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Friday, April 20, 2012

Eat Pray Love - Day 297

It's been a while since an update and I think I am due.  It's funny, there are nights I want to sit down and write but don't have the clear enough head to do it.  Or other nights where the day's business still overwhelms my thoughts.  Looking at both those situations, I think a perfect reality would be a nightly world of thought at peace with my day's work.  Boy how we get so caught up in the details of our day.  Then there are some nights where I swear I could sit down and write volumes if sleep did not rule my hours beyond 10pm.  Not quite sure if it would all be coherent thoughts strung together with a harmony of understanding and smooth transitions between ideas, but reflective practices on this journey are often the only outlet for stress.  So, I don't know where to begin tonight because there is a lot.  Ellie is doing good, so no worries there.  But the mental fatigue of everything seems to wear at various times and its got a small grip right now.  With all due respect and proper credit to Ms. Gilbert, I've been thinking heavily of how her beautiful trinity of ideas metaphorically applies to where we are at.  To me it is the search to be centered, a place where our emotions can speak a language we understand so that a healthy approach can be taken to keep us moving forward even if by just an inch on a given day.  Eat - Pray - Love.

The idea that I can evaluate the steps I take, assess a direction, formulate a plan, and 100% affirm I will ultimately find the ending we hope for in adverse times is not guaranteed with cancer.  How can it be that something sought after is not achieved when everything your focus your energy on is in the right place?  (Case in point - the "roll" I get on sometimes during a wee halftime speech where motivation eclipses the rim of the lockeroom, spills forward to the second half, and then storms the field for the second half still yielding nothing in the way of goals.)  This is why I like movies so much.  Predictable many times over like the way we drew it up on the chalkboard, rarely reality, yet reassuringly thought provoking for what's possible.  Instead of a Hickory High State title in Hoosiers, it's the idea that Jimmy Chitwood ("J.C." if you remember from a post a long while back) misses that final shot and we (the audience) are now glaring across the floor stunned as Central High celebrate. This is the unexpected sucker punch no one saw coming.  Especially me, when things do not work out the way we drew it up at halftime no matter HOW HARD we work, no matter HOW HARD we want it.  So what the hell do we do then?

Polly and I met with Father Joe very briefly last summer about 3 weeks into this thing.  A few tears and a few words shared but nothing earth shattering was figured out.  Looking back it wasn't really about finding clarity on that day.  It was too early for that.  But he did speak to us about a centering prayer though he did not explain much about.  This was something for us to figure out.  And rightly so.  There was no guide on where to go from that point, there was no official notion that once found the center would provide a healthy child, and there was not a hint of what direction to start off in.  So, the search for the "center" came to life in many forms, folks, and forethought thereafter....and it will continue to be roughly tuned on some days and finely tuned on others in an attempt to find a perfect pitch likely not possible even through the day I cannot humanly hear it anymore.  While doing so, in the right frame of mind (one I need to remember more often), it makes TODAY an opportunity for good things to happen.  I feel like I am moving in the right direction toward figuring this centering process out, but on some days (like today) it's just a tough go.

Eat - and Eat we have.  It is hard to describe but Food has just tasted better in the last 6 months.  The company and atmosphere make it enticing and fun and when you think about it, we all get together around food a whole lot.  Ellie's blood counts have forced us to stay in much of the time and so exploring more culinary creations has become a lot of fun.  Savory sauces, quality meats, finding gems at Farmers markets, and my favorite search for the perfect sandwich lead the way.  I now know the layouts by memory of 5 different grocery stores around here, each with a slightly different purpose for what I'm looking for on a given week.  The numerous people who have brought us food over the months and continue to think of us has been so deeply moving.  One of our guardian angels, Theresa, still reaches out every so often with an enormous basket of goodies and I feel it is food for the soul.   We are so ever thankful.

