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Update

Faith and Reason

June 12, 2022 by Adrian 3 Comments

The past week or so has been a roller coaster of emotions, of days starting out terribly and ending wonderfully, of despair and loneliness one hour followed by enthusiasm and community the next, of feeling normal and feeling anything but normal. Perhaps much of this can be attributed to “scanxiety” with Mom’s first big scan coming up, or perhaps this is just how we live now. Either way, it is going to require a great deal of faith to reason through this.

What the Heck is Scanxiety?

In an era of “new words”, this one is one that I like. “”Scanxiety” describes the apprehension felt by people with cancer as they wait for their next scan.”

The “scan” or the CT scan, is the medical tech used to discover cancer, and also used to determine if your current treatment is working.

All patients have complicated relationships with their scans not unlike the hate-love relationships we have with other technologies in our lives. We first learn we have cancer from scans, then learn from them if that cancer has shrunk or disappeared, then learn if it has come back. Scans are like revolving doors, emotional roulette wheels that spin us around for a few days and spit us out the other side. Land on red, we’re in for another trip to Cancerland; land on black, we have a few more months of freedom.

– Excerpt from Scanxiety by Bruce Feiler

Mom has a scan scheduled for tomorrow. This is the first scan she’s had since the diagnosis.

We are all rather obsessed with it. Reason would dictate that there is nothing to be anxious about; either the results of the scan will be great (the tumor shrank!) or the results will just be news (we need to cointue this regime, or modify it).

There is no real “bad” news at this point, but try convincing yourself of that when it is your mother, or worse, when it is you.

Scanxiety has been haunting us all week, and the stress has been mounting.

We go for the scan on Monday, and we meet with Mom’s doctor on Wednesday to review.

Again, there is only Good News or News, but, well, reality is different. We feel like, reasonable or not, we are waiting for a report card, or SATs, or the results from a job interview. I don’t know. Anything but routine.

Does scanxiety cause you to buy and use a tool to “shave” your couch? Maybe…

It is oppressive, and we are all feeling it, and feeling it pushing us in directions we don’t need to go. Mom’s symptoms are increasing in severity; is it manifesting from the scanxiety? My sisters and I are feeling some burn-out; is it from the scanxiety? Mom and Dad keep uttering fatalistic things and hyping this up as “all or nothing” even though it is not; that is definitely scanxiety.

Everyone thinks it can be fought off with reason; we all KNOW it is not a climatic moment. But what about ANY of this is reasonable? My mother’s body is growing something it shouldn’t (what?) and the thing it is growing might kill her (um, what??) and the best course of action right now is to administer poison to Mom in a controlled environment and hope she can tolerate, and then hope the growth can not tolerate.

What about any of that is reasonable?

How do you process a situation like this, so far outside of reason or fairness, and then expect to be able to apply reason at some of its most powerful moments?

We have started to realize the effect it has had on us this past week, and have started some new strategies to mitigate it.

Ultimately, we just have to get it over with; the scan is tomorrow, it is what it is, and we will deal with whatever comes.

Reason is a great tool, but sometimes you need to lean even harder on faith.

The Jesuits, Mom, and Me

I was raised Catholic, in a large Catholic family. My ancestors came to this country from very poor countries, like Poland, Italy, and Ireland, with little to nothing to their name except their Catholic faith. I stopped participating in the Church in the early 2000s, for many of the same reasons many people stopped participating in the Catholic Church at that time; a few years ago, for reasons that make a story too long for this post, I felt called back to my faith. I felt certain about my spirituality, felt certain about my beliefs in Christianity, but still felt less certain about embracing Catholicism again. I hovered over the idea of participating in a different version of Christianity; I had ties through community and volunteer work to some other Christian churches in the neighborhood, and one in particular had a pastor that I really felt a connection with, but ultimately, I felt an ancestral tug to keep to the faith that my long-past relatives carried with them on decrepit boats when they crossed the Atlantic for the New World.

Still, even that was not enough, until I came across a particular priest on social media, one Fr. James Martin SJ. Everything this man said was aligned with my beliefs; everything this man questioned about the Catholic Church was aligned with my questions. He is relatively famous now, as a prolific author and a popular consultant to Hollywood and Broadway on all things Catholic, but he remains sincere. He is a local boy, having grown up in the Plymouth Meeting area and having attended Epiphany of our Lord Church (which, not for nothing, is a church I went to often whenever I stayed over my best friend’s house and his mom, my Godmother, took us to Mass).

Fr. Jim became a bridge for me back to the Church. And the more I connected with him and his teaching, the more I found hope in the philosphy of his order, The Society of Jesus, or The Jesuits. Like Catholicism, and many religions and religous orders, the Jesuits have a speckled (and sometimes horrific) past; however, what they stand for today is what I stand for, and their vision for Catholicism is my vision for Catholicism. It was by the example people like Fr. Jim, and even Pope Francis (also a Jesuit) that I started going back to Mass.

