Showing posts with label Tetralogy of Fallot. Show all posts
Showing posts with label Tetralogy of Fallot. Show all posts

Thursday, September 15, 2016

The Inspiration for ELI'S HEART

A Courageous Musician


Eli’s Heart was inspired by a friendship I had decades ago with a brilliant teenage pianist born with the congenital heart condition Tetralogy of Fallot. Samuel Sanders was fifteen when I first met him and heard him play. He was visiting a sister who lived in my hometown and he came to my house several times, and we listened to recordings of orchestral music, played piano duets (which was definitely daunting for me!), talked about books and baseball. His activities were restricted because of his congenital heart defect.

With a lot of help from Dr. Aarti Asnani, a cardiologist with Massachusetts General Hospital in Boston, I finally developed a grasp of the condition. There are four separate defects of the heart: a hole between the lower chambers (ventricles) of the heart, which means unoxygenated blood is mixing with oxygenated blood; a narrowing of the valve between the right ventricle and the lungs, which means not enough blood is getting to the lungs to be replenished with oxygen; a thickening of the wall of the right ventricle; and an aorta which is misplaced and is drawing blood from both ventricles. 

The result is a considerable reduction in the amount of oxygenated blood distributed to the body. The average person receives between 90 and 95% oxygenated blood. TOF patients receive sometimes less than 50%. Breathing is a struggle. Any physical activity, even walking, becomes difficult and can be life-threatening. Many children died in infancy, or did not survive puberty. Cyanosis (blue coloring of the skin, especially fingers, toes and lips) is a primary symptom.

In 1944, Drs. Alfred Blalock and Helen Taussig, with considerable help from Blalock’s assistant Vivien Thomas, developed a procedure to alleviate these children’s suffering. A shunt was created by attaching a branch of the aorta to the pulmonary artery which increased the flow of oxygenated blood. Sometimes this increase was dramatic; sometimes enough to at least ease their symptoms. From my understanding, patients who survived the procedure lived more normal and longer lives. However, the heart was not repaired. The Blalock-Taussig procedure was considered “palliative” ─ it eased the worst of the symptoms, but all four defects of the heart were still there.

About ten years later an open-heart surgery (called the “total correction” or “total repair”) was performed which patched the hole between the ventricles and widened the opening to the lungs, giving the patients a chance at a better quality – and quantity – of life. Over the past decades, as TOF patients have lived longer (some into their seventies and even eighties) other surgical procedures have been developed and refined, and a range of medications also exists to help treat the condition. It was at first considered a congenital heart defect. It is presently considered a congenital heart disease, a life-long struggle with a heart which can never be made “normal.” From my understanding, there is no one “standard” procedure for these patients. One comment from Dr. Asnani in our extensive correspondence stands out in my mind:

“With regard to treatment options for (adult) TOF patients, it’s definitely not a straightforward decision to pursue surgery, so we will often try to manage with medications for as long as possible.  Newer technologies like cardiac MRI are helping us figure out when the heart dysfunction is progressing to the point where heart surgery is absolutely necessary to prevent a further decline, though we’re still wrestling with defining the exact timeline.”

One of the first things Samuel Sanders told me was that he didn’t expect to live past the age of thirty. Other than that, and telling me about the cyanosis and that he’d had surgery, he didn’t discuss his condition and I didn’t ask questions. We concentrated on enjoying the time we had together.

After hearing him play – brilliantly –  the Rachmaninoff Second Piano Concerto a few months later, I lost touch with him. Some thirty years later I met a young man who was studying accompanying with Sam at Juilliard, so he’d have been in his early forties at that time. His student also told me Sanders had opted to work professionally as an accompanist rather than pursuing a career as a virtuoso pianist. I was very glad to hear he had survived past the age of thirty and was still sharing his extraordinary gift.

I thought of him again when I watched the HBO film “Something the Lord Made” (highly recommended) and wondered how he was. Internet searches revealed that he had died at the age of sixty-two. He’d had the B-T procedure when he was nine and two additional surgeries (the total correction and a heart valve replacement), and eventually not one but two heart transplants. The second one failed, sadly. While not a household name, he had a long and illustrious career as a collaborative pianist and performed with some great musicians who definitely ARE household names. I list a few of his many recordings in the discography at the end of the book.

My book is fiction, and my character Eli Levin is the product of my imagination. I did not know Sam Sanders beyond that brief friendship when we were both little more than children. However, his passion for music certainly had a lasting impact on me; he was indeed an extraordinarily gifted pianist and musician. We don’t meet many musical prodigies in our lifetime, and if and when we do, we never forget them. The fact that this one also had a damaged heart made him even more unforgettable.

(First published in July, 2014)

ELI'S HEART is available in paperback on Amazon, Barnes and Noble, and most online book stores; and as an e-book on Amazon, Smashwords, Nook, iBooks, and Kobo. 


cover by Tristan Flanagan

Saturday, April 16, 2016

Getting Inside a Character’s Head

#Writerproblems

My character Eli Levin is a prodigiously gifted pianist born with a complicated and frightening congenital heart condition. My character Niall Logan, aspiring singer-songwriter, is tormented by bipolar disorder.

