Tuesday, February 11, 2025

Children's Hospital

The first piggy bank I remember was shaped like the old Primary Children’s Hospital in Salt Lake City. “Primary” is the Mormon program for children under age twelve. The LDS church founded Primary Children’s Hospital in 1922. 

When I was a child growing up in Vancouver, we participated in “Pennies By The Inch,” which has been described as “the nation’s oldest grassroots fundraiser.” Each year all the kids in Primary received our own cardboard hospital piggy bank. We were supposed to save enough money by our birthday to donate a penny for each inch of our height. It didn’t seem weird to send pennies a thousand miles away to another country. We knew Children’s Hospital is a special place for kids with special health challenges, wherever they are. 

I never met anyone who was treated at Primary Children’s Hospital. But it felt good to send my pennies to Salt Lake, just in case. As Marlo Thomas says about St. Jude Children’s Research Hospital, “Give thanks for the healthy kids in your life, and give to those who are not.”


As a parent, my faith in Children’s Hospital has grown even more fervent. My first paternal vigil was at Seattle Children’s Hospital in 2005. When Eleanor was a month old, her infant gastric reflux spiked. Whole bottles of formula ended up on her fathers, and she stopped being her happy self. Our pediatrician assured us this was perfectly normal reflux. But it kept getting worse. Eventually we took her to the walk-in clinic. They immediately sent us across town to the emergency room at Seattle Children’s Hospital, where Eleanor was diagnosed with pyloric stenosis.
 
The pylorus muscle connects your stomach to your intestines. Sometimes the valve gets stuck a few weeks after birth. Anything you try to put into the stomach just comes back up. In the old days, infants with pyloric stenosis soon died. Fortunately, surgeons figured out how snip the pylorus and get things flowing again.
 
It took three days before Eleanor was hydrated enough for surgery. My parents came down from Bellingham, and my sainted ex-mother-in-law Judy flew in from Nebraska. Before the surgery, the nice Korean-American surgeon explained to us what was about to happen. Then he and Eleanor disappeared behind the ominous doors, and the rest of us went around to wait on the other side.

An hour later, Eleanor and the surgeon came out through the happy doors, and she began her swift and complete recovery. We went back to another eleven months of ordinary infant reflux and pediatrician visits, never again begrudging the vomit-stained clothes.


My next trip to Seattle Children’s came six years later, and involved mysterious bacterial pneumonia. I drove to the hospital. Eleanor took a helicopter.

Eleanor, Kamryn, and my ex had taken the train home after visiting Judy in the Midwest. After Oliver and I picked them up in Seattle, Eleanor began writhing in pain in the backseat. By the time we got to the Whidbey Island ferry she was burning up. We drove straight to the hospital on the island instead of going home. The doctors pumped Eleanor full of antibiotics, then put her on a helicopter to Seattle Children’s. 

It took a few days in the hospital to bring down Eleanor’s fever. We missed seeing the Broadway tour of “Aladdin.” I gave our tickets to a friend from Seattle Men’s Chorus; he gave Eleanor an oversized Tinker Bell balloon from the hospital gift shop. 


Here’s the key passage from the story of Eleanor’s pyloric stenosis surgery:

“Eventually we took her to the walk-in clinic. They immediately sent us across town to the emergency room at Seattle Children’s Hospital.”

Our upstairs neighbor in Seattle was an ER doctor at Seattle Children’s. When I complained about Eleanor’s melodramatic helicopter ride from Whidbey Island, she said “If you showed up in my Emergency Room with chest pains or a gunshot wound, I’d sent you straight to the grown-up doctors at Harborview.” Likewise, whenever a pediatrician or parent in the Pacific Northwest faces a life-or-death situation, they want their patient at Seattle Children’s.


Last spring my son Oliver started having weird stomach problems. Every four or five weeks he would develop symptoms resembling food poisoning – 24 hours of nausea and vomiting, but without a fever. We talked with our pediatrician and stayed in monitoring mode. 

When Oliver experienced more intense symptoms in November after just a two week break, we skipped school and went to the Urgent Care clinic. The doctor ordered an X-ray and labs. She described some of the potential causes, from stress to cancer to Crohn’s disease. Instead, the nurse called that afternoon to say the X-ray images showed alarming signs of intestinal blockage. CT imaging confirmed Oliver had a bowel obstruction.

The good news is a blocked intestine can be fixed with a one-time surgery. As I learned during Eleanor’s first visit to Seattle Children’s, the bad news is your child will die without surgery. The scary news is emergency abdomen surgery has only a fifty percent survival rate.

If Oliver needed surgery, we wanted it to happen at Seattle Children’s. Our pediatrician and I spent the next few weeks folding bureaucratic red tape into holiday bows. Oliver’s insurance approved a referral to the Seattle Children’s Gastrointestinal Clinic – but the first available appointment was in April. Meanwhile, we watched for a return of Oliver’s symptoms. My friend Dr. Ken did his pediatric residency at Seattle Children’s. When I described the test results, Dr. Ken echoed our local healthcare providers:  “it’s probably not an emergency emergency right now, but if symptoms return or pain he should go to the ER right away!” Not just any Emergency Room – everyone told us we should go directly to the ER at Seattle Children’s if Oliver’s fever spiked. 