As soon as I started going back to Mass, Mom wanted to go with me. It was not long before we had a regular time (9 a.m. at St. John’s), a regular parking spot (get there early to get it), and a regular pew (definitely get there early to get it). Often after Mass we would go to breakfast, sometimes with the rest of my family, sometimes with just me.

It was not long until the rest of my immediate family starting attending Mass again, and since then my two oldest children have received all of their sacraments and my two youngest will receive their next Easter.

Mom stood as God parent to both of my older children, and fully participates in anything St. John’s has going on that fits our family schedule.

To suggest that this return to faith of so many people is directly related to a couple of Jesuits sounds trite, but, well, that is what Jesuits do. At least, that is what they always intended to do.

One area where Jesuits have embedded themselves in my life over the years is in music. Growing up in Catholic school, we often attended Mass as a student body, and often the music in those masses were led by Nuns with acoustic guitars; the image of a Nun in a full IHM habit tossing their silver crucifix over their shoulder so they could slide the rainbow guitar strap over their head and start strumming some catchy music is one that I still hold warmly. As it turns out, a lot of my most treasured church music from that time was written by a very unique group of Jesuits who, after Vatican II, took it as a calling to create new, folk-style music for the Catholic Church, music that was catchy and accessible by the people. They were called the St. Louis Jesuits and their tunes still resonate to this day.

The reason we go to the 9 am Mass at St. John’s is because they still have a guitar group there. While not Nuns (I don’t think?), one of the players as been doing it for 48 years. I feel a strong connection when they play, and espeically when they play songs from the St. Louis Jesuits.

Since Mom’s diagnosis, we have not been going to Mass together. I have been afraid that it would be too much for her, so she would watch the streaming service, and I would go alone. However, I was struggling to go without her, as it only seemed to amplify the worst parts about what was going on. Mom would religously (pun intended) watch the streaming service, but, that is just not the same.

Better than nothing, but not the same. Not normal.

This past weekend, a confluence of events made my sisters and I think about the importance of “normal”, of trying to find ways to keep Mom connected with the activities she enjoys the most.

Of course, this sounds obvious, but the pull to circle the wagons and protect is strong. The desire to control things and manage things and reduce all risk at all costs is overpowering at times.

It is not reasonable, and it is certainly lacking in faith. But I think it is a normal response.

We are so hyper-focused on getting to chemo and getting through chemo and getting ready for the next chemo that, maybe, perahps, we were ignoring the value in the everyday.

A few days ago, on Friday, I attended a funeral for the mother of an old friend. This was a woman that went to school with my mother, and whose daughter went to school with me. The woman was a “lunch mom” at our gradeschool, and spent so many afternoons with us dispensing tough love and wisdom. Beyond all of that, as a kid I would often play hockey in the lot across the street from her house, and without fail, she would pull up in her big panel van and drive me and all of my friends home so “we could get home in time for dinner that our mothers were sweating over.”

Mom was conflicted about going to the funeral; I talked her out of it. I told her I would bring back a Mass card. I went, I saw my friend there, devastated. Her mother’s death was sudden and jarring and would take a long time to even approach healing. Also there were a few of our mutual friends, some from gradeschool.

As the service go underway, I looked at the pamphlet, and saw to my joy that all of the “funeral classics” were going to be sung: “Be Not Afraid”, “Here I Am, Lord”, “On Eagle’s Wings” and more.

These were all songs we sang in that very church when I was a child, and I would be singing them again in that church, with some long-time friends of mine from that church’s grade school, to honor a woman who volunteered her time to help raise me in the schoolyard of that church. All of these songs were written by the St. Louis Jesuits, and they were all my favorites.

To say the whole experience made me think of my own Mother, from the darkest possible thoughts to the warmest and most joyful thoughts, is an understatement. But, I had advised her not to come. I wished she was there, and she wished she was there.

And those songs: Was I being afraid? Was I answering the call that I was hearing? Was I embracing the faith that everything would be OK even if things in this world did not turn out OK?

Good questions.

By Saturday, my sisters and I all arrived at the same answers: we needed to embrace the opportunities to be with Mom in her “normal” activities as often as possible; in fact, we need to push and encourage them to happen. Of course Mom could go shopping with us regularly; of course Mom could go to Church with me; of course we could make sure to facilitate those things as safely as possible.

Alia took mom right out shopping, and they had a great time.

I asked Mom to join me at Mass today, at the 9 am Mass, and she was so excited. I told her I would pick her up at 8:30, and when I got there at 8:20, early just in case she needed help, Mom was already standing outside in the rain, with a new fancy umbrella, looking all made up and beautiful, and ready to go.

“I just love summer rain,” she said as we got into the car.

Mass was beautiful. Monsignor Kevin Lawrence is, as I have stated before, just wonderful. If it was Fr. Jim that helped me walk back through the doors, it was Msgr. Lawrence who made me want to keep coming back each week.

The guitar group played today, and before the end of Mass, it was announced that it would be their last Mass until the fall, as they take a break during the summer.

