Fighting My Way Out of the Cage

A few days ago I wrote about my dog Lucky – biting through the cage.  Well she got her wish, and she is a free dog now.  Free to roam around my house, lay where she wants, and drink when she wants.  She is much calmer and happier now.  It doesn’t take much to make her happy.

Why then can I not take her lead?  Why am I living in the cage of my own thoughts? 

My husband, he has the right idea.  He worries only when it is absolutely necessary.  I worry about making sure the stove is turned off.  He worries when the house catches fire.  Maybe it’s a male/ female thing.  Maybe it’s my controlling OCD.  Who knows?  What I do know is he is MUCH healthier than I am mentally.

I am still quite sane, but admittedly neurotic.  Some say it was inevitable after the year we have had.  I think it stretched back much farther.  I could say parenting a not so healthy child has done it, but if I am honest, I think I have always been this way.

I just read a Facebook friend’s post.  She talked about her brain continuing 24/7 even when she asks it not to.  That’s EXACTLY how I feel.

I am sure the Cowden’s Syndrome, the mastectomy, the breast cancer, the hysterectomy, the tumors on the spleen, the cyst on the kidney, and the constant screening tests aren’t helping.  And those are just mine – not Meghan‘s!  We average 3 doctors a week, usually at least 2 on the schedule and a pop up.  Each one seems to look, poke and prod and not offer a single answer.  Then the tests lead to more tests.  It’s a bad cycle we are in here.  So then I spend my spare time researching – thinking maybe I can find the answers they don’t know.  I end up just as clueless and thoroughly exhausted.  Sometimes you have to stop biting at the cage, realize the answers aren’t there yet, and realize you have the power to let yourself out.  I am “luckier” than my dog Lucky – no pun intended.  I have the benefit of being able to free myself.  I just never seem to get it quite right.

I am going to try that one day at a time thing again.  I am going to try to concentrate on all the many things that have gone right.  I will TRY to worry less when my daughter’s WBC is frighteningly low, while I wait for the retest.  I will worry less about West Nile Virus, and just try to treat the 8 mosquito bites on the leg of my immune compromised kid.  I swear I will try.  It’s not going to be easy though.

When you see me in a fit of worry, feel free to give me a “cyber” smack into reality.  ONE DAY AT A TIME!

TODAY – good things happened.  I got through the baseline screening colonoscopy and endoscopy.  The colonoscopy was completely CLEAN!  I do not have to go back for another 3 YEARS!  Beats the heck out of the every 6 months they were recommending for Cowden’s patients.  Also, my CLEAN scope frees up my little girl for a while.  As long as mine stay clean they won’t start screening her until she is at least 18.  Breathe.  Some minor biopsies on the endoscopy but the doctor is expecting a CLEAN pathology.

For me, for my daughter, for my husband, and for ALL of us who are fighting our way out of the cage.  We can do it – one day at a time!

Biting through the cage

My dog Lucky is a bit neurotic.  She just is.  So when I came home today to find she had chewed through half her metal crate – literally lifted the bar off at one point, I wasn’t all that surprised.

Lucky (the black one) and Allie, playing together.

It got me to thinking though.  No one, or thing – really likes to be caged.  The “girls” get plenty of time to roam free when we are home, and when we are not, but we have to make the best decision for them each time. 

What struck me thought tonight, when I saw a piece of the metal crate literally bent off, is exactly how much she doesn’t like the crate, and how much she wants out.

We feel like that sometimes here – about PTEN, and Cowden’s Syndrome.  We feel like we are stuck, in a locked crate.  We want to run free, but the daunting tasks that lie ahead make it seem like an “Escape from Alcatraz” might be necessary.

Meghan’s fevers this weekend scared me.  I know her immune system deficiency may stand alone from Cowden’s, but that doesn’t make it any easier to process.  And, I swear if they were not related before, they feed off each other now.

The fever was gone Sunday night.  It made another showing of about 102 and then that was it.  She stayed home Monday with our friend Patty, and was treated like the princess she is.  By the time I came home Monday she looked so much more like herself.

We went to the pediatrician Monday night.  He wants me to contact her oncologist and get a referral to a neurologist to address the intermittent headaches she has been having.  Her oncologist who Emails quickly, got a set of all the recent labs and the recent brain MRI.  She is going to get back to me.  I have no idea where we will fit one more doctor in – but we will figure it out.

So this morning, we woke up feeling ready to go.  She responds so well to antibiotics, that we were seriously on the mend.

