Wednesday, August 31, 2011

The Kindness of Strangers


Lately I have been dealing with a lot of bureaucratic red-tape.This means that I am literally relying on the kindness of strangers. No joke. I'm trying to qualify for IHSS/Protective Supervision for Truman which is a very complicated and slow process. If I were completely honest with myself, I would apply just for my own needs. But I guess I have a hard time admitting that I am that limited.

This whole process has been challenging for several reasons. Sure there's the research, the tons of paperwork, the endless phone calls, and incompetent or uncaring staffers to handle...but that's not what is really bothering me. What bothers me, exhausts me, worries me, and pretty much irritates me is this:

I feel misunderstood and unsupported by almost everyone I've reached out to. Even my dear family and closest friends seem to have a hard time understanding how and why these programs exists or why we would need them. I find myself repeatedly explaining and justifying...and often feeling somewhat ashamed. And this is not a new situation. I've been dealing with this attitude as long as I've been on disability.

The subtle inference that keeps coming up is that this is some sort of abuse of the system...or that these programs shouldn't be a part of the system to being with. Basically that taxpayers should not be responsible for the care of individuals with disabilities.

I know that the people making these comments have nothing but deep love and caring for me and my family, but I have to be honest and say that some of what is said hurts my feelings. I often get the impression that a lot of people in my life (even strangers I have brief contact with in other circumstances) feel I could and should be doing more to provide for myself financially.

I'm guessing the reason for this is that they really only see me or talk to me when I'm functioning pretty well. They don't see all that I go through just to make it through each day.

They're not here with me in the day time when I'm forced to lay down (not just sit, but actually LAY down) to keep my swelling under control.

They're not here when I have to dart out the front door to race to get to Truman before he makes it to the street.

They're not here sweeping up glass or plastic bits from the latest tantrum-induced tornado of destruction.

They're not here cleaning mud and sand out of Truman's mouth for the umpteenth time because he's decided to have a little “snack” in the yard.

They're not here as I fill out reams of paperwork, track page after page of behavioral data, create visual supports, write social stories, read articles, blogs, forums, and books constantly searching for other ways to help Truman.

They're definitely not here in the middle of the night when Truman is up running around the house, yelling, throwing things, demanding a movie, scripting incessantly at the top of his lungs at one, two, three, four, even until five o'clock in the morning.

They're not here in the afternoons when I'm struggling to make it through those last few hours until Dave gets home before I take my first pain pill, just so I can know for certain I wont be compromising my ability to care for Truman.

They're not here in the evenings when I am fighting the urge to lock Truman out of my room just so I can protect myself from his sensory-seeking behavior that injures and exhausts me.

They're not here when I am caring for my wounds, often bleeding profusely, as I massage the lymphatic fluid out of my damaged tissues.

They're not here well into the wee hours of the morning as I am fighting insomnia caused by a combination of pain, medications, hormones, and a child with their own sleep challenges.

They are not here, so they don't know what it is really like.

And I guess for that reason, I shouldn't really expect much more understanding.

But I do expect a little less judgment.

As someone who is extremely creative, ambitious, energetic, and innovative, the way my body has let me down is a disappointment I truly cannot articulate. Coupled with that feeling of sadness is a sense of inadequacy as I stress over my inability to properly provide for myself and my child. I would love nothing more than to be able to rejoin the workforce. I ache for the human contact, the feeling of purpose, and of contributing. The feeling I have is that somehow there is value in what I produce. I know what I am doing with Truman is incredibly valuable, but no one sees it, no one acknowledges it. I don't get the feedback I crave for all the hard work I do. Believe me, if there were any way for me to work, I would do it. I have searched high and low, but as of yet I have been unable to discover another way for me to put the supports in place that are needed in our family.

Right now, IHSS seems like our only option.

So...for those of you who still have questions, I am providing a very informative link to explain the IHSS program and what it takes to qualify. I hope you will read it and ponder the ramifications of what having this support will really mean to the function of our family. I honestly feel it will change our lives for the better.

Please join me in asking God to grant us His favor in this matter. We are eager for a resolution and to move forward. As He says in Jeremiah 29:11 "For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future."

