Sunday, April 25, 2010

Wedding Dresses, Puppies, and April Rain

Good things. Spring is about suddenly noticing all the green that’s around and tulips- colorful and optimistic, alongside azalea bushes- with their ephemeral pink blossoms. It’s about listening carefully for singing birds that have returned. It’s about enjoying the sound of fresh April rain pattering on a Sunday morning while a playful, curious, happy puppy bites his toys, misbehaving occasionally to chew the shoes someone left out or the bottom of the furniture. Winter is a distant memory, its colorless, acrimonious resolve carried away.

Lindsay was released from the hospital on Tuesday, all 88 pounds of her. She had lost 6 pounds. When I brought her home, it reaffirmed my decision to get my puppy, Sonny, who greeted her excitedly, as she entered the house. It’s still melancholy coming home without Coco loyally awaiting our return; but that sadness is diminished with our golden boy jumping into your arms and licking your face with puppy kisses (not to mention the fact that he blends in perfectly with the color of our couch). I know the antibiotics cured Lindsay in the hospital, but the spring sunshine and fragrant air and Sonny are helping to restore her health more at home. She is trying to introduce food back into her system, gradually, to put her weight back on, so that her wedding dress doesn’t fall off of her.

Yesterday, the three of us, Kim, Lindsay and I, went to the bridal shop to see Lindsay’s wedding dress for the first time. Of course, we had seen her in the dress, before, but this was her dress- the one that was ordered to fit her petite little body. We were supposed to do this last Thursday, but pancreatitis stole that moment from us. We stood outside the door as the salesgirl helped Lindsay get dressed. This is one of those moments in life, when you want to stop time, just to take in each and every precious detail. The anticipation of seeing your girl in her dress for the first time…and then the door opens and there she is. My heart, breaking just a week ago from seeing Lindsay curled up in a hospital bed, is rejuvenated from this delicate and beautiful sight. It takes my breath away.

It is Sunday morning. Everyone is sleeping, except for me. I am enjoying the green outside my window, the rain quietly beating on the lawn and thinking about my girl in her wedding dress.

Sunday, April 18, 2010

Amylase- 526, Lipase-2000

4/17-18/10

I didn’t know about amylase or lipase until now, nor did I need to know. I expected this journey was going to be about learning and using the vocabulary of wedding planning- such as “crumb catcher” neckline, names for exotic flowers and even new names for colors- like purple haze. I feel as if I am in a haze right now…my insides feel raw and exposed, my shoulders are heavy with the weight of anxiety. My little bride lies in a bed 10 minutes away in a hospital I passed quite often that gave me no reason to enter before now. She is in pain- a pain I wish to grasp and set into my own body. But nature only gives us the ability to feel the pain while we are birthing them and then we are helpless after that.

I never imagined being bombarded by all this medical jargon and have to know it and understand it. But who plans on being in so many hospitals in one year? Beginning with me and my heart valves, I know more about the parts of the body, how they function and various diagnostic terms than my little middle aged brain can handle. And that’s even with being a fan of Grey’s Anatomy, Private Practice and House. Lindsay’s lipase levels are at 2000 (down from 6000). They should be at anywhere between 150 and 286. Her amylase levels are at 526. Normal range for those levels is between 50 and 115. I am sitting by her hospital bed looking at the pink blossoms on the tree outside the window reminding me spring is here. The hum of nurses outside the door reminds me we are here. In the hospital. Again.

