#BeatingCowdens #NoMatterWhat

The week was tough.  The pain was real.  The reflux was persistent.  The fatigue, bone crushing.  There were three missed practices and a missed school day, simply because she couldn’t.  That NEVER happens.

By Thursday, when she had clocked too many hours of sleep for me to count, I started trying to pull some things together.  My “Mommy Senses” were tingling.  Things were going downhill fast.

I checked through the files.  When was that last brain MRI?  She should probably have another because the headaches won’t quit.  And, if I want to blame the hormones, which my instincts do, we have to rule out any other possibility.  But, we fired the neurologist.  UGH.  How I dread training new doctors almost as much as I despise working with rotten ones.  On the hunt…

And the GI.  She is a wonderful woman, but she is on a personal leave.  We can’t keep at this level of reflux meds.  It will start to hurt her bones.  But, I can’t imagine letting her try a day without some attempt to shield her stomach from all this crap.  I hated all the GIs.  As Pop would have said, “I’m difficult to work with.”  And, THAT was on a GOOD day,  When someone isn’t doing right by my girl, I’m IMPOSSIBLE.  Hunting again…

New doctors.  Tough to find.  Take up hunks of time while we get used to each other… and in the mean time, we wait.

But waiting seems like such a bad idea.

Saturday she dragged herself out of bed for the CYO meet at CSI.  She swam three events, beautifully.  But, before the 50 fly, her favorite, she was struggling.  She motioned to her head.  I made a mental note.  She swam like an all-star, turning in her best time again.  And then it all went quickly.

She was on the deck obviously struggling to breathe.  I grabbed her stuff, and had Felix get the car.  We switched seats at the house and I drove her to Urgi Care.  By now she was feeling better, but still weak, and tired, and full of reflux.  At least she could breathe.

Urgi Care triaged and told me to get her to the Emergency Room.  90 minutes past the swim meet her heart rate was still at 120+.

 So in went the IV.  Out came just about enough blood, but not exactly enough to cover the blood tests the pediatrician wanted.  Then the order for the abdominal CT, and the contrast dye to be swallowed.  Two hour wait in a tiny crazy room.  Heart monitor, IV fluids.  No dehydration.  No obvious signs of infection.  And a negative CT scan.

 There was a ticket to the Peds. ICU for monitoring overnight.

 Some dinner from Daddy at 10 pm.  ICU monitors everywhere.  Medical history to the resident.  I come with three typed pages of summary in tow.  Medication and history in the computer.  Heart rate coming down.  No real ideas.

The night passed and I spent more time than I should have ALONE in the PICU.  No nurse.  Nobody.  Made me wonder why we were there.

I watched the heart monitor like it was my JOB.  I took notes.  I watched the 120+ heart rate hit the mid 40s.  I watched the blood pressure dip to 92/37… I walked and watched and walked some more.

 In the morning when they showed up again, they told me a heart rate in the 40s was ok for an athlete.  Not to worry.  Then I asked how 120 could be “mildly tachycardic” if 40 was “normal.”  Can’t have it both ways.

The evening resident blew the meds.  Even with the cheat sheet.  The overnight nurse dosed her with illogical concoction of thyroid meds, despite my cheat sheet.  The day resident paid more attention.  Definitely more than the dietician who served her a tray with milk AND soy.

There was a negative chest x-ray as they grasped at straws.

The thyroid numbers were all in range.

What would you do?   I challenged the resident.  What organ do you pick to save?  What medication do you give up?  I didn’t expect any answers, but I wanted to get in her head.  Just a little.

 Time to discharge.

With a list of new doctors to find on my own.  And absolutely NO answers.  So the next time she goes to swim, or play, or do anything, I have no way of guessing if this will be our new normal.  Can’t keep a 12-year-old in a bubble.

Onward.  Focused.

#Beatingcowdens #nomatterwhat

 

Perspective… with a touch of fatigue and frustration

I have said so many times, and through the last year especially, that it’s all about perspective.  That is how I get by, and that is how I teach my daughter.  The key is having enough perspective in life to understand that in EVERY house, in EVERY street, in EVERY city, in EVERY country, people have “stuff.”

Now its easy to look sometimes and think that “this isn’t fair” or “they have it easy,” but in reality – we just don’t know.  We aren’t them.  So we live our lives, trying to avoid passing any judgements – and doing our best to get by.

perspective einstien

We are acutely aware, especially in these days after the tragedy at Sandy Hook Elementary School, and “SuperStorm Sandy” that tore through our hometown, of how lucky we are,

And yet, even with all that perspective.  Sometimes it’s just hard.  Sometimes its hard to get up and get going, and press on.  Sometimes its hard to deal with the punches life keeps throwing.  Sometimes I need to stop and take a breath to avoid the chest pain of my own anxiety.  Sometimes that’s just how it is.

justkeepswimming

So, I remain torn.  Torn between the conscious knowledge that so many others are suffering in ways far worse than I could imagine, and this ever-present, sometimes bone crushing fatigue that plagues me as we just try to get by.

If you are still reading then. you will indulge me a few minutes of frustration along the “Cowden’s Syndrome” journey?  That is, after all, what brought me here to being with.

Sometimes when life gets as overwhelming as it has been I start to practice avoidance.  I duck phone calls and messages.  Not because I don’t want people.  It’s actually quite the opposite.  Its because I fear people will tire of hearing the same old thing.  And, really, no one knows what to say.  So even if I am comfortable enough to lay it out there, I feel bad for the poor soul now left without a clue as to how to reply.

several days at once

Three months ago Meghan‘s pediatrician asked me to find her a neurologist to contend with her headaches  I am thinking she more likely needs an ENT for her sinuses, but I haven’t found either one.  The week of “Sandy” her eye doctor appointment was cancelled.  Haven’t rescheduled that one either.  Tonight she lays in bed resting her fatigued hypermobile joints.  I wonder if she gets that most kids don’t have to spend the night in pain just because they danced in school a bit today.

