Sunday, November 15, 2015

A Rejected Essay

As some of you may know, this summer Veils by Lily had an essay contest, with the only requirement that the subject relate to the Real Presence. Since I love to write and think I'm pretty good at it, I was excited to enter; I was even more excited when I was asked if they could publish my name. I was... decidedly not excited when it became clear that my essay was not selected as one of the top 10. Submitted for your [verb] is "Where is God?", my essay, rejected by the judges, on the Real Presence. 

Where is God?

The shootings in Charleston and Chattanooga… Genocide of Christians and Yazidis in the Middle East… Boko Haram kidnapping, raping, and pillaging in Nigeria… Parents abusing and killing their children… So much hate, so much pain, so much suffering. Where is God in all of this? Where can we turn to find Him?

Whether it is as far away as the other side of the world or as close as the loss of a child, suffering can lead us to doubt His presence. The deeper our pain, the greater our suffering, the easier it is to think that He has abandoned us. Even Christ felt that abandonment, crying out “My God, my God, why have you forsaken me?” (Mark 15:34)

Despite our feelings of abandonment, we are taught that God is ever with us:Where can I hide from Your Spirit? From Your presence, where can I flee?” (Psalm 139: 7) In Matthew, we are reminded that Jesus Christ is Emmanuel, “God with us.”  (Matthew 1:23) But that knowledge is a cold comfort when we cannot feel His presence. We are taught to ever turn to God, in our rejoicing, in our pain, with our every request. But where can we turn to find Him?

There is so much noise, so much busy-ness, so many competing voices in our lives, that finding and hearing God is a constant struggle. We forget that we are not the only ones with difficulties hearing His voice. When Elijah went to Mount Horeb, “a strong and heavy wind was rending the mountains and crushing rocks before the Lord – but the Lord was not in the wind. After the wind there was an earthquake – but the Lord was not in the earthquake. After the earthquake there was fire – but the Lord was not in the fire. After the fire there was a tiny whispering sound… A voice said to him…” (1Kings 19: 11-13) The Lord speaks in a still, small voice, one that we can easily miss amidst the competing voices.

Most of us have neither the inclination nor the ability to retreat into the desert or climb a mountain seeking God. The daily demands of our lives preclude it. Where, then shall we go to feel His presence? We can turn to our Bibles, finding His words in Sacred Scripture, but even those words can feel far away, part of another time. How much better would it be to see God, to be physically in His presence, to hear His voice? None of us is guaranteed to see or hear Him, but we can find Him, physically present, in any parish, anywhere in the world. Almost every day bread and wine are transformed into the Body and Blood of Jesus Christ. At the Last Supper, “Jesus took some bread, and after a blessing, He broke it and gave it to the disciples, and said, ‘Take, eat; this is My body.’ And when He had taken a cup and given thanks, He gave it to them, saying, ‘Drink from it, all of you; for this is My blood of the covenant, which is poured out for many for forgiveness of sins,’“(Matthew 26:26) words echoed by the priest during consecration. With those words ordinary bread and wine are transformed into so much more – the Real Presence of Jesus Christ, the Son of God. In the act of receiving Communion, we physically receive Him into ourselves. At Eucharistic Adoration, we are invited to sit quietly in His presence, to pray, to reflect, to pour out our hearts to Him, to listen.

To most of us, Eucharistic Adoration is strange and unfamiliar. What do we do? Why should we go? Just as our relationships with our family, friends, and spouse are built by spending time together, so is our relationship with God. At Adoration we can escape from the ringing phone, the dings of new e-mail, the constant updates of social media. There we can sit quietly, speaking to Him. We can pour out our hopes and fears, worries and anger. God wants to hear all of it; unlike a friend or a spouse, He will never tell you that you’ve said that before or imply that He is tired of listening to your worries or complaints; He never tires of listening to us. We can just sit there in quiet or read, knit, or crochet, keeping our hands busy and minds clear, just so that we are there, spending time with Him. It doesn’t matter if we can only spend a few minutes at a time or if we can spend an hour or more; God wants us to spend time with Him.

The most important time we can give Him is going to Mass. With so much going on and so little time, it can be challenging to make Mass a priority. It can be even harder when we feel like we’re not getting anything out of it. So why bother going? Christ Himself tells us “Unless you eat the flesh of the Son of Man and drink His blood, you have do not have life within you. Whoever eats My flesh and drinks My blood has eternal life, and I will raise him on the last day.” (John 6:53-54) We go to Mass to be nourished, to be fed with the bread of life that we might never go hungry. (John 6:35) We go for the “spring of water, welling up to eternal life,” that we might never be thirsty. (John 4:13-14) Even when we don’t feel like we are getting anything out of Mass, we are being fed, being nourished by God’s greatest gift.

