Waiting and watching for miracles to unfold

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Feb 25-2008

I am sure by now (if you are still following me) that blogging on this site is proving to be a therapeutic outlet for me.

I hope I am not overwhelming or annoying you. I will do my best to try to get to the point.

We have some good news! Logan had her MRI today and it seems that the swelling has gone down, the tumor has collapsed on itself (think deflating balloon) and we are ready to begin radiation treatment. Dr. Steinbok is happy and we couldn’t be more grateful to him.

Sadly,however, as it goes in the world of cancer though there is good news and then it is followed by a bit of bad news. The bad news  today is that her MRI showed another new small tumor on the base of her spine. At this time that can’t say if it was always there and we couldn’t see it because it because of the scar tissue fro other surgeries, or if it is a new tumor that has grown in the last week. Dr. Steinbok can’t be sure. He knows that there was tumor mixed in the CNS fluid and into the spinal cord but this spot is new on the scan.

Basically, it doesn’t matter- when pathology  comes back it will help us to know if we are dealing with something that is more aggressive. Or it won’t. Either way it doesn’t change the treatment plan, it just adds worry to an already dire situation.

Today we are being moved from the surgical ward to the oncology ward. It is sadly a bit like going home, it is where our people are.

The dietitian, Marlene was in today and she did a great job solidifying our concerns about Logan’s weight and eating habits. Logan is only in the 10th percentile for her age group in weight. She is now only 65 lbs She has lost 13lbs in 18 days. This is very concerning and feel strongly that Logan may not be able to tolerate radiation if she continued to lose weight at this rate once therapy begins.

  I am heartbroken to write that we will be forced to insert a feeding tube tomorrow and Logan will be nourished through this tube for an indefinite period of time. This tube will be inserted up her nose down her throat and directly into her stomach. It will be yellow and as Logan said today- It will be ugly.

  Jared and I will be responsible for feeding via the tube by syringing liquid nutrition during the day and by hooking her up to a slow drip pump (similar to an IV) at night. Logan is completely devastated about the tube and feels like a failure because she can’t keep solid food down. She is embarrassed to have to have this thing hanging off her as another reminder of this disease and honestly she is just a bit mad at the world today.  I, myself,  am trying to be objective. On one hand I am relieved that she will be getting some much needed nutrition and we can stop the endless cycle of s arguments about meal, but on the other hand I am completely crushed by this setback. It is another invasive procedure and another thing cancer has taken away from her-  the luxury of food. We both cried tonight. The hurt seems never ending.

On a good note, I wanted to share that through my endless research and reading (the internet is not a cancer mom’s friend) I found a study seemed promising for Logan. I printed off the info and gave it to our oncologist. She is presenting it at tumor board to get some feedback. It is a chemotherapy regimen that seems pretty aggressive chemo but the results have been outstanding and there is a girl on the study that has a history similar to Logan and she responded extremely well to this treatment. If the doctors agree that it seems as promising as we think it is, Logan could be a candidate. The study originated in Italy and although Logan could not participate in the actual study she may be able to receive the same drugs and dosages that are documented.

  There is some concern, so our plan would likely be to test the chemo for 2 months see how she tolerates and then go from there.  We will then decide if we move forward with chemo and then do radiation or do radiation only and eliminate the possibility of this chemo. It is terrible when your choices are both not great but my heart tells me to try chemo once again. Radiation scares the crap out me and maybe this would buy us some time before we have to use it.

Today was a big day for us, presenting this chemo regimen, and waiting to hear feedback from the doctors has left us emotionally drained. I think we are getting to a point of exhaustion that we’ve never experienced before. I have never felt so tired in my life. Not even after giving birth.

I can only describe it as being in a dream state- but more of a nightmare really. I have this feeling like someone is chasing me and they are only a few steps behind me waiting to grab me from behind. I am foggy but antsy.  This absolute roller coaster of emotion actually makes me feel physically ill and it is like nothing I have ever experienced before.

