Choose To Live

I first had the honor of meeting Stephanie Goodall over the phone. I remember it well…she was sitting quietly in a hospital room on the 17th floor, I was at home washing the dishes. She was isolated from her other children and I was constantly getting mine to be quiet to I could talk on the phone. We had been connected by a director at St. Baldrick’s

Cancer mama sisters (L-R) Sarah, Ellie, Stephanie

when she realized that Stephanie’s son, Jonah and my Chase shared not only a hospital, but some of the same doctors as well. “You’ll like her, Ellie. She reminds me of you. She’s got four kids, faith, and writes a blog too.” Little did I know that I’d not only like Stephanie, but be encouraged by her and be even slightly in awe of her love for life and commitment to joy in the unthinkable. We were finally able to meet in person this past Saturday night at the Hearts For Hope Gala – what a joy it was to hug this dear sister in real life!

It was at this gala that Stephanie spoke: she opened up her heart and shared Jonah’s story – incredibly, beautifully formed. Jonah goes in for an MRI on Tuesday, May 23 around 1:00 CST and I’m thrilled to be sharing Stephanie’s text from the gala with you – not only so you can be encouraged, but so that you too can join in prayer for darling Jonah and the Goodall family. As you read these words, they’ll be on their way to the hospital.

“Whatever may pass and whatever lies before me… ”

Meet Stephanie and Jonah:

“When Christina originally asked me to share our story [at the gala], I was excited to share a story filled with hope, optimism, overcoming odds and lessons learned.  I was going to share a story that wrapped up nicely with a ribbon – that may have made you feel a little sad or uncomfortable at points but would have ended happy and hopeful.  Pediatric cancer isn’t like that though – and based on recent MRI results, our ribbon has frayed.  But before I get to the today in of our story let me go back to the beginning.

Our story probably begins in the Spring of 2014.  Jonah was a happy, healthy, energetic, bright 3 1/2 year old who was wildly popular in preschool.  He had both an older brother and sister as well as a baby sister.  That spring regular waves of nausea and vomiting started to interrupt Jonah’s exuberant play with growing frequency.  A visit to the GI doctor indicated everything was fine so Jonah was placed on a course of antacid and everything cleared up.  Jonah continued to live his life at full speed, with a bump in August 2014 when he was diagnosed with an anaphylactic allergy to flaxseed.

Super Bowl 49 is a game that will live in infamy in our family – not because the Patriots beat the Seahawks with the swirl of “Deflategate” in the background, but because Jonah had another flaxseed exposure that landed him in the ER.  After the Super Bowl event, Jonah’s nausea and vomiting returned and so we were back to GI.  This time the antacid didn’t help and in May 2015, Jonah was diagnosed with eosinophilic esophagitis (EOE), which is an allergenic condition of the esophagus that effect 1 out of every 2,000 people.  One of the best treatments for EOE is diet modification which we immediately implemented.  Unfortunately, Jonah seemed to be getting worse instead of better.  He was eating less and less, vomiting more and more.  Our bright, rambunctious, big living little boy was fading before our eyes.

By July, our pediatrician was growing concerned as well.  Jonah had become extremely lethargic and had lost almost ten pounds since the spring.  He then had a episode of double vision followed by an episode of “word salad” (using proper words in incoherent order) and we were sent to the local hospital for an urgent MRI.  What started out as a normal Wednesday, forever changed the lives of our whole family.  A tumor, the size of a plum, was discovered in the cerebellum of Jonah’s brain.  That evening we were transported to Lurie Children’s.

The following day, it was confirmed that Jonah had medulloblastoma, which had metastasized through his brain and spine.  Although medulloblastoma is the most common malignant pediatric brain cancer, only 400-500 cases are diagnosed a year. The days that followed were a blur – surgery to remove the tumor, a life threatening hematoma, 2 weeks intubated in the PICU, another hematoma, surgery to place a shunt and central line.  Jonah also suffered a sever case of posterior fossa syndrome as a result of the surgery, which only occurs 20-25% of the time.  Basically, Jonah’s body forgot how to listen to his brain – it was almost like he was in a coma, but he wasn’t – he couldn’t breathe for himself, eat, move, smile or talk.  As much as we longed to allow Jonah to recover from the posterior fossa syndrome, his cancer was too far spread and he didn’t have that luxury.

