Tag Archives: cancer

Day 152: Time moving forward.

Hello, hello.

At a time when my mind is absolutely whirling with a thousand thoughts, it seems like an odd time for writer’s block. The hospital has re-wired my brain though. Somewhere between my thoughts and my typing fingers, there is a giant, sleepy dragon. Lazy, but ferocious when pestered, it does not allow trespassing. I’ve tried to write over the past few nights and, each time, I quickly give up and just lay down next to Elsa, in our mechanical hospital bed. I don’t have a heck of a lot of energy for dragon fighting.

Perhaps I feel like I don’t have enough reason to write. I’m always trying to argue that she’s not that sick. It could be worse. I know. Other kids are sicker. We don’t have reason to complain . . . My therapist often helpfully responds with, “Um. Your daughter has cancer. You can complain a little. Please let yourself complain a little.”

Or perhaps, I think that if I write down my fears, they will become prophesy. There are just so many “might happens.” So many scary demons lurking just out of sight. When we were admitted last Thursday, I had a hard time swallowing the fear that, “Perhaps today is the last day . . . Maybe today is the last day our life will be normal.” We’ve already experienced that once: that last day of normal life back in July, back when I bought a sun hat. I am constantly aware that we could have another day like that. She could be on a ventilator a week from now and I will look back and snap my fingers and say, “Damnit, THAT was our last day. THAT was the day. Why didn’t I know!? THAT was our last day of normal life.” I told this to our appropriately horrified nurse, Jeannie, and she sympathetically told me that I know too much. Ah the scourge of being a mom and a nurse.

Our hospital stay has been as uneventful as a leukemia hospital stay can be. She has been fever free since Friday and we have just been waiting for her neutrophils to get their act together. Stupid neutrophils.

We were admitted Thursday night and each day is exactly the same:

Grumpy eye opening. Morning breakfast tray. Scrambled eggs for Elsa. French toast sticks for Mama. Tidy the room. Pace the 8th floor, Elsa in one arm, IV pole in the other. Make coffee in the family kitchen. Drink coffee in gulps while trying unsuccessfully to involve Elsa in something that is not sitting in my arms. Morning medication. Morning vital signs. Morning news that NO, her ANC has not started moving upwards. . . until this morning! This morning we got a 180 (up from 134 yesterday!) I am insisting on a re-draw this afternoon to see if we can hit 200 before this evening. 200 and we go home. 200 and we go home. 200 and we go home.

In one sense, this hospital stay has been good for us. . . or good for me. I was getting so antsy and grumpy, home with Elsa for the past few weeks. I was complaining, “Oh, boo hoo, I have to sleep with Elsa. I don’ t have any time to myself.” Whine, whine, whine. Well, the thought of bringing Elsa to bed tonight, in our cozy house, in our QUEEN SIZE BED, detached from her IV pump, needle-free chest, no nurses hovering over us at midnight and at 4AM . . . gosh, even just typing that makes me teary. It will be the BEST. I assure you: The Best.

I hesitate to ever say, “Next time, I will write about such and such.” Such a recipe for failure. I very rarely state my goals out loud. I know myself and I have a hard time with follow-through. BUT, I do have some ideas for future posts, so I might as well say it now and hope for the best. One good thing about having a kid with cancer? I no longer fear little things like, “I might fail at this writing project.” If I fail, then I fail. I will be too tired to hang my head very low. Or rather, I can’t fall much further than the floor I am already laying on.

So here are the topics I need to cover: The difference between Elsa at 17 months, in the hospital and now, at 22 months (she is so different! so old!). The act of Hospital Surrender (a necessary skill if you are going to be the parent of a hospitalized 2 year old). Cancer Kids on Display. Tips and Tricks for Surviving Inpatient Life. The language of pediatric cancer: Fighters, Strength, God, Etc.

Now for a glimpse of our past week:

I call this picture, "Find the cheerio." (It may or may not be in my child's nostril)





Very busy "painting" during arts and crafts hour.





Enjoying a ride in her chariot.





Where Elsa and I rest our heads each evening. Ugh.





A visit from Auntie Cardeents.





Another day, another chariot, another cute face.





