Keep on, Keeping on!

without hope

Several months ago I wrote about “The Beginning of the End”  Meghan was having trouble keeping us at dancing school.  The pain kept getting out in front of her.

https://beatingcowdens.com/2013/03/25/i-fear-this-is-the-beginning-of-the-end/

While in some ways the decrease in stress these last few months, plus the return of Physical Therapy twice a week, have helped her pain – but, it became increasingly evident dance was just not meant to be.

She was sick, and missed class.  Then she was hurting, and missed another class.  She missed the dress rehearsal  and trophy night because she was home from school with a low fever.  Always seems to be something.

So as we headed out to “Candyland” yesterday morning, we all knew it would be her last recital.  The dancing takes a toll on her joints that it would be foolish to keep repeating.  But, that didn’t dampen the mood on the soggy Sunday.  Meghan was ready.

meghanleigh8903.isagenix.com
meghanleigh8903.isagenix.com

We started her day with the electrolytes from Isagenix that help her so much.  Then we left her backstage at the theatre with all the other dancers.

It can get long when your dancer is in number 25 in a show of 27 acts, but I find the other dances entertaining, and before we knew it – she was on stage, ready to shine.

There was no pain evident in that body as the rush of being on stage overwhelmed her.  She smiled and moved in ways my body just never could – or would.

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When I met her at the stage door to bring her to her waiting father and grandparents, I had some flowers in hand for a job well done.  She knew this was it for her, but as always – she kept looking forward.  “I will get on stage again Mom.  Maybe in Junior High, maybe in a theater program.  I can’t keep dancing, but I love the stage.”

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We took lots of great pictures.  We cherished the memories.  We enjoyed a nice lunch of Gluten Free pizza.

Yesterday was a rush

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Today came the pain.  The elbows, the knees.  An epsom salt bath, and some relaxation.  It helped some, but its hard to tell.  She is so used to the pain.

And as she headed to bed, “How many weeks until my swim lessons start?”

Cowden’s Syndrome, you SOB.  You may have me exhausted, but you picked a worthy adversary in my girl.  She will not go quietly.  She WILL win.

“Beatingcowdens” Not just a blog title, but a way of life.

Candy Land 2013
Candy Land 2013

Maybe…

leap of faith

And that is what we took.

Stuck in a corner – a stifling corner, with anxiety, and all of its evil friends – we decided to break free.

And I can not think of a better thing we could have done.

Today was Meghan’s 3rd full day at her new school, and while she misses her friends – she is adjusting beautifully to the welcoming students and professionals that have greeted her.

She received an outstanding foundation at her old school – teachers who worked alongside her right up until we made the move last week.  She received a foundation from them that will allow her to soar here.

I am eternally grateful.

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But there is a time for moving on.

Sometimes it happens neatly at the end of 5th grade.  And sometimes it happens before that.  This was her time.

Which shouldn’t surprise anyone because nothing really seems to be wrapped up in a neat little organized package – not in life, and certainly not in Cowden’s Syndrome.

She changed schools, but the Syndrome stays.  And sometimes that’s a hard reality to swallow.

See she is so excited to meet new children, and to run and play and socialize – we hoped that maybe the release of tension would eliminate the pain.  It took a few days for the pain to catch up.  But, it moved too.  It lives with her – no matter what school.  Although I am convinced it is less than it was.

Stress is evil.  Tension is its nasty twin.  The conbination wreaked havoc on her already struggling body.

stress pain tension circle

Now, there is much less stress and tension, but there is still pain.  A knot in the hip that doesn’t want to quit is pestering her still.  And while I am grateful that the tolerance is higher, I am not sure if the pain is any less.

Any time an injury lingers, or a pain persists for more than 2 weeks – even if it is intermittent – we have to ask ourselves if it is time to go for imaging.

Xrays are not good for Cowden’s Syndrome.  Radiation can send our sensitive cells into a tailspin.  And the alternative – MRIs, are taxing – on everyone.  But how long do you wait for a pain to go away when you have a syndrome that provokes tumor growth?  How do you know what is the right time?

We scheduled the summer appointments.  I was hoping to wait until then for all the check ups and tests.

Somehow, I suspect we will have to see someone a bit sooner.

But, I am stalling.  Maybe the happiness will cure it.

Maybe swim season – her first ever competitive sport she ADORES – will straighten it out.

