#6…

Update #6: No Update. No Sunburns.

#ItsJoTime

My husband reminded me today that I haven’t posted an update for a few days. Well, I don’t have much of an update to post. Radiation continues, #8 in the books as of this morning. Chemo continues, #12 just pushed into her tummy this evening. She’s tolerating the treatment well, no big side effects to date. She’s still struggling to swallow and speak, but her breathing is stable and her oxygen levels are good. She’s eating more and more, and has developed quite the pair of Haugner-meets-steriods cheeks, along with a nice plump belly. She’s a few pounds up from where she was a few weeks ago, which is great. But I don’t have much more to report. She had another EKG to keep an eye on her heart and we’ll do another swallow study tomorrow. At this point, everything looks as expected and nothing much different from last week. The tantrums continue. Ugh.

There is no sugar coating it. We’re in the shit. Deep. We are in the trenches, getting shelled. We may survive and have great war stories. We may not. Jo has good hours and tough hours. She smiles and hands out cookies. Then she yells and screams. She wants to snuggle. She wants to banish me to the “quiet room” down the hall. It’s battle after battle. It’ll be a long war.

I drove home yesterday evening to pick up Randall and let Winnie out. I rolled down the windows, despite the 90 degree heat. I just had to feel air that wasn’t the hospital air. I wanted to be hot, not cold. I wanted to feel the ebb and flow of the wind and heat as the car sped and slowed, into shade, into sunlight. I found myself wishing for the sting of a sunburn, wishing that I could experience that pain instead of the one I have. The bite and throb of being outside too long. A pain you can quell with aloe and lotion, and just a couple of days.

I got home and played t-ball with Randall out in the back yard. I squatted down and ran my hands through our clover, looking for a four-leafer. I didn’t find one. If I had, I would have wished that Josephine could get a sunburn. She’s never had one. I have obsessively slathered her with SPF 700 once an hour anytime we’re outside, despite the fact that she has her father’s beautiful olive undertone skin. She’s spent weekends at the pool, afternoons at the park, she’s tanned, but never burned. Seems like a silly thing to wish for, since sunburns used to carry such shame for me. As a pale fair-skinned gal, I got them ALL THE TIME. It was awful. I couldn’t walk outside to get the mail without getting red shoulders. Every summer would be a cycle of my parents nagging, me eye-rolling, and then getting burned anyway.

I hope Josephine and I get to fight about things like if she’s wearing sunscreen on the middle school field trip to the waterpark. I hope she burns the hell out of her shoulders while fighting to land a 5 pound bass from her Papa’s boat. I hope she skips class in college and plays frisbee by the river, her pink cheeks giving her away to her professor the next day. I hope she burns the tops of her legs sitting in the nosebleed seats cheering her team on with her best friends. I hope she falls asleep listening to the waves of the ocean and wakes up with ridiculous tan lines she tries to fix for the rest of the summer. I hope she snorkels on her honeymoon and forgets to apply lotion to the backs of her thighs. I hope she has lots of sunburns.

I hope she has at least one.

If she has one sunburn, it means we get out of here. We play outside, we swing too long, we don’t reapply, we guzzle lemonade (without adding thickening powder first), we find a four-leaf clover, we free an earthworm, we forget about brain tumors. We forget about this war.

Then, all we’ll have to do is apply aloe and lotion and in a couple days, the pain will be gone. That type of pain sounds pretty good right now.

But until that time, we’ll keep fighting. Because right now, we’re in it. And #ItsJoTime.

Bestie spa date!

Today, Aunt Sarah Swyers Parker and one of Josephine’s best friends, Eleanor, stopped by for a few beauty treatments and to put some of the pennies and other coins we’ve received into Jo’s piggy bank. (They got tired before all the coins made it into the bank, so we have more people to thank at a later date…)

Shout out to the following peeps for sending the coins, decorations, and beauty supplies for such a wonderful morning, we love you guys!

1) Tabitha Lee

2) Elizabeth Guenther McMillan

3) Becca Bracy Knight

4) Vivian Lee

5) Taffe Bishop-Harris

6) Kristin Mitchell Dishongh

7) Tina Torbert

8) Sara Wilhite

9) Emily Wilcox

#ItsJoTime

Saturday…

Not a Catholic, but really like this guy. Shout-out to hundreds of people who have shown my family love over the past 3 weeks. We have been very well taken care of. If you read this tweet, take a second and think of how you can take care of someone you love today.

            Pope Francis @Pontifex : “Let us ask our Lord to help us understand that love is service, love means taking care of others.”

