The Space Between

It took two minutes for the pediatric oncologist to shatter our high. The large tumor found in my daughter was benign and we’d just begun to process our relief and decompress from many nights in the hospital. He stopped us cold. The tumor has a 50/50 chance of recurring, of showing up in other organs, and has a chance of metastisizing as malignant. She had to go through more diagnostic testing. And here I sit, mere hours away from this doctor telling us the results of the latest PET scan. The space between knowing and not knowing.

canstockphoto0912560There have been a lot of spaces like this over the last few weeks. Before this medical drama, I’d been pondering spaces between, mostly from a creative perspective. I’d had trouble settling down to write, often wandering out into the garden to pull weeds or getting distracted by a lit journal. In the past, I’d chide myself for being a typical amateur writer, easily dissuaded from doing the thing which I needed to do in order to be what I wanted to be. Until recently, the spaces between were called procrastination and dilettantism. But I am my own spin master. The space between would hold value.

I decided to lean into it. What was happening between writing sessions? What was happening when my brain unraveled a bit, let down its guard, daydreamed? The answer is obvious to me now – I was writing the next story. Not everything is about writing, but at this particular point in my life, I want it to be. It’s something that keeps me afloat with hope for who I can still become. Or at least it was.

canstockphoto50379204Now the space between is a barren land. Gripped by the worst fear I’ve ever experienced in my life, my brain dare not relax. Daydreams are now nightmares about will readings and empty rooms. There is no inherent value except to keep me at the edge of the cliff. It’s an unsustainable state without there being damage.

I read articles about post-traumatic stress experienced by parents who go through a medical crisis with their child. I know I’m experiencing it. Reliving the moment when the ER doctor said there is a mass in her midsection. Reliving the moment when the surgeon said that there was a 95% chance it was malignant. Unable to sleep well, needing to be in constant motion, waiting for the other shoe to drop. Hyper-vigilance, alert to the slightest sound, standing over her at 2:30am to see if she is breathing, much like I did the first time she slept through the night as a baby.

There are several bird nests in our yard. We watched, as one by one, fluffy robins began canstockphoto49843428to fall out of the nest in their first attempts at flight. The mother robin was nearby interrupting her coaxing chirrs with sharp chirps of warning. The father swooping past to ward off predators. We watched baby cardinals being fed in turn by mom and then dad. They built their nest in a bush at eye level alongside our driveway. Despite all the activity, the sound of the garage door, the yard work, the mother forced herself to sit on those eggs, alert but motionless. The space between laying eggs and hatching them and sending fledglings off in the world is one of constant vigilance.

I read about post-traumatic stress not because I wish to avoid it, cure it, tamp it down. I only want to be aware of what is happening to me. I’m a fairly unshakeable sort who is now shaken. I feel a fundamental shift in my mental state and I know, at some point, I’ll need to make choices about who I become because of this shift. It’s early yet, but the future seems more uncertain than ever. Can I find value in this space? If I can’t, it will take years off my life, feeding the fear that has dogged me the older I get – that I will waste time.

When we returned home, after many nights hearing the beeping of monitors, the changing of shifts, the weak moans from the bed, it was apparent that nothing else mattered. And it might not again. It’s hard to care about weeds or workouts or washing. My husband and I have become mother hens, constantly milling about, checking up, never out of earshot. We have whispered conversations about meds and pain and temperature checks, even as our daughter has regained her color, her appetite, and her teenage eye rolls.

canstockphoto9520842I called up friends, went out for walks, even managed to get in a few workouts. But these posts are the extent of my writing. Somehow, I have to get back to writing fiction. A friend from my writing group said that she was sure that this time would prove valuable to my writing and she couldn’t wait to see what I would do. This might seem a mercenary perspective, but it was something that I needed to hear – to be reminded that regardless of outcomes, there will be value in this space between. I just have to be willing to look for it.

Update: The scans came back negative, so onto a monitoring plan. Thanks for the kind wishes and bearing with me as I posted my anxieties. Hopefully, I can get back to writing my usual rambling posts.

The 5% Girl and a Lesson in Empathy

After spending the last ten days in parental purgatory, we got a call yesterday morning. The huge tumor found in my daughter has been fully removed and after being told the odds were 95% that it would be malignant, Mayo has determined that it is benign. We were very lucky. Only 150-200 people are diagnosed with this type of tumor in the U.S. each year. Random. Like the cells that mutate for no damned reason into something that kills. I haven’t slept for more than an hour at a time for days on end, so getting on the internet seems like a questionable choice. But I’m here to say thanks for all the kind wishes.

canstockphoto3491219I found myself writing in second person over the last week. It’s an unusual POV to pick, but second person puts distance between the reality of life and the compulsive desire to write about it. I was unable to have conversation with people. All words led to I’m so scared and inevitable sobbing. So I tried to find ways to write around the margins of this terrible thing that was my reality, this waiting to see if my beloved child was going to be in the fight of her life or if she got to go home to resume being a teenager, a classical violist, a friend, a classmate. Our girl.

So, like any writer, I start with observations.

