It’s not malignant… BUT…

It was an interesting phone call this afternoon.

I knew from the caller ID that it was going to be the hospital with the pathology report.  Home on a snow day, relaxing with the family – I took a deep breath.  It was the endocrinologist on the other end of the line.

“I have the results of the pathology…”

AND???

“The samples are not malignant, but…”

YAY, and UGH!

And there followed a conversation that lasted several minutes.  I tried multiple times to use the word “benign” to refer to the results.  Each time I was carefully deflected.  When he spoke he never said “benign’ once – only “not malignant.”  Synonyms – yet apparently not interchangeable.

Someone less in tune might have missed this conversational nuance.  I don’t miss much when it comes to my daughter.

So the doctor recounted how each off the 4 cell biopsies obtained through the Fine Needle Aspiration, showed cells that were “not malignant.”  When I asked about the cells, specifically remembering the “precancerous” title given to the cells that had brought us to this hospital to begin with, he told me again the report says they are, “not malignant.”

SO WHAT’S NEXT?

whatplan

I know I didn’t imagine the deep breath on the doctor’s end of the phone when he began, “Typically, we would follow the case in 6 months with an ultrasound, and I think you should make that appointment.” Then there was a deep breath and a pause.  “I also think you should take her to see a surgeon – just for another pair of eyes.”

Now I was thoroughly confused.  “Why? Do you think the throat clearing that has been going on could be related to the nodules?  What about the Fine Needle Aspiration?  How accurate is the test?”

He addressed one question at a time.  Almost as if he expected them.  He and I were not fast friends, and he often seemed annoyed by the countless questions I ask.  It never stopped me, but I couldn’t help but notice he was almost anticipating my questions today.  Maybe he was even welcoming then.  I flashed back to that visit on December 19th where he was visibly uneasy about the feel of that right thyroid.  “The FNA is accurate 90-95% of the time.  Usually that is not an issue because thyroid cancer tends to grow very slowly and if we follow every 6 months, we will typically catch anything we need.  That being said, in a situation like Meghan’s where there are so many nodules, and there is Cowden’s Syndrome, it sometimes is harder to manage. In regards to the throat clearing – I don’t THINK it’s caused by the nodules, but again I can’t be sure.  Why don’t you set up a consultation with the surgeon?”

confused-face

Deep breath.  It’s good news I kept reminding myself.  It’s not cancer. (Yet… nagged the little voice that never knows when to shut up.)  I reassured him that I would schedule the appointments with him and the surgeon.  Of course after I arranged to have the pathology and ultrasound reports Emailed to me so I could agonize over every detail…

I scheduled the appointment for the first week in June.  I tried for the first week in July – but he is on vacation that MONTH…  Then I sat down to Email Meghan’s hematologist/oncologist the reports and ask her opinion.  She concurred with the endocrinologist and approved of his choice of surgeon.

Within 45 minutes my phone rang.  The caller ID showed the hospital number again.  This time it was the surgeon’s office.  They were contacting ME, at the doctor’s request – to set up a consultation for Meghan.  Well I have to tell you that didn’t do a whole lot to ease my mind.  Obviously it was nagging at the doctor enough that he reached out to be sure I made the appointment.  Scheduled.  February 25th.  I couldn’t get a time because they call the day before with that.  So, I explained how much I really NEED to be at work.  They made me no promises.  The 25th it will be.  Regardless of the time.

The snow was so pretty today.  So nice to be home as a family, to shovel, to play, to take some pictures, to watch an old movie.

I sat down to type this almost three hours ago, but somehow as Meghan was getting ready for bed she developed severe pain in her back and a ruthless headache.  Reminders that even an hour or so in the snow is too much for her body to endure.  Frustration.  Fear.  Two hours at her side, her father and I alternating pressure on the most painful spots.  She’s asleep in my bed now.  Moaning.  The night will be long.

frying pan fire

Some time this afternoon I realized again, that this is just how its going to be.  We are going to walk out of one fire, while walking around another.  We aren’t going to know the hows and whys.  We aren’t going to be able to make many plans despite our best efforts.  This is life with Cowden’s.  This is our life.

And tonight, as I held my husband’s hand, and we each had one hand helping soothe Meghan’s agony, I realized again that through the depth and power of our love for each other – all of us – this works for us.  It’s not what I would have chosen, but it’s what we have.

Never in my wildest dreams could I imagine a day without the two of them.  Somehow, that has to make us the luckiest family in the world.

think happy thoughts

And that is my happy thought tonight.

Happy New Year!

Hurry up… and WAIT!

Hurry up – and wait.  And wait.  And wait.

I don’t know many people whose lives are not a bit of a rat race these days. We race to school and work.  We race to take our children to the many places they need to be.  We race to shop, and cook, and clean, and wash clothes, and we sometimes even race to arrange our schedule so we can have some time off.

rat-rce

In our house we race.  Gratefully, we have added something fun in the form of Swim Team this year.  There are many weeks there is even time for two practices.  So she won’t be an Olympian.  But some fun is an improvement.

