Rebekah Urban
Austin, TX
“I’m doing this over and over again, and the longer I’m here the more dangerous it is for me because everybody’s mixing and mingling.”But yeah, that’s why it was such a life-saver when I started getting the nerve blocks from my pain management doctor.”
Ryan Roach: What is your name and how do you identify?
Rebekah Urban: My name is Rebekah Urban but I go by Becca. My pronouns are she/her/hers. I am a white female who is 23. I am bisexual. I am disabled. I have an autoimmune disorder and I am currently healing and in recovery from facial osteomyelitis and trigeminal neuralgia in my face.
RR: What has your experience been like during the pandemic?
RU: Confusing and limiting and enraging, but very empowering in a way I did not expect. It was interesting because I couldn’t see another person except for my parents for, like, eight months. And I was sort of prepared for how isolation feels because, over several years, I’ve gone through periods where I’ve literally dropped off the map, and I’ve been just totally alone. Just feeling sort of like a prisoner in my own body. That’s very isolating.
But for the first time, the world sort of went on pause and it wasn’t moving around me. I could actually take a breath and, all of a sudden, there were a lot of people in my life understanding how it feels to be isolated, and sort of having to phone into the world from home. They sort of understood me better than they had in a really long time, or ever could have before.
So it kind of felt awful because there were really positive things happening in the midst of all of this with the world on pause. I finally got the treatment I’d been seeking for a really long time, and I was starting to get better, but I couldn’t go out into the world, and there was all this horrible stuff happening. There were a lot of blessings in disguise for my personal story. So there was a lot of back and forth with myself on, “What are the ethics of validating my feelings right now, or talking about it?” But I would never wish for people to understand how I feel, because that would mean they have to go through deep bouts of loneliness and feeling disabled and knocked out of their regular life. And I would never wish that upon anyone, but it happened anyway, and I felt kind of crappy about being understood. Because I knew what was causing people to understand me, you know? And that kinda sucked.
Even with that said, no one really understood. I had a lot of friends that were not following the rules, and things like that. And it’s hard because they know you so well, like, they’ve known someone with a chronic illness for a long time, and they’re still putting that same community, and essentially, you, at risk by acting a certain way. So it definitely felt very controversial as well with all the political stuff. We were already putting ourselves in positions to have uncomfortable conversations in order to have a better outcome for everybody. It was kind of wild. It’s hard to understand the amount of danger that some people, like me, were actually in. It was odd.
RR: What has your day-to-day been like during the pandemic?
RU: It’s sort of gone from night to day because of my experience as someone who is chronically ill. I’ve been misdiagnosed and in severe chronic pain every day since I was 16. And about three years ago, they found an infection which they didn’t believe me about. They were not treating me. I had an atypical reaction, and it was really hard to get people to understand and believe me. I had six root canals, and then they all failed. I had to get all those teeth removed and I was literally, at one point about a year and a half ago, septic, and then again about two months. I didn’t know if I was gonna make it because people weren’t paying attention. They weren’t really believing what I was going through. So it was kind of insane that right as the pandemic exploded, I was put on this new treatment that ended up saving my life. But I went from being completely sedentary everyday in constant pain, completely medicated, going to the ER at least once a week, to where I am now learning to exercise again. I just got checked off with all my blood work and everything is more normal. I am no longer considered immunocompromised. I can go out of the house. I’ve had a little snippet of a view into how it feels to be going through the pandemic in five majorly different phases of being sick. The phases for me have been existing as someone that is literally bedridden and in the hospital all the time, someone who is being treated, has a PICC line and lots of medications but still trying to do life, and then as someone that is trying to recover and dabble in regular life, and then as someone who is trying to heal, let go of the past, and just survive. They come with different experiences, of course, and it’s been a process.
RR: I know you had a handful of hospitalizations recently. What was your experience going into medical spaces and hospitals on a regular basis during the pandemic?
RU: Well when it first started to get bad right before Easter, I was the last patient at my pain management doctor’s office. I walked in, and it was my first time going alone, and I was really nervous because it’s really hard to self-advocate when you’re really sick, and I’ve had a lot of horrible experiences. People trying to trick you with things like, “Are you just, like, a drug seeker?” And I get really nervous talking about opioids because my life would have been unlivable without them. And, you know, you can’t ignore that there’s a really horrible reality when it comes to them. But I was really nervous because talking about it gives me so much anxiety. And then, the more anxiety you have, the more sketchy you seem, and then you speak too much, and then you’re nervous, and it’s a big disaster. So going to appointments on my own because I couldn’t have someone in with me definitely took a toll on my health. But yeah, I was the last person at my pain management doctor’s office before they shut down, and I was just standing there, and they’re like, “Don’t even open your ziplock bag to let the air from your house out.” They didn’t even have me sit down. They literally were covered in these hazmat suits, taking plastic wrap and duct-taping it over the filing cabinets, and doing stuff I’ve only seen in, like, containment movies, or whatever the outbreak movies are. And I was like, “This is really sketchy. This is really bad.” But every now and then I would really realize how sketchy it was when I needed to go to the ER and I would pull up at the ER and see how busy it was. And talking to the people in line was kind of freaky, especially since when it all got really bad, I wasn’t allowed out of the house. So by the time I actually got out of the house to go to the ER, it looked like a weird, post-apocalyptic world. It was creepy.
