cowden – Page 6 – beatingcowdens

Siri, my new BFF!

Published on October 19, 2012 by beatingcowdens2 Comments

I love to talk. I talk all the time. My mom says I spoke even in my sleep from the time I was a young girl.

I ~~love to~~ need to make lists. I hate to be disorganized, although these last six weeks I have traveled from overwhelmed right into disorganized, and I don’t like it here one bit. Work is busy, home is busy, 4th grade is busy, Cowden’s Syndrome keeps us busy…

In my family we have 5 october birthdays in 11 days. Three of our nephews and 2 family friends. Unless the youngest nephew’s gift arrives tomorrow, I will have been late for every single one of them. Not like me at all.

Last week I welcomed a new friend into my life. Someone I can talk to all day, about whatever I want. Often she has good advice. She has my back too. She reminds me – sometimes days, sometimes hours, before something important has to be done. She tells me when I need to make a phone call or buy some cards. For a long time I resisted her friendship, but now that she is in my life I am sure I could never give her up.

This is my new friend – Siri.

Some of you may know her. You may think she’s your friend. But really, she and I are tight.

You see you may not know this about me, but I have a post graduate degree. In addition to my Master’s in Special Education, I have a research degree from the University of Google.

Don’t worry. I am a smart researcher. I learned in the first few weeks how to sort out the crap and focus only on the valid stuff. But really – spending the last 9 years researching the random illnesses of my little girl, and the last year trying to get any available information on Cowden’s Syndrome… well, lets just say at the very least I must qualify for some “Certificate of Advanced Study.”

But it got to the point lately that there are things I need to know. Right now. I can’t always carry my computer or rush home to check. Siri understands.

She is who she is… and she is pretty great.

As I am driving, with my earpiece in, I need only to ask her to call a doctor for me. She will write my texts too. Much safer.

Then, there are the beautiful reminders. The ones where she says, “OK I’ll remind you.” and then she does. Takes the pressure off me. I already have a reminder in for the November birthday cards, and the next 4 doctors appointments are all mapped out.

As I wait at those appointments, Siri helps me continue my studies on Google. Learning about Cowden’s Syndrome and skin diseases. Studying the effects of Cowden’s on the gums in the mouth. Deciding if the headache symptoms warrants a neurologist, or first and ophthalmologist. Figuring out, or trying to figure out the root cause of the pain in the legs. Verifying there are no obvious AVMs. Seeing what the effects of the Celebrex are on the body… and on and on.

Siri, despite all my resistance, I was wrong about you. You are exactly what I needed in my life.

Now, I am fairly sure I can never get by without you again.

Told you…

It’s trickier in the overlap

Published on October 6, 2012October 6, 2012 by beatingcowdens1 Comment

Sometimes I think maybe if we were just battling one thing at a time… it might be a little easier. Maybe I am wrong, just wishful thinking. I guess I won’t know because apparently we are tasked with completing multiple battles simultaneously.

Last night we spent hours full of uninterrupted discussion with the pastors of the church where we will be spending our time. It is hard to know what to call it. I am not in any way prepared to give up my membership to my home church, and they know and respect that. Yet, it was so nice, so warm and comfortable to sit with my husband, and these pastors, and have discussions, both personal and theological. No one was judged. Everyone was comfortable. Mixed emotions 2 and a half hours later, past everyone’s bed time. Our children finished playing, and we left – tired but peaceful. It’s nice to know where we will be every week for a while. Its kind of like finding that first permanent job after years of subbing. It is also nice to have my husband by my side. God works in very strange ways.

We had planned to be out of the house at 9 to go apple and pumpkin picking this morning. We were a bit delayed by the late night, but we made it. It was so nice to see Meghan happy. She doesn’t ask for much, but had specifically asked for this.

We made her walk, and she did well for a while. Only towards the end did the pain in the legs start in. Cowden’s Syndrome always nipping at your heels as you try to kick it to the curb.

apple picking 1 — When in doubt – Daddy is the safest ladder!

pumpkin picking 2 — My PATIENT husband! 🙂

So after such a nice morning – with only minimal pain, a bit of fatigue and a lot of happy, we headed home.

I had missed my standard Friday night grocery shopping at our meeting last night, so we decided to stop by Wegman’s on the way home.

