Recovery – the real deal (Phase 1)

So a huge part of writing this blog is about raising awareness of Cowden’s syndrome, and its realities.  Some of the realities are really not so nice.

Cowden’s Syndrome involves surgery.  Lots of it.  Surgery really sucks.  Sorry, but it does.

General anesthesia is awful.  Toxic crap.  Especially awful in a body that isn’t fond of toxic crap.  Top that off with a breathing tube when your throat is being cut, and its definitely an uncomfortable wake up.

The surgeon said she did well.  He said he got the whole thyroid and the vocal nerves are intact.  He said she had many nodules.  Numbers in the teens.  A bunch were small.  A bunch were not.  He said there was lots of scar tissue from her three previous biopsies.  Only three FNA – tiny microscopic needles, caused significant scar tissue.

Cowden’s Syndrome – “HYPERHEALING is our Superpower”  What’s yours?

Surgery number 11 – done.  Procedures…. I’ve lost count.

Pathology 5 to 7 days.

She is sitting up, looking at her ipad.  A professional.  A tough girl.

Her Daddy is on his way home.  Home to get the car.  Hoping.  Praying that the calcium levels are good, and the thyroid levels are good, and tomorrow we can go home.

That brave face hides this...
That brave face hides this…
And sometimes needs this...
And sometimes needs this…

Two of my girl’s favorites…. “Let it Go….”

The snow glows white on the mountain tonight,
not a footprint to be seen.
A kingdom of isolation and it looks like I’m the queen.
The wind is howling like this swirling storm inside.
Couldn’t keep it in, Heaven knows I tried.
Don’t let them in, don’t let them see.
Be the good girl you always have to be.
Conceal, don’t feel, don’t let them know.
Well, now they know!

Let it go, let it go!
Can’t hold it back any more.
Let it go, let it go!
Turn away and slam the door.
I don’t care what they’re going to say.
Let the storm rage on.
The cold never bothered me anyway.

It’s funny how some distance,
makes everything seem small.
And the fears that once controlled me, can’t get to me at all
It’s time to see what I can do,
to test the limits and break through.
No right, no wrong, no rules for me.
I’m free!

Let it go, let it go.
I am one with the wind and sky.
Let it go, let it go.
You’ll never see me cry.
Here I’ll stand, and here I’ll stay.
Let the storm rage on.

My power flurries through the air into the ground.
My soul is spiraling in frozen fractals all around
And one thought crystallizes like an icy blast
I’m never going back; the past is in the past!

Let it go, let it go.
And I’ll rise like the break of dawn.
Let it go, let it go
That perfect girl is gone
Here I stand, in the light of day.

Let the storm rage on!
The cold never bothered me anyway…
And ROAR…

“Roar”

I used to bite my tongue and hold my breath
Scared to rock the boat and make a mess
So I sat quietly, agreed politely
I guess that I forgot I had a choice
I let you push me past the breaking point
I stood for nothing, so I fell for everythingYou held me down, but I got up (HEY!)
Already brushing off the dust
You hear my voice, you hear that sound
Like thunder gonna shake the ground
You held me down, but I got up (HEY!)
Get ready ’cause I’ve had enough
I see it all, I see it now

[Chorus]
I got the eye of the tiger, a fighter, dancing through the fire
‘Cause I am a champion and you’re gonna hear me roar
Louder, louder than a lion
‘Cause I am a champion and you’re gonna hear me roar
Oh oh oh oh oh oh
Oh oh oh oh oh oh
Oh oh oh oh oh oh
You’re gonna hear me roar

Now I’m floating like a butterfly
Stinging like a bee I earned my stripes
I went from zero, to my own hero

You held me down, but I got up (HEY!)
Already brushing off the dust
You hear my voice, you hear that sound
Like thunder gonna shake the ground
You held me down, but I got up (HEY!)
Get ready ’cause I’ve had enough
I see it all, I see it now

[Chorus]
I got the eye of the tiger, a fighter, dancing through the fire
‘Cause I am a champion and you’re gonna hear me roar
Louder, louder than a lion
‘Cause I am a champion and you’re gonna hear me roar
Oh oh oh oh oh oh
Oh oh oh oh oh oh
Oh oh oh oh oh oh
You’re gonna hear me roar
Oh oh oh oh oh oh
Oh oh oh oh oh oh
You’ll hear me roar
Oh oh oh oh oh oh
You’re gonna hear me roar…

Ro-oar, ro-oar, ro-oar, ro-oar, ro-oar

I got the eye of the tiger, a fighter, dancing through the fire
‘Cause I am a champion and you’re gonna hear me roar
Louder, louder than a lion
‘Cause I am a champion and you’re gonna hear me roar
Oh oh oh oh oh oh
Oh oh oh oh oh oh
Oh oh oh oh oh oh
You’re gonna hear me roar
Oh oh oh oh oh oh
Oh oh oh oh oh oh
You’ll hear me roar
Oh oh oh oh oh oh
You’re gonna hear me roar…

These three remain….

these three remain

She walked away today.  She broke the rules.  She updated the plan.  On surgery number 11 she hugged us goodbye, and dry eyed walked through the secure area with two young nurses.  The doors barely closed before I dissolved, an exhausted puddle, into my husband’s arms.

That didn’t last long… You only get a moment or two to pull it together.  Then there was some really rotten cafeteria food, and WAITING.

They took her in at 3.  Three and a half hours after she was scheduled.  She was tired, and hungry.  And more grown up than I am at 3 PM when I haven’t eaten.

What a whirlwind!  Last Wednesday when we met the surgeon I was stunned by how quickly he wanted the entire thyroid removed.  Stupid Cowden’s Syndrome.  Makes people quick to pull out whatever seems to be misbehaving.  And (SIGH) they are usually right.

