Sunday, April 12, 2020

Breathe Shallow



Give me a problem. Or not even a problem, just a project.  I’ll do some research and find out more about it…general and in-depth knowledge, options, strategies, expert opinions…I will try to connect with others who have experience with this problem or project, if applicable.  Then, I’ll make a plan.  Depending on the level of complexity, this might be a checklist, a flow chart concept-- if this/then that, or a multi-phase plan.  Then, I’ll strap on my running shoes, so to speak, and get to work.  Consistent hacking away is key.  That’s how you eat an elephant, right?  (Not that we’d want to eat an elephant, of course!  Noble creatures.  Man, I miss the elephants…wouldn’t it be great to go to the zoo?! Wouldn’t it be great to go anywhere?!)

This being my personality, I’ve had a life journey learning to function within big problems that I can do next to nothing about. 

Like, this one.  Nearly 12 years ago, my youngest child, Elijah, was born.  He was an angel baby, and turned his little head to the sound of my voice when the nurse took him across the room to weigh him shortly after his birth.  I mean, how precious is that?  Not just precious, but healthy, alert, and strong.  Before we checked out of the hospital, I did ask the nurse to check his breathing one more time.  I was concerned maybe he still had a little liquid in his lungs, as I noticed a slight little something, off, in his breathing sometimes.  His daddy said he was a newborn, and just figuring out to breathe, but I wasn’t satisfied with that concept.  But the nurse listened to his lungs and said they were perfect.

As it turned out, she was right, his lungs were perfect. But his little intermittent breathing problem got significantly worse.  In six weeks’ time, it could be heard outside the heavy door of his hospital room.  His health and strength would be needed, every iota of it, as well as his indomitable infant spirit.  Because we found out when he was six weeks old that his odd breathing issue, that made him breathe with a remarkably loud stridor (but only sometimes) was due to the fact he had a large tumor, the size of a man’s fist, in his neck and chest.  His trachea was squished like a nearly-flat straw, and it took all that amazing baby strength he had to push air through it.

But, here’s the deal.  It didn’t primarily take strength for him to breathe.  When the tumor was at its largest, before his first three surgeries (scope to help determine airway problem, biopsy to diagnose what type of cancer he had, and central line placement in his chest) so that he could start the correct chemo protocol to shrink the tumor, which did (thank God) shrink the tumor, he didn’t breathe with that terrible loud stridor most of the time.  Often, if you didn’t know better or put a stethoscope to his chest, you wouldn’t think there was a thing wrong with him.  He had this position he would take.  He would stretch his neck up and off to the left side (the tumor was on the right) and find the sweet spot, and when he breathed gently, not forcing too much air through at once, he could breathe well.  But in other positions, or when he was super happy and excited, he would breathe harder and deeper and the audible (and heartbreaking) strain would be heard.  Loudly.  Like through a heavy hospital door loudly.  Then, we were glad he was strong and healthy, with no congestion or any kind of blockage to put any additional strain on his breathing.

In the days before we heard the word “neuroblastoma cancer”, when the pediatrician (reasonably) had us biding our time with a lower level explanation, I used to put my hand on him, as he lay in his little bedside bassinet, and just pray that he’d keep breathing,  just keep breathing, through the night. 

Sometimes, strain begets more strain.  Struggle harder, and the problem is worse.  Elijah would show me this again, three or so years later.  He’d had his cancer journeys, two of them, the second culminating when he was two and half years old with a resection surgery of an “unresectable” tumor.  Six or so months later, not caught up on immunizations due to chemo and a subsequently weakened immune system, he got pertussis, also known as whooping cough.  I had learned when a good friend’s daughter had this several years prior why it is called “whooping”.  The cough is severe, the most severe cough I’ve ever heard.  All the air is coughed out of the lungs, and the afflicted cougher will then often then try to take a huge breath, which will create a “whoop” sound as the airway is strained to try to pull in as much air as possible.  This strain in turn leads to another huge cough, and a cycle of coughing fit is suffered.  But everyone with whooping cough doesn’t “whoop”.  Elijah was not a whooper.  (I love that sentence!)  No, he’d cough his little lungs empty, and just..not..breathe.  He would hold his breath, for long enough for all of us (three older sibs, mom and dad) to say, “Breathe, Elijah, breathe!!!”  Then, after he’d held his breath for a long moment, he would gently take in a long, slow breath.  No whoop. No strain. No coughing cycle. 

