Cancer Revisited

Cancer Revisited

Michael B-Day 3By Mary Ann C. Palmer

I.

I was little, just five years old, alone in my bed, lying on my back with the covers pulled up to my chin; eyes wide open. The sharp scent of night seeped in through my bedroom window. I wanted my mother. But that was impossible. She had died a few months earlier and I was living with my Aunt Florie and Uncle Joe. My room filled with shadows. I couldn’t swallow; it was as if a hand was grabbing my neck. My heart raced, thumping hard against my back. My thoughts were shouting at me. Within minutes, I was swallowed whole by fear. I jumped out of bed and ran to Uncle Joe screaming.

 

“You’re just having a bad dream,” he said. But I knew I was awake. I knew it. This scene repeated itself. I would learn later that I was having panic attacks.

I practiced not crying over my mother. I practiced how to bury my feelings. The events, however, were stenciled in my memory, not fully formed, but etched there just the same.

***

I would sit on my mom’s lap; just the two of us on our living room sofa, she clapped my four-year old hands together and sang, “You better not shout, you better not cry, you better not pout, I’m telling you why…” I giggled and collapsed into her soft blue cotton robe. I nuzzled in as close as I could, inhaling the soft powdery scent of the skin on her neck. She must have just taken a bath because her hair was wrapped in a twisted towel. Then Nanny, my mommy’s mom, called me for lunch. I skipped into the kitchen.

***

I stood by the window in my brother’s room with my mom. She was dressed but wearing the twisted towel on her head that she always wore now. We watched from the fourth floor as my 8-year-old brother Gary, in his yellow slicker, walked out into the rain, down six steps–one, two, three, four, five, six we counted together–and then down the block on his way to school. We sang, “Rain, rain, go away, come again another day…” Just mommy and me.

***

Wandering into the bedroom I shared with my mom and dad, the crib I still slept in tucked behind the bedroom door, I looked for Poochy, my well-loved stuffed dog with floppy ears, but I couldn’t find him. I looked everywhere. I finally found him on my mother’s dressing table, right next to one of her bras. The bra looked funny to me, one side was filled with something. Why does mommy have wood in her bra, I wondered. Somehow I knew not to ask. So many things were secret now.

***

Aunt Anne, who’d been around a lot lately, had to leave before my grandma got here. “Will you be okay?” she asked my mom. Why wouldn’t she be okay, I thought. Aunt Anne left. My mom was sitting in my dad’s upholstered armchair in her blue robe and the twisty towel on her head. I sat on the arm of the chair to get closer to her. She was very quiet, and then I noticed tears rolling down her cheeks. “Mommy, what’s wrong?” But she didn’t answer; she just kept crying. Grownups aren’t supposed to cry. So I cried, too. I was scared, like when I was sure monsters were under my crib. But then my mom’s tears stopped. She put her hand under my chin and said, “Why don’t you go get your doll out of her carriage and show me how you can change her diaper.”

***

While my mom was sick, I spent more time with my grandma and her sisters. We went to Prospect Park and one day we even went to see the Statue of Liberty. After our outings, I remember opening the door to our apartment and looking straight through the living room to the bedroom to see the shape of my mother’s legs under the blankets through her partially opened door. I was always happy to come home to her. I loved my grandma and aunts, but I wanted to be with Mommy.

***

Dad lifted me, limp as a rag doll, out of my crib. My head rolled onto his shoulder. He carried me out to the living room. My brother Gary was already up, sitting in his pajamas on the floor, playing with his Legos. I was placed down next to him. My grandparents and a priest were sitting on the sofa. The priest went into the bedroom with my dad.

Gary and I played with his Legos. We made leprechaun houses out of the little white bricks. We made little cots for them out of folded pieces of paper. I didn’t see the leprechauns, but I believed they were there. Gary said they were. I wonder if he knew at 8 years old that if you catch a leprechaun he must grant you three wishes.

I would learn later we only needed one.

***

On my 5th birthday Gary and I were at Aunt Florie and Uncle Joe’s house. Even though my mom and dad weren’t there I was hoping I would have cake. Aunt Florie and Uncle Joe did a lot of whispering that day. Maybe there would be a surprise. And there was. That night all of my relatives came over—aunts, uncles, and cousins. It was late. “I’m five now,” I thought, “so I guess I get to stay up late.” I never had a birthday party at night, and never with so many relatives.   Everyone was dressed up, wearing black. My Aunt’s high heels clicked on the gray and white linoleum floor. The basement party room was smoky from cigarettes and cigars. Ice clinked in highball glasses. I pretended my Mary Jane’s were tap shoes as I made my way around the room. One by one, the adults wished me a happy birthday, then whispered something to each other.

***

The next day Gary and I were brought to stay with one of my aunt’s sisters; I didn’t know her but she and her husband were nice to us. Their grown-up daughter was there. She sold costume jewelry and she let me choose a ring from a big blue velvet tray. It was a long day. When we finally went home, I was surprised to see our living room filled with relatives, but the first thing I looked for were my mom’s legs under the blankets in her bed. She was not there and the bed was neatly made.

My father called me to sit on his lap. I asked him where Mommy was. “She went to heaven,” he said. I didn’t know where heaven was.

“When is she coming back?” I asked.

“She can’t come back,” he answered.

“Why not? I want to show her my new ring,” I said.

“If she comes back, she’ll be sick again. You don’t want that, do you?”

I knew it would be selfish to want my mom to be sick again. This was a big decision to make. I sobbed. The adults tried to get me to stop. “Look,” they said. “Gary stopped crying.” I tried to see reason in that, but I couldn’t. I shut down. I stopped crying. And did not cry again. “Look how good she is,” everyone said.

