Of Breathing and Daily Bread

The older sister’s voice is calm, but tense: “I just checked on him. He is breathing, but his skin is still really pale. I took a picture for you.” 

I absorb her words as I sit in the stands at a freshmen football game, cheering on the baby of the family while the oldest, best sister watches over Chase in the fifteenth hour of his sleep. He sleeps a lot right now. 

This last week, Chase caught a cold. 

As it usually goes in large families, everyone caught a cold. But whereas we all took extra vitamins and maybe an extra nap, this very small, very basic virus dealt a throat punch to Chase’s autonomic nervous system. It took him from in school and joking with his teachers to walking only with assistance, not eating, and not even wanting to talk in a matter of 24 hours. 

For much of the last five days, Chase has been on a heightened “ER watch”, meaning that Bob and I as parents were instructed that a noted status change would require not a call, but a going. It feels like the real life equivalent of the monopoly jail card…”Go directly…don’t pass…don’t collect…just GO”.

As of this morning, I’m so thankful to report that Chase managed to stay out of the hospital and it’s seeming that he’s turning a corner. His blood pressure is now registering almost human numbers and while he’s still quite weak, he’s getting stronger and starting to joke and smile again. 

But I think I’m writing this out for myself as much as for you today, dear ones. The last five days have been intense and there’s no good space in general parenting for the necessary processing of acts like checking to see if your child is still breathing…or talking through that fear with the siblings. 

This is one of those pieces of Chase’s story that seems to have a very direct correlation to his brain tumor. Which means he would not struggle like this if he hadn’t had cancer. 

Some days – especially the tired days – that thought hits hard and insidious. It sneaks like a whisper in the back of my brain as I stare at the blood pressure machine for the hundredth time or try and help him get comfortable around chest pain and dizziness. 

This is one of the pieces that doesn’t wrap nice and neat – that doesn’t have an end in sight. And it’s frustrating. 

During this time, I have found myself thinking a lot about the asking for our daily bread (from the Lord’s Prayer). “Give us this day…” …not this week, this month, the lifetime…just this day, and maybe even this moment. There is an immediacy both to the request and expected answer too. 

Give me this moment what I need, dear God …and when the next moment comes, faithfully give again.

I think this is the picture of sufficient grace: the circumstance might not change, but we are held and given what we need even within the heartbreak or weariness. 

And so we continue… 

Moment by moment. 

[picture: from Darcy…originally in color to allow me to check Chase’s skin tone from a distance]

Of Papers, Chest Pain and Being Okay: a moment for the new school year

I have come to realize that I don’t post very often in the month of August and it’s because it’s the month that comes with a return to school and all the pieces involved for a child like Chase.

Last year, Chase missed a significant part of his sophomore year. This year, he’s hoping for better and more, but he’s afraid too. 

Every day it is a challenge to help him wrap his mind around his symptoms and try to figure out what needs to be reported and monitored, and what can be ignored. [easier said than done, for sure]

And me? I’m filling out all the papers and sending emails and working with his hospital and this most incredible support network just to get Chase in the school building and allow him to be there all day. 

This last week, I was at the school almost every day (forms, medicines, low blood pressure intervention, etc)… BUT …so was Chase. [winning!]

The intersection of a medically complicated life and a typical school day is an interesting space to inhabit. 

Continue reading “Of Papers, Chest Pain and Being Okay: a moment for the new school year”

Of Hot Chocolate, Thankfulness, and Impossible Things

It was quiet in the sunlit lobby.

Quiet enough to possibly nod off after the long night of sleep testing.

Instead, I reach for the large black coffee close to hand, trying not to think about the painful cannula stuck in Chase’s nose and taped to his face all night. Too many pieces surrounded him to really sleep, I think.

We made it through the overnight. So, four more appointments and eleven more hours and then we could finally go home.

Sometimes when the hospital isn’t around the corner from your house, it’s easier to “stack” appointments and just stay downtown. Easier… ha, I think as I sip the coffee.

There’s still almost an hour until cardiac rehab. I remember the tech rubbing at the electrodes on Chase’s head last night, trying to get them lined up just right. I hadn’t told him about the red marks and even a small open sore on the back of his head this morning as I’d cleaned electrode goo out of his fuzzy hair. If he knew anything had left a mark, it would bother him even more and we just needed to get through the next thing. Today came with a cardio-pulmonary assessment and evaluation of his stamina too.

