November 1, 2010

SHATTERED



 
that calm front I've been trying to keep erected forever and ever is gone
shattered
in a million pieces
I’ve shattered
a million pieces
scattered across the floor

I don’t remember much of this past week
there were some warning signs
in the form of physical collapses
stuttering
crying
guttural screaming
shaking
and
shaking
before
finally falling to the floor
I figured I should ask for help
but
help from whom?


who can help anyway?
ask God?
it’s awfully hard to ask for help from someone you are angry at and feel abandoned by.
and
my husband’s overwhelmed
and
my friends have their own problems
and
their own pain
and
they really don’t need to be saddled with a chronically sick deject

I’m blessed by the ones that have stuck around
and
don’t want to burden them anymore than I already have
lest they just quietly drift away
many already have
which doesn't totally surprise me despite the fact it often leaves me wondering why 

maybe I’m seen as a plague, or too needy, too weak or too strong,
or over-dramatic and attention seeking
maybe my pain is too real, too uncomfortable, too all-encompassing
or maybe they think that tragedy is contagious
or maybe some diseases are more valid, more real, more serious and therefore are more deserved of the effort it takes to come together and support.


do you really not know what to say?
or is that what you tell yourself in order to
to excuse yourself from entering into to my suffering?
after all, I never needed you to know what to say
all I needed,
was for you to just hold my hand
and
i never expected you to know what to say,
all i expected
was that you would simply be with me in my pain

your silence has been deafening, your retreat was confusing..
but
what right do I have to clamor for your help, your support anyway?
after all, i'm not the greatest friend around right now
so i count my blessings
focus on what is and not what was or what i wish was
and
i stuff down my neediness and my over inflated expecations
and i soldier on

through THIS
THIS,
THIS,
THIS what?
I don’t even know how to articulate what THIS is

 

THIS HORROR THAT ENCAPSULATES MY LIFE
my every moment of everyday
this endless suffering
my own and my childrens
this endless suffering
from which I cannot escape
not even in sleep
haven’t slept in weeks, probably months

THIS
not getting a break
THIS
endless suffering
THIS
not having a vehicle

THIS requirement that I exist in THIS impossible state of being;
as a sick parent
as a parent of 2 sick kids
as a patient
as a caregiver
as a teacher
as a counselor
as a cheerleader
raw, raw, raw
we can do it team
fake it til you make it

THIS oppressive burden
that I must carry all, 
do all 
and 
be all
and
at all costs, keep hope afloat

after all, they are watching me
they need me to be strong
they need me to cope
they need me to keep the faith
and
I must do this
I have to do it
i cannot fail them

mama’s can’t opt out
they can’t not be fine
and
they must never, ever break

mama’s fine
I have to be
because everyone counts on me
to keep hope afloat

I’m fine
I smile
and pretend I’m not sick
or in pain or that i hurt or that i'm scared
or worried i'm fighting a battle I can never really win
i'm fine, I say, a 100 times a day
maybe one day I’ll actually believe it

mama’s fine
kinda sorta maybe not
not when I see their pain
I can’t turn it off
tune it out
or
make it better
I just absorb it
their pain, their suffering, their anger, their frustration, their hurt, their shattered dreams
I absorb it all
succinctly feel it all
bear it all
and
intrinsically know there is much that they hide and leave unspoken
and
when the verbiage comes, it is in a confusing torrent of contradictory emotions
love me
hold me
leave me
back off
hold on
let go
go away
come back
here's a list of 123 reasons why u suck as a parent
you're the best parent in the world
and 
i bleed under the brunt of their twisted tirades of confusion, anger, frustration and questions.
and
i'm terrified of the abject chaos that decended upon our home, our hearts, our family, our lives, their lives when the natural order of growing up was interrupted by disease. when that "difficult enough under normal circumstances" fight for autonomy and for separation was thwarted by the dependency that occurs when a disease clips your wings at precisely the time in your life when should be set free to fly.
and

this is all new territory 
our family is in uncharted territory precariously tossed to and fro
and no one feels like they belong
or how to get a long or what to be or what to do or what their role is

everywhere I look there is utter devastation
shattered dreams
and
mama can’t make it better
and
they know it
i've given them my best
and it is not enough
never was
never will be

and mama can't protect them
and
they know it
and
i don't know if i can live with that

my secret has been exposed
newsflash
I’m not superwoman
not that I every thought that I was
just hoped that I could pretend long enough to get them through this horror
 
i am pharmacist
I am patient
I am caregiver
I am teacher
I am councilor
I am comedian
I am nurse
I am friend
I am cheerleader
I am a mind reader
I am wife
I am mother

but superwoman, i am not.

so i just soldier on.
Do more be more
Stay strong don't break

soldier on
thru the pain and exhaustion and illness, and darkness.
gotta keep hope afloat

soldier on
through the weariness, the loneliness, the nothingness

soldier on til you collapse
into an inarticulate stuttering, sweaty heap of exhausted lunacy
traumatize the kids
make your apologies
pull yourself  up
dust yourself off
and soldier on
and keep pretending that you’re fine
accept that you're no superwoman
but
soldier on anyway.