And beyond that, try to remember what Thumper's Daddy taught him...”If you can't say somethin' nice, don't say nothin' at all.”


Grace & Peace,
-Hannah

Tuesday, August 23, 2011

What me, worry?

The past two weeks have been pretty hectic around here. I've had appointments, meetings, struggles with Truman's behavior issues (especially sleeping problems!) and various other day to day stuff. But after today I realized everything is about to take a giant shift. Hold on to your hats and glasses, people!


I'll begin at the beginning.


Truman receives behavioral therapy funded by the Regional Center. He has been receiving this therapy since shortly after his diagnosis and basically it is the one thing we've done that has made the most marked improvement in his life. That sounds pretty extreme, but if you knew anything about his behavior, demeanor, and communication skills before ABA, then you would realize what a game-changer it really is. These therapists have lovingly worked with him anywhere from 3-5 times per week over the past two years. 


They worked very hard. We worked very hard. Truman worked the hardest of all.


These therapists have been welcomed into our home in the most intimate way. They really helped us learn how to more effectively parent a spectrum child. They helped us understand what he was trying to say to us with his maladaptive behaviors. They showed that there was hope for his future. They showed us there was hope for our present, too. Pretty much, they saved our family.


The work they have done means everything to us.


And now I am told it is all going away.


The meeting I went to yesterday included Truman's Case Supervisor, his Service Coordinator from Regional Center as well as their Autism Specialist...oh yah, and me.  I requested the meeting because I was not happy with the proposed reduction in service hours for his ABA therapy. They wanted to reduce from 6 hours per week down to 4. They also wanted to have me take over running the sessions.


Basically, we're being cut off.


Just like that, BOOM! No warning, no consideration of where Truman is in his process and development, where he is in his behavior right now, where we are as a family unit. Just some arbitrary timeline created by the state saying "Tick-tock, Lady...your two years are up!"


Well, suffice it to say, I am not pleased with this prospect. I am not satisfied that this is a good solution for Truman's care and life management. And as a Regional Center client, he is entitled to certain protections and services under the Lanterman Act. (If you're not familiar with this, it's basically a California law that protects the rights of people with certain developmental disabilities so that they can choose to live as normal a life as possible. Like, in a house with their family instead of in some state-run institution - which was the common practice not so long ago. Incidentally, it is a great cost-saving measure by the state to have these people cared for in their own homes.) So, considering all those things and also coming to the realization that I need more help and support than I currently have, I am working on getting IHSS for Truman.


That opens a whole new bag of worms. Apparently this is a somewhat laborious process and it is confusing as well as a bit invasive. For us the process is complicated by the fact that I already receive SSI for my disability benefits. I keep saying that I wish we had someone that could come into our household and like, I don't know... trouble-shoot it. You know...look at all our possible options for support and intervention and basically coordinate the solutions. Like say, a social worker...duh.  


So, now one is entering the picture. Unfortunately, I have heard nothing good about the social worker that has been assigned to us, and after the bumbling and incoherent 15 minute conversation I had with her yesterday, I can see why. I am fearful that we won't qualify, or that it will be a minimal benefit. I am also worried that the process will take so long I won't be able to hold out.


My surgery is going to happen whether this process succeeds or not, but the prospect of facing my recovery without this additional support is absolutely overwhelming. I feel scared, incompetent, out-of-control, and more than a little depressed.


But to quote Louis Wu from Ringworld by Larry Niven, "You're going to have to get over this sometime. Why not now?" 


It seems like a simple platitude, but it actually is true. To put it in God's language it goes something like this:


"Therefore I tell you, do not be anxious about your own life, what you will eat or what you will drink, nor about your body, what you will put on. Is not life more than food, and the body more than clothing? Look at the birds of the air: they neither sow nor reap nor gather into barns, and yet your heavenly Father feeds them. Are you not of more value than they? And which of you by being anxious can add a single hour to his span of life? And why are you anxious about clothing? Consider the lilies of the field, how they grow: they neither toil nor spin, yet I tell you, not even Solomon in all his glory was arrayed as one of these. But if God so clothes the grass of the field, which is today is alive and tomorrow thrown into the oven, will he not much more clothe you, O you of little faith? Therefore, do not be anxious saying 'What shall we eat? or 'What shall we drink?' or 'What shall we wear?' For the Gentiles seek after all these things, and your heavenly Father knows you need them all. But seek first the kingdom of God and his righteousness and all these things will be added to you.Therefore, do not be anxious about tomorrow, for tomorrow will be anxious for itself. Sufficient for the day is it's own trouble." (Matthew 6: 25-34)

Okay, let's all take a deep breath together...come on...tummies big! And shhhhhhhhh.
And one more....shhhhhhhhhhh.
And...last one...shhhhhhhhhhhh.


