own life. He was the same age I had been when I lost my sight, and all the circumstances were much the same. I was surprised when all the 163 old feelings came back again. * I sobbed and I sobbed. I just couldn't stop. I'm not sure why I started and in the back of my mind, I wondered if I would ever be able to stop. There was no particular problem. Nothing was any different than it had been the day before, but I just felt an overwhelming sadness. * We all have days when things don't go right. I have to stop and think if this is just a crummy day, or is it actually related to my blindness. For most people, the feelings of frustration, irritability, sadness and fatigue are fleeting. They are things of the moment, here and gone again in an instant. For most people, the positive feelings far outweigh these negative thoughts. The same people whom I quoted above, in the next breath, made the following statements. * Sue, I want you to put this in your book. Life is good for me. It may take me a bit longer to do things than it does for sighted people, but life is good. I have a lot of joy in my life. * I think I've done more in these past two years with my macular degeneration than I've maybe done in the past fifty. I like what I'm doing. 164 * Not that I would refuse my sight if someone were to offer it back to me, but I know I've gained a lot over these past years. I wouldn't be where I am today if it hadn't been for being blind. * I am satisfied with my life. I had to change a few things when I lost my sight - my whole family did but things have worked out. I am very happy with the way my life is today. My own days are filled with satisfaction and contentment. I am happy that I have good friends and a wonderful family. I begin each day in eager anticipation of what might lie ahead. I love mornings and often get up early to take advantage of those quiet hours before the start of a busy day. I enjoy physical activity, particularly walking and swimming. I am secure in my faith. I am excited about meeting new people and learning new things. The latter is an opportunity that has presented itself on a more consistent basis because of the changes in my eyesight. I am excited that I have been given the opportunity to look at life in a different way. This is not the way I would have chosen for myself, but I can certainly choose the way in which I view and approach the events of my life. 165 You, too, can choose the way in which you approach the circumstances of your life. What is your perspective? Is the glass half full or half empty? Do you see blindness and visual impairment as a challenge or as a disability? When you read the following letters, what do you see? opportunityisnowhere What did you see? Some people say they see the words, "opportunity is nowhere". Some people say they see the words, "opportunity is now here". Both answers are correct. It is only your perspective which is different. The glass is half full, and it is also half empty. Opportunity is both nowhere, and now here. Loss of eyesight is both a challenge and a disability. It will become what you decide it will be. Both answers are correct, but your own answer will both colour and reflect your outlook on life. I have heard the following story told many times, and I hope you will bear with me as I retell it here. This little anecdote illustrates one man's perspective of life. Two men, both seriously ill, shared the same hospital room. For one hour each day, the man in the bed by the window, was permitted to sit up. The man in the 166 other bed was compelled to spend his days and nights lying flat on his back. With only the hospital routine to break the monotony of their days, the two men spent much time in conversation. They discussed every aspect of their lives to the present moment. The highlight of the day, however, was when the man by the window was allowed to sit up for the one hour each afternoon. At that time, he described in great detail the scene outside the window of the hospital. His companion listened with eager interest. Outside there was a park. On sunny days, the children played in the park. They sailed their toy boats in the pond and watched the ducks and the geese. Several people sat on the park benches, and fed bread crumbs to the pigeons. Young lovers strolled arm in arm along the paths. To the east, the city skyline was etched clearly against the distant horizon. As the man by the window described the activities in the park, his companion closed his eyes, picturing the entire scene in his mind. One day, the man by the window described a parade that passed through the park, and his companion thought he could almost hear the music of the trombones. The weeks passed, and the two men continued with their daily ritual. However, one morning, when the 167 nurse entered the room, she was saddened to find that the gentleman by the window had passed away during the night. After the formalities, his companion asked if perhaps he could switch beds before a new room mate was assigned. He would like to have the bed by the window. The nurse was happy to oblige, and the orderlies were called to make the transfer. The man could hardly wait until everyone had left the room and he could have his first