Last December – this exact week, I was very busy getting the slides from Meghan’s November thyroid biopsy transferred to a prominent cancer hospital for a second look.  It took phone call after phone call, but finally they were received by the endocrinologist/oncologist.  Just in time for a holiday break.  We waited anxiously for confirmation that the biopsy was read correctly and was indeed benign.  We were called in for a meeting with the doctor a few days after New Years.  The news was better than we had expected.  “Precancerous cells.”  Come back in 6 months.  And so we did.  The scan in June got us the same – return in six months.  On December 27th we will head back to see if those cells are still “precancerous.”   I am fairly sure I am the only one who remembers the timing of last year’s anxiety.  That is why I find this year’s timing ironic as well.

thyroid biopsy

So, the car is totaled and gone a few weeks now.  The back is improving – often, but not always.  The sonogram revealed disconcerting growth with the spleen hamartomas.  I trudged through another MRI.  I was told to call a surgeon.  They requested the CD from the local sonogram.  I sent it Fed Ex.   It arrived last Thursday..  I called Thursday last week to confirm its arrival.  Then I called Tuesday to find out what was the progress.  I was told the oncologist and the surgeon had to view it then talk.  I think I annoyed the receptionist when I asked if it would be after Christmas.  She said no.  It would be sooner.  So, I have carried my phone like a schoolgirl with a crush.  Nope.  Tomorrow is Friday.  I can almost wager they are away, or on vacation.  I just want to know if I am planning for surgery on my spleen.  That’s all.  Am I planning for surgery?  I can wait on the specifics.

tired-of-waiting

But,maybe I can’t wait that long.  I guess that all depends on Meghan’s thyroid.  If that stays in, then I can pull this off.  One more surgery – no big deal.  But if she needs surgery too… then things get trickier.

I am NOT looking for a formal plan here.  I know how God feels about that.  Just some guidance… maybe?

I-plan-God-laughs

I was back at the hospital that did my hysterectomy tonight for my six month follow-up.  Everything looks good.  Apparently the hot flashes are  right on schedule, and hormonal migranes get me a script for medication.  I will see them  again in the summer so we can talk about adding bone density test to my list of life long follow-up stuff.   It’s all good.  I got this.

you-got-this

I think.

Yesterday was “cause day” at our school.  I wore Meghan’s necklace and her shirt.  I was able to raise a bit of awareness.  We have 300 yards of denim ribbon.  We are going to do something special for rare disease day in February.

rare disease day

We are special.  We are 1 in 200.000.  There are 2 of us.  And I am tired.

But, I haven’t lost my perspective.  We are so blessed.

Reality Check

It is not the critic who counts;
not the man who points out how the strong man stumbled
or where the doer of deeds could have done them better.
The credit belongs to the man
who is actually in the arena,
whose face is marred by dust and sweat and blood;
who strives valiantly;
who errs and comes short again and again;
who knows great enthusiasms,
the great devotions;
who spends himself in a worthy cause;
who at the best, knows in the end the triumph of high achievement,
and who, at the worst, if he fails, at least fails while
DARING GREATLY
so that his place shall never be
with those timid souls
who know neither victory or defeat.

Theodore Roosevelt
26th President Of The United States

I intended to write something entirely different tonight, but when I started searching for words of encouragement, to ease my overwhelmed soul, I came across some that were worth copying here.

Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all.

  Dale Carnegie
American Author

The whole idea of living with a chronic disease really just stinks.  I mean there are a lot of things, in a lot of people’s lives that just stink, and there are ever so many that I would never for a moment trade places with.  But, that doesn’t change the reality that this genetic disorder, this PTEN mutation, this COWDEN’s SYNDROME, is now part of our “real life,” and I would like to send it back.

Well meaning people, people I love with all my heart, and people I am indifferent to, ask me all the time how we are.  I know they would love to hear that we are great.  They’d like to hear that all is well.  I could tell them that  there are no deep dark fears of tumors or cancers, or surgeries keeping me up at night.  I often lie and say, “great” forgetting to mention the scary headaches, the joint pain and the anxiety that hide behind the beautiful “braces covered” smile of my little girl.  I sometimes say, “we are hanging in there,” which some days means we won’t spend three hours at a doctor’s appointment today, or I am not waiting for a phone call, or a nerve-wracking test result.  Some days it means my heart is in my throat – but I don’t know how to tell you.

I remember when I used to love to eat.  Lots of food – carbs, junk food, candy.  I used to have an appetite, and enough energy to exercise too.  I remember several sizes ago when I had a closet full of clothes.  Now I have enough pants and shirts to get me through.  I remember when my old boobs filled out my tops. 

I sometimes think to myself, “this is not my real life.”  Raw fatigue.  Nerves.  Stress.  Balancing a full-time job, and the normal demands of parenting with the full-time job of managing this disease.  Has it really only been a year that life has been this complicated?  There were always issues.  But a year since the diagnosis.  The confirmation that these risk factors belonged to us.  That they were real, and pressing. 

And yet to look at us – you would never know.  You wouldn’t know of this other life we lead.  This “elephant in the room.” 

Everyone has something.  I have said it a million times before, and I will say it again.  It could ALWAYS be worse, and there is ALWAYS something to be thankful for.  I am grateful for that reality check.

When I don’t call you back for a few weeks.  Or, when I start sending cards late, and losing track of dates.  Don’t worry too much.  We are treading water here.  We will get by.  Just cut us some slack.  Some days it just doesn’t all fit, and some days there is just not enough wine.