I was so glad we got there today! And as they announced the closing hymn, another St. Louis Jesuits classic “Though The Mountains May Fall”, I smiled deeply and I sang loudly. It is absolutely one of my most favorites, it is one we sang so often in grade school, and it is one whose lyrics were exactly what Mom and I needed to hear.

Should you turn and forsake Him
He will gently call your name
Should you wander away from Him
He will always take you back
Though the mountains may fall and the hills turn to dust
Yet the love of the Lord will stand
As a shelter for all who will call on his name
Sing the praise and the glory of God

It is a song about faith, about joyful faith even in dark times, of losing faith and finding it again, of believing that, no matter what happens, everything will be OK.

After Mass, Mom and I drove to Marchiano’s Bakery and to T&F, to get supplies for Sunday Dinner, which Mom is planning on cooking most of; Mom did all the shoping, I carried the bags. It felt like one of those “normal” days from back before Mom got sick, to just another Sunday in June that started with Mass and would include good food, family, and talk of upcoming vacation plans.

Everyone draws strength from different places; I hope that my sisters and I, our families, my Dad, and especially my Mom, along with everyone supporting us and Mom, can continue to seek out and find sources of strength.

And that we all remember that joy of a single, sunny day, a day where you are doing the things you love with the people you love, can sustain you through many dark hours.

Alia and Mom, getting out to the track from some sunny exercise.

Filed Under: Family, Update

Round Four Out the Door

June 6, 2022 by Adrian Leave a Comment

On Friday, June 3, Mom got her fourth round of chemo. The infusion went well, the weekend was a little rough, but we are pushing forward.

Labs

Mom got labs done at Labcorps again last week, two days before infusion. The results were…OK. We felt like Mom was not going into this round with the same energy as the last round, and the results supported that.

Mom’s White Blood Cells (WBC) were down to 4.4, and they were 5.1 the last round. That was not as concerning as her neurophils, which were down to 1.2. The time we were sent home, they were .8, and our provider told us that Penn requires them to be 1.0. We read that many places require them to be 1.5, so we were unsure what to expect.

It is just one more thing to stress and worry about: somehow, no matter how reasonable you try to be, waiting for the labs feels like waiting for a report card, and being sent home without infusion feels like a failure. Obviously, this is not the case, and it would be terrible to let Mom believe it was her fault, that it was something she did not do well enough to get her numbers right before chemo. We all know that, and no one really believes that. But, honestly, it *feels* stressful, and, what can you say?

Feelings are their own kind of real, and they have their own kind of impact, and the stress and anxiety surrounding lab results can be oppressive.

We never got any confirmation if the numbers were really OK or not, so we prepared to go and hope for the best.

Infusion

Mom, Alia, and I got down Penn early and they had never received Mom’s labs. I had a PDF of the results and had already uploaded them to Mom’s portal; but now while we sat and waited for them to sort it all out, it just add to the anxiety. I can’t really understand why we get so attached to this part, but we do, and the tension was high. It was only a few minutes and then we were directed to our room.

By this 4th round of infusion, we have a decent little routine: Mom does not sleep much the night before because she has chemo stress, and then sleeps much of the time in the chair; we put HGTV on and make fun of all the projects and the wastefulness of people; Alia and I comment on the quality of snacks we’ve brought; I wander off for coffee about halfway through and wonder if I should have asked the nurses if they wanted any; while roaming for coffee I try to find an even more efficient way through the building than before; we eat lunch together; and eventually we get a little silly.

This shtick, of me wandering around until I can find a place outside of our room where I can see into our room and Alia and take pics of each other, never gets old to us.

This time, I commented in passing that I think I left my new Nalgene water bottle here during Round One. Mom said the nurses probably had it someplace safe and I should ask. I said, no way, because that was in April, and keeping someone’s water bottle is gross, and I hope if I did leave it here that they threw it out. Mom told me to go check, and I refused. I wasn’t even sure if I had left there, but even if I had, I could *never* go ask something like that.

Mom, working on some scheme…

When Mom got up to use the bathroom, she asked Alia to walk her around a bit so she could stretch, and Alia happily complied. Well, it was all a lie: Mom went right to the nurses station and asked them to please all go look for a blue Nalgene water bottle. She told Alia, “Adrian will probably be mad I am doing this, but they don’t mind.”

Narrator’s Voice: It turns out, they did, in fact, mind.

Alia was sure they were giving us dirty looks the rest of the day.

Great. And here I was sipping a latte and I never even asked them if they wanted any coffee.

When we got home and I told this story to my wife, she reached up on top of the fridge and said, “You mean this water bottle? It’s been here since April.”

Now I can never bring that water bottle with me again.

That’s Mr. Reiki Volunteer to you, son.

Toward the end of the infusion session, a man came in and offered reiki therapy. Mom, who was asleep when he came in, at first that that the man’s name was Reiki Volunteer because of his name tag.

Honestly, if I ever get around to writing a book, this will be a character’s name.

