The Other Shoe

What do you do when the thing you most feared is suddenly your reality?

Today we got the results of the pathology report, and it doesn’t look good.  Chase has an atypical teratoid/rhabdoid tumor (AT/RT), which is a very rare kind of cancer (rare = about 30 new cases per year).  Did we really think that Chase was anything other than rare?

The neurosurgeon noticed, on Chase’s original MRI scan, that there was some light-colored shading on his spinal column, which has now been interpreted as the tumor spreading.

It seems like the most likely course of action will be a 51-54 week regiment of chemotherapy and radiation, during which time he will have a treatment every 3 or so weeks in the hospital.

This is hard news to try to process.  Am I ready to watch my child go through this?  Do I trust that God is sovereign, even over an aggressive malignant tumor?  The words (and melody) of a song by Mark Altrogge has been going through my mind today:

Whatever my God ordains is right
In His love I am abiding
I will be still in all He does
And follow where He is guiding
He is my God, though dark my road
He holds me that I shall not fall
And so to Him I leave it all.

Here’s a clip of the song with this verse:

What this looks like, only God knows, but what we do know is that God IS sovereign, and while the tumor is a tragic physical manifestation of the fallenness of mankind, the child is a beautiful manifestation of the image of God, and in this child we have joy.

Two Days Later

What a difference two days makes!

Chase is doing unbelievably well. The neurologist laughed incredulously when, after testing Chase’s right hand strength with a high five, Chase said (extended right hand) “Yes, now can you give ME a high five?”

Every moment is a different emotion, one minute up, the next down, but always -much like Saturday’s thunderstorm- strong, inevitable, and a breath-taking display of God’s power.
I turn into a giant ball of stress every time I think of what is yet to come in regards to treatment options and our family life. I feel numb every time I consider this being life-threatening. I feel crazed from dealing with a 2 year old boy on continuous steroids. I wept last night as Chasey lay in his bed and sang the words of one of his favorite songs…”Thou will keep me in perfect peace whose mind is stayed on Thee.” (Isaiah 26:13). And as crazy as it sounds, I laugh. Life with Chase IS comedy. Anyone who regularly reads efamily knows that.
For instance, he loved the Cars movie before he was admitted, but since being admitted, he has obsessed, and he has been cycling between “Cars: Radiator Springs” and “Carstoons with Finn McMissile” almost non stop. The attending neurosurgeon joked that he removed the “Cars” part of the brain, but no dice…both Bob and I have it completely memorized.
Chase also loves to ride the elevator now and every time they wheel his bed into it, he says “To the moon!” or “To infinity and beyond!”
Incidentally, the elevators here have little sound buttons (cars, trucks, trains) and Chase’s grandpa is quite smitten…word reached us that the “door open” button may have been pressed the other day in order to play in the elevator. I’m not naming names … This is probably just a rumor.
We also laugh with Chase about his “baseball head” – with the 40+ neat stitches visible across his cranium.
As I finish typing this, the intercom just announced a “Code Red” on a lower floor and I’m reminded again how moment by moment I need that grace.
I’m so thankful for God’s grace and the joy of laughter along the way…even with a malignant brain tumor.
There is talk of Chase being discharged soon, so stay tuned …

20120806-114132.jpg

A Wonderful Provision…

A hospital is not exactly the best place for non-patients to get sleep.  We found that Ellie and I were having a hard time getting enough sleep, with Chase being up multiple times every night (and especially worrying that he’ll start scratching his incision in his sleep).

One of the nurses in the PICU told us about the Ronald McDonald House, which has been such a blessing to both of us over the last few days.  I don’t know how many times I’ve seen the donation slots at McDonald’s over the years, and never thought about what they do.

Ronald McDonald Houses are all over the country near major hospitals.  People that bring their children to a hospital for medical treatment often need a place to stay.  It’s their “home away from home.”

The Ronald McDonald House near Lurie Children’s Hospital

I was amazed when I walked into the Ronald McDonald House near Lurie Childrens.  It is an amazing place.  When the new Children’s Hospital opened up, Ronald McDonald also moved to a new location.  They have 60 rooms where families can stay, and it feels like a 5-star hotel.  They encourage families to mingle with each other by not having TVs in each room, but they have a common room on each floor where people can be together.  There’s also a kitchen where a family can make their own meals together, and a commercial kitchen where volunteer groups come in to prepare meals for the families that are there.

