Anxiety- an after effect, or a symptom?

An interesting “conversation” in one of my online groups this week, regarding increased levels of anxiety and depression conected to PTEN mutations.

This is really how I view the race against Cowden's Syndrome
This is really how I view the race against Cowden’s Syndrome

One of those conversations that make you wonder if it is better to be validated or to fight the idea that this perpetual anxious feeling is actually hardwired into your genes.

I looked up the articles too.  I love to read for myself.  The experiments are done on mice.  I suppose there aren’t enough of us to get a controlled group for a good study, (although there is a drug called rapamycin being studied on humans – but that’s for a different day.)  But, among other symptoms the mice in their mazes did show marked increase in anxiety.  Although.  I have to imagine if I was a mouse in a maze I might get nervous too…

???????????????

Now I have a lot of throughts on this.

I have always been a worrier – highly anxious about most things.  Anyone who knows me knows that to be true.

But, conversely – throughout large portions of my life there has definitely been something to worry about.

CartoonV9991 ChickenOrEgg copy

So, as the chicken/egg thing goes -do I worry because anxiety is a part of Cowden’s syndrome, and even before my diagnosis I have had Cowden’s?  Or do I have acute bouts of anxiety because having Cowden’s gives me so much to be anxious about?

The best answer probably is – both.

I am a rational person by all rights.  Even in the middle of my worst anxiety I can stop and think and KNOW that my fears are irrational.  I can have the absolute belief that God will continue to care for the situation, and for my loved ones, yet still it is often like a crushing weight on my chest, making it hard t0 think, breathe or move.

worry

What I have on my side is that I was raised to keep on keeping on.  Thanks Mom, and Grandma and Pop especially… when the going got tough, we were taught to keep going.  So while I comfort myself with verses about tomorrow having enough worries of its own, and while I am faced with horrendous tragedies of things that cannot be controlled, I am able to press on.

So I can function, and the anxiety does not cripple me.  And, I know the “nature vs. nurture” reasons to explan it. 

But I do know that my daughter suffers too.  Not just with a PTEN mutation, and Cowden’s Syndrome, but also with anxiety.  She is a worrier, “just like her mother” they say.  Yep.  Maybe she is like me because of genetics, or my example.  I can’t really know for sure.

So what to do?

For me, the first step is just acceptance. 

I am a worrier. 

Regardless of the cause, and allthe logical justifications I can give myself – I will remain a worrier.

Then, find an outlet.  I am still working on this one.  I am thinking I like to write – so maybe that will help some.  I would like to get a few minutes to myself now and again.  I used to love to walk.  Maybe one day there will be time for some nice long walks.

I meditate a bit on the bright side.  Be grateful for the “good” that comes with a chronic illness like Cowden’s Syndrome.  I am not referring to the pain, and the surgeries, and the cancers looming, but rather to the “warning” system built in.  Parents would do anything to protect thier children.  How blessed am I that even among the strain of ceaseless appointments and hours waiting at offices and for results, we have a warning system.  I am confident that if we are vigilant, the Cowden’s won’t “get us.”

warning

Stay organized.  Don’t let the bills, the list of phone calls, the shredding, or the sorting to pile up.  It will just keep coming.

Stay ahead of the school projects.  You never can tell where tomorrow is going to land us.

Laugh.  Often.  It is deeply good not only for the anxiety, but also for the soul.

lsughing dog

Recognize you have lots to smile about.

Acknowledge the pain of others and “Pay it Forward” when you can.  I find that  NOT dwelling on our lives here, helps make me less anxious.

Did the Cowden’s cause the anxiety?  Is it hard wired into who I am as a person?  Is Meghan destined to be forever wondering and worrying?  Or, did a life of doctor’s appointments, pain, chronic disease, and general worry, create the anxiety? 

It really doen’t matter because it is here.  It is part of me, and to la large extent – us.  I doubt it is going anywhere.  I think its just my job to control the beast the best way I can, one day at a time.

It was NOT the Cowden’s… this time!

Insert HUGE sigh of relief here.

happy girl

We saw the retina specialist.  He was a young guy.  He took a medical history.  He had never heard of Cowden’s Syndrome so he took 15 minutes to read and familiarize himself with it so we could have an intelligent conversation BEFORE the exam. (This is where all my fellow Cowden’s sufferers stop in amazement… yes – imagine that!)

