Wednesday, July 31, 2013

15 Weeks

anyone curious??
ha ha ha

I think I just might be getting the 2nd trimester energy.

Maybe.  I *am* still in bed.  It's 9:25, I've been awake for almost 2 hours. 
I'm introducing Ziggy to Ben Harper right now.

We had the second midwife visit yesterday.
Last time we did all the history, had blood drawn, and had the first doppler and heard Ziggy's heart beat.  (so very exciting)

This visit was just an update.  Blood work was great.  There where concerns about my platelet count (I have a history of ITP) and iron levels.  Everything came back tickity-boo.  My blood pressure is normal and my uterus has grown to here it should be.  We got to hear the heart beat again.  152 beats.  I have a rec. for my 20 week ultrasound.

Everything has been pretty normal.  My 'morning' sickness is gone.  It was never so bad that I threw up, but it was a mighty nuisance.  I had some crazy pregnant lady moments, but all together I think I've been pretty stable hormone wise.  My boobs are a D cup (from a B).  Jason is enjoying that part.

I've started getting sciatica already.  Both from standing too long and sitting too long.  I keep forgetting to look up exercises to help that I can do at work to help.

5 months.  I plan on staying until Jan. 2 (I want that time and a half from new years day!!)  who knows.  I just have to take it a week at a time.  I need to give them 2 weeks notice.  I also need to research maternity leave.

Here is a photo Sister took on my birthday.  3.5 months!

Sunday, July 21, 2013

baby names

I have decided not to tell people the names we pick.  Not that at this point we've picked any.  Or, I have, and Jason shuts down everything I say.  I hope we don't call the kid, well, Kid.  I don't want people cringing at my favourite names.

We do have middle names.

My friend Braz is going though a pretty major journey.  I thought it would be nice to honour him.  We've decided if Ziggy is a boy we are giving him the middle name Braz.  Since Braz is not really a feminine name, I asked him if he had any girl names he would like to use.  He chose Charlotte.

This is what he said about the name, and why he chose it:

"Wow. That is so powerful and a huge honour. Thank you to you and J for the honour. My favourite girl's name is Charlotte, after my Great Aunt Lottie who was like my mother figure from my birth until she died when I was ten. She filled me with love, taught me to garden and bake and cook. She fully loved me as I was. She didn't have a competent husband so she became an entrepreneur in the 1950s . She was an expert baker and baked and cooked for wealthy families around the town. She made enough to live off. She was a big woman, strong and capable and quiet."

Pretty good legacy to continue, no?

Here is just a small part about why I wanted to honour Braz, and continue his name.  This is something wrote on facebook to keep his friends and family updated.  I felt not just updated, but feel blessed to be his friend.   I knew he was an amazing person before this.  This attitude is not new.  I want to share his words.  (with permission)  This is a lot of back ground, and I've bolded and italicized some bits that I find important.
16 July 2013 at 18:41
Reflections on the events of the last few days.

It has been a difficult few days.  I’ve been in my third week following my first chemo treatment.  I had been exhausted for most of the three weeks to the point where I could do very little other than sleep, shuffle about my condo, slowly eat the meals that my loved ones prepared for me, listen to music, and do a very small amount of composing.  I have only been able to sleep for a couple of hours at a time due to chest and back pain and breathing challenges.  In the second week after chemo I started having what they call “black, tarry stool”.  That is a sign of internal bleeding.  I put off going to emerg because I kept thinking it would clear up and kept imagining I was feeling better.  But I started having severe sweats and my fever would spike to 38.8 over a couple of days and I finally agreed to go to emerg.

On Sunday, B, my ex-partner and R, my girlfriend, and I went to M. Health.  We explained that I had advanced sarcoma, was receiving chemo, and had black stool and fever and sweats.  I really felt that I was there to get tested for infection and hadn’t been thinking about the internal bleeding because my stool had appeared to return to normal.  Given my situation, the emerg staff put us in a small, private room where we would spend the next 13 hours.  They took lots of blood in different shapes and sizes of containers to test for various possible infections.

The first doc we encountered decided to start intravenous antibiotics as a precaution.  However, he also had a nurse deliver three advil, a gravol IV bag and a morphine IV bag.  Chemo patients are not supposed to take advil, especially those with symptoms of internal bleeding.  I declined the advil, gravol and morphine and we got the IV antibiotics started.  They also gave me an IV bag of saline.

The room that we were in was the same room that I was put in a year and a half ago, when I was taken to emerg with a collapsed lung, pneumonia, pleural empyema, and a blood infection.  I almost died in that room last year when the docs just gave me morphine and told me to sleep.  I woke unable to breathe and sat upright and gasped until I got some air.  I leaned forward and found I was able to breathe a bit better.  I sat in that room for two days while we waited for a bed in the hospital.  I sat up at the bedside, leaning on the hospital table.  I didn’t sleep.  When I was transferred to a regular bed, they still didn’t know what to make of my situation and continued to give me morphine and added antibiotics.  I continued to sit up and lean on the table day after day.  I got a blanket brought from home and folded it into a sort of face pillow atop the table.  I had a crevice for my nose and would lay forward with my face on the blanket and doze for short periods.  I could barely eat and was getting delirious and was entirely exhausted.

