Monday, March 7, 2016

Sleeping Beauty



Tanner's been sleeping. A lot.

For a few months now, Tan has been sleeping 18 to 20 hours a day, all hours of the day, day or night. Sleeping Beauty we're calling him. And if he's waiting on his princess in shining armor, Siri has apparently steered her in the wrong direction, because she hasn't arrived to wake him.

Sure wish she would. Because this big sleep has cost Tanner a lot.

Two weeks ago, I had the conversation I'd been dreading with Tanner's guidance counselor at school. The weeks and weeks of absences have become too long, and together with the missed credits of past semesters, there's no way he can begin to garner enough credit to finish high school this semester. We have to delay Tan's graduation until fall, with the hope that he'll have the energy to do summer school and take some additional courses online in the fall so he can graduate with a diploma.

Mike and I had worried we might be facing this eventuality so we began talking with Tanner a few months ago about the possibility of a delayed graduation, and how in the grand scheme, a few months extra of high school would eventually be just a blip on the radar. We discussed it with Tan a couple times and got him used to the idea, so if the decision came down he wouldn't be blindsided. I'm glad we took that approach because he wasn't blindsided. He was level headed and pragmatic and sought to reassure us that it was fine, it was no big deal, he understood.

I don't understand.

I don't understand why my sweet boy, who has been through so much and struggled so hard and overcome so many things, now has yet one more reminder of the cost of having chronic kidney disease. The cost of his body struggling to keep his kidneys functioning, at the expense of all other systems. Like the system, for instance, that supports consciousness.

Hyperfiltration is likely the culprit here. Tanner's docs believe he's probably been in hyperfiltration for at least a few years now. Simply put, his kidneys are sprinting, and they have been for a long time. When kidneys are diseased, sometimes they go into this overdrive state. You and I, who presumably have normally functioning kidneys, move along at a steady pace for most our lives, with our kidneys humming along at an equally steady pace that allows them to last the 80 or so years that the average American lives these days. Tan's kidneys, on the other hand, have been engaged in a breakneck sprint for a long time just to support basic functions like filtering his blood, his urine and every other substance that finds its way to these workhorse organs.

But we all know that sprinting can't be sustained for long. Think of the Olympic sprinter vs. the distance runner. Sprinters go all out for 100, 200 hundred yards then collapse; distance runners go for miles. Tan's kidneys have been sprinting for miles and miles and miles, for years.

And his body is tired.

His body is putting its energies toward keeping his kidneys functioning properly, and thankfully, they are. They're doing their job, for now. But with time, it seems, his body has gotten to the point that it's now saying, "OK, I can focus on Tan's kidneys, but that means there are other things I can't get to. Like sending energy to his limbs, keeping his blood pressure in check, and propping his eyes open. I can only do so much; and for now, his kidneys need me. Now back off and let me get back to work."

I understand this is the work his body has to do, and I'm grateful it's rallying to the degree it is. Very grateful.

But, I'm also so tired of the cost.

I'm tired of all that this disease has cost Tanner. Early on, Tanner had to let go of football and P.E. He'd just started wrestling when he had to undergo immunosuppressive treatment that wiped out his immune system, so he couldn't be in such close, sweaty contact or lose weight. When the steroid treatments caused muscle wasting, he couldn't climb stairs, let alone lift weights. In April, he was to perform at Carnegie Hall.  Carnegie Hall. Now, he won't. He has lost out on time with friends; countless family and social functions; and normal, regular, day-to-day living. For years.

We've been lucky to have so many wonderful teachers, administrators, friends and family on our side these past 8 years. People have known Tan's story and supported him and us.  It was alarming, therefore, to encounter a teacher recently who was speaking pretty flippantly and contemptuously about Tan in front of her class. Those who know me know I'm not an unreasonable person; I'm pretty even keeled. So I stayed kind and even keeled when I talked with the teacher. I tried to help her better understand Tan's condition; the fact that when he's not down for the count, he can look pretty darn healthy, so it's understandable she might be confused by looking at him to realize just how tenuous his situation can be at times.