Maybe.. just maybe… we won’t have to add one more confused doctor to the list of clueless professionals who don’t know how to help us anyway.

Maybe… her blood results from Dr. Elice will come in this week, and maybe there will be an answer or two.

Maybe…

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Maybe I will just go fill up my wine glass again.

 

I fear this is the beginning of the end…

15_the-beginning-of-the-end

… of dance class that is.

It sounds so dramatic.  I guess maybe its not such a big deal.  But today it feels like one more thing on a list Cowden’s Syndrome has robbed her of.

Meghan was never going to be a performance dancer.  She wasn’t going to do ballet for hours.  But, for the last 3 years, she has taken one dance class a week.

First recital - 2011
First recital – 2011

Hip Hop.

Not because she knows the music, but rather because they dance in sneakers – and that is better for her joints.

I can’t say enough good things about the studio.  The owner is a compassionate, kind, professional, lovely woman who strives to make every child feel like a million bucks.  She revels in their accomplishments.  She celebrates every ability level.  She truly loves children, and dance.

The Proud Dancer with her fans
The Proud Dancer with her fans

This place is the perfect fit for Meghan.

Her joints acted up in the fall.  She missed a month before she could get it back together.  No worries – no sweat.

A few weeks ago she twisted an ankle at dance.  Xrays, a sprain.  A week or two off.

2012 On the Red Carpet
2012 On the Red Carpet

Then there was the shoulder thing.  Not dance related – but it still cost her some time.

And then tonight.  I picked her up from class and her flushed face told the story before her teacher had to.

“She hurt her hand, but we don’t know how.”

I do.

EFF YOU COWDENS!

So, I took her home.  There was a shower, and some ice.  Nothing more than a light sprain I am sure.  But her back hurt too.  So we put her to bed very gently. And we spoke about maybe finding ways to increase swimming instead of maintaining dance.

The recital though is such a rush.  She loves it.  She loves being on stage – the energy.  The celebration.

On stage - May 2012
On stage – May 2012

Physical Therapy tomorrow morning.  We will let Dr. Jill input her thoughts – although I already know them.

She is pretty good when she dances.  She is a quick study.  She has made so much progress.  And she has some moves.  (Those are NOT from me!)

She will ultimately get to decide.  Although its probably for the best to back out now – before she really gets hurt.  The final decision will be hers.  So I say.

In reality the final decision has been made by Cowden’s Syndrome, and its ruthless attack on her joints and muscles, and connective tissue.

She is resting peacefully  – for now.  But I am cranky.

Things tend to work out as they should, but I am still waiting for this little girl…(young woman…AAAKK!) to catch a break…

strength

Thinking outside the box

iep5

 

And so began the week that was.

A “simple” annual review – not so much.  But that’s OK.  Mamma Bear remained calm.  I am most strategic that way.

I am however exhausted, and facing another battle.

It was a bit of a struggle to keep the chin up this week, as I often felt like her:

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But, I didn’t act like her.  Not even once.  (Well once I cried – but I got yanked past it.) And that’s about all of that story I can share here, for now.

But these last few weeks  months, have left me with a lot of questions.

See, there is this constant battle to do what is right, or what I perceive to be right, as I advocate for Meghan, and for my family.  But inevitably, because I am so introspective – I am left with a ton of questions at every fork in the road.

questions

 

Last week when we took her to 4 doctors and an ER about her shoulder, I ended up being told I went to the wrong ER – that we didn’t belong there.  But it is a cancer center, she is already a thyroid patient there, and my child grows things.  While we are blessed that none have been cancer yet – I am not of the “wait and see mentality.”  But, still I paused and wondered if I had done something wrong.

In the end, the rheumatologist gave her a muscle relaxant.  We began rehabilitative PT and I am seeing progress.  The shoulder and neck remain wickedly sensitive – but she has back almost full range of motion.

Still we watch the lump behind her shoulder blade, in hopes it continues to decrease in size and doesn’t turn out to be the “soft tissue tumor” we were advised to look out for.

what if

Really – no one has even a bit of a clue.  And it is often just downright exhausting.

Physical Therapy this week was refreshing.  At least I deal with professionals who have made themselves aware of Meghan’s needs and focus with a goal of eliminating, or severely managing, her pain.  Thank God we found them.