On the fifth day, I was sent for yet another CT Scan – they had already done several – and a doc from the ICU, Dr. R, saw me and followed me back to my room and had me transferred immediately to the ICU.  They puzzled over what to do until a thoracic surgeon, Dr. L, was asked to look at me.  He ordered a surgical tray and right there at my bedside cut a hole into my chest to insert a garden hose-thick drain tube.  He couldn’t get the tube through the sticky fluid in my chest wall, so he pushed his rubber-gloved finger into my chest and wiggled it around to break up the obstacle.  Then he pushed the drain tube in.  The team of docs decided to inject my chest with a chemical cocktail which would loosen up everything in my chest.  They injected me then sealed the drain tube.  I laid on my side in excruciating pain for one hour.  It felt like my entire chest cavity was a bubbling cauldron.  My stepson, Rb, came to visit right during that hour and all I could say to him was, “this isn’t the best time for a visit”.  When the hour was up, they unsealed the tube and attached it to a drain box.  They also put two more, smaller, tubes into my back.  Over the next weeks, more than five litres of fluid drained out of my chest.  I could breathe again and started a very slow recovery.

It was strange being back in that same emergency room.  With the same side table.  I felt like I was visiting with an old war buddy.  I also had a lot of emotions that came with the memories.

We somehow got another doc assigned to us and he  came in to discuss the blood tests.  Nothing had shown up in terms of infection but he was concerned about my hemoglobin levels.  I had had a test the week before, and even though the black stool had stopped, my hemoglobin had dropped notably in just a few days.  He was concerned about internal bleeding and had a phone conversation with a doc from P M.  The local doc was leaning towards sending me there for emergency care but they decided together to give me a unit of blood and send me home.

It took them hours to get the blood match done and to start the transfusion.  Having confirmation that I was bleeding internally was a hard thing to hear, even though the black stool and severe exhaustion had suggested it.  While they started the transfusion I became very quiet and serious as my memory was dragged back to my teens.  When I was 15 years old I began having stomach troubles.  When I was 17 I began suffering severe fatigue, lethargy, exhaustion.  Blood tests showed low hemoglobin and eventually I fainted in the middle of my family doc’s waiting room while there for yet another checkup.  That got some serious attention and I was taken by ambulance to C. Memorial hospital.  They found my blood levels life-threateningly low and began the first of what would be many transfusions.  This was in the 1980s at the height of what would become the Canadian blood scandal.  It is no minor miracle that I escaped my many transfusions without AIDS or Hepatitis.

It took several years of testing in K, W, H and eventually, T, before they discovered that I had two haemangioma, benign tumours made up of densely packed blood vessels.  One was in my abdomen and one was in my throat.  Over those years, my life became a strange limbo.  I dropped out of school, was too tired to hold down a job, and spent a whole lot of time living in hospitals surrounded by elderly people and the very sick and dying.  It was a time of life when my friends and school mates where “at their peak” physically and doing all the things that teens do.  My life was limited to a small circle of friends, reading, listening to music, writing, and playing music.   I learned a lot from my time with the sick and dying, primarily to never take life for granted and to make sure I lived a life that I would not regret.  I saw the differences in how people die – how those who were at peace with the life they had lived died more peacefully.

Also over those years I had many, many blood transfusions.  It was a difficult time.  I didn’t know what was wrong with me.  I wasn’t doing very much that was meaningful with my life.  I wasn’t getting better.  I was tested for every known disease before they discovered the haemangioma.  I eventually had two major surgeries to remove the tumours.  Those surgeries and the impacts on my life are another story entirely.

Laying in the emerg bed last Sunday, watching the blood slowly creep up the plastic tube toward my arm, I had all of those memories and emotions come back into my body.  The blood took a couple of hours and then they kept me longer because I had a fever.  They gave me Tylenol and another bag of saline before they let me go.   B had gone home to sleep but came back to pick up R and I.  It was 3am Monday when we got home.  We’d been at the hospital for 13 hours, but it felt like a lifetime.

I slept the best I could that night.  Spent a couple of hours on the couch then a few hours in bed, propped up on pillows.  My mind had sort of gone blank and my body felt distant and shut down.  On Monday I felt quite emotional and spoke with B and R about my memories and feelings.  Later in the day, my sisters, K and J and my niece, Kt, came to see me and we talked as well.  I had a lot of tears that day.  Tears for my teenage self in his fear and isolation.  Tears for myself of last year for the life and death struggle he endured.  Tears for my family’s pain and hardship.  Tears because I haven’t been able to do as much for my kids this last year as I would like and tears over the unknown about my cancer and the internal bleeding.