Once the infusions were finished, I led us on the new and improved, more efficient way out I had discovered earlier, and we got home mid afternoon.

Mom still had 46 hours of chemo to go, administered via pump to her chest port, which would come out around noon on Sunday.

Of course, now I need to go buy a new water bottle before we go for Chemo 5 in a couple of weeks.

Weekend Warrior

We could tell Mom was not her most energetic leading into this round of chemo, and this past weekend was a little rough. As soon as the at home chemo ended and the pump was removed on Sunday, Mom crashed. Exhaustion, pain, nausea… all the symptoms, almost like clockwork. There is always some frustration with these crashes: Mom has done so much already, and there is still so much to go, and it feels like maybe it would be nice if she didn’t have to struggle so much at times. It is very deflating for her.

For all of us, in one way or another, we are starting to feel the grind of it all. Four rounds over the last two months. We’ve been down to Penn 8 times now. The “newness” of it all has worn off, and it is all starting to feel a little routine, and having your Mom go through chemo as something “routine” is kind of terrible. It feels like there will be no end to this, and Mom is tired of it, and we all feel a little worn out by it.

Mom fights through, though; she wears this medallion that her best friend bought for her and it has this quote on it: “Fate whispers to the warrior, ‘You cannot withstand the storm.’. The warrior whispers back, ‘I am the storm.“

Mom repeats that like a mantra: I am the storm.

Mom is tough. She fights. She persists. She inspires. We stand with her, and will walk this path with her the whole long way.

Fortunately, we have some exciting events coming up…

Events on the Horizon

It has been a long and emotional spring, but summer is here and we are locked in and ready to have some fun, too.

We rearranged Mom’s chemo schedule to fit in some events she is excited about.

First, Mom has a CT scan scheduled for 6/13; this will be the first look to see if the first four rounds of chemo have had any effect on the tumor. A couple of days after that, we will meet with Dr. O’Dwyer to review the results and adjust the regimen as needed.

This scan has been on our minds since the initial diagnosis. It will either bring us good news (yay! the tumor is shrinking!) or just, well, news (the tumor is the same or larger, so we need to adjust the chemo).

Either way, it is a milestone.

After meeting with Dr. O’Dwyer, we are heading down the shore; not our regular family vacation, but an “extra” vacation for a few days in a big house on the beach. All my siblings and their kids will be down and some point, and we are all looking forward to a bright change of scenery.

They say the cure for anything is salt water: tears, sweat, or the sea. We are a family that has always spent parts of the summer at the beach, so these days are meaningful to us, and the sea air has always been welcomed.

This will be Mom’s bedroom while we are there, with full ocean view and her own gas fireplace because she is always cold.

While we are down there, Mom’s sister will be flying in from AZ and driving down to take mom to the big annual Kenny Chesney concert in Philly. Most of her sisters and nieces and nephews will be going, and they have a big tailgate party and lots of fun energy.

Chemo 5 will come shortly after that, and then we will all gather for our annual week-long family vacation in OCNJ. We’ve been renting the same house for 18 years now, so it is a Rite of Summer that we all look forward to.

There is much more to look forward to as well. There are many hurdles and obstacles ahead, many bad days that will spring up out of no where, and the malaise that comes with such a long campaign, but there is much to look forward to.

Right now, the sun is high, the air is hot, the water is warm. We’ve come a long way with a long way to go, but we’re going to take a few days to sit in the sand and listen to good music and eat good food and just celebrate being together.

Until next time…

There Are 3 Ways You Can Help

Meal Train

During chemo week, we always welcome some of your home-cooked food. Pick a day and sign up!

Meal Train

Donate

Mom is now in the “donut hole” as far as Medicare covering her prescriptions, so every dollar helps!

Donate

T-Shirts

We’ve designed some fun Team Purple Firefox t-shirts specially for summer. Tanks and tees. Join the team!

T-Shirts

Filed Under: Abramson Cancer Center, Update

A Few Days to Reflect with Gratitude

May 31, 2022 by Adrian 2 Comments

Memorial Day weekend can mean a lot of different things: from its humble origins in Charleston, SC, by a Black community wanting to honor those who gave their lives during the Civil War for the cause of Emancipation, to our modern inclusion of showing gratitude to all those who lost their lives in conflicts for our country, to a 3-day weekend at the beach and lots of appliance sales.

In our family, Memorial Day has always launched the Summer Season. We often went to the cemetery to decorate graves or participate in some service, but we always had a party. Mom and Dad traditionally held an annual BBQ in the backyard, especially when a pool was back there. Mom has memories of her mother grilling food in the rain with an umbrella; I have memories of my uncles, young and in their physical prime, wrestling and goofing off in the pool.

While those halcyon days are long past — the beloved pool has been gone for decades, and I am older now than my uncles were in my memories — we still manage to do a little something to mark the holiday.

This past weekend was no exception; Mom was back in the green and feeling great, all of her sisters were in town, her Goddaughter was getting married, and even without the pool, the backyard still has a little magic on warm summer evenings.