Fear is around every corner, every blood test, every scan, just waiting to jump out at us but happiness comes in waves as well. I find I feel joy seeing the spirit of these sick little kids. They have so much to bare yet they are still so innocent, trusting, and simple. To see the world the way they see it is one of the only gift in this difficult time. Witnessing Logan and all the other children fighting for their lives without pity slaps me in the face daily.  It’s pretty hard to feel sorry for myself when I look at them.

We also have a lot of love getting us through. I have to keep telling myself to focus on the good.

I will end this blog with a story. I could tell so many. These walls are filled with stories.

For those of you who know me, I have been blessed with the gift of the gab, actually, to be honest I just never shut up- and I talk to everyone. Anyway, last night I met a family from Victoria. They were air-ambulanced to Children’s and their 10 month old daughter (Eden) was diagnosed with a brain tumor the size of a golf ball. Of course they were beside themselves and consumed by shock when they got to hospital. I spoke to them briefly was completely terrified for them. I just ran into them again.Twelve hours after they arrived here Dr. Steinbok, Loggies surgeon began surgery on there tiny girl and after 7 long hours of waiting the parents got the best news ever. Dr. Steinbok got ALL the tumor out it  looks low grade and benign. It is too soon to tell say 100% but her doctors are already using the word cure for this little pumpkin. Amazing.  

Amazing and worth sharing. It may have been an ordinary and normal day for you but here at BCCH there was a miracle. A much needed one, in this building filled with so much grief and sadness and pain. It was a tiny miracle her name is Eden Grace (the name of an angel) and she has her life back.

Hope, and miracle moments like these help us get through the crappy days. Our miracle is just a work in progress and we need to be patient. I feel like posting a MIRACLE COMING SOON notice on our door.

Loggie is overwhelmed with the support you are giving to her. She enjoys looking at this site and seeing your messages. They are a good boost for all us to know we are not alone. As we were reading all the messages together  I asked  Logan if she ever wondered why. If she ever pondered how come happened to her and not to someone else we know. She paused for a long time before she finally answered. “No, mom, there is really no point wondering why me and why not someone else. If I didn’t have this cancer then maybe someone else would have to have it. I would never like knowing that, I would never want anyone I love to have to go through this. I’d rather just do it myself.”

What could I say to that- except I love you.

 

 

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Slow down Charlie

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When I was a child my Papa was in a serious car accident. My grandmother died and he suffered a major head injury. This trauma left him with significant damage. It took away some of his ability to self regulate so he’d often do things very fast like eating and walking. Because his body couldn’t keep up with is mind he would often hurt himself or make himself sick. His name was Charlie.

 ‘Slow down Charlie’ was something you’d commonly hear members of our family scream out to my Papa. Over time it became an inside joke and something we would say to each other whenever one of us needed to slow down, recharge and refocus.

We have been telling Logan to ‘slow down Charlie’ for the last few days. Thank god she finally listened. We all need the break.

I think mentally Logan’s mind has caught up to what her body has been through. She is resting. We are relieved- rest equals healing right?

Doctor’s have been in to see her today, as they are every day, but today they advised us that they think she may have a minor problem with her swallowing and also her coordination.  Her abilities in her right hand seems to be declining. It is almost similar to someone who has Parkinson disease, shaky and unsteady.

Dr. Steinbok was consulted and he told us not to worry quite yet- pretty standard conversation between doctors and parents of children with cancer. I wonder when is the right time to worry?

We are going to do another MRI tomorrow morning to see what is going on. He thinks there may be more swelling than he originally anticipated and right now it is causing these new deficits. This is ‘best case scenario’. Worst case, this is a complication of surgery and she is now in someway damaged, or paralyzed permanently. 

The decision is keep her on the steroids (which makes her mean and angry Loggie) at a higher dose for few more days. The hope is the swelling will come down and we will see an improvement.

