Piper’s Story: Bouncing and Walking

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September is Childhood Cancer Awareness Month. Each day I will feature a different guest blogger who will generously share their personal experience with childhood cancer.  Stories are always more potent than statistics.  The hope is that by learning about children with cancer, readers will be more invested in turning their awareness into action.  Read more about this series and childhood cancer HERE.

By Susanna Needham

The first few weeks of Piper Jean Needham’s life were spent bouncing and walking. I bounced. I walked.  She screamed and wiggled and fussed and I did it all over again.

Bouncing and walking.

As I would walk laps around my house or yard or the grocery store, just bouncing her away, I would tell myself “she will grow out of this. Someday she will not need me to bounce and walk all day. Someday…”

So when the bouncing and walking became non-stop and a low grade fever followed suit and Piper slowed her bottle intake and her little bum got a diaper rash that wouldn’t go away despite the bevy of creams and ointments I attempted,  I bounced and walked her ten week old self right into my pediatrician’s office for a fix her up. He checked her out, didn’t seem concerned, but sent us to the local hospital where she was tested up and down and given fluids.

“Just an overnight stay, okay?” they said to me as I was bouncing and walking this clingy ten week old child of mine around the hospital’s Pediatric Unit. Just an overnight stay to get some answers despite no one really seeming too concerned.  Just an overnight stay that required my spouse and I to take turns watching nurse after nurse try unsuccessfully to place an IV in her tiny little limbs. “Just an overnight stay” I told my beautiful and healthy four year old daughter as she skipped out the door with my mother for a sleepover. “Just an overnight stay,” I told one or two people…nothing to fear…it’s only an overnight stay.

Morning came and quite quickly followed a visit by our beloved pediatrician and a somber diagnosis of Infantile Leukemia.

I stopped bouncing for that moment.

Walking was not an option. I simply sat in the harsh and solid wooden rocker some kind nurse had brought us in the wee hours of the morning.

Within hours, Piper was aboard an emergency transport to Children’s Healthcare of Atlanta at Scottish Rite and that same evening would receive her first  platelet and blood transfusions. She would have an IV successfully placed by nurses who would become our favorite people in the world. She would be introduced to monitors and needle pokes and medical staff.  Each morning from the day of her diagnosis we would receive more information about her cancer.  Each oncologist would recite facts and plans and details that never brought us peace. They spoke of MLL-rearrangements, a poor prognosis, diaper rashes, NG tubes, developmental delays and all the horrible parts of having a child with cancer.

Smiling Piper, NG tube and all.
Smiling Piper, NG tube and all.

And from that date, everything changed.  Each round of chemotherapy seemed more intense than the prior. She would develop 3rd degree burns on her legs and bottom from high doses of Methotrexate. She would lose her voice for 3 weeks as a very rare side effect of Vincristine.  She would break her elbow when she rolled off the bed one day because her bones were already brittle from the chemotherapy we subjected her to. She would spend three and a half weeks in the rehab unit because a virus called Cytomegalovirus (CMV) had wreaked havoc on her already weary body and left her unable to eat or keep any nutrients in her little fifteen pound body and unable to sit up on her own…at 18 months old.

When other one year olds were learning to walk and eat and play, Piper was confined to a hospital room that we attempted to make fun and stimulating.  And yet, no matter the day or circumstances, we were bouncing and walking and choosing to keep smiles on our faces for this little girl who deserved that and more.

After two years of this madness, infused with deliberate joy, Piper finished treatment.   By this point, less was required of me. Piper had gained independence and pride in doing things on her own. Like most sweet two year old little girls she chose the glittery tutu, the fanciest hairband and as many bracelets as she could fit on her little arm each morning when she awoke and dressed.  She knew where the cheese sticks were in the bottom drawer of the fridge and how to find the Annie soundtrack on my iPad when she wanted to dance and which books her big sister would most readily read to her while sharing their big bed each night.

As soon as we began to move past the horrors of her first two years, she relapsed. Once again, Piper needed me to bounce and walk.  She needed me and I desperately needed to be needed by this child I so fragilely clung to.

Piper first relapsed in July of 2011. She had a Bone Marrow Transplant in December of that year at Children’s Healthcare of Atlanta at Egleston which initially was successful, but she relapsed yet again a mere 6 weeks later.  We uprooted our little family of four and left Georgia for St. Jude Children’s Research Hospital in Memphis, TN for an experimental transplant using Natural Killer (NK) cells.