Pediatric cancer treatment decisions are a nightmare.  As a parent, you have to decide between terrible and horrible.  There isn’t a third, more pleasant option.  We choose terrible, and Jonah received 5 rounds of high dose chemotherapy often referred to as “the kitchen sink” on the oncology floor.  We then moved onto a 6th round of chemo that made the first 5 seem like child’s play, followed by a stem cell transplant.

In stereotypical fashion, we saw Jonah’s beautiful bright blonde hair fall out, we saw him continuously nauseous and throwing up so regularly that it stopped phasing any of us.  We saw mouth sores that required a morphine drip to dull the pain, skin rashes that caused him to peel from head to toe, sepsis from neutropenia and other random infections.  We saw him so miserable, it was hard to find the light in his eyes.

Because of the posterior fossa syndrome, when Jonah wasn’t at Lurie, he was at RIC (now the Shirley Ryan Ability Lab – a rehabilitation facility offering a variety of inpatient and outpatient therapy).  Jonah had to relearn how to eat, smile, laugh, talk, squeeze a finger, sit, stand and walk.  His hand dominance changed as his right side no longer possessed the strength it needed.  A boy who had learned to ride a 20” 2-wheel bike at 4 was relearning how to ride with adaptive tricycles.

Jonah’s treatment didn’t end there though.  He went on to have radiation as well.  Radiation isn’t great for a developing brain, so much so that doctors rarely recommend it for children under the age of 3.  In the window of 4-8, things are gray.  Radiation destroys developing brains and most brain development occurs before the age of 8.  Jonah was 5.  Radiation is however currently the most effective treatment for medulloblastoma and so we moved forward.  Although our team couldn’t tell us the specifics, they guaranteed us that radiation will cost Jonah IQ points.

Jonah finally finished treatment May 2016.  He spent 275 consecutive days in the hospital, endured 6 surgeries, received close to 100 blood & platelet transfusions and faced many other hardships.  The blessing is, the spirit of the boy we knew returned once he was done with treatment.  He’s again silly, loving, kind, inquisitive and warm.  He is also different – he is more timid, less confident, more scared.  Cancer has changed him on the inside as well as the outside.

This past year out of treatment has been an amazing time for our family.  Sure, it’s been weighed down by 6 hours a week of OT, PT & ST for Jonah.  Sure there have been some academic struggles in school we’re having to work through.  Sure Jonah’s had 2 additional surgeries to address lingering complications of resection.  Sure Jonah wears hearing aides and walks with a walker.  All of those things are true, but our lives have been infused with gratitude for the gift of together.  Our family is again all under one roof doing normal life, traveling and making memories, filled with thankfulness.

This grateful, hope-infused gift of life was how I had originally planned to end our story.  Unfortunately, that wouldn’t be the whole story.  At Jonah’s last surveillance MRI in April, there was a new spot on spine that the medical team cannot explain.  It is not certain that this spot is recurrence or not, but suspicion is high.  If this spot is recurrent disease, there is no cure.  The median life expectancy for children, like Jonah, with metastatic medulloblastoma with recurrence is 1 year.

This is why research matters.  Research matters not only to Jonah, but to his siblings who love him so, who have walked this impossible journey and may still face the loss of their brother.  It matters to his preschool friends from before and from now, who love his bright spirit and are being formed by their relationships with him.  It matters to the 13 children diagnosed with brain cancer today, and the 13 children that will be diagnosed tomorrow.

The reason events like this [fundraising gala] matter is because only 4% of the US federal funding is dedicated to all pediatric cancer research combined, which is less stand alone cancers like prostate and breast cancer .  Most pediatric cancer research is funded through private organizations, and events like this help fund those organizations.

