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Saturday, October 7, 2006 10:44 AM CDT

THREE......
TWO.........
ONE.........

OKAY----WHERE IS THE GREEN LIGHT?
------------------------------------

Everyone knows that parents of kids with Cancer can be just a little 'nuts', right?
Granted, we obsess on 'cleanliness' and secretly wish we had a huge Lysol Antibacterial wipe that could clean everything our child touches in just one fell swoop----"swish" and all the bad bugs and germs are gone!

I know that I am guilty of that.
I keep a huge bottle of the hand sanitizer in my car.
It sits right up front, next to the bottle of the Lysol Wipes.
Each time we get in the car, I insist that my daughter use the Hand Sanitizer---most especially when I pick her up from Day Care.

Yes....that is right......I said "Day Care".

I believe that I am the only "Cancer Mom" at our clinic who has had a child fight the stupid Cancer Leukemia, keep that child in school, AND, keep the child in Day Care.

Did that scare me out of my mind and give me nightmares the entire time she was on chemotherapy?
Darn right!

Do I feel just horrible that I could not be home and keep her home the whole time she was on chemotherapy?
Darn right!

Do I feel just totally guilty that I put her through the most horrific two years of her young little tiny life and insisted that she still attend school, attend day care, and heck----keep up the class work with all the other kids?
Darn right!

Do I worry every minute that the stupid Cancer Leukemia is coming back?
Darn ri*.....wait? Do I?

I don't think so.

I am pretty smart and pride myself on being able to handle emergency situations and make life/death decisions in the blink of an eye. Let's see.....

(1) My oldest son has epelipsy. That has not been pretty.
(2) I have raised two boys with lots of trips to the ER and hospital.
(3) I have raised my brother's and sisters with lots of trips to the ER and hospital.
(4) I was even in a car wreck one time----cut off by another driver. Witnesses explained to police they could not believe my driving skills and calmness under pressure. The policeman could not believe that I avoided a ten car chain reaction pile up during rush hour traffic going 55 miles an hour and that my car was the only one damaged as I drove the car into the guardrail and rode it down the length of the overpass bridge every time it tried to bounce over into traffic (of course, once in the patrol car I broke down hysterically)
(5) I worked as a teller one time and was robbed with a "bomb". I remained calm, thought fast on my feet, and was cited for keeping our customer's safety in mind at all times.

Yes, I could go on and on and on....but for sake of time, I will stop here.

I think that is a definite "Yes".
I believe that I don't worry about Madie's Cancer Leukemia coming back.

But---that does not mean that I ignore things when she has something unusual going on for her.

Naturally, of course, because of all the 'analysis' that I do as 'second nature' to me, I am a Business Analyst.
I study Process Management.
I am 'Pro-Active' and constantly seek to improve all processes, whether they be in my home, work, or in Madie's case, her physical care and doctor care.

Yes, I over analyze everything because that is what I am.
It is MY JOB to over analyze everything!

BUT--there is a big difference in "over analyze" and "obsess".

When you analyze, you are always looking at something in a different light or a different view point.
You "step outside" of the current circumstance and place yourself in a 'non-judgemental' position to allow yourself to see all sides of the problem.

When you analyze, you try to "think outside of the box" and come up with various solutions to various problems.

When you analyze, you 'back up' and try to find the 'root cause' of things instead of just treating the 'symptoms'.

When you analyze, you always strive your very best to see the BIG PICTURE.
When you analyze, you always search for the "root cause".
When you analyze, you don't just ask "why", you ask "why not".
When you analyze, you don't just look at what is in front of you and what you see; no, the most important part is what is not there. You ask yourself, "what is missing from this picture?".

Just don't treat the 'symptom'.
No, I am not happy at all just to treat 'the symptom'.

Now......Madie is fighting Childhood Cancer Leukemia.
That is pretty big stuff.
That involves a whole crap-load of things that can go wrong.
And that is piled high up on top of being a "second generation" child with an older parent and two grown siblings.
And that is piled even higher up on top of trying to just grow up and be a normal child.

Nope.
I don't think I "obsess" about Madie's Cancer.
If you "obsess" about things, you are always trying to change them or control them.

That is not me.

Let's analyze things here.....

Hum....
Madie has been off her chemo therapy for 16 months.
In the beginning, even on therapy, she had problems.
A few of the doctor's at her clinic thought she had relapsed while on therapy. (she did not)
The first six months off therapy, she had horrible pains in her back, legs and hips.
These pains continued throughout the first year off treatment.
The pains have subsided and are intermittant.
(Of course, these are signs of the Cancer Leukemia)
But, I tell myself that the Cancer Leukemia is an "acute" disease and if these pains were the Cancer, the Leukemia would come back very fast, as it builds up in her bone marrow.

It has not come back, so all the pains are explained away as some other childhood mailaise.

That does not mean that I don't freak out each time something "new" pops up on the radar scope.

This past week, something "new" popped up.

Madie has broken out in a terrible raised rash all over her neck, stomach and back.
To me, it looked like Chicken pox---YIKES!!
But, it did not itch her.
It starts at her neck and fans out, down to her waist.
Like a Christmas tree pine needles.
I made an appointment with her Pediatrician and he immediately recognized it.
Pityraisis Rosea.
"It's not contagious"
"It is a viral skin infection"

But, my brain (and photographic memory) is spinning and wondering "why" did Madie get this condition?
Is it related to all the blood transfusions she has had? (almost 50)
What is the "root cause" of this new condition?

There I go again----looking for the "root cause" of something.
Like it is the "Holy Grail" of the Childhood Cancer world.

And then, while I was searching for the 'root cause' of this new ailment, the horrible, extremely high, BADLY FEVERS had come!

All this time....for sixteen months.....I convinced myself that the Cancer Leukemia had not come back because Madie did not have the horrible high fevers that went along with her original diagnosis.
She had some fevers.....maybe as high as 102.9, but nothing higher than that.

Except for this week.

Madie's fevers got up to 104.6 on Thursday night.
At the time, she had no other symptom.
I was aware that her back was hurting, since last month.

Adrian at the Spa Sydell night at the Camp Sunshine House had told me that it appeared her sciolosis was causing back problems for her.
Evidently, the muscles on the left side of Madie's back are about an inch higher than those along the right side of her back.
It's not like she has a 'mass' or a 'knot'; it's more like she has been lifting weights, but only with her left arm!

It is definitely noticable.
It is definitely a problem.
This could be the source of all the pain Madie is having in her back.

I made an appointment for Madie to see Dr. Blanco.
When I spoke to his assistant, I explained the pain that Madie was experiencing. I was puzzled because Dr. Blanco had said that the Scoliosis did not cause pain. His assistant told me that the Scoliosis would cause pain if Madie were going through a "growth spurt". She elaborated that the curve would increase, thus causing the pain. I told her that Madie was indeed, experiencing a "growth spurt" while eating everything in sight!

Not to make light of it, I was relieved to hear that the "growth spurt" Madie was having could actually be the root cause of her pain in her back.

I stopped worrying about the Cancer Leukemia.

That is....until this week.

Even with the "Badly Fevers" being over 104, I was not thinking "Cancer" because Madie had not mentioned having any pain in her legs or her hips.
At the time of the diagnosis back in 2003, these were her biggest complaints.

She would have fleeting high fevers (phantom fevers as they are called in the world of Childhood Cancer), pain in her back, and pains in her legs to the point where she would not walk.

Madie would beg and beg to be carried.
Madie would fall asleep in the car, on the trip home from the daycare. That trip was only 15 minutes, but she was asleep by the time we pulled into the driveway.

Up until Thursday, I had no idea that Madie was having pains in her hip.

Here is the seen in our house yesterday afternoon, staying home with Madie because she was fighting a huge fever of 104 ................

MADIE: "Mom! Mom! This is so *FANTASTIC*!! You are not gonna BELIEVE what is happening!!"
(Madie runs into the master bathroom, hunting for her mom who is in the shower. She is so excited, so happy, she just can not contain her joy)

MOM: "Madie, sweetie, what is so wonderful?! Tell me! Tell me!"
(Mom....soaking wet, shower is running and shampoo is in her hair.)

MADIE: "Mom! The most wonderful thing has happened to me! All that medicine you have been giving me has worked a miracle! The pain in my hip is all gone! See!!"
(Madie, cocks her hip to one side, slaps her left hand on her left hip a few times. The biggest, most huge smile spreads across her face.

MADIE: "See! It doesn't hurt at all anymore!"
(Madie slaps her hip again, for emphasis)

MOM: Stunned silence.....horrible sinking feeling in the pit of her stomach; must react in a split second or daughter will realize something is greatly wrong with her tremendous happiness. "Madie, that is so GREAT!!" (Mom is trying to sound convincing and just as happy as little girl) "How about your arm? Remember, you hurt it yesterday in Miss Hodge's class? Is that feeling lots better too?"