As a person who has enjoyed good health for my entire long life, trying to understand what these two young men had to endure was not easy. If I want my reader to care about a character, I have to make them real to myself first in order to give them a voice which will then bring them to life for the reader. I write what’s generally considered “literary fiction.” That doesn’t mean I consider myself on a par with the great classic novelists of the past. It means that my stories are primarily in-depth character studies which follow a protagonist through the challenges life hands them.

In Eli’s Heart, my character Eli Levin was inspired by a real life musician, the late great pianist Samuel Sanders. I had a friendship with Sam one summer when I was fifteen and he had just turned sixteen. I was awed by his enormous talent, didn’t truly understand his excruciating health problems, and lost touch with him after we had corresponded for a few months. I met a young pianist some thirty years later who was studying with him at Juilliard. Since the only time Sam had discussed his heart condition with me was to tell me almost casually that he wasn’t expected to live past the age of thirty, I was happy to learn he was still with us in his mid-forties.

When the fine made-for-television movie Something the Lord Made appeared on HBO in the early part of this century, seeing it helped me understand better what Sam’s condition – Tetralogy of Fallot – entailed. I had been told by his student that he was accompanying the iconic violinist Itzhak Perlman, but when I looked Sam up on the Internet I was even more in awe of the magnificence of his career and the sacrifices he had made. Rather than dying at thirty, Sam lived to the age of nearly 62, burdened and struggling with his heart condition for most of that time.

Niall Logan, one of the protagonists in my work in progress Jamie’s Children, is completely a creation of my imagination. I chose to give him, instead of a life-long physical difficulty, an illness of the mind that he would have to learn to live with in order to have a productive and fulfilling life in his chosen field of music. I began researching Niall’s illness a year and a half ago, and it took a good year before I felt I had some sense of what people with bipolar disorder experience.

While a person with a physical disability is usually viewed sympathetically, one with a mental illness is even today considered very differently. Niall’s girlfriend Bonnie has parents who encourage her to leave him. Her father warns: “Don’t let him pull you down his rabbit hole!” Fortunately for Niall, Bonnie perseveres and her love and that of his family are important to Niall learning to live with his disease but to try to not allow it to define him. The challenges include societal confusion about mental illness. We like to think we’ve come a long way … and probably that is true … but we have much further to go. Niall has a difficult time accepting his illness, which is not unusual and is completely understandable. Nobody likes to admit that he’s crazy. But until he does, and seeks help, he is wandering in a world of confusion.

Without the assistance of medically knowledgeable people I would never have been able to attempt to write about either of these conditions. Research on the internet, books which were recommended to me (especially about bipolar disorder), reading online blogs written by both people who suffered both these conditions and those who love them, were all important. For both books, I had medical people who were very generous with their time and expertise to help me write believably about Eli’s awful heart condition, and Niall’s frightening journey.

Recently I spoke to a friend who suffers from a chronic and sometimes severe condition who mentioned people take their good health for granted. I used to. No more. I am very, very grateful for it. What I hope people take away from Jamie’s Children is a better understanding of bipolar disorder. And a realization that the person with BPD has to endure something most of us can never really understand.


Eli's Heart is available on Amazon in paperback and e-book.
Jamie's Children is scheduled for release this summer.
Please visit my website: www.susanmoorejordan.com to learn more.


Saturday, November 7, 2015

Eli Levin in His Own Words

Interview with the Pianist (July 1966)

SJ:       We’re here today interviewing pianist Eli Levin, who just returned from the Moscow Competition where he performed with American violinist Warren Anderson. Mr. Anderson won the coveted gold medal at that fiercely competitive event. Mr. Levin received a special medal from the judges in recognition of his extraordinary ability as a pianist and accompanist. Congratulations, Mr. Levin!

EL:      Thank you so much.

SJ:       Where is the medal now? We’d hoped we might see it today.

EL:      Well, actually, I gave it to my wife. She earned it as much as I did.

SJ:       Yes, I imagine being married to an accompanist who is as much in demand as you are can’t be easy. I’m sure you are away more than you’re home.

EL:      Yes, I am. Kristina knew what my professional plans were before we married and she has been unfailingly supportive. Once in a while she manages to arrange her schedule so she can take a short tour with us – Warren and me – and other times she has surprised me by showing up at a concert. She’s a busy lady in her own right as Personal Assistant to Maestro Aaron Rubin at the City Opera Company.

SJ:       When and where did you and Mrs. Levin meet?

EL:      We were both fifteen. I was visiting my sister Rachel, who lives in the town Krissy grew up in, and performed a recital there. I returned during the summer and I spent quite a bit of time at the Porters’ … Krissy’s parents’ … home. We didn’t see each other after that, but a few years later, when we were both in college, we were able to reconnect.

SJ:       Yes, I understand you married when you were both students at the Conservatory in Cincinnati.

EL:      Well, actually, I transferred to the school right after we were married, but we graduated together. I did my graduate study at the Juilliard School, so we moved to New York at that time.

SJ:       And began performing immediately after your graduation, I believe, and you’ve been playing almost non-stop ever since. Except for a detour for open heart surgery not long ago.

