Reflections

learning

Reflections.

One of those multiple meaning words that seems to get tossed around a lot this time of year.

Reflections for me are necessary as a part of who I am.

As the new year approaches, I find that I hear the same sentiment over and over.  “2015 Will be a (great, better, good, fabulous…) year.”  Often I hear people say, they are “due,” and it’s their “time,” or their “turn.”

And that’s not to say I don’t know countless people who have suffered gross misfortune.  And it’s certainly not to say I don’t wish them all a break.  It’s just I’m not sure what difference a minute makes, really.

I am reminded of the conversation I have with my youngest students several times a week.  December to January is a matter of a minute.  One to the next, and the calendar changes.

calendar

I guess it’s none of my business this notion that the new year will make things better or different.  But, I just don’t really buy it.

I like the idea that the year starts over again.  I have always liked that about teaching – the ability to start fresh every September.  But to me that is a more authentic change than New Year’s Day.  At least in school it IS a new year, new schedule, new students…

Maybe it’s the fact that the last few years feel all drawn together in my mind.  And they haven’t been all bad.  Just quick.  Fast-paced.  And maybe a little tiring.

Truth be told, though, there is no real indication that 2015 will be any different from 2014, or 2013, or one of the rockiest of them -2012.  The change of month and year will not alter many of the things currently set in place.  There is Cowden’s Syndrome to fight.  There are relatives and friends struggling with health issues.  There are things that just are.

But, what will remain the case in 2015, is currently the case right this moment.  I will wake each morning, put my feet on the floor and find something good to focus on.  I will shake off the pain.  I will be a role model for my girl.  I will eat the most nutritious food I can find, and share my passion with whomever will listen.

question

I will question doctors.  I will question everything and get the best care I can for my girl.  I will adore my husband, and love him the way he loves me.  I will follow the lead of my daughter and strive actively to help as many people as we can.  I will work on staying calm, and not sweating the small stuff.  Because that is how I get through every day.  All year.  And some days when we are very tired, we will just be.  And that’s ok too.

Although, I’m not beyond reflecting on the last 12 months, in the year we often dubbed “The year that everything broke…”

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I spent January sorting through my father’s apartment after his death in December 2013.  It was a whirlwind that ended December 4, 2013, when he passed from a battle with pancreatic cancer, and the carry over was evident in my dining room for the early part of 2014.  I made phone calls, wrote letters, and did what I could to address inquiries and settle affairs. And still a year later there are pictures to be sorted and water marked… soon.

dad and meg halloween 2013

In February Meghan’s thyroid finally gave out.  And was taken out.  In the middle of a huge snowstorm that led us into the Ronald McDonald House in Manhattan the night before.  And we spent a few weeks with the largest part of the recovery, which included a medication reaction and another overnight hospital stay.  Almost a year later her Synthroid dose fluctuates every 6 weeks and doesn’t seem close to being regulated.

Trying to distract the pain away.
Trying to distract the pain away.

There was the identity theft that targeted me in March and got right into my bank account.  There were headaches, and police reports to follow, but they had nothing on the fraudulent tax return we learned had been filed in April.  Hours and hours, and months of waiting.  We have it all fixed.  Almost.

identity

The spring was a constant juggle of pain.  An indicator that the thyroid removal had altered the balance in the body as far as I am concerned.  That theory was further confirmed when Meghan spent a week in the hospital in May with severe gastritis.  It was the culmination of a spring where things just seemed to be getting worse.  We met a gem of a gastroenterologist who was able to settle a few things, but after an endoscopy we left with news of severe esophageal damage.  Her medication was blamed.  The same one that had been helping us manage her constant pain, and had been diffusing the activity of the AVM in the knee.  We also left with a diet exponentially more restrictive than the one she was already on.  Ironic maybe that the fryer we had, had broken the night before we went to the hospital.  We certainly didn’t need THAT anymore.

And then we said goodbye to the Saturn.  The 1996 Saturn that was the “extra” car that was so handy to have, was towed away in the spring after a few failed attempts to fix what surely was the start of a failing transmission.  We are a one car family for now.

saturn 1996

Even in the “happiest place on earth” Meghan’s stomach “broke” again.  Scaring the heart out of us, causing a visit from a Disney doctor for which I am still trying to coordinate payment from the trip insurance company.  Fortunately it didn’t derail our trip.  But, it reminded us that everywhere we need to have our guard up.  Everywhere.

TheHappiestPlaceonEarth_thumb

And our Allie Girl in July had 5 teeth pulled in quite the procedure of a surgery.  It didn’t take her long to start eating again, but my nerves, and my visa were permanently affected.

There was the pool that kept having a “little” leak.  Until it was consistent enough that we left a hose in the pool.  Until I finally bit the bullet and called for a leak assessment.  And just like that the pool was being emptied for its liner to be replaced.  At least it will be ready for us in the summer.