I know that there are many heart wrenching causes that you can help support and the mere fact that you are here means you likely are aware of the devastation pediatric cancer can cause.  I ask you to help not only in funding research through your donations, but also in raising awareness so that others beyond this room can be moved to help support research.  Pediatric cancer is something you can’t wait to care about until it impacts you, because then it’s too late.  The research of today will help the children of tomorrow much more than it will help the children living with cancer today.

Jonah will be having a follow up MRI on Tuesday, to hopefully give us more insight into what this spot it.  It is our deepest desire that the spot has miraculously resolved and we will be able to proclaim the power of prayer.  We also have to be prepared that the results will mark the beginning of our good-bye.  Either way, our family is going to choose to live.  We are going to lean in, love, celebrate, find joy and be together.  I encourage you to do the same.”

The Goodall Family: Anna, Julia, Stephanie, Noah, Jonah, and Simon (May 2017)

**Please join us today in praying for Jonah and the Goodall family.**

Moment by moment.

“Yet I am confident I will see the Lord’s goodness while I am here in the land of the living. Wait patiently for the Lord. Be brave and courageous. Yes, wait patiently for the Lord.” Psalm 27:13-14 (NLT)

For more from Stephanie, please visit her blog: The Goodall Life

To Prove What We Already Know

Early in the dawn, we will make the well-worn journey again.

Try to sleep…

Don’t eat anything…

Try not to feel sick…it’s going to be okay…

Here’s the favorite blanket…

Four rounds of 10,000 Reasons...

Answer the needle fears over and over again… 

Answer the most heart-breaking question of all, because it somehow always overflows on a hospital day: what if I get the cancer again?

Chase uses his “name stamp” (used for signing books) to stamp Dr. Lulla’s hand

How do you explain that hours-long, intense testing has nothing to do with cancer? …yet has everything to do with cancer? It all feels the same when you’re a little kid. The same rituals, pains and fears; never mind that there may or may not be atypical cells attacking. It all feels cancerous and scary when you’re seven.

But tomorrow morning isn’t about what’s happening. It’s about what’s not happening. Chase’s body doesn’t want to grow on it’s own anymore, so for the first time in a long time, he’ll be admitted to the day hospital and they’ll attach needles to inject medicine and more needles to take blood. And then they’ll do both over and over by the hour until they have enough to prove that cancer damages. Because the sad truth is that there’s no funding if it can’t be proved on paper, submitted, filed, bottom-lined, than our reality is just that: ours alone.*

Talking to new friends about hope

There is no self-pity in that truth, I promise. There’s shock and sadness; a deep desire to be known, but not pity. Not now, not today. Because I believe above all things that this tomorrow and all the days have a purpose we do not yet know and cannot yet appreciate fully. This test day tomorrow is just more gazing into the mirror and beholding an unclear, somewhat painful reflection.

We will breathe through the pain of damage and the desire for wholeness, but the heartache is so very real, and right now, Chase’s fear sits on the surface of, well, everything. He has struggled all week, including throwing off constraints where and when he can (like refusing to get on the school bus) — anything and everything to try and find control when he has so very little.

A dad and his boy

Will you pray for Chase tomorrow? We’d so appreciate it.

Seeking the light and momentary perspective...moment by moment.

“This is my command—be strong and courageous! Do not be afraid or discouraged. For the Lord your God is with you wherever you go.” Joshua 1:9, NLT

[All pictures are courtesy of Jan Terry and Lurie Children’s from a wonderful event earlier this week]

 

*All my love to the brave souls fighting their insurance companies for the treatments they need.

Keep Running…

He contemplates a word he will never understand
He contemplates a word he will never understand

Sunday, 31 July, 2016

Just before the sun rose on this day four long and quick years ago, the last unknown action of a growing brain tumor was finally known as my boy seized in the wooden crib of his baby years under the waning moon.

We should not have had even six months, and yet somehow, we’ve had four years.

They have been long and full of shadows and anger, but also precious with more joys than we deserve.