***

I wished my family had told me the truth. When I was old enough to read I found one of my mother’s funeral cards with my birth date on it. I realized the late night birthday gathering was not for me; it was for my mom. I still didn’t cry. So what should have been loss and grief morphed into fear and worry. I continued to have panic attacks. I worried about getting cancer my whole life, even as a child. Every little lump or bump was cause for alarm. And then I did get cancer, ovarian cancer, when my youngest child, Michael, was four. I became my mother, and Michael became me. But I thought I could do it better. I could protect this four-year old. I see now I was naïve. Caught up in my own fight, I didn’t fully see at the time what Michael saw.

II.

At 37, I had surgery for what was supposed to be a benign tumor. It wasn’t. When I got home from the hospital I explained to Michael I had a tumor in my belly, and I had had an operation to remove it.

“What’s a tumor?” he asked.

“It’s like a little ball inside my belly that’s not supposed to be there.”  I explained that I had to take strong medicine to make sure I got all the way better and the medicine would make me feel sick.

I couldn’t use the word cancer. I would fall apart. I knew it was very important not to cry in front of Michael. My mom tried not to cry in front of me, but she did, leaving me frightened and helpless, too little to understand.

***

 I crept into the bathroom, holding the wall for balance, trying not to wake my husband Bob. The night was slanted, unfocused. I pulled myself up to the bathroom sink, balanced myself with one hand on the counter and adjusted my blue turban with the other. I looked in the mirror, half expecting to see my mother’s face gazing back at me. A wave of weakness passed through me; I needed to get back to bed before I passed out. I took small steps and deep breaths. I almost reached the foot of the bed when I collapsed. The fall at that point was almost a decision; I just didn’t have the strength to do this anymore. Bob rushed to me. I was still conscious, sprawled on the floor, and aware my turban had landed a few feet from me. Bob ran down the steps, returning with his mom and dad still in their pajamas, panic in their faces. Bob called ahead to the hospital, scooped me up and rushed with me to the car, his mother following with a blanket for me before she went back to the house. I was grateful she was there to take care of Michael. In the morning, she would tell him I went back to the hospital and get him ready for school. But I later learned Michael woke up first, padded up the stairs to my bedroom in his little blue feety pajamas to look for me, and I was gone. It wasn’t the first time.

I came home from the hospital that afternoon. I had been severely dehydrated, again, and was given IV fluids. Michael ran to me as soon as I got inside the house and hugged me with his whole body. His arms and body not quite enough, he wrapped one leg around me as well. He followed me upstairs, sat on the carpet in front of my bed and watched Ninja Turtles, his favorite show, while I slept.

***

A week later I had a fever. The chemo depleted my white blood cells, leaving me susceptible to serious infection. When my temperature reached 103; I called my doctor.

“Come to the hospital,” he said. “Enter through the emergency room and I will meet you there.”

It was early afternoon. Bob was coming to pick me up but I needed to make arrangements for Michael. Bob’s parents had gone back home to Clinton, NY, seven hours away. Michael would be home from nursery school soon. I called my friend Celeste.

“Can you take Michael?” I asked.

She always said yes. It was never even a question. Michael blended in easily with her five children. Five or six didn’t make a difference to her. But it mattered to Michael. “Mommy, I don’t want to be with Celeste. I want to be with you.”

***

I lay on the sofa watching Michael play as the late afternoon sun angled into the living room through our greenhouse, now empty. I no longer had the strength to tend the geraniums and spider plants. Hunched over on his feet and hands, Michael trotted around the living room. He occasionally scampered over and put his head on my tummy. I’d pat his head, and tell him he was a good little dog. He panted; I giggled. He was not just pretending to be a dog; he actually believed he was one. Michael embodied his fantasies; it was one of the things I loved most about him.

I waited for Eugénia and Ely to arrive, two of my best friends from when we lived in East Hampton. Older and nurturing, I looked forward to their company. When they arrived they were visibly alarmed by what they found: a too thin, exhausted woman laying on the sofa, a little boy playing at her feet. I was actually feeling pretty good that day, happy to be spending time with Michael. Eugénia immediately went to the kitchen to make me something to eat. Ely sat with me. As we talked Michael galloped in and out of the room, letting out the occasional bark. Our conversation faded as we focused on Michael playing, so obviously joyful, creating his own little world. Then Ely said, “Who knows how this is going to affect him.”

***

Eight months passed; it was time for my final surgery. I had prepared Michael over the past few days as best I could for the separation. The day I was due at the hospital I showered, dressed, adjusted my wig, and went downstairs to say goodbye. Michael was still sleeping. I woke him up. I didn’t want him to find me gone in the morning again.

“Michael, sweetie. I’m leaving for the hospital now.” He looked stunned. His eyes filled up as he clung to me.

“Why are you always in the hospital?” I held back my tears and told him I’d be home soon and in the meantime Grandma was going to take him to the Nature Center to see the owls. I knew from my four-year-old self that distraction only worked in the moment, but doesn’t touch the fear and anxiety. The talking we had done about mommy leaving hadn’t made any sense to him; only the visceral was real, the separation. Still, I thought, he can handle this.

***

The year ended. I survived. On a warm, sunny day in April, Michael turned five. His fifth birthday would be very different than mine had been. I gave him a black standard poodle puppy we named Harpo, who would become his constant companion for the next 15 years. We had birthday cake and he blew out the candles. Michael’s whole family attended the party—grandparents, aunts, uncles and cousins, not unlike all the relatives at my fifth birthday. But my birthday marked the end of my young life as I had known it. I would never see my mother again. Michael didn’t understand at the time, but he had what he wanted most for his birthday, the same thing I had wanted but didn’t get. Mommy.

***

Michael’s panic attacks started that summer.  From our front porch, I saw my husband running up the long driveway carrying him. They had been out for a walk, holding hands and scouting for dogs, Michael’s favorite pastime even though he had his own dog now.

