I used to be afraid of roller coasters

I used to be afraid of roller coasters, and their short, fast twisting, turning excitement.

Then I realized roller coasters and life have a lot in common.  So I started riding them, cause really -what the heck?

photo (3)

If there has ever been a lesson in the unpredictable nature of life, I am confident it has played out in the last two or so years.  And I am confident I have studied hard, and that I understand.  I understand that just when you think you might understand – you don’t.

You see, just when you think you may even comprehend the every-changing, unpredictable nature of life around us, there will inevitably be a way to prove to you you don’t have it quite right.

photo 2

There have been more funerals this year than I care to count.  Maybe its always like this, and I am just noticing now that 40 is behind me.  Or maybe not.  But there have been funerals for friends, for the brother of  friend, for my own father, for my uncle, the precious father of three beautiful adult children, and for my Grandma, and a well-loved great-uncle, and the grandparents and parents of friends… and…

As I sit here thinking about all of them I try for the umpteenth time to rationalize.  And I get farther with some than others.  Some will just never do.

But the ultimate realization is that it’s not really mine to figure out.  It’s not mine to decide how it fits in the grand plan.  And I’m trying to stop looking to figure it out.  Because, boy it can be exhausting.

photo 1 (2)

And as I sit here in the wee small hours of the morning, I remember – that painful Thanksgiving week last year, as Dad fought and fought, and I wonder why.  But, as much as I miss him, it’s not in a pitying kind of why.  It’s in a genuine curiosity for something I will likely never be allowed to understand.  Very much the way he used to ask me why he made it home from Vietnam and his friend Tommy didn’t.

It’s the same kind if why when Mom asks, why after being 18 years a breast cancer survivor, why she is “clean,” and so many have lost the fight.

As I listen to the rhythmic snoring of my husband, and watch my fidgety sleeping 11-year-old, I wonder.

I wonder how we ended up here – again, on the second floor of this hospital.  Today.  Now.

12 hours ago I thought I was tired.  HA!  What did I know.

450 miles in about 30 hours to celebrate the life of a great man, my uncle.  Lots of driving, lots of thinking, lots of observing.  Lots of admiration for his children, grown up children, who undoubtedly will make him proud forever with their compassion and good humor.  Lots of respect for his wife – living her marriage vows through all the crappy stuff with poise and dignity.  Lots of awe for my other Dad Ken, and GGMa, his mom, as they stood together, their original immediate family ripped in half in just over 2 years time.

12 hours ago I thought I would go to bed early.

But I ended up picking Meghan up from swim practice on the way home from Vermont.  And she walked out of the locker room and almost fell to the ground with tears.

“I can’t walk.  It’s my knee.”

And I checked off the list – Did you fall?  Did you bang it?  Did you hurt it doing dryland?  One at a time I asked the questions, even though I knew the answers.

This knee.  The one we’ve been waiting for since we stopped the celebrex had finally given way.

We had had hopes of finishing swim season first.  That was before we had to refocus our hopes to making it into urgi care without falling.

We were promptly told to get out, and get to an ER.  Fast.  The swelling was too big.

Still in my funeral clothes I raced home long enough to tell Felix to dress for work, and to get into some sweats.  A quick bag for Meghan and I and we were off.  This time to Lenox Hill ER.  Cause that’s where they do the knee surgeries.  And not that I’m trying to plan.  But just in case… Maybe we should be at the right place.

They contacted her doctor.  He’s sure it’s the AVM, but he’ll confirm in person in another hour or so.  In the mean time nothing to eat or drink for Ms. Meghan after midnight.  Just in case.

AND regardless – we remain BEATINGCOWDENS!

photo 3 (2)

 

It’s following me….

Much like the Cowden’s Syndrome that will never go away, that will follow us for all our days, the pile stalks me.  I swear it mocks me.  Sometimes when I am not looking, and other times right in front of me.

In the pile are, well all the things you’d expect in a pile; bills that need paying, junk mail that needs sorting, statements that need shredding, or filing, problems that need phone calls, etc. etc.

The pile used to be in the basement.  But it was dingy down there so my husband bought me a laptop and the pile followed me upstairs.

Since it had no proper home on this floor, it could often be found on the dining room table, or on the counter, or any number of other places.

paper_pile_on_desk

My office has been finished.  A bonus to me after Meghan’s big move upstairs.  I have a big girl desk, and places to put all the things I need to manage our house, our doctors appointments, bills, authorizations, and complaints, and my quest to help others find the path we’ve begun walking towards better health and financial freedom.

Slowly I am beginning to decorate.  The curtains and blinds have arrived.  The printers are hooked up.  The electrician I love neatly hid the wires.

The photo albums from years and years of my continued obsession with printing photos even in this digital age, line the wall.

The closet stores years of teaching materials, too outdated to have in my classroom, but current enough that I need to keep them – just in case.

Leaning on the wall to my right is a photo I took from my Dad’s apartment, just sitting there waiting for me to decide what to do with it,  and as I type I sit in his chair.

And, just to my left, as I work diligently to ignore it, sits the pile.  It found its way right into the new blue room with the gray curtains and white furniture.

I don’t like piles.

Partly because they are messy and out-of-order, and as I have said before, far too much of life is messy and out-of-order for me to have piles on top of it all.

Partly, they worry me, as there has been known to be a bill sitting in one of those piles, or a newspaper with a message that needed reading, or this week’s surprise, notification of a car recall.

Despite how many hours I spend working on making it go away, I am at points close to losing hope.

There are times I feel pulled, and stretched in so many directions, that I am quite sure NONE of them is getting the best me.  Especially if they’ve sent notification of anything via mail – because it may just end up on the pile… and then – who knows?

If you’ve been reading for any stretch of time, hopefully by now you know I am not hopelessly out of touch with reality.

I get that there are many demands on all of our lives that sometimes stand in the way of a neat and orderly home.  I really do get it.  And I am trying to find a place where I can live happily somewhere in between.

I am a happily married Mom of one, who, for the purposes of all after school activities, and weekly medical appointments, is single.  My husband works much farther from home than I do, and his day ends later.  End of story.  The afternoons are all mine.  And they work out just fine.  And unlike many couples, we share what we can, and he being a far better cook, prepares something for us to eat.  Quickly.   Before I head out to whatever has the night tied up.  Whether it’s a doctor’s appointment, or spending some quality time with a relative who isn’t well, or attending a meeting, at my school, or hers – more often than not there seems to be something on the schedule every blessed minute.

Which leaves precious little time for friends, and phone calls, and random get-togethers, and fun.  And well, it explains why the pile – although tame at times, never seems to go away.

Yesterday I listened to a 2 hour webinar for a grant I got for work.  But I didn’t have work.  Since it had to be after school anyway I scheduled it then to be sure I’d fit it in. Then I printed letters, and log-in cards for the computer program for the 32 kids across three classes that will be doing it.  And while I am excited to see their progress, I was not excited to be doing that.  Nope.  Not one bit.