Shortly after Piper received her Natural Killer Cell transplant, she became sick.  Adult doses of chemotherapy for two and a half years given to a child diagnosed at a mere ten weeks old was breaking her…her lungs could not keep up and  she was moved to the ICU.  My husband had spent the prior night bouncing and walking Piper as she struggled to get comfortable.  When he made the frantic call to me to rush over, Linley and I dropped the school work we were doing and ran across a large parking lot, up stairs, into the elevator and through doors to see her little self waving.  That evening she and her sister sat and played and colored while the ventilator did its thing…by morning though, she had declined enough to be sedated and placed on a higher setting…for three weeks we sat with her sedated body and sang and talked and watched movies. ..for two weeks we hoped and prayed for another opportunity to bounce and walk with our child.

On April 3, 2012 Piper Jean was dying. The nurse picked up her swollen and wire covered,  warm little body and placed her in my arms. My husband curled himself around me. Linley kissed her little sister’s head before we quietly sent her to be loved on by the bevy of family and friends in the waiting room around the corner.  The oscillator was turned off and through the weariest and grief stricken tears we spoke to her of our simple  love and our God’s infinite love she would soon see as she slowed her breathing and peacefully passed away.

Playing Piper
Playing Piper

Mommies should never have to pick out hymns for their child’s funeral or need to walk down a long church aisle, near despair, in front of throngs of people who ache in fear of living out our nightmare.  And yet, each day more mommies live this. More children die and more hearts break irreparably.

Piper Jean was a joy to raise and I would trade my kingdom for a chance to bounce and walk with her one more day, one more moment, one more time.

If you’re looking for all of the posts in the  Childhood Cancer Stories: The September Series, you can find them catalogued HERE.  

If you don’t want to miss a single child’s story, you can subscribe to my blog.  Please and thank you!

Type your email address in the box and click the “create subscription” button. My list is completely spam free, and you can opt out at any time.

Abigail’s Story: The Mommy Guilt-o-Meter

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September is Childhood Cancer Awareness Month. Each day I will feature a different guest blogger who will generously share their personal experience with childhood cancer.  Stories are always more potent than statistics.  The hope is that by learning about children with cancer, readers will be more invested in turning their awareness into action.  Read more about this series and childhood cancer HERE.

By Sarah Bolenbaugh

Abigail is my older child, now 6 years old.  In March 2008, she was diagnosed with Pre-B Lymphoblastic Leukemia with MLL Rearrangement, otherwise known as Infant ALL.  It is a rare and aggressive form of leukemia with dismal prognosis.

Abigail is lucky.  She survived.  For every Abigail, there is a baby that doesn’t survive.  There is a Piper, a Matthew, an Evelyn,  a Tyler…  Here is Abigail’s whole story in 90 seconds.  How am I supposed to fit two years of hell in 1,000 words or less?

Here’s a brief introduction, or as I like to call it … the worst case of mommy guilt ever.  At around eight months old, Abigail was sick for the first time.  Her only symptom was a high fever. [Sidebar, one of those feverish evenings, as an attempt to make Abigail laugh, my husband put a pink bandana on her head.  I told him to take it off because she looked like a kid with cancer.  Oh yeah – and that’s not EVEN THE BEGINNING of the mommy guilt.]

It turned out that Abigail had a urinary tract infection.  Long story short, she was in and out of the doctor about five times over the course of a month.   However, even after a round of antibiotics, she didn’t seem to be feeling better.  Her fever was gone, but she wasn’t eating or sleeping well and just seemed to be missing her spark.  She also suddenly hated to be on her stomach.  I had chalked it up to teething, which in this short synopsis sounds silly.  However, at the time, believe me, it totally made sense.

My husband wanted to take her back to the doctor – I thought he was overreacting (truth be told, I had already taken too many days off work and really didn’t want to miss any more).  So, husband agreed to take Abigail to the doctor.  Um, yea.  So…..he wasn’t overreacting.

Abigail had a white blood count of 394,000.  Her blood had so many white blood cells in it that it was pink.  Her blood was pink.  We were told that she had a chance of having a stroke at any moment.  If she survived the night, she had a 40-50% chance of making it to kindergarten.  So if we are having a mommy guilt war – I win.  Unfortunately, I so totally win.

Abigail at diagnosis.
Abigail at diagnosis.

Abigail’s prognosis was grim.  The proposed cure was to put her through one year of heavy dose chemo followed by a year of low-dose chemo.  Her leukemia was very aggressive.  Therefore, the treatment was aggressive.  If the cancer didn’t kill her, there was a good chance the chemo would.  Our oncologist told us, in fancier less caustic words, that they gave her the maximum dose of chemo that they could without killing her.  If the left don’t get ya, then the right one will.