Idly, I wondered what the sleep study would find… if there might be embedded bed answers for the times sixteen hours creep by while he sleeps like the dead.

Chase reached for his phone and pulled up the Bible verse for the day, sending it to me and several other contacts in his phone – something he loves to do often. My own phone vibrated on the table with his text:

“But Jesus looked at them and said, ‘With man this is impossible, but with God all things are possible. Matthew 19:26”

Of all the days and all the verses…

I remember this verse claimed for the brain tumor baby down the hall from Chase’s treatment room when we started this journey; the baby who wasn’t supposed to live (and is actually going to start high school in the fall). And then I think of the friend in Israel on the other side of the world holding this verse close right now as she waits to see if treatment worked for her son.

Brain cancer is everywhere.

I sip my coffee with a heavy heart, thinking about all the appointments still ahead and the stupid and frustrating necessity stemming from Chase’s own brain cancer experience. It’s heavy. I feel heavy with it.

“Mom, today, I’m thankful for Dad,” he says with a smirky smile.

He says it to be silly since I’m the one who did the sleepless night with him. But he’s not wrong. His dad is not only a lovely soul, but his thankfulness hits like a balm and I remember the words of an old friend, the only greeting he ever gave. No hello, just “what are you thankful for today?” It was a greeting, but also a challenge.

Can I be thankful in the heaviness? And I realized I was actually thankful that the sleep study room had a Murphy bed instead of a chair for me. The night could have been so much more awake and horrible. Also? The sun was shining. That was kind of nice.

“Can we visit Wesley?” Chase broke into my thoughts.

After cardiac rehab, before we met the rheumatology team, we walked over to the inpatient rehab facility to see Wesley and while we watched, he nodded his head on his own – perfect and controlled. The massive spinal stroke that tried to destroy his body shouldn’t allow for that movement, but he did it anyway. I felt so thankful again and Chase watched quietly before making a comment about the Tennessee Titans flag hanging in Wesley’s window. Even spinal stroke victories doesn’t exempt a person from Chase’s football thoughts.

By the rheumatology meeting, Chase was horizontal, talking to the nurses and doctors from a prone position, wrapped in his fuzzy Bears blanket against the chill of the exam room.

When they examine all systems head-to-toe, there are a lot of questions. Most of the time, he’d turn to me and say “What are they asking?” as if I was his interpreter for a foreign language. And maybe I was, bless his exhausted brain.

“Did you know Michael Jordan owns a Nascar racing team?” Chase asked them. All the talk about his symptoms were boring in the face of his favorite number twenty car coming in second this past weekend downstate. He loves cars and going fast and wishes he could learn to drive a car some day.

The rheumatology team (who did not know about Michael Jordan and his race cars) was stumped by Chase, but wanted lots of labs to check. Labs and needles are his official last straw and so I call Bob in-between his meetings at work: “Can you call our son? He’s closed himself in the men’s bathroom and I really don’t want to have to go in after him.”

He’s done. Officially.

And who could blame him?

But it’s awkward because he can’t be done yet.

I want to weep for him.

Seven missed calls and he finally comes out.

“You owe me.” He mouths the words as the needle glides in smoothly on the first stick to the back of his hand. Usually his veins love to roll and collapse, having him bruised and his phlebotomists frustrated.

A first stick is a small but precious mercy in the long day.

He wants a hot chocolate… but not until after the last appointment of the day like a celebration of survival. I can do that for him.

We get in the car. The last appointment is at an outpatient facility about an hour away. It’s quiet for a moment and I wonder if he’s still overwhelmed and upset, but then from the back seat, the words come: “Mom, I was stronger than I thought I was.”

“He’s one of the only children I’ve treated who physically presents as a different child every time I treat him.” The physical therapist says as she stretches tight muscles in his legs a couple hours later. She goes on to explain that some days he’s strong and limber, and other days, he’s weak and too tight – like today. I laugh at her words and she looked like maybe I didn’t take her seriously, but I was laughing in relief. I felt weirdly seen by her observation. Chase is a rollercoaster and his body is so different from day to day. It’s always nice when someone else sees it too.

