Friday, April 20, 2018

I Wasn’t Sick, But the Community Helped Me Heal


Tonight’s Shabbat service at Temple Shaaray Tefila used bibliodrama and storytelling to explore the themes of illness, healing, loneliness, and community associated with this week’s Torah portion, Tazria-Metzora. I was honored to share my personal story of healing as part of the service.

Thank you, Rabbi Lenza… I’m honored to speak to you tonight. 

As I was thinking about how to share my story of illness – which wasn’t really illness at all – and the healing that followed, I realized it’s not only my story. It has everything to do with how this community responded and so, this is really our story...and it goes something like this…

In the spring of 2010, my mom died from aggressive breast cancer that ravaged her body in seven weeks’ time – literally from Pesach to Shavuot. During those weeks, even before my story began, Rabbi Stein called me regularly, just to check in. 

That summer, my sister and I got genetic counseling and testing for BRCA mutations. Indeed, a genetic mutation had been lurking in our family for generations. And, it had been passed along to me – significantly increasing the chance that in my lifetime, I would get breast, ovarian, and/or pancreatic cancer, as well as melanoma. 

An emotional roller-coaster ride ensued. At each turn was another doctor’s appointment, more reading and research, and intense loneliness. Still mourning my mom, suddenly I was a member of a club I never even knew existed – and I didn’t know anyone else who belonged. 

I wasn’t sick, but if I wanted to stay that way, I needed to educate myself and make some tough choices, choices that were made more difficult precisely because I was healthy. I was playing Russian roulette...and I’m no gambler.

I’d recently been attending the chapel minyan to say kaddish for my mom and I shared my news with a few people in the group. (It’s here that my story and the congregation’s story became one.) 

Four months later, I had the first of several preventive surgeries, skipping minyan for about five weeks while I recovered. During those weeks, Jesse Berger, whom I didn’t know well, called to see where I’d been; Brigitte Sion, challah in tow, came to visit on a Friday afternoon. 

With their acts of kindness and those of others in this community, I felt anything but isolated. Even now, all these years later, recalling those gestures warms my heart.  

Again, in July 2011, I disappeared from minyan – this time for more extensive preventive surgery that kept me in the hospital for five nights and out of commission until the fall.

As before, calls, visits, and well wishes, from the community and clergy helped sustain me. I was pleased to join what I dubbed (and this is a little PG-13) the “Sisterhood of the Traveling Bras,” whose comfy, post-surgery under-things were loaned to me by a Shaaray staffer who, as a fellow mutation carrier, had already been down this path. She knew exactly what I’d need while I recovered. When I returned to minyan after weeks away, the welcome I received fed my soul in ways that have stayed with me. 

It’s been almost seven years since my most recent surgery. Although physical and emotional scars remain, I am healthy – and doing everything I can to stay that way. I’ve recently enrolled in a clinical surveillance study designed to advance early detection of pancreatic cancer among those at highest risk. 

My experiences have made me an activist in the hereditary cancer community, particularly committed to raising awareness about inherited genetic mutations, especially in families like mine, where flawed genes often remain hidden until somebody dies. 

If you remember nothing else from this story, please remember this: BRCA mutations are considered rare, present in the general population in approximately one in every 400 to 800 people. In the Ashkenazi Jewish population, though, one in 40 of us – both men and women – carries a mutation, and 90 percent of carriers are unaware of their status. 

If you want to know more, let’s chat during the oneg Shabbat.

In the meantime, I’m so grateful to this community, and especially to the members of the minyan, for the concern, support, and kindnesses they showed me during my “non-illness” and recovery – and for the caring, kindness, and camaraderie I believe we show each other from week to week as we deal with the ups and downs in our lives.

Thank you and Shabbat shalom.

Sunday, April 1, 2018

#BlogExodus: Praise

Because there are no rules for #BlogExodus and because I often need time to process and percolate my thoughts, I believe it’s okay to write this last entry now, on the second day of Passover. If so, I wish to offer praise:

To the people who welcomed me into their homes over the last two nights for seder, in one instance for the umpteenth time, in another for the first time. In both cases, all of us who gathered, benefitted from gracious and generous hospitality, engaging company, wonderful food, lots of laughter, and the opportunity to retell the story of the exodus from Egypt, sharing and celebrating Jewish tradition together.

For growing and ever-intersecting and connecting circles of friends.

For musicians – cantors and professional singers – whose sweet voices enriched the journey from the narrowness of Mitzrayim.

For Rabbi Jim Rudin for his reminder that this year, 15 Nisan marked the 75 thanniversary of the Warsaw Ghetto Uprising, and also for pointing out the beautiful full moon as we headed back into the city, following the first seder.