And there was the grocery shopping, and the dusting, and the generalized dog fur removal.

And the list and the questions started going like mad in my head,

  1. The dermatologist – why can’t I get that woman on the phone for the appointment for the three of us?
  2. I better confirm the date for our Rare Disease Day brunch in February before we lose it.
  3. How can I figure out how to set up online payment for that?  I really have to check.
  4. Make the appointment about the car recall ( on a Saturday so I can sit for hours since we only have one car.)
  5. And the car needs an oil change and inspection.
  6. What about that car insurance lady who never called me back – got to get on her
  7. And the pictures from vacation – almost 2 months ago…
  8. The outside of the house needs a day all onto itself
  9. And the dogs need baths, badly
  10. What is the real reason Meghan’s foot X-ray looked like that?
  11. Why is one of her feet over 1/2 inch off in size from the other?
  12. What’s with the new knee pain?
  13. When do we have to bring the swollen knee to the attention of the AVM surgeon who said, “as long as she’s not symptomatic?”  Can she last swim season?
  14. Can she handle this schedule?  I mean without getting sick?  Cause she’s close, and there’s a lot going on, but I don’t want to say no to all this good stuff….
  15. And when, WHEN, WHEN….will I finally visit with some friends?
  16. STOP………

My husband sat down with me on the other chair in the office.  The panic was beginning to escalate.

Take a breath.  You need a break.

A BREAK? HOW CAN I TAKE A BREAK? DO YOU KNOW THERE IS LAUNDRY, AND MEDICINE, AND DUSTING, AND BILL PAYING, AND…..HAVE YOU SEEN THIS PILE?????????????????????????????????????????????????????

pile of paper

Sometimes I find the notion of NOT getting things done maddening.  But, if we are very fortunate, we have a spouse, or a soul mate who balances us perfectly.

He knows I need to step away.  He knows I need to visit some long-lost friends.  He also knows I need to spend lots of time with people who aren’t quite well.  And, he knows I need to spend time with MY family.

So today, we went pumpkin and apple picking.

photo 2

A nice farm, about 45 minutes from home.  Just our speed.  The pumpkins were kind of “placed”  off their vines, but nice all the same.  The apples were fantastic, and the walking was almost reasonable.  For about 20 minutes.

The the pain started to show in the eyes of that beautiful girl who just wants so badly to do what everyone else is doing.  Walking. Repetitive motion.  Fractured foot, bone chip, or something way deeper?   At that point all that mattered was saving the day.  And there was Daddy.  And his cape.  As he bent over and swooped his almost 5 foot 4, 11-year-old onto his 6 foot shoulders.  And they walked like that for an eternity.  Picking apples.  Chatting.  Laughing.

photo 4

 

photo 3

And she got down long enough for us to take a few pictures.

photo 5

Then, as we walked to the car the knee buckled and that was it.  Back up on the shoulders again.

And even in pain as we got into the car after less than two hours, the proclamation that it was ,”FUN!”  Took some of the tension out of my shoulders.

So we stashed our big girl in the cart in Ikea, even as she told us we were breaking the rules.  And we looked at bedroom furniture for the grown ups, and headed back to drop some apples with the great grandparents.

I had a special place in mind for the 4th mum in a set I had bought at Costco, so after taking care of that, and another special visit, we even watched a TV show together.

And you know the best part of it?

The pile is still in exactly the same spot.  While it didn’t magically disappear, it also didn’t live up to my fears of having it take over the room.  I have to get in front of it to shift my focus to the things I enjoy, and I will get there…

Meghan had a nosebleed tonight.  A wicked one from the days of old.  And the knee never did bounce back.  She’s in our room.  Asleep with Felix.  There will be a spot for me once I have cleared my head.

My heart, as a mom, and especially as the mom of a chronically ill child, will never be a place of peace.  But with work, even with the obstacles, Cowden’s will constantly toss – we can be happy, productive citizens.  This Syndrome does NOT own us.  It takes one hell of a wicked set of stamina to stay in front of it, physically, mentally, emotionally, and in a practical sense too, but we’ve got this.

Thursday maybe the ENT will look down at that damaged esophagus and offer up some good news.

Until then, it is our hope that whatever your struggles, and we know you all have many in your hearts, minds, bodies, and spirits, that you are able to find comfort in those you love, and that even if only for a few hours, the “pile” seems a little less insurmountable.

photo 1

 

 

“It is only with the heart that one can see rightly…”

There is something about having a kid who struggles, whether physically, mentally, emotionally, or in any other capacity, that forces you to open your heart and mind to things you may never have “seen” otherwise.

little prince

We are blessed.

We have a beautiful, witty, articulate, charismatic and spunky young lady.

She knows pain, and she knows it well.  And some days that pain is like plowing through a stone wall, while others its like walking across a pebbly yard barefoot.  But, there is sparsely a day with no pain.

She knows competitiveness.  Although she would like to be the fastest runner, she is starting to work towards a more reasonable goal in a no impact zone – the pool.

She knows intelligence that book smart children know, and she knows the perspective that few adults can master.  She can look at other people and want to talk to them.  She can wonder about them.  She can empathize with them.

She knows what its like to be sick.  And in surgery.  With IVs, and needles, and scars, and recoveries.  She knows what it’s like to never be “well” only watched.

She is learning, step by step, that “well” is more of a state of mind, than a state of being, when each week is peppered with some type of appointment.

Yet, she knows that even at the depths of her own Cowden’s Syndrome battles, there are others.  With and without our syndrome – who fight a battle unbeknownst to us.

Meghan doesn’t use a wheelchair at home.  For this I am grateful.  Although as I teach my daughter about homelessness, and how we can never be too sure from where they came, or whether it could through a series of unfortunate events, become us.  We practice a deep understanding of reality in Disney World.

_DSC2525

Meghan’s pain, so much of it, stems from repetitive motion.  Too much walking, any running, too many stairs, too much kicking or pulling in the pool… all of it has repercussions.  So Disney, by it’s very nature, and its wide landscapes requires much walking.  And, as we try every year, even with a little here and there – the pain is deep and inevitable.

So for that week every summer she gains an even greater perspective.  She lives in a wheelchair.  With all the inconveniences that come along with it, in an effort to save the needs from irreparable pain, and the trip from being a wipeout…she rides.

And on the first night after the vomiting I watched from a distance, as Felix helped her onto the handicapped ramp on the bus.  And there was a knot in my stomach as I watched my girl get strapped into the bus in the wheelchair.  This beast, this Cowden’s Syndrome we fight.  Well we fight to win.  But who can know?

_DSC2518

I stop myself from wondering too far ahead and I reflect.  On the old me.  The me who used to look at people in wheelchairs riding buses as an inconvenience.  A delay in my precious time.  The me who used to judge and try to guess why they would need a wheelchair.  The same me who used to judge a lot of things.