Feeling better yet? Yah, me too.

Now...do you guys want some good news? I know I sure could use it.


Our request for Truman's intra-district transfer was successful so he will be able to go back to Frazier for Kindergarten. This means a lot to us because he is already so familiar with the campus and staff and also because several of his neurotypical peers with whom he was so bonded will likely be in his class again. Plus it means I will be working with an AWESOME site administrator to create Truman's program instead of a terrible, horrible, no-good, very bad administrator. So that is one giant check mark off my to-do list...aaaaaahhhhhhh.


It's a big list, but tell me... don't you think he is worth it?


I do.


Grace & Peace, 


-Hannah

Thursday, August 11, 2011

Pain and advocacy


Today I woke up (as I have most mornings over the past few months) in a lot of pain. I would say that I've gotten used to it, but the funny thing about pain is...you never really get used to it. I once thought it would be like owning a cat in a tiny apartment. Sooner or later, you stop smelling the litter box.

But it's not like that. In fact, it's almost the opposite. The longer the pain goes on, the more intensely you feel it. The more fatigued you are, the less able you are to cope with the pain. And believe me...I am fatigued.

I feel as though everything is happening at once. I am being called upon to advocate in pretty much every single area of my life. I'll try to break it down for you as best I can.

1. My health...You guys know about my proposed surgery and the ramifications of that procedure. If you missed that one, read about it here. Well, I have my consult with the reconstructive surgeon tomorrow morning and I have to be prepared to voice my concerns and questions, which are many. How did I prepare for this? By talking out my anxieties with my therapist and by arranging to bring a support person with me to the appointment. It's always a good idea to have an extra set of ears when you are getting information like this.

2. Truman's home behavioral therapy program... I just got the news last week that they are reducing his hours by one third. Not cool. Especially considering his recent spikes in behaviors and the transition of moving into a new house. Really not cool. And the reason behind this? Well, apparently I am such a "model parent" that they feel I should be running the sessions by myself and that he doesn't need the number of sessions per week he once did. Basically, I've worked so hard at implementing the program that now they feel I can handle it on my own. The problem with this is, that I really CANNOT handle it on my own. I'm freaking out. I'm exhausted, and angry, and frustrated, and scared that Truman's behavior will endanger and/or injure one or the both of us. So I pretty much feel as though I am being punished for being effective. Sucks.

3. Truman's schooling...The new school year begins on August 29th and we STILL don't know where he is going. Yep - still. I keep calling people and speaking with people (his teacher, his former principal, the district office, etc.) and everyone tells me a different story. The teacher says it's up to the district, the principal says it's up to the Director of Special Education, the Director of Special Education says it's up to the principals, the district office says it's up to the IEP team, the IEP team says it's up to the district office and on and on and on. And Truman is a giant hot potato again. Aaargh!!!

4. Our financial support... I have been on federal disability (SSI) since 2006 due to the ravages of cancer and all the myriad treatments that helped save my life. I have been unable to work in all that time. As I began to feel stronger and healthier after losing weight, I decided to try to go back to work. I started a VERY part-time job doing some light office work for a family business. I began in January, but by mid-May I was really struggling with pain. I was having a big resurgence of the lymphedema that is the main source of the pain I experience. I worked a few hours off and on in June and then that was it. I couldn't do any more. This is upsetting and disappointing on many levels. I was excited at the prospect of re-joining the workforce. It was a relief to have a little more income. I felt productive, creative, social, and needed. And then I felt betrayed by the shortcomings of my body. As much as I want to go back to work, I find myself completely unable. DIS-abled in the truest sense of the world. But a few days ago I got a scary letter indicating my disability is up for review. It's basically like applying all over again. I have to fill out reams of paperwork demonstrating the level of my injury and medical problems. The timing is absolutely brilliant. Here I am getting ready to have a major surgery and they're talking about taking away my benefits. Awesome. Could I be any more freaked out?

