Tuesday, March 26, 2013

The New Normal?

I thought I would give you a quick (well maybe not so quick) update.  Art was able to receive his 3rd chemo treatment this past Friday.  We were so pleased to see a further decrease in Art's liver counts--it's not in the normal range yet, but we're getting there.  Our doctor is very encouraged, and is so pleased about Art's continued decrease in liver pain, and that the night sweats and "tumor fevers" he was experiencing have also stopped--a good indication that the chemo is working.  He will hopefully have another chemo treatment on April 12, and then another scan at the end of April.  The doctor believes we will see progress and that he will probably continue with another round of this same chemo plan.  We were so grateful for this encouraging news.

I guess you could say we are settling into a routine.  We are feeling very comfortable with University of Chicago.  We go for Art's vitals and blood test early in the morning.  Then, while we wait the hour for the results, we head to the cafeteria for some breakfast together.  We head back and wait for the news about whether his blood counts are good enough to receive the chemo.  We always experience some anxiety as we wait with all the others for the results.  We have been very blessed that Art has been able to receive his chemo each time and we have been able to stay on schedule.  We head to the back and say hello to the nurses who have given him chemo on previous visits, and meet our new nurse for the day.  Each of these nurses is fabulous in her own way.  We talk with the nurse and the doctor for awhile and discuss all of Art's symptoms and the progress.  That's a wonderful word--PROGRESS!

Even some of the symptoms are becoming somewhat of a routine in that we know what to expect, however, some different side effects have come out with each treatment.  Art is learning how to combat some of these.  He had a horrible battle with mouth sores the first treatment, but he aggressively fought those the second time with some crazy gargling and rinsing with a salt water/baking soda solution.  This helped tremendously the second time around.  This last time the sensitivity in the hands and feet became prevalent, especially the hands.  So much so, in fact, that he had to delay the chemo pills for a couple of days until the cracks in his hands healed a bit.  Unfortunately, the extreme fatigue continues with each treatment--that's to be expected.  Art says it's like nothing he can describe.  The kids and I are in awe at how fast he can sit down and fall asleep in the oddest positions.  Art has lost some weight, which we are fighting with lots of protein shakes and additional snacks.  But, he still has not lost his hair.  They said he would probably lose some of it, but we really haven't noticed that despite the short hair cut he's sporting now.

By the time Art has his "off the chemo" week, he's starting to feel better.  It's hard to go into the next treatment, knowing what will be happening in the next few days.  But, at least we can feel pretty positive that the chemo is working.  Some days Art is pretty  miserable, and that's when discouragement sets in.  The doctor believes he will probably be on some type of chemo treament for the rest of his life.  It's hard to imagine this and we wonder if what Art is experiencing is the new "normal" for him.  We try not to think too long about that.

We have received a lot of questions about whether the cancer can be surgically removed eventually.  Believe me, we would like the same thing.  Can't they just cut it out??!!  I'll try and communicate the explanations we have received from our doctor.  To our medical family and friends--please forgive my inadequacy in this.  First of all, thank you to those who have graciously offered to share their liver with Art!  Wow--what a gift that would be!  But the doctor says Art would not be a candidate for a transplant.  The cancer in his body would view the new liver as "fresh meat" (in the words of the Doctor) and quickly attack it.  The cancer is also throughout the liver, not just centralized in a few spots which could possibly be removed.  Even though the cancer started in the esophagus, and there is a mass there, the mass is not giving Art problems.  To try and remove that mass would be a major, complicated surgery, so the doctor is most concerned about shrinking the cancer in the liver and esophagus with the chemo. While we are happy the esophageal mass is not effecting Art, this is also the reason why the cancer could spread to his liver without us having any idea this was happening in his body. The doctor of course says we will continually re-evaluate the situation and possible treatments.

While we hear the doctor's explanations and the prognosis for treatment and curability, we have hope for a much better outcome.  We know you all believe that as well and are praying for that.  Thank you for continuing to be prayer warriors for Art and for our family.  So many prayers have been answered and we ask you to praise God with us for that.