For MetroNorth trains that run relatively on time.

For Elmo and for his knowing 13, so he could, as has become his own holiday tradition, help with Echad Mi Yodea.

For my friend, Pamela, and our new-ish holiday tradition that affirms our decisions to choose life and confirms that some of what makes Passover Passover has little to do with brisket, matzah, or Manischewitz.

For the blessing of memory that allows us to remember with love those who live in our hearts, even if they’re no longer physically with us around the table and for the power of that first bite of wet matzah spread with sweet, whipped butter to open floodgates to the past – and decades of Passover memories as sweet as the butter.

For Elijah and his enduring ability to keep hope alive – for whatever our hearts desire and for a more equitable and just world that is our responsibility to help build and create.

Chag sameach, friends!

Inspired by Ima on (and off) the Bima , this post is one in a series marking the days of the Jewish month of Nisan leading up to Passover, which begins at sundown on Friday, March 30, corresponding to the Hebrew date 15 Nisan 5778. If you want to play along, check out this year's #BlogExodus and #ExodusGram prompts .

Thursday, March 29, 2018

#BlogExodus: Welcome

Although I’m not sick (pooh, pooh, pooh), today I welcomed yet another doctor to my larger-than-average cohort of medical professionals. I’ve signed on to be a subject in a research study surveilling BRCA2 mutation carriers and others at high risk for pancreatic cancer. The study’s primary outcome measures are:

  • The number of premalignant or malignant pancreatic conditions found by alternating annual endoscopic ultrasound (a somewhat invasive procedure that requires anesthesia) with MRI testing over the course of five years
  • The number of participants with premalignant or malignant pancreatic conditions, as a measure of safety and efficacy

I know I sound like a broken record (do millennials understand this expression?), but BRCA mutation carriers are at increased lifetime risk of developing not only breast and ovarian cancers, but also pancreatic and prostate cancers, as well as melanoma and male breast cancer. Furthermore, the lifetime risk of pancreatic cancer is higher among those with BRCA2 mutations than those with BRCA1 mutations. The risk for BRCA1 mutation carriers who also have a family history of pancreatic cancer approximately equals the risk among those with BRCA2 mutations.

It’s estimated that one in 400 people in the United States carries a BRCA mutation and most of them are unaware of their genetic status. Within the Ashkenazi Jewish community, approximately one in 40 people is a BRCA mutation carrier.

Considering that the schlep to White Plains was relatively painless (thanks to the good company of my sister!), there seemingly are no downsides to my participating in this endeavor. Of course, it will offer me a layer of protection against pancreatic cancer that I otherwise would not have, but it also will advance the body of scientific knowledge around screening for this disease, potentially saving lives along the way.

For more information about BRCA and other hereditary cancer mutations, visit FORCE: Facing Our Risk of Cancer Empowered, a grassroots organization that offers information and support, and promotes evidence-based research, advocacy, and awareness endeavors on behalf of individuals and families affected by hereditary cancer.

Inspired by Ima on (and off) the Bima, this post is one in a series marking the days of the Jewish month of Nisan leading up to Passover, which begins at sundown on Friday, March 30, corresponding to the Hebrew date 15 Nisan 5778. If you want to play along, check out this year's #BlogExodus and #ExodusGram prompts.

Sunday, March 25, 2018

#BlogExodus: Thank

Dear Alex,

I’ve experienced my fair share of “small Jewish world” stories – especially given that I work for Judaism’s Reform Movement – but nothing quite like what happened this week. So, I want to thank for being the catalyst that made the planets align in my world.

It started with your Facebook post:
"I am so grateful for all the Lafayette students I've worked with over the years. One of my favorites just stopped by my office and it was awesome to hear how well she is doing as a young professional in Chicago.
Shout-out to Laf alums who are my FB friends! Please comment with what year you graduated and what you are doing now."
I commented with this:
1985. Senior writer and editor at the Union for Reform Judaism, where I manage blog content and curate Ten Minutes of Torah, a featured blog post sent daily to a subscriber base of between 20,000 and 60,000 individuals.”
And then the conversation continued:
Alex: “Love it.”
Me: “And probably your ‘alumna of longest standing’ FB friend!”
Alex: “I think that honor actually belongs to Liza Roos Lucy!"
Liza: Class of '74 P '12 P '15”
Me: “Liza Roos Lucy Excellent....you win! :) Happy Friday!” 
Liza: “Jane E. Herman to be fair, I didn't know Alex from the time I was a student. I know Alex through my daughter, Elizabeth Lucy class of ’15 and because my cousin, Susan Katz is her friend.
Alex: “I think I am fortunate to know all of you!”
Me: “Liza Roos Lucy I don't know her from my student days either. I met her about five years ago when I spoke on campus as part of the Madame de Lafayette speaker series.”
This might have been the end of the conversation and the story, but for some reason, I went to Liza’s FB page to see a bit more about her and this is where the story gets a little, um, bizarre… because she’s from Honesdale, PA.

