Tuesday, January 29, 2013

Roller Coaster




Click, click, click, click, click, click, click, click, click, click, click…
[silence]
aaaaahhhhhhhh!

I once used the metaphor that living with cancer is like a roller coaster, up, down, up, down, spin spin spin, up, down, but I’ve never been on a roller coaster that has come off its tracks.  Wait a minute I was once, but fortunately a group of highly trained minimum wage carnies ran out and wiggled the train and shoved us along and into the station before we were rear-ended by the next train.  Hmm…  I obeyed the rules.  I kept my hands and feet in the car at all times. I kept my seat belt on and remained seated.  Why then didn’t the ride do as it was supposed to?

The ride up the first hill is full of apprehension and what if’s.  The decent down the other side is fast and furious and the ride blurs by.  Before you know it you’re back at the station adjusting your clothes, searching for your belongings, looking for a bathroom, and wondering what the heck just happened.  Sounds a lot like 2012, 2011, 2010, 2009,and 2008.


If you’ve been reading this blog you know that no news or sparse new is usually good news.  Unfortunately I don’t have much good news today.

I expect that anybody that has dealt with or is dealing with cancer knows too well how quickly the ups can turn down and the downs can turn up.  Yesterday I received the results of Lisa’s scans from last Wednesday and it seems we've just jumped the track.

Lisa’s previous set of scans were October 31.  Her January 23, set of scans last week indicate that the disease has progressed slightly in her head. New disease is evident on the T5 vertebrae in her spine, and a lot more disease is evident in the bone marrow biopsy that was recently taken.  All bad.  If it is possible to spin this in a good way I would like to think that when Lisa was experiencing her worst pain late in November, right around Thanksgiving you may recall,  that that is when the disease was more widely spread and since then her body has fought back.  After all it is since that time that she has been doing so well.  Even as recent as last week, this week and today, Lisa is up and getting ready for school and wanting to stay longer and with more vigor than I’ve seen her with in a long time.

I should also point out that, as I understand it, chemotherapy drugs have a limited effect on disease in the brain or in the nervous system.  Treating disease in the head or spine would normally be done with radiation therapy but Lisa has already received the maximum amount in her head and spine that she can stand without risking over radiating her so that isn’t a viable option at this point.

It’s confounding to say the least but today I am thankful that Lisa is comfortable, energetic, outwardly pain free and in spite of the scans, thriving in the moment.  Lisa’s oncologist can’t explain why she is outwardly doing so well since November.  It’s interesting that Lisa’s “good time” began after Bridget’s novena and intentions were made on Lisa’s behalf with the Soeurs de Saint-Joseph de Saint-Hyacinthe and a portion of Lisa’s blog was touched to the tomb of the Venerable Elizabeth Bergeron. Regardless of the reason, I am thankful.

The plan is to continue with the current regimen of chemo and palliative care.  We are waiting on the results of genetic tests that Lisa participated in in December and are considering any alternative treatments that she is eligible for.   Please send her your best my fellow carnies, let's get her back on track.

Mike

Tuesday, January 22, 2013

Scans Week

Sorry for so few posts.... Lisa has been doing very well.  When Mike took her for chemo 2 weeks ago, his interpretation of what the doctor told him after reviewing her blood draws was that "Lisa’s blood tests are the best they’ve been in a while and her bone marrow seems to be healing itself”.   The doctor attributes the success to the current low dose chemo treatment she is receiving.  Mike and I remained convinced it is something more.  If you recall, in the end of September when doctors had nothing else to offer and wanted to appease me,  they decided to put Lisa on this low dose of chemo.  The first 3 rounds of this regimen brought Lisa some relief but she spent much time sleeping.  Just after Thanksgiving, chemo Monday had me cringing and holding my breath as I watched nurses struggle to get Lisa into a wheelchair; her pain so tremendous she didn't want to move.  A mere two weeks later, after a novena had been offered by Bridget's mom and prayers offered to Venerable Elisabeth Bergeron, Lisa was doing, and continues to be, miraculously better.