“Michael’s hyperventilating,” he said as he ran to meet me. I looked at Michael, gasping for air, his eyes frantic, pupils dilated. I recognized the panic. I ran into the kitchen and grabbed a paper bag.

“Breathe into this, Michael,” I said as I held the bag around his nose and mouth. He began to relax, his breathing slowed.

This would be the first of many panic attacks, the trigger obvious. I thought I had protected him. I did all the things my mother was not able to do: I had explained I was sick. I made sure he saw a child psychologist once a week. And I lived. Michael did not lose his mother.

But had I really protected Michael? He saw me rushed out of the house for emergency treatments. He saw me throw up in the kitchen sink because I couldn’t make it to the bathroom. He saw me wearing a turban on my head, just like the one my mom wore. He saw me lying on the couch for the better part of a year, and he saw the shape of me in bed, my legs under the blankets when he ran up the stairs to my room.

“Leave mommy alone. Let her rest,” I had heard his grandma say again and again.

Michael saw what I saw when I was four. I couldn’t prepare him for separation during a time of such intimate mother-child bonding. I couldn’t prepare him for the loss of routine, for the comfort of his mother kissing a scraped knee or lying down next to him at night to protect him from the monsters under his bed. Four-year olds can’t merge reason and emotion. I’m not sure anyone can.

Author’s Note: A child is born and we pray he or she will be safe and healthy and that we will live to see that child grow. We imagine a charmed life for this little boy or girl. A life free from harm and the traumas and mistakes of our own childhood. Then life happens. That is how the child really grows.

Mary Ann is currently writing a memoir about coming through life’s adversities with love, hope and spirit intact. “Cancer Revisited,” taken from that memoir, marks her first published essay. Mary Ann has worked as a book editor and tutor and currently is the owner of Synchrony LLC, a boutique agency specializing in web development and online marketing.

Save

Will Daddy Die?

Will Daddy Die?

img_1077_2By Lea Grover

“Mommy? Will you still love me when you’re dead?”

My six-year-old asks me this question a lot. She is a little focused on whether or not her parents will still love her once they’ve died. I’m 100% certain this is because her father has brain cancer.

I’m Jewish, and I often think of myself as an atheist, and that means I have pretty complicated beliefs about what happens to a person when they die. I try to be honest about death as much as possible, letting my children know that every single person dies, because life isn’t and can’t be forever, and that’s okay. I let them know that being dead isn’t scary, it’s just what happens when you’re not alive anymore. I desperately don’t want them to be afraid of death, or of somebody they love dying. I don’t say that when she asks me, though. I usually say, “Yes, honey. My love will always be there, and I’ll love you forever and ever and ever.”

My six-year-old and her twin sister both show signs of the strain of living with their father’s astrocytoma. One is fixated on the idea that we will all love each other even after we’ve died, an idea that gives her a great deal of comfort. Her twin has internalized the strain, and instead shows it by becoming hyper-emotional over increasingly minute elements of life she wants to control.

Her kindergarten teachers have taken me aside a few times to let me know she needs help controlling her emotions. I don’t tell them it’s hard to control your emotions when you know something big and scary is happening, and no one is capable of explaining it to you.

As much as I want to, I am doing a terrible job making their daddy’s cancer understandable. What we know as adults is that cancer is never something you can rationalize. I don’t want to scare them, so I tell them he’s getting better, which is only a half truth.

He is getting better, or rather, he’s not getting worse. That’s not what they want to know. What they want to know is what happens if he doesn’t get better? What does that look like? What happens to them? I have told them that lots of people get cancer, and lots of people get better. I haven’t told them that lots of people with brain cancer get better. I have told them that sometimes people die from cancer. I’ve told them that daddy has a device he wears on his head to help his cancer get better. I’ve also told them he probably has to wear it forever.

The looming unanswered and unasked question is, “Will daddy die?” And I have skirted it as much as I can, because I don’t want to answer it with any phrase other than, “Everybody dies, someday, probably not for a long, long time, and that’s okay.”

It’s a hard thing to live with as an adult, the idea that somebody you love is seriously ill, and going to be ill until they pass away. It’s a hard thing to live with when it’s you, when it’s your spouse, when it’s your child. But as adults, we are capable of so much. We can do our own research, we can express our fears and confusions to others in a way that can be constructive. We can run marathons or donate to charities or shave our heads in solidarity, and it makes us feel better to be doing something, anything, to make sense of the helpless feelings that come with this experience.

My children don’t have that, because these are new emotions for them. Learning to live despite constant, nagging fear is something that has taken me years to achieve. My six year old twins hardly stand a chance.

So when the kindergarten teacher tells me my kid had a meltdown about nothing in the playground, that her whole afternoon she was anxious and quick to cry, I don’t talk to her about daddy’s illness.

I wait until her twin sister asks me, as she does whenever emotions run high, “Will you love us even after you’re dead?”

“Yes, honey. I’ll love you forever and ever, even after I’m dead, and after that, and after that.”

Lea Grover is a writer and speaker living on Chicago’s south side. Her work has been published in numerous anthologies, on websites ranging from Cosmopolitan to AlterNet, and soon in her first memoir. She speaks about sex positivity in parenting, and on behalf of the RAINN Speakers Bureau.

Art by Mary Ann Cooper

All God’s Children

All God’s Children

Worried young woman in pyjamasBy Amy Roost

My brother remembers that I never picked up after my kids when we came to visit mom. He remembers that after we left, the cleanup fell to him.

I, on the other hand, remember that nothing brought mom greater joy those last few years than spending precious time with her precious grandbabies.

Between visits, I remember taking her to the oncologist and pain specialist on my “days off.”

During these same years, I remember the empty Stoli minis in our neighbor’s side yard next to our driveway tossed there by my husband who passed out on the sofa most every night whilst I made airplane noises so my infant son would “open the hanger” and eat his peas.

