Thursday, February 16, 2017

real and raw








The Flexural for my back seemed to work for awhile.  I was getting more accomplished during the days and managed to go to some hockey games at night.  

Until that one night last week. I'm so foggy right now, I couldn't say for sure which one.  I just woke up, in the middle of the night with my back riddled with a stabbing kind of pain.  Over and over again.  I quickly got up and moved out to a chair that I could sit up in.  Then I found the heating pad.  Then I took some Advil.  And... the list goes on and on, mind-numblingly so.   I simply found no relief.  Hour after agonizing hour.  I finally, flattened myself on the floor, grounding my heart and pouring out my deepest act of surrender to Him.  I crawled back up into my chair and sat,  till the wee hours of the morning and Rick awoke to check on me.  He brought me a steaming cup o Joe, and with the sun starting to announce day break, the pain finally eased.  


**************************


And so it went.  Each day, somehow, I'd climb out of the depths of the pain from the night before.  I knew in a few days I'd see Dr. P. and I just wanted to get by.  But I couldn't stop the slide down in to the pain the next night,  no matter what I thought to try.  From massage to pillows, to recliners, to creams on my back... nothing relieved the pain at night.

At my lowest, I simply rocked and cried, and cried and rocked, with the words of old hymns coming to mind, clinging to those words that formed somewhere deep within me.  That morning, Friday morning, the pain never did subside.  And I was done.  Physically and emotionally, I couldn't do any more.

I simply told Rick he needed to take me in to the ER.  It was still early enough in the morning that I didn't have to wait for a room, I was taken right back.

With just a few questions asked by the nurse, pain meds were offered right away.  The young doctor poked his head in the door and said they were in the midst of a few urgent cases, but he'd get me comfortable and then come talk to me at length.

I was so in the grips of pain, I forgot to mention to push the pain med SLOWLY through my port which enters my system instantaneously!  BOOM, the room spun around, the Dilaudid flew through my body and I went to sleep like I was hit with a ton of bricks.  

Again, time was elusive.  But at some point the doctor came in to visit.  Whew!  What a day he was having- two Cardiac Arrests, and a Stroke Patient, and he was overwhelmed.  

Had I ever had a scan before?  A bit flabbergasted, I assured him I'd had a few.  But we agreed another CT scan, with no contrast would be the best way to see what might be amiss.

Hours later they came to take me for a scan.  Several more hours passed and finally the doctor came back with the results.  It wasn't the left side where the radiologist saw anything, it was on the right kidney, and down into my Ureter which looked swollen.  They surmised it might be due to kidney stones, but I'd have to have a couple more tests.  But he was still so busy with his patients, it'd be a few more hours to get me to the tests.  In the meantime, I assured Rick he could leave to go to Cloquet for Nolan's hockey game.  

With my patience in low reserve, I simply put it all in black and white terms to the doctor.  If I'm stable for now- and you can send me home with the Diluadid, then could I wait at home and see Dr. P on Tuesday and go from there?

He young doc actually looked relieved, and said yes right away.  Rick's Dad came to get me and managed to get me home, just in time.  The Dilaudid, did a number on my stomach, and left me with my sides heaving.  It was enough for Rick to call and tell me he was on his way back home after the game that night.

Somehow, we managed to get through these last few days.  


***********************



Monday when I went to Roger Maris for lab work, I told my nurse about my emergency episode.  She took careful notes, and in very little time, Dr. Panwalkar's nurse called me.

Angela- or Angel- a, as I often think of her,  worked her magic.  I needed a new CT scan the next morning, then Dr. P would like to see me over his lunch hour at 12.  We'd hold off on chemo for the time being.  Would that work for me?

I'm always left in awe of how hard Roger Maris works to accommodate their patients.  I simply gulped, "yes," to her squeezing back my tears.

*********************

Dr. Panwalkar strode into the room right at 12 the next day.  "Tell me what happened," he said seriously, wanting to get right down to business."  

We relived the past week, with Rick filling in any parts I left out.  Its the most I've heard him say.  But when I talked about the pain, Rick stepped in and said, "If I can just add something, its the MOST pain I've seen her in throughout these 6 years of treatment.  And its the most stubborn she's been about taking pain meds."  

