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July 5, 2005

Welcome to Francesville--Population: 3

When I got my latest issue of Brain, Child a few weeks back, Have a Nice Trip dug right in to a sore spot that I normally try to keep hidden, even from myself.

It's not that I dislike Welcome to Holland, or Moreena's lovely blog based on that piece. It's not that I don't see that utility in the metaphor; obviously I do, or I wouldn't have written posts of my own based on it. It's just that, at the heart of it, it's not about me.

It's about families with children who have disabilities. Known disabilities. The kind that come with a diagnosis, a nice handly label you can hang on the file at school. The kind that lets you look ahead a few years and where you understand something of the treatments and therapies that might help. The kind where there is a whole community struggling with the same diagnosis.

But we're not in Holland. We're not even in Luxembourg. We have our very own country, just the three of us. And it's a nice country. It's scenic, the cuisine is lovely, the people are friendly. But we don't know where it is. We don't know who the government is. We don't know what their plans for the country are. We don't know if we're beside the sea or a mountain range, if we're sitting on a coal deposit or an oil field. Or if we should just grow wheat.

One of the main motivations for me in finding out what Frances's diagnosis is is being able to find other moms in similar situations. Figuring out what our country is, what the language is. Then I'd know what to expect. I could look ahead and have some reasonable estimate of Frances's needs based on her likely growth pattern and speed of gross motor skill development. I'd know if it was safe to buy her 1-year sized clothes for next summer on sale now or if they'll still be too big. I'd know if we have to buy her a helmet for her late-closing fontanelle, or if we should be looking at special furniture for when she is older and going to school and needs a desk. I'd KNOW. Something.

To extend the metaphor, I could figure out what the currency is, what the economy is like, where the local grocery stores are, what roads lead to what areas. We'd have neighbours. We might have a neighbourhood association. Maybe even some tourist attractions.

Instead we live in Francesville, and it's a beautiful country, but we're the only ones here and we don't have a map. There is a government, but they are shadowy and mysterious. They make their decisions behind closed doors and keep the legislation and policies in a dark basement that we can't find. There is no language because there are no other natives.

The park is beautiful. The garden is amazing. The food is delicious, if the portions are a bit small and we have to crimp our legs underneath us to sit at the little tables and chairs on the restaurant patio. We don't want to leave. We just want to know where we are.

The entire country is maybe the size of a city block. Big enough that we're comfortable, we three, living inside it; small enough that lots of people pass by on the borders and peer in to see what this tiny little kingdom is doing here in the middle of their town. "What are you doing in there?" some of them shout. "Why don't you just leave?" Some of them scurry by with pitying or frightened looks on their faces. Some of them are friendly and stop on the borders to chat, willing to try one of the miniature pastries.

Those visits are wonderful. We find every bit of commonality between our two nations and rejoice in it: Yes, our nights too seem to be only about two hours long, but we get several of them in a row; yes, it's gorgeous, but by cod it's loud; yes, it's all a bit crazy and unexpected. And then they say, "And it's all moving so fast now! And getting bigger every day. I swear I can't see my own house from my driveway anymore." And I smile and nod my head and think I guess we're not in the same country after all.

We have visited other similar countries--say, Ireland. Lots of Little People. Lots of big parents ambling around, trying to look comfortable on the small chairs, knocking their heads into shorter-than-expected doorframes. It is a great place to visit, Ireland. But it's not home--Ireland is a wonderful country populated by many hundreds of thousands of people who have a diagnosis, normally achondroplasia. As in conversations with our own neighbouring countries in Francesville, eventually the conversation changes from one filled with comfort and head-nodding to one in which I am smiling politely.

They KNOW, those other parents. They have an idea of how big their little people are likely to get. They know what kinds of therapies, treatments and surgeries they are likely to be offered in the years ahead and they have lots of opportunity to research them and develop their own position. They have other parents to talk to who are going through the same thing. They have neighbours.

In the end, we are only visitors, and we go home to Francesville where none of us really know what the hell is going on.

This is my fantasy:

One day, Erik, Frances and I will be wandering the local narrow streets of Francesville, and we'll find a road we have never gone down before. We'll turn the corner and see another little house nestled behind a little garden, looking peaceful and well-tended. We'll knock on the door, and someone will answer it--another family. And not newcomers, but a family that has lived here for years, one with a child slightly older than Frances. A family who can tell us where we're going--who knows something of the laws and customs of our new home.

I imagine myself and this other mother laughing and talking far into the night, sharing the details of our perplexing lives and nodding in agreement and sympathy--the clueless doctors, the multiple genetics and specialist appointments, the frustration of never having a diagnosis, the guesswork involved with purchasing clothing, the little things like stepstools and modified light-switches that make life easier. I imagine watching Frances play with their child, a true peer. I imagine trading addresses and phone numbers; I imagine finally knowing one other person who truly knows what I'm talking about.

I love all my mom-friends dearly. So much of our experience is the same--the sleepless nights, the feeding issues, in-law frustrations, changes in roles and expectations; and those similarities have truly kept me sane. But we still live in different countries, and visiting is nice, but it's not enough.

Is this selfish of me?

After nearly two years, I still have not found someone (and not for lack of trying) who can say with me: "I do not know how my child will grow up; s/he may be 3' tall, or 4'6", and no one can tell me. I cannot prepare for her life or think about the adaptive aids she may need because the best medical experts in my country have no idea what is going on. Only guesses."