We will unpack.

The wheelchair will be stored.  Hopefully for a very long time.  But, it will be there, in the basement.  In case.  In case we need it for anything.  Because the pain, well it’s always there.

Fortunately, she is in a position where her stubbornness still has the power.

And I will think, as I drive her back to swim practice in a few weeks, about the other mothers.  About the ones who wish their child’s wheelchair use was temporary.

And I will think about the phone call I got this week.  The one about the AVM growing in the knee again.  Timed on the same day she was vomiting in the hotel room.  And I will be grateful that we don’t need surgery right now.  And I will be grateful that it is not in her head, or any other life threatening spot.

I am humbled.

By her grit.  By her stamina.  By her determination.

I am grateful.

For the opportunities afforded to my girl.

We will find the balance.  We will pay it forward.

I don’t even really remember the judgmental me.

I am too busy working on

BEATINGCOWDENS!

 

Coaches Change Lives

I know that teachers have the power to change lives, but as my girl gets to the middle school years, I am really starting to think the power is with the coaches.

I have always wanted my daughter to be an athlete, and truth be told, THAT didn’t take much convincing.  She is a natural competitor.  She loves the thrill of racing. competing, and performing.  She has done some time in soccer, with some fantastic coaches, who worked to nurture her.  She loved her time dancing.  But, her body, much to her chagrin, was not made for pounding.  The knees, and hips, and major joints couldn’t handle the impact.

So we headed to the pool.  Her first experience with any competitive swimming came at the age of 9, on a CYO team we were connected to through a friend.  Soon after that season she tried out, and was accepted to join a 12 month team.  She began with them in July of 2013.  And, while the desire to compete was always strong in her, it seemed there was constantly something standing in her way.

some days

We started the year with the goal of making 2-3 practices a week.  But, in the fall things took some wild turns, and there were migraines, and neurologist visits, viruses, and fatigue, and strep, and one obstacle after another.  There were weeks one practice seemed like a feat.  Meghan had a hard time finding her place, because she wasn’t there much.  And the cycle continued.  During the fall my father became ill and passed away quite suddenly in December.  That set her into a bit of a tailspin.  Then in the end of December a routine thyroid appointment told us there was much to be concerned about, and that she’d need her thyroid removed.

coach

Ironically this is about the time she started to enjoy going to practice.  The coaches were intelligent, and compassionate.  The kids were all finding their way.

Meghan responded so well to the two young women who coached her most often.  They understood her medical trials, but treated her no differently.  They pushed her just enough, but never too hard.  They listened when things hurt, and gave her ways to work through it.

She mustered the courage, and stayed healthy enough to make it to her first big meet in January.  She was awed by the whole experience, and truth be told, I don’t even remember what she swam.  Like so many firsts, it was about getting it done.

Thyroid surgery in February sidelined her for a few weeks.  And, long after her body had healed physically, her thyroid hormone levels never seemed to take to the synthetic replacements.  An emergency room trip in February – 10 days post op, led to an overnight stay and the elimination of the synthetic calcium from her diet completely.

But, by the beginning of March she headed back to practice.  Her coaches welcomed her, encouraged her, and built her up.  She started making regular practices, and swimming CYO at the same time.

Then, in May her body quit again.  Severe gastritis landed her in the local hospital for 6 days.  She missed her last CYO meet.  She underwent extensive testing, and the blame for the erosions in the esophagus, and the inflamed, bleeding ulcerations in her stomach lay with the Celebrex – the very medication that was allowing her to function through the chronic pain that plagues her.

Coaches-change-lives

Crossroads.

The elimination of Celebrex, and the discoveries of the damage it had caused in her GI tract, led to changes.  Her already Gluten, Dairy, Soy free diet, became also free of beef, spices, chocolate, and the other tastes that had carried her through.  Then there was the pain.  The constant awareness of pain in all her major joints was playing mind games with her.  The pain – very real – could be fed nothing to control it.  Oral pain meds were, and still are off limits.

Weak from her stay in the hospital, it took another week home before she could even consider a return to practice.  And when she did, she was angry.  She was angry at her body for the pain, and angry that she couldn’t keep her old pace.  She was just angry.

But the coaches, they were supportive.  They let her take the lead.  They let her take her time.  She rested when she needed to. She left early when she had to.  And finally, just about 3 weeks ago she started making full practices again.

The pain is a daily battle.  One she is fighting with mental power to overcome, and the best nutrition we can offer to her.

Last week she made 4 days of swim camp with the varsity swimming head coach at the local college.  6 hours a day.  She slept well.  She was sore.  But she was determined.

So, when we set off for the meet upstate yesterday, my expectations were low.  I was hoping she would finish without disqualifying.  100m of butterfly is not for the faint of heart, especially in a 50 meter pool.  But she did it.  And closed in with a time .67 seconds away from qualifying her for Junior Olympics.  Junior Olympics, the best of the best swimmers in her age group.  An honor just to make it in the door.

We went back today to give it one more try, but it wasn’t meant to be.  This year.

Close doesn’t cut it.  This I know.  Except when you consider that she got THIS close, despite all odds, it’s something to consider.  Meghan’s synthetic thyroid replacement is not working.  It’s just not.  At our last appointment we found out her TSH level – the Thyroid Stimulating hormone has increased by over 300% in 6 weeks.  Post operatively it remained about a 10, it took a brief dip to 6, and then over a 6 week span increased to 20.5.  ABNORMALLY HIGH is what it says on the lab report.  That, combined with her low levels of T4 means that the work of the thyroid, that can not be done by the gland that was removed, is not being done by the medication, which has just short of doubled since February.  The endocrinologist is baffled.  I’m concerned, but not shocked.  He agreed to research alternative medication, but he has, “never had to prescribe one before.”  For those of you not thyroid patients, you are considered hypothyroid, once the TSH goes above 5.  Most people feel human between 1 and 3.  I function best when mine is .5.  At 20.5 you would likely not find me out of my bed.  You would certainly not find me at swim practice.

“Mind over matter,” we say.

“Everyone has something,” we say.

“Show the world you are better than Cowden’s Syndrome,” we say.

And she does.  All the time.

On the way home we talked a lot.  We talked about obstacles, and overcoming.  She started to set goals.

swim_coach_journal

And then, there was this text from her coaches.

“”Hi Mrs. Ortega.  (We) just wanted to send you guys a text and let you know how proud we are of Meghan.  She is such a pleasure to coach and is always looking for ways to improve and be her best.  Swimming isn’t only about the times, it’s about the people and having the opportunity to create and share memories, good and bad.  Meghan has so much drive, and goes through more than we can even imagine.  She is truly amazing to go through everything she does and still push her body in the water.  Today was just the first time.  We know there will be plenty more opportunities for her to make cut times, and we know she will.  She has limitless potential and we want her to know that.  She is truly an amazing person, and we are lucky to be able to coach her.”

inspired-life

And in that moment, everything was OK.  Coaches have this incredible power.  They can motivate and heal and push in the same breath.  They are gifted with selflessness like no other.  My heart is grateful for these women who will continue to shape my daughter’s future.  May they always know the impact they are having on a life full of bumps, twists, and turns.

