The Worry; When Mondays Return

Everyday I worry. I look at Jen and worry. Some days, I see illness in her. I could see it even before I knew it was leukemia. Jen has been fighting a cold for some time now but in the last week + she has been coughing a lot. And each night, I hear her in her room, across the hall from me, coughing…. I pray for her to stop and be able to rest.

Yesterday I decided we needed to have her accessed to make sure this cough hasn’t become something more. I called the James, and asked their opinion. So off to Delphos Ambulatory Care we went to have her lungs listen to, her vitals and counts checked, and a chest xray. And other than they think maybe the cold has turned into a sinus infection, everything turned out ok.

But I still lay here and worry. I know most mommies can understand worry, but this goes deeper than the worries I had prior to cancer. Nothing I can even put into words. Nothing I would wish on anyone. It is painful every moment of every day….even as I sleep.

I just asked Randy when life will feel normal again? Will it ever feel normal? When can I lose myself in my camera or deposit a check into my business account? When will I stop trying to wrap my head around cancer? Or stop praying I figure out how we keep our heads above water? When will Jen get back her energy enough to paint me a masterpiece and will it be before she has her transplant? When will she be once again be strong and ready to take on the world? When?

I’m told this is a marathon….one that goes on for many years. And although come maybe fall, it will slow. ..the watchful eye goes well into 2022 and maybe beyond. 2022! That sounds like a year out of futuristic movie where we are all flying around like the Jetsons.

So as each of you dread your Monday, I’m hoping maybe my Monday isn’t too far off. It’s much easier having some control over your life and the direction it’s going, than lying here listening to her cough. Never forget how blessed you are…..and always thank God for them.

Accommodations

As we sit waiting for Jen’s next appointment, I look over to see her smiling. She is watching a video on her phone but then sees me watching her. She hands me her phone and tells me to press play.

The video is one of those feel good moments where a group of boys make accommodations to their game of basketball so that another boy in a wheel chair can participate. As I watch it, Jen smiles and then looks out the giant window in front of us.

There are people and cars moving about on this glumly day in Columbus. Those out there have no need for accommodations but those around us, that is not the case. The older gentleman down the hall talking to his son as they wait for their love one to return from radiation. And to our left, another older couple waiting quietly together. Jen is definitely one of the younger people here being treated.

Nearly everyone who moves about us has a walker or a wheel chair, many without hair and many with some additional medical equipment. A older man walks by holding the hand of another as if he was a child holding the hand of his mother. I assume it is his wife’s hand he holds but the empty gaze in his eyes tells me he isn’t really sure about much around him.

This is reality for us…fo16991819_391836147841889_210909471154883614_or many others. Once a life as those on the other side of the window, now the one where accommodations are needed. Their was a time I hadn’t understood or cared about the accommodations. Now even the large silver shiny button on the wall to open a door seems to be so very important for those without strength to open the dour or for those who arent walk freely through it.

I have countless times throughout this painful path talk about what it has taught me and about seeing the blessings that surround us. I’m not sure I am heard. I hope I am. We spend too much time not understanding how wonderful it is you don’t need accommodations. Too much time only taking care of our own struggles without care of those who walk painful paths like this. Too much time complaining without notice of how truely blessed we are.

Someday I hope I can return to the world of no need for accommodations but be like the boys in video Jen shared with me. And when Jen can once again move about without these, i hope we still take notice and reach out to those who continue to need them. And continue to see how blessed we are in this world.

Transplant Date Set

Jennifer and I got home from her appt. in Columbus about an hour ago. It was a long day with lots of meetings.

Her first meeting was with PT. They got a baseline of where she is in her strength. This will help them understand what she looses through the process of transplant. After PT, we met with nutrition. Again a baseline of where she currently is, how much she is currently eating and what foods she is able to tolerate and how much weight loss she has had thus far.