Where is God? He is there, waiting for us to return to Him, “with your whole heart, with fasting, and weeping, and mourning.” (Joel 2:12) He is waiting, “God of all encouragement, who encourages us in all our affliction.” (2 Corinthians 1:3-4) Where can we find Him? In the Eucharist, the body and blood of Jesus Christ, the Son of Man, we find Him. 


All Bible verses use the New American Bible translation. 

Thursday, October 1, 2015

What makes a family?

What makes a family? I started grappling with that question months ago, and I've been going another round with this question since the World Meeting of Families has been in the news. Growing up, I knew a family was a mom and dad and their children. Of course, grandparents, aunts and uncles, and cousins make up an extended family. Since being an adult and struggling with infertility, I have more questions than answers about what makes a family. Are Husbandido and I and the cats a family? Sometimes I can't help but feel like the answer is yes but no. Yes, we are a family. As so many have said, a new family is started when a couple weds, not when they welcome a child. But in common parlance "family" is so often used to refer to those with children. 

I won't argue that the ideal family is a married mother and father with their biological children. But we don't live in an ideal world, and divorce, out-of-wedlock childbearing, infertility, and death affect family composition. A single mom and her child(ren) are a family. Even after divorce, a couple that had children together is still a type of family, though often complicated by step-parents and half-siblings. So blood can make a family. But a couple (or single person) who adopts and their child(ren) are a family, too. Some adoption advocates say that "love makes a family." But that same phrase is used by advocates of same-sex marriage. Yet as Catholics, we believe that men and women are different and complementary, that children deserve to be raised by a mother and father. And how often do we hear of estrangements and rejections within family, whether created by blood or adoption, where there seems to be a lack of love between members of a family. Does rejection and lack of love unmake a family?

Is an unmarried, cohabiting couple a family? Is living together and love all it takes to be a family? Then what about close friends, choosing to share a house or apartment? Don't we sometimes say that we love our friends as we would a sibling? Then again, not all families live together. In my previous job, many of my overseas co-workers were on a rotation schedule; in their quest to give their families a better life, they spend half the year living and working in another country. So not all families live together, at least not all of the time. 

So what is it that makes a family a family? It doesn't have to be blood, but it isn't just love, either. I don't have a good answer to that question. In fact, the more I think about it, the less of an answer I have. 


Wednesday, September 23, 2015

Omaha

Once again I've managed to go AWOL on you... And once again it's not for lack of anything to say, more for lack of time. I volunteered for the search committee for our parish's new director of music ministry, not quite realizing how many meetings, choir rehearsals, and Masses I was committing myself to. I'm thrilled with the candidate we have chosen, and the experience gave me a new perspective on finding my voice again (which I hope to write about later). 

The biggest source of craziness for me has been Omaha, meaning PPVI. The Friday before Labor Day I got a call from the scheduling nurse about scheduling surgery (which my phone promptly dropped). Not knowing her extension, I couldn't call her back; the voice mail and subsequent e-mail said to send her a copy of my latest chart so she could work on picking potential dates for my surgery. At that point, I wasn't 100% committed to having surgery again; I recover slowly; I didn't really see any positive effects from last year's surgery; I thought everything would be out of network and thus very expensive. Getting that phone call meant that we had to be certain - did we really want to do this? At this point neither of us has high hopes that having surgery will lead to me getting pregnant; more realistically we are hoping for answers, less pain, and closure. And are those worth the time, money, and hassle? Once we scheduled, canceling or changing incurs a $275 fee, so I wanted to be certain. On the long drives to and from my godfather's cabin in Michigan, we discussed and debated whether we really want to do this. Despite all my doubts and griping, the answer was yes. 

Tuesday morning I got the call back from the scheduling nurse. If we wanted to wait for Dr. Pez, who wrote the letter I received, to come back from maternity leave, there was a date at the beginning of November; if we wanted Dr. H to do the surgery, there was a date in early December; Dr. K was an option, especially if we wanted to do this as soon as possible. I could get scheduled with her for early October. Having surgery so soon was an option I hadn't even considered; the possibilities were overwhelming. At the nurse's suggestion, I said I would get back to her on Thursday morning, since she would be off on Wednesday. After going round in circles for a long time and despite rumors of Dr. H's lousy bedside manner (if I could deal with the then team doctor for the Chicago Bulls when I was 15, who had a terrible bedside manner, I could deal with Dr. H now that I'm an adult, right?), we decided on that early December date with Dr. H. Thursday morning I called the scheduling nurse back to book that date, which was fortunately still available.