After she brushed her teeth she complained her gums were bothering her.  I didn’t see much. 

Tonight she said it was much worse.  There is a growth on her tongue.  Right on the edge.  It grew today.  During the day.  No idea why.  No clue what to do about it.  I don’t know but it reeks of Cowden’s and its NASTY overgrowth – of everything.

I guess I will deal with it tomorrow, right after I call on the throat culture and find out if we need to see the ENT.

Someone told me today I looked tired.  Not me.

If you need me, I will be biting my way through the crate, getting rid of one bar at a time.  Maybe Lucky las the right idea.

Still waiting…

WARNING – This post may be uncharacteristically whiny and cranky.  It is boring, and lacks any pictures or “fun stuff.”  Maybe its the heat.  Maybe its the start of menopause, or maybe, just MAYBE it’s the WAITING!

So, last year when we were first diagnosed with the Cowden’s Syndrome, the geneticist suggested my daughter and I each be followed regularly by an oncologist who would act as a ‘case manager’ of sorts.  Seemed logical.  We got Meghan set up with a doctor in NYC.  She actually has experience treating “patients like us.”  We thought we were golden.  She ordered the initial scans for Meghan (and even for me) of the brain.  She ordered Meghan’s thyroid sonogram, and her biopsy last November. 

Well, that biopsy was a traumatic train wreck to say the least.  To make it worse, when we spoke to the oncologist about it she was defensive of the doctor she had sent us to.  We moved the biopsy slides to another hospital and she was obviously annoyed.  She is still Meghan’s oncologist of record, but we haven’t seen her in months.

I tried an oncologist here at home.  He listened, the first visit, and the second.  On the second visit he suggested I look into having the remainder of my thyroid removed prophylactically.  He gave me the name of a surgeon and told me to go ASAP.  So, when I called to make an appointment with the surgeon and he wouldn’t see me, I called my oncologist back.  He would not get on the phone with me, and would not call the doctor on my behalf.  I was livid, but found myself an endocrine surgeon who (at least for now) advised against removing the rest of my thyroid.

When I called my oncologist back in late January to schedule my breast MRI.  I was told it was too early.  I reminded them that February marked 6 months since my last, and in fact it was right on time.  They refused to authorize the MRI until late March.  Well, we know how that turned out.  When they called me with the authorization number I laughed at the irony of the whole thing, and told them I didn’t need another appointment.

So, there was the mastectomy in March.  Great surgeons, great catch, great job.

There was the hysterectomy in May.  Again, great surgeon.  Job well done.

The surgeon in May recommended an oncologist in her practice for me.  I called to make an appointment.  I was told to fax my paperwork.  I asked if they could just look in my chart.  It is all shared between the doctors.  No, please fax it.  Ok – 39 pages later – and a huge fight with my fax machine… I got it. 

They called today to tell me the oncologist thinks I should see a geneticist instead.  Gee isn’t that ingenious?  That is how I got diagnosed to begin with.   Dope.  They will look into it and call me back.

I am starting to feel like PTEN mutation is some sort of plague.  What is WRONG with these people?

Which brings me back to my girl.  In February the surgeon(who people travel the world to see) for her AVM said that her next surgery would need to be at Boston Children’s Hospital.  They were not sure exactly when, but July was floated as a possibility.  So we went last Thursday, the 28th of June for her MRI.  After a grueling 2 hours, we left with a CD in hand, and the promise that the results would be at the NY surgeon’s office Monday.

I took the copy of the disk I had, put a cover letter on it, and sent it to the Boston surgeon we met in April, promising him a report would soon follow.

Monday I called the NY surgeon for the results.  I was told the disk hadn’t arrived.  They would call me.  I called again this morning.  I reminded the receptionist that I really was anxious about the results.  It’s on his desk she told me.  She also told me he leaves today for vacation till Monday.  I asked her to be sure someone calls me today.  I carried my cell phone ALL day. 

It’s 10:04.  I guess I will be waiting till Monday.  Really?  I know it could be worse.  It could always be worse, but enough with the lack of compassion, the inability, and lack of desire to follow through.  Enough with being scared of treating us because you don’t quite understand what we have.  Enough WAITING!

“The Waiting Place…”

Oh, the Places You'll Go!

 “…You can get so confused
that you’ll start in to race
down long wiggled roads at a break-necking pace
and grind on for miles across weirdish wild space,
headed, I fear, toward a most useless place.
The Waiting Place…

…for people just waiting.
Waiting for a train to go
or a bus to come, or a plane to go
or the mail to come, or the rain to go
or the phone to ring, or the snow to snow
or waiting around for a Yes or a No
or waiting for their hair to grow.
Everyone is just waiting.