MADIE: "Uh huh!"...takes a deep breath, all excited. "It is feeling just Fan-tas-tic!" (Madie exclaims, emphasizes her Southern Drawl....drawling out the last word as it rolls over her tongue and teeth."
Another huge smile erupts across her face.)

MOM: "Madie, I am so excited to hear you are feeling so great! You know, I did not know your hip was bothering you at all, sweetie. I am so glad the medicine is helping that AND making your fever disappear. What a blessing!" (Mom, trying desperatly to hide her HUGE surprise and horror that her little tiny girl has been having pain in her hip and leg.)

MADIE: "Well, I didn't even know it hurt either until you gave me that medicine! Now it doesn't hurt at all! It's a miracle!"

MOM: "I am so glad to hear that. Now go get dressed so we can run up to the store and get some more Ibuprofen. Okay?"
(Mom is desperately trying to hide shock and terror in her voice.)

MADIE: "OK! But, I need some help. Are you gonna help me?"

MOM: "Sure sweetie. In just a minute. Now run to your room and I'll be right there. I just have to get this shampoo out of my hair, okay?"

MADIE: "Okay!"

Madie bounces out of the room, so happy and joyful. Mom fights back tears, whole body is shaking, thinking about what "just" happened----it blows a huge hole in her theory that the Cancer Leukemia can't be coming back because Madie had not been complaining about hip or leg pain for the past 4 weeks.

****

Once I got out of the shower, I forced myself to calm down.
I began the painstaking task of dissecting all the pains and problems she is having and classifying them into various categories of acceptable childhood mailaise.

Right now, I am forcing myself to believe the pains are from the Sciolsis or some other type of natural problem.

I will ask Dr. Blanco for help to determine the "root cause" of all of Madie's pains. We just can't ignore them any longer. She has huge plans and dreams that she wants to follow, and she is waiting for the 'green light' to begin high impact sports and other activities where she can just play at full throttle and not worry about getting hurt. (Did I say she wants to ride motorcross dirt bikes?)

We will see Dr. Blanco on Monday.
I am praying like crazy to see the "Green Light" and that he waves the green flag to give Madie the "go ahead" so she can play her life away just a like a normal girl! Well, as much as normal as Madie can be.

Now, does anybody know where I can get a dirt bike (and a piano) pretty cheap?




Saturday, August 12, 2006 10:31 PM CDT

BASEBALL CANCER


Dear "Blonde-haired-college-aged-girl-with-pony-tail-who-I-think-is-on-a-swim-team",

I know that I thanked you for helping my little girl get checked-in and loaded up on the bus for her first ever trip to Camp Sunshine. But, what I did not tell you is that this is the *FIRST* ever time that we have been apart over the night hours since she was born just a little over seven years ago.

I think she is ready.
I think I am ready.

I believe my role as a parent is to prepare my kids for anything that life throws at them. I played third-base and short-stop back in high-school (if you can believe that!) and the trick is to not be afraid of the ball, don't take your eyes off the ball, and always expect anything. This is what I have taught Madie.

Cancer was a straight, line-drive coming right at her head about 150 miles an hour. But, she has great doctor's for coaches, great medicine and machines as equipment, and a self-determination that "nothin" is getting by her! She might have had to back-up a ways after it took an unexpected bad hop, but I think she has caught the ball and has swung-around to position herself for a strong throw to first base. She wants to make the out, that is for sure!

Out there, at first base, I think I can see all our wonderful friends supporting her. I can hear them yelling, "throw me the ball"! Do they know that? Does Sally Hale, Executive Director at Camp Sunshine, know that she is playing first base, assisting with the "out"? Today....this week.....it's Sally at first base.

I am so grateful for the tremoundous out-pouring of love and blessings that have been heaped upon my little girl. I know that I can ever say "thank you" enough to all the people who have helped. Every gesture of kindness and thoughtfullness has assisted her to be the child that she is today and the woman that she will become.

Hum....what kind of woman will she become?

Madie has talked for a month about going to Camp Sunshine this week. Her eyes light up.....her voice has a slight *lift* to it and she begins to talk faster (just like her mom!) I could tell she was a little nervous, mentioning to me several times "Mom, I'm really gonna miss you while I'm at camp.". Then, she would quickly dissolve into another speech about all the great activities at camp or the other children that were going to be there.

Several times I thought she was going to just explode into a cloud of pixy-dust with glitter floating down from the sky.

When we got to the Camp Sunshine House, the parking lot was full of cars and parents with happy, anxious children. Madie searched the crowds, looking for Keegan or Casey. Madie saw Genevieve and Ashley first. The girls were so excited! Then Audra passed us and Madie screamed in delight. She just had to get her picture taken with Keegan!

Keegan was ready and wanted to board the bus, I'm sure because he had been there for a little while already. But Madie had not checked in yet, so we had to get in line for the luggage and to drop off her medicine (yes...she is still on medicine for lots of different things--we just don't dwell on it!). Before long, the first bus was full and Madie could not get on. I believe that God watches out over our kids because (I think) she really wanted to sit with Genevieve and Ashley. It was almost like all the boys were on Bus #1 and all the girls were on Bus #2! How funny!

The second bus had a flat tire, which took just about forever to fix. The sky was darkening, then we heard thunder. Next thing we know, lightening is coming! We all huddled under the porch of the house, and as soon as the bus rolled down the parking lot, the remaining children lined up to board it.

And just in time! The heavens opened up and the rain started coming down in huge, fat drops! I could hear the girls squealing----it was so funny!

After Madie got in line to board, I ran to my car.
The rain was pouring down, hard.
I was soaking wet when I jumped into the driver's seat.
Even if I was crying, no one could tell the difference between the tears or rain soaking my face and shirt.

Today starts a new phase in Madie's life.
She is playing in the "Cancer All-Star" game of her life.
But, she is a kid and is also having tremendous fun.
I can't describe the feeling that you get when you reach past your abilities and stretch out to see just how much you can do. And when you snag that line-drive that is almost impossible to catch, hear the gasping and groaning of the other team when they realize their player might not make it safely to first base, you lock eyes with the first basemen and throw hard with all your heart, praying like crazy it will sail straight into the glove across the field.

I am the First-baseman.
I used to be the "only" First-baseman.
But, for today, Sally Hale is playing first base, whether she knows it or not.

I know together, she and Madie are going to make the "out".


Saturday, February 18, 2006 11:08 AM CST

NUCLEAR MEDICINE AND NIGHT TIME RITUALS
=======================================

NUCLEAR……………


RADIOACTIVE……….


Well, I’m going to tell my age when I say this, but when I was growing up the word “nuclear” was always attached to the word “bomb”.

The word “radioactive” was always attached to the words “nuclear bomb”.

It was a time when the “Cuban Missile Crisis” had come to head and everyone was totally terrified of the radioactive nuclear bomb and the aftereffects the likes of which no one had ever seen.

There were books aplenty on how to build a nuclear bomb shelter for protection and how to survive a nuclear bomb attack.
I read every book that I could get my hands on that depicted a world destroyed by the nuclear bomb.
There was nuclear bomb testing underground and under water.
There were movies, songs and bomb shelter signs in every public building.
It was a very, very scary time and I have not been able to erase even one tiny memory of it. Today, it would be on the same level of comparison as our heightened awareness of terrorist attacks. Same difference.

So, imagine my shocked surprise when I heard the words “nuclear medicine” and “radioactive” uttered in the same sentence with my baby girl’s name!
Whaaaaaaaa???

The young girl on the other end of the phone was so calm.
“Miss Ice? This is K…at the Peds office in Snellville. We have Madie’s bone scan confirmed for Friday, the 17th. You need to be at the hospital at 9:00am for paperwork before they take her back to “Nuclear Medicine” and inject her with the “radioactive” dye.”

Excuse me?
I think my brain just stopped working.
Oh….I know! I can’t understand the English Language anymore! (That can actually happen when you have a kid fighting Cancer, did you know that?)
Did I just hear the words “nuclear” and “radioactive” just come out of her mouth?
Surely, she has me mixed up with someone else, right?

Or, maybe I was having an “out of body” experience?
I could see myself holding the phone to my ear, trying to hear out of that teeny tiny cell phone speaker. Perhaps the transmission had broken up? Maybe I had intercepted some other telephone call between NASA and Houston Space Center? I have heard that does happen to some people.

At that instant, visions of an atomic bomb test albeit complete with mushroom cloud and destructive wind forces of 400 mph exploded in the back of my mind. We have all seen that film, right? The bright flash of light….the huge mushroom cloud…..then the sonic boom with gale force winds that uproot trees and level buildings flat?
You’ve seen it, right?

Booooom! Whooosh!

I had to remind myself to breath.

Of course, I have had to remind myself to breath quite a few times during the Childhood Cancer Journey that I have joined Madie on. Okay….Why should this be any different?
The journey had taken her close to death quite a few times, so I should not be surprised to introduce her to radioactive materials, right?

