Monday, March 5, 2012

To Err is Human....the PTSD is Mine.

I know I have it. PTSD.   Sometimes it makes me err on the side of caution when it comes to Simon and symptoms. This last week I felt like that parent that calls the Dr too many times for something that's  'clearly'  not worth a weekend pager call. Sometimes I'm spot on.
Sometimes it's the PTSD.
I can't imagine going through what Jaime and I went through with a 4 month old baby and not having quite a bit of residual trauma. I know it lingers like a constant low hum in the background of my days. It gets a little louder each time I draw meds, or do a tube feeding. Just a slightly higher frequency, almost imperceptible.

Then there are the moments when it's blaring.

Sometimes a dark and brooding symphony- Our twice or thrice yearly cardiology visits
Sometimes a cacophony- Getting readmitted for pneumonia Dec of 2010
And sometimes it's simply nails on a chalkboard.

Like the last week.

I had two different Dr's- both schooled and extremely well versed in managing 'sick' kids- tell me that Simon's most recent sickness was neither pneumonia or heart related, at least three times on three separate visits. I had a chest x-ray confirm what their stethoscopes were telling them. I had a little boy smiling and asking for bowling on the Wii during his overlapping doses of Ibuprofen and Tylenol.

Still, the sounds coming from his chest during waking and sleeping hours, the wheezing, coughing, and labored breathing, were all too familiar in a nightmarish sort of way.

Those were the sounds of Cardiomyopathy before I knew the word cardiomyopathy. It makes all x-rays and Dr's reassurances fly right out the window and bring on a feeling of terror that I can only describe as that nails on a chalkboard vibration. But it's my fingers on the chalkboard and I can't leave the classroom.

This week has sucked. It's felt like an anvil is swinging over my head and I can't tell how strong the cord is that holds it. I guess the anvil is always there, it has been since Aug 1st 2008. Most days of the last 3.5 years I feel that anvil suspended by a stronger and stronger cord. The stronger Simon's heart gets, the more secure that anvil is. It still dangles just above us but on good days (of which we've had so many) I am standing at such an angle that I hardly even notice or feel the chill of it's shadow. We've had so much sun and warmth and light.
Still it's up there.

On bad days I feel centered underneath it and am aware on a cellular level that it's never going anywhere.
On really bad days, I can feel the cold and know how heavy that fucker is. It feels precarious. Held only by a thin wire that 'you know who' is playing like a violin string with her massive bow. A dissonant high note. A prolonged screeech.

Lying next to a wheezing Simon all night I felt Death come back for a visit to play me some music.
Some part of my rational self knew that she wasn't here to connect with Simon. The Dr's and X-ray told me so.
But that brand new mom of 2008 felt differently. She was back to draw her bow across that string that runs through me. It plays a note of sheer terror and makes me vibrate from my core.

So fucking melodramatic right?

But that's how this PTSD thing works for me. It feels like a violin string that was strung 3.5 years ago and for the most part lies loose. Every once in a while, it gets tightened and played. It's been/I've been so taut for the last 7 days, it's exhausting. I spend almost every waking/sleeping minute of the day close enough to Simon to hear his breathing....when it's not labored and loud.
So when he's not well enough to go to school, you can take out the 'almost' from the previous sentence and get a sense of what the last week has been like. But wait....then add in Simon sleeping in the same bed as us, wheezing, hacking, and gagging from chest congestion, albuterol administered (sometimes easily, sometimes with bear hugs and tears), fevers in the high 103's, and sweating AND THEN you can maybe understand what the last week has been like.
I say maybe because unless you were ever told that your child is in congestive heart failure and if they don't intubate right now or he'll "poop out", then you might not completely get it.
There's a certain kind of PTSD that you have when you get handed the chronic- could be fatal- diagnosis for your child. It's even more out of your control when it's your child and not you.

I know how far we have come from that time. I see it and feel it everyday. Even when those days are filled with awful chest infections (and now newly diagnosed ear infections). AND, there are those moments when time feels multi-layered and it's not that far away at all.

