My Final Wellness Post
Iām a mother to a child with medical complexities, and the problem is this: Iām tired of feeling like Iām surviving, or enduring, but rarely thriving. So, I paid $200 and signed up for a 15-week wellness program out of The University of Michigan for parents of children with special needs. This evidenced-based program, āMood Lifters,ā is modeled after Weight Watchers. This means, instead of a focus on losing weight, weekly goals are set and points are earned within the categories ābody, actions, mind, mood, and relationships.ā This is my final wellness post, and I am pleased to say, life to date feels something like flourishing.
The Flourishing Soul
The podiatrist points to my right foot and explains,
āI would do surgery on this foot first, and place pins in these three toes,ā
I lean over my knees, tracking his hand gestures and open my mouth to ask the size and material of said pins, but with the sweep of his hand, heās pointing to my other foot and explaining,
āWhen you recover, weāll do the other foot, likely with pins in these two toes,ā he says using his index finger to point to my pinky toe and its companion. I consider asking him if pinky toes are necessary, or just more of a formality, but Iām frozen, mid-thought and thrown into ice cold panic by his assessment of my situation:
āI canāt save your feet, but I can buy you more time, especially for running.ā
I stare at his face as I let out a slow exhale, an attempt to relieve my quickly building anxiety, āIām running out of time?ā I say with a sheepish laugh, āGet it, running out of timeā I say with a smile, clinging to pleasantries and laughter as an attempt to suppress and relieve the rapidly evolving emotions building inside my body.
He nods, but doesnāt smile. āYouāve taken great care of your feet, but youāre going to need intervention, yes.ā
I attempt to stay present, to gather the information I need, āIām sure you hear this all the time, but I donāt think I have time for surgery, can you explain the recovery process?ā
āFor five weeks, following each surgery, you canāt drive, lift your children, or obviously runā¦ā
I interrupt, āMy daughter⦠sheās not typical. Sheās six years old, and forty-six pounds, but it can be like moving, carrying, or changing an infant⦠She canāt move, or sit up or anything by herself. I canāt not lift and take care of her for five weeks. Or a cumulative ten weeks⦠I donāt know how it would even be an option for our family.ā
He watches my face and says, somewhat sympathetically, āIf you want more time on your feet, and to continue running, then I recommend surgery.ā
I look over his shoulder at a sculpted replica of bones within a foot ā the replica of a design which fuels momentum and connects us to the groundā to the earth.
āMaintenance mode is awful, isnāt it?ā I say with a half-hearted laugh, āI thought I had all the time in the world.ā
I sling my purse over my shoulder as I exit the medical building. My mind races as I strategize about the organizational logistics of two potential surgeries; would Tyler be forced to take a leave of absence to help with the kids? He didn’t even take leave when Nora came home from the ICU, or had G-Tube surgery, or even when she had reoccurring respiratory infections and hospital admissions. We just always made it work ā God only knows how.
I locate my car, swing the door open, toss my purse to the passenger seat and start the engine, I rest my head against the steering wheel and whisper, āI donāt need surgery, I need a vacationā to the car horn. I sit up to stare out the windshield and begin to consider the obscure and unlikely possibility of utilizing a five-week recovery process as a personal retreatā I imagine the look on the podiatristās face if I were to ask, āDo your patients ever recover out of the country, perhaps on a beach, on something like a vacation for a surgery like this?ā
Surely this would result in nothing less than a deeply unsympathetic stareā¦suddenly, Iām angry, and Iām shouting, exacerbated by his imaginary, unamused, response to my vacation ponderings, and his not so imagined general lack of warmth, āItās like he didnāt hear me! My daughter CANNOT MOVE ā I have to be able to LIFT her, I cannot just disappear for five weeks at a time.ā
I release another long exhale knowing my daughter will only grow and in the interim, my feet arenāt going to heal themselves. I tilt the driver seat back, open the sunroof, and stare at a purple sky ā twilight ā the quickly fading day. Quickly fading, like the time left on my feetā¦. āThe parallelism is astounding,ā I whisper to God ā the fading daylight.
I whisper to the now-night, I canāt just forfeit running ā itās my lifeline.
A lifeline that developed quite suddenly, and without any real strong explanation, just two years ago, after I read a research-based article about the positive effects of intensive cardio, for thirty minutes, five days a week on mental and physical health for women. I took this recommendation and created something like a training schedule by dividing my runs into slow runs, and fast runs throughout the week, and since I started running, my goals have stayed the same ā run in 30-minute time blocks and enjoy being outdoors: the wind, sky, changing leaves, the setting sun and the sliver moon.
When I first started running, Tia told me, āNever stop running ā itās going to save you.ā
The world could not have known how a global pandemic might impact our lives, that āSTAY AT HOME,ā orders might close down the gyms on every corner, hiking trails, and even the parks and beaches. But, at least in my neighborhood, the runners kept running. And at the end of some very long and hard days of caregiving, virtual learning, and entertaining a preschool child with no preschool to attend, running out my front door at the end of the day might be what was, and continues, to save me amidst the fluctuations and uncertainty of our lives. Running is freedom ā itās my sanctuary. And as today proves, it is also a privilege.
