The Mapril Curse

For years, the end of March and the beginning of April have always been rather catastrophic times for me.  Since before I can really remember, this has been a terrible time of year.  As I grew older, I started to notice certain patterns.

Some of the worst things that happened in my life have always happened during this time of year.

As a child, I recall my father was often hospitalized at this time. For a long time, I didn’t understand what my father was so sick with that he’d be gone in the hospital for weeks at a time. It scared me. I was scared he’d never come back. That he would die there.

Our worst fights happened at this time. It didn’t help that my final progress report for the year would come in.

Standardized tests always rattled my nerves. I knew that these tests didn’t affect my grades. It was just implied that these tests prove how smart a person was. I knew a bad score would label me an idiot. The only thing I had going for me, intelligence, would be wiped off the slate. I’d be nothing, and regarded as more of a child than I was already treated.

Then there was Easter break. For me, there was always something disturbing and disappointing about Easter. First, Easter is not exactly a pleasant holiday in the Christian religion. Yeah, I know, it is about celebrating the resurrection and ascension of Jesus.

But, before that was good Friday. The day that Jesus died on the cross, after a gruesome and vividly detailed crucifixion. I don’t even know how the church justifies recounting this horrific story to children.

I know this one thing. Because of an exercise we did in Sunday School, peppermints are now revolting. I will spare you.

The closest friend I’ve ever had betrayed me in late March. She told my parents about a shoplifting incident that happened in January, complete with a fine that I was trying to pay off. She sabotaged my friendships with everyone else. As if it wasn’t bad enough that she had made it a very public falling out. She humiliated me.

And my father went off the deep end. No door on my room. Indefinitely grounded. No phone. No computer. No pager. No one in. And for a week, there was no school, and limited freedom within the house.

My ex Beck used my trip to Florida as time to gather support from our friends to backstab me, and destroy life as I knew it. April 1st, he dumped me. April 2nd, he moved his new girlfriend in.

April 8th, my ex Avi and I started dating. The following year, April 1st, we took what was a regrettable step into a year long lease together. A contract that legally obligated is to live together, in a small one bedroom apartment, in the worst of conflicts.

A year after that? We lost the apartment. We went flat broke and had to move into my house, which was then a complete shit shack. We ran a power cord over and lived in one room. Electricity in one room, and still living out of boxes and bags.

In late March, almost a year later, he made the admission that he cheated on me a year and a half ago. It consumed me so much that I was a woman possessed. It was all I could think about. I poured over the details. The emotion of anger, betrayal, guilt, and resentment was so much that it felt like it bled from every pore.

And on April 9th, three years after that first date, I decided that I wanted out. But, I was trapped.

Late March, before my wedding, I was tormented by my family. “You gained 5lbs!”

“Of course. I’m pregnant, right?”

“We can’t afford more alterations and it’s too late! We spent so much money on this, and you have to go and get knocked up! How irresponsible can you possibly be?”

After I had my son, this is the point in time where I started to show aggression and become violent. I was scared of myself. It was at this point that I knew I needed mental help.

A year after that, I started to have significant problems at my job. Even the thought of going there was agonizing.

Last year? The stress of putting together a children’s musical sent me flying into the ER with severe migraines. After that, I had a serious hypomanic episode. The first serious one I can remember.

And this year? Depression. Serious depression and self-harm. Marital issues. A lawsuit. A whole mishmash of events and looming threats that heap into a twitching shadow of depression and dreadful anxiety.

I have been reading references to research that has linked the turn of the season with mental health issues. March has the highest admissions into hospitals for those with mental illness. Different researchers have drawn different conclusions.

Today, I cracked it.

Today was my Pappap’s birthday when he was among the living. If he were with us today, we’d be celebrating his 96th birthday.

He has long since passed, almost 16 years ago. I was still young. He had been fighting a losing battle against prostate cancer for ten years. I was lucky to have had him in my life at all. When he was diagnosed, they only gave him a year.

My father was in and out of the VA hospital a lot when I was a child. My Pappap really stood up to be my father figure. And was he!

He was an amazing man. As a strapping young man, he and his brothers helped my church dig out their undercroft, by hand. It was the 40’s and wartime. Many men were called out to duty. My Pappap couldn’t go, on account of his severe hearing loss. It was mostly a result of working on the railroad. So, he, and other remaining parishioners took their shovels, and created a place where they could meet after mass.

He was always a man you could ask for help. He’d deny no one. And he was a jack of all trades. Plumbing, heating, electrical, building, anything. And if he didn’t know how to do it, he’d figure it out.

He had so many friends. Everyone who had ever spent any time with him was deeply touched by him. He treated everyone like family, and he treated his family like gold.

