Wednesday, September 16, 2009

Chemotherapy 101

I drove to Staples yesterday to buy a binder with tabs for the information we have been receiving. We also received a binder from our social worker, so we have two full books of information important to the well-being of our little guy. Not only do they give us information, the nurses here are actually staffed to allow frequent and intense teaching sessions. We were glad to have Randal here, because Matt and I were in Chemotherapy 101 all day. Matt was glad I was mentally present for the first time since we arrived, and I know why. It was overwhelming.

Chemotherapy (cancer medicine) affects all rapidly growing cells-- normals cells as well as cancer cells. The cells lining the mouth, stomach, and roots of the hairs are examples of cells that grow quickly. That is why Jace will lose his hair and sores may appear in the mouth and stomach after chemotherapy is given. Chemo also affects three important blood cells: red blood cells that carry oxygen, white blood cells that fight infection, and platelets that help clot the blood. I received help yesterday to find a book at Barnes and Noble which I can use to help Jace learn about these important facts... so if you need to look at it sometime let me know.;)

One of the first paragraphs in a hand-out we received says, "Many parents wonder what caused their child's cancer. Almost all cancers in children occur for no known reason. Most arise from non-inherited changes in the genes of growing cells."

We have a calendar for Jace's treatment for the first month, or his "Induction." (This is the first stage of five including: Induction (1 month), Consolidation, (1-2 months), Interim Maintenance (2 months), Delayed _____ (something I can't remember right now) (2 months), and Maintenance (2 1/2 years to 3 years). The first stage takes us through October 12. Every day Jace will take or be given one of four meds. Some days are more intense than others. On Mondays, no matter what, we will be here in PCMC. After this week, the other days can be administered at home. BUT, this is all dependent on many factors including how Jace is doing...if he is fevering, etc. We are SOOO lucky to have a local Pediatric Oncologist. Everyone here speaks so highly of Dr. Hancock, and we are thrilled that when we return home we have a very near resource.

Is your head spinning yet? Matt and I feel your pain.

Jace is MUCH better tonight after his transfusion. It took until about 9 PM for him to get much energy back, but he's watching TV now. We had an emotional day- dealing with the changes our lives are destined to have for the next while: Jace's numbers were up enough that they let him go outside on a patio today. He was so excited to go out- for the first time since Friday, but after placing his face mask on and walking to the 3rd floor, his energy was fading. Then he realized he couldn't sit in the sun, because of the chemo...and he'd have to leave his mask on because there was dust in the air...and after all this, he didn't have the strength to walk back. Matt carried our little man back to his room. It broke my heart to see my touchdown scoring, bases running, ball of fire crawl into bed and fall back on his pillow.

But, like another dear friend pointed out tonight...3 days of chemo down and counting. We can do it. Although we feel like we will never remember the things we've been taught about how to care for Jace through this Chemotherapy process, we find strength in all of the things you are doing for us. I'm nervous to start listing them, because I know I'll leave something out. Please just know we appreciate all that you do. When Jace heard he was on T.V. tonight he said, "Man, people are going pretty crazy over one little sick kid."

The Truth


I have to admit to all of you who think I'm so strong that I wallowed this morning. It's only fair you know the truth. Especially because many of you are thinking I'm holding it together. Today when we learned Jace needed another blood transfusion, I finally really cried. Matt consoled me and together we decided I am just exhausted. Because Jace was sleeping peacefully at the time (which I know now was because he wasn't getting enough oxygen from his red blood cells), and he wasn't in any pain, I curled up next to him and swam around in my sadness until the hospital room phone rang. Matt had just stepped out to let us sleep, so it was up to me to decide if I was getting the phone. As many of you know, I haven't been answering my cell phone. I've been texting close family, and I'll look to see who calls, but I'm not great at communicating yet. I'll do ok for a few minutes, but then I get that scrunched up face and my voice goes all squeaky when someone asks how things are going. I promise. You don't want to hear it.:) But this time, I heard my cell and didn't look. I just kept crying.
So it surprised me when the hospital phone rang in our room. I looked at it for five rings, and then something told me I needed to pick up. It was my friend. We had a short but great talk, and she ended by explaining something she did in times of sadness: she made a list of the Lord's tender mercies associated with the present situation. It made instant sense to me. I'm so glad she called. As I dried my tears, my head teemed with how many things have been going right. Here's my list:
Tender Mercies
A quick blood test by Miller sent to a pathologist on 9/9
Dr. Speakman finding Dr. Hancock
Dr. Hancock coming back to his office on 9/11
Family: grandparents, parents, brothers, sisters, nieces nephews, and cousins
Primary Children's Hospital
Prayer
Nurses Kathleen, Marie, Liz, and Ben
Brilliant doctors
Mike, the Child Life Specialist
Understanding employers and co-workers
Blood donors
Traveling baseball network of friends
Everyone sending love and support
Students
Hayden's sweet spirit
Jace's spunk
I'll post in a while to tell you all the things we learned today. Jace's pizza just arrived.