Waiting for the fish to bite
or waiting for wind to fly a kite
or waiting around for Friday night
or waiting, perhaps, for their Uncle Jake
or a pot to boil, or a Better Break
or a string of pearls, or a pair of pants
or a wig with curls, or Another Chance.
Everyone is just waiting…” –  Dr. Seuss

I ABSOLUTELY DESPISE THE WAITING PLACE!

There is more to the book.  Lots more, but this is the part that keeps running through my mind, right now, at 1 AM, as I sit buried under a pile of papers.  There is some combination of house bills, medical bills, medical errors that need to be corrected, and “this just has to wait because I can’t deal with it right now.”

I successfully organized a lot, and have a bag of shredding to prove it.  This makes me happy.  I like order.  I strive on structure.  I can sometimes be a little difficult to live with because in my house every toy, every item, has a “home.”  Nothing is left laying around.  I will confess to being a bit compulsive.

Why?  People ask all the time.  Why, with all you have been through, why after the breast cancer, the hysterectomy, Meghan’s surgeries, WHY does it matter if your floor is mopped and your counter is clean?  All the time I hear – LET IT GO!

Well, the truth is – I can’t.

I need control.  I need to control what I can control, which these past few months hasn’t been a whole heck of a lot.  So, if having control over my clean floor and my clutter free desk makes me happy, people are going to have to go with that.

I have mentioned several times that my Mom always says, “You plan, God laughs.”  Well we have joked that He has had a few good chuckles this year.  While I feel INCREDIBLY blessed for the countless things that have gone well, sometimes the fact that Cowden’s Syndrome invaded our house and stripped me of the ability to plan, schedule, control, and order just about anything really gets under my skin.

After Meghan’s AVM surgery in February, we were told she was likely to need additional surgery in a few months.  I did not sign her up for camp, WAITING.  We had the MRI last Thursday.  She spent 2 hours in the tube WAITING for them to take 5,000 images.  I will call again tomorrow, but I will likely spend the week WAITING for the report, and the decision as the whether the next surgery is to happen now or later.

I signed her up for dance once a week, and swimming once a week, but we are WAITING on the MRI results to know if she will complete either of those classes.

Then, with the lack of a structured day she spends her time WAITING and hoping someone will come and swim with her. (That is when we are not WAITING at doctor’s appointments!) Her mother is WAITING for the lingering bleeding from the hysterectomy 7 weeks ago to stop before I head back into the pool.

I feel like these last few months have been full of WAITING.  WAITING for surgery, WAITING to go home, WAITING for pathology, WAITING …

I have no control over any of this.  I do believe GOD is in charge, and I am so comforted by that belief.  It is my human frailty that keeps me searching for ownership and control where it is not mine to have.

I will WAIT.  And I will do it as patiently as I can.  Cowden’s Syndrome will be full of WAITING – forever it seems.

But, I will wait with a clean, organized house.  I can not control this PTEN mutation, or the Cowden’s Syndrome that resulted, but I CAN certainly control the clean counters, and the dog fur… well, most of the time!           

Towards the end of his book Dr. Seuss reminds me, and all of us…

“And will you succeed?
Yes! You will, indeed!
(98 and 3/4 percent guaranteed.)

Signature of Dr. Seuss
Signature of Dr. Seuss (Photo credit: Wikipedia)

KID, YOU’LL MOVE MOUNTAINS!” – Dr. Seuss

Ready or not!

Clocks
Clocks (Photo credit: Leo Reynolds)

Time is a strange phenomenon.

It just doesn’t stop.  There are days we would like it to go slower, and days we would like it to go MUCH faster. 

There are days we would like to relive, and those we would gladly forget.   But really, we have no control at all.

60 seconds in a minute 

60 minutes in an hour 

24 hours in a day 

7 days in a week 

52 weeks in a year  

I find there are  occasions when I would like time to hurry up.  When I am waiting for my daughter to get out of surgery is the best example.  Time can’t go fast enough.  When I am waiting on pathology results, for any of us – it always seems like forever.

Hourglass (PSF)
Hourglass (PSF) (Photo credit: Wikipedia)

When we were first diagnosed with Cowden’s Syndrome in the fall, the first thing they did was send my daughter for a thyroid sonogram.  Of course it revealed 4 large nodules which we subsequently had biopsied at a hospital no better than a butcher shop. 