This kid had learned something about how to breathe under pressure.  But, oh, has it been a hard lesson in grace for me.  There are times when you cannot control the constraints you are under. You can’t work hard enough or smart enough to fix the problem.  If you put too much pressure on the situation, if you expect too much, it will only degrade.  How can you live within it?  Remember my MO for problems?  Well, it helped me be an adequate cancer mom.  I did my research; I understood all I could about his type of cancer and the details of his treatment.  I kept track of all his appointments, joyfully checked off each chemo round, made sure the protocol was followed per the schedule, and checked every label on every chemo bag to make sure he was getting what he was supposed to.  I schooled the older kids on sanitizing and hand washing and not breathing in baby brother’s face if they had a snotty nose.  I eventually found a network of neuroblastoma parents that directed me to the world class (one of a kind) surgeon who WAS able to remove the tumor from my toddler’s neck, even though it was wrapped around his carotid artery and as the docs at home liked to put it “there’s a lot of valuable real estate in there”.  (A phrase which always annoyed me; there wasn’t an expensive condo in my baby son’s neck, there was a large malignant tumor.  Just say it.)

I could do all that, and I did, and it helped.  But despite all my organization, research, and discipline, this was a problem I couldn’t solve.  The outcome was completely out of my hands.  I had to live for months, for a few years, in this place of strain.  If I thought about it too hard, I might feel I couldn’t breathe.  At times, especially in the many days waiting for the phone calls to tell me if the MRI showed the poison was working or not, I felt this sick quiet panic—cancer parents call it scanxiety.  I was under the grip of a menace so much bigger than me.  It was impersonal.  It didn’t care.  Cancer would do what cancer would do.  It might respond well to the chemo cocktail (which at the same time might be trashing my son’s organs, taking his hearing, and making him susceptible to dying from a garden variety virus) which it did the first time.  Or again, later, it might just sit there and do nothing despite being hit with the “red killer” chemo and all the rest of the frontline treatment.  I lived with the sick quiet panic.  I functioned through it.

I had this image.  You see, then and since people have said “oh, you’re so amazing, you lived with that with such faith and what a great story of deliverance” etc., etc.  But that’s not where I lived, and I’m not amazing.  I have my child, and since his cancer time he has been the picture of health.  I am the lucky one.  We got the blessing.  I walked along the precipice, along the jagged cliff side, carrying my boy.  Sometimes, all it would have taken was a good breeze to push us over, him to death and me to that drowning no-longer-quiet panic.  I saw the view, I got the vertigo, but I didn’t fall, and neither did he.  We are the lucky ones.  But of this I am proud: I learned to walk along the cliff side and breathe, breathe shallow.  Breathe gently, and walk with grace.  I learned not to hold too tightly to him and his older brothers and sister.  I learned to hold those I love with grace; to love with an open hand. 

We are always being told to breathe deeply.  You’ve probably never been told to breathe shallow.  But I believe there is a time for it.  Right now, we are all caught in an uncontrollable situation that is changing and limiting our lives in myriad ways.  Millions have lost their jobs, thousands have, and many thousands more, will lose their lives.  Loved ones are dying alone in crowded hospital wards.  We see the limit of our power as “the most powerful nation on earth” that cannot supply its healthcare workers with basic low-tech PPE.  Some feel helpless, angry at a foolish and futile government that should have done a better job.  And then, underneath all the noise of policy debate and what’s going on in Italy and Spain and China, we need to get groceries.  And it’s dangerous, if not (we hope) to us, then to our dear friends and family who are in the high risk group.  I’m sure it’s a terrible time for all who struggle in ordinary situations with anxiety, PTSD, and the like.  And I want to tell you something.

