AAAAAGGGGGHHHHH!!!

I am freaking out right now.  In true Daley girl fashion, I've poured myself a glass of wine in an effort to take the edge off. Yes, I know this is unhealthy behavior, but technically so is having a bowl of ice cream when one feels stressed, but no one points fingers at ice cream addicts, so please do not judge me.

Bulldog and I were going over our calendar of what the next month and a half hold for us.  I am new in my job and have to find someone who has the right certifications to cover for me while I'm gone.  Then, on our collective return home two weeks after DJ's surgery, Bulldog will be going on a work related trip to Europe, the lucky bastard, leaving me to deal with juggling work and caring for DJ.  To be fair to Bulldog, he has postponed this trip three times and has a deadline of June, so there is really no way around this dilemma.

I would have my mom come stay with DJ, but I'm not certain how sure footed DJ will be two weeks post-op and my mother is not in the best physical shape herself.  Plus, DJ will be required to dilate multiple times a day and I'm not sure my mom is the person she would want to call on for assistance if she has a problem.  I wish I could be there every single day, but the reality is I have next to no leave accrued and I have students who are already freaking out about passing my courses. I feel like I have a moral obligation to be there for them, too.  Hence, my aforementioned freaking out.

Plus, a cousin on my father's side of the family is getting married the day before DJ leaves to come home. I think I can fly up that morning and fly back to the hotel where DJ and Bulldog will be before we hit the road to come home.  I would just opt out of going, but I've missed every single event that side of the family has hosted for the last decade.  This is my last cousin on that side of the family to get married and I do not want to miss it, especially in light of how much they have been there for us when my dad was sick.  How the heck I'll pull this off, I have no idea. I still want to believe it's possible, but it will mean asking for help from other family members or friends.

I hate asking for help. Why?  I am not sure.  Well, that's kind of fibbing-I do have a pretty good idea why, but I could fill up pages with my explanations and it would just bore you, the reader, to tears.

Take a deep breath woman-it will all work out-right?  DJ is the one with the really tough row to hoe-this other stuff can be worked out.  Right?  Right? Somebody tell me I'm right....

Paintin' the town

DJ is off on her first official outing without a parent in tow.  Kudos young woman!!

She has been slowly but surely climbing back onto the saddle of the horse that threw her.  The horse in question would be named----bastard is what I want to say, and frankly nothing more clever or creative comes to mind, so Bastard it is.  Bastard encompasses non-acceptance, rejection, disappointment in the reality of her life as a transgender teen in a small town, and the feelings of inadequacy that resulted from the aforementioned.  But Bastard can't keep a good girl down, and so she bravely climbed into a VW Bug with Sister Chromatid about 30 minutes ago in another effort to get on with her life.

What's the big deal about her going out with her best friend?  Well, I don't truly understand it myself, but I accept that it is her reality.  Anorexia, as stated before, is not just about eating. It's also about social anxiety in many cases.  DJ, like many of her peers who struggle with this disorder, often feel socially isolated.  From what I've observed, many of these folks are overachievers and when they face something they can't overcome, they try to find another way around the obstacle.  DJ, for example, tried to "fix" herself by controlling how she ate so that maybe, by being thinner and prettier, to quote her, her supposed "friends" would like her again like they used to like JD. Of course, it didn't work but she didn't see it was because she couldn't control their mistakes, only that she didn't do SOMETHING well enough.  This seemed to compound in her brain and translated to her feeling like she couldn't do anything well and that there was something really wrong with her as a person.  It's a tricky downward spiral.

And it seemed to happen overnight.  It's like someone flipped a switch.  One day, DJ was ready to take on the world, the next, she was unsure of herself, constantly.  Sister Chromatid did not understand DJ's social anxiety and thought it had something to do with DJ not wanting to be around her.  Once I explained to Sister Chromatid that DJ was putting pressure on herself and that her feelings of inadequacy around peers had nothing to do with Sister Chromatid, I could see the dawning understanding on Sister Chromatid's face.