As we sought out another opinion, and moved the slides to a much more reputable facility,  an appointment in January found us with a pediatric endocrinologist who actually had some experience with Cowden’s.  He told us he had reviewed the slides and noted precancerous cells.  He essentially told us our daughter would have thyroid cancer at some point, he just could not say when.  So, he told us to return in 6 months, and we would check again. 

I remember at the time thinking 6 months was an eternity.  I wanted it to be faster.  I wanted reassurance that she was well.  He was insistent that 6 months was appropriate. 

So we made the appointment for June 14th. Now June 14th is tomorrow.  And I think I may need a little more time before I am ready. Things have changed.  Now we have an 8 year old with a developing body, and labs that don’t match.  Now the reality that there could be a malignancy on her thyroid, actually helping cause some of these problems is making me want to vomit. 

                                                                                                                                             If we could slow things down… just a little? English: A stopwatch is a hand-held timepiece ...

 15 hours from now we will be sitting for the thyroid sonogram, and 17 hours from now we will be discussing the results with the doctor.

 I am trying to prepare myself for whatever he has to say.  I have to hope for answers, for her sake. 

 Even if they aren’t the ones I want. Too many open questions.  Too much time had passed. 

Ready or not, here we come!

Forgive my whining…

… but no one else seems to want to listen.

I am tired.  Not just the physical tired, but the mental and emotional tired too.

My body is exhausted.  Tomorrow I head back to work.  Two major surgeries in 3 months.  I think my incisions might be healed, but I am just so wiped out.

This recovery from my hysterectomy has been nothing short of obnoxious.  The bleeding seems to have subsided, and the pain is gone.  The restrictions are still in place, but the hardest part has been feeling so damn alone.

Days go by, the phone doesn’t ring.  Not a text message to check in.  Not expecting fanfare here, but a little love from my friends and family would be nice.  Now there are a few.  There are always a few… but even with them, I am lonely.

That loneliness hasn’t helped me feel better.  No.  Not one bit.  Combine that with the fact that my dear husband, who truly tries his best, is in school 2 nights a week, and has worked more overtime in the last 2 weeks than he has since December.  He can’t say no.  Not in this economy.  And he so rarely gets called.  Timing sucks.

So it has been me, and my girl.  She is awesome.  Yesterday when we realized Daddy definitely wouldn’t be home, and we were dangerously low on food, she came to the grocery store with me.  She didn’t let me lift a thing.  She packed the cart, packed the bags, and carried them right into the house.  She is awesome.  But, she is tired too.  She is always willing to take care of me.  But she is 8.  A friend would make for a much better weekend.

So, today I took her with me to a meeting at my church.  Remember a few weeks ago when I said, “I don’t have a problem with God…it’s His fan club…?”  Well that is getting more true by the day.  I can actually say I was disgusted by my minister, and a large portion of my church.  The church where I have grown up for the last 38 years.  Things are tenuous between the pastor and myself, I would say largely due to his LACK of support, but he did not even greet my daughter or myself at the meeting.  She is so astute.  I am trying to channel her energy away from anger, but she feels the hurt in me.

I know there is a plan here.  One larger than me, larger than any of us.  I do believe strongly in God and His guiding hand.  I have been blessed with several miracles, and witnessed others.  I know He is here, but I do not often understand His  plan. 

So, in the midst of all the chaos, the drama, and the confusion, I seek solace in music.  I remind myself that these people who are so painfully absent – don’t mean to be hurtful.  Those full of drama are lacking the bigger picture.  I never lose touch with the reality that I am not the only life struggling.  There are so many others, so much worse off.  But for now, for right this minute, it doesn’t change the fact that I am sad, scared, and lonely.  No one really wants to hear it, because they can’t fix it.  But its true.

I have always believed everyone does the best they can with what they have where they are.  So, even amidst my sadness, I do not have anger.  People have their reasons. 