EL:      Yes, I was out of commission for a few months. But the surgery was successful and I’m busier than ever these days.

SJ:       May we talk about your heart condition?

EL:      Well … I never like to make a big deal of it. I was born with a congenital heart defect called Tetralogy of Fallot. Children with the condition are often called “blue babies” because the defects in the heart – there are four – impede the flow of oxygen to the blood. I had a surgical procedure when I was nine which relieved the worst of the symptoms, but no actual repairs to the heart were done at that time.

SJ:       The Blalock-Taussig shunt, pioneering surgery done at Johns Hopkins Hospital in Baltimore in 1944, over twenty years ago. I believe until that procedure was performed there was little hope for children born with the condition, and they often did not survive childhood or live past their teens.

EL:      Well, as you see, I’m definitely past my teens. (laughter) It was after I had the procedure done that I started playing piano. I think my family was shocked when it became apparent I was good at it. Oh, and please don’t use the “P” word, I really dislike it.

SJ:       Yes, I was warned. But you were indeed a remarkably gifted young pianist, performing the difficult and demanding Rachmaninoff Second Piano Concerto at the age of sixteen with the New York Philharmonic, receiving rave reviews. It seemed you were headed for a career as a virtuoso. Yet you stated your wife knew that wasn’t what you wanted, even before you were married. What set your feet on the path you are following?

EL:      I’m sure it was a combination of influences and events. The first time I performed with another musician – I was a freshman in college – I enjoyed it far more than performing as a soloist. But it may have been even earlier; when I spent time with Krissy the summer we were teenagers. We often played piano duets. Part of that was because it gave me an excuse to sit close to her. Piano benches aren’t very large. (laughter)

SJ:       It’s been a pleasure to speak with you, Mr. Levin. Before we close, would you like to add a few words of encouragement to budding accompanists who might be listening?

EL:      Yes, I would. Play as often as you can with as many different singers and instrumentalists as you can, so you can begin to learn the vast literature you’ll be challenged with during your career. Listen to recordings. Attend live performances. Practice sight-reading, you never know when you might have to sight-read an entire recital. Don't ever be discouraged by the attitude you will sometimes encounter. What you do requires special skills. You’re unique. You are special. The music world could not do without outstanding pianists who choose to perform with other musicians. Wear the word “accompanist” with pride. And above all – practice, practice, practice!

SJ:       And you might become the next Eli Levin. Thank you, Mr. Levin, and best wishes for your continued success!

 Eli’s Heart is available on Amazon http://tinyurl.com/qyjfq7r
www.susanmoorejordan.com

 cover by Tristan Flanagan

Monday, October 12, 2015

Broadening Horizons

Jamie’s Children

In my upcoming book, working title Jamie’s Children, I follow the stories of a brother and sister whose lives take very different paths. Their father, Jamie Logan, is an opera singer. His daughter, Laura, is discovered at the age of four to be a prodigiously gifted violinist. Laura’s brother Niall, younger by not quite two years, says at one point in the story: “Laura touched a violin at the age of four and the heavens opened up and announced what her life would be.” Niall battles the demons of bipolar disorder as he tries to understand who he is and how he fits into this family which is defined by music.

I’ve set myself quite a challenge with these two characters. In Eli’s Heart, Eli Levin was a prodigy, an immensely gifted pianist with a frightening congenital heart disorder, Tetralogy of Fallot. While I don’t consider myself a pianist, I spent many years studying piano and learned enough to be aware of the talent and dedication necessary for a career as a pianist.  And as a singer, I learned to appreciate the special skills required by a good accompanist. Eli Levin became a great accompanist. This was territory I entered fairly comfortably.

Laura plays violin. While I love the sound of the instrument, I’ve never played one. Fortunately, among my good friends I count a fine violinist, Chris Souza, who is my “go to” person for questions about the world of string music. Laura has isolated herself because of her genius, despite her family’s best efforts. She has to work through her own emotional problems to try to free herself from her self-imposed ivory tower.

Niall plays acoustic guitar, another instrument I know little about. I am learning what an aspiring folk singer needs to do to break into the field, thanks to a former voice student. Nate Taylor is in the process of doing what Niall thinks he might like to try, and Nate has generously shared some of his experiences with me. (He’s very good, by the way, and I’m going to include his website so you can hear Nate's music ─ http://www.ntaylormusic.com). As a classical musician, it’s good for me to broaden my horizons with this music, and I’m listening to a lot of great folk artists these days.

The most difficult task of all is trying to gain an understanding of Niall’s terrible burden of bipolar disorder. To write a character, I have to know him. I have to be able to get inside his head. Niall’s bouts of mania and depression are something I thankfully have never experienced.

Writing about Niall’s first manic experience wasn’t easy, and will no doubt be rewritten, possibly more than once. It’s difficult to understand how Niall’s mind works because it doesn’t work at all the way mine does. Whether Niall’s music will help him live the kind of life he wants remains to be seen. My belief is that music is a powerful force in our lives; indeed, in the universe.