I remember every detail of my firstborn’s spindly body after we brought him home from the hospital. I remember the surgical scar on his chest running 180° from front to back, the hole where feeding tube was, the red abrasions from tape that held in place the tubes that kept him alive those first three weeks.

I remember carrying 115 pounds on my 5’10” frame and friends telling me I was too thin, for once.

I remember the sound an epipen makes when I’d inject it into the thigh of my two-year old son who has just ingested a Valentine treat containing peanuts.

I remember the improbable phone call I received from my brother whilst dropping my dog at the groomer, informing me that mom had fallen, was on the kitchen floor and would I call an ambulance.

I remember dropping my kids at a neighbor’s who was preparing a meal for her father-in-law who was dying.

I remember getting to my mom’s house and finding her lying on the Italian tile in a fetal position, moaning.

I remember finding my brother in his upstairs bedroom shaking nervously as he raised a cigarette to his lips and his protestations that he couldn’t deal with mom because he was suffering from a poison oak rash.

I remember the beautiful hunk of an EMT grabbing my brother by the front of the shirt and ordering him to get his ass into the ambulance with mom because he had treated broken hips and he had treated poison oak and he guaranteed my brother that my mom was in far greater pain than he was at that moment.

I remember going to gather my children before heading to the hospital only to learn that my neighbor had left for another hospital with my son. He’d touched a tabletop that had traces of shelled peanuts on it. Ones the dying father-in-law had eaten earlier in the day.

I remember not knowing which hospital to go to first, the one where my mother was or the one where my son was being pumped full of prednisone and epinephrine.

I remember the broken hip was the beginning of the end for mom and I remember visiting her at the rehab center in Golden Hill.

I remember the enormous centerpiece I won at a dinner auction and took to her on my way home. I remember standing outside the locked sliding glass doors after visiting hours in my eggplant-colored cocktail dress and high heels and the kind orderly with a thick Jamaican accent who let me in.

I remember the smile that spread across mom’s face when she opened her eyes and saw me, and the flowers.

I remember her staying with us after she was released from rehab and a well-meaning friend telling my three- and four-year-old boys, “your Nana is dying.”

I remember the boys sitting on the side of her bed, my bed, and asking “Are you dying Nana?” And her telling them “Yes” and asking them if they would keep and care for her two beloved cats after she died.

I remember them both earnestly shaking their heads ‘yes’ and I remember thinking they had not the first clue what the word “dying”meant.

I remember mom’s last trip to the hospital when the doctors told us that the cancer had spread everywhere.

I remember my evangelical Great Aunt Edith trying to convert mom, asking her to accept Jesus Christ as her Savior. And I remember mom saying in her weakened voice there was no way, and Edith persisting and my having to ask my once-favorite aunt to leave the hospital room.

I remember my brothers and I gathered in that same room at Harborview Medical Center making confessions to mom about things we’d never told her, but somehow she knew anyway. Who knew that the night she came home from her job as a banquet manager at the Kona Kai Club and found me praying to the porcelain god, who knew as she stroked my back and held my hair, who knew that she knew I did not have the stomach flu, rather had been drinking fruit daiquiris all evening with my girlfriends?

I remember the hospital bed in her dining room that hospice delivered. I remember the round-the-clock vigil we kept, her brother, sisters, friends and children.

I remember being thankful she had a few days to say her goodbyes before losing touch.

I remember crawling into her hospital bed, spooning with her and whispering into the curve of her ear how much I loved her, how I was going to miss her so, and the boys were going to miss her. And how all would be okay, somehow. And that it was okay for her to let go.

I remember her restlessness and distress at 2:00 am, despite the Fentanyl patch and morphine.

I remember the hospice nurse arriving at 3:00 am and checking mom’s vitals. I remember her telling us that mom was attempting to leave her body and that for some it was more of a struggle than for others.

I remember knowing then that soon she would die.

I remember waking the others camped out on sofas and chairs and I remember someone saying “where’s Bobby?”

And I remember calling Pacer’s strip club and asking the bartender if my brother Bobby was there and would she please ask him to come home because his mother was about to die.

I remember the shot of morphine the nurse gave her being twice the normal amount.

I remember during those last long breaths praying but not hoping for the next inhale.

At 4:12 am there was no next inhale. I remember that. And holding her hand as it turned cold.

I remember my boys and their dad arriving before the sun and before the coroner. I remember taking them to her bedside to say their goodbyes.

I remember my three-year-old turning to me and asking in a somber voice he must’ve sensed was appropriate, “did Nana die?”

“She did,” I told him. And I’ll never forget his response: “Yes! We get the cats!”

I remember a few days later peeing in the powder room off the living room at mom’s place and my four-year-old coming into the bathroom and asking “what are all of Nana’s things doing in the bathroom?”

I could tell by the way he asked the question that he still didn’t understand what dying meant. So I explained what I had resisted explaining. “You understand that when people die they don’t come back?”

“Jesus came back,” he said plaintively.

“Yes, honey, that’s true, but Jesus was God’s son, you understand?”

“But mommy, we are all God’s children.”

How do I tell my four-year old that Jesus was God’s favorite? I just told him, “That’s true. We are all God’s children, but Nana’s not coming back.”

I remember a few weeks later while packing up mom’s closet finding a tiny white eyelet dress stashed in the back corner of the top shelf. I asked my mom’s sister who was helping me sort, “whose dress is this?” For I knew, having been 12 pounds at birth, that it couldn’t have been mine.

“That was Rebecca’s,” my aunt explained.

Rebecca. The baby girl my parents adopted before adopting me. The baby girl my mother loved with all her heart. The baby girl she and dad did not learn was half black until weeks after they brought her home from hospital. The baby girl the social workers pried from my mother’s hands so she could be placed with a black family for “her own good.” The baby girl my mother never talked about except that one time when my brothers had teased me mercilessly that they’d had another sister before me. And so I asked mom if it were true and she said, “I’m only going to tell you the story once.” And so she did. And kept her word.