Sister Act

One of Mom’s most extraordinary things in her life is her sisters; she is one of six! When they come to visit, I perceive Mom gets unmatched energy. Four of them live in the area, and one lives in Arizona. When all six are around at the same time, it is extra special.

Since the initial diagnosis, Mom’s sisters have been at her side: bringing food; stopping by for long visits; sleeping over; calling and texting; quietly buying this or leaving some money for that; taking Mom out to breakfast; responding with calm and grace to emotional texts from me or my sisters. The support, the phone calls, the texts, the thoughts and prayers. They have done so much to help Mom feel normal.

As soon as the news broke about Mom’s cancer, they organized an overnight trip to the beach for all six of them. They had a blast.

All 6 Sisters
The Esposito Girls

Along with her best friend, my Godmother, they are the people who have known Mom the longest. They are the ones who have witnessed most of Mom’s life. They are the ones who have been showing up to help in more ways than I can write about.

Mom’s sister from Arizona flew home this morning but will be back in a few weeks for an even longer stay. Mom’s sisters here in the Philadelphia area will, I am sure, continue to show up and help in any way they can.

They are all the best. Mom’s sisters, my aunts, have always been an enormous part of Mom’s life and, in turn, a massive amount of mine; I am, and forever will be, grateful for all they have done for my Mom during this time.

A Long-expected Party

The primary reason all six sisters were around this past weekend was to celebrate my younger cousin’s wedding, my Mom’s Goddaughter. The wedding was postponed not once but twice due to COVID, but the happy couple persisted and finally had their special day.

Going to the wedding was a big goal for Mom. While there were days that seemed like attending would be impossible, Mom rallied with a string of green days. With the help of her sisters and my older sister, Mom was able to show up looking beautiful and feeling great. Hair was done up, a fancy dress was on, makeup was applied, and Mom had a wonderful time. Mom’s fatigue kicked in, and she could not stay for the whole fabulous party, but it was enough to see the nuptials performed and get some memorable pictures with her niece, namesake, and Goddaughter.

Aunt Terri, Mother of the Bride, and Mom
Aunt Diann, Mom, and Aunt Jeanne
Aunt Jeanne, Aunt Diann, Mom, our beautiful bride Maria, Aunt Terri, Aunt Judy, and Aunt Joanne

I am ever so grateful that my cousin could have her big day, and that it all turned out beautifully, and most significantly, that my Mom could be there to witness it.

Family, Sun, Dogs, and Hot Dogs

My older sister was down for most of the weekend, and together with my Aunt, they took care of most things from last Thursday through Monday. Even though I stopped by each day, I took a much-needed respite and was able to hang out at home and take care of some personal business, including seeing both of my older children off for a multi-week trip to Greece. There are no “off” days!

We ended up having a family and food-filled weekend, as usual. My Dad’s sister came over with lots of fried chicken on Sunday, and my older sister made even more fried chicken and brought her two beautiful dogs to visit. We all hung out in the backyard, and Mom was feeling great. The dogs were a treat, the weather was perfect, and the afternoon slipped into one of those hazy and lazy evenings where you lose track of time like only summer can do.

Good Dog Lilly and Mom, chilling on a backyard bench where the pool once was.

Some of the neighbors were having a larger party, and the smells from their grill were terrific. My Aunt became very excited about what had to be hot dogs grilling over there, so on Monday, my family and I (minus two travelers) came back down for some classic hot dogs and hamburgers. Some old photo albums came out, and there was much reminiscing.

One of my Mom’s best pieces of advice — one that I cling to as much as any other — was this: if you don’t make the holidays special, they just become like any other day.

I am grateful that I grew up in a family that always took time to mark the special days of the year, even if the customs and the meanings changed over time. The memories are thick.

And I am grateful to have had this wonderful weekend with my Mom, surrounded by so many wonderful people, where we could pause for a few moments and reflect on what a wonderful family we have.


A special thanks to my older sister, Angella, for taking all of the photos; without her, there would be no photos, because I am lazy.

Angella and Mom

Filed Under: Family, Update

Team Purple Firefox Summer T-Shirts Now Available

May 20, 2022 by Adrian Leave a Comment

We’ve created a new design just for summer, and it includes t-shirts, tank tops, and even a new coffee mug.

We’ve got a retro “1986 Wildwood boardwalk t-shirt shop” vibe on the front, and our purple firefox, but with sunglasses, on the back.

Proceeds from all sales go to Mom and help with whatever costs arise.

We sold 75 of the original t-shirts and raised over $700, so thank you!

We hope you like these new ones just as much.

Team Purple Firefox Summer
Shop Now

Filed Under: Merch, Update

Round Three Tea

May 19, 2022 by Adrian 1 Comment

Mom’s third round of chemotherapy comes to an end today. Here are some thoughts about the experience, with one eye looking at how things compared to rounds one and two and one eye looking at what’s next.