Breathe shallow, but just keep breathing.  To breathe deeply is to try to, Thoreau-like, “suck all the marrow out of life”.  Maybe we’re just not up for that right now.  You don’t have to understand it all, you don’t have to do a great job getting along with your family 24/7, and you don’t have to function at your top 90 percent.  If you’re knocked down, just get up, one more time.  If you feel that quiet, sick in the stomach panic, just take a gentle breath.  It’s okay to not do great and have all wonderful times to impress everyone on FB with.  It’s okay not to expect too much of yourself.  Breathe shallow if you need to, but just keep on breathing. 

I read through Job in the past few months.  I know I’ve heard the phrase “the patience of Job” but I have to be honest, I did not read him as a terribly patient man.  He was a righteous man, we have that from the ultimate narrator of the story, God himself.  I have no quarrels with “righteous,” but patient??  Job railed against his friends (can’t blame him there) and against God.   He complained, criticized, and questioned.  God.  And God let him, and still called him righteous, and made him the hero of the story.  I think we can put too much on ourselves, have high self expectations, and despair when in trying to suck that marrow out of life we are left with merely a gross taste and emptiness.  It seems to me Job got to be the righteous hero merely because he didn’t curse God or pretend He wasn’t there.  He was mad at God, and he had a problem with God’s behavior towards him, Job.  And at the end of story, he got God’s seal of approval anyway.  I don’t think anyone could say Job handled his tragedies extremely well.  Don’t we have higher standards as modern Christians?  What Job did was breathe shallow.  And the message I get is, that’s okay. 

I’m reminding myself of these lessons lately.  Our family has been working toward adopting a Chinese boy for a year.  His adoption must be completed by late May, per Chinese law, or he cannot be adopted at all.  Our final approvals were being finalized, and then came a worldwide pandemic, the like of which hasn’t happened for more than one hundred years.  I texted my 20th mile friend (the one that has been there on the 20th mile of the marathon, literally and figuratively) that sometimes despite all one’s best efforts, you are screwed.  It blows up in your face.  I feel that sick, quiet panic.  She told me it was okay.  It was okay I felt that way.  I felt her love and grace.  I took a shallow breath.   


Tuesday, June 21, 2011

The things you don't need anymore

I am trying to finish a project that has stretched out too long; cleaning out your room to get rid of "baby" things still lurking in the corners and make room for Ian to share a room with you.  Perhaps passing on outgrown baby things generally gives a mom's heart a twinge, but I do think your "outgrowns" comprise an unusual list.  So here's a very small inventory, the mix of your first three years, odds and ends still hanging around from earlier "cleaning outs" . . .
--Size small swim diapers
--Three Huggies containers used for home-made wipes . . . my potty trained (mostly) boy doesn't need so many stockpiled wipes
--infant sized yellow hospital gown, one you wore in those first two weeks in the hospital
--three U-Bag urine collection bags (missed these when I passed on all the syringes and alcohol wipes to Brittney for her Africa mission trip)
--two Tegaderm patches
--sterile packaged latex gloves
--baby blankets
--pacifier (never used)
--three stuffed "happy dolls" symbolizing goodwill and healing, made by children in Japan (a NYC momento)
--"Elijah's Room" signs and decorations made by Hannah and friends for your hospital room when you were a baby
--pic of you mounted on a little "card" for a Christmas tag,  one left over, others used for little gifts for our doctor and nurses your first Christmas
--two monogrammed burp cloths
--scrap paper where your Dad ("I call my Daddy Dad" you like to say) jotted down your full name, with options on the middle name varying

It is time.  Time to put away in a box somewhere those keepsakes from your baby days, to get rid of other stuff . . . to make more room for today.

And somehow, my mother's mind and heart tries to sort out it all, what to keep locked in memory's safebox, what to let drift away.  My mind cannot hold it all anymore than this little bedroom can.  But this sifting is even harder, and perhaps it is my reticence to do it that has kept this poor little room so cluttered.

