Donna’s Cancer Story: The North Pole

This is the twenty-first of thirty-one installments of Donna’s Cancer Story, which will appear daily in serial format through the month of September to recognize Childhood Cancer Awareness Month.  Each post will cover one month of Donna’s thirty-one months of treatment.

I was eight months pregnant during this month, still working, and that was tough, cause, man, fretting can be a full-time gig.  Mary Tyler Dad and I were bone tired.  The grind of daily life coupled with the impending addition of a newborn on top of the gnawing, tenacious worry and fear and doom attached to the uncertainty of Donna’s cancer was threatening to disable us.  Donna was simply Donna.  When family visited from out of town we would anxiously await their assessment of her.  To us, she seemed stronger, more vibrant, more physical and not remotely like there was a tumor snaking up the inside of her skull.   

Donna in blue coat

The holidays were approaching.  After last year’s stem cell isolation over Christmas, we were working hard to make the season special for Donna.  When I asked her what she wanted Santa to bring her, Donna would say, “I only want you for Christmas, Mama.  And candy canes!”  Donna was pretty clear about how she felt about Santa:  “I hate him.”  Wow.  To hear that coming from such a gentle girl was both funny and alarming.  Donna gave strict instructions that Santa was not to come into our home to deliver gifts.  They were to be left on the deck where her Dad and I could retrieve them.  One night, before bed, Donna asked for a story about day hospital, where she received her bi-weekly chemo.  I started in and she quickly interrupted and said, “Dr. Stew is not scary.  Santa Claus is scary, but not Dr. Stew.”  Oh, my girl.  My girl, my girl. 

Each afternoon when I picked her up from the sitter we would drive around a bit and look at decorations.  She loved the inflatable snow men and reindeer.  She loved the festiveness.  She worried that the trees were cold and lonely without their leaves and thought that all of them should have lights to keep them company until their leaves grew back.  Her empathy at three still takes my breath away.

I was a bit of a wreck in these weeks.  So close to delivering, I felt uncomfortable and frantic that our Donna-Mama time was coming to a close.  I was conflicted about bringing a baby into the chaos of our lives.  Full disclosure:  I was scared out of my wits.  I was scared for Donna, I was scared about managing two kids, I was overwhelmed.  Just managing cancer was a lot, how, on God’s green earth, would we do this cancer thing with a newborn in tow?  Throughout her treatment Donna had two parents giving her everything we had.  With a newborn, that would change.  We would be caring for two kids, not just one. 

Donna kissing pregnant Mama

Possibly sensing this, our team at Children’s threw us a bone.  No scans this month.  Donna would proceed with a couple more rounds of the Avastin and Irinotecan with scans just before Christmas.  The plan would be reevaluated when the results were back.  A reprieve from bad news was welcome. 

Early in the month we were guests at a holiday party at O’Hare Airport sponsored by United Airlines for children with life threatening illness, a “trip to the North Pole.”  One of the Child Life therapists offered us the invitation in early November.  When she suggested it I gladly accepted, but when I saw the invitation, my heart sank.  ” . . . for children with life threatenng illnesses.”  I put it on my bill pile and it sat.  I actively ignored that invitation until the very last day that I could.  I did not see Donna in that way and did not want to see Donna in that way.  The girl I woke up with and bathed and fed and read to could not possibly have a life threatening illness.  And yet, she did.  That was the rub.  Bastard cancer.

The day of the party there was a bit of a buzz.  Donna wore her prettiest black velvet dress with metallic red mary janes.  She even let me put a plaid bow in her hair.   That made me disproportionately happy.  We arrived at O’Hare, were ushered through security by United volunteers wearing red noses and reindeer antlers, and were guided to a party at the gate.  Then, with tickets in hand, we got on a plane, taxied around the airport (before 9/11, they actually used to fly around for a while), and “landed” at another gate where we deplaned for lunch and a visit with Santa. 