And then it’s time for hot chocolate and home and I think back to his words in the parking garage: “I was stronger than I thought I was.” And I think about the truth embedded there: “In the Spirit is the enabling,” said Elisabeth Elliot. I think God himself sits in the space between “I can’t do this” and “I did just do this” and it’s precious and personal.

Now, almost forty-eight hours later, the labs are starting to populate the online chart. They’re all over the place and I don’t know what they mean yet. Several of them are flagged as being outside normal limits. Who here is not surprised Chase sits outside the normal?

Maybe we’ll get some answers.

Maybe there will be more tests.

And maybe these hard things aren’t a helpful diagnosis with clear and clean steps in waiting but simply the real, true results of horribly hard brain cancer treatments at a too young age.

All of this has yet to be determined.

But Chase was stronger than he thought he was on a hard day.

Wesley nodded his head.

The girl we met in the elevator had a good brain tumor scan.

The hot chocolate was delicious.

And with God, all things are possible – even exhausted, broken-hearted thanks.

Sitting in the wait…

Moment by moment.

Of Uno, Electrodes, and Precious Trial Moments

This is Connor, dear ones. 

A couple weeks ago, Connor, a family friend, found himself scary and sudden in the neuro world one morning. 

One moment, there was going to be cereal for breakfast, and the next, he was on the ground, his worried parents at his side. Then came an ambulance; hospital bound. And then came the deep challenge of working through what it meant to re-learn and remember after seizures knocked his body and short term memory sideways day after day. 

Connor ended up being transferred to Lurie and Chase and I were actually in the room at one point as Connor bravely fought through a seizure moment. Chase watched openly, and with his usual matter of fact voice, stated only: “If I can do it, Connor, so can you.” A rough and direct courage word, for sure, bless him. He would tell me later that he thought Connor was “very brave just like me”.

During Chase’s EEG monitoring, both boys needed to be in their respective beds, and so they started sending pictures and videos to each other via their moms phones: Chase beating me at Uno, Connor catching a nap, Chase with his head wrapped in electrodes, Connor eating a meal. 

And then Chase was discharged and it was pictures of Chase resting or throwing his javelin at home, and Connor getting to meet a therapy dog or being brave during treatments to help heal his body from the root cause of the frequent seizures. 

During that time, Chase dictated these words to Connor: 

“Dear Connor, I can’t believe it! I’m so excited for you! [that the treatment went well] Sometimes being stuck in the hospital – when I was stuck in the bed like you – is really hard, but you get good opportunities to meet people and be the hands and feet of Jesus. You know God is with you always and you can always think about home. And you have your family around you even if you can’t always see them.”

These words, as you know, are based on his long, often difficult experiences, and they ring true in many ways precisely because we know that he knows what he’s talking about, don’t we? 

Chase had his cardiac rehab assessment on Monday. This was hopefully going to be the moment when he would get to “re-graduate” and be done…and instead they said they’ll look at his numbers and get back to us. 

And then we went to see Connor again. 

Today, I  got the call that it’s not time to end cardiac rehab just yet. The official opinion is that Chase could benefit from another month at least. And I put the phone down and cried because I know it will help, but Chase is tired. We are all tired, really.

And then I thought about Chase and Connor and the gift of those connection moments. You see, the reason Chase was in the hospital last week in the first place was to try and get answers about his unresponsive episode in February. We spent two whole months on the test waiting list. Originally scheduled in mid May, every attempt to move the EEG forward fell through despite repeated efforts. And then there was a call out of the blue: “There’s an opening…can you make it?” 

Dear ones, Chase’s test time came at the exact moment Connor was in the hospital… and was only a few doors away on the same floor! There was such a precious bond of encouragement that was forged in their unique trials – simply because they got to be together in them. And even tonight, as I write these words and remember the moments together, I am reminded that trial moments are not wasted moments. Another month in cardiac rehab won’t be wasted… even if we have no idea what lies ahead.

In fact, nothing is wasted in the story our good God has for us.

“He is with us always…and we can always think about home.” – Chase to Connor

Moment by moment. 

“All praise to God, the Father of our Lord Jesus Christ. God is our merciful Father and the source of all comfort. He comforts us in all our troubles so that we can comfort others. When they are troubled, we will be able to give them the same comfort God has given us.” 2 Corinthians 1:3-4

**at the time of this post, dear, brave Connor has been seizure free for enough days that he was finally able to be discharged and come home. Today’s text thread included the comparison of who would get to take more naps today. 

