I am feeling a bit worn today. I am feeling worn, psycshologically. I feel like I spent the entire day on the phone. And honestly, I almost did. Between work and Maximus, I actually came to a point towards the end of the day where I couldn't fathom spending another second in conversation with anyone further.
And if you know me, you know that is a state almost impossible to achieve.
The first half of the day was spent in consultation both with work and with the dialysis nurse due to a little problem, known as Max's blood pressure. It's been running from mildly low to VERY low over the last couple days. We are trying to manage it throught the dialysis therapy until Max's clinic appointment on Wednesday, but I truly suspect it is a fluid issue. We shall see...
The second half of the day was spent on the phone with the transplant coordinator, my mother, my cousin, and my mother, again.
You may recall how upset I was last week regarding the absolute lack of progress on the transplant front. I did talk to the transplant coordinator last week and was extremely tactful. The gist of the conversation went something like this (the condensed version):
Me: I'm wondering where things stand. Our donor and his wife are getting very frustrated. They are having difficulty with the Arizona coordinator, who says she doesn't have the paperwork. We are trying to make arrangements. My donor is frustrated. My donor is frustrated. Frustrated.
Transplant Coordinator: The paperwork was sent. Oh, they don't have the paperwork? Well, it was late going out. I haven't heard from the donor/donor's wife. I didn't know there was an issue. I'll call them and call you back.
I didn't receive a call back last week, but that is ok. I found out later that day Michael and Kerri took their kids on a spur-of-the-moment trip to Disneyland. I talked to Kerri briefly over the weekend and she indicated she would call the coordinator back this morning.
I received a call around noon today from said coordinator and the conversation went like this:
Coordinator: I talked to Kerri today. She seems angry. I understand the AZ coordinator is saying she doesn't have the paperwork. We decided to cut her out of the process and I'll deal directly with the departments in question. Kerri seemed like they aren't ready. I asked her if they needed a couple months to get things straightened out. She said they can't do the transplant until the end of May, but that is ok because the doctor's schedule is weird the next two months. The end of May will work better. I was wondering if you would like to bring Max in to get a PRA drawn and put him back on the deceased donor list until things get more solidified. Oh, by the way, Kerri said you were angry at me, too..
Me: Yes, we want Max on the list. I go in for labs tomorrow. We can draw the PRA then. The end of May? Ok. No, I am not angry with you. I've been frustrated with the process and the length of time it is taking. I just really want Max transplanted. I am beginning to get worried he is going to get sick again. It is extremely difficult to keep a curious 2 year old from messing with the catheter site, from removing the catheter cap. It's just difficult. I just want him transplanted.
Coordinator: I want him transplanted, too. Probably not as much as you do, but very close. We are going to be working together for a very long time. I just would hate for it to start out with negative feelings.
Me: I don't feel negativity. I was just frustrated by the process.
After this conversation, I was feeling really irritated with my cousin. I didn't know why she would tell the coordinator I was angry with her, even if I had been, because I do have to work with this woman until Max is no longer considered a pediatric patient. I was also irritated that I had to find out they wanted to delay the transplant till May from the transplant coordinator and not from them.
Then I talk to my cousin....
Kerri: So, I talked to D. It was a very interesting conversation. I told her we were frustrated with the AZ coordinator and that she doesn't have the paperwork. D. said she sent the paperwork and then I had to remind her that she had even told Michael the paperwork had been sent late. She remembered that and responded, "oh, that's right." I went on to ask her what the deal was. What were we really looking at in terms of a date? I had to keep asking her over and over before she said that the doctor's schedule was really crazy. She said he was available at the beginning of April and then not again until May. I responded by asking how early April would be possible when we can't even get Michael tested until the end of March. Would that really be enough time? She said, "No, probably not." So, I said, "What are we looking at then, May?" She said that May would be better. I then told her our daughter will be in school until the 22nd and I did not really want to take her out that close to the end of school, but that we could be there on the 23rd, if we needed to."
