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A Battle with My Blood

Suddenly, the health-care system on which I relied felt strained, shaky. Doctors and scientists at Columbia, including George, didn’t know if they would be able to continue their research, or even have jobs. (Columbia was one of the Trump Administration’s first targets in its crusade against alleged antisemitism on campuses; in May, the university laid off a hundred and eighty researchers after federal-funding cuts.) If George changed jobs, we didn’t know if we’d be able to get insurance, now that I had a preëxisting condition. Bobby is a known skeptic of vaccines, and I was especially concerned that I wouldn’t be able to get mine again, leaving me to spend the rest of my life immunocompromised, along with millions of cancer survivors, small children, and the elderly. Bobby has said, “There’s no vaccine that is safe and effective.” Bobby probably doesn’t remember the millions of people who were paralyzed or killed by polio before the vaccine was available. My dad, who grew up in New York City in the nineteen-forties and fifties, does remember. Recently, I asked him what it was like when he got the vaccine. He said that it felt like freedom.

As I spent more and more of my life under the care of doctors, nurses, and researchers striving to improve the lives of others, I watched as Bobby cut nearly a half billion dollars for research into mRNA vaccines, technology that could be used against certain cancers; slashed billions in funding from the National Institutes of Health, the world’s largest sponsor of medical research; and threatened to oust the panel of medical experts charged with recommending preventive cancer screenings. Hundreds of N.I.H. grants and clinical trials were cancelled, affecting thousands of patients. I worried about funding for leukemia and bone-marrow research at Memorial Sloan Kettering. I worried about the trials that were my only shot at remission. Early in my illness, when I had the postpartum hemorrhage, I was given a dose of misoprostol to help stop the bleeding. This drug is part of medication abortion, which, at Bobby’s urging, is currently “under review” by the Food and Drug Administration. I freeze when I think about what would have happened if it had not been immediately available to me and to millions of other women who need it to save their lives or to get the care they deserve.

My plan, had I not gotten sick, was to write a book about the oceans—their destruction, but also the possibilities they offer. During treatment, I learned that one of my chemotherapy drugs, cytarabine, owes its existence to an ocean animal: a sponge that lives in the Caribbean Sea, Tectitethya crypta. This discovery was made by scientists at the University of California, Berkeley, who first synthesized the drug in 1959, and who almost certainly relied on government funding, the very thing that Bobby has already cut.

I won’t write about cytarabine. I won’t find out if we were able to harness the power of the oceans, or if we let them boil and turn into a garbage dump. My son knows that I am a writer and that I write about our planet. Since I’ve been sick, I remind him a lot, so that he will know that I was not just a sick person.

When I look at him, I try to fill my brain with memories. How many more times can I watch the video of him trying to say “Anna Karenina”? What about when I told him I didn’t want ice cream from the ice-cream truck, and he hugged me, patted me on the back, and said, “I hear you, buddy, I hear you”? I think about the first time I came home from the hospital. He walked into my bathroom, looked at me, and said, “It’s so nice to meet you in here.”

Then there’s my daughter, her curly red hair like a flame, squinting her eyes and grinning a gap-toothed grin after taking a sip of seltzer. She stomps around the house in bright-yellow rain boots, pretending to talk on my mother’s phone, a string of fake pearls around her neck, no pants, giggling and running away from anyone who tries to catch her. She asks us to play James Brown’s “I Got the Feelin’ ” by picking up a portable speaker and saying, “Baby, baby.”

Mostly, I try to live and be with them now. But being in the present is harder than it sounds, so I let the memories come and go. So many of them are from my childhood that I feel as if I’m watching myself and my kids grow up at the same time. Sometimes I trick myself into thinking I’ll remember this forever, I’ll remember this when I’m dead. Obviously, I won’t. But since I don’t know what death is like and there’s no one to tell me what comes after it, I’ll keep pretending. I will keep trying to remember. ♦

Tatiana Schlossberg at her parents’ home in New York City.Photograph by Thea Traff for The New Yorker

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