"Its true,"  I told Dr. P.  "I was taking so many, I was afraid I'd become an addict."  

Dr. P simply nodded and then sternly admonished me, "If you need more meds, then take them.  Take 2, if that doesn't help then 3.  If that doesn't help, call me.  But you need to take them.  Addiction is the least of your worries right now."  He reminded me so much of my father right then.  Firm in his words, but only because his concern was real and raw.  His mood lightened then.  

Rick said, "I tried to tell her..."  Dr. Panwalkar then stood up, reached over and shook Rick's hand, which is not something I've seen him do before either.  Then he ushered me over to the exam table.  

After the exam, He turned to the scan and showed me what he thought may be happening.  "I don't think you have kidney stones."  The scan shows fluid around your left lower lung, which is pushing everything around it, causing pain.  It is also likely filled with cancer cells.  In addition, your kidney looks enlarged, as does your ureter, and bladder."

He went on..
He'd like me to see a urologist and had already put in a call for me for Thursday.  I also needed to do a PET scan- as soon as possible- they are calling for pre-approval.  

So the pain is due to cancer, not kidney stones.  And the PET Scan will show us where it all is. 

And somehow, I was able to stay in this precarious, uncertain,  moment with him.  

I don't understand all the suffering.  But somehow, looking back I see, it fortified me for what I would need to have for the next thing I will be going through.  That tenuous rope of faith that I continue to hang onto. 

I took in all the info, and nodded my agreement.  He also said he was pretty sure we'd be switching chemotherapy and going back to Taxotere, weekly.  But we'd wait to get my results back from the PET scan.  

He bid a hasty goodbye.  

When the pain settled in last night, I reached for the Oxycodone.  And reached again, and yet 1 more time until I fell into a deep sleep.  I lasted until early this morning.  I crawled into my recliner, and was thankful to just be able to get up, to sit, and start a new day.

prayers greatly appreciated for this day.  












Monday, January 30, 2017

"All the Pretty Things,"






Ever since the package with the book arrived in the mail, I've yearned to lose myself in the writing.  Coming from my friend, Linda, I simply knew I'd love the book.

So with an ache in my back, and my bed calling me early one evening a couple weeks ago,  I found myself immersed in reading from the first sentence.  I read late into the night, not wanting to read too much, yet doggedly turning page after page, longing to know the whole story all at once. 

But that ache in my back?  Somehow turned into a searing, teeth-clenching, pain.  It gripped the muscles in my lower back, with spasms of mind-numbing sensations.  

After attempts with Advil, and Tylenol, the heating pad, and then ice, plus massage from Superman failed to assuage the assault on my back I finally turned to Oxy.  With my mind numbed, my speech slow and plodding, and the pain masked by it all- days turned into nights then faded back to days- and I was lost in the haze of it all.  The book sat, beckoning me to shake my head free from the fog.  But every time I came up for air, I was mired down again with spasms rippling through my back.

I knew I would see Dr. Panwalkar soon, I just needed to get by a few more days.  Rick tried to get me to go to the ER, but I stubbornly clung to the idea I'd persevere.  My scans were clear, in my back area.  This was not cancer.

It was my week free from chemo.  It was sunny outside, and the temps rose into the 30's, making it warm for January in Minnesota.  How could I not get better?  

Somehow, I cobbled together a way of managing.  I sometimes could string together hours at a time, in which I functioned at near normal levels.  I'd dive back into the book, madly in search of the pen to highlight the phrases and paragraphs that resonated so deeply with me.  How could she know my pain?  How could she breathe such life into the brokenness I endured?  Edie's story is not mine, and yet her ability to make me feel as though I had walked in her very shoes, and her in mine, was uncanny.  

I look down at my hands, grasping the pen I used to highlight, wondering away.



At the same time, I've been knocked down, Nolan is struck down with illness too.  He fought basic cold symptoms all one week.  We use our Thieves and Lemon oils which keep him going, and some Emergen- C each day.  But its a Thursday night after hockey practice when he comes into my room,  feverish and chilled at the same time, with a bad headache.  Rick drops everything to take him into the doctorr.  Nolan's lymph nodes are swollen all around his neck, and they need to rule out Mono, and then they swab for Influenza and take blood work.  He arrives home with a positive test for Influenza and a box of Tamiflu.  He sleeps long hours, his body going from fever, back to aches and pains, then chilled and congested and miserable again.  

