Cancer – CHASE AWAY CANCER

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 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.

Trusting The Process

“What do you want to be when you grow up?“

The interview question came quick and benign, probably one of the most common questions to ask a child, and yet Chase, propped on a stool in front of cameras and lights, stared at Robbie with a blank look on his face.

The principal stood in his blue suit in the center of the gym with all its sounds and smells, welcoming the room and I watched him over the top of the fuzzy head sitting next to me. High school.

There was a table set up and stocked high in merchandise branded with the school logo and colors and Chase reached for a shirt that said “Class of 2028” – “Can I get this one, mom? I’ll be alive in 2028.”

In the last several days, there have been an unusual number of moments to look forward. This facing high school and growing up… it is such a gift. Too many of Chase’s friends did not have this privilege. But it is a strange thing to walk hand-in-hand with the kind of diagnoses Chase has and to think forward – beyond simply the next moment.

There is a strange (though by no means bad) tension in this space. All we have is today, and yet we walk about with plans for the next year, the next decade… and further still. It’s a blessing and burden in equal measure because time is a gift, but we are not promised more of it.

I walked through the halls of the high school last night, seeing decades of trophies and black and white pictures, all standing witness to a length of time. And I heard Robbie’s question again:

“What do you want to be when you grow up?”

And then I heard the oncologist’s voice in my head… that first meeting on a hot, August day:

“Let’s just see if we can get him to age three.”

What a place to be…

Trusting the process…. Moment by moment.

[picture: Chase is pictured here with a beloved music teacher who – though he does not want to sing in school – he is trying to convince to teach other subjects so that he can be in her class. One of her most used phrases is to “trust the process” and I’m co-opting it here as we look forward with fear and wonder in equal measure]

Note: Dear ones, I needed to write through the strange tension of this place we find ourselves, but in all seriousness, I’d greatly appreciate prayers for Chase. This is a big step. These are the years when children truly lean into impending adulthood and we, none of us, know exactly how much of that adulthood Chase is capable of. I suppose what I’m trying to gently say is that the physical and neurological differences between him and his peers will most likely go from noticeable to insurmountable in many ways. I know it will be good. But it will also be hard. MbM.]

Roll With It…

On this Thursday, also known as “Star Wars Day”, Chase was in and out of surgery in a relatively short time as hospital days go, and we were able to bring him home.

We love the surgeon who worked with him today – not only is she an amazing doctor and advocate, but she’s worked with Chase before – sometimes even in very difficult moments. Before Chase went back, I sat with the surgeon and she explained things about the possibility for multiple incisions or cutting into muscle, but in the end, this boy (who does so much the hard way) had a blessed moment of ease: the implant was in one piece, so he only needed one incision and the rest of the area, both inside and out, was left virtually intact. (less stitches are always lovely, right?)

And then they wheeled him back, and he was afraid, but peaceful too. They stopped at the white doors that mark the line between parents and staff and I kissed his fuzzy head and told him I loved him so much. And as he passed through the doors – like he’s done too many times before – I cried.

I cried because the moment of separation – that knowledge he would be facing a cold operating table and a scalpel and I wouldn’t be there to hold him – never gets easier. But I also cried because these last two weeks have felt like the outside of enough and I was just so, so relieved that this was (hopefully) the last appointment for a little while. But regardless of what comes next, like Chase said when post-op didn’t include goldfish crackers: “It’s okay. We’ll just roll with it.”

*Grandpa watches Chase sleep off the anesthesia*

Thank you for rolling with us.

Moment by moment.

The Problem of Young Bones

Every day is a little better. There have been no hallucinations in five days. But sometimes, he still slurs his words and sometimes too, when we speak to him, Chase looks at us like we are speaking a different language – like he doesn’t understand – but only sometimes.

So early, early tomorrow morning, we turn to the next thing: some surgery.

A few years ago, Chase’s bones showed signs of locking into place for good – everything his body has been through led his brain to believe that perhaps he was old enough; tall enough.

So at the time, he went through a surgery to place an implant in his arm – the goal of which was to help control puberty and growth – because, you see, too many children with brain tumors loose their endocrine system regulation in the fight.

Anyway, the implant that has been so helpful to him is now in danger of hurting him. His bones are too young now for his body (you can’t make this stuff up), so the implant that served him so well needs to be removed. … tomorrow morning.

If all goes to plan, this will be Chase’s last day in the hospital for a little while, and how we are ready for a rest!

But also, we would so appreciate prayer for the day because, no matter how small, a surgery is still a surgery… and Chase is still Chase.

Moment by moment.

Let your unfailing love surround us, Lord, for our hope is in you alone
Psalm 33:22 (NLT)

**May is Brain Tumor Awareness Month #GoGrayInMay**