Our little family in the hall. Glaringly missing? Stella.





One lap of the floor is 1/16th of a mile. We have walked miles over the past 5 days.

Thanks for stopping by. This blog and the comments we receive, from both friends and strangers, have oddly become an integral part of this whole experience. A good part.

Day 144: Time Off

I was pretty down in the dumps this week, wallowing deep in the “my kid has cancer” ditch that constantly threatens me, as we chug along. There is one pretty simple solution that helps me to avoid this pothole. It’s so simple, it’s laughable:

Steal some hours for myself!

Elsa? I’m sorry. Perhaps you will read this one day, as a teenager, and feel angry and hurt that I needed time away from you in your hour of need. And perhaps, you will read this as an adult, a mother of a two-year-old yourself, and say, “Of course my mom needed some time away! Bless her little heart for all she did!” (I don’t know why, in my daydream, you talk like a southern belle).

Last Thursday, at clinic, I had to sign another one of the hundred forms I have signed for you. Yes, I give permission for you to cut open my child’s body and Yes, I understand she could die. Yes, I give permission for you to put a needle in my child’s spine and Yes, I understand she could die. Yes, I give permission for you to fill her up with poisons, in some paradoxical effort to fix her and Yes, I understand she could die. Each time, I sign these forms and indicate that I am signing on behalf of another. I am the Mother. The Guardian. The Decision-Maker. The Permission-Granter. I am the one that understands you could die and signs at the ‘x’ anyway.

This past Thursday, signing another form, the word “Mother” struck me as ridiculous. Rolling “Mother” around in my mouth, I repeated the word. I even said so to Jessie, the Nurse Tech, who brought the form, “Gosh. That’s funny. I’m her mother . . . her mother. I’m still 16 years old inside. Ya know? How could I be someone’s mother?” Jessie smiled, nodded and left the room – a skill I am sure you must perfect in order to work in pediatric oncology.

I spend 24 hours a day with my sick child right now. Now that she has stopped sleeping, unless she is snuggled up against my body (and at least we have found a solution!), I really do spend 24 hours a day with her. Before all of this, I could put her in her bed at 8pm and, though it was only a few hours, I would savor every moment I had while unplugged from her little body. I could go to work and get lost in my patients’ stories, their sickness . . . sickness that, for me, really just meant a series of tasks and a smile. A hand held and then I could send them on their way. I was even thinking of daycare a couple of times per week so that I could plot my next move. Grad school? More shifts at work? I had finally dug out some spaces in my life to just be Georgia, in addition to being a mom.

I have a newborn again, except she is huge and has infinitely more demands than just “Hold me. Feed me. Change me.” And it feels unnatural, because she is not a newborn. She should be out playing with other kids, learning, running, growing. We are stuck in stasis now and, after days and days of NEVER leaving Elsa’s side, inevitably, I find myself deep down in that hole again, convinced I will never, ever, feel happy.

I am a selfish 16 year old somewhere inside. That 16 year old has a hard time wrapping her head around the fact that I have a child with cancer. I want to sit on the couch with my coffee, in peace, and write in my blog. I want to go hiking in Yellowstone. I want to go to work and know that my patients go home and say, “I had this great nurse today.” I want to study for my lactation consultant exam. I want to go back to school.

You know, I’m not really sure where I’m going with all this. And my time here is limited. Gone are the days when I could mull over a post for hours and ensure it made sense with a beginning, middle, and end. These are stream of consciousness days – That’s all I have time for.

John has taken Elsa to clinic – which is a really big deal for me. I’ve relinquished just a little control. I have had to swallow the fact that, Yes, she could die at clinic. I have signed those papers and YES, I understand. But today is a low-risk, “easy” sort of day. Just two different chemos and *hopefully* just a few hours. Plus, he’s not just some stranger off the street – as he said last night, “Georgia. I’m her father.” I know it is OK for me to take some time out for myself. Not just OK, but 110% necessary for the survival of our family. We can’t afford for me to implode. Each hour that I have to myself, I climb higher out of my dark hole. I can see sunlight again!