She does not seem to be sleeping as much, and  her pain appears to be under control most of the time (or so we think).  At last chemo, as part of protocol, the nurses asked her on a scale of 1-10, what was her pain at?  Without missing a beat, Lisa answered "10 in both legs" and continued doing her craft project with great enthusiasm.  The nurses looked at each other and then questioned her "Lisa, how can you say you are at a 10?  Your bouncing around here and coloring".  Lisa stated in her all-knowing way "because I always have pain in my legs."   Wow.   I don't doubt her for a second. On her worst days, she can still sneak out a smile and a giggle from her napping position;  on her great days she still struggles to  walk and go up and down stairs but just keeps going. 

She is infectious....and I don't mean her cancer (which she clarified for me the other day..."you can't catch cancer, Mom, you can catch someone's cold; not cancer").  Her laugh, her spirit, her energy....it is amazing.  She so often lifts me to a level I didn't think I could go...those days when the alarm is calling and I've hit snooze 3 x's thinking the bed is a good place to spend the day only to instantaneously come awake when her exuberant "good morning momma" greets my ears....those days when I'm driving home from work counting the minutes until I can sink into the couch only to be greeted by her animated "momma, momma, momma....momma's home....yeah!!!" and suddenly I find myself in an upbeat discussion about what she did today and how she needs to show me something.  Her attention to her babies, her pride in her latest craft, her initiative to make her own flashcards, her ability to fall asleep in a mere minute....everything about her is so "in the moment".  Whatever she is doing, she is giving it her all.  She is the greatest example of live life fully:)

So, with her as my role model, I get up and face each day bravely with a smile and hoping for good but focusing on great.  Please send up a few prayers for Lisa that her scans are good and reveal no new growth ...or perhaps that they are great!  We continue to pray for the miracle of a cure, but are very happy that she is able to maintain her happy attitude and quality of life.

Keep praying and live life fully:)

Wednesday, January 2, 2013

Christmas / New Year's Eve

Lisa had a great Christmas.  She woke us all up at eight and we were knee deep in shredded paper by nine.  We had three new arrivals on Christmas morning.  CJ (Connor junior), Angus, and Emily are Lisa's new baby dolls and CJ already had a birthday party.  Baby dolls grow up so fast.  We spent the remainder of the day napping, watching movies, and munching on all sorts of goodies.
Lisa was a bit tired and her pain seemed to be back a bit on Christmas but after a 6 hour nap she appeared to perk up. On Wednesday she had her blood drawn at the UofM clinic in Canton. The test results indicated that no blood products were necessary which is always a good sign. 

Lisa's aunt Julie and cousins Mitchell and Alyssa arrived on December 28. They stayed with us through January 2.  With them was Alyssa's friend Dusty.  The kids went sledding, skating, to the movies, and spent time playing cards and games. We spent New Years Eve at the Superbowl bowling alley in Canton with friends and neighbors.  2012 had it's ups and downs but in hindsight we're happy with the outcome and look forward to the new year.

Today is Wednesday, January 2, and Lisa is scheduled for labs again today.  She's been sleeping a little more the past few days but other than that she looks good and doesn't complain pain.   Gaining weight seems to be a problem that we're beginning to look into.  I think the suspect is the pituitary gland or the thyroid as the culprit.  She's on the smallest amount of steroid possible to keep swelling under control in her brain so we don't think it's the steroid.  Her eating habits are better than most but she is primarily inactive and sleeping a lot.  We intend to consult an Endocrinologist this month to see what we can learn from them.

Thank you all for checking in and sending positive thoughts and energy.  I consider these good days and pray they will continue. We continue to live in the moment and love life.  All the best to you and yours this new year.

Monday, December 17, 2012

Monday, December 17 - Chemo This Week



Chemo week this week and I [dad] will be taking Monday’s for the foreseeable future.  The past two weeks have been wonderful, all things considered.  Lisa has been energetic and her pain has been very manageable.  She’s been staying in school until lunch the past two weeks, participated in the children’s mass at church, and brought up the gifts during the service again.  We can’t explain why she’s doing so well, and we’re not sure we want to know. We’re just living in the moment, and these days the moments are really good.  Prior to beginning this post I asked Lisa what she would like to say to everyone reading this and she said to “tell them that I love them”.  So there you have it folks, you are touched across the void by Lisa’s love.