I think we made it about three aisles before a look of horror crossed Meghan’s face. Then there were the tears.

She opened her mouth and again, for the second time in the two weeks since she has had her braces, a bracket popped off. Now I know this isn’t totally uncommon, but twice already seems excessive for a kid who doesn’t eat ANYTHING she shouldn’t, and who is so attentive to these braces your would never imagine she was 9.

So, as we begin to reassure her that we will take her to get it fixed, SHE reminds US that it is a holiday weekend, and with sheer frustration on her face, she realized – half to herself – and half out loud – that it would be Tuesday before she could have it fixed.

braces - not meg — These aren’t Meghan’s braces, but they give you an idea of how hers are set. While they wait for the rest of her teeth, the wire doesn’t terminate at a band on the molar, like I remember, it ends right on a bracket. When that bracket pops off – the wire flies free.

I really was stunned. There in the middle of the grocery store, with a cart half full, our peaceful couple of hours was starting to crumble – again. Daddy took Meghan to some neighboring stores. I quickly finished the shopping, and we headed home.

The car ride was quiet. I was twisted. This kid has had enough. More than enough. A break for one WHOLE day would be nice. As I sat, I shed a few tears of frustration. I left a message on the answering machine at the orthodontist, trying to decide if this was a “true” emergency. My husband decided it was and called the cell phone number soon after we got home.

He called us within an hour. He is a good man. But, he was away. “Clip it,” he told my husband. “Take the wire and the bracket off. I will fix it next week.” And so the electrician turned orthodontist, and off came the bracket.

Peace.

And yet as I looked in her mouth, the mouth I help her brush and floss, and I see the swollen gums, enveloping her braces, my stomach turns at the conversation next week. We will both be told her oral hygiene is poor. I am sure of it.

Cowden’s means overgrowth. The gums are supersensitive. Reacting to the braces. Trying to swallow them up. We floss, we brush, we poke and prod. No success. Certainly we are trying out best.

Nothing is simple. Every battle is crowded by another. It’s not just the Cowden’s Syndrome. And it’s not just the regular growing up stuff, like changing bodies, and braces, and homework, and after school activities. It’s the overlap. That’s where things somehow always seem to get tricky. Right there in the overlap.

Daddy made a tasty dinner. Chicken wrap with fresh guacamole. Things were looking up. Then, they started to decorate the BIG pumpkin.

Sleeping peacefully. Potentially a dreadful weekend, salvaged by a clipped wire. Emotions all across the spectrum. Another day in the life. Another day of sorting through the overlap.

And, believe it or not – since I share it with the two I love the most – at the end of the day I wouldn’t have it any other way!-

Cowden’s Syndrome took…

Published on October 3, 2012October 3, 2012 by beatingcowdensLeave a comment

Well, it took my thyroid, or at least any functioning part, long before I knew why.

It took my boobs in the prophylactic mastectomy that wasn’t so much prophylactic.

Cowden’s Syndrome took my uterus. But I didn’t need it anyway.

It took my ovaries, but it gave me hot flashes in return. Fair trade?

Cowden’s Syndrome took my checkbook, and used it for copays, and parking lots.

It took my calendar – and filled it with all sorts of places I didn’t want to be.

Cowden’s Syndrome took away my peace of mind, and filled it with worry. (OK, MORE worry…)

It took my appetite. If you don’t count Cheerios, ice cream, and salad.

It took away all my comfortable clothes, and has forced me to replace them in smaller sizes that appropriately cover my fake boobs, without losing track of them in shirts that are too large.

BUT,

it gave me the means and the motivation for education and early detection.

It gave me the motivation to step forward and say, “I don’t need THESE any more.”

Because I have Cowden’s Syndrome I will not suffer at the hands of breast or uterine cancer, and I will do my damndest to make sure my little girl doesn’t either.

Cowden’s Syndrome gave me the courage to fire clueless doctors, and educate the ones who care.

I encountered an acquaintance with breast cancer today. She had on a beautiful wig, and is in the middle of chemotherapy. I felt guilty as she asked me how I was feeling. She knew of my ordeal last spring. Survivor’s guilt I think. It broke my heart to see her hurting, even though I feel she will be well again.