She called into question a photo she'd seen of him with friends, because she hadn't seen him in school. I have a mother who worked for school districts for decades, so I absolutely understand and respect that such a scenario can raise eyebrows, what with all the hooky playing that goes on and whatnot.  I explained to the teacher the circumstances surrounding that photo: Tanner had gone to school on a Thursday morning, though he didn't feel well at all. He made it half a day, then he came home and went to bed, where he slept through until early Friday evening. He awoke, he ate and went back to bed until Saturday evening; ditto on Sunday. Come 5p on Sunday, he woke up, showered, went to a friend's house for an hour so he could be there when she opened a letter telling her where she would serve a volunteer mission for her church; a picture was snapped; he came home and went back to bed. And slept through till Monday evening.  The picture the teacher called out in front of the class represented one hour in a four day period that Tanner left our home.

To the degree I explained above, I get it. (I'm not too hot on the fact that she was discussing it with the whole class, but we'll just put a pin in that for now.)  She didn't know much of Tanner's back story. And, when Tan is well enough to go to school, or parties, or church, or friends' houses, he puts a great face on it. He has a fantastic attitude, doesn't talk about his situation much, and is generally, for lack of a better word, normal.  He doesn't always look like he's been hit by a truck. Thankfully, he doesn't always feel that way either. But a lot of the time he does.

Tan doesn't complain much to others, and he doesn't complain much to us. Which is why recently it broke my heart a little when he said kinda shamefacedly, "I know this might sound weird, but sometimes it sucks that I don't always look sick, because I think people who haven't known me as long kind of wonder."  And then he apologized, and said he didn't mean to sound like he was complaining.

Let me insert a note right here to say that Tanner is a real kid, and I'm a real mom, and we have plenty of real moments of typical, boneheaded behavior on both our parts. I'm not glorifying Tan; I want to flick him on the forehead plenty of times. But I'm telling you, on this count -- this huge count that has so much impact on so many facets of his life -- he is something else. He doesn't rage and he doesn't whine about his plight. I'd be fine if he did occasionally, but he doesn't.

And, normally, I don't carry on and whine about it, either. I do count my blessings. I am filled with gratitude that he's still here and in so many ways is doing so well. I do know that we have been abundantly blessed over and over again, and I continue to be sincerely grateful. I'm practical, I don't borrow trouble, I don't wallow.

But there are times when it just causes my heart to hurt. To physically, painfully, ache. Because my beautiful 18-year-old son is still sleeping while there is so much of life to be lived. And I want more for him than that. I want him to fall into bed exhausted because he stayed out way too late or played way too hard.  I want him to sleep too late on a Saturday because he's a lazy teenager, then I can get irritated because I need him to get his hiney out of bed to do chores.   I want life to tire him out, not a disease his body is fighting valiantly against.

I want him to get to be 18 -- outside, during the day, with friends, at school. I want him to not have to put on a brave face, be a great sport, reassure worried moms that he's ok.

Tomorrow I'll put my own brave face back on, and I'll put gratitude before sorrow. And instead of counting the cost, I'll again count our many, many blessings.

But for tonight, I'll brush the brow of my slumbering child, then climb into bed and again pray for a cure.

Sleep tight, Sleeping Beauty.

Dammit, Siri, get it together.

Love from the city,
Teri

Wednesday, October 14, 2015

Dear Body

Dear Body,

We've been through a lot, you and I. Decades of fantastic experiences where we've always been there for each other. We've laughed, cried, leapt, danced, run, climbed, swam, kissed, hugged, given birth, fallen, lifted, hiked and loved.

Lately though, we've been a little rough on each other. Nothing intentionally harmful; just a bit neglectful and not so mindful. How about we make a deal? I'll be intentional with every movement, strengthening effort, morsel I eat, and sleep I seek.

You? Kindly quit plucking my organs from their moorings and throwing them about the cabin. You're leaving them in the most painful places and it's miserable.

Next week, I'm going to have a nice man sew everything back where it belongs and remove a few organs I don't have use for anymore. What say we view this as a fresh start...a clean slate...and both determine to recommit ourselves to the awesome teamwork we had in the past when we could face any physical challenge, outdoor adventure and simple household task with ease. It's our chance to finish the next 5 decades strong.

Are ya with me? Good! Game on!

Love,
Teri

Saturday, October 3, 2015

Bye, E. Coli


So, E. coli happened. That was about as fun as...nothing. It was no fun at all. None.

Didn't know what hit me last Friday evening, but it hit hard and by Sunday, I managed to pull myself into the shower, and that's as far as I got. Mike dried me off, dressed me and took me off to the ER.

