RIP memorial demitasse, or the perils of living with autoimmune arthritis

Assessments used to measure the progression of autoimmune disease—like the one I live with—often include questions about how symptoms interfere with daily life. When arthritis afflicts the small joints of the hands, sufferers like myself experience the perils of managing common fragile objects.Starbucks wish you were here ornament demitasse - 3

Case in point: the demise of a demitasse cup I used every day.

This cup was a gift from my mother who passed away in 2019. Today, I fumbled it while loading the dishwasher. It cracked when it hit the counter, one corner crumbling to bits, then continued on to finish shattering against the tile floor.

R.I.P. Starbucks “You Are Here: Oregon” demitasse cup!

Starbucks wish you were here ornament demitasse - 1

My favorite vessel for my daily shot of espresso joy is hardly the first victim of my less-than-nimble MCP and PIP joints.

There’s a particular glass pitcher I use to refill my beloved Zojirushi countertop hot water boiler.

Because my hand slipped perfectly between the pitcher’s handle and body when my joints weren’t swollen, it was my yardstick for physical manifestations of arthritic flares. Swollen, the knuckles—where the base of my fingers meet my hand, or, less often, even the middle joints of my fingers—were too thick to slide into that same space. It made me feel less crazy to have confirmation that my symptoms were real,* physical, and not “all in my head.”

One clumsy morning, I bashed the handle off the pitcher as I maneuvered it between faucet and kettle. Somehow, I managed to rap the fragile handle against the edge of the counter as I lifted it out of the sink.

The result is a far less useful, slightly sharp nub on an otherwise pretty jug:Patterned clear glass water pitcher with top stub only of broken off handle

It was such a lovely pitcher, I still use it—though with even more care—for the same task. The vessel just can’t serve its secondary medical alert function anymore. Also, it is rather trickier to keep a hold of, so I tend not to fill it full to keep the weight manageable.

In the grand scheme of things, these are trivial losses. My hope in sharing this story of small failures is to illuminate—for those fortunate enough to enjoy fully able bodies—another of the small daily battles waged by someone living with even minor infirmities.

They take a toll. They have a cost.

Living in a world designed and built to be adequate to your needs—which is the happy reality healthy people inhabit—is extraordinarily convenient, yet easy to overlook until some change in one’s own status lays bare every discrepancy.

* For many patients with conditions that can’t be definitively diagnosed by simple tests like blood work—especially when the complainant is a woman or a person of color—it is common to feel, if not to be, dismissed as a mental patient instead of acknowledged as the unlucky sufferer of a valid physical ailment. A recent BBC story describes how even physicians with disabilities are greeted with suspicion by the medical establishment.

Have Segway; will travel… into the Alps

My first Segway tour of San Francisco’s Golden Gate Park was a lot of fun and well worth the fairly high hourly cost. My second Segway tour, along an Alpine trail from the Austrian resort town Seefeld in Tirol, was positively magnificent.

At €78 per person for a two hour tour, the cost of entry was lower. With the option to follow a scenic trail to a kitschy-charming Alpine inn otherwise closed to me due to pain and fatigue, the experience turned out to be invaluable.

Training to use Segway

Segway training before a tour takes between five and 20 minutes

My teen said this excursion was the most fun thing he did during our two weeks in Europe. And, by the way, I let him select most of our activities after I chose the cities we would visit.

Maybe I shouldn’t tell the friendly owner-operator Maximilian this, but I would have paid a lot more for such a wonderful experience. If you find yourself in Seefeld, definitely give him a call and take one of his Segway scooters for a spin!

I discovered Segway Tirol on TripAdvisor, but here’s the website and contact email: info@segway-tirol.info *

I’m extolling the virtues of the Segway today because I live with chronic pain as part and parcel of an autoimmune condition. Aside from arthritis, I also broke a bone in the sole of one foot many years ago… and now it feels like I’m always walking with a pebble in my shoe. I.e., annoying

Before my foot injury, my major occupation when visiting new places was to wander. I could happily lose myself for hours along the twisting byways of an historic city. I don’t enjoy driving, and I hate doing it in an unfamiliar, crowded place.

Public transit is hit and miss for me. I’ll use it, but unfamiliar fare systems provoke anxiety. Did I stamp my ticket correctly? Do I have exact change? With buses, I fear taking the wrong line; on subways, I compulsively check the map at each stop to confirm I’ve headed in the correct direction.

I also fear not getting a seat and falling down on lurching trains and buses. At times—sometimes unexpectedly—my weak hand and wrist joints won’t cooperate with my clinging to a post. Then again, I don’t appear deserving of special treatment or priority seating. Autoimmune conditions are often invisible to the casual glances of strangers.

I prefer the freedom and pace of walking… but I can’t go very far by foot any more.

Riding a Segway scooter does require one to stand. It wouldn’t be suitable for anyone with major foot or knee, or ankle problems. My pain seems to be exacerbated by the striking motion of stepping, however, so standing on the Segway is pretty much all right, most of the time.

I do have days where even my knees are affected by my arthritis, but most of my issues, most often, involve the small joints in my hands and feet. I wouldn’t try to ride a Segway if I were having a major flare, but the fatigue would probably stop me before joint stiffness anyway.

Stepping aboard a Segway scooter is like stepping back to a healthier, more able time and condition for me. It feels like freedom.

Mobility is a key component of personal empowerment. That’s true for the ability to afford a car in many American suburbs, and even more so for the giant leap from total dependence upon others or being housebound to the liberty of self-conducted, autonomous activity for those who can’t walk in the average way.

You get a taste of the utility of curb cuts, ramps, and automatic doors as a parent pushing a baby stroller, but it is hard to appreciate all the little motions a healthy body allows until some aspect of “what’s typical” is removed from your arsenal.

I didn’t stop grinning for a single moment I was aboard Segway Tirol’s scooter. The scenery was beautiful. The guide was kind and accommodating. Mostly, though, I was exhilarated to be conducting myself along an Alpine path without pain or fear of going too far and then succumbing to fatigue in an inconvenient place.

Some people think Segways are goofy looking toys for nerds; others consider them a sidewalk nuisance that should be banned. I’d guess most of those people are fully physically able and have no idea how poor the options are for those who aren’t.

For myself, I will be spending more time on two low, gyroscopically balanced, electrically powered Segway wheels in the future. I will seek out tours and rentals of these stable, easily controlled mobility devices. I may look goofy, but I will be grinning like a fiend.

It’s hard not to be happy when you’ve been set free.

Around $150 pp for 90 minutes, if memory serves.

*I booked our tour just the day before we took it. Maximilian was quick to respond and very flexible. Our “group” was just the two of us. There was no upcharge for the creation of a tour at our convenience!