It began with a stomachache, with the typical symptoms…nausea, vomiting, etc., etc. Three weeks. Doctor visits. Sonograms, MRIs, CAT scans, blood tests. Gall bladder? Maybe. Her bile duct (the tube that leads from her gall bladder to aid in the digestion process) was dilated (enlarged) to 11 millimeters when it should be 5 millimeters. This means there is a blockage- gallstones one would think. But the sonograms, MRIs, CAT scans reveal no gallstones. Doctor is stumped, sends Lindsay to a gastroenterologist, who is also stumped, sends her to a specialist, Dr. Stark, who is my hero. He gets the Hallmark card now. Dr. Stark does a procedure called ERCP. ERCP? Definition: endoscopic retrograde cholangio pancreatography. This is a technique in which an endoscope, with a camera on its end, is passed down the esophagus, through the stomach, and into the duodenum. The entrance of the common bile duct into the duodenum can be viewed through the endoscope. Next, the surgeon can pass a special instrument on the end of the endoscope into the common bile duct as it enters the duodenum. Did I lose you? Welcome to my world of gastroenterology. In simpler terms, I have beautiful pictures of my daughter from her engagement photos and lovely pictures of her bile duct, gall bladder, liver and pancreas, not to mention the rest of her digestive system. Included in those photos are two stents, which the doctor inserted so that he could fix her “plumbing”. She also had a sphincterotomy, which means “cutting of the sphincter or muscle that lies at the juncture of the intestine with both the bile and pancreatic ducts”. In other words, Dr. Stark fixed that, as well. He calls himself a “plumber for the stomach”. I call him my champion. The real root of the cause- a genetic anomaly- her pancreatic duct crossed over her bile duct. At least I’m pretty sure that’s what it was, after a very patient Dr. Stark, explained it to me about nine times.

This was supposed to be a morning procedure, in and out- in by 8am, out by 12pm. Recovery was supposed to be easy. Lindsay even made an appointment to try on her wedding dress that night, which had just come in last week. Plans. Plans. Plans. What did John Lennon say? Life is what happens while you are busy making other plans. Smart man, John Lennon.

Recovery was not easy. Poor Lindsay was in too much pain. “What could it be?” I asked. “Pancreatitis,” Mary, the attending nurse said, hesitantly. “What is that?” I asked, my head hurting from too much information at this point. “Inflammation of the pancreas,” Mary, replied. Mary is also on my “Heroes” list. Mary was very funny. She kept on telling Scott that this is good practice for the next 60 years. When Lindsay asked him to throw away her used tissue, Mary said, “Get used to it. One day, she’ll be asking you to put her teeth in a jar.” Anyway, at 1pm we knew, she wasn’t getting any better. She had to be admitted into this hospital, that I had passed so many times, without a second thought.

And now she has been in the hospital for four days. Pancreatitis. Lipase- 2000; Amylase- 526. Lipase and amylase- these are the digestive enzymes made by the pancreas. Now I know this and so do you. Pancreatitis- another “itis”. Add that to the list of the maladies my 27-year old daughter has faced in her lifetime- appendicitis, viral meningitis, three surgeries and a broken wrist. My heart breaks. My sister and brother-in-law came and brought my mom to the hospital yesterday. She sat down next to Lindsay, reached for and held her hand. She didn’t say a word. But in those few minutes, her actions spoke all the emotions I am feeling. I am broken. I want to cry out to G-d, if he is there, if he will listen. “Why?” “Why now?” All of this- me, my dog, my daughter- why? And I hear nothing but the lyrics to John Lennon’s song-

Out on the ocean sailing away,

I can hardly wait,

To see you to come of age,

But I guess we'll both,

Just have to be patient,

Yes it's a long way to go,

But in the meantime,

Before you cross the street,

Take my hand,

Life is just what happens to you,

While you’re busy making other plans..

It is Sunday, now. Spring is what’s happening while my daughter is in the hospital, still. The birds are singing outside my kitchen window; the trees are turning from white and pink blossoms to green. It is quiet as the sun slowly rises, casting light against the lawn and touching my shoulder. My little puppy, Sonny, sleeps sweetly and quietly in his crate; Kim and Mark are sleeping, too. The only ones awake right now are me, worry and concern. I am anxious to call the hospital to find out how my girl is doing. My poor girl, who through all this, I realize is quite lucky. Her love, her fiancĂ©, her hero (and mine, too, as well), Scott, has stayed by her bedside- slept in the hospital with her, through it all. “He really loves you,” Dr. Stark told her. “While you were in pain, it looked like he was feeling the pain with you.”

In sickness and in health…

Lucky girl.

What more could a mother ask?

For her lipase to go down to 150 and her amylase to go down to 50. Please.