So, the two of them just went out the door to have a latte at the local coffee shop and then to see "Titanic" at the movie theatre.  They'll likely just hang out afterwords at Sister Chromatid's house because hanging out here makes DJ uncomfortable having to play "hostess".  She is going to get a taste of what it's like to take off in a car, without parents, and that bit of freedom with her best friend is going to make her want more of it, even if it means facing her stressors more often.  The good will simply outweigh the bad.  I'm so happy for her.  It's a beautiful day for two best friends to simply hang out and "be".  Paint the town red ladies :)

Seeing your kid doesn't take so long

I recently had a revelation.  For parents who are struggling trying to see their daughter in the person they knew as their "son"- or vice versa-maybe this will help.

When DJ first came out, I constantly searched JD for signs of DJ.  At first, all I could see was JD and I couldn't see DJ.  I would look at JD and have to remind myself that he, damn it, SHE, was now DJ and then I would have to remind myself to say "she" instead of "he" and to THINK it, as well.

It's been less than two short years and for a very long time now, I haven't been able to "see" JD anymore in DJ.  It's not because her appearance has changed, although, certainly it has.  It's more that my perspective has changed.

I tell my students all the time that I am not the sharpest knife in the drawer when it comes to pre-hospital emergency medicine.  But I am a hard worker and I don't give up on wanting to understand medical concepts.  You don't have to be "gifted" to succeed, you just have to be willing to work hard and to not give up.

This is true also if you are a parent who is struggling to accept your child's uniqueness, whatever it is.  You don't have to be a gifted, superparent;  you just have to be committed to wanting to accept your child.  You have to be willing to work hard and to not give up.

It's like reading EKGs-those electrical tracings that are generated by your heart and can be seen on a screen.  The first 100 times (or more) a new medic looks at them, they don't make sense.  It doesn't matter what a person tells you about what you're looking at-it just doesn't sink in.  The "foreign-ness" of it still looks foreign.  The trick is to keep looking at the EKG strips over and over, and over, and over, and over....you get the idea.

At first, the simple ones sink in slowly, then the ones that are a little more challenging start to make sense. You see slight progress but it still seems like you'll never get comfortable with it. Then you just decide to forget about comfort, you're in it for the long haul no matter what, so you just keep plugging away because you're so tired from trying and so discouraged at your lack of progress that you don't even want to consider the possibility of failure because it makes you feel even worse.

Then one day, you look at those previously foreign EKG tracings and you start to forget how hard it was to understand.  You're not sure when it happened exactly, but now when you look at them, you can barely remember being confused by them.  Somewhere along the line, it "clicked."

I don't know when it clicked for me, but I DO know that if I try to remember JD, it's only remembering that I can accomplish because I cannot see JD in DJ anymore.  I see a resemblance the way I see that Goodwrench and DJ are obviously related....and that's about it.  So my point is this-acceptance of your kid will not be just merely tolerance.  It will be  "seeing" your child for who she, or he, truly is.  

Balance

We are in a delicate balance of trying to just maintain the status quo.  The upcoming surgery looms large and while DJ seems nonplussed, Bulldog and I are scrambling to finish up loose ends at work so that we can take as much time off as possible.

Disc Jockey pointed out that in spite of everything moving forward as planned that we have to realize that this is a stressful time for us all.  It's easy to lose track of that because we have been so busy for months with trying to checks tasks off of our to-do lists that we forget to analyze whether or not we SHOULD be trying to accomplish everything on the lists.

For instance, DJ is overwhelmed at trying to catch up with school.  Initially, Bulldog and I figured she could catch up on all of her classes.  We've since winnowed it down to just one, for the time being.  We're letting her drop AP calculus altogether since she's already taken calculus.  French III is out of the question for this semester, but she can take it next year.  She has to take 11th grade english or she cannot progress to 12th grade english next year, so that stays.  But whether or not we insist on her finishing her AP Music Theory class is still in negotiations.

As usual, Miss Thing had to be close-mouthed about what was really driving her to want to drop it.

"I just don't want to do it."

Well now, why didn't you just say that sooner?  You simply don't want to?  OK-we'll accommodate you....NOT.

It turns out that one of the course requirements is to skype with the instructor and sight sing.  This is when you are given a piece of music you've never seen before and you are to sing it the first time you see it.  DJ's social anxiety, which is so much a part of her anorexia, plagues her in this instance.  Disc Jockey pointed out that if the instructor will give DJ an extension, perhaps we can revisit this issue after the surgery.  She maintains, and I think she's onto something, that this low-grade but ever- present stress that revolves around the upcoming surgery can make a number of tasks seem overwhelming.  She adds that perhaps it might be best to just stay in a holding pattern for the next few weeks.