There are those of us that live with anvils, some more secure than others.
There are those of us strung, vibrating with notes that no one else can hear.
I know that I am not alone in this awful awful orchestra.
And I also know that the larger piece of music, made up of  these children, is so breathtakingly beautiful and rich and complex, that I don't want to miss a note, even during those more dissonant movements. I still need to listen. To play my part.
Simon is music to my ears, harsh and chalky, and sweet and joy-full.

Still, I'll take his laugh over a wheeze any day.


Slumber on the Mama- the best place to slumber


On the way to FairyLand with Grandpa Eddie and Mamaw


Someone's not looking so jolly on the Jolly Trolley

Horseback riding therapy with Maya- I think Simon's got a little crush
 (I think Maya does too)


Simon's working on his hipster look



Robot walking in the Redwoods



Dude, those trees are tall




And this is how you hug a tree


Climbing

Less than a month away from being 4!!!! Can you believe it.





Saturday, February 18, 2012

Dayenu

Dayenu- it means 'it's enough'. It was enough, it'll be enough. Enough.  It gets thrown around during Passover or in Jewish grandmother imitations. It gets said with a shrug of the shoulders or a palms up gesture.

I've lived the not-Dayenu life a lot more than I've lived Dayenu but recently I'm feeling Dayenu quite deeply.

But first some catch up:
Simon had his regular cardiology visit last Wednesday. It had been 4 months since his last and included 3 med changes (dropping 2 and cutting one by a third). It required some weight gain, and generally was a little more weighted than a visit had been in years. We arrived a little early and were spending some time with our old friend the puffer fish when we're called in for our echocardiogram. It's a new tech and Simon does splendidly even helping move the wand around at one point to get even better pictures of his heart. We are making friends in the waiting room and charming old friends that know us so well. All in all a typical visit (that of course I have been stressing about for weeks).

Captain HunkyPants, I mean Dr Rosenfeld, only keep us waiting a few minutes before meeting us and strides in with his usual greeting of "he looks great." Only this time it's followed by "so, his numbers are really different than last time....".
Thud.

Crash.
"I looked at the Echo and his heart looks the same but his numbers are really different."
Me- "Do you want to tell me what they are?"
Pause.

I am mentally packing the hospital bag in my head, thinking of who to call and in what order.

"I'm going to just go look again."
He doesn't even want to tell me the #'s and walks out. 
It's almost like the first time we heard the diagnosis. Almost.
We've been so stable for so long.....what the fuck is going on? I know how possible this is, I know it can happen. I know that numbers and echos can change long before there are symptoms....i know way too much about all the possibilities.

Longest 5 minutes ever.

"I think the echo tech wrote the numbers down wrong. I did a recheck and the computer even gave me new #'s that matched what I thought. His ejection and shortening fraction is are the same as last time. EF is 50 and SF is 28. I think they were 55 and 29 last time so that it could just be reader error and his heart looks the same so we're in a great place given that we decreased his meds last time and he's holding steady."

No blood draw. No changes. No problem. Except for the few minutes of feeling my world turn upside again, and then be righted, it was a simple and sweet cardiology visit. We don't go back for another 6 months! (which by the way will put us back on August 1st, the 4th anniversary of Simon's diagnosis- sounds more like a party than a visit to me!)

The week ended on a high note with Simon eating a full ounce of food by mouth (Trader Joe's Tomato Red Pepper Soup!) and a return to sleeping through the night after almost 6 weeks of transitions, rough nights, and stomach/chest infections.

Whew. I think I took a breath! 

Then, about a week ago. Something changed. Simon learned and has begun to own 'I don't want it!'
It's a combination of words sure and for many toddlers/pre-schoolers, it's a way of life.

Their little selves are developing so fast and they are taking in and understanding so many new and exciting things that often, they themselves can't keep up with it. In Simon's case, it's so clear that he is understanding and wanting so much more than he can express, and it's frustrating the hell outta him.