  

While I'm quarantined away from him, battling my own pain,  I finish Edie's book.  As I get up to put the book away, the pink pen flies out of the pages into my lap,  as my heart warms with the love that surrounds it.  

I'll never forget his sheepish smile, and the playful way his eyes beamed, even though he looked away as he handed me this pen, just days ago...

"Mom..."  Nolan says, his cheeks curl into dimples and the smile originates from somewhere deep within him.  "This was supposed to be for you at Christmas.  I made it in wood shop.  We learned how to use the lathe, but I kept getting the bottom piece too thin and it broke on me.  I had to get a new one and start over with the teacher's help." 

  I'm melting on the spot as I feel the weight of it in my hands.  It's then that it I turn it over and see the pink breast cancer ribbon.  It seals it.   It really was for me.  





I reach up to give him a hug and whisper an "I love you, " to him.  He hugs me back, all the way around, and whispers to me, I love you too, Mom."  









Days later I see Dr. Panwalkar.  We talk about the pain in my back and he examines me.  He thinks for a long time, and then says I should try a muscle relaxer for awhile.  He warns me it'll make me sleepy and more foggy in the head perhaps, but should help release those muscle spasms.  He also says he wants to see me again in a few weeks, and we'll also talk about scans soon.  The last little tidbit is that while my blood work shows low counts- he is still going ahead with treatment- because the good news is, my tumor markers have dropped down to just above normal.  

~all shall be well~



Thank you to all who have reached out to me!  It humbles me so to know you come in search of me when I'm quiet for too long.  Your prayers, cards, emails and texts, do much to lift my spirits.  So grateful! Love to you all~ 
















Friday, January 13, 2017

When love arrives...

The thank you notes clutter my desk, my table, they're abundant everywhere.  My gratitude runs deep while my ability to convey it is slow.  I am deeply behind in writing my thank you notes.    Luckily, I have infusion, to at least give thanks in some permanent and meaningful way. 

Each week at infusion, I sit and number all of my gifts in a gratitude journal.  I'm literally tied down  by a needle in my chest with tubes running up to the big iv pole and pump. I'm not going anywhere!  But I find I pay little attention to time, I'm so absorbed in the writing of the journal.  

Plus I'm blessed with a visit from Sandy, the volunteer.  She is a beautiful soul, that always remembers to come and find me right where I am.  We talk about scripture, and daily devotions, and books, and everything.  Then she grabs my hands and fervently prays.  I often feel like its her, and so many of you, with me- all circling around and letting grace flow.  I receive so much more than "drugs" at infusion.  

Plus then it follows me home.  The beautiful handmade card below, with equally as beautiful words written inside.  I'm slow to say my thank- you's these days, but I pray you all know how these are the very things that get me through.  



I feel the most longing to letting Melody know how much this card touched me.  Her words were so heartfelt and she is so generous and giving, and I am speechless and filled with gratitude that these gifts that come my way.  Thank you, Melody!


And the bracelet?  I completely forgot that I had ordered it, weeks ago.  I madly opened the Alex and Ani box, and love walked in.  The gift of love... that I had ordered BEFORE I had chosen my word.  


I also feel love, when words come together that describe your feelings, but you just didn't think to align them in this way- it feels like someone knows my heart.  


Then having just read those words, you walk outside into the midst of snow swirling about you, and the sun shining through as though the air is magically glistening, and sparkling- and you feel where "calm meets chaos... and madness swirls... and love passes by."  


Then the finale arrives when the sundogs radiate their rainbow colors around the sun, and all is right with the world.



And Crosby never leaves my side, unless he is going to sneak off to find the Santa teddy bear he longs to wrap his arms around.  Love personified.  



So this is me, trying.  Because, in between all of these fleeting moments I cherish?  Are the hard and messy ones, coming at me faster than I can deal with some days. So I'm trying to align the words, and cling to the moments of grace and love, no matter how fleeting they feel sometimes.  