Yeah, right!

Besides, we have lots of friends who have endured these “Nuclear Medicine” procedures lots and lots of times. This should be a piece of cake, right?

Quick! Where is Catie’s and Will’s mom phone number?!
(Man! I told Dr. B that we needed a “Cancer Mom of Atlanta” directory published for just such emergencies! To heck with those government “confidentiality” rules and HIPPA (or is it HIPPO?) nonsense—THIS IS MY BABY WE ARE TALKING ABOUT!)

Eventually, I hung up the phone. I didn’t want to.
My brain was running about 500mph trying to absorb the information about Madie’s test and that I only had two days to influence Madie in such a way that she would not be a blubbery mess and refuse to get in the car. (Okay, let’s just forget about me having the heebie-jeebies about the whole entire thing).

There are two things about Madie that you always have to keep in mind at all times:

One…..Madie is just like her mom with a photographic memory and does not forget a thing! This is both good and bad. (Although, I’m not sure about the photographic memory anymore after all the chemo that she has had to her brain……)

Two…..Madie “worries” waaaaaaay too much for a little girl of 6, just turned 7. And, she totally hates “bad” surprises. Okay, well that is three.

Just to explain my concerns, back when Madie was on chemo, she would stay up until 1:00am worrying the night before each spinal tap. NOTHING would help her relax enough to go to sleep. Of course, she was vividly remembering the pain and trauma of the last one, playing it over and over again in her little mind. Of course, she was the child that the Versed did not work to make her “forget” what happened on the operating table. Nope, it did not work AT ALL! It just made her really, REALLY agitated and weepy. So, Nurse Mary figured out a combination of the pain killers and Versed that at least would make her “comfortable” during the harrowing procedures of the spinal taps and bone marrow aspirations. (Did I tell you that Nurse Mary is an Angel?)

Eventually, I stumbled into a routine that helped her get ready and relax enough for sleep by 10:00pm, maybe 11:00pm. She had a ritual about eating the same dinner, talking over dinner about the exact things that would happen at the clinic (from beginning to end), sitting in a nice hot bath, reading the same book and watching the same movie while I rubbed her back until she fell asleep. Of course, the crucial part of the procedure was that I would never leave her side for the whole thing. Not ever. I had to promise and swear to it about fifty-hundred-eleventy times.

And Heaven forbid if anything went different at clinic the next day!
I had begged Nurse Mary to tell me if anything was going to be different. We had to know if there would be a different nurse, doctor, or room. Madie would freak out if we went into a different room or had a different nurse. I remember when Nurse Mary snuck in a flu shot without telling her! WHOA!!! Nurse Mary was in the “dog house” for a long time---Madie did not forget and she still remembers the whole thing to this day!

So of course, I’m thinking, “How the heck am I going to talk Madie into this test?? This test requires an “arm poke” with a big needle! She has never had to do that except at her diagnosis. (Well, there was that one time with the “Flu” back in January, 2004---that is another story!). But today? Heck, there is almost no hope for having a good experience.

Driving home I pondered the various avenues that I could use to approach the subject with her. She had to know the truth because there could be no “surprises”.
For the one millionth time I asked God to “please give me strength and provide the exact words that Madie needed to hear come out of my mouth”. It’s up to Him.

But, it’s always up to Him.

Of course, the first time that I mentioned it to her she had a million questions.
Then, I mentioned the medicine that was going to be put inside of her for the camera.
I mentioned the dreaded “arm poke”.

That did it!

Her head spun around and she snapped at me, “Arm poke?”
She started crying and screaming----“NO! NO! NO! NO ARM POKE!!”
My heart was breaking for her.
I told her to calm down and that we would talk about it tomorrow.

Actually, we talked about it quite a bit. It weighed heavy on her mind and we discussed all the possible things that could happen. We talked about it in the morning, driving in the car, and at night before and after dinner.

I reiterated that the poke would be over very fast. I explained that the nurse has the “freezy spray” that she can use to make it numb like when the poked her port.
I embellished that it would be just a teeny-tiny needle (God, please forgive me!) made just for kids. I even threw in some promises of going shopping and going to the movies when it was over.
All the preparation appeared to have worked!
Madie went to bed the night before just like her normal routine!
I thanked God above for all his help and prayed again for a smooth day of testing with no horrible “surprises” because let’s face it, neither one of us could take another “surprise”!

And everything did work!
Well…..almost everything.
Except for the fact that we got home from the test and Madie was a bundle of nerves that I just could not figure out how to unravel!

Granted, it was a busy, strange, traumatic day for both of us.
And Madie’s little “photographic” brain was reliving every detail of the day.
I could not get her to sleep. Not for nothing. It was the same problem, all over again!

We ate dinner, she had a warm bath, we read books, she took her medicine, I turned out the lights, and normally she is out “like a light”.
Not this night.

I think Madie got up 6 times to come see me.
Each time, I heard her tiny little voice……”Mom. I can’t sleep!”

I rubbed her back. Nope.
I rubbed her feet. Nope.
She got some ice cream. Nope.
I read another book. Nope.

I had cleaned the kitchen and was watching the Olympics, right before 11:00pm when she came out of her room again.

“Mom. I can’t sleep!”

I opened my arms, collecting her to me really tight.
We lay on the sofa, together.
I prayed my momma mantra to God again……“Lord, please give me strength and provide the exact words that Madie needs to hear come out of my mouth”. This time it is totally up to Him. I’m too tired to think clear, for sure!

Poof!
Like magic fairy dust, I had a vision come to me. Well, not exactly a “vision” like an Angel standing over me, but more like a “flash-back” to the past. I could hear Dr. Weinstein’s words telling me that “Madie needs to verbalize her trauma”. She is too smart for her age and with the photographic memory, she must verbalize the trauma in any way that she can.
I needed to validate the horrible scary things that went on for her today.

Would that work?

I took my hand and softly stoked her hair away from her face with my fingertips.
I spent a minute carefully studying the features on her face; her eyes, her nose and soft round cheeks. Just like a newborn baby inspection, I studied every inch of her head. I soaked in every inch of the “Madie Girl” who was within my tight grip. I could feel her relaxing, becoming less stressed. It gave me time to prepare for my “mom speech”.
I kissed her forehead and launched into my quick-witted and ill-prepared dialogue; flying-by-the-seat-of-my-pants as only a Cancer Mom could!

“Madie, it’s okay for you to be scared. You had a horrible day with all those scary things that happened to you!”
Madie shook her head up and down in acknowledgment of my observations.
I took another deep breath.
“You were so brave to let Nurse Bonnie poke your arm. And you did not even move a tiny muscle. I was scared myself just watching what she was doing to you! I am so very proud of you, do you know that?”
Madie opened her eyes and looked up at me.
Those huge, brown eyes melted my heart. Tears were stinging at the corner of my eyes as I spoke the next words to her.
“They put some pretty weird stuff in your little body to show up on the camera. I know it must have been scary when your legs started to be all “itchy” at lunch and we had to race back to the hospital to be sure you were not having an allergic reaction!”
I shook my head. “Wow---and then you had to lay on the table for so long! You did such a great job!”
Madie kept looking up at me, as if I had forgot something.

My brain was racing.
What else do I need to say?
What else is she looking for?
Think! Think! Think!

What could it be?

I took a deep breath and spoke again.
“Madie, thank you so much for all your hard work today! I love you so much, I think my heart will explode!” I hugged her really, really tight!

She burst into a smile.

I’m not sure about all the other “mom-daughter” words that came out of my mouth.
Inside, my heart was breaking for another part of my daughter’s lost innocence. In truth, her body had been violated and it was nothing short of a horrible act of violence in the name of medical science. I know the doctor’s and technicians do their very, VERY best to make the trauma as less frightening as possible.
They are gentle.
They are compassionate.
They are like Angels.
They are wonderful.

But, the bottom line is that for these tiny children, the Cancer Journey is a ghastly, terrifying, harrowing encounter where the ordeal cannot be obliterated from their little brains.

I looked down at my baby girl.
Her breathing had become even, strong and steady.
She was falling asleep………finally.

I helped her get into bed and pulled the covers up over her shoulders while smoothing her hair back away from her tiny round face.
I kissed her ‘goodnight’ again (for the tenth time) and knew in my heart that this time she would be okay to begin her night’s journey off into dreamland.
I breathed a short prayer for no nightmares to come tonight as they have been prone to do so in the past days of traumatic events for her.

Please God, no nightmares at least for tonight.

XXXOOOXXX



.





Wednesday, June 1, 2005 8:09 PM CDT

THE GRADUATION

Yesterday it was Saturday, of the weekend of Memorial Day.
Madie and I had spent the morning driving all over the city looking for the ‘perfect’ graduation gift to bestow upon our beloved babysitter, friend and adopted ‘big sister’ Sara Colleen. Colleen has been a part of our family since before Madie was born in 1999. She has even been to clinic a few times with us!
Colleen is truly a part of the family!