5.  Truman's auxiliary support... We receive respite care sponsored by the Regional Center for Truman, but his respite care provider is out of the country for the entire month. Also, with his increase in behaviors, my increase in pain and decrease in function, and the change in our housing situation...well, let's just say our needs have changed. Greatly. I feel completely overwhelmed sometimes...okay, most times. I am actively seeking IHSS (In-Home Supportive Services) as well as Protective Supervision for Truman, which would help us to pay for some additional support in the home. But this, as with any bureaucracy, requires an immense amount of paperwork, phone calls, red tape, and WAITING to get lined up. I am told it is worth the trouble in the amount of relief the family receives, but at this point I am having a hard time seeing the up-side. Right now it just looks like a lot more work on an already over-full duty roster.

So those are the highlights. There are other issues of course. Trying to exercise and get enough protein. The battle of the vitamins. Trying to go through boxes of stuff to prepare for our garage sale. Paying bills and keeping a budget. Dishes. Laundry. Dust bunnies. You know...LIFE.

All of this is what I am dealing with right now. Is it any wonder my meds aren't really helping? They say stress can cause pain and pain can cause stress, so I think I am basically caught up in an endless cycle of pain and stress.

Ouroborus, anyone?


Sorry if any of this bums you out. I end this post thinking of Ecclesiastes, Job, and even a little bit of Revelation. Maybe tomorrow I'll be thinking of Psalms.

I can hope, right?

Grace & Peace...

Hannah

Monday, August 1, 2011

And the battle begins again...sigh.

Today I began another battle.

The process was familiar to me. Frighteningly so.

And frustrating as all get out. But like I said...familiar.

Let me start with a little background...

My son Truman is five years old and shortly after his third birthday he was diagnosed with Autism. Dave and I have struggled over the past few years to unravel his myriad behaviors to try to maximize his development. We have had a great many failures...but thankfully probably even more successes. But we fight on, every day, every night. We fight.

Because honestly, what choice do we have?

We cannot allow our child to wallow in a world of isolation that will only lead to a life of dependency. We want him to have as normal a life as possible. And we are hopeful that he can achieve that someday. But it is going to take a LOT of work on all our parts.

Truman is growing. Stronger, taller, bigger, every day. And also, he is becoming more and more defiant and independent. The problem with that is he has virtually no awareness of personal safety, self-care, or hygiene. And as he grows, I am shrinking and losing my ballast that once was somewhat protective of me in our physical interactions. The time is fast approaching when he will be able to physically over-power me. Before that happens, we must ensure the safe and effective function of our family.

Since his diagnosis I have heard from various professionals that work with him about different supportive programs that can help us in our home. I've been subtly (and sometimes not-so-subtly) discouraged from seeking out those programs. I've been told things like...

"Oh, I don't think you are *quite* destitute enough to qualify for that program"
"Truman's behavior isn't *that* severe. I mean, he does talk, after all."
"Isn't he toilet-trained? Oh, then you won't qualify."
"He's aggressive, but it's not serious because he's so young (or small, or it's only towards you, or it only happens at home...etc.)
"Since the budget cuts *NOBODY* is getting that (fill in the blank) service."
"I think that is the responsibility of the school district."
"I think that is the responsibility of the medical insurance."
"I think that is the responsibility of regional center."
"I think that is the responsibility of the family."

Sometimes I feel as though Truman's (and our family's) needs are a giant hot potato that the various bureaucracies are passing from one to another. The result of all this passing back and forth is that a lot gets dropped on the floor. And sometimes people get burned. Usually us.

I know that all families have struggles and challenges. Everyone has something in their life at one point or another that they think will just take them out. The problem with having an Autistic child is that it just doesn't seem to end. Behaviors evolve or even resolve only to be replaced by something else. Sometimes it's something even worse. And then there is the ever-looming specter of regression. Even when a behavior goes away, you are haunted by the ghost of that tantrum, or stim, or physical symptom lurking around the corner.

