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Sun, 04 Jul 2004

Happy 4th!

Yes, we are still alive and haven't dropped into a black hole yet - - although I'm beginning to suspect our home sits on some cosmic vortex that sucks the life out of you! Last week was so unbelievably crazy that I never had two seconds to do an email update.

Jade went for an oncology appt on Monday the 28th of June and was supposed to start chemo that day. The CT report was finalized and there was minimal growth (like .2 cm of growth on each of the tumors) which made our oncologist unhappy. She decided to switch to the other chemo since she wants no growth or shrinkage only. Any growth is bad news and she wants to try the other chemo (irinitecan and temozolamide). This chemo is supposed to have less side effects than what we've had in the last 18 months. (We decided to start with the bad stuff first a couple months ago when Jade was the healthiest and could tolerate it best.) The biggest side effect from the irinitecan is diarrhea (too much information for ya' yet?) which is usually controlled with Immodium AD but a few people are hospitalized and of course they have to tell you the disclaimer that some have died from the diarrhea (happiness and light every where we look.)

We were ready to start chemo but our insurance company (PEHP) says this treatment regimen is not covered for Jade's disease (DSRCT) so we've been in an all out battle, bordering on declaring war, to try and deal with that. If they won't pay for the chemo drugs, they don't see the need to cover the nurses hanging the chemo or anti-nausea drugs either. The home phone and cell phone have been ringing off the hook all week long as we've been talking with Huntsman Cancer Institute (HCI), our insurance company and IHC Home Health to try to figure out what we're going to do. Jade's oncologist finally said on Friday that he needs to be in the infusion room on Tuesday morning (the 6th) to get started and we'll figure out the "cash rate" discount we can get from HCI and keep appealing with PEHP. Hard to believe I was worried about stroking out last week.........good thing I don't have a crystal ball to see what's ahead cause this week was awful too.

This chemo is five days on, two days off, five days on and nine days off. He will do two rounds of this and we'll have another CT scan to see what's happened. Another lovely snag is Monday (the 5th) is the official federal/state holiday so we're not sure how we're going to do five days in this week, but his doctor wants to get it started this week so we'll see how it plays out. We could easily do it here at home but it's an Act of Congress to get home health and our insurance companies to cooperate. The infusions will take a total of two and a half hours as compared to the four to five his old chemo used to take and we shouldn't have to do IVs at home or through the night which is good.

The other news from Monday's appt was that our oncologist is leaving in five to six weeks to practice in Boston. She's the only sarcoma specialist in the state and she's been so amazing to work with. HCI will be posting her position but it'll take quite a few months to get someone to fill it so they'll have attending oncologists help with her patients. Sigh. (Happiness and light around every corner this past week.)

So, our week was filled with no sleep, a million and eight phone calls, pounding headaches for me and abdominal pain for Jade. We did have fun seeing my family (siblings both visiting from TX) during the week and Jade's extended family reunion (maternal side) on Friday night. That was an upside from not having chemo. Every night I wanted to do an email update but was too tired and couldn't figure what I'd say other than: "Talked on the phone all day, can't sleep at night. Still no chemo and no plan for next week. Quite frustrated. Love ya' !" That email could have been typed every day last week and been accurate.

I kept thinking of a couple things this past week to keep me going. One was the Chaos Theory (something from grad school stuck!) which basically states in chaos exists order. Like a river which runs and seems to be chaotic but is actually rather orderly in finding it's path downhill. I do believe God has a purpose to the uncertainty which exists in our lives right now. The other is a quote from Emily Dickinson:

Hope is the thing with feathers
That perches in the soul
And sings the tune
without the words
And never stops -
- at all.


Through it all, I am trying to have faith, hope and patience (the latter is mostly for the sake of my cute two year old!) Those three things are expressed in every prayer I say. Jade and I are fortunate and have much to be grateful for. I just need to remind myself to keep looking for it, hiding in the chaos. Thank you for your friendship, kindness and compassion.

Hopefully you're having a wonderful holiday wknd! Enjoy your BBQs, corn on the cob, homemade ice cream and fireworks! Happy Birthday America!

Take care and we'll keep in touch this week..................................

Love ya'....................................Tanya and co.