Exhaustion quickly set in over both of us as we searched the stores for just the right gift.

Along the way, we also stepped into the “ROOMS TO GO” show room to take a peek at the beautiful furniture, similar to what we often see in other friend’s homes. It was like stepping into a palace! We sat on a dozen sofas and matching chairs. Madie climbed up on the highest, softest beds. We closed our eyes and dreamed about what it would be like to have beautiful things in our home. It was so wonderful. I opened my eyes just in time to catch Madie with her eyes closed, rubbing the fabric on the arm of the sofa that she had stretched out on. She looked so content and dreamily peaceful, lost in the luxury of the downy soft pillows and rich fabrics.

Now, don’t get the wrong idea.
Our home is okay.
Heck, our home is good and better than just “okay”.
But, when you are a single parent raising two very active and busy boys, the option of buying beautiful living room furniture does not even materialize because every cent is necessary for living expenses. And let me tell you----Boys can eat! My house was the home where every child in the neighborhood came to play---many of them begging to stay for dinner! Even though we did not have a lot, we had enough to share. It was the way that I grew up. Nine kids….plus the neighbors!

Growing up, my four brothers, three sisters and I did not have a lot, but we always had enough to share. So, it made perfect sense that I would grow up to be the “Kool-aid Mom” on our block too!

And today, I was thinking, “Wow….fourteen years ago my home was better than ‘okay’. The furniture in our home was hand-me-downs, yard sales, or gifts from friends that they did not want anymore. It was clean and functional. And the house was small, about 1200 sq feet. True, Southern Living Magazine was just not about to beat down the door for next month’s issue, but it was a great home to us!”

I can’t believe it has been fourteen years since I moved to Gwinnett County.
As far as the bills go, I was just beginning to get my head above water when Madie was born. When she was born, any hopes for beautiful, new furniture had to get put back into the closet. The budget could not be squeezed any tighter, let me tell you!

Eventually, my two boys graduated to homes of their own. Gradually, I have been able to update parts of my home, transforming it into a home which is occupied by only women who love art. (or anything to do with art and music!) The final touch will be new furniture. And today, Madie and I were thoroughly enjoying the vision of having new matching furniture being delivered to our home! Perhaps this was my own graduation from an era gone by?

We both opened our eyes and smiled at each other! I know the salesmen must have thought us crazy as we giggled and gushed over the beautiful pieces! Could it be because Madie is just a young child, but dressed so elegantly crazy? When shopping, she is quite picky about her attire….Not a Pop Diva…not quite Stevie Nicks either! But, most assuredly a true ‘Shoe Queen’! And we both talk like magpies when we are together, never ending, and only stopping to eat or drink.
I know we must have been a sight to see.

And then, we were off to the next store!

We had a great time together, picking out the perfect Graduation Gift for Colleen.
But then, when Madie and I shop together, we always have a great time.
Even before Cancer came, Madie and I always enjoyed shopping together. We would walk through the aisles at the grocery store talking and reading all the items. That is one lesson that I have taught all my children. Shopping is time spent connecting, sharing, and dreaming. It does not matter what you are buying---the possibilities are only limited to your imagination. Heck, you don’t even have to buy anything! It is all about being together.

Colleen’s Graduation Party was at 4:30pm.
Madie and I wrapped up Colleen’s gift and arrived at her house about 5:15pm.
I knew that my son Rhyne was coming with his girlfriend Leah. They arrived a little bit late, but carrying a Graduation Gift as well. Leah explained they had spent two hours shopping for it at Walmart the night before. She said they had a fantastic time going up and down the aisles, picking out various items that eventually made their way into a straw basket of surprises for the Graduate! I smiled to myself of how I have taught my children the magic of dreaming and spending quality time with the people that you love, in just a simple act of shopping. Time is so precious and not to be lost.

I was just thinking that I have another Graduation too!
This day marks exactly one week that Madie has not taken any chemical chemotherapy to keep the cancer away from her. What a time for Graduation!
I look at her pink cheeks and bouncing hair! She is so full of life---life that was almost taken away from her! It looked very bleak quite a few times, but she struggled and persevered—never giving up. She has tremendous spirit and fortitude.

And Madie has been receiving Graduation Gifts from chemotherapy too!
Friends and even strangers have mailed her cards or brought her gifts to celebrate this monumental occasion! Of course, “I” am not going to celebrate until she has successful surgery to remove the intravenous wire and tube that are embedded in her chest cavity and snaked all through a major artery leading to her heart. Of course, I am speaking of her “Port” that she has used so willingly for all the IV chemo and blood draws. She has even helped other newly diagnosed children to understand what is about to happen to them by lifting her shirt and demonstrating to them “in person” so they can see what it’s all about. And of course, she had a close call with that too! (Heavens! I shudder thinking about it!) To me, once that tube of wire comes out of her body, she has truly “Graduated” from Cancer treatment. I had joked that I wanted to burn it or perhaps launch it into outer space on the next NASA Space Shuttle! But, I am pretty sure that Madie is going to want to keep it, along with all her other medical treasures she has collected from over two years of chemo treatments and hospital stays that are tucked away in her “doctor’s bag”. Her babies get the best medical care in the surrounding Snellville area. She has quite a collection, let me tell you!

Yes…..We will have a huge celebration for sure!
Graduation has taken on a whole new meaning in my home!








Monday, July 26, 2004 10:58 PM CDT

CHILDHOOD CANCER AND CHILDHOOD


A couple of weeks ago, I signed up for a one-day seminar sponsored by The Leukemia and Lymphoma Society of Atlanta and requested vacation time-off from work so that I could attend. I signed-up because I know that Madie is going to start public Kindergarten in a few weeks and I had been reading about all the problems children with cancer encounter going to school. In fact, I belong to an “ALL Kids” group and the topic of school comes across the pages a few times (Okay….quite frequently!).

Thinking that I was being “Pro-Active” in Madie’s education now that she is a Cancer Survivor, (In reality, she is! No cancer in the last 14 months!) I signed myself up for the seminar in an attempt to educate myself about “The System” and to begin assimilating expectations for the forthcoming new school year.

The seminar is titled “Back to School Workshop” and advertised that it “will address long term implications of treatment, how to navigate the system, coping with cancer in the classroom, formulating an education plan and medical aspects of the student with cancer.”

I had no idea until the workshop started that those words actually translated to mean that I needed to become a Lawyer, a Neurophysiologist, a Special Education Instructor, and an Occupational Therapist! And even more impossible, this transformation has to happen as quickly as possible in order to provide the best learning environment available to my cancer child! And these wonderful people were going to provide me with all the tools I needed to accomplish this amazing feat! Or give me a migraine trying to!

We all gathered at the Camp Sunshine House, a warm and inviting home that was built with love, love and more love for all our kids fighting cancer!
Madie has been to the Camp Sunshine House a few times and we can’t thank Missi Hicks enough for the compassion and wisdom that she has bestowed upon my family over the past year! Thank you Missi!

Upon signing-in and applying my name tag to my shoulder, I received a stack of books, brochures, and pamphlets to take home and study which included such items as ‘About Individualized Education Programs”, “Understanding IDEA and Section 504”, Touching Lives”, “Emotional Aspects of Childhood Blood Cancers”, “Information Resource Center”, “Light the Night Walk” (Kathleen! of course! I would walk 2 miles to save your life!), “Cancervive Teacher’s Guide”, “Educating the Child With Cancer” and about a thousand hand-outs! (Okay, not a thousand, but at least a hundred!! Sorry to the tree-huggers, but I really need these papers! I don’t think they will get recycled for at least ten years!—which is about Madie’s expected length of time before being declared “cured” from this particular cancer!)

During this workshop, it finally dawned on me how massive the implications of a Cancer Diagnosis in a child can be. I started hearing how Childhood Cancer is so very, VERY, V-E-R-Y different from Adult Cancer. They are not the same! No Sir-e-ee! NOT the same at all! What was I thinking this past year!!! Have I been in a COMA??? DUH!!

Millions (yes! That is “millions”) of adults are diagnosed with cancer each year, but only about 13,000 children under the age of 20 are diagnosed in the same year. With so many different types of cancer, only 3,000 of those children across the United States will be diagnosed with ALL, the kind of Leukemia that Madie has. I think it works out to be 1 child in 13,000. That means that Madie is most likely to be the only child with ALL this year in the combined local school clusters for South Gwinnett County. Even with the increase in survivor rates, overall, about 2,800 children will die this year from Childhood Cancer. That is an awesome piece of information to understand for the first time!