However, when she called me back, instead of confirming the date, she told me that she had miscalculated my cycles. If the last pattern of the last couple of cycles continued, the December date I would be looking at would be December 18, not early December. We would have to stay in Omaha over Christmas for the ultrasound series. This new information necessitated a new round of frantic phone calls to my mother and Husbandido. Round and round and round we went. Both Husbandido and I were strongly opposed to me having surgery a few short days before his 40th birthday. Neither one of us wanted to be in Omaha for Christmas by ourselves, but the October date was less than a month away. After colossal amounts of waffling and dithering, we chose October. There was one pleasant surprise during the process: either hospital option was in network, so we should end up paying less out of pocket.

Once we got confirmation of the date, it was time for the whirlwind of booking flights and a hotel (which required deciding how long we were going to be out there without knowing for certain how long the ultrasound series would take), arranging for time off work, and starting the hormone series (at the suggestion of the surgery/head nurse, who recommended I start mid-cycle, then pick up the CD5 draw at the start of the next cycle, so it would all be done before surgery). My boss was not happy with me for not giving more notice, which had me upset, given that I let him know the same day I scheduled it. Up until that point, I was expecting to have surgery in late November or December. 

I've been stressed about the scheduling, about work, about being so busy and having no down time, about getting it all done, about whether the committee would agree on a candidate, and about my cycle. I'm sure there's irony somewhere in there: stressing about my cycle being weird could be making it more weird. This my third cycle off fertility drugs, and this month peak day was earlier than the last two. My post-peak phase has been much longer, too; it's P+10, and I haven't started spotting yet. The last two cycles my post-peak phases were closer to 7 or 9 days, with spotting starting much earlier. Now I'm waiting for the spotting and CD1, so that I can do the CD5 draw and get the blood out the ice cream's spot in the freezer. 

Omaha, here we come.

Tuesday, September 1, 2015

A Jealous Rage

I don't think anyone can accuse me of pretty-ing up our experience with IF; if you were to look back through the archives, I think I've been pretty honest about the ways in which IF has affected us. I'm not going to deny that there has been growth and development during the last more than 4 years, but I wouldn't remotely go so far as to say that it has strengthened me or improved my relationship to God. I think it has strengthened our marriage and forced us to improve our ability to communicate and to adapt to changing circumstances. I can honestly say that I don't like how infertility has changed me; pre-IF I was much more open and extroverted; I was less defensive, less angry. My self-confidence, which was never good, has been battered and abused even more than it was when I was an adolescent. 

Yesterday was particularly ugly. I am physically, emotionally, and spiritually drained. Between work, being on the search committee for a new director of music ministry, trying to prepare to work with PPVI, adoption stuff, and general household stuff, I haven't been getting enough sleep or down time. There is always too much to do, too much to think, to worry about. Friday, after an appointment with the counselor I've been working with for the last couple of months (more on that later - really!), I stopped at 3 different labs/outpatient diagnostic centers trying to find one that is willing to do the blood draws, centrifuge and separate the blood, and either ship it to PPVI or give it to me to ship. Each stop took 15 minutes or more as I tried earnestly to explain why I needed to have this done, hoping someone would be willing to do it. Before I got out of the car at the first location, I asked "God, if You want me to do this, please make this easy." If we couldn't find somewhere withing reasonable distance, we were considering dropping the plans to work with PPVI. At the third place I stopped, I found a phlebotomist willing to slightly bend the rules (they aren't supposed to centrifuge samples that they aren't going to test) if I could get a kit with all the tubes needed (and something to hold them for transport). This meant another call to PPVI; after our early experiences calling them, I wasn't looking forward to it. (That first phone call from the receptionist asking who I was did not leave me with a very good impression.)

Yesterday I got the call back; they do have a kit they will send. Between my original call and their return call, I had come up with another question: how do I handle a post-peak phase shorter than 11 days? The slip for blood works requests draws on P+3, 5, 7, 9, and 11; last cycle my post peak phase was only 6 days. This cycle I'm on P+8, though I started spotting by P+5. The phrasing was odd, but the intent was clear: "Just do the best you can." (Because I have so much control over the length of my post-peak phase. [Sorry for the sarcasm.]) You would think that I would have been cheered and encouraged by the existence of a kit, and PPVI's relatively quick response. Instead I was hurt and angry. I don't want to go through all this. I don't want to have surgery again. I can't begin to guess what they will have to offer me - higher doses of Clomid, injectables? Given the blood clot scare that I had on 75 mg of Clomid, neither Husbandido nor I are eager for me to go on anything stronger; we have real concerns about whether it would be safe. But I don't want to have super short cycles where I'm bleeding for half the days or more. I don't want to have niggling doubts about whether I'm facing premature menopause or something worse. (Though I have occasionally thought that it wouldn't be that bad to have uterine cancer; it would be a legitimate reason to have a hysterectomy, and there couldn't be any second-guessing that decision.) 

