Saturday, October 13, 2018

Come Back in Six Months

“What did the doctor say about your foot?" I asked.

“I didn’t ask him about my foot.”


“Why not!  It has really been bothering you!”  


“I was at the eye doctor’s,” Jeff reminded me.

 
We had a good laugh about that.  My confusion was an indication of the number of doctor visits and procedures he had this summer: eyes, each foot on different days, each leg on different days with follow-up visits for each, kidneys, teeth, skin…  Jeff was especially eager to have his legs and feet fixed so he could enjoy our trip to Germany.  Which he did!


Some people visit Germany for Oktoberfest and journal the beers they consume - either quantity or variety.  Jeff did neither.  As Brother-in-law Mark phrases it, Jeff “licked” his way through Germany trying different flavors of eis (gelato).  In 16 days of touring, Jeff tried 20 different flavors.  Yes, that means he averaged more than one cone per day.  We had a wonderful time enjoying beautiful scenery, great food, good company, and each other. 




At one time - not so very long ago - the words “Come back in six months” would have seemed like a scary, daring experiment.  After eight years of regular oncology visits stretching no longer than four months in-between, Jeff was comfortable with Dr. Porter’s pronouncement.  He told Dr. Porter and Nurse Heather, “I’m going to miss you.”  He knows – and I do, too – six months is alright!

Tuesday, June 19, 2018

Golden Cracks and the Seven Year Mark


There are some things in life that should be celebrated when our tendency is to complain.  For example, a crying baby in church is a good thing.

When a piece of new furniture is dinged or scratched, no worries.  Its patina has begun to hold the story of its owners.  Jeff built bunk beds and a chest of drawers for Son Kerry when he was about six years old.  It has held memories of Kerry and his three best friends from the day they got it in their heads to scratch their names in the brand-new bed.  We might have gotten angry at the time but we decided it was pretty funny.  Those boys are never to be forgotten.


Friend Jennifer has taught us this lemons-to-lemonade lesson in a few ways.  Where others might grouse and complain to the bakery if a name is misspelled on a cake (“Kenny” for “Kerry” or “Just put Jenny”…), Jennifer laughs and adds it to her list of funny mishaps.  Her family also celebrates their lack of musical abilities at every birthday party by singing in ridiculous pretend-opera voices at high level and with great emotion.


Our pastor recently mentioned the centuries-old Japanese art form Kintsugi  in a sermon.  When a ceramic piece is cracked, the crack is filled with lacquer and dusted with gold.  The crack is not masked at all but is accentuated, celebrating the history of the piece.  As Pastor Lisa spoke about beautiful imperfection and golden cracks, my thoughts went beyond our spiritual flaws and on to physical ones as well:  broken bodies and the golden crack-fillers who donate their bone marrow.  


According to this website https://mymodernmet.com/kintsugi-kintsukuroi/, the Japanese philosophies behind Kintsugi are wabi-sabi (seeing beauty in the imperfect), mottainai (regret for something wasted) and mushin (acceptance of change).  These philosophies brought to mind our family’s cancer journey, the unexpected joys that we have experienced as a result of Jeff’s flawed chromosomes, the extreme measures taken by medical professionals to prevent wasting a life, and the acceptance that life will never be the same.  I thought, too, of how I once only pitied people who were bald from chemo and how I have come to see them as beautiful – perhaps temporarily weak with cracks but strong, too, beautiful in their ability to endure the indignities of treatment.


Jeff’s “gold” runs through his veins and is, perhaps, not visible to all but lovely just the same, being made continuously by marrow donated by the lovely Nicole.  The list of golden crack-fillers who touch our circle of family and friends is expanding.  Niece Amy Lyn told us that one of her coworkers who’d registered with Be the Match got a call that he is a potential match!  And at the Be the Match Walk/Run in April we saw my coworker, Sophia, whose daughter donated marrow on the same day that Amy Lyn donated!


It has been awhile since we blogged, so here is an update on Jeff’s health:


Jeff marked the 7th anniversary of his bone marrow transplant on May 27th.  His hematology oncologist and kidney doc are both very happy and so, then, are we.

 
The dermatologist froze spots on his face and arm and biopsied a spot on his leg.  We are awaiting results without too much concern about it.


