posted on Jul, 4 2014 @ 09:45 PM
Family Counseling: Childhood Cancer
Melissa Ryan
University of Oklahoma
Leukemia. I turned the word over in my head,
examining it from all sides, above and below, trying to make
sense of the shape. I analyzed the sharp angles contrasted by
smooth curves, the “e” and the “u” joined in an unholy
alliance, slamming headlong into the harsh “kuh” sound, and
then oddly finished with a pleasant “mia.” I could not make
sense of it, what was this thing, this “leukemia”? My inner
gestaltist attempted to fill in the missing information; was this
“leukemia” object the figure or the ground? Was it a piece of
the whole, or the sum of all the pieces? Leukemia. I knew how
to spell it, so I must’ve seen it somewhere before. My mind
ticked through my Rolodex of infectious childhood diseases:
Cerebral palsy, chickenpox, cystic fibrosis, measles, mumps,
rubella, spina bifida...but I couldn’t find leukemia. I knew it
was bad from the way people were forcing it out of their
mouths, using that low, serious voice people use when
speaking of something grim. I also knew it was bad because I
was sitting in the pediatrician’s personal office after hours,
waiting on the results of the third blood test my baby would
have that day. After the first test, we were sent to a different
lab because his “white count” was so high they thought their
machine was broken. It wasn’t.
I would learn many things that day, and many more
in the days ahead. That day, I learned that blood had a white
part, and it could be counted. I learned that doctor’s offices
had private entrances and at the tender age of 26, as my
seven-month old baby lay sleeping in my arms, I learned that
this object I was attempting to decode was a paradox; it was
both a piece of a whole, and the sum of all its pieces creating
the whole, and it would never, ever make sense. April 15th,
1992 was the day I learned the meaning of leukemia.
“What exactly is leukemia?” I tried to sound calm,
hoping the doctor didn’t hear the alarm bells ringing in my
head when I opened my mouth to speak. I heard his response
in slow motion: ”Loo kee mee ahh is kahn sss errrr.” I
marvelled at how long those heavy words stayed suspended in
midair. How did that sentence neutralize the Law of Gravity?
I stared blankly at the doctor.
Cue spotlight. Clank! Fade room to black. Zoom out.
Stop the clock. I watched the scene from some distant
location. Thoughts raced through my head. “What did he just
say? Did I hear him correctly?” His words still reverberated in
my ears, “Leukemia is cancer.” No, that can’t be right, I
thought, babies don’t get cancer. Babies don’t get cancer, they
just don’t. Do they? Can they? Cancer? Leukemia is cancer?
Why didn’t they just call it “cancer”? Why did they have to
give it such a stupid, bossy name like “leukemia”? What the
hell kind of word is “leukemia”? Those words don’t go
together, they don’t even sound alike. This is a cruel joke, this
isn’t happening. Wait, is this happening? Maybe he said,
“Leukemia is answer, dancer, fancer,” come on, think what
else sounds like ‘cancer’? He said, “CANCER,” This is not
happening. This is a dream. This is a dream inside a dream,
I’ll wake up any minute now. Wake up! No, wait, he’s wrong,
the machine was broken, both machines were broken, all the
machines in the world are broken because my baby does not
have cancer, there’s no such thing, and my baby is not going
to die. Oh my God, my baby could die, I never heard of babies
having cancer because they all die. Oh my God. No wait, slow
down... think…. it’s fine because babies don’t get cancer and
there’s no such word as leukemia, it’s the dumbest sounding
word I’ve ever heard, it’s a made-up word for this asinine
prank.
The doctor’s words broke through the silence, and
the clock began to tick again. “Leukemia used to be a death
sentence for children, but the cure rates have increased
dramatically in the past ten years.” I suddenly became aware
that I wasn’t breathing. I made myself take a deep breath.
Breathe, just breathe. Find out what you need to do, where
you need to go, who you need to talk to what you need to tell
them, ask a million questions and maybe it’ll be okay.
The doctor patiently answered our questions with an
eye on the time. We were to have our baby admitted to the
local hospital for the evening, he had developed a fever and
he needed immediate care. The doctor handed me a slip of
paper with a number on it. It was the number of mother of a
local leukemia patient who had gone to the same hospital we
had chosen, St. Jude Children’s Research Hospital. She would
help me, he said. The following hours were a blur of activity.
We had Chris admitted to the local hospital. His dad stayed
there while I went home and packed for the three of us. The
doctor had said plan on being there the first time for two
months. I thought he must have meant two weeks, nobody can
just leave for two months, what about my daughter, my sweet
Chelsea?
Chelsea had just turned two the previous week. What
was I going to do about Chelsea? I vacillated between a foggy
dream-like state and moments of pure practicality. I now
know I was in shock and I was having an acute stress
reaction. It was a normal reaction to an abnormal event, and
nothing would ever be the same for our family again.
I called the number the doctor had given me, and the
other mother welcomed me to the “club” of unwilling
members. She was a wealth of information, she spent at least
four hours on the phone with me, explaining everything she
could, helping me know what to pack, and yes, plan on two
months for the first visit. Two months is the timeline if
everything goes well, and in our case, it didn’t. I made
arrangements for someone to watch Chelsea, she would be
shuttled between various grandparents, each with their own
rules and expectations for two year-olds. I was crushed that I
had to leave her.. It wasn’t ideal, but I had no choice. Over the
next two years, I would keep her with me at the hospital as
often as possible. St. Jude’s was five hours from our home in
Fort Smith, AR, and at the time a five hour trip seemed
excessive. Family members weren’t willing to come that
distance very often, so I just kept Chelsea with me as much as
possible.
I stayed up all night packing and in the morning we set
out for Memphis, TN. When we arrived at the hospital, the
first thing they told us was, “Don’t worry about money. Worry
about taking care of your child, we will handle the rest.” St.
Jude’s treats catastrophically ill children without charge to the
family. I cannot imagine having that added burden in the
midst of such an intense crisis. It’s an extraordinary place,
with an extraordinary mission ~ curing childhood cancer. No
child is ever turned away because of family’s inability to pay
for treatment, in fact, there’s no charge whatsoever. Not only
is the medical care free, St. Jude’s also pays for transportation,
meals, and lodging.