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Out Of The Frying Pan

Starting over fresh can be one of the scariest and most exhilarating things we can do.

This is her story:

“You need to get out of here. Now. While your self-esteem is still intact,” my nurse hissed at me as we pretended to be conferring over a particularly challenging medication pass.

I simply stared at her, my eyes threatening to fill with tears.

“I mean it. This place will chew you up and shred you into a zillion tiny pieces. Get out now!”

I nodded, afraid my voice would give my distress away.

“You okay, Boss?” another nurse came by our “difficult” medication pass.

I shook my head no.

“I saw what just happened – the whole dining room did. What she did was NOT okay, Boss. You deserve better. You’re a good lady,” she continued.

The tears spilled down my cheeks.

“I saw her hit you,” a CNA, also “conferring” on the “difficult” medication pass crept over to chime in. “That’s abuse.”

I nodded, trying to cling to the last vestiges of my leadership. They were right. I just didn’t know what to do: I loved my job, my staff, my building. It was just her.

“Why the hell did she hit you?” yet another CNA pressed some Kleenex into my clutched hand as she wandered up to see how I was doing. “That’s just NOT okay. You can’t work with an abusive boss. Why do you think so many of us leave? We can’t take her.”

“I-I-I,” I stammered trying to wrap my brain around it. “She’s mad at me. There was a misunderstanding.”

“Misunderstandings don’t constitute abuse. I heard her yell at you last week about being a “failure,” for something that was my fault,” the second nurse chimed in. “I’m really sorry.”

“It’s okay,” I replied. “I’m trying to be the buffer between you and her.”

They all looked at me sympathetically. “That’s not your job,” the CNA stated flatly after a moment of silence.

“I know it’s not,” I replied. “But if I don’t, you’ll all walk out and you’re some of the best staff I’ve ever met. And I love my job…. when I can actually do it.” I smiled wanly.

They clucked around sympathetically before I gathered myself together, hugged them, then walked back into the fire, my head high.

Get in here,” she yelled across a dining room full of staff, residents and family the moment she saw me. “And shut the door.

I did.

I sat perched on the edge of her chair, waiting for the onslaught of insults and character assassination that I knew would follow. I loved my job, but I hated this part of it.

Nurses I’d noted, more than most professions, are more likely to accept abuse and ill-treatment thanks to the way they’re treated on the job. I knew this, and still I stayed, loyal to my ethically-challenged boss, or, at the very least, my amazing staff and the residents whom I adored.

Sure, I’d taken to vomiting on my drive to work from the stress of working with my boss. Sure, my anxiety about being even five minutes late because I dared stop for gas often led me to weep in the car. Yeah, I spent most days walking on eggshells and taking the abuse she loved to dole out. But I had a job! And I loved it! How many people could say that?

I sat there and listened to her berate me, my face impassive, as I allowed the words my coworkers had said to wash over me. Carefully, she’d documented any transgression I’d made from not signing my name on a particular document to daring to be several minutes late following a routine doctor’s appointment. It was all bullshit and I knew it.

I also knew from watching her do this in the past that she was building a case to ensure I wouldn’t see a dime of unemployment. That was her way. I’d been waiting, like the rest of the staff, to be fired during one of her outbursts. We often joked, when she wasn’t around, that we stashed boxes in our office to quickly pack our things because we never knew when the ax would fall.

She offered me probation, a salary cut, and various other indignities, all over being unreachable by my cell for several hours on my weekend, even though I hadn’t gotten a single call on my land-line. She, I knew from experience, didn’t have any desire to listen to me; she was in punishment mode.

And sitting there in her office, I stared outside at the bright blue sky as she continued insulting everything she could think of, then began to lie to fill in the gaps, tuning her out.

A lightning bolt hit me as clear as a bell: this was it. I could sit there and take her shit, continue vomiting into a plastic bag on my way to work and panicking every time my phone rang, or I could start over. I was a grown adult and I was damn good at my job. Certainly this wasn’t the only place I’d be able to work. If I’d learned anything in the past year, it’s that life is too short to be miserable all the time.

When she was done assassinating everything from my dislike of sandwiches to my coffee habit, I stood, shook her hand and looked her in the eye.

“Thank you,” I said, my eyes hardened and cold, momentarily knocking her off balance with my response, as I held out my hand to shake hers. She didn’t take it.

She stammered something cruel as I turned my back, opened her door and walked out, ready for the next chapter of my life to begin.

Home Life – From Birth to Age 8

A childhood steeped in hatred and abuse can threaten to break us.

