No news is good news.....

Dreaming of trifle, we'll get here again soon.

We've been home for almost two weeks now.

It's such an odd feeling as I process all the different times I've shared we're home. And what it means to be home. Overall, we're glad we made the decision to come home, and heal and get stronger. Even if the doctor asked us to stay in Sacramento a little longer yesterday. I think he's very out of touch with the emotional healing process. Science can only get you so far.....then there's healing emotionally and spiritually.


I have one less blog reader today. I just want to take a moment and share that. The mother of a very dear friend, who I know followed along with our journey has transitioned on her own. She was a wonderful woman who touched so many lives, including my own. She will be greatly missed, but never forgotten, and not gone from us.

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Though Dominic's numbers are looking good, he is still quite underweight and weak, I think that's why the doctor wants him nearby. And I'm not 100% convinced the Cyclosporine is on track. Yesterday, the number was too high. Of course they had to call and ask if we were taking as directed. Thankfully, the doctor was in a much better mood than the last time he was out of town. The last time he was so cranky a big black cloud of smoke followed him out of the hospital room. This time, he was chatty and something Dom said reminded him of a movie, which he then quoted and we laughed at just how unprofessional he was in his choice of dialogue....And after he went over all the numbers and made ready to leave, I asked about the biopsy. You know, the one where he pokes knitting needle into Dom's back....and Dom is pain for weeks. And though I know in my heart the Leukemia is gone, I still want it confirmed... He was confused and asked if we needed to set up an appointment for one. No, I reminded him he'd done it before his vacation, and we'd been waiting for results. Oh. Well. He didn't have the results with him, but, no sign of Leukemia. I guess he also was so confident that would be the case, it just wasn't top priority to tell us. (He was confident the day he performed the biopsy and mentioned it was only routine.) So, we take each thing in stride. And press on.

This past week was difficult in other ways. And I am a little mad at myself for not just relaxing into the bumps. I should know by now that we always get through. We do. Even if through is excruciating, even if it means loss, we get through. And we are never alone. Ever.

Dominic looked at me this morning and asked in a knowing way if he's getting his sparkle back. He knows he's getting it back. He actually held conversation with me on the way to Sacramento yesterday. That's kind of a first in a long, very long time. It's taken all his energy to just be for a while now. Yes, he is definitely getting his sparkle back.

We were still scheduled every day this week, as the doctor had not said otherwise, and not been in town to say otherwise. We'd get a day off by the office nurse texting him Dom's numbers and getting approval. We couldn't get a day off Thursday as we were scheduled to meet the doctor that day, so, we only had Tuesday off this week, and now today. Monday, about a half an hour from our return home, I smelled something at first like paint thinner. My first thought was that Dominic was suddenly very ill. Only for a moment. But then, it smelled like fuel. Strongly of fuel. I'd been remarking that I felt like our little mini was a little hungrier than usual for gas/petrol when we got her back after our weeks of borrowing a larger car and after our amazing friend Craig gave her some new brakes. The next half hour, she indeed was so hungry, she ate about an hour's worth of gas in 5 minutes, and I white knuckled it all the way home. We rolled the windows down in 90+ degree weather and made it home.
Can I just make a public service announcement here? I am not a willy nilly person. At all. When I make an observation, it's usually one based on as much observation as possible. Dominic suggested when I first observed we were going through more fuel than usual that perhaps we were using more AC. I reminded him that I'd done the drive all last summer and though we used the other car for 2 weeks, I could still remember how far we could go on a tank of gas. Sometimes, I can get pedantic. But my superpower is observation.
But back to the more mundane. We had a gas leak. I lamented how difficult my life is. I moaned. Even though we have a back up car. Even though we're not stranded. Even though this day of the gas leak, we actually made a half hour detour to pick something up for a friend...and that detour may have saved us from discovering said gas leak a half hour driving IN to Sacramento, rather than arriving home.
Craig came the next night and looked under the hood/bonnet. The leak was easily spotted and much less dramatic than I anticipated.
The next day, Dom and I drove to Sacramento in the other car and made our plan. We called a couple mechanics from our little cubby in the Infusion Center. We lined up a tow truck. We arrived home, settled in. Tow truck driver was a peach. It's usually quite difficult getting people out here, there was a possibility he'd be so late I'd have to follow to the mechanic on the other side of town. But, he met me, glanced at my card, loaded up the car and was on his way. Easy peasy.
And I reflected on how all of the ease of this is possible because we are so cared for and taken care of by so many people.  And felt a fool for moaning.
After all that, I set Dominic up with everything he could possibly need, and nipped out to another dear friend Barbara's who had made Dominic a very special chicken dish that I could just pop in the oven. It was so gratifying to come home and see him devour chicken and rice. And then homemade plum jam on toast for desert. Not only did this friend nourish Dom, but she met my heart right where it needed to be met and I felt so much more normal after visiting with her.
There will always be setbacks in life. Even when we think we've had all the setbacks we can tolerate. I thought I reached the end of my tolerance even before I met Dominic. Was I in for a surprise! But, with all the setbacks, kindness abounds. 
We are ever so grateful, as this will be a much longer road than we bargained for. Dominic makes baby steps. And we celebrate every one: A walk down a long hall way, eating an entire meal, his body making his own Platelets and Hemoglobin and White Blood Cells. Every day, he feels a little stronger and better.
To go through such a thing as we are going through is no easy thing. He relies on me for his every need. Every need. And I rely on him to see past my weariness and grumpiness and lettingmyselfgoness. Just getting us both out of the house is a massive feat. But, when I see that sparkle coming back, the hope in my heart grows stronger. And. He and I are finally able to dream again.

