Two Thirds

 It's that time of year again. 

I get more pensive. Maybe tear up a little more easily. I count blessings and I count sheep.

Dom and I were married on a May 15 and we went to the ER on a June 15, so each wedding anniversary anticipates a less celebratory anniversary. It was 9 years this past May and 6 years this past June. A full 2/3 of our married life has been spent navigating a path we didn't mean to take. I may have packed my life differently had I known this is the path we'd be on. But life, like a wildfire doesn't always give you time to pack. Sometimes you just run. I think I'm still running. And I am un-apologetically oh so tired.

When we were essentially living at the hospital, I watched a favorite show on repeat. I would fall asleep to Father Brown and sometimes a nurse would just ever so quietly close my laptop. I really appreciated the nurses who would get in my business that way. As I was anticipating this anniversary I was also anticipating a new season of this show that is now intrinsically tied to our journey. The show is loosely based on novels by GK Chesterton. He's a crime solving Father. I love crime shows because they have tidy endings. I particularly love Father B, as Dom calls him, because he shows so much compassion throughout his interactions. And of course, the setting in the Cotswolds is cozy and comforting. We started the new season last night and I am delighted. I'm even slightly nostalgic for the camaraderie of all the nurses and how well we cocooned in our room and were cared for.

I get particularly nostalgic at this time for all the goodness shown to us and think of all of you who decided to hop on the path with us as far as you could. There are stories of generosity that just resonate with me and give me hope beyond the immediate provision.

Here's the Christmas card part of the annual update. Nothing much has changed since our last update! 

Dom continues his photo-pheresis treatment every other week. It's about a 3 hour process intended to reset his immune system. His system is still in chaos. His kidneys have been attacked for nearly 3 years now and he's been on steroids all that time. That's not good for the body. And Dom and I will both tell you, high doses of steroids can be very challenging for an already stressed married couple. If we're honest. But we keep chipping away at our egos and resolve all steroid infused trials with lots of love. In addition to the 3 hour treatment, he occasionally needs another infusion of IGG since his body currently struggles to make it. Those days can stretch to 14 hours with a doctor visit in between and with driving.

When we're not being road warriors to and from the hospital, we putter. I mean, work. It's never ending on the property. It was a very wet winter. Water, water everywhere, but not a drop for me. We lost power over a dozen times over the past year, and as many of you know, that means no running water as well because well, we're on a well. And speaking of the well, the holding tank and pump also had to be replaced to really sharpen my bucket carrying skills. Half a dozen trees came down over the year. We were quite fortunate when the large oak came down across the driveway, our friend was here and between the three of us, we were able to make the drive passable for the other tenants. That's pretty much the way things are around here. We fumble along and things work out.

Old tricks, new tricks

 This morning, my social media memory carried me back to the hopefulness of five years ago. The belief that after the stem cells of a generous donor were safely deposited in Dom's body, we'd soon be able to get back to our old tricks.

On the bright side, the cells are safely in his body.

This blog has become somewhat of a bi-annual observation these days. How do I write "we're still plugging along" over and over? But we are. We may not have the exciting twists and turns of will there be a donor match? Will the transplant take? Will the people upstairs in our temporary apartment ever stop partying with shoes made of clay?

Just like a daily dose of nature is as good for the soul as a once in a lifetime trip to a natural wonder; it's the daily gratefulness and observations that keep us going. It's good for my soul to take stock and look forward while looking backward. It occurs to me as I write this that I wouldn't make a good Buddhist. "Here now" is the culmination of all we've been through and what we hope for. I'm not interested in emptying my mind. I am interested in meeting the day with the knowledge that our hopes are very simple. To live while living.

So, how are we living? Much the same as the last few years.

We set our alarms to make the trek to Sacramento every other week. It's really quite a thing that now that we're "old" people, we wake early naturally in the morning, (sometimes really early since Dom is on steroids.) But Sacramento mornings, my alarm goes off and all of a sudden, I can fall into that elusive deep sleep I've been longing for. But I can't because we've got to go.