She is right.  We can definitely accommodate that request.

However, since DJ is not terribly comfortable being with many people for any length of time, and cannot be left home long enough to be trusted to eat properly yet, then she will simply have to accompany me to work occasionally.  What we can NOT accommodate is her fashion panache in my workplace.

She came out of her room this morning wearing short shorts over the top of fishnet stockings and some rocker chick top.  I recall nothing else except the shorts and fishnet stockings.  She couldn't understand why I wouldn't let her wear that to my place of business.

I am currently in the business of educating paramedics and firefighters.  Yeah, right-AS IF I want any of those knuckle draggers (I can call them that because 1.  I am one of them and 2.  I married one.) checking out my daughter in spite of the fact that she's practically inviting their ogling with her attire.

I swear kids have this innate sense of parental relaxation:

"Well, I won the battle over the AP class, even if it just for now.  I'll bet I can get away with dressing like I'm considering a career in the oldest profession in the world."

Frankly, if a kid is feeling unstressed enough to try to get away with crap, she's feeling well enough to do her English homework without any kvetching.  Agreed?  As always, it's about finding balance.

What is asking too much of a person?  When should a person be required to at least try a little bit in certain areas?  Which areas are important enough to ask the person to try and which areas just aren't worth stressing over?  When is giving in considered compromise, and when is it just giving up?  These are tough questions that keep resurfacing.  The good news is tough times teach us to truly prioritize. If we're paying attention, we learn what really IS important.  Sometimes meeting the bare minimum is more than enough.  My father is probably rolling in his grave....

The Final Countdown to Gender Confirmation Surgery

We are in the home stretch before DJ's gender confirmation surgery.

She's had her pre-operative physical performed, lab work taken, therapists and doctors will be penning their letters of endorsement, hopefully, within the next couple of weeks, she is nearly at the point where she discontinues her contra-hormone therapy (and will apparently experience a "menopause"-will the fun never cease?), she has completed all electrolysis/laser hair removal requirements so that scar tissue will be concealed, has been measured for her new breasts (I joked that it will be a family tradition that the women in this family get their boobs "done."), and will inform her dietician of her post-surgery nutritional requirements since she will only be allowed fluids for two-three days prior to and following surgery.  We still need to shop for a few items the surgeon recommended for her comfort post surgery but for the most part, at this point, it's a waiting game.

DJ's most recent visit with the team at her surgeon's office was informative and comprehensive in laying out what we can expect for her recuperation.  DJ will be having a tracheal shave, breast augmentation, and neovaginoplasty all of which will be done on the same day. Each procedure has its own healing requirements.

For instance, DJ will be FORBIDDEN from speaking for two entire days following her surgery.  Even whispering is a no-no since it is even harder on the vocal chords than regular speaking.  While the tracheal shave does not involve the vocal chords directly, the means of locating the exact location indirectly involves the vocal chords, so that is why they are not to be used for two days, I'm assuming to avoid damage as a result of possible swelling in the area.

While DJ is to be absolutely silent for two days, she also will be completely bed-ridden for the same amount of time.  This is a requirement for the neovaginoplasty.  Let's face it-an entire new orifice is being created.  It will, for the rest of her life, be in constant defiance of gravity.  Certainly, giving that new interior vagina a chance to "stick" for two days is not too much to ask.  During this time, DJ will experience the thrills of having a urinary catheter.  Again-a new means of urinating is being created. Perhaps saying a new urinary tract would be more apt.  They are taking the urethra, the tube through which urine passes to exit the body, and redirecting it.  Tissue that has been "messed with" tends to want to close up, so putting a catheter in place to keep it open and to allow waste products to leave the body is a requirement for a week following the surgery.  This is a good thing because remember, she will be bed ridden-how else will she relieve herself?

Speaking of relieving herself-her urinary relief will be addressed, but what about the other means of relief?  For the first couple of days, she won't likely have that necessity present itself because three days prior to the surgery, she begins a liquid diet.  The day before the surgery, she will drink something akin to milk of magnesia which will cause her to eliminate all the contents of her bowels in the day before the surgery. This is HUGELY important.  Considerable organ manipulation will be taking place during the surgery.  Keeping the area as free of contaminants as possible makes perfect sense.  Immediately following surgery, she will begin taking stool softeners so that when her colon does begin working in earnest again that she will not have to "strain" in any way to perform that necessary function and hopefully that area will be spared any unnecessary pressure, if you know what I mean.

