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  August 2001  

 

102


AFP
Wednesday, August 1, 2001 -- 6:54pm
Posted by Bar


I don't want to keep you waiting like I had to wait for Forrest's AFP this morning. It came back at 89 - not terrible, but not great. I had braced myself for a number like 800, so in a way, I was relieved. Clearly, the chemo is doing something. It has a two week period of effectiveness, so maybe this week his number will go down some more. I prepared myself for 800ish, but I dreamed of a 0. His hair has not fallen out, so I am not really surprised. As usual he is doing beautifully. His platelet count is low enough to require a transfusion tomorrow, and he has a pretty low white cell count, but all of this will recover by the end of next week. He's running around like normal and making it all bearable for Peter and me, but I confess that these Wednesdays are almost unbearable. The waiting is awful. The results are disappointing and discouraging. Peter deflates visibly. I follow. Today I finally felt my anger. If I knew how to, I would have run into the woods and screamed my brains out. Unfortunately, I don't know how to do that. It would probably do me a world of good. I wondered today if that wasn't exactly what I am meant to learn through all of this: how to fully express my anger. Anyway, there you have it. Next week's AFP will determine if radiation is purposeful or not. Today I am having trouble. Tomorrow I will fell better. I always do. Much love to you all, Bar

 

103


Quick Hello
Friday, August 3, 2001 -- 12:23pm
Posted by Bar


Just wanted to let you know that all is well here again. The length of time required to recover from discouraging news is less and less. Our skin is considerably thicker than it was a year ago. We have learned how to be on the edge and every time we're pushed closer we simply adjust. Forrest as always is doing great. We went to Albany for a platelet transfusion yesterday, and as is often the case, he surprised us by not needing one afterall. His white blood cell count is recovering well too, so we're in good shape. I worry that I have painted a sad or sick picture of Forrest, and I assure you, those two words in no way describe him. Me? maybe every so often, but Forrest is not to be put down. He's learned all 50 states and puts together a very advanced puzzle to prove it. He knows where Iowa is which is way beyond me. He beat me on the beat-the-buzzer test that one of his audio books has for testing his knowledge of geography. I'm STILL working on where Nebraska is. It's terrible. Peter is working away in his shop making beautiful wood turnings. I am hoping to put a show together for him this fall or spring to show him off. He's really good and he's really enjoying himself. I have scheduled another show for September 29th at the Colony in Woodstock. If you're within driving distance, I hope that you will come. The Colony building has just opened after a 50 or so year period of waiting for someone with the courage to open her doors for her. She's a beautiful over-sized building and wonderful to hear music in. I'm very excited about that show. Peter, Forrest and I are headed there tonight to hear Billy Faire, one of Forrest's buddies who plays the banjo. I feel better when I forget what's going on these days, which is easy to do, so I'm going to sign off. Wishing I could share some wisdom, but I am wisdom-less today. Thank you for all of your messages and thoughts. We love you for that, Bar

 