It was invaluable to have a cardiologist as my guide when writing about Eli Levin’s heart disease. For Jamie’s Children I’m fortunate to have a young friend who is a medical researcher at Massachusetts General Hospital whose specialty is mental illness, bipolar disorder in particular. Dr. Andrew Rennekamp has provided me with a wealth of information about the condition.

Bipolar disorder presents in many ways, and it often goes undiagnosed or misdiagnosed for years. Medication is just one part of treatment ─ therapy, the support of friends and family, and the patient’s strength of will all must combine to make a productive and happy life even a possibility. 

People with bipolar disorder are suffering from a life-threatening illness. Far too many of them become overwhelmed and end their own lives. Somehow, we have to find a way to make that stop. It’s heartening to know there are researchers like Dr. Andrew who are working hard to provide more answers and more help.
           

While you’re waiting to read more about Niall and Laura, you can
 meet their parents in the third book of my Carousel Trilogy.
You Are My Song is about Jamie Logan’s journey in the world of opera
and the professional and personal challenges he must face along his way.
Here's the link to the book: tinyurl.com/p743ru9
www.susanmoorejordan.com



Nate Taylor
photo by Lauren Peters-Collaer

Sunday, September 6, 2015

Rachmaninoff’s Second Piano Concerto

Music: the Most Powerful Force in the Universe

This morning I happened to turn on Turner Classic Movies, my favorite television channel, and caught the end of a 1954 film I remember vividly, Rhapsody. Elizabeth Taylor played an heiress who fancied herself in love with a violinist (Vittorio Gassman) and followed him to a conservatory in Zurich in hopes of marrying him. But a young pianist (John Ericson) falls madly in love with her, and is emotionally distraught when she doesn’t return his affection. He’s preparing for a major concerto performance and in order to help him meet the commitment, she agrees to stay with him. Just before he goes onstage she tells him she’s leaving him for the violinist, assuring him he doesn’t need her. He can play brilliantly whether she’s in his life or not.

She hears the concert and he plays as well as she told him he could; and she realizes she loves him and not the fiddler after all. Happy ending. It’s really not much of a plot, but the music is glorious, and it was filmed when Taylor was probably the most beautiful woman on earth. The piano concerto is possibly the most romantic piece of music ever written, Rachmaninoff’s Second.  

That concerto, and that film, both play a role in my first novel, How I Grew Up. My protagonist Melanie is at the movies when her parents are shot to death by her estranged brother-in-law, and the film she sees is Rhapsody. Melanie’s best friends, Ellen and Krissy, are both musicians and she says to herself she must tell them to see the movie because of the beautiful concerto. Watching the ending today I was pleasantly surprised to realize the entire first movement is played on screen. Or most of it; if there was a cut it was done so skillfully I didn’t notice it. The great Claudio Arrau provided the beautifully performed soundtrack.

Later in the book Krissy hears her own young pianist, Eli Levin, play the same concerto with the local orchestra as a guest artist. Krissy and Melanie live in a town in East Tennessee; Eli lives in New York. Krissy falls in love with Eli when she hears him play Rachmaninoff. It seems their love isn’t meant to be. But Krissy and Eli have their own book, Eli’s Heart. So maybe it is.

The character of Eli Levin is a product of my imagination, but he was inspired by a young pianist I met when we were both fifteen, many decades ago. Samuel Sanders was born with a frightening congenital heart defect, Tetralogy of Fallot, and one of the first things he said to me when I met him was that he didn’t expect to live past thirty. What do you say to a kid who is six months older than you are and makes that casual statement? Sam was a prodigy. He didn’t start playing piano until after he had a surgical procedure in 1947 at the age of nine, and his parents were trying to find a way to keep their baseball loving son occupied. I think everyone was stunned when it was discovered he had this huge talent.

Eventually, Sanders chose to become an accompanist, a collaborating artist rather than a virtuoso. It wasn’t an easy choice for his family to accept. He made a difference in the world of classical music and performed with many notable soloists. And he lived far beyond thirty; he died after a second heart transplant at the age of sixty-two. His life was never easy, though the first heart transplant did give him some good years. 

True story: Sam Sanders played the Rachmaninoff Second Piano Concerto a few months after I met him, and I was in the audience. He was amazing. I’ve never been able to listen to that glorious piece of music without thinking of him.


Both books are available on Amazon. There are links on my website to each book. Local friends: the Pocono Community Theater has paperback copies for purchase at a slightly reduced rate and the books are available whenever the theater is open.

http://www.susanmoorejordan.com/




Thursday, September 3, 2015

Eli’s Imperfect Heart

Two Burdens
  
My character Eli Levin suffers from a frightening congenital heart condition, Tetralogy of Fallot. Eli’s story takes place in the middle of the twentieth century, when a surgical procedure had only recently been developed to offer some hope to these children, known as “blue babies” because of the oxygen deprivation they experienced.

Eli has two burdens: he is also a prodigiously gifted pianist. He lets neither of these define him. Eli chooses to become an accompanist, or a collaborating artist, a choice which means he is sharing his gift. He refuses to give in to his heart. Instead, he gives it to music, and to the girl he loves with all his heart, Kristina Porter – who eventually becomes his wife.