He's been on steroids for far too long. Most stem cell transplant patients are completely weaned off  immune suppressing drugs by now. Our Dom is special. You know how your immune system kicks into gear when you have a cold and it wipes out all the intruding bacteria/virus and you're back to normal before you know it? Well. Dom's immune system continues to see his vital organs as intruders and sets about wiping them out cell by cell and won't stop until his organs are wiped out like a cold or flu. He continues the UV therapy. The nurses continue to marvel at what beautiful veins he has. The doctor has concerns. Here we are.

Our journey has taken us from a bustling hospital unit with dozens of nurses we got to know; I was actually in some ways excited for his 5 day hospital stays so I would actually get to visit with people. From there we spent years visiting the Infusion Center where again, we would see dozens of familiar nurses and while many people were seriously ill and there was an air of somberness, there was also an air of celebration and camaraderie for each small step. The Infusion "Center" was actually 3 different locations. Two of them were bustling. As time wore on, and Dom's treatment transitioned, we were sent to the smallest center, and the specialized machines used for Dom were in the back corner away from the hustle and bustle. At times, the quiet is nice. But it's not the same as when we'd walk into the bustling center and it was like an episode of Cheers, only they'd be calling out "Dom" instead of Norm. I even miss the beeps and alarms that kept us awake all night in the hospital and followed us through each center.

And now, the hospital and doctors have been rearranging and consolidating and we are in a closet on the ground floor tucked in behind registration and see only our nurse and maybe one other. 

And it feels very much like our journey.

In the beginning, people were riveted by our story. We were surrounded by caregivers and concerned friends. As time has worn on, things continue to shift, and downgrade, and sometimes, it feels like our life has been distilled down to the people I can count on one hand attending to us in our closet.

Life imitates art, and apparently can also imitate medical organizations.

Five and a half years into the diagnosis and two and a half into a pandemic, I finally got a sourdough start. My first loaf was almost perfect. The following two were heavy. I'll leave that there.

Dom's full time job continues to be living. Being on steroids is no fun. Our marriage is a good one and we've made it through a lot of things others would crumple in. But steroids? Hoo boy. I'm going to want a gold star when he's finally weaned off of those. We've had a few moments where we just stop, blurt out "it's the steroids" and move on. He has good days and bad days. He has days where he can putter around outside and days he is one with the couch.

There is no prognosis at this juncture. The body will do what it will do and the doctor studies his numbers closely. There's talk of seeing a kidney specialist next because they are taking quite a beating. Dom is eager to be productive, and he does what he can. 

We're trying to imagine what life looks like given our situation. We both have to reinvent ourselves, but in between the reinvention is the reality. I need a better job to support us both, but the pandemic threw a secondary wrench into that. 

And in spite of all that, we are laughing and loving and being. 

Throughout his illness, we've been stunned by the precariousness of life as well as how capricious death seems. It felt so weird that Dom's life was hanging by a thread and we'd hear news of a police officer shot in the line of duty or a firefighter down in a fire and we'd talk about the lack of rhyme or reason. We experienced that in an even more intimate way this year, as his brother's precious wife was taken suddenly and unexpectedly. She was just two months older than me, very active and just like that, we lost her. I cannot make sense of all the times she supported us throughout Dom's illness only to be the one who is snatched away from us. She was a beautiful human being and dearly missed.

We continue to take so much joy in our animals. Out of seven baby chicks, we did not get one rooster! For months, I studied their markings and behavior and was convinced with my luck, we'd have seven roosters. If you haven't just stopped and watched a chicken run recently, I highly recommend doing this. Just like so many things on my mind today, it defies reason.

 

The bobcats still approach the cage as if it's a vending machine. With the help of friends, we've enclosed the whole structure. But we continue to be vigilant for hungry predators. Yesterday morning, a fox came by. 