He understood my concerns, especially the vascular ones since the eye doctor saw “something” on the picture of the eye.

Even with her having said, “It’s Probably Nothing, but…,” he still took almost 1 hour start to finish on the exam.

He looked in her eye.  He photographed the eye.  He tested her eye pressure, and her vision with and without glasses.  He systematically eliminated cause for concern, until he was able to say – yes, her vision declined – but I don’t see any ominous reason why that happened.

There is NO evidence of vascular lesion.  There is NOTHING to indicate that Cowden’s Syndrome played any part in this one.  Instead, it’s a bit of “cat and mouse.”  This time we are chasing a different set of genetics.

tom_jerry

Unfortunately for Meghan, her father’s family doesn’t carry good eyesight.  Seems she got the PTEN mutation from me, and the rotten eyesight from them.  Share, Share..,  I am not happy about the poor eyesight, but it is a lot more straightforward and less messy than anything Cowden’s related.

Genetics.

Rare diseases.

Over suffered, and under researched.  All of them.

genetics$

Spoke to a Mom, a volunteer at the Global Genes Project.

She was lovely.

She also has twin 9-year-old girls with a rare disease, whose chances of long-term survival are bleak.

The kind of conversation you end wow-ing the other person’s strength, and being thankful for drawing the rare disease card you did.

And this week I am being reminded that your kid doesn’t need a rare disease to end up in dire straights.  Young children are snatched from their parents far too soon.  In ways that just don’t make sense.

So we pray.  A lot.

Can't stop thinking cartoon

We can’t fix everything.  As a matter of fact we can’t fix most things.  So we hope.  And we help.  The best way we can.

We will make lots more ribbons.  People need to know about these disorders.  All of them.  And once they know, they will help.

Rare_Disease_Day_Logo_2011-1024x968 2

We contacted the paper in hoped they will run a story.  Every day feels like a story unto itself.

This time it wasn’t the Cowden’s.  Thank God.

But there will be a next time.  The worry will never cease.

Hold your children tightly.  To a large extent we are lucky.  We seem to know the beast we are fighting.

Tell them you love them.  All the time.

We are going to Disney again.  Money well spent.

Don’t look too closely at the backyard, and the deck.  Just come spend some time with us.  It passes too fast.

And WAY too much of it is spent at doctors, without much reprieve.

tooth

Tomorrow we head back to the dentist about those gums…

Rare Disease Day

So tonight, as I turned the calendar to February, Meghan actually whooped with excitement.

When I asked her why, she told me that she was going to “Celebrate Rare Disease Day” this month.

I smiled in spite of myself.  This kid can get excited about anything, and to imagine that 2 years ago we never even knew there was a “Rare Disease Day.”

Rare disease logo 2013

This year she intends to celebrate with her usual charm and zest.

Our kitchen table is a ribbon making center.  We are gluing denim ribbons at an alarming rate.  She created a half sheet to attach to each ribbon, describing our connection.

Rare_Disease_Day_Ribbon hand made

Then, she bravely approached her school principal to get permission to distribute 950 ribbons to the staff and students at her school.  She will ask them all to wear jeans on February 28th.  And that day, she will not feel alone.

She is getting to know some of the other rare diseases, listed here.

http://www.rarediseases.org/rare-disease-information/rare-diseases

She knows ours is pretty rare, but the list is alarming.  Almost 7,000 diseases fit the criteria for “Rare Disease.”

http://curiosity.discovery.com/question/criteria-to-determine-rare-disease

So tonight, after we left the dentist, with the encouraging news that she doesn’t think we need an oral surgeon.  We were in a pretty good mood.  Meghan and I looked in the mirror at the “cobblestone gums” (a hallmark of our Cowden’s Syndrome) that we share.  Mouth issues are just another battle to be fought in the war.

rare-disease-day-feature

Rare Disease Day gives her a focus.

The pain has been horrendous this week.  The legs, the knee, the groin, the arms.  Probably the weather – everyone says.  Little solace to my 9 year old.  The Celebrex seems to be quitting.  Supplemented each morning by a dose of tylenol, she gets through the day.

But she lights up again when the talk returns to “Rare Disease Day.”  She has hopes that maybe her young friend in Australia, or in Ohio – both with Cowden’s, might be able to Skype into her school.