It took a few days of shivering and drenching in sweat and other activities that aren't fun chit chatting about, and even less fun enduring, before they figured out what had me so sick.

It's astonishing how quickly something can reduce a person to absolutely useless. I don't remember a lot about my four days in the hospital this week, or the two days before, but I do vividly recall while I moved from the gurney to the CT scanning bed turning to the tech to say, "I can't believe I'm out in public without a bra on."  She said, "Hey, when the patients come in with no bra and unmatched socks, we know they're the ones who actually need to be here. Don't you worry about a thing."  Somehow, her words comforted.

Did I mention we didn't even brush my hair after showering and before heading to the hospital? And that that wasn't rectified for another 2 days? Yeah, I was looking GOOD.

I recall there were some really cool, involved dreamlike states I faded in and out of during my stay. And one snazzy cat who morphed into a bowl of Honeycomb.

My Mom came to the Valley and stayed with me at the hospital, and got the kids out of the house and fed a few times; and Mike's mom was there with us, too. Sweet church ladies brought meals to my family in the evenings, so Mike could be at the hospital with me after work. I couldn't talk much, and holding my eyes open was painful. The only release was sleep and I do remember praying they would just put me out until I was well. Once the cultures grew and E. coli was confirmed, getting the right antibiotics on board brought about a quick improvement and they sent me home Wednesday to recuperate further.

I tried Facebook a time or two and managed a few minutes before realizing it just hurt too much to look at a screen for any length of time. I moved to the living room to be with my girls during the day on Friday, and finally managed to glance through some emails. I spent an hour reviewing and responding to emails and fielding a few calls and felt as though I had been at it for 15 hours. I called it a day.

Today, I realized if I have any chance of going back to work on Monday, I had to steadily increase my stints of being up and around. I have an 80-mile round trip commute to the office each day and would be in an office for hours before driving home; it was time to build up a little stamina. Time to venture out.

So, I bathed, I put on make up, a bra, pants with a zipper and pushed my hair around a little. I decided to take just a very short trip with the girls while Mike and Tanner were off at a church meeting together - a 10-minute drive to "Ladies Night" at a local bookstore, then a treat and come home. I made it about 7 minutes walking around the store before I realized I'd bit off more than I could chew. The girls were totally chill about cutting it short, Karlie let me hang on her arm as we made our way to the car, and I tried to walk straight though my eyes were mostly closed because seeing was tender and exhausting again. We decided to get a treat through Kneaders' drive through and a burger from In 'N Out, since I had no idea what to do about dinner. And I thought about how awesome it would be if we'd gotten Macy her driver permit all those months she's been asking about it.

Picture us in the drive through at In 'N Out; me, eyes closed, head hanging; the car ahead of us moves, Macy mildly says, "Mom, it's time." I lift my head, put the car in drive, inch forward 4 feet, press on the brake, wonder whether I can trust myself to hold the brake, decide I'm an iffy proposition, put it back in park; lather, rinse, repeat.

The girls weren't piqued with worry; this is just how we've been rolling lately. Tanner's years of crazy medical dramatics have made these kids pretty cool operators; illness and odd Mom behavior rolls off their backs. They were totally unflappable (for the moment); we chatted, they sang, and every so often, Macy would blurt, "Mom, it's time." And forward we'd go.

I'm glad no one was tense and worried, since my next trick on the trip home was to...well, let's just have it...how do I say it delicately?...I ....ugh...well, I barfed a bit as we drove along. Yep, just driving along. Because life is just that awesome.  And the girls reacted just as they should...totally grossed out. Not stressed, not scared. Just fully and completely grossed out. Exactly as they should have been.

Trust me when I say, I didn't think I was overdoing it. I honestly figured 3 days after being out of the hospital, it was reasonable I should try to manage a 1-hr outing; that I needed to be moving around a bit and trying to move ahead.

Turns out, maybe it's a little soon. Since I managed to have yet another incident on the driveway when I got home, it kinda confirms it.

So, keys are back in the drawer, I'm limiting my forays to the house and yard, and I'm not sure I'll attempt that commute on Monday.  Don't want to be a menace to society with my head lolling and what not.

But for the moment, at least, there's a little eyeliner still intact, I've managed to get through typing this post, and the bra's still on.

Progress.

E. coli, I believe we're beginning to see the back side of you.

Love from the couch,
Teri