See, I have a longtime friend who is the once-a-month rabbi at historic Congregation Beth Israel, the Reform congregation in Honesdale. During the last few months, I’ve told him a few different stories, to which he’s always responded, “All roads lead to Honesdale.”

In fact, it seems they do. A while back, at a bus stop in New York City, a woman asked me about the boots I was wearing. We struck up a conversation while we waited, and I learned she has a home in Honesdale. When Gene Kelly had surgery a few months back, I saw on FB that he would be recovering at his parents’ house…in Honesdale.

And now this.

So, I sent this message and snippet of information from Liza’s FB page to my friend Elliott, who is not on FB:
Don't ask, but I'm in a FB conversation with a few people, and one of them has these "stats":
Studied at Lafayette College
Went to Wyoming Seminary Upper School
Went to Honesdale High School
Went to Wyoming Seminary Prep School
Lives in New Hope, Pennsylvania
Married
From Honesdale, Pennsylvania
All roads… 
He responded immediately: “Liza!”
Me: “You know her???”'
Elliott: “She’s a very good friend and president of the congregation.”
Me: “OMG....I'm going back on FB...this is the best small Jewish world story. OK if I share that we had this convo?”
Elliott: “Sure.”
That’s when I went back to your post and wrote this to Liza: “When I saw that you're from Honesdale, I reported in to my friend, Elliott, with whom I echat nearly daily, and, alas, another great small Jewish world story is born...Honesdale, Elliott, Laf Coll....wow!”

Here's the rest of the conversation that took place on FB Messenger.
Liza: “Whoa! You are Elliott's friend! I am president of Beth Israel in Honesdale where Smitty was rabbi for 44 years and now Elliott.”
Me: “I know!! Small, small world! I work at the URJ, where he used to work...and we've been friends for 15 years!”
Liza: “Did you speak a few years ago at a genetic counselor event?”
Me: “In Honesdale? No. At Laf Coll... yes, as a Madame de Lafayette speaker. I am a BRCA mutation carrier and very active in the hereditary cancer community, committed to raising awareness about these mutations, especially in the Ashkenazi Jewish community.”
Liza went on to tell me about her daughter, Alex, also a Laf Coll alumna and a genetic counselor specializing in breast cancer. She said that when Alex lived here in NYC, she and I spoke at a hereditary cancer event and according to Liza, “she will remember you.”

In the meantime, I was having a simultaneous conversation with Elliott…and anyone who knows me well knows that multi-tasking is not my forte.
Me: “Liza just asked me if I spoke at a genetic counselor event a few years back...the world is getting smaller by the minute!”
Elliott: “I had told her about you. Her daughter is a genetic counselor – specializing in breast cancer.”
A little while later, I connected on FB with Liza's daughter, Alex, who now lives in Philly, but we haven’t yet figured out at what event in NYC (or perhaps in Philly) we met.

Liza and I chatted a bit more before I had to get back to work, but I’m sure we’ll talk again – either on FB or perhaps even in person.

Sharing all this convoluted connectedness is not to demonstrate FB’s tremendous power of relationships, but really to thank you for expanding my Lafayette network, my genetic counselor/hereditary cancer network, and most of all, for giving me perhaps the best small Jewish world story ever!

Wishing you and your family a wonderful Easter,
~ Jane.

Inspired by Ima on (and off) the Bima, this post is one in a series marking the days of the Jewish month of Nisan leading up to Passover, which begins at sundown on Friday, March 30, corresponding to the Hebrew date 15 Nisan 5778. If you want to play along, check out this year's #BlogExodus and #ExodusGram prompts.

Saturday, March 24, 2018

#BlogExodus: Rise


Yes, definitely
  • Gun safety laws
  • Youth leaders
  • Confidence
  • Self-esteem
  • Commitment to do good
  • Self-care
  • Knowledge (“You can’t know too much,” says my dad.)

 No, thanks
  • Gun violence
  • School shootings
  • Cholesterol
  • Blood pressure
  • Stress
  • Conflict
  • Noise

Inspired by Ima on (and off) the Bima, this post is one in a series marking the days of the Jewish month of Nisan leading up to Passover, which begins at sundown on Friday, March 30, corresponding to the Hebrew date 15 Nisan 5778. If you want to play along, check out this year's #BlogExodus and #ExodusGram prompts.