48 Hours On The 20th Floor

“Will you stay with me?” His lower lip trembled as he tried to be brave. And then, all too fast, we are at the reinforced white of the double doors, and the doctor in his gray-blue scrubs and hair net murmuring, “It’s time”.

I kissed his head awkwardly over the side rail of the bed, wishing I could gather him close – shield him from all of this – even as I smile and the doctor takes our picture. A final brave moment.

And then the doors open and the bed wheels through them… Chase moving forward as I’m left behind. 

“Remember, there’s no smiling in the hospital,” I call stupidly just to see a tremulous smile. Even as scared as he is, he will try simply because I told him not to do it. “I love you sweet boy,” I call one last time and then the doors close as they turn the corner.

The surrender of a child is and will always be one of the most heart-wrenchingly difficult parts of this journey for me.

It takes four hours – four long hours before he’s done and I stand in another hallway, flanked by two friends as the doctor explains the anomalies of the surgeries and Chase’s body. And I want to laugh because this was a surprise to him, but very few things surprise me when it comes to my sweet boy. He’s not about the easy road though things.

The important things is that the surgery went well and that he got all the cancer out. And I tell the doctor that he deserves a gold star for powering through a thyroid surgery that lasted as long (or possibly even a smidgeon longer…) as Chase’s brain surgery. He smiles because he’s been with Chase for six years now and he knows Chase’s brain surgeon well. And later, the neurosurgeon will demand the gold star for doing a brain tumor resection in the time it takes to remove a thyroid. Doctors become strange family members this long into a fight.

I just need to see my boy now. I need to see with my own eyes that he breathes.

It felt like hours, but was probably only minutes before they call me back and as I follow the nurse, I’m whispering prayers for strength because I remember the brain surgery. Very few things make me weak in the knees, but the sight of my broken boy was one, and I remember Bob getting on the bed with Chase because I couldn’t. I couldn’t handle the stitches and scars in those first minutes and I beg for strength because Bob isn’t with me this time and I will need to find my way with Chase alone in these first minutes.

He is so broken. My sweet boy. There is a part of me that knows it is never as bad as it looks, but the part of me that birthed him and loves him absolutely detests seeing him cut and scarred – with an unholy rage. 

It will pass. It always does.

But this is what it’s like to walk this road with Chase. I ache when he hurts and cry when he breaks. I signed papers asking them to do these things because all his pain is still better than the cancer – and that’s just a messed up place to be in my parent head and mother’s heart.

He finally wakes and his first words are “Call Mimi” – his maternal grandmother. And then he lays in the bed and watches her silently on the screen, and I worry that he doesn’t want to talk even though the doctors said his vocal cords came through the surgery just fine.

And then we are finally taken to a room high on the twentieth floor and he lays perfectly still. “I get to ride on the bed, but you have to walk,” he cracks and croaks, and I know even as still as he is in his pain and brokenness, he is so relieved that the surgery is finally done.

But tears leak out of the sides of his eyes and track down his temples and onto the pillow. “I can’t laugh”, he says, and I don’t know whether he’s talking about the condition of his throat or his heart.

“You’ll be surprised”, the doctors say. “It feels like he’s going to be like this forever, and then he will suddenly just start healing.”

After the sun goes down on this forever long day, a magician knocks at the door and literally folds his tall frame in half over the bed giving Chase a magic wand and the rest of us the first, hoarse bark of a faint laugh.

Has it really only been hours since the surgery? …a day since we woke to this reality? Perhaps it’s going to be okay.

But then, his calcium levels drop – a sign that his body is in revolt over the space where his thyroid used to nestle close – and so they call for labs to be done every few hours and more medications to be added to his list. 

Isn’t calcium a glass of milk or strong nails? I think to myself even as they warn me about loss of feeling in his fingers, toes, and lips, and tell me to watch for his hands stiffening up, fingers becoming like tiny claws. I pray they’re kidding even while I know they aren’t and breathe just to get through the next lab. Because when you don’t have a port, every blood draw is a needle, and when you’re Chase, it’s two or three needles and so many tears..