Because without that Swim Team – it was all medical – all the time.

i-love-swim-

Since birth really, as Meghan’s medical history really goes back to the beginning, but especially since our diagnosis of Cowden’s Syndrome in September 2011, we have developed a list of doctors all across the city of New York.  And they all require regular check ups…

top doctors nyc 2013

“Skip it…” whispers the voice inside your head.  “I don’t have time…” “We won’t make practice…”

But “skipping it” is not a luxury we can afford.  Cowden’s Syndrome has robbed us of the luxury of putting it off.  It is the clock that is always running.  It is the reality of my breast cancer – beaten.  It is the “reminder” in my iphone.  It is the spreadsheet necessary to sort out pediatric and adult specialists for just about every body part.

And before we even get to the routine screenings, there is the weekly Physical Therapy, necessary to combat the lax joints, and weak core that leave my girl prone to injury as she tries the most fundamental “kid” tasks.  Thankfully PT is a joy, and she truly loves to “PLAY” with Dr. Jill, but all that love not withstanding – it’s another day during the week scheduled.

There are hematology, genetics, interventional radiology, infectious disease, rheumatology, dermatolgy, neurology, and endocrinology to name a few.  Some are once a year.  Most are twice.  And that’s all well and good if everything checks out fine.  However, the need for testing arises regularly, which leads to MRI/MRA, lab work, repeat appointments….

Last year I tried to get them all done in July.  That was pure indescribable hell and it swallowed our whole summer.  Now, I schedule them a bit separated, carefully attentive to the time frames suggested as optimal to screen for any of the pesky cancers we are prone to.

And, while the cancer risks peak around 40, there are several cancers that regularly strike Cowden’s patients in and before their teens.

So, we schedule appointments after school, on holidays, in the evenings, and whenever we can fit them in.  We often find ourselves racing into an appointment after a long day – only to find ourselves waiting  to be seen.

wait card 1

“Hurry up – and wait.”

Meghan is an outstanding “wait-er.”  Partially because she’s used to it, and partially because she knows it’s necessary.  We know exactly what to pack, whether its homework, or an Ipad, or a book, to keep her occupied.  But she would rather be playing.  Or swimming.  Or resting.  Or crafting.  Or just being a kid.

We find ourselves facing the same problems many other families face – laboring to fit in time for fun.  But it is further complicated by fatigue and a lack of stamina.  She can not walk more that about 3/4 mile without wiping out.  She will, when time allows, sleep 13-14 hours a night.  So we have to always be careful not to push too hard, because the repercussions can be serious.  Sometimes I imagine friends think we make it up.

“Hurry up – and wait.”

And we raced into Sloan Kettering Cancer Center on December 19th after school.  I whisked Meghan out of her holiday party, braved the traffic and rushed into the office in time for our 3:30 appointment.

But some time before we got out of the car and walked into the building, Meghan told me about the “bump” in her neck.  The one she feels every time she goes to put her necklace on.  The one that she thinks is making her cough… that persistent tickle in her throat going back… oh… a few weeks.

So at 4:30 when we were called into the office for the routine endocrinology visit, the one the doctor had told em we did NOT need to have an ultrasound before because things were “stable” he almost immediately zeroed in on the spot Meghan mentioned.  He asked for a tape measure.  His eyes were serious.  He spoke of significant growth.  He said we needed a biopsy.

“So let’s do it.  I am off for 10 days.”

“Well, you know, with the holidays…”

“Let’s hurry up and get it done.  I will take whatever you have.”

And on Friday the 20th when my phone rang at work and I got the news that we were going to first need an ultrasound BEFORE the ultrasound guided Fine Needle Aspiration – I just about went through the roof.  The doctor explained that the radiologist doing the FNA needed a recent ultrasound.  (You mean like the one I had asked for with the December appointment all along?)  I explained I would stand for nothing less than scheduling the ultrasound and the FNA that very minute.  So we did.  Ultrasound December 23rd.  FNA under general anesthesia on December 31st.

“Hurry up – and wait.”

Apparently no one got the memo things have been a bit stressful around here this month.

So we did the ultrasound on the 23rd.  30 minutes with the tech.  Then 15 minutes for the doctor to review it, and another 20 minutes for the radiology doctor to rescan.  Nothing going on on the 23rd of December.  No worries.

“Hey, that’s a lot of nodules on a young lady…”  says the doctor.  ARGH!

So when do we squeeze in something fun?  Something she can say she DID on the vacation?

We made it up to see the New Year’s Eve Ball very early on that Saturday morning.   Meghan trying out the camera her Grandpa Tom left for her when he passed away earlier this month.  Trying to find the time to view her world through a camera lens.  We spent about an hour.  Then we went home.

Photo credit -Meghan 12/28/13
Grandpa Tom’s “smile”

NYE ball familyNYE ball 2013b

There were 2 play dates.  Lovely girls.  So I guess there was success.

And then today.

Arrive at 6:30 I was told.  So we were up by 5, and on the 9th floor by 6:30 – only to find it locked.

“Hurry up – and wait.”

please wait

We eventually found our way to the IV room, and then to Interventional Radiology on the 2nd floor.  The procedure was at 8:15 and lasted double the time it should have.

We left with discharge instructions and word that we SHOULD have pathology by Friday, but maybe Monday.