Emotionally and spiritually, we continue to have ups and downs.  It's our desire to know God better through this journey.  Our friend Mark has had a rough couple of weeks with some tough news about the spread of his cancer and a new course of treatment.  Art and I have been frustrated by this and have felt anger and sadness and questions.  But in seeing and talking with Mark and Diane, we feel so encouraged and blessed by their positive spirit and their total reliance on the Great Physician.  We ask that you continue to pray fervantly for Mark's health.

I continue to bring all my questions, my doubts, my fears, my discontent, my impatience, my worry and lay it at the feet of Jesus.  Sometimes the more I try and understand God, the more I realize that I can't.  Many days I want to hold onto my uncertainties, but as I let go and allow His presence to fill my heart and mind, He allows space for me to experience peace and all the joy and goodness surrounding us everywhere.  His ways are so beyond my understanding and I resort back to the simple truths I know in my heart.  I find these simple truths echoed most earnestly in the words of hymns I learned growing up..."Jesus loves me this I know," "Great is thy faithfulness...Morning by morning new mercies I see," "How Great Thou Art," "It Is Well With My Soul," "Amazing Grace," "Love so amazing, so divine--Demands my soul, my life, my all!"

Our life goes on.  We celebrate good things--birthdays, good grades, sports events, vacations, family, friends....  We still manage through the typical and tough daily challenges and emotions--work stress, our children's heartaches, homework, financial burdens.....  But, going through this makes us live differently.  Although we don't live it perfectly and we are definitely a work in progress, God is providing an underlying joy which goes far beyond our circumstances and He is helping us claim a total reliance on Him to meet our daily needs.  We just can't live any other way.

Yesterday we left with Olivia and AJ to visit Art's parents in Florida for Spring Break.  I don't think we have ever looked so forward to a vacation.  We hope to relax with some good family time,sunshine and warmth.  Although some of the chemo side effects will be in full force, we are going to try and take a break from "cancer", if that's possible.  Please pray that we can experience that and have moments of the old "normal".

Again, please know that each of you are the physical presence of God in our lives--we are overwhelmed by it every day.  He continues to make Himself known to us by the unbelievable acts of kindness, generosity, love, support and prayer we receive from the incredible people in our lives.  Thank you and bless you.

Please join us in the following prayer requests:
  • Thankfulness that the chemo seems to be working, that side effects are manageable, that we experience joy and hope every day!
  • Thankfulness that Art is finally experiencing relief from the bad cold he has had since the first treatment, thanks to the antibiotic he started Friday.
  • That the treatment would continue to work mightily in Art's body to remove the cancer completely.
  • That our friends Mark and Chris would both experience full healing and relief from the cancer treatment they are receiving. 
  • That Art, myself, Makenzie, Olivia and AJ would strongly feel God's presence in our hearts and minds, and be drawn more closely into a trusting, deep relationship with Him.
  • That we would have a wonderful time of rest, renewal and fun on our vacation!
 Praying for strength for today, and bright hope for tomorrow!

With much love and gratitude,

Kris (on behalf of Art, Makenzie, Olivia and AJ)


Tuesday, March 5, 2013

"Best I Have Felt In Quite Some Time."

"Best I have felt in quite some time."  That's the text I received back from Art yesterday when I asked him how he was doing.  I thought I'd start out this blog with that positive response!  That kind of summarizes these past few days and we are extremely encouraged.

I wrote my last blog after Art's first chemo treatment.  It has been a rocky road to say the least in the three weeks following the first treatment.  Art almost immediately caught a bad cold following the treatment which may have compounded some of the effects.  In addition to extreme fatigue, Art experienced significant sores through his entire mouth and some nausea off and on.  But, we are so grateful for the medicines they have developed to help combat the side effects of chemo.  We know that these helpful medications were not always available and it could be so much worse.  One of the frustrating things during the first chemo cycle was that the pain was not subsiding in his abdomen and even seemed to get worse at some points--we were tested with trying to keep our anxiety under control that the chemo was not working, and trying to be patient as we allowed the chemo to start doing it's job.  I know Art echoed others of you who have gone through extended illnesses when he said, "I wonder if I'll ever feel good again."