Of Rough Seasons, Red Flags, and Defiant Thankfulness

It’s been twenty-four days since I got on the ambulance with Chase.

At the time Chase was first unresponsive and then tested in the ER, the radiology report indicated there might have been signs of micro-hemorrhage in one of the growths (cavernous malformations; cavernomas) in his brain. However, upon further review with all the teams downtown – who have access to almost fourteen years of scans and pictures – there is not enough of a change to positively declare a micro-hemorrhage. It turns out that the brain just looks a little rough around the edges when it’s been cut open and radiated and all sorts of life-saving measures in real time. 

And oh, in that moment when the calls came and the verdicts were handed down. I was so upset. I shocked myself, actually. And in the stillness and frustration, I had to confront the truth that I think I actually wanted it to be a micro-hemorrhage just because it was a crystal clear answer and those are horribly few and far between when it comes to Chase Ewoldt. 

Isn’t that crazy? Sometimes horrible things don’t feel so very horrible just because they come with some level of clarity. And conversely, a lack of clarity is it’s own fearful place, isn’t it? I’m so thankful God sits with us in those spaces, dear ones. 

What was far more worrisome to Chase’s regular teams was that Chase very clearly had a small season of confusion after he woke up. He was almost nonverbal, but he knew where he was and recognized who I was. However, that night, when Bob came to pick us up from the hospital, Chase was telling him how nice it was to see him finally on this long day… as if he had not seen Bob (talked to Bob, even) on his way into the ambulance within minutes of waking. 

This is something of a red flag to everyone as this tends to be a classic hallmark of what happens after a seizure. Only we didn’t see Chase have any seizure activity. In fact, the nurses pulled back his sleeping eye lids and his pupils responded normally to the light.

But there is another kind of seizure… one that is not really absent, present, or convulsive. In fact, from the little bit I understand, it happens in a napping moment and then the patient remains unconscious to the world while the brain recovers, looking for all the world like they are asleep. But they cannot be roused. Sounds heartbreakingly familiar, right? 

Perhaps at this point, you’re wondering why I am I sharing this with you while we still have no answers. Because this not knowing is Chase’s life, dear ones. And you’re always welcome on the journey…

Right now, we are staying in very close contact with his neurology team. And due to the high demand for pediatric care, we are on a waiting list to get a season of monitoring moved from May until now. During that time (whenever it comes), Chase will be admitted to the hospital and monitored for seizure activity for at least twenty-four hours with the hope (as always) for answers and clear next steps. 

So we are waiting. We are waiting for the neurology piece… and for several other pieces too because Chase has had a long and rough several weeks. What we do know right now is that there will be more things unfolding… most notably, following a long conversation on Friday afternoon, it was determined that Chase’s heart needs his body to be back in cardiac rehab. 

Over the last twenty-four days, the feelings of human brokenness and the fragility of Chase’s life have felt increasingly more overwhelming. So I’m sharing here some words that I wrote out for the women at the retreat last weekend. I’m holding them close…and maybe you need them too?

“I know, at least for my own part, that I most want to beg God during a season when I least feel like thanking him. But this particular practice of thanksgiving throws wide the doors on our stress and our sadness because even in our darkest moments, this verse [Philippians 4:6], this command is a reminder that we still have things for which to be thankful. 

This isn’t an arbitrary benchmark . It also isn’t God looking at us and saying, “I’ll give you this if you give me that” like some tit-for-tat argument. God isn’t a parent teaching an errant toddler to say please and thank you. 

Rather, I believe that this is a call to faithfully rehearse His goodness even as we fall apart in our present anxieties. This is us crying out: “God I can’t… please help… because I remember what you did before”. 

This isn’t a “Just say please!”, this is: “When you can’t see straight, don’t forget what I’ve done!” And when we speak our thanks, when we recall what God has done (even at times, out loud), we are essentially reminding  ourselves. …and we need this.”

This is where I sit right now: “God, I can’t, please help!” And even exhausted and with tears running down my face, I know there will be good – because He is good – even if I can’t see it all coming together right now. So by His grace, we will remain defiantly thankful even with no answers… 

Moment by moment. 

Chase in heart testing