In times of need, he had offered everything he could to his extended family. Various family members had lived with him throughout his life. He was a faithful and dedicated man. My grandmother was his wife for fifty years before his passing.

He visited my mother every morning at 10AM for coffee after his morning walk. He knew that she needed him most. She was mostly alone with a severely autistic son and a deeply troubled husband, scarred by the war.

He came to every one of my school functions. I remember riding in the back of his station wagon. The only thing that ever made him angry were bad drivers. He always gave me $2 bills for my good report cards, and bragged to everyone about how smart and beautiful his granddaughter was.

I remember the first time I got a card from him with a $2 bill in it. He liked to tease people, so I thought it was fake. I got really mad at him. And he showed me his whole collection of $2 bills. And then he joked that I was a “brat kid” for disbelieving him.

I’d go to church every week, just to see him. He was an usher, and took collection. My Pappap was a devout Episcopalian, and so was I. He threw me a party when I reached my First Holy Communion.

We were very poor growing up. He often volunteered at charity events. The church had a flea market, and I fell in love with this little purple bunny. I was four, and the bunny warmed my heart. She made me happy and safe. He bought it for me, even after my mother lambasted me for begging for the bunny, as if I was trying to embarrass her in front of the other parishioners.

I named her Furry. Some kids had imaginary friends. I had her. She was imaginary in some ways. We talked. She always made me feel better. We shared a bed, and talked late into the night. I was less scared of life with her.

She still exists, and lives on shelf in my bedroom. She has been well loved, with patches of fur missing, dingy ears, paint chipped eyes, and a few obvious seams where she was sewn. Most of the time, I forget she’s there. She’s a relic, the only thing that survived my childhood. But, sometimes, I know she’s watching over me.

I remember the year that followed my Pappap’s death. We celebrated my uncle’s birthday, but it was somber. They shared a party every year. And he wasn’t there anymore.

Really, nothing was the same. Christmas. My birthday. Anytime I got a report card. My mother had removed the dining room table entirely. That’s the same dining room table in my house now. The same one I sit with during meals with my family. The very same that my friends gather around.

And, I never made the connection. I have only started considering a connection between a childhood amnesia and his passing. I never realized that it could have such a profound subconscious affect on my life as an adult.

I miss him. And most of all, I believe I mourn the time we missed most. I mourn the loss of the role in my life he could have taken.

When I joined the showband, I knew he’d be thrilled. His own granddaughter, so talented in music that she would be invited to travel the country each year to compete. I knew he’d be even more proud when I joined choir. All of those years watching me sing in church paid off in solos and special choir assignments.

When I graduated high school, I wondered if he’d be proud of me. I graduated with honors. The choir needed me and a friend so badly at graduation that we actually had to run back and forth from the stage to the other stage!

What would he think of my husband? I know he’d adore my son. My son loves cars and trains, just like him. They’d play with his model train sets all day.

If I ever do have a daughter, she’d be the light of his life. He cherished his girls most of all. He had always told me that girls were God’s gift to the world, and children were life’s best blessing.

He’d just be tickled about my job. He always believed in public service, and thought the people who did it were saints in disguise as ordinary people. Yes, he was a little bigoted, so he might have made a remark or two about it being in a city neighborhood. But, anyone in need – it didn’t matter who they were. He always believed that people were people. No less, no more.

He’d make a joke about me getting a report card. And I’d tell him that I do, every year in May. And he’d probably still slip me a card with some odd currency in there. A JFK silver half dollar. Oh god, a couple of Saqaguia’s! How he would have been so tickled by that!

He played piano. My parents both sing. I know where the talent came from.

Would he have said anything about the bipolar disorder? Maybe one thing. “You were always sensitive and moody. It’s a sign that you’re human.” That would have been that. I am who I am, and that’s more than special to him.

If he were alive, I’d join him and my mother for coffee in the morning, even if I don’t drink coffee. I know he’d pick up my prescriptions if I asked. He might poke fun and call them “crazy meds”. Just for a giggle.

He was the light in my chaotic childhood. He was the rock in my life. He was the father my dad could not be at the time. I was lucky to have my Pappap at all.

I do hope he rests peacefully and happily. And I hope he knows, that even after all of these years, and although I was young, I still remember him and everything he was to me.

The Cypress Tree

On an island called Chios lived the Greek God Apollo, his beloved Cyparissus, and a stag, adored by all of the inhabitants. Especially by Cyparissus. Cyparissus would care for the stag, adorn his horns with garlands, and they’d ride and gallop across the island in merriment.

One hot day, Cyparissus was hunting in the woods. From afar, Cyparissus saw an animal. Cyparissus took aim with bow and arrow and fired a fatal shot. When Cyparissus approached, the animal was recognized as the beloved stag.