And yet, we go on:

I was six months old when I was beaten the first time.

This beating required an Emergency Room visit. When you are beaten from such a young age, you learn that your body has no boundaries, you are not entitled to safety.

I was molested before six years old, my mother witnessed this at bath times…and did nothing. I was raped from six to eight years of age. Mom reminds me, regularly, that she was a victim, too. Therefore, I do not have permission to blame her for these things.

Back then, violence was a multiple days a week occurrence. Dad was quiet most of the time. And then, without rhyme or reason that I could detect (and I tried to identify the cause, to stop it), BLAM! Heaven forbid we did a normal kid thing that was bad.

Nighttime was parent fighting time. From my bed, I could hear the screaming, Mom crying. I could hear bodies tumbling and grunting, from him reaching for her and hitting her. He would rape her. He would break furniture on her.

By the time I was six until I was eight, he stayed in the guest room on a frequent basis. EVERY night he was in that room, I was too. I got to hear graphic details of Vietnam, before the touching and raping.

When Dad moved into his own home, this decreased to weekends.

But then Mom started. She was depressed and suicidal. She couldn’t handle our noise, our needs, or even us asking for permission to do things. She would strike out, smack us with books, knock our knees with her foot, pushing us away in frustration.

When our bodies were dirty, she would bathe us. She washed my vagina so hard, her nails or the edge of the washcloth would leave slices in my labia. She would pinch between my toes, hard enough to hurt. We had to “get the dirt out.”

Dad ran off when I was eight. Counselors had identified that I was suicidal; what he had done to me. He was confronted and fled to avoid prosecution.

By the time I was nine, Mom had started studying the Holocaust. We were made to watch documentaries with gruesome footage of violence. We had to see pictures of the piles of dead bodies.

We went to museums to meet Holocaust survivors, to hear their stories. The same graphic documentary pictures were always hanging on of the walls.

There were never other children to find, to play. We had to stay by Mom’s side, to witness these things.

We were not permitted anger, or to be sad. No tears, no screaming. We could smile. Or, we could be quiet.

When encouraged, we could explore mud puddles or play on the beach and laugh and giggle with Mom. There were the good times.

We’d always been very poor – with Dad around we were poor, but always had food. After he left, we’d have times of hunger. No food, or too little. I would dish out more to my sister first. Then Mom. Sometimes, I would sacrifice my food so that they could get more. I had become the family cook by the time I was nine. I cleaned. I helped with my sister’s homework. I helped with Mom’s college homework. I was an A-student on my own studies.

Mom used a wooden spoon to spank us. She hit so hard, she would crack handles. We had bruises and welts in the perfect shape of a spoon head on our bottoms and thighs. Sitting in a wooden chair at school was uncomfortable.

When she smacked our heads with her open hand, she would hit our ears. The ringing would startle me.

Her verbal abuse was astounding, sharp and biting. She told me that I was so annoying that it drove her to drink. (Subtext: Daddy was an alcoholic because of you, and I drink because of you too.)

All of these things struggled to silence me, shame me, and remove my human dignity. All of these things demonstrated that I had no rights.

And yet, I persist.

Bite Your Tongue

I’m sorry.  Right now, I cannot be a good friend.  I am not a good wife or daughter, sister, neighbor, niece or cousin.  I love you.  I appreciate everything you do for me and for my family.  But for now, everything I have, every smile I can eke out, every happy moment, belongs to my daughter.  I can’t give you what you want, not today and maybe not tomorrow either.  I don’t have enough for you.

My fear is all-consuming.  I am endlessly treading its dark waters.  Your well-intended positivity crashes into me, knocking me down before washing back out to sea.  Your genuine, heartfelt words of hope leave me salty-eyed, gasping for air, bracing for the next wave of “You’re so strong!” or “Kids are so resilient!”

Your generous offers to help are not falling on deaf ears, but I’m afraid my desperate cries for it are.  I can hear you happily proposing your casseroles, a walk in the park, an eager ”whatever you need!”  I’m sure one day I will very much need those things.  Today I just need simple kindness, compassion, companionship.  I need you to hug me and hold my hand.  I need you to stop worrying about the tasks on your list and just be with me, sit here and keep my head above water.

I realize nothing about this is convenient for you.  I know the closer you are to me, the deeper the water, the stronger current.  I’m sorry that you’re being pulled in, challenged, diverted from your regularly scheduled life.  But this is my nightmare and sadly, you’re in it.

so bite your tongue,
you’re not the only one
who’s been let down.

My Daughter Is Angry

My daughter has been waiting over nine months for a liver transplant.