Because of them, Meghan will swim in her meet tomorrow.  No freestyle – it hurts the neck.  But that was OK with her.

i love backstroke

Backstroke seems by far to be her favorite. I love watching her swim.  She seems so at peace.

It gives me a time to break from all the questions.  The wondering.  The worry.

It is easy to doubt yourself sometimes when so many things are changing at once.  Whether you are precipitating the change, or reacting to it out of necessity, when there is so much at once I think it is normal to wonder.

We are not super difficult to get along with.  Yet we go through doctors like a toddler goes through shoes.  We have very few close friends – confidants to be trusted.  Those who will be honest and open minded.  We spend a lot of time alone.  We get along really well – thank goodness.

I think what we look for is doctors, friends, associates, people who can practice:

Thinking_Outside_The_Box_by_mclelun

 

I just wish there were more.  No one really fits in a box.  And that’s not just us, and our “rare disease.”  Everyone is unique, and special.  Everyone needs to be looked at with a fresh pair of eyes.  Everyone needs to be viewed through the perspective of the other person.  Only when we start to look at things through someone else’s point of view do we solve anything.

It is the outside the box thinkers that solve IEP problems, medical problems, friendship concerns, desires to make the world better…

Daring to think outside the box is risky.  It is hard.  It is necessary.

Especially in this season of “test prep” where I have seen this scenario one too many times…

test prep

 

Mine, yours, all of them – they are individuals.  They have specific needs.  We should never be discouraged when advocating for them and their needs.

In many cases – we are their only voice.  We MUST think outside the box for them.

 

Mamma Bear

Tomorrow is Meghan’s annual review for her IEP meeting.

I will not go down that easy!
I will not go down that easy!

It should have been an easy meeting.  Continuation of PT and the paraprofessional until her triennial next year.

The Cowden’s Syndrome clearly warrants PT.  We already have 2 sessions a week outside, and THEY want her to receive additional services inside the school.

She hurts, (by her own words)

https://beatingcowdens.com/2013/03/03/moving-backwards/  (This is a link to a speech she gave in school)

all the time.  Some days she is just able to make the best of it.

Last week we lost 2 days of school (and work.)  We  saw 5 doctors, including an ER in those 2 days because of severe pain and virtual immobility in the left shoulder.  No obvious trauma.  Just the life of a 9 year old with Cowden’s Syndrome.

Cowden’s Syndrome can often be accompanied by hypermobile joints, making injury during daily activities much easier.

Cowden’s Syndrome is also a condition of over exaggeration by every body part.  The smallest injury warrants a full, and sometimes incapacitating inflammatory reaction.

We manage a lot of things with Celebrex.  But it is not a miracle drug.

We can not keep her in a bubble.  She is 9 and wants to run and play.

But, that doesn’t mean her PT needs “don’t affect school function.”  They do affect it – in so many ways.

So that is my job tomorrow.  To get my point across.  To speak for my girl.

Mamma bear is almost ready…

mama bear

To protect baby bear…  She WILL get what she NEEDS!

Mama and baby bear

“I’ll get you my pretty…”

It is late, but I need to decompress.  my apologies to those of you I meant to reach out to personally.

Really – the last few days again have been a whirlwind.

The Wizard of Oz seems the appropriate metaphor – so bear with me.

Some time last week Meghan began complaining of shoulder pain.  Left shoulder – mildly irritated.  So, we gave some tylenol and kept on moving.  But come Sunday afternoon it seemed to take a marked turn for the worse.  And that is where the story began.

wizard_of_oz_0244_tornado

She was struggling to move it at all, and the pain face was coming.  You know – the face that tries to be brave but is so strained it just ends up looking exhausted?  That one.

We got her to bed Sunday night but started to wonder if she would make school the next day.  We waited until she was sound asleep and began poking at the shoulder.  Sounds mean I know, but we figured if we got a pain reaction out of a dead sleep…  and we did.

So I began to Email her awesome PT who did her best to help guide me and keep me calm.  She also got me a 1:15 appointment for Monday.

I emailed my boss that I would be out and I let her sleep in Monday.  Then she woke up.  I guess that’s where it started to get trickier.

wizard_of_oz_tornado

Well, maybe not quite that tricky yet – but close.  The pain was intense.  We decided to try the Urgi Care to see if she needed an Xray.  We waited and were seen by a perplexed doctor who decided against the Xray and suggested we see the pediatrician.  Great plan.  He was on my list but I was hoping to get a jump start since his hours didn’t start till 2.

