Perks of the Job

There are a lot of shit moments in my new world as a caregiver. My career, as it was, is on hold. There are trying times doing emotional, psychological battle with a three-and-a-half-year-old. There are long, boring waits in medical centres and rehab facilities and drawn out, anxiety-inducing waits for test results at home while we’re trying to just get on with our lives. There is always an undercurrent of fear and frustration and anger at our family’s situation and what we all have to give up and work around in the reality in which we now, and forever, find ourselves.

But, and it’s a big but (cue the immature giggles at me saying “big butt”…I spend a lot of time with kids), there is also a new pace of life and a flavour of love that we would not have if our world had not been completely shaken up this time last year.

I’m going to be self-centred and zoom into my caregiver role in particular here. If this role had not been forced on me, I would be spending this afternoon fretting over a deadline, bitching about the client that was pushing for twice what they paid for, and then frantically packing my laptop into my bag, forgetting the critical power cord in the office as I crammed myself into my car to fight highway traffic to collect the kids from daycare and school. We’d jam food in their faces before rushing them to extra-curriculars, snipping at everyone along the way, sandwiching homework and home reading in just before bed to do it all again the next day.

While that is all relatively normal, and it’s not bad, it’s also a life that feels less relevant than it used to. Because someone needs to be here, and available, managing appointments, and therapy and chemo, someone is. That someone is me and after a year, that old life feels pretty distant. I’m home and the days have to be flexible with wiggle room and room to rest, so the rat race pace is less intense. Mornings and afterschool routines are more relaxed. We schedule less and roll with it more.

My work as a caregiver, and it is work, expands to fill all the time I can give it, but there are also moments and tasks that just have to be quiet and filled with something else. I may be on call all night, but I have an hour here and there, when my daughter is with a grandparent, or watching a movie waiting for chemo, when I can just sit and read. My day-to-day life is not spent at the computer, or on conference calls, so I enjoy sitting and writing and I relish actually talking to people again.

I’m always stressed and anxious, but I also have a therapist prescribing gym time and painting to preserve my mental health. Self care is no longer a luxury, but a requirement. If my body fails, I can’t do my job, so I’ve made getting in shape a priority for the first time in my life and am sticking to it. I can’t wrap my head around an actual piece of art, but I’m picking away at painting an old doll house because I need something, anything, to do that is not involved with my daughter’s care and medical needs or family administration.

I am not going to deny that our situation, while challenging, is a hell of a lot easier in all this than it could be. Another day, I’ll dig myself into the layers of privilege we have in dealing with this whole mess that make it possible for me to not work at anything but the care of my daughter right now. (Short version: Holy shit, we are lucky we live where we do and were born into a place of comfort and education.)

I’ve spent more time with my daughter in the last year than I spent with her in her first two years of life. My relationship with my partner and my son are deeper and more grounded than I ever thought possible, because we’ve had to build different connections and ways of communicating. We spend our weekends and time together so much differently than we did before because that’s the way it has to be. We don’t try to pack too much into that time. Our situation has slowed us down, and there are definite benefits to that.

As a caregiver, as any caregiver can attest, your time is not really your own. You’re never really off duty. You never really relax. You are the day shift, the night shift and the emergency room shift. You are the repository for all the important information and the shield that the shit hits on its way to the fan. I don’t drink any more because I don’t want to be half in the bag in the ER trying to coax my daughter through a CAT scan. My partner is absolutely willing and capable of doing this, but it’s my job and I’m stubborn and I’ve got the front-line experience. I don’t want to drop the ball.

This is not a “poor me” situation (though of course I wouldn’t choose it). What I am trying to accept and fight for (with myself), now that we are out of crisis mode (hopefully for a while, ideally forever), is to still be myself in amongst all the other things. I’m trying to maintain the parts of me that I like and that I have control over.

I don’t know if my career will ever be what it was. It certainly won’t be what it could have been. My family life, another aspect of myself, will never be what a lot of other people have or what we thought it would be. I can’t control what has driven those changes.

What I can control, and am learning to relish, is the time and space between the caregiver tasks. I don’t feel so guilty about time to read, or to doodle, or to write escapist garbage, or to savour a coffee and the odd cigarette on a sunny day. I’m learning, slowly, to not ask for or apologise for that time. I’m trying to just take it. There aren’t a lot of perks to this job and unpaid interns bring home more bacon. Might as well make the most of it.

Music Therapy 2: A Better Son/Daughter by Rilo Kiley

So the beast in the background has been growing. Fuck you tumour!

The last month has been peppered with amazing and devastating moments that I’m too tired to go into right now, so I’m turning again to the music that seems to capture the great swings in motivation and insight that come with medical trauma and treatment and caregiving. To sum up…my daughter continues to flourish and laugh and improve on that great wave of rehab from her stroke, like only a three-year-old can.