Tomorrow I will go back to work.  I will smile brightly as if I was without a care in the world.  Even if my bones ache from exhaustion, and my heart aches to share this pain with those I love, I will smile.  I will get through the days, one at a time.  And I will always have a song in my heart to help me.

http://www.youtube.com/watch?v=skQQRhhZZQg

“He Said”
(feat. Chris August)

So your life feels like it don’t make sense
And you think to yourself, ‘I’m a good person’
So why do these things keep happening?
Why you gotta deal with them?You may be knocked down now
but don’t forget what He said, He saidI won’t give you more, more then you can take
and I might let you bend, but I won’t let you break
and No-o-o-o-o, I’ll never ever let you go-o-o-o-o
Don’t you forget what He saidWho you are ain’t what your going through
So don’t let it get the best of you
Cause God knows everything you need,
so you ain’t gotta worryYou may be knocked down now
but just believe what He said, He said

I won’t give you more, more then you can take
and I might let you bend, but I won’t let you break
and No-o-o-o-o, I’ll never ever let you go-o-o-o-o
Don’t you forget what He said

Don’t fear when you go through the fire
Hang on when it’s down to the wire
Stand tall and remember what He said

I won’t give you more, more then you can take
and I might let you bend, but I won’t let you break…

I won’t give you more, more then you can take
and I might let you bend, but I won’t let you break
and No-o-o-o-o, I’ll never ever let you go-o-o-o-o
Don’t you forget what He said

Cloudy With a Chance of… Puberty?

Cloudy with a Chance of Meatballs

So, last night after we left the endocrinologist‘s office, I couldn’t shake this book.  “Cloudy With a Chance of Meatballs.”  If you are not familiar with the story, basically in the town of Chewandswallow they get their meals from the sky.  They never  quite know what’s coming, but three times a day it rains things like juice… or meatballs.  Eventually this starts to become a problem for them, as the portions get larger and more unpredictable.  It is a cute story, worth a read if you have a little one.  But nothing I want to model my LIFE after!

This was the long awaited appointment for my 8 year old.  The one who has been showing all the signs of precocious puberty.  She has grown 5 inches in the last several months, lost almost all her baby teeth, grown 2 shoe sizes and now at 8 yrs, 9  months, stands 4 foot 9.  This is the appointment where we were going to get the results from the testing, and she was supposed to tell me that the blood in fact confirmed the early start of puberty.  Then we would go home, and start having chats, and we would make it through.

Except, as I have said before, things don’t often go according to plan.  So, regarding the extensive lab work up, she said, “Your daughter is NOT in puberty.  All the hormones that tell the brain to trigger development are sleeping.”

Question dog Excuse me?

How then do you explain the breasts that are developing, the palpable painful lump, and this giant growth spurt that you called “typical of puberty?” AND What about the breast sonogram?

Well that is normal.  It says “Tanner Stage II development.”

 

But doesn’t that mean puberty?, I asked.

Well, yes.

But you said… (As I reach for a copy of the report)  Hey, it also says “area of palpable abnormality of clinical concern… compatible with Tanner Stage II development!”  So, should we be concerned? (Getting slightly more alarmed and annoyed)

No, she says.  Look here at the pelvic report.  It says the uterus is not in puberty, but the ovaries are enlarged, and consistent with early hormone stimulation.

Stimulation from what?  Because now I am confused.  Is this puberty or not?

So, I kid you not, she draws me a picture.  A crude picture of two breasts, a uterus and two ovaries.  She puts a small dot on one of the ovaries and Xs it off.  She says that at some point she “probably” had a cyst on her ovary that caused her body to think it was in puberty and it began developing.  But don’t worry, it stopped because the hormones in the brain are not awake.

WHAT? Has anyone told her body?

I don’t need to see you again, unless you have a problem…as she pushes me out the door.

What about the sonogram that suggests clinical follow up?

UM, HOUSTON…. we DO have a problem!

I swear I almost asked for my CoPay back on the way out.

Is there anyone who gets that Cowden’s Syndrome is a RARE disorder characterized by a mutation on the TUMOR SUPPRESSOR gene?  If the body and the labs don’t agree, I think we probably have to look further.  Just in case there is a tumor somewhere that didn’t “fall off.”

Everything about this, from the difficulty of scheduling it at a major NYC hospital, to the way the report was written in the double speak of maybe its normal, maybe not, to the contradictory interpretation by the doctor from what she sees on the body and the paper, makes no sense to me.

I have nothing against weather reporters.  But they are wrong a lot.  Their life is of guesses and predictions.    I guess I hoped for more from the doctor than Cloudy, With a Chance of… Puberty!

I will get my umbrella,  my Mommy mouth, and all my questions.  I will keep asking until we get some answers.  But really, why must it always be such a battle?

Me 2 – Cowden’s – 0

The surgeon called.  Two days earlier than I expected.  My heart flipped a little when she said, “I have your pathology.”

“Everything looks great.  It was all totally benign.”