4 Doctors and a Dog Surgery

Before the school year closed my principal told my daughter to do whatever she had the urge to this summer.  Knowing she was a good kid, she understood his meaning.  He told her to play hard, and not worry about getting hurt, or hurting.

When I shot him a look, he laughed and ignored me.  Speaking right to Meghan, (referring to an event at school last June where she climbed a rock wall and ultimately needed hand surgery) he asked her if she would climb the rock wall again.  She said, “Definitely!”

He smiled at her, knowing he had left his mark in the just over a year she spent at our school.  Her confidence was up, and she knew the satisfaction of completing a task, and sometimes even winning – far outweighed the physical consequences that simply seem an inevitable consequence of being her.

And yes they are all about the same age, mine's just REALLY tall!
And yes they are all about the same age, mine’s just REALLY tall!

 

 

Turns out that very conversation was replaying in her mind as she was first to cross the finish line in the “Fun Run” this morning, held annually in memory of my cousin Meghan, her namesake.  The pleasure in her eyes outweighed all other things as she held it together long enough to get in the front door before she asked for ice.

Reminding me today as educators we shape lives in ways deeper than the classroom.  I am grateful…

school closed

Meghan needed this morning.  As a matter of fact we needed it – so badly that I think even the rain knew.  And maybe my Dad, my cousin’s “Uncle Tom,” was able to push those clouds out-of-the-way for a while.  His angel wings are 7 months strong today.  I think we got a special favor.

angels

It’s hard to believe we’ve only been out of school for a week.  My head is spinning.

Monday was the rheumatologist, full of confusion, still perplexed by pain without swelling that plagues so much of her body.  We spent hours, and arrived home minus a copay and with little to show for the trip.

Tuesday morning as we prepped for the GI, fortunately a local appointment, I got a call from the vet.  “I know Allie is scheduled to have her teeth cleaned tomorrow, but we have a cancellation.  Can you bring her today?”  All about getting things done, I got the dog in the car and dropped her off for a dental cleaning.

Of course, I left in tears because as tough as I want to say I am about the dogs… I am who I am.

So when they called me a bit later to tell me she would need 5 extractions, my heart almost stopped.  But, there was little choice so I consented.

We headed to the GI and had a pleasant visit there.  It’s always easy when things are going well, and generally the stomach is so much better since that stint in the hospital in May that we are clearly headed in the right direction.  We left with an appointment in 6 weeks, and told we could slowly, and carefully start reintroducing some of the foods stripped from her already restricted diet after the diagnosis of severe gastritis.

I picked the dog up a bit later that night.  And her pain medication, and her antibiotics, and as I was leaving even full of relief to see her, it was hard to tell what was whimpering louder, Allie, or my Visa.

 

Ouch!
Ouch!

Wednesday another local visit, this time to the orthodontist.  And instead of getting the news that the braces are ready to come off, she left  with more rubberbands.  The initial projection of having them removed in February seemingly a distant memory, and more conversation about her teeth and how “unpredictable” they are.  Why not? So to make sure that they don’t move too far in the wrong direction – we get to go back in 2 weeks, then in 4.  We’ve got time I guess.

Thursday, after feeling confident that the dog was on the mend, we left for the endocrinologist in NYC.  A somewhat productive conversation at least led to a mutual agreement that the synthetic medicine may not be working for her.  Her fatigue, I was told, “may not” be associated with her insanely elevated blood levels.  We’ll get the labs on Monday.  Two more 6 weeks cycles for the levels to regulate.  Then we try something new.  12 weeks is a long time to look at continuing to feel less than your best, but at least we left with a more open-minded doctor than when we started.

“This is getting old.”

I’ve heard that phrase a few times from my normally happy, easy-going kid.  At 10 years and 11 months she knows chronic pain, needles, surgery and waiting better than anyone should.  When she asks about my childhood, and I tell her that I also went to quite a few doctors, (although not as many as she does,) she tells me I am “lucky I didn’t know I had Cowden’s Syndrome.”

And as I am left to ponder what it must be like knowing more about genetics and your broken PTEN gene than you might ever want to, I think about how hard it must be.  The thoughts that go through her head, the level of her vocabulary, her insight.  So much to absorb, so much maintenance.  She gets that she’s lucky in some ways, but overtaxed in others… it is so easy to forget that she’s not even 11.

That is why mornings like this one have to happen.  That is why she has to sometimes taste a little bit of victory, when she feels like the challenges might swallow her up.  That’s why she has to run as if she has no pain.  That’s when she gets to be a kid.

fun run 1

This was the worst of it – this week, for doctors.  This was my worst scheduling job by far.  On the 14th she has one and I have one.  Then on the 15th I have 4. (Genius!)  And after that things lighten up considerably.

This week I settled some paperwork that has been lingering.  I fought over medication with the pharmacy.  I began the process of organizing a few very chaotic things.

Today we got to see some family.  Meghan got to hug three great grandparents, two of which are in their mid 90s!  We got to chat and to eat and take a break.

Tonight we will sit with a sweatshirt and watch the sky for fireworks.

Tonight I will thank the angel who moved the clouds away this morning.

Come on summer – we are READY!

Groundhog Day

“Groundhog Day” – who doesn’t remember the movie?  There have been plenty of days I have thought of it.  I may need to watch it again soon.

Groundhog_Day_(movie_poster)

Pediatric Endocrinology is a ridiculously small sub specialty.

There is this web of interconnections, and all sorts of people who have lost sight of the patient.

web

Ultimately I may need to head out-of-state to try to get a clean opinion.  But, I have to take that and so many other things one step at a time.

But, after the travesty on Thursday, I was left with little choice but to keep me appointment with the surgeon at our current hospital.

You remember the surgeon?

He’s the one who did a great job on the surgery.  The one who said, when we went for the follow-up, that he only needed to see her ever again if she felt anything in her neck.  And when she did feel something in her neck I had to jump through 12 hoops to convince him he should see her.  And then when he saw her, he proclaimed the lump a salivary gland and told us to return “one more time” in a few weeks.

But then there was that horrendous week in the hospital.  And while she was being treated for gastritis, a hematologist felt her neck and said, “It’s a lymph node.”  So they sent her for a sonogram which said it was a lymph node.