Depending on quite how the individual/family deductibles and coinsurances work, we could be out over $10,000 just for the diagnostic work that PPVI wants. They're out of network, which complicates and makes everything more expensive. Is it worth it? We won't know the cost until afterwards, and we can't know what they could offer us. We're trying to make a decision when all the information needed to make a good decision is unknowable. To say that I hate that, and it's driving me crazy would be an understatement. I'm feeling pressured to make a final decision; once we get the call from the scheduler and schedule surgery, there is a $275 fee to cancel or reschedule. Compared to the cost of the blood work/ultrasound series/surgery, that's peanuts, but in our general budget, it's significant. 

Yesterday afternoon it just all came to a head; I was bitchy; I was whiny; I was miserable. Husbandido didn't seem to want to listen to me; my mother didn't want to listen to me; I didn't want to listen to me! What thoughts were going round and round in an endless circle? "Why does God hate me so much? How is it that my body is so uniquely screwed up? I can't think of anyone else my age who has had this many surgeries already; this next one will be 6. Six! So-and-so can have a baby. As can so-and-so. And so-and-so has has 2, or is it 3, and is pregnant again and wasn't even thrilled this time. (Names omitted to protect the innocent, but these are real women who have experienced IF.) Why does God hate me so? I'm trying so hard, all this work for the church. Does He just like to torture me?" Mercy? Grace? Love? I could see none of it, lost totally in a jealous rage. Though today has been better, I'm still angry and still jealous. I still don't know why God hates me. 

Tuesday, August 25, 2015

"They're Not Perfect"

Out of the five cats we've had, Bilbo is the closest to "perfect," and he doesn't cover in the litter box. (This wouldn't be a big deal, but he can be one stinky kitty! We've had him on supplements to help his digestive system.) Quickstep had a heart murmur, which eventually led to his death at age 8 (heart attack/build up of fluid around the heart). Mara was a spoiled brat about the litter box; if it didn't meet her standards, not just for being scooped but for having the litter replaced, she would find a spot she preferred, usually somewhere on the carpet. We tried all kinds of things, but in the end we mostly ended up trying to change the litter frequently enough to keep her happy. Right as we were about to fill out the paperwork to adopt Robin, he started suckling on my shirt, and the volunteer who had been helping us got this look on her face. She was clearly thinking, "Oh kitten, you've just gone and scotched this deal." Except he didn't - we adopted him anyhow. (Though I'm much more likely to tolerate Robin slurping on me than Husbandido is.) Then Robin came down very sick, needing to be syringe fed, and there was some question of how good his lung function would be when he recovered. My mother asked if we would keep him; I was appalled - of course we were keeping him! He was already ours. I've written about Biscuit's past before; even after 2 years with us, she is wary if we are standing up. She will come over for attention if we are seated, but standing humans are scary. Not a one of them has been "perfect."

"These aren't perfect kids," Rick, our main contact at the adoption agency, told us in an early conversation. As we have been researching the conditions listed on the Considerations page, that has been brought home. The conditions listed range from rickets to missing limbs, cleft palate to tuberculosis to Fetal Alcohol Syndrome. Trying to decide what we would and wouldn't consider has been a real struggle for us. It's not that we wouldn't love any child, but we are trying very hard to be realistic about what we can handle. Part of the struggle ties into the stereotypical experience of a couple that is expecting: "Are you hoping for a boy or a girl?" The commonly accepted response is "It doesn't matter, as long as he or she is healthy." (I have no clue what the response would be if the person said "A boy" or "A girl.") But healthy isn't an option; these kids are either coming from an abuse or neglect situation or they have real health problems or both. On some level, choosing what we will and won't consider almost feels like it has a eugenic edge to, as if is related to those who would abort a baby that wasn't "perfect." But on a practical note, there are limits to what insurance will cover and what we can afford to cover treatments for. 

Not that it's not possible, but a wheelchair-bound child would require moving; all the bedrooms in our house are upstairs, and the staircase is probably too narrow for a chair lift. There's the question of whether a special school would be required (such as The DePaul School or The Pittsburgh School for the Blind). If we adopted a severely disabled child, who would care for him or her after we die (or became unable to do so)? At this point, we are currently leaning towards hoping for a child or children whose conditions can be treated here, where there are more resources available, and that the child or children would eventually be capable of living independently. Unfortunately, time, money, and caregivers are limited for children in an orphanage. We have time, money, (insurance coverage,) and love to give. That doesn't make researching all the listed conditions on the Considerations page and deciding whether to check "Most Preferred," "Would Consider," or "Would Not Consider" any less heartbreaking.