So as the week built, and the media started predicting the newest storm coming…. I brushed it away for a while.  I thought there was no way it could stand in the way.  The surgery was scheduled.  She was ready.  The throat clearing has reached epic levels.

Faith.

faith

Faith that it was going to be fine.  Initially faith that the storm would pass.  Faith that we would arrive on time to an early surgery Thursday morning.

Then, as happens so often I was reminded that FAITH, is not about me.  It’s not about my terms, or my time, or my way.  FAITH is knowing, trusting, believing. that God will provide what we need.  Whether it fits my plan or not.

So, as it became evident that there would be no safe way to travel Thursday morning, the phone calls began.

HOPE

Rare_Disease_Day_Logo_Hope_

So much talk about HOPE this month.  Rare Disease Day, and “HOPE – It’s in our genes.”  Hope became necessary.  The faith and hope working hand in hand, with a few mini meltdowns of worry mixed in.  (HEY, I never claimed to be perfect!)

Back and forth to the surgical team, to the social worker, the secretaries.  Pleading.  Help us.  Hotel rooms that were available running several hundred dollars.  Offers from loving people to pay the bill.  But in the end money wouldn’t have stopped us.  We would have paid whatever we needed.  Because we had to be here.  Right here.  Right now.

So finally around 2 O’Clock on Weds. the call came.  “We can put you up at the Ronald McDonald House for the night.”  The fee – incredibly reasonable.  The location- perfect.  The reality – it was time to pack us up and be out of the house by 8.

Packing to take Meghan away is an adventure.  It’s not the electronics, or the “stuff” but rather the food.  Not even a major hospital can safely prepare Gluten, Dairy, Soy free food.  So there has to be a cooler.  Dad made fried chicken and plantains.  I picked up a pound of a Boar’s Head staple.  Cookies, granola, ginger ale, and other necessities.  Showers for all.  And Grandpa picked us up at 8.

We brought our own sheets – because you need to wash theirs before you go, and I doubted we’d have time.  I have to admit I was worried.  Really worried about what I would find through the doors.  But what I found was… love.

s

love-inspirational-daily

I had heard of “The Ronald McDonald House- The house that love built.”  But I never gave it any thought.

Ronald McDonald House

I have a new charity on my favorite list.

We were welcomed – almost embraced by love and kindness.  There was a nonjudgmental compassion the radiated out of every staff member.  We were given keys to our rooms, and a tour with the rules of the “house.”  We were shown to our room only after Meghan was allowed to choose a few games to play – and keep – from their back room.  And, after she was given a backpack – with a special monkey, and a monkey blanket.

And on the return trip after the tour, before we saw our room – she was handed a warm, beautiful, blue and green blanket.  Her grateful smile. My heart – full of love in this house.

Our room was on the 11th floor.  Immediately I was at ease with the wood floors, foam mattresses, and EVERYTHING wrapped in plastic.  And there was the most beautiful view.

Lobby
Lobby
Lobby
Lobby
Our Room
Our Room
View out the window
View out the window

And as we each found our way last night into our own level of sleep, there was LOVE.  Everywhere in the room.

We checked out gratefully this morning, due to arrive at the hospital for an 11:30 surgery.

View out the window on this "Beautiful Day"
View out the window on this “Beautiful Day”
Waiting for surgery with the new monkey from the bag last night!
Waiting for surgery with the new monkey from the bag last night!

By 3:00 when she finally walked through the doors we had had to spend some time reminding ourselves that we were blessed.

A beautiful chaplain met us this morning, and clearly spoke Meghan’s language.  She compared God to a loyal dog… always there – forever understanding of our needs.

The doctors took extra time with someone else’s baby this morning.  I am glad they have that level of compassion.  I am glad they take their time.

Now they need to take their time with mine.

The last status update came 15 minutes ago.  They only began around 3:40.  Prep took a while.  She is stable, but its slow going.  What to expect from a Cowden’s Syndrome thyroid filled with 16 or more nodules?  Why make it easy.

Thankfully – she has some very special guardian angels on the case today.  And the prayers of countless others.

In our family of three its appropriate to remember “These three remain; faith, hope, and love – and the greatest of these is LOVE!”

More to follow as soon as I can…

Here. We. Go. Again.

This will be the year the surgeries outpace the age.  She’s been running a cool average of one a year for quite some time.  Now, at just about 10 and a half, she will get a jump start of her 11th surgery. February 13th. One week.

11-candles

That’s 11 surgeries.  Full on.  Operating room.  General anesthesia. Waiting for pathology.  Sometimes ICU.  Often staying overnight.  Real deal surgeries.

hospital

By my count we have been in 4 hospitals.  We have a system.  Felix goes into the OR.  I stay overnight.  It works for us.

system for surgery

Who has a “system” for surgery?

And that’s not the tests.  The MRIs that early on required general anesthesia, the three thyroid biopsies, the ultrasounds in countless places.  Nope.  Those have their own tally altogether.

My Grandma is 93.  She hasn’t had surgery yet.  Meghan thinks that’s weird.

That’s life with Cowden’s Syndrome.  Healing is “BEATINGCOWDENS.”

Surgery – the new normal.  Organ removal – the necessary means to avoid something worse.

I expected the surgical consult to be on the 6th.  Then my cell phone rang on the afternoon of the 4th.  It was confirming our appointment for the 5th.  The day it was going to snow, and ice and create horrendous road conditions.  And, if I couldn’t make it – it would be another month.

So, I spoke to my super understanding boss.  I rewrote my plans for a Weds. absence instead of Thursday, and after chopping anout 1/4 inch of ice off everything we left home at about 10:30 Weds. morning.

guardian angel

We have created quite an an army of guardian angels, and I called on every single one of them to guide our trip.  They were on point.  Not a hitch.  We were sitting in the waiting room hours before our appointment.