In agonizing mourning, Cyparissus prayed to Apollo that he be permitted to be grief-stricken for eternity. Reluctantly, Apollo agreed, and turned his friend into the cyprus tree, to preside over the mourning of others.

I approach the cyprus in the distance. I can see it, wide branches over the swelling tides. It stands alone, and survey the landscape. I am alone in this endless field, approaching the cliffside. The others may not join me immediately. Because, they won’t let themselves see it in the distance.

What does it all mean?

My grandmother had a stroke on Christmas. She has not been well enough to care for herself for quite awhile. The details have become clearer as the cypress tree was coming into focus. She has not been well for much longer than many of us realized. It was a very closely guarded secret.

It was not for the protection of others, but the denial of one. Her caretaker. When the day comes, and she is gone, her caretaker will have no one left. In a way, she was protecting herself from psychic harm.

My grandmother went back into the hospital on Saturday, the 18th. The doctors determined she has pneumonia and congestive heart failure. On Sunday, the 19th, she had a seizure. Currently, she is in the Neuro Intensive Care Unit. She’s conscious and stable. But, her doctor, who has been treating her for years, had deemed the situation to be grim.

They say she’s turned around today. But, I am not hopeful. Her brain is still hemorrhaging, slowly, but continuously. She has developed aphasia now, although she is aware of her surroundings. But, she is mostly immobile. Congestive heart failure doesn’t just go away. Her body is ailing and her brain is failing. She is shutting down, bit by bit.

And, I walk slowing, a lone soul in my procession toward the cypress tree. Each step feels like the terrain grows larger. I am alone in my acceptance that her days are sadly numbered. I am terribly alone in my grievance, crossing those days off of my calendar. And I am seemingly completely alone in the anxiety of the wait.

I know why. No one is ever ready to lose their mother.

But, I ask, what quality of life does she have? Immobilized, unable to care for her basic needs, and losing more of her brain function with each episode. How happy can she be in that state? Is it fair that many cling to her life so much that they fail to see any of this?

I see it. I mourn her life in such a state. I am troubled by her slow disintegration. And, I clutch Tallulah (my Blackberry), in grave anxiety, awaiting that call. I have gone as far as allowing my phone to remain on ring while I am at work. As far as I am concerned, I am on death watch.

I worry. My grandmother is the last bit of glue that binds this family together. Her children refrain from bickering, for her sake. Her grandchildren are only vaguely aware of each other. And most of the rest are scattering to the four corners.

I worry. About my family – about my mother. She is the glue that binds her family and the very mechanism that keeps it functioning. The woman is much more fragile than can be perceived by her stoic exterior alone. If she falls apart, her family will fall. They depend on her.

And I know. It will fall on me. I will have to find the strength to care for five people, when I am hardly capable for caring for myself.

Can I?

The Trickery of Remission

Warning: Content has potential triggers. Reader discretion is advised.

I had come to terms awhile ago that Bipolar Disorder is a lifelong disorder. There is no cure. There is treatment. An abundance of treatment.

It was disheartening. It was a huge, ever-looming, oppressive idea. I’m going to go through this for my entire life. Not just a portion, for instance, the rest of my adult life. No. This, this bipolar disorder has been a companion for longer than I can remember. In fact, I could even conclude that it was the very fire of Bipolar Disorder that gave me life in the first place. Born out of this fire and ice.

Not a cure.

When I first started taking Vitamin L, I researched it.  And emblazoned at the top of the Lamictal website is the following statement: Prescription LAMICTAL is used for the long-term treatment of Bipolar I Disorder to lengthen the time between mood episodes in people 18 years or older who have been treated for mood episodes with other medicine.

Lengthen.  Not stop.

How long is that?  A few days?  Maybe a couple of weeks?

Another resignation.  I pitched any hope that there would be any long-term stability for me.  I resigned myself to the idea that I would always be in some state, whether I was slipping down to reside at the bottom of the abyss, streaking through the sky.  It didn’t seem as though there was another option.  Things are the way they are sometimes.  It’s up to us to come to terms with that.

I had decided that there was no such thing as remission in mental health disorders.  For some, it was either dormant or active.  For me, with Bipolar Disorder, there were three states: Depressive, Stable, and Hypomanic, none of which are permanent.  It is just the nature of the disorder.  Hardly anything can have any permanency with ever shifting landscapes.

At the end of October, something incredible happened.  I was not in a state of any kind.  It was like standing between heaven and hell.  Limbo, waiting for the other shoe to drop.  I was convinced that the great plunge was coming, but I only floated down easily from the mother of all hypomanic episodes.  I planted my feet firmly on solid ground, perhaps for the first time in my life.