Night time seems to be the worst…I think she tries to be alert and strong all day for her visitors and then when nighttime comes and we are alone she has the freedom to collapse and be honest that she is not feeling well. Her headaches are worse at night and it worries me that she is not eating much. She is tiny and fragile and we worry about sustaining her energy and her weight. She is nauseated and complains about the nausea making it difficult to eat. All day long we suggest food but nothing appeals to her. It is frustrating, it so primal for a mother to feed her child.

I want her to eat and I am trying to encourage her to, but honestly this roller coaster of emotion is making my appetite dimish. There is so much anxiety. 

  The doctors keep telling me to put into perspective that she just did have had major brain surgery. I like everything to happen right now. Maybe I need someone to tell me to “slow down Charlie”

Her incision is healing up remarkably well (Dr. Steinbok is a master) but I also think  the reiki she has been getting from June and Grandma have been helping too.

On that note, I have a story to tell you about Reiki. For those of you who don’t know what it is- basically it is energy/touch healing and Logan loves it.

A lady by the name of June Hope has been committed to helping Loggie with her healing since day one…she has been giving Logan reiki and also teaching Logan how to give it to others. Apparently Logan responds well to Reiki and as such, asks for it regularly. June is considered a master of the technique and tells us that Logan has an innate ability to share this energy with others.

On Thursday night when we were in the ICU only about 4 hours after Loggie had come out of surgery (remember she shouldn’t have even been awake yet)  a little baby only 2 month old kept crying out beside Loggie. The stress of the crying  would cause this little babies heart to beat irregularly which made it seem like she was having a mini heart attack causing her to stop breathing.

We were all very upset as it was but being beside this baby made our situation even more intense. Alarms would go off and people would frantically race around. It was hard to Logan to rest and the situation was making me very uneasy and panicked. During one of the babies attacks, I looked over at Loggie  to comfort her. She had her left hand up in the air. It was full of tubes and she was barely able to hold it up on her own.

I thought she was scared so I asked her what she has doing. In the softest most compassionate voice she told me she was sending that little baby some of her Reiki.

I was speechless and in awe of her…in her weakest moment she was sending that baby her energy even though she had so little to share. 

This kid blows me away. I honestly believe she is so much more than my daughter and her purpose here is huge.

Being her mother is an honor and she is teaching me so much everyday.  

I have cried a lot these past few weeks and I am grateful to have some perspective. I spoke to June about how Logan could be so profound and how at times I feel so weak.

She explained how she saw our relationship.

 “I Imagine you standing in front of the creator and it was your time to come to earth. God was handing our life journeys brain cancer was pulled.  You were next in line. NO way. you said, NO, please I cannot bare the burden of  having such an awful disease in this life. Please choose something else for me. You thought you’d escaped.

Fast forward to years later, and Loggie stood in that very same line up where again the creator issued brain cancer. 

Only instead of fearing it Logan said “no problem, I can handle it”. Her only stipulation was that she needed someone to hold her hand, someone to care for her and be beside her through her struggles. That is why God chose you.”

June’s perspective really struck me. She is right, Logan is such a teacher. She has always show such acceptance and strength for her circumstances and she is here to teach me. I have so much to learn from her, I know that. How I wish now I could have pulled the brain cancer card instead of her. Watching her suffer is heartbreaking but watching her strength is also such an honor. This whole experience is truly bittersweet.

Just over a week ago I started this blog. Today, there is over 300 people that have joined this page to support Logan. Each one of you have joined us on this healing journey and we appreciate all that you are offering to help Logan get better. Thank you.

 

 

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A few set backs on the road to radiation

 I think I may have been on a bit of a high myself last night when I posted about Logan. I was excited that she came out of surgery so well and I jumped the gun sharing how ‘great’ she was feeling.

The last 12 hours have been very tough for Loggie-.. she is complaining that her headaches are excruciating. She spend the night  screaming, crying and moaning in pain. We tried giving higher doses of morphine but that didn’t seem to help at all. It has been a very long night.