I may have a few cocktails myself as midnight approaches.  If I stay awake that long.  After all its been a long day, week….

And we know Daddy’s got the New Year’s Eve Ball well taken care of.

 

 

Disconnected

Mother Teresa trust

Breathe in… Breathe out… Breathe in…

I looked up at my Christmas Tree this week and was struck with the incredible sense that I would love to take it down.  Now.

I know that’s wrong for any number of reasons, but I have always been candid here.

In the 10 days since we have buried my father there has been a whirlwind of papers and errands.  There have been things to organize and sort.  There have also been “regular” things to do, as I pretend to feel like I am part of the world going on around me.

And as I sat in the chair last night trying to absorb the beauty of the brightly lit tree and the litany of memories spread out across it as the ornaments we have collected through the years, I couldn’t shake how disconnected I feel.

This year the reasons are kind of obvious.   I am starting to think its likely to get worse before it gets anywhere close to better.

Then my husband reminded me about last year.  He reminded me about Hurricane Sandy, and the fall Grandma took, and the days in ICU.  He reminded me about the car accident last November, and the months spent sorting out the paper, aggravation, and pain in my back.

It was right after Christmas last year that we had the “Santa” talk with my girl.  My one and only.

So, I guess I knew all along this would be a year I had to look a bit harder for the magic.  We looked hard in Disney in August.  And we found it.

But, by the time we put the tree up this year my father lay dying in the hospital with less than a week to live.  That day our family turkey and Felix’s special gluten free stuffing warmed the house with a soothing aroma.  I heard the Christmas tunes.  I helped with the ornaments.  And I felt like I was in a bad movie.

Meghan had suffered with migraine headaches most of October and November as my father was sick.  An MRI on November 20th confirmed the migraine headache diagnosis and the medication – once doubled – finally brought her some relief.

one day at a time

I couldn’t get the cards together this year.  I just couldn’t do it.  Maybe some time around Valentine’s Day I will feel up to a greeting.  I ordered the food for Christmas dinner  too.  Yep, its better for everyone anyway, as I am a rotten cook.  And the family is bringing dessert.  I bought gifts for the children.  Although even those were mostly purchased online.  And so many of the adults are getting gift cards to their favorite stores.

Last weekend Dad’s mom was in the hospital.  Today she is back at her home, but she is worn out.

And as I size up the dust that has gathered in every corner of my home I strive to remind myself that Baby Jesus was born in a stable, and slept in a manger.  Somehow, as long as we open our hearts to celebrate the real meaning of Christmas, the miracle of the birth of the Baby Jesus,  it will all be ok.  Somehow.

So tonight as I took Meghan to her 6 month thyroid check up; the appointment where they monitor those pesky precancerous nodules, I was reminded yet again that it is just not ours to control.  After the doctor examined her, and her neck, he asked for a tape measure.  He measured “significant” growth since June in one of the right side nodules.  “No point in wasting time with a sonogram, I need a tissue sample so we will schedule a biopsy.”

My heart skipped a beat.

“Where did you get that necklace Meghan?” asked the nurse.

“My Grandpa Tom gave it to me.  He died this month from pancreatic cancer.”

Sometimes silence really is deafening.

“It may take a few days to get it scheduled Mrs. Ortega.  You know, with the holidays…”

Yep.  I know.

wind

“Probably”

I like the word “probably” a lot more when it is favorable.  Although sometimes I feel like life is engulfed in ‘probably,’ ‘maybe,’ ‘most likely,’ or ‘I’m not sure.’

Today “probably” means it’s most likely migraines causing her agony.

migrane 2

 

And with some explanation that migraines can level even the strongest adults, she started to feel a bit better.

There was  a thorough exam, and a kind, intelligent neurologist.  He knew what Cowden’s Syndrome was, complimented my list of doctors, and even called the oncologist to talk about treatment options.

So my girl, whose pain had actually radiated down and into her shoulders was looking finally at an answer.

migrane

 

I understand her cautious suspicion, as things have often not gone according to plan.

However, this diagnosis actually makes sense.  And having lived through my share of migraines, it even explains the level of pain.

migrane 4

So he is 90% sure.

Those are good odds.

Except there needs to be an MRI just to be 100% sure.

And MRI, with gadolinium.  Again.

Three steps forward.  Two steps back.

But once the MRI is done, and clean, and we can all breathe again, then its onward.

The medicine started tonight.  It will be every night.  Relief is long overdue.

Fingers crossed.  Prayers gladly accepted.

migrane 3

 

Do penguins have knees?

I can credit someone else’s Facebook post for even allowing that random wondering to slip into my head.  But it has served as a distraction… so I am grateful.

It’s hard for me when I need to choose my words carefully.  I usually just lay it all on the line and that’s how I keep it together.  Except when your heart is heavy because of matters that just need to be private, that makes it extra hard.  So that is why I haven’t been posting much.  But without my writing the voices just stay in my head, and then…penguin knees

But my heart is full for so many reasons, and some I can share with you.  Blessed by my consenting 10 year old, as long as I don’t disclose anything embarrassing – to educate the world about “beatingcowdens.”