I got to develop the pit in my stomach as the young superheroes and their parents spent the afternoon on chemo pumps.  Pushing time.  The beautiful bald two year old in the blood room was a reminder to mind my blessings.

I had been under the impression I was coming to discuss IF surgery was a good option.  I had already decided I was unsure how I felt about whatever the poor pediatric surgeon at Memorial Sloan Kettering Cancer Center was going to be able to tell me.  But, I was a bit shocked when there really was no “if” in the room.

Her neck was examined.  Her notes reviewed.  I was reminded again of the failure rate of Fine Needle Aspirations for the thyroid.  (Close to 10% in case you wanted to know.)  I asked again what made her a good candidate for a complete thryoidectomy at 10.  The nodules. Consistent growth.  Vascular feed.  The tickle in the throat… It’s time they said.  It’s time.

nodule

I lost my thryoid at 20 in 1993 to a condition called “multinodular goiter” and “Hashimoto’s thyroiditis.”  They both stink.  But now I find myself wishing for such benign conditions to be the final result of the pathology we will receive 5 to 7 days post op.

Everything is moving faster here.  I don’t like it.  Not one bit.  I am a numbers person and these stats make me ill.

But, onward we go… because what choice do we have?

There will be work.  Follow ups.  Thyroid hormones to balance.  But we will figure it out.

She laughed today.  A lot.  Maybe she is relieved without the uncertainty.  She knew.  We all knew.

Saturday I will sign her up for her second year of CYO swimming.  The surgeon says only a week out of the pool.  And her scar should be half the size of mine.

never never give up

refuse to sink

Two days off of school   Then a vacation.  Kind of.  A “Stay-cation.”  Daddy will be home too.  Some movies, and maybe even some resting.  Maybe some healing for all of us.

She’ll be back in full effect.  Ready to rock “RARE DISEASE DAY 2014.”  Denim ribbons.  T-Shirts.  Movie night.

A denim cause ribbon, crafted after the Global Genes Project's slogan, "Hope it's in our Genes!"
A denim cause ribbon, crafted after the Global Genes Project’s slogan, “Hope it’s in our Genes!”

A girl has to have SOMETHING to focus on.

What if every day was a snow day?

Now before you jump through the page – hear me out.

The kid in you may be cheering.  “SNOW!  FUN!  PLAY! ”

And the grown up in you may be growling.  “TIRED OF SHOVELING AND GETTING STUCK AND BEING COLD.”

But actually, neither is exactly what I meant.

2314snow

I got a message around noon that my daughter was hurting.  The pain has been bad again.  The weather doesn’t help.  I fought through a wicked virus last week, and there is always the possibility of it eating at her.  Her nerves are shot.  The thyroid consult is Thursday.  Consciously or not – she is worried.  I’d be shocked if she wasn’t.  I am too.

And between the weather, and the stress, there is the pain.  It started a few weeks ago in the shoulder.  It found its way to the ankle.  Physical therapy in between.  Swim practice ends up being haphazard and inconsistent.  My heart breaks.  I am distracted.  Most of the time.

But this afternoon, when we left school together, and there were 8 inches of snow on the ground where it hadn’t been a few hours earlier – no one we were about to meet would have had any real idea of what I wrote in the last 2 paragraphs.

After settling Meghan into the warming car I set about clearing it off.  Its a decent car, but a sedan,not an SUV, and while it can handle 2 or 3 inches, it is NOT designed to drive in 8 inches of anything.  I ended up on my bottom twice as I finally got the windows and roof clear enough to be safe and legal.

Then, I decided to pull out.  Well I went through all the motions anyway.  There was lots of spinning and not much moving.

Then there were people all around my car.  Some I knew, others I don’t think I ever met.  And for a moment getting my car out of the spot was the most important thing on their agenda.  They guided me as I behaved like a ditsy distracted woman.  They had no idea how full my head was, and they passed no judgement.  They were patient.  I got free.

I kept driving, ready to make the first right when a woman waved me away.  Someone was stuck.

I proceeded straight slowly, and when I tried to move slightly to the left to be sure I cleared someone in the road, I quickly ended up on the curb.

Fortunately no cars were in the way.  But I was not moving.

And then… there were people.  New people.  Surrounding my car.  Strategizing.  Thoughts of Thursdays appointment still waffling around in my head, I desperately tried to focus.  They worked at it.  I did as they said.  And in a few moments, I was free again.

I kept to the main roads for as much of the rest of the trip as I could manage.  And I was doing well until I had to stop to let a car pass at the service road.  Stuck again.  This time I had the wherewithal to free the car on my own.  And as I turned down my block, there was a sense of relief.

So I pulled up alongside our other car to quickly shovel out the spot in front of our house.  Then I got in the car to back it up.  Spinning wheels.  Sliding.

Then there was a neighbor.  Then another.  People I have lived near for 13 years, but I am embarrassed to say I formally met for the first time today.

They aren't actually touching - but it's 2 inches at best.

This time the predicament was a bit more dicey.  My new car was literally inches from the old one.  A slide in the wrong direction was going to cost me the front corner panel of one, OR BOTH, of my cars.

Hesitant I called my parents house.  I knew my Dad would make it down and help me make sense of it.  I frantically shoveled until I could see the blacktop of the street, looking over my shoulder and holding my breath as a few cars sporadically made their way down the street.  Our other neighbor, a former bus driver, came over and strategized a bit.  Before I knew it the two of them were moving my Saturn out of the way.  As my stepdad’s familiar smile greeted my from the window of his truck – my neighbors had safely parked both of my cars – without them ever touching!