The low low down

 

We like this journey to Tahoe much better than the journey we are currently on.

This morning, we decided together that we'll put it out there, a more clear picture of how Dominic is doing. You couldn't support us more than you already have, we've been so blessed. And I hate to weigh other people down, especially with family being so far away and feeling a bit helpless. We've struggled to know how much to share and how much to hold back. But, this is where we are. And NOT where we're staying. 😉 We== W

The combination of steroids and pain has ravaged Dom's body. He has lost over 40 pounds since May. He has also lost mobility due to such extreme weight loss and fatigue as well as muscle wasting that is a side effect of the steroids. We left the hospital in a wheel chair that one of our friend nurses found and gave to us. I think someone left it behind as it was missing the foot rests. The day we left, an aide jerry rigged a blanket to hold his feet up. This is in part why my mother's help was so tremendous. Me learning to open and fold a wheel chair and help him out of the car, with a jerry rigged foot rest. Wow! What an adventure I never would have signed up for, but since we're here...I'm all in.

We were given the impression we'd be given a wheel chair when it became apparent he'd need one, and didn't find out until the day we left that insurance wouldn't cover it. I bought one on line that was delivered to our hotel yesterday. So. Now we have 2! The foot rests on the new one fits both chairs, so we can choose whichever is more appropriate. (Different wheels on each). He's talking about taking the big wheeled one outside so he can get an upper body work out.

He also left with a walker, so picture me looking a bit like Dick Van Dyke in Mary Poppins with his one man band set up. I'm totally channeling that chaos energy as we make our visits to the infusion center. (How I wish I had Mary Poppins' bottomless carpet bag. That would solve a lot of problems.) As it is, I pack a bag with all our electronics and things we can't leave in a hotel in addition to files from work. I also pack a bag of necessities for him. I've got bags poking out on all sides and I'm carrying his walker while pushing him in his chair. We bring his walker so he can choose to walk or ride. He usually manages a bit of walking, but it's important to have a fall back. I made quite the entrance to the infusion center this morning with the new foot rest that I promptly rammed into the door jam. Thankfully, no damage done to Dom....but....extra length of chair, noted. I also laugh when I'm embarrassed/shocked/overwhelmed/worried/all of the above. Lots of necks jerked as I nervously giggled my way through the waiting room, literally hearing Bert's flat two note horn punctuate my shame

.

This is how crazy this whole thing is....before I left the week before to go home and pack, he was being discharged with a cane and a walker just as a precaution. In just one week, he slid back so far as to necessitate the wheel chair and hotel stay. I can't decide if I feel like a frog in slowly heating water, or if I'm shocked from jumping into an ice cold lake. I'm both?

He's very low, as anyone would be who has been through what he has been through. And, of course, the World Cup is over, so I just don't know how to entertain him right now. I'm so glad we're out of the hospital though. I think the anticipation of leaving was giving him anxiety, and bringing him even lower. As I mentioned before, I was also fighting against the nurses compassionately letting him not get up and walk. The prospect of leaving was definitely scary for both of us, as we'd only have ourselves to rely on. He did have a moment in the hospital where he had to be helped up. He couldn't clear a step in the shower and crumbled. We won't have that kind of help in a hotel. I still felt totally ready to get him out of there. I just know that the true healing won't begin until we're home, but being out of the hospital is the first giant step. 