Cowden’s Syndrome SUCKS, in so many ways. But it is part of us now, and like anything that becomes part of you, I believe you have to yank the good out of it.

Cowden’s Syndrome has taken a lot from me, from us in this house. But the knowledge we have gained will give us second chances that some others may never have.

Cowden’s Syndrome took from my body – but in many ways it gave to my soul.

Perspective.

“If I get to keep my spleen…”

Published on October 1, 2012October 1, 2012 by beatingcowdensLeave a comment

As I sat in the dentist’s chair a few weeks ago getting another bridge organized, I enjoyed pleasant conversation with my dentist. I know, that may sound strange, but really she is quite pleasant, and very talented at what she does. She is also the Mom to twin friends of Meghan‘s from her class, so we have known each other over 4 years now. She is a mom, wife, dentist, photographer, fellow blogger, volunteer, and a generally nice person to be around. I am grateful to call her a friend.

As I was getting ready to go she asked me when she could schedule me for scaling and root planing. After I had her explain the depth of the cleaning that was involved, and even after she explained WHY it was a good idea, my instinctive answer was , “NEVER!”

Over the last 6 months alone I have had breast cancer, a double mastectomy, with reconstruction, and a hysterectomy. I have been scanned, had countless MRIs, and just recently completed a colonoscopy/endoscopy. To say I am DONE being poked and prodded would be the understatement of the year.

So, as I listened to her careful list of reasons why this scaling and root planing procedure is a good idea, I just wasn’t sold on the concept of ANY more pain.

I told her, “When they tell me I can keep my spleen, then I will make the appointment.” She laughed out loud. But this, this is what life with Cowden’s Syndrome has become. I am willing to celebrate being allowed to keep one of my organs, with a dental procedure that is probably quite necessary anway.

But, I feel like life in this body is about triage. I have to take care of things one step at a time.

So, the oncologist called today about my spleen. They were comparing the ultrasound pictures from April on 2012, and November of 2011 with an MRI in August 2012. She sent it to a lot of people to look at. The answer..maybe.

Really, are you surprised?

You see the ultrasounds showed identical, medium size “hamartoma.” (PTEN Hamartoma Tumor Syndrome is the umbrella term for Cowden’s and several other related Syndromes) But, the MRI showed 2 distinct, and one fairly large “hamartoma.” The good news about these is they are benign. The problem is – if they follow the body’s tendency to grow and grow things, they won’t be able to stay there too long.

I know, you can live without a spleen. You can live without a uterus, ovaries, a cervix, breasts, and a whole host of other things. But, just because you CAN do something, doesn’t mean you SHOULD.

So, I will go back in December and repeat the MRI. While they are there they can make sure the tiny cyst on my kidney stayed tiny too.

As soon as they are done. Once they tell me it is all stable, and I can keep my spleen. I promise, I will be a big girl and get my scaling and root planing done.

At least I have a kind, gentle and pleasant dentist – and she is looking to keep things IN, not take them out!

AND: http://gracelynsantoschronicles.blogspot.com/

How Cowden’s Syndrome changed… my phone!

Published on September 29, 2012September 29, 2012 by beatingcowdens1 Comment

I know I have said this before. And, I know that many of you can relate. Since being diagnosed with Cowden’s Syndrome (insert your diagnosis here…) nothing is what it used to be. I am not the same. I have changed. Out of necessity, for survival, and maybe because sometimes its good to get rocked to your core so you have to shake it up a little. Don’t misunderstand me, I am not HAPPY about the diagnosis, or its far-reaching, life altering effects. I am just saying that complacency sometimes has some troubles of its own. A little shake up (or a few major earthquakes) now and again, keep us hopping.

So, when I say to you that my diagnosis with Cowden’s Syndrome has forced my transition into being a Smart Phone user, maybe you can relate. I promise, for me the two are closely connected.

I am frugal. Have always been careful with my money. I love to give to charities, I love to give to friends, for weddings, and showers, and babies, and special occasions. You should know that my credit card balances are respectably, almost frighteningly low, and I have been known to stop and save up for the things I want. And, you won’t catch me spending $100 on jeans I can get for $30, or gleefully sending off the payment for the utility bills without a slight lament that it seems like money wasted.