What else is different? Children are growing beings, where adults have completed growth. Treating fast-growing cancer cells in children is far more detrimental to their little bodies because everything is growing! Imagine if you have to cut off a limb on a full grown oak tree, it wouldn’t hurt too badly. Other leaves would come in and hide the tiny bare spot---not a problem. It would still be strong and stand tall!
But, if you had to cut the tree when it was only two years old, it would take out half the tree and it might not survive. Or, if it were to grow to maturity, it might be weak or only grow branches out one side of it! Sadly, the tree would never be the same and it would never grow to be the whole tree it was suppose to be.

BUT! That tree would be a survivor!
My little Madie Rylee is a Cancer Survivor!

In the past year, I had been *hearing* things about CANCER SURVIVOR and LONG TERM LATE EFFECTS of chemotherapy but I had not paid it any attention. On purpose, of course! I couldn’t have handled the information that I was poisoning my baby, who might not survive a few months along with the fact that what I was doing to her now to kill the cancer would also have huge implications on her little life when she became older.

I can lift my head up, turn my ears to one side where I could hear the rumblings off in the distant, but nothing very clear. Like a very far off thunderstorm on hot summer evening, booming every now and then, just to let you know it was coming!

I have been too busy concentrating all my energy and efforts into Madie’s daily care and doing everything possible to keep the cancer to stay away. Her treatment plan is for 2 years and 2 months. We are only in month 16 and need to get to month 26 to be done! Such a horrible long time to be taking so many horrible medications!

I have not dared to hope that there would be an “end” to all of it.
I just pushed it out of my mind until the time came to deal with it.
And the time to deal with it is now.
Madie’s treatment is not about to end, but she has been on treatment for one and a half years and the effects of the chemo are already showing up in several ways. One of those right now is a subtle change in her short-term memory. I find myself repeating things to her and she keeps asking the same question over and over. There are moments when she can’t concentrate like she had been. And of course, the Vincristine has made writing with a pencil or coloring on paper laborious and almost impossible!

Madie registers for school on August 5th and starts her first day of school in Centerville Kindergarten on August 9th. She is going to need to use a pencil and crayons. She can’t even carry a food tray---it’s too heavy.

I have 14 days to get ready.
Could Terri Sexton’s “Workshop” get me ready in time?

After lunch, Dr. Madan-Swain had started speaking about long term and late effects of treatment that will occur in Madie’s body and in her brain over the next 5, 10 and 15 years. She didn’t say “if”. She said “when”. The weight of the statement and the words I was reading almost brought me to tears.

Madie has been receiving chemotherapy drugs to her brain through the spinal taps and there will be long term effects from that treatment. The changes are subtle and can take years to manifest themselves. She will get another spinal tap on Thursday, July 29th.

Harmful effects may be learning disabilities where typically, poor performance is noted in math, spatial relationships, problem solving, and attention span and concentration skills. Dr.Mada-Swain said those skills usually develop around age 8 or 9 and that is when clinics and doctor’s are documenting the deficiencies. She was telling us as parents, to be prepared. There is lots of help available. Don’t be shocked, but be prepared!

Additionally, there are problems with growth, endocrine and reproductive impairment, thyroid deficiency, and cardiovascular disorders. Again, don’t be shocked! Be prepared!
I thought I was in Girl Scouts all over again. (Good thing I was a Girl Scout!!)

I took in tons and tons of information and knowledge that has been collected and published from lots of studies and thousands of children that have walked this road before Madie.

It’s overwhelming.

But, thanks to wonderful people like Andy Sutton from the Atlanta Thrashers and his choice to donate funds to the Leukemia & Lymphoma Society for the purpose of this “Back To School” seminar, I was able to begin my education and work on becoming prepared for whatever is coming down the road in the next few years! I heard “You Are Your Child’s Best Advocate!” from every speaker today. I need to put that saying on the refrigerator, because no one else is going to do it for her.

My little Madie will never grow to be the whole woman that she was to have been before the Cancer Leukemia came to her.
But, all her wonderful care support Team Members are teaching me how to help her grow to be the woman that she still can be.



Sunday, May 2, 2004 10:55 PM CDT

THANK GOD FOR FLU SHOTS!!!


I called my brother’s house tonight.

My sis-in-law answered the phone and we began talking for a “small visit”.
In between our words of updating each other on happenings and the past week’s adventures, we both had to interrupt ourselves as our young children within our households were requiring immediate attention.

I was smiling to myself.
I was smiling because I could hear her on the phone, fussing at her children jumping on the bed. And here I was, fussing and pointing at Madie to stop doing the same thing! Seems both our households were getting children ready for the bath and bedtime at the exactly the same times!

I was smiling and really quite happy, thinking “How normal is that!”
What a super-great surprise to be handed before the start of a ‘nail-biting’ week of apprehension, dread, and even downright cliff-hanging—anxiety...kinda like a ‘last episode’ of a television series going into Summer Break that keeps you at the edge of your seat!
You see.....Madie has her 3-month Spinal Tap this Thursday at 8:30am. They are always an adventure of some sort...a roller-coaster ride to me....but that's another story!

Hanging up the phone, I was thinking….”Goodness, how long a time it has been since I felt ‘normal’?
Even if it was just for the seven brief minutes that we talked, it was a great reprieve and an immensely thirst-quenching bit of ‘normalcy’ that I will keep in my soul for the week!
Thank you guys!

Normal…..of course, I know everyone has a different kind of ‘normal’.
I know what use to be my ‘normal’ life. I have a ‘new normal’ now. My ‘new normal’ life is filled with all kinds of things that most all other families with young children will never experience. Because of this Cancer Leukemia, lots of the things are bad, but there are some great highlights that stand out among the battle-fatigued days and nights.

Another telephone call I had this weekend was with a representative of the U.S. Government. She was a very nice person, collecting data for the State and the CDC (Centers for Disease Control) here in Atlanta. She had called me earlier in the week, but I was at work, so she had left a message that she was collecting data for the CDC and had a few questions that she needed to ask me. I had called her phone number back on Friday night after coming home from Madie's sick visit to see Dr. Deganian. I had left her a message with my work number, but here she was calling on Saturday afternoon! She introduced herself and explained that she was working on the weekend so as to reach folks that worked during the week.

It seems as though Children’s Healthcare of Atlanta at Scottish Rite had reported to the CDC that Madie was hospitalized this past winter (at the end of December) for the flu. She asked me if Madie had received the flu shot, when did she receive the shot, what were her symptoms and how much time had passed from when she had the shot to when she was actually hospitalized. I provided all the answers that she was searching for, and then true to my “Business Analyst” brain, I contributed additional information for her study that was truly ‘noteworthy’.

I explained that Madie has Cancer Leukemia and that because the flu virus can kill her, she was given two flu shots. I emphasized (repeatedly) to her that the flu shots actually saved her life.

Now….I can hear everyone asking me…..”C’mon! How do you know the flu shot saved Madie’s life? How can you prove something like that?!”

I know because there was a little boy who had the flu and actually did die this past December.

His image is burned into my brain.
If I close my eyes, I can see his face.
But mostly, his big, brown, scared eyes….staring out at me from above his oxygen mask.

It was Sunday evening, the week of New Years.
Madie and I were walking down the hallway at Children’s Healthcare of Atlanta, Scottish Rite. We had just left the ER where I had been given the awful news that Madie tested positive for the flu and therefore could not be taken upstairs to the AFLAC Cancer Center and Blood Disorders floor. She was too contagious and they could not risk lives of other cancer patients. Madie has never stayed anywhere else but in the third floor wing, so this was a new adventure for us. I had all kinds of concerns running around through my head and was just blindly following the nurse who was pushing Madie in her wheelchair.

Now remember, this was during the height of the flu season and it had reached epidemic proportion here in Georgia. News reports each night contained information about the flu, how horrible it was affecting children this year, and the number of deaths kept climbing!
And now.....I was just another passenger on this run-away train---I felt helpless as I could see it about to collide with my little Madie girl!
I felt like my feet had turned to stone and each step was almost too heavy to take.
I kept hearing all the warnings about Cancer Kids----don't let them get the flu----it's horrible for them and it can (and does) kill them!
I was re-living my worst nightmare!
My child's life was in immediate danger....again!

In defense of the epidemic, Scottish Rite had setup their entire first floor as the ‘FLU FLOOR’ and Madie was being taken to a room on that floor. I was told it would be a private room, to protect her immune system from other contagious diseases that could be on the floor.
Madie’s nurses were being told that she was ‘reverse isolation’, meaning that they wore the masks, gowns, gloves, and plastic guards upon entering her room so they would not carry anything harmful to her from other rooms they may have visited.
You see, Madie’s white blood count was at zero, her ANC was zero, her HGB was at 6.3 and she was in dire need of a blood transfusion. She had no defenses to even start a fight.

The battle with the Mightly Flu had begun.........