And my daughter is angry.

She’s angry at God. In her eyes, He’s the one who created her with this disease, it’s His fault.

She’s angry with me. I’m her mom. I am the fixer of boo-boos. Yet with this, I am powerless, and that frustrates her.

She’s angry with the transplant coordinator; afraid that she’s completely forgotten about her.

She’s angry with the organ donors who, as terrible as this is, haven’t died yet. She doesn’t completely comprehend that a tragedy has to happen to a family in order to have her transplant. She just knows that a donor has the liver she needs.

I try to soothe her anger, but I’m not very successful.

Maybe because I am, well, not angry, but frustrated too.

Exaudi Orationem Meam

Hear my prayer, hear my prayer, hear my prayer, please God, hear my prayer.

I instinctively checked the monitors as I approached my daughter who was sprawled out, getting a sunbath underneath the warmer. Her stats were picture perfect, I noticed, breathing a little more easily, and I made my way slowly to her bedside where she was sleeping peacefully.

I slogged my soggy bottom from the wheelchair onto the rocker that had been shoved into her tiny NICU room; barely even a  room, more like a  broom closet. She was sandwiched in between two misbehaving (“misbehaving” means that their alarms were constantly blaring) babies who I could hear misbehaving.

Most of the NICU, I noted as I was wheeled past, was full of Feeders and Growers. That’s NICU slang for babies that were, for whatever reason, finishing their gestation outside of the womb. It”s always evoked a pleasant picture of a garden of freshly hatched babies.  A Baby Garden.

Of the other babies that I could see cooking away merrily in their incubators, Amelia was the biggest, fattest, and likely the only full- term baby there.

According to her room placement, though, she was the most ill.

Hear my prayer, hear my prayer, hear my prayer, please God, hear my prayer.

My ass firmly planted now onto the chair (I’d had a traumatic vaginal birth mere hours before), I held Amelia’s lone sock as a talisman, hoping it would ward off the Bad News. I was preparing to nurse my daughter again, just waiting for our nurse to come and help me sort through the tangle of wires my daughter was attached to.

It was hard to believe only thirty or so minutes had passed since we’d heard “there’s something sinister on your daughter’s CT scan.”

Our–Amelia’s–nurse walked in and introduced herself to The Daver and I. I was openly weeping, holding onto Mimi’s sock and my iPhone – where the Pranksters live!- as a life preserver. The Daver was pale(r) and stalwart.

I handed off the box of kleenex that had been pressed onto my lap as we left Mother/Baby and my daughter was brought back to me, hooked up to so many wires that she looked like an electrical outlet. The nurse stood there, kindly talking to us, but not revealing anything.

We still had no idea what was wrong with our daughter. A diagnosis would take weeks. Her life, as far as we knew, hung in the balance.

I begged the nurse to have the house neonatologist visit my daughter as the pediatric neurosurgeon was busily operating on someone’s head somewhere other than the NICU. It’s probably good I didn’t know where he was or I’d have stalked him down and dragged him to my daughter for a diagnosis.

The neonatologist – the one I’d met a lifetime ago in the delivery room, the guy who was always drinking a bottle of something – he came over to Amelia’s “room” and he told us that there was a “bright spot” on Amelia’s CT Scan. He didn’t mean diamonds.

I had no fucking clue what that meant and he didn’t follow it up with much, although I did see his lips move, I couldn’t understand his words.

Guess that’s panic for you.

After the doctor left, the nurse came back in to ask if we’d wanted to see the chaplain; rather to have Amelia meet the chaplain. A thousand times yes.

She was amazing. Just. Incredible. For the next year, it was her words, her warmth and compassion that I kept coming back to. She blessed my daughter. My daughter was blessed.

And she is so, so blessed.

We sat there in the NICU; just the three of us. I couldn’t tell you how long we just sat. Time in the ICU is timeless. 4 AM and 4PM are the same.

Soon enough, I had to go upstairs to change my undergarments and ready myself to see my boys. My sister-in-law was bringing my sons to visit, and I had to put on my Poker Face. Given the raw, chapped and bleeding state of my cheeks, was going to be damn near impossible.

Back in my room, I saw that I’d gotten some flowers and a basket from two of my Pranksters and it made me cry. Then again, I think the package of Saltines that had been ruthlessly thrown on the floor the night before might have made me cry. I wasn’t in a Good Place.

Alex and Ben came in a bit after I’d gotten cleaned up. I held Alex very, very close as Ben showed me some pictures he’d colored of Amelia. Ben knew his sister was sick but Alex (only 22 months old) had no idea what a “sister” was, let alone what being “sick” meant. I held them and faked normal until I got the call from the NICU. Time to nurse the baby.