I have my in-laws to thank for teaching me the ways about truffle oil, french wine, and the enormous importance of Sunday night dinner.  The Food Network is used to look toward for inspiration and assurance that yes, there can really never be too much garlic involved.  Ah, and my hero to draw experience and motivation from when figuring out a menu?  Easy.  The best cook I will ever know - my mom. Keep it healthy and simple and the flavor will take care of itself.  I am also married to perhaps one of the greatest producer of creative baked goods I will ever know where cupcake is currently being redefined ahead of T&E's 3rd birthday bash in June.  When we do get to go out on that rare birthday occasion or date night approved by Ellie's good moods, we always choose a new (to us) San Francisco restaurant because let's face it, there is just too much good food out there to eat all at one place.  There are also methods of eating that bring great joy like Timmy's unparalleled technique to eat asparagus from the bottom up and leaving these shreds of green skin behind...almost like the uncasing of a sausage I guess.  Its bizarre and gross but its hysterical.  We also have the moment in the morning where I have finished off my Cheerios and as is custom Ellie runs to the fridge to pull out a single serving of yogurt for "YOOOOGEEEE Time".  A few months ago I still got about 7/8ths of the serving into my own belly.  Now that she is tall enough to retrieve her own spoon from the utensil drawer and invite Timmy to do the same (they conspire like that often, I'm afraid), I am lucky to get half.  But she is so darn happy with herself in the process.  Good food being savored among friends and family where taste buds can find new depths of joy allow for truth to come out proving what's important - the people right in front of you at that very moment.  You want to find some quality time in your day with the people you love, its about a solid recipe, perhaps a bottle of wine, and leaving enough day set aside for the event to unfold like you are having a 10 course meal of epic proportions.  I keep up my workout regimen so the good food can keep coming, but more importantly a savory bite in the right place with the right people can be a recharging and priceless experience.  "Yogeee" time will never get old.

Pray - The power of prayer was a hard sell on me.  I'm not sure I completely understood it until I was an adult.  Everything before it was good practice but the concept of what it meant took time.  Enter moments in life where control is no where to be found over situations and naturally I want someone or something to turn to.  This is where it is nice to never be alone.  When my dear friend and coaching colleague Wes, at age 34, passed suddenly 8 short years ago I had my first moments where there was no where else to turn but to God. There are many situations, cancer being one of them, where it is not possible to fully believe someone if they tell you "it is going to be all right".  No.  In fact, I am convinced anyone who feels they can offer you that line has never been through this terribly long and absolutely draining path.  We pray for it to be all right but mostly, I want to make sure my thoughts are vocalized to someone who is always listening.  I know I know...the answers will come but waiting and waiting provides for some unfair times, especially when we talk about a 2 year little girl.  You beat yourself up, find a numbing technique through work or night time events, but really the best medicine I have found is to embrace a relationship with prayer while standing with others in this same childhood cancer boat where perhaps one more voice added to many before me will bring clarity and truth.

Coach Valvano, while dying from incurable bone cancer, talked about laughing, thinking, and moving yourself to tears on a daily basis.  Man, was he right on!  Through prayer, my thoughts get a little bit more organized and find the right outlet for tired complaints or relieving tears.  They sometimes turn into a doable checklist for the day or a list of priorities where the small stuff is left off the bottom of that very list on purpose.  It allows me to ask, no plea really, for Polly to continually have the strength she needs if there is nothing else that can be fulfilled for us at that point.  When we plan birthdays, trips out of the house, dinners, even a simple walk with the stroller there things that have to be taken care of so that Ellie stays germ free and her skin is taken care of outside.  It is a seemingly exhaustive and unfair mandated set of tasks the situation dictates we do.  We go from blood data point to blood data point feeling like each time there is a bit of roulette being played we want no part of.  I think praying alone can keep our fatigue in a place where we are never completely overwhelmed despite the elements around us...but, to be fair, it is very tough sometimes.  So, in that aspect....my search for the center has made progress and I am very grateful for some proactive step I can control.  After all, there is no alternative here other than to just keep going.