Relieved.  Grateful.  Exhausted.  I gleefully accepted my Dad’s news that he’d be using the snow blower on the back of our property and I busily got to work on the front.  Street to street property is nice… most of the time.

Guess we should have taken the flower pot in?

Some time close to five – a few minutes before my husband got home, I walked my sore back into the house to greet the face of my wiped out “I’ve totally had it.” kid.

Close to two hours after I had left my job, I had to stop for a minute and reflect.  The chaos of my mind was still swirling about my head.

I chatted with “The Captain” for about 15 minutes in awe of exactly how many angels had crossed my path today.  By my count at least 15 people had in some way “paid it forward” to me and my girl.

And I work less than a mile from my house.

So what if every day was a snow day?  Well we may have lots more chances to find out.  But, more importantly, what if we TREATED each other, EVERY day, as if it was a snow day.  What a wonderful world it would be.

PAYING IT FORWARD LOGO

Getting out of my own way…

I am actively, consciously, deliberately, trying to get out of my own way.

get-out-of-your-own-way

I have hopes, goals, dreams, aspirations.  I love my daughter, my husband and God and my family and friends.

I want to be stellar mom, an outstanding wife, and a good friend.

I want to be a Christian woman who leads by example.

I want to shout from the mountaintops about the organic superfood changing lives in my house, and giving us energy and clarity of mind we never thought possible.

I want to teach people about health and wealth and how they can go hand in hand.

But I am stuck.

Right in the middle of my own way.

there-are-plenty-of-difficult-obstacles-in-your-path

We had Meghan to the neurologist today.  We left Staten Island at 1:45 and traveled the approximately 17 miles to the appointment in Manhattan.  It took an hour and a half.  I just about worked myself into a migraine on the way.

Manhattan-Traffic-Facts

But, fortunately, the torturous migraines of the fall are a memory.  Controlled by a medication I would rather her not take.  Today we got a dose increase, and something  to help her sleep.  It should be noted the ONLY side effect the neurologist would even discuss from the medication was drowsiness.  HA!  Not here.  There’s my Meg… doing it her own way.

This was an easy appointment.  We were home by 5:30 although wiped out by the journey – all of us.  The follow-up is in a few months, the new script is in hand.

They are asleep.

I am sitting at the computer.  Thinking.  Researching.  Typing.  Organizing. Planning.  Attacking everything.  Accomplishing – not so much.

Today I called to reschedule the thyroid surgical consultation.  Suddenly 5 weeks seems like a really long time.  The tickle in the throat is troublesome.  It turns into coughing when she gets nervous, and is only pacified into a tickle by the boxes of cough drops on my counter.  I try to ignore the reality that we both know exists.  I try to tell her it’s no big deal, and to casually ask her to show me where it bothers her.

cold eeze

“It’s not sore till I cough.  It just feels weird – right here.”

And there on the right side of the thyroid is what has begun to feel like a small stone.  I try not to let my imagination get the best of me as I picture it pushing on her windpipe.

“It’s fine,” I tell her.  “We’ll just get the doctor to take a quick look.”

She’s not dumb.  Not by any means.  And that is a good deal of the problem.  Gone are the days when I could lie through my teeth and protect her from the evils of Cowden’s Syndrome – lurking behind each corner, hiding under the bed, and in the closet.  Now the monster is real.  And it gives real life nightmares.

monster-under-bed

So in 2 weeks, on February 6th we will head to Sloan Kettering to meet the pediatric surgeon.  No one can be sure what he will say.  And I am not sure there is a statement he will make that will soothe me or make me happy.

And the waiting game continues.  One appointment down.  Two weeks till the next.  Then on the 11th I have 3 and she has one.  I still haven’t figured if its better to consolidate or spread them out.  They just keep coming.  One after another…

“Beatingcowdens” will suck out your energy if you let it.

But I won’t.  That’s why I have gotten so involved in this superfood, and this fabulous company called Isagenix.  Recently they named their 100th millionaire.  A school guidance counselor from NJ with no network marketing experience.  We three start every day with our shakes.  We use the snacks and the meal bars, and the tea, and tonight they both took the melatonin spray to sleep.  We are feeling better and better.  So in the time I have at night, I listen to podcasts, I learn all I can.  And I try to share with my family and friends that I am finally not that sickly little girl they knew.  I try to share with them the health and wellness opportunities, and the vision for financial freedom.  I am here.  I am ready.  If they will listen.

meghanleigh8903.isagenix.com
meghanleigh8903.isagenix.com

And its a good thing I am a master at multitasking, because there are lesson plans to write – for a subject I love across a LOT of grades.  Trying every moment to be the best I can be.

As I sort through the last boxes from Dad’s apartment.  And I laugh, and I smile, and I cry.  As I make binders of beautiful 8×10 prints I found everywhere.  As I sort through the photos on CD and prepare hard drives for my brother and sister.  And I chuckle at the bills that come in, and I make contact with the members of his platoon in Vietnam, and his old friends – one at a time. Unearthing buried treasure from a man I loved dearly.  Not a saint, but who is?  And so much wiser than any of us really gave him credit for.

And I make list after list of the things I need to do.  In the house, in life, on the computer… Supplements to order, new pants for my growing girl, laundry, and a haircut, and all sorts of other random yet necessary things.

I think about my friends who I love.  The ones I never call, or barely talk to.  The ones who I text instead of calling or visiting.  I think of how busy our lives are… and for what?

Rare Disease Day is coming.  February 28th.  Our school is celebrating.  Meghan is thrilled.  There will be Tshirt sales, and a movie night, and proceeds to the “Global Genes Project.”  It gives purpose.  Hope.  A distraction.

