Parenting through Cancer

I’ve been ruminating on writing a blog lately about my kids. The thing is, it’s kind of a hard blog to write. I’d love to attempt to capture some of the story of what’s going on inside of them as it pertains to the changes in our family over the last eleven months of sickness. I’m just not sure I’m capable of accurately capturing it! I feel like as parents we’re constantly guessing and groping for what’s going on inside my kids brains and hearts.

We’ve been intentional in how we communicate with the kids, choosing to be honest with them in sharing the truth about my health but doing so in calculated and careful ways also knowing that we can’t just dump on them excess information. We’ve also been intentional in showing that doctors visits are not to be feared–that they don’t have to worry when daddy goes to see a doctor. So reporting about visits with doctors where good things happen, letting them come in and watch radiation treatments, and telling them all about what MRI’s are like has been a valuable way for us to remove some of their tension when I’ve got visits. The tension between giving information and witholding information has been a valuable tension to hold, one that I think we’re doing well in.

But the stress in my kids is most definitely there. It comes out in different ways for each of them. But its there. No question.

India does not talk about it much–though in her make believe play her family is usually dead (that’s got to mean something right?)–she doesn’t really talk about it but it does come out! She’s an extreme girl as it is, but over the last many months her behaviors have swung much more extremely from heights of ecstasy to the depths of the despair. In one sense she’s four years old and it is to be expected, but in another sense she’s…well…scary. Such a ball of emotion! Most nights she gets up and moves to our bed around 3am. And while she’s been a perfect and consistent toilet user (both at night and during the day) since she was three, when my health takes a turn so does her consistency there. She may not be able to control daddies health but she can control when or if she pees! She finds great value if she’s able to come with me to appointments, and in fact has become my blood drawing buddy: when I go get my blood thickness checked she always comes with me (it’s kind of our thing). She’s in play therapy with a friend, and I think that has been helpful too. While India does not talk about it much, she gets it and is fully aware of what is going on. In her words:

Daddy being sick makes me sad. When things change I get more sad. I like to buy daddy flowers because he has cancer, it makes me happy and it makes him happy. I bought them because of daddys tumor.

Jones has been much easier in many ways because he’s a communicator. He’s verbal in how he does much of his processing, as are Jess and I. Earlier on he would ask questions and seek to understand some of what’s happening. Will I lose my hair? Where is the tumor? Are tumors contagious? More lately he’s less interested in talking about it. In many ways as we’ve gotten deeper into all of this he’s grown more and more silent retreating to listening to books on tape and playing with Legos over and above interaction with humans. Between the high anxiety that he already carries in life (he does, in fact, have an anxiety disorder), going to public school for the first time, and daddy being sick he is actually doing really really well. At times his anxiety is expressed in a rigidness or an inability to cope with unexpected changes (often triggered by small insignificant things like a change in routine) while at other times it’s observable through his growing list of irrational fears: going to the bathroom alone, certain ‘creepy’ closets, etc. In Jones’ own words he shared that:

it’s kind of like when you have a family of four both the parents are strong, but then when one gets sick the other one still has to be strong (stronger than the kids). It changes things ’cause I can’t do bigger things like go to museums as much. I worry about whether dad can protect me from strangers because he can’t run. My advice to parents is don’t go out a lot and get lots of rest. You can stay in the building if you want to and help take care of the sick person but you need to rest.

While I make no claim to be an expert, here are a few of the things that I feel like we’ve learned thus far in our journey of parenting through cancer.