The headaches have been around on and off for a while.  So long that I don’t actually remember.  It sounds awful that I as a mom could say that, but it’s true.

I remember the pediatrician saying to me that I should take her to a neurologist because he kept hearing me mention headaches.  I remember being overwhelmed by too many doctors.  I remember last year blaming the prescription change on her glasses.  I remember blaming chelation.  I remember blaming allergies…

But the headache hasn’t quit.  It’s been weeks now.

It  varies with intensity.  We are trying to get her to understand and use a pain scale to get some consistency.

pain scale

But pain is such a personal thing.  It’s just not easy.  We can never exactly know the pain of another because every body perceives pain differently.

What I do know is that there has been a headache to some extent for over a month and that’s too long.

What pushed me into action was last Monday night.  Homework was finished, and I was ready to bring her to swim practice- the place she loves more than anything.  And she told me no.

She said she didn’t feel right.  She said she wasn’t strong enough.  So I let it go and kept her home.  But THAT didn’t feel right to me.

Then there was the day that she was waiting in my classroom for the school day to start and she said, “There it is mom!  Feel that pulsing?”  As she put my hand on the side of her head I got queasy.  We all have pulsing in our heads to some degree, but once you have dealt with a vascular malformation – or a few – the pulsing takes you to a new mind numbing level of anxiety.

And when the teacher gave her a shell and she held it to both ears, and said , “I can’t hear it the same in my left ear…”  And then there is the ringing that comes and goes…

So tomorrow we head back to Manhattan to visit a neurologist.  A little later than the pediatrician would have liked, but we are going.  And with every deep fiber of my soul I hope with all my heart that he tells me my girl has the worst fall allergies in the world.  And in a few weeks it will all be just perfect.

That’s the story that will get me through the night.

faith

STUPID CANCER show!

I am absolutely high on adrenaline right now…

In August the husband of a friend from High School asked me to be on “The Stupid Cancer Show.”

https://www.facebook.com/stupidcancer

stupidcancershow

I said yes, not quite sure exactly what would be involved, but knowing that it was a rare opportunity to speak to Cowden’s Syndrome awareness.

Tonight was the night.

What an amazing show.  I am so glad to be familiar with it now, and you should check it out!

Somehow the words came pouring out.  It’s amazing what speaking from the heart can do.  I can only hope that someone tonight knows what they didn’t know before.

I find there to be no coincidences in life.

After my segment in the “Survivor Spotlight,” the show focused on toxicity and cancer.  Well even though I just listened in to THAT part of the show, I was so in tune to what they were saying.

http://www.blogtalkradio.com/stupidcancershow/2013/10/22/stupid-environment

(My part of the show starts at about 11 minutes, and ends around 30 – I talk too much!  But I managed to mention my friends at Life with Cowden’s, PTEN world, and The Global Genes Project!)

Near as I can figure these days, breathing increases your cancer risk.  But, taking crappy care of your body, eating junky food, and generally being careless, puts you at a greater risk than if you are careful.

There is nothing we can do, especially those of us with genetic predispositions to cancer, to fully protect us.  But we can do what we can to help.

There is no guarantee I won’t get hit by a car, but if I stand in the middle of the street I greatly increase my chances.

People ask why we devote so much of our time, energy and budget into healthy food.

Genetics are not on our side.  But we can fill our bodies with healthy, pure, organic superfood.

These days the core of the nutrition in our home comes from Isagenix.  It does not claim to prevent, treat or cure any disease, but If you haven’t looked yet – now is a good time.

www.meghanleigh8903.isagenix.com
http://www.meghanleigh8903.isagenix.com

This company provides quality food, and they make it possible for you to afford it, because you can eat your Isagenix for free.

“You plus two, them plus two.”

you plus two

Well worth my initial investment.  Quality nutrition for my entire family.

We are certainly going to do the best we can at all times.

Our health, no guarantee.  But we are going to do the best we can to keep that “STUPID CANCER” away.

I STILL HATE CHEMISTRY!

I am dating myself I am sure, but the year I was to sit for the Chemistry Regents Exam in NYC, someone swiped the answers.  The morning of the test they were published in the NY Post.  I remember sitting in my high school cafeteria waiting to take the exam, only to find out it had been cancelled.  You know thinking back on that story, I guess I understand now why I have never won the lottery.  That was probably one of the “luckiest” thing to happen in my life.  I never did have to take that exam.

Except now, 25 years later, I sit poring over a piece of paper full of words I don’t understand.  I am brought back to the periodic table, and left to wonder if maybe I should have paid a bit more attention in class.

Toxic metals

I have actively picked apart each of these levels since being handed the report on Thursday.  I have read the descriptions of where this toxicity could have originated from.  I have made the few moves I could understand, and the old aluminum cookware hit the recycle bag, and the new stainless steel – to supplement the few pieces we did have – arrives this week.  The old cookie sheets are gone. Parchment paper replaces aluminum foil for cooking.  But what about the other ones?  What about the ones I can’t understand?  Or worse, what about the ones like “gadolinium” that I CAN understand, but I just can’t fix?????