We spoke with Dr. Steinbok, this morning and he thinks she may have some blood or air pockets that have accumulated in the brain from surgery and is causing new pressure. Apparently this is common and we simply have to wait and see.

We are encouraging Logan to take things a lot slower today. She moved around too much post surgery. We hope taking it easy will help alleviate some of the pressure in her brain.

I guess I do have to keep in mind that most people would still be sedated and likely wouldn’t feel the pain, however we are dealing with Logan and she refuses to be the norm.

We have not received the pathology report yet, that may still take a few days. Our surgeon shared with us that he feels the tumor looks a bit different than it did in the previous surgeries. He said it is a bit more grey (whatever that means) He told us to hang tight to see exactly what we are dealing with- we understand but know that whatever the pathology report says, this tumor is just being a pain in the ass and is relentless. We need to change that.

We will begin our preparation for radiation this week. They will build Logan an immobilization cast which will bolt her into place in the machine. She will also get her tattoos this week. I am sure she would like something fun but they are just going to be small dots that mark the radiation field. There will be lots of information shared and the doctors will spend numerous hours reviewing Logan’s scan’s before they get started.

If all the preparation is done and we get the pathology back then the plan is to start treatment the following Monday.

Radiation will last a little over 6 weeks and will be given 5 days per week. She is receiving a ‘boost’ or a double dose to the posterior fossa (the area where most of the tumors are). 

We have been advised that every few days she will likely need blood transfusions so her counts stay up and she can continue to tolerate the treatment. Hemoglobin cannot dip below 100 during treatment and after all her years of chemo Loggie is rarely above 100.

I can’t begin to describe to you how conflicted  we have been over the choice to do radiation. Radiation has terrible, long term (life long) side effect. I guess in some ways there is no choice, it has to be done but we have much concern and many internal struggles over the decision to go ahead with full brain and spine radiation. We would have preferred a more targeted approach although we have been advised it would not be as effective and the chances of one of the many other small spots growing would be to great.

There are so many risks to consider, but due to the extent and spread of the tumor, we truly are left with no choice. The risks of radiation and long term side effects that Logan will likely experience are better than the risks of the cancer. I can’t believe we have to make this choice.

 

We had a ‘team’ meeting and our doctors advised us that they feel there is about an 80% chance that there is tumor in parts of the brain we cannot see on the MRI. There is also likely billions of tumor cells floating around her CNS fluid.

 During surgery, Dr. Steinbok was able to see that the tumor had made its way down the brain stem and was mixed in with the spinal cord where the two meet. This news is devastating and very concerning. It has never shown up on any MRI and I guess that is the point. You need all the information in order to make a clear decision. Dr. Steinbok is the only one who has seen first hand the extent of Logan’s disease. The scans can only tell us so much. He agrees with this radiation approach and so his opinion and  this new information solidified our decision.

  Radiation was suggested shortly after Logan was diagnosed but it was decided that she was too young and that radiation would be more detrimental than beneficial. We have held on to the radiation card for such a long time praying we never had to play it.

Now all we can hope for is that we waited for the right time to play this card. We pray that radiation will be safe, healing and effective  against this tumor and for Logan.

We also need to make a decision around her next regimen of chemotherapy.

  Since we decided to radiate the spine chemotherapy can be quite toxic in combination. It looks like we may have start chemo after we finish radiation instead of using it to boost the effectiveness of radiation. 

If all goes well, we should be able to go home Monday but as we all know in this crazy world of cancer, things can change.

Thank you for all your kind messages and  beautiful words. I do believe Loggie’s soul has a purpose and has brought many of us together. She is a gift and despite this difficult journey, we have learned so much by being surrounded you all.

I can’t believe how so much good and beauty can come from such an ugly hardship. Bittersweet.