She and I have matching shirts from with the Global Genes logo.

hope t shirt

She wants to give these ribbons to anyone who will take them.  She wants the world to know, and to understand.  Even if it is only for a day.

She wants her pain, her doctor’s appointments, her worry, her biopsies, her surgeries… to matter.

She knows they do.  To the people who love her.  She knows there is a virtual army following her in prayer every step of the way.  She knows they are praying for the “retinologist”  visit, and for her eyesight, as well as for her health.

She knows that some of them she knows, and some she will never meet.  She appreciates every single one.

And this is the month.  She will have “her” day.  She will include everyone.  She will not feel like 1 in 200,000.  She will not be lonely.

Rare_Disease_Day_Logo_2011-1024x968 2

She hurt tonight.  We rubbed her legs, and kissed her before bed.  We have no idea if it will ever be alright   So we don’t lie anymore.  We do what we can, when we can.

I will contact the local papers, and see if I can get someone to pick up a story on a little girl who wants to change the world.

I will eagerly await a phone call from the Global Genes Project.

You will hear a lot about this during the month.  Bear with us.  We are not passive people.  We work through doing!

Two of a kind
Two of a kind

“It’s probably nothing, but…”

don't worry

We are two for two this week.

Monday the orthodontist referred us back to the dentist.  The OVERGROWTH on Meghan’s gum may warrant an evaluation, and possible oral surgery.  But first – to the dentist Thursday.

Tonight, an annual eye doctor exam.  Admittedly we are 3 months late.  There was the hurricane, and then Grandma fell, and then the car accident, and then… it was January 29th.

I knew her eyes were worse.  She told me she couldn’t see the charts in the room.  Her teachers asked when she would have another eye evaluation.

She had gone since kindergarten without a new prescription.

The onset of headaches, correlated with the decline in vision over the last three months makes me uptight.

eye chart

She read 20/50 and 20/70 WITH her glasses on.  I almost threw up.

Cowden’s syndrome and its tumor growth, and general overgrowth potential. can lead to the wildest imagination.

But, my husband’s sisters, Meghan’s paternal aunts, have terrible eyes.  So maybe…

Then they took the picture of her eyes, and compared them to the visit of October 2011.

“Well, maybe my machine is just darker today,” says the doctor.  “But there is some shading on the right eye I think you should have looked at.  It’s probably nothing, but…”

Famous words.  They usually lead to a Cowden’s Syndrome mess.

Not much literature on the retina and Cowden’s, but then again, there aren’t too many of us – relatively speaking.

Who am I to guess.  I am closing in on 40 and just now considering my first pair of reading glasses – right on time.

I keep saying that I will call at work. Then I spend the day doing my best to put out out small fires.

explosion

And all of a sudden its time to go.  Off to another appointment.

Tomorrow I will call the “retinologist.”  Who knew?  Thursday we will see the dentist.

Two glasses of wine tonight, and I feel like I have been beat.  What a day.  Early to bed – no doubt.

“It’s probably nothing, but….”

Just in case I should rest up.

IMG_0423

Don’t talk about my boobs unless you’ve walked in my shoes

“Breast cancer becomes very emotional for people, and they view a breast differently than an arm or a required body part that you use every day,” said Sarah T. Hawley, an associate professor of internal medicine at the University of Michigan. “Women feel like it’s a body part over which they totally have a choice, and they say, ‘I want to put this behind me — I don’t want to worry about it anymore.’ ”

http://well.blogs.nytimes.com/2013/01/21/facing-cancer-a-stark-choice/

The quote above is the last paragraph from a New York Times article published January 21st.  I first read about it here in this blog

Preventative mastectomies under fire

And I must agree with “The Pink Underbelly” as my blood is boiling a bit.

I underwent a prophylactic bilateral mastectomy on March 5, 2012.  I had been diagnosed with Cowden’s Syndrome, alongside my 8 year old daughter, just months before.  I was presented, in January of 2012 with an article putting my lifetime breast cancer risk somewhere around 85%.  Cowden’s Syndrome, as you all know – but I doubt the author of this article knew, is a rare genetic disorder with a 1 in 200,000 occurrence.  It is a mutation on the PTEN (Tumor Suppressor) gene and causes benign and malignant tumors all over the body – with the hot spots being the breasts, uterus, and thyroid.