Last blog, I also asked you to pray for my brother-in-law Jim and his wonderful family.  Many of you know that Jim passed away soon after that.  My sister (Cindi) and my niece (Cori) and nephew (Jim) were by his side.  We were able to travel as a family to Tennessee to be there with my sister, her kids, my parents, my siblings, many of my nieces and nephews and so many more who have been a apart of my brother-in-law's life.  We cried and laughed as we shared memories about this man who made such an impact on so many, and we celebrated his life together.  It was a beautiful thing, and while it was a tough trip for Art because of his health, there is no way he would have missed it.  Please continue to pray for their family.

In the last few days we have really felt encouraged.  On Friday Art was able to receive his 2nd round of chemo.  This was a huge answer to prayer.  We were concerned with his cold that his white blood cell count would have been too low, but it was right where it should be.  We were also thrilled to see his liver counts improving.  That alone put a smile on our faces the rest of the day at University of Chicago.  And, the doctors and nurses were glad to hear that Art has not had to be on as many pain killers.  The pain in his liver was beginning to lessen.  In fact, in these last couple of days, Art has even been able to lay off the Aleve.  As I write this though, some effects are starting to rear their ugly heads again.  But, it's so good to know that the chemo that is causing these effects is starting to do what it's supposed to.  We hope that continues and we are grateful for a few better days!

While every day we wait to see what different effects or symptoms Art will experience, and every day we wonder what the outcome of this journey will be, we are blessed that every day we see God's incredible goodness in people and experiences surrounding us.  It seems that some times we can get so wrapped up in the bad that's happening in the world.  All you have to do is put on the news and it can be a little overwhelming as we wonder what is happening in this world?  It's strange that something as horrible as cancer can open your eyes so wide to all the goodness in the world--true evidence of God's Kingdom at work!  As Art and I walked through the University of Chicago Medical Center, meeting with different people for blood work, talking to receptionists, ordering and paying for some breakfast at the cafeteria, we said to each other, "Everyone seems so happy here."  Even the janitor mopping the floor in the cafeteria was jovial and smiling.  Maybe being exposed to so many people who are going through hardships brings out more compassion and joy, hoping in some way that their joy will be contagious to those who are hurting.  I know it had that effect on us.

I've said this before, but we continue to be overwhelmed with the outpouring of love, prayers, and acts of kindness.  In addition to heartfelt cards (almost every day it seems), wonderful and extremely helpful meals, encouraging texts and emails, helping to take really great care of our kids (and our dog) and provide rides, sharing of jokes to make us smile....... we have had some other amazing highlights like visits and meals with some of you, a celebration of our friend's 50th birthday, the gift of a prayer blanket with verses and notes of encouragement from many of you, an incredible evening at the Bulls game, and so many other special moments to brighten our days during difficult times.  Our words cannot express the gratitude we feel.  Art and I just look at each other and shake our heads in amazement at God's goodness being demonstrated by each of you.  There are LOTS of people who live out, "What would Jesus do?"

We feel the prayers of the "Army For Art" and we ask that you continue to pray....
  • That the chemo would be effective in removing the cancer
  • That Art's pain and swelling in his abdomen would continue to decrease
  • That the side effects of the chemo would be minimal
  • That Art would be able to maintain a positive spirit through the treatment and that I can support him in that
  • That we would be free from anxiety and learn patience
  • That our parents would receive comfort and peace as they watch their children go through this.
  • That Art, myself, Makenzie, Olivia and A.J. would feel a strong presence of the Holy Spirit and draw closer to Him
  • That God's beautiful light would shine through us as we have been warmed by His beautiful light shining through others
  • That our friends Mark and Chris would experience great healing through their cancer treatments
Praying for strength for today and bright hope for tomorrow!

With much love,
Kris (on behalf of Art, Makenzie, Olivia and A.J.)