The spine doctor walked in with a smile and told us this could be a pretty boring meeting.
“Boring is good,” I said.
“You want boring,” he said, and I agreed.
I love the spine doctor. In his picture on the hospital website, he’s unsmiling and has tersely German features and looks no-nonsense—which is fine so long as he’s great with spines. In person, he’s got the open, smiling curiosity of a kid, and his warmth is so readable that the second he walks in the room Fiona reaches for him.
“We usually just watch these things,” he said, handing Fiona back to my husband. He turned to the x-rays of my daughter’s spine, which six months ago showed a 33-degree curve and six months before a 34-degree curve, and hopefully today showed about the same. Or less.
I was holding Petra in a chair. Justin was wrangling squirmy, hungry, tired Fiona on the examining table. We were chatting. If you stepped into this room, maybe you wouldn’t have known that Justin and I had just spent several hours in a hospital, several hours coaxing Fiona through the x-ray pictures (surprisingly traumatic) and the initial kidney ultrasound, and the addendum of images to the original kidney ultrasound because the first set of images weren’t good enough, and the weight check and length check and the discussion with the nephrologist about constipation and kidneys, all while trying to keep both Petra and Fiona fed and reasonably content. It had been a grueling day, and Justin and I were significantly drained, our needs constantly shelved to meet the needs of two non-mobile, non-verbal kids. But now our moods were lightening, probably because we were finally seeing the light at the end of the long, children’s hospital tunnel. This was the last of the day’s events. There would be Korean and Japanese food afterwards. There would be bibimbap and sushi. We were in the homestretch.
But when I looked over at the doctor, who was measuring the x-ray of my daughter’s spine with clicks of his computer mouse, he was no longer chatting with us—he was quiet, and thinking. And when I saw the image of my daughter’s spine, I got a glimpse of the number of degrees that he’d measured. Her curve was no longer in the thirties. It was forty-four degrees
And that’s when the hopefully boring, final appointment on a long day turned into “news.” The doctor stopped talking about “monitoring” and started saying things like “options” and “fixable” and “surgery.” And he repeated the phrase “forced hand.” As in, once the body’s spinal curve goes beyond 40 degrees, the body forces the surgeons hand.
Forces it to open. Forces it to take a knife. Forces it to use the knife to open the body. The body of my daughter.
My stepfather fixed problems with spines. Not problems with spines like Fiona’s, but problems with spines like yours and mine, which ache and pop out of alignment from day to day stuff. As long as I can remember, models and diagrams of spines dangle among my childhood memories.
But it wasn’t just my stepfather who fixed spines. My aunt and uncle fixed them, too, and my other uncle. And my other aunt still fixes them, and my cousin, and my other cousin. In my family, we’ve had eight chiropractors in three generations. I come from a clan of spine-fixers. I come from a people who believe that an aligned spine is a holy thing.
But none of these people can fix my daughter’s spine, because none of these people can change the fact that at least two of my daughter’s vertebrae are abnormal, asymmetrical, and possibly fused.
The culprit of these abnormal vertebrae: those missing 120 genes.
I rarely curse those missing 120 genes. They are like guests that didn’t show up to the party, and it’s their loss. But at that party, the guests also planned my daughter’s body. I imagine the genes—tens of thousands—like little architects, pouring over my daughter’s blue prints. The sapphire eyes. The sandy hair. The narrow feet.
The 120 genes that didn’t show up are responsible for her heart anomalies. They are responsible for her low-tone, which makes it harder for her to hold her body upright. They are responsible for her differently designed brain, which makes it harder for her to learn. Their absence is responsible for her febrile seizures and her slightly dilated kidneys and her smallness and her slow growth.
They are also responsible for the abnormal vertebrae, and perhaps because I come from a family of spine-fixers who cannot possibly fix my daughter’s spine, I hate those missing 120 genes most for the abnormal vertebrae. They make her back crooked in a way that no one who loves her can straighten. They make us rely on the amiable but otherwise-a-stranger spine doctor, who has now put his knife on the table. They—the abnormal vertebrae—underscore our ineptitude in healing my daughter, and thus, they underscore the powerlessness I feel, the power those truant 120 genes have over my daughter and our family.
We made a plan with the spine doctor—better imaging, more pictures, and then another meeting soon. Then maybe surgery. Probably surgery. Neither Justin nor I had the heart to ask, “What happens if?” As in, “What happens if we do nothing?” Both Justin and I sensed that we didn’t have the energy to hear those answers.
Then we bid farewell and took the girls to the aforementioned Korean & Japanese restaurant. But it was no longer a treat. It was a necessity—we were drained and famished and facing a two-hour drive home. Fiona was so spent she fell asleep on the 5-minute drive to the restaurant. Once at the table, she whined the whole time.
There was salmon sushi. There was an avocado roll. There was bibimbap. But it was all wedged in our mouths between appeasing a very cranky Fiona, who was also so hungry she ate her weight in rice, and a fussy Petra, who wanted to nurse and sleep. I held Petra close with one arm and used the other to shovel spicy rice into my mouth. With a napkin, I dabbed red sauce off Petra’s baby-pink onesie.
A word about where we were: we were near the campus of Dartmouth College. We were in a restaurant where kids pick over the remnants of sushi rolls while their parents discuss the virtues of Montessori school. Behind us, two people who must have been acquaintances spotted each other and started talking. A man said that he was picking up food because his family was getting their kitchen remodeled. A woman said she’d done the same last year, and wasn’t it a pain to have to eat out all the time. It was, he said. It was really a pain. They both commiserated over the difficulty of having to eat out so that you could get your kitchen remodeled.
With one baby on my boob, and the other baby miserable and whining in her highchair, and with all of us facing a two-hour drive home that night in the darkness and the fog, and facing another drive back six weeks after to take more pictures of my daughter’s spine, and another drive two weeks after that, to talk about the pictures with the spine doctor, and eventually surgery and then follow-ups and uncertainty about my daughter’s future ad nauseam, I very much wanted to live in a world where I could complain about the hassles of remodeling one’s kitchen.