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This blog post is brought to you courtesy of Facebook — more specifically those of you who offered up suggestions for a topic over on my Facebook page. I was feeling a touch of blogger’s-block, and asked for topics. And you delivered!

I may touch on a few of those topics over the next few blog posts — except for kale, because I’ve made my views on that topic abundantly clear, and there’s nothing more to say. I do not like kale.

Today, by popular demand, I am going to write about a gal who is long overdue for her own blog post — Clio’s bright, brave and otherwise fantastic “sib” (as siblings are known in pediatric cancer circles), Miss Elsa Margaret.

Poor kid. Sometimes I really wonder if this whole experience is harder on her than it is on Clio. I mean, Clio has to suffer the physical end of things — the hospitalizations and clinic visits, the chemo, the medications (as many as five different kinds a day, some of those twice a day, depending on where in her chemo cycle she is) and the nasty, into-the-thigh-muscle shots twice a week.

But Elsa has to deal with the fact that her twin sister is, necessarily, getting more attention and spending more time with us, whereas before the scales were always balanced, more or less. We try our hardest to keep things “even-steven” even here in Cancerland. But it’s next to impossible.

The first month after Clio’s diagnosis, when Clio was inpatient and either Alastair or I or both of us were staying at the hospital was tough on Elsa — she missed us, and was jealous of the intense amount of attention (and loot) Clio was getting.

But once Clio was home and things normalized a bit, she did pretty well. Her transition to school went much more smoothly than we anticipated it would. Even Clio’s emergency hospitalization when she had her seizure and my visit to the ER didn’t seem to faze her. Not at first.

But things have been tougher lately, and she’s been misbehaving more at home and at school. Clio’s return to school is a big part of this: I got Elsa to open up to me about it, in one of those extremely rare moments where I felt like I actually knew what I was doing as a parent.

We were on our way home from “Just for Sibs” night at Children’s Hospital — an evening program where siblings of kids with cancer are invited to come and eat pizza, hang out and do some organized activities. She was so excited to go, and seemed to have a great time, but didn’t want to tell me much about what they did or discussed.

So, apropos of nothing, I said, “You know what I really hate about Clio having cancer?” and proceeded to list several things that sucked about it: having to go to the clinic all the time, having to give her all kinds of medicine, having to worry about something going wrong, not being able to spend as much time with Elsa, etc.

And — to my surprise and self-satisfied delight — she took the bait: “You know what I hate?” she said. “I hate that now that Clio comes to school everyone wants to play with her all the time and not me, because they think she’s special.”

I said “yeah?” and “hmm” and “yeah, that must be hard” and all that stuff you’re supposed to say so kids will keep talking and …. she did!! I couldn’t freakin’ believe it. (Advice in parenting books almost never works.)

And then I told her about a new girl that came to my class once when I was little (I may have been combining several instances…) and how everyone wanted to sit next to her and be her buddy in line and play with her at recess, and Elsa said, “Yes! That’s what they’re like with Clio!”

I told her it wore off eventually, once people got used to her, and that the same thing would probably happen with Clio. Given that Clio’s done five or six full days at school now, it’s probably going to happen any minute. (Clio, incidentally is doing really well at kindergarten — although she hasn’t been exactly sympathetic to Elsa’s plight…then again, well, she’s five.)

But kindergarten jealousy isn’t the only thing Elsa is wrestling with these days. It came to our attention recently that she’s got some residual emotional trauma around my panic attack / psuedo-seizure / accidental overdose / whatever you wanna call it. As brave and unfazed as she was by all of it in the moment, it clearly — and not surprisingly — left a mark.

The other night, Clio made some reference to it, and she and Alastair were talking and Elsa ran away with her hands over her ears saying she didn’t want to hear about it, because it would make her have dreams about it, or see the “pictures in her head.”

“Pictures of what?” I asked.

“Of you lying on the floor.”

Ugh.

We’ve gently suggested that talking about it would probably help Elsa feel better, and not so scared. And we have managed to talk with her a little about it — in tiny little bite-sized portions, careful not to push.