  • Be willing to get help. Play therapy has been very useful. Jones is in occupational therapy too and it has been incredibly regulating for him.
  • Being present is the greatest gift. We are finding that the greatest gift we can give is maybe the hardest: simply being present for your children. There are many times when we’re physically present with our children but our hearts, minds, and emotional availability are far far away. The kids recognize it, they get it, and it’s hard for them. This isn’t always a gift that we’re able to give as we’re dealing with our own sickness or grief–but it is incredibly important and wholly beneficial for the children.
  • Be willing to communicate. Kinds are so much more intuitive and smart than we often give them credit for. Leaving them in the dark with regard to test results or the reality of the sickness breeds, I think, distrust and leaves the kids feeling vulnerable as they are able to sense that something is not right. A lack of communication opens the door even more to your children’s grand imagination…and the likely reality is that their imagination is going to create much worse scenarios than the truth. Communication gives them a framework to work through the grief.
  • Don’t be afraid to model grief. Grief looks different for every single person, but I think that it’s important not to hide your journey of grief from your kids. If you do, they’re missing out incredibly. They too need to learn how to grieve, they too need to be invited into the grief process, they too need to be reassured that it’s ok to feel angry, sad, tired, etc.
  • Treats are good but they don’t fix things. This one has been hard for us. I want to buy them crap to make them feel better (and they want me to buy them crap because we all want more stuff!). There’s a place for treats (even and especially when life is extra hard) but we’re trying to now find some balance and not allow treats to take on a larger role than they should. Special things won’t fix things, buying lots of toys won’t fix things, more ice cream won’t fix things…
  • Let go. We are tempted at times to feel guilty because we’re not parenting as good as we think we should, we’re not eating as healthy as we think we should, we’re not _______ (fill in the blank). While we can’t and shouldn’t let go completely, it is important to find some balance and take reassurance in the fact that some things will fall along the wayside. Find some space in your life to let go of your previous expectations because things. have. changed. dramatically. !.
  • Expect some acting out. If your child isn’t acting out in some way during all of this you should be incredibly worried. Acting out when life seems to be falling apart is not only appropriate but in many ways probably healthy. They should be feeling more needy, they should be struggling with how to work through new (and stronger) emotions, they should have moments of insanity as they work through their own grief. Provide some healthy (and reassuring) boundaries but don’t squash them for their (very appropriate) emotions!

I could add an additional five, six, or fifteen bullet points here. I don’t write them as an expert, my point isn’t to speak authoritatively into your context. No, I’m sharing with you (as I’ve tried to do from day one) my own journey and process. This blog is all about what I’m learning, what we’re trying to do, how we’re trying to cope with a stage four glioblastoma spinal tumor. I wish this were all easier. I wish my kids were easier. I wish that Netflix had a better selection to keep my kids busy so I could take a nap. But life ain’t always fair.

Real Life is Hard: Missing the Hospital

While I was showering today I started thinking about the things that I really miss from when I was first sick nearly a year ago.

 

