Thursday, April 7, 2016

Our First Date

MEDICAL UPDATE: (After yesterday's post) Dan's heart showed improvement yesterday so the catheter was removed and he was moved out of CICU last night. Today cytology results came back and there were no cancer cells in the fluid. He was discharged today!


Top 10 Reasons Our First Date Was Weird But Awesome (Kind of like our journey being in love the past 12 years)
  1. Our first date was at a wedding. Thank you, Allie and Joel Birchler.
  2. The wedding was out-of-state in northern Indiana.
  3. It was a weekend-long date, because I had plans to go camping with our mutual friends, Hattie and Corey, while we were all there for the wedding weekend.
  4. I formally called Dan (I lived in Peoria at the time and couldn't talk to him in person) to ask him on the date and when he answered the call, he was on a date with another girl (albeit it involved a group of friends, too, so it wasn't neccessarily in bad taste).
  5. We agreed on all of the music that we listened to for the two hour drive from Chicago to Goshen. No fighting. We also talked non-stop. (Or maybe I talked non-stop and he sort of participated.)
  6. It was located near my college stomping grounds, so I got to show him around! However this also (for some reason I can not remember) involved stopping by my ex-fiance's house and introducing them. Poor Dan.
  7. We were on an official date, but I treated it as "just friends" because I was still healing from a break-up three months prior...And that was a different boyfriend than the ex-fiance. Poor Dan!!!!
  8. We had already kissed prior to this first official date. (Gah!) You can attribute that to a little bit of alcohol and the outrageously, epic, wonderful Chicago bar crawl our friends Corey and Patrick put together that spring. At one of the final locations, Dan drew a name out of a bag that required him to kiss me. (So not so poor Dan).
  9. We shared a tent that weekend but no funny business happened! We were a great combination of nervous, shy, modest, and exhausted each night.
  10. There was a kindred moment when we were playing a game by the campfire and Dan and I realized that, completely out of context of the game or conversation, we both thought of Santa Claus at the same time.

Wednesday, April 6, 2016

My MEGA Blog Post

We have enjoyed a beautiful start to Spring here in Carlton, Oregon. Raine enjoyed celebrating Easter with egg hunts, gifts, treats, and time with friends. Dan’s exam and maintenance chemo treatment on the Friday that followed Easter was without concern or change.
For Christians, Easter is a celebration of Hope. I remember learning about Easter’s entire procession as a child in Sunday School. What stood out to me was the palm fronds waved and placed in adoration of a spiritual leader. And then the death of such a beloved teacher and inspiration, to be followed by the mystical resurrection of his body. It was fascinating for me to contemplate as a child, and while I was learning about Christ in a Protestant church, Dan grew up learning about him in a Catholic Church. No matter the dogma, it was a holy week.
As adults, Dan and I don’t attend church. We don’t ascribe to a particular faith. We are teaching Raine what we have passed down as traditions in our families and focusing on emphasizing the central theme. Do unto others. (Don’t be mistaken that this teaching is too simple.)
At this point in our lives, what does Easter mean for us? What does Hope mean for us? A family living with incurable cancer?

Hope can be a very bruised emotion that is absolutely courageous to develop. And it can be stolen from us–how despairing is that moment! When it is taken from us, we starve. But even those of us starving manage to survive! When I feel completely afraid of living, uncertain that I can navigate the moment that breaks what I know and cling to, I seek out those who survived amidst losing hope. I read Elie Wiesel for the first time when I was 17 and the words pierced me for the rest of my life. Because of him, I believe there is never a burden so great that we cannot bear it. For even if we give into the burden, and we are diminished, we bore it for as much as we could, and there is value in that effort, no matter how small. It is a choice we make to carry on, whether or not there is a reward, or improvement. We strive to live, an act that we consider so simple that we can’t accept that it makes us and our efforts no greater than that of an animal. We don’t need Hope to survive. But with Hope we honor ourselves and the process we are experiencing. It is for a greater good. (What is the greater good? Pull up a chair and let’s discuss.)
Dan was diagnosed with Stage 4 Lung Cancer (Metastasized to his Brain, Lymph Nodes, and Spine) 18 months ago. What has been our source of Hope? Sharing our story. This is not uncommon. How do we do it? Every day since his diagnosis, Dan has worn a wide turquoise band reading “End the Stigma.” If someone should point to his bracelet, he can educate them about his cancer. I am writing this blog post. I am sharing our realty as best I can find the words. Because we are more than a diagnosis. We are more than the difficulty we face.
We are you; do you see it?
Our bodies are designed to survive; the rigorous work of cells and their sacrifice, on an un-ending basis every second of every day–their unison that ushers us into each moment, isn’t our biology Love? Such effort! A holy blueprint to breathe and make choices, alive and changing, giving us moment after moment to exist. We are human and so are you. So tell our story. Understand that our story can be yours. Learn and share. Give us more life in the blessing of your words and anectdotes.