I had to be sure I went to the heart hospital, because they had to make sure they didn’t allow COVID patients in because it’s a heart hospital. I was grateful we found them, because I had gone to the other ER a couple of times – they had people crashing in rooms next to you. It was really creepy. And of course I was by myself since I couldn’t have my mom go with me. We ended up doing a lot of self-medication and flowers because I never wanted to risk it. I actually gained a lot of weight because I didn’t work out – because I was afraid of pushing myself too far, because I knew I couldn’t go to the hospital, because it was just way too sketchy there.
Like, one time it kind of sucked. They wouldn’t listen to me. I had my mom on the phone, and I would try to be telling them I need my mom to speak for me because if I speak the pain gets worse. They wouldn’t do anything until I turned the phone off. They would just sort of make sure that I wasn’t seeking drugs. They would send someone in to ask me questions and make me tell the whole story. And then they would send someone else and make me do it again. By that time, I would just down. We can’t talk to you until you calm down.” Then they would send a third person in, so I would do it all over again. And since I was screaming at that point, they believed me. But I was just counting the minutes of how long I was there. I felt like, “I’m doing this over and over again, and the longer I’m here the more dangerous it is for me because everybody’s mixing and mingling.”But yeah, that’s why it was such a life-saver when I started getting the nerve blocks from my pain management doctor. Dr. Higgenbothom is literally a lifesaver. He was one of the first doctors, when they allowed surgeries back, to start booking the surgery centers out. He quadrupled the amount of patients that he was seeing. He was working all day, every day. It was kind of wild. Like, the first couple times there were a couple pregnant nurses and we were like, “Why are you here?” But everyone put in the work and everybody got weirdly close, because you’d be there waiting for a really long time and there were all these other people that were there for pain management control, and they’d been going through the same thing that you were. And it was just wild. Like, the stories you’d overhear and the people that I’ve met that I’ve kept up with throughout the pandemic because we spent so much time together. And you don’t have to explain stuff when you meet them at a pain management surgery center. You can just sort of lock eyes and they’re like, “Yeah, this sucks!” and you’re like “Yeah, this sucks!” And you’re under your mask, and you’re like, “My name’s so and so.” And then, 45 minutes later, you’ve got a pen pal for the next six months.
RR: What has your experience been like coping during the pandemic?
RU: I’ve hung out with my friends. I made sure I had a routine that would push me physically. So I decided I would only talk to my friends on the phone while I’m walking. I called it my “little walk and talk” to keep myself moving and socializing. But then, eventually, I just sort of stopped. And I don’t know if anyone else has had that experience, but it became really easy not to socialize. And that made it a lot easier for me to start taking therapy. I did sign up for a thing where you can text off your phone, and I found it a lot easier to talk through my own PTSD when I had a little bit of social silence. And, weirdly enough, writing has always been very beneficial to me. I’ve been writing a lot of music. I’ve found that it might not be a part of my PTSD experience to sit in front of somebody and talk about it, so it kinda works out that I don’t have to do that. I’ve just been sort of pen paling with a therapist, and that’s been really helpful.
RR: During the pandemic, the government and media have deemed the chronically ill, disabled, and immunocompromised communities as “vulnerable.” What are your thoughts on the terminology of “vulnerable”?
RU: I don’t really like it. I can probably guess I’m not the only one that feels that way.
If anyone understands the importance or the complete unnecessariness of a label are people with chronic illnesses, because it means both everything and absolutely nothing. You want a diagnosis more than anything, but it’s also sort of total bullshit because you are not just your diagnosis. And so there’s sort of a little balance of being like, “We want to validate what you’re going through and give it a name that is very obvious.” You wanna give something a name that doesn’t demean it, but also makes it make sense. You know, I wouldn’t mind if I had to go by something different and it made things 10% easier every time I had to explain it. So I understand “vulnerable,” and I think it gives a little alert, ‘cause humans are terrified of being vulnerable.
So you tell the population of the country that these are vulnerable people, they’re like, “Oh gosh, let’s not break them,” you know? But I don’t think it’s fair. I don’t think that the way that it happened was either smart or building any sort of positive thing. And it didn’t educate at all. I just think that words are very important. And the ones that you choose are very important. And obviously, through this entire presidency, the rhetoric that he uses directly affects the population very quickly, and it always will. And that shouldn’t be the way.
RR: Moving forward, how would you like to see the government and society start responding to the COVID-19 pandemic?
RU: Copious amounts of testing. Calling out things and changing messages. Maybe instead of calling it social distancing, call it distant socializing. I’ve seen that in a lot of areas circling around the internet. I don’t know what it is about people’s brains, but you say social distancing and they’re like, “That means we’re going to slobber all over each other, but then stand seven feet away, and then share a burger and party.” It’s just that no one understands it. I don’t know why, but like we were talking about earlier, rhetoric is really important.
We also need transparency. We should be reporting to the CDC for everything. We should be creating roundtables for people talking about preventive health care. Communities at the city level and state government level should be helping coordinate connectivity when it comes to information about drives, and charity, and donations.
We should also make sure our statistics are up to date and we should be able to agree on the facts of the truth. It feels like everything is an opinion, and that’s very much not the case when it comes to medical science. You can’t make everyone do anything, but you can determine a threat to society. And inactions are just as threatening as actions, and just as dangerous. I think people are tired, so we just need to create a structure that everyone can agree on to move forward safely. And we shouldn’t resume just because we’re bored. Talk to your disabled friends. We understand being antsy, but we have to make those sacrifices and play the long game admit our wrongs and be open to being completely wrong and trying new things.