And the bay window.  The one that developed some dry rot after a call to the window company 2 years ago led to a ton of red tape.  By the time they came to see if the damage was covered it was too late.  And just like that we were replacing the bay window we had put in 14 years ago.  And once you cut a hole into the wall… It was like a bad version of the book “If You Give a Moose a Muffin…”  Almost the whole house got painted as Meghan moved her room upstairs, and we cleaned and sorted and purged…

bay window

The very end of August my Grandma, Dad’s mom, had a stroke.  And we hoped and hoped that it would get better.  We visited, and chatted, and spent as much time with her as we could.  And she went from the hospital to rehab, to the nursing home, and declined every step of the way.  She remained pleasant and agreeable until she passed away October 22nd – less than a year after we lost my Dad.

The first "great grandchild"
The first “great-grandchild”

Early in September Meghan fell and there was a stress fracture in her foot just in time to start 6th grade and a brand new school.

meghan boot 1

And in the fall the washing machine gave up, and a new one found its way into the basement.

In November Uncle Jerry, my Dad Ken’s brother passed away.  Just shy of 60, he was taken way too soon by cruel cancer.  GGPa, his Dad, was taken from us in June of 2012.  Too close.  Too much.  Too sad.  Just wrong.

And as I traveled home from the funeral in Vermont I went to pick Meghan up at swim practice.  And as she walked out of the locker room she collapsed.  The pain in her knee was too much.  Emergency surgery the next day at Lenox Hill revealed a pea size hole in the artery of her right leg at the AVM.  And what we saw coming 6 months prior when she stopped the medication because of the gastritis had happened.  The AVM was back in a foul mood.  50ccs of blood drained from her knee joint.  After 5 procedures in there, at only 11 the knee will never be what it should be.

This is about 50ccs of water - roughly the same amount of blood that filled her knee joint.
This is about 50ccs of water – roughly the same amount of blood that filled her knee joint.

We spent Thanksgiving at home, just the 5 of us.  Felix, Meghan and I, and Allie and Lucky.  We decorated for Christmas, while Felix made a fantastic dinner.  And it was ok to be housebound.  Together.

There had been too many funerals this year.  Too much loss.  In my immediate and extended families, and the families of friends.  We needed some time to enjoy our innermost circle of 5.

By that time memories of my Dad’s passing a year earlier were taunting me.  Maybe I looked the other way at the earliest signs that Allie didn’t feel right.  Maybe it wouldn’t have mattered.  But, we got home from celebrating cousin Kim’s wedding, and it was evident that my Mom was even worried about Allie.  A walk the next morning with Felix where she gave up mid way prompted a vet visit that Sunday.  After x-rays of her belly that were inconclusive, and some medication for pancreatitis that we were pretty sure she didn’t have, we took her home.  We diligently gave her medication and prepared chicken and rice as directed, but by Tuesday she wasn’t eating.  And THAT was NOT like her.  So I took her back on Wednesday hoping for a new medicine and grossly unprepared for the vet to tell me it was time for her to be put down.  So in between tears I gathered my family and waited.  I held Allie for hours while I waited for them to arrive so we could all say goodbye together.  December 10th we lost a good friend, and a key player in our family of “5.”

allie13

 

I ended the year breaking the vacuum the day before Christmas Eve.

And as I sat to reflect I remembered that still in the chaos that sometimes ensued, never were we to be defined by Cowden’s Syndrome.  We are to be defined by other things.  The ability to;   persevere, love, lose, cry, laugh, sing, smile, appreciate, endure.

Because you see Cowden’s Syndrome is with us every day.  Of every year.  For the rest of our lives.  But it can not BE our lives.

However, it has taught us some good lessons.  Life changes quickly.  If you aren’t paying attention you might miss it.  Don’t be complacent.  Ever.  And be as prepared as you can while never making firm plans.  Cause life is not designed for “firm” plans, but better suited for goals.

And don’t wait to make those goals.  Or to carry them out.  You don’t need a new calendar, or a special occasion.  Just do it.

Treat each day as a gift.  Be the best YOU that YOU can be, all the time.

Be honest.  Don’t be afraid to love deeply.  The pain of loss is horrendous, but without that ability to love deeply there would be a good deal of much needed compassion missing from a world that is already struggling.

The best thing about reflections, is they encourage you to continue onward…

We are still now and forever Beatingcowdens…

one-ste-at-a-time

 

 

 

 

 

Soft Lock Downs and other things that shouldn’t be…

I spent the weekend with my college roommate.   She was the one I lived with the longest.  She was the one who introduced herself to me the first day.  She held me 2 months later as I was wracked in sobs at the loss of my cousin Meghan on my 18th birthday.  She learned how to drive in my Toyota.  We had fun, shared friends, and life, and got to know each other in deep ways saved for long term friends – or ones you’ve lived with.  We gathered enough good dirt on each other to be sure we’d be friends forever.

friends-are-forever

The last time I saw her was in December.  She and her husband showed up at the wake for my Dad.