Initially, I didn’t roam freely around this strange terrain.  There had to be a sinkhole, a bed of quicksand, something, disguised in this lovely place.  About a month of living in this landscape, with the help of others, I started to believe that there was a possibility for full remission.  I was cynical at first.  I had no evidence in my own experience to back up this notion.  However, I began to idealize a wonderful life without living in the constant fear and ever present shadow of Bipolar Disorder.

Idealization is dangerous, and it is something I often fall victim to.  I am not sure if it is a part of the human condition, as much as it is just a characteristic of certain people or disorders.  It remains to be one of the most perilous mechanisms of my delicate mind.  Typically, I knowingly guard myself against this with great cynicism unless I am proven otherwise.  Defy me.

When idealizations occur for me, it is akin to a shattering mirror when realities emerge.  In this instance, it was as if I had come to the ledge, holding tight and gazing deeply into that mirror reflecting my stable illusions.  Distracted by the beauty of it all, I took one false step.  All it takes is one to shatter the illusion, and wake up in the murky depths of depression.

Prior to this run of stability, I had no frame of reference.  A great many people mourn the loss of their lives that occurred prior to the onset of symptoms.  There was no such frame of reference for me.  My diagnosis was a relief.  It provided explanations as to why I was different, and no matter how hard I tried, I couldn’t seem to function properly in any capacity.  I was always content with the diagnosis itself, even if I was affected by the disorder itself.  It gave a name to many of the awful things I had started to believe were just me.

I’m not sure which is worse.  Suffering the constant bombardment of symptoms with little reprieve, or mourning that loss of a blissful, stable state and life I had, but slipped away.

This post brought to you by Tallulah, my Blackberry Bold.

Decent into Hell : 30 Days of Truth

Day 08 : Someone who made your life hell, or treated you like shit.

Avi.

Staring out the bus window into the grey oblivion, the words slid right down the slate of my mind, and were carried away by the light breeze. It’s not an uncommon occurrence. Many other times I will myself to think of him, it is as if he’s become a ghost, who haunts at the most unfortunate moments.

That’s why there are journal entries for these moments.  This was the first in the trinity, the one prior to Possibility and Ascension.  It was started and completed in the same week, nearly a year after the relationship ended.

---

The last days of that relationship are blurry; my memories are obscured by the drugs and alcohol intoxicating my mind.  The days blended together in a ritualistic, self-medicated loop, work.drink.sleep.work.drink.sleep.sleep.drink.sleep… suspended in agonizing slow motion.  The silence was deafening in the deep, dark hours of night, still, cold, indifferent.  We were two strangers, caged together with a thick glass section between us.  I glanced across the DMZ, through ripples space and time itself, eager and desperate to eradicate the great divide.  But even if I could manage to successfully navigate the minefield, a feat I had attempted in vain when feeling particularly masochistic despite the optimistic spin I put on it, I would be greeted by a stranger.  Or rather an animal, for he had regressed into a rather primitive state.  This animal was vicious and feral, seemingly ripped from the wild and unsuccessfully domesticated.

My realizations were like awaking from a coma.  How much time had passed?  Who are you?  Where am I?  Is this real? – each more dizzying than the coma itself.  Awakening is clarity, but the clearer things became, the more confusing the reality.    The chambers of my mind grew to accommodate my expanding thoughts but created a warehouse echo.  I spoke, my voice reverberated off the crumbling walls and returned with a different sound altogether.  Perhaps, instead it was an accurate reflection but one can never recognize oneself in a room of distortion.

So perhaps my lover had been a stranger all along, reflected through hopes and dreams to create a lovely distortion.  They certainly aren’t all hideous, like mirrors that make one look tall and slender.  Had that been entirely truth, how long had he been a projection of my mind’s eye onto the screen that set the stage for our drama?  I looked into the rabbit hole and tumbled down, spiraling out of control.  How can one count time based on a relative measure?

I searched farther, grasping for answers as if they were my life raft in the black waters of time.  Our relationship started with sparks and flares… – Were they real like fourth of July fireworks?  Or instead were they the result of strong hallucinogenics resulting from intense desire to feel something?  More dialogue and script flowed through the undertow, sucking me into the dark abyss.

You know how when someone says ‘I love you’, you feel obligated to reciprocate?

… Yes

I’ve always meant it with you.

My heart swelled with infection while it festered away every inch that loved him with each tides push and pull.  It was abundantly clear that his performance was increasingly scripted, as I deviated with my improvisation.  Obsessively, I went farther, feverishly searching, scanning, hoping that there would be salvage, or better even, treasure.

Heaven knows that I love you, I love you today.