There are so many logistics to this situation, sometimes I feel like a dog chasing its tail. For a while, it felt like an option to choose between renting a hotel room or going all the way back home. But, over the course of his last week at the hospital, it became clear that he can't handle the daily commute and a hotel was no longer an option but a necessity. I remembered all the endless searching on airbnb from before and just went straight to a hotel search. (I've since searched airbnb and nothing will work just now.) I am being budget conscious as well as mindful of our needs. We landed at an Extended Stay as it has a kitchenette and I was able to get a room right by a wheel chair ramp. Again...the dog chasing its tail. Things happened fast here and I was making decisions somewhat on the fly. When I made the decision to book at Extended Stay, there was still a possibility that Dominic could walk to and from the car with his walker, just not step over curbs. And I did not yet have an inkling of actually owning a wheel chair. (Let alone two!) Now that we have the chair, it frees me up a little as to where we'll stay. I would have possibly chosen something a little nicer if I was not concerned about long hallways and if he could eat from restaurants. I'd fantasized about room service and a hot tub while he recovered. Coffee in a styrofoam cup is about as luxurious as it gets. No room service, not even housekeeping.

And we are not staying here! I'm so glad I only reserved for 5 days because it is gross! So gross! It was good to land somewhere anonymous. But we've found our way to navigate this new life now. I'm a little bit panicking over germs and have my bleach wipes out all day long. I had some other hotels lined up, but my friend Kim is opening her door to us, and we're moving on Monday. I'm so grateful. I'd been concerned about several things bringing a nearly invalid person into someone's home, but she persuaded us. It will definitely be challenging to show up to someone's home with wheel chairs and walkers etc...but she's already cooking up some broth. So, we're in. And she might be an angel.

I was concerned also that the stomach pain is not going away. It's better, but still hurts. I worried that the treatment wasn't working, but was reassured yesterday that it will take some time before he's feeling better. I mean, that's not a reassurance, I hate that he's in pain, but I don't need to panic over everything right now. It seems by other signs that the ATGAM worked.

It's going to be a looooong road back. Gvhd is no joke. No joke. It's like we're experiencing a whole new disease and prognosis. And it's been the worst part of the whole experience. I guess we got a little too saucy after the transplant and he was walking miles every day. 

But we'll get back to that. Little did he know when he married me that I am a task master and there's no fetal position when our future is on the line. We are going to face this newest challenge head on. I have to dig real deep on this one. When I ran out for groceries while my mom stayed with him, I couldn't think straight at all. I was beyond exhausted from lack of sleep and the whole deal. I knew I wanted to make coffee in the room, and there wasn't a coffee maker. I have our aeropress with me, so all we'd need is hot water. I was so hitting a wall that I couldn't think about just boiling water in the microwave. I also didn't realize the hotel would provide a coffee maker. (Ew?) My friend offered to loan a tea kettle, and though she lives literally minutes from the grocery store, I could not even go pick it up. I spent $10 on a really ugly tea kettle because I was just that tired. That's what things are like right now. I'm trying to manage everything and meet our needs and anticipate our needs and it's like a moving goal post. Any extra decision I have to make or logistics can send me over the deep end. And yet, I must make them. I know people will have extra helpings of grace for me just now.

And yes, continue to pray for me!!! I know he's the one who needs all the healing energy. But. The couple across the hall from us was telling their nurse, (loudly enough that I could easily hear) that the wife had been bitten by a brown recluse spider. He was in the hospital receiving treatment, and she woke up in a hospital five days later after passing out from the bite. I guess there's still a huge open wound on her leg. Yikes! What an ordeal. Trying to stay healthy here!

I am getting abs of steel from helping Dom in and out of the car. Seeing as how I have gained approximately what he has lost, I'm happy to feel those muscles again. He doesn't recognize himself right now. I do. I still see him. I can't wait to have him back in all his fullness. I miss him not being in survival mode. Soon, this will be a distant memory. Until then, I am his lifeline. I will eat the chocolate and get things done. (Because I am also doing quarterly taxes for work in the midst of all this.) I will help him with his shoes, until he can do it again himself. I will lovingly prepare the smoothie, even if he just can't drink it all. I will carry the bags and the walker and measure out his prescriptions and do whatever it takes to get him back in the real world again; to get him back in his body and to get us back home, and celebrating with you. 