Abigail was one tough little baby (remind me to tell you the story about how she got a skull fracture from an IV pole falling on her head – another 20 points on the mommy guilt-o-meter.)  However, her stomach was a delicate little flower.  Chemo did not treat Abigail’s belly well at all.  The nausea and associated puking were awful, but the diarrhea was worse.  The chemo stripped her gut.  The food would go in and shoot right through.  At her worst point, which lasted for a few months, she would poop every 45 minutes.  Every 45 minutes, even at night, I would change her diaper. One night, I decided to try skipping changing the diaper (I thought that maybe I could change it every other poo).   That experiment resulted in a diaper rash that burned the skin off her bottom.  [Ahem – mommy guilt].

Between the puke and the poop, we were doing at least three loads of laundry a day.  We would go through multiple sets of bed sheets at night.  My husband became the expert bedsheet changer.  He could change a set of sheets in seconds (we’re talking Formula 1 tire change out speed).  We would have at least two sets of sheets at the ready for night time switching.  I even folded the sheets in a particular way so that they were easier to throw out onto the bed. [Sidebar – to this day, my husband has not lost his skill.  If a child barfs in the night, those sheets are changed out in 60 seconds flat – zzzzoooom.]

Abigail was skin and bones during this time.  The chemo turned her skin a greenish hue.  It’s hard to maintain weight with 95% of what you consume comes back out.  Through her treatment, she developed a fungal infection of the brain and lungs, chronic C-diff, RSV, and PCP pneumonia.  I don’t have time to get into what they are – but if you google those terms with cancer, the results are not promising.  If the cancer doesn’t kill you, the chemo will.  That’s no joke.

Abigail looking a little green, in the thick of her first year of chemotherapy.
Abigail looking a little green, in the thick of her first year of chemotherapy.

How does a baby deal with these horrors?  Abigail reacted by closing her mouth.  For 18 of her 24 months of treatment, not a sound came out of her little mouth; and absolutely no food went into that sweet little mouth either.  She was fed through a tube that went through her nose down into her stomach.  A wonderful speech therapist taught her sign language.

Besides not opening her mouth, Abigail coped with these horrors shockingly well.    Have a nurse stick a huge needle in my chest?  Sure – you don’t need to hold me down.  I’ll even lift up my shirt for you.  Stick a tube down my nose and tape it to my cheek?  Hey – as long as you have Backyardigans on – we are all good.  Bend me in half for a spinal tap?  As long as Nurse Darryl is there…and some bubbles (and fentanyl) – it’s all cool, man.

All Abigail needed was that one piece of control.  She couldn’t control the horrors going on around her, but she could keep her mouth shut, and she did with a smile on her face.

Over five years later, Abigail is alive.  She is more than alive.  She is smart, thriving, athletic, talkative, sweet, and compassionate. Shockingly, she has no long term effects (yet).   She doesn’t remember a thing. Me?  I’m scarred for life, but better me than her, right?

Abigail these days.
Abigail these days.

Full disclosure, Abigail and I are fast friends.  And her Mom rocks.  And I miss them since they moved away from Chicago.

If you’re looking for all of the posts in the  Childhood Cancer Stories: The September Series, you can find them catalogued HERE.  

If you don’t want to miss a single child’s story, you can subscribe to my blog.  Please and thank you!

Type your email address in the box and click the “create subscription” button. My list is completely spam free, and you can opt out at any time.

Lilli’s Story: Dum Spiro, Spero

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September is Childhood Cancer Awareness Month. Each day I will feature a different guest blogger who will generously share their personal experience with childhood cancer.  Stories are always more potent than statistics.  The hope is that by learning about children with cancer, readers will be more invested in turning their awareness into action.  Read more about this series and childhood cancer HERE.

By Kristin Trippe

On the Eve of Christmas Eve, Lilli danced in the aisles of the Nutcracker, twirling as fast as she could, standing on her tippy toes, just like the Sugar Plum Fairy. Dirty looks from hoity-toity ballet patrons flew in our direction for the entire second act. But I didn’t care. Tears ran down my cheeks, joyful, thankful tears, remembering where we had been a year ago.  How lucky we were to be here.

Two days later, Lilli’s leukemia returned. Even if we had been home in our pajamas, enjoying the yuletide, it wasn’t the present we wanted to unwrap. Over a year had passed since Lilli’s stem cell transplant and I had just sent an anonymous letter thanking her anonymous donor for the fourteen billion cells that saved Lilli’s life. For a year, she received nothing but glowing physicals and perfect blood counts. For a year, everything was perfect. And then, for the second time in her short life, everything changed.

Lilli was first diagnosed with a rare cancer before she could walk, talk, or chew. At eight months old, her cancer came suddenly and with a terrible prognosis. Babies aren’t supposed to get cancer. She didn’t smoke or drink or use a cell phone. She didn’t get formula from China or eat too much tuna. All of her sippy cups were BPA-free and her baby food came certified organic. Unlike older children that are diagnosed with leukemia, infants do not respond well to traditional therapies and often relapse after treatment. Our best hope, our only hope, was a bone marrow transplant. After Lilli survived her transplant, we thought that we had won the battle, that she was the small percent that survived the transplant, that didn’t relapse, that didn’t die. We were wrong.

