No promises.
Life has been hard since I disappeared. I haven't journaled, in any way, about any of it. I've done very little writing of any kind. I shouldn't complain -- after all is said and done, we are in pretty good shape. We just passed our 18th wedding anniversary and our marriage is still good. Rick still has his job. We still have the house and we still pay our bills mostly on time. I'm still teaching the boy at home and he's still a great student.
But my daughter is sick. Well, she's better than she was, but she's still not entirely well, and we don't know if she ever will be.
Last fall, she began to complain of pain in her joints. I thought she was just sore from a renewed effort to drop some weight. I basically told her not to allow herself to become a hypochondriac. When the pain didn't go away, I relented and took her to the clinic. A skeptical doctor ordered a lot of tests, but clearly thought that, at age 22, my girl was too young to have anything seriously wrong with her. I felt the same way.
The doctor was wrong. I was wrong.
I didn't know much about her diagnosis but it didn't sound too bad -- rheumatoid arthritis. I was more concerned by the doctor's suggestion that we might want to take a closer look at my daughter's thyroid. Though she stressed that it was unrelated to the RA, and that it was likely nothing, she was a little concerned about a swelling her exam revealed. Just to be on the safe side, she said, let's get an ultrasound.
The ultrasound results came back inconclusive. " Well then, let's just rule out anything bad with a biopsy." The biopsy results came back inconclusive, but suspicious. "We'd better consult with a surgeon to evaluate the risk." The surgeon left the decision up to us -- though he recommended a partial thyroidectomy because a surgical biopsy would be nearly as invasive. Taking half the thyroid, he told us, would remove the entire lump, which was probably benign anyway, but she would still have enough thyroid gland to function normally. Best of all worlds.
He explained that there were risks of course. That he would be working very near her vocal chords. I told him, "She sings. She has always been a singer." That there would be a rather prominant scar which would fade with time. My daughter told him, "That's okay -- scars can be sexy." That he would take the whole thyroid if it looked like cancer when he got in there. We told him to schedule the surgery.
His initial examination of the small mass was ... inconclusive. He sent it off to the lab and we brought our girl home to heal. Perhaps we'd now have time to look into the RA thing, we thought.
When we took her back to have the stitches removed, we were in a good mood. We'd spent the morning shopping before getting a nice lunch. I think I was laughing at something she said when he came into the room. Neither of us expected him to look so grim. Neither of us expected him to say that the mass was cancerous. He hurried to tell us that it was the best possible kind of cancer to have. Papillary. A cure rate of 90%, when it was caught early. But it would be best to take the rest of the thyroid. As soon as the swelling of the tissues in her throat came down enough. He explained that she would need to begin taking Synthroid, but not until after a treatment of radioactive iodine. She would have to crash completely, so that any remaining or migratory throid tissue would show up in the subsequent scan.
So we got through it. The crash was bad, but my daughter is tougher than any of us knew. The radioactive procedure didn't show anything scary. She responded quickly to the Synthroid once she was able to have it. She can still sing. The scar is kinda sexy. And we think the cancer is gone. (She'll have another scan around Christmastime.)
The RA is pretty severe but she's responding to the six or seven medications she now takes. In August she moved to North Carolina. We hope that the weather there will be easier on her. I hope that her new life, with her new live-in boyfriend is wonderful enough to make up for some of what she's been through. But I miss her.