You never really relax. You never really feel safe. You never really feel like your child is "better"...as if that's even a good label.

So you fight. Again.

Today I decided to seek out IHSS (In-Home Supportive Services) and Protective Supervision for Truman. This is an extremely controversial choice for many spectrum families. We want so desperately to feel as if our children are just part of the range of human possibility, it feels somehow like a failure to utilize these services. We don't want to admit we need the help. We want to think we can handle it all on our own. And that is a noble wish...but often not a realistic option.

You see, there is a reason these agencies exist. Primarily to ensure our kids can stay in the home and not in some institution somewhere. This sounds drastic...but it's the truth. Had Truman been born thirty years ago, his lifestyle and opportunities would've been very different. So I'm glad the resources are out there to help families stay together.

I just never thought we would need them.

Now I know, we really need them. Really.

And so now - back to my original statement about the fight, the frustration, the familiarity...

This afternoon, I began by calling the phone number I was given by a friend of mine who has IHSS for her son who has some pretty significant developmental challenges. I couldn't get through to anyone. After I pushed the selections for "information and assistance" the phone rang for over 12 minutes.

Yep, 12.

So I hung up and called back. Same thing, only this time for 18 minutes.

So then I thought, "maybe this isn't the right number." So I googled "IHSS application" and the number on the website was the same as the one my friend gave me. There was also an alternative number for another agency, so I called that.

They referred me back to the original number.

So I called the number again and this time pushed "O" and got a human. She told me I was NOT calling the correct number. That I needed to call some other number. Which I did. Which was also incorrect. I got another human, but she also told me I was STILL calling the wrong agency.

She referred me to another number, which I called, and guess what?

Busy signal. For minutes and minutes and minutes. I lost count of how many times I tried the number. I finally went back online and used the email option to attempt contact.

The part that makes me nervous is there is a disclaimer that states not all issues can be answered by email due to privacy issues. So I feel like I may have just thrown a message in a bottle into a giant sea and have very little hope it will reach the appropriate person.

This is what it means to be an advocate. To see a problem, identify a possible solution to that problem, and then scream at the top of your lungs (figuratively speaking) until you finally get someone to agree with you about the solution.

So I went through all of the that today.
And then I gave up.

For today.

But tomorrow I will fight again.

Because, honestly, what choice do I have?

Tuesday, July 26, 2011

Over-sharing...

If you ask any of my friends (my close ones, anyway) they will tell you that I have a tendency to over-share. This is known as TMI (too much information) in my mother's parlance. I don't know why I have this particular foible, but I am not in denial about this. I truly don't have much of a filter. Maybe it comes from a childhood with too many secrets, or an exceptionally gregarious family. Maybe it is simply because I have, according to my dear friend Ryan, a "Billboard Personality"...he describes it like a giant picture of my face and appropriate jazz hands with huge block letters that just say "HI! I'M HANNAH!!!"

All those things are true. But if is this a good or a bad thing, honestly I can't tell. The reason I decided to write this post is because I am having an internal struggle over what and how much to share on this blog about my medical issues. It's a sensitive subject for most people, but I have always been pretty open about my situation. However - it's one thing to be chatting up your girlfriends after church or at a dinner party and reveal some painful details about your personal situation and something all-together different to lay it all out in black & white.

So I'll start slowly and see where we end up.

Most of you know that I had cancer. Some of you might even know what kind I had or (vaguely) what parts of my body were affected. A very few of you have even heard some of the grisly details of precisely how damaged I became through the disease process. Sadly, there are even some of you who have personally witnessed  and helped me care for my wounds. 

But I would venture to say that no one actually understands what cancer has really done to me. In my body, in my mind, my spirit, my emotions...cancer has simply run amok. (Yah, that's really how you spell that. I checked. Weird, huh?) So I guess in my attempt to process what has happened and continues to happen to me I will tend to over-share.

Oh well. If you're easily offended, I guess just don't read the blog.