This printout is old now.  The new urine sample was picked up Friday morning, and hopefully someone in a lab somewhere is generating lower numbers and shorter bars.  But, I won’t know that for  a few weeks.  So I am left alone with my worries, and my thoughts, and my sick kid.

invisible illness 4 dumptruck

I suspect if Meghan could tell the world how she feels, this might be the sentiment.  She is constantly conflicted with feeling like crap, and being pushed to keep on.  She not only plays in pain – she smiles and laughs through it.  And no one who sees her outside of this house would typically have any idea of the agony she endures each day.  She works hard to  hide it all.  She has told me, in her very own words, that “no one would like me if I told them how I really felt all the time.”  I would like to tell her she’s wrong, but she’s not.

happiness is

And she is the bravest kid I know.

The sore throat started Friday, hours after the chelation, and exactly the same as last time.  On Friday she pushed herself through gym class because she just wanted to be “normal.”  By Friday afternoon she was shot – too wiped out to swim.  She could barely swallow.  By Saturday morning her nuscles ached along with her throat.  No swimming Saturday either.

We barely left the house all weekend, except for a quick strep test Sunday that was negative.

The friends she wanted to invite over – postponed.

This was no coincidence.  This was twice in a row she was knocked on her *ss after chelation.  This was her immune system saying,” WHAT THE HECK WAS THAT?”  To the toxic storm unleashed by the chelating agents.  We have kept her well hydrated in hopes much could be excreted… but we will have to wait and see.

waiting (1)

Early to bed Friday, Saturday, Sunday, Monday, Tuesday, and again tonight.

SHE HATES going to bed early – but has gone willingly.

She went home from school early today.  No fever, but a clammy sweat.  She just needs rest, and water, and rest.

The headache is ruthless.  Even as some of the cold like symptoms start to subside, the headache does not want to quit.  A week now.  It leaves such a pit in my stomach I don’t want her out of my sight.  I hate headaches.  I especially hate wondering if the renegade toxins likely causing them are doing any other damage.

The doctor who last month said there was no way her symptoms were connected to the chelation recanted through an email today.  He is now keeping tabs, giving me tips to keep her comfortable, keeping my resolve strong that this is necessary, and working on downward adjusting her dose for next time.  More trips, more treatments… hopefully less misery.

I just can’t shake the image of  a snow globe, and as we try to get the metals out we stir it all up.  Some escapes, but the rest causes misery as it finds  hiding spots again.

snow globe

An in between it all life presses on.  Laundry gets done.  Bills get paid.  Lessons get planned.  Cars get exchanged.  Files are kept.  Clothes for the growing girl, are ordered.  Floors get vacuumed, and washed, and vacuumed again.  Groceries are purchased.  Lists are made, and lost and remade.  Tabs are kept on family and friends, and their health, and their struggles.

These are the every day tasks that keep me sane.  On autopilot.

Dinners are missed.  Meetings go unattended,   Places I want to go – but, I just can’t right now.

You see I am having a battle with the Periodic Table of Elements, and I need to study.  I am the front line.

So, I take my IONIX, and my t+chai, and I am thankful for energy and stamina to endure.

Maybe missing that regents wasn’t so “lucky” after all.  So as I study some these next few weeks – please know we haven’t forgotten you.  Our prayer list is long.  We don’t want you to leave us out, or not to call.  Don’t feel badly about overburdening us.  We NEED to be in your lives.  We WANT to be in your lives.

We are in touch enough to know that “Everybody has SOMETHING!”

from "Mommies of Miracles"
from “Mommies of Miracles”

 

Catch-22

catch-22 is a paradoxical situation from which an individual cannot escape because of contradictory rules.[1][2] Catch-22s often result from rules, regulations, or procedures that an individual is subject to but has no control over. 

-Wikipedia

 toxicworld

You know a person could go crazy trying to keep themselves free from toxins.  These days it seems to be an all consuming, and virtually impossible task.  Sometimes I wish I knew a lot less.  Sometimes maybe ignorance is bliss.  And cheaper.  And a LOT less stressful.

But then again, I think my girl would be a whole lot worse off.  And therein lies the “Catch-22.”

Meghan has been seen by a “biomedical specialist,” (insert voodoo, witchcraft, flawed medicine – whatever makes you happy) since she was about 2.

Back in the summer of 2005 things were definitely NOT ok here.  I knew it deep down where that Mommy gut nags at you.  We had speech therapy.  We had occupational therapy.  And we had a child who had already been hospitalized twice with chronic viral infections, was not sleeping, was not playing, was not talking, and was most of the time flat out uncomfortable.  We also had a vast array of doctors who dutifully collected my Co-Pays and did absolutely nothing but tell me they “didn’t know.”

So, I read.  I researched.  I altered her diet.  I added some key supplements.  I started to see results – but not enough.

This doctor, whose office we just left a few hours ago – over 8 years since our initial meeting- got to know Meghan.  He told us he could help.  And he has.

We have worked together through dietary interventions.  Supplements.  IV treatments.  Countless blood tests.  And, when we needed it – Xrays, and guidance towards the diagnosis of “milk of calcium” of the gall bladder at age 3.5

He has been my sounding board through lots of ups and downs.  I have never, and will never take any one person’s word on what I should do for my daughter – doctor or not – but he is one of the opinions I value highly.