And because our church pastor advised her to relinquish Rebecca, that it was in everyone’s best interest to do so in 1960 suburban Chicago, she never went to church again. Nor did my son, who still hasn’t forgiven God for playing favorites.

I remember all of that.

What I don’t remember is not picking up after my kids. Perhaps it just didn’t seem a priority at the time.

Authors note: Memory is the main character of this piece because as with any main character, the reader must grapple with its nature its malleability and fickle tendencies, how it can be manipulated to subjective favor, how it clashes with another’s memory and somewhere in the unattainable middle is the truth with the capital T. One capital T truth is that my son never forgave God for playing favorites, never returned to church–not even for the donuts.

Amy Roost is a technical writer living in San Diego. She recently won a call for podcast proposals sponsored by NPR and is currently working on the pilot episode of Finding Rebecca, a serialized account of the early civil rights movement, adoption, abandonment, and redemption due to air in Spring 2016. She has written for MariaShriver.com, themanifestation.net and Huffington Post, and is a co-author of Ritual and Healing (Motivational Press 2013). You can find her at Twitter at @sweetsweetspot.

 

 

The Last Stories

The Last Stories

DSCN0371~2By Anna Belle Kaufman

“Zackrabbit,” I say to the five year old seated behind me in his car seat, “I have another stop to make. But I can see you’re tired. If you don’t feel up to it, just tell me and we’ll go home now.” I glance back at my son in the rearview mirror.

My boy is no longer an eager little bunny. His once glossy bangs are now a limp curtain across his brow, dancing eyes are dulled by Dilauded (a powerful narcotic), the mischievous grin all but extinguished by pain. His neck and  right cheek are bandaged, swollen and purple with infection. Zack, cradling his constant companion – a small stuffed panda bear named Bumby – thinks for a minute, rubbing Bumby’s nose, then says, “I am very powerful Mama, I can hold in my tired.”

Heading towards our small home in the hills above Hollywood where the sun burns bright through smog, we drive through streets of MGM Technicolor: garish billboards, magenta bougainvillea, people bright as tropical birds in their shiny turquoise and pink spandex eighties aerobics wear. I, however, am living in different movie: one filled with the chiaroscuro nightmare and impending doom of Film Noir. The color leached from my world  a year and half ago, on the day – right before Zack’s fourth birthday – that my son was diagnosed with AIDS. In 1987 there are no treatments of any kind. Nothing.

I have grasped at whatever I could find: special diets, supplements, energy healing – anything that might help keep him alive until a medicine was created. But when Zack became too ill to attend kindergarten in the fall, I knew it was hopeless. Now, I only hope that he’ll be able to enjoy one last holiday season and not suffer.

The sense of doom heightens for me as each day winds toward dinner hour. The ever-present lump in my gut tightens with the sound of the liquor cabinet opening. My husband Gerry, working less and drinking more since Zack was born, is, at best, checked out after four or five, and can be a mean drunk (although never  to Zack, who he adores). I never know if he will start an exhausting nonsensical argument or angry tirade or how ugly it will be. I must negotiate a minefield, caring for Zack and trying to avoid explosions which, though not directed at our son, affect him. Gerry denies illness and death as much as he can. He says “I don’t do grief.” Now, even as help is obviously never going to come to save our boy, he forbids me, fiercely, to ever mention the D word with Zack.

So I must help my son on my own, covertly. But how? Although I have prepared Zack for numerous surgeries, helped him work through medical traumas with play and stuffed animals and blood made from paint, I have no experience or familiarity with death. I was not around my grandparents when they were dying, nor have I any religious education or community to draw upon or turn to. I don’t even know what I believe about death, if I think anything continues on. My pre-Zack career as a designer of costumes and sets did not prepare me for this; there is no script to study. I know the power of the right story, but what story is developmentally appropriate for a kindergartner? There are no children’s stories that I can find about dying that are not of the rather vague seasons variety with illustrations of trees losing their leaves – a metaphor that is useless to my suffering boy. Our Pediatricians never mention the D word and no one at the hospital is of any help. Internet groups, chat rooms and Google have yet to be invented. Bookstore shelves in the 1980s are not stocked with volumes on dying and grief. Except for one.

I manage to find the number for Elizabeth Kubler-Ross’s office in Virginia and leave a message. Surprisingly, she calls me back almost immediately and we talk for quite a while. She gives me her home phone number, saying “Please, call me anytime, any hour of the day and night that you need to. I just ask one thing: don’t give my number out to anyone else.” Then she adds “I’ve written a story for another little boy. It’s just what you need, I’ll send it right away.” Zack’s anxiety level, as well as mine, has increased as he feels worse and I am relieved when the package arrives, a story bound like a pamphlet, illustrated by Elizabeth herself.

When Gerry is out of the house, I read “Letter to Dougy” to Zack. In it, Elizabeth explains that when one doesn’t need one’s body any longer, your spirit leaves it to go to God, like a caterpillar leaving its cocoon to become a butterfly and fly away. We study her pictures of butterflies drawn in brightly colored markers. When we are through, Zack looks up at me with his old twinkle, smiling through the swollen cheek, in spite of the pain.

“Momma, when I die, we will go to Grandma’s and you will take the station wagon and I will fly and I will get there first!”

Glad that we had some private time to have the death discussion, I am, however, unprepared for it to come up around Gerry a couple of days later. I am seated in the back seat of the car next to Zack while my husband drives along Santa Monica Boulevard. Zack turns to me and asks, in his piercing high chipmunk voice, “Momma, when I go to God, will Bumby come with me?”

I feel that too-rapidly-descending-elevator feeling sink in my middle: there will be hell to pay tonight if  Gerry finds out we’ve talked about death, or God, in whom he does not believe.