When they first met as teenagers, Eli was aware his life would probably be a very short one. Eventually, a second surgery was perfected which still gives T.O.F. patients a good chance at a longer and more “normal” life. Medical science has yet to find a way to make the hearts of these courageous people “normal” even now; and often medication and more surgery are required. Sometimes a heart transplant provides more years.

At this point in the book, Eli is aware of the option for the second surgery, and knows he will have to have the procedure soon. As I learned while researching the book, T.O.F. patients seem to share a great love of life, a desire to achieve all they can despite the odds. They never take their hearts for granted, but most do not let the condition rule their lives. Yet I’m sure they all struggle with their heightened sense of mortality. Eli certainly does.

**********

     Sometimes during a break while he was practicing by himself, Eli would feel a sudden chill. He was about to turn twenty-seven. In three years he’d be thirty. He remembered he had told Krissy when he first met her he wasn’t expected to live past thirty, and he was sure she recalled it as well.
     When Eli had these moments of fear, Krissy was very much aware of it. He would grow very quiet and reach for her urgently. There was desperation in his lovemaking, a sense that he was afraid he could be making love to her for the last time.
     She talked to him about it, stroking his head, his shoulders, his chest. “I think I have an idea what you’re feeling,” she said softly. “I feel it too, sometimes. But Eli, what Les Allen said to me before we were reunited is such a help to me. I know I can’t really understand how you feel, my dearest, sweetest boy. But he told me to focus on life, and not to live or love in fear. Sometimes that has to be hard for you. Sometimes it’s hard for me.” He was quiet but moved as close to her as he could.
     “I know you’ve said you don’t think the power in the universe ... what I’ve come to think of as the Eternal ... intervenes in our lives. And you could be right. But I do wonder if we are given a path to walk in this life for a reason. I don’t think you even know what an inspiration you’ve been not just to me, but to many people who know you.”
     “Why do you say that? I haven’t done anything ... well, I try to share my love of music when I play. I’m sure there are people who don’t like me very much. You know what an opinionated musical snob I am.”
     She laughed softly. “Yes, you are a musical snob. You wouldn’t be my Eli if you weren’t. But people who know you, and know what you’ve been dealing with all your life, admire your love of life, your incredible courage, your artistry.”
     They moved even closer to each other, wanting to feel nothing could ever come between them. He said softly, “Having you in my life has meant the world to me, my love. If your universal being ... the Eternal ... did plan a path for me, I’m so thankful it included you.” He was quiet for a moment. “I hope I have more time. I think there are more things I’m supposed to do while I’m here.”
     For a few minutes, it seemed to them their hearts were beating almost as one. It was a lovely moment, and they drifted off to sleep filled with a sense of peace.

     **********
Eli's Heart is available on Amazon, paperback and Kindle. 

cover by Tristan Flanagan

Monday, August 10, 2015

The Girl Who Won ELI’S HEART

Eli’s Krissy

     It sometimes concerns me that people might look at the blurb for Eli’s Heart and see it’s about a classical pianist with a bad heart, and think it’s not something they’d enjoy reading. It is all the above, but it’s also about a young man who wants what most young men want, a happy and fulfilling life, which includes being with the person he loves.
     There is a lot of music in the book, to be sure, and quite a bit about Eli’s heart condition, Tetralogy of Fallot. There has to be, because it’s a constant part of his life and later his and Krissy’s life together. But Eli’s heart condition doesn’t define him. And as young newlyweds he and Krissy are learning a lot about each other. The book begins in the nineteen fifties, a period when people tended to marry young if they wanted to be together – and Krissy and Eli definitely want to be together.      
     The first year of their marriage has highs and lows, and they wanted me to share all of that with the people who read their story. Here’s an excerpt.

