Days With No Answers

There are some days that I long for answers.

After being re-admitted to the hospital in Sunday’s early hours, Chase is driving me to that place. Why are the fevers so high when he still had white blood cells? Why is he so visibly ill when his tests are coming back negative? Why is his blood pressure so low ….does he need platelets …does he vomit even after anti-nausea drugs …why, why, why??

It’s days like today that I hear Tennyson in my head:

“Theirs not to reason why, theirs but to do and die…”

Is that the reality? To do and die?

Even as I question, I am reminded of the verse in Jeremiah:

“For I know the plans I have for you, declares the LORD, plans for welfare and not for evil, to give you a future and a hope.” (Jeremiah 29:11)

If this life is full of God’s plans for me that give both a future and a hope, and I’d prefer not to face it like one of the six hundred riding silently to death, I ask myself…how should I respond to weary days with no answers?

Give thanks.

Give thanks even when it hurts. …when it aches …when there is no human reason for the pain and suffering.

“Give thanks in ALL things…” (1 Thess 5:18)

So this is my answer for today. I may not get the answers I crave for the child lying in the bed, but believing that whatever my God ordains is right and for His glory and my good can free my burdened heart for thankfulness.

Moment by moment.

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Of Spinal Fluid And Really Good Days

Heart in my throat, I looked at the doctor standing masked and gowned by the foot of Chase’s hospital bed. “Have you heard anything on the spinal fluid yet?”

Slowly, she lowered her mask and I could see her huge smile…“Yes. The fluid was negative.”

In shock, I asked her if she was sure it was Chase’s fluid as Bob laughed quietly from his place across the room.

Chase’s spinal fluid–this fluid that has been positive for cancerous, atypical and abnormal cells from day one–is weird cell FREE!

There is a cautious moment to this, as it does not mean that Chase is cancer free.  The true State of Chase is something that will be unknown for a while, hopefully only until his evaluation at the end of the month.

There is still a long road ahead for this little one. He’s only 14-16 weeks through a 51-54 week chemo protocol … Encouraging news to the little boy who burst into tears as he thought clear spinal fluid meant no more “fishy hospital.” (Oh, Chase…)

So, as I’ve written many times, we don’t know what’s ahead, but …
Today was a REALLY GOOD DAY.

Whatever may pass and whatever lies before me, let me be singing when the evening comes. Bless The Lord, O my soul!

Moment by moment.

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What’s Next?

We have had the most wonderful break over the holidays!  In truth, the longest break Chase has had since being diagnosed.  We’ve completed 14-16 cycles of chemo and 30 days of radiation.

So, now what …?

At the end of January, there will be an official evaluation to determine whether this treatment is working.  Right now, Chase’s brain is still too swollen from radiation to be able to get a good “read” on how things look.  However, we will have a small preview of the direction things are headed…

On Monday, Chase will be admitted to the hospital for three days of chemo which get started with a spinal tap and interthecal chemo (they inject it into his spine).  When they inject the chemo into the spine, they also remove a small amount of his spinal fluid and test it for abnormal or cancerous cells.  So, even before the big scans and tests at the end of the month, we will probably have an idea of what’s worked based on the content of the spinal fluid.

These evaluation sessions are …I can’t even think of an appropriate word to describe them… important to say the least.  These are the times where we will sit down and talk through all of this working…if we will continue on with the 54 week chemo protocol, or try something else.  These are the times that we will confront this ugly and stubborn cancer in the face and begin to know who is going to win.  As you can imagine, these are the times we simultaneously hasten and dread with the question of which is worse – the knowing or the not knowing?

“I wait for the Lord, my soul waits, and in his word I hope.” Psalm 130:5

And so, we wait with hope

Moment by moment.

The State Of Chase

“Yes, but how is Chase doing?”

We hear this question a lot.  A desire not to hear medical information, or how our family in general is doing, but a genuine concern for how Chase is doing – especially emotionally.  The more questions I’ve received, the more I’ve realized that I really should write about it.

From a physical aspect – I feel the need to address physical first as understanding who Chase is in the physical sense goes a long way to understanding how he’s doing otherwise – he’s lost all of his hair now.  The radiation finally took his eyebrows and eyelashes, so he squints a lot.  Something (it’s unclear if it’s the effect of the tumor, the residual cancer, radiation, or something that is yet unknown) has affected his speech and so it’s often garbled and interpretation is frequently needed.  The speech, and his walk (he suffers from some minor weakness) both become more pronounced the more tired he is.  …which is a lot these days.

The cumulative radiation effect is at it’s peak right now – even though he’s been done with treatment since December 12th – and he’s very tired.  …four hour naps, walking across the house winds him, stepping outside exhausts him kind of tired. (this is something to watch in a child who hasn’t sat still since he was born…if then)

In the last three months, Chase has in turn suffered from insomnia and somnolence (sleep and lack thereof)…which makes for interesting days and even more interesting nights as the first thing he does (even in his sleep) is reach for his central line (a fancy access system into an arterial vein which allows for IV fluids, nutrition, medication, and blood draws without constantly sticking him).  So, as you can well imagine, it’s hard to leave him alone…ever.

When we are home, Chase has labs twice a week and a dressing change on the central line once a week.  For the labs, he is as good as gold.  For the dressing change, he is still as good as gold, but it takes three people to hold him down.  Despite it’s weekly occurence (which you would think would have him used to it by now), he hates it more than his brain surgery.  It scares and enrages him whenever anybody even gets close to touching the line.

A side effect of the chemo is that Chase’s skin is very sensitive and depending on his frame of mind, he fights against being touched.  This can sometimes involve a war strategy worthy of the Pentagon just to change a diaper, yet other times, he lays perfectly still and talks to us as if nothing bothers him at all.

And now, put aside the screaming, the kicking, the central line, the loss and pain and tears and hear this… children are so resilient.  I wouldn’t believe it if I didn’t see it every day.  This life is Chase’s normal and he lives and loves in it to his full capacity.  He knows when the nurse is coming to the house and what she’s going to do and he helps hold lab supplies.  And he knows that a fever means going to his “fishy hospital” and he gets excited to go see his nurses and doctors.  And he is even used to the 2+ hours every evening of taking his oral medications and preparing/attaching his 16 hour IV bag…in fact, he looks forward to it because we snuggle on the couch and watch a movie while we work. 

Chase has no paradigm for words like “malignant” or “terminal” and the percentages they carry with them.  He is used to his cancer and is even (dare I say this) proud of it – as any small child revels in something they possess that their siblings do not.  More than once, we’ve heard him hold it over Aidan’s head: “No, Aidy, you can’t come to the hospital with us, because I have the cancers and you don’t!” There are days when the cancer means painful or uncomfortable medical procedures (for him, this could be anything from a needle prick to a blood pressure cuff) and then he dislikes it, but even then… There was one evening that as I apologized to him as I had to give him a medicine he didn’t want, he put his arms around my neck and said; “It’s okay, Mom. The cancer is here, but Jesus loves us. It’s okay.”

So how is Chase really doing?  He’s a breathtaking blend of cancer-produced maturity far beyond his barely three years and highly active, life-loving little boy.  He approaches life with a take no prisoners, no-holds-barred, hold no grudges attitude tnat allows him to hug and kiss the nurses that he (30 seconds earlier) kicked and screamed at. 

If I had to sum it all up, I’d be hard-pressed to find better words than those that Chase himself says…

“I’m so brave…”

Moment by moment.

[be sure to come back for part #2 of our 2013 update: “What’s Next?” posting later today]