Today, that day, the only day that might as well had even existed in three years.  I felt it in my soul, the answers becoming closer sending off the flares and sparks I had been trying to rekindle, leading me in my personal night.  Yet on closer inspection, they certainly differentiated from the ones in my memory.  Instead, they appeared to be a blazing inferno on the shoreline.  I clawed the beach, pulling myself in for survival, for myself, for my sanity and found the treasure I’d been seeking.

Fool’s gold.  The beautiful scenery warped into something more sinister.  Twisted, charred, black… a glorious fire to commemorate something that never was.

It reminded me of the last string I pulled in the tapestry of our relationship.  My hair was ruby colored in the dull late autumn sun, surrounded by the grey scenery of the city.  We were bound for better.  He was up but I was coming down.  A lovely romance played out in my head, on panes of fragile glass.  We were vines twisting together up a lattice in vivid green, in a dream.  He deviated, but my vision was obstructed.  I felt the support let loose, my vine withered and my fruit shriveled.  He vaguely explained and my vision returned to expose his transgression occurring.  Struck with immobilizing poison, I watched like an invalid.  And when I came to, I was convinced it was a dream.

Smoke and mirrors, smoke and mirrors, I fell in love with the demon trickster himself.  A year and a half passed since the incident and all was voluntarily revealed.  The force pushed me outside myself, forced once again to watch this great tragedy unfold repeatedly.  Play.stop.rewind.play.

Just say yes, you little masochist.  

Addictions leave you little choice.

Help me tighten these chains.  Is that my voice?  My mind screamed to be released, for me to take the free ticket to ride and go.  But my heart without it’s limbs could not be freed from it’s vice.

The pleasant memories melted into the form of nightmares.  There was a double edged sword, turning the pleasurable jabs into horrific stabs.  My monologue’s narrator was raspy and exhausted.  Playful smiles turned to sinister grins just as loving chuckles morphed into maniacal laughter.  The blaze pushed forward, engulfing everything in sight.  It seared my flesh, leaving nothing but brittle bone.

Release me, for the love of god!!

It was morning following the apocalypse.  The war had been lost and I stood amongst it’s remains.  To my surprise, I was intact despite everything.  A wave of sorrow welled up inside me but nothing came.  I had finally been released but not by my captor.  He stood beside me, my caretaker, strong and silent like an angel.

I have always been beside you.  That wasn’t quite the truth, I was sure.  He had misspoke and instead meant, I have always been inside you… I felt those words resonating inside my soul which echoed it in perfect clarity.  This could only be made possible if they had the same dimensions… making them identical.  Twin souls!  It made perfect sense as the pieces seamlessly clicked together.  Only could twins never truly lose one another.  They were the only two that see each other through the deepest pits of hell and come out seemingly unscathed.

We were whole.  From the moment we met one another, five long years ago, we were whole.  And now we had the opportunity to experience it in our own realities..

Wished For “The Moment”

Today, I learned about a tragedy that occurred in the life of a woman who had a profound impact on T.D.’s growth and development. She helped our family so much, and even helped me, though she was not my therapist. She was T.D.’s Developmental Therapist from Early Intervention and came into our home and lives every week for nearly a year. And she is one of the few absolutely saintly people I can say that I know.

Dev fell in love with a man three years ago that was in Medical School. His reserve unit was called out, so he had to drop out of school in his 3rd year. He did a tour of Iraq jumping out of a rescue chopper as a medic.

When he came home, the PTSD was crippling and he couldn’t return to his life. The VA alleged he didn’t finish his tour, so he wasn’t entitled to benefits. Dev loved this man with all of her heart and soul. But, he was living in extreme poverty without access to adequate psychiatric services.

The PTSD was too much. He took his life.

I have been a friend to several people who have taken their lives. In every case, they did not have access to adequate psychiatric care.

I have been on both sides of this. I know what it’s like to be overtaken by an illness. The pit is dark and dangerous when you’re dodging the pendulum. And, I also know what it’s like to feel the profound loss and sadness of a suicide survivor.

But, there’s a unique view that a person has from standing on both sides of that fence. From the one with the handful of pills to the other in a casket.

I feel an overwhelming empathy for the victim. I always wish that they could’ve had an extra few minutes to get to The Moment. The Moment has always come at, what seemed to be, excellent timing. It was always a millisecond of mental clarity that produced a phrase or a feeling that would stop me. If they could have hung on, just one more minute…

The loss is unspeakable. Death before due time is always tragic. But, it’s never more tragic than when it’s at one’s own hand. Friends and family are choked with profound emotion they never knew they had. And who do they blame? There is no definitive perpetrator in a suicide.