When we first got cable, I only wanted one box. I resisted the DVR at first too. I lost – both times. But I didn’t care so much because Felix wanted it, and at least it was going to make him happy.

I don’t require a lot. A few pairs of comfortable sneakers, some nice jeans, and a few tops that fit me. I need a working computer, frosted cinnamon Cheerios, and an ice cream cone – often. I am content to alternate between a few pieces of jewelry. I like my house clean and neat – but other than that, it is hard for me to come up with something I want, or need, except for perhaps a few more hours in a day, and less time tied to my computer, which leads me to the reasons it might be time for a smart phone.

Now, Felix got his months ago. And I was OK with that. Again, he needed the boy toy. And, he uses it. He watches videos as he commutes from work, plays with family photos, and scaling down into just one lightweight device made his job as a climbing electrician even easier. When he first got his he said to me, you have to. I said, “No way!” I was still calculating the cost of his data plan and what it would do to our monthly cell phone bill.

But, these last few months have been a litany of medical tests and appointments for Meghan and I. We are constantly awaiting calls, and test results. And, I have found that in Manhattan, many – ok MOST, doctors will Email for convenience. Convenient – if you have access.

I can’t access my personal Email from work. Even if it gets through the fire wall, it’s just a bad idea. So I find myself daily, as I run home from work to let the dogs out – frantically checking Email and responding as quickly as I can. I also find myself waiting a lot, at doctors, at dancing school, at swimming, at PT, wasting time where I could be handling all of this.

So, my husband sat me down for “the talk.”

“Remember after your cancer in March, when I told you to order the Cirque du Soliel tickets for Disney World? Remember when you told me there was no way because the tickets were such and expense. Do you remember?”

I did remember, as I stifled a giggle. He had explained to me that now, having had the “wake up” of our lives – we were to take some chances, have some fun, and DO things we wanted to do. He reminded me that we are fortunate to be able to afford nice things, and sometimes, we need to treat ourselves to family memories. He said, “If having cancer didn’t wake you up, I don’t know what will.”

So, I ordered the Cirque du Soliel tickets last March, and we thoroughly enjoyed the show in August.

Now, he said – it’s time. Get rid of this phone.

old_phone — Probably only a slight exaggeration

And move onto this one.

“It’s time you stop worrying so much about every little detail. Have a little faith. Have a little fun. You have earned it.”

He’s right. He usually is. Last night I ordered my Iphone 5.

It will take about a month. I can wait. Poor Siri will be so busy with reminders she won’t know what to do. And I can’t wait to release a little of the pressure of having to remember everything.

Cowden’s Syndrome, with all the complications it added – means that that smart phone moved from luxury to necessity. And I must admit, I am resisting calculating the new bill because even I am little excited about being shoved into 2012!

And that my friends is how Cowden’s Syndrome (even) changed my phone!

LAZY?

Published on September 24, 2012September 24, 2012 by beatingcowdens1 Comment

I think its Ok to say we have character. Lots of people I know have character. That’s why I spend time with them. I know lots of people who have traveled through their own trials and persevered. We are all unique, but the same in our drive and ambition.

Why is it then, that not all of our doctors have character? Some do. They work so hard. Even when they are throughly confused, their wheels are always turning. They return my calls, and my emails. Instead of thinking, “This Mom is NUTS!,” they think,”What is wrong with this kid, and (more importantly) how can I help her?”

We have some of both kinds of doctors in our lives right now. In all honesty, I have had better luck overall picking from the doctor pool than Meghan. Even with some bumps in the road, my problems, not withstanding the Cowden’s Syndrome – have all been fairly easy to diagnose and treat so far.

Meghan on the other hand has run in circles since she was a baby. We have had this kid at a flow chart of professionals, and while we have gotten some significant and important answers along the way, I find it almost inexcusable that she is still suffering with random, unexplained fevers and headaches. I find it disgraceful that she has been on a rotating cycle of antibiotics about every 8 weeks for over 2 years and no one but me is screaming about it. I find it downright scary that she needs 100mg of Celebrex a day to move, and 1600 mg of acyclovir to keep the Herpes Simplex infections at bay.