There are the things I cannot help but keep--the 2 AM memory of your little 7 week old body lying on a table, with about 5  nurses standing around you, taking turns trying to get your veins ("we'll all try two times"), until your Dad stopped them after "only" three tries (they were offended), you screaming, pitifully trying to breathe . . Your head thrown back up and to the side, trying to find the "sweet spot" where you could breathe around your tumor . . . Your smiles and happy spirits on your first day of chemo, and generally every day, kicking your foot with the pulse ox like crazy, that little light just dancing around . . All the infant and toddler nights, morning, days of npo (nothing to eat/drink) and your happy, resilient spirit . . . And someday, I will need to pull your jammies you wore in NY after your big surgery out of your drawer, and I will store them away.  I will keep the memory of how you looked so dapper the fourth day after your surgery, when you finally began to get up and walk and went on a trek from the POU to the hospital playroom on the 9th floor of MSKCC 2-3 times.

There are memories that will inevitably drift away.  I already know this, when something triggers a memory of how one of the kids (now which one was it?!) said a particular word so cutely . . I won't be able to hold it all. There are things, aren't there?, that might as well be left behind.  Can I leave behind the lagging, dogging sense, that this is just another break but we will get hit again?  Should I, or does it make appreciation for today sweeter?  Can I leave behind the need to read up on all the latest in NB treatment, and on every odd illness that touches children in my circle?  Where do I put all that energy I devoted to your active treatment, and researching options for your care and healing?

Obviously not to cleaning your room.  So I better get back to it.  Sifting, sorting, what keep and what to let go .. with the sounds of you and Ian playing, laughing as the soundtrack.

Thursday, March 17, 2011

gifts

it's been a long, dry season
both the hallelujah chorus and the adventure awaiting
have long since faded
but I walk on, walk on
I still want to bring a gift
a gift what will it be?

parched voices, faded dreams
of what I thought I'd give
daily bible reading schedule in the foyer
apologetics good theology
"you should read Reinhold Niebuhr"
4th grade class this quarter? please?
"rise at 5 if you have to, but give the best of your morning to your Lord . . . "

I walk on
and I marvel
that you would let me participate in creation with you--what crazy power you give--
did you really think that through, dear Jesus?
and so I write myself into them.
their paths, not mine, but close enough here for a time to seem as one
and we laugh, sing, fuss, struggle, get up and try again and again

my gift is in the apology at the thrown shoe,
the four year old's calm, slightly bemused eyes,
"my shoe isn't stupid, mama"

my gift is in the appreciating the wit of the three year old,
the creative genius of the Lego king, the stories, games, and feats of skill,
in watching, listening, to the "please, watch me, mom!"

my gift, in accepting
that the gifts you gave me to give
were better than the ones I wanted to give
and if I walk, misunderstood, I have good company.

so I walk on
but it's been a dry, long season.

my sister-friend, she had a vision
that you were busting off her heavy
chains and you wanted her to dance with you.
just to dance with you.
she no dancer (nor more I), and I loved that vision.

I didn't see a vision or hear you singing
but this my gift:  I heard hers, and loved it, and walked on.

my gift is laughter of women,
gathered around my table.  this, too is food and drink.
my gift is thanking you for it, and for phone conversations
that went too long, while kids abandoned schoolbooks,
for sisters you have given me, my thanks for them is my gift.

oh, it's been a dry season.

and when the path narrowed, a precipice on either side
loose stones underfoot
darkness
and I carried the child on the narrow path fit only to my feet
I feared for the strategy of each step I must take,
that it must be right or we fall,
me to one side the child to the other.

but this my gift.
I held him loosely. gently.
we laughed, nuzzled.
I held him not too tight so we could look,
could understand one another.
breathe.

breathe.

my gift.
though I heard not your voice and felt not your hand
had no fall insurance
I knew that you were there.  knew.
and trusted that though he fall, I was held, and you were proud of me.
pleased. this I knew, and knowing was my gift.

and so it came that I could walk without fear, without calculating
more steps to the centimeter.
we walked.
and this my gift:
that I was thankful. each. moment.
for the gift of knowing this other soul in my arms.
not mine. not one to be, but another who is. in the now.
fear did not steal our joy, and that-- my gift to you.

the path widens.  
my gift that I won't refuse to walk next to one you place by me?
my gift that I won't only look back?
my gift that I will soon hear you singing more clearly, and sing back?
my gift that I would dance, if you asked me to, even if I would rather fight dragons?