He had the gumption to prescribe digestive enzymes after YEARS of horrendous stool and horrific stomach aches.  “We don’t need to biopsy the pancreas. Sometimes we just need to use our heads to see what works.”  Not too often these days will you find any medical professional with that confidence or drive to do what is right.

Through the years we have visited his office at least 3 times a year for lengthy consultations.  He has suggested countless things to help aid Meghan’s immune system, her pain, her tendency towards chronic fatigue.  I have listened to many, and ignored a few.  Conversations have evolved over the years as we have each stayed up to date on current research.

The initial diagnosis of Cowden’s Syndrome seemed to bother him a great deal.  He was bothered by the ramifications of the syndrome, but also by the fact that there was no way this was “all of it.”  Meghan “doesn’t fit in a box,” he would always tell me.  Never let them try to put her in one.

And, perhaps truer words have not been spoken.  As we have navigated the world of Cowden’s Syndrome, I have been acutely aware that there is still “something else.”  But, since we are yet to put our finger on it – we continue doing the best we can.

Cowden’s Syndrome involves screening tests.  Regularly.  For cancer, and vascular malformations that can form anywhere at any time.  X-Rays and CT scans are discouraged because of radiation exposure and a fear that cells can be “tripped.”  So MRI is the test of choice.  MRI with contrast that is.  Gadolinium to be exact.

I’ll get back to why that is important in a bit.

We have spent the last 2 years especially, (but really the last 5 or so for Meghan considering the AVM in her knee was discovered LONG before the Cowden’s Syndrome diagnosis) being scanned.  In July Meghan had an MRI ordeal that involved 4,000 images, 3 hours, 2 tubes, and 3 doses of contrast dye.

We have spent the last few years dealing with a rapidly growing child whose pains seemed to be increasing exponentially.  We have gone from treating with Advil to treating with 200 mg a day of Celebrex.

We have spent the last few years trying to help her stay calm- only to watch her anxiety mount.  In September she was diagnosed with Alopecia Areata– an autoimmune condition that causes hair loss.  Fortunately for us it seems to be contained to a small area, but it is an unnerving diagnosis still the same.

We understand the role of autoimmune disease and stress, and toxins.  We understand the role that stress can play on a genetic mutation of the PTEN (tumor suppressor) gene.  We understand that there is external and internal stress.

We do what we can to control stress on the body.  We make sure she has “down time.”  We try to help her get rest.  We got her involved in swimming, a sport she loves. We make sure she eats a largely organic diet free of the foods she can not tolerate like gluten, dairy and soy.  We eliminated almost without exception preservatives and dyes.  We bought new pots and threw out the plastic plates we used to use sometimes.

We started giving her ISAGENIX, the organic superfood that is as pure as I seem to be able to find.

And even at that – there is an awareness that we can NOT control it all.  There is an awareness that by whatever mechanism that is broken, our girl does NOT detoxify properly.  We are aware of toxins in the air, in our soil, and even in our filtered water.  We are aware that her body is confused by this world we live in, by the GMOs that are even hidden in her organic diet.

GMO safety-testing

We run, like Indiana Jones, out in front of the boulder, in constant motion.  One stride ahead…

Chelation

Chelation therapy is a proven treatment for lead poisoning and poisoning from other heavy metals.

http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/pharmacologicalandbiologicaltreatment/chelation-therapy

The term has been spoken over and over again by the “bio medical doctor.”  Chelation is the concept I found every single excuse to overlook and ignore.  The idea  shook me to my core.

The turning point – Alopecia Areata and the words I had heard him say to me for years, “She is primed to become an autoimmune train wreck.  Let’s try to clean her out.”

toxic

She went for her first treatment last month.  After the treatment there is an 8 hour urine test to measure the toxic metals excreted.

She went for her second treatment today and I got to look at the printout of last month’s urine analysis.  So, even as I held her, and she wailed in pain, and two veins rolled before they got a good one, my resolve was strong.

There are several metals that were high.  None of that made me happy.  But the most disconcerting of all…

The reference range for that MRI contrast dye Gadolinium I mentioned earlier is <0.4.  Her output was 190.  No I am not forgetting a decimal.

Gadolinium.  Necessary for the cancer and vascular screenings set to be part of her life forever.  Except apparently her body can’t seem to excrete it.

Toxic metals

Catch-22

Keep Swimming…

 

 

Stuck in the middle

The  sermon in church this morning had many parts.  And I am never sure if what I take away is the intended meaning, but the idea of being “stuck in the middle” spoke to me.

I don’t mean it in the sense you might think.

See, we are not poor by any means.

We are not rich by any conventional standards either.  But, if you asked a person who lives in poverty – well to them we would likely be affluent.

It goes back to a concept that I think about a lot.

It’s really all about perspective.

perspective 1

There are many angles to every situation.  The angle, or the lens you choose to view it from determines the outcome, and to a large extent the path you follow.