I can do all things.
But I could never claim to do them alone.

Drowning. Also. No one listend to Cassandra.

I am drowning.
People remark how strong I am, but I know the secret truth.
I am not. I am like a rear view mirror. Objects in mirror may appear closer.
Objects in stress may appear stronger.

I cried as I walked through a market picking up some microwavable rice for Dom's discharge and life with a hotel microwave. The store, World Market, sells both food and housewares. I had $10 to spend in rewards, so I decided to pop over and use it or lose it. Everywhere I looked were signs of summer. Grilling supplies, outdoor umbrellas, chairs and pillows. It hit me hard that this is the second summer we will spend in the hospital, or in the infusion center. Dreaming of summer and cookouts and balmy nights got me through last year. I'm not sure I have it in me to dream anymore.

I'm salty right now.

Really salty.

Worn out.

I'm an empathic introvert. People don't think I'm an introvert because I make eye contact and smile and say hello and am able to engage in conversation. I'm able (most of the time) to meet people where they are. It doesn't mean it's easy. It just means I highly value being met where I am. I value kindness. I value people.

It's a mixed bag here. On the one hand, I enjoy the community of nurses. Seeing familiar faces is comforting. The energy is always different, every day, depending on who is working. It's fascinating to me how much I reflect back that energy. It's interesting watching how people work together. There are nurses I really enjoy on a personal level.

On the other hand, a parade of faces peer into our room at all hours. I try and look straight ahead when walking the halls. Try. But those windows are just begging to be peered through. And I realize that, having the personality I have, I take it all in. All of it. There's no down time. None. If I need to use the restroom, it often entails meeting someone in the hall. Sometimes it includes a knock on the door. Want coffee before talking to anyone? Not a chance.

It's not just the nurses who color our day. It's the aides as well. While we love everyone; we have our preferences. There's one woman who just can't not be in here. She looks at us through her glasses and scrunches up her nose and asks me if I'm sure I don't want her help too much. Dom and I laugh that she just must really want to bathe him....and I playact how she'll approach him to do this. I know. I can't be nice 100% of the time. I'm sharing this because I'm mean and spiteful and she crept into our room in the middle of the night and moved my hospital supplies by the sink, throwing things and taking things away that I have left there with intention.

I want to share funny stories, but they would be too crass perhaps. Too off color. You'd have to be as far deep in the rabbit hole as I am to even find them humorous, because an outsider would probably just be freaked out. Or scold me for one reason or another. The last thing in the world I need right now is someone policing my feelings. But that's what we seem to be wired to do. We feel the need to make everything okay, it feels better to feel like we've contributed by offering up another way to look at things. But trust me now. A person knee deep in this kind of situation has had the time to look in all the different directions. Some days I look in the right direction. Some days, I don't.

I find humor in so many places. I need all the humor I can find. But, to retell would mean throwing a nurse under the bus, or even Dominic. I guess I'm okay throwing a night aide under the bus.
I sensor myself on the blog a lot, and think maybe I need to write some private posts just to myself. I would probably swear. A lot.

I wish I felt more free to share, but again, my personality is to protect everyone. So, I won't tell you what I took a picture of last night. I'll just leave it at that.

I waffle in this in between land of wanting people to know just how very desperate this situation is, and not wanting people to know. Every time I think someone close to me has grasped what is going on, I may say basically the same thing in a slightly different way and then they're shocked. It doesn't irritate me, it reminds me that I have a unique view of what's going on, and it's my curse and my gift.

And speaking of that unique view.....I have written about this before....the name I was given...Cassandra. In Greek mythology, Cassandra told the people what would happen, but they wouldn't listen. I don't feel like you, dear blog reader are the people. Sometimes, I feel like the doctor is the people. From the start of this gvhd journey, I feel like I've expressed concerns, and it's taken too long to have them addressed. All along, I've tried to be a strong advocate, but sometimes, hindsight is 20/20. I've begged for help time and again because sometimes old information becomes new information and I need to start over and get the nurses on board with pain management. The nurses tell me I have to get him to walk, and I nag him to walk and the nurses come in and see him and tell him it's okay if he doesn't feel like he can walk. And I gnash my teeth and gouge my eyes out because this is not sustainable....