I made an informed decision to undergo that mastectomy.  It was not a decision reached lightly.  My mom is a BILATERAL breast cancer survivor, and even though she does not carry my genetic mutation, I will always believe that her decision for a complete mastectomy is the reason she is with us today – the reason she ever got to meet her grandchildren.

That doesn’t even get me started on the fact that my “prophylactic” mastectomy revealed DCIS – stage 1, a centimeter of cancer in the left breast.  Yes, it was contained.  No, it hadn’t spread.  Yes, I was fortunate, and NO, it WAS NOT the breast that had seen 7 biopsies in the 12 years prior.  This one had never been touched. And, the MRI weeks earlier did not pick up the DCIS.  So, my informed decision.  My smart surgeon.  My gifted plastic surgeon. My husband’s support.  The support of my boss.  The sick days donated from a friend.  My raw nerve.  My desire to be there for my little girl for years and years to come.  The Grace of God.  All these things saved my life.

So, I get a little twisted when people infer, and imply that these are decisions made lightly.  That women are just randomly having their breasts cut off.  This was not a trip to Hawaii.  This was not a walk in the park.  This was major league, life altering, body changing surgery.  There is not a woman I know, who makes this decision without intense scrutiny and research.  And, thanks to this blog, and my online support group. I have “met” many of them.

This article says

“We are confronting almost an epidemic of prophylactic mastectomy,” said Dr. Isabelle Bedrosian, a surgical oncologist at M. D. Anderson Cancer Center in Houston. “I think the medical community has taken notice. We don’t have data that say oncologically this is a necessity, so why are women making this choice?”

EPIDEMIC- affecting or tending to affect a disproportionately large number of individuals within a population, community, or region at the same time <typhoid was epidemic>

Really?

and WHY?

Why not ask us?

Why not ask those of us that have lost mothers and grandmothers and sisters to genetic mutations?

Why not ask those of us who have had countless mamorgrams, MRIs and biopsies, with “suspicious” pathology?

Why not ask us, who have done the research, or read the research on diseases you haven’t even heard of?

Why not ask those of us who, facing our imminent cancer risks, have made a choice to LIVE?

So the article says:

“You’re not going to find other organs that people cut out of their bodies because they’re worried about disease,” said the medical historian Dr. Barron H. Lerner, author of “The Breast Cancer Wars” (2001). “Because breast cancer is a disease that is so emotionally charged and gets so much attention, I think at times women feel almost obligated to be as proactive as possible — that’s the culture of breast cancer.”

Damned right Barron.  Proactive.  We have kids to raise. Spouses to celebrate life with.  Memories to make.  Tears to dry.  Hands to hold.  Lives to live.

Emotionally charged?  You bet.

Come by.

We’ll have some coffee.

Then I will tell you about my prophylactic hysterectomy.  Reccomended by a top surgeon at NYU.  Ten weeks after my mastectomy.  Not an easy choice.  Certainly not one made on emotion.

Logic.  Try logic.  And gratitude that the tools exist, and the surgeons exist that are willing to save our lives.

Don’t talk about my boobs until you have walked in my shoes!

“I hope you never lose your sense of wonder…”

Meghan left tonight for the Father Daughter Dance with her Dad.  I am always so grateful for him, but especially on nights like tonight when he can show her the time of her life.  She needs that time – to be happy and carefree.  She needs time to just be a kid.

Father Daughter Dance November 2009
Father Daughter Dance November 2009

I looked back on some old photos from dances in years past.  I know it sounds cliche, but I can not believe where the time has gone.  It stung especially I think this weekend, as my girl lost her last baby tooth, and came to the realization that Santa, and the tooth fairy, and all that magical mystery of childhood isn’t “real” in the way she had thought.

Father Daughter Dance November 2010
Father Daughter Dance November 2010

I think she took it better than me.

I cried a lot this weekend.

I think I am angry too if I am honest.  I think I am not just sad, but angry.

And that’s ok.  I have to let myself feel even the ugly emotions when they are in there.

I am angry about Cowden’s Syndrome.   I am angry about the cloud it carries, even on the sunny days.  We always seem to need to pack an umbrella in some game of anticipation – not designed to be won, just played.  Forever.