Now, as my daughter and I live with Cowden’s Syndrome, and all its ruthless cancer causing, malformation growing, pain invoking perils, I do NOT mean that if I look at things the right way, or if I am positive enough that that is any guarantee of good health.

never give up

What I do mean is that HOW we handle, not only the illnesses we encounter, but the threat of those illnesses will largely determine who we are, our level of happiness, and the effects we have on the people we encounter every day.

We have all been blessed.  We all need blessings.

The middle can be a powerful place to be.

There are choices to be made every day.  These choices change our lives, and the lives of others.

September is Childhood Cancer Awareness Month.

childhood cancer awareness

The fact that childhood cancer even exists is appalling.  Meghan and I live with the imminent threat of cancer in this house every day.  I don’t go a single day without remembering my daughter’s namesake, my cousin Meghan taken from us by Leukemia at the age of 6 over 20 years ago.  But, we could bury our heads in the sand, or we could choose to try and do something to make people realize the number of lives touched by childhood cancer.  We can quietly hope it doesn’t happen to us, or we can help the people it HAS happened to.

Friends of mine chose the latter this week.  They scheduled a “Cookies for Cancer” fund raiser, and are donating over $1000 to childhood cancer research.  I couldn’t be more proud to call them friends.  They said we were their inspiration.  I find them pretty inspiring.

October is Breast Cancer Awareness month.

october breast cancer

I know very few people unaware of Breast Cancer.  As a matter of fact some have become sick of seeing the marketing connected with “Pink Ribbons” everywhere you turn.

Breast cancer is an ugly reality.  Mom is still fiesty, many years after her battle.  Breast cancer messed with the wrong woman there.  And me, well, my scars have healed, and I have found all the benefits to these replacements I have to the “superfluous tissue” that was trying to take my life.  I cringe when I think of my daughter, and the foreboding reality that this will be part of her journey.

Choices.

I choose to empower my daughter with stories of strong powerful women.  Those she knows and those she does not.  I choose to teach her about early detection, awareness, and victory.  Together we are empowered to TALK about our story.  The more people who hear about Cowden’s Syndrome, the more people will realize.  Lives can be saved.  Breasts, well maybe those can’t be saved – but let me tell you about the freedom of being almost 40- perky, and often braless.  I’ll bring you over to the bright side.

sunshine

Choices.

Meghan’s health has been a struggle since birth.  Our treatments for her have evolved over time.  Long before we could afford it we took a credit card and a trip to an integrative medicine doctor who is still a huge part of our lives today.  We learned that for her, pure, natural, gluten, dairy, and soy free food was as necessary as sneakers and clothing that fit.

leap of faith

Slowly we evolved into a house that ate better.  We took what we had learned about Meghan’s needs and transferred them to our own.

Except habits die hard, and in the months following our Cowden’s Syndrome diagnosis, and my mastectomy, and hysterectomy, my husband ate his way through the stress to the unhealthiest I had ever seen him.

Realizing we need him- healthy — all the time.  We connected with Isagenix, initially to help him lose weight.

www.meghanleigh8903.isagenix.com
http://www.meghanleigh8903.isagenix.com

Well he did.  Fifty pounds.  And its still gone.  And then I read and read about the company and things came together for me.  I realized everything I had learned that Meghan needed was here, all in this organic superfood.  So we bought her some too.  And then there was stamina and endurance to complete workouts in the pool.  So my husband told me it was my turn.  Nutrition, simple, quality.

Choices.

The first 10 months on Isagenix we told no one.  Then we felt guilty NOT telling everyone, about the health we were experiencing,  The first year we paid for the products, and sacrificed where we could.  Now, Isagnix pays us because we share what we have learned and experienced.

This week Meghan’s pain was bad.  So much so that she was finding it difficult to walk on Friday.  We are trying desperately to lower her NSAID medication, but her body won’t allow it.

Friday I was discouraged – and inspired.  Stuck in the middle I guess.  I was so heartbroken for her agony, and so proud of the tenacity to get into the day, and DO IT.

Choices.

They are tough to make.

We are faced with countless ones each day.

The choices we make are directly connected to the quality of the life we live.  Our desire to do the best we can with what we have, where we are – essentially defines WHO we are.

Maybe we aren’t “Stuck” in the middle, but rather placed there gently through grace.

Choices.

Perspective.

You-Are-What-You-Think1

Worn

“Worn”

I’m tired
I’m worn
My heart is heavy
From the work it takes
To keep on breathing
I’ve made mistakes
I’ve let my hope fail
My soul feels crushed
By the weight of this world
And I know that You can give me rest
So I cry out with all that I have left
Let me see redemption win
Let me know the struggle ends
That You can mend a heart
That’s frail and torn
I wanna know a song can rise
From the ashes of a broken life
And all that’s dead inside can be reborn
Cause I’m wornI know I need to lift my eyes up
But I’m too weak
Life just won’t let up
And I know that You can give me rest
So I cry out with all that I have leftLet me see redemption win
Let me know the struggle ends
That You can mend a heart
That’s frail and torn
I wanna know a song can rise
From the ashes of a broken life
And all that’s dead inside can be reborn
Cause I’m worn….

This has been the summer that… well…

It has definitely been a few extra stressful weeks, and not at all the relaxation we had so desperately hoped for and needed in June.

But, like it or not time marches on, and here we are in the middle of Labor Day weekend.