Maintenance has been a bit of a mixed bag thus far.  Her blood counts a week ago were low again and in the neutropenic levels.  They told us to expect it to be this way for a couple weeks, but it is still hard to hear that we have to hold the chemo until they come up.  Our clock moves forward nonetheless with the missed chemo not being made up, so if she recovers quickly it won't be as big of a deal.  But, if she doesn't she is open to getting sick very quickly with cold bugs which could delay her even longer.  We are so READY for more routine labs.  Tomorrow she goes in for another blood check.  If she is back above the ANC limit, she'll go back on 100% chemo.  If not, we will wait another week and then go on a lowered dose.  Chemotherapy in the maintenance phase cannot be given when the immune system is so weak, so it is a balancing act that has to be figured out with the meds.  Ellie's spirits have been pretty good.  It's not much different than I described it before where we celebrate like crazy our fun days and laughter that abounds with her, but we both go to bed each night with just that ever so slightly nagging feeling that tomorrow we could wake up to something dramatically different.  There is no way for me to completely describe what that feeling is like.  We need some prayers for some good blood work tomorrow.  It will provide a much needed lift, I think.

Yesterday, one of our fellow cancer warriors, Mia, lost her battle with leukemia after a three year fight.  She was 5 years old and has a twin brother named Noah.  There are no words to describe what this family has gone through (nor should ever have had to in the first place) and I hope you can join me in praying for healing for them.  They sum up courage and bravery in every definition of the word and deserve all the support we can send.  It is absolutely heartbreaking to hear about.  I will never understand why these things happen to us.  We do not take for granted ONE SECOND that Ellie is doing well right now and just pray (PLEASE!) that she stays moving in the right direction.

Love - My wife embodies everything that Love is.  She keeps me humble, she inspires me, and she makes this road easier to deal with if there is even a possibility to that.  Both Timmy and Ellie both just learned to say "I Love You".  Have to admit, Polly gets it a lot more than I do.  But I can deal with that :)  They both demand a hug and kiss before I leave for school every morning and are ready to present a hug to just about anyone they recognize that walks through our front door.  Ellie puts a smile on her own face that i rarely think of as cute....more like "pure".  I did not know the dimensional depths Love could provide until I met my kids. It re-prioritizes your world.  As I've seen Ellie now have more friends inside the LPCH walls than she knows outside of it, there is a remarkable love that she gives off which is infectious to everyone around her.  I use that as inspiration to try to handle things better while teaching and find energy in a tired step when needed.  Understanding that no matter what happens, that love will always be there is a very difficult thing to wrap my head around though I want to more than anything.  I will not accept anything less than a healthy daughter is and will be the prevailing cry so long as Hope is alive and well.  I love that we have made it this far.  I love that she'll wake up tomorrow morning and start asking for my phone to look at pictures of her and Timmy laughing to herself while I am still trying to sleep and the wee hour of 5:15am.  Even more so, I love that even if the day is filled with temper tantrums, demands for food, and bitter negotiations over going outside when its dinner time....we get to have another day to do all those things.

I'm looking down my bench and love when I can hear Jimmy Chitwood say with such clarity that its like bells going off with a Testimonial and RESOUNDING Rhythm.  "I'll make it" he says.  If we're going to find our center in all of this (and I think an eat-pray-love diet works wonders toward understanding how to go about it), there will come an inevitable time where we will have to trust in Faith and let him just shoot the ball like he says.  He got us here, he'll take us home.

Please pray for Mia's parents tonight.  Thank you, everyone.

Serenity Prayer

God grant me the the serenity
to accept the things I cannot change;
the courage to change the things I can;
and the wisdom to know the difference.

Living one day at a time;
Enjoying one moment at a time;
Accepting hardships as the pathway to peace;
Taking as He did, this sinful world
as it is, not as I would have it;
Trusting that He will make all things right
if I surrender to His Will;
That I may be reasonably happy in this life
and supremely happy with Him
Forever in the next.
Amen.