On Christmas Day, we left the hospital, we ate Chinese food, we went home and pretended that we didn’t know Lilli’s prognosis. We didn’t talk of things like second transplants or chemotherapy. We just pretended that Christmas was the next day, and went to sleep. Christmas Redux was one of the most beautiful days I remember. Lilli opened her play kitchen with all the pretend pizza and pans and plastic fruit, walked around it several times and smiled a smile as bright as the sun. She didn’t have to share it with her friends at the hospital, we didn’t have to visit the toy store to play with one, I never had to tell her it was time to put it away. It was her most prized possession and the look upon her face in that moment, the one that said “I OWN that” is a look I will never forget.

Lilli3

Lilli’s leukemia wasn’t normal, and her relapse was even stranger. Instead of showing up in her blood, her leukemia showed up as little tumors in her belly. Little lymph tumors that blocked her intestines, that blocked her urethra, that blocked her bladder. There was no road map for treatment. So we guessed and went for the most aggressive treatment we could think of, another bone marrow transplant, from a different anonymous donor. Lilli’s Hickman line, the tube that came out of her chest to administer her chemo, had been removed eight months prior. To start treatment she needed a port, a direct and semi-permanent line into her circulatory system. A simple, easy, quick procedure that happens several times a week. But nothing was simple, easy, or quick for Lil.

Medical mistakes happen all the time. The wrong medicine is given, the wrong leg cut off, bad judgments made in times of stress. For Lilli, when they placed her port, they missed and put a hole in her heart and lung. She died on the operating table. See, cancer was just the big thing that Lilli had to face. The small things, the sedations, the medications, the steroid fits, the effects of all these things, were just the shrapnel that flew from the bomb that went off. This particular piece of shrapnel killed her. For at least a few minutes. And then by some miracle, she came back. Her heart started to beat, her lungs began to rose and fall with breath. Two weeks later, she died again after a massive infection invaded her lungs. Again, she returned to us. Four months later, we were discharged from the hospital. Lilli had to relearn to walk, to eat, to talk, to throw a ball, to dance. To recover from the shrapnel before the bomb went off again.

Finally, after all this time, Lilli figured out that she was sick. That other kids didn’t have to cart around oxygen tanks or have feeding tubes in their noses. But, like her kitchen, she owned her cancer and would happily explain to other children that this is my picc line, this is my nose tubey.  One day, another child asked her what had happened.  With a straight face Lilli said “Well, one day I ate a chicken nugget and I got sick”. I’m not sure why she said it, but I bet that poor kid hasn’t eaten another chicken nugget since.

The next year was filled with moments of pure beauty interrupted by treatment, transplant, another relapse, and finally, a terminal diagnosis. But through all of it, Lilli remained a child. She played her little purple guitar and her mandolin, she went on walks every day and picked up snakes and bugs and tried to give all the salamanders baths. She picked up rocks and put them in our pockets. She wore elaborate costumes to her radiation appointments. She danced and danced and danced and sang her own song. And we were so incredibly proud of her.

Lilli2

Despite all the treatments, all the second opinions, Lilli’s cancer didn’t respond to treatment. We had several glorious moments where tumors receded. And several others with news that crushed our spirits. That made me vomit. I wore a charm around my neck that read “Hope for Lilli” and another inscribed “Dum spiro, spero”,  in English meaning “While I breathe, I hope.” And even though the doctors said there was no chance for survival, we never thought she would die. Life without her seemed impossible. But again, we were wrong.

It wasn’t tragic that Lilli died or even that she had cancer. The tragedy was in the lack of treatment, the lack of options. That she was too young, or too small to qualify for experimental drugs. That there weren’t any experiments to experiment with.

Lilli died the morning of July 5, six days before her fourth birthday. Just hours before she left we heard the fireworks from the city below. We pretended that the fireworks were for her. She kissed me and she kissed her dad, and she told us she loved us. We sang her favorite songs. Three hours later she took her last breath. She wore her shirt that said “And though she be but little…she is fierce.” It was heartbreaking. We miss our Sugar Plum Fairy in the deepest most profound way.

But her spirit lives on. Her legacy grows. Her hope remains. Love lives forever.

Lilli1

The Chelsea Hicks Foundation sponsors a program that provides costumes and opportunities for children to play dress up during clinic appointments and during hospital stays. Lilli loved to play dress up and have tea parties.  You can donate here.

If you’re looking for all of the posts in the  Childhood Cancer Stories: The September Series, you can find them catalogued HERE.