So when we went back to see the surgeon and brought him the sonogram report he got annoyed and ordered his own ultrasound, which we got to wait 3 hours for.  And then he called me to tell me everything was fine, even after the 45 minute exam where the tech measured the lymph node in her neck.  So we were good to part ways until I asked for a copy of that report too.

confused

And 10 minutes later my cell phone rang telling me doctor “I am sure it’s fine, but just in case,” wanted to see her again.  So after some haggling we arranged for June 16th at 1.  Which was ok.  Until they called me Friday to tell me I could come in at 9:30 or 10:45.  “How about 1, like you said originally?”

So the appointment was set for 1, and I punched out of work at 12.  We got to the hospital at exactly 1 (a 20 mile drive) after some typical traffic, and a near miss of a three car accident in front of us on the highway (thank you angels) on line for the parking garage.  I called up to let them know we’d be a few minutes.  And we sat.  And we sat  And we sat.

Finally we began to inch forward just a bit.  Then there was just one car in front of me.

And he was not paying a bit of attention, as a large black SUV cut right into the front of the line.

Now at times like this I try to focus.  Maybe there was a medical emergency. Maybe… Maybe…

So as much as I wanted to get out of my car screaming, I held my composure and talked about all the reasons they might have done that.  Until a hospital employee, likely late for work, surfaced as the driver.  He left his car across the sidewalk, took the ticket from the attendant and raced into the hospital.

It was 1:35.

And then I noticed some scurrying.

I thought the car was stuck.

It turns out the self-important line cutter had taken his keys- blocking the entrance and causing the line of 20 cars behind me to continue to grow.

The car was booted and moved.

We got to the appointment around 2.

As usual...
As usual…

The doctor spoke to Meghan.  He asked her how she was doing.  She told him about her pain.  And about her throat clearing.  And about how tired she is.  She mentioned working hard to get so swim practice.

I don’t think he heard a word.

He felt her neck and proudly proclaimed he felt nothing.  By now I was so tired of this I just wanted to get out.  I figured we were done.  I was glad he could feel nothing.  If only I trusted him.  Truth be told, I haven’t put a hand on her neck in 4 weeks.  There is just no point.

“I want to see her at the end of the summer.”

WHAT?????????????????????????????????????????????????????????????????????????????????????????????????????????????????

3 visits ago he never wanted to see her again.  Now he has ultrasound and 2 visits at which he told me she was fine.  Let it go.  Unless of course, he just doesn’t quite trust himself…

“I’m glad she’s feeling so well.”

EXCUSE ME??????????  Did you just see MY kid?  Because MY KID is incredibly polite, and often very positive.  She is articulate and bright, but she will NEVER tell you she feels WELL.  She doesn’t believe in lying.

Some days this is like a bad movie. Or a dream where your finger is stuck in the door and it keeps closing over, and over, and over again.

4740897520_door_jam_xlarge

August 18th.

Damn.

So much for a month without doctors.

When do you, as the Mom, put an end to it?  Knowing that any “miss” falls right on you, it’s so hard to defy their recommendations, even when their competence can be questioned.

Rheumatology on the 30th.  GI on July 2nd, and Pediatric Endocrinology AGAIN on July 3rd.  And that’s just the first week.

I guess I better plan something fun for the 1st.  Something worthy of a stepping stone for that bridge…

Her entire right side hurts to the touch tonight.  Every natural pain remedy I research has something her reflux doesn’t allow.

She fell asleep tonight reading her Bible.  Our Pastor sent her a long letter with some great verses of comfort.  She hasn’t stopped rereading it.

Sigh…

Two hours to get in.  Two hours to get home.  Less than 30 minutes on the floor of the hospital.

“This is getting old Mom.”  Wise kid.

“‘Cause what if your blessings come through rain drops
What if Your healing comes through tears
What if a thousand sleepless nights are what it takes to know You’re near
What if trials of this life are Your mercies in disguise” – Laura Story

Building Bridges…

It’s been a while since I’ve written.  If I have my way I’m about to get so focused that you’ll get tired of hearing from me.

Life has become a bit overwhelming.  And some days all of this, this whole chronic illness thing, is just too much to handle.

There are days the path looks like this.

broken bridgeThere are days when it is easy to wonder, “What now?”  or, “What next?”

But that is the very mindset that can find us in a heap of trouble.

So we are trying to work on shifting our focus.  Instead of panicking when the bottom feels like it’s falling out, we are working on reinforcing the structure.

We all need a bridge, a support system of sorts.

With two members of the house who are the 1 in 200,000 unique that comes with having a RARE Disease like Cowden’s Syndrome, it’s so easy to let the illness try to creep into your identity.

I don’t talk too much about me.  Mostly because as any Mom, my needs are second to those of my girl.  But, I too get overwhelmed.  And when I feel like Cowden’s is trying to choke me out – it’s time to pause and reclaim.

I am more than the paperwork and medical records.  I am more than the bills and prescriptions.  I am more than the scheduling and the appointments.  I am more than the mastectomy scars.  I am more than the synthetic thyroid hormone.

I am a mom.

hope stone

I am a wife.

hope stone

I am a friend.

hope stone

I am a Christian.

hope stone

I am a teacher.

hope stone

 I like music.  I like reading John Grisham. I enjoy Law and Order.  I like to laugh.  I CAN’T get by without my Isagenix, and my Ionix.  I appreciate photography, and I really, really like to sleep.

And with each piece of my identity, the pieces of my foundation get stronger.

 

There are things I have to do as a person with Cowden’s Syndrome.  There are things I have to endure.  There are an unnerving amount of tests and appointments and the constant nagging notion that things may spin out on a dime.  But if I am honest – isn’t that what life really is – for everyone?  While the issues may not always be medical, the reality is that despite our best efforts, we have no control.  So, we do “the best we can with what we have where we are.”

And as I get my foundation in place.  As my stones are strategically placed – so they can be stepping stones along the way if needed, I can work on helping Meghan build her bridge.

wooden bridge

I figure once I have it together enough that I can catch her if she falls… she’s free to establish her own pace, and find her own way.

We will forever do outreach work.  We will forever share our story.  We will forever create fund-raising opportunities for research.  That will be part of our lives.  Cowden’s Syndrome will be part of our lives.  But it will not BE our lives.

My daughter has seen more in 10 and a half years than most adults see in a life time.  She has been medically poked, prodded, and cut.  She has been in and out of hospitals.  She has seen doctors hired and fired.  She has been listened to and she has been ignored.  She has had arteries ablated, and a body parts removed.  She has vomited pure bile from a stomach torn apart from pain medicine.  And she has pushed each day through that pain.  She tries to be like the other fifth graders, but she struggles.  She struggles to be understood and to fit in.

But, from my stones, my own developing identity,  I can see her clearly.  Perhaps more clearly than she sees herself some days.

I don’t profess to know all things.  She’s a bright preteen.  There are things I’ll never know, and that in and of itself is OK, and normal, and even healthy.

What I see when I look at Meghan is not Cowden’s Syndrome.

