August 17, 2017
She showed up beside by my bed at three a.m.
“Mommy,” she said, “I am having great pain.”
That is an odd phrase, I thought. And I got up and asked questions and chose her some medicine, and scooted over to make space for her in the bed. She slept with me the rest of the night, but when she came downstairs in the morning it was worse. She lay on the couch for the next half hour, crying out, increasingly distressed, caught in the pain, chilled, screaming sometimes, vomiting.
“You can pinch my arm hard,” I said. “Ouch.”
We phoned and phoned. Our new doctor was out of the office for the day, and our old doctor’s office said “Since it’s within 24 hours of onset, just have her drink sips of water and wait for the virus to pass. I mean, if she really needs to come in, you can call back to schedule.” I wanted to yell at them.
That doctor called back within minutes to say, “I’m sorry. I was busy with another patient when the office girl spoke to me. What kind of pain is your daughter having? Okay, she needs to go for a scan. I’d recommend the emergency room.”
We had promised ourselves last December that if this happened again, we’d know the signs, and we’d drive her to the Children’s Hospital of Pittsburgh ourselves. We’d skip the extra hours of waiting, the ambulance, the double doctor and hospital bills. Our hospital does very little with peds, and transfer was near-guaranteed.
So we loaded my daughter into the van. I called around for a sitter for my baby. I grabbed hasty supplies – a toothbrush, a change of clothes for Kelly, a Bible, my breakfast. And my little girl and I set out for Pittsburgh, an hour and forty minutes away.
All the way down, as she dozed and retched in the backseat, I second guessed myself. What if it was a stomach bug? But when I could see her again, I knew we were in the right place, and may I say something else? That hospital is amazing. We were met by great staff, checked in immediately, and called back to an ER berth within ten minutes of arrival.
And so the long and the short of this story, several tests later, is that my daughter had a second ovarian torsion, exactly like the first one last December, with this difference: it was her left ovary instead of her right one. The chance of a torsion happening at all in a pre-pubescent child, without a cyst or other “cause,” is very small. For it to happen to the same child on opposite sides is just crazy. The managing doctor in the ER had never seen it, and even after the scans, the surgeon was not convinced it wasn’t the same ovary just pulling a number on us. Until he looked for himself.
Once again, I called and texted frenetically to keep her father informed. Once again, I signed release forms for laparoscopic surgery. Once again, I kissed her goodbye and watched them take her away. She was hardly awake enough to know what was happening, even before the anesthesia. That is what her body does in this kind of pain: vomits and sleeps.
But oh, bless Jesus. While they were in there, they stitched both ovaries in place to keep it from happening again. The release form said they might. “Please,” I said. “If you can do it, please do.” The surgeon looked at me. “Like a time bomb waiting to go off, huh?” he said. You got it, sir.
Her timing is awful. Last time, we were four days from her first Christmas program at school, and she healed up just in time to participate. This time, I was twenty-four hours from leaving for an overnight trip to a ladies’ retreat – one of the highlights of my year, and the only event to which I never take a child. And no, I didn’t make it. I kept watching the clock, thinking of what They All were doing without me, feeling wretched for being so selfish and minding so much. That is my confession.
As if she could choose, poor darling.
Worse, it is our third emergency room visit in nine months, and eats up the money I was hoping to spend to visit my sister in Israel when her baby comes. That is a loss I do not know how to fix.
Although there was worry and sorrow, there was far less stress in round two. There was no talk of a mass, a teratoma or a cancer or a rupture. We had a precedent.
I am so grateful for superior medical teams who knew what they were doing, grateful my daughter’s fertility is still intact, grateful to live in a generation when it is possible to look inside the human body, and to enter it to fix what is wrong, and to do the entering so unobtrusively that the patient can be up and walking (almost pain-free) within hours. I am grateful to my husband and my bestie and my mom, who kept things running smoothly in my absence and who were all around flexible and wonderful. I am grateful to Kelly for being such a trooper. Most of all, I am grateful this part of her story is, Lord willing, behind us.
“My life has so many miracles,” she says.
And I say, Amen. And please, honey, let’s have no more for a while.
There’s little information I can find even on the internet about ovarian torsions, either because they are rare and unstudied or because they are usually accompanied by another condition, such as a cyst, which receives the greater attention and official diagnosis. They’re easily missed as mimicking something else; and uncorrected, they’re both excruciating and dangerous. The speedy intervention of surgery was a godsend both times. Thank you, Jesus!