He lies elevated on the hospital bed, sobbing hoarsely. “Don’t hurt me. Please stop hurting me” as the order comes through for labs every four hours instead of the six. And we will only know later that the nurse went back and begged to remain at the six hour mark after seeing his tears.

All through the night, the staff comes in and out for labs and medications, and to check his breath and heart as the small color-coded stickers on his torso and back keep setting off alarms. Calcium is so much more than a glass of milk and I will need all the coffee when the morning finally comes. 

The next day is so much better, and Chase sits up in his bed, but he falls back and sleeps within minutes and not even the hospital playroom can tempt him for long. We smile with the staff coming in and out as they pick up Chase’s Bears bear in his San Francisco 49ers sweatshirt and ask “What is happening here? This bear seems very confused.” And Chase growls and pretends to kick his nurses out of his room after he finds out that they’re two Wisconsin girls with Green Bay in their hearts.

Then it’s time for the drain to come out of the hollow in his throat, and they reconfigure his IV while he lays still and cries more. And it would be too much for me if not for Zack, a nurse on the floor who’s father is Chase’s PE teacher and his help on Chase’s arm is the reminder I need – the reminder of connection, the reminder that we aren’t ever alone and our stories cross in crazy places and times. And after the tears dry, we send a picture of Zack and Chase to the teachers in the school.

By this second night, the healing suddenly starts where we can see it. He gets up and takes some steps, walking in the hall with his ambulance nurse friend, Craig, and flirting with the nurses. His voice is quick, high, and gravel-filled, as if he’s afraid to push against the bruised feeling they say he’s experiencing. And then he tires and I push him around in the wheelchair because Chase is still Chase and likes to move even when his muscles want none of it.

“There’s nowhere I’d rather be than here with you, Mom”, he whisper croaks over the sound of beeping monitors and a fussing baby. And for one glorious second, the hall of the hospital is the most perfect place on earth.

But the calcium dips again. So it’s another night on the twentieth floor and the hope that the morning brings better news. 

And it does… thank God, it does. We will be discharged today.

By the late afternoon in the fog and rain, I push his wheelchair with one arm while I carry bags and a suitcase in the other. I wish I had a moment to cry over this tiny peek into the life of Chase’s friends who live in their wheelchairs. It hurts so much more when the ramp is bumpy or the door doesn’t open. There are so many nuances I didn’t realize until now with my hands on my own son’s wheelchair moment.

But I can’t think about crying for long because it just feels so good to leave. Neither of us have slept in so long – too long – and the Chicago parking garage air is cold and dirty, but we both breathe deep. “Freedom”, Chase whispers.

And then we drive a few short blocks to pick up Bob and the other kids at the Chicago Dance Marathon and end up staying a few minutes and saying a few words and somehow, watching people dance with abandon and cheer on kids like Chase is the most perfect way to celebrate a discharge even as Bob and I catch each other’s eyes over the crowd and marvel that Chase is still on his feet.

Sunday passes and he rests long hours at home and plays with siblings the healing is remarkable. It feels so good to hear him try and laugh again even though he’s still quiet compared to his normal Chase self. And his hand keeps going to the bandage at his throat.

Monday morning brings school for the others and more labs for Chase. And we all whisper prayers for high calcium and receptive veins. “Why do they need more blood?” he cries, even though he knows the answer. It’s simply his way of voicing the desire that this not be the way it is.

“I miss you being my hospital butler, mom.” He tells me in the car as we leave. “Now I will have to do things all by myself again.” He sighs. “I liked it better when you had to do everything for me.”

It’s late afternoon when the hospital calls. Hoping it’s positive calcium news, I’m surprised to hear the voice of the otolaryngology fellow. The pathology report is back on the cancer and it was indeed the thyroid cancer they had assumed.

Expected.

And then she tells me how the cancer was also tucked into the few lymph nodes they took out.

Unexpected.

It feels like a gut punch, this news with the with the lymph nodes. Those tiny things scare me so much as they seem to function like the railway system for the entire body. What if…? My brain silently travels the railway lines of worry like cancer even though I know I shouldn’t worry if they aren’t worried. It’s only news…words…I tell my gut.