It's a damn good thing that the surgeon and the eating disorders folks insisted on the healthy weight that DJ has been maintaining successfully (high five to DJ) for the past couple of months because she will likely lose a few pounds being on a liquid diet for 5 days.

The procedure that is likely to cause her the most discomfort, according to the surgeon's team, is the breast augmentation.  The breast prosthesis will be placed under the muscle in the chest wall for better protection against rupture.  DJ was initially reticent about the breast augmentation: she wanted to have it done but was frightened about the possible side effects as a result of the prostheses rupturing. The physician's assistant that helps her surgeon run the practice had DJ handle a prosthetic device, which put DJ's mind at ease when she saw how "resilient" these things are.   The next biggest issue is the prevention of scar tissue building up around the prostheses. This requires somewhat vigorous massage in the area which can be unpleasant, to put it mildly. But that can be done following her pain meds.

DJ will likely look like she's been in a car accident from the neck down, at least for the first couple of weeks, because she can expect considerable bruising from all three procedures.  That is not a big deal.  What we worry about is post-operative pain.  She will be "snowed" with medications for the first two days.  Before anyone gets all worried about addiction, etc., most of us in the medical profession know that treating pain aggressively AIDS in the healing process and does not lead to addiction.  Addicts can become addicts when they treat their slight pain by using a howitzer (prescribed narcotics) to manage their pain when it's time to step down to a 22 caliber pistol (over the counter tylenol) to manage their pain.  Bulldog and I are both paramedics who have a core belief system in managing pain because of its inherent advantages in being both a healing aid and MERCIFUL, so we will be watching her like a hawk and nagging the nurses, if necessary.  However, the folks at this hospital are very skilled at managing this specific group of patients.  They are used to it.  They likely will not need two overbearing parents breathing down their necks.

As a family, we've been preparing for this, mentally, emotionally and financially for nearly two years. Bulldog immediately began saving within months of DJ coming out to us, to his credit.  And DJ has been preparing for this, physically, for two years, as well.  Likely, she's been hoping for this for many years beyond that.  We'll keep you informed.  Keep DJ in your prayers, or hopeful thoughts, please.

LGBT info by state

Interested in seeing how your state fares with LGBT issues?  Flying Pig strikes again by providing us with excellent information because she is one TUNED IN Flying Pig.  Please check it out-


http://lgbtmap.org/equality-maps

What a week we're having!

Romeo turned 21 this past week, but it was not a joyful celebration.  The day I mailed his birthday packages to him, three days before his birthday, I was driving the 100 miles to go pick him up following a crisis that necessitated bringing him home from school.

DJ sailed right through it.

She had been having an "off" day herself.  She was rather down that day and was experiencing some frustration.  About what, I can't even remember because her "off" day was dwarfed by Romeo's crisis.  The poor girl was literally on the doctor's table having her pre-op physical performed, having blood drawn while I was talking Romeo through his crisis.  He had lost his temper, broken a glass and was bleeding.  All the while, I'm trying to determine, by phone, how bad he was, physically, so that I could hang up and call 911.  Then I couldn't get Bulldog on the phone because he works at remote locations oftentimes.

Simultaneously, I'm trying to not focus on the possibility that the nurse was thinking that our family was  a bunch of crackpots so that I could stay centered on getting Romeo focused on packing so he could come home, and on finding out if Goodwrench could go pick his brother up until I could get there to get him myself.

I am driving the piece of crap car to DJ's appointment just to keep it running, but am debating whether or not to take it on the 200 mile trip because DJ is insistent that she wants to accompany me to get her brother and there is no room to carry three occupants plus Romeo's belongings in my usual vehicle-the standard shift pick-up truck.  This, too, is stressing me out as I make my way back home, which is in the opposite direction of where I need to go to get Romeo because I have to bring the dog in and make DJ a meal she can eat on the road since eating out is problematic for her AND because we must keep her on her eating schedule.

