Tag Archives: interim maintenance

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.

Wordless Wednesday. On Thursday.

In keeping with my theme of chronic tardiness, I am posting about our Wordless Wednesday, On Thursday. Nice.

On a whim, I entered the picture of Elsa and me, standing with her IV pump + chemo, to the Natural Parents Network, weekly contest. They featured our picture as one of their “Gratitude” photos! Check out the link:

Wordless Wednesday.

Scroll down a few, and there we are. So that was pretty neat.

We’re emerging, again, from a couple of pretty rough days. Mom with limited emotional resources + PMS (lame excuse, I know) + dad working a lot of hours + toddler on higher doses of chemo + toddler getting two year molars (which I just realized today is probably the source of a lot of her distress!) + sunset at freaking 4:30 PM (really Fall, really?) + dog eating [poison] raisins and having to go to the vet for induced vomiting + dog smelling really foul [like, fouler than your wildest nightmares] after said induced vomiting experience. . . Well, it’s all been a bit much. This may or may not have resulted in my having a temper tantrum over the phone to John which may or may not have resulted in him rescheduling patients and coming home early yesterday.

Today feels better though! It might be the fact that Elsa is off playing with her friends Olivia and Sue. For 4 hours! 4 glorious hours of freedom and relaxation! Plus, the fact that another friend is making a dinner date possible for John and me (thanks Marta and Dan!). Also, I am going to go talk to someone about my feelings (which I am told, I need to do). And did I mention the 4 free hours . . .?

Friday Photos. On Sunday.

Another blog that I read from time to time (Enjoying the Small Things) always features a “Friday Phone Dump,” where she shares a collage of all the pictures on her phone from that week. In typical Georgia fashion, my Friday phone dump is finally making it’s way to the blog on Sunday. Three cheers for a struggling first attempt at a regular, weekly blog feature!

(From top left to bottom right): Walk in the woods with Marta. Waiting patiently at the clinic door for port access. Sweetly nursing. Amazed at her own stick throwing abilities. Snuggled in at Nona and Grampy’s, waiting out the storm. Wheeling around her pump, getting chemo. Walking down the beach at Old Saybrook with Dad. Playdate at Rockwell Park with Ella – who is camera shy. Mom, with two of her three favorite creatures.