Family at North Pole

As the folks from the full plane exited the tunnel to the gate, there were two rows at either side of Chicago fire fighters and police officers giving these kids standing ovations.  I lost it — tears, sniffles, undisguised emotion.  Something about these men and women who put their lives on the line daily saluting these kids whose lives were currently on the line really moved me.  To this day, I well up when I see a fire fighter in full gear.  For so many kids, officers and fire fighters are their heroes, and here they were, in full uniform, saluting and honoring these children.  I am crying when I type this, just remembering.

Donna had a love/hate relationship with this party.  She was a girl who loved her parties and wearing “party shoes.”  The staff of United and volunteers treated us like visiting dignitaries all day.  We got to visit the “Elves’ Station,” where Donna was presented with a cart loaded to capacity with gifts for her – – it was obscene, really, the amount of swag gifted her.  But something in Donna’s temperment or something that had changed in her chemistry from the tumor or chemo contributed to bouts of skitishness that were difficult for her and us.  She was terrified of Santa.  She was traumatized by the roaming Ronald McDonald who somehow could not get the message to leave Donna alone.  The amount of people there was too much for Donna.  She wanted to go home.

I chose this last picture because I think it is a perfect analogy for Childhood Cancer Awareness Month.  You have to look to find us – – there we are on the right with the previously mentioned swag.  The airport is busy and bustling around us.  No one is looking at the girl with cancer.  No one knows Donna has cancer, yet there she is, right there in the midst of everybody else.  Our lives are busy, frantic, scheduled.  We need to get from Point A to Point B fast.  Who looks around and notices all that is going on right in front of them? 

Donna in busy airport

Look at this picture and see Donna and know that all around you, even when you don’t know it, there are children with cancer.  Some will live, some will die, many will be affected by the toxicity of their treatment for the rest of their lives.  They’re right there every day even when you don’t see them.  Donna’s hospital was often filled to capacity.  Every day those beds are filled with children newly diagnosed, in the midst of treatment, celebrating the end of treatment, or dying.  Every day. 

Tomorrow:  It’s a boy!

Donna’s Cancer Story: Chemo 2.0

This is the twentieth of thirty-one installments of Donna’s Cancer Story, which will appear daily in serial format through the month of September to recognize Childhood Cancer Awareness Month.  Each post will cover one month of Donna’s thirty-one months of treatment.

Mary Tyler Dad and I were walking a fence this month, and at any moment we could drop.  On one side of the fence was terror, despair, anger, bitterness.  On the other side was love, hope, Donna.  We chose Donna, we chose hope, we chose love.  This is not to say we didn’t flirt with the dark side, or come to know, intimately, what living life in fear was like, but we chose to believe that all things were possible.  We chose to hope that Donna would grow up.  We chose to let Donna guide us to a life that was richer and deeper and more beautiful.  

Donna in stripes

(photo courtesy of Anne L. Geissinger, Pixeldust & More)

When I would pick Donna up from her babysitters, she never failed to look up at the late autumn sky, “Mama, what a beautiful night!”  In the morning, it was, “What a great day to fly a kite!”  The life in her was simply infectious.  Being with her was the only balm for the fear that could so easily take hold of us in her absence.  She demanded that you see and enjoy the world we lived in.  This tiny, mighty creature was a powerful force of calm for us.    

Despite Mary Tyler Dad and I struggling, honest to God struggling this month, Donna was thriving.  On the outside.  On the inside, in her head, just underneath her skull near the lining of the dura, behind her left ear, her tumor was also thriving. 

Blanket Donna

(photo courtesy of Anne L. Geissinger, Pixeldust & More)

At the beginning of this month the chemo protocol selected involved an antiogenic paired with a more traditional chemotherapy.  The function of the antiogenic (Avastin) was to cut off blood supply to the tumor, which had always been particularly vascular, to prevent growth, and the chemotherapy (Irinotecan) would follow behind to shrink and kill the tumor.  The cocktail was to be administered in Day Hospital intravenously through Donna’s port on a bi-weekly basis.  There were side effects with these drugs, but very minimal compared to the earlier inpatient protocol of the previous year. 