I am cursing the entire way there in frustration with Romeo and the fact that I can't reach Bulldog to enlist his help.  We grab food, bring the dog in, and take the piece of crap car and head out the door.  This too is stressful because I'm uncertain if the car will make it, but then I figure that while my resources are slim at the moment, I do have room on my credit card.  I can always rent a car if the one I'm driving breaks down.  BUT, I have to teach a course the next morning that is roughly halfway between home and where Romeo is-I grab my supplies.  If I can find a substitute at this late hour, at least he will have the appropriate supplies that I can drop off at the office, after hours, on my way home.

THIS SUCKS!!!  Still no Bulldog.

In the meantime, I've got Juliet on the phone who is very upset and rightfully so because Romeo lost it during an argument with her.  Shame on him-and he knows it, thank goodness; we're bringing him home to get the appropriate help.  At that moment in the conversation, she says one of the saddest things I've ever heard before which is only second to the sound of a preterm baby I heard in the hospital who had just fallen asleep after being assaulted with medical procedures all morning, just to be woken again for another procedure.  It was the epitome of pathetic and pitiful and broke my heart-obviously I've never forgotten it because it happened 21 years ago.  Nonetheless, when Juliet said in her heartbroken way, "I don't think we can be together anymore," I felt my heart breaking and I managed to hold it together just long enough to hang up before she heard me sob.  It wasn't what she said so much as how she said it as if her heart were breaking just thinking of the reality of what she was saying.

Not many times in my life have I sobbed in this manner.  I fight crying vehemently nearly all the time, which is a blog topic for another day.  But you know when you have that deep hurt that causes the noisy sobbing that is impossible to stifle?  That is what happened to me on the side of a four lane highway.  The sound in Juliet's voice literally broke me.

DJ just laid her hand on my arm as I sobbed.  I felt terrible that she saw me this stressed, followed by this upset.  She didn't need this.  Well, apparently it was just what the doctor ordered because it shifted her mood.  She was so focused on making sure I was ok, that whatever was making her feel crummy must not have seemed that bad compared to her mother sobbing uncontrollably at the side of a busy highway during rush hour traffic.  In fact, once we got on the road again, she was upbeat, likely in an attempt to support me.

When we got to the city to pick Romeo up, DJ practically sparkled at being in the company of her oldest brother, Goodwrench.  And this past week both she and Romeo have returned to being, as Bulldog puts it, "two peas in a pod" and he couldn't be more apt.  So what have we learned from this, boys and girls:

1.  Just when it feels like you're at the bottom, look around.  Someone may be feeling worse than you which serves as a great reminder that maybe your life ain't as bad as it seems.

2.  Perhaps the best thing for a person who is absorbed with how crummy she feels is helping someone else who feels crummy.  It takes the attention off of oneself and helping others almost always acts as a way to help ourselves.

3.  Sometimes the S  - - -  hits the fan and everyone involved does not see how any good can possibly come of it;  then you notice how other opportunities present themselves and the key is to take advantage of them.  Marvel comic book movies and episodes of "Friends" can be a great bonding experience for two siblings who haven't had the chance to connect much in the last two years.  Taking a trip into town looking to satisfy geeky hobbies is always a good time too.  Young adults can find out how supportive their parents really are and parents can find out how supportive their young adult children can be, in spite of their recent crises, as well.

4.  Learning that it's ok to take a step back and that the world won't end is a huge learning experience.  Romeo has been full steam ahead in an effort to keep his anxiety about his future at bay.  Perhaps learning that full steam ahead is not a good methodology for him will make his entire future more secure.

5.  Crisis serves to winnow out the good-time friends from the real-deal friends.  The former are great at parties and suck at crisis.  The latter are great at both.  The only way you can tell which is which is to survive crisis together.  Romeo is finding out that having a few real-deal friends is way better than having a dozen good-time friends.  He didn't know the value of it before when he lamented he didn't have " a lot" of friends; I think he understands the important difference now.

6. When you take responsibility for your actions, are truly sorry for the  hurt you've inflicted, and make concrete plans to make sure those actions don't happen again, most people will give you another chance because true love usually offers true forgiveness, as long as it's a two way street.

7.  When you wake up in the morning breathing and you have a pulse, life has just offered you a"do-over."  Most of us wish for do-overs when we make mistakes but fail to recognize one when we see it.  When you make it through the dark of the night and the shadows of your fears that seem to amplify at night, you've made it to another chance to make things right and to start over.  Life is giving you a second chance at living.