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And as the shadows lengthen into longer life than we’d ever have dreamed, and we persist in this atypical life and it’s challenges, the words of Matt Papa have been close to my heart.

Lord I’m tired…

So tired from traveling

This straight and narrow is so much harder than I thought.

And on this path I’ve met both doubt and pain and I’ve heard their voices say ‘Yeah, you’ve given all you got.’

But there’s a cloud of witnesses – the ones who’ve run this race – and even louder than my fears, they’re crying: ‘Warrior, lift your face!

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And keep running, keep running, don’t lose heart, and don’t you give up now.

Don’t turn around.

You’ve got to find a way somehow to keep reaching; keep fighting.

The pain cannot compare to the reward that will be yours; that waits in store for those who just keep running.’

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Don’t turn aside…

No compromise…

Just lift your eyes to the glory that’s coming.

If you’re like me, you feel like you can’t go on, you’ll never see the dawn and you’re just about to break.

But don’t stop now.

Know that every sacrifice will all be worth the price when you finally see His face…

Just keep running…

Moment by moment.

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Shelf Life with Rachel McRae This Week

logo-altToday, please join me over on LifeWay Books blog: Shelf Life with the incomparable Rachel McRae.

It was a great honor to write an exclusive story for the LifeWay audience that is not included in the book. So come check it out.

Here, I’ll get you started…


I love stories. Maybe it’s how I learn, or maybe it’s just my dramatic belief that I could be a kindred spirit with the likes of Anne of Green Gables, but whatever it is, stories speak to me and often come closest to defining the otherwise inexplicable in life. So, I wrote you a story.

This story is exclusive because it isn’t in the book and I it put into words just for you. But this story is also a communal experience with aspects like fear, pain, love, and the unknown.

I invite you to see yourself in me. Learn from my broken story, and then go and tell your own beautifully broken story – because God is who He says He is.

The IV pumps clicked comfortingly in the eerie glow of monitors and the clock on the wall read 11:30 p.m. – late for even the children’s hospital emergency room…

For the rest of the story, click HERE.

-MbM-

Of Bears And Heroes

This week was meant to be filled with book launch celebration (and so it shall be too because as you will see here, we need to keep talking about children with cancer), and yet, in an ultimate and awful picture into the heartbreak of pediatric cancer and the broken messiness of life, I come to you with news that defies words.

Chase’s friend Lucas is out of curative options.

Here are some words from his parents…

“With a very heavy heart and tears in our eyes, we must write this post. This morning Mama and Papa Bear, along with his oncology team, sat down to discuss the situation. After a long discussion, it has been decided that there are no further curative options. In simplest terms, there is nothing more we can do to fight this.

We have started palliative chemo to attempt to slow the growth of the tumor. The tumor is wrapped around the pulmonary artery and is pressing on Lucas’ heart.

Right now Lucas is still playing with Legos and video games and yelling at everyone. His breathing is labored and he is swollen.

A palliative/ hospice team will be meeting us at our home tomorrow after we get discharged to work on the next steps.”

Lucas was diagnosed with a rare form of leukemia only about two months after Chase was diagnosed and the boys were often admitted at the same time and would play together in the playroom or race up and down the halls. After year upon year of grueling treatment (leukemia treatments last 2-3 years at best for littles!), Lucas finished only to be readmitted with a tumor in his lungs last July. After months in the PICU, he has barely been home before this, now…another tumor…and on his heart. An endless fight.

Oh my heart…and I hope yours too. For this should not be. Dear ones, please pray for this sweet family. For Lucas’ parents, Anthony and Rina, for Lucas’ older brother, Franco – please pray.

If you’d like a very practical way to minister to this family, Lucas’ birthday is May 7th and his parents have encouraged friends and supporters to send cards. You can show love in this way by mailing cards to: Lucas Bear Heroes, 40 E. Chicago Ave., #162, Chicago, IL. 60611

Chase and Lucas in the oncology ward playroom, Spring 2013
Chase and Lucas in the oncology ward playroom, Spring 2013

There may be other words, but not today. Today, I stand in silence with this…

Moment by moment.