Chemo Day

On Tuesday, May 17th, Mom, Alia, and I set out for Penn’s Abramson Cancer Center to meet with Mom’s provider and settle in for 5-hours of infusion (chemo).

It’s Always Sunny In Philadelphia

To avoid being sent home with low white blood cells (WBC) again, Mom had bloodwork done at a local Labcorp the day before. While it took over a day to get the results, we did get them before we left, so we knew the WBC would not be an issue this time. For those of you keeping score at home, Mom’s WBC was 5.1, and her ANC was 2.3. The numbers were lower, but they were well within range.

The first part of the day involves meeting with Mom’s provider, Abigail Smith, CRNP, MSN. Abby works for Mom’s primary oncologist, Peter J. O’Dwyer, MD. We generally meet with Dr. O’Dwyer every four infusions and meet with Abby during the other infusions.

Abby told Mom repeatedly that Mom was doing amazing. She said Mom’s numbers were fantastic and that the dosage adjustments made after round one seemed to be working great. Mom’s vitals (blood pressure, weight, etc.) were excellent. Abby ordered a CT scan after round four in a few weeks and ordered an appointment with Dr. O’Dwyer to review it; she also suggested we schedule Mom’s rounds five and six for after that.

We’ve developed a pretty good routine for these chemo visits; Alia and I and Mom make a nice team.

Mom, not impressed with that backsplash.

Around noon we were assigned a room for infusion; the nursing staff in the infusion wing were incredible (as always). The hours passed without incident, and much criticism of whatever was on HGTV. The “coastal look” is cool and everything if you are, you know, on, or at least near, a coast; it is silly when you are a few hundred miles inland from any saltwater. Anyway.

Mom’s chemo is called FOLFIRINOX, and it is actually three different kinds of chemo; they administer two while at Penn and hook up the third to a small pump that Mom has to wear at home for 48 hours, which is fun for Mom.

When the first two parts finished, we packed up and headed for home. The prescription I should have ordered days ago was finally ready, so we picked that up and were settled in for a late dinner.

Two of Mom’s granddaughters slept over that first night, and we have family scheduled for sleepovers for the rest of the week.

Later this afternoon, the at-home nurse should arrive to deaccess the chemo from Mom’s chest port and hook up some IV fluids, a wrap on round three.

The Past

We don’t want to get too hung up on looking for repeatable patterns. However, I can’t help it. I color-coded each day as Good, Medium, or Bad for Mom since she got the diagnosis. I also colored the chemo days. I set up a page on this website to display them all.

I hope that, perhaps, some pattern might emerge. I know we have to take each day one at a time, but I also believe you can manage anxiety and stress if you can create a framework of expectations. I think sometimes fear is a pain amplifier.

Here is what the grid looks like now:

The sample size is too small, but still, it appears Mom has maybe four good days after chemo followed by a bad day, followed by a string of good days. 

We’ll see if this pattern holds at all.

The Future

We scheduled Chemo 4 for a few weeks from now; we’ll continue to get the bloodwork done a day or so before at Labcorp. 

Then, in June, Mom will have a CT scan done to see what impact the chemo has had on her tumor. It is possible that the tumor may have shrunk, is the same size, or continued to grow. Some of those options are better than others. We will meet with Dr. O’Dwyer to review and determine if we make any changes to the chemo cocktail Mom is currently on.

We’ll keep on keeping on…

So, we’ve marked up the appointment calendar through July, with some significant events in the next few weeks.

Your continued prayers, wishes, and support are welcome and needed; this is a marathon, not a sprint.

Jesus broke off of Mom’s crucifix during Chemo 2, but we Found Jesus again during Chemo 3. Draw your own conclusions.

Are you interested in helping by bringing over dinner one night?

Click Here and pick a day!

Filed Under: Abramson Cancer Center, Update

It’s Been A Roller Coaster

May 16, 2022 by Adrian 3 Comments

Hello, faithful Purple Firefox readers. It has been too long since the last update. Time has been very slippy. We are realizing that not only is there no pattern to how Mom is feeling, but also that this is going to be a really, really long battle.

A week goes by and it feels like a day. Mom has a couple of bad days and it feels like she has been struggling for months. Mom has a good day and it is hard to remember how bad it was.

And then I remember that I have not held up my end of our agreement, dear friends: I write, you read.

Well, buckle up, because I have some stories to tell, some changes we are going to make here, and some updates on Mom.

Daily Updates

Part of the reason for creating this blog was to document Mom’s experience, not just as a way to share what is going on, but also to be a resource we could use to look back over previous weeks as reference points.

Well, that is a great idea, but it does require some consistency in posting. And even though, as you may have realized by now, that I do enjoy writing, there are days when the emotional exhaustion is so much that I just can’t. I don’t feel like going through the process that I go through to write things. Sometimes it’s all I can do just to answer texts about Mom.

So, I am developing a middle ground. My wife and I both came up with an idea about the same time: what if we created just a simple, color-coded way to show what kind of day Mom had, with maybe a few notes, and I posted this every day. Assumedly, it would only take a few moments, and if I missed a day or two, I could go back and catch up easily.

