Honestly Lying

Estate LindHolm (home of limes), St John, USVI

I am a poor liar. So, I might as well confess upfront that this weekend Edward and I have flown far from snow drifts to warm weather.  The fact that we needed respite badly does not mean we deserved it. What does”deserve” mean? We all need it.

Owen wholeheartedly agrees with any guilt I have, and he let me know that it was totally unfair. He pointed out that he has missed out on so many trips. It’s true. He was pretty bitter to be left behind, and also anxious that we might not return but leave him there, in the apartment that isn’t home, coping with a Pennsylvanian winter.

His parents are thawing. Uncoiling. Reading about sea turtles. Heartlessly writing in the sunshine by the pool, or snorkeling in the bay.

Even so, the ties that bind humans to each other and to their work are powerful and mysterious forces. We found ourselves standing at the waters edge on a beautiful beach, in lively conversation with a special ed teacher from St Thomas and a speech pathologist who serves the entire Virgin Islands. These dynamic women impressed us, committed to their work, serving an underserved population.

What also impressed me was that hearing the story of Owen’s voice emerging from silence through supported communication delighted them. They rejoiced.

This is not the common response among speech professionals of America. ASHA (the American Speech-Language-Hearing Association) has officially come out against supported communication. Plenty of other bright minds see it as a lie too. Consider Amy  Lutz, an author and mother of a young man with profound autism and movement dysfunction. Lutz is a doctoral candidate at UPenn, out to prove that supported communication is a hoax. Her research involves pretending to families to be interested, and under the guise of interest observing them in their homes. Sadly she cannot see the independent movements that supporters feel. Owen started out supported at the hand. Now he can at times write supported at the elbow! But he had to start somewhere.

But even those who honestly believe they accept the premise of the split between Owen’s autistic behaviors and his true intentions, find themselves uncomfortable in that space. Doubt or disbelief do not surprise me.  Even at the best of times we humans have a hard time listening to each other. When  the motor system, at the mercy of lower brain anxiety, is at war with the upper brain, whether the diagnosis is autism, cerebral palsy, or stroke, it’s a lot harder. If this guy can control some movement, why not all of them? How can you move “unintentionally”? I hope science finds more answers.

Reflecting on inconsistent ability to move body parts, reminds me of a friend of ours. She told us she has first hand experience of what it feels like to be Owen after experiencing a stroke. She named one of her arms “she” because it would sometimes move unbidden, doing its own thing without permission. “Variable control” you could call it.

how do you firmly guard your soda bottle against mounted attack while conversing to (rather than about, or over the head of) the person in front of you, who is grabbing for it?  And who shows no visible signs of being interested in anything you are saying?

So much easier to look away or to change the subject or leave, than to stand calmly, as our mason John Reagan did when meeting Owen last month. Owen had been thrashing around the house we are renovating, violently kicking the trashcans, likely because it is disturbing to see this house all torn up, still all torn up, but also because trash cans in general are his nemesis. Whatever their cause, the behaviors are exhausting to both of us, and I proposed saying “hi” to John on the way out the door. 

I hardly needed to prompt his arm though, since Owen reached out toward John immediately, arm up and fingers forward in a salute that he uses sometimes with new people.  Sort of like E.T.  And John stopped smoothing  cement, and looked up into Owen’s eyes and smiled and helloed back.  His energy seemed completely relaxed. If he was faking he was really good at it, he seemed at peace. I loved that moment; it set me up for a week.

It has to be satisfying to finally let people know some tiny portion of the million thoughts and dreams pent up inside you. But it is clearly also pretty frustrating, like trying to run Niagra Falls through a pin hole. And the irony is that if you can speak, then you have the ability to lie. Apparently discovering that you can tell a story and make waves makes a nice change from powerlessness.  Other caregivers of spellers and typers have lots of stories of lying, I discovered. It’s a phenomenon.


I remember the shock of the first time Owen told me a lie, and the greater shock when he told a lie about me.  “Why would you do that?” I gasped, “that’s your voice!!”

It is his voice. That’s the point, isn’t it.

And this very autonomy that we sought for our children in the first place may be one part of the explanation for the failure to prove it is happening at all. Maybe it parley explains why the attempts to test supported typers and spellers have created damning, inconclusive, or confusing results.  A bright mind that can communicate can be witty, can speak with double entendre. Or sarcasm.

If you can speak, you can lie.

Although, honestly, telling the unvarnished truth can be just as hard to take.