In the mean time, we went to see the PT.  Have I mentioned Jill and Lauren at Leaps and Bounds PT are the absolute BEST?  We saw Lauren who calmly assessed Meghan through careful range of motion activities.  It was clear she was in great pain.  Lauren told me she was worried about the muscles – clearly strained, and the potential that there might be a slight injury to the rotator cuff.

wizard of oz dorothy and witch

At this point I swear  I heard the sound of Cowden’s Syndrome, like the Wicked Witch, cackling in the background, “I’ll get you my pretty…!”

My heart sank.  The shoveling hadn’t helped I am sure.  But the swimming.  That had to be the real culprit.  I felt like I had been punched in the stomach, or perhaps that someone had dropped a house on me.

wizard of oz house

It had taken years to find a sport that she enjoyed.  One that she was ENCOURAGED to do.  The pride and excitement on her face – amazing.  And now the threat that maybe it caused this injury.  My thoughts flooded with wonderings about the future.

At 2:30 we headed to the pediatrician.  He evaluated her but wanted an orthopedist.  We tried three.  None took my insurance.  Finally they found one local that takes my insurance who would see her Weds. (tomorrow) at 4:40 – but don’t worry because they are triple booked and we should plan on waiting 3 hours.

Um… no.

So as I stood at the window of the pediatrician’s office I asked him to order the MRI that seemed inevitable.  He reluctantly did.  Then I asked him what to do for her for pain.  He called us back in and looked at her again.

He said what I already knew.  He said, ” No one around here has a clue about Cowden’s Syndrome, and they don’t want to touch her.”  Take her off Staten Island.  Go up to Memorial Sloan Kettering where they first diagnosed her AVM.  Go to the ER up there.  We have no way of knowing if the knot behind her shoulder is a muscle or a soft tissue tumor.  (Thank you Cowden’s)

“I’ll get you my pretty…”  There goes the cackle again.  And a firm reminder to Cowden’s that it WILL not get us

This was at about 5.  So, we had a quick bite to eat and headed up to 68th and York.  They were perplexed by our arrival, but they handled it fine.  They got an Xray, and made Meghan comfortable with heat packs and pain medicine.  The Xray wasn’t read because there was no radiologist on,  so we were discharged hours later with the pain pills, and orders to see an orthopedist – the one who diagnosed the AVM, and to call our endocrinologist for the Xray results in the AM since he is the one we see at Sloan.

At this point Felix had joined us and we were all a bit punchy.  Meghan was stiff and in pain.  I was over thinking and exhausted… together we made quite a sight.

wizard of oz all

We arrived home after 11 and I headed  down the street to the 24 hour pharmacy for her pain medicine.  Except – they didn’t have it.  And they offered me no suggestion as to where to get it.  So, at 11:20 – armed with my smart phone, and facebook, I relied on the guidance of a few night owls to get me to a pharmacy.  Medicine retrieved, heating blanket purchased, and Twix consumed – I headed home some time close to 1AM.

Felix was staying home Tuesday.  It was Parent Teacher Conferences for me.  So my head touched down on the pillow some time around 1:20 AM.

Too tired to even think, I could still hear the cackling of the witch – reminding me so much of Cowden’s Syndrome… threatening… “I’ll get you….”

wizard of ox witch

I headed out to work by 7:30.

I called for the Xray results and got a reprimand by our doctor at Sloan that was appropriate for a child. He was annoyed that I had even brought her to the ER last night.  I told THAT doctor to take it up with my pediatrician.  I really despise arrogance.

In contact with Felix and Meghan we got an appointment for the orthopedist, on the 21st of MARCH!

Since that wasn’t going to work a long term plan, a call to the rheumatologist led to an appointment at 2:30 PM today.

Basically she feels the lump is a muscle and not a tumor…. (So take that bucket of ice water witch!)

wizard of oz melting

She gave Meghan an order to rest for a week.  Better than a season!  She also gave a script for PT and a muscle relaxant for a week.  We will reevaluate then…

In the mean time, she is asleep.  Resting with a heating pad.  School tomorrow will be tough, but she will make it.

I got through hours of conferences and stayed alert and awake!

I will find the number and call the coach about swimming.

We will not give up.  But apparently she needs PT AND swimming, not PT OR swimming.  We have time.  Not  a worry.  We will fit that right in.