Logan told me tonight that her favorite songs is “Lean on me” she told me if every anything happened to her she’d like that song  to be played at her funeral. Broke my heart. She is too young to have to think so deeply, but she is so wise.

All we can do is lean on each other.

I will blog soon.

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Good news to share- She made it through surgery!

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Feb 21st- SURGERY HAS BEEN DELAYED UNTIL 11AM. There is no bed in the ICU for Log when her procedure is down> Surgery will now complete sometime around  7PM. I will post an update as I have them…please pray for us!

FEB 21 CONTINUED
WOW! Thank you first off for all the love and support that was sent to Logan today.

I am happy to report that it paid off! Your energy, love, strength and amazing commitment to helping her heal…no doubt gave her strength to make it through the surgery- with flying colors I might add.

Most people who had a surgery that involved any area of the brain stem  would still be vented (a breathing tube) and sedated to make sure everything was OK. But our Loggie would have none of that,  only 6 hours post op, She is eating chicken noodle soup, and 2 popsicles. She some how managed to convince the nurses to take out most her tubes and she is sitting up on her own.

The risks of this surgery worried us very much since Logan has a build of up scar tissue from previous surgeries. There was a very real possibility of her heart stopping when the brain stem was punctured…fear overwhelmed us today wondering if we’d ever see her sweet face again. 

Today was an incredible day. I read Logan the messages you all sent to her. I read the well wishes from her caringbridge site and all the emails from her school…she started to cry.

  When I asked her if she was sad or if she had any pain…she shook her head  no.  She mouthed the word happy.

There could never be a more moving or powerful moment in my life. To witness completely and true gratitude for the gift of life and for the gift of those who care about her has left me incredibly humbled.

I learned more today about the importance of gratitude then I will probably learn in my whole life. I pray I never forget it.

 Because she is doing so well, she will be moved tomorrow from ICU to the Neurological ward where she will stay and be monitored for a few days.

The radiation oncologist met with us today during Logan’s surgery and feels we will be able to start radiation on the or about the 3rd of March. That is a week Monday- we are nervous that it isn’t giving Logan enough time to heal but also know we can’t give this tumor time to grow.

Our amazing surgeon Dr Steinbok, debriefed us after surgery. Apparently, Logan’s tumor had once again filled with liquid. Her tumor has a cystic cavity in the middle of it and although the tumor isn’t able to be removed the surgeon was able to drain out that fluid. Picture a balloon that has a slow leak. Without the support of the fluid, the tumor collapses on itself. Although it is the same size- takes up less space freeing up the pressure in the brain stem and causing far less symptoms.

Amazing and I know relieving that pressure makes a huge difference. We are only a few hours post-op when everything is swollen and sore and Logan told me how much better she feels. “Mom I feel better than I have in such a long time”

She is a bit dopey right now, actually she is totally stoned. The morphine infusions will continue to be given each hour through the night to keep her comfortable. I asked the doctor tonight if we should be giving her so many narcotics, it really does seem excessive, but it turns out that kids can metabolize far more opiates than adults (who knew) so she is getting the perfect dose for her little body..

We will have a better idea how she is actually feeling in the morning when we wean her off the painkillers a bit, but I am expecting a full recovery in record time.

We love you all very much and are truly blessed for the care and concern you have for our family…

Thanks so much to all you members of “TEAM LOGAN”  they say it takes a community to raise a child. Apparently it also takes a community to heal one. We  proved that today.

With Love from us to you!

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Confirmed- another surgery

Feb 19th- one week after finding out Logan has relapsed and today we had another MRI of the head and of her spine. We have no results on the scan as of yet but what we do know is that the tumor in her brain stem is causing too much pressure for them to begin radiation right away. The doctors feel that Logan’s best chance will be to have surgery first to try to de-bulk the tumor and then start both a regimen of both chemotherapy and radiation (full brain and spine). It is the doctor’s belief that the tumor is probably in other parts of Logan’s brain. Cells that we can’t see on the scan could be present and that means there is a very good chance it will continue to spread throughout the spine. It also means that our best chance of preventing this is to radiate before it happens.