  
     A week later Krissy decided to try her hand at lasagna. She shopped for the ingredients a day ahead, following Kim’s instructions carefully. When she got home the next day to start cooking, she placed her portable record player on the dinette table and put La Traviata on the turntable.
     First the meat sauce; as Kim had instructed, she browned the beef and drained it through a colander, then added the tomato sauce and seasoning to taste. Kim’s recipe called for a third of a cup of red wine. Krissy had a bottle of Chianti that had been a wedding gift. She thought, if wine is good in the sauce, how about a little in the cook? She poured some Chianti in a small juice glass, stirred the sauce and tasted it, and took another sip of her wine. She had lots of time; Eli had a rehearsal for the trio and wouldn’t be home until six, so she planned to put the lasagna in the oven by five-thirty.
     While the noodles were cooking, she tasted the sauce again and poured herself a little more Chianti. She started the opera over and started singing with Violetta when she got to “Sempre libera.” Krissy started to feel creative, and decided another half glass of wine in the cook might be a great idea.
     Putting the layers together was kind of like making a piece of art. She was liberal with the parsley; Krissy liked parsley. She finished the dish by topping it with Parmesan cheese and put her lasagna in the oven, pouring a little more wine in her glass so she could toast the cook. She had a loaf of French bread she sliced, and added butter and a very light sprinkle of garlic powder. She put the record player away but continued to sing as she set the table, switching to “Torna a Surriento.”
      Eli walked in as she was taking the dish out of the oven. He couldn’t believe it was his apartment; a delicious aroma hit him as he came through the door. Krissy met him with a passionate kiss, flushed with Italian opera, Italian cooking, and Chianti. She took off his coat and ushered him to the table and served his food, pouring a glass of wine for him and another half glass for herself.
     When he took his first bite, she loved seeing his eyes get very big. “Kristina ... this is delicious!” He took another bite.  “Maybe even better than Kim’s.” He took another bite, and said very little through the rest of the meal. He was too busy eating. Krissy had to agree with him, she had made good lasagna. “How did you do this, wife? I mean, I know you’ve been learning to cook, but this is ...”
     Krissy laughed, “Eli, I’ve been an awful cook. You’ve been so sweet to put up with all my experiments in the kitchen. Kim was a big help; she wrote out her recipe and told me not to be afraid to add stuff. She says that’s what Italian cooking is all about. I’m happy this turned out so well. Maybe I should stick with Italian.” She took another sip of wine. “You know what ... maybe I was Italian in another life.” They both laughed.
     Eli finished his second generous helping of lasagna and Krissy wrapped up the casserole dish and put it in the refrigerator for dinner the next day. One really nice thing about lasagna was that there was enough left for another meal. Her first leftovers. They scraped their plates and washed and dried the dishes.
     “Maybe I won’t have to add ‘good cook’ to my list of Things That Aren’t Going to Happen,” Krissy told him. “Oh, I never told you about that list, did I? Ballerina, opera star, famous actress ... that’s the list so far. All my limited talents.”
     Eli put his arms around her. “There’s one talent you have that’s definitely not limited, my love,” he said. “Fortunately for me, it’s something you do for an audience of one.”
     “Well, it’s a big help that the audience is interactive,” she said as he led her into the bedroom.

www.susanmoorejordan.com



Tuesday, June 16, 2015

Eli's Heart, a novel

5-star reader reviews: 
They used to call them Blue Babies, the children born with a heart condition that dominated every aspect of their lives, lives which were never long. The central character in Susan Moore Jordan’s exceptional book Eli’s Heart, Eli Levin, born with Tetralogy of Fallot, gave his heart away instead of giving in to his heart. He fell in love with music as a child and as a teenager fell in love again, this time with the woman who years later would become his wife. Eli’s and Krissy’s path is more than a love story; their life together is filled with music, hope and raw courage. The characters of the stubborn, lovable, brilliant Eli and the wistful, loving Krissy are beautifully drawn and the music descriptions are expertly wrought by a writer/musician (there is a discography at the end of the book.) Eli’s story is fiction, but it was inspired by the remarkable story of an actual musician. - June 30, 2014

A wonderful tale of love, courage and music. The reader is carried through a relationship that overcomes some very big obstacles. The interpersonal relationships of family and friends is presented with such heartfelt sincerity that the reader is drawn into the story line, feeling all the emotional highs and lows of the characters. The accuracy of the medical and musical references add credibility and a deeper dimension of emotional involvement to the reader. I loved this book and would recommend it to all. - August 4, 2014

When I read novels, I'm looking for strong characters I care about and a good story. "Eli's Heart" has both...in spades! You're rooting for Eli and Krissy from the beginning, as they draw you into their lives. And it's such a fascinating world they live in: talented young people making their way up through the world of classical music. The music they love enriches their story, and the formidable obstacles they face keep you riveted through to the end of the book. It's a beautiful love story. - August 13, 2014


Excerpt from Eli’s Heart

     Before his final lesson in the afternoon he knew he was in trouble. He was having pain across his chest and in his neck and his heart was racing. He knew he needed to get to the hospital immediately. He didn’t want to frighten his student, a freshman boy named Jamie. “I’m so sorry, Jamie,” he said as calmly as he could. “Something’s come up I have to take care of immediately. I’ll try to make up this lesson next week.”
     Eli’s plan was to get to the street, hail a cab and get himself to the hospital, but that didn’t happen. He walked out of his studio and started to close the door, but the horizon tipped crazily and everything faded. He heard the voice of one of his students shouting too loudly and frantically for this to be a lesson – or a dream. Through the fear and pain he had one clear thought: I never want Krissy to be as scared as I am right now.
     Krissy was in Aaron’s office going over lists with him when the phone rang, and the staff member who picked it up took the message. She tapped on the door and said as gently as she could, “Krissy, Eli’s being taken to the hospital. He collapsed at the school. I’m so sorry, I wish there were a better way to tell you.” Krissy sagged against the desk and Aaron stood quickly and put his arms around her to support her.
     “Get my car here immediately. Immediately,” he snapped. Krissy was white as a sheet and looked at Aaron with fear and pain in her eyes. He helped her with her coat and put his own on as they ran to the elevator.
     She whispered, “He could be dying.” Aaron’s car was waiting at the curb when they stepped off the elevator, and they ran through the lobby and onto the sidewalk. Aaron’s driver pulled away quickly.
     Krissy clung to Aaron as they drove. “Ever since I married Eli, I’ve known this could happen. Do you know what I think to myself sometimes that I can never say aloud to him? ‘Please don’t die, Eli. Don’t ever leave me.’” She started to cry. “No, I can’t cry, I can’t. I have to be strong. I don’t want Eli to see how terrified I am.”
    When they reached the hospital ER entrance she ran inside, identified herself and asked where Eli was. She ran into the examining room where Eli was lying, hooked to a frightening number of tubes and wires.
    He had been given a mild sedative and seemed calm. He looked at her and smiled. “I’ll be okay,” he said softly.
    She was shaking, but tried to control herself and smile back at him as she went to the bed and rubbed his arm. Everyone in the room seemed remarkably calm to her. She looked at his heart monitor and it seemed as if her own heart stopped. It was all over the place. How could they be so calm? Her husband could be dying.
     “Can I stay here with him?” Why were they waiting? They should be taking him into surgery right now. How could they possibly wait? In spite of herself she looked at his heart monitor again. It looked even worse.
     “For a while. We want to be sure he gets a good night’s sleep and is more relaxed.” Someone brought a chair for her to sit on so she could be close to him. She held his hand and rubbed his arm. There was an IV in his other hand. There was so much she wanted to say to him, but the medical people seemed busy with checking all the equipment and what she had to say was private, between them.
     Eli looked at his wife, wishing he could say something that would help her. He could see how distraught she was. The sedative had calmed him. He said again, “I’m going to be all right, Krissy.” She gave him a shaky smile. He wanted to take her in his arms and comfort her, but that wasn’t possible.