Monday, December 10, 2012

My little Christmas Miracle

I know the posts have been few in the past month and the ones that have been written have been by Mike.  The death of Bridget and then Ian right after really robbed me of hope and I found myself struggling to stay positive.  Thanksgiving came and while I mentally counted my blessings, I found no words with which to fill the blog even as I sat on the beach of my beloved Topsail, NC. 

The Monday after Thanksgiving pushed me into an even deeper funk. It was chemo Monday for Lisa and the day was playing out just as the prior 2 chemo Mondays had.....awful.  I woke Lisa and watched her as she struggled to sit up in bed; the pain in her legs so bad, I needed to assist her.  Once she was out of bed she had difficulty walking....but being 8 and stubborn she adamantly screamed and told me she didn't need help.  Helpless, I stood by and watched her painstaking tiny baby steps to the bathroom wondering if she refused help because she was stubborn or because having someone touch her made the pain worse.

The morning involves a slow move up to my bedroom where she could "watch" tv while sleeping.  Around 11:30  the tears began as I help her get up and into the car to go to the hospital.  Once there and the car parked, we begin the slow, painful walk across the parking structure because no wheel chairs are available in the structure. My little warrior rallies and waddles slowly towards the wheel chairs by the door.  Once in one, she settles back as we make our way to the lab for her blood draw.  The lab tech lets her to stay in the wheelchair for the blood draw which allows Lisa to save her energy and minimize her pain.  We leave the lab and go upstairs to see the doctor.   The wait is long as is typical for a Monday.  Lisa spends most of her time napping in the wheelchair, not wanting to leave the comfort of it to lay on the bed.  After about an hour, the doc and nurse come in.  Lisa wants nothing to do with anyone and the exam is cut short by her insistence that she needs to use the restroom.  The nurse witnesses Lisa's painful steps from the wheelchair to the bathroom and the look on the nurse's face is sadness and horror.  No one is used to seeing spunky little Lisa so beaten.

Her chemo nurse secures a room with a bed for her to receive infusion.  We are there until 7 pm.  We have trouble managing Lisa's pain even though she gets 2-3 extra boosts of morphine on top of her normal pain meds.  I spend most of the day praying that history repeats itself and that this chemo Monday and things will get better with each dose of chemo she received.  The nurses look at me with concern in their eyes and encourage me to speak with palliative care to up Lisa's pain meds.  I understand the logic in this because no one wants to see Lisa suffer and I try convince them that Lisa is not experiencing this type of pain on a daily basis.  I tell them that chemo Monday is awful but that in the past two rounds, with each day of chemo she feels a little better and her carry her into week 2 where her pain is still much less and we only need to give her an occasional extra dose of pain meds on top of her regular 3 doses a day of potent pain relief meds.  As we go thru week 3, her pain generally increases and so we increase her dosage of extra pain meds.  As we come to the end of week 3 and approach chemo Monday, her pain has escalated but we can normally control it thru the weekend with the extra meds and the knowledge that Monday will be chemo Monday and we will restart the cycle.  I'm sure the nurses are concerned that I am in denial about Lisa's actual state of well-being, especially since when it was time to go home I  cannot get Lisa to budge from the bed.  It takes 3 nurses and another dose of morphine to carry her from the bed to her wheelchair.  Another conversation about upping her pain meds and how I need to talk with palliative care ensues. I'm not even sure how I get her from the wheelchair into the car.  Sheer determination and tears from both us were certainly part of the process.  The ride home is quiet and followed by early bedtime for both of us.

Thankfully, history repeats itself and my prayers are answered as Tuesday turns out to be a much better day.  Lisa is up and about and when Mike takes her for her chemo, he says the nurse's jaws drop open as Lisa walks in on her own two feet.  She is still having pain, but not nearly as bad as the day before.

And so, as with the two prior cycles of chemo, each day has progressively gotten better and has everyone scratching their heads and wondering how exactly a round of chemo can have such a huge impact.

