Thursday, November 13, 2014

Repeated melodies and important smudges - Nov. 13



I giggled to myself yesterday.  It is just like God to close a circle with comical but quiet certainty, leaving his smudgy fingerprints all over an affair.  Yesterday Asa had his port a cath removed (see prior post).  It was pretty uneventful in every way, not that a toddler and anesthesia are ever a cakewalk, but we didn’t have any extraneous hospital blips like insufferably long waits for strange and unknown reason, no hunger cries or cookie tossing, just too much coffee and an overactive toddler running tripping up doctors with push toys.  Into that normalcy came a sweet realization. 

Tony and I were talking the night before and I mentioned to him that the surgeon was a Dr. Nuchtern.  You don’t get your druthers when it comes to surgeons for minor stuff, so in my mind, this fact was just another of many unimportant details in a drawn out affair, but hiding in the foggy recesses of my head, in the hundreds of professionals we have encountered in 9 months, I knew this doc was somehow in the story in the past.  I just don’t have the memory of an elephant that my spouse has.   And he reminded me.  This sweet, kind, soft spoken, unassuming man in the OR waiting area, who shook my hand and grinned so gently, was the chief of surgery, the man who got us rushed through the door of the ER months ago, the man who had operated a miracle on another friend’s child years before.  How like God to wind the piece to resolution with a rework of the intro melody!

I don’t think that story’s really told here entirely, though parts of it are. http://graceinspades.blogspot.com/2014/09/and-so-it-begins-feb-18-2014.html  I think early on we were still too busy drowning in facts to relish the details, much less repeat them.  The evening of Allen’s birthday, February 11, we were interrupted at dinner by a phone call from Tony’s neck doc saying there was an opening the next day.  This is a neurologist you wait months to see, weeks and weeks if you are an established patient. How odd to get an after-hours call? Knowing we were headed heck or high water to the med center the next morning anyhow to deal with Asa, we took the appointment. 

We awoke the next morning, expecting our pediatrician to have instructions as to exactly where to go with Asa.  We didn’t get a call, except to say she was working on it and working on it.  So, we threw the little boy in his car seat and drove to his daddy’s appointment.  As we sat down to visit with the neurologist about Tony’s neck, my phone rang and I rudely excused myself.  The pediatrician called.  Instead of negotiating an immediate oncology clinic appointment, she really was running into a brick wall, being told that an appointment would be weeks out and that our only other option was to head to the ER, which we knew would be a horrific undertaking with atrocious waits.  As the neurologist listened to the interruption and continued to speak with Tony, Tony pulled up Asa’s shirt and showed the doctor his belly and the world stopped abruptly and began to swirl in an entirely different direction.

Sometimes we don’t know we are in the right place in the right time, but in God’s economy, we always are.  Nothing is overlooked.  No detail too small.  We found ourselves in a whirlwind with a doc on a cell phone making calls, calls to too many guys who happened in surgery that morning, but still, the right calls, a doc whose nurse assistant “just so happened” to have been a season nurse at Texas Children’s in years prior and knew the right folks.  Within the half hour, we walked down Fannin St. from Methodist Hospital med center Houston to Texas Children’s hospital, waltzed into the ER, greeted by one of Dr. Nuchtern’s, head of surgery, residents.  Don’t pass go.  Don’t collect $200.  Escalated straight from the entrance of the ER to full surgical and oncological evaluation.  By the end of that day, though we didn’t understand what they meant yet, the medical team had the numbers they needed for a diagnosis.

We never met Dr. Nuchtern until yesterday.  Unlike one of the liver specialists who spent hours and hours on Asa’s assignment whom we’ve never met in person, whom I think I would wonder if he even existed if I hadn’t seen him in the halls, I’m not sure it was important that we put a face with a name, but I’m glad we did, not just to offer thanks to a kind man, but to close the loop, tie the melody of God’s goodness off soundly, left lingering in our head. 


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