Sunday, April 4, 2010

Sonny Days

Lately, I have noticed the ubiquity of rain boots, the shiny somewhat hideous ones that come in a range of colors and patterns, from plaid to polka dots, from black and white to all different hues of the rainbow. At first I saw them in just about every store, most often, the discount stores where they were lined up at the window, the newest fashion statement; the answer to looking “smart” during a rainy miserable day. Initially, I did not purchase those rain boots because, although I am prone to tag along with any new fashion trend, I believed that once I bought a pair, there would be no rain to wear them in. Ha! Then I started seeing those boots on many, many ladies, young, old, middle-aged, on any given rainy day, which have become many rainy days. It was as if the boots in the windows had willed this interminable rain, snow, sleet, etcetera. While my feet were either dodging puddles or getting soaked by the inability to avoid them, I began to feel envious of those smarter women and I gave in. I became the proud owner of a very stylish pair of rain boots, my Chanukah gift, from my two daughters and future son-in-law. Not only am I now prepared for all this relentless rain, I march through it, my feet, socks and the bottom of my pants dry and unaffected. I have found a way to make the most of this deluge that keeps returning.

And so, on a rainy Monday, almost a week ago, I was overcome by another moment of surrendering to circumstances “beyond my control”. Lindsay, Kim and I were returning from an appointment with my neurologist, Dr. Handsome and charming with a sense of humor. It’s always a good thing when your doctor can brighten your day and give you a clean bill of health. It was still early, though, and still quite miserable outside, the clouds and precipitation had won their crusade against the sun yet again. Lindsay said, “Let’s go to the pet store, pleeeaaseee…” with her most endearing brown pleading eyes, reminding me of the five year old she once was. It was a month and two days since Coco’s death. I had reached the “acceptance” stage of grief; however, I still had bouts of anguish from time to time. It would well up right from my heart and then release itself in a sorrowful sigh. I would be jealous of people I would see walking their dogs. I felt cheated, empty. There was a void I needed to fill.

I had started to look into rescuing a dog from a shelter. We even visited a couple of shelters, in person and online. I played with some dogs, cute adorable puppies. No connection was made, though. And it’s not as easy rescuing a dog as one would think. There was a scrutinizing process I was not aware of; e.g., how big is your yard? Is it completely fenced? What kind of fence is it? How tall? How many hours per day will the dog be left alone? How do you plan to take care of the dog when someone is not there for 11 hours? We had a dog. We took very good care of it. She had a loving, wonderful home. Yet, we had to prove we were worthy of rescuing a dog. We also needed to make that connection, too- that connection that I felt 9 years ago, when Coco melted my heart as I held her in my arms. I knew that once I found the dog and I passed the qualification process, I would fill that emptiness that pervaded my soul. We had every intention of rescuing a dog, too. But all dogs need homes, don’t they?

So, it’s a rainy Monday afternoon and in my fragile, saddened, frustrated state, when my daughter looks at me with her imploring brown eyes, luring me to the pet store, I say, “Okay.” Blame it on the rain. It’s like those rain boots staring at you from the storefronts on almost every other block in Manhattan. “Don’t you want boots?” I hear in my head as I see them in their colorful row against the windows. Puppies are much more convincing than boots, though. We entered the pet store. I had no intention of buying a puppy, I promise you. I would never get a puppy without Mark, either. My guard was up, or so I thought. But as we came into the room filled with screeching, yapping and squeaking and an assortment of colors and patterns of puppies, one little golden buff colored pup came immediately up the glass to greet us. It resembled a baby Golden Retriever; it was too cute to be real, looking like a stuffed animal come to life. This dog could have been the picture in an add for “Don’t Ya Wanna Buy a Puppy” “What is that?” I inquired. “A Cockapoo,” the young worker replied. “Ohhhh, that’s what Scott and I want!” Lindsay said, immediately. A Cockapoo is a mixed breed- a Poodle and Cocker Spaniel- really a mutt, but nowadays, the new term is “designer dog”. “What is it- boy or girl?” I asked. One of the workers there, a young man, did a quick check, as he put his hand beneath to lift it, “Boy”. “Your father wants a girl.” I said to Lindsay. We went through to see the other dogs- very cute. No connection. We went back to see our buff colored greeter. “Can we take him out to play with him?” Lindsay asked. Big mistake. So the young man, Jordan was his name, put us in one of the interaction rooms. We sat on the floor. Jordan gave us the pup. He came right to me and climbed up on my lap and fell asleep. Uh oh. There it was- the connection. My heart, the aching one, suddenly felt a small tug. Uh oh. Then it was the battle of the wills. I was not in the position to buy a puppy; Mark wasn’t there, either. The situation was, though, that the position of the puppy was making this process very difficult. He would not leave my lap.