I find myself questioning how things could go from so devastatingly painful to so much better in just a few days....could chemo really be that effective?  Even though I expected Lisa to have better days in week 2, I find myself being more astonished each day this past week at how much better she is doing.  Normally, school days involve her taking the bus to school (her choice) and upon entering the classroom, telling her para pro she is ready to go home.  Her para pro will use every trick in the book to get Lisa to do some schoolwork.  They will work for about an hour, than Lisa will normally rest on the cot they have in the room and around 10:30 I will receive a text to make sure I pick her up by 11:30 so she can come home and nap for the afternoon.  This last week, not only has she not required many extra doses of pain meds, she has actually stayed at school until lunchtime on 3 days.  I've been amazed.  She has lasted longer at school and even her siblings have noticed that she seems to be awake more and is looking better.

Today at church, every single one of us had our jaw drop open as Lisa sprang from her chair to go to the "children's" portion of the mass.  In her 8 years of life, she has gone to this maybe 3 times and that was when an older sibling escorted her.  Normally, mass time is nap time for her and we take up 3 extra seats as she stretches out on them and snoozes.  We all watched in astonishment as she paraded out with the other children to go to their room waving to us as she went.  Her return was even more amazing as she led the children in the procession of bringing the gifts up to the alter.  She carried the hosts (and her baby, of course) from the back of the church all the way to the front and presented them to Father.  Honestly, I wished I had my camera....it truly was a moment for us.

So....what has made this difference?  The question plagued me all last week. We really did not do anything different in Lisa's course of treatment. We had one additional day of chemo this round, but surely that one day could not have had such lasting effects. While I joked the new baby doll she got was motivating her, I didn't really think that was the answer.  Thursday night, as I got ready for bed, and was once again smiling at how great a day Lisa had and wondering what had made the difference...a thought resonated thru my mind.... Louise's novena.   Louise is Bridgette's mom and during my deep funk I glanced a message from her on my phone that said she was starting a novena for Lisa.  I had not paid much attention at the time because of my mood.  As I stood there Thursday night, I realized that Lisa had started improving about a week prior....just about the time that email had come thru.  I ran to the computer and checked the post.  On Nov 30, the last day of chemo week, Louise had posted:

I will be praying this novena for Lisa starting today. This powerful novena was prayed for Bridget the year she had a miraculous recovery at Christmas. Novenas are not magic. The answers whether direct or spiritual are from persistence in prayer(ask and you shall receive) God doesn't always give us what we ask for specifically, but he always gives us what we need. I post in case others would like to join me. Happy Advent!
 
St Andrew's Novena starts today! It is piously believed that whoever recites the prayer below fifteen times a day from the feast of St. Andrew (30th November) until Christmas will obtain what is asked. Imprimatur: +MICHAEL AUGUSTINE, Archbishop of New York, New York, February 6, 1897
 
Hail and blessed be the hour and moment in which the Son of God was born of the most pure Virgin Mary, at midnight, in Bethlehem, in piercing cold. In that hour, vouchsafe, O my God! to hear my prayer and grant my desires, through the merits of Our Saviour Jesus Christ, and of His Blessed Mother. Amen.
 
More information can be found here
 
I cannot say for certain that this novena is what has made the difference in Lisa's condition.  I can say that it certainly has made a difference in my mindset.  Seeing Lisa feeling good and being reminded that so many of you are cheering for her and praying has given me the boost I needed.   A weight has been lifted, for the time, from my shoulders and the worry has faded and been replaced with smiles as I see Lisa with a little skip in her step.  I thank all of you for your prayers and support and for giving me a little Christmas  "miracle".
 
 

Wednesday, November 21, 2012

Happy Thanksgiving

We apologize for not posting but as usual (for us) no news is often good news. Lisa has been doing well the past couple weeks.  In fact after her last round of chemo her white and red blood counts increased rather than decreased which is great.  You all must have been have been sending her a lot of love. Thank you.
She continues to sleep a lot (16 of 24 hours a day) but when she's up, she's running the show.  She truly is a force and a joy to be reckoned with. 

Happy Thanksgiving everyone.

Monday, October 29, 2012

Scan Week

Scans tomorrow [Tuesday] and Wednesday and a bone marrow biopsy [ouch] on Halloween. Send Lisa your best prayers and mojo. Love to you all! Thank you!