God is as much in control of Chase’s life and story as He was five minutes ago and will be five years from now.

They aren’t very worried because Chase is asymptomatic, his glands smooth and unswollen, but it’s definitely another bend in the journey’s road. At this point, there is no great surprise. Only weary grief. And not even great sadness for Chase – he is strong and brave as he always was and will be – it’s just the heart-weighing grief of living in a world where these moments exist – where little children get sick.

Any time, Jesus, any time now, my heart whispers quiet on the call.

So in the now, we wait for word from more doctors, we wait for calcium levels, we wait for hope, we wait for strength and peace. Sometimes life is a waiting room, really. And the story twists and turns are not always fun, but they’re known to God even if they aren’t known to us. And because of this, we are free to keep choosing hope.

Moment by moment.

In The Dark

It’s silent and dark past the glowing of the computer screen in this living room, messy room space…

He’s laying on the floor, wrapped in blankets and love, with only the top of his fuzzy head peaking out. The siblings are all with their caregivers already and he just wanted to be close – to not be alone.

He said he wouldn’t sleep, but he has.

Oh my Chase… another Thursday morning, another Thursday cancer surgery. Then, when you were only two and so young in soul and body, I didn’t know who you would be or what would happen – and neither did you. At that point, you didn’t even know what the word surgery meant. Oh, but now you do, my darling old soul, young boy, and I’m both thankful and sorry for it.

Holding to the anchor promise that God doesn’t make mistakes and in this, I hope – even when it hurts. Don’t forget this today, and don’t let me forget it either. This is just another part of the story.

See you on the other side – again, sweet boy.

Moment by moment.

By the time you read this post, Chase will be on his way to the hospital. surgery is scheduled for approximately 7:30AM.

“How Are You Doing?”

“The thing is… you need to focus on the positive: children like Chase are now living long enough to deal with secondary cancers.”

“Oh, good. Thyroid cancer is so easy.”

“It isn’t like its brain cancer.”

“You’ve been through this all before, so it’ll won’t be that big a deal.”

“It could be so much worse…”


“Mom, I had a dream that they only way they could get to my thyroid is to take off my whole head. Will they cut off my head while I’m in surgery?”

“I just keep remembering what it was like to lay in bed with the lights of the ambulance on the ceiling and you wouldn’t let us come out and nobody would tell us anything. Will you tell us this time, Mom? Would you tell me if Chase were dying?”

“I wish I could go back and be a baby, because then I wouldn’t have any cancer. Cancer hurts me, mom.”

“I don’t understand… but I can’t stop crying, mom. Why can’t I stop crying?”

“Mommy, am I going to die this time?”


“In the morning when I rise, give me Jesus. Give me Jesus, give me Jesus. You can have all this world, just give me Jesus.”

“This hope is a strong and trustworthy anchor for our souls.”

“God himself will be with them.  He will wipe every tear from their eyes, and there will be no more death or sorrow or crying or pain.”

“This I declare about the Lord: he alone is my refuge, my place of safety; he is my God, and I trust him.”

“Whatever may pass and whatever lies before me, let me singing when the evening comes. Bless the Lord oh my soul.”


Moment by moment.

Chase in his hearing test on Tuesday
Ears to hear

Of Freedom, Answers, And Choosing Hope

He doesn’t speak out often, but when he does, it’s often the gentle rock and hum of the car that brings out. “Will they take the whole thyroid out or just a part of it, Mom?”

I can feel my hands tighten on the steering wheel. “They whole thing, baby. They don’t want to leave any of it in – in case it grows more cancer.”

“Yeah.” His voice is small and resigned. “Because if there was more cancer, then I’d have to go for another surgery and I can’t do it, Mom. I just got my freedom and if I keep getting cancer and going into the hospital, then I won’t be free any more.”

In pre-op for anesthesia before the MRI

Some questions come with no answers, and some words hurt like broken skin, but there are some things we know, and I’d love for you to know them with us – even if it’s just simply waiting with us as we wait.