We're in love with our stray cat. Houdini, unlike his predecessors, is not a lap cat, so when he does come around with purring and nudging, we're thrilled. I always did love the hard to get creatures. He melts our hearts every day. We're especially grateful for him as we lost one of the other boys. Our Errol Flynn is gone now. The cat I was so desperate to get home to all that time in Sacramento, the wily cat who made my neighbor cry when he escaped the carrier during the fire that nearly burned our house and she was trying to rescue him, the one who made peace with Houdini and ate side by side with the new kid in town. I do not deal with loss well at all. It is an inevitability. These years have been a Master Class in acceptance and growth. 

It was Dom's first try at gardening this year. I think he's hooked. It's a battle against the critters, but we try. The bare root apple trees produced four apples this year, and we call that a win. He developed an appreciation for Kale and the chickens feasted on tomatoes.

 

I've been sitting on this all day. It just reads like a Christmas card, but really, I have so many things I want to share. But not like an apple pie I can cut into pieces and just give you a piece, more like an apple cart someone can push while I pull. 

I have a lot of thoughts around the words blessed and grateful. Dominic and I have never asked "why me?" through this whole ordeal. But why not me? Is that an equally unfruitful question? 

We are so grateful. But life is also nuanced and blatant and complicated and simple. I'm not sure where I can write all the other things that are just as real and true as we are grateful. I think this sums up what I'm trying to communicate perfectly.

 

 It's been 4 years!

I opened the blog, and it's been so long since I've been able to write, the interface is different! I opened the blog to my last unpublished post exclaiming now I can write. Apparently, I could not.

I've thought of y'all these quiet months of recovery and a worldwide pandemic. I've wondered how you're doing with the changes and the ebbs and flows.

It's difficult to believe that just 4 years ago, we were advancing in careers we'd both trained tirelessly for, the fires hadn't hit our hometown with a vengeance and become all consuming, and we were wondering if we'd one day have children, even if through fostering.

I had to stop writing because our story just didn't seem fancy anymore, this thing we're experiencing. I felt like a broken record. The grief was beginning to well up in me and any flowery or funny thing I could say was being usurped by this is hard. This is unspeakably hard. But dangit, if Dom and I are not the Energizer Bunny, I don't know anything anymore.

We have now been a couple in sickness longer than in health as we celebrated our seven year anniversary. And I want to tell you the raw bits, but I'm afraid you'll run away, because it's no longer entertaining. The numbers have all merged together and we've stopped the trail of one to pick up another and I've lost many of you on the trail; many of you are still on White Count and we're on alkaloids and proteins. 

So do I share the nice first, or the raw bits? I could tell you that right after I typed this sentence a coyote started barking in the field. I thought it was the neighbor's dogs until I really looked out the window. The dogs wander alone, and we've inherited chickens, so I needed to make this canine most unwelcome. Is my grief a canine? Seems so funny I'm typing away about rawness and am visited by a barking coyote.

When we got the news that Dom had Leukemia, I charted a course. He'd have one month in the hospital and then we'd be on the road to recovery. Then the news came that he had the kind of cancer that would need many rounds of chemo. So I charted that course. I knew lots of people who did their rounds of chemo and then there's a light at the end of the tunnel. Then I found out that between rounds of chemo, there would be infusions and many 4 hours round trips between rounds of chemo. So I lost it a little bit, I mean charted a course. Then I found out he'd need a bone marrow transplant. And we'd have to move to Sacramento for a few months. So I charted a course. Everything was new and shiny and we were held up and supported by so many people. I was surrounded by medical staff. People brought me coffee and sandwiches. My rig was equipped.

Somewhere between the bone marrow transplant and today, I'm not sure where, I lost my mojo. I'm not sure if it was him wasting away in the hospital having one of the worst and deadliest cases of gvhd or the insurance snafu that required a minimum of thirty frustrating hours on the phone between Christmas and my birthday in March of 2020. Maybe it was the long recovery that is not going as planned. Or perhaps it was the pandemic right on the heels of pneumonia. Needless to say, I feel like the Christmas paper crumpled and shoved in a trash bag. My usefulness served, and now I'm creased and tape has ripped away the ink. The paper is in the bag for a reason, and sometimes I feel that's where my words belong too.