I’m not sure that a person can truly know their way around suicide at all. It’s confounding because it violates all self-preservational instincts. There are no distinct causes and effects of suicide. Why does one person only attempt a suicide and another succeeds?

In all fairness, I should probably be dead. I won’t go into all of the gory details of every attempt. This is a situation I call the Heath Ledger Paradox. My last attempt, over a year ago, involved an attempted overdose and intentional drug interactions. How is it that Heath Ledger can do it by accident and other’s can’t manage to do it on purpose?

The Moment is the only thing I can even think of.

My heart weeps and heaves at the subject of suicide. I mourn with the mothers over their children and the wives of deceased husbands. I am a mother and a wife; there is nothing more precious in the universe than my family. People are not made of materials. They cannot be manufactured and replaced.

For everyone out there that might feel suicidal – hang on!!! There is help. You won’t feel this way forever. Call someone. Call anyone. If you don’t feel like you can, call a suicide hotline. They are there to help. The link provided lists national and state hotlines in the US. Don’t wait.

For suicide survivors – I cannot even pretend to imagine what it would be to lose a loved one in that way. I know the way I feel about my loved ones. I would be devastated. I can only say that I deeply sympathize with you.

And with all of the love in my heart for my fellow bloggers, let us be honest with each other, in the very least. You are not alone. You don’t have to be in that dark place alone. We are here as a community to help. If anyone feels suicidal, speak up. I promise to do the same.

Taking the Bullet

I went to the dreaded LEEP surgery consultation, as first mentioned in Leep-Into-Cin – Part III, and more recently in  A Peach and A Catalyst.

Dodging Bullets
Honestly, I’ve been dodging this since I received word in May that my Pap came back bad again.  I put off the colposcopy until July, as I mentioned in All the Pretty Things.  The results of the colposcopy were among many things that triggered my breakdown in August, most noted in Meet Me in the Magnolia Tree.  I was informed at that point that I would need the surgery.  And I failed to go to both my August consultation and my September consultation.  I couldn’t face what I knew she was going to say to me.  I couldn’t hear that I may never be able to have more children.  And after the debacle from my last surgery, mentioned in Leep-Into-Cin – Part II, I couldn’t fathom the idea of having to go through another one.

The Reader’s Digest Version
It’s a lot of history to take in all at once.  I understand.  So, for those of you that really don’t have the time, or simply don’t want to sift through all of it, I will provide the abbreviated version.  I was diagnosed with HPV in August 2007 and had cervical dysplasia as a result.  At the time, I was in my early 20’s and the doctors all insisted that it would clear up on it’s own.  I got pregnant at the beginning of 2008 with T.D. and it only got worse.  In fact, so bad that I had to have the worst colposcopy of my life when I was 34 weeks pregnant.

Due to some insurance problems, I wasn’t able to get another colposcopy until May 2009, when it was discovered I had CIN-II and III in some places.  Essentially, I had the worst precancer before it became real cancer.  I had a very traumatic cryosurgery done in June 2009, and that was that.  For then.

Here we are, two years later.

My Worst Fears Realized / Speculated and More
From the moment I got the call, I’ve done my research.  I knew the words that were going to come out of her mouth.  And, I had face it alone.  C.S. and I decided that it would be better to save that 1/2 day off, in case I need it after the surgery.  Not that emotionally agree with the decision.  I see the logic.  But, I knew I’d need him there.  In a way, I am hurt that he doesn’t consider my health more important than his work.  I know he is only trying to make things stretch.  But, I feel like if he cared enough, he would have been there.

Like I already knew, I risk cervical stenosis, scarring of the cervix and cervical canal, that may make natural conception impossible.  I am at a higher risk for cervical incompetance, which may make carrying a child to term impossible.  I risk infection, hemmorage, etc.  But here’s what I didn’t know.  I risk damaging other organs in the vicinity, such as the vaginal walls, colon, bowel, etc.  And that made the whole ordeal so much worse.

All my doctor could say was, “The risks and complications are a possibilty.  I can tell you that these risks are small, but I can’t make any guarentees about what’s going to happen.”

On the subject of future children, “Cervical stenosis isn’t as much of a concern as cervical incompetance.  It depends on how much we have to remove.  We can only determine that when you’ve healed.  I’ll check at the 2 week follow-up and we’ll have a better idea then.”

My Aching Heart
I cannot get my mind away from the possibility that I will be incapable of having anymore children.  I wanted one, maybe two more if I feel my biological clock start to tick later on.  I cannot fathom the idea.  It breaks my heart to think about.  I may never have another child, ever again.  I could end up barren with the thoughts of the child that I could never have.  The child that would have been a sibling to T.D. and a child to C.S. and I.

