“Blessed are the hearts that can bend; they shall never be broken.” -Albert Camus

Monday, November 4, 2013

Deep in the Heart: The Miracle Road to Texas



 On occasion my family very lovingly refers to me as Tom Sawyer, though I hate to admit it, sometimes I am guilty as charged. I have certainly persuaded them to paint various fences throughout my life. Ironically, when I was faced with the biggest fence of all, cancer, I knew it had to be my own paint job. I didn’t have to ask or persuade a single soul to bring their brushes and buckets, everyone lined up ready to help me tackle the fence. There was a beautiful outpouring of love and concern, prayers offered to heaven and bending of the locked legged knees. I did not and do not doubt for a second that these faith filled petitions on my behalf are the reason I am still alive. Nonetheless, amongst all the concern, opinions, and treatment suggestions, ultimately I knew it had to be my choice. I believed the choice was between me and God and no one else.
Most surgeons who specialize in tumors in or around the eye are also plastic surgeons. Though there is a needed cosmetic precision for surgeries involving the face, most of these surgeons also opt to do plastics because eye tumors are rare enough that they are not a viable source of sustained and lucrative income. At the ripe age of 20 my cancer surgeries had officially given me two free eye lifts. I remember sitting in the waiting room with overzealous and excited women with visions of eye lifts and botox injections dancing in their heads. I marveled at the women at their post op appointments who were as bruised and swollen as I was with the one distinction of choosing to be so.
Because of my physician’s focus and the seeming vanity that permeated through every wall I was somewhat surprised when he told me the best and only option for treating my cancer was to remove my entire eye and the muscles and bones surrounding it. When I learned of his vision for my treatment I was overcome with a sick feeling and general unease. I told him I didn’t feel good about it. And he, the man who made his entire living altering the faces of forty somethings insisted that I, the 20 year old was being vain by not wanting to give up mine.
I wrestled with this. Was my vanity obscuring my ability to make the best decision? Was I choosing my face over my life?  I had a pretty face, I was often told what a pretty face I had, in fact I was one of the oh so lucky girls who was frequently cited for having a “beautiful face” but never told that “I” was beautiful. I didn’t think the loss of my pretty face was what made me sick about the surgery. Us “pretty facers” quickly learned to develop humor and brains (which ironically I also temporarily lost to cancer) and not to rely too heavily on our looks. My face was not my identity. I attempted to explore my reluctance further. I prayed earnestly for guidance. My reluctance did not go away. After hours of prayer and soul searching, I received the same answer, “wait.” I quickly learned that it would not be my brain, or humor, or pretty face that would identify me at this juncture, it would be my faith.
I sought out a second opinion. The second opinion soon led me to seek a third, then fourth, then fifth… I had 17 consultations with different physicians before my answer came. Each doctor told me the same thing. They all implored me to have the surgery. It was hard to explain my hesitation. How could I explain my “feeling” when there was “science?” One doctor told me I would only have a month to live if I didn’t have the surgery. Another doctor, who was of my faith, told me that he had become jaded. He told me that sometimes God came through but most of the time he didn’t. Not one of these learned male doctors believed the feelings of a 20 year old girl. Though at moments I was terrified, I continued to wait. I knew another answer was coming. We sent my case to other major hospitals throughout the United States hoping there would be other treatment options such as chemo or radiation. Though there was significant interest in my case because of its rarity, every hospital declined me, except for one. I received a call from MD Anderson Hospital in Houston, Texas. Dr. Anita Mahajan decided to take my case.
We flew to Texas in order to meet with Dr. Mahajan. She listened to me. She ordered MRI scans and began to devise a plan of how to administer a specialized radiation treatment to my eye without disrupting my brain or other healthy cells. We returned to Utah in order to prepare to move to Texas for 7 weeks  in order for me to receive treatment. The first Texas miracle happened before we even arrived. The week before leaving for Texas, Dr. Mahajan called me and informed me that the MRI showed no visible signs of tumor. The tumor had disappeared! Had I undergone the recommended surgery I would have lost my eye and a good portion of my face in vain. We decided to move forward with the radiation in order to ensure there would never be a recurrence.
Undergoing treatment in Texas posed other logistical challenges. How would we afford a hotel for 7 weeks? How would insurance transfer? The second Texas miracle occurred when we learned that my mother’s insurance transferred completely between states. This happened to be an insurance provider that she had almost terminated coverage with a few months prior but felt the distinct impression to keep the last minute. Soon after the third miracle came, one morning I woke up to a voicemail. A gentleman, whom I had never met, left me a message informing me that he had a place for me to stay in Houston. His friends, the Elmers had offered up a room in their home for the duration of my treatment. When we arrived at the Elmers’ beautiful home, we were not only met with beautiful accommodations but also by the most gracious, selfless couple one could imagine. Their children had all grown and left. They had recently purchased the home that had been Gail’s (the wife) dream for a number of years. Gail informed us the evening we arrived that she had made a deal with God that if she were ever to be blessed with her dream house, she would open her doors to anyone who may need a place to stay. On my first day of treatment, the fourth miracle came. In the lobby I met a young man and his mother. It was also his first day of treatment. He was 14 years old at the time and the most stoic, brave person I had ever met. He endured treatment with a grace and dignity I could barely muster. As the youngsters of the radiation clinic we became fast friends with him and his mother. They were the epitome of Texan hospitality, and the kindest, most generous people I had ever met. The boy and I completed treatment the same day and our families have remained friends throughout the years. This young man taught me more about faith and endurance than just about anyone.
The fifth miracle set the stage for my passion and purpose in life. It was at MD Anderson that I became introduced to Art Therapy. The hospital offered an amazing art program to their pediatric cancer patients, and I vowed to commit myself to bringing this important work back to my home state when I returned and was in remission. Having this direction, I chose to transfer universities when I returned home and enrolled in a community art class that changed my life. My professor for this course became my mentor and idol. She encouraged me to apply to graduate school at Harvard, her alma mater. She wrote my letter of recommendation and changed the course of my professional life. While at Harvard, I was met with even more miracles in both people and experiences. I marvel everyday at what my experiences in Texas brought me and where it has led. Deep in the heart of this hot, humid, sticky place, I gained much more than the preservation of my temporal life. My fence now extends from here to Houston.

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