Talk about being torn.

I cried as I said goodbye to my youngest son–my eldest just wanted to get home and I couldn’t find fault with that–and he cried and yowled “Mooommmmyyy” as he was led away to the elevators that would dump him back into the outside world.

By myself for the first time, I tearfully found my way back to the Secret Place, The Land of  Tears. Never have I felt so sick to my stomach in my life. People stared sympathetically as I wept in the elevator, leaning against the walls for support.

I begged God to let her live, even if she was retarded and her IQ was 43 and had to live at home for the rest of her life, just please let my baby girl live. I didn’t care what was wrong with her so long as she made it out alive. I begged God to take me instead. I’d had 28 wonderful years on the planet already, and she was less than 24 hours old. Certainly, I’d give my life to save her in a moment.

Hear my prayer, hear my prayer, hear my prayer. Please God, hear my prayer.

After scrubbing the top 50 layers of skin from my arm and signing a reasonable facsimile of my name, I wobbled to her bedside. There she was, my girl. Perfect stats, thrashing about her isolette, pissed as hell and looking for something to eat.

In the brief time I’d been gone we’d gotten a new nurse.

When she came in to assess my daughter and saw me crying as I nursed my girl, for the first time in a day, someone asked me what was wrong. I explained that I didn’t know if my daughter would live or die. I told her that no one had told us what could be wrong with her, what that bump COULD be, why she was in the NICU, nothing.

She looked pretty aghast that we’d been told nothing, and for the first time, someone tried to reassure us. I remember leaving the NICU several hours later slightly less burdened.

That night, we ordered a pizza and tried to relax in my somber room. We tried to let go of some of The Fear. I didn’t feel much like celebrating anything, so no balloons, no stuffed animals, no signs that I had just given birth decorated my room. I could have been on any floor, in any room in the hospital.

The nurse brought me my Ambien and the NICU called to tell me that they would bring my daughter up  to nurse every 2 hours (the NICU runs like clockwork. It’s no wonder that new parents struggle to care for their NICU graduate when they get home). I turned on the sound machine to blast white noise over The Daver’s snores, and waited, trying to fall asleep.

Unsurprisingly to no one, I couldn’t get anywhere close to sleep that night. This made the tally of nights without sleep 3.

I was about to lose it.

Somewhere around 4 AM, after someone had barged into my room to empty the wastebasket, waking me from the lightest of light sleep, I panicked. I’d sent Dave down to the NICU to sit with our daughter in the vain hope that having him at her side would set my mind free.

I was alone. The panic that had been a constant dull buzzing had morphed into something much more sinister and I knew what was about to happen.

Frantically, I paged the nurses station because I knew I needed help. I explained as carefully as I could that I was about to have a panic attack and that I needed my nurse NOW. My nurse came in, I don’t remember what she did, but she didn’t want to call my doctors because they would be rounding in a couple of hours and I could ask for something for my anxiety then.

Fucking bitch.

She told me to “relax” and then left.

I tried to “relax” which was as useful as punching myself in the face with a hammer. It didn’t work. I put a call back into the nurses station, begging; pleading with them to call my doctor. I begged for help.

My last rational thought was to quickly inventory anything in the room with any sort of calming properties. The best I could come up with was a bottle of Scope.

I didn’t end up drinking it, but I did call the NICU and beg Dave to come back up. A nurse passing by my room took pity on me and called my doctor, who prescribed me an Ativan. A swarm of people all happened to come into my room at the same time: a partner in my OB practice who looked terrified by me but discharged me anyway, a nurse with that beautiful pill, a tech to get my vitals, and my husband.

It sounds, in retelling this, that they were all there to help, but it wasn’t really like that. Dave and the nurse were trying to calm me down, but the tech, the doctor and whomever was washing the floor were doing their jobs. With spectacularly bad timing.

Ativan on board now, I was trying to gulp some calming breaths and stave off the panic. They’d turned off the lights, and covered my still-swollen body with fresh sheets, cleaned off the bedside table and turned on the white noise machine.

Finally, I began to relax and beat the panic away, if only slightly. Dave held my hand and told me over and over and over again that my daughter was just fine, she was perfect, she was wonderful, she’d done great overnight, she was beautiful, she was going to be just fine. It was soothing to hear, but what would have been MORE soothing? Having her bassinet next to my bed where it belonged instead of three floors below.

Then (dun, dun, DUN), the absolute worst person to show up did.

