Tag Archives: chemotherapy

Day 255: just the facts

I have sat down to write a blog post almost every day this week. I have the drafts to prove it, sitting on my computer, languishing. I’m not sure what the hold up is here. Even now, I keep glancing at my phone, checking Facebook, recording calories in my calorie counter (lame, I know), playing online pictionary. I’m doing everything possible to avoid writing – an activity which usually brings me such peace and a sense of accomplishment. My brain is humming with activity, but, like my blog posts, I feel a bit like I’m languishing. Languish: To fail to make progress or be successful.

I’ll start with facts and if that’s all I can muster, then at least the facts are there. We were discharged a week ago after five days inpatient. It was actually a pretty painless admission – as painless as spending five days cooped up in the hospital with a two-year-old can be. Since we’ve been home, Elsa has emerged again from the fog of this last chemo cycle (Interim Maintenance II) and she has been delightful. That’s the word I always use to describe her when the chemo has finally leached out of her body – and it’s totally accurate. Once again, she let’s us know that there is a sweet, funny, smart little girl in there – stifled by eight months of chemo and clinic and pain. She’s still my Elsa, so she will always be a bit on the ornery side. And she’s still TWO years old – so pack a little more ornery in there. But, delightful? Delightful is totally accurate.

See? Proof:

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Oh! And another fact: We got some really great news on our clinic visit before last. I can’t believe it’s taken me so long to share this! Originally, I had always thought that the Maintenance phase of treatment would last two years from the day we started maintenance. I had calculated that we would be done April 2, 2014. Well, while Dr. Parikh was busying himself with spinal needles and sterile gloves and Jeannie was busy charting and double-checking chemo dosages, I mentioned that April 2014 off-treatment date. They both stopped for a moment and said, “No, No. She’s finished with treatment 2 years after the start of Interim Maintenance I. Didn’t we give you your off-treatment date?” Um. No!! Jeannie glanced at Elsa’s chart and handed us a little slip of paper:

October 10, 2013

October 10, 2013!!!!

October 10, 2013!!!!

That may seem like it’s still a long time away but it is seven months shorter than I had previously thought. Seven fewer spinal taps. Seven fewer IV chemos. Approximately 238 fewer chemo pills at home. This is a BIG deal! Our life (really, MY life, in particular), is very much on hold until Elsa finishes all this nonsense. Every time I try to think of anything happening in my future, whether it be a career move, going back to school, having another baby (what!?), I stop myself. Just the thought of another inpatient admission (surely, we will have another one before treatment is finished) and all my personal dreams go out the window. I can’t hold a steady job when I’m needed 24 hours a day to push an IV pole. It doesn’t make sense to spend money on the grad school that I so desperately crave. Can you imagine having a tiny infant to take care of (not to mention TWO children to breastfeed) while living on the 8th floor of our hospital?

Please, please, don’t interpret this as my ignorance to the fact that I am L-U-C-K-Y beyond measure to be able to stay home with Elsa. I know, every day, that I’m lucky to spend this time with her. That being said, I’ve got some ants in my pants (who says that?) to make a life plan that includes just a little bit more for me and my soul.

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I wrote most of all this yesterday (Sunday) but now it is Monday and I’ve got more news, however tedious it may be to hear about blood counts. We were scheduled to start maintenance today but Elsa’s counts were way too low. They sent us home to enjoy another week of chemo vacation. Thankfully, this doesn’t affect our OCTOBER 10, 2013 end date (every time I say that date in my head, it’s like I’m screaming). Just less chemo overall, and I’m pretty sure Elsa’s body is down with that plan. Her ANC is only 264, so we are back on house arrest. She needs to hit 750 before we can even think about maintenance. We spoke with another family at clinic whose little girl is now done with treatment and they confirmed that their daughter’s counts took three weeks of chemo vacation to recover enough to start maintenance. Dr. Parikh told me, “Nothing to worry about,” – so as much as I’d love to worry my ass off about it, I’m going to put some blinders on and take his advice.

There we go. Blog post done. Just a little less languishing on my part.

Day 201: For now, better days.

Despite whatever melancholy wormhole I was writing from last post, life really has been exponentially better these days. Elsa had clinic yesterday and her ANC was 1200! She started the next phase of treatment (Interim Maintenance II) with doses of vincristine, methotrexate, and a spinal tap with spinal methotrexate. Totally absurd to say, but it really was an easy day. When on earth did THAT become “easy” for us?! Easy it was, though. I think the stress of delayed intensification coupled with the 6-day inpatient isolation has toughened us up. Just 6 hours without food or drink, three chemos, a sissy spinal tap and then we get to go home? No sweat! (Pictures are forthcoming)

With an ANC over 1000, I’ve opened the floodgates for playdates, library story time, shopping, etc. We even re-joined the YMCA and I am going to start leaving Elsa in the babysitting room there. Workout/sanity bolstering for mom and socializing, independent, normal-kid, toddler time for Elsa. This is a huge step for us. Huge. Normal life: RESUME! Granted, it is the height of flu/winter sickness season so I’m trying to take as many precautions as possible: excessive handwashing/purelling, antibacterial wipes on everything, and staying FAR away from anyone with a runny nose/cough (some may call it “running for the hills”). Life has been shitty long enough though and Elsa and I are tired of house arrest. We are venturing out, no matter what. Wish us luck; We probably need it.