The time before that was when I made it out to the wake for her Mom.

Somehow we find each other…

And this weekend we hugged first on Friday, in that room in New Jersey, miles away from each of our homes.  We cried, and hugged and pulled it together.  As the scene was replaying itself again.  But this time it was far worse.

College Graduation - 1995
College Graduation – 1995

It’s not right that we don’t see each other.  And it’s no one’s “fault.”  And I have a few dear friends I am in the same situation with – whose kids I’d barely recognize if it weren’t for Facebook and Instagram.

We stood together for a while, just the two of us.  Interrupted only by people trickling by.  We spoke about his fight.  His strength.  His battle.  I told her how much I respected all he did to fight.  I told her I was so privileged to have shared a few email exchanges after he took to this blog.

But, from where we stood, in the out of the way corner that defined her comfort zone, we might have even forgotten why we were there.

Although the reality became apparent through the greetings, and the hugs, and the “I’m so sorry…” sincerely sent in her direction, over and over.

Her little brother had died.  Her “little” brother was little in age, not in height or spirit.  He had a presence about him 20 years ago when I greeted him in our dorm room.  When he spent time with us.  His charm, and sincerity, and personality resonated even then.

Her “little” brother was 36.  Diagnosed with stage 4 pancreatic cancer months ago, he fought with every fiber of his soul, through every treatment and surgery presented.  He fought for his family, for his wife of 10 years, and for his two handsome young sons.  He fought out of zest and a love of life.  He fought for his siblings and his Dad.

780166Pancreatic_Cancer_Awareness

I remember when she and I spoke this summer.  I remember the conversation because she asked me a question I didn’t want to answer, but one I had needed to ask myself months earlier.  She asked how long it had been for my Dad, from the time he was diagnosed until the end.  And as I choked over 10 weeks, I instinctively tried to fill that statement with stupid things… “he’s young, there are things he can do…”  But, she had heard a number.  Just as I had when I had asked the question months earlier.

And I kept an eye on the calendar as I checked in on my friend.  And every day I thought of her.  I prayed often for her brother, and the family.

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Sunday came the text that he wouldn’t make the week.

Tuesday came the one that said he was no longer suffering.

Friday rolled into today, and we sat.  Side by side in a standing room only funeral parlor.  We hung onto each other’s hands and friends and family alike shared stories, and memories of a guy who seemed to have been larger than life.  And my favorite story of the day came when they said he went back to college after he had his boys.  And he got his Master’s Degree too.  Not for financial gain, but because, “How can I hold my boys to a higher standard than I hold myself to?” Class.  His spirit filled the room.  There was an abundance of support, and love.

And then we were at this backyard party at her brother’s house.  And to the naked eye it could have seemed like any end of summer gathering.  But it wasn’t.  People were eating, and sharing stories, and passing time together.  And two handsome blond boys ran about with their friends.

And then there will be tomorrow.  And this young woman, now a widow, will need to press on for her boys.  And those boys will slowly come to the realization that Daddy is never coming home.  And his sisters to the reality that he won’t be at the next gathering, and his Dad to the realization that his son and his wife have now gone on before him – leaving him with lots to take care of.

36 years old.  Father of 2.  Dead from Pancreatic Cancer.  Illogical.  Incomprehensible.  Insidious, painful, horror show of a disease.  It just doesn’t make sense.

At all.

And there have been so many things that don’t make sense.  Ever.  They pale in comparison to the horror of a son and a brother, and a father dying out of order, yet still they are the things that keep me wondering about all things.

I think it was Wednesday at work.

I had a first grade class.  And the loudspeaker went something like this, “This is a soft lock down drill.  Please take all proper steps.”

And just like that 28 first grade students instinctively went to the back corner of my room.  The stayed low and quiet as I shut the lights and the smart board and locked the door.  They got themselves out of sight of the glass window on my door.  And they sat.  Silently.  And I was stunned.  I think it was the 10th day of school.  They range from 5 to 6 years in age.  And they never moved.  They looked to me for a reassuring face.  I faked it.

Truth is as necessary as I know they are – I HATE those things.  And in this post 9/11 world, littered with countless nonsensical school shootings, and deaths, I get it.  And I take it seriously.  And the reality that one day we COULD be a target of chaos doesn’t escape me.  But that doesn’t mean I have to LIKE it.  I don’t like that we need to scare the crap out of these little ones just in case.  They are growing up in a wild world.