  • I miss the excitement–going in for surgery, staying in ICU, managing pain med cocktails, learning to walk, having visitors…it was all so exciting early on. At the time there was little expectation that I would be diagnosed with terminal cancer (at least little expectation within my own mind!) so all these things were fun and interesting. They were all experiences that I, as someone who had never stayed in a hospital before, found interesting and exciting. (kind of weird, I know) Now, these days, everything is routine. The only exciting medical stuff is when we get MRI results back, when we get to wait and see how sick I get from my chemo meds, or when we get to see how constipated I get as I up my vicodin. It’s just not the same.*
  • I miss the Jello–Seriously, while hospital food isn’t the best, there was something fun about being waited on for every single meal. Not to mention that it wasn’t until the last four days of my stay in the hospital that I learned that I could literally choose and request anything I wanted for a meal! Literally, if they could make it I could order it. From milk shakes to blue cheese burgers I could order it…if only I had found this out on day one! Even better than the hospital food was the killer treats that you wonderful friends and family brought in to me. From thai food to a Wendy’s frosty it was great to eat so well. The thing is, is that I can (and often do) eat that well today…but it’s not the same. There’s something less exciting about it. Again, it’s just all so routine now.
  • I miss the simplicity–Everything was simple early on. I had one job: recover. Everything revolved around that. Even Jess’ jobs were simplified in many ways, though she definitely had more than one. Today one of the hardest things is figuring out how to function. How much do I work? How much time do I spend with friends? Following ten days of being sick who deserves my time most? I’ve been at home for those ten days, but by no means has it been quality time with my wife and kids. So do I follow up those ten days with a series of quality days? Do I catch up on my lost time outside the house? What about my “responsibilities”? Which responsibilities still apply when you may or may not be dying of cancer? I could/should write a huge blog about this one bullet point. I miss the simplicity ’cause right now I’ve got little to no idea how to manage my time, my energy, and my activity.
  • I miss the pain meds–It’s not so much that I don’t have access to pain medication right now, rather there was just something nice about having someone else in charge of it. It’s such a hassle trying to remember all my medicines, vitamins, supplements, etc. I liked when nice caring people would come in the room at the right times to give me the right stuff and to occasionally talk me into taking more or less of different things. It was nice. It was easy.
  • I miss the reading–It kills me that today I have lots of time to read but generally lack the mind-clarity to be able to do it. Due to “chemo brain” (as my doctor calls it) very often when I try to read one of the books in my long queue I just can’t focus nor can digest what I’m reading. It’s frustrating. When I was in the hospital (after the first couple of days) and when I first came home my brain was not the problem as much as my body was so I was able to read more…I miss that.
  • I miss the bed–Come on, who doesn’t want a bed that sits up?! The rails were nice too ’cause they keep my stuff (books and laptop) from falling off. Oh, and don’t even get me started on its ability to go up and down. For a dude that can barely get to his feet to put on his socks it’s nice to have an adjustable bed! The only thing I do not miss about those beds is that the mattress would constantly move in order to ‘protect’ me from bed sores and such. No, I do not miss that part.
  • I miss the visitors–For a social dude like myself it was pretty flippin’ awesome to have people visit every day. Don’t get me wrong, with where life has taken us and with how tired we are there’s not a chance we could emotionally and practically handle visitors like that today. But still, I miss that back then it was not only a reality but a semi-manageable one!
  • I miss the lightness–Let me say upfront that I should have been more worried and less lighthearted early on. But even still, I miss the fact that back then I could get excited about small things like learning to pee again or transitioning from a walker to a crutch. Those small hurdles were worthy of being celebrated…but today there’s few things like that to celebrate. Life is just life. And even more so with the development of my cancer everything is seen from a different perspective…a much more sober perspective.

There are definitely things that I don’t miss. When I was in the hospital I didn’t get to see my children enough. I don’t miss having a catheter. I don’t miss smelling (I didn’t get to shower as much as I should!). I don’t miss having a bag of my own urine strapped to my leg. I don’t miss the blood thinning shots. I don’t miss having my blood drawn every morning at 4:30. I don’t miss being prodded in random awkward places. There are many things I don’t miss and given the chance I wouldn’t go back. But being honest, being completely honest, the bullet points above are things that I’ve probably romanticized…and I’ve probably romanticized about them because real life is just so hard. Hospital life isn’t real life. It’s not. It’s an alternative world that costs lots of money to create. Real life is gritty, real life causes immense clashes of balancing worlds, real life requires more of you, real life invites harder choices, real life is just more difficult.

Real life is also more rewarding and its worth it and I wouldn’t trade it for anything…

 

*  Jess would like to clarify that SHE would never use the word “excitement” with regard to her husband going in for back surgery and tumor removal. Maybe I should clarify that I use the word “excitement” quite loosely!

Caught Off Guard by Being Caught Off Guard

I’m constantly caught off guard by being caught off guard. It strikes me at the most surprising times and in the most mundane ways. I remember early on in my post surgery recovery being surprised when a character on a TV show or movie would get up and walk without a limp. My mind would automatically place on these fictional characters my own limitations (this was much earlier in my ‘learning to walk again’ phase). Not only was it shocking that they didn’t limp it was surprising to find myself making these unconscious awkward assumptions.