However, the big bad in her brain has been growing and now we’re into 70 weeks (that’s right, 70 weeks of low dose, but still scary) chemo treatments to keep it at bay. This is the first round of this kind of treatment, and on the day-to-day, it’s not supposed to be terrible. But, it won’t be the last. The goal is to “only” do this three or four times over the next fifteen years, until her body, and hopefully the tumour stop growing. It sucks.

While I can’t say that this whole experience has made me any more optimistic than I’ve ever been (I don’t think anyone has ever described me this way.), it has hammered home, again and again, the need and benefits of channelling whatever I’m feeling into conscious empathy, and striving to not be a turd, even when I’m angry…which I am…a lot of the time. You never know what someone is going through, or has been through, or might have to face in the next 24 hours. Friends, family, professionals who work with you and your friends and family, people you don’t know, but cross your path, or get in your way, or treat you poorly, or plain old screw things up.

Shitting on someone, even when you have every right to feel miserable and angry and bitter, rarely, if ever, improves any situation. Even truly crap situations are a lot more bearable (for everyone) if you can rally to find the humour, or the love in it, or if you can simply put yourself in the position of your fellow great stinking pile dwellers. Some of them are also just trying to make it through the day, or have had a lot of “days” to get through.

Mindfulness is a term that gets bandied about, and I will disclose fully that I’m no expert and I don’t always achieve it. I may even be misunderstanding it (I’ve done no research on this.), but here is what it means to me now, and how it applies to a few things I’ve learned in the last 9 months.

I am mindful that everyone has their own situation they are dealing with. Everyone. The doctors, the janitorial staff, the nurses, the admin person who sounds irritated that I haven’t brought the right forms. The teacher, the daycare worker, that family member who always says the wrong thing at the wrong time. Everyone is trying to get through their day or life and has moments that are hard or easy and those moments may be interpreted differently than I would, but they’re still experiencing them. I’ve frequently been on the edge this year, and sometimes it’s the simplest caring, supportive, or even just civil gesture that has helped me step back.

So, I’m trying to be better. Trying to be aware. Trying to smile and be warm, even when I can’t be positive or nice.

I am mindful that I need to identify and express that sometimes I’m angry at everything. If I can say to my partner or child, “I’m having a really hard time right now. This isn’t about you. I’m trying to calm down and work it out.”, they usually get it and the snowball of emotion and snippiness can be stopped. This goes both ways. As a family, it’s not something we’ve consciously started doing, but it’s become an essential communication pattern for getting through some really hard times.

I am mindful of the ripple effect I have on those who deal with me, interactions big and small. I believe we receive better care because we try to treat the people in our medical world like they’re people. I believe my family is still standing because we’re all trying really hard to understand what each other is going through.

The trying part is key. It doesn’t always happen, but trying is the thing. Here’s where I loop back to the song. Give it a good listen.

A Better Son/Daughter by Rilo Kiley

It’s a bit of a confessional at times:

Sometimes in the morning
I am petrified and can’t move
Awake but cannot open my eyes

And the weight is crushing down on my lungs
I know I can’t breathe
And hope someone will save me this time

an anthem at times:

And sometimes when you’re on
You’re really fucking on
And your friends, they sing along
And they love you

but it’s the aspirational rally cry that really gets me:

But you’ll fight and you’ll make it through
You’ll fake it if you have to
And you’ll show up for work with a smile

And you’ll be better and you’ll be smarter
And more grown up and a better daughter
Or son, and a real good friend

And you’ll be awake, you’ll be alert
You’ll be positive, though it hurts
And you’ll laugh and embrace all your friends

You’ll be a real good listener
You’ll be honest, you’ll be brave
You’ll be handsome and you’ll be beautiful
You’ll be happy

Out of all the muck and the fear and the shake ups, I am trying to be a better person. I’m trying to learn and grow and do all the things you’re supposed to do so you can still walk and live and love in the face of life shattering events.

Cheers to Rilo Kiley for giving me a sing-along to help me.

Music Therapy

Again, it’s been a while since I’ve posted. Life has been less dramatic, but pretty action packed with a veritable bunt cake (I’m hungry) of both post-trauma stuff and standard family stuff.  It’s been:

  • Two parts normal, everyday routine: school drop offs and pickups, extra-curriculars, groceries and laundry, negotiating what’s appropriate to wear as the season changes, frantically searching for gloves and hats and mitts and lost stuffies, packing into the car because we’re generally at least five minutes late for almost everything. This stuff is good. We appreciate this stuff now…even the parts that are a pain in the ass.
  • Two parts post-pediatric stroke rehabilitation: twice weekly occupational therapy and physical therapy, therapeutic play at home, finding tricks and toys and apps and kids to play with. This stuff is going exceptionally well and my daughter is moving and happy and loves her “friends” at the rehab centre. She is also in desperate need of kids to play with. We’re working on that. She needs good, genuine play. It’s better therapy than all the rest.
  • One part medical appointments: orthotics fittings, seating clinics, endocrinology, developmental pediatricians and new physicians. And MRIs. Ugh, the MRIs. The tumour is a scary beast in the background, but for the time being, it’s on MONITOR, not TREAT, so we try to focus on the rest.
  • One part coordinating: therapy and appointments and life around it all.
  • One large and looming and ever-present part fear: fear that all this work will be for nothing, fear that the joy of just living our normal lives will go back on hold, fear that it won’t be ok in the end because the remaining tumour will persist and grow and push into all the important things in our daughter’s head and our lives. This particular fear permeates everything…just a bit, but enough to cast a funk when you least expect it.

We’re trying to figure out how to manage it all. Therapy, of course, would be good, but we haven’t made that happen yet. There are support groups and forums and resources aplenty, but navigating them is time consuming and finding the right fit is hard.  Thanks to our recent adventures in the sprawling world of medical trauma, we belong to so many different clubs! (So popular!): food allergies, cancer (It’s not malignant but it sure as hell shouldn’t be there, and is therefore under the umbrella of oncology.), brain tumour, pediatric brain tumour, stroke, pediatric stroke, visual impairment, acute brain injury, hemiplegia, hemiparesis, physical disability, chronic life threatening illness, families and siblings of all of the above. Terminology and grouping of conditions and diagnoses vary, so the search is overwhelming to say the least. We haven’t quite found a community where all of these things intersect. (And they say you can find a community for ANYTHING online…)

While we’re still in search of the right professional help (aren’t we all?), one tool in our kit to cope with all this is music. We don’t make it, especially not me (not a musical bone in my body)…but we love it, we always have something on, and there has always been a pretty defined soundtrack associated with events in our lives. My son, from an early age, bought into our enthusiasm and established his own playlists far from the standard kiddie tune parade. My daughter, well, we fought a little less to keep her from the hard core kids music (I’m looking at you, Music Together.) because she was our second and we’d already fallen off our high horse. More recently, as we moved through all this chaos, music (especially, to our torment, her love of The Wiggles), was something she could connect to and find comfort in, even in the very worst of circumstances. So we’ve just rolled with her three-year-old tastes. We’ll focus on indoctrinating her into the Canadian indie scene later.

The point, is that music is a good place for us, as it is for a lot of people, and throughout this particularly shitty phase of our life, it’s been a therapeutic place as well. Of all the apps I’ve got on my phone, Spotify has saved my sanity more than any other. Sigor Ros sat with me in waiting rooms and on rocks outside hospitals as I cried (with happiness and despair). The Wiggles irritated the crap out of me, but I am undeniably thankful that they soothed my daughter through terrifying nights, shitty procedures, and fucked up sensations. DJ Shadow captured my anger and dared anyone to even think about talking to me when I really just needed to hit something.

I’ve been struggling with what to write on this blog for the last while, feeling the need to process everything but being completely overwhelmed by it all. Where do I start? Not at the beginning. I’ll get caught in the details and never get out.

I figure the music that gets me through, or at least sometimes feels like it gets me, is as good a place as any to make the page a little less blank and get writing again. Also, as a music lover reaching out into the universe for some footing, maybe some of the songs I highlight here (good, bad, or guilty pleasure) will resonate and connect with someone else.  I won’t go through the whole song and I’m not going to analyze or review it. I’m just going to drop it out here and let you do with it what you will.

Good tunes can do good things. Here’s hoping my music therapy helps to make someone else’s day less shitty when they need it.

Music Therapy #1: Your Heart is a Muscle the Side of Your Fist, by Ramshackle Glory

I don’t know anything about Ramshackle Glory. I dabble in punk (teen of the pop punk 90s here), but I’m superficially familiar at best, and honestly, this song was spit out of a generated playlist. I don’t know how the algorithm works.

It’s a little bit peppy and a decent bit dark. It pushes me forward and it also makes me feel like I’m not alone with the feeling that being positive (what everyone tells you to do in these situations) is hard fucking work. The day this came on wasn’t a terrible day, but it wasn’t a good one either, and I just needed it. I need it pretty regularly.

Dalia never showed me nothing but kindness

She would say: “I know how sad you get.”

And some days, I still get that way

But it gets better

It gets better

It gets better

Sweetie, it gets better, I promise you

And she’d tell me

Your heart is a muscle the size of your fist

Keep on loving. Keep on fighting

And hold on, hold on

Hold on for your life

Keep on loving and keep on fighting. It’s work, but as any sporadic gym goer knows, it’s a hell of a lot easier to maintain than to make a comeback.

 

 

 

 

 

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