Big Sigh…   Thank you God.  No more cancer.  No more surprises.

For a moment there was doubt.  Was I too rash?  Should I have waited? Then, reality.  They told me there would have to be a surgical uterine biopsy every three months.  The scar tissue was already extensive.  One ovary was twice the size of the other.  There were cysts everywhere. General anesthesia is getting harder for my body each time.  Who has time for surgery every three months?  The worrying. The waiting for when it will hit.  No… I was right.  This was necessary.

Can I have a copy? I asked.

Well, aren’t you coming in next week?

Yep,but I need to see it.  I need to hold it in my hands.

The beep of my fax confirmed receipt of two pages.  Totally benign pathology.

Sigh.

Breast Cancer 85% lifetime risk. Got it, but got them off in time. I win.

Uterine cancer 28% lifetime risk (or something close.)  I win.

Two less areas to screen compulsively.  I really win.

Watch out Cowden’s.  I am up 2 nothing.  People say I am not that competitive, but when it’s important I play to win.

And I will.

 

The phone call continued….

After I left off on the last post the “nice” man had the misfortune of coming back ont he line and reminding me AGAIN, that I had NO IDEA how difficult this was to work out.

I made him wait before he put me on hold again. “In the fall of last year my daughter and  I were both diagnosed with a rare genetic disorder that no one seems to have ever even heard of.  The few doctors who have, or who are willing to learn, have put us through every test imaginable.  In March I had a mastectomy to protect me from breast cancer.  I was pretty surprised to find I already had it.  Last Wednesday I had a complete hysterectomy.  I am 38.  I was told the risk of NOT having one was too great.  My 8 year old daughter has grown 7 cm in the last 5 months.  She has grown 2 shoe sizes.  She now stands 4 foot 9 and 73 pounds, and will not turn 9 until August.  Her endocrinologist, the local one – not the cancer specialist she sees for the thyroid – has tried to educate herself about this syndrome.  She examined my daughter and said it may be precoucious puberty, but it may be too early for that.  Sometimes a tumor can hide and mimic puberty.  I know a mom whose 8 year old has Cowden’s.  She is 22 now, but at 8 had ovarian cancer. They had told her it was precocious puberty.  We are at a doctor, for something, AT LEAST once a week, usually more.  So, if you think I am crying because I am weak.  Think again.  I am crying because I don’t want to yell at you.  I am crying because I am exhausted.  But, if you tell me one more time “I don’t understand” how difficult this is, I WILL explode.  You think it’s difficult to schedule.  TRY LIVING IT!  This is MY LIFE!”

Silence.

Still Silence.

Hello? Are you still there?

The “nice man” on the other side of the phone says simply, “Wow. I had no idea.”

“I know.  But you do now.”

Yes.  And I am going to make this happen as painlessly as possible.  I will call you tonight. (HAHAHAHA I thought)

The phone rang at 5:30.  The breast sonogram will be today, right after the pelvic.  Someone from the breast imaging center will walk over to where we are to oversee.  The results will be available to my doctor by Tuesday.  It will be a long weekend, but we are used to that.

Maybe he is nice man after all.

“Please Hold…”

I bet I can finish this post before they take me off hold.  I have been on this call for 28 minutes so far.  I have been transferred 4 times.  Finally I cried.  That got me a sympathetic male supervisor.  Sympathetic in that he has left me on hold for 20 of those minutes, but has checked in on me 4 times.

How do I do this when I am at work?  Fortunately I haven’t been at work much, but I understand how people lose their jobs.  I am a teacher.  I can’t spend a period with my cell to my ear waiting to be off hold while I teach.  It just doesn’t work like that.

The breast ultrasound.  No one wants to do it.  I get it. She is 8.  It’s odd.  Get over it and do your damned job!  No one wants to be responsible.  Guess what idiots?  We have to check.  And if you know what a normal breast looks like – this shouldn’t be so tough.

Anyone care that I don’t want to do this either?  The reality of it makes me ill.  Anyone care that I am only 6 days out of major surgery, my anxiety is at a peak, and  haven’t even told her we are going yet?  Anyone else give a shit that this isn’t just a weird scheduling inconvenience?  This is Cowden’s Syndrome.  This is our life.

The man (the call is at more than 35 minutes now) just came back to tell me he hasn’t forgotten me, but this is a lot more than I think.  REALLY?  He is lucky I don’t take the time to tell him what I think.  Maybe he isn’t so nice after all.

I am still on hold….  This sucks!