Rare_Disease_Day_Logo_2011-1024x968 2

Somewhere in the midst of all this I have to stop and wonder.  How do people do it?

Our lives have their own brand of busy – a medical type – which may be different than that of my friends, but it bears similarities.  Over run.  Overworked.  Exhausted.  Worried.

How do they get out of their own way?  How do they manage to keep the balance of friendships and “play dates” for adults and kids?  How do they get the laundry and the grocery shopping done, and still find time to play?

I think I am a pretty organized Mom.  But yet – I need to use my time better.  I won’t part with my writing.  That’s therapy for me.

I’ve minimized the clutter in my house (just don’t look in the closets.)  Now its time to minimize the clutter in my head.

Cowden’s Syndrome Awareness

This card was created out of her need to "teach" others about Cowden's Syndrome.
This card was created out of her need to “teach” others about Cowden’s Syndrome.

Rare Disease Day

Doctors, surgery?

Isagenix – health and wealth

Reconnecting with old friends

Making the time to exercise… cause I like it.

FOCUS

Now if you’ll excuse me… I have to find my way out of this maze…

I’ve got work to do!

want-to-inspire-ppl

It’s not malignant… BUT…

It was an interesting phone call this afternoon.

I knew from the caller ID that it was going to be the hospital with the pathology report.  Home on a snow day, relaxing with the family – I took a deep breath.  It was the endocrinologist on the other end of the line.

“I have the results of the pathology…”

AND???

“The samples are not malignant, but…”

YAY, and UGH!

And there followed a conversation that lasted several minutes.  I tried multiple times to use the word “benign” to refer to the results.  Each time I was carefully deflected.  When he spoke he never said “benign’ once – only “not malignant.”  Synonyms – yet apparently not interchangeable.

Someone less in tune might have missed this conversational nuance.  I don’t miss much when it comes to my daughter.

So the doctor recounted how each off the 4 cell biopsies obtained through the Fine Needle Aspiration, showed cells that were “not malignant.”  When I asked about the cells, specifically remembering the “precancerous” title given to the cells that had brought us to this hospital to begin with, he told me again the report says they are, “not malignant.”

SO WHAT’S NEXT?

whatplan

I know I didn’t imagine the deep breath on the doctor’s end of the phone when he began, “Typically, we would follow the case in 6 months with an ultrasound, and I think you should make that appointment.” Then there was a deep breath and a pause.  “I also think you should take her to see a surgeon – just for another pair of eyes.”

Now I was thoroughly confused.  “Why? Do you think the throat clearing that has been going on could be related to the nodules?  What about the Fine Needle Aspiration?  How accurate is the test?”

He addressed one question at a time.  Almost as if he expected them.  He and I were not fast friends, and he often seemed annoyed by the countless questions I ask.  It never stopped me, but I couldn’t help but notice he was almost anticipating my questions today.  Maybe he was even welcoming then.  I flashed back to that visit on December 19th where he was visibly uneasy about the feel of that right thyroid.  “The FNA is accurate 90-95% of the time.  Usually that is not an issue because thyroid cancer tends to grow very slowly and if we follow every 6 months, we will typically catch anything we need.  That being said, in a situation like Meghan’s where there are so many nodules, and there is Cowden’s Syndrome, it sometimes is harder to manage. In regards to the throat clearing – I don’t THINK it’s caused by the nodules, but again I can’t be sure.  Why don’t you set up a consultation with the surgeon?”

confused-face

Deep breath.  It’s good news I kept reminding myself.  It’s not cancer. (Yet… nagged the little voice that never knows when to shut up.)  I reassured him that I would schedule the appointments with him and the surgeon.  Of course after I arranged to have the pathology and ultrasound reports Emailed to me so I could agonize over every detail…

I scheduled the appointment for the first week in June.  I tried for the first week in July – but he is on vacation that MONTH…  Then I sat down to Email Meghan’s hematologist/oncologist the reports and ask her opinion.  She concurred with the endocrinologist and approved of his choice of surgeon.

Within 45 minutes my phone rang.  The caller ID showed the hospital number again.  This time it was the surgeon’s office.  They were contacting ME, at the doctor’s request – to set up a consultation for Meghan.  Well I have to tell you that didn’t do a whole lot to ease my mind.  Obviously it was nagging at the doctor enough that he reached out to be sure I made the appointment.  Scheduled.  February 25th.  I couldn’t get a time because they call the day before with that.  So, I explained how much I really NEED to be at work.  They made me no promises.  The 25th it will be.  Regardless of the time.

The snow was so pretty today.  So nice to be home as a family, to shovel, to play, to take some pictures, to watch an old movie.

I sat down to type this almost three hours ago, but somehow as Meghan was getting ready for bed she developed severe pain in her back and a ruthless headache.  Reminders that even an hour or so in the snow is too much for her body to endure.  Frustration.  Fear.  Two hours at her side, her father and I alternating pressure on the most painful spots.  She’s asleep in my bed now.  Moaning.  The night will be long.

frying pan fire

Some time this afternoon I realized again, that this is just how its going to be.  We are going to walk out of one fire, while walking around another.  We aren’t going to know the hows and whys.  We aren’t going to be able to make many plans despite our best efforts.  This is life with Cowden’s.  This is our life.

And tonight, as I held my husband’s hand, and we each had one hand helping soothe Meghan’s agony, I realized again that through the depth and power of our love for each other – all of us – this works for us.  It’s not what I would have chosen, but it’s what we have.

Never in my wildest dreams could I imagine a day without the two of them.  Somehow, that has to make us the luckiest family in the world.

think happy thoughts

And that is my happy thought tonight.

Happy New Year!