Ann Voskamp always aligns those words just right... 

“I want to see beauty. In the ugly, in the sink, in the suffering, in the daily, in all the days before I die, the moments before I sleep.” 




Sunday, January 1, 2017

One little word... 2017

It probably started with the coffee stain.  It repeatedly caught my eye as I trudged up and down the arena steps.  Somehow a sticky dark substance had spilled, and run and trickled into a little pool, in the exact shape of a heart.  I pondered if it was picture worthy?  But I simply smiled and huffed my way past each time, the image seared in my mind.  It's funny how these little tiny things, can somehow have such a big impact, if you let them.  But let me back up a couple of weeks,  and explain a bit more...


I heard someone say the word normal can only be found as a setting on your washing machine.  Touche.  Yet I was determined this Christmas to come as close to "normal" for our family as I could. But the abundance of blessings we felt from friends and family, was beyond the confines of that simple word.  I'm not even sure when it began? Just one thing- which led to another thing...


For the longest time, the surprise arrival of this tree ornament was a mystery to us.  But the delight of someone making a family heirloom piece we can put on our tree each year, is treasured by me.  It made perfect sense when our friend Ria mentioned it to me- she is after all the vision behind the photos that continue to make my heart soar.  Thank you, Ria.


And when the hockey loving sons, receive cool hats and t-shirts from Teags & Ry, how can we not feel special?  Their product line continues to expand in such fun and unique ways!  You'll have to just click the link to see for yourself.  Thanks Alyse and Jayme!  




With boxes and cards arriving continuously,  the magic of the season grew daily.  I treasure this handmade clock from my sweet friend Peggy in Missouri.  A vintage card carefully decoupaged on this wooden piece with my favorite shade of blue in the background.  It's sitting next to my computer desk so I can see it daily.  We loved the goodies you sent us- so thankful Peggy!



Eileen, in California, sends us this beloved vintage hockey calendar each year.  It's so authentic, it makes you want to walk right into the picture and lace up your skates.  So touched Eileen- thank you!


The hockey stick and mask ornament have been on our tree for many years- but the surprise of the orange spud ornament was just perfect.  Thank you, Heidi!  The boys love it! 


Linda's box arrived with this sleigh wrapped in plastic, and a bottle of sparkling cider that happens to be Colton's favorite.  I tucked the sleigh under the tree to open for Christmas.  It was filled with goodies and fun things.  I miss my mom and the way she would make Christmas so special for us- and Linda helps me feel like my mom is right there with us after all.  To the moon and back, Linda.


From the 10 dozen cookies we received from a cookie exchange- so yummy and fun to eat- to the gift cards for our kids- beyond touched by everyone's thoughtfulness- we truly had a meaningful and memorable Christmas.  






Nolan's been living in a story that I could write about for days.   But he is 16, and placing his trust and confidence in his mom.  So when the young man of few words says he "feels like he needs to go to church- to feel better?"  Its all the gift I really need from him.  He raises his candle high and I hear his voice ring out... and I just think, "Let it shine, Nolan.  Always remember to seek the glow of the light when you feel alone in the dark." 


Even Santa celebrated the birth of baby Jesus on Christmas Eve.  Oh my heart.


The tree and I seem to have shrunk over the years, as the "3" boys continue to grow.  But those smiles simply say, we had a joyful Christmas with so many friends and family with us in spirit and some in person, as well.



With a couple of days to recover... we were soon off on a trip. 


It wouldn't be Christmas if it weren't for a hockey holiday tournament in St. Louis Park.  I was thrilled with feeling well enough to travel with Rick for 3 days, to watch Nolan play.


Thankfully, my hidden secret was this espresso coffee machine in the hotel.  It was truly like a coffee house version of a cuppa joe and gave me the added boost of energy to engage each day.




I relished the sun and warmth not so typical for late December in Minnesota.


Despite using a handicapped sticker for parking, I was struggling for air by the time I walked inside the arena on some days.  Standing at the boards to watch leaves me with cramps in my toes and legs later in the evening, so I climb the stairs to sit.  Slowing if I need to, but always pushing through.  Just keep going, I tell myself.  Nolan and I share this feeling of straddling the line between two worlds, wondering where we fit?  Is he Junior Varsity?  Is he Varsity?  All he can do is keep showing up, just like me.  