Speaking quickly I answer, “Of course.”

Zack gives me a look and says “But Mom…. he’s a stuffed animal!”

Busted. By a five year old. The one time in his life I’ve given him the brush-off. Luckily, Gerry seems to have not heard us and, relieved, I quietly reply,

“I believe that if you want him there with you, he will be.”

I wonder if Zack understood the message underneath the brush-off, because he never raises the topic again in his dad’s proximity; his dying becomes a new intimacy between us, after those of pregnancy and breastfeeding. The following week, while visiting Zack’s grandparents, my mother and I are in the bedroom discussing her health problems and her grandson’s worsening condition in lowered voices while Grandpa and Zack talk in the dining room. I suddenly become aware of a palpable silence beyond the closed door and open it to find Zack standing there, anxiously shifting from foot to foot, rubbing Bumby’s threadbare nose. His Grandpa, absorbed in snacking and reading the paper, has neglected his frightened charge who now wants to go home, tears running down his cheeks.

“Zack, Did you think Grandma and I were whispering about your illness?” I ask.

“Yes.”

“You don’t have to to wonder, or hear accidentally. I’ll tell you everything you want to know and I will always tell you the truth.”

We talk about his illness. He already knows that his blood was poisoned by a transfusion when he was a baby but I have been careful never to use the word AIDS. People are terrified of AIDS and AIDS patients, fear they can catch it from mosquitos, shared potato chips, a hug or a kiss. Even some nurses at our hospital won’t go near children they once cared for when those same kids were diagnosed with HIV. I don’t want anyone to shrink from a child who – in spite of lengthy hospitalizations and traumas in his first two years – became an exuberant extrovert, a charmer who used to love to work a room. A boy who, just a year ago, had bolted in the mall, zooming up to a complete stranger to introduce Bumby. I watched while the woman in the elegant pantsuit appeared alarmed, then smiled, and, by the time I  reached them across the food court, was ready to sign him for her talent agency. Being small for his age was an asset, she said, handing me her card. One month later, I found out why he’d stopped growing and told her we’d have to pass on her offer to to make some college money. (Zack, acutely aware that he was shorter than other children his age, explained it to me — and to himself. He would grow on the day of his birthday, when he turned five.)

Now, at this moment at Grandma’s, sitting on the bed clutching Bumby, Zack asks me “And can I die?”

Other parents, who might also pause if this question is raised, are able to answer “Not until you are very old, not for a long long time.” But I have promised to tell the truth.

“Yes Zack. Your body can become very sick and tired and painful and your spirit might want to leave it, like the butterflies leaving their cocoons. Or like taking off and dropping  a heavy coat  you don’t need on a hot day at the beach.”

He nods, he loves the beach. Grandma then joins in, talking about heaven, telling Zack and I that we will all be together there someday and that when she gets there she’s going to find a great big beautiful piano and practice all day. And if she gets there first, she will be waiting for him. Zack, relieved and cheerful, says “Okay, Mom, let’s go to Century City now.” And I push him in his stroller to the outdoor mall to see the holiday decorations.

But as fever and pain intensify, his fears about dying return. After coughing badly he asks “Do I go now Mom?” Then again, the next morning he asks me “Am I dying now, Mom?” He doesn’t want me to leave him, even for a  few minutes, and I realize that he thinks death is imminent and  he is afraid that it will happen to him if or when I leave the room, or leave him alone. We have another talk.

“Zackrabbit, Death won’t sneak up on you and surprise you. You will know if it is coming. You’ll decide when you’re ready and you will tell me.”

I believe this to be true. And it is. The first time is just a hint: I am rummaging in the hall closet when Zack creeps up behind me

“Momma, what is it like to be a let-go balloon?” Because Zack pronounces L as W,  it takes me minute to understand what he has said: a balloon that has gotten away from it’s owner. I see a forlorn pink balloon, lifting out of the extended  hand that held it and is still reaching for it, getting smaller and smaller against a threatening gray sky. I don’t share my image, but ask “What do you think, Pumpkin?”

Zack says that he thinks it would feel good to float free and fly up in the sky. He is telling me obliquely that his body, tethered to earth by pain, would welcome release. I, however, am the hand that holds the balloon. I don’t want to let go. I know it is only a matter of time before my balloon escapes from me, disappearing into nothingness while I remain helplessly earthbound.

He next tells me — although certainly I see him failing — through a story. Not one that he makes up, but one he chooses: Watership Down. At the foot of his bunk bed stands a green oxygen tank I have decorated with a drawing  of a purple panda, and a small television so that he can be distracted from pain. From all the videos, Zack only wants “Watership Down,” ignoring even former favorites like Dumbo, that has a train in it. We rewind and repeat to watch Hazel, the rabbit heroine, die. It reminds us of the story of the butterfly. We study the part where Hazel’s body, hurt and sick, remains on the ground and the Black Rabbit – the angel of death- flying, comes for her. Hazel’s spirit self – a more transparent version – flies gently up out of her body into the sky and leaves with the Black Rabbit.

Our last story is the one that allows each of us to say goodbye.

It is December, 1987, evening. In Zack’s room the only light comes from the colored globes of the balloon man lamp on the night stand. Zack and I have watched Watership Down a few times in the past two days. It is clear to me that Zack is so terribly ill that he should have left by now. At his last visit to Cedars-Sinai a few days earlier, the pulmonologist listened to his chest and couldn’t hide the shock on her face. Perhaps he is hanging on for my sake; I worry that he thinks it is not okay to leave me, or leave without me. And, of course, it is not. But I can not bear for him to suffer more than I can not bear to lose him. He sits on the potty next to his bed, belly distended and aching, eyelids swollen with edema, eyes unfocused black dots beneath lank bangs. We are alone.