glimpse of the park and all the activity outside his window. Carefully, he turned his head, and with enormous effort, propped himself onto his elbow. You can imagine his surprise when he saw in front of him a brick wall. Disappointed and a little angry, he lay back down. When the nurse re-entered the room, he told her of the stories his companion had told, and wondered aloud about the park his companion had described. The nurse smiled quietly. "There is no park near here," she said. "Your friend could not have seen even the wall outside his window. You see, your friend was blind. Perhaps there is another reason he told you the stories he did." 168 Is the cup half full or half empty? What is your outlook on life? What is your vision? These are questions that could be asked of both blind and sighted alike, but let us draw the focus back to the issue of blindness. What is it like to be blind? What does it feel like to be visually impaired? It is a question that has been asked of me on more than one occasion, and so, in the course of writing this book, it was a question I decided to ask of others. When I asked, I was not only interested in hearing about the actual physical event of becoming blind, but also in what it was like to be blind or visually impaired. Most people seem to make their way through the stages of grief that follow the specific onset of blindness or visual impairment. For some it is a very difficult adjustment, but nevertheless, the majority seem to come to an acceptance of the event itself. However, most people who become blind, remain so for the duration of their lives. What, then, is it like to be blind or visually impaired? What is it like to live as a blind or visually impaired person? One man responded this way: When people ask me what it's like to be blind, I tell them, "Close your eyes. What do you see?" 169 When they tell me that they see nothing, I tell them, "Well, that's what I see. That's what it's like to be blind." It was the best explanation I heard. There was, in fact, no other difference between a blind and a sighted person. This man was no different in any way, other than that he could not see. His blindness didn't change any other facet of his life. The person who closes his or her eyes is exactly the same person with eyes closed as with eyes open. Wayne put it this way: The only difference I have found is the way in which I interact with my environment. I am the same person I was before. I have had to learn new things in terms of mobility and accessing information, but I am the same person now as I was when I could see. My blindness is just one small part of me. Children seem to see this the most clearly. When he was small, my son never introduced me to his friends with the words, "Meet my blind Daddy." It was simply, "This is my Daddy." We don't really change. I am still the same person as I was before I lost my sight. Because of our complex human nature, we will each choose to respond to the conditions of life in our own way. We may never fully understand another's emotional response to blindness and vision 170 impairment, or to any other human condition. The best we can hope to do is to communicate with each other, to talk, to listen, and to show compassion. Compassion comes the closest to understanding. Sometimes, inspiration and motivation can be gained by hearing how others have responded when they were confronted with vision loss. We may look at the life of a neighbour or a friend, or we may look at the accomplishments of someone more prominent in the public eye. On May 25, 2001, Erik Weihenmeyer became the first legally blind climber to reach the summit of Mt. Everest. Erik lost his sight due to a degenerative eye disorder when he was thirteen years old. Three years later he took up rock climbing, and now, not quite twenty years later, he and his sighted team mates have mastered Everest. Erik is quoted as saying: Someone told me that blind people need to realize their limitation, but I think it is more exciting to realize my potential. This is the concept of vision. Erik Weihenmeyer saw what he wanted to do with his life, and set out to accomplish his goal. It was his vision. 171 What is your vision? What is it that you want to accomplish in your life? We are not all meant to climb Everest. Your vision will be to find what it is that you want out of life, and then to set your sights on achieving that goal. In spite of miraculous progress in the field of optical research, many of us who are blind or visually impaired, can expect to remain so for a lifetime. If we are able to approach this challenge with confidence and optimism, we will be embracing this new vision. This vision will transcend the endurance. It will incorporate hope and a faith in the future. It will reach beyond self. The blindness will still be there, but it will be but one small facet of the whole. When we have sight, we have vision. When we become ex-sighted, there is the possibility of a new vision. As ex-sighted people, if we allow this prospect of a new vision in our lives, we also open ourselves to the potential of becoming excited about this same new vision. So, dear reader, I wish you well on your journey. Be brave. Step forward. Seize life. 172