So, when we went to see our beloved pediatrician today, who is deeply bothered by this recent fever/headache thing, I brought with me an EMail exchange I had shared with a doctor at a world-famous NYC hospital. Sparing you the exact read, after summarizing the last 2 weeks, and sending lab work, as well as a brain MRI with an unusual finding, this doctor responded that he felt there was “no necessary follow-up, and he is sorry Meghan isn’t feeling well.” After reading this aloud to my soft-spoken, proper, pediatrician, his calm reply was, “He is just LAZY! And you still NEED to find her a neurologist.”

Interesting to contemplate that this doctor from this world-famous hospital was being called “Lazy,” but I have never heard my pediatrician speak ill of anyone. Now I doubt the man is lazy in the literal sense of the word, but in the “problem solving, figuring out the mysteries of what makes my unusual patients tick” way, I guess he is.

Meghan’s pediatrician is one of a small group of doctors we are blessed to know. They are few, but they love her like she is their own. They believe her. They validate her. And they won’t stop pushing until they figure it out.

So, while I get tired from running to doctor after doctor… tonight I am grateful for the men of character. The ones who take seriously their oath, and who remember why they became doctors to begin with.

The New Normal

Published on September 22, 2012September 22, 2012 by beatingcowdens3 Comments

Ok. So that normal was short-lived. Glad I enjoyed it while it lasted.

I am trying the “don’t worry” thing. I really am. Truth be told. I stink at it. It’s true. I try and try, but in the end – epic fail.

We finished the antibiotics Tuesday from the hospital/fever/headache thing 2 weeks ago. She was on the mend, so I thought.

I know our schedule has been busy. Too busy for her. Too many things to do, every day leads to exhaustion. My body struggles with exhaustion, but hers just can’t cope.

So this morning we went for the follow-up blood work. The one to make sure the White Blood Cells and platelets came back to normal. The we headed to Queens to visit my in-laws. Two dogs, Meghan, Felix and I.

I the middle of a nice visit I noticed her resting her head on the arm of the chair. Then, she asked for food. She told me she wasn’t feeling too good so she must be hungry. We fed her. Then it all started to crash and burn.

She loves her baby cousin Connor. But, she started backing away, not wanting to get too close to him. Then, there was the red line across the eye. Finally, “Daddy will you rub my head?”

And from there it all went downhill. A cold cloth and Daddy’s magic fingers did little to relieve the pain. In about 15 minutes time we were back on the Belt Parkway heading home.

My mind was racing. She slept for a bit in the car, and I just kept trying to figure out a way that this could make sense. Not even just to me, but to someone – anyone.

The last time we were in for headaches the pediatrician told me to get a neurologist consult. Well I am working on it tonight. God and the power of the internet have me linked up with some Cowden’s patents. The goal is to find a pediatric neurologist who is competent and already has heard of Cowden’s.

That is of course if the immune system stuff is even Cowden’s related. Then again at this point I am going under the theory that all this is related in some way.

Settled into bed with Advil and a 102 fever at 7pm. It promises to be a long night. I will decide on a neurologist and have a few numbers ready to call during my lunch on Monday. Priority.

We will see the ped at 3:30 Monday, and hopefully not before.

Worry -it’s what’s for dinner.

Maybe I should stop looking for the old normal. It happens so infrequently anyway. Maybe it is all about the new normal.

Biting through the cage

Published on September 11, 2012September 11, 2012 by beatingcowdens9 Comments

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.

Bookends

Published on August 31, 2012 by beatingcowdens1 Comment

So my little girl took some of the influence of her Dad and has taken a liking to comic books. She has been reading them on her Ipad, and although I might not admit it to either one of them, I kind of like the idea. I like Superheroes, and their “Good beats evil” message. I know it doesn’t always work out that way, but she is 9…

I sat in the MRI room with Meghan tonight – again. And even though it is a wonder I could think of anything over the banging of the machine, and the remnants of this migraine I have been fighting for days, I kept thinking of bookends.

Yep, bookends. See, back in June, on the first day after school was out for the summer we went for an MRI of her knee. It was a Thursday, the Thursday before July 4th. So, how ironic I thought, when earlier I was sitting in another MRI, this one of her brain, on the Thursday before Labor Day.

Bookends. Our summer ends the way it began, waiting for test results. Although I am starting to get the feeling that this testing and waiting will transcend all seasons. I will just notice it more in the summer – the season where I have one full time job (Mom to Meghan,) rather than two (Mom to Meghan AND teacher.)