So I tell him a story. It is the story of his entire life, in third person – I never say it is him. I tell him about a little boy who was born early, who spent lots of time in the hospital and who had many surgeries and was very brave. A boy who had a tube in his tummy and then a silver trach in his throat when he was small. A boy who went to St. Thomas School and learned to ride a big trike. A boy who has a panda bear that he loves and carries everywhere, and who makes waffles with his Grandma and silver jewelry with his Mom and computer drawings with his Dad, and who loves trains more than anything.  A boy who loves his Momma very very much and whose mother loves him more than anything else in the whole wide world. His mother understands that it is time for him to leave his body behind because it is very sick and it hurts. It is okay with her. She will be all right.

Only the end is fiction: the biggest lie I have ever told or will ever tell in my entire life.

“Zack, do you understand the story?” He doesn’t speak, seems only partly conscious, the whites of his eyes rolling up, but he nods yes, and I know he comprehends exactly what I am trying to tell him.

The next night, at 3:00 am, the Black Rabbit flies to our house; it comes for him while I hold him in my arms, singing his favorite lullaby.

Hours later, after the death certificate has been signed and his body and Bumby taken away together, I sit on Zack’s empty bed in the dusk of the early December evening. Outside, just past the window, a monarch butterfly flits around and around and around, making figure eights below the porch eaves. It flies like that for a long while, thirty minutes or more, as if it is trying to get my attention. Then it settles on the eave closest to the bed, folds its wings, and remains there while I finally fall asleep. It is gone the next morning.

On Christmas morning, a week later, my husband and I distribute Zack’s still-wrapped gifts to children on the pediatric ward at Cedars. I return home to find, among the condolence cards, a gift package with my name on it. Unwrapping a small but heavy box, I lift out a dense object that lays smooth and cold against my palm: a black glass figurine of a rabbit.

On the phone, the woman who sent the gift explains that she sent different glass animals to everyone on her list. Not knowing  why, she sensed  the black rabbit was right for me. She has neither read nor seen Watership Down although she also has a young son, and is amazed to hear the story.

***

When I told the last story to Zack, and in the even darker time after, it was unimaginable that I’d ever be okay. But eventually I learned that what I thought was a lie was simply truth that took a very long time to reveal itself.

Now, so many years later, on my desk next to a photo of a little boy with an impish smile, a shiny black rabbit crouches on its haunches, nose in the air, gazing at me. It silently prompts me to tell the tale I’ve never told before. You know the one. About a mother, some butterflies, and a rabbit, and the stories that came when they were needed.

***

Author’s Note: Six weeks after Zack died, I met Elizabeth Kubler-Ross at one of her retreats. She gave me a scarf that she had knit, made from the wool of her sheep, in pink – Zack’s favorite color. Her teaching story for the group was about a black rabbit.

Anna Belle Kaufman is a retired art psychotherapist who lives in the country in Northern California with her second husband, dog, and two pet goats. Her essays and poetry have appeared in The Sun, Calyx, the Utne Reader and the Networker.

 

 

Message in a Lunchbox

Message in a Lunchbox

By Suzanne Leigh

Natasha 2Months before my elder daughter was diagnosed with a malignant brain tumor, I started leaving brief handwritten notes at the bottom of her lunchbox. “I love you, Sweetheart, and I can’t wait to see you after school!”

When I retrieved her lunchbox after school, the note remained seemingly untouched along with remnants of a sandwich, tangerine peel and uneaten baby carrots. My lusty 7-year-old was in too much of a hurry to eat her lunch and join her friends for tag or tetherball than to respond to a message from mom.

Periodically I continued the lunchbox notes. Someday, I told myself, Natasha would grow up and remember those tender messages.

At age 10, when Natasha’s brain tumor had started to metastasize and her prognosis was very poor, she started to respond to my lunchbox messages. “I love you SO much and I miss you so much. You are my best friend,” she wrote on the back of my own message to her.

Her message was painful in its poignancy. I knew her closeness to me correlated to the severity of her diagnosis. In the last two years of her life while her healthy peers would accept a perfunctory kiss at best at school pick-up time, Natasha would put both arms around my neck. While they campaigned for weekend slumber parties with BFFs and mom-free time at the mall, my fragile child always wanted her parents close by.

At the same time, Natasha started writing letters to her parents, younger sister and other loved ones. These were prolific fervent declarations of devotion, often accompanied by moody watercolors of rainbows, angels, vivid pastels of wild animals or warm family portraits with dad’s arms encircling the three of us. In hindsight those letter and pictures were her way of telling us that she knew her life was limited and she was grateful to those that she loved.

A week after Natasha had passed away, I realized that I had never written her a letter. It was overdue.  I wrote of emotions that were too intense, too cumbersome for her to have heard when she was alive. I told her about the day she was born when I had placed my cheek on her soft head and whispered: My heart beats for you, Natasha. I told her that I had never experienced real fear until I had become her mother. (Sure I had been scared, but ultimately the worst that could happen was that I would die. As a mother, losing that precious new life incited far greater fear.)

I told her that I’d have done anything, anything to have saved her life. That I had wished so hard that the brain tumor bullet had hit me, instead of her; that my own rude health disgusted rather than delighted me.

And I told her that she had taught me to love without limits and that my infinite love for her would carry me through the rest of my life.

I placed the letter in a drawer where I keep her mementos. Inside is a manila envelope containing the golden brown wavy hair she had lost following full brain radiation. In another envelope is the blonde hair she’d lost two years previously due to chemo.

At times I am drawn magnetically to these two envelopes; their contents cause anguish, but they are a tangible part of her that I get to keep.

Deeper in this drawer are other emblems of her life:  her letter to Santa (“Please may I have an American Girl doll for Christmas. I hope you are doing well and are not too cold”). And a letter to the tooth fairy requesting that she wake her up so they can talk.  There are journal entries recounting happy carefree times, princess birthday parties, trick or treating and beach vacations with friends.