103


Wednesday
Wednesday, August 8, 2001 -- 9:19pm
Posted by Bar


Another week; another AFP. And it's good news. Forrest's AFP is 60 this week.And although it's not 0, it's clear that this last round of chemo worked enough to keep his growing cancerous cells in check. Here's hoping that radiation will still be able to get the rest.....Time will tell. We begin radiation on Monday morning at 7am. This Friday, the radiation doctor will conduct Forrest's simulation. That is, she and her colleagues will set up every detail of Forrest's radiation therapy. They will first sedate him, and thenfigure out all of the angles that they need to shoot from. They may build a cast for him to be positioned in so that each day of therapy will be identical. They'll tatoo the areas that will be radiated so that they can be sure they're doing the right spot each morning. They'll x-ray him a lot to make sure his innards are in the same place each day. He'll be sedated for about 2-3 hours as they do this work. There are a lot of unsettling things the doctor has to figure out and account for, like: when they radiate him, they have to be sure to radiate him square to his spine so that the vertebrae that are radiated die equally on both sides of his spine. If they don't get that right, one side of his body will grow, and one won't.They also have to figure-in the fact that his liver will move with each breath, so they will radiate a little beyond the point that they need to hit just to be sure they get everything. That means they'll be close to his heart and other vital organs. It's enough to keep me up at night, and it does......When therapy starts on Monday, he will have just one minute of radiation each morning Monday through Friday at 7am for the next 4-5 weeks. We're going to commute to Albany so that the rest of his life will be pretty normal. His doctors are fairly sure that he will sail through this because he is so strong. We'll see. I hope that they are right. Just for the record, Forrest continues to wow his doctors with his resiliency. He never needed a platelet transfusion this week, and his energy level is increasing with each round of chemo - the inverse of what they would have expected. We have all been having a great time. Our weekend was crammed with great stuff to do and we just kept going and going and going. Two birthday parties, several trips out for ice cream with friends, visits from grandparents, a chamber music concert for kids, a new baby sitter named Jenn, and her boyfriend, Zach - both aged 19 and both delightful. Forrest was especially drawn to Zach who he basically adopted as a big brother. He's been asking to have them back since they left. Hannie, our beloved baby sitter who comes in the mornings has been around a lot too, so Forrest's life has been wonderfully fun and social. Last night we went out to Wal-Mart to look for his longed-for purple birthday bike. While we were looking, a salesman came over to help and turned out to be a cancer survivor himself. He had an aggressive brain cancer at age 5 and is now 28. I needed him last night and was grateful to hear his story. It's amazing to me how over and over again I am given what Ineed. Thank you, Asian. (What a great name he has too!) I'm off to play with my boys. We have been sooooo hot all day. It's finally reasonable enough to be physically active now. A mere 80 degrees inside now at 9pm!! Much love to you, Bar

 

105


Third Try
Monday, August 13, 2001 -- 3:39pm
Posted by Bar


I am so frustrated! This is my third e-mail to you in less than 24 hours. The last two have been lost just as I was doing something that should not crash my computer: saving the document. It's maddening. And the worst part is that it's probably me that's at fault and I have no brain for such things - particularly now. Don't know if I have the strength or creativity to write another even vaguely interesting e-mail after two trys, but I really want to be in touch, so I'll give you the basics at least. Forrest is doing great as always. Peter and I are tired, but getting along better than we have for a while. He even kissed me good-bye when he went out this afternoon. WOW. And he called me from work last week - which he always did before cancer at about the same time every mid-day. How romantic. I love it! Do you think he missed me on that one day he could get to work?? Yeah, I think so.... (I didn't mention all that sappy stuff in my failed attempts to write you earlier. Perhaps this is a good thing to have to write you again?) Forrest started radiation this morning. All went well. On Friday he had his simulation when they marked his tummy with purple lines to tell them precisely where to radiate each day. The lines are bold and disturbing to a mommy, but Forrest thinks they're pretty cool. For the first time in a year, he is proud to show anyone who wants to see his tummy. That's a good thing. It's worth trying to repeat the story of Forrest asking me where God is yesterday afternoon. It came up when I told him about how my friend Robert had died and that he had gone back to be with God. I try to take or make opportunities to talk about death with Forrest to see if he's thinking about it, and also to make death a natural thing rather than a scary thing. I think this is very important particularly in Forrest's case, because death vocabulary surrounds him too often, but also for each of us and our kids. Our culture seems pretty unable to cope with death and I think that makes things like cancer even more unbearable and terrifying. Anyway, he asked me where God is? I told him that I thought it was the best and most difficult question he could ask, but that I thought God was everywhere. Later when he was playing with his teacher, Cheryl, it came up again. At that moment he was playing with a babydoll who was shirtless. He looked down at her and said quite confidentally, "I think God lives there" (pointing to her belly button) Cheryl and I decided that his was as good an answer as anyone's; that in fact, God did live in the dolly's belly button. When I thought about it on the way home, I realized that God truly is wherever we think He is. There is no right or wrong answer. I think that in many ways, children know more about that than we do. They seem to be tuned in to that frequency. So all is well. We're on our way to being done with radiation. 20 more sessions to go. And when we're done, we'll have only three days to wait before we go meet Steve from Blue's Clues in New York City. CAN'T WAIT! Enjoy these last weeks of summer. We'll be thinking of you. Much love, Bar, Peter and Forrest