I close my eyes and try to envision life without running, without my sanctuary. And then life in five week increments without lifting, moving, and exercising in the ways Iām used to, life without being able to lift Nora ā life as a primary caregiver who canāt provide care.
It was my dad who told me that as a caregiver, I would need to fight many battles on behalf of my then 3-month-old Nora. She had just come home from the PICU (Pediatric Intensive Care Unit) with the diagnosis of āabnormal brain structure,ā and epilepsy. He gave me a letter titled: āNoraās Mom, Warrior Princessā in which he detailed the many types of battles mothers fight on behalf of their children, and listed the many battles I would face on Noraās behalf, but he emphasized this point:
āā¦And although the battle to protect and advocate for Noraās well-being is an important battle ā I want to make sure you know that the most important battle you will fight for her is not about medicine or therapy or diet or schools or treatment plans. The most essential – the most crucial – battle you will fight for her is the battle within your own soul.ā
This defines my motherhood: the best gift I can offer my children is the gift of a thriving, healthy, and soul-flourishing mother. From there, I move with strength to mother my children in the ways they need me.
I know flourishing, even in this pandemic, has always been less about running, or setting wellness goals, or even the act of doing battle within my own soul. Instead, it has everything to do with saving space to learn and grow, to engage in relationships and practices that make me feel alive, space to run, pray, date my husband, read my bible and Annalieseās hand- me- down novels, watch the sunset over the Pacific Ocean with my family, and of course, write.
This, the pursuit of a flourishing soul, is what saves me.
I open my eyes to a sunroof filled with the night sky. I bring my seat upwards, turn on the headlights, and point the car towards home as I decide, quite uneventfully, to get a second, and maybe even a third medical opinion.
I have time. And, Iāll make space.









8 Comments
Oh Jesse as I read this, my first thought was for you to get a second opinion. My next thought was, if the next doctor agrees then your village of support will help. My third thought….bike riding….. you need to keep your ritual somehow because it makes you a stronger and better caregiver and gives you joy as you continue this difficult journey youāre on. Love you and miss you šš¼ā¤ļø
Thank you Eva ā YES. Second opinion for sure. Thankfully we have an incredible village, and I know the Montagues are just a phone call away! We love you all so much! I agree, biking would be so fun (regardless of surgery), and Aunt Leslie would be so proud, and Nora can ride along in the trailer! On the bright side: roller skating is still on the table š¼š¤š¼
Of course I would be proud! But I know how running can be so convenient, just throw on a pair of shoes, and GO! Cycling requires a bit more planning, gear, etc. Certainly much easier on those feet though. So sorry you inherited the Rauch bad feet gene. But you have the Rauch determination to get out and do something good for yourself! My advice is to keep going with what you love and what works for you until you cannot tolerate the pain/discomfort any longer. Then have the surgery. Follow the recovery instructions 100%. Friends and family will help you for 5 & 10 weeks (and more!). Especially family, because we feel guilty that you got stuck with those hideous feet. We are strong. We can carry Nora for you, just boss us around and weāll take care of the transportation of that beautiful child.
Orthotics can help, but foot massages are the best (for the entire family!). Donāt hesitate to ask for one when you need it. Train Everett while you can, give him something slimy and slippery to rub your feet with. Important lessons for boys who fall in love with women with feet like ours!
I love your advice! Thatās my inclination as wellā run until I can run no more without surgery. And thank the Lord you can be there to get me through recoveryā Nora and Everett would love that part ā„ļø Iāll gather more info and weāll see where the pieces land. Love you š
Yes yes yes to second opinions! And to soul activities that run the gamut of momentum- and to how they all propel you forward in their own way.
Yesā āThe gamut of momentumā love that!
Surgery? I donāt know about the Rauch foot syndrome, did your dads sisters or cousins get surgery? Ugh, sounds scary. Setting that aside for now…It seems with training and proper alignment and use your body would naturally become optimized for what it was designed. The foot is so intricate and complicated. There is such a thing as foot yoga, I took such a class once. It was amazing. Even in ānormalā yoga if a teacher knows how to teach proper standing, it starts by perfectly aligning the feet, itās three arches, all toes engaged, balls of the feet balancing weight, moving to the Knees, pelvis, spine/rib cage, shoulders and finally, neck. Itās pages of instructions, lol, but you end up in perfect alignment, Mountain Pose. At first it feels so bizarre. Like this canāt be right. But it is, and in time it can become habit. Standing like we were designed to stand. Also foot reflexology and acupuncture can free up frozen sections where energy binds up if thereās limited range of motion issues in the foot. Thereās so much to try and learn about the body before surgery is my point. I mean can it be that Rauch foot syndrome is an old wives tale? A posture held in the mind that bleeds down into the feet which then become frozen concrete blocks? Hahaa I mean hopefully thatās all that is. No pins in your feet! Ok, did my mansplaining for the day. Much love.
Foot yoga! š§š¼āāļø I would love to learn more. And Iām starting the day thinking through all forms of āthe posture held in the mindā Thank you for sharing this imageryā love you dear Uncle! ā„ļø