You know what, it has been a wild two days.  But it could have been a whole lot worse.

Everything with Cowden’s seems to have a sense of urgency.  There is always the “what if…”  Her joints are hypermobile because of the Cowden’s.  She injures easily.  But all that means is we have to teach her to get in control of her body.  So the PT is a have to.  That’s ok.  Could be worse.   Least we love our PTs.

AND… it will be PT AND Swimming.  My girl loves to swim.  And she’s not half bad.

A few readjustments.  A few more bumps in the road.  A few more skipped meals, and some more gray hair.  But it will be OK again.

Cowden’s Syndrome gives us obstacles.  We work around them, through them – whatever is appropriate.  As long as we don’t stop.

And well – if anyone says we can’t… we just melt them.  It’s much quieter now.

Hopefully tomorrow runs smoothly.

But for tonight…

End_title_WizardOfOz

Meghan Speaks Out!

Maybe tonight I would have to call Meghan the “Guest Blogger.”

What you read below is her speech.  She was asked to prepare something to read for her school for “Rare Disease Day” on Thursday.  She is an excellent public speaker, and fights only a few “butterflies” before she speaks.  She always makes me so proud.  I wish I could be there!

Rare_Disease_Day_Logo_2011-1024x968 2

The text of the speech was written by her.  I typed it, and then she went back in and changed it again.  I added the pictures… just for here – because I like to!

She will review the speech with her principal tomorrow, but I don’t expect many changes.

When did my baby grow up?

**********************************************************************************************************

Some of you, who know me, know me as Meghan Ortega.  Or, maybe you know me as Meghan from 4th grade, or Meghan from Mrs. Worsdale’s and Mrs. LaMonaca’s class.

books

You might, if you know me a little better, know me as Meghan who loves to read, and swim. You might know me as Meghan who loves dogs.

competition_pools

Maybe you know that I have 2 dogs that I love, and a mom who is a teacher and a dad who is an electrician.

 

Lucky, Meghan and Allie - My three girls
Lucky, Meghan and Allie – My three girls

But, until today, very few of you knew that I am Meghan Ortega and I suffer with a Rare Disease called Cowden’s Syndrome.

lori and meghan

Until September of 2011 I didn’t know I had this Rare Disease.  What I did know was that something was wrong and my body was far from that of a “normal” kid.

For as long as I can remember, every week of my life has included AT LEAST one doctor’s appointment, and lots of times even more.

tired-of-waiting

You’ve all been to the doctor and you know it’s not fun.  It involves waiting and waiting…and even more waiting.  It also involves poking and prodding. For me, it often means being sent to more and more and more doctors…

 

My mom says when I was a baby I wasn’t really comfortable, and I cried all the time.  I almost never slept, and wouldn’t drink my bottle.

When we talk about it now, we think my body knew I couldn’t handle dairy products, and dairy is in milk.

Mom also tells me that I started seeing lots of doctors when I was just a few weeks old.  Soon there were doctors to check almost every part of my body.

I have had 9 surgeries.  I remember having my gall bladder out before I turned 4.  I also had a lipoma (a soft tissue tumor that people with Cowden’s Syndrome get.)

I had knee surgery 4 times for an AVM in my right knee.  An AVM is a vascular malformation.  It is also common in Cowden’s Syndrome.  It feels very strange because it pulses like your heart beat. Every time I had that surgery the doctor thought I wouldn’t need another one.  But they have already done 4, and they are not sure if the AVM will ever go away, so I will probably need more.

Rare_Disease_Day_Logo_Hope_

Because I am in pain so much, I get physical therapy in and out of school.  My outside physical therapist, Dr. Jill told Mom that she should take me to see a geneticist. I didn’t really understand what that was, but we went because that is just what I do.

Dr.Pappas at NYU was really nice.  He examined me and he talked to me and mom.  When he was done he drew some blood.  He said he was pretty sure of what I had, but we had to wait for the test results.

NYU

In September of 2011, just as I was starting 3rd grade, we went back to his office and he told us that I have Cowden’s Syndrome.  It means that my PTEN gene is broken.  Your body is made up of all sorts of genes, but these are G-E-N-E-S, not J-E-A-N-S like the ones you wear.  PTEN is the gene that keeps your body from growing tumors.  Because mine is broken I get more growths, like the AVM, the lipoma, and the nodules on my thyroid that I have to have checked every 6 months.