At that point in the conversation, things were beginning to crystalize in my mind of just what had occurred in both our calls with the coordinator. But what sealed the deal, was when Kerri went on to say this:
Kerri: So, then I said to her: Let me ask you something. I know you said you took Max off the list in January because Max had peritonitis and because Michael was far enough in the process to be considered a viable donor. However, now you guys have been dragging your heels for months now, we're not even looking at possible transplant until the end of May, why in the hell would you not put him back on the list? Poor Max. What if something were to happen? What if this were to fall through and here he and his parents have been waiting for MONTHS due to all this beaurocracy and due to doctor's schedules, etc. What then?
According to Kerri, the coordinator fumbled around a little bit before saying they could probably put him back on the list.
The final key to the puzzle was when I told Kerri the coordinator had told me she said I was angry with the coordinator.
Kerri: I did not say that. I didn't even tell her we had talked. I said Michael and I were frustrated and I was sure you HAD to be frustrated, as well.
At that point, I really just began to feel entirely defeated. It was clear to me that the entire conversation with the coordinator was a matter of her "covering her own ass". I loved, loved, loved how she twisted the conversation and ommitted important details to make me think Kerri had first indicated they didn't know if they could do this right now and then to think she had backed away from that and settled on end of May, when in fact the entire conversation towards May was directed by the coordinator, herself.
Furthermore, I was astounded at how she conveniently left out the fact that placing Max on the list was Kerri's idea because Kerri had shamed her into realizing they are completely dicking around and the only one who is losing in this is baby Max.
I believe her statement regarding my being angry with her was to see just how much trouble she could be in. I think she was testing the waters.
The whole experience has really just left me feeling disgusted. I truly despise when people don't just own up to their own screw-ups. I mean, if you've fucked up then admit it. I am highly forgiving of people. I understand that everyone is human, that everyone makes mistakes, that everyone drops the ball from time to time, especially me. I drop the ball and I do it more often than I would like to. But, I always take responsibility for my fuck-ups. It's not easy, but you know...it's the adult thing to do.
Having a conversation like she had with me today feels highly duplicitous and I don't deal very well with that. I don't deal very well when I encounter it in my own business, but when you are talking about something that involves my son, you've just entered an entirely different arena.
So, this is why I am feeling worn. I feel as if something I have intuited over the last 6+ months, but which I had been berating myself for feeling, is actually true. And, I am incredibly disheartened that I am going to feel as if I always need to watch out for this woman from now on.
However when I get to feeling like this, I try to think about the fact that there are people out there who have it far worse than we do. And in fact, my mother and I were discussing just such a person much earlier this morning. I haven't thought about this in years, but today it hit me like a ton of bricks.
A friend of the family, a woman who was one of my mother's best friends for years and years, had a baby about a year and a half before my mother had my younger sister. I was only 7.5 or 8 at the time. While in the delivery room, the head nurse and doctor were actually inebriated. The baby got stuck in the birth canal and was deprived of oxygen for an ungodly length of time.
The baby, a boy, survived but was very soon diagnosed as having sustained brain damage. The damage was so severe, his parents were told he would never develop beyond the mental age of 3 months. He was also blind, as a result of the damage. He was projected to not live past the age of 4.
The ensuing lawsuit was the largest settlement in the history of Lake County, IL.
As I said, he was projected to not live past the age of 4. He is now 30 years old and lives in a 24/7 residential facility for people with mental disabilities. He still has not attained a mental capacity beyond the age of 3 months, cannot sit up on his own, is still blind, can do absolutely nothing for himself. HIs mother brings him home once a month, every month, for a weekend to care for him. She has done this every month of every year since he was born. He has never lived with them.
He was their first child.
So, whenever you think you have it bad, think about this story. It's been years since I've thought about it, but this morning it was gut-wrenching to me. I guess I haven't thought about our family friend and her son since before I had Max. Now that I am a mother and more importantly, now that I've had two years experience dealing with Max's health, I cannot fathom how she did it, how horrifying it must have been and what it must be like every single day that goes by.
We could have it much worse. We truly could...