When we started the summer my daughter had 2 basic requests.

1. Go to the beach.

2. Go to Philadelphia.

Not so hard right?

And then we looked at the calendar about to change to September and realized between appointments, procedures, tests and surgery – we never got either one done.

Stress is very individual in how it affects each of us.  We all have stress.  We all deal with it differently.  But I think that the reality that stress can, and does manifest in real physical illness is often lost on us.  Especially lost is the harsh reality that stress can make our CHILDREN sick – until it smacks you in the face.

Stress1

It became clear this week that the stress is weighing heavily on Meghan.  She is one tough chick, but there is only so much the mind and body of a really cute, smart, well behaved 10-year-old should have to endure.  It is now the top priority of her father and I to actively work on lowering her stress level.

We started today.

Months ago we purchased tickets to see the Contemporary Christian band, “Tenth Avenue North” in concert in Ocean Grove New Jersey on August 31st.  We decided to make a day out of it – or a half day at least!

We let Meghan sleep as late as her body needed.  (Falling asleep has become terribly hard again.)  Then she got to watch some TV.  I ran a few errands, and around 3 with a cooler full of cold cuts for “dinner” we set out to surprise her with a trip to the beach.

We never told Meghan our plan, although it was obvious she was secretly hoping for the beach.  We just know too many factors can get in the way on a moment’s notice.  So, it wasn’t until we were looking for parking that we even told her.

By then it was 4:15.  The perfect time to take a kid who is not really sure she likes the beach, to the beach.

Crowds were waning, and as we set up our blanket she had some time to adjust to the seagulls, and the sand between her toes.

Forever my texture phobic kid, truth be told the sand in the toes was the reason I stopped really bringing her to the beach years ago.  But today there was a mission to put her toes in the water and collect shells with Mom and Dad.

beach day 3

She walked with Mom.  Then she walked with Dad.  And for a few glorious minutes I laid my head on the towel and remembered my childhood days in Ocean City,NJ.  I listened to the waves, felt the sand between my toes, and felt such PEACE!

Don't hate my polka dots - my husband did them for me! :-)
Don’t hate my polka dots – my husband did them for me! 🙂

We have a small bag with some beautiful shells.

We even played some with her Nerf frisbee.  There was laughing, and smiling, and a good deal of stating and restating that the sand on her toes does NOT feel nice.

With some gentle prodding she came around, but was perfectly happy with 2 cool hours on the beach.  So glad I didn’t get a full day plan in place!

beach day 4

What we did NOT do was have a picnic lunch on the beach as planned.  Instead, we ate in the car.  Sea gulls, being nothing more than glorified pigeons would have undoubtedly created significant reflux for my girl.  So, we had Board Head chicken breast in the car, with potato chips, and had a great conversation – minus the sea gulls.

We walked the streets of Ocean Grove for a bit, and I saw the sign:

troubles and blessings

And somehow I knew we had done things right – today.

We headed over to the Great Auditorium for the concert.  We happily bought our girl her first concert T-shirt, and her “Tenth Avenue North” Bracelet.  In-scripted inside the bracelet are words from the cover song off their newest CD, “The Struggle.”  It reads, “We are free to struggle, but we’re not struggling to be free.”  She is sleeping with it on right now.

beach day 6

The show was amazing.  Meghan was enthralled.  They are quite the performers.

Meghan and I often sing along to their songs on the radio.  Our favorites are “Worn,” and “Healing Begins”

“Healing Begins”


So you thought you had to keep this up
All the work that you do
So we think that you’re good
And you can’t believe it’s not enough
All the walls you built up
Are just glass on the outside

So let ’em fall down
There’s freedom waiting in the sound
When you let your walls fall to the ground
We’re here now

This is where the healing begins, oh
This is where the healing starts
When you come to where you’re broken within
The light meets the dark
The light meets the dark…

The lead singer also spent some time talking to the audience about God’s plans.  He told the story of a car accident his Senior year of High School where everyone thought he would die, and no one thought he would recover fully.

That 32-year-old man with a wife and 2 daughters spoke definitively tonight about believing God will use the adversity to grow greater things.  He told us he touched a guitar for the first time at 18 while he was waiting to heal from his accident.  Clearly, God had a plan.

I was touched by the story, but more moved by Meghan’s reaction.  She HUNG on his every word. She was thinking – deeply.

Then she asked if I had any of the “Cowden’s cards.”  And, God bless this girl she walked right up to the stage and handed them to one of the back up band members… alone.

“I just thought they should have them Mom, in case they want to read…”

This card was created out of her need to "teach" others about Cowden's Syndrome.
This card was created out of her need to “teach” others about Cowden’s Syndrome.

You know the irony with this darned Cowden’s syndrome is that what you NEED is to be away from doctors, because they cause STRESS which prompts other conditions that cause you to NEED doctors.

So, a few days after the hand became free, we are on the hunt for the solution to more developing problems.

Stress.  We do what we can to deal.

We use music.  We enjoy time together.

We try harder to get it right.  We hug each other.  We hold each other.

I still haven’t given up on a road trip to Philly.  (If only I can get my navigation system to work…)