Then, you could all at a glance see how things are, and we could visually look back and review weeks or even months at a time to remember just how many good days Mom has, and how they fall around her chemo days. Perhaps there is something to be gained; at a minimum, Mom could, on a bad day, see that she has had a lot of good days. Talking about that seemed to help a bit this past week.

I am thinking of a simple Green (Good Day!), Yellow (Meh), and Red (Bad Day) system, using icons like this:

Yay!
Meh.
Boo!

I am going to go back over the days we have clear notes on and update each day with one of these icons. Maybe it will be nothing but the icon. I’ll try to add some context and notes. Or maybe I will make it into a calendar. I don’t know yet, but we will be rolling this out in the next couple of days.

We’ll see how it goes.

Best is Best

I went to Confession this past Saturday. I had missed Mass a few times over the past weeks, and I was also struggling with some other things, specifically with anger. I am not going to lie: this whole thing does piss me off on the regular. How could it not? But sometimes that anger seems to overflow. The priest, whom I did not know, gave me some great advice, but for my Penance he said this: “For your Penance I am asking you do something really easy, that is also quite hard. In your own words, pray to God for the Grace to realize what is the best you can do in any situation — no more, no less. And then pray to God for the courage to do just that.”

I don’t know exactly why, but it really resonated with me. Do Your Best is also the Cub Scout motto that I reinforce with my Cub Scout Pack each Friday night. You don’t have to be perfect, or even good at something — just Do Your Best.

It’s simple advice, though it is hard to accept, especially when your best might not be what everyone else expects or wants from you.

Growing up in this house, with Mom working shift work as a nurse and Pop working shift work as a police officer, there were two things that were always on: the coffee pot and the TV. Mom, like me, really enjoys watching comforting shows over and over and over again. When exhaustion and stress peak, sometimes just mindlessly following along with a show that you love can be a great escape.

For Mom, for many years, that show was M*A*S*H. She loved it, Pop loved it, it was always on (either on syndication on TV, or one of the many 8-hour VHS tapes we had with episode after episode, season after season). And, so, I loved it. I still do.

One of my favorite episodes is “Dear Sis” (S7, E14), where it is Christmas time, and everyone is depressed to be in Korea, in the middle of the war, especially the outfit’s chaplain, Father Mulcahy, who feels he is not making a difference. At one point, when wounded soldiers arrive, Father Mulcahy tries to calm a soldier on a stretcher awaiting treatment. The soldier, frustrated, punches him, and Father Mulcahy, a former boxing coach, punches him back. Father Mulcahy is devastated. He immediately regrets his actions and feels tremendous guilt.

Eventually, Father Mulcahy breaks down, and says amidst tears to Hawkey: “I am supposed to be Christ’s representative!”. Hawkeye responds with, “All you can do is your best.” And when Father Mulcahy says “Some best!” Hawkeye answers, “Best is best, father.”

The episode ends with a tremendous scene, and while I won’t spoil any more here, it is so good I watch it every year at Christmas time. It might be my favorite episode.

Father Mulcahy, like all of us, is human. Just a person. Sometimes we all fall short. Best is best.

Was I compassionate to everyone around me at all times these past few weeks? Nope. Did I remember to get Mom’s prescription refilled on time? I did not. Did I post here as often as I wanted to? Not in the least. Did I show up for every commitment I had, or meet every work deadline, or respond to every email and text I should have? No, no, no, and no.

The stress is real. The exhaustion is overwhelming at times. The hair is turning gray. A month ago feels like a year ago one second, and it feels like a few days ago the next second.

What can we do?

Best is best.

(I still fee bad about that prescription though.)

So How Is Mom Anyway?

I know you are here for the details about Mom. I want to make sure that you are getting your money’s worth.

The last time I posted, we had just wrapped up Chemo 2 on May 4th. Now it is May 16th, and Chemo 3 is tomorrow.

So how have things been?

Most days are mostly good, some days are great, and some days really, really suck.

When Mom came home from Chemo on that Wednesday, we started a string of great days. Mom’s sister was visiting from Arizona, her nephew was visiting from Georgia, and Mom was feeling great.

By Mother’s Day, Mom was feeling so incredible that it took our breath away. My sister Angella posted the following on the Purple Firefox Facebook Page:

Happy Mother’s Day to you all!!!!

What an amazing day with my beautiful momma! Second round of chemo is over and mom is doing amazing! She is busy tending to all of her plants and fixing up so things are exactly where she wants them, she is having a wonderful day ❤️.

She has an appetite and food is smelling and looking good to her again! She is making omelets this morning- what a difference from round 1.

She has a ton of energy and is smiling and singing, I am amazed at her strength. She sat on her beautiful porch this morning and said, “What a wonderful day to be alive”.

Everyone has made this possible with all of your love- thank you for being part of “purple firefox”, I wanted to share my thanks and love to you all, TODAY IS A GREAT DAY!