Wednesday, August 19, 2015

Start Spreading the News

This past Saturday we started telling close family members about starting the adoption process. This was largely a pragmatic move, as we had asked our sister-in-law's sister (Husbandido's oldest brother's wife's sister, who I'll call Gigi) to be one of our references and didn't want everyone to find out secondhand. W and Gigi don't have much family, so Gigi and her daughter have been treated as part of Husbandido's family; we celebrate their birthdays and invite them to family gatherings. Though treated like family, they aren't technically related to us, so Gigi is eligible to be a reference for us, which is great because she has spent significant amounts of time around us in settings with a lot of children.

I underestimated how difficult it would be telling people that we were starting the adoption process. Explaining how it works wasn't the hard part; answering the same millions of questions repeatedly wasn't the hard part. For me, the worst part was hearing "I'm so excited for you!" It's probably counter-intuitive, but those words were the hardest to hear. So often I couldn't help but think "Good for you. I'm not." I keep feeling like the character from the Talking Heads song, "Once in a Lifetime," "And you may tell yourself/This is not my beautiful house/And you may tell yourself/This is not my beautiful wife..." As we were telling family and some friends about our plans for adoption, what's involved, and how long it will take, part of me was screaming "Wait!!! Stop!!! This isn't my life! How did this get to be my life?" I am grateful that the process will take a while; I need that time to accept that it is my life. These aren't the children I have dreamed of or prayed for, but they will be our children.

(We did have a couple of people break out the "You'll get pregnant as soon as you adopt" canard. Mostly we bit our tongues on that one, as we are quickly learning that most of the people who say that are not the sort to be swayed by facts and figures.)


Saturday, August 15, 2015

No Longer Either/Or

Near the end of 2012 Husbandido and I decided that if we hadn't succeeded in getting pregnant by that summer, we would start the process of adopting from Russia. We had an agency here in Pittsburgh picked out that was friendly and helpful; we had researched the process and knew it would be acceptable for us to be going through the process while continuing TTC. Then the rumbles about Russia closing started; we asked the agency, and they assured us that Russia grumbled periodically but would not close. And then Russia closed to US adopters. The agency we loved tried to get programs going in other countries but ended up closing their doors; their web page no longer was there; the phone was disconnected.

We took the classes to potentially adopt through Catholic Charities here in Pittsburgh in January 2013. Those classes just confirmed our belief that domestic adoption was not for us. Knowing that you could be chosen in weeks, months, years, or never was not something we were comfortable with. They already had more couples on their books than they would do adoptions for in 4 or 5 years. I was not comfortable with the idea of marketing ourselves as the best family for someone's child, so we decided to focus exclusively on medical treatments and TTC. 

As I may have mentioned once or twice, I turned 38 this year; Husbandido will be 40 this fall. Given our lack of success to date, the probability of us having three (biological) children, as we agreed before we got married, is incredibly low. As we've been getting older, I'm noticing that we don't have quite as much energy. I don't want to be 50 and trying to chase after a 5 year old. We've come to a point where we have decided that it's no longer either/or; it's time to switch to and. 

We received a letter from PPVI in early July and spent most of the last month trying to get answers to some key questions before we started working with them. Honestly, the call from the receptionist the morning after I left my first message, asking "Who are you?" was depressing and disheartening. As we struggled to connect and get answers, we questioned if it was worth it to work with them: they're out of network; it's far away; they're fussy. We aren't completely committed to doing everything they suggest, but we are still giving them a chance. I'm unhappy with the idea of having surgery again, especially since their rationale is that Dr. P. hadn't done the surgical fellowship and therefore did things differently and might have missed something. I don't know how likely it is, but we have up until we schedule surgery to change our minds. (Technically, we can still change our minds after that, though it would cost us $275.)

But given that adoption will take 1.5 to 2 years to complete the process, we can't continue to keep waiting. It's time to start the process. Last week we requested an application and had a Skype call with the agency. We have a couple of things we need to do to get our ducks in a row before we submit the application, but we plan to send it in next month. We have started work on the 22 (eep!) pages that are exclusively for agency use and know what we need to do; we've figured out how we will be able to afford it. Our top preference would be a sibling group, up to 4 children, both boy(s) and girl(s), with the oldest no older than 8. Researching everything on the considerations list was scary and intimidating, but we are comfortable with the decision to move forward.