We then met with her social worker, followed by her transplant doctor, followed by three different individuals who explained clincial trials she qualifies for. We learned Jennifer’s donor is from the USA and that we will be able to have anonymous contact with this individual post transplant and after a year both parties can identify themselves. We also learned her last bone marrow had no signs of leukemia, however since the last bone marrow biopsy will be more than five weeks ago by time of transplant, she will have another biopsy next week. And we learned a set date for transplant (as long as her biopsy comes back still in remission). Originally she was going next week for three days of IV outpatient treatment followed by admission. Because her donor was unable to meet that schedule, that has changed to IV outpatient treatment from March 18-20, with admission on the 21st and transplant on the 28th.

Also the doctor gave me some positive news. We had been told previous that Jen needed to live in Columbus until day 100. He said that if Jen is doing well and is to the point of only needing to be seen once a week, we can return home at that point. This could shorten her stay in Columbus by several days/weeks. For now, we just take it one day at a time.

The first clinical trial they will do with her is where they take a bit of blood several times through the process and watch for signs of Graft Verses Host Disease (GVHD). The trial is to see if there are markers that show up prior to the disease showing outward signs. This also has a baseline that may down the road help them see possible development of the disease.

The second clinical trial is where Jen wears a fit bit for 5 weeks. During this time they measure how much she is moving and see the coloration between activity and recovery times. And added bonus is she gets to keep the fit bit at the end.

And the final clinical trial was one they had measured her for a couple weeks ago. She is to receive a bone targeted radiation that is to protect her organs. She has been approved for this trial and if Jen decides to move forward with it, it will be the plan for her radiation.

So although a long day, we gained a ton of knowledge about the upcoming days, weeks, and months. Jen remains very positive and is ready to put an end to this disease and start living her life again. We are so impressed with her strength and her faith in God and in the staff at the James.

Accommodations

As we sit waiting for Jen’s next appointment, I look over to see her smiling. She is watching a video on her phone but then sees me watching her. She hands me her phone and tells me to press play.16991819_391836147841889_210909471154883614_o

The video is one of those feel good moments where a group of boys make accommodations to their game of basketball so that another boy in a wheel chair can participate. As I watch it, Jen smiles and then looks out the giant window in front of us.

There are people and cars moving about on this glumly day in Columbus. Those out there have no need for accommodations but those around us, that is not the case. The older gentleman down the hall talking to his son as they wait for their love one to return from radiation. And to our left, another older couple waiting quietly together. Jen is definitely one of the younger people here being treated.

Nearly everyone who moves about us has a walker or a wheel chair, many without hair and many with some additional medical equipment. A older man walks by holding the hand of another as if he was a child holding the hand of his mother. I assume it is his wife’s hand he holds but the empty gaze in his eyes tells me he isn’t really sure about much around him.

This is reality for us…for many others. Once a life as those on the other side of the window, now  one where accommodations are needed. Their was a time I hadn’t understood or cared about the accommodations. Now even the large silver shiny button on the wall to open a door seems to be so very important for those without strength to open the door or for those who arent able to  walk freely through it.

I have countless times throughout this painful path spoke about what it has taught me and about seeing the blessings that surround us. I’m not sure I am heard. I hope I am. We spend too much time not understanding how wonderful it is you don’t need accommodations. Too much time only taking care of our own struggles without care of those who walk painful paths like this. Too much time complaining without notice of how truely blessed we are.

Someday I hope I can return to the world of no need for accommodations but be like the boys in video Jen shared with me. And when Jen can once again move about without these, i hope we still take notice and reach out to those who continue to need them. And continue to see how blessed we are in this world.

Lashes

At 33 weeks gestation, Jennifer was born. Back then, we didn’t say it quite like that. We said 7 weeks premature. Jen’s lungs were immature and she only weighed four pounds 5 ounces. But this little baby had eyelashes like she had mascara covering every lash. Besides her tiny size, it was the first thing you noticed about her. And this drew you in to her deep eyes.

When Jen’s hair fell out, I found her eyes just drew you in even more. And when she shot you one of her big smiles, your heart would just melt away. Over the last few weeks, Jen’s eyebrows and lashes have been thinning. And like when her hair fell out, the change has been hard for her. Not hard like maybe you and I would find it, Jen is stronger than most others, including me. But hard like another thing she adds to her list of how much her life has changed over the last 100 days.