When Dan had a seizure in February, his anatomical reality burst into Raine’s bedroom and altered the very moment and memory Raine had of his ‘nighttime routine with daddy.’ I attended to Raine with every fiber of my mothering-being in those moments between seizure, recovery, medics, and an ambulance taking daddy away, while also attending to my distraught husband and reminding myself to breathe, and this taught me: Yes, we live through it. We bear it. We trust what it is given to us and we make sense of it to keep going. Hope was the moment of wishing Raine could make sense of it all with my body next to his. I did not promise him anything. I lay with him in the bed and stroked his head, answered his questions, reminded him I am with thee. And the beauty and joy of hoping in something beyond what we can see is just that— I am with thee, whether I am seen, whether I am in a physical body, or not. I yearn for more compassion in our world because of this simple moment with my son.
Dan has been unable to drive for the past six weeks. This has meant he has traveled to and from work relying upon a co-worker, me, or the county bus system. It switched our lifestyle around. It stole from him his independence but gave him the ability to watch the shift of light in the sky or the hawks rising and diving, and listen to music again with his earphones. He started stalking records stores and talking about music more. He had shows he wanted to see. And our date at the Oregon Symphony for The Planets by Gustav Holst moved us to tears.
Which brings me to our decision to relocate to Illinois. Dan’s cancer is incurable. We have known this since Day 1. There are families who receive Dan’s diagnosis and have no time. We have had the extraordinary gift of 18 months to live here and make more memories on top of our already amazing memories we have made over the past 10 years. What a gift!!! We love it here. We love everyone who has been with us in our journey here. And now it is no longer sustainable for us. Dan has worked as long as he has been able to work without his work taking a toll on him, and I have made my island of support work for me until I couldn’t anymore. It is time to change. As many people are learning, the greater Portland area is expensive to survive in these days and our little family was not set up to survive the hit of an asteroid like cancer. I go back and forth about feeling guilty that we weren’t financially prepared for a life-long battle with cancer but everyone is quick to remind me you just can’t prepare.
And after conversations back and forth over the last year, we are ready to begin a new chapter! We will be in Illinois, living in the greater Peoria/Bloomington area. I will have the support of my sister, father, lifelong best friends, parents of said friends, aunts, uncles, and cousins, etc. Dan has friends from college in the area and his immediate family as well as his relatives will be 2.5 hours north. We need them. All of them! It is as simple as that. We are ready to establish a new life and it will be a new lifestyle, very different from the one we have had (but no less beautiful!) to support our son and our family.
If Dan didn’t have cancer would we be moving? No. Nope! Not at all. (No offense, Illinois).
Is it scary to relocate across the country? Heck yes. I can’t even tell you what my planner looks like these days. Lists upon lists. Calls upon calls. Emails upon emails. Appointments, errands, applications.
Is it the right decision for our family? Absolutely. You can’t deny the feeling in your gut and the vision that carries you forward. It’s that Hope thing.
Are we sad? Of course. This is an example of “Adulting.” You do what you need to do even if it isn’t “ideal.” You sacrifice. Things need to get creative. And honestly, our tears will honor what we built and were a part of for 12 years. I predict that there is no shame in balling like a baby when I drive East on I84.
What is our timeline? The goal-said-balling-driving date is June 6th if not before.

At 11:00 p.m. Monday night, an on-call Cardiologist in the ER explained to us that Dan’s heart was surrounded by fluid, and it was so acute that should we wait for the morning to drain that fluid, Dan’s heart would suffer cardiac tamponade, which meant his heart would likely collapse against the pressure of the fluid and no longer be able to pump blood to his brain and vital organs. This was not planned. This scenario had not been laid out before us as a possibility with his cancer–not because our doctors were ignorant, but because they knew it happens but not always, and they did not want to burden us with worry about something that may or may not happen. I did my best to listen to every word the cardiologist said, but honestly all I could say to Dan after the doctor left the room was that he reminded me of a Portland hipster version of Leonard from The Big Bang Theory. We giggled like school kids even though the weight of the world was upon us. I scribbled notes in my lbnb, alongside notes of inspiration I had been taking on writing a poem about the mystic biology of cells.
A team was called in and an emergency pericardiocentesis was performed, releasing a half liter of fluid build-up from the surrounding heart membrane. Dan spent Monday night, Tuesday, and now this morning in the CICU watching further fluid drip out of his chest. When the fluid stops, he will be able to leave the CICU and hang out in a normal hospital room (At which point we will have friends delivering the food of our choice from Portland restaurants!)
When I came to him Tuesday evening, after securing Raine with a friend to babysit, Dan was sweaty and tired in his blue and white checked hospital gown, surrounded by cannula pushing oxygen, dripping fluid from his heart, monitoring and gathering data. I teased him for adding a cardiologist and the CICU to his resume. He laughed, but it still hurt his chest to laugh. He had a grouchy nurse and you better believe that we worked her over and made her happy by the time we were done with her. He watched his usual Travel channel or Food Network channel, read the music and political magazines that I brought him, ate the ICU-mandated cafeteria meals, and snoozed as much as possible in between interruptions for urinating, checking his fluid bag, and chirps or rings from his cell phone. He is still working full-time.
So let me give you a piece of my Hope:
Wednesday we learn that Dan’s pericardial effusion is due to a random viral infection. He receives antibiotics and it is over. If not, then it is malignant fluid and the cancer metastasized to his heart. He will begin using Crizotinib to treat the cancer and he will have a spectacularly uneventful procedure to create a pericardial window. Regardless, he will come home and celebrate his 39th birthday this weekend with Raine, me, and his lifelong friend, Javeed Shah, as well as Jay’s family, in a gorgeous trip to the Oregon Coast. The weather will be stunning.
I will take pictures.
I will write a blog post about it.
Did I tell you Happy Easter?