In other news, check out these sweet Cheeto-dust-covered best friends…
IMG_2147

Update #5: You Rock

Update #5: You Rock.

#ItsJoTime

Through the past two plus weeks, Ryan and I have had a lot of time to sit and think. There are hours spent not sleeping in a dark hospital room, listening to the beep, beep, beep of monitors. There are fidgety waiting rooms while your child is under anesthesia when you feel like you’re holding your breath under water. There are quiet car rides through sunlit streets to feed your dog or drop off your toddler at daycare, tasks that used to include a noisy, singing preschooler, that suddenly do not. During these think times, we have come to a very intimate and stark realization: this brain cancer journey is not about Josephine. Jo’s life is too young. She will either not remember this or not survive it. This journey is about us. Yes, this journey has Jo at the epicenter, but the ripples keep bobbing out and out and out, reaching more and more people and getting larger and larger. This will change our lives, and countless other lives (maybe even yours), forever, regardless of who wins and who loses. Yesterday and today are tough ones for Team Wrenn.

Yesterday, my little sister Meredith Alvarez (and her infant daughter, Madison), who flew here on one hour of sleep after getting the call about Josephine’s MRI, got on a flight headed home. Today, my own mother and father, who packed up their camping trip and drove hours across state lines to be with us, got in the car and headed back across the Mississippi river. And, walking away down a cold, white hospital hallway, we had to say goodbye to our pediatric second-year resident, Taryn Scibienski.

You all know by now that Vanderbilt is a teaching hospital and medical students, residents, and fellows are key parts of every care team. Some of their rotations are two weeks, or four, or one month. Today was Taryn’s last day on our service. A rotation that began on June 6, the day Josephine was diagnosed. Taryn was in the ER room shadowing Dr. Esbenshade when he told me what exactly we were dealing with. She has rounded on Josephine every day since. She was one of the first faces we saw every morning, stopped by multiple times during the day, and one of the last faces every evening. She held my hand as I cried on the couch outside Josephine’s room, calmed me down when I wanted to punch someone with an uninformed opinion, and made Josephine play-doh glasses to match her own. She carried my questions to the attendings, ordered medicine to make our girl feel better, and listened to her heart, her lungs, her belly, so intently, to ensure all of her was working as well as it could be. I have no doubt in my mind that Taryn, who is already a good doctor, will make a phenomenal pediatrician. I am hopeful that Josephine’s story is one that will help in that journey. And regardless of Jo’s prognosis, it is lives like Taryn’s that will carry on Josephine’s legacy. People who will alter the course of history. Taryn is poised to save thousands of lives in her career. A career that began, in part, with me sitting next to my preschooler eating Cheetos while someone calmly explained that without intervention, she wouldn’t make it to her fourth birthday.

Taryn was next to me during the darkest days of my life and it felt so natural that she was there, as if I’ve known her for years. Continuing this journey without seeing her daily is something I am having trouble wrapping my head around. I have faith that the comfort she provided me, she will provide, in the coming years, to hundreds of other parents. I hope one day she can look in the eyes of a crying, confused mom whose child was just diagnosed with a seemingly unbeatable disease and tell her that she’s been beside parents like her before, and they came out the other side and lived to tell about it.

Josepine has had a great couple of days. She’s eating lunches after radiation treatments, tolerating the chemo well, and today, tricked me into going downstairs for “bingo” and suddenly, we ended up at Ben & Jerry’s and just HAD to get a double waffle cone with sprinkles. And then when the sprinkles ran out, asked for (and received!) more sprinkles. Jo laughed at the nurses in radiation this morning, handed out barn-yard stickers to everyone, and got a chest x-ray (with much screaming protest), that was completely clear and beautiful. I would do almost anything to see those fleeting moments of sheepish smile, to see her zooming (much too quickly) down the hallway in a wheelchair pushed by her father, to hear her calm breathing during a nap. I hope I can continue to do so.

And to Taryn, (and countless others in training, like medical student Samuel Trump who expertly led rounds for Jo’s first week and a half on the floor) I can not say “thank you” enough. Despite her diva-attitude of “no pictures” today, I hope that Josephine’s legacy will live on in people like you. I hope the last few weeks getting to know her will be bobbing up in down in your memory and stretching out further and further, as more and more people are healed by your hands. And most of all, I really hope to see you at Josephine’s graduation, or wedding, or, well, whatever may come our way.

We wish you the best.

You rock.

#ItsJoTime

-CHW

Hallway basketball…

Update #4

#ItsJoTime

The Good News:

1. Not sure if I’ve told you guys this yet, but Josephine’s lumbar puncture was completely clear. This means no signs of cancer cells floating around in her spinal fluid and we haven’t seen other signs that the tumor has spread (or is spreading).