 

The kitchen at Ronald McDonald House

 

David and the staff and volunteers at RMH have been so loving and caring for us over the last few days.  It has been such a blessing.  I’ve slept multiple times over there (sometimes just to nap for a few hours), and when I can pry Ellie away from Chase’s room, I’ve sent her there as well.

I know that now that I’ve been the recipient of this wonderful organization, I won’t be able to pass by the little donation slots at McDonald’s without remembering what I’ve been given.

Crabby Day

Crabby Day is coming to a close…and we survived!! We have high hopes that tomorrow will be even better.

Today was an exciting and encouraging day. We were able to move out of the PICU and 2-3 hours of continuous EEG monitoring showed NO subclinical seizures!

The swelling is …amazing. I’ve never seen anything like it, but the doctors assure us that he looks great.  At this time, his vitals and reflexes are stellar. The boy had something large enough to throw out the first pitch at Wrigley removed from his head, and they’ve assured me that within the next few days, he’ll be up and managing his pain with Tylenol.

If the amazing human body didn’t impress you before, I hope it does now – Fearfully and wonderfully indeed. (Psalm 139)

I’ve been thinking through the lyrics to a favorite song a lot recently. Today was incredibly encouraging and tomorrow may not be, but I think that if I could embody where I mentally and emotionally desire to be, I would live these words:

Whatever my God ordains is right
In His love I am abiding
I will be still in all He does
And follow where He is guiding
He is my God, though dark my road
He holds me that I shall not fall
And so to Him I leave it all

Whatever my God ordains is right
He never will deceive me
He leads me by the proper path
I know He will not leave me
I take content, what He has sent
His hand can turn my griefs away
And patiently I wait His day

Whatever my God ordains is right
Here shall my stand be taken
Though sorrow, or need, or death be mine
Yet I am not forsaken
My Father’s care circles me there
He holds me that I shall not fall
And so to Him I leave it all

Whatever my God ordains is right
Though now this cup in drinking
Bitter it seems to my faint heart
I take it all unshrinking
My God is true, each morn anew
Sweet comfort yet shall fill my heart
And pain and sorrow shall depart

© 2007 Sovereign Grace Praise (BMI)

20120803-210735.jpg

Moment By Moment

Yesterday was a very long and difficult day, yet we’ve been told* that today, the official day after surgery, is nicknamed “Crabby Day” because the after-effects of surgery (anesthetic, swelling) are the worst.
*by our “brain tumor coordinator”…imagine a wedding coordinator, but substitute the white dress and flowers for a brain tumor and OR privileges.

This is a concept that’s hard to get my head around as my life paradigm doesn’t include a day thats actually worse than brain surgery, knowledge of malignancy/spreading, and taking turns laying on the PICU bed beside our son to keep him from thrashing or touching an incision wound that stretches hairline to hairline.

How do we even begin to wrap our minds around this?

Standing by Chase’s bed late last night, our dear friend and pastor wisely threw the lifeline.
Moment by moment grace.
Chase is crying right now, so we comfort him, and then the doctor comes in, so we speak to him. There is no tomorrow or next week or six months from now…just this moment and the grace God overwhelmingly supplies. And with that grace, often great joy. The smallest things become incredible victories.

Yesterday was a long and difficult day, yet our son emerged from fairly major brain surgery breathing on his own and tried to get up and stand/walk within a couple hours post op. (he also punched several nurses, but I hesitate to list “punching medical staff” as a serious cause for joy)

Yesterday was a long and difficult day, yet the area of blood at the front of the head seen in the post op CT scan -that worried the surgical team and led to discussions of needing to go back into surgery- stayed the same and even slightly decreased in a CT scan a few hours later and re-opening the head was no longer necessary at the time.

Yesterday was a long and difficult day, but we were overwhelmed with the love and support on every side, both in person and via texts, emails and social media. Truly a perfect blend of crying when we needed to cry and laughing when we needed to laugh (like the moment Chase’s grandfather assured a room full of people that he was fine and then tried to exit the room via the bathroom…though, in his defense, the hospital did put the bathroom door next to the exit door…)

And last, in this very moment, yesterday was a long and difficult day, but as I sit here writing in the pre-dawn hours of “Crabby Day”, Chase’s overnight nurse just informed me that he could have something for the pain if he wanted…because he’s had (and needed!) no pain management drugs since shortly after post op.

I guess what I’m trying to say is that words like “malignant”, and “spreading”, and “chemo” are all too big to understand in this moment, but that’s okay, because God is all over that, and I can just hold my son.

Grace.

Moment by moment

20120803-052420.jpg