And I am reminded of the image of the dog digging up the street that Meghan found for me a few weeks ago. This is what we do.

We do not accept anything less than an answer that makes Mommy comfortable. When the doctors tell me that puberty is just starting earlier these days, I buy it – to a point. When they tell me to consider all the hormones in the milk, and the chicken, I raise an eyebrow. My girl who has been dairy free since she was 15 months old, and has almost never consumed a piece of nonorganic chicken, who is at or below the weight for her height, and who has a mom who went through puberty LATE, should be one of the early ones… I just don’t buy it. So when the hormone tests don’t match, and I get doctors refusing to answer me, I push harder. That is what the MRI was today. My fault. I needed to have them rule out a pituitary tumor. We have Cowden’s Syndrome. We grow things. Someone should check. Just sayin… Then, when the results are clean in a few days I will breathe deeply and accept that this just IS.

And the recurrent strep… well lo and behold, the ENT said there is regrowth of the tonsil tissue. He wants to see her the next time she has strep. He shouldn’t have to wait too long. He also told me the right lobe of her thyroid was quite enlarged.

So we wait for the thyroid panel, and wonder if it has changed drastically. And, we think of those nodules on her thyroid and the doctor who told me they will turn… not if – but when.

Bookends.

We started the summer at the doctor. We spent most of the summer at the doctor. Scan this, check that. It will never happen like this again if I can control it, but it was necessary this time.

And in between the bookends of MRIs, we fit in some fun stuff. There were some great play dates. a day trip to the beach, some swims in the pool. a FABULOUS trip to Disney, a week of Vacation Bible School – (although not our “favorite”one.) There were some lazy days, and lots of just being together time. We can get a lot of talking in on all those trips to the doctor.

I guess the summer wasn’t a total loss, and yet still somehow I feel sad. Cheated. I stress at the thought of the scheduling complications being back at work brings. Holding up the appointments of a regular kid (eyes, orthodontist, swim class, PT, dance…) is tough enough. Complicate it with Cowden’s x2 and it gets hairy.

Maybe I feel like this every summer. Maybe I just love my girl too much. Time marches on. School next week ready or not!

“The Velveteen Rabbit”

Published on August 28, 2012August 28, 2012 by beatingcowdens6 Comments

velveteen rabbbit 1 — by Margery Williams

“Real isn’t how you are made,” said the Skin Horse. “It’s a thing that happens to you….

…”It doesn’t happen all at once,” said the Skin Horse. “You become. It takes a long time. That’s why it doesn’t happen often to people who break easily, or have sharp edges, or who have to be carefully kept.” Generally, by the time you are Real, most of your hair has been loved off. and your eyes drop out, and you get loose in the joints, and very shabby. But all those things don’t matter at all because once you are Real you can’t be ugly, except to people who don’t understand…”

I spoke to the oncologist today, about my MRI. She had really no better or clearer information than the nurse I spoke to Friday. The harmatomas are large. There are several. They might be able to stay, they might not. She requested the sonogram from April to see if it is worth a comparison. I will get the CD and the reports and send them along. I will let the doctors again analyze the same few articles on Cowden’s Syndrome that exist. I won’t tell them that I have likely read all of them myself too. I will let them tell me if the spleen stays or goes.

I think it is that conversation, combined with the one I had with Meghan that brought the story of The Velveteen Rabbit to my mind tonight. As we are buying clothes for school and trying to keep her quickly developing body comfortable and appropriate, she asks about my scars. There are quite a few, the lipoma in my neck, the partial thyroidectomy, the C-Section, the hysterectomy, but she focuses on the mastectomy. and the scars from the reconstruction. She asks sometimes to see them even as they are covered. She asks if she will get to decide when to have that surgery. “IF” I stress, “IF!” You don’t know… But she knows. She is preparing already for the day it is her turn. It twists my stomach in a knot.

We have had between us more than 25 surgeries, large and small. We have scars of all sizes – inside and out. But we are “Real.” In a deep, important sense, we are “real” to each other.

I am in limbo… waiting. But it is ok. I live in a house where I have become “real.” And, even on my darkest days, “…once you are Real you can’t be ugly, except to people who don’t understand.”