On our last day, Nolan texts me that he'll play Varsity his last day, due to an injury by one of his teammates.  Its always bittersweet.  

 I pull my suitcase out to the car, and can't seem to breathe deeply for a long time afterwards.  So I sit on the nearest bench in the rink, conceding, I need just a little help.  And our hockey community rises up to offer water, and to walk with me when I'm ready.  

I climb the stairs, and as I stop to gather my last bit of resolve- there it is again.  The coffee stain shaped like a heart, sitting by the very step I've stopped to rest.  I've been drawn to it yet again.  So onward I go.

And somehow Nolan is feeling it too.  He skates fast, and gets knocked down along the board drawing a checking from behind penalty for the other team.  But he bounces right up.  Onward he goes too, strong and determined.

Then this...  the next move he goes backhand and sinks the puck into the net!  


His teammates celebrate with him, as my heart soars.  We go on to win the game. 




It's sealed when he comes out of the locker room with the hard hat on.  The goalie, his friend Lance, awarded it to him.  It's a tiny moment, with a big impact that's helped propel us forward yet again.





We're home again, about to begin "chemo nesting."  I'll have labs drawn early Tuesday morning, and a visit with a nurse practitioner, then infusion on Tuesday.  


But I linger here, in my new quiet computer space.  What should my new word be?   What has been made abundantly clear to me,  at the "heart" of everything, just like that coffee stain... is one thing.  So why not just lead with my heart?




As we head off into the new year of 2017, my one little word is love.  







Thursday, December 15, 2016

breathing life into your moments








I don't try to carry too much with me anymore.  It's hard to go back through the recesses of my mind for anything weighty, or medical- related, or too detailed.  I know I'm about to find out if I have another primary cancer, and yet I haven't had the steely nerve to google just what this would mean for me.  

But when I walk into the lobby of Roger Maris Cancer Center, my steps become leaden, and my shoulders round, as the weight of it all enshrouds me.  My pager buzzes and as the nurse takes me in to weigh me, I shed as much as I can. My coat, my boots, my scarf, my sweater, my bags, my burdens, my anxieties, it all heaps on the nearest chair.  I simply can't carry it all anymore.  I feel like  I'll weigh 532 pounds with all that comes with me.  

 My focus, now heightens, keen and alert.  My questions que up in my brain, clambering to be heard and acknowledged.  My prayer is for my heart to have enough space for anything new I need to absorb, and strength for my body to somehow carry more.  

It's been 3 weeks since I've seen Dr. Panwalkar.  But I've been seen by Dr. Tinguely, who performed the biopsy of my uterus, and then had a 3D vaginal ultrasound completed.  I missed her call to me, however, and she was booked with surgery all day the day the results came in.

So I waited for results until this past Tuesday, the 13th, when I saw  Dr. P.  

He enthusiastically greets me as he strides into the room.  "I was just reading the pathology report... here, lets look together."  He points to the screen and I squint, not sure I'm ready to see with my eyes.  But there it is...

Two words.

blah, blah blah... breast cancer... blah blah


The pathology report says the findings are consistent with breast cancer cells, not uterine cancer.  How is this possible?  I've never felt such utter relief to hear, "You have breast cancer."  

Yet, I take a short breath.  I know there is more.  I'm hyper focused on what comes next.  Once again, we're chartering new territory.  Its HIGHLY unusual for breast cancer to metastasize to the uterus- yet its surrounded my colon before, and we found it on my ovaries when they were removed- this is all very rare and the path is simply unclear. 

"Surgery?"  I ask.  "Will we remove my uterus now?"  

Dr. P leans back, and his arms come up to his face in thoughtfulness.  "Well..."

I quickly insert what I know..."its tricky to do surgery, when I need treatment to growing tumors in my lungs.  We'd have to stop chemo, and even then, healing may be compromised."

"Yes," he says, "true."  "Plus we know that there is no increased survival benefit to removing the tumors, not with breast cancer.  We don't debulk, because there is no benefit- and getting clean margins in this instance can be almost impossible."