I am strong. 
I can cope. 
I am fine.
soldier on
and
march
your ‘fineness’ right past the point of no return.
the third time was the charm
cumulative effect of running on empty, no relief, no respite, utter exhaustion and  being hit hard with a herx
at least the little ones weren’t home
I don’t remember much
but
I know I went nuts
how it all happened
the order with which it occurred is unclear
only that I found myself on the floor
making these god awful inhuman sounds
guttural shrieking
and
grief sobbing
then
blessed blankness
until
I saw the broken dishes
felt the yogurt in my hair
and
then they were there
the cops
the paramedics
and I was cowered in a corner
a puddle of tears curving out from under my knee
snot pouring out of my nose
and
I figured that I must look crazy
and
I really didn’t care
I am crazy
take me away
lock me up
and throw away the key

my family would be better off without me 
please make it stop
please
please

please let me sleep
give me something to make me sleep
is it so terribly wrong to pray for permanent relief?
I’m shattered
can’t you hear the thousand shards of me tinkling across the floor
somehow, from somewhere, in the midst of the wreckage
they call out to me
in their broken, beyond repair despair
I can still hear their melody of hope playing.
you’re fine
you’ll be okay

but I just don’t know if I care enough to listen anymore
I’m just too tired of fighting this beast in my brain.
i just can't soldier on anymore

this beast has left me shattered
but
apparently, according to the psychiatrists,  I’m not crazy.
both the non-lyme docs and my lyme doc agree.
I’m not nuts, depressed, bipolar or psychotic.

oh really?
personally, I happen to disagree.
are you trying to play mind games with me?
for years, non-lyme docs have been trying to boil down my complicated medical picture to some sort of depression.
and I’ve been telling them no.
I’m not depressed. I’m not nuts.
I have an infection.

and now
I’m telling them I am nuts
and
they don’t believe me.

nope,
I’m not nuts.
I’m having seizures. the seizures are crazy. but I am not. and they’re being triggered by
that infection in your brain– you know, “that infection” that they still won’t acknowledge I have.

and that
is enough to make anyone nuts.
just sayin’

and if none of this makes sense
or some of it sounds nuts
i wouldn't be surprised
i'm doped up on all sorts of meds.
anti convulsants
anti seizure
pain meds
it's a whole wack of fun. i'm home from the hospital now. cooped up in my room. can't walk straight. sometimes i laugh. sometimes i cry. sometimes i feel normal. most often i don't. DR H keeps calling to check in on me. sometimes i can talk. sometimes i can't. but he just keeps right on talking and he keeps making really bad jokes. somebody get that doc some new material. at any rate, he hasn't given up on me. apparently, i'm not beyond repair. i don't believe him. and i told him that. and he told me he doesn't care what i think...he doesn't listen to crazy people anyway. ha ha.



and did you know that thing 1 and thing 2 came by for a visit last nite? 



and johnny canuck and michael jackson showed up to.

at least i'm not alone in my insanity





October 25, 2010

STOP IT ALREADY!



STOP!
THIS POST CONTAINS GRAPHIC IMAGES OF BLOOD. 

 i like gross things but recognize that not everyone shares my affinity for all things gross. so i'm giving you fair warning.if you are not particular to blood, or if the site of it makes you queasy, woozy or faint you should just stop here and
 
PRAY!
pray for parker's PICC, raymond.
he's bleeding a lot. and we need him to STOP IT ALREADY!

we've been battling with raymond, parker's picc for the past 10 days. seems he's decided to misbehave.

he's bleeding. a lot. a picc dressing is changed once a week. so far we've got 6 under our belt in the past 10 days. pretty much had to have a nurse here every 2nd day. some days it's been twice in a day. he just won't stop bleeding. and we're not sure why and this has become a real (additional) source of stress.

raymond is nearly 4 weeks old. he should be well on his way to adult hood by now - meaning the incision site should be nearly healed by now. why now he has begun to bleed so much, no one knows. yes, PICC's can do this - but generally just in the first week or two after surgery. this is not characteristic behavior for raymond. in fact, he only bled minimally post-operative. i was surprised at how little blood there was. and relieved. now he's making up for lost time maybe. whatever the cause it is very disconcerting and worrisome.