Disconnected

Mother Teresa trust

Breathe in… Breathe out… Breathe in…

I looked up at my Christmas Tree this week and was struck with the incredible sense that I would love to take it down.  Now.

I know that’s wrong for any number of reasons, but I have always been candid here.

In the 10 days since we have buried my father there has been a whirlwind of papers and errands.  There have been things to organize and sort.  There have also been “regular” things to do, as I pretend to feel like I am part of the world going on around me.

And as I sat in the chair last night trying to absorb the beauty of the brightly lit tree and the litany of memories spread out across it as the ornaments we have collected through the years, I couldn’t shake how disconnected I feel.

This year the reasons are kind of obvious.   I am starting to think its likely to get worse before it gets anywhere close to better.

Then my husband reminded me about last year.  He reminded me about Hurricane Sandy, and the fall Grandma took, and the days in ICU.  He reminded me about the car accident last November, and the months spent sorting out the paper, aggravation, and pain in my back.

It was right after Christmas last year that we had the “Santa” talk with my girl.  My one and only.

So, I guess I knew all along this would be a year I had to look a bit harder for the magic.  We looked hard in Disney in August.  And we found it.

But, by the time we put the tree up this year my father lay dying in the hospital with less than a week to live.  That day our family turkey and Felix’s special gluten free stuffing warmed the house with a soothing aroma.  I heard the Christmas tunes.  I helped with the ornaments.  And I felt like I was in a bad movie.

Meghan had suffered with migraine headaches most of October and November as my father was sick.  An MRI on November 20th confirmed the migraine headache diagnosis and the medication – once doubled – finally brought her some relief.

one day at a time

I couldn’t get the cards together this year.  I just couldn’t do it.  Maybe some time around Valentine’s Day I will feel up to a greeting.  I ordered the food for Christmas dinner  too.  Yep, its better for everyone anyway, as I am a rotten cook.  And the family is bringing dessert.  I bought gifts for the children.  Although even those were mostly purchased online.  And so many of the adults are getting gift cards to their favorite stores.

Last weekend Dad’s mom was in the hospital.  Today she is back at her home, but she is worn out.

And as I size up the dust that has gathered in every corner of my home I strive to remind myself that Baby Jesus was born in a stable, and slept in a manger.  Somehow, as long as we open our hearts to celebrate the real meaning of Christmas, the miracle of the birth of the Baby Jesus,  it will all be ok.  Somehow.

So tonight as I took Meghan to her 6 month thyroid check up; the appointment where they monitor those pesky precancerous nodules, I was reminded yet again that it is just not ours to control.  After the doctor examined her, and her neck, he asked for a tape measure.  He measured “significant” growth since June in one of the right side nodules.  “No point in wasting time with a sonogram, I need a tissue sample so we will schedule a biopsy.”

My heart skipped a beat.

“Where did you get that necklace Meghan?” asked the nurse.

“My Grandpa Tom gave it to me.  He died this month from pancreatic cancer.”

Sometimes silence really is deafening.

“It may take a few days to get it scheduled Mrs. Ortega.  You know, with the holidays…”

Yep.  I know.

wind

STUPID CANCER show!

I am absolutely high on adrenaline right now…

In August the husband of a friend from High School asked me to be on “The Stupid Cancer Show.”

https://www.facebook.com/stupidcancer

stupidcancershow

I said yes, not quite sure exactly what would be involved, but knowing that it was a rare opportunity to speak to Cowden’s Syndrome awareness.

Tonight was the night.

What an amazing show.  I am so glad to be familiar with it now, and you should check it out!

Somehow the words came pouring out.  It’s amazing what speaking from the heart can do.  I can only hope that someone tonight knows what they didn’t know before.

I find there to be no coincidences in life.

After my segment in the “Survivor Spotlight,” the show focused on toxicity and cancer.  Well even though I just listened in to THAT part of the show, I was so in tune to what they were saying.

http://www.blogtalkradio.com/stupidcancershow/2013/10/22/stupid-environment

(My part of the show starts at about 11 minutes, and ends around 30 – I talk too much!  But I managed to mention my friends at Life with Cowden’s, PTEN world, and The Global Genes Project!)

Near as I can figure these days, breathing increases your cancer risk.  But, taking crappy care of your body, eating junky food, and generally being careless, puts you at a greater risk than if you are careful.

There is nothing we can do, especially those of us with genetic predispositions to cancer, to fully protect us.  But we can do what we can to help.

There is no guarantee I won’t get hit by a car, but if I stand in the middle of the street I greatly increase my chances.

People ask why we devote so much of our time, energy and budget into healthy food.

Genetics are not on our side.  But we can fill our bodies with healthy, pure, organic superfood.

These days the core of the nutrition in our home comes from Isagenix.  It does not claim to prevent, treat or cure any disease, but If you haven’t looked yet – now is a good time.

www.meghanleigh8903.isagenix.com
http://www.meghanleigh8903.isagenix.com

This company provides quality food, and they make it possible for you to afford it, because you can eat your Isagenix for free.

“You plus two, them plus two.”

you plus two

Well worth my initial investment.  Quality nutrition for my entire family.

We are certainly going to do the best we can at all times.

Our health, no guarantee.  But we are going to do the best we can to keep that “STUPID CANCER” away.

Invisible Illness

For the last 6 nights my soon to be 10 year- old has slept in between her father and I.

Now I will pause to give you time to gasp, as wave your fingers at me.

I will give you time to self-righteously proclaim that you “know better” than to put your child in your bed, because once you start “that habit” you will never be able to break it.

Go ahead.  Tell me its my own fault that I don’t sleep as comfortably as I could with my 5 foot tall 85 pound child bouncing between clinging to my husband and I.

Tell me I should just send her back to her own bed.