I do not use that euphemism lightly. It is like my child has turned from a sweet easy going kid to Satan's spawn. He's like a demon child but with a feeding tube and gross and fine motor delays not to mention pragmatic language concerns and that dang heart condition.

So while I appreciate the low muscle tone when it comes to him lashing out and trying to swat me as I attach or disconnect his feeding tube, I am heartbroken over the lack of understanding that seems to be present around not hitting, cleaning up, moving from point A to point B, and generally not getting to sit and watch TV whenever one wants to (him not me- although I'd love to catch up on Top Chef someday).  I think about all the other parents going through this and still....I feel so sorry for myself for all the other work that us 'parenting plus' parents have to put in. Really, it's a pity party over here.

And then I remember. Dayenu.

And it's not a theoretical Dayenu. It's real, just next door, with names and faces attached to it.
Dayenu that Simon is moving, however painfully, through this typical developmental stage.
Dayenu that he's cleared to go to school to see and be around other kids. 
Dayenu that he can string those 4 words together.
Dayenu that we all share a bedroom so that he can climb from his bed into ours for 1:30am snuggling (and that it's not us sharing a hospital room together.)
Dayenu, that his medications are administered through his g-tube and not a central intravenous line.
Dayenu that we've had the last 3 years and 3 months not wondering if we need to head back down to Stanford for another heart transplant consult.
Dayenu that Jaime and I can still find love for each other in this time of parenting plus
Dayenu
Dayenu that we are moving from his braces to simple orthotics. Yes he will wear high top sneakers with his dress suit at the Passover  Seder, but he will rock that look and no doubt trends will be set.
Dayenu that he took 5 bites of food at lunch. Dayenu that those bites are the size of one spaghetti O or a grain of rice- they ARE being chewed and swallowed.

I could keep going on but the reality is that it's still hard. When Simon is done eating and throws his food across the room, it's not the same as your typical food throwing pre-schooler. There's the food that I've carefully chosen and prepared for him/us to eat during a therapeutic meal, there's the food that I've prepared for him that I know he'll enjoy playing with, there's the food that I know is appropriate for him to be able to chew and swallow (that he may not like as much as the chicken bone slathered in bbq sauce), and then there's the blended organic whole foods that I have carefully measured out in terms of volume to calories that I have the benefit of pushing through his G-tube and not worrying if he likes the texture and flavor of but is a bitch and a half to monitor (and smells so foul when it gets brought back up.)  So when that tiny little handful of mac and cheese goes flying and the low toned arm lashes out to hit my face, it hits the frustration button a little harder than it might for most.
Dayenu that he is expressing himself right? .............right?
I know it is. I pray/ know it's just a phase and an essential one at that. I do my best to take a deep breath and tell him over and over, time and time again that it's not ok to hit. I don't like it. It hurts me ( I don't go in to the emotional pain versus the physical pain, that will be for when he's 4- besides I don't want him to get a complex about his low muscle tone- that's for when he's 4 too).

Still, it sucks. It hurts so much more than I can express when we're sitting watching TV and I have to turn it off because the tube feeding is done and it's time to get to the dr/therapy/special Ed class and I get a tantrum that brings on a barf..
When we're sitting down for our therapeutic meal and I have actually chosen everything that has been asked for and don't even get to the table before hearing "I'm done" and pushes himself back from the table, swatting at my hands while I'm not fighting him but simply trying to unbuckle him from the high chair so that he doesn't get his feeding tube  pulled when he gets down...
 When we're walking down the street, he wants to stop for something, can't express it in words, and simply throws my hand away/pushes me aside/ says "I don't want you Mommy"....
I breathe it in. Try to separate the smoke from ash, work on not letting it burn and figure out the next step in getting to Trader Joe's to pick up more snack foods for the child.