The impetus for this entry was a reaction to an appointment I had with my Gyn-Onc today. (That's an abbreviation for Gynecologic Oncologist.) His name is Dr. Harrison and while he did not do my actual surgery, he has been in charge of my after-care for the past 5 years. He and his nurse Cathy have been with me through thick and thin and they have helped me to manage my pain and my long-term care with utmost compassion and dedication. In other words...they're awesome!

Well at this appointment, which was supposed to be just my regular 6-month follow-up, I actually broke down and tearfully explained my frustration with the current state of my anatomy. I have had a huge resurgence of pain and swelling in the past few months and I have been fighting daily to manage it. I understand that the lymphedema will be a chronic condition I will have to control for the rest of my life, but the pain and dysfunction was really getting to me.

One of the reasons I elected to have bariatric surgery was in the hope that losing weight would decrease the lymphedema and also help bring the pain under better control. Well, I'm only about 20 pounds from my goal weight and I am not seeing the changes I was hoping for (and frankly, expecting.) The goal was to get enough weight off to safely have reconstructive surgery on the tissues that were damaged by radiation and surgery. But honestly, in my heart of hearts, I hoped that just losing the weight would resolve things enough that I wouldn't need the surgery.

Now I know that is not the case.

So, this is what I am facing.

A Radical Vulvectomy and Abdominoplasty with Gracilis Myocutaneous Flaps.

It looks like this:




I'm not really sure how to feel about that.

If you've never had surgery, especially major elective surgery, you probably are having a hard time relating to this conundrum. Before I had my first surgery I always thought...what's the big deal? Why are they nervous? They knock you out, give you the good drugs...you even get a few days all to yourself to vege out while you recover. No biggie!

WRONG!!!

Surgery is a big deal. It's scary to be unconscious and under the control of total strangers. It's scary to have parts of your body manipulated, removed, discarded, never to be seen again. It's REALLY scary to think that you won't heal properly or in time or that you'll have a complication like some horrible infection or tissue necrosis or something. It is absolutely mortifying to think that you might not make it back home to take care of your baby and your husband.

Most of all, it is terrifying to think that you might go through all that and then have the surgery not work at all. To think that you might still have the pain and dysfunction anyway.

So that's why I felt compelled to write about it.  I'm scared. I have to consider and plan for this reconstruction and my weeks of recovery and I'm kinda pissed that I even need it in the first place.

Come on, God! I thought I was supposed to be healed already! What happened to Your promise? When will my healing really be complete? I don't want to be impatient or even seem ungrateful, but I am seriously OVER this!!! 

I think it's time to bust out my old treatment mantra...Lord, I believe. Help my unbelief. (Mark 9:24)

I know that He is with me through all of this. I'm just tired. And scared. And I feel alone dealing with all this. No one my age should have to handle this much crap. It's just not right. 

But as I said before...God is good. All the time. His provision is ALWAYS sufficient. His timing is mysterious and His ways are not our ways. But we got through this before (more than once!) so I know we can do it again.

Grace & Peace,

-Hannah

Friday, July 22, 2011

Housewarming

To quote one of my all-time favorite movies (Frank Capra's It's A Wonderful Life): "Bread - that this house may never know hunger. Salt - that life may always have flavor. And wine - that joy and prosperity may reign forever! Enter the LaFrenz castle!!!"


So, I know a housewarming party is a somewhat rare occurrence these days. Maybe it's the modern era. Maybe it's the casual California lifestyle. Maybe it's our socio-economic status. Who knows? It's just not something I come across very often. But I love the idea of welcoming everyone into a new home. For someone who expresses the gift of hospitality as passionately as I do, it is somewhat expected. But for Dave and I this event held a particular significance.

Most housewarmings take place when someone purchases their home. Dave and I happen to be renting our current house. We still felt the desire to have a housewarming party. Perhaps if you knew a little bit more about our recent past circumstance, you would understand why.

Dave and I were married on April 24, 2004 and soon after moved to the (accursed) high desert because that's where he got his first teaching job in California. It was a wonderful time for us, even with all the crazy challenges of living in a charming (read: decrepit) old cabin style house in the insane climate of Apple Valley. We built a pleasant routine around his unusual schedule. Because of the un-holy weather of that region, school started and ended early in the day. This meant he was usually home in time for us to run errands in the afternoon, see a matinee, or even (our favorite) take a nap before making dinner. It was just him, me, and Warren
 (my Australian Shepherd mix who was my constant companion and boogie-man repellant.) We did lots of little home improvement projects and yard work type stuff. We really made an effort to make that place our own. And it was...warts and all. I can honestly say those first few months of our marriage were one of the happiest times of my life. They call it the "honeymoon" period for a reason.