Friday, April 6, 2012

Passion - Day 284

I had the pleasure of listening to two very poignant messages earlier this week ahead of Easter Sunday this coming weekend.  Many things I hear on a regular basis take on an initial shape in that moment, yet I'm not sure you can ever close the door for exploring the thoughts provoked from the message so to get a deeper understanding.  There is usually a need (at least for me) to do some reflecting on what was said after the fact and on occasion I may be seeking something that just isn't there.  Not so this time.  On Monday we had a visit to Serra by our Congress Rep, Jackie Speier.  She spoke very candidly to our audience of about 500 Jr and Sr students.  I am not into politics at all, never really have been, and have to admit I knew her in name only.  I don't really know what she stands for in Washington (though maybe I should) but she gained my respect instantly for sharing her incredible story.  From her presence during the Jonestown massacre to losing a child to near financial ruin to later losing her husband in a car accident.....ho-ly smokes.  I had no idea.  What was remarkable on this day is that she wasn't going to sing her own praises or push an agenda, she simply wanted to deliver a message that Life ahead of many of these young men can be looked at with a certain path in mind....but don't expect it to go as you planned every step of the way.  How far ahead do we need to plan when there is so much going on before our eyes right now?  Even long before I heard her speak this past week, I do think about a lot of the things I "think" I want down the road...and find myself questioning some of its relevance all the time now.  But its amazing (and kinda cool) when you hear someone speak about their own story at a particular time in your own world that parallels that very thought completely.  The one conclusion I always pray for from this fairly vague and sometimes tiring thought process, if there is in fact to be a finality to it, is simply that I am able to muster all the strength needed (and then some!) for what's in front of me every single day and feel at complete peace that "what's next" will just take care of itself.  Please - JUST take care of itself.

We officially started Ellie's Long Term Maintenance (LTM) phase of treatment a week ago today.  Her ANC count jumped nearly 600 points between lab visits and she qualified the day prior with flying colors.  Now, we have been told Maintenance offers a better dose of "normal".  This is a relative term and believe me I have to catch myself from thinking too big on this front.  On day 1 of LTM, she underwent an LP procedure for chemo in her spine and got an IV push of Vincristine.  We began her nightly doses of 6MP as well which is old hat for us now after doing it all of Consolidation and DI.  The hard part about 6MP is that we have to really keep her on a strict time schedule for dinner because the 6MP cannot be taken on a full stomach nor with any dairy or citrus in her system so that the drug has 100% effectiveness in being absorbed by her body (Milk gets in the way of that).  She also cannot go to sleep until the drug has been in her system for 30 minutes because I am guessing her energy production required to absorb the drug is obviously higher when she is awake.  So, with the time parameters, it means she has to eat by around 5pm, take her meds about 7 and then go to bed by 7:30pm.  It's a little easier than it sounds, but puts a bit of a damper on evening activities if others are eating around her after 5:30.

In addition to the Day 1 drugs she got, we also started a fairly miserable 5 day course of steroids.  Once a month for the next year and a half she'll do five days of twice a day Prednisone.  I was hoping to do my best impression of an Ostrich and pretend this is a far different drug than the DEX from Induction and DI.  Uhhh - no.  It's not.  In fact at least the DEX gave us a courtesy day to ease her into her pain.  No, the Prednisone pretty much possessed her within hours.  We had our usually learning curve of figuring out what would best mask the horrific taste of the drug and finally by day 3 found our groove with just a whole lot of cherry syrup in a syringe (a magical thing this cherry syrup - seriously....we might be able to fuel our cars with it one day).  The bright spot is that the effects left her as fast as they came on once the final dose was given and by Wednesday afternoon this week, she was back to smiling and running.  It was a far cry from her doubled over limp self from Monday and Tuesday night that just pulls at your patience for this process.  So, our supposed more "normal" life will not be for all 30 days of every month it seems, but don't get me wrong we are in better times by far than we were say 6-7 months ago.  Again, its all relative.

On another note, we have seemingly conquered something without hardly any parental involvement.  I write tonight still in awe of how this all panned out and am pinching myself to make sure I am not dreaming.  For once, this was EASY.  Both twins decided a little less than two weeks ago (just after my last post) upong waking one morning well before the planned "D-Day"....that they were done with diapers.  There really was no "training" ever needed in potty training.  No, I speak the truth!  Its absolutely remarkable.  They get up, do their thing, and come back to play.  Here I had a power point, graphs/charts, and several homework assignments ready to present to them over what was sure to be a 3 week dissertation and they would have none of it.  They have conquered small potties, big potties, public potties, and car potties.  They ask for nothing more than a a single M&M in return.  WOW.  And so, I have not changed a diaper apart from the one that goes on at bed time for over a week and a half and it wasn't on the calendar to be this way.   Again - WOW.  They push each other to do similar things all the time....which I think is key here.  What a relief and liberating thing it has become for Polly and I.  I suppose for El this is nothing compared to ingesting and purging toxic chemicals every week....but I still stand here wondering what in the heck just happened?!  Done with Diapers.  I don't think I'll ever get tired of saying that.