I have said before, and I will say again – if it was just me…

Father Daughter Dance November 201
Father Daughter Dance November 2011

But it’s not.  It’s her too.  That is reality, and it really does torture me sometimes.

All parents feel pangs of sadness as their children grow.  And, Meghan being my one and only, I am sure the pangs sting extra hard.  But, there is more than that.  We deal with something most parents don’t.

As her age increases the looming cancer threats that Cowden’s carries with it increase as well.  At her age, the biggest threat is thyroid cancer, and we are battling the beast head on.  We have dealt with, and continue to fight with the AVM in her knee, and we have gotten past the lipoma in her back.  All  thanks to Cowden’s Syndrome.

But, as she grows and matures, so does her body, and with it her wisdom.

She looks quizzically at my silicone breasts and her own developing ones.  She wonders.  Sometimes to herself.  Sometimes aloud.  When will it be my turn?

She asks if she will be able to have children, or if she will need to have her uterus out first.  She asks that if she does have children… do they have to have a PTEN mutation?  Do they have to have Cowden’s Syndrome?

Too many questions to flood the mind of my 4 foot 11 9 year old.  Too many questions for the string bean with the developing body.  Too many worries for my baby girl.

I am angry.  But thankfully she is not.  She takes each day as it comes.  She accepts the eventuality that one day the biopsy will not be negative.

Father Daughter Dance January 2013
Father Daughter Dance January 2013

I sheltered her for a long time, but they made me lay it on the line this year.  So we had the “cancer” talk in the waiting room of Memorial Sloan Kettering last month.  I told her there was no guarantee she would get cancer.  So she spun the question and asked me how many people with Cowden’s I interact with have NOT had cancer.  The number is small.

So we talked about the benefit we have that others don’t.  We talked about how constant screening means we will beat whatever beast tried to get at us.  We will be vigilant.

dance in the rain

We will win.

I get angry sometimes.  She just finds other ways to make me smile.  She keeps my heart soft.  She is my rock.  Wise beyond her years, and still a kid at heart.

I hope you and Daddy dance your hearts out tonight!

Are you Santa?

I can not take credit for the content of this letter.  I found it on the internet, but it met my needs, as the questions started coming fast and furious.  How can Santa…?  How big is the tooth fairy…?  All ways for her to let me know she “knew” and was ready for me to tell her.  I on the other hand was not ready at all.

January, 2013

Dear Meghan,

You asked a very good question: “Are you and Dad Santa?”

I know you’ve wanted the answer to this question for a long time, and I’ve had to give it careful thought to know just what to say.

The answer is no. We are not Santa. There is no one Santa.

I am the person who fills your stockings with presents, though. I also choose and wrap the presents under the tree, the same way my mom did for me, and the same way her mom did for her. (And yes, Daddy helps, too.)

I imagine you will someday do this for your children, and I know you will love seeing them run down the stairs on Christmas morning. You will love seeing them sit under the tree, their small faces lit with Christmas lights.

This won’t make you Santa, though.

Santa is bigger than any person, and his work has gone on longer than any of us have lived. What he does is simple, but it is powerful. He teaches children how to have belief in something they can’t see or touch.

It’s a big job, and it’s an important one. Throughout your life, you will need this capacity to believe: in yourself, in your friends, in your talents and in your family. You’ll also need to believe in things you can’t measure or even hold in your hand. Here, I am talking about love, that great power that will light your life from the inside out, even during its darkest, coldest moments.

Santa is a teacher, and I have been his student, and now you know the secret of how he gets down all those chimneys on Christmas Eve: he has help from all the people whose hearts he’s filled with joy.

With full hearts, people like Daddy and me take our turns helping Santa do a job that would otherwise be impossible.

So, no. I am not Santa. Santa is love and magic and hope and happiness. I’m on his team, and now you are, too.

I love you and I always will.

Mommy

I cried for at least an hour.  She handled it with her normal grace and poise.

I hope she never loses her sense of wonder.  Sometimes I wonder how broad the shoulders of a 9 year old should have to be.  I know they all have to find out some time, but life is tough enough, escpecially when chronic illness fills your days.  They should stay young as long as possible.