As soon as I was diagnosed, the doctor talked to my mom and said she probably had Cowden’s too.  He took her blood and a few weeks later she tested positive.

making strides 1

Because of the Cowden’s my mom had lots of tests done, and it explained a lot of things about the 17 surgeries she has had.  On March 5th it will be a year since she had surgery for breast cancer.  She is just fine.  She says that knowing she had Cowden’s helped her find it early.  She says to everyone that my diagnosis saved her life.

School

When I am here at school I smile a lot.  I don’t like to dwell on anything bad.  We spend enough time with doctors so I try to enjoy my time with kids.

You would probably never know by looking at me, that I am in pain a lot.  I take medicine every day that helps my joints hurt less than they used to, but still most days I have pain.  It is hard for me to climb up the stairs, and play at recess, but I do it.

 

We first heard about “World Rare Disease Day” last year, but at the time we were a little too stunned to do anything about it.

Exhausted

This year I told my mom I wanted to do something to make people more aware of Cowden’s Syndrome and all rare diseases.  I was not ready yet to do a fund raiser – I just wanted to get the word out that Rare Diseases like ours exist.  There are over 7,000 of them!

I shared my idea with Mrs. Manfredi and she said I could give out the ribbons and information you received today.  I was really excited.

“Hope it’s in our genes” is the motto of the Global Genes Project.  They try to raise awareness and find cures for all rare diseases.

denim ribbons

Today I think it’s important for you to know you can’t ever really judge someone by how they look on the outside.  You never know what’s going on inside of them.

 

Be kind.

Be aware.

Rare Diseases are everywhere.

Thank you

** By Meghan – Age 9!

 

Normal?

It’s Friday.  And, the only medical office we have been inside of since after my colonoscopy Tuesday is the dentist.  That’s a perfectly normal place to go, and the dentist is kind, and painless too.  Three days.  One appointment.  And a “normal” one at that.  Plus, no cavities.

This is exciting in my house.  Everything we do seems to be peppered with a test or an appointment. So when it’s not, it’s time to celebrate a brief glimmer of normal.

Today I had appointments – but they were for the betterment of me, in the most psychological way.  Nope, not a psychiatrist.  I had a gel manicure, my eyebrows done, and then Meghan and I went for haircuts.

To top it off, while she went to a well run, fun “God squad” meeting, I snuck out for dinner with a really cute guy who makes me laugh a lot.  We even have matching  wedding bands!  🙂

So, tomorrow is the blood work to see if the WBC has begun to rebound.  Tomorrow for the blood, Monday for the pediatrician.  Tuesday for the fabulous Dr. Jill at PT, Weds. for another doctor… to be named later.

But for today – my little girl and her one of a kind necklace seem to be on the up side of healthy.  She is about to go to bed, and close out today with her award-winning smile.

Today.  Today is good.  We are here.  Together.  We had only fun places to be.  Today I am thankful for all the people who I crossed paths with. 

Trying not to worry about tomorrow.  Lord knows tomorrow has enough worries of its own.

Random Reflections – nothing profound today!

We tried another church today.  This time all three of us went.  A little different than what we are used to, or I should say WERE used to – but it holds some promise nonetheless.  Before we had even left we had been given a tour of the facility by the pastor, and Meghan was invited to a free music class Thursday afternoon.

Førde Church, a typical Protestant church in N...

God has a plan.  And while we did not head all the way to Norway where Wikipedia tells me this picture is from, we were away from “home.”  I am working to keep my eyes open and focused because to be quite honest some days God flat out confuses me.  So we will see.  At least we worshipped together as a family – for the first time in months!

It was gray and overcast a lot of the day.  Glad we got in a swim yesterday.  It may have been the last one.  We would close the pool tomorrow, but we need to call a man about some air bubbles in the liner.  Hoping its nothing too serious. 

We got to spend the afternoon with my grandparents and my parents.  Last minute plans are always a treat when we get to be with family.  Pop was 93 last week.  Grandma will be 92 in 2 weeks.  GGMa is not quite up there, but it is still always a reminder of how fortunate I truly am to see my grandparents interacting with my daughter.

The oncologist’s nurse called me Friday.  She wants a copy of an old abdominal sonogram on CD so they can sort out the spleen, and why it seems to suddenly be growing so many things.  I told her it was going to take me a bit of time to get it because it was 4:40 on the Friday before a holiday weekend.  She told me I could get it Tuesday.  I chuckled.