"We should continue systemic treatment- the chemo regimen you are on, and watch and see."

He motions to the exam table and I laugh as he throws the gown on the table, off to a chair and then helps me up.  We're way beyond such formality.  Yet, he is thorough in checking my stomach, which is not as tender to the touch, and has many questions about how I am doing. 

We conclude and he says, "well you seem to be doing just fine."

He turns to write orders for chemo, and I happen to ask about my lab work.  He flips on the screen and we both flinch as the red warning signs leap off the screen!

"Oh!  He says... shaking his head.  "Your counts are way too low.  Oh, .6.  No, no chemo for you."  We start looking ahead to see when I could possibly start the next round, but its the week of Christmas.  

He is leaning back again in his chair, deep in thought.


"Do you want to just wait until January 3rd?  How do you feel about that?"

I'm trying to read him, as he tries to read me, and suddenly we both laugh.  He simply tells me its not like my cancer is racing away right now.  I should be ok to wait, as long as I continue to feel ok.

I have such a deep sense of trust.  He seems to have a 6th sense for my body, and my cancer, and I simply tune into his intuitive nature.  

He asks if there is anything else I need?  

I've saved the best for last...

A small gift he can share with his family.  A travel book with all kinds of fun facts about each of the states in the US.  He literally starts paging through it, smiling and genuinely seems engaged with it.  He then opens our family Christmas photo, and again studies it.

"They're so big! He exclaims, looking at the boys.  The youngest looks like Rick, and Vicky, the oldest looks like you."  He raises his eyebrows as he looks to me, and I smile, and nod.  

We've exhausted our time, and need to move on.  My emotions are welling in my throat.  He's holding the very thing that matters the most to me. This image sears in my brain.  He has breathed life back into my moments.   

He leads me down the hall, my walk lighter, my back straighter again....and as we part he leans in and whispers to me... "Have a Merry Christmas..."  and I barely whisper back..."Merry Christmas to you."  




Source: Tyler Knott Gregson





















Wednesday, November 30, 2016

all that really matters



He crawled onto his Dad's side of the bed the day after Thanksgiving.  

What's up, Colton?  I ask, my voice thick with drowsiness.  

He yawns, stretches and pulls the edge of my blanket over the top of him too.

"I'm booorrreeeed." He murmurs in a long sigh.

"What would you like to do?"  I ask.

Silence.

I know he'll have hockey out of town the next 2 days, and I'm grateful he'll be busy.  But what is it he is searching for right now?


So I simply begin telling him about all the stuff we used to do when he was younger.

"We used to bowl together, do you want to go bowling?"  I ask... 

"nah." He replies.

Is there a movie you'd like to see?

"Not really."  

"Hmmm," I say, "what else?  "We could all put on our skates and go find open ice somewhere?"  He gives me a confused look.

"We used to go all the time."

"Even you, mom?"  he asks, incredulously.

"Yes,"  I laugh.  "Even me.  It wasn't pretty.  But those ten dollar thrift store figure skates managed to get me around the rink a time or two.  Thank goodness for toe picks!"  

Suddenly, I'm flooded with memories of all we used to do.  He was only in 2nd grade when I was diagnosed.  As an 8th grader, I realize having a sick mom, is all he has really known.  And sadness encroaches as I fully know, there is so little left that I can actively do these years later. 

"I'm sorry buddy.  It stinks when your mom is so sick, more and more often."  

But as I utter my regret, my brokenness, my inability to reassure him jams my throat.

It's then that he sits up, leaning towards me,  and begins saying, "Mom, Mom, MOMMMMM."  "It's okay.  All that really matters?  Is that I'm here.  With you."  That's all I really need, okay? 

He comes over to the side of the bed, and folds himself over to hug me.  He has grown 2 inches since July, the last time we measured him.  But it's his growth in wisdom beyond his years, that surpasses his size.   I love him so...


*****************************************************


I met with Dr. Panwalkar last Tuesday.  He had sent me a link to the PET scan report, but I couldn't get it to load.  So I shook my head "no" when he asked if I already knew my status.  

"I assume its grown in my lungs, and somewhere in my abdominal region?"  I tell him.

"Well, kind of he says, hesitatingly."  

