Saturday, January 25, 2014

On my Knees...Hanging On By a Thread...and Counting My Blessings

It still amazes me how an appointment for one thing can turn into a whole other adventure. And no matter how many times this happens with the kids I can never prepare myself for it. It always seems to come out of left field, and leaves me feeling like it takes me out. This happened with Giraffegirl's orthopedic appointment 3 weeks ago, and I still don't feel like I have quite gotten my footing, as the information keeps changing and the ground keeps shifting.

We went in because Giraffegirl had a lump at the top of her foot that was being irritated by her orthotics. We had seen her orthotist and been told we better see her orthopedic doctor because no one knew what it was for sure and we wanted to be safe. So I went in prepared to hear about that. I had no other major concerns, and expected it to be a relatively short and sweet appointment. The lump turned out to be a ganglion cysts, a harmless fluid filled sack that will eventually go away on its own. But while examining Giraffegirl's heel tightness the doctor noticed it was getting much worse. He mentioned serial casting at the time, but I didn't pay much attention since he was sending her to a physical therapist to work on it, and I had never heard of serial casting being used for marfan kids. Truth be told, I didn't want to go there yet. It took almost 2 weeks to get into the PT's office, so we happily continued on with our routine, grumbling a bit about the prospect of PT and how we would schedule the appointments around school with the office being 45 minutes away. But no real worries yet.

All that changed at the PT appointment. It only took our PT about 5 minutes to determine that Giraffegirl's heel cord was so tight therapy wouldn't do much, and she needed go through the serial casting process to gain back some of the heel cord length and help put her foot back in the correct position (Giraffegirl had compensated well for the tight heel cord and flat foot by curling her foot under and walking essentially on her ankle). I shouldn't have been completely surprised by this news, as I see everyday how misplaced her foot is, but I still was. I thought that would be the worst of it, and I put on my big girl pants and sucked it up. I started the blame game that day though. I had missed her last ortho appointment and couldn't help but ask myself "What if I hadn't waited so long to get her in? What if I was better at keeping track of when to schedule appointments? What if I had gotten her in 6 months ago when she was supposed to see her orthopedic doctor? Would we still be in this position? Would she still need to go through this?"

It was a long week waiting for the casting process to start. A week filled with second guessing my decision to do this. A week filled with Internet searches for other treatments. A week of unanswered questions. And a week of trying to explain to a seven year old why casting her foot was necessary and what it would mean for her. A week of trying to figure out how recess would work when there was snow on the ground and she can't get her cast wet (school made that so easy- love our school!) And a week of trying to prepare myself and Giraffegirl both mentally and emotionally for this new challenge.

I thought I was ready. I thought I had dealt with my emotions. And then we sat at the casting appointment today and I learned they would cast both feet, not just one. And I found myself figuratively on my knees once again. I wasn't prepared for that. It makes sense. It does. It really will be easier and more effective if her legs are even, if she isn't limping from a height difference of a casted and non cast leg. But I hadn't even considered the possibility, and no matter how much sense it made, all I could see was my little girl in her pigtails laying on that table. I couldn't wrap my head around how much harder two cast legs would be for her. I couldn't bear the thought of her facing an even harder challenge than what I'd anticipated for her. I found myself hanging on by a thread, forcing a smile to keep my tears at bay for her sake, as well as mine. Following the advice of the Charlie Chaplin song "Smile' (see lyrics below if you don't know it). And I was doing OK, until they stood her up and had her try to walk. Her Frankenstein-like first steps had me on the edge of losing it. The first silent teardrops slid down as she reached the other end of the hall and turned around. And I saw it- her huge smile as she bravely tackled this new challenge. She wasn't crying. She wasn't feeling sorry for herself. She was just taking what came her way with a smile on her face and determination in her eyes. And she was a rock star. She tackled that hallway, got a few more adjustments, and we headed off to drop her at school. 

And I was reminded once again of the greatest lesson I have learned in parenting. It's stated in a quote hanging on the wall of the toddler room of the MN Children's Museum. It states "While we try to teach our children all about life, our children teach us what life is all about". It's a statement that resonated powerfully with me today. At my worst, when I have doubted everything I know about this disorder and everything I believe about treatments, a look from my kids with their absolute faith in me can buoy me up. And when I am mourning the loss of their perfect health, they remind me they are stronger than I give them credit for. They are brave. They are amazing. They are miracles sent from God. And they remind me that I can do this. I can take care of them. I can face each new challenge with faith and hope. I can make these decisions about their health to the best of my ability and know that it will be OK, even if it doesn't work.  And I can accept the curious looks and questioning glances of strangers, the teary eyes of friends and family who care, and not question my decision. Because there is a little girl with a purple right foot and pink left foot who believes in my decision, and who doesn't ever question my judgement on decisions for her health. And for this, I am counting my blessings and knowing I am the luckiest mom in the world.

  



"Smile"

Smile, though your heart is aching
Smile, even though it's breaking
When there are clouds in the sky
You'll get by...

If you smile
With your fear and sorrow
Smile and maybe tomorrow
You'll find that life is still worthwhile
If you just...smile.

Light up your face with gladness
Hide every trace of sadness
Although a tear may be ever so near
That's the time you must keep on trying
Smile, what's the use of crying
You'll find that life is still worthwhile
If you just...

Smile, though your heart is aching
Smile, even though it's breaking
When there are clouds in the sky
You'll get by...

If you smile
Through your fear and sorrow
Smile and maybe tomorrow
You'll find that life is still worthwhile
If you just smile...

That's the time you must keep on trying
Smile, what's the use of crying
You'll find that life is still worthwhile
If you just smile

3 comments:

  1. <3 <3 <3

    Those are some seriously awesome colored casts! I like her choice of doing a different color on each leg. You are BOTH rockstars. :-)

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  2. Until I read this, I had forgotten that both I and my brother had leg braces, casts, special shoes, lifts and inserts. No one ever explained why except that one leg was longer than the other (the scoliosis thing?)
    Having just had aortic dissection surgery (on my 75th birthday), I am finding my doctor more willing to talk about Marfan. My brother's doctor at Stanford has talked to him, and we have identified a suspect ancestor.
    I am gathering together the CD's of various tests and reports that Stanford wants and hope to visit there soon.
    My daughter always wanted a giraffe of her own; she has just been diagnosed with mitral valve problems.(at 55).
    Thanks again for your good mommyness and insights. You helped me in my search for answers.

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