Funny yesterday when she had made note of her lashes and brows thinning, I had just prior to that had thought my lashes were so short and my brow so needing a touch up. And I had frowned at myself in the mirror, not liking what I saw. Stupid me…..sometimes I have no idea how ignorant my thoughts can be. Maybe some day, I will see the blessings of short lashes and thick brows.

Warm Days

We are simply enjoying this warmer weather! It allows us to get outdoors and enjoy the weather before going to back to hospital. Windows open and lots of fresh air coming in!

What are you doing on with your beautiful warm days this February?

It has been a busy couple days in Columbus. Yesterday Jen had an echo for her heart and a pulmonary function test. Today she had done transplant education, had blood work done and currently have a scan done for a clinical trial radiation treatment. If approved for the clinical trial, she will only have her bones radiated prior to transplant and not her entire body. This protects her organs from radiation and is safer in the long term.

Currently we have a pliminary date for admission and transplant for March 7 and March 14. This is pending the donor’s schedule and approval. Jen would receive seven days of radiation and chemo and transplant would happen the day after that is complete. Once transplant is done, they begin counting days. Day 6 we can expect her counts to be low and when begins being at most risk. Ironically if these dates hold, this would be Jen’s due date 29 years ago.

Around day 21 her counts should be recovered and be able to move to outpatient care but live in an area hotel. Around day 75 her central line removed. And day 100, being able to return home.

It’s a lot to take in and prepare for. We are hopeful this will forever cure her of this horrible disease. Prayers always welcome.

Time Flies By

Time goes so fast when you want it to slow down. We are already done with a week of Jen’s three week til admission….Although admission technically will not happen until March 9 ( still tentatively ), she will need three days in a row of an iv treatment that is done prior to radiation to protect her body from the harmful rays. This is an outpatient treatment that tentatively will happen on March 6, 7, and 8.

Jen’s counts all still look good and her strength and appetite are returning. I don’t even think she took a nap today but did rest on the couch for much of the late afternoon. She also seems to be able to tolerate more foods in recent days.

Jess and Matt came over yesterday so we could enjoy a day all together before the world gets crazy. And all three of them are going to go to a Blue Jackets game on Saturday. Jen has really started liking watching hockey over the last few months so she is pretty excited.

We also plan to take her to Cincinnati this week to see her aunt and Godmother Linda Honigford be inducted into the hall of fame at Northern Kentucky. And I have a special surprise planned for her while we are in the area. We are enjoying making memories together and making every moment count.

When we have an exact date of transplant (it is still tentatively on March 14), we will share. In the mean time enjoy the lack of post and updates since Jen is currently doing so well.

Acute myeloid leukemia has been grouped into three categories…..favorable, intermediate, and unfavorable. Those who fall in the favorable category and some in the intermediate category are able to receive chemotherapy and be cured. Those however in unfavorable and some in the intermediate cannot be cured without a bone marrow transplant.

Jennifer has a translocation of the 10th and 11th chromosomes. This means cells on the 10th have swapped places with some of the cells on the 11th chromosome. Whenever the 11th chromosome is involved in a translocation, you are in the unfavorable category.

Now many who get aml are much older than Jen. The average age is 67 years old. Thus because of the aging population, the group comes with other health issues including heart, kidneys, liver, etc. This group of people have a difficult time handling the strong chemotherapy required for curing. They also have a difficult time getting through the transplant phase of treatment. With an immune system that is weakened by the chemotherapy, your body has a difficult time fighting off any infection. The infections can become severe and do a toll on your body.

In the next 2-3 weeks we will be moving forward to transplant. This stage is a long and difficult period with days 14-28 the most difficult. The journey from hospital to outpatient is 4-8 weeks and an additional 4-6 weeks of outpatient with living in the big city of Columbus. In total it is close to 100 days of being away from our little town and home.

Once home outpatient treatment continues for several years with again another 100 days of weekly and twice weekly check ups.

Although we are happy Jen had gotten to this next stage, and she has a unrelated donor match, we fear the unknown of the future.