Donna would not lose her hair (hooray!), nor would her blood levels tank, requiring few, if any, transfusions, and it involved six hours in clinic/day hospital every couple of weeks.  A piece of cake, relatively speaking.  To measure its efficacy, the docs had determined scans would occur three weeks after the first dose was administered.  Shrinkage, stability, or growth under 25% would be considered a success and the treatment would continue. 

I felt very at peace with this plan as I had had a dream just a few nights after learning of this latest relapse.  I awoke about 3am, shook Mary Tyler Dad up from his sleep with my dream knowledge that we must “choke the beast.”  It felt so certain.  I am not a scientist or an oncologist, but this dream delivered the idea to me that the way to beat Donna’s tumor was to cut off its blood supply, to choke it.  We had tried cutting it (surgery) and poisoning it (chemo) and cooking it (radiation), all without success.  Choking it was the way to go.  I was certain, and that certainty bought me some peace. 

In typical cancer sucks style, those first scans showed growth in the brain tumor of 25-30% with a stable spine.  Oy vey.  So much for my prescience.  It took almost two weeks of consideration before we learned that we would push forward with this protocol, despite the growth.  Surgery remained off the table, as our neurosurgeon was uncomfortable with the direction of growth of the tumor and it’s proximity to an area in the brain that controls speech and comprehension.  God, do I hate cancer. 

Pensive Donna

(photo courtesy of Anne L. Geissinger, Pixeldust & More)

There is a clarity to life when so much is at stake.  I’ve no doubt that death row inmates have felt something similar.  Mary Tyler Dad and I worked to maintain a routine and normalcy for Donna so as not to upset her sense of security.  I continued to work three days a week.  Mary Tyler Dad kept his full schedule.  With the help of family, we cooked and cleaned and maintained a home.  Donna was disciplined and boundaries were drawn.  She knew there were expectations for her and we held her to the standards we would hold our child who was not in treatment for cancer.  Donna needed that.  We did, too. 

Despite the chaos that cancer rained down on us, we worked hard to never treat Donna as a sick child.  She looked older, was growing taller, and had fully morphed from toddler to young child.  She was a joy and easy to parent.  Once, after his check up to ensure Donna’s brain wasn’t swelling from the drugs, our oncologist asked her, “How is it that you are as sweet as you are?”  Donna considered that question a moment, turned to look at me, and responded, “Because I love my Mommy and Daddy so much.”  The doc and I both took a moment to pick our hearts up off the floor and wipe the tears from our eyes.   

Again, you see the disconnect between the photos of Donna taken during this month and the reality of our lives.  I think our instincts were guiding us to make good and sound parenting decisions.  The first three photos were taken by a close friend who captured Donna in her many facets — her shyness, her joy, her coyness, her beauty.   

These next two are simple snapshots.  There’s nothing like a little mortality scare to get you to try and capture every moment you can.  The first is taken just before weekly dance class.  Look how her eyes shine.  She was lit from within, my girl.  That is a crocheted spider on Donna’s hair clip and it was the only hair clip she would wear.  Oh, the money I wasted buying cute bows and ribbons.  Donna was simply not that type of girl.  No fuss, no muss; she didn’t need any adornments.  

Dancing Donna

This next photo is one of my all time favorites.  It was taken Halloween day, 2008.  Donna had been fickle with her costume choices, but early the day of, settled on being a “Fairy Flower.”  Huh.  I got to work and with some scissors, staples, and love, came up with what you see.   The day was brilliant perfection.  It was warm and mild.  There isn’t a lot of Halloween action in our neighborhood, so we went north to Evanston to trick-or-treat with friends.  Donna had a blast.  She was bopping along from house to house, hoarding candy she would never eat (Donna never had much of a sweet tooth), surrounded by those that loved her most, and dressed as a Fairy Flower.  Life does not get any better. 

Donna as Fairy Flower

Tomorrow:  The North Pole

 

Donna’s Cancer Story: Relapse 3.0

This is the nineteenth of thirty-one installments of Donna’s Cancer Story, which will appear daily in serial format through the month of September to recognize Childhood Cancer Awareness Month.  Each post will cover one month of Donna’s thirty-one months of treatment.