Now remember, I’m a Business Analyst and in my ‘super analyst brain’, I notice EVERYTHING! And, as we turned the corner and entered into the first floor wing, I became aware of very, VERY, V-E-R-Y sick children.
Sick children were everywhere!
You could hear them coughing and crying through the closed doors!
You could hear the sounds of a thousand machines, all going at once!
It actually took my breath away----I stopped breathing for just a second.
Madie was wearing a face mask, but my gut-reaction was to lean over to adjust it---I think it was mostly just for my own piece of mind.
When I looked up, we had just started to pass a room on the right. The door was open and I saw a little boy about 9 years old sitting up in the bed. He was very thin. His mom was sitting next to him, with her back to the door. She was talking to a nurse who was in the room.
He was coughing and his whole body shook. His coughing stopped and he turned to face the door. Our eyes met out over the top of his oxygen mask.
He was very scared. And I remember that I thought he looked very, very sad for some reason. I smiled.
I kept following our nurse down the hallway.

Once Madie was settled into her room, I ventured out into the hallways to find the ice, the drink machine, the kitchen and the way to the nurse’s station.

I asked for directions to the ice machine and cringed when I was told it was in the pathway of the little boy’s room that I had met, but actually didn’t meet.
I was so relieved that the door was closed this time, but I could still hear the machines beeping and could distinguish his cough above the television that was turned up pretty loud. I hurried over to the ice machine, secretly praying that I could get back to Madie’s room before the door would open again.

That first night on the floor was very chaotic. When an alarm sounds, you can hear it several doors away. And calls go out across the intercom non-stop. There are intercoms in the hallway, plus those in her room. It was heartbreaking to hear the calls...constantly.

This was the thick of the battle, in the trenches.....and the Mighty Flu was winning.

It was also the most horrible hospital stay that I could ever imagine for Madie.

For whaterver reason, right after the blood transfusion that Madie had received, something went terribly, terribly wrong. Her stomach swelled up as big as a basket-ball and her skin color turned orange. Her eyes turned yellow and when she went to the potty, nothing but blood was coming out!! I was freaking out---but trying not to freak out Madie!

Immediately, tests of all kinds were being done and she was being monitored every 30 minutes by the nurses on the floor. Several tests (and hours) later, I was told her liver was in trouble and things were looking kinda bleak! The cause was unknown, but it was suspected to be the flu virus. Rampaging inside her body. Madie was terrified from what she was seeing happen to her and I was petrified by what “could” happen to her! It was a nightmare!!!

The battle with the Mighty Flu had intensified for us.
And the Flu was winning.

The next day, I passed the little boy’s room several times on various errands. There are curtains on the doors and windows so that the parents, doctor’s and nurses can close them for privacy. At times, the curtains were open, but mostly they remained closed, as was the door. I had glimpses into his room and saw nurses rushing in and rushing out. He had new machines, all hooked up. I knew he was in very, very serious trouble.
But so was my little Madie.
They were both fighting, tooth and nail, to survive.
And it was apparent to anyone that the Mighty Flu was winning.

Now, I always look for the best in any situation.
Regardless of what’s happening, there has to be a brighter side to anything!
In my “Severe Analyst Brain”, I was scouring all the facts for any shred of hope or ray of sunshine.
With all the worries about Madie’s liver, I had mentioned to her nurse how relieved I was that Madie had the flu but didn’t have the chest congestion as well. I told her how scared I was every time I left Madie’s room because I could see and hear how horrible the flu had struck these defenseless children that were all around us.

The nurse said the flu was very bad this year and that she had not seen it quite this destructive before. She said they were hitting it hard with all they had and that I should be very thankful that Madie got the flu shot. It was her opinion that the flu shot was preventing the pneumonia they were seeing in the other kids that didn’t get the shot.
I secretly ‘thanked’ Nurse Mary for sneaking in and giving Madie’s those flu shots after her LP’s, even if Madie did get very, VERY mad her! (Thank you Nurse Mary!! Your an Angel!!)

At one point, Madie’s doctor’s had come by to check on her and mentioned that she was doing great and holding her own. They had been flushing her liver with tons of fluids, but, I think he was actually referring to her fevers that were coming down and lack of chest congestion from the flu virus. One of them said that for the first time, the Cancer patients that had been diagnosed with the flu were actually fairing better than the kids who didn’t have Cancer. His personal opinion was that the flu shot was saving their lives.

Here was another professional that said the flu shot had saved her life!
Wow!!
A shot…..that actually saves your life?

That third night at the hospital was another blur of alarms, beeps, cries for help and the intercom constantly reminding me that someone else’s child was critically sick.

The very precious 9-month-old girl in the room next to us was whisked away to ICU in the middle of the night. She had only been there about 6 hours. I said a silent prayer for her as I could hear the nurses, doctors and her dad. She too, had the bad cough.

I know of her because her mom had called Madie's room earlier that evening. They are an Asian family and she was speaking very broken English. She was frantic, trying to locate her husband and find out about her daughter---she couldn't come as she had to work. I hung-up the phone, going over to ask the Daddy to call his wife as soon as possible with any news. I noticed that he had the same scared look in his face as I know I must have had when Madie was first admitted. It is a look of shock, disbelief, fear and helplessness. He was very grateful to me that I had spoken to his wife, had helped to calm her fears about her baby girl.

The Mighty Flu does not care what color your skin is, what language you speak, or how old you are. It only wants your life....nothing else.

The next day was a bit brighter for Madie. Her liver enzymes were coming back down from the 22-23 that she had been (normal is 1 or 2).
Her fever was coming down.
Sadly, her blood counts were not going up, which was a little disappointing. Dr.B said it would get worse before it got better (little did he know!—or does he have a crystal ball somewhere????) and I remember him saying that sometimes the Cancer Kids stay in the hospital for two weeks with the flu……..Two weeks!!!! TWO WEEKS!!!!
YIKES ALMIGHTY!!!!
I know I hearing his words, but they were not being processed in my brain! I know he didn't just say "TWO WEEKS!!"

Death is around the corner, walking the halls, and standing in Madie’s doorway!
He has his hand on the door-knob, but then, he hesitates.
He turns and walks away...to another door maybe?
It is intensely gut-wrenching...much more scary and heart-pounding than any horror movie could conjure up! Because it's real?
I remember thinking, “I can’t take two weeks on this floor! We have to get out of here!”

I also remember on that next day, when I came back to Madie’s room with my breakfast from the cafeteria, I searched for the little boy that I had been watching all this time.
There were several children whisked away to ICU during the night before.
Was he one of them?
He was no longer there. All the machines were gone. His room was vacant.

I knew he could not have been discharged.
I knew he either had to be in ICU, or, had he fallen prey to the horrible Mighty Flu?
I prayed and prayed that he was in ICU.
But even in the Intensive Care Unit, there is no "silver bullet" that can fell the Mighty Flu. All of us parents know this.
It's microscopic...it's silent....it's deadly.

I prayed all day long, but in my heart, I knew he wasn’t here.

Later that evening, I noticed that Madie’s charge nurse was still working late into the night.
It was very strange to me…….she was to have left earlier, but here she was, still working and running errands.
I spoke to her as I had not seen her at all that morning, but here she was….still working at 9:00pm!

I knew she could tell me about the little boy without even telling me anything...and especially if I didn’t want to hear it.
I spoke to her, quietly inquiring 'why' she was still here at the hospital. She told me that it had been a busy night, busy morning. They had an emergency that she needed to do paperwork for and that had taken most of her time that day. "Charts and stuff....you know how that goes."

Of course, I instantly understood. She had a broken spirit. One of defeat, at the hands of the enemy.
One I had seen before, back when Madie was in the hospital in September. A little boy had earned his Angel wings that late afternoon on the second day after Madie had been admitted to the AFLAC Cancer Center and Blood Disorders wing. He had ALL Cancer Leukemia, just like Madie.
All the nurses and doctor's had a broken spirit. I could see it in every one of them---they didn't have to speak. The sadness is very thick.

Without saying the words, I knew that the little boy I had met, but never actually met, had earned his Angel wings and was in Heaven.
And it didn't matter if it was him or not, it was someone's child that had left this Earth that day.
I got back to Madie’s room and just hugged her tight.

I thanked God again for making such smart people that could invent something like a Flu shot!
Thank you God!

I thanked God again for making such wonderful people like the nurses in the hospitals who take care of our helpless children.
Even with broken spirits, they continue on and do not give up!
Thank you God!

I thanked God again for making such wonderful doctor’s who help take care of our helpless children and keep trying, no matter what, to save their life!
Even with broken spirits, they continue on and do not give up!
Thank you God!

It is soooooo easy to give up---

I promise, I will never give up.
I promise, I will never let Madie give up.

....And one final promise....
I promise that we will both get flu shots every year!

Thank God in Heaven for flu shots!


Monday, April 19, 2004 11:35 PM CDT

Well, it’s been quite a week for Madie!
And quite a week for me, too!