Lactation services.

Lactation Services showed up, because they say they’ll come by every day you’re in the hospital with a new baby, and they do. It’s awesome for people who need help because breastfeeding is nowhere NEAR as easy as it looks on those weird Lamaze videos.

(also: why are people in the Lamaze videos always naked?)

But I didn’t need help. And when she showed up and saw me shaking in bed, being held by my husband while the nurse clucked around me like a mother hen, lights off, white noise blaring, she should have excused herself. This is not a debate about breast and bottle feeding, this is about decency. But no, she didn’t get the hint.

No.

She introduced herself perkily and asked me how breastfeeding was going, and through clenched teeth, I answered that it was fine. Kinder than the situation warranted.

I expected this to be enough for her, but no, she followed that up with, “Do you have any concerns about breastfeeding?” Wrong question, dipshit. Time, place, all that.

“You know what?” I snarled, “I’m MUCH MORE concerned that my baby is going to die than if I have proper latch, okay?”

Again, she could have gracefully bid be farewell. But no. She kept on keeping on.

“Well, what about your concerns with BREASTFEEDING?” She asked, just not getting it.

I responded with, “Look, if she’s dead, I’m not going to give a FUCK about colostrum, okay? Please!”

I began to sob heavily again. It was the very real truth that my daughter could die. We all knew it. Nursing her wasn’t going to help an encephalocele.

Dave told her to get the fuck out of our room.

Finally, with a DO NOT DISTURB sign on my door, I slept for a few hours.

I awoke when The Daver bounded in and announced, “the neurosurgeon ordered an MRI! And he’s really nice! And not concerned! He thinks it’s an encephalocele! It’s a piece of brain or something that’s herniated out! We can go home after the MRI! And follow up with the results next week! Oh, I wish you’d met him. He was so, so nice.”

And just like that, we went from critical to discharged in less than 36 hours.

Because Kids Can’t Fight Cancer Alone

*Of course, no one can fight cancer alone. Or should. But that doesn’t mean that you don’t sometimes feel alone. Even if you aren’t the one who has the cancer.

I still remember walking with my son on his way to the OR. Trying not to fall to pieces. Wanting to believe that the neurosurgeon I had hardly met more than 24 hours before would fix my son. That his hands would be steady as he worked to remove the tumor that was slowly taking over my son’s brain. That the tumor really was “just” benign as he had thought.

Oh, how I wanted someone to promise me that my son would be okay.

The constant plea in my head… just please let my son be okay. Just please let him live.

Oh, dear God… my son was going to have brain surgery. My two-year old son. Brain surgery.

Then the bright white room, people moving about as if on a mission, my eyes locked onto my son.

“Time out!”

Me wondering, “What the hell?” and “What did we do wrong?” Only to realize that they are trying to verify that they have the correct patient and the correct procedure. I try to regain what little composure I have left. I can’t lose it completely in front of my son.

Then the anesthesiologist telling me to kiss my son as it’s time for me to go.

My son is howling as if betrayed. “How dare you leave me with these people?” scream his eyes. Then the medicine starts to take an effect and the life seems to fade from those same eyes as his body goes limp.

I walk out of the OR. Without my son.

I had never been more terrified in my life.

That was four years ago.

In the last few days, I’ve been teaching that son to Rollerblade. The one who before the diagnosis had problems with balance and motor skills. Now on rollerblades.

It’s one of the most beautiful things ever.

But he didn’t make it to this point alone. Nor did I.

Nearly a year after our son’s surgery, my husband learned of a program called Hero Beads offered by a local childhood cancer support group called Capital Candlelighters (soon to be renamed Badger Cancer Support Network). This string of beads documents the diagnoses, treatments, milestones, etc. along a child’s journey.

It’s almost indescribable seeing your child’s medical history as a string of beads. And regardless of outcome, there are always too many beads.

And while I treasure those beads, Capital Candlelighters offers kids and their families so many more concrete means of support. From financial aid to support groups to sharing information… anything that they can do to make the hell that is childhood cancer easier for children and their families.

Over time my family has begun to participate in events either sponsored by or to benefit Capital Candlelighters. We recently walked in our second Suzy’s Run. It’s a highly emotional experience. Seeing the families and kids who are still fighting or have beaten cancer. Seeing the families whose kids have lost.

So it’s time for me to do more, to give back. Because doing good feels good. But I’m not done yet.

“…because kids can’t fight cancer alone!” (Capital Candlelighters motto)

(I’ll be damned if I don’t tear up every time I read that motto.)