Once Upon a Time I Had a Daughter

It’s that time of year again.  Tomorrow is my daughter’s birthday.  She would be 13.  Should be 13, except she hasn’t celebrated a birthday for nine years, since she died from a rat bastard aggressive brain tumor at four years old.  Donna has been gone for over two of her lifetimes, but here I still am, her mother.

This is my annual typing through tears birthday entry for my girl.  It’s almost 11 a.m. and I’m sitting here in my pajamas.  I mother two boys now and this time of year they tend to enjoy a disproportionate amount of screen time as their mama struggles with the reality that once upon a time they had a sister.

Once upon a time . . .

I still grapple with the reality that I used to have a daughter.  It has never not felt surreal to me, like, impossible.  Every year that passes takes Donna further away from me.  Some of my religious friends might reframe that as me getting closer to Donna with each passing year, but, well, I just don’t know.  It’s a lovely thought, that possibility, but that, too, feels surreal to me, impossible, improbable.

Mothering Donna, my happy girl. What a glorious Donna Day this was.
Mothering Donna, my happy girl.

What is real is that thirteen years ago I was in labor for the first time.  Me, the gal who never had a maternal bone in my body, would labor for 54 hours until Donna entered this world, swhooshed from between my legs.  We didn’t know, boy or girl, and there she was, a girl, our girl, Donna.  She was a gorgeous, beautiful, healing balm to us after my Mom’s death.

Donna’s birthdays have always been hard for me.  On her first, I had a migraine and by her second, she had cancer.  On her third she had just relapsed after a stem cell transplant seven months earlier and would have surgery the next day.  Her fourth birthday would be her last and we knew that all too well because the doctors told us so a few weeks before.  And yet there were always candles and cake and presents.  Donna never asked for anything, just flowers.  She was so sweet that way.

Thirteen is hitting me hard this year.  Donna would be a teenager, which means I would be the mother of a teenager.  That, too, seems surreal, impossible, improbable.  With each passing year, with this realization that Donna has been gone more than twice the short time she was with us, I sometimes feel a sense of imposter syndrome come on.  I know that once upon a time I had a daughter, I am the mother of a teenager.

My invisible daughter, my phantom girl.  I ache for her.  This grief I have gets to grow up when my daughter does not.  This grief has been with me so much longer than my girl.  How is that possible?  One of the cruelest aspects of grief is that you learn to live with it.  It seems impossible to go on without these people you love so much, and yet, we do, we keep moving forward, but always keep a part of ourselves in the past, when we were whole.

Tomorrow I will get a cake, probably, and buy something for the boys and wrap it up, probably.  A gift in honor of the sister they never knew.  A gift for them because there will be no gifts for her.  She would like that, I think.  Donna loved parties.  Happy birthday, girl.  You are so missed, so loved, so cherished.

If You’re Having a Miscarriage, Don’t Expect Walgreen’s Pharmacy to Help You

Last week I mentioned that I am angry all the time these days.  All.  The.  Time.  Today’s outrage comes after a casual perusal of the news.  I just learned that an Arizona woman, after being told by her physician that her body was in the midst of miscarrying her fetus, was given the option of having a surgical procedure, or taking a prescription to expel the no longer developing fetus from her body.  The woman opted for the medication.  Her pharmacist refused to fill the prescription for moral and ethical reasons.

Think about that, ladies.  Since I read about it, I haven’t been able to stop thinking about it.  A woman was informed that her body was rejecting her pregnancy, that her fetus had no heartbeat and had stopped developing.  She would miscarry her pregnancy.  This was what was happening, regardless of anyone’s morals or ethics.  The fetus would never grow into a baby.  It is a brutal loss.

I have had four miscarriages.  One happened very, very early into the pregnancy, before I had even been to the doctor.  The other three were after I was in a doctor’s care, but all during the first trimester.  Those last three miscarriages were discovered during routine ultrasounds, when, just like this Arizona woman, the doctor detected no heartbeat.  I went in, happy and excited, I left wrecked.  Those experiences were devastating to me.