We're off script a bit, and I've jumped the gun by asking.

So he loads the old and new scans side by side and we begin zooming through the images.  It looks kind of like a 3d movie with my body playing the lead role.  But as we reach my lungs, the glowing yellow "cancer activity" rears it's head.  So my lower left lobe is showing more uptake, meaning more cancer activity.  I don't even bother asking how much growth, or increase in activity.  I simply don't feel the need to know any great detail.

So we continue on through the scan, finding a spot on my esophagus which likely could acid reflux or heartburn.   My bladder is also glowing, but its normal to look like that.  PET scans are not easy to read.

So when we get the to the next large glowing spot, I'm perplexed.  

Reading me, as he does so well, Dr. P explains its my uterus.  And its IN my uterus, not just on top of my uterus.  The words he carefully uses, are "large mass."  

Oh boy.  

But as I think about it, I have to wonder, "How do we know what it is?"

He nods in agreement, stating, "We don't."  Its highly unlikely for breast cancer to spread to your uterus.  What we really need to do is biopsy it.  

"So it could be another kind of cancer?  Like uterine cancer?  Or something else?"

He quietly nods his head.  And we sit in silence a moment or two, letting it sink in.  

Then he shifts our focus, and says "I think we need to start new treatment again. How do you feel about Taxotere- weekly.

This is what I've expected him to say.  So I counter offer,  "How about Halaven?  Could we start with that?  It helped my lungs last time and we stopped it early."  

He smiles, and says enthusiastically, "OK."  It's good, too.  Lets start with Halaven and restart Herceptin again.  We'll do two weeks on, and 1 week off of treatment.  Its that one week off, that gives me a bit of relief.  

"Fatigue may be more of an issue, and your counts may go low, he says.  Most of your hair will fall out.  And sores are likely to form in your mouth.  But it worked well for you last time!" 

He always diverts my attention back to the positive I can hang onto.  He walks me out to the waiting room and then leans in to hug me around my shoulder before he briskly walks away.  

******************************************************


I finished my second dose of Halaven on Tuesday.  I'm bumping up against nausea and inability to eat at times.  I'm worn out, despite how little I seem to accomplish most days.  

But two things keep me going.  Well, 3 actually.  And they are called Nolan, and Colton, and Superman.  I just keep striving to find new ways to be in their world, no matter what it takes.  Sheer will some days, and God given grace on others.  





Rest in peace my sweet friend, Colleen.  Your sharp wit, brilliant intelligence and huge compassion for all, will be so dearly missed.  In true Colleen fashion I heard you made one more trip to Target, insisting on pushing the cart and walking, despite how tiny you had become.  Tiny in size maybe, but you were mighty in all other ways,  and will be forever missed.  

If you're so inclined,  prayers please, for Colleen's husband Marlon, and their two precious daughters, just 5 and 7 years old- Lizzie and Abbie.  They'll be so honored. 







~peace and love to you all~










Tuesday, November 15, 2016

Part of me now...



Happy (a bit late) Birthday, Superman.  So thankful, you share your heart with me!  Aren't the heart shaped sparklers cool?  It's like love on fire, literally.  And here we are, side by side, through it all. 

Would you believe the sparklers were a part of a"goodie bag" for my first role in a documentary?  If you go to imdb, and google my name?  The documentary I was beyond honored to be a part of,  "Part of me Now: Living With Breast Cancer," will pop up.  We're just waiting for the director, Emily Gerhardson, to announce how we can all see it.  She's done an amazing job from start to finish in getting this project out into the world- so many film festivals it has gone to- we're just hopeful it gets picked up somewhere!  


Thanks to Ria for capturing this at the end of our photo session last August- somehow she always finds the best light.  




Speaking of light- I've spent days and days going through photos we took in and around Pittsburgh.  The light was simply stunning and the leaves were in full color.  I've formed such a deep connection to feeling "alive," when I spend time in nature.

 “I felt my lungs inflate with the onrush of scenery—air, mountains, trees, people. I thought, ‘This is what it is to be happy.’”