Last Monday, I drove Madie up to the clinic for her monthly treatment of Vincristine.
Madie has a nickname for it---she calls it that ‘mean ‘ole Christine’ medicine or sometimes it’s ‘very mean Christine’. I think it depends on how it treats her that week!

This past week, it was “very mean Christine”.
Christine does not *play* and she *takes no prisoners*.

In the past year, the “very mean Christine” has damaged Madie’s little body so badly that she exhibits very rare side effects that are not normally seen in most Leukemia patients that receive it. I know it is a great defense in the fight against cancer, but like all the chemo, it comes with a high price to pay (and that’s not just in US Dollars!)

In the beginning, when she was getting high amounts both IV and ITX (spinal tap), she started out with high fevers and lots of joint pain. The high fevers tapered off a bit and have become very predictable “low grade” fevers. Those fevers begin within 12 hours of the administered dose and last for the next 72 hours.

On the days that the ‘very mean Christine’ shows up (without an invitation), Madie gets the very sharp hot pokes, like fire-hot needles poking into her just under the skin. The worst time came one night, around 5:30am. I woke up to a picture of my child screaming at the top of lungs, clawing at both her ankles and lower legs, hot tears streaming down her cheeks. She kept screaming at me “My legs are on fire! My legs are on fire!”

Now, I don’t mean to brag, but I have developed a gut-reaction reflex over my 24 years of parenting which is instinctively “knowing” how to access the situation within 1-tenth of a second and execute an action plan with extreme precision that a Swiss watchmaker would be envious of! (If I must say so myself!).
In that 1-tenth of a second, I accessed that Madie was in severe pain, she felt her legs were on fire, she might be having ‘Night Terrors’ as she had them before, I felt around in the bed in the dark and saw no signs of body fluids that could be the culprit, (ie...blood gushing from a wound, potty accident or nausea) and I saw no ‘fire’ in the bed nor bugs of any kind. My trauma-room triage decided that a very cold, wet towel to the afflicted area as fast as possible would be the first-aid of choice, followed by ice, or whatever else would be needed upon a closer, more in-depth investigation once she was beyond this initial extreme pain.

In one fluid motion, I leaped off the bed, raced three steps into the bathroom, grabbed the closest, largest towel, and threw it in the tub while turning on the cold water. In my 'analyst brain' I registered the fact that it was one of the very few "new" towels that I owned, while giving no care to how it was going to end up looking after Madie was finished with it! In one second, I had that towel wrung out while racing back to the bed, not caring what got wet or what the heck got in my way! I slapped it across both legs, covering as much of the raw skin area as possible---all the while speaking very calmly over her hystical screaming with words like “Shhhhh! Honey! It’s okay! It’s okay! Mommy’s here! It’s okay! I promise!”
Only when her screams subsided a bit did I feel around behind me for the light switch. I flipped on the light to see what was going on….......
That night, she needed ice, Tylenol, juice, a back rub, the Disney Channel and lots of conversations to remind her that she is home, safe.

After describing the episode to Dr.B, he explained to me how the evil Vincristine works. He said that the nerves and tendons in our bodies are connected to the bones. These connections are like a common electrical wire, that has a plastic vinyl coating around wires running along inside of it. The Vincristine eats away the plastic coating of the wire and exposes the hot, electrical wires that are underneath. Hence, the sensation of the sharp, hot, burning pokes!

YIKES!!! That sounded totally terrible!!

But the ‘very mean Christine’ gives Madie so many different side effects. I try very hard not to point out any of them or dwell on any of them with her, but I do notice them. I surprise her with her medicine as appropriate if I see her struggling with fevers or pain. Or....I make her change her shoes if I see her having problems that her selection for the day (or hour!).

Ahhhhh!! Yes! The shoes!

Now, Dr.B knows very well that Madie LOVES her shoes! She is lovingly referred to as the ‘shoe queen’ by her brother Rhyne. Her Aunt 'Re has been quoted as saying "I've never seen any one person have so many shoes!".

Emelda Marcos has nothing over on Madie Rylee!

Actually, Madie loves to dress up and wear the shoes that match her outfit—so it’s kinda like an unwritten rule of fashion. She is making a fashion statement and will not bend her will (unless made to!) to that horrible “mean Christine” medicine!

But, lots of times, the “very mean Christine” has her say in the matter, even if we don’t like it! The beloved shoes are laid to rest in the closet, but only for a few days. They await the time when they can return to her feet and dance all around in the sun!

This past Thursday, Madie fell down and skinned her knee. It was pretty bad and she cried a lot. But she has been in worse situations. The ‘very mean Christine’ medicine has changed Madie’ depth perception or actually, I think it changes the 'messages' that here legs and feet are sending to her brain. When this happens, Madie cannot successfully maneuver stairs or step-offs, such as a curb or sidewalk. Mis-judging distances, she has fallen PLENTY of times. She has skinned her knees at McDonalds, at the clinic, at school, at Kroger, at Publix, at Wal-Mart, at Target…gee! I finally wised-up and MAKE her hold my hand for the week after the Vincristine! (Of course, she hates it! Little Miss Independent!!)
And, at the first sign of the falling-down or the “Weeble-Wobble” syndrome, I insist that she abandon the high heel sandals and she must go with the very “Unfashionable” sneakers! She gets so very ANGRY at me! She huffs and puffs, but she is very sensible. For a 5-year old, she amazes me. Madie remembers all too well the falls and complys with the demand to change shoes!

Another affliction of the feet actually has a ‘name’! The first time I saw Madie doing this *affliction*, I didn’t know it was a problem! I thought she was just dancing around, having fun! Being silly! Being Madie!
HA!
Boy, was I wrong!
I remember one clinic visit; Madie took off her shoes to get weighed. She jumped out of the chair and started hopping, dancing, and walking on her tip-toes. Just like she had been doing for weeks! A tiny ballerina!
Nurse Mary asked me how long she had been walking on her tip-toes. I had a blank look on my face. It was much like the ‘deer in headlights’ kinda look.
“Tip toes? Well, she has been doing it for a few weeks now.”

Of course, nothing escapes my severe analyst brain and I watched Nurse Mary tug at Dr.B’s shirt sleeve and point to Madie while she was walking down the hall….on her tip-toes. Dr.B laughed. He yelled out, “Madie! Come over here for just a second. I want you to see this new machine that Miss Bonnie has!”

Of course, Madie spun around and her eyes sparkled like glitter! She LOVES machines and she LOVES Miss Bonnie’s laboratory machines that test the blood!
Madie sprinted back down the hallway, breathless, asking “Where? What new machine?”
Dr. B turned and looked at me. He was laughing and picked her up.
Her heels had never touched the floor! She had been doing everything on her tip-toes!
Dr.B said it is an affliction from the Vincristine called “Drop Foot Affect”.
I don’t think it is very common because Dr.B was very excited to see her doing it. Did I say ‘excited’? Doesn’t that sound terrible? Is that just like an ONC?

And, the “very mean Christine” medicine makes her hands shake, tremble, and not work right. When this happens, she can’t color very well or hold her pencil very well. I caught Madie using one hand to hold her other hand steady one time. She burst into tears and gave up trying to color…she was so upset and frustrated. She was yelling “I can’t draw pretty! My hands won’t work anymore!”

Now, not only can that be very scary by itself! (Imagine! Your hands won’t work! Are they possessed or something?!) But, at 4 years old, that has to be quite a shock!

Of course, being the ever ‘super analyzer’ mom that I am, in my 1-tenth of a second to access the situation, I swoop over to the table; remove the crayons and marker only to replace them with a new box of Play dough!!! (But ONLY on the kitchen table!---as I really despise the stuff, it is such a mess!). But! It’s great, it’s crafty, and a kid with wobble in their hands can still work with it and be creative! I tell Madie that we will just put the markers away while the ‘very mean Christine’ medicine is still running around inside her little body, taking control over her little hands and fingers!

Another thing that the ‘very mean Christine’ medicine does to Madie is to make her eyelashes, eyebrows and sometimes (but not often) her hair fall out. I find them stuck to her cheek or on her clothes. Sometimes, she gets a big bare spot in her eyebrow when lots of them fall out! I think Dr.B even asked about it one time. He saw the big bare spot on her face and mentioned that he has even seen some kids that are on LTM come in with their hair missing. It had fallen out from the Vincristine.

Madie and I make the best of it and blow them in the wind---but not before making a wish on each one of them! Hey! They were very hard to grow, so we are going to use each one of them that we can!

Well, there is one other side affect from the 'very mean christine' medicine that affects the digestive tract. Most children will become constipated from the chemo. Of course, this can lead to serious complications in children with cancer. Infection is the "Number 1" killer of children with cancer. Madie has been so very blessed that she has only suffered with this side effect of the 'very mean vincristine' on very rare occurances!