We had good chats and everyone was supportive and loving and I am deeply grateful for that.  I am blessed with the people who are caring for me in so many ways.   I was exhausted at the end of the day and slept the best I could.

Today, Tuesday, we had to get up early for an appointment with my oncologist, Dr. G., downtown.  This appointment was the check up prior to my next chemo treatment.  I was a bit anxious because I was going to get an x-ray that would tell us whether there was a sign that the chemo was working or not.   We arrived early, waiting a long time for the blood work to be done, then got the x-ray.  All the while two young researchers were recruiting me for a new talk therapy program for cancer patients that they were involved in developing.  Eventually, we saw Dr. G. and she told me the two things that I did not want to hear.  First, the x-ray did not look good.  She didn’t see any clearing and in fact my chest was more “full” than last time.  She doesn’t know how much is fluid and how much is tumours, but the bottom line was that she didn’t see an obvious indication that the chemo had affected the cancer in a positive way.

The second thing that she told me was that the diagnosis that had been done previously was not entirely accurate.  They had previously told me that I had one of two kinds of sarcoma – the kind that tended to respond well to chemo.  I was told then, that I was lucky.  Today they corrected that diagnosis.  Further testing on the sample showed that I have the other kind of sarcoma.  The unlucky kind.  The kind that tends not to respond to chemo.

B, R, K, and I all had some questions.  But I felt a heavy weight of disappointment drop onto me.  Everything that I have been enduring has been in the hope that the chemo would help reduce the cancer.  We still need to have a CT Scan to properly assess the status of the cancer and to see where the fluid is and how much there is.  But even the fact that so much fluid has accumulated in the last two weeks is not a good sign.

Dr. G wants to try a second round of the same chemo drug.  If that doesn’t show any results, she has one other drug to try.  She didn’t want to give me odds because she said that it works on some people and doesn’t on others.  If it works, your odds are 100%.  We can surmise what the odds are if it doesn’t work.

She is concerned about the bleeding and is going to give me two units of blood prior to the chemo treatment this Thursday.  They are also going to do another ultrasound-guided chest drain on Thursday.  They may also attempt to insert some substance into my chest to prevent the fluid from building up again.  It will be a long, long day at the hospital.

This has been a hard week.  The one positive is that all of the doctors who have seen me say that they are amazed at “how well I’m doing considering what the x-ray shows”.  I’ve been told that for months now.  My body is managing this heavy disease burden as well as possible.  I am glad that I have lived well, eaten well, exercised, cared for myself.  But I know that there are limits.   The flipside of the compliment is that the expectation is that I would not be doing well and therefore that I don’t have much more room for the cancer to spread before I will not be doing “well”.

I don’t know what to think or feel right now.  The scope of my health journey is almost too vast to process.  There are many biographical, emotional, and physical layers to what I’m experiencing.  I can only come back to what my core values are.  And they are to deal with the situation with as much courage and dignity as I can.  To be open to humour, although that has been a big challenge this week.  To be honest with everyone about what is happening.  To keep taking the best care of myself that I can.  To hold onto hope for healing while also being truthful with myself about my situation.  There are big things to be worried about now: the spread of the cancer and the internal bleeding.  But we are going to try round two of this chemo medicine and if that doesn’t work and my body is still holding up, we’ll try the other drug.  If that doesn’t work we will worry about it then.

I can’t help but think about dying.  About when I might die and how I might die.  But I’m not dwelling on that.  It is part of what I am experiencing but it is not happening right now.  Right now I am sitting on my couch, breathing in oxygen from my loyal oxygen concentrator.  My sister is resting in the other room.  R is painting.  B is out looking for a new couch for me.  I continue to be very blessed. 

I am also blessed with many, many family members and friends and acquaintances, and even total strangers, who are sending me good wishes, healing thoughts and energies, and prayers.  I take great comfort in that and I appreciate it with all of my heart. 

As my sister, K, has taught me to say to myself, although I feel useless sometimes because there is little that I can contribute right now, although I am exhausted all of the time, although I am full of cancer and bleeding inside, I love and accept myself fully.  I think that is the best we can do whatever circumstances we find ourselves in.

I encourage you to appreciate whatever good is happening in your life right now.  Even something as simple as taking in a nice, full breath.  Or the feeling of laying down flat on your bed.  Or the sensation of walking.  Whatever you are facing, I encourage you to love and accept yourself fully. 

And I love you. "

There are of course, financial worries.  Braz has an album, and you can download it, or order a CD.  Buy it for the music.  It's pretty damn great, so it's a win win!!

Thursday, July 4, 2013

an announcemnet

I'm Pregnant!

I've tried to keep it quiet.
Some people may have gleaned from how tired I am what the case may be.

I had an ultrasound Monday, and everything is just fine.  Good heartbeat.  Movement.

We've been calling the baby Ziggy.

Meet Ziggy!