I see a beautiful smile.  I see a kind heart.  I see compassion.  I see love.  I see competitiveness.  I see a swimmer.  I see a singer.  I see a reader.  I see someone who loves to play hard, and relax just as hard.  I see raw determination.  I see high standards.  I see someone, a young woman who makes me proud to be her mom.

This summer we are going to work on building.  I want to be able to provide her stepping-stones.  And then I want to help her build her bridge, with a healthy mix of guidance and independence.

I want her to see she has Cowden’s Syndrome, but it does not have her.  It is an inconvenient part of our lives – but not our entire lives.

We are going to make memories.  We are going to create situations that have nothing to do with doctors or hospitals.  We are going to laugh and play.  We are going to continue to “Live Deliberately.”

And we are going to write it down.  It sounds so silly to think that we have to write down having time for fun, but we do – for now.  Maybe one day it will become so automatic that life’s adventures will become common, and our medical world will fit in the empty spaces.

It’s not going to happen all at once.  There will be days we have to remind each other.  But, we will get there.

And along the way we will slowly build the team of medical professionals who look at us as people, and keep our best interests at the forefront of their practice.

Because as we become empowered, we will be rid of the others.  Positive influences only.  We deserve that.

She made swim practice tonight.  No small feat.

The pain – evident, but managed.

applause

Endocrinology consult Thursday.

Hopeful.

A balanced thyroid certainly would help a few (dozen) things…

 

“Dear whatever doesn’t kill me, I’m strong enough now. Thanks.”

I needed today.  For so many reasons.

Even thought Meghan had 2 appointments today – 11:15 and 12 – it was a good day.

We all slept.  Late.  All three of us.  I mean 10:00.  A good sign that we – all three- are shot.

IMG_0423

I mean, not a whole lot changed from yesterday, in that it took a full 10 minutes before Meghan’s pain subsided enough for her to walk.  And she was sensitive to the touch, so it was even hard to rub her.  But everything is a little better at 10 AM.

And there was the Isagenix shake – blessed by her GI doctor, back in the mix made with blueberry and coconut milk – that went down smoothly as she took the new regimen of pills.  I finally have a doctor who understands quality nutrition, and who “gets” that you can be sensitive to one type of milk protein and not another.

meghanleigh8903.isagenix.com
meghanleigh8903.isagenix.com

And after the appointments, even though I got the frustrating news that the “it’s broken, it’s fixed, it’s broken, it’s fixed” 1996 Saturn has likely advanced to “deal with it – it’s done” status, it was still OK.

Because we got home, and then Felix made lunch.  I stayed home with Meghan and her “better but not gone” stomach pain.

After that he took the working car to get the wood for the deck railing that has completely rotted out.

No one can really explain that – but we are kind of used to it.

The deck – pressure treated wood – was put together between 2000 and 2004.  By all accounts it is falling apart.  And its not from faulty construction.  The base is solid.  The center is stable.  But the galvanized screws are literally wasting away – and the wood, especially the rails, is rotting.  Maybe it’s too much sun.  Maybe it’s a stain product we used early in its life.  It really doesn’t matter.  It’s done and has to go on the budget list for a full replacement in the near future.  But for now we patch.

Triage.

triage

The bay window wins.  Installed in November of 2000 – on my birthday to be exact- the lower left corner of the center window has rotted out completely.  The entire window – hole in the house and all – needs to be replaced.

So while Felix was getting the wood, he priced the window  Tonight we have to do some comparison work.  Then the order has to go in.

But this afternoon I sat still.  For a few hours.  And I really, really, really liked it.

It’s easy to feel guilty.  That there are things that need doing.  There are people who could use our help.  And there are people who need to be visited.  And there are phone calls that need to be made.  But, last week my Mom told me if I didn’t take some time for myself I might lose my mind.  She’s right.  Although I could say the same to her, and most people I know.  It’s hard for any of us to just stop and sit still.

I haven’t written since Monday.  The arrogance I encountered that day kept me stewing for most of the week.  And… I don’t think I’m over it yet.  But I wanted to pull my thoughts together and go at it with a clear head.  But if I keep waiting for a clear head I may have to stop writing forever.  Because the pain my child endures – regularly- is horrendous and worsening.

If the purpose of this blog is to create a chronology of our experience with Cowden’s Syndrome – then it all has to be shared.  The good, the bad, and the arrogant.

A friend who endures more than her share of struggles with her children placed this on my wall this week.  I can’t tell you how many times I laughed out loud.

what doesnt kill me

 

Tuesday I called the surgeon’s office after school to inquire about the sonogram.  He spoke to me – to tell me that there is absolutely nothing wrong with her neck.

Insert sigh of relief here, right?

So I said thank you, and requested a copy of the report.  It was to be emailed to me within 10 minutes.

And while I was processing the conversation I had with the surgeon, I was contemplating what I would see on the report.  You see, the local sonogram bothered the surgeon.  So when we went to have it done I watched the screen like the hawk I am.  I watched every measurement, every angle for 30 minutes.  I SAW the exact dimensions from the local sonogram recorded.  And yet the report was the most incomplete one I have ever seen.  It simply said “normal” several times.  It was contained on one sheet of paper, unlike the three I had become used to.

I wanted to be relieved so badly.  I wanted to take a breath and say “whew!”

But I feel the lump in her neck.  And she feels it.

What I needed was a doctor to say, “It’s there and it’s fine.”  THAT would have been OK.  THAT would have settled me down.  But, to say it’s NOT there….  THAT leaves me with a whole other set of unsettled nerves.

And then the phone rang.  Again.  And it was the surgeon’s office.  His secretary told me we needed to go back for a follow up.  I was stunned.  And perplexed.

Why a follow up?  He just told me everything was fine!

The doctor just wants to see her one more time before the summer.

This from the same surgeon who three visits ago NEVER wanted to see us again.

So I set the appointment for June 16th.  And I wondered really what I am supposed to think.

So I got the number for medical records and I got a CD of that exam placed on CD.

I’ll bring the CD with us for the endocrine consult at ANOTHER hospital on June 12th.

And this isn’t even the pressing problem right now.  Or at least we don’t think so.

The next set of thyroid labs are going to be next week.  We need to see if this new dose is making ANY difference in her thyroid hormone.  If it is, well great.  And if it isn’t… someone needs to start figuring out what’s going on.

There is pain.  All the time.  Terrible pain.  Worse when she wakes up.  And, when she tries to walk, up the stairs.  Or down.  Or if she tries to lift something.  Or bend to pet the dogs.  Or run.  She made it through 18 minutes of swim practice on Weds.  Then I had to help her get dressed.

The pain varies in intensity.  But it doesn’t leave.  And she is frustrated.  And frightened.

Holding my head in her hands, looking me right in the eye, I received the admonishment a few days ago, “I am telling you I can not do this forever.  I can handle this pain a bit longer, but you NEED to help me.  I CAN NOT do this forever.”

worried mom - FBI

No pressure.