— Angella McIntyre, May 8, 2022

It was, perhaps, the best day yet. Mom looked, and felt, so healthy, so herself.

We were all especially excited because we had made it past the point in the first round of chemo that Mom had bad days, so we thought we had made it!

Mother’s Day 2012: Me, Mom, and sisters Alia and Angella: three of the best moms I know.

But the rest of the week?

My mom’s sister, my Aunt Jeanne, has been consistently warning us that one day will not predict another day, and that we have to be prepared for every day to be its own day: maybe better, maybe worse.

But we had a pattern! Last time Mom felt bad after *this* day, so surely if we could get past *that* day this time, we would be in the clear. This is how my brain works. I *want* there to be a pattern. Was there?

Nah.

Monday and Tuesday were OK… Mom seemed a little tired, but it was a busy weekend, and the steroids were drawing down.

We had an at-home nurse come and give mom IV fluids twice this week, which seemed to help, but as the week went on, Mom felt more and more down.

By Friday, Mom was definitely in the weeds. Fatigue, pain, nausea, grumpiness.

By Saturday morning, it seemed like Mom crashed. Despondent. Unable/unwilling to eat. Pain. Exhaustion. Mom was scared, we were scared.

My sisters and I started scrambling, seeking something we could do, some new plan, some new action. We feared Mom was going to want to stop and, while we will support her with whatever her choices are, we didn’t want to leave any stone unturned.

We sat down with Mom and had a long talk about options, about things she could do, and things we could do if she needed more help. Either way, Mom needed help to eat more and to manage her pain — things could not continue as they were.

We reached out to Aunt Jeanne (a nurse with a ton of experience) and to my mom’s best friend, my Godmother, my Aunt Ellen (also a nurse with a ton of experience). Both had perspectives and advice that helped. Aunt Jeanne came down Saturday night to sit with mom and help, and Aunt Elle came down and sat with Mom Sunday morning and talked through some options.

By Sunday afternoon, Mom had really turned a corner and by Sunday night was full of energy and enthusiasm.

When I got here this morning, early, to help mom with breakfast before she left with Aunt Jeanne to get lab work done, I found mom up and dressed and already made herself food and ate it. Later in the morning I went to remind her to take some meds, and she had taken them already, had already eaten again, and was out in the garden with a shovel digging up and replanting stuff.

Is this a new pattern? Probably not; surely Aunt Jeanne would say it is not, and she has not been wrong about that. But, it is a great day.

Now we wait for the lab results to come in, to see if those white blood cells are high enough for chemo 3 tomorrow.

And I await the pharmacy to call and let me know that script is ready.

We are all doing everything we can, especially Mom. It is all we can do!

Best is best.


Wanna help?

Don’t forget: It is chemo week (probably), and while we have lots of family scheduled to sleep over to help, the most helpful thing is the Meal Train.

If you are able and willing to whip up a meal for some night this week, my mom and my family would be so appreciative. I can’t tell you how wonderful it has been the night’s that people have brought dishes over and we could just be with mom and not have the prep and cooking and cleaning to do that night.

There are days available this week and next: if you are up for it, please hop on the Meal Train!

Filed Under: Family, Update

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From earliest to latest.

My Mom is Very Sick

March 25, 2022

Home, But Different

March 26, 2022

Amazing Grace Indeed

March 27, 2022

Home Office

March 29, 2022

The New Normal

April 6, 2022

Olympic Training

April 7, 2022

Port Replacement Successful

April 8, 2022

Chemo Kick-Off

April 11, 2022

Round One About Done

April 14, 2022

Well, Today Sucked

April 16, 2022

We had a Wonderful Easter

April 18, 2022

Chemo 2: BLOCKED

April 25, 2022

This Is Your Gravy

April 26, 2022

A New Way to Help

April 28, 2022

Chemo 2: Part 2… and Part 3

May 4, 2022

It’s Been A Roller Coaster

May 16, 2022

Round Three Tea

May 19, 2022

Team Purple Firefox Summer T-Shirts Now Available

May 20, 2022

A Few Days to Reflect with Gratitude

May 31, 2022

Round Four Out the Door

June 6, 2022

Faith and Reason

June 12, 2022

CT Scan Results Could be Better, but Could be Worse

June 14, 2022

Life is Full of Gems

June 15, 2022

An ER Vigil in Atlantic City

June 17, 2022

A Day on the Beach

July 22, 2022

Round Two Complete

August 10, 2022

Not Very Good at All

August 24, 2022

Mom is Going on Hospice

September 7, 2022

A Hard Week

September 15, 2022

A Liminal Time

October 15, 2022

Goodbye to the Best of All of Us

October 28, 2022

Memorial Arrangements for Maria Hoppel

October 29, 2022

Words of Rememberance (Eulogy) for Maria Hoppel

November 4, 2022

We Did It.

November 5, 2022

Mom’s Thanksgiving without Mom

November 25, 2022

And So This is Christmas

December 20, 2022




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