 She already has plans to fill my stocking next year.  She said I shouldn’t have to do my own – lol.  ❤

And… Just in case I was worried – she said, “Don’t worry Mom, Disney is still the happiest place on earth!”

My Little Ambassador

Meghan is really into raising awareness of Cowden’s Syndrome and other Rare and Genetic Diseases.  She is extremely excited about “World Rare Disease Day” on February 28th.

We are in the process of making MANY denim ribbons that look like this.  She plans to ask her principal tomorrow if she can give one to every staff member and student in the school.  She wants to do this purely to raise awareness.  Her ideas for fundraisers are developing separately.

denim ribbonShe has also researched statistics on Rare Diseases, and came up with this sheet to attach to the ribbons.

February 28th is World Rare Disease Day

 

My name is Meghan… and I have a Rare Disease called Cowden’s Syndrome.  It is a genetic disease that affects only about 1 in 200,000 people.  (That is only about 1,500 in the whole USA!)  One of my genes called PTEN is broken.  It causes tumors and vascular growths in my body.  I have lots of surgeries.  My Mom has Cowden’s too.  We are luckier than a lot of other people with rare diseases.

I learned some information about other rare and genetic diseases;

1. There are about 7,000 types of rare diseases.

2. Some of the rare diseases affect less than 100 people.

3. 50% of all rare diseases affect children, and are responsible for 35% of the deaths in the first year of life.

4. 1 in 10 Americans are living with a rare disease.

5 About 350 million people in the world are affected by rare diseases.

6. If all the people with rare diseases lived in one country, it would have the 3rd biggest population in the world.

7. 80% of rare diseases are genetic.  They can present at any time in a person’s life.  My mom was much older than me when she was diagnosed.  I was diagnosed first!

8. There are no cures for any rare disease, and only 5% of them have any treatment.

9. Over 50% of all rare diseases have no foundations, support groups, or anyone looking for a cure.

10. Cowden’s Syndrome isn’t fun, but when it comes to rare diseases, we are some of the lucky ones.

We support, and get our information from www.globalgenes.org. Their slogan is “Hope it’s in our Genes.”

That “play on words” is why we wear denim, and denim ribbons today.

lori and meghan

In addition, because maybe there was a chance I couldn’t get any more proud, she received a book assignment from school.  She had to write a story where the main characters were two dogs named “Casey and Bella.”  She decided to write about what meant something to her.

Cover
Cover
Back cover
Back cover

I have no idea who will win, but you know who gets my vote.

Everywhere she goes, she seems to take an opportunity to tell someone about Cowden’s Syndrome.  She says people need to know.  She uses our necklaces to start all sorts of conversations.

Two of a kind
Two of a kind

She dreams that one day they will be as common as the “pink ribbon,” or the “puzzle piece.”

I think she is just the girl to make it happen.

Someone in one of my online groups asked if we knew anyone famous with Cowden’s Syndrome.

Does… I know someone trying to make Cowden’s Syndrome famous count?

I love my little girl!

Power Surges

525,600 minutes….

The song is stuck in my head.

Dates, numbers, zip codes, birthdates, anniversaries.  I think in numbers.  I think that’s why teaching math makes so much sense to me.

I used to balance my checkbook right down to the penny.  Now I use “estimation.”  Sometimes numbers are important, and other times not so much.

Tomorrow is the 16th.  January 16th is the birthday of an old friend, but that wasn’t why the 16 was sticking in my head tonight.  Tomorrow it will be 8 months since my hysterectomy.  Not 6 months, not a year.  Eight months is an odd “anniversary” to remember.

happy hysterecomy

I don’t try to understand why I remember certain things.  I just do.

Although if I have to guess, tonight the hysterectomy is on my mind because I am feeling my age.   (Or perhaps a bit older than my age.)

You see when you have a complete hysterectomy in your late (very late) 30s, Mother Nature has a grand old time, messing with your body and your head.  As the months go by your body finds ways to behave that aren’t quite “right.”

Yippee- you no longer suffer through monthly visits to the local drug store to relieve your misery.  (She was never my “friend” anyway.)  But that may be where the cheering ends.

hysterectomy

Tonight I was sure the thermostats – yes both of them – were broken.  I fiddled with them to get the chill out of the air when I got home from work.  No sooner did I finish the first of the homework with Meghan, and I was removing layers.  I checked the temperature again.  It couldn’t be only 70 degrees.  In my world we were in balmy Orlando in August.