I get it Meg.  I get it.  I don’t really get your pain.  But I get the urgency.  I am all over it.  Trust me.

But that kind of pressure will wipe you out.

The GI on Weds. was happy with her progress.   The pathology showed cellular changes all through the GI tract.  She told us of the spot in the stomach she chose not to biopsy because it bled as the scope passed over it.  She gave us the “reflux” diet.  She reviewed medication and supplements.  She made sure I have an ENT appointment – for June 3rd.  She things the upper esophageal damage is caused by a chronic post nasal drip.  And maybe “fingers crossed,” that will be the throat clearing too.  Because if not there is another diet – with more restrictions on the horizon.  But we can’t race.  We will see her in the beginning of July.  We are clear on the directions.  Especially the one that said, “no pain medicine by mouth.”  The damage done by 4 years of NSAIDs will take months to reverse.  If we are lucky.  Her Cowden’s Syndrome cellular overgrowth reacted to the insult by thickening the esophagus at spots, inflaming the stomach and causing a real mess.

That doesn’t leave a whole lot of options.

So from 200mg a day of a strong NSAID to nothing…

celebrex100mg

I ordered some herbs.  Some that have anti inflammatory properties.  I have read and researched them and have sold them to her as the best thing since Celebrex.  They will be here tomorrow.  Let’s all pray I am right.

Some people think she exaggerates, because there are glimmers of smiles.  There are times when she laughs.  There are people who want her to feel better just because time has passed.  Trust me no one wants this more than her parents.

I would not trade her – or a moment of the last almost 11 years, but this constant struggle is wearing on us all.  We are isolated.  Family and friends alike are often unaware of what to say, or do.  We are afraid to eat anywhere other than home, afraid to be too far away in case her stomach hurts, afraid to be away from home for too long because the pain is often too much to bear.  We are lucky, fortunate, blessed, to have each other.  We are acutely aware of the struggles of so many, and we know we are far from alone when we say we are exhausted.

I needed today.  I did random things like taking the 5 gigs of pictures and video off the iPhone.  I uploaded them to shutterfly.  I combined them with the family photos and I placed the first print order since August of 2012.  We are up to August of 2013 now.  You see I used to be all over this kind of thing.  But life… it gets in the way.

And the nicest part about today was looking at the memories.  The smiles.  The happy times in those photos.  You see today I needed to be reminded…

And that is what today was about.

Because next week there is Field Day, with prayers that there can be mobility by then.  And next week there is blood work.  And next week there is swim practice, and so many things that we want to go very, very well.

Today, I needed today.

 

 

Glorious Unfolding

Lay your head down tonight
Take a rest from the fight
Don’t try to figure it out
Just listen to what I’m whispering to your heart
‘Cause I know this is not
Anything like you thought
The story of your life was gonna be
And it feels like the end has started closing in on you
But it’s just not true
There’s so much of the story that’s still yet to unfold

And this is going to be a glorious unfolding
Just you wait and see and you will be amazed
You’ve just got to believe the story is so far from over
So hold on to every promise God has made to us
And watch this glorious unfolding…

Steven Curtis Chapman

 

I believe in God.  I believe in the power of prayer.  I don’t believe in a predestined life, but I don’t believe in coincidence either.

This song was playing in the car last week one night.  Meghan was having a tough time of things, and I had gone to clear my head.  When I came home she was still awake so I downloaded it to her Ipad.  We laid together in her bed and held each other.  The tears flowed.  The comfort of each other, and the comfort of the knowledge that we were not alone – not abandoned – ever – eventually allowed her to rest.

The song is in her playlist for “bed.”  It is a beautiful compilation of songs with a purpose.  And as I sit, in a dark hospital room, on our 6th night here the songs play in the background.  Their messages soothing for my tired soul.

I didn’t want to be here.  I mean not in any hospital, but especially not in THIS hospital.  Somewhere along the line I had decided that I would NEVER want to be HERE.

Well that was my first mistake.  Cause really, it’s not up to me.  And that is a hard reality to accept.

I-plan-God-laughs

The pediatrician works from here.  They respect him.  We adore him.  He loves Meghan like a granddaughter.  She was really sick.  If I headed anywhere else I would have been flying blind.

They moved at a pace I sometimes felt was too slow.  But, I as an anxious Mom, am in no position to judge pacing.

There were staff I could have done without – so I excused them from our room.  But not most of them.  Most of them have been kind and compassionate.

Being local allowed for FAMILY and FRIEND visits, and even a visit from our pastor, which mean so much to Meghan on really long days.

The tests were run one at a time, but they all mattered.

Once they realized how much the IV – and all its complications – caused her grave anxiety, they took extra care.

The dietary team has done their best with a complicated kid.

The GI doctor has been thorough, professional and meticulous.  She had read about Meghan and about Cowden’s.  She TALKS to the pediatrician, and our hematologist in NYC, and the ENT we will soon see.

The lab tests were all inconclusive.

The sonogram didn’t tell us anything.

The CT scan was essentially normal.

The medications, continuously adjusted, have provided little relief.

confused-face

So as we prepared for the endoscopy we were anxious.

See, you never WANT anything to be wrong.  But then there is a point where you KNOW something is.  Then you worry about finding out what it is, or NOT finding out.  It’s hard to know what to be more worried about.

Heading into the test today we were both anxious.

They say a picture is worth a thousand words.

We have pictures now.

Pictures of a GI tract so damaged by SEVERE Gastritis that it will take months to years to recover it.  She has damage from the top of her throat straight down into the beginning of the small intestine.

Inside the stomach is evidence of ulcerations.  Many.

The esophagus that should be smooth – a mess of bumps and sores.

Remind me to NEVER EVER EVER doubt her tolerance for pain.

This one is a favorite of a dear internet friend :-)
This one is a favorite of a dear internet friend 🙂

The pictures make me ill.  Because they are evidence of MORE suffering in my young girl.

To her they are vindication.  And that makes me sad too.

She hurts every day.

She says it.  And I tell her I get it.  But I don’t think I do.

Pain like THAT has to be isolating.

Because every day she has to get up and function anyway…

And not too many people her age would even try to relate.

The GI told me she sees damage like this “every once in a while” in patients, but they are always 50 and older.

She told me the biopsy will likely show it to all be medication induced.  The medication I have given her for years.  The miracle drug that kept her mobile.

We will wait until next Wednesday in her office to look at the pathology, and to review every prescription and supplement that crosses her lips.

In the mean time there is medicine to control the spasms in the stomach every 4 hours.  There is medicine to try to control the acid so maybe she can start to eat.

There is more time off from school.  At the tail end of 5th grade.  When the days are supposed to be fun.

 

There are MORE dietary restrictions.

But somewhere in the pain is vindication.  For the girl who knows her body better than any doctor.  There is proof.  There are pictures.

Wishes 1

But I don’t believe in coincidence.