Many mornings, I drove home at 5am from the hospital. We’d been sleeping there every night, but in the early morning hours, I was the only one awake and restless. The city streets were clear and I rolled the windows down and felt the crosswind, quiet and cool. She wanted me to get her tennis shoes, even though they wouldn’t fit her swollen feet. I knew I probably shouldn’t be on the road, so I forced myself to focus.

The last mile before home, tears started to leak down my face. By the time I reached the driveway, I was heaving and wailing. Too many hours of saying calming things to her. Too many hours of somber conversation with medical professionals. Too many hours of my husband and I in waiting rooms starting sentences with “I don’t know how we…” Trailing off, because we can only afford to be in that moment.

canstockphoto7428433I thought about what other drivers saw on the way back to the hospital. A blotchy-faced middle-aged woman barely driving at the speed limit in her Prius. They couldn’t know that she was barely fending off terror, that she’d spent the previous day waiting through hours of surgery and recovery of her daughter, that she was in shock and despair. How often had I cussed out drivers, thought the worst of them, assumed that they were this or that?

We’re curiously often incapable of empathy until we find ourselves with the child crying on the plane. Until we have that bad day when everything seems to go wrong. Until we lose a pet, get a bad diagnosis, make a wrong turn. We pass each other in grocery stores, shuffle our feet impatiently at the ATM, cast knowing glances at other bystanders. It’s so much easier to be empathetic in theory than in reality.

canstockphoto832346Blurry-eyed, I dragged myself through the hospital cafeteria, I looked around at all the families, some comforting themselves with gentle inside jokes, others looking haggard and unseeing. Out of context, I know that I would have seen them differently, perhaps with a hint of judgment or irritation that they were too noisy or unfriendly or inattentive to what they were doing. When we are out in public, we do not know each others’ stories by appearance, and sometimes even by actions. We have to have the imagination and empathy to extrapolate a story. A kinder story.

In the days ahead of unraveling and recouping and processing, I hope that I remember this lesson.

The Dime and the 5% Chance

It’s the end of the school year and you’re feeling pretty content. Your teenager walked across a stage, receiving honors and awards for her first successful year in high school. She’s getting ready to attend a prestigious summer orchestra camp. You’re proud and excited for her. Your husband is working on replacing the old deck out back. Your own life is trundling along pretty well – the garden is looking good, you’ve submitted work in hopes of being published, you are a training for a 5K. You read the news and get angry, but in your own world, life is pretty damned good.

The Friday before your daughter is supposed to leave for camp, you decide that you canstockphoto18514868better take her to the doctor. There were a couple minor fevers earlier in the week and she’s seemed pretty tired lately. You laugh with her in the car about something silly. The sun is illuminating the day in brilliant greens and blues. You think she just might need some more iron, but other than that, her bags are packed and she’s looking forward to playing her viola with other chamber musicians.

24 hours later, your daughter is in the oncology ward of a children’s hospital, bags of blood pumping into her, a doctor saying that there’s a 95% chance the mass is malignant.

The expression “life turns on a dime” means that in a short, precise turn, one’s life changes course. Overnight, our lives have completely changed. We learn to sleep in chairs. A noisy breath wakens us immediately. We tell our stoic girl that it’s perfectly okay to cry. We cry in loud, noisy outbursts when we get stolen moments alone. We must be stoic, too, nodding understanding as nurses and doctors and radiologists and surgeons explain to us in detail the next thing and the next thing and next thing.

canstockphoto21982117This is my life now. There is nothing else. Everything else is just going through the motions, playacting at writing or housework or social interaction. Shadows of life before. After writing solipsistic essays for many years, I find it difficult to think in terms of “I” at the moment. It’s all “we”, because our little family now moves in the same direction. Shift to the hospital, shift back home, and back to the hospital, like a school of fish streaming in one direction, then the next. All moves coordinated by the next set of labs, the number on the thermometer, the beeping of machines.

My writing skills are put to the test, writing updates to family and friends – calm missives that don’t reflect our primal fears. My introversion takes a back seat to communication. My independence evaporates in coordinating cat feedings with friends, passing off volunteer commitments, and taking offers of help. We call on friends we’ve been out of touch with, hold back relatives who would cause stress, and break down in front of complete strangers.

This is our life now. We turned on a dime. The 5% chance that this is a sprint and not a marathon. The 95% chance that we’re gearing up for a long haul. Numbers – those logical, strict little things now measure hope.

We are lucky. We have good health insurance. We live in a metro area with a lot of medical expertise. We have supportive friends and family. Our daughter is an amazing person who has shown us how to be in the face of calamity. The journey to her wellness is just beginning. Writing about this out loud is a way of keeping me sane – writing is how I process the world, especially when overwhelmed. However, I will be mindful of my daughter’s privacy in the upcoming weeks. 

There is a tendency for people to want to give advice at times like these. We have some of the best medical resources in the country and friends who have gone through similar circumstances, so I won’t respond to advice or links or recommendations, especially for coffee enemas. Coffee goes in the mouth hole. Thank you.