cover design by Tristan Flanagan

Eli's Heart is available on Amazon, Kindle and Paperback. Here's the link:

http://www.amazon.com/Elis-Heart-Susan-Moore-Jordan/dp/0692239367/ref=sr_1_1?s=books&ie=UTF8&qid=1434492263&sr=1-1&keywords=eli%27s+heart

Friday, May 8, 2015

The Inspiration for ELI'S HEART

A Courageous Musician

Eli’s Heart was inspired by a friendship I had decades ago with a brilliant teenage pianist born with the congenital heart condition Tetralogy of Fallot. Samuel Sanders was fifteen when I first met him and heard him play. He was visiting a sister who lived in my hometown and he came to my house several times, and we listened to recordings of orchestral music, played piano duets (which was definitely daunting for me!), talked about books and baseball. His activities were restricted because of his congenital heart defect.

With a lot of help from Dr. Aarti Asnani, a cardiologist with Massachusetts General Hospital in Boston, I finally developed a grasp of the condition. There are four separate defects of the heart: a hole between the lower chambers (ventricles) of the heart, which means unoxygenated blood is mixing with oxygenated blood; a narrowing of the valve between the right ventricle and the lungs, which means not enough blood is getting to the lungs to be replenished with oxygen; a thickening of the wall of the right ventricle; and an aorta which is misplaced and is drawing blood from both ventricles. 

The result is a considerable reduction in the amount of oxygenated blood distributed to the body. The average person receives between 90 and 95% oxygenated blood. TOF patients receive sometimes less than 50%. Breathing is a struggle. Any physical activity, even walking, becomes difficult and can be life-threatening. Many children died in infancy, or did not survive puberty. Cyanosis (blue coloring of the skin, especially fingers, toes and lips) is a primary symptom.

In 1944, Drs. Alfred Blalock and Helen Taussig, with considerable help from Blalock’s assistant Vivien Thomas, developed a procedure to alleviate these children’s suffering. A shunt was created by attaching a branch of the aorta to the pulmonary artery which increased the flow of oxygenated blood. Sometimes this increase was dramatic; sometimes enough to at least ease their symptoms. From my understanding, patients who survived the procedure lived more normal and longer lives. However, the heart was not repaired. The Blalock-Taussig procedure was considered “palliative” ─ it eased the worst of the symptoms, but all four defects of the heart were still there.

About ten years later an open-heart surgery (called the “total correction” or “total repair”) was performed which patched the hole between the ventricles and widened the opening to the lungs, giving the patients a chance at a better quality – and quantity – of life. Over the past decades, as TOF patients have lived longer (some into their seventies and even eighties) other surgical procedures have been developed and refined, and a range of medications also exists to help treat the condition. It was at first considered a congenital heart defect. It is presently considered a congenital heart disease, a life-long struggle with a heart which can never be made “normal.” From my understanding, there is no one “standard” procedure for these patients. One comment from Dr. Asnani in our extensive correspondence stands out in my mind:

“With regard to treatment options for (adult) TOF patients, it’s definitely not a straightforward decision to pursue surgery, so we will often try to manage with medications for as long as possible.  Newer technologies like cardiac MRI are helping us figure out when the heart dysfunction is progressing to the point where heart surgery is absolutely necessary to prevent a further decline, though we’re still wrestling with defining the exact timeline.”

One of the first things Samuel Sanders told me was that he didn’t expect to live past the age of thirty. Other than that, and telling me about the cyanosis and that he’d had surgery, he didn’t discuss his condition and I didn’t ask questions. We concentrated on enjoying the time we had together.

After hearing him play – brilliantly –  the Rachmaninoff Second Piano Concerto a few months later, I lost touch with him. Some thirty years later I met a young man who was studying accompanying with Sam at Juilliard, so he’d have been in his early forties at that time. His student also told me Sanders had opted to work professionally as an accompanist rather than pursuing a career as a virtuoso pianist. I was very glad to hear he had survived past the age of thirty and was still sharing his extraordinary gift.

