(replying piece by piece)
*trigger warning*
We can relate. We had to go through a learning curve for the Basic Daily Things other people would have learned through their family. Even social cues had to be changed/relearned since some things had zero meaning (we'd never seen them before) while other things had a wrong meaning (we were taught something different as a sort of code) or just generally, in a social sense, a lot of us had vastly inappropriate reactions to things, or the ways we interacted were wrong.
This was so true for us too. Learning normal social codes was such hard work. I wrote a book on etiquette around that time just to keep everything nice and tidy. When I got the hang of everything I had written down I deleted the book because the project was over: I had learned how to work my way in society at least on some basic level, for the most part
Hygiene was a mystery for a LONG time. When to shower, how to shower, washing hands, brushing hair, proper bathroom etiquette (toilets, sinks, etc), laundry. Most of that was addressed during a long IP-stay in hospital when the body was 12. We didn't know how to use silverware either. Or use a phone, or mail a letter, that kind of subtle stuff that experience would teach people over the childhood years. In hospital there was routine and we just sorta watched what other people did for the basic care, in terms of brushing hair, teeth, hands. The shower business and silverware took a while (and only some of us know these things even now). The household things like laundry and such were taught by a close friend. It's like learning how to be a human being while at the same time we were unlearning all these things that we thought were normal but were actually very dysfunctional. Learning how to function, basically. It was really formulaic for a while: we had a mental checklist and had to repeat the steps over and over until the process became habit.
My life for a couple of years summed up. I had a close friend who helped me learn a lot and an IP stay that helped a bit. Learning how to function was really a step by step process. People expect you to attach meaning to the rituals you do in daily living but when you don't know them you can't. I can now because I have done them for many years, but many things are new to us still. Brushing our teeth is one of the things in which a routine is still being made. Showering we are getting a lot better at and we are happy to say we are, according to our SO who has watched us and helped teach us now for almost a year, close to normal. Hooray. I'm glad you were able to learn, this gives me hope.
for us, it boils down to: what is intolerable, what can be done, and what is irreparable damage.
I'm sorry for the damage done to you. This seems sensible. But how do you tell the difference? Different alters in here perceive pain differently (some dissociative away everything while others are acutely aware for instance), some can be fixed but has a high risk involved in fixing it etc etc. How do you make the call? I feel like I'm standing on the top of a mountain being told if I just jump in the water it could be the best thing ever; or I might just die falling. But you know, if you never try.. It's just hard I think to know yet
On the other hand, arthritis, osteoporosis, ulcers, spinal troubles, joint degeneration and such can be given medical aid (or at least stuff to reduce pain, depending) and we're still seeing specialists to deal with these things. If there is serious discomfort, if there is the slightest chance it is not psychosomatic, we will look into it.
I'm glad you're finding help. Are your doctor's supportive? Some of our doctor's have just been "psychosomatic psychosomatic" until they find a physical cause and then they go "you have x y z" with not so much an apology or a second thought to how they have behaved.
It's extremely annoying dealing with all these constant reminders of abuse in the body itself. It's like living in a scar that's simultaneously a reflection of the past.
I'm sorry you're living like that.
I have an image saved that I love. On it is a girl and the text
"Just left with scars to remind me where the wounds are".
I try to think of it as such. It's not always easy, but I let it be a reminder that my family hurt me - I did not hurt myself and as such this is not my fault. It feels like placing the blame where it should be. Of course, most of the time I am not able to feel as confident as that.
You have made so much progress and you really are inspiring, my friends.
Thank you

You are definitely an inspiration as well. I am thankful you are our friends