And then – when you are done.  Come over.  Please.  I will even make you some coffee – but you will have to settle for fake milk.  No need to keep any in a house where a child has a dairy allergy.

When you come over you can watch her for a few minutes.  I will let you watch as she winces in pain, and cries out as she bounces around.  And that, that is after she actually gets to sleep.

invisible illness

See before she gets to sleep, there is pain.  Always some pain.  Always.  But some nights, or weeks like this one, it is worse than normal.

There are nights, and plenty of them that she sleeps in her own bed.  Right through until as late as we will let her.  Those are the nights the pain is at its best.

Then there are the nights she needs one of us to rub her in her bed.  A knee, a calf, and ankle, an elbow, a shoulder, a wrist, or even a head is keeping her up.  Sure, you could say she is exaggerating.  Maybe she is acting like any kid who doesn’t want to go to sleep.  But Meghan is above many things, a really rotten liar.  So, when she hurts – she lets us know.  And when she doesn’t it never comes up – end of story.

The worst nights are the ones like this week.  The ones where she can’t even get herself comfortable in her own bed.  These are the nights she cries not only for the pain, but also for the raw fatigue that keeps her awake when she would rather sleep.

This week there has been pain.  Pain in the legs as she adjusts to swim practice, or plays with a friend or two at a play date.  There has been pain in the wrist, the pesky wrist injured now since early June.  The one that has to have a problem – we just don’t know what it is – yet.  The wrist in line for an MRI/MRA has a pulse to it that is reminiscent of the AVM  in her knee.  But we are trying not to jump the gun.

If you ever do stop by my house in the middle of the night, to see why none of us have any semblance of a normal sleeping pattern, maybe you can bring a warm compress, or strong hands, and help as we massage cramping, painful body parts.

Even on the days we fall hard!

No one knows the Meghan of 2 AM.

Everyone sees the bright smiley face.

Everyone sees the interpersonal child who talks with everyone – who makes them laugh.

Everyone sees the reader, the friend, the kid who likes quiet, and order, and rules, and helping people in need.

The Meghan of 2, or 3 AM disappears with the morning light.  She washes her face, brushes her teeth, and puts on the best smile she can to prepare to face the world.

This is the story of life with chronic, invisible illness.

energy to be normal

No one knows about the growths on her thyroid, or the insufferable hot flashes she has.

No one knows about the effort it takes her to walk up the stairs, or to sit and play with friends.

No one knows she is slated for 2 more MRIs, a pituitary function test and a pelvic sonogram – and that’s just the next 2 weeks.

No one knows because she doesn’t “look sick.”

And she wouldn’t have it any other way.

She wears her denim ribbon necklace, the one crafted after the Global Genes Project logo – every single day.  And she dreams of the day she will look across a room at another little girl wearing one too.

The denim ribbon is the symbol for rare and genetic disorders, and since identifying her own need to have a “symbol” to wear, like my pink ribbon, she saw to it that one was created to be worn around her neck.  She chose to have it modeled off the Global Genes Project- an organization that spoke to her heart soon after our Cowden’s Syndrome diagnosis.

We wear them now, my husband, and Meghan, and I – united in our battle.  And we hope that one day there will be more.

circle of three

A denim cause ribbon, crafted after the Global Genes Project's slogan, "Hope it's in our Genes!"
A denim cause ribbon, crafted after the Global Genes Project’s slogan, “Hope it’s in our Genes!”

Next month we will travel to Disney World, as we have for the last 6 years.  While we are there Meghan will use a wheelchair.

Recently, when the controversy hit about the misuse of Guest Assistance Passes at Disney, I was sick to my stomach.

You see I have a child with a virtually invisible disability.  She can walk, by the grace of God.  She can swim.  She can function throughout a day – often with insufferable pain at night.

But what she can not do is walk for long distances.  Ever.  Regardless of the footwear – no matter how hard we try to prepare.  She just can’t.

We took her out of soccer because of the impact.  We took her out of dance for the same reason.  Now she swims, and even with that sometimes the muscle pain is difficult to bear.

So it is especially tricky for us at a park that necessitates walking and standing.  Sometimes she can stretch her legs.  Usually she can cover about a half mile on foot.  Then she needs to rest.  If she pushes too  hard on day 1, by day 4 we might as well be back home.

She spent her birthday one year in tears, pleading with me – in the middle of EPCOT that she would go home “RIGHT NOW IF YOU COULD MAKE THE PAIN STOP.”  That was the day after we let her walk 50% of the day before.

She hates being confined.  She would rather walk.  She looks like she should be walking.  But she can’t be.  Bottom line.

DSC_0626

So as I said earlier, those of you who want to judge me for rubbing my child’s sore and aching body so she can rest – feel free.  As long as we breathe she will be able to seek comfort in the arms of her mother and father.

And when you see me pushing her around Walt Disney World, I know there are the lowlives out there who abuse the policy, but before you assume that my “normal looking” child is one of them, ask yourself if you have ever met anyone with an invisible illness.

Ask yourself how many children, when given the opportunity, would rather navigate the happiest place on earth from the confines of a chair.  Sure we all need a rest some time.  But she’d rather have it on a bench.  And while we are at it – she would rather be having an ice cream cone like the other kids too.

Just because I teach my child to go through life with her head held high.  Just because I teach her to push through pain.  Just because I teach her to smile at adversity and to be kind to judgmental strangers- that doesn’t mean she doesn’t hurt.  None of that invalidates the 4 surgeries for the AVM in her knee, the thyroid biopsies, the constant scans, the issues yet to be uncovered.

My child knows patience.  She knows how to wait.  And she does it all year at countless doctors, and invasive lab tests, with grace, and poise and dignity.