And so I eat chocolate. And some times, I'm really salty.
You didn't think I was perfect did you?

As one of the housekeeper's just said when I shared my opinion of a hard truth; thank you for keeping it real.

 Cassandra in front of the burning city of Troy at the peak of her insanity.

By Evelyn De Morgan - Flickr, Public Domain, https://commons.wikimedia.org/w/index.php?curid=65892

4

Practice makes perfect

Just as we had begun to reach some sort of normalcy, some hint of a little more freedom, it's back in to the hospital.
Dom's beep, beep, beeping through the night, and thanks for the reminder seestor, I'm shooting several panicked glances toward the lock in the public restroom that opens directly to the family room.

It's hard to believe, it's been nearly a year since this whole thing started. Just 3 weeks shy of. We haven't been in the hospital for 5 months and we've been home for 3. After 7 1/2 months of being back and forth between home and hospital and even fire refugees and another 2 months living in Sacramento, I realize we spent collectively nearly 5 months not in our home this past year. And adding days as I type.

I have so many mixed feelings. My strongest feeling is utter relief that professionals are taking care of Dominic. For two weeks I wondered what to do. Should I make him eat? Is eating bad? When do I call the doctor(again)? When will it stop? It was a grueling 2 weeks of sickness for Dom. Being already spent emotionally, having scraped my account over the past year, I was at my wit's end.

So, while we'd rather be home, we are both so grateful to be more directly under the doctor's care.

There's no sign on the door that declares chemo or transplant. The nurses no longer glove up to protect themselves from chemo poisons coming out of Dom's body, though they do still glove up for hygiene.

And I find that after nearly a year of this business, I'm also flowing a little more easily. I'm crying more easily as well, but of course. It's an entirely different thing to be admitted to the hospital with a diagnosis looming and the not knowing when he will have a transplant, and then will the transplant take, and then where will we live in another city....? This feels easier, but it is still excruciatingly difficult.

I spoke with the social worker just after our arrival, and she asked if our room was okay. She knows I prefer a cot over the slippery slidey couch bed. I thanked her for her concern, but told her it's fine. This is just a blip. It could be a long blip yet, but we're on the other side. There's so much relief being on this side of treatment. (I've also figured out that if I shove a couple pillows between the slippery layers of the bench of the couch and the fold out cushions on top, I am nestled in and prevented from being deposited on the floor.)

I don't totally understand the human mind and the plasticity of thoughts. Fears do creep in. We're on the other side, but that assumes there's "sides". It's not as simple as all that. There's still biopsies to be had, still the body adjusting to the new stem cells, still the body dealing with the aftermath of a chemical cocktail of chemo so strong it could kill. Still the stress even of recovery time. I still find myself worrying and whatiffing, and I have to actively banish any thought that only serves to panic or wear me down.

Tomorrow brings with it whatever it will bring and it is absolute hubris to think that any bit of my worrying will take away any challenging thing. And so, I try and dwell on what seems good. Of course, that's also an interesting balance. You see, I'd been been dwelling on the fact that his White Count finally went past that scary place it had been for months. I was dwelling on the fact that he could finally eat blueberries, (which he did) and we could maybe have some friends over for a meal, and I could finally visit my friend with all the kids or attend a yoga class, and maybe some friends could come and see how they began a cleanup that I would continue and we could marvel at all our hard work and enjoy a relaxing day. And so....it's a funny place to be, hopeful and yet not overly disappointed when I realize that all those things will be on the back burner again. It's a dance; building a future and holding it in my hand with open fingers so whatever needs to slip through can. And whatever does slip through, all in good time, I can pick it up again, if it's right and good and worth while.

I guess what I'm trying to say is, it's an art to be hopeful in the future, grateful and present in the now, and not too disappointed when things do not go as planned. It's an art I haven't mastered; but I suppose practice makes perfect.

I will be back and forth with a little more freedom this stay. I have to keep our life in a forward motion right now. I never wanted to leave him when everything was looming. I never wanted him to feel alone in the darkness of chemo and the mystery of transplant. And I could not leave him alone for long in the ensuing months of low WBC. It's no difficult thing to be so tethered to him, since he is my love and best friend and joy to be around. But he's in good hands. I'll look forward to us being back home together. We'll hopefully pick up where we left off, and continue to look forward.