2. Today, Josephine was calm rolling down to her radiation treatment and we even got some smiles and laughter when we talked about potentially attacking the nurses with some colored paint stamps she received as a present.

3. The wake-up from anesthesia was smoother today, and she promptly requested to go downstairs and get pizza and a banana, which she then ate. Awesome!

4. The ptosis of her right eyelid is looking better.

5. She’s still gaining weight. The weight gain combined with the puffiness from the steroids has brought her Haugner cheeks and potbelly back, which we adore.

6. We got an EKG and her heart looks super strong and is just plugging right along perfectly.

7. Her breathing and O2 levels are stable.

8. Our care team is so freaking awesome. Every single nurse, doctor, and therapist is so obsessed with our little girl, is incredibly protective of her, and is super supportive of Ryan and I as parents. This network of people who are so intently focused on Jo being as healthy as possible allows us to feel ok about stepping away to eat lunch, talk to a visitor, or drink a cup (or three) of coffee in peace.

9. The meals you have all been delivering are amazing. I think we are also gaining weight. Wait, that should have been in the “bad news” list.

10. I am definitely better than Ryan at hallway basketball.

The Bad News:

1. The radiation treatments, combined with the placement of the tumor, and irritation from different breathing supports during anesthesia mean her vocal chords are basically shot. She is really struggling to speak and people are struggling to understand her. For anyone that knows her, this is super bad news, as “talking” in general, is like, her number one core competency. Not sure where she gets that. 😉

2. She hasn’t hugged, kissed, or even been nice to me since Sunday morning. In fact, she spends most of the day yelling at me to get out of the room. Even now as I type this, if I lift my eyes from my computer to look at her, she screams “No, look at your computer!” Her tantrums are so irrational that they would be hilarious if they weren’t completely and utterly heartbreaking.

3. Today marks day 14 in the hospital, which means we need to take everything off the shelves and walls so they can do a deep clean. This is mildly annoying, although I do like clean things. Silver lining of this one is that we get to go through each and every present you all have sent, which is uplifting. Thank you again.

4. Ryan and I weren’t allowed to have any of the previously aforementioned pizza, which smelled so delicious, it was basically torture.

5. She still has a brain tumor.

6. There still isn’t a guaranteed cure for brain tumors.

7. Josephine was not impressed with my hallway basketball skills.

Overall, I think the pro-con list is in our favor today. #ItsJoTime

-CHW

Update #3

Update #3

#ItsJoTime

The days are short. There are a lot of people in and out of Josephine’s hospital room. Physical Therapy, Occupational Therapy, Speech and Language, Child Life specialists to explain what’s happening in kid friendly language, child psychologists and, because its a teaching hospital, there are medical students, residents, and fellows for every team of attending physicians (pediatrics, oncology, neuro, radiation). There are nurses, care partners, social workers, case managers, anesthesiologists. There are friends of mine, of Ryan’s, of Josephine’s. There are family members. The list goes on and on.

And then there are the nights. The long, tantrum-filled stretches of darkness. When there is no one around to district us from thinking that the world is crashing down around us.

Before a quick trip to pick up Randall from daycare yesterday, I had not stepped foot outside of the hospital walls since Monday afternoon. Monday her breathing worsened, and the fear that our fight could be over before it even begun hung around my neck and pressed on my chest like the weight of a 25,000 days un-lived. Days where we had imagined she would start kindergarten, see the ocean, fight with a best friend in middle school, go to prom with her high school sweetheart, get her heart broken, go to college, move out of our house and to a new city, fall in love, get lost while traveling overseas, have a fulfilling career, become a mother herself, run for office, change the world. It was as if the decisions Ryan and I were making meant she would do those things or not. Its obviously not that simple. Not one case study or risk-model will predict what this specific brain tumor will do. I know the selfish hopes and dreams I have are more about me than her. Every single person who meets her here, or watches her videos on Facebook or Twitter, smiles. That is important.

When I did walk outside last Monday, the sun was shining and it felt like that was wrong. Kinda like how you wake up in the morning after getting a bit too spirited the night before and not understanding how people are like, JOGGING out there. Your head hurts, you are nauseous, your eyeliner is all over your face and people are just out there, like, running? For fun? HOW is that possible? Cancer is like that. A continuous hangover. You can eat dinner, sometimes. Sometimes you can’t. You can hold your head a certain way for a minute and breath through it. Sometimes you can’t.