So, before you forget what invisible illness looks like- look here.  We are too busy BEATING COWDEN’S to acknowledge the judgmental.  We teach our daughter to love and forgive.  She has too much stress in her life to harbor any anger.  We learn our best qualities from her.

you were given this life

You Can’t Have a Rainbow Without a Little Rain

rainbow rain

As a young child a can remember hearing stories of rainbows in Sunday School.

This week I needed lots of reminders that I am not alone.  God keeps His promises.

Yesterday we saw Endocrinology at MSKCC in NYC.  They spent an hour and ten minutes preforming a detailed sonogram of Meghan’s thyroid.  She was an angel – calm and patient.  I watched the whole thing, uncomfortable with how much I am able to see on an ultrasound now.  The things we learn through repetition.

It was obvious to me that the many nodules – well over 10 – are still there.  At least three are quite large.  I watched as they were measured, and my “numbers” brain frantically tried to recall the stats from December that had led us to January’s biopsy.

We spent an hour waiting on the ninth floor, the pediatric cancer unit.  And as I have said before, and I will say again, if you ever need to count your blessings, I mean truly count them, I strongly suggest you swing by there.

rainbow not thunderstorm

Meghan played on her iPad as I watched.  Chemo pumps beeping.  Children from 2 to 20, some seasoned veterans, some terrified newcomers, attached as the poison to kill the evil cells drips into their body.  Some sleeping, some resting, some running.  And their parents. Dark eyes.  Worry.  Terror.  Fake smiles.  Bitten up coffee cups.  “Count your many blessings count them one by one…”

“Mom, I am not scared of thyroid cancer.  I am only scared if they don’t catch it early enough.”  I knew what she meant. She went back to playing.

In the doctor’s office there was a moment for us to be relieved, kind of.  The nodules are slightly larger, but are growing slowly.  They are still in that same “precancerous” state, but we are not in imminent danger.  No biopsy right now.  We get at  least another 6 months out of the thyroid.

Then there were the other conversations.  The ones about hormone levels that won’t regulate on lab work.  The MRI that showed a pituitary “diminutive in size.”  The inconsistencies of these tests with her current development.  The statement from the endocrinologist that this lab test (having already been repeated 4 times,) “defies human physiology.”

Yeah, and…

So he drew the labs again.  This time at “his” lab.  And a thyroid panel, and a few other things.

He’ll call me Monday.  Then I will find out more about “human physiology.”

At swim practice last night I met a mom.  She has an only child too, just about Meghan’s age.  And she is BRCA positive. So, after a day of doctors, somehow we were placed in each other’s path last night.  And, I had conversations with a virtual stranger that I probably haven’t had with some of my closest friends.  There are no coincidences.  Of this I am sure.

And this morning – barely able to move from stress and fatigue, salivating for a day of “vacation,”  we dragged ourselves out of bed again.

rainbow snoopy

I packed the bags – always bringing lunch and a few snacks, and we headed out – a little later than I wanted.  As I crossed the bridge I had the sinking feeling that I didn’t have my wallet.  Back across the bridge.  Back home.  Back out.  An accident on the FDR assured me that I couldn’t use the $14 parking coupon I had printed.  Into the $42 lot we went. We made it into the office at 10:03.

The vascular surgeon is uptown.  He has been inside of Meghan’s knee 4 times, so he knows her well.  This time we had less overall pain to report.  But, of course he never felt the pain was connected to the AVM anyway.  So I recounted tales from her PT evaluator, and her swim instructor about how difficult it is for her to run without limping, or to push off to start a race from the block  I had his attention.  The legs have different girth.  The left is undoubtedly stronger then the right, having been spared the AVM.  Do you take her for PT he asked?  Um… constantly.

Fortunately we love Dr. Jill!

We took her out of soccer and dance and put her in swimming.  There isn’t much else we can do.

Oh, and could you look at her wrist?  The one she hurt at the school carnival almost 4 weeks ago.  She was victorious at her quest to climb the rock wall.  Stubborn, competitive child.  But has paid the price since.

For a few days I told her to suck it up.  I admit it.  But it kept going.  Knowing Meghan as I do, she will keep me abreast of every pain – but the SECOND it stops, its like it never happened.  This one wasn’t quitting.  Dr. Jill helped us.  We tried a brace. Then another one.  Then no brace.  No better.

So as I watched the doctor manipulate her wrist I couldn’t help but remember my frustration the day after the carnival, when all of her friends walked around unscathed, and she suffered terribly with pain all over.  I remember thinking how cruel it was that she had to make a conscious decision to suffer in agony the next day – if she wanted to keep up with her friends.

He examined it for what seemed like forever.  Then he asked me who my orthopedist was.  I laughed out loud.  The one subspecialty we have NOT found – is pediatric orthopedics.  So he asked if she had a rheumatologist.  I said we were headed there July 9th.  He said try to move it up, and call him after I saw her.  She needs and MRI of that wrist.

“I don’t think it’s vascular…”  And after that we will get one of the knee – just to be safe.

There went two more days off the summer calendar.

40 blocks away was the geneticist.  He is the one we credit with saving my life.  And I credit the angels with placing him in our path two years ago.

We spoke at length.  He has more questions.  More research.  He has a theory.  He will call me.  He will send me the articles.  The conversation lasted an hour.  He is brilliant.

She hugged him and told him she wants to be a geneticist.  We have a friend for life.

The people training on the  new teacher evaluation system in NYC frequently declare “This is going to create more questions than answers.”  I don’t know why I find the system to be perplexing.  I should be used to it by now.

It rained tonight.  Thundershowers.  They have been happening a lot lately.  Maybe I need a lot of reminding.  The rainbows are there.  The promise remains.  Nothing happens by accident.  God’s timing is perfect.

6/28/13
6/28/13