A varicose vein in his right leg was sealed off – a procedure done by the vein specialist while an ultrasound technician acted as back-seat driver, “Go left…  go around the bend…”   The left leg will be done in August.  With luck, this will alleviate some of the leg cramps that regularly interrupt Jeff’s sleep (and occasionally mine, too, when he inhales quickly and leaps to his feet).


Jeff teased that I would have to return to an active role as caregiver for the weekend following the vein procedure.  I was happy to perform the role, especially since this time it was light duty and because he asked with his usual charm and wit.  We continue to draw on the lessons we learned from Jeff’s cancer experience as we face other of life’s challenges.  Keep at it and keep on laughing!

Sunday, February 18, 2018

Healthiest Guy on the Floor

By now Niece Amy Lyn’s marrow is making blood for her recipient.  We don’t know who she is or where she lives but we hope her family is watching her recover and that they can see the potential for a healthy future for their little girl.

Amy Lyn has recently learned that the rules around donor/recipient communication have changed.  She will not get updates on her recipient and will only hear something if her recipient does not survive.  No news is good news.  She may still request to have her contact information shared with her recipient on the one-year anniversary of the donation/transplant.  She will learn the identity of her recipient only if both parties want to make contact.

We like the Nicole-Jeff-Amy Lyn story and so does Dr. Porter.  He told Jeff he was going to tell someone about it and to expect a call.  Intriguing! 

This week at Jeff’s oncology check-up at Penn’s Perelman Center, his blood work was all good!  He had the second highest hemoglobin level since his transplant.  In fact, Dr. Porter said that Jeff was “by far the healthiest person on this floor today”.  This was after three months off of the immunosuppressant.  You may recall that Jeff and I had our doubts that it could be done and that Dr. Porter was persistent in his attempts to wean Jeff off completely.  Wow.  Dr. Porter wants to see Jeff in three months and that’s okay.  There is less worry when we know he is monitored regularly.

Other good news:  On a trip to Florida, our friend Kathy – host to a regular stream of visiting friends – was unable to remember the sites she showed us when we visited last year.  I mentioned a couple of places but Jeff began to recite everything – everything! – we did last year, including the restaurants!  It seems his faulty memory for places applies only to those we visited before his transplant.

Jeff and I have had a couple of good conversations lately.  Don’t judge; one of them was If-you-die-before-me.  The conversation was prompted by a request for Jeff’s help by the Living with Loss group at Gilda’s Club.  The women want to know what things they need to regularly check in their homes and they are hoping he can teach them some simple repairs.  They’d made a list which Gilda’s Director Beth shared with Jeff after yoga.  We saw the women filing out of their meeting as we were leaving yoga and I thought, “There but for the grace of God…”  Jeff, too, thought about surviving his spouse and wondered…

In the car on the way home we wondered about this together.  I have no sense at all that Jeff will precede me in death – an interesting realization.  I no longer rehearse in my head how I would handle situations without Jeff around to help.  (When did that change?)  Each of us speculated whether we would become more introverted or more extroverted as the surviving spouse.  We came to no conclusions and did not spend a lot of time on the question.

Another topic of conversation was the fear of recurrence of disease and how that has changed for each of us.  Jeff confessed his fear of a secondary cancer – most recently, if he hiccups!  Instead of thinking How-annoying-are-these-hiccups, he thinks I-wonder-if-I-have-stomach-cancer!  I, on the other hand, feel more and more as if we can expect his survival to be very long-term.  During treatment, transplant and recovery, Jeff seldom worried yet now he thinks, “What next?”   A bit of role reversal, it seems.  This fits with our marriage/parenting philosophy:  we can withstand anything in our marriage, anything as parents so long as we don’t freak-out simultaneously.

Jeff gets by with fewer naps these days due to a busy work schedule and his two days a week with our adorable granddaughters.  He does, however, go to bed early and sleeps soundly.  He is tolerating his many visits to doctors without too much grumbling – perhaps made easier by good reports (even his pee is purported to be “cleaner” than his doctor’s).  There are a couple of upcoming treatments for relatively minor issues and he seems to be accepting those like a “professional patient” should.

We are grateful and hopeful and always, always marveling at the miracle of bone marrow transplantation.