 

106


hi
Thursday, August 16, 2001 -- 12:36pm
Posted by Bar


Four zaps down; 17 to go. The nurses in the recovery room where Forrest comes out of sedation each morning, have given us a blackboard so that we can countdown the number of radiation sessions left. It's very helpful. All of the nurses and technicians are very nice. They don't see many kids in the basement where they work, so I think they're grateful in a way. Forrest is thriving and more. Radiation, like all the rest of his therapy, doesn't seem to phase him. The treatment takes about 12 minutes start to finish. Then he needs 20 minutes or so to wake up completely. He always comes out slowly and like he's drunk too much gin. It's funny....but not that funny, really. I will never get used to sedation. Watching him slump over in a matter of miliseconds is an awful feeling. These drugs are powerful, and thank God for that. Still they are terrifying because of their power. Peter and I are very tired but we'll manage. Forrest is so full of energy that our days carry on as usual. Right at this moment, three hours after sedation and four doses of radioactive zapping, he's running around with Hannah upstairs and jumping on the bed and generally challenging the odds in a wonderful way. I admire him more and more. The whole thing is so surreal. He gets stronger and stronger as the time we spend fighting back his cancer gets longer and longer. Why can't it just give up and be a happy loser? Peter has found a wonderful internet site which gives Hope for Hepatoblastoma patients....I think that's the name of the site. Anyway, on that site are many cases of other kids with very similar scenarios to Forrest: close but not quite AFPs, multiple rounds of chemo etc etc. Many of these kids ultimately beat it, and that's very, very good news and gives both Peter and me much hope. I think that kids want to live and that that is very powerful medicine. Forrest clearly does and is. It's a miracle to witness, I'll tell you. In the meantime, life carries on much as usual but with less sleep. Today I have a second rehearsal with the women who are singing my piece with me over Labor Day Weekend. Our first rehearsal was exciting and challenging. The piece is pretty demanding. Today we should really be able to hear what it will ultimately sound like. I was also hired to do background vocals on a jazz recording next week. I'm very excited about that too. Nice to do someone else's arrangement for a change. I hope that you are all well too. With love, Bar

 

107


short and sweet
Friday, August 17, 2001 -- 1:04pm
Posted by Bar


Week #1 of radiation is done. YIPPEE! We're a quarter of the way done and doing fine, although a lot tired..... Just wanted to mention a couple of things before the weekend: Some of you have asked where exactly Forrest is being radiated. His therapy will change over the five week period, but now he is having both lungs radiated at a very low dose, and his liver at a slightly higher dose. As the weeks progress, the radiation doctor will focus less on his lungs and more on a very specific part of his liver. When Dr. LaQuaglia removed the tumors from his liver, he was unable to clean as well as he wanted in the space between his liver and heart. The radiation is meant to clean all of that up. Apparently radiation is pretty complicated, so I'm not sure I'm describing this at all well, but that's how I understand it.
The other thing I wanted to say is that Forrest's 3rd birthday is on Thursday the 23rd. He is very excited about it, as any little kid would be. Peter has made him a wonderful mailbox that replicates the character named Mailbox from Blue's Clues so Forrest is more than ever before, excited about retrieving the mail. If anyone would like to send him a card for his birthday, I think that he would be THRILLED to get your mail. Our home address is:
    95 West Saugerties-Woodstock Road
    Woodstock, NY, 12498
   
(This is what a toy version of Mailbox looks like)

It would be great to hear from you and an especially wonderful present for
Forrest.  Thank you in advance!

Have a great weekend, Bar

 