Worse, is the possibilty of having multiple miscarriages.  I had one, and I know it was my fault.  I didn’t know I was pregnant until I miscarried at about 10-12 weeks.  I was drinking heavily at the time.  And that likely did it.  If that child had lived, he / she would be 9 in January.  It took me a long time to accept the truth about it.  But, I knew it wasn’t meant to be.  The day after I conceived, my boyfriend broke up with me.  I told him a year later about what happened.  His response was, “It was better this way.  I wouldn’t have left her (his girlfriend) anyway.  Now, we can all get on with our lives.”

It was cold-hearted, but he was right.  I was in no position to be a mother.  I was too young, with no college education, no income, and hardly a stable place to live.  The child would have had a deadbeat dad, and I would’ve been outcasted by my family.  This is not to mention that I was not yet diagnosed with bipolar disorder.  That baby has a better home in the life beyond.

Will I have to go through the unimaginable pain of losing a child?  Losing multiple children because my body just can’t do it?  I’m terrified at the idea.  I cry when I hear about it.  How could I even begin to handle that?

My doctor tried to be reassuring and said, “Most of my patients who have undergone one LEEP have gone on to have successful, complication free pregnancies.” Most.  Not all.  This is my second surgery.  I don’t know exactly what I will have left when all of this is said and done with.

The Worst Case Scenario of Them All
What if this LEEP doesn’t do it? What happens if the dysplasia grows back. I only have so much cervix. Do I have to face another LEEP? And if I do, that will destroy all hopes of another child. Beyond that, we’re looking at a hysterectomy. I’m too young to have my uterus removed. So what then? Hormone replacement therapy for the next 10 – 15 years? Or will I just have to bear early menopause?

That is honestly the worst of it all. Not being able to have children and having to go through menopause.

The Only Good News
The actual surgery isn’t nearly as bad as cryosurgery. I will have a cervical block, as well as IV sedation. Instead of being in the office, I will be at the hospital. The procedure is supposed to be painless, and afterward, I should sufffer no symptoms worse than a light menstration.

The after care is much like having a colposcopy, and heaven knows I’ve had enough of those.  Literally, I’ve had four or five.  With the last one, I wasn’t doing great the same day.  But, within a few days, I was back to my regular self.  I should be healed enough to resume normal activity within two weeks (like aerobic activity), with the exception that I’ll have a lifting restriction for a month.

The Plan
The date of the surgery – November 10th or 11th.  I have off on the 11th, so I tried to schedule it for then.  But, I can take the 10th off, if needed.  My doctor specializes in treatment for woman cancer.  I trust her and really like her.  She reminds me of the wonderful OB that delivered T.D., except she’s a little more forthcoming.  She’s the only doctor that has sent my specimens to an oncologist for review.  She is the only doctor that has been extremely proactive about this.  And she is the only doctor that hasn’t treated me like I’m a case, or I’m insane, or anything else.  She’s regarded me as a person every time.

I just want to get this all behind me.  I want to be able to deal with the aftermath as soon as I can.  And, I need to make the attempt to get pregnant as soon as I can afterward.  Because, if I have to face another LEEP or hysterectomy, I’ll be damned if I don’t at least try to have another baby before we come to that.

Fear and Loathing in Pittsburgh

Tomorrow at 11:45AM EST, I will be meeting with my OB/Gyn for my surgical consultation that I’ve put off for three months. And I’m more scared of this than I was of my induction of labor.

Tomorrow, I face my biggest fears.

I face a serious surgery, no matter how benign it may sound. I don’t like doctors. I am terrified of hospitals as a result of my most previous experience. And, I’ve never been put under before.

The surgical procedure alone presents enough potential threats. I have had a life-threatening reaction to an epidural. What will I do once I’m hooked into an IV? Will my blood pressure tank again? Will the anesthetic wear off? I’m not sure I can endure that pain.

Then, there’s the aftercare. The complications are numerous. Do I face a serious hemorrhage? Anemia over the Pittsburgh winter is unbearable. I may not be able to get back on my feet as soon as I’m expected to. How can I possibly take care of my son? Who can I call on to help? I do not have a great support network.

And then, there are future complications. I may have deep scaring. The surgery may cause me permanent future pain. And what about getting pregnant again? Studies indicate a small percentage of women have one of two fertility issues after having the surgery. In one scenario, I may suffer scarring that causes me to be incapable of natural fertilization. In another scenario, I may suffer miscarriages and / or premature births. If I can get pregnant, then I may never be able to carry to term.

And what will happen if this surgery fails like the last one did? How much many more times will I have to go through this? And what’s the next step after that? Hysterectomy, if it gets any worse. Can I stand the idea of losing any hope of having more children? I’m too young to lose my reproductive organs. I can’t be menopausal in my late 20’s. Do I face hormone replacement therapy for the next 15 – 20 years? How would that serious chemical shift affect my BP?