ST. JOHN


Going away

My parents are going to St. John
It is really warm and beautiful there
I want to go too

I would play in the sea
And lie on the beach
I would look at the clouds
And the palm trees
Birds would dive and soar

I can’t go and mom and dad
Are leaving me in the snow
I will be cold here with Trumbull
Just hoping they come back

Please take me with you
But if you don’t

Please come home

Owen Simons  
2/23/21

Peter Bay beach, St John

The Peace Pine

Good morning!

In the center of our parking lot at Meadowbrook Apartments stands a lone pine tree. It must have endured some kind of trauma in its young life, that chopped out or stunted the center top. Its Y shape branches salute me every morning and every evening, as I come and go from our temporary home here. The tree feels to me like a sentinel or a messenger. It isn’t an old tree. But it has seen a few things, already, and hasn’t let hard luck of being planted in tiny strip of grass in an acre of macadam crush its spirit. An old spirit in a young body. “Chill out lady. And smile, ok?”

My temporary home is his permanent one. The apartment complex, like Casablanca in the famous movie, is a place people come hoping to get somewhere else. People from all over the world are perched here, various languages spoken. Moving trucks come and go frequently. And some also call it home.

Like the pine.

Everyone wants peace. How do we find it? Where do we find it? Today in the parking lot, outside unit 503.

Brat

1122171514

All around me this month of November people are being grateful.  Gratefulness posts fill the Facebook feed. People are grateful in the newspaper. Soon it will be Thanksgiving, and people will take a pause on bad news and be grateful on the radio too. This gratefulness is very wearing.

I do not feel grateful. Although I know I should.

It is not yet three months since I was diagnosed with  bilateral breast cancer, and I have a lot to be grateful for.  My surgeon and staff were wonderful, and surgery went well. Lumpectomies, rather than full mastectomies. My surgeon is happy with the cosmetic result. So am I. Now it is November, and the prognosis is good. Friends and relatives call and write and show up in our family’s life to take care of the business that I can’t take care of myself. Despite being truly thankful for the help, I am not experiencing gratefulness in my heart. I see rather than feel the good fortune that surrounds me.

I am afraid.

I still cannot use my arms freely. I tire easily.

I wonder what the next treatments will bring.

Lately, I am a grumpy brat.

And unfortunately for my family, I have never been very good at “faking it.”  Honesty oozes out of me, like ripe cheese.

It’s taking far longer to recover from my surgery than I expected. I am not sure what I expected. The scar tissue in my underarms still pinches or burns if I lift things, move or twist. My lymph system hasn’t figured itself out yet, and sometimes my underarms are puffy with lymph fluid that can’t circulate properly. Three of my perfectly healthy lymph nodes in each armpit had to be removed to ascertain that they were cancer-free. I should be grateful that there were cancer-free, I know. But I just want my lymph nodes back. If this puffiness lingers or becomes extreme it’s called lymph-edema and requires medical attention. This is very frustrating to me me: shouldn’t there be a better way to tell if an organ is healthy or not, than by removing it from the body and chopping it up??  I was told about the possibility of lymphedema, but I didn’t think it would happen to me. I didn’t think breast cancer would happen to me. I still don’t really believe it is happening to me.  I picture being stuck like this, alive, yes, cancer free, but unable to DO anything. Alive, but not able to LIVE.

I am impatient, as you would expect an ungrateful brat to be. At least I am staying in character.

People come up to me to congratulate me on the latest good news, which is that I do not have to take chemotherapy. The results of my tumor biopsy and my blood work show that hormone therapy with tamoxifen will be enough to repel cancer, (unless it gives me cancer which is also a possibility). I want to be happy about not having full scale chemo, and when the doctor tells me, I am relieved, and I celebrate. But once the  bottle of white tablets is sitting on the kitchen counter, the idea of really taking this drug for 10 years fills me with dread. I am already dealing with fluid-filled arms and other medical side effects of the cure — how next will my body be altered? I remember how I felt at the beginning of this process, before every appointment  like hiding under our bed. Now I feel like climbing into my car and driving to Mexico.  I like my body the way it is. I do not want to be altered, even in an effort to save my life.

One night before I say prayers with Owen, I try refocusing my mind on some things I’m grateful for. The temperature is dropping, so I say I am grateful for a home in which to stay warm and cool and dry, no matter what the weather. I am grateful for yummy, interesting food to eat. I am grateful for nurturing care from family members and from friends — for meals and groceries arriving at our door. Loads of laundry washed and folded. For people who care.