Speaking of spring break, mine of about 12 days started yesterday.  We packed up the car and headed over to Half Moon bay to visit Polly's horse, Sarah, who just gave birth to a new foal which T&E decided to name "April".  I know there are some who read this blog that don't know Polly very well, but for many years she has been an incredibly accomplished rider in the top Amateur-Owner Hunter classes of the NorCal Equestrian circuit (ok, so I brag...)  Her Filly, Sarah, does some pretty remarkable things and provided numerous opportunities for Polly to do what she loves to do.  As hard as it has been for Polly to see Sarah retire from showing at that level a little earlier than expected, we were blessed and fortunate to have successfully bred her.  And so, last week "April" was born.....quite possibly a horse years from now you may see Ellie leaping fences over like her mom did with April's mom for so many years.  HOPE has a way of showing itself in so many unexpected ways.  It was a pretty momentous meeting yesterday, so had to share a favorite picture or two of ours to mark the occasion:



And one more because this is my favorite picture of Polly and Sarah a few years back making it all look too easy...


Its going to take some time to get used to this monthly routine of LTM as have all of the other phases, I know that.  Her counts have remained high which is great and explains her seemingly endless amounts of energy.  But next week we'll find out if we'll need to adjust the dosing downward a bit if they fall below the neutropenic line.  The goal in the protocol at this point is to NOT adjust the dose downward from 100% of all chemo.  It is part of what the doc says to expect, but impossible to predict because every kid is different.  The post steroid days will bring me some uneasiness because it often artificially inflates her white blood cell count and bloats her belly out a bit.....both relatively nothing to worry about but also both triggers subconsciously to me of signs from her diagnosis.  Can't even begin to explain how much I hate that trigger when it happens.  On a lighter note, we are seeing sprouts of new hair starting to pop up on Ellie's head and that in of itself is worth a Dance of Joy - Click HERE  :)

The second message heard this past week came from another one of Father Joe's great Homilies during our school mass on Tuesday celebrating Holy Week.  This is such a great week for empowerment of faith that always sneaks up on us in the academic setting because we're all busily moving from class to class dealing with issues left and right all with one eye closely on that anticipated spring break start date that it is great to have this Tuesday mass for a perspective check.  His words centered around the story of Judas and that within Judas' betrayal of Jesus was also quite possibly a betrayal of himself.  I'm not a bible scholar but after thinking about it for a few days (there again is the need to invite questions to the table for a better understanding of what this world is about), I know you can take this betrayal of thy self in a number of different directions.  It certainly isn't my place to say one path is correct and the other is not.....that's not the point.  But, what I took away from his words is that Judas simply lost sight of any remnants of Faith.  It goes unseen by almost everyone around you but its the ability to pick yourself up by the boot straps again and again and again that keeps Faith running through you like a full bodied river we'd all like to sit and just drift on without much worry for "what's next".  Seeking that level of Faith is a passion which is impossible to ignore.  I turn 36 tomorrow and know whole heartedly that I still have an incredible amount to learn before I can drift care free.  But being able to find opportunity each day, be it in chasing them around the kitchen in T&E's version of Hide and Seek (where hiding is a relative term for just ducking in place) or sprinting to their room during nap time when Timmy is about to scale the crib wall and flying-elbow-drop himself into Ellie's crib to her sheer delight RATHER than go to sleep, is the chance to share tiny bits of passion at a time. In doing so, I find too much good stuff going on every day to ever lose Faith completely....especially when our family path turns unexpectedly for better or for worse.  Polly said it best tonight when we were talking about something completely different - When we get there, I know it will take care of itself.

Hope you have a Wonderful Easter Sunday.