I’m honored that I get to see Elsa through this and the love that she showers down upon me is stunning. She showers me with a hell of a lot of other, less pleasant nonsense, but I am always shocked that the act of loving her and being loved by her is *enough.* Enough to make parenting worth it. I am also realizing that, I must take time out for myself. Cancer or not. I have to find a way to ask for help and not feel like a failure. I am such a better mother when I have time to NOT be a mother.

I could go on like this for hours, not making sense. Spewing crazy talk. Instead, I will leave with some cute pictures and a real update for those of you who have stuck through here until the end:

Done with 7 days of steroids! Just 7 more weeks of Delayed Intensification. Hurray!

Two of the ones I love.


Sweetness on a swing.


Friends!

And she presses “Publish.”

Day 127: Day 127 turned into Day 129

* I started this post two days ago. Now, two days later, I have gained only 8 more hours of very-interrupted, fitful sleep. We’re falling apart a little over here in leukemia land, and yet, we are very much holding it together.

** This blog post is made possible by a generous contribution from the Raviele Russell Foundation. We thank the foundation for their time, friendship, and kindness. We thank them for our sanity. Mostly, we thank them for entertaining our child and allowing us to lay in bed for a few hours, in peace.

First off, some photos from our week – again!

From top left to bottom right: Serious conversation with mom at clinic, this past Monday. Thanksgiving with Nona and Grampy. Chemo fun-time with Auntie Cardeents.

As usual, I have a hundred thoughts to write about and 1/100th the energy I need to make them coherent. This week has been . . . exhausting? I can’t even find an appropriately exhausting word to describe the exhaustion. I feel like a broken record – I am sure I have lamented this before.

Elsa is, overall, in the grand scheme of cancer kids, doing well. My journeys through the deep underbelly of cancer blogs and cancer discussion boards has left me with a healthy [unhealthy?] awareness that our own journey is comparably E-A-S-Y thus far. She’s running around, making loud noises, grinding play-doh into every fabric-covered surface in the house, relentlessly pulling the dog’s various parts, eating, drinking, smiling, living. On the other hand, it takes three hours to put her to bed at night, after which we are so emotionally drained that we, too, pass out. It has been weeks since we have had a peaceful evening, just Georgia and John, to decompress from the day. We dive into bed, minutes after she finally stops fighting her exhaustion, unable to speak to one another, frustrated, angry, tired, sore. Minutes later, it’s 4 AM and she’s awake! Screaming! “MOM! MOM! MOM!” Except that she’s not talking yet, so it is just screaming.

If I may, I would like some moments to complain. Whine, you might even say. Grumble and bellyache. Please ignore the following paragraph. It is boring and self-involved.

After her 4AM wake-up scream fest, she’s cranky most of the day. She refuses to sit in her stroller for even 11 seconds (or 1 second, really) thus making any sort of exercise impossible. I try to set her up with snacks, a dolly, a blankie . . . no luck. So now we can check “Exercise” off the list of things I can do to maintain my sanity. She refuses to walk anywhere thus making any kind of extended outdoor adventure impossible. She also refuses to be carried in any of the 6 sling/carriers that I have for her, so we can only adventure as far as my arms and back can stand to carry her 30 pound toddler heft. Most frustrating? She refuses to nap in her crib anymore. I can repeat our nap-time routine 15 times, and 15 times, she will wake up the moment I transfer her from my arms to the crib. Now we can check off “Alone Time” from the list of things I can do to maintain my sanity. Off to the car we march, and she is asleep by the time we get to the mailbox. Captive in the car, I sit for two hours in a variety of local parking lots while she sleeps, resenting every moment that I am not at home, stealing a moment or two to myself. Sometimes, she likes to shake things up a bit and refuses to stay asleep unless the car is in motion. On those days, I get to drive, drive, drive. Hours spent exploring the local backroads, stewing in my ever-increasing resentment and bitterness. Our days have been virtually shut down for the past two weeks, confining us to the house, my in-laws, and the occasional trip to the library which she *amazingly* still tolerates.