Donna had another set of scans this month that showed  her tumor was back.  Another relapse.  Tears and terror for us, dancing and pumpkins for Donna.  Today’s update is hard to write.  We were so hopeful, so needing a break from cancer, so exhausted.  I get so angry at cancer sometimes, it’s randomness and brutality, it’s tenacity, it’s mystery.  I rarely asked this question when Donna was in the midst of treatment, but I do ask it sometimes now:  Why Donna?  Where did it come from? 

We have no idea, nor will we ever. 

Donna reaching higher

There is a total disconnect today between the photos you see and the words you read.  How to reconcile the girl in our photos, our beautiful Donna, with the photos the doctors order, those inside her body?  How, as a parent, do you make sense of what you see in front of you and what the doctors tell you is happening?  I spent so much time wishing and hoping that one day someone would call from Children’s and say, “We are so terribly, very sorry, but we made a mistake.  Your daughter is fine.  Our bad.” 

This photo was taken at the baptism of Donna’s cousin.  It was a beautiful day, a celebration for her third cousin born within six weeks of one another.  The minister baptized a few babies that day and spoke of children and of hope.  He talked about how children are never really ours, that as parents, we are here to steward our children through their early life, but must embrace that they are not ours.  I wept silently as he spoke.  Afterwards, we all went to the Brauhaus on Lincoln for beer, brats, and dancing.  Donna loved the music and Mary Tyler Dad and I were feeling so grateful.  Sigh.  It was such a lovely day. 

Dancing at Milo's baptism

After the news of relapse, there is the business of staging.  Yet again, another series of tests, scans, punctures to determine if the beast had metasticized.  More hospital time, more anesthetia, more terrifying hours spent waiting for the phone to ring, knowing in our bones that the news will be bad.  Our bones did not deceive us.  Two small spots on Donna’s spine, an area the cancer had never been before.  Our oncologist sounded disheartened, something you never want to detect in the voice of your daughter’s oncologist. 

Donna’s neurosurgeon was reluctant to operate both because of the location of the tumor (same place, though growing in a different direction, too close to vital blood flow paths) and her stated belief, “There is not a surgical solution to this tumor.”  Coming off July’s relapse, just three month’s prior, we were living so large, truly believing Donna had dodged a bullet.  We had had a taste of normalcy and now it would be gone again.  The treatment decision was chemo, though which protocol was still uncertain.  The sledgehammer of chemos had only stalled Donna’s cancer, not stopped it, and in that process had caused damage to her kidneys.  What else was left to try?  At the end of this month, we were still waiting for that answer.

And through this, Donna was in another course of PT.  Seeing her dance and some of her physical limitations, Donna could not run or jump, I had asked for a booster of PT to increase the strength she did have.  Donna loved her therapists at RIC and they her.  The therapy was welcome as it provided structure to our days, indoor fun, and always gave Donna challenge and confidence.  Here she is working on balance as she throws frogs into a bucket I held.  I was so proud of her. 

Donna playing in PT

Donna was as she had always been during this month:  a joy.  A beautiful, smart, clever, girl.  We did not share this news with her.  We discussed and explained procedures with her, worked hard so that she would feel aware, secure and prepared for whatever cancer would bring her that day, whether it be a surgery, MRI, a needle stick, or blood transfusion, but never talked big picture with her.  She was three.  I am forever grateful that we were spared the difficult conversations children just a few years older would have needed.  Again, Donna had no fear or context of what cancer meant or did. 

This photo was taken just two days after the news of relapse.  I was growing bigger with Mary Tyler Son and scared out of my mind for both my children.  And there is Donna, looking at me with such tender love and affection.  She is unfazed by her cancer.  She is happy, she is loved, she is secure.  Cancer could ravage her brain and body, but it could not ravage the love between us.  It could not touch our love.   

Donna and Mama

Tomorrow:  Chemo 2.0