I wait.  accept your gifts.  keep walking.  and sure, pray for rain.

Monday, January 3, 2011

Parallel Universe

I’ve always been intrigued by parallel worlds and alternate universes.  Although I did love TNG (Star Trek: The Next Generation) and Voyager, and read my share of Ray Bradbury, I was more drawn in by the mythical/fairy tale type of alternate world than the sci-fi.  Somewhere, surely there is a portal to Narnia, or a history that really does include Middle-earth.  For me, any really good book was one that brought forth a world entire, peopled fully, so after Lewis and Tolkien, and much, much after the Grimm’s fairy tales that intrigued and horrified me as a small child, I found Faulkner, and his Yoknapatawpha County in Mississippi was as much a separate, but complete world as anything more obviously mythical.

What I have come to believe is that this world in its complexity offers many parallel universes, no time travel required.  They are real, not just between the covers of a book, and you may well not want to go there.  I began to enter such a parallel world, a reality that fully exists but most people never see, in late June 2008.  The portal was this concise piece of information:  “your infant son has a malignant, inoperable tumor”.  My baby had cancer.  (I tried capitalizing every word, but came so short of reaching the enormity of that simple sentence that it seemed a farce to try.)

It’s called by some “the loneliest hour”.  It’s when you are told, and try to process, and are overwhelmed by the attempt, that your child has cancer.  For almost all of us who hear “neuroblastoma” from the doctor’s lips, it will be the first time we ever hear the word.  The reality behind that word will rock our world forever, and this news is the portal into a different world.  It exists, all around you, yet you never see it. 

Like all good alternate worlds, it has its own language, from the decipherable to the totally new words (CT, MRI, MIBG, VMA, HVA, MYCN, 11q LOH, carboplatin, vincristine, doxorubicin, catecholamines, etoposide, AGC, ANC, so many more but let’s not forget the ever-fun npo).  There is an evil being to defeat—not the Borg, Sauron, or the White Witch, but the beast within your child.  We have our wizard-doctors, who employ their magic arts to mixed effect.  There are good wizards, the compassionate, competent, and respectful, and the bad, those who arrogantly give you bad information, who are inconsiderate to your child and disrespectful to you as the parent.  There is the hero, who Frodo-like, is seemingly the weakest character, but who proves to exhibit such remarkable strength that everyone watching marvels.  It’s your little child.  So you, of course, the parent, are your child’s Samwise.  You carry your child, but you cannot take his burden on yourself.  Your role is the helper, strategizer, worrier, the one helpless to take on the burden itself. 

But, ahh, the fellowship.  There is that, too.  The other families in this world become an extended family.  You read their blogs and updates with breath held in hope, and cry along as well.  Because the hard part is there is no benevolent author writing this story, and many many little Frodos die.  That’s it. The bitter truth.  And when our visit to Mordor was just that, and we walk out with only scars, our little warrior marked only by a drooping eye, mismatched pupils, and a soft, hoarse voice, I am left with huge relief and thankfulness for every day, but also many questions.

After all, don’t I believe there is a Benevolent Author?  Was our little Frodo written out of Mordor because our prayer list was long enough, because he is to do something really great in the world, or because we are just “such good people”?  These are all things that well-meaning people say, but all lies because of what they imply and ignore.  Other families have even more praying for them, are even better people, and who would have the horrible crass heartlessness to say that their child would not have done great things in the world?  No, there is a mystery to suffering that no amount of reason can unravel.  Attempts to explain why some are healed and others die end up simplifying the truth to the point of completely negating it.  Don’t try to explain it; you can’t.  But, and this is a “big but”, this acceptance of the mystery does not denigrate the importance of faith in that Benevolent Author.  I am amazed by how faith keeps the parents of the dying from being beat by bitterness, how the habit of hope that they have nurtured during the long battle does not die when the end is near, but just keeps hoping, if not doggedly for a cure anymore, for something beyond this suffering and a better tomorrow for their child.  At the end, the beauty of those who hold tightly to their God is stunning; his faithfulness shines through them.  This does not make it all “OK”; I don’t know the pain they are living with.  But the beauty is true, too.