After three and a half hours, yes, three and a half hours of being in the interaction room, I had to make a decision. I started to think of names…George, no, Charlie, maybe, then it came to me- Sunny! What could cure the gloom of a rainy day?- Sun-ny! What could ease the melancholy of my heartache over the loss of Coco- Sunny! And he had a little bit of a golden tint to him, as well. And then something really strange happened. Lindsay saw the guy she dated from J-Date (right before Scott), whose name was Scott also, come into the pet store. She gasped, then, made sure to flash her diamond engagement ring as he noticed her. Jordan came over to see if we made a decision. “What was that guy looking for?” she asked Jordan. “He’s looking for a Cockapoo.” I gasped, then. It was at that moment that I knew that if I left the dog there, someone else would take it home, quite possibly, that other Scott. I felt the same as if I would feel if I were to leave my infant in a hospital after I gave birth to it and another family would take it home. We called Mark at work. Of course he was fuming. “No. We were going to rescue a dog.” No. I don’t want a small dog.” “No. I don’t want a male.” “No. I can’t believe you’re doing this without me. We were supposed to go together!” He was right, but what could I do? I was in love. “Do what you want.” Mark said, bitterly, and hung up.

I was in a pickle. I remembered the stories my mother used to tell about my grandfather, Morris, who used to bring home stray dogs from the neighborhood. “He followed me into the car,” he used to tell my grandma, Fannie. “I couldn’t get him out. So I brought him home.” Grandma Fannie would just shake her head, sigh, and let the dog stay. One time, my Uncle Jack, not a dog lover, had been away on a music gig and returned to his own home in the middle of the night only to get attacked by the latest mongrel my grandfather had brought home. I had never met my grandpa but I could certainly sympathize with his dilemma of debating over whether to keep a dog that he had bonded with, even though the circumstances were different. To me I had two choices: 1. Bring the dog home and deal with Mark, or 2. Stay in the pet store, forever. One way or another, Sunny and I were meant to be.

It took me a year and a half to buy a pair of trendy rain boots. It took me four hours to buy a designer dog. But boots don’t have brown puppy dog eyes, a cute little black nose and Cocker Spaniel ears. They are practical and serve a purpose by keeping your feet dry, but they don’t sneak into your heart and fill it with sunshine on a rainy day. A friend of mine, Liz, said, “He saved your soul, didn’t he? Isn’t it amazing how they know when we need them?”

We left the store with a furry bundle, who seemed to know all along he belonged to us. It was still raining. As I was pulling out of the spot in the parking lot, the girls started to yell, “Look ma, look at the license plate of the car next to us!” I looked; it said “SUNNY 00”. It was meant to be, I guess.

Of course Mark was quite upset when he got home. He marched into our bedroom and shut the door, leaving the dog very bewildered at this new person who didn’t want to hold him and shower him with kisses. Then about fifteen minutes later, Mark emerged, still angry, but went over to the crate and took the dog out. They both fell asleep on the couch for an hour, snuggled up together. “This is our son, Mark,” I told him, when he woke up. “It’s going to be ‘Sonny with an “o””, he said. “Whatever you want.” I replied.

Now, every day is a Sonny day with my new boy. Mark has about 27 photos and five videos of Sonny on his Blackberry that he proudly shows off to everyone. I hope this is the dog we take into our retirement years. My friend, Roselee, says his name already sounds like an old Jewish man’s- Sonny Feldman. Mark still wants to rescue a dog- a larger female, with black hair; he wants to name it Cher.