Eventually someone looked at Oliver’s X-rays. On Friday, December 6, as I was heading up to Canada for Vancouver Men’s Chorus’s (and Taylor Swift’s) last three concerts, I got a call from Seattle Children’s. The told me Oliver could skip the Gastro Clinic. Instead they scheduled us for a surgery consultation in Seattle on Monday. 

Oliver and I met with Dr. Steven Lee, the Korean-American Chief of Seattle Children’s Surgery Division. Dr. Lee told us Oliver needed surgery as soon as possible. A week later, Seattle Children’s called to tell me Dr. Lee would be performing Oliver’s surgery on December 30. 


After thirty years in gay choirs, a handful of songs inevitably reduce me to tears whenever I try to sing them, such as the coming out anthem “Michael’s Letter to Mama”; the AIDS-era funeral staple “I Shall Miss Loving Him”; and the homesick ballad “Un Canadien Errant.”

This year Vancouver Men’s Chorus closed the first act of our holiday show with a Cher song: “DJ play a Christmas song, I wanna be dancing all night long.” The chorus repeats the words “that’s the only thing I want this year” as if in a trance. When we began rehearsals in September, Cher felt like a total bubble gum number, just like our Dolly Parton encore “Baby I’m Burnin.’” Then I saw Oliver’s x-ray report, and realized my son needed abdominal surgery to save his life. 

Since November, I’ve been unable to sing or hear “DJ Play a Christmas Song” without weeping. I don’t know what Cher is wishing for on the dance floor. But all I wanted for Christmas last year was a surgery appointment at Seattle Children’s. 


Oliver and Papa’s story continues in “Abdomen Whisperer”


Friday, February 7, 2025

Enabling Bullies


During his first two weeks back in office, Donald Trump and his collaborators identified their top priority targets:  trans individuals, immigrants, programs supporting diversity, and foreign aid. 

My brother Warren spent his career at the United States Agency for International Development. Warren and his wife Nadine raised their children overseas. Their plan was to return to the United States this summer after their youngest son graduated from the International High School in Frankfurt. Here is what Warren posted to Facebook this week:

Over 22 years ago I joined the General Counsel's Office at USAID - US Agency for International Development. After eight wonderful years litigating contract claims and protests, I had the opportunity of a lifetime to join the Foreign Service as a Regional Legal Officer. With my family gamely in tow we've had adventures serving our country in Ethiopia, Jordan, Ghana, and now Germany. I've worked with amazing people truly dedicated to helping make the world a better place for everyone. And those efforts have demonstrably made the United States stronger, more secure, and more prosperous.  

USAID has ceased to exist. Not after Congressional debate or due to studies and evidence showing it didn't work and offering a better alternative but because of the whims of the unelected billionaire who is running our country now. The immediate harm is to people in severe poverty across the world. Short term damage is to uprooted families like mine. Long term America will be a weaker, more isolated, less respected, and spiritually poorer nation as a result.


My nephew Fynn came out as trans while Warren’s family was living in Ghana. To facilitate his transition, Fynn moved to Bellingham to live with my parents while finishing high school. Now he lives with my kids and me. Warren and Nadine have been incredibly supportive of their trans child.

Our family checks all of Donald Trump and Elon Musk’s black boxes:   USAID. Trans identity. As a lawyer I’ve advocated for members of marginalized communities, and for years I chaired the state’s nonprofit Initiative for Diversity in the legal profession. My brothers and I grew up as immigrants in Vancouver, although most of us immigrated back to the States. For now.


Several friends recently posted Pastor Martin Niemöller’s poem to Facebook: 

First they came for the Communists
And I did not speak out
Because I was not a Communist

Then they came for the Socialists
And I did not speak out
Because I was not a Socialist

Then they came for the trade unionists
And I did not speak out
Because I was not a trade unionist

Then they came for the Jews
And I did not speak out
Because I was not a Jew

Then they came for me
And there was no one left
To speak out for me


Pastor Niemöller uses the word “they” to refer to the German people, not to Adolf Hitler. The Führer corrupted his compatriots with propaganda that stoked their fear and hatred of the Other. School yard bullies never pick the popular kids as their initial victims. Instead, they target the kids who don’t fit in, because bullies know how to work a crowd.

 

When I became an LGBT rights lawyer three decades ago, the Republican Party was using anti-gay initiatives and “Defense of Marriage” acts to rile up their base and win close elections. Nowadays, open homophobia is no longer welcome in polite society. But the nation’s new leaders can count on visceral bathroom panic over trans folk, and prejudice based on the fiction of dirty Mexican rapist immigrants. Between 2021 and 2023, the percentage of Americans who believe transgender athletes should only be able to play on teams that match their birth gender rose from 62% to a whopping 69%. Foreign aid, immigrants, and diversity efforts are similarly unpopular and misunderstood punching bags. 

 

The Trump/Musk team’s priorities during their twisted honeymoon should come as no surprise. Sadly, their enthusiastic support from MAGA-world is no surprise either.

 

Stand up to bullies.