I just want one neighbour. One person who has lived in this country before me, who can show me what comes next. Who can give me a roadmap and tell me where the parliament building is and whether we export wheat or widgets. Just one--one neighbour, one friend, one peer. One person who has explored this country before me.

Somewhere out there there must be someone, and I will keep looking until I find them. In the meantime, I love Francesville for all its beauty, charm and surprises. I don't want to leave. It's just a little isolated, sometimes.


Posted by Andrea at July 5, 2005 11:01 AM under Tuesday Tear-Jerkers

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Lots of hugs to you and Frances, from your foreign pen-pal.

8^D

Posted by: liz at July 5, 2005 12:07 PM

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You write so vividly about your life with Frances, and so often I'm silent because I'm afraid of being a clumsy tourist in your life. This is a beautiful post - I'm touched by your yearning. I think of you and Frances every day.

Posted by: Marla at July 5, 2005 12:46 PM

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One of the nicest things about Francesville is the chronicler.

I hope you find your neighbor just around the next bend in the path.

Posted by: Phantom Scribbler at July 5, 2005 2:43 PM

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Another beautiful piece. I also read the Brain, child piece and found it a bit mystifying.

Posted by: Jen at July 5, 2005 7:22 PM

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It sounds really frustrating. I have a friend whose son had reflux for the first 2+ years of his life. He remained tiny. As a result of his not being able to eat, he needed occupational therapy to learn to speak properly, because his mouth never exercised during the eating process like regular kids. The child lived on nursing and Pediasure for forever. He'll always be small for his age. They never found the reason for his reflux--doctors throw around Celiac Disease, milk issues--none were true. I don't even know if it is the similar situation to yours--but I know my dear friend has often been equally frustrated with test after test and no answers. Her boy is now 5, and he hates doctors. He has issues with change--you can't even move his shoes or a piece of furniture without a fit. He is also adorable, affectionate, and darling. It's lonely being out there in countries alone. I guess the only comfort is you can make your own rules, and bump into other lonely countries, and maybe get a lucky knock on the door. Keep putting it out there--you never know who you'll find.

Posted by: Running2Ks at July 5, 2005 8:07 PM

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Wow. What a powerful post that I can totally relate to.

I'm raising two kids (ages 6 & 4) who each have both a vision disorder and a progressive kidney disease (actually the docs think they have TWO kidney diseases, a hybrid of two and that it's have a new undocumented syndrome).

It is so true, the longing for someone who has gone the path before you. It dawned on me one day that maybe we are the first family with this and that we are supposed to help someone else in the future find their way. That hit me like a ton a bricks. In an "oh, crap, what if that's it?" kind of way.

Anyway, I just wanted to say: I hear ya.

Posted by: Julia at July 6, 2005 12:06 AM

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Of course it's not selfish; we all want to know what to expect with big important things, and there's nothing more important in Francesville than Frances! Should I come across someone who appears to inhabit a similar country, rest assured that I will harrass him or her into giving me contact info, which I will pass along to you.

This post is so beautifully written. I am constantly amazed by your ability to combine communicating difficult experiences and concepts with lovely metaphors and a gentleness that makes your experience so accessible.

Posted by: Abbey at July 6, 2005 1:31 AM

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Aww. Thanks, guys.

Julia--welcome, and nice to 'meet' you. Yes, yes and yes. I feel exactly the same way. I don't mind being the person who's been there before for other people, I just wish there was someone else who's been here before for me, too.

R2K--it is at least nice to know how many families are in the "country of one" category. Maybe we should make a federation.

Jen--can I ask what you found mystifying? Just curious.

Posted by: Andrea at July 6, 2005 8:28 AM

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Another beautifully written response to the Welcome to Holland essay.

I think what you're feeling is something like the generally panick-y feeling of parenthood, that scary feeling of not-knowing and not-being-able-to-protect-and-prepare-for-everything. Only intensified several degrees because of this huge unknown factor. The thing is this...even with neighbors you still usually don't know very much about how things will go with your child. Anni's liver disease has been well-known for some time and affects about 1 in every 15,000 births. We have TONS of neighbors. And yet we often have the feeling that the doctors are *totally* making it up as they go along. They usually can't tell us much about the future at all. A friend of ours had a daughter with the same disease (BA), also 2 transplants, the same complications (portal vein thrombosis and PTLD), with secondary infections (RSV), and aggressive rejection. Wow! Couldn't ask for any closer neighbor than that, huh? But the doctors treated our girls very differently, with very different outcomes. Things change that quickly in the medical world.

One reason that I liked the idea of opening up the Postcards from Holland blog to a wide variety of families, rather than limiting it to a particular diagnosis, was the feeling that we can learn from one another whether or not our children have (or had) the same issues. It's not so much a support group, but at least a place where there's understanding and an outlet, whether or not you have diagnosis companions or not.

Still, closer neighbors would be nice. More informative doctors' visits would be nice. A term to obsessively google at night would be nice.

I might know someone living at least close by to you, though. Email coming.
Best wishes and I'm always glad to squeeze up to your table anytime.

Posted by: moreena at July 6, 2005 2:14 PM

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Oh and I hope that my comment did not end up sounding dismissive, as that's not what I meant at all. Neighbors are great and fantastic. Although they aren't always as informative as you might think...

Posted by: moreena at July 6, 2005 2:58 PM

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Moreena, not a bit. I think you are very wise. It is the same thing with a lot of parents--only, as you said, magnified.

Posted by: Andrea at July 6, 2005 4:10 PM

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Go Berserk




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