it's not so much the bleeding itself that is the real problem right now. it is the problems that it can cause.
a warm moist environment under the inclusive dressing is a breeding ground for bacteria - the bacteria can travel up the line or into the line and cause a blood stream infection. which is not something to mess with at all. any wetness under the sterile dressing also can cause skin irritation which, in turn, can lead to infection.

parker now has the start of an infection.


big sore just above purple 'wing' - multiple smaller ones above that

last wednesday, (on visit #3 of the week), both the nurse and i noticed that his skin was starting to look irritated and a bit rashy. 2 days later, raymond had bled out again and required another dressing change. in those 2 days, parker's skin was now raw and weeping a bit. initially, it seemed that it was just in the area that is covered by the stat lock. so we decided to leave the stat lock off in hopes that this would give his arm a bit of breathing space and keep the skin from further deteriorating.



white stat lock

the purpose of a stat lock is to hold the PICC line securely in place. the PICC line can begin to slide out of the incision in the arm, especially if the body is rejecting it. the shape of the stat lock reminds me of a soother...and it is very much like a security device for raymond and it's use brings comfort and peace of mind to parker. the nurse replaced the stat lock with steri strips. steri strips serve the same purpose as a stat lock in that they secure it in place however the lock is just a better, more secure choice to use on a child. parker had incredible anxiety over losing the stat lock. my PICC is secured (and has always been) secured with the steri strips. i explained that to parker and the nurse tried to reassure him that they would be just as good as the stat. but he was still very much upset that we had to take raymond's soother away from him.




the nurse was here again monday morning as he bled out already since it was changed on sunday (which was visit #6). the rash on his arm has not improved and unfortunately has gotten worse..should it not improve over the next couple days than the nurse will have to take off the inclusive dressing and just use a guaze wrapping around the site. that is so far from ideal, especially with a kid and puts him at a much higher risk for infection.

right now, the worst part for parker, is that the dressing changes really, really hurt. he still has the standard post-operative tenderness but now he is also having to undergo dressing changes every 2 days.
the cleaning solutions sting. they get inside his incision and irritate little nerve endings. these continue to sting for several hours after the dressing is complete. i HATE that he has to keep enduring these every other day. i know how tender and sore it is for him. he is so tough and so brave but this whole drama is just plain upsetting.



all bloody again just 3 hours after a dressing change

graham and i are trying to present a calm front but it is hard to do. this PICC drama is a constant source of concern. we're worried that he'll end up losing the line. this would mean another trip to SF. another PICC surgery to undergo. more bills to pay. or far more worse than any of that, is that he could acquire a major infection.
we are grateful for the excellent care he is receiving from his home care nurses. we know that we can call them at any time. and he is being closely monitored for signs of that. his arm is not swollen. he is not running a fever. and his IV meds are being administered with no problem. that is all reassuring. as well, i have a friend who is an IV educator/nurse and she has graciously been taking our phone calls, answering our questions and pretty much been talking us down at all hours of the night. more than once, she has peeled me off the ceiling. thank you, you know who you are. :)

however, the cause of the bleeding is still undetermined and we wish we knew why or what was causing it. on top of everything, the not knowing part of this is a hard place to be.

we were in more than just a bit of a panic on sunday nite - so we called DR H's cell and left a message. he is away at a conference until tomorrow however his nurse practitioner quickly returned our call. she will be getting in touch with the surgeon to see if he can provide any insight. as well, she wanted blood work done. parker's red blood cells can be greatly impacted by his babesia infection. the excessive bleeding would make sense than if his babesia is out of control again. thankfully, parker's canadian doctor was able to phone in a requisition to the lab yesterday. we'll get the results of them when we see the doc tomorrow.

both graham and i are trying to present a calm front but this is all very stressful and upsetting. and it is just all too much for parker. he broke down the other nite. being horrendously ill, having a picc line, dosing with iv meds everyday and enduring painful dressing changes is a lot for anyone to cope with. let alone a 10 year old. on top of it all, he began herxing sunday nite. really bad. he's nearly at the 4 week mark of IV, so we knew to expect it however expecting it and living thru it are 2 entirely separate things. the first sign of it began with a migraine. than his never ending joint pain went from bad to excruciating. all accompanied by bouts of shortness of breath, chest pain, back pain. there were periods of time where he wasn't even able to speak. it is horrendous to live thru. i know, i've been where he is. i can't even begin to explain how horrendous it is to watch your child endure that. it nearly ripped my heart out. i'd gladly bear it for him. i just want it to STOP!

we all just want it to STOP ALREADY!
and
we all just want raymond to behave himself and STOP IT ALREADY!

we've all had enough.
please pray for us.




