This week I got another one of those texts from a close friend...her cousin's baby was born sleeping at 32 weeks and they are looking for resources. I feel so badly for this woman that I don't know, that has to face this unimaginable life changing situation. At the same time I also can't believe that I am seen as this go to expert on babyloss. 5 years ago I would never have imagined this would be my life now. That I have a list of resources on hand for this kind of thing. I suppose it is one of the ways Angel's life continues to mean something - my ability to help others in whatever small capacity. It is so strange though. And it takes a toll. It leads to flashbacks and surfacing of difficult feelings all over again.
All that being said, I told my friend to pass on my contact info and that I am here to talk if and when her cousin wants to. I am a member of this community whether I like it or not, and I have my own support network that is always there for me -- women that are 3,4,5 years out from there loss. It only seems right to be an anchor for others that are not as far along in the journey.
I sent my friend an excerpt of the letter I wrote for the memory box that I donated to the hospital, if she wanted to share it with her cousin....here it is:
I am so sorry your baby is not coming home with you. I know your heart is broken and you may not know how you continue. But I promise you that you will. Also know that you are not alone. You will survive this. You will find a place where it is not as painful and you can cope. It will take time, and don't be rushed to move on or forget. Go at your own pace. All you can do is put one foot in front of the other. You may feel alot of fear and probably the most sadness and pain you have ever felt before. The intense pain you feel now will subside and you will feel some relief from it. The pain of loss never leaves you completely but it will get better, I promise you. You will carry this loss as you move forward but you will feel joy again, in between your grief.
(Illustration by Wes
Bausmith / Los Angeles Times)
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When Susan had breast
cancer, we heard a lot of lame remarks, but our favorite came from one of
Susan's colleagues. She wanted, she needed, to visit Susan after the surgery,
but Susan didn't feel like having visitors, and she said so. Her colleague's
response? "This isn't just about you."
"It's not?" Susan wondered. "My breast cancer is not about me? It's about
you?"
Susan has since developed a simple technique to help people avoid this mistake. It works for all kinds of crises: medical, legal, financial, romantic, even existential. She calls it the Ring Theory.
Draw a circle. This is the center ring. In it, put the name of the person at the center of the current trauma. For Katie's aneurysm, that's Katie. Now draw a larger circle around the first one. In that ring put the name of the person next closest to the trauma. In the case of Katie's aneurysm, that was Katie's husband, Pat. Repeat the process as many times as you need to. In each larger ring put the next closest people. Parents and children before more distant relatives. Intimate friends in smaller rings, less intimate friends in larger ones. When you are done you have a Kvetching Order. One of Susan's patients found it useful to tape it to her refrigerator.
Here are the rules. The person in the center ring can say anything she wants to anyone, anywhere. She can kvetch and complain and whine and moan and curse the heavens and say, "Life is unfair" and "Why me?" That's the one payoff for being in the center ring.
Everyone else can say those things too, but only to people in larger rings.
When you are talking to a person in a ring smaller than yours, someone closer to the center of the crisis, the goal is to help. Listening is often more helpful than talking. But if you're going to open your mouth, ask yourself if what you are about to say is likely to provide comfort and support. If it isn't, don't say it. Don't, for example, give advice. People who are suffering from trauma don't need advice. They need comfort and support. So say, "I'm sorry" or "This must really be hard for you" or "Can I bring you a pot roast?"
Don't say, "You should hear what happened to me" or "Here's what I would do if I were you." And don't say, "This is really bringing me down."
If you want to scream or cry or complain, if you want to tell someone how shocked you are or how icky you feel, or whine about how it reminds you of all the terrible things that have happened to you lately, that's fine. It's a perfectly normal response. Just do it to someone in a bigger ring.
Comfort IN, dump OUT.
There was nothing wrong with Katie's friend saying she was not prepared for how horrible Katie looked, or even that she didn't think she could handle it. The mistake was that she said those things to Pat. She dumped IN.
Complaining to someone in a smaller ring than yours doesn't do either of you any good. On the other hand, being supportive to her principal caregiver may be the best thing you can do for the patient.
