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Topotecan: Week Two
Monday, December 18, 2000 -- 5:00pm
Posted by Bar
It's Monday afternoon. We're back from our weekly sojourn to the
clinic at the hospital. Forrest has begun the second week of
topotecan-therapy. So far, everything is going smoothly - no nausea,
no apparant problems. His weekly blood tests show that the drug is
demanding a lot from him. His counts are very low; just exactly what
his doctor expected. We've decided to stay away from school this week
just to make sure he doesn't get any more colds. His snot to kleenex
ratio has been abnormally high the last couple of weeks and I think he
could use a rest. (Although I must say that even a constant cold does
not seem to dampen Forrest's spirit). Nothing like a little boy's
first conscious experience of Christmas to make him stay up all night.
He is SOOOO excited about Santa Claus coming to OUR house. He sings
"Santa Claus is coming to town" all night long in a very sweet
2-year-old sort of way. I think he suspects that the much longed-for
tow truck is in fact in his future. When you ask him what Christmas
is all about, he says, "Tow Truck". Now, you may object to this
commercial attitude towards this particular holiday, but my feeling is
that Christmas IS what Christmas IS to children: toys and presents.
The inherent wonder of it all is where the magic of Christmas is. He
knows that just like most kids do. They can sort out the rest of it
later.
Peter and I have been having a bit of a rougher time these last 24
hours. It's funny how small things gather force against our emotional
health. We under-estimate, I think, the sheer weight of worry that we
experience. We also don't realize how much stress the other is under.
And, we don't remember that trying to keep a happy face hour after
hour every day is exhausting. Last night I crumbled from the
unendingness of it. There just doesn't seem to be a recess in my
future. Like, couldn't we just really forget it all for just an hour
and not worry about Forrest or each other or what could
happen.....that kind of break is not possible unless one is a very
advanced mystic or something.
I had a good cry in the shower. I do it alone and in as much privacy
as possible because I do not know how to explain to Forrest why I am
crying. What am I supposed to say? I'm sad because your future may
be painful. Or, I'm crying because I can't believe that it is
possible that you could die right before my eyes. Or, I'm crying
because I am so confused about who and where God is and what the hell
praying is for, or why do I waste my time?, or when will this end?
Last night part of my crying was about not knowing what I was crying
about. I just knew that I had a good excuse and so I did. Sometimes
I cry because I miss Peter so much. We can't cry together because one
of us needs to be cheerfully playing with Forrest, and also because
crying together is scary as all-get-out these days. I can't imagine a
time when we will be able to let down our guards. It's very tiring.
So, what made me loose it yesterday specifically?? First, an article
another parent with children suffering from hepatablastomahad sent us
(yes, "children". This woman has two children with cancer! Both
under age 3, both having undergone liver transplants!) The article
that was sent to us described a new surgeon at their hospital who was
brought in because of his interest in liver transplant in children.
The article was very up-beat, but ultimately a liver transplant is a
radical thing.
Forrest is not a candidate for a transplant because he has the lung
lesions. That is, they won't consider transplant if a patient is not
expected to live in any case. His lungs make the situation more
serious. IF his lungs can be cleared, and IF his own liver is not
repairable, then he MAY become a transplant candidate. Not a pretty
picture any way you look at it, eh? At the very least it is not a
future that one would say, "WOW, I can't wait!"
On top of reading that article, I got to thinking about the pharmacist
that dispenses our drugs at the local pharmacy. She is a young woman,
and she made a troubling social mistake. When we got antibiotics last
week, and as we were standing at her counter - all three of us there -
she asked, "so what's his prognosis?" Now I ask you, what am I
supposed to say?? "Ah, well, it's a terrible prognosis. He's lucky
to be alive at this moment!!" All I can say to you is don't ever ask
anyone their prognosis. If they want you to know, they will tell you.
If yous imply must know, find out by asking someone else. And by all
means, never ask the parents of a 2 year old what the prognosis is in
front of their child. Believe me, Forrest has heard all of this junk
over and over again. But mostly, since he cannot speak for himself,
we try to protect him from the seriousness of the situation. If his
life is going to be short, we'd like him to live fully and with
complete joy just as he was meant to. We certainly don't want him to
have to comprehend all of this adult worry prematurely.
The sad thing is that I do not know how to field these questions
spontaneously. How can I? My answer to the pharmacist was, "it
depends on who you ask what his prognosis is." But because I felt
responsible for her curiosity, I spoke to her later, when Forrest was
out of ear-shot, and told her more than I wanted to. What an awful
position to be in. I keep meaning to speak with her further so that
she won't make the same mistake with someone else.....
Anyway, I guess you get the picture, I get pretty mad and irritable as
well as full of sadness. I hate to paint too gloomy a picture,
because, in fact, the last couple of weeks have been delightul.
Forrest is in love with Christmas and with running around and
examining all of the decorations. He is a remarkable boy. I am
amazed by his intellect. He is mastering puzzles very quicly and has
a phenomenal memory for details. I just want so badly to see him grow
up....
They told us today that his peach fuzz will probably fall out too.
When hair falls out with chemo, it just does...it just falls out. You
wake up one morning and there is a huge dreadlock sitting on the
pillow. This new pile of hair will be harder to find. I'm going to
miss it.
I love you guys. Have a wonderful holiday. I'll be in touch towards
the end of the week.
xoxoxo Bar
PS The nurses gave Forrest a Winnie the Pooh this morning. WOW! Happy
camper, that Forrest.....Merry Christmas.
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