Saturday, February 8, 2014

January (written 1/29/2014)

I'm not going to lie. As good as it was to be home, it was kind of hard to adjust.

First, it was hard to leave the security of our team in Seattle. We miss the SCCA and especially our nurse, Cindy. It was comforting to have our medical team giving us instruction and the hospital just five minutes away. It was so convenient to order prescriptions, pick up supplies and schedule transfusions and appointments. Now it just takes a little more foresight and coordination.

I think I can better understand what it must feel like to come home from a mission. It's a bit of an adjustment to get back to normal life. Life in Seattle was very structured and focused with our lives revolving around appointments, medications, and infusions. It has been a challenge to maintain the kind of structure needed to ensure all of Nate's meds are on time while living in the chaotic atmosphere of a family. 

Sometimes I feel like I have PTSD. I know too many people who have died. I have images I can't shake of patients I couldn't believe were still alive. I realize more than ever how fragile mortality is. There is a great benefit to be with others who are going through the same thing, but towards the end I started looking forward to going home and being friends with people who were going to stay alive.

I really expected our last meeting at the SCCA to be more celebratory. We had finally gotten rid of the cancer! Nate had been in remission for three months! Instead it was a bitter reminder of how close we had come to not even having the transplant and how the odds of remaining cancer free are stacked against us. I still believe we have been granted a miracle. I expect Nathan to make a full recovery, and even if that is not the case, every day we have because of it I will count as a miracle. Still, I will sleep a lot better when we are a year out and it will get easier until cancer is just a distant memory. Instead, I sometimes go through a mental checklist balancing of the facts for and against us.

Soon after we got home, I got a text from my friend in Seattle that her husband would not be seeking further treatment. He had been almost a year out from transplant when they learned the cancer had returned and they headed up to Seattle for a trial. The trial put him back in remission but had such awful side effects they decided to try a DLI – the process of infusing the donor's t-cells – kind of like a jump start transplant. We had dinner with them just days before they found out that cancer had returned again. He looked so great! Yesterday, less than two weeks since they had received the bad news, he passed away. For the last twenty-four hours I have simultaneously felt numb and a vast array of emotions.

Life hasn't felt normal for so long and it's strange to think that everything just carried on without us. Before we left I home schooled and now everyone is attending public school. While they are doing great and I know it is the right thing to do, I hate seeing them leave every morning. I've had to jump into a new routine but things are starting to run smoother. When we came home for Christmas, my mom had the house clean, laundry done and fridge and pantry stocked. After Christmas, we took the three youngest back up to Seattle with us. We just couldn't leave them again! The older kids said they could fend for themselves so the grandmas got a break. Let's just say that coming home to a house with four kids on Christmas break was a little a lot different then coming home for Christmas! Trying to get caught up was difficult because the kids needed so much attention and I wanted to give it to them, but I don't function well in chaos. Slowly things are getting back together.

It's funny, because even though Peter's the youngest he has the opportunity to experience the same sibling jealousy that older kids have when a new baby is brought home. He had 100% of my attention for six months and now he has to share with his older sisters. Every time I would hold them he would run over and want on my lap and try to push them off! He also started nursing like a newborn, silly guy. When he isn't wanting my attention, he is BUSY exploring our house. He has climbed into a bathroom sink and turned the water on, almost electrocuted himself, fallen down the stairs, and eaten laundry soap three times. In my defense, the reason why I didn't hide the soap better after the first time was because I really didn't think he would try it again.

Almost every night Eliza, Norah, and of course Peter, end up in our bed. Luckily we have an extra twin in the school room, from when Nate's mom would come to visit, that Nathan moves to when it get's too crowded. In hindsight, I think buying a king sized bed early in our marriage would have been a good investment! The kids handled us being gone pretty well, but Eliza and Norah still need extra attention. They are very clingy, have had nightmares, and I've had to reassure Eliza that I won't be going to Seattle again.

Nathan is looking better all the time. We marvel at his bushy eyebrows and lush long lashes. I had forgotten that even is hands were hairy! :) Since everything is coming back so strong I guess there is even hope for the top of his head! Recovery is still a full time job for him. He sleeps a lot. He has physical therapy twice a week and a doctors appointment in Yakima once a week. He still has a tons of medication and is on IV fluids. Unfortunately he is still sick sometimes and has to take anti-nausea or pain medication, but that is becoming less frequent. When he feels well he has started taking over more of his care and that has been a great help. I'm glad we spent six months in Seattle so we feel comfortable with managing these things. Our doctor's office in Yakima even looks to us for answers on how to handle things.

Right after Nathan was diagnosed I started thinking about all the things I wanted him to be alive for. Derek's baptism was one of them. On the 25th he was baptized with his cousins Asher and Ethan. These boys are so fun together. It's awesome to see them grow up!