What exactly happened?

On January 8, 2019, during a routine brain and spine MRI, the images picked up a spot on Chase’s thyroid. Originally thought to be a benign nodule, further testing proved that the spot was indeed papillary thyroid carcinoma – Chase’s second cancer in his barely nine years of life.

How is Chase handling this?

Right now, he is very nervous about the surgery. When he first found out, he was terribly concerned for how his friends would react to the news. He didn’t want them to worry for him, but this aspect has subsided as his school has embraced him with open arms. Overall, one moment he will be his regular Chase self, and then the next he will be deeply silent, not responding to anyone speaking to him, sitting and cuddling close in the silence because it’s on him and none of us have the right words and we all know it.

In post-op after the biopsy procedure

Is there a sure clinical reason for this diagnosis?

There is currently speculation as to whether this type of an occurrence stems from an aspect of his grueling ATRT treatment, however, the truth is that Chase’s generation of ATRT are on the “event horizon” – the first generation with a nearly 60% eradication rate and the idea of long term survival (defined as living for 5-6 years from diagnosis) is still very much unfolding. However, studies show that due to what children with cancer endure, by the time they’re in their 40s (should they live that long), 95% of childhood cancer survivors will have chronic health problems and 80% will have severe or life-threatening conditions. So even though we may not know the exact why of this secondary cancer, it’s not entirely unexpected.

This should be pretty easy because you’ve dealt with cancer before, right?

Yes, but also no. It feels crazy to survive the toll of brain cancer in our family space and then feel totally gut-punched over something as seemingly simple as the thyroid, but that’s the truth of it. Of course, we know the ins and the outs of the hospital and all things medical much better than we did six years ago, but carrying a second cancer when there’s already been a first is akin to asking someone with a broken arm to carry a bag of groceries. Technically, they can do it, and technically, the groceries are very necessary things, but the existing fracture makes the load that much more painful and the body that much weaker as a result.

With our ENT nurse after meeting with the doctor about surgery

At least it’s a good cancer, right?

You could say that, but uttering those words doesn’t mean it cannot and does not hurt terribly. The diagnosis doesn’t have to be the worst cancer to painfully undermine. For someone who knows the hospital as well as he knows his own house, whose body is riddled with scars and brain is full of trauma and broken memories, who has buried friends who should have started the next grade with him – it’s enough that it’s cancer. In the world of Chase, there is no good cancer. After the surgery and treatment, Papillary Thyroid Carcinoma will prove itself to have been so much better and easier than ATRT, but on this side of it, sitting with a diagnosis and a hundred little stressors like needles, it feels heavy and hard and deeply overwhelming. And for those of us old enough to understand, it feels stupid too because we know that clinically, there’s no call for it to be as overwhelming as it feels.

What comes next?

At this point, all we know for sure is that Chase is scheduled for a full thyroid removal surgery on Thursday, February 21st and will most likely be in the hospital for a few days to recover. This will be his first overnight admission since he finished ATRT treatment at the end of 2013.

Peace in the thyroid ultrasound

If they take out the thyroid, then he’s done, right?

Even though the cancer will most likely be completely removed with the thyroid (barring any silent spread), I believe there will be at least one round of some type of treatment (possibly being re-admitted to an isolated hospital situation for radioactive iodine therapy), but at this point, everything from which floor in this hospital he will be admitted to – all the way to how much treatment he needs and what tests and their frequency going forward – everything will be decided based on the outcome of his surgery. One team has already spoken the speculation that the cancer has not spread, but all teams are being very cautious in their optimism because of Chase’s medical history.

What can we do to help?

Honestly, be aware of us, don’t forget us, and don’t assume it’s all okay, because we are feeling more than a little broken. But then, please just pray for us – remember us. The phrase “moment by moment” was the heartbeat of our brain cancer fight, but this time around, I deeply feel the words choosing hope (there is a story to these words that I’ll save for another day). Hope is a choice and it’s necessary and it’s hard too. Last time was like scaling a high, awful mountain, but this time is like waking up in the middle of a desert and realizing you’ve probably been out in the sun too long already without resources. So, pray that we would keep choosing hope over sadness, and joy over despair – not because cancer is a happy, rainbow sunshine thing, but because this is only another chapter – not the full story. And that’s terrifying and amazing all at the same time.