I was feeling incredibly lonely. People I reached out to and was so looking forward to seeing flaked on me with an apology which rang so hollow after all I'd been through. Dom was losing his mojo too. I think it's a miracle he got to attend his sister's wedding. He had just under a year to build strength to walk and put some weight back on his emaciated frame. While in some ways it was a triumph to get him back home to be with his family, in other ways it bled me dry. I was so afraid he'd get sick while overseas. Your pandemic fears were/are my every day fears.

Upon our return, it was clear he'd turned another bad corner. So here's the nitty gritty. He has one of the worst cases of gvhd. (Graft vs host disease.) The new immune system continues to see Dom's own body as enemy cells that need to be eradicated. He struggles to breath as his lungs are attacked. He struggles to keep his eyes open and moist. He can't feel it, but his kidneys are being attacked. You guys. We had one week. One week between his liver being the thing we were keeping an eye on to his kidneys being the thing. He's been on the immune suppressant that most BMT patients are weaned off of in the first year in addition to massive steroids. This is not sustainable. I am not sure how to chart this course. We go every week, the four hour round trip to receive a treatment that takes 3 hours. Sometimes more. We go to a local eye doctor twice a month where he has had plugs placed in his tear ducts and more. The treatment for his eyes may yet be out of reach. Sometimes he also needs an infusion to boost his immune system which takes another 3 hours. He is a human pin cushion. He gets a needle in both arms, sometimes his hand. One needle is so large, he must keep that arm still. Blood is taken out, the white cells are spun out, zapped with UV light, and sent back into his body. No one can explain how this works, but somehow, it does? Some mornings, as my alarm goes off at 5, I question its efficacy.

But we jump through the hoops.

Two of the group of five who had transplants the same week have lost their fight against the cancer. We've lost track of the others. The doctor has confidence that with his immune system being such a fighter, the cancer will not come back. The silver lining in this is Dominic is still here.

Dom is in much better spirits than I am. He's so grateful to be alive. We're both so grateful for the support we received. We'd never have made it without so much generosity. Some of you really were the difference between eating or not. That's to say, we haven't gone hungry and we have a roof over our heads. Life is good. And more than Dom, I sometimes struggle to see that. I realized sometime after his lungs started failing that we would never go back to normal. While people have been clamoring to open up during this pandemic and fighting because they were asked to wear a mask, I've been processing how to move forward as both caretaker and bread winner. (I am not a bread winner. I could not even make a single sourdough this whole pandemic. This is not me.)

Dom is having to find himself again. He wants to work, but it's not in the cards right now. Especially with the pandemic. The vaccines did not pose a risk for Dom, but in all likelihood, his medication prevented the efficacy of the vaccine. So, we continue to live with great caution. We're so fortunate to live where we do. It's beautiful. It's secluded. And, it's allowed Dom to putter in a way that allows him to rest when he needs to. He built some fairy houses, and if anyone local needs a fairy house, let him know. We've convinced our Cece that fairies came in the night and built houses here and there. We sent the fairies to her house as well. Only the fairies can open the doors and windows we tell her. We believe in Santa round these parts. Life is too harsh to not weave stories of whimsy from time to time.

 

He rebuilt a rock wall at the entrance to the property. It's all just slow and steady. Friends loaned him an electric bike which allows him to test his strength and get around when his lungs can't get him the breath he needs to get up the hills here. There's much to do here always. Trees to cut back, weeds to mow, walls to paint. He said it's like the Golden Gate Bridge. Once you get to the end, you have to go back to the beginning. It's never done. I sometimes get overwhelmed but he keeps plugging along. 

So that's where we are! While others perfected the art of baking sourdough, or scrambled for childcare in this last year, we've just hammered on. We've been stunned as people who have offered encouragement have themselves succumbed to the frailty of life. I hesitate to share too much. (Was this too much?), but am happy to share more details of my own spiritual journey privately. I dreamed of one day having a party with all those who have been so supportive of us in this journey. Now, I just dream that you all know how very special you are to us, and how grateful we are to know you and that you are well and content.