No matter how hard I try…  “I plan, God laughs.”

I explained to her that after 9 and a half weeks of summer vacation, I return to work Tuesday.  I will not physically be able to have the CD burned until Friday.  They will get it in about a week and a half.  At which point she nicely reminded me that it could be serious.  To which I replied quite simply, “No it can’t, because I don’t have time.”

She was appalled I think.  But, what I meant was, I have undergone 2 major surgeries in the last 6 months.  I have a colonoscopy scheduled for one of the days off this month, and an orthodontic visit with Meghan on the next one.  Unless you can prove to me my spleen is about to explode or damage some other remaining internal organ – HANDS OFF!

I am about done with all these doctors!

So as much as I did my best to plan to keep next week, the first days of school, free and empty of things to do – the yellow pad next to me gets more full by the minute.

I will at some point get that CD.  I will get the results of Meghan’s blood test and MRI.  I will call Meghan’s school and sort out the busing mess that is developing for the first day of school.  I will get the pool guy to show up when someone is home and tell me if I need to fix the pool before it can be closed.  I will get Meghan to swim class, the orthodontist, and that new music class, and to Physical Therapy too.

I will get back to work.  We will get back to homework, and a schedule that hopefully involves more kids and less doctors.

There will be stress, and tears, and nervous stomachs, and excitement.

And for Mommy – there will also be wine.  LOTS of wine!

Although I must admit sometimes it’s nice to reflect with a few “normal” worries mixed in!

Persistence…

Photo came from Google.com

My daughter found this photo the other day.  She was searching “funny dog photos,” and stopped when she reached this one.  She came to me and said, “Mom, I think you will appreciate this.”

I don’t know whether I was more impressed by her ability to know that I would in fact get a good chuckle out of this, as it seems to be the story of our lives, or by the photo itself.

Ingenious really.  People do this.  They create these photos, and some seem silly or insignificant.  Until there is one photo, phrase or saying that you really relate to.  Then somehow it all makes sense.

As we turn the corner of summer into August, I know we still have a few weeks of vacation left, but I start to reflect.

School begins for me on September 4th, and for Meghan on September 6th.  When we share our summer vacation stories, what will we tell?

We snuck in some fun.  There were some play dates that were a blast.  There was a trip to the beach, even if only for a few hours.  There was swim class, and dance class too.  There were books galore – read just for fun – far after the three she “had to” read.

But this year there was no camp.  And it was strange.  I missed the schedule a bit, but it was a necessary break – for both of us.

Practical reasons wouldn’t have allowed much attendance at camp.  We were at too many doctors.

Darn Cowden’s Syndrome.  Check this, scan that, see this doctor, make sure that is ok.  Multiplied times two it could be a full time job.  But, since I have a full time job, that I missed an obscene amount of days from last spring while my body parts were being cut away – summer is for all the doctors that we can squeeze in.

Ironically, no one really answered too many more questions. 

Persistence.

Before the end of August Meghan will have had 8 (very productive) Physical Therapy sessions, 3 visits to the pediatrician, a trip to the vascular surgeon, the rheumatologist, the oncologist, the geneticist, the orthodontist, our “second” pediatrician, and she will have had an MRI and 2 sonograms.

I didn’t do so badly myself.  I will be able to boast 3 surgical follow up appointments, 2 trips to the dentist, a visit to a new oncologist, which leads to a visit to a GI doctor, and abdominal MRI, a dermatologist for a skin cancer screening, and a visit to the thyroid surgeon.

And those are just the ones SCHEDULED through the end of August.

Persistence.

Not sure where it will get us.  All these doctors.  I will get them on a nice schedule though.  Start to consolidate.  Double up days.  Next Tuesday I have 3 appointments in a row.  Why waste time?

They want us to add the cardiologist back in.  Just to be safe they tell me.  Everyone is so busy covering their own ***, they often miss the important stuff.

I get that the screening needs to be, and that it needs to be intense.  It could be argued that this intense screening saved my life.  But there is still such a need for doctors with a clue.  Doctors who care.  Doctors who connect the dots.

Persistence.

Although some days I feel like the dog, digging through the concrete… I do believe it will all pay off.

Actually, it already has.

So maybe it isn’t the “perfect” summer, but its a necessary one.  Me and my girl…. together.

Disney – 2009