And, another thing that the mean Christine medicine can do is to irritate the nerve endings anywhere in the body. This past week, Madie has had pain in her back and pain in her neck. I give her Tylenol for the pains, which has helped tremendously! But, it still scares me. She has complained of headaches these past three months. Madie has never complained of a headache from the chemo or spinal taps before. I can’t remember if she has ever complained of a headache in her life. I know that backache pain is one of the early warning signs of cancer and that Madie complained of backache constantly in January and February before she was diagnosed March, 2003.

I’m just hoping that it is another side effect of the ‘very mean Christine’ cancer chemo medicine. It started the next morning after the monthly chemo was given. Therefore, in my 'severe analyst' brain that I have, I'm banking on the fact that I believe it to be the chemo, all the while knowing that it could be the Cancer Leukemia lurking around the corner. What can I say? I'm a 'realist'!

Honestly, I can’t wait to be done with the cancer treatments-----they have been a nightmare. No! Wait! They have been worse than any nightmare that I could have dreamed up! It's like a cross between "Groundhog Day" where Bill Murray keeps waking up the same day, over and over and over again never knowing how to stop it and the other movie called Shrek where they are crossing over a rickety old bridge that extends out over a boiling lake of lava. (yeah....it's a boiling lake of lava and the rope bridge is gonna break any minute now, plunging both of us to our deaths! I can just feel it!) Except this movie is real life and I don't have any 'Fairy Tale Creatures' or "Noble Knight" to help rescue the both of us!

I think the worst part of these CCG/COG cancer trial protocols is watching your child suffer. I'm talking BIG TIME suffering, where me, the parent, has to LIE (yes!! Lie! As in make stuff up!) about the wonderful medicine that is going to make all the cancer go away and stay away!

Sadly, I can't take the medicine for her....Heaven knows that I would switch with her in a heartbeat!!

I hate to see her go through these terrible affects from the chemo, not knowing that she MUST to do it to get better. But, the worst part is that she has to suffer through these horrible, terrifying side effects and in the back of my "severe analyst brain" that I have, I am hearing horrible monsters of doubt that it might not work! Quick! What’s my plan if that happens?!

Pediatric Cancer Leukemia patients with the A.L.L. have a great shot at surviving on the cancer trials that they have today, but there is always that chance that it will come back.

No child with Cancer is safe, except in Heaven.





Friday, April 2, 2004 10:22 PM CST

It's pretty late on Friday night, just a little bit short of midnight. I am on the computer, reading over all the kid's CaringBridge Web Pages, checking out how their days have gone with all the ups and downs.

I also try to read the 'ALL' Kids 'postings'. Today has been very busy for the list serve. I try to respond whenever I think I can add value to the conversations. Most times, I just 'lurk' on the list---soaking up the comfort that is gained by knowing these people are my comrades in the same battle.

It has made me start thinking about the term 'strangers'. Actually, Lakota's mom left a message in Madie's little 'guess book' that came from the Bible, the chapter of Hebrews. It talks about how we should be kind to strangers as sometimes, we have entertained Angels.

I believe in Angels.

I believe Angels walk among us, here on this hard planet Earth. I believe that Angels join us in our battle. In fact, I know it.

And because of the Angels that walk among us.....I also started thinking about these 'strangers' people. I actually perceive strangers differently now that cancer has moved into my home, somewhat of a very unwelcomed termite infestation! How differently? Well, pretty wierd differently! Almost any one of these strangers that I see in my day-to-day life could be an "Angel" in our life now!

So, what do I do that's different?
I smile at everyone! I wave at anyone who drives and takes turns---it is so great to see people react! I smile big when shopping----when pumping gas----heck! When I go to the mail box and cars whizz by, I just wave and smile at my neighbors!

I don't know their names.
I don't know who they are.

BUT....
To me, they are not strangers anymore!
To me, they are ANGELS!!
To me, they could be my daughter's reason for being alive!

To me, they could have given her blood or platelets to keep her alive.
Seeing that it has been about 21 times now, it could be just about anyone.

To me, they could have made a donation to the Red Cross that allowed them to buy the supplies to collect the blood.

To me, they could have made a donation to the Children's Healthcare of Atlanta where Madie goes for treatment, where they have saved her life.

To me, they could be working where they make the plastic that is used in all the various items to collect a blood donation, or heck, even the tubing used when it goes into her little body.

To me, they could be working for the auto manufacturer that makes the cars that takes these people to the places where they go to donate the blood that went into Madie's little body to save her.

To me, they could be working for the bank that keeps the money that people donated to help pay for the costs of the blood supplies and the blood donation materials.

To me, they could be working at the gas station that keeps the gasoline pouring into all their cars so they can get to the Red Cross blood donation centers.

To me, they could be working for the county road crews that keep our roads clear and working so they could get to the Red Cross blood donation centers.

To me, they could be working for the police department that keeps the roads safe so they could get to the Red Cross blood donation centers.

ARE YOU GETTING THE PICTURE YET?

To me, I think they are all my friends and they have all helped my daughter stay alive!

YES....to me, they are not 'strangers' anymore. To me, they are my friends, I just have not met them yet!

Now...if only I can get all that onto a bumper sticker to place on my car so everyone can read it, I'll be doing fine!

HELLO *ANGEL* STRANGER!!!

:-)


Sunday, March 28, 2004 5:33 PM CST

Wow.....the first journal entry.

I normally am never at a loss for words.

I have thought about it lots of times and planned lots of "Profound" words to put down on the blank spaces. But actually, yesterday I changed everything that I had prevously planned to talk about.

Ahhhhhh....yesterday. Just one of many days in the trenches of fighting this bloody battle. Most times, I feel like the battle is between me and a horrible two-headed monster that towers above my head. I picture me standing there, with a sword in my up-raised hand, much like the pictures that you see at the movies of Hercules trying to slay the two-headed dragon.

There I am.....swinging my sword....but it is getting so heavy. So very, very heavy. YES! My ears are ringing from the pain, but I can't stop, NOT NOW! For if I do, that which I hold so dear and sweet will be snapped up like tiny twigs in those vicious jaws just inches above my head! I can feel the hot breath of the monster as it swoops down in another effort to grab my precious, darling daughter laying at my feet! I can feel her little fingers tightening around my ankles as she clings to me for life.

The monster tries again. "Not this time!" I say through clenched teeth. I make a leap across the two-feet of space and lunge for the monster's neck. I sink the steel blade into the flesh all the way to the handle. It shreeks in pain, grabbing for it's neck while the blood is gushing out between it's fingers! Turning it's back, it begins to run!

"RUN!" I yell! "And don't come back!" I'm shouting and my lungs are burning from breathing the heat coming from it's back.

I can only pray that it doesn't come back.

I turn my attention to my precious daughter who is shaking and shivering at my feet. She is cold from fever. She is shaking and coughing but looks up into my face with hope and in the tiny voice of a fairy-like child asks me "Is it gone? Is the fever gone?"

I blink my eyes and come back to Earth. I'm looking at the digital thermometer in my hand that is beeping and it reads 99.9. I blink again and answer her, "Yes! Yes, sweetie the fevers have gone! Just a *smidge" of tempature left!"

She is laying on the bed, looking up at me. Her face lights up like a huge moonbeam! I can tell she is so proud to beat the monster back into it's lair! NO HOSPITAL!!

I turn around and walk across the house into the kitchen where all the medicine is on the counter. I'm thinking to myself----we used two antibiotics this time. Normally, it's knocked out with one. I'm worried. I'm very worried.

Madie has very bad allergies and she has fought the pneumonia before, always doing well. She actually has not even needed her nebulizer for the past two years. In fact, CIGNA has sent me a letter just this past summer that they had removed her from the "asthma" mailing list---she had not had any perscriptions for the asthma medicine in a long time.

But now, things are different. Now, the Cancer Leukemia has come. What does this mean for my daugher?

This weekend, Madie has been on "Day 5" of the Zithromax, so she doesn't take any more. But, the pollen is worse and she is coughing more today than yesterday. Of course, I also have to worry about the Methetrexate. That medicine is terrible on her bone marrow and can also affect the lungs. I'm worried that the cough is partly the pneumonia and partly the Methetrexate. I'm worried about what this is doing to her lungs. I'm worried about the scars in her lungs that she already has from years of pneumonia and asthma. I'm worried about the scars that she could get. I'm worried because she has been on Singulair since last October and it had been performing wonders! But now, it's like spitting in the ocean. Will it make a difference? I'm worried because she is on Allegra, and it appears to be keeping the runny nose away---but at what price? Is that going to be enough to keep this two-headed monster away until we can get through this pollen season?

And then....I worry if these attacks are going to make it so much easier for the Cancer Leukemia monster to come crashing through what is left of our defenses? It wouldn't take much right now.

I can only pray....and watch....and wait. And search the horizon for any signs of the invading mongrel hoardes.............until next time.





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