Most of us know this. Almost nobody would complain to the patient about how rotten she looks. Almost no one would say that looking at her makes them think of the fragility of life and their own closeness to death. In other words, we know enough not to dump into the center ring. Ring Theory merely expands that intuition and makes it more concrete: Don't just avoid dumping into the center ring, avoid dumping into any ring smaller than your own.
Remember, you can say whatever you want if you just wait until you're talking to someone in a larger ring than yours.
And don't worry. You'll get your turn in the center ring. You can count on that.
Susan Silk is a clinical psychologist. Barry Goldman is an arbitrator and mediator and the author of "The Science of Settlement: Ideas for Negotiators."
The same theme came up again when our friend Katie
had a brain
aneurysm. She was in intensive care for a long time and finally got out and
into a step-down unit. She was no longer covered with tubes and lines and
monitors, but she was still in rough shape. A friend came and saw her and then
stepped into the hall with Katie's husband, Pat. "I wasn't prepared for this,"
she told him. "I don't know if I can handle it."
This woman loves Katie, and she said what she did because the sight of Katie
in this condition moved her so deeply. But it was the wrong thing to say. And it
was wrong in the same way Susan's colleague's remark was wrong.Susan has since developed a simple technique to help people avoid this mistake. It works for all kinds of crises: medical, legal, financial, romantic, even existential. She calls it the Ring Theory.
Draw a circle. This is the center ring. In it, put the name of the person at the center of the current trauma. For Katie's aneurysm, that's Katie. Now draw a larger circle around the first one. In that ring put the name of the person next closest to the trauma. In the case of Katie's aneurysm, that was Katie's husband, Pat. Repeat the process as many times as you need to. In each larger ring put the next closest people. Parents and children before more distant relatives. Intimate friends in smaller rings, less intimate friends in larger ones. When you are done you have a Kvetching Order. One of Susan's patients found it useful to tape it to her refrigerator.
Here are the rules. The person in the center ring can say anything she wants to anyone, anywhere. She can kvetch and complain and whine and moan and curse the heavens and say, "Life is unfair" and "Why me?" That's the one payoff for being in the center ring.
Everyone else can say those things too, but only to people in larger rings.
When you are talking to a person in a ring smaller than yours, someone closer to the center of the crisis, the goal is to help. Listening is often more helpful than talking. But if you're going to open your mouth, ask yourself if what you are about to say is likely to provide comfort and support. If it isn't, don't say it. Don't, for example, give advice. People who are suffering from trauma don't need advice. They need comfort and support. So say, "I'm sorry" or "This must really be hard for you" or "Can I bring you a pot roast?"
Don't say, "You should hear what happened to me" or "Here's what I would do if I were you." And don't say, "This is really bringing me down."
If you want to scream or cry or complain, if you want to tell someone how shocked you are or how icky you feel, or whine about how it reminds you of all the terrible things that have happened to you lately, that's fine. It's a perfectly normal response. Just do it to someone in a bigger ring.
Comfort IN, dump OUT.
There was nothing wrong with Katie's friend saying she was not prepared for how horrible Katie looked, or even that she didn't think she could handle it. The mistake was that she said those things to Pat. She dumped IN.
Complaining to someone in a smaller ring than yours doesn't do either of you any good. On the other hand, being supportive to her principal caregiver may be the best thing you can do for the patient.
Most of us know this. Almost nobody would complain to the patient about how rotten she looks. Almost no one would say that looking at her makes them think of the fragility of life and their own closeness to death. In other words, we know enough not to dump into the center ring. Ring Theory merely expands that intuition and makes it more concrete: Don't just avoid dumping into the center ring, avoid dumping into any ring smaller than your own.
Remember, you can say whatever you want if you just wait until you're talking to someone in a larger ring than yours.
And don't worry. You'll get your turn in the center ring. You can count on that.
Susan Silk is a clinical psychologist. Barry Goldman is an arbitrator and mediator and the author of "The Science of Settlement: Ideas for Negotiators."