It's what we do, we moms and dads and aunts and uncles and grandmas and grandpas and all other form of caregivers to little ones. For those of us with Littles that have that 'little' something else going on, those of us that wait months and years to hear our names spoken, take that first walk, enjoy that first shared meal...it's just that much harder.

I have wished and prayed and cried for Simon to have 'normal'. All I want for him is to get to go through life with the same chances and choices that anyone else might.

Is it so much to ask to have that happen without him ever questioning anything I say to or ask of him. I don't think so. Dayenu.................right?


A boy and his dog


A boy and his GG


A boy and his new bike trailer


A boy and his band


A boy and his extended family


 A boy, his Mama, and some tall trees


A boy and his new friends


A boy sleeping


So grateful for this boy


Monday, January 16, 2012

Never Out of a Job

These are tough times. Unemployment. Inflation. Debt.
And, I will never be out of a job.

Today this thought makes me want to jab 60ml syringes full of blended food into my eyes (and for those of you in the 'know', those are big syringes). It's a day where I cannot figure out what to do with myself or for myself. It's a day where Jaime is off work and wanting to be there and help and take things on, and does, and I still feel myself spiraling down into the depths of despair. The 'work' that I speak of, that beautiful boy that is growing and changing in leaps and bounds (in small but relative ways), that amazing boy that has lived when so many thought he wouldn't. That boy that is giving love in new and wonderful ways, that's the 'work', the job, that is so secure in these troubled times.
Today, that 'work' feels laid out before me, a road paved with poopy diapers, miscommunicated owies, unattended yoga classes, feeding therapy groups attended, developmental milestones missed, medical appoints never missed and a career finally found and off to a wonderful start.... halted.

I took Roxie for a long walk Saturday, tooled around China Town and San Francisco with Simon and Jaime yesterday, and repeated the Roxie walk today. My body hurts. I pulled a muscle last week and can't seem to get it better. I have had a pain in my achilles for months now and have not taken care of it. I have a herniated disk in my back that some days is so unbearable that to bend down and unlock the ChildSafety on the toilet almost doesn't seem worth it. (read that one again....take it in. I'm not kidding.)
I have at least 10 pounds on me that are not helping and probably 30 total that should come off to stop making Jaime worried that she'll be pushing me around in a wheelchair during those old people adventure cruises. (Please note that Jaime is not in anyway pressuring me to 'lose weight' only to take care of myself so that I may be around as long as she plans to be and that we may someday enjoy retirement living long and wonderful lives together - how selfish is that?!)

And I got nothing for any of it.

I have Simon's schedule down. I have his med doses and weight changes and barfage volume, and poop consistency, and ejection fraction and shortening fraction and BNP and tube feeding schedule and oral foods for play versus swallowing and fine motor and gross motor delays and appointments....down.
Ask me about any of those and I can tell you what's happening and when.

Ask me what I want to do to take care of myself, what I would do if I had the time, what I do do when I do have the time (yes I said doo doo), and not only do I not have an answer but I have a reaction that feels no less than a complete shut down (I just typed "shit down" instead and almost kept it.)

Today I am so angry about it I can barely stand to be around myself, let alone Simon and Jaime. AND IT'S A HOLIDAY. ONE WHERE JAIME IS HOME. A holiday that I love and want to celebrate with Simon in meaningful ways so the knows that Dr Martin Luther King Jr was an incredible man, part of an incredible movement, and we're keepin' on with keepin' on.

And all I can fucking think about today is how it feels like I will never ever be done with changing really messy poopy diapers because my son is dependent on stool softeners and won't ever be able to tell me that he's got to GO potty instead of me having to smell it and look to see if it's gas or solid with no consistent verbal telling. I can't stop thinking that no one will ever want to hire me again because who wants a social worker that's been out of the field for so many years and isn't up on the new systems or approaches or therapies? When will I stop buying and blending and freezing pounds and pounds of fresh fruits and vegetables so that every other day I can make two days worth of a green or orange shake that at some point will end up in my hair, on my clothes, or somewhere on the child requiring a complete costume change? When will we no longer have medications, syringes and food pumps/bags delivered to our house on a monthly basis?