108


3
Thursday, August 23, 2001 -- 12:12pm
Posted by Bar


Good morning, Forrest is three. YIPEE! It's been quite the morning. We did our daily trip to Albany at 6am, and were greeted by the radiation staff with many presents, a cake (made by the anesthesiologist and very yummy) and of course, an early morning rendition of "Happy Birthday to you". It was lovely and Forrest totally enjoyed every moment. When the sedation team was ready for him, he got off the floor where he was doing his new puzzle and said, "ready? Come on mommy, let's go". He loves this radiation thing. Everybody is so nice and it's painless and - as far as he's concerned - it's the coolest thing in the world. His attitude is remarkable. It makes getting up and doing this scary thing to him much easier for this mommy. Peter is not quite as happy. He's struggling with getting enough sleep and with understanding where to put all of this in his heart. I see him suffering, and I don't know quite what to do except to feed him as well as I can and to try to understand his stress. Men cope with this sort of thing so differently. I feel as though he's carrying the whole weight of Forrest's situation alone, and that he is very lonely. These e-mails and the circle of friends I have gathered around me have helped me enormously. I guess men have more trouble doing that sort of thing. Sometimes I am very glad to be a woman. This is one of those times. I wanted to catch you up on how Forrest is doing medically speaking. (Spiritually and emotionally he is so strong that I don't remember the physical challenges when I write you).His AFP is stable. It's down to 65. The radiation doctor doesn't expect to see any real change in that number for another week or so, but the fact that it went down from last week's 75 is a good thing. It's certainly under control. Other than that he is still physically strong. His white blood cell count is down, but he's still running around more than full tilt, he's not sick to his tummy or tired or irritable - quite the reverse. He's eating like a small horse and he hardly has time to take a nap there's so much to do. Yesterday, I was so tired by 3pm, that I laid down on my bed and told him that I just couldn't do one more thing. He happily played by himself for an hour or so before waking me up and wanting my company again. What a nice kid! He's really growing up. And, I'm growing up enough to let him play alone and trust him enough not to hurt himself or go off somewhere. Our house is small, so that's a reasonable thing for me to do. I am very grateful. I didn't actually sleep, but my eyes were closed and I rested. I wouldn't be telling you everything if I didn't tell you that this morning - when Forrest woke up from anasthesia, and after another round of gifts and the cake were presented to him - he had a most unusual temper tantrum. I tell you this mostly because I don't want you to get the idea that he is always delightful - although mostly he is. I think that he deserves an opportunity to express his emotions, and this morning theymanifested themselves in a fairly typical 3-year-old tantrum. He worked it out in about 5 minutes, but in the meantime, Peter and I were completely thrown off guard. Forrest obviously was overwhelmed by all that was happening (early morning wakes-ups, sedation, radiation, oxygen, blood pressure cuffs, cold hands, birthday cakes, presents and cards from people he hardly knows but who obviously care about him etc etc, all within an hour). It was too much for him and we were not prepared for his reaction. When we talked about it later, we realized what a good thing it was for him to get fiesty like that. The kid has every right to be angry by now, and mostly he doesn't express it. It would be good for him to do it more often even if it does throw Peter and me a curve ball. These days there's lots of talk about God. Forrest seems very intent on pursuing the question of His whereabouts. I think it's great. Keeps me in a very nice frame of mind throughout the day. Thank you all sooooo much for the stacks of birthday cards that have been coming everyday this week. Forrest LOVES getting all of them and has them all over the living room floor. I'm guessing that today will bring another windfall of cards and I am very grateful. We all feel so much better knowing that you are all there thinking about us. Have a great weekend everybody. Much love, Bar

 

109


PS
Thursday, August 23, 2001 -- 12:37pm
Posted by Bar


Just wanted to let you know that I updated my performance schedule page on my web-site so that my upcoming shows are listed. Haven't done that for over a year....If you're in upstate NY or in the Philadelphia area, I hope that I will see you at one of the shows. I'm very glad to be getting back to work. b

 