I have been loving a song I have just discovered.  It is a great song for my new year, and captures what I believe. 

Cardboard cutouts on the floor / People wish that you were more like what they wanted you to be / Eventually they won’t have much of you at all in their theology / The walls are closing in on you  / You cannot be contained at all.

I don’t want to make you small / I don’t want to fit you in my pocket / A cross around my throat / ‘Cause You are brighter than the sun / You’re closer than the tiny thoughts I have of you / But I could never fathom you at all.

Broken moldings all around / Broken people hit the ground / When they discover that you’re not here for our benefit / You love in spite of us / You use the least of us to prove the strong aren’t really strong at all.

I don’t want to make you small / I don’t want to fit you in my pocket / A cross around my throat / ‘Cause You are brighter than the sun / You’re closer than the tiny thoughts I have of you / But I could never fathom you at all.

Small, JJ and David Heller
(song starts at about 3:24 on clip)

No, He isn’t here just for our benefit, but He is here.  And, oh how the least, the “little Frodos” demonstrate his strength!  So I start the new year, praying for the little ones and their parents still in Mordor . . .it is true that as light shines so much brighter in the darkness, joy is more palpable in the presence of tangible loss, and I am filled with admiration for those who hang on, tightly, to that joy.

Monday, August 16, 2010

He Has No Voice In It

I've been known to voice my opinion
to hear conflicting voices
to be deaf to the voice of God.
On rare occasion, to cry my voice hoarse
but more likely to laugh it so.

But which voice to follow now?
When the one it most concerns
has no voice in it.

He yells a little neigh as he prances by on his "Beauty Horsie"
He laughs a guttural, bubbly, shrieking joy
He sings he sings
He says, with soft intonation, "My love you Mama".

I've come to know that nothing will take the song in his heart,
but oh, it would break mine to take the songs from his lips "forever".

8/16/2010

April 28, 2010, Pt. 2

All Things Fall
Autumn leaves, of course
helium balloons, eventually
two-year olds
all mankind
tears

In the Oklahoma spring breeze,
today it was the fresh white blossoms
from the honey locust trees
small branches from the large old maple and sycamore trees
and my two-year old’s hair

He grabbed out handfuls, with a strange ripping sound,
his eleven –year old brother reported,
as they played on the trampoline
and the wind took the soft baby blonde sweetness away,
mixed with the white blossoms in the breeze.

April 28, 2010


My baby started losing his hair today.  Hannah cried.  I’ve sort of . . . almost, here and there.  And why?  I have been previously annoyed by people saying, “oh, will he lose his hair??” as if that even rates anywhere of remote importance on the scale of what is lost.  Doesn’t rate with the risks of life-threatening infections, permanent hearing loss, heart damage.  Doesn’t rate with endless needles, with worried brothers and sister, with not letting the dog play with him for fear of licking, with not letting him go to his Bible class, which he loves.  Doesn’t rate with middle-of –the-night ER runs for 101 fevers.  Doesn’t rate anywhere with an inoperable tumor that’s growing, again. 
But my baby started losing his hair today, his beautiful soft blonde baby hair (Hannah cries, “but it’s so soft, and I like it, and it makes me sad for him to be bald”) and I feel a bit weepy. Perhaps, because now for the first time he’ll look like a kid with cancer.  As a baby, his hair loss didn’t give him away, and he was just such an energetic, happy baby his overall appearance, if you didn’t see the tube hanging out of his chest, was of a perfectly healthy, though perhaps a bit pale, child.  But now, he will look more like the other precious children at the pediatric cancer clinic.  His hair falls out, and he is looking a bit peaked, with little purple circles peeping up under his eyes.  The little warrior of mine, the bullet-dodger, can’t quite evade all the results of what he has to fight.  So mom is a bit weepy, and after all, Hannah is right . . . it is so soft, and so beautiful.