She understands that the incident is still painful for me, too. The other night, during a little chat on the topic, as she sat on my lap she said, “You keep saying you’re sorry about what happened, but you don’t have to because it wasn’t your fault.”

This child amazes me. She can go from crying and whining because her sister got more pretzels to saying something like that — that! — within a space of hours.

We’re in the process of trying to find a counselor that she can talk to, or play with, or role play puppets with, or whatever it is that kids do with child therapists. (I should ask my dad; he used to be one). And also trying our damnedest to give her the attention and one-on-one time she deserves but also the structure and normalcy she needs.

Let it be said, though, that Elsa does get to enjoy some perks as a result of having a sister with cancer: This weekend we saw The Grinch Who Stole Christmas musical, courtesy of free tickets from the Jimmy Fund Clinic. The girls were just as awed by the Wang Theater, where it played, as they were by the show itself. (“It looks like Daddy Warbucks’s mansion!” said Clio. “It’s a palace!” said Elsa.)

But my favorite moment of the night, by far, was at the end of the show when the Grinch is trying to bring himself to say “Merry Christmas” to the Whos down in Whoville, but can’t quite do it (“Merry Chr– Chr— “) and all the young kids in the audience, completely spontaneously, started shouting out “Christmas!”

Clio, feeling clingy and lousy on account of the steroids she’d been taking, and preferring to cuddle in my lap for the whole show, didn’t join in. But Elsa did, jumping up and down and yelling “Christmas!” at the top of her lungs. It appeared to do the trick.

17 Comments

  • Betsy R. says:

    Love hearing about how Elsa is handling everything. Sounds like she is a rock start! Obviously, it’s tough and a little negative behavior is to be expected, but it really sounds like the girls are both doing awesome. Way to go, mama!! Hope that all continues to go well for your family.

    PS- If you are looking for more blog inspiration, I would love to hear more about how school is going. My two are in their first year of preschool, and the twin dynamic is so interesting to watch as they are away from us for the first time. Their teachers can tell them apart now, which is great! And this week, Drew was crying when we left, but when we picked him up, he said that John had hugged him and helped him feel better. John said, “No I didn’t. I was too busy playing with blocks.” Got to love those personalities!

  • Ewokmama says:

    It sounds like you guys are handling things super well with Elsa. I’m sure it’s hard for everyone involved, but your little family sounds very well connected and supportive of one another!

  • Kathleen says:

    Brilliant move about listing things you hate and sharing your own school stories. I just finished Brene Brown’s Daring Greatly and she talked about “normalizing” by sharing our experiences and relating that way. You might not have known it, but you probably helped take away any shame Elsa might feel at being mad about it all.

    Also, I think you are wise to seek another adult, particularly a therapist, just for Elsa. My older sister was really sick for a year (hospitalized 2-months) and that would’ve been incredibly helpful for me. I clearly remember the few times I had devoted adult attention during that time because they meant that much to me.

  • Kathleen says:

    Oh, and I meant to say the kale comment made me happy.

  • That must be really hard. I know how difficult it is trying to divide up my time among three children on somewhat equal terms and there are no unusual circumstances getting in the way. I can’t imagine how complicated it is trying to be there equally for both girls when nothing is balanced anymore. But it sounds like you’re doing great, and Elsa is amazing.

  • Patty says:

    Heh. Was that kale comment for me? 😉

    Both of your kids are amazing, and are going to grow up to do incredible things. And when they do, and stand up to give some award speech or other, they’ll say, “and I did this all on my own, without any help from my dumb parents…” (’cause kids are totally like that!) 🙂

  • April says:

    I loved hearing about Elsa. You are doing a great job with them and they are great little girls. I can relate because Eric and Elsa have a lot of similarities lately. We are having such a hard time with Harrison at school and that carries over to home sometimes. He doesn’t always understand why Harrison gets to do things at school he can’t (all the kids wonder that since Harrison gets special treatment with his IEP and they don’t). He is not neglected and is very well taken care of like Elsa, but its hard. There is a difference.