As I mourn Natasha, I am learning that when the pain is acute, I need to focus on those items at the bottom of the drawer. They reflect the time before we entered Cancerland and the all-too-short period before she recurred, when the word “cure” would be tentatively mentioned. I need to remember that while her brief life is defined by disease, it is also defined by joy and innocence.

My surviving daughter is 8. A year ago, I started to leave messages in lunchbox. “I hope you are having a good time,” I wrote. “I can’t wait to see you after school.”

When I picked up Marissa, the message was still there, along with the detritus of her lunch. “Did you read my message?” I asked. “Yes, but I was too busy to reply.”

I hope that my surviving child with her pink cheeks and flawless health history will always be too busy to reply to the messages in her lunchbox.

Suzanne Leigh is a freelance writer and blogger. See more of her work at
www.themourningafternatasha.wordpress.com

Older

Older

By Jenny Fiore

Art Faithfully“Grandma’s such a funny woman, isn’t she?” I say.

“She’s not a woman,” my daughter harumphs. “She’s an old lady!”

“Maybe to you,” I say. “Why do you think she’s old?”

“Because she’s all wrinkly,” she says.

I pause to look at her smooth, pink skin freckled by six summers. I remember how my grandma looked to me at that age, very pretty but saggy in the face.

“You’re wrinkly, too,” she tells me.

I check to see if she’s wearing her teasing eyes, but they aren’t there. These are her matter-of-fact ones.

“Maybe to you,” I say.

It bothers me that my daughter will never know me as a young woman, a girl with a wild streak, someone who could still turn a back flip at 25. It bothers me that I can’t introduce my six-year-old self to her six-year-old self, let them be friends. I think they would be, but that’s not really what’s eating at me. It’s my own mortality, and how much more aware of it I am through my daughter’s eyes. Do I really have to leave her someday? Impossible.

The next week we are driving from the hospital, where my dad is in the cardiac unit again. He’s recovering as well as can be expected, but the sight of him makes me weak. He’s going to need a heart transplant, soon, and the waist at the hourglass of his life feels horrifyingly wide. I feel heavy all over my body, like someone has poured sand in my veins. My daughter had brought him a drawing of a unicorn, handing it over while eyeballing his IV tubes and the bags and machines hovering around him like soul-sucking ghouls. The sharp angles and bloodlessness of his face when he smiled were almost unbearable. Is he really going to leave me someday? Impossible. Not my dad.

On our way home, we pass the cemetery where I’m told comedian Chris Farley is buried. It’s catty-corner to a high school, plopped on a sort of island between roads that cross each other at berserk angles chopping the land into pie-pieces. One stretch of the cemetery is basically on a really wide median, separated from the other graves by the road on which my daughter and I are driving. There’s just no averting our eyes and pretending we’re not driving through a death park. I look in the rearview mirror to see what my daughter’s making of all those gravestones, going on and on and on like a threat so thinly disguised as a promise.

“Look at that enormous one,” I say. “That’s ridiculous, trying to look so important even after you’re dead.”

“I like the one with the flowers,” she says as we pass a grave surrounded by wrought-iron plant hangers with blossoms cascading out of them. “Mom, when I die, what kinds of flowers are you going to bring to my grave?”

Trying not to look sucker-punched, I tell her I’m going to die first, because I’m the mom and she’s the kid. That’s how it usually goes. Then I ask her what flowers she’ll bring to me. I don’t remember what she says because I’m frightened by all of it. I don’t ever want to leave her. In the rearview mirror, I check again, and she looks just fine.

“You know what would be funny?” she says. “If after you died, you came back as a ghost and you lived in our house!”

I tell her I don’t want to do that, and she furrows her brow and asks why.

“Because I want to go to heaven and get things ready for you there.” I feel dirty inside, being so trite.

“Good,” she tells me. “We’re going to have a lot of fun together in heaven.”

My crow-footed eyes narrow at myself in the mirror, and I feel like such a liar: Despite my best efforts, I haven’t any real faith that there’s a heaven. I tell her I do, but I don’t. I have only the hope and inclination to believe there’s something after all of this. I’ve made myself okay with lying about this one thing. Because maybe it’s not really a lie. And maybe it’s the only way we can drive by cemeteries, looking at the backs of our wrinkled parents’ heads leading the way to death in front of us.

Author’s Note: When I wrote this piece, my dad was scrabbling along with a grisly pump-assist device, waiting for a new heart. I was in a constant state of heightened anxiety while trying to keep my kids from worrying about losing their grandpa. Not an easy balancing act for a gal with a lifelong death-phobia. I don’t remember which came first—my fear of my parents’ mortality or my fear of my own—but neither held a candle to the fears that came with being a mom. That’s when the anxiety was no longer about only me and my parents dying but also about my children’s mortality and their fears about their own mortality and their fears about the mortality of their parents and grandparents, and—good God, get a hold of yourself, woman! I like to think my anxiety about death is some crooked expression of how much I love my life instead of a sign of cowardice or faithlessness. I’m still hoping for a heaven, still not certain it’s there, still telling my kids it will be, and indescribably grateful for the organ donor who gave us all a little more time to be together, a little more time to find our way.

About the Author: Jenny Fiore lives and writes in Madison, Wisconsin, with her husband, two children, five hens, and a tomcat. She is a Pushcart Prize Special Mention honoree for her essay “A Year at the Lake,” which appeared in the Winter 2007 issue of Brain, Child. “Older” appears in her newly released collection of literary and humor essays, After Birth: Unconventional Writings from the Mommylands (Possibilities Publishing, March 2013).

Want to read more thought-provoking essays? Subscribe to Brain, Child: The Magazine for Thinking Mothers and see why we’ve been receiving awards for literary excellence since 2000.