Surgery is planned for Thursday. It is going to be a bit more risky than any of the other surgeries she had previously and we are worried. Please, Thursday send us good thoughts, love and prayers for Logan’s recovery

The first step (again) to beating this is just to make it through the surgery. After the operation Logan will be in the ICU for about 3- 4 days and then  she will be moved to the surgical ward for another 5 days to give her some recovery time. It is her doctor’s hope that radiation can start approximately 10 days after surgery but that will depend of the amount of inflammation and swelling in her brain post surgery.

Jared and I  have decided to pull our RV down to the hospital and this is where we will ‘live’ for the next few weeks. We are lucky that the hospital designates a spot for families to bring down an RV and are grateful for the ability for both of us to be close to Logan while she needs us. If anyone wants to reach we will have on our cel phones with us.

Thank you all so much for all your kind words and support. This has been an incredibly difficult time this third time around. Having been at  this cancer battle for so long already everyone single one of us is feeling a little less hopeful, and enthusiastic with this latest setback. That is not entirely true, I am feeling depleted and worried and tired, Logan is not. She continues to be our pillar of strength. She must be pulling her energy  from that you are sending her- so thank you and keep it coming.

I will update you all as I can.

 

 

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Happy Heart day

www.caringbridge.org/visit/loganisourangel

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Happy Valentines Day to you all! We took Loggie to the hospital today and although we hoped we’d have more answers for you all we don’t yet. They are definitely going to go ahead with radiation. They have proposed a full brain and spine radiation. We are a bit concerned about the risks of doing that and don’t know if we agree with it. The other option is just to radiate the postier fossa (or back half of her brain) where most of the disease is. Either way we are thinking that we will have to begin with a surgery before we do anything to alleviate some of the pressure from the tumor in the brainstem. The surgeon is going to call me to discuss when he gets home on Saturday. We will be having a spinal MRI and a spinal tap next week to see if there is any new cells in the spine…and today she got a couple of hours of fluids which seemed to help her feel better. Hopefully we won’t have to go back to the hospital for the weekend but that will depend on her eating and drinking. Thank you all for your prayer and beautiful words of support and kindness. This is an incredibly difficult time and we know that the weeks and months ahead are going to be more of the same…but hearing from you all has helped to give us a bit of a boost. We have been doing this for a very long time and sometimes staying positive is getting a bit harder. We are trying very hard not to lose our momentum and having your support has helped.

I will keep you all posted as updates arise.

Love to you all

The Lays

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And so it begins…again

 An update for you all…We are still in the hospital and hoping that maybe tomorrow we can go home. Logan is on a steroid that will help alleviate some of the pressure around her tumor in her brain stem and help her to eat hopefully delaying the feeding tube. We will be back in the hospital on Thursday for a spinal tap and a check up…We still don’t know at this point if the treatment will entail surgery before radiation. That info will come once the doctors assess whether the tumor is too big to go ahead with just radiation or not. I put some pressure on the doctors today that I want some answers by the end of the week at latest. I don’t think we should be waiting on this. So hopefully we will get started on some kind of treatment within a week or so. As always Logan is a star and is the pillar of strength for us all. She is sure this time she will beat it! She has been busy in her room making valentines for all her friends here in the hospital and at school..what a kid!

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Relapse- Third time we get the news- Cancer is growing

http://www.caringbridge.org/visit/loganisourangel

Feb 11th

Logan’s tumor has progressed once again and she is in the hospital. It is apparent that after 3 years of chemotherapy it is no longer working to keep this nasty thing at bay. So we now move on to PLAN B, or C or D (not sure where this puts us)!!!! we aren’t totally clear on what that will be as of yet but it will either surgery or radiation or both…either way it will be her cure. We will keep you all posted with updates as we know them

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