Owen leans over and places his hand on my head as I speak these words aloud. I have to smile. It feels like a benediction. The hand of an angel boy on my head. A  mischievous and naughty angel boy  — capable of pilfering snacks from his nephew’s backpack and sneaking off with them — yet who still seems to act on behalf of better, gentler spirits than my own.

2017102595171620

Yesterday I poured out all my frustrations and negativity to my physical therapist Erica. It’s asking a lot from a PT, but she’s a game lady. Maybe I am not the first. Her response was to show me a diagram to explain how the lymph works, how it meshes with the capillaries and yet operates in an entirely different manner from blood. That really helped. I could see this troublesome lymph as beautiful, not stupid and lost, but clever.

And at that moment I made a decision. I will take my tamoxifen for my mom, I decided. I will do everything that imperfect medical science has to offer in her name. Rather than driving to Mexico or hiding under my bed, I can do this for her — because she didn’t make it in her fight against cancer, and I very probably will. So this afternoon, after a certain number of hours of avoidance, I faced down my white tablet of drugs beside the sink. It was surprising and nice to turn around and see her face just then, smiling at me from inside a frame on the kitchen counter. My mom, captured looking joyful and festive in her kitchen, preparing a turkey for a Thanksgiving long ago.

1122171517a

 

Dinner

0918171159
A lot to digest…

Much like the snake I photographed in the chicken run a few weeks ago, (find Part 1 at suburbangrowing.com)  the human folks at our house have been working our way through a big meal this fall. Speaking only for myself, in September I wasn’t able to write or do much else of real meat (haha), besides eat, breathe, sleep, and process. Me and the snake. Thank goodness the surgery date is moved up into October, and so we can get through quicker.  It’s “really just a blip on the way to the rest of your life” as my mother-in-law put it, bless her, I hope so. The footage of snake working its jaws around bird is a graphic if gory presentation of the job at hand. Feathers and all. Feet last. Once you get all the information downloaded, which is worth taking your time about, you still need to come to terms with it, and that also takes time. The correspondence is complete, even to the fact that this experience of having cancer is a kind of a meal, something I will grow from going through, and be enriched by. Although I guess that’s up to me.

Owen may be affected by the vibes, or just doing an unusually busy stage of his own development. Lately, he’s been showing affiliation with his Nordic ancestry and leaving warm bed or hot bath for the cool of the brick patio backyard, where he will stand chopping plastic at the table until he feels sufficiently chilled.  Or until I go look for him. He has figured out how to operate the deadbolt on the back door to  achieve early morning freedom. But since there are plenty of shrubs around the property lines to screen him, this seems like a decision he should be allowed to make.

Owen appears fed up with being “directed” these days. And given that most of his hours he is being directed, or pushed or hurried, a little early morning nudity may be just what he needs. If only all his problem behaviors were so easy to deal with. Thank goodness for our homeopathic doctor. I really don’t care if it’s voodoo or what, but the remedy (three little pills of a dilute substance in a sugar pellet) he gave to Owen seems to be calming down his prickly irritability and mulishness.

The night-time care of Owen is another matter, and Edward and I are reaching our limit. Trying to imagine what Stage 2 of Caring for Owen might look like has been keeping me awake at night as much as Owen himself.  How can I make space for Owen to be Owen, and have a life and keep a sense of humor, as I go forward toward 60 and Edward toward 70?  How will we find the care we need for him? And if we do find it, how will I let him go from our house into the care of strangers? How do I send my son away? What kind of life will he have? The need for help is a palpable as the sadness that threatens to choke me. This is a meal to manage in tiny bites. Thank goodness for Owen’s county resources coordinator Nicole Chittams, a woman of great heart and also great practicality and many resources, who has some answers to some of those questions.

My surgery is set up for October 18th. Family and friends have rallied to help out. It turns out things are not going to be as difficult as I thought at first. Where I thought twin mastectomies were called for, it turns out that lumpectomies will do just as well, and maybe better.   I have leaned that for many women Radiation is not the problem for every woman it can be for some (I heard a bad story).  It is possible that I may not need chemo. The best news of all is my own realization that I will come out of this cranky, stiff, and sore true, but still feeling like me. And since mostly I like my me this is a relief. After a September of digesting, on to an October of adaptation.

File_000 (28).jpeg
Our black caps – fruit from prickles