Worst of all, I have to face all of these unknowns alone. C.S. and I decided it would be more wise to save his PTO days for after the surgery. I didn’t agree as much as I had to accept. I am so scared of being alone for this.

I am terrified of being alone. If the news is bad, I’m going to be alone in that office. I am embarrassed to cry in public. But there I’ll be, in the heart of Downtown Pittsburgh, on the streets holding back. I’d be holding back from the office, to the stop, all the way back home, where I’ll have to face my parents. And when I get home, I’ll have to hold back some more. For my son’s sake.

But inside, I’ll be falling apart.

And that’s all before I even go through with the surgery.

At the very least, I have the whole day off to soak it all up, and likely cry it all back out.

Not a Five Star Day

I mentioned to Brandon in the comment section of RIP Zen 9-12-2011 about going through the Kubler-Ross Five Stages of Grieving.

1. Denial and Isolation
I didn’t immediately go to this one.  My immediate response was this deep sense of loss, with hysterical crying.  But, I did come back to this one later.

Yesterday, I swore I heard meowing in the house.  I swore I saw his shadows in the house.  Today, I looked to where his food bowl was.  I tried to make sure that he wasn’t running past me when I was leaving for work and coming back home.  I swear I saw him laying on my bed.  I keep thinking I’m going to run into him on the bathroom and see him spawled out on the bath mat.

2. Anger
I was so infuriated that someone would do this to a kitten.  To my kitten.  I was enraged that this person could walk free and suffer no consequence.  I wanted vengence.  “If I ever find out who did this, I will take a baseball bat to their knees.  They’ll have the rest of their life to think about it while they’re in a wheelchair,” I said in a IRL Facebook post.

3. Bargaining
During the original hysteria, I went to this one.  “I was going to call him in before bed.  Why didn’t I call him in?  If I would’ve called him in…” and “Maybe if I would’ve been a little more proactive.  Maybe if they had seen he was wearing a tag, they wouldn’t have hurt him.”  and  “I knew I shouldn’t have let him go out at night.  I knew it wasn’t safe.”

4. Depression
Don’t get concerned.  I am not actually depressed.  I know what bipolar depression is all too well.  This is bereavement.  I was devestated yesterday. Today, I’m sad, but this isn’t an episode.  It’s kind of ohnoui – a French term for just feeling generally down.

5. Acceptance
I find ways to accept it.  I’ve told myself, “Nothing I can say or do will ever bring him back”.  Yesterday, I did those graphics.  As it stands, one of those graphics is my current IRL FB profile picture.  Today, I made a beautiful yarn bracelet, with his tag on it.  Tomorrow, I intend to trek out to my backyard and find a stone that would be suitable to carve as a grave marker.

I keep cycling through these.  It makes it a little hard to concentrate.  I’m not focusing and in some instances, I don’t really have anything constructive to say.  So, if I’m not replying to your recent posts, don’t take it personally.  I just don’t have a lot to give right now.

I leave you with this.

RIP Zen 9-12-2011

This will be updated throughout the day as I become a little more coherent.

Last night, someone in my neighborhood brutally murdered my kitten, Zen. They did so with a baseball bat. Today, my kitten was found on the sidewalk behind my house.

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Update: 2:45PM EST
I couldn’t bring myself to go out there. I didn’t want to remember his corpse. I wanted to remember his beautiful olive, shining eyes and his black little nose. My dad offered. He worked Graves’ Registration in Vietnam. Death is something he can handle.

Before he could do it, Zen’s body was found by a loving neighbor who buried him. She gave him a final resting place in her own yard. I plan on carving a stone to mark it.

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He was the sweetest, most social kitten in the world. He never tried to hurt anyone, and never even hissed at anyone. He was my baby and my best friend. He cuddled with me at night. When I would cry, he would retract his claws and paw my face to wipe the tears away. He always knew when there was something wrong, and he would do anything in the world to make it better. I loved him like family.

Today, all I have of him are his belongings and my memories. And all of the tears I’ve cried for him.

He was a baby, only 7 months old. He was murdered on his 7 month birthday. What kind of cruel, sick, vile, evil, fucking piece of shit monster would do that to the sweetest baby kitten? They deliberately did it! No one just carries a baseball bat! They killed my little kitty in cold blood!

I am so torn up about this. I loved him. I really did. And I have no idea how I can possibly honor a creature who had such a short existence in my life but made such a profound impact. How do I avenge him? How could I ever make this right?

I loved him. I loved him with my whole heart. And I miss him so much. I will never forget him.