Video proof of our fun times these past couple weeks. Video proof that delayed intensification is now a distant memory (at least for Elsa) and playgrounds and dog torment are our current priorities.

P.S. If anyone knows the person who is in charge of “sainting” dogs, please send them our way.

Back on the playground:

Day 198: Recycling Day

I can’t decide if keeping track of our life in days is relevant any longer.  We passed the 6 month/Day 180 mark without even a nod. I looked back at my calendar to see what we did on Day 180 and all it says is “Recycling.” I think we did, in fact, put out the recyclables that day. I wish I could climb through a wormhole to 6pm on July 20th and whisper to my crumbled, shaking self,”Six months from now, the most exciting thing that will happen in your day is that you will take out the recyclables. Shhhhh. She will be alive in your arms in six months. The day will be so boring that you won’t even realize you have six months under your belt.”

I look back at myself – my old self that existed before July 20th. I look at pictures from our old life and they are not real. We never existed in that place without leukemia. Those 17 months were a dream and I’m not sure that I was ever that mom. There I am, sitting on the bed, brushing Elsa’s sweet straggly hair and sniffing the crook of her neck. Here, let me try that wormhole again: “Stop!” I yell. “She’s sick! She is going to be so sick!”

I don’t just try to move back in time, either. When I’m not gazing at photos of my old self, I’m desperately trying to peer around the corner, into the future. I’m horrified at the thought of being caught so unawares again. If I adequately prepare myself for every possible outcome, then my future self will never have to look back morbidly on my old self and say, “Poor girl. She never knew what was coming.”

Six months in and all I’ve got to show for it is an obsession with wormholes. No, No. We have so much more to show for it. That’s just not fair to say.

Now, I feel like I need to valiantly defend myself here against an onslaught of criticism (which, by the way, I realize is, largely, in my own head).  I know I’m supposed to live in the moment. That’s what cancer does: It wakes you up every morning, hammering your brain with a litany of, “Enjoy this day because I could take it away any moment, ya know.” I realize that I cannot dwell on our past or all the unknown possibilities in our future. I also know that I’m not supposed to get caught up in the stories of other, sicker children. Truly, it is unfair to those children and their families for me to waste our good fortune. I know! I am drowning in the guilt that comes with this knowledge. I know. I know. I know.

It’s just that, while I’m sniffing her sweet fuzzy head, I’m always keeping a look-out for any sinister goings-on in there. I’m always half expecting my future self to materialize, wide-eyed in front of me, whispering urgently, “Stop! Look! Hold her tighter while you can.”   I want to ask my future self if we will get out of this unscathed.  Will we get to keep her? Five years from now, will my greatest concern be that John take out the recyclables the night before so that we don’t miss the truck?

Back through the wormhole she goes. Questions unanswered.

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Ugh! Why does this always happen? I, truly, intended to log on and type the following:

Hi friends! No news is good news! This week has been wonderful and we are greatly enjoying our chemo vacation. The worst news we have to report is that Elsa is two-years old and, thus, driving us totally insane with normal two-year old stuff.

Instead, I started rifling through old, unfinished posts and found the one above. I remember when I originally wrote those ideas, some months ago, I had run it by John before publishing (which I rarely do). His reply was, “All that talk of your different selves sounds confusing,” so I abandoned it for awhile. Today, I got lost in those old thoughts and ended up writing a significantly more melancholy update than I had originally intended.

See, I’ll prove it to you. Look at us this week; It was great!

Hospital Room 810, in pictures.


First day. Fevers.

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Technically, not Room 810. John and I snuck downstairs for an ice cream date while John’s parents stayed in quarantine with Elsa.

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Day Three.  Elsa finds my artistic attempts dubious.

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John and I were allowed to leave the 8th floor, as long as we wore a mask. It was just the 8th floor itself (the kitchen, the playroom, etc.) that was off limits. Elsa, of course, was not allowed to go anywhere.

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Day Three: Hanging with Grampy

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Day Four: Somebody please get this kid a blood transfusion.

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Day Four

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Day Five: Looking eerily like Day Four, eh? Yeah, that’s because it was.

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Standing at the door. Wishing she could get out. Wishing her tether was longer.

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Have I mentioned before that she is a pretty intense kid? I mean, they’re just gnomes! Relax a little.

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A snack before they set us free on Day Six. For a combination of reasons, she refused to eat one bite of food for the entire six days. Had she not been nursing, we would have had to have some awful conversations about feeding tubes and supplementary nutrition. It felt funny to be supporting her on my milk alone, like when she was an infant. Plus, it was exhausting for my body and soul. That said, I’ll take nursing exhaustion over a feeding tube any day of the week.

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