Even still today I often feel a similar twinge of shock. While I walk pretty normal (I do right?) and function quite highly (right?) I’m occasionally caught off guard by things that I can’t do. It’s not that I think that I CAN do them only to be disappointed when I can’t, it’s that I’m randomly faced with little things that I had forgotten I’d lost. Skipping for example. I didn’t skip much prior to surgery, it wasn’t really a big part of my life…but to know that I can’t even physically accomplish such a task is a strange thing. And it’s not that I sit around and think “Hey, I can’t skip”–it’s that I’ll see someone skipping and then instantly be faced with a thought that hadn’t crossed my mind before: “Hey, I can’t skip!”

Even further, I am shocked when I realize how quickly everything has moved. Doing our taxes brought a wave of emotion as I looked at my calendar from 2011. I was in school still. I was a part of a small group that had been gathering for many years. I was engaged in daily morning prayers with housemates. Those things feel like forever ago! I feel a twinge of…of…something. It’s just so shocking to see the changes that surprisingly occurred in a short amount of time. They were so unexpected, so unanticipated, and it feels like two completely different worlds, it feels like so long ago. But it wasn’t a long time ago.

Even more, while at the tax office we were reminded that it was exactly a year ago that Jess and I made the decision to NOT opt out of social security (clergy have the option to do so if they can justify it on certain specific grounds). We wanted to opt out because we felt as though we’d never use it ’cause it wouldn’t be around when we were old, but we felt like we could not justify opting out based on the stipulated conditions. So we stayed in. But who would have thought that only a few months later (ok, the money didn’t start coming in ’till December) we’d be partially living off of a social security disability check?! When we made that decision we absolutely did not think we’d ever need it nor be able to use it…and now look at us. So surprising. So unanticipated.

Some surprises are good: birthday parties, trips to Hawaii (leaving on Tuesday!), new friendships. Some surprises are rough: do I really need to list any more here? But surprises are a part of being human. Even further, surprises are a part of being a follower of God. My wife has always said that the two most surprising things in existence is the Spirit of God and humanity. Those two things never do what you expect, they’re always surprising you. So why would we think that when those two things blend together (church, life, neighborhood, relationships, etc.) we’ll have any ability to imagine what might be?! Why do we think that we can create bullet points for how God and humanity blend?

Our life is teaching us to expect surprises. Grassroots Conspiracy is an extension of this–it is our attempt to capture the localized story of the Spirit of God coming together amongst a specific people. God and humanity…so so surprising.

Thanks Amy!

A friend sent this to me via Facebook and it made me very happy.

Thought your sense of humor might appreciate this: We were in Nairobi this week and one day our taxi passed a children’s cancer hospital. Next to the road, on a little sign with a picture of a person crossing the street, were the words, 
“Slow
Children
Dying”

Offensive? Maybe. Funny? Yes. Awesome? Yes.

You can follow Amy and Robin via their blog at http://amyrob.wordpress.com/

What Sick People Don't Tell You: Constipation, Sex, Time, Dignity, Normalcy…

Lots of people are sick, lots of people have cancer, lots of people have had major surgeries…but there are certain things sick people don’t seem to talk about. This blog post might be awkward, it might not be appropriate for kids (do kids read my blog?), though it should be safe for work. The reality is that some of the crap that comes with sickness is embarrassing and awkward and (potentially) inappropriate for virtual online conversation…so lets jump in!

Constipation— Do you realize that virtually every medicine has a side effect of constipation. Vicodin, blood thinners, chemo, anti-nausea meds, they all have side effects that include constipation. Did you know that if you’re constipated for too long it’ll actually make you have incredibly terrible flu-like symptoms? Apparently having rotting crap in your body isn’t good for your body at all. Anyway, this is a constant battle, one that can make a huge difference on a day to day basis on how I feel and how I’m functioning. But who wants to talk about poop? I do.

Time consumption— I’m in a sweet spot right now where I don’t have doctor’s appointments every five minutes. But in general since I’ve been out of the hospital I’ve had 3-10 doctor’s appointments a week. Between meeting with the brain surgeon, my oncologist, the radiologist, my general practitioner, getting my blood thickness checked, acupuncture, nauropathic stuff, the times I had daily radiation, reki, physical therapy, MRI scans, CT scans, X-Ray’s, occupational therapy, massage therapy…turns out my disability isn’t from cancer but from the sheer time commitment associated with fighting it!