—Sylvia Plath, The Bell Jar















So many places and activities we savored in Pittsburgh have continued to stay with me... despite how much I had to concede and surrender along the way.  It became quite clear when we arrived back home, the toll so much of this "journey" has taken on me.  Two days after we arrived home: 



Tuesday,  November 1st, 2016
Roger Maris Cancer Center


He strides into the room, his voice booming, "Hello, Vicky, how are you?"  Then he stops mid-step.  One look at my face, and his whole demeanor changes.  I have yet to truly say anything, but he reads me in that moment.

"Ohhhh, what is going on with you?"  Dr. Panwalkar's face falls from smiles, and registers concern, as he scans my face.  His voice softens as he sits down, but turns to look at me as I try to answer him.

"I just don't seem to bounce back like I once did."  I shake my head, and say, "I just don't know what is going on with me."  He starts to run through the list of questions about fatigue and appetite, sleep, and breathing.  

My appetite is good- but my tolerance for so many foods is limited.  I feel sick, after I eat, with a tenderness in my lower left side.  I still eat.  I'm just never sure what will set my stomach off.  I can certainly use meds to calm it back down. But soon the gnawing sets in again.   It's just a vicious circle.  I can't see clearly enough to cut a clean swathe through the maze.  And really?  The bigger question?

Are my symptoms treatment related?  Or is it cancer progression.  My blood work actually looks good.  Although my tumor markers have climbed yet again.  

He thoroughly examines me, asking questions as he goes head to toe. 

He's nodding his head when I offer, "that small inner voice is telling me to scan."   

 Dr. Panwalkar helps me sit up, then goes to sit and begin the process of garnering approval for a PET scan, and a brain MRI.  Soon, we shift to discussing what a new treatment might be.  

He mentions going back to Taxotere, since I had a good response to it, and we quit before it stopped working, due to my intolerance for the side effects.   He also mentions another chemo agent I'd done before- Halaven.  

And then, mustering much enthusiasm, he mentions the one I've blocked from my mind- Adriamyacin- also known as "The red devil."  

I'm nodding my head, understanding the gift of knowing I have options, while also sliding right into denial, so that I don't have to focus on the toll those options can take on a weary body and spirit.

He also mentions looking into immunotherapy trials and asks where I'd be willing to travel?  "Anywhere," is our answer.  But just days later our insurance agent informs us my new policy will only allow me to have treatment at Sanford in Fargo.  I try to cling to gratitude that I can still at least find a policy that will take me on, despite its limits, and expense.  

Dr. P and I conclude our time together, and he ushers me out of the room and walks with me to the infusion waiting room.  He stops and motions towards the seating area, but then looks at me, and rubs my back as he smiles and simply says, "See you in 3 weeks. We WILL get to the bottom of this."  


So I get up each day and I try.  Some days it's merely hours later, and I'm back in bed, down for the day.  But each day I push a little more.  

After a day of resting at home, I take a chance and attend the steak fry fundraiser for the Moorhead hockey team.  I even managed to eat half my meal and felt so encouraged to see so many friends attending.  I manage to clean house, spend time outside with Crosby, and work on this blog post.  Stringing all of these moments together crafts a sort of "seat belt" that tethers me in place, for the curves we endure on this tenuous ride.  



At the end of our trip to Pittsburgh, we go to say goodbye to our friends, Matt and Bridget Cullen, after the Penguins come away with a big win. Smiles abound.  We've had such a great trip.





Those light-filled eyes, and big smiles, from the bigs and the littles, melt my mother's heart.


We're pulling out of the parking lot after the game, when the car with the little boys stops.  Their Dad says, "I have some pretty sad young boys who have requested just one more hug from the big boys?"  

He has taken the time to stop, and they all unbuckle and tumble out of their car seats... as my big boys jump out of their seats for that last big hug.  The littlest guy looks up at Colton, tears streaming, "l'll miss you!   Please come back again soon so I can see you!"  

Out of all the moments, so very many of them, its this one I tuck away in my heart forever.  

My brain MRI will be Thursday with sedation at 1 and scan at 2.  Then the PET scan will be at 730 am on Friday, with injection at 730 and scan at 9.  

How can I pray for you?  I will bring a list and pray fervently for anything on your heart and mind.

~All shall be well~
















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When you get lucky

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