The worst part is we can’t really talk to Josephine about it. Sure, she knows what’s happening and what we’re doing. She understands the treatments. She likes the nurses. But she’s three, which means not every question I want to ask her is developmentally appropriate. Not every vocabulary word is one for which she has a schema. But I can tell you this. That little girl has never once been scared. Wants to hold someone’s hand while they do a painful procedure? Sure. Scared to actually do it? Never. She tells the adults how to put medicine in her NG tube and her IV with the least pain. She is incredibly specific about when she wants wet wipes vs. dry, how she wants the table to eat her Jello, where she wants to go and when. She pushes her own nurse call button and unhooks her own monitors, and moves her own IV poll when she needs help. She amazes us.

So, how are we dealing with all of this? Here is our (current) plan:

(1) 33 doses of radiation shot directly at the site of the tumor. Once a day, Monday through Friday, we will put her to sleep, lay her in a machine, and zap her with photons. We will shoot this debilitating radiation to stop the division of the tumor’s cells and hope that we can stop enough to shrink or kill it. We will brush her hair and apply Aquaphor to her chapped lips as she wakes up from anesthesia. We will chuckle at how big she rolls her eyes when she tells us she doesn’t want to do a treatment today. We will do it anyway.

(2) 42 doses of chemotherapy pushed directly into her NG tube and into her stomach. Once a day, every day, until the radiation course is finished. We will turn down the lights, read a bed time story, argue with her for a while about brushing her teeth, then curl up in a hospital bed, take her vitals, and drip poison into her tummy. We will do this with the hope that the poison will be absorbed into her blood and help the radiation attack the dividing cells of the tumor.

(3) We will keep her on steroids to control the swelling. We will dose her with as much as possible every six hours to ensure that any swelling from the radiation will not do what the tumor would have had we let it: inhibit the functioning of her brain stem and interrupt the connections between her brain and her body: her heartbeat, her breathing, her blinking, her digestion, her dreams, our dreams.

(4) We will keep on our game faces. We will not crack when she tells us she wants to keep her tumor and leave the hospital. We will laugh when she has trouble controlling her gas. We will say “yes” every time she calls our names, even late at night, even through pain, even through delirium of drugs and drugs and more drugs. We will not walk away when we are frustrated. We will hug her when she needs it. When she pushes us away, we will hug her again. We will sing annoyingly in the bathroom even though she yells at us to stop and we will dance like fools at the foot of her bed until she agrees to let the free oxygen tube blow by her face and help her keep her levels up when she sleeps. We will do all of this regardless of the odds of our success.

(5) We will allow every doctor, nurse, care partner, and therapist to spend as much time as they need with her, because every moment means they will get to know more of who she is, who she has the possibility of becoming, and how she will change the world. We will trust their judgements. We will let them do their jobs.

(6) We will love her.

(7) We will not give up.

Brain cancer, you’re in for the fight of your life. Are you sure you want to keep coming at us? Because you’re not just coming at Josephine, you’re coming at all of us and as far as we’re concerned, #ItsJoTime.

Saturday…

Things we’re celebrating:

1) Two radiation treatments done!

2) Two chemotherapy treatments done!

3) Sophie’s (Jo’s giraffe) birthday

4) Randall is (finally) ear infection free and off antibiotics and could see his sister for the first time in two weeks.

5) Randall can evidently walk now. 😥

#ItsJoTime

#WreckItRandall

Let the countdown begin…

Friday 6/15/18 @ 12:30

#ItsJoTime

✅ Radiation 2 of 33 done!

✅ Feistiness intact!

✅ @heyitshannah13 is the world’s best rad-onc nurse.

That is all.

-CHW

6pm

This afternoon Jo was pretty tired, but her brother Randall got to come up for a much needed visit. We even got a proud big sister smile from Jo when Randall showed off his newest skill: walking!! 😃

-MHA

1st radiation done!

Thursday 6/14/18 @ 6:20pm

Jo successfully completed her 1st radiation treatment and after shaking off the anesthesia she had a wonderful afternoon!

Her old nanny Katherine came by and threw a birthday party for Jo’s favorite stuffed animal, Sophie the giraffe. Katherine brought lots of fun party favors and Jo toured the halls shooting her nurses with a mini dart gun. Giggles all around. She also managed to squirt both her doctor AND Auntie M with saline syringes her nurse slipped her. It was the best I’d seen Jo in a number of days.

We’ve also shared publicly that Jo loves collecting pennies for her pink piggy bank. Tonight she got to put the first of her donated pennies in and she was thrilled! We are grateful for people supporting her and doing whatever they can to bring a smile to that beautiful face. We love our Jo!

-MHA