Praying with Grandpa Ewoldt before leaving for the hospital

Willfully choosing hope in the now. …moment by moment.

A Farewell To Ports

This morning, Chase’s friend, Benjamin will be in surgery to have his port removed after years of leukemia battle. As his mom and I sat over tea yesterday afternoon, we talked the reality of treatment ending and the symbolism of cutting out the last life-saving device. And somehow, it seems fitting this morning, as our hearts are with Benjamin in the operating room, to scroll back to June, 2014… These are the words I wrote when Chase’s last port was removed and they’re fresh again today in honor of a leukemia warrior on the operating table and his parents who will sit in the waiting room – waiting for their sweet boy and a new chapter too: the fight for life after the fight with cancer. So here’s to the final bridge between treatment and what comes after…

Benjamin and Chase, Summer 2018

“The general protocol is that after six months of clear scans, we remove the port.  …even for the ATRT kids.  And as I look at Chase, I don’t see any reason to make an exception.”

We took a moment to absorb the words our attending doctor was speaking.  Even with the concern of relapse and all that comes with an ATRT diagnosis, the port could and should be removed.

Lurie fighters, one and all

This small piece of foreign material currently embedded in Chase’s chest has somehow come to both symbolize and encapsulate the last two years.  It was the first thing in and will be the last thing out.  We’ve had it placed, and replaced…and re-replaced again…and again.  We’ve fought to keep it, repair it, and protect it.  We became trained and comfortable in the procedures to sterilize it and triage when there was a problem.  It was a picture of the need for chemo, yes, but it also provided life-lines of blood, platelets, fluids, medicines, and even nourishment when he could not eat.

Cancer Mama Sisters of the Heart

His access has at times been on both sides of his chest and in both arms as well.  It’s been a double lumen Broviac Hickman, a PICC, and a port.   It has inexplicably infected multiple times, been infiltrated by a deadly chemo, cracked and broken and once, even slipped out as he turned in his sleep.

Chase’s first and shortest Broviac was placed on August 16, 2012 when he was only 2 years old.  He doesn’t remember a time in his life when he didn’t have either tubes coming out of his body or an access point for the tubes embedded under his skin.  In it’s own way, it’s become part of his body and his identity, so when he was told that it was to be removed, he became very angry and questioned whether the doctors were going to remove his skin and bones as well – so much is this small device a part of him.

Burke and Ewoldt Brothers running Lemonade to save lives

This constant access to his body was in some ways the craziest complication of his treatment months, yet a complete blessing too.  But now it’s time for the last remnant of the chemo chapter that can be removed to be separated from his body.  No more flushing it and locking it to keep it clean.  No more crash kit with clamps, swabs, and gloves in a bag that goes everywhere Chase does.  No more ER fever guidelines.  When he goes in for MRIs or labs, he’ll require a peripheral IV…just like a “normal” child.  A scary and wonderful thought.

He has equally fought it and protected it, and he’ll go into an operating one more time and they’ll open his chest and cut it out of the muscles into which it has been so carefully sewn.

And when they did indeed cut it out and away, he let out a long sigh, sat up in the bed in the middle of the recovery space, and whispered: “I’m free…”

So, farewell, to all the well-used, well-loved and hated ports today. We’ll miss you, but not really.

Moment by moment.

Benjamin and his mama, Jennie

Is it strange to read about a port removal from 2014 to honor another port removal in 2019? …to read harsh and sad words surrounded by pictures of boys in the sun selling lemonade? The total incongruence and yet pain-fluidity is at the heart of the childhood cancer battle for many of us. We are irrevocably linked in our procedures and timelines and solidified in the joy of our strong moments as much as bonded in the sadness of our weak ones – no matter the year we start or end. Welcome to childhood cancer, dear ones. Thank you for getting on the roller coaster with us.