It’s been really hard to hash out what is cancer and what is our toddler’s difficult challenging personality. What is pain and discomfort and what is a nearly-two-year-old asserting her independence via tantrums? What is neuropathy and what is a refusal to walk on her own because it’s easier to be carried? What is pain and suffering during the night and what is a little girl who really just hates sleeping anywhere but her mother’s arms and has learned that screaming gets her what she wants? I hate to enter into those “Cancer stole from us . . .” conversations, but cancer has robbed me of any sense of confidence I had in my parenting ability. My child is a scary mystery now and I am helpless to make her feel better. We stumble through the day, hoping her behavior is just normal toddler shenanigans but always suspecting something more sinister.

We are exhausted and broken, but, like I said, we are acutely aware of our good fortune as well. We are home. She is not on a ventilator in an ICU somewhere. We are not preparing for a bone marrow transplant. We are in remission. She *just* has leukemia. It’s the *good* kind . . . It could be worse . . . It could be worse . . . I know. I know!

I still cling to our moments of sweetness throughout the day though. There are times when she grabs my face and rubs my cheeks, pushing her little nose into mine. I think there is a sweet little girl in there somewhere. Surely, there is a girl who doesn’t scream and whine and maliciously crush cheddar bunnies into the carpet at 4:30 in the morning.

If you’ve actually made your way to the end of this rambling nonsense, here is a sweet moment of silliness: [Please direct any questions about "Why would you ask your child to lick her mother's nose and eyeball?" to John. Also, she is covered in blackberries.]

Day 121: Friday Photos, etc.

Salvaged some moments from an otherwise challenging week: Evening story-time at the library with Dad. Nona’s birthday party. Elsa has mastered blowing out candles. She insists on singing “Happy Birthday” every evening, before bed, so she can practice her huffing and puffing.

In addition to chronic tardiness, I have a VERY hard time sticking to anything. Somewhere in my list of self-deprecating adjectives, I would say that “lazy” and “quitter” feature pretty near the top. For this reason, I am exceedingly proud that I got together another [albeit late] Friday photos post! The photos aren’t perfect and I got confused with the framing, but I decide to throw away perfectionism and just post! Someone told me recently that you have a statistically better chance of sticking to a new habit if you can maintain it for 21 days. I’m trying to stick to things lately – even if I’m doing them badly. Elsa’s ability to endure such a marathon-like treatment has kicked my ass a little to show some fortitude of my own. Eating healthier and less. Working out. Writing. I may not be doing any of these things well, but I am going to just keep doing and hope for the best.

Speaking of leukemia treatment, I know that’s why half of you are here – not to listen to my self-involved ramblings. This coming Monday, we have the last appointment/chemo treatment for this current cycle (Interim Maintenance I). When we started this whole thing, the dreaded Delayed Intensification (DI) seemed so incredibly far in the future. Now, it’s right around the corner. Just typing that makes my heart beat erratically. We are scheduled to start DI on December 5th, though we can assume that there will be a couple of weeks delay, built-in to allow Elsa’s immune system to recover. Then 8 weeks of a mind-numbing amount of chemo, plus some more steroids for good measure. Ya know, because her cheeks have gotten too slim and having a two-year old is just not challenging enough. Just how mind-numbing? Here is the summary from our clinical trial protocol overview:

Delayed-intensification therapy (8 weeks): Patients receive dexamethasone orally or IV BID on days 1-7 and 15-21; vincristine sulfate IV and doxorubicin hydrochloride IV over 1-15 minutes on days 1, 8, and 15; pegaspargase IV over 1-2 hours on day 4; cyclophosphamide IV over 30-60 minutes on day 29; oral thioguanine on days 29-42; cytarabine IV over 15-30 minutes or subcutaneously (SC) on days 29-32 and 33-39; IT methotrexate on days 1 and 29; and oral leucovorin calcium every 12 hours on days 3-4 and 31-32. (Taken from the Cancer.gov summary COG-AALL0932)

Mind numbed yet?

BLECH.

I just keep trying to tell myself that, after DI, we are in the home stretch. That is, if you can call 776 days a “home stretch.” At least, once DI is over, we don’t have to worry about any new, scary medications. She will have been exposed to all the awful stuff and we can hunker down with our dear, known enemies for the next two years. Shoulders hunched, blinders on, head down, keep moving forward. No choice otherwise.