Two of my miscarriages required a D & C, dilation and curettage, a surgical procedure, per my physician.  The last one was allowed to pass through my body naturally.  Miscarriage is something I don’t write about often, but I am often surprised by how many women have experienced one, even when we don’t talk about it.  They are a painful and unacknowledged loss for many.

A day after learning that her pregnancy was not viable, which, by the way, is how the medical folks describe it in their notes, the Arizona woman made the decision to take the medication to enable her body to fully expel the undeveloping fetus.  She went to her local Walgreen’s to pick up her prescription, her seven year old son by her side.  The pharmacist on duty, after asking her if she was pregnant, refused to fill the prescription.  He explained that he was opposed to giving her the medication on ethical grounds.  The woman tried to explain her situation, despite it being none of his damn business, but he still refused.

What in the Handmaid’s Tale is happening here, ladies?

Under Arizona law, a pharmacist can decline to fill prescriptions for moral or ethical objections, but Walgreen’s has stated that if they do so, they are supposed to refer the prescription to another pharmacist on duty.  Walgreen’s has acknowledged that the pharmacist did not follow corporate protocol, as when the Arizona woman requested another pharmacist on duty help her, the man refused, instead saying he could phone the prescription in to another Walgreen’s.

pharmacist

BAH!  Some days I feel like I am going mad.  I hope this makes you angry.  Please tell me this makes you angry.  Ultimately, the woman got her prescription, but at a different pharmacy and on a different day.  The least of it was that she was inconvenienced.  More significant was that her grief and trauma of miscarriage worsened when a man, under legal protection, decided that a woman using a legally prescribed medication, could not miscarry her already non-viable pregnancy using pills he deemed immoral to provide.  It is madness, this America in 2018.

Where does it end?

I don’t know the answer to that question, but I sure as hell know that every day is looking more and more like an America I no longer recognize.  Last week I was griping about the fact that my insurer was bought out by CVS Pharmacy, a corporation that no longer will allow me to have my prescriptions filled at Walgreen’s, my preferred pharmacy.  If I want coverage, I now need to get that at the corporation that owns my insurer.  Today, that bothers me a little less, reading about this man who made life harder for a woman in the midst of a miscarriage, but the truth is that all of it is wrong, and, increasingly, we are just rolling with the punches.

So, yeah.  Another day, another outrage.  I’m getting pretty used to this, and that terrifies me.

__________________________

You can read more about this breaking news story HERE or watch an interview with the Arizona woman HERE.

Moss and Lichen

I stood over my daughter’s open grave and thought to myself, “It will be okay.”  The calm and peace I felt was so ill placed, but undeniable.  I remember thinking that the peace was welcome, but it was tinged with guilt, because what kind of mother experiences peace in that moment?  Sigh, always with the guilt.

Grief is hard and mysterious and layered and nuanced, knowable and unknowable all at once.  It is the ocean of my feelings about motherhood, swallowing the rivers and tributaries of love and fear and tenderness and fatigue and frustration that are commonplace for all mothers.  Grief overshadows everything, all of it, always.

In the early years after Donna died, in those first seasons of grief, I tended to my girl’s grave like I tended to my living child.  I fussed over it, nurtured it, tried to make a home for what would become my girl’s bones.  I planted bulbs, hoping beautiful things would grow from our sorrow.

Allium and hyacinth and daffodils and astilbes and iris.  There was research and nursery visits and awkward conversations with well intentioned folks in dirt covered smocks who didn’t quite know what to say when I told them I wanted to make a garden for my daughter’s grave.  Nothing worked, nothing grew.  Well, that’s not entirely true.  A few feisty allium grew, but the deer made a meal out of them.