Properly changed into a T shirt, I asked Meghan why she wasn’t sweating in her long sleeve shirt.

“Mom, it’s January.  Are you OK?”

hot flashes2

Yep.  Fine.  Guess the thermostats are fine too.  It’s mine that is a little broken.

Mine is running hot and dry like the Sahara.  Lots of water.  No wine tonight.

The hysterectomy was a good idea.  A necessary step in the “beating Cowden’s” process.  I get it.  I am not sorry I did it.  But really some days I have to say this estrogen withdrawl thing is not for the faint of heart.

I popped one of the migrane pills.  An added joy since the surgery – hormonal migranes.  And the cool thing is (in my most sarcastic typing) that there seems to be NO rhyme or reason to their timing.

4 migranes my entire life before May.   At least 8 since May.

With all the changes my body has been through this year, its a wonder we are still on speaking terms.  I guess when I really think about it – it’s probably Ok that I am running at different speed these days.  Bursts of energy, coupled with bone crushing fatigue…

525,600 minutes… Cowden’s Syndrome has kept us busy. I can only imagine what 2013 has in store.

Now if you’ll excuse me…. I have to go stick my head in the freezer…

power surges

“The Six Month Leash”

The new normal… that is normal AFTER the Cowden’s Syndrome diagnosis, revolves around living life 6 months at a time.

6_months

On Wednesday  I got word that I can keep my spleen for at least 6 more months.

On Friday, we got the anxiously awaited news that Meghan‘s thyroid biopsy was benign.  We return for another scan in 6 months.

There is 6 months in between visits to the vascular surgeon.  6 months in between the endocrine surgeon, the dermatologist, the rheumatologist, and the general surgeon too.   There are more, so many more, but you get the idea.

See you in 6 months.  So we can do it all again.

I am trying to slow down.  Instead of waiting for the next appointment, I am trying to enjoy today.  I am trying to silence the giant stopwatch in the back of my head, ticking time away until the next appointment.

stpwatch

Truth is if I don’t pull the battery out of that thing, I may lose my mind!

It’s not all neat and clean, this whole Cowden’s mess.  Although when I stop to think about it, it is readily apparent that life is far from neat and clean.

Reality is that life is complicated.

Life carries with it no guarantees.

Life is what you make of it.

The struggle for everyone is different.  Mine is a struggle with my mind.

Beating Cowden’s is not like training for a sprint.  Nope.  We are training for a hilly marathon in the snow.  We have to build the endurance – and find a way to enjoy the training.  Even the really painful ones.

See, if it was just me suffering – it would be easier.  But it’s not.  And truth be told, having my kid ask me every night last week if I found out yet “Do I have cancer, Mom?”  Well, that was downright exhausting,  I am NOT looking forward to doing it again, in 6 months, or ever.  But, reality tells me there will be more biopsies on the horizon.

So we spent the weekend visiting with some family, dusting off a few things that hadn’t been tended to, finally opening some Emails, and important documents about the new car (a few weeks late) and just trying to readjust… to down shift from acute worry into chronic worry.

positive attitude

Well, that isn’t actually the goal.  The goal is for me to shelf the worry altogether… but baby steps please.

Ironic that I am currently the thinnest I have ever been, and in the worst shape of my life – simultaneously.   I fell on Saturday.  Over the dog.  She was on the sheets on the basement floor that were waiting to be washed.  I ended up on the floor, my knee and wrist banged up, and my back in spasms reminiscent of the car accident.

My calendar tells me we have about 5 weeks until the next major doctor cycle.  Good thing.  I need a chiropractor to help me move. and I need a few days without other appointments in order to get there.

The 6 month thing… well that’s not just twice a year.  That would be neat and clean.  No, the 6 month thing seems to just be ongoing.  We try to make the breaks as long as possible.  You know, so in between we can deal with the new adventures life tosses our way.

changes - adapt

I am going to focus, and keep trying to get this one day at a time thing down.  I am going to stop and look around more.  I am going to try to enjoy the ride.  It won’t be easy.  But I am on it.  I promise.

I need a new pair of sneakers for this marathon training.

Who knows, I might just get back in shape yet!

you were given this life