But the abbreviation of that idyllic time was shattered not by the typical growing pains of a new relationship, but instead by the stress of a surprise pregnancy which included a very painful medical mystery. By the time we reached our first anniversary I was finishing up my first trimester and struggling with a painful mass that no one could diagnose. Over the next several months, as my son grew healthy and strong inside me, so did the cancerous tumor that was threatening my life.

You see, whether coincidence or fate, the fact that the cancer happened when and how it did was absolutely key to my effective and aggressive treatment and recovery. It may sound strange, but I am thankful that I got cancer when I was pregnant. If I hadn't had Truman to worry about, I'm convinced I would not have found the tumor as soon as I did and I DEFINITELY would not have sought treatment as early or assertively as I did. I am convinced that those circumstances were vital to my survival.

So, this leads me to what I originally discussed in this post which is...our living situation.

After months of scans, tests, research and switching doctors, I finally had a biopsy scheduled. At 30 weeks pregnant I was admitted to Loma Linda hospital for an excisional biopsy of the grapefruit sized mass that had taken over much of my mons and groin. This was late August 2005. Truman was due in late October.

Meanwhile, back at the ranch...Zack (my brother) and his wife Hillary were planning to purchase a home in Hemet. He was working as a finish carpenter at the time and traveled all over Southern California to build new houses. Hemet was as good a place as any to commute from and the houses were pretty reasonable in price which is why they wanted to invest there. Several members of my Mom's side of the family live there and at the time it was booming from a real estate perspective. This town is about 45 minutes from where my parents and much of my Dad's side of the family lived. Apple Valley is about 90 minutes away (without traffic!) Because I was now expecting our first child, and I was unable to work due to the pain caused by the massive tumor in my groin, and because I was uncertain of what my medical status/treatment protocol would be once Truman was born, Dave and I made the decision to move in with Zack & Hillary after I recovered from my first surgery. We were sure we would need the support of family close by. It was a difficult choice to decide to share a household with another family, but it was totally necessary given the circumstances. In fact, that one decision was the keystone to everything that comprised my ultimately successful battle against cancer.

But it was hard.

We shared that house with Zack & Hillary and their twin sons for over two years. And BOY howdy, were they incredibly supportive. In fact, I know we would not have gotten through that period without their help. My parents also came often to help, as did my myriad of Aunts, Uncles, cousins and friends galore. The really big deal was when Gloria (my younger sister) literally dropped her entire life to become my and Truman's full-time caregiver. That is a sacrifice that deserves a whole separate entry to properly address. So yes, we had a lot of help.

But it was still hard.

So what happened after those two years? Well two main things.
1. Dave was not offered a contract to return to the Hemet district after teaching there for two years.
2.  The economy took a nose-dive, with construction leading the way, which meant Zack was now out of work.

End result...we all had to move out of the very large and expensive house. Zack & Hillary moved back to a rental house in Fallbrook and Dave & I moved in with my parents. Just for a few weeks or months at the most, I thought. Just until Dave could find a new teaching job. Or any job for that matter.

Well, after months and months of diligent work searching for a new teaching job, Dave realized he just was not destined for the classroom as his long-term career. So then the real battle began. Dave's vocational crisis just happened to coincide with the beginning of the "Great Recession" and so for literally YEARS he searched, interviewed, networked, odd-jobbed, monster.com-ed, resume wizard-ed, pestered and PRAYED his way into a new career. He applied, and applied, and applied. And he interviewed, and interviewed, and interviewed.  He even drove 6 hours to go to an interview somewhere in the central valley once...just to find a job. He WORKED at finding work like no one I have ever seen.

Oh, and PS...did I mention that a little while after we moved in with my folks, Truman was diagnosed with Autism? No...oh, so there's that, too.