Loss of dignity–Oh how this was quickly beat out of me. First off, they don’t tell you prior to surgery that aside from your ears they will literally stick a tube in every single hole in your body. No exceptions. Secondly, after you’ve had a catheter ripped out (and put back in and then ripped out and then put back in and ripped out again) by the same nurse that you played cards with that night you come to a place where you don’t care much about your body and its former standards of privacy. Once you’ve had people help you shower and go to the bathroom, once you’ve sported diapers in public, or been given a tool to help you wipe…you’ve essentially crossed that threshold that says “I just don’t care anymore”. I imagine this is much of the struggle of the elderly as they have to give up so much of their dignity that they’ve probably spent much of their life holding tightly onto.

Body changes— If only you could see me naked. I’ve never been the best looking dude, always on the awkwardly scrawny side, but I’m a little creepy looking now. No seriously. A giant scar on my back, massive stretch marks across my stomach and sides, random tattooed dots (used for my radiation treatments) on my chest and sides, rashes, acne, nasty sweats (as my body expels toxins), less hair in the right spots and more hair in the wrong spots…gotta love my new look!

Sex— There was scene in the movie 50/50 (please watch it) that brought me to tears (ok, there were many parts that brought me to tears). Awkwardly, it was the sex scene.* In the movie the friend of the 28 year old guy that gets brain cancer tries to hook him up with a girl so he can have sex (thinking it’ll make him feel better) but in the end the guy is in too much pain to even enjoy something as pleasurable as that and has to stop half way through. I haven’t heard many sick people talk about sex. Not only is there an emotional piece that is lacking (when you’re sad about dying sex isn’t often on the forefront of your mind), and not only is there they physical piece that your back hurts to bad to even engage fully, but there’s also the physiological piece. Many drug side effects can affect a dude’s testosterone levels in incredible ways. So emotionally you’re often not up to it, physically you hurt to bad to engage in it, and sexually you’ve lost much of the drive to pursue it. People don’t talk about sex and cancer much…but it’s a big deal and it’s a big loss, and it should be talked about more. Trust me.

Desire for normalcy— I’ve never want to be normal much. Normal seems boring. But after being sick and being ‘abnormal’ for reasons out of my control there is a strange drive for normalcy. Even though (as I’ve written about) normalcy is both a myth and an illusion it has become a major attraction. I crave it. I want it. Even if I don’t know what exactly it is I desire it. Maybe sick folk talk about this but if they do I think people feel a compulsion to correct them: “Normal is boring! Don’t be normal! What is normal?!” Whether it makes logical sense or not there is a strong compulsion for normalcy: to be able to have ‘normal’ sex, to be in control of what my body looks like, to choose who gets to see me naked, to have a schedule filled with things I want them to be filled with, and to have a regular pooping schedule! Those are just a few of the ‘normal’ things I crave.

This whole journey has been such a trip. So many unexpected feelings (I didn’t even talk about that element!), so many surprising realities, so many experiences that I never thought I’d be invited into. We’ve got no idea what lies ahead of us though it is so comforting to look behind us and see how an amazing supporting cast has carried us through this far. On our own we’d be a crumpled up mess, but with the supporting cast of all of you and with the story God’s inviting us to experience in Him we may still at times be a crumpled up mess but at least it’s a crumpled up mess that God is fashioning into a piece of art.

 

* Let me just say that I hate and avoid sex scenes in movies. I don’t care if it’s artistic, if it plays an important part in the movie, or whatever. I just don’t like watching people have sex. Sorry, as one of the ultimate expressions of love it’s just not something that I want to watch other people engage in even if it’s actors in a movie. It’s too special and too intimate to tarnish by watching other people engage in it…with that said, there’s apparently an exception to ever rule.