October 17, 2010

PRAYING FOR HARRISON


the kids have wanted a dog FOREVER
and
i mean, FOREVER and EVER and infinity
our answer has always been when we get a house with a yard

then before that could happen,
lyme happened
and
i got sick
and
doctors in canada don't treat lyme

so, we had to fly to the USA
and
our pay out-of-pocket for medical care and treatment


then, 3 years after that, both the boys got sick with lyme
and
the doctors in canada still didn't treat lyme

so, we had to take them to our doctor in the USA

and
we all had to fly south again and again and again

our medical expenses soared and our finances plummeted
and
our bills are astronomical and piling up
and
then our van met it's untimely demise

suffice it to say, we still don't own a house
and
we still don't have a yard
and
the boys are still sick
and
i'm still not better but i'm doing a lot better
and... and... and... and... and...
AND
the ands are endless

i am tired of our life and our dreams being put on paws,
(really honest to goodness no pun intended)
AND
i think our family actually NEEDS a dog

well, yeah, like we need a shot in the head!
like we need MORE stress, MORE expenses, MORE headaches, MORE medical bills,
like i (or mostly graham) needs another mammal to be responsible for, to take care of, to clean up after, and to feed

no way! we do NOT need a dog!
but then again
rational thought aside, i think we do.

i really do
and
i think yes, the need for a dog is real
BUT, BUT, BUT!
no matter how much we want or think we need one,
we cannot take on a dog!
no way, no how!
we just cannot, can NOT see a way!

so that is why we decided to PRAY!

pray for God to send us a dog
for if we really, really, really need a dog
than God will make a way
and
if we really, really, really need a dog
than it must come from the hand of God

after all, humanly speaking, getting a dog is a really bad idea - a really bad and really dumb idea. in fact, it is totally ludicrous that we would even entertain the idea
and
it probably makes us certifiable that we would fervently petition the Lord for it!

but pray, oh boy, have we prayed
and
prayed, and prayed and prayed
for more than a year we have prayed nearly every day
just so that our prayers could be as specific as possible
we named him, yes, we already named our yet-to-be-had dog from God

we named him Harrison

the name was a nearly unanimous decision
except for poor avery
she wanted to name our dog alison
alice, for short
she was adamant about it
and
emphatically stated,
"the name Harrison gives me a headache"

taylor countered,
"i will move out if you call our dog alice"
and so with a 4 to 1 vote, it was decided, harrison it would be

from then on,every time avery prayed
she asked God to send us Harrison
but
to please change our minds about his name.

this fall, the petitions for God to send us Harrison grew louder and more fervent with each passing day. we kept saying, 

"kids just keep praying. we don't see a way.we can't make a way but don't give up on your dream of owning a dog."

and while we are praying, let's start saving
here's a "harrison puppy piggy bank"...



sure, it's actually a little creepy and we've only got pennies to put in it but that's a start
and
God knows your heart
and
he hears your prayers
and
one day,
some how,
some way,
he'll bring Harrison our way!

and then it happened...

one, small, hypoallergenic miracle
Harrison, our dog from God arrived today!


and how in the world did this answer to prayer, this hypo-allergenic miracle come about?

well, you see, God's been working in the hearts of two mighty fine women
one we know

and
one we have never met

the one we know
her name is tammy
she knew how very badly we wanted a puppy and so she's been secretly looking for a puppy for us

when she finally found "the perfect one", it turns out that he was more than she could afford
but she emailed the breeder, a lady that none of us know, and she told her the story - about us and our lyme, the whole sordid tail (no pun intended),and then she asked the lady if she could please make a deal.

the breeder emailed her back and she said,

"i won't make a deal - but here's what i'll do, i want to give you the puppy for free to give to them!"

isn't that the one of the most amazing and generous and tear-jerker answers to pray ever?


thank you, God!

Harrison Phineas Goertzen is our dog from God. 
he is proof that you do answer prayers,
big ones,
small ones,
and
even hypoallergenic, crazy, hair brained ones.
and thank you to Lynne, whom i've never met, thank you for your warm heart and the gift of this precious furball. and thank you to the Herman family for making this happen and completing our family for us.

and THANK THE LORD, we can vaccinate HARRISON against LYME!



welcome to our family, Harrison.


we've already loved you forever.