Dave finally found his calling in mid-2009 when he tested for the California Department of Motor Vehicles. He knew he wanted to work as a License Examiner, but there were never any openings at the local offices. So when he finally got the opportunity in February of 2010 and was hired by the DMV in Sonora he jumped at the chance to work there. In case you (like me) are deficient in geography you should know that Sonora is in Gold Country - about a 9 or 10 hour drive north of Fallbrook. So yes, my husband took a permanent intermittent job (basically a temp position) hundreds of miles away because he KNEW it was the right career path for him. He drove up every Sunday after church, worked all week long and then drove back home after work - usually (thanks to furloughs) on Thursday night. This meant he often didn't get home until 1:00 or 2:00 in the morning. He literally put thousands and thousands of miles on our little 1993 Corolla which I am thankful held together just long enough for him to get his job down south.

He did that commute for over 9 months, and then he was finally blessed with a FULL-TIME PERMANENT position. Praise God!!! The only down-side...it wasn't in San Diego. It was in Paso Robles, about a 4 hour drive north of Fallbrook. He was getting closer, but we were still supporting two households and so could not afford our own place at that time. That was November of last year, right after I had my bariatric surgery. Which meant I was recovering from major surgery without the help of my husband 5 days out of the week. Thank GOD for the help of my family!!!

So that is how what was supposed to be a few weeks or months with my parents turned in to over three and a half years. Yep...years.

Which I'm sure must've felt even longer for my wonderfully hospitable parents (especially on Saturday morning when Truman was making a racket and we ALL desperately wanted to sleep in!)

So, now you know why having a housewarming for our little rental house was such a VERY BIG DEAL to us.  Please enjoy some pics from the event and know how grateful we are to all who made the time and effort to be there.

























We hope you all feel welcome here for as long as we call it home.

Grace & Peace...

-Hannah, Dave & Truman LaFrenz











Tuesday, July 5, 2011

Birthday reflections...

Yah, so tomorrow I turn 35.

Not a huge milestone, but it feels strangely momentous for some reason.

Perhaps it's because I have survived cancer...and not just any cancer. Nope.  Nothing ordinary seems in store for my life. It was an extremely rare and aggressive cancer that I was told would likely end my life before my son entered pre-school. Well...he's starting Kindergarten in a few months so I guess that theory pretty much sucked.

Or maybe it's because I spent the majority of my life being morbidly obese and have finally conquered that beast. I've lost around 90 pounds since my bariatric surgery last November, but I'm down at least 125 pounds from my all-time high. Significantly, it will be exactly 8 months tomorrow since my surgery. I actually felt it was some sort of divine intervention that my surgery was scheduled for November 6th. It was two days after Truman turned five and also the same number as my birthday. I can't help but pay attention to numbers showing up in weird ways like that. But I digress.

My point is that since having my surgery I feel VERY different. It is as though I am emerging from some sort of heavy cocoon  and my wings are just starting to dry out. I'm beginning to flutter just a bit.  I hate the whole butterfly metaphor, especially because it is over-used in cheesy pop songs and web vids...but sometimes it is appropriate. Did I mention that I ran (okay, mostly walked, but still...) my very first 10K yesterday? Yah, totally awesome, right? Well...that's kinda what I mean by just beginning to flutter. I can feel all these changes in my ability and energy level and motivation. I mean - even after the race, and all the pain, and the fatigue, and the (YIKES!) blood - all I could think about was how I could better prepare myself for my next event. What is that? The only feeling I can compare it to is fantasizing about my next show during strike night...really the only way to survive the devastation of watching one of my sets being torn apart and thrown in a dumpster. (I'm pretty sure only theatre rats will get that last reference.)

No...I'm not sure that's really it. What I really think it is (and I hope you don't judge me for this) all boils down to a little check mark in a box.

You know the one.  Don't even play.



Yah, that's why I'm kinda freaking out. Or emotional. Or feeling slightly weird. It's because I know that I am moving forever out of the demographic box that all the advertisers and marketing and entertainment and employer-type people care about. FOREVER!!!

Yep...that must be it.

Or I could just be living in some really highly evolved form of denial.

I'll ask my therapist which one it is and get back to you.

But in the mean-time...Happy Birthday to ME!!! :-))

grace & peace,
-Hannah