I know it will happen at some point. Either Simon will switch to pills and manage his meds on his own and/or he'll start eating by mouth. I know that someday he will poop on the potty. I know that I will go out for job interviews and explain my very good reason for not being at 'work' for the last 5,6,7 years. I know that employer will be so moved by the work that I have been doing that they will offer me the job on the spot with flexible hours so that I can still be there for Simon (at the highest rate of pay possible given all that amazing experience.)   I know that is likely.
But....we are years away from that. Years. And today that feels just about the same as never. It's never going to happen.

A friend asked me how I'm doing, me, at the hardest job in the world?
I can't help but remember how much harder it could be.

And, today is feels fucking hard with no end in sight.

 I don't want to leave the company. Maybe a lateral move, a short term project. No, I don't think there's any of that in my immediate or even short term future. No pay raises, no cutbacks, not even the chance of bringing in someone just as qualified to do the work for less pay (you can't really cut $0.00 down much more).

Awesome.
  /   \  
 0   0
    -
  ~~~

Thank goodness my product is top of the line and really good lookin'. 




Playing with Bubbles






Practicing poses for his first school picture day- Coquette?



Thoughtful?


Casual?


Runway Ready


Where's my bike?





San Francisco Cable Car excursion


So very very cool



On the hunt for Dim Sum in China Town








It's just a rant. I'll get over it. Just give me a minute.

Wednesday, January 4, 2012

A Fine Year

During our recent vacation, Laura and I snatched 20 minutes to reflect on the past year.

My assessment of 2011?

It was...fine. 

Not great, not particularly good, definitely not terrible. 
Just fine.
And what a freaking miracle that is.  

We, the Fitch-Jenett family, who in each of the prior three years had moments (however brief) of terror and horror and the most godawful gut-wrenching, bone-chilling fear, had a whole year that was just "fine". If I didn't feel so tired from the pace of our just "fine" life, I might jump up and shout "Hallellujah"!

In 2011, our little guy ended his early intervention program, started a special day class for severely handicapped kids, went to camp with typical kids, made it through a whole year without ONE SINGLE hospital visit or major illness, got his heart function into the normal range, dropped some meds and just moved up to a more challenging (non-severely handicapped) preschool class.

His year was waaayyyyy better than fine. 

Mine though? Fine.  Work was fine.  Social time with friends was fine.  Family time was fine. Grandfather passed away which was sad but...fine. Nothing spectacular, nothing devastating. 

"Fine" feels kind of weird. Like coming back to earth after being on a space shuttle or something.  Or maybe coming back from war.  There are still tender spots but I'm too busy trying to keep up with the current that I can't quite stop and care for them in the way that I did when things felt broken open all the time.  When things were godawful, I felt permission to stop and mind the fragile places without the pressure to "go, go go". 

Now it just feels like there are too many things to do and not enough sleep and a child that is keeping us guessing and keeping us moving.

I guess it feels like the life of a typical Mom who works outside the home. 

And really, what a fine life it is. 
-----
Now for a moment of levity.  Our child talked at this pace for approximately one solid hour in the car while we were driving home.  It's a great example of what I call his "popcorn" speech.  A bunch of random crap strung together.  And dangit if it doesn't crack me up every time.  Also, "Thomas the Tank Engine" fans, this one's for you.

Monday, December 12, 2011

Tis the Season- for pictures


Let's fight the cold with some fried starch
 So dainty
 Umm ummm ummmmm

One man band




Getting fancy for a Holiday Party 


Forget about lighting the Menorah, I just want to eat it.


Cute Gingerbread House- Cute Kid


Working on my Pepitas shingling


A day later it's time to eat the dang thing


Mmmm Tasty


 Ok, if there's anyone in there...you might want to vacate



He's not on the Fence, he's eating it.




Deeelish


I love you Gingerbread House


I love you so much I want to eat you!



...and last but not least