This is her second GI related hospitalization since her thyroid was removed.  That’s weird.

Her thyroid numbers are NOT normalizing.  So she has been “hypothyroid” for three months.

I mentioned it a few dozen times this week.  No one bit.

I’ve hit google. And my sister’s friend hit on an article too.  I will keep looking.

never never give up

Somehow this is all connected.  The thyroid.  The medication.  The pain.  The gastritis.  The Cowden’s Syndrome.

But I have to be patient.  The pieces will come together.  In time.  With hard work.  And good doctors.  And prayer.

We prayed today for an explanation.  We asked for an answer to explain her pain.  Our prayers were answered.

perspective

Now we pray for healing.  Of her tired body.  And her tired mind.  We pray for the development of a TEAM of smart doctors who communicate, and we recognize with gratitude it all began where I never wanted to be.

There is work to be done.  There are more concerns to be addressed.  The road will continue to have bumps and twists and turns.

But somewhere along the path there is time to be grateful – for the GI who trusted her gut and did the scope TODAY.  For the anesthesiologist who repaired a failing IV while she was ASLEEP.  For my girl who gets to say “see this is WHY my stomach hurts.”

And that’s all I can process for one very long day.

I think I’ll sleep between the midnight and 4 am doses.

God's got this

The IPad is playing our song…. this is going to be a “Glorious Unfolding.”

Lay your head down tonight
Take a rest from the fight
Don’t try to figure it out
Just listen to what I’m whispering to your heart
‘Cause I know this is not
Anything like you thought
The story of your life was gonna be
And it feels like the end has started closing in on you
But it’s just not true
There’s so much of the story that’s still yet to unfold

And this is going to be a glorious unfolding
Just you wait and see and you will be amazed
You’ve just got to believe the story is so far from over
So hold on to every promise God has made to us
And watch this glorious unfolding…

Steven Curtis Chapman

State of Mind

Fortunately her shoulder injury has healed quite nicely.

She heals well.  Good thing.   She has had so much practice.

She progressed through the state math exam with extended time for writing.

She weaned herself off the muscle relaxants quickly.

She is tough.

Good thing.

Wednesday she pulled me aside in school and asked me to feel her neck.

“Mom, I think this is a lymph node”

As she gestured to her neck, not far above where the mass that had cause the suspicion that prompted the removal of her thyroid, had sat less than 3 months earlier.

Hesitantly I put my hand to her neck, not as much to check, but simply to verify.

I knew she was right.  She is always right.  I swear she’s like “The Princess and the Pea” sometimes.  She can feel everything.

Princess_peaBut I put my hand to her neck as she instructed and instantly knew there was in fact, one swollen lymph node easily felt.

“Mom, the surgeon said I only have to go back and see him if I have any swollen lymph nodes.  But, he said that was “highly unlikely.”  I guess he didn’t know who he was dealing with!”

She tried to make a joke, lighten the mood while reading me for a reaction.  I giggled.  I reassured.  I felt a deep sinking flutter in my belly.

Not because I assumed it to be a problem, but more because I knew this would unleash a cascade of additional appointments, and really… well, quite frankly… we are NOT in the mood.

Of course, all of that was, and is irrelevant.  I called the surgeon, whose office insisted I have a local clinician verify that it was in fact a lymph node.

I called first the ENT who has been dealing with the throat clearing issue, hoping to kill two birds with one stone so to speak.  HA!  His office released a new flock – of which we will have to contain what we can another day.  Instead of inviting us in to check on her improvement on his medication, he determined, sight unseen – and relayed through a secretary, that Meghan should see a GI doctor.

birds

 

Apparently his on the phone conclusion based on the fact that her symptoms had not fully resolved on the nose spray and increased reflux medication was that a GI needs to treat her for reflux.  While that may be true, on some level, at some point, someone at some point has to realize the two of us are quickly becoming overwhelmed, and sending us to another doctor is not always a good idea.  (Plus, when your kid is 5 foot 2, and 100 pounds at 10 – no GI takes you very seriously at all.)  And in reality – I just needed someone to check the neck!

So, I waited for our trusty pediatrician, and Thursday afternoon – on a bright sunny spring day – after an hour and a half wait – we heard what we already knew.  It in fact is a lymph node, and it should be looked at.

So as Meghan asked me in the car if she should be concerned, and I calmly let her feel my own set of chronically inflamed lymph nodes, I calculated our next steps.

When I called the surgeon’s office this time I was told we would be seen Monday.  They called Friday to let me know that our appointment was to be 9:30 on the 5th.

I woke up Thursday morning with a most unusual swelling in my left eye.  I can’t for the life of me figure out the cause.   By Friday when I went to tell my (patience of a saint) boss that I would need Monday off, I was looking far less than my best.  Puffy eye had turned red and was starting to resemble infection.

As I sat in the urgi care waiting room Friday evening ready to collect my prednisone, my antibiotic, and my stern warning that if things didn’t improve by Monday I needed to see an ophthalmologist, I wondered where the breaking point is.

We had some tough nights this week – the two of us.  We had some nights feeling a lot like we were bearing the burden of Sisyphus.

Sisyphus-big

 

It is an uncanny feeling to be at the bottom of the mountain without a prospect of getting to the top.  This feeling that we WILL be at this forever, requires careful mind games to overcome and is not for the faint of heart.  We both experience it very differently, so the trick becomes to rely on each other, but understand our vantage points are unique.  We MUST rest on each other, but others as well.  And we MUST teach each other to look for the sun and the flowers and the beauty around us right where we are.  It is a tall order for me some days.  My 10 year old, well, she is my hero.  Because, despite the occasional setback she finds a way to pick up and keep on keeping on.

i am oneShe sent me this in my Email this weekend.  I read it a bunch of times.  Then I hugged her.  She is determined.  She is driven.  She is my reason for staying focused.

So I shared with her a poem on my mind…

If you think you are beaten, you are
If you think you dare not, you don’t,
If you like to win, but you think you can’t
It is almost certain you won’t.

If you think you’ll lose, you’re lost
For out of the world we find,
Success begins with a fellow’s will
It’s all in the state of mind.

If you think you are outclassed, you are
You’ve got to think high to rise,
You’ve got to be sure of yourself before
You can ever win a prize.

Life’s battles don’t always go
To the stronger or faster man,
But soon or late the man who wins
Is the man WHO THINKS HE CAN! 

– Walter Wintle

Today, she had a swim meet.  Her team lost.  They usually do.  But they are great kids, who have a BLAST, and cheer for each other.  They generally have a great time.  And somewhere in between the team being hammered, she was on two second place relay teams, and pulled this out.

Gray Cap – Lane 4 (After her goggles flipped at the start!)

Clearly the highlight of my week.

Now let’s hope tomorrow is much ado about nothing, and we can get about facing the next set of plans life has for us.

In the meantime – your prayers as always, are gratefully accepted.