Donna’s grave is marked with a slab of limestone that juts out from the earth and rests atop a small ridge.  It had to be rooted deep into the ground to ensure it would not move or topple.  Whatever was used to keep that stone secure did something to the soil around it.  It’s clay-like now, not like other soil or dirt you use to plant, and it doesn’t take kindly to hosting pretty spring blooms.

We chose a natural cemetery for Donna and it’s about 90 minutes from our home.  It was the only green cemetery in Illinois at the time.  I think there are a few others now.  There was no embalming and no concrete vault.  Sometimes I wonder if she is bones yet.  Donna was four when she died and bones is what she knew of death.  When you die, you become bones.  A green burial in a natural setting made sense for Donna.

After a few years, I gave up on the idea of a garden for Donna.  We bring flowers when we visit and leave pumpkins in the fall.  I choose tulips, generally, as deer like tulips.  They are delicious, apparently.  I try and remember to bring a small rake when we visit so I can clear off dead leaves and debris.

We visited on Easter, which seemed fitting, somehow.  He rises, but Donna won’t.  I was mad at myself for forgetting the rake.  I’ll need to get back soon to clear off the winter.  There were lots of dead oak leaves.  Easter Sunday was chilly this year.  It fell on April Fool’s Day.  Jokes on us, though, as there was snow and ice this morning.

Our youngest boy is four, the age Donna was when she died.  He is all about death and dying right now, his natural curiosity about it in high gear.  He was chatty during our visit, touching the limestone slab and walking around Donna’s grave.  My boys are comfortable in cemeteries, which is what happens when your older sister dies of cancer.

At one point, my sweet boy said, “The next time Donna is alive, I will teach her to practice not dying,” then he meandered away, looking at the graves of others he doesn’t know.  I keep thinking about his words, his naive, unknowing solution to something that makes his parents so very sad.  

In those early days after Donna’s death, we would walk around the woods that surrounded her grave and find rocks.  We collected enough that we were able to make a border.  The rocks are satisfying, weighty pieces of granite with smooth contours that fit in the palm of your hand, a few more are jagged limestones.

When we had work done on the front entrance of our home, I rescued two old pieces of manicured limestone that used to flank our front door.  They are cracked in half and felt like a fitting offering for Donna — bringing her a piece of home.  They now sit at the foot of Donna’s grave, one on each side.  We did with stones what we couldn’t do with plants, making a home for Donna’s bones.

The moss and lichen on Donna's gravestone, 4.1.18.
The moss and lichen on Donna’s gravestone, 4.1.18.

Moss grows on a few of those stones now and in these early days of spring, the moss is greening up.  It’s beautiful, really.  Some of the smaller stones have a lot of moss, others none at all, some just tiny little precious explosions of green no bigger than a thumb tack.  I love moss.  When you Google it, you will learn that moss is a flowerless green plant that lacks roots.  It grows in damp and shaded areas.  It is simultaneously ecologically strong and fragile.  You do nothing, and it grows.  It requires nothing from us humans to do its thing.  It just is.  It is beautiful and soft and delicate, like nature’s blanket, like Donna was.

Lichen, I’ve learned, is not a plant at all, but an organism, a living thing.  It is gray or green and crusty.  A bit like paint flakes.  Like the moss, it has made its way onto Donna’s gravestone with no effort or intention from the humans who love and remember her.  There is more there this spring than there was last fall.  The lichen is less comforting to me than the moss, but it is fascinating.

Walt Whitman wrote in Song of Myself, “The smallest sprout shows there is really no death, and if ever there was it led forward life . . .” Those are the words I think of when I see that moss and that lichen, those living things that cling to my girl’s grave.  “All goes onward and outward, nothing collapses, and to die is different from what anyone supposes, and luckier.”

Nothing is as it was before our girl was diagnosed with cancer.  We are a different family, I am a different mother, but here we are, our sorrow existing amongst the moss and the lichen, growing, present, the closest to natural we will ever be.