I thought of him again when I watched the HBO film “Something the Lord Made” (highly recommended) and wondered how he was. Internet searches revealed that he had died at the age of sixty-two. He’d had the B-T procedure when he was nine and two additional surgeries (the total correction and a heart valve replacement), and eventually not one but two heart transplants. The second one failed, sadly. While not a household name, he had a long and illustrious career as a collaborative pianist and performed with some great musicians who definitely ARE household names. I list a few of his many recordings in the discography at the end of the book.

My book is fiction, and my character Eli Levin is the product of my imagination. I did not know Sam Sanders beyond that brief friendship when we were both little more than children. However, his passion for music certainly had a lasting impact on me; he was indeed an extraordinarily gifted pianist and musician. We don’t meet many musical prodigies in our lifetime, and if and when we do, we never forget them. The fact that this one also had a damaged heart made him even more unforgettable.

(First published in July, 2014)

ELI'S HEART is available on Amazon as both paperback and e-book.

http://www.amazon.com/Susan-Moore-Jordan/e/B00IBZ731U/ref=sr_ntt_srch_lnk_1?qid=1411935465&sr=1-1


Cover design by Tristan Flanagan

Monday, October 13, 2014

Creation or Destruction?

Dichotomy

Dichotomy: A division or contrast between two things that are or are represented as being opposed or entirely different.

What I want is to write about my books. What my blog readers want is to read more about Eric Frein, although there really isn’t much new to say. I sincerely wish I could tell you that Frein has been apprehended and taken into custody. Unfortunately, he continues to elude the massive efforts of some thousand law enforcement officers, as he has for nearly a month to date.

It has been weeks since I wrote a blog entitled “Living Under ‘Siege’,” and sadly, the “new normal” I discussed in that post has become a way of life for the people in my county, especially those in one particular part of the Poconos. They remain resolute and continue to support the members of law enforcement. “Barrett Proud” has become the watchword of the residents of that township. “PSP Strong” has become the watchword of this entire part of Northeastern Pennsylvania.

The books I write are about as far removed from the enigma that is Eric Frein as can be imagined. My characters are people whose lives are filled with music and love. They are also people of great courage. My young heroine Melanie Stewart in How I Grew Up is dealing with a horrific family tragedy, and draws strength from her participation in Rodgers and Hammerstein’s powerful musical drama, Carousel. She is an inspiration to her family and her friends. Melanie is not just a survivor, she finds strength within herself she didn’t know she had. She does more than cope. She shines.

My character Eli Levin, in Eli’s Heart, is a true hero. He is born with the daunting challenge of a badly damaged heart, the condition Tetralogy of Fallot. He undergoes surgery at a young age which gives him added years and makes it possible for him to live a more normal life, though the condition is not cured. Then it is discovered he is a musical genius, a pianist with a prodigious gift. Yet Eli manages not only to survive, but to thrive, and has a loving marriage and a vibrant career.

The protagonist in the novel I am currently writing, Jamie Logan, is a young man from an ordinary family who has a musical gift which he doesn’t begin to develop until he is in his early twenties. After a first marriage which ends after two years, Jamie goes back to college with dreams of having a career in opera. Jamie’s failed marriage leaves him with many doubts about himself. One family crisis after another creates problems for him. Jamie’s journey in You Are My Song is a difficult one. Yet with love and music in his life, Jamie finds a way to continue.

For all of these characters, the healing power of musical creativity is vital. Through music and with much courage they create productive, fulfilling lives.

I am baffled by a man such as Eric Frein, who rather than looking for a way to create, seems bent on destroying … lives, communities, and sadly, perhaps himself most of all. Yet all of us who live here want to understand him. Why has he done these things he is alleged to have done? Is he mentally ill? Is he innately evil? I personally hope he is captured and we learn more about what drives him to act as he does.

It’s difficult to live in this area at present and not be caught up in the events that continue to unfold. Daily we wish for news he has been caught. Presently, we’ve had no new insight, no news about what actually is happening in our forests and on our hillsides.

The “dichotomy” … the man who we are all focused on to some extent as opposed to the characters I have created and want to tell people about. The characters I hope people will read about in my books.

Here’s one Amazon 5-star reader review for Eli’s Heart:

They used to call them Blue Babies, the children born with a heart condition that dominated every aspect of their lives, lives which were never long. The central character in Susan Moore Jordan’s exceptional book Eli’s Heart, Eli Levin, born with Tetralogy of Fallot, gave his heart away instead of giving in to his heart. He fell in love with music as a child and as a teenager fell in love again, this time with the woman who years later would become his wife. Eli’s and Krissy’s path is more than a love story; their life together is filled with music, hope and raw courage. The characters of the stubborn, lovable, brilliant Eli and the wistful, loving Krissy are beautifully drawn and the music descriptions are expertly wrought by a writer/musician (there is a discography at the end of the book.) Eli’s story is fiction, but it was inspired by the remarkable story of an actual musician.


More information: www.susanmoorejordan.com