    I always tried and swore to myself I would be FAIR with the twins. I try so hard to be. But when one child needs you more or in different ways, it is so hard. Harrison was doing half days at home with me while Eric had to stay at school all day. He is a trooper and takes it very well considering. Much like Elsa. If anything the positive side is it is making them more mature and independent and probably a better overall person to have empathy and understanding.

    So try to think on the positives. I just beam with pride when I think about how well he handles it sometimes. Other times not so much. But thats kids for you. The very fact that you are trying and thinking about fairness shows you are a good parent. Life is not fair, but that does not mean we should not try our best to make it fair. You and Alastair are trying and I think you sound like you are doing a pretty good job.

  • Rosstwinmom says:

    You have succeeded in parenting when your daughter references Annie.

    You’re doing great. Being aware of the issue is step one. And step two.

    Hugs to you and yours.

  • Leslie says:

    Bless her little heart. You are rising to a very difficult occasion and doing a super job. Love and prayers to you all.

  • Susan Allen says:

    You mentioned that the local police department might honor Elsa for her bravery (calling 911, helping them get in the house, etc.) Hope it happens. It would be a great way to make her feel special!

  • Stephanie says:

    Glad to hear everyone’s hanging in, despite the snags. Wishing everyone well through the holidays.

  • KM says:

    Tears in my eyes, reading this post. My husband’s twin sister has been fighting stage 4 colon cancer for the better part of the past two years, and I can tell you that, whether you’re 5, or you’re 35, it is Very Complicated Stuff. Sibling rivalry never really goes away (says the woman who still battles wills with her sister on regular occasion), and cancer — with all the special attention and plan-changing and life-on-hold-putting that often go with it, seem only to amplify that. One advantage, I suppose in some ways, is that when you’re the sib and you’re five, you have a mom who’s acutely tuned in and actively concerned about your well being — not to mention special events at the hospital just for you. Not so much when you’re a 35 year old man. 😉

    There are no easy answers and certainly no ‘right’ ways to deal with cancer in your family — particularly not with young kids. Watching my seven year old and three year old grapple with their very sick aunt (extra special because she is their daddy’s twin) breaks my heart. I simply cannot imagine how you must feel watching your girls go through this, as you go through it yourself. Blessings and healing and all good things to you and your family.

  • Ann Frenning Kossuth says:

    I want you to know that every time I run into Miss Elsa at the school playground, she comes right up to me, with this amazing eye contact, and she greets me in a clear and friendly way, then skips off to play with the other children or show me some cool new stunt on the monkey bars. Also, your nanny is fantastic, I don’t know how you found her, but you need to get her to switch to doing her graduate work right here in Medford — South Boston is by far getting the better end of the stick. What a wonderful resource for you to have in your lives, you keep doing everything right as far as I can see. Luv yas!

    P.S. And she is right, it is not your fault. God bless her. 🙂

  • mary says:

    Re Elsa and your seizure. I understand from a friend whose daughter has seizures that it is much harder and scarier for the person watching than the person having the seizure. My friend’s grandsons talk about it a lot and feel terribly nervous that their mom will have another seizure (which she does from time to time). Elsa could perhaps benefit from a support group of children whose parents have seizures…? just an idea.

    on other notes. your blog/facebook/whatever it is entry is a beautiful and heart warming portrait of Elsa….. to think what little Elsa is going through….what you all are going through, of course……but Elsa…..twins are so bonded……she’s a star. her comments are breathtakingly wise…..

  • Kris says:

    Have you enrolled in Super Sibs? It’s another great resource for siblings – they send them goodies in the mail and also have an interactive website with activities. Sounds like you are doing all the right things for Elsa, though. Now that you’ve made it clear that she can talk about the stuff that stinks, you could try a similar tactic to remind her that some parts of the whole cancer experience don’t stink (like the Grinch outing.) “You know what I actually kind of like about this whole cancer thing? Getting the chance to do these fun things with you. And I’m not sure I would have known just how strong and brave you are if this hadn’t happened.”

  • Ron Chowdhury says:

    Also, that is a very respectable Christmas tree.