110


Birthday News
Monday, August 27, 2001 -- 2:21pm
Posted by Bar


Forrest's birthday party last night was a real success. The weather was perfect, although it had threatened to rain just an hour before.We had a picnic for him - everyone who came brought their own dinner and balls to play with. We brought the cupcakes - vanilla on vanilla, Forrest's choice. It was very relaxed and nice. Not much work for me except making the pre-fab cupcakes and some sugary icing. So much for Forrest's fairly clean diet. He inhaled 4 of the suckers almost immediately. The best part of the night was watching Forrest play with several of his cousins who had come up from Philadelphia to celebrate. He hasn't seen them for awhile and they all got along really well. Danny is a week older than Forrest, Ben is 11, I think, and Al is 14. (Let me know if I have that wrong, you guys, ok?) The last time I saw Alison, she was shorter than me; now she is very definitely taller than I am. She was really great with all of her little boy pals. One of the thoughts that breaks my heart often is the idea that Forrest's extended family and my friends that are far away would not have known him if he should die. He is such a huge part of who I am and who I have become as a mom and as a woman, that I can't bear to think that they might never know him. I was very glad to have my family around last night for that reason. He was vibrant and energetic and full of joy and life. He's never been stronger and I love that they have seen him this way. Here's hoping and hoping that they will always know him this way. We started week three of radiation this morning. It's good to be getting it over with. Forrest continues to do well and was excited to be back at the hospital this morning. We went to the clinic after his therapy to draw bloods and just say hello, and his blood is even stronger than it was on Thursday. Go figure. The little guy is being hit pretty hard with radiation and HIS body is fighting harder. It's amazing. (When I say his blood is stronger, I am talking about his white and red blood cells - both of which are more abundant than last week, and that's a good thing. We'll get the now infamous AFP results on Wednesday.....) I went to the camera store to pick up a roll of black and white prints that were developed on Saturday. The roll had been in Peter's camera and we weren't sure what was on it. Lo and behold there were pictures of Forrest from about a year and a half ago. He had hair and he was beautiful and I nearly got sick when I saw them. I guess I was expecting to see some awful pictures of myself, and instead I saw these excruciatingly beautiful pictures of my baby just before we knew what was going on in his body. It's aterrible feeling not remembering him from those days. He looks so beautiful now it's hard to believe he was even more incredible then. Both Peter and I wonder what he might have looked like if all of this had not happened. But,I remind myself that he looks great now and is blessed enough not to have suffered any real physical damage throughout this ordeal. It could be really bad. As it is, he has wonderful scars on his belly and back, but otherwise he is normal. Thank God for that. We are over the halfway mark for radiation now. YAY! I'll be in touch later in the week to let you know how we're doing. In the meantime, thank you for all of the cards. Forrest has been having a great time getting the mail everyday. And thank you for keeping us in your thoughts. In continues to make the difference between losing our minds and not. Love,Bar

 

111


All is Well
Friday, August 31, 2001 -- 5:00pm
Posted by Bar


Hi everybody, Week #3 of radiation is over. We have 6 more sessions to go. YAY! Forrest will be very disappointed. The kid is nuts! Last night before we went to bed he asked me if we could go get muggle buggled "right now". (aka: radiated) What am I supposed to say?? I told him that everyone from the hospital was home sleeping, and I promised him that they would be there in the morning if he could just wait a few more hours. The technicians and the anesthesiologists and nurses are so nice that he can't get enough of them. I am VERY grateful for his peace with it all. Apparently some kids are really messy. Can you blame them? All of that said, I am also glad to report that Forrest's AFP has dropped again. It's back down to 33. That is very good news. But, and I hate adding "but", but, you can imagine that I am a little tentative about celebrating this time around. We got the wind seriously knocked out of our sails a couple of months ago, so I think that I will be more cautious this time. BUT, HALLELUJAH, anyway!!!!!! I am, Peter is, Forrest is not at all, very tired. I've just woken from a nap and Peter is still snoozing. He has gone back to work a few hours a day on top of getting up very early, zapping his kid and driving 120 miles each morning to do so. Poor guy is really exhausted. Forrest is the only one who doesn't seem to need a nap. Today I told him he had to take one so that daddy and I could rest. He agreed without a fight and is still conked out upstairs. For those of you within driving distance of Woodstock, please come out to hear the Woodstock Cycle this weekend at St Gregory's church. I will be premiering my piece as will three other composers. I have heard bits of two of the others and they are really excellent. Maiya, Katy, Julie and I have been working hard on my piece, too, and last night our rehearsal was really exciting for me. It all came together and sounds, well, great! I'm very proud. They have worked hard on a difficult piece and I think that it will be worth hearing. The shows are Saturday and Sunday at 8pm both nights and are free. The whole program will be about an hour long. Many more thanks for tons of cards for Forrest. What a thrill he's had getting the mail. You guys are the best. Have a wonderful holiday weekend. Much love, bar

 

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