So wild that when Meghan’s Social Studies homework became to be aware of the news every day, (something we actively have tried to hide her from because there is just enough CRAP in her life) one of the first stories to come across was terror threats in Times Square.  She gets things very quickly.  And she is stellar at context clues.  Dad’s in Times Square every day.

These kids are growing up in a tough world.  Grown up worries.  Grown up realities.  Young minds.  It’s so hard to make any sense of it at all.

And so when the ones who are supposed to help -just don’t, well that seems to make things worse.

In the middle of the renovations that swallowed the end of August, Meghan broke her foot.  A stress fracture to one of the superficial top bones.  I am absolutely not getting “Mother of the Year”” for this, because I was in full on “suck it up we have things to do” mode for the first 36 hours after she banged the foot hard into a misplaced shelf in the basement.  That was a Thursday night.  And by Saturday of Labor Day weekend, we found ourselves in Urgent Care with a “suspicion of fracture.”  Of course being a holiday that simply meant ice, rest and elevate till Tuesday when we could get to the podiatrist.

meghan boot 2

And we brought the X-ray, and the report.  And everyone was very pleasant and we were told that the X-ray abnormality didn’t exactly line up with the point of severe pain.  So, clinically it was appropriate to diagnose a stress fracture, put her in a boot, and have her repeat the X-ray in 2 weeks.

So she began middle school days after getting her braces off, with this giant black boot on her leg.  And she plugged along for two weeks, and we got the X-ray repeated as we were told to.  So, when we returned to the office for the recheck we gave them the disk and the report.

There was some grumbling about the  radiology place we went to writing the “worst” reports (but no one told us where to go,) and some discussion in the other room about things on the film that were “probably nothing.”  (Doctors should learn some moms have rabbit ears.)

So he came into the room after having had Meghan take off the boot.  There was a surgical resident in tow.

“How does the foot feel?”

Meghan, “Much better.”

“Great, there’s no evidence of fracture on the x-ray.  You must have healed.  Let’s transition you off the boot.”

meghan boot 1

Please know during this whole exchange he NEVER EXAMINED HER FOOT!

Me, having already read the X-ray report, ” What about the report talking about “bony bridging and bordering sclerosis.?”  Does that mean anything?”

“Well, it’s not causing her pain is it?”

Me,”Well she doesn’t have foot pain, per se, but, there is chronic joint/muscle/bone pain that we work on.  Could things being out of order in the foot trigger some of this?”

Me,”I guess really what I’m asking is, is anything on that X-Ray consistent with Cowden’s Syndrome?”

“Well does Cowden’s Syndrome cause bony overgrowth?”

Me, “You’re the doctor, I am asking you.”

“But you are far more familiar with the syndrome than I am.”

Me, in my own brain, Thanks to Google University, and then out loud, “Are you seeing this? (pointing to the extra bone that juts out of her left (and right) feet) on the X-ray?”

317152-google-library

http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=GB&Expert=201 ( You may have to cut and paste the link)

(THAT IS A PAGE FROM A WEBSITE, reviewed by a doctor at the cutting edge of PTEN research.  It took me less than 10 seconds to find.  It verifies bone cysts connected to Cowden’s Syndrome, and had anyone asked I would have been able to tell them about the “non-ossifying fibroma” in the left femur that scared the crap out of us when she was 2.)

“I don’t think so, but you should probably have a specialist look at that.  I don’t need to see her again.”

GOOOOOOOOOOD THIIIIING!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

And I turn to see the tiniest tear in the corner of Meghan’s eye…. “Mom, he never even touched my foot.  He has no idea what the problem really is.  What’s the point of wearing the boot?  I have to trust my own body cause they don’t know anything.  I think its healed and the boot is hurting my knee.”

Fair enough.

She’s the closest I have to a doctor, and the thing that has made the most sense all week.

When you have a diagnosis that leaves you prepped for cancers of all types at all ages and in all places, there are things that rock you to your core.

Sometimes living with PTEN Hamartoma Tumor Syndrome is like living under the constant threat of a terrorist attack.  But the terrorist is cancer.

You get to live in fear, or live your life.

You get to try and make sense of things, or run with them anyway.

With the motivation of those – not connected to us by Cowden’s, but connected to us by life – who have fought the good fight, I try to stay focused.  To live life instead of hiding in a corner, or some days under the bed with the lights off…

So many things, so many tragedies will never make sense.

confused

But it’s less about making sense, and more about being sensible.  It’s about instinct.  And love, and compassion.  And cures.  I am a big fan of cures.

Tonight, wherever you are in your life. Whatever is rattling your world, I ask you to stop for a minute.

Say a prayer for those two little boys who will begin to know that Daddy is never coming home.

Say a prayer for a family who lost a 36 year old high quality man too soon.

And please.  In this world that makes no sense.  Do something logical. And kind.  For someone.  Cause we ALL need it.