Uncommon

 

 

 

Almost 5 years ago, Matthew and I brought Judah to East Tennessee Children’s Hospital for an MRI. The drs wre looking for what is called a chiari malformation. But they found a brain tumor.

Today, Judah went to surgery to place a peg line and the endoscope revealed acute erosive esophagitis.

It hasn’t escaped me that this discovery is eerily similar to the discovery of his tumor 5 years ago. While Matthew and I desperately searched for a Dr who could to figure out what was causing all of Judah’s problems, a puzzle-loving Nurse Practioner decided to look in an uncommon place. And in looking for the uncommon, discovered the answers. The common answer to Judah’s weight/nutrition problem was to put in an ng-tube. But we were lucky enough to have an oncologist who had our back and heard our concerns. We wouldn’t have discovered his esophagitis if we had agreed to the ng-tube. Uncommon.

I’m not sure why things have never been ‘straight forward’ with Judah. I am learning to trust the holy spirit, and my momma gut, over the ‘common’ list drs give us though.

Because in all honesty, Judah has never fallen into the common category! When he was 2 and could see, say, and pick out all his letters in any order he wasn’t common. When he was solving puzzle for 5-8 yr olds at 3 he wasn’t common. When he was pronoucing 9 syllable dinosaur names at 4 he wasn’t common. So when he started having medical issues and none of his symptoms fit in any box, we shouldn’t have been surprised. His sleep apnea was central not obstructive. During his brainstem tumor resection his 9 and 12 nerves (tongue movement a and swallowing) were irritated and never recovered, uncommon. Once he started chemo, he had an allergic reaction and though it was working well at stopping the growth, he had to switch to a chemo with a massive pill regimen. At 5, he had no trouble swallowing capsules without water. I know adults who cannot do that. And then he stopped growing. Through all that, he never complained. Was compliant and sweet.

Fast forward almost 5 years to these mysterious headaches and fevers, which still haven’t been solved and never respond to medication. Failure to thrive at almost 10 years old. Severe diarrhea with the chemo, which is listed as a possible but uncommon side effect. And now acute erosive esophagitis, which the chemo ‘can” cause, but our oncologist has never seen in all her years giving this regimen. And through his pain, Judah continues to say he’s good. Not because he’s a liar but because he doesn’t want to worry anyone. He doesn’t want to put anyone out. He sweet and compliant, still. A silent warrior.

So here is the question that’s been floating around in my head all day: if the kid who has been through and is going through all that can be kind, selfless, brave (at least more than most in the same situation) why can’t I find a bit of that for others? Why, if Judah can think about how others may respond to his pain BEFORE he will even admit he has any, can’t I think about how my words will effect others before I open my mouth? The take away for me is this, I don’t know why Judah is so good at ‘being’ but I do know that I want to be more like him. Quick to hear, slow to speak. Maybe we can all take a cue from him and be a little more uncommon?

For now, the lights are out in this hospital room. I have prayed over my son and hope with all the steadfastness I can muster, that Jesus will continue to go before us and protect us.

long weekend and plans to fatten Judah up

Family can make the hard days seem less hard.
Matthew and I took  short trip to Washington, DC and while we were gone, Mimi and Papaw, Mumzy and Papa, and Aunt Bam, Uncle Josh, Marshall, Eli, Gabe, and Stella entertained and loved on our 3 kids. All 3 got the love and attention they crave when there are plenty of adults to go around.  1 in particular needed a bit more tending to than the others.
Judah.
When Matthew and I got back from our trip, we couldn’t wait to hug our kids. We just wanted to give our babies a big hug. When we pulled up to Mumzy and Papa’s house, Emmett and Camilla Kate ran out to greet us. We wrap them up and old them how much we missed them. I looked up from my little girl’s head and saw Judah, sitting not 3 steps from the front door. And it was all I could do to not cry. I gently scooped him up an carried him in the house. Sitting in the wing back, my arms enfolding Judah, I saw a version of him I have never seen. Not in the year leading up to finding our then 4 yr olds brainstem tumor. Not in the 14 months of chemo he suffered through from 5-6 years old. He looked like a ghost of himself. Heavy bags under his eyes, frail, skinny body. Eyes spacey and sad. And he was tired. so tired.
He stayed in my lap for half and hr. Just resting his head on my shoulder, his hand in mine.
Over then next couple of hrs Matthew and I got the run down on how he had been feeling while we were gone. The jist was, not good. He had begun looking bad on Saturday night, and on Sunday he woke in bad shape. They told us that Sunday he basically moved from the the floor to the couch to floor. He ate nothing. He had no energy or strength. He could not keep anything in his belly even if he wanted to eat. Monday he continued to feel the same way. And it was a holiday. We talked about taking him to the ER.  With 2 drs in the house, and an attentive nurse a text away, we had plenty of eyes/ears on his health. The consensus was as long as he is staying hydrated, we could wait until he morning. The night was long. Matthew stayed up with him most of the night, praying over him, watching him breath, helping him to the bathroom.
At 9 AM, I called Judah’s Dr she said she wanted to see him. At 12:30 Judah and I got in the van and headed to ETCH Oncology Clinic to see what could be done for him. Thankfully, he was looking a bit better. He had more color in his face. He didn’t have the energy to walk to the clinic so I carried him. However, right before the nurse came back to get us, he decided he wanted to walk to his room himself. He walked as if he was  following a zig zag line, not staggering but certainly not straight. But I decided when we first found out about his tumor regrowth that I was going to allow him the independence to do and speak for himself as much as he wanted. So I kept my distance, keeping control of my face so he didn’t see worry. 
A couple of hours later, after accessing, blood draws, meds to help stop the diarrhea, and iv fluids, we discovered that, other than typical low labs associated with 48 hours or diarrhea, his labs looked ok. Dr Spiller came in to talk with us. I adore how she begin every visit by talking to Judah. He is her patient after all! She cares so deeply about how he feels, what he has to say, and uses the most friendly and unpatronizing voice each time she address him.
Dr. Spiller: Judah, how are you feeling?
Judah: good
Dr. Spiller: Judah, this isn’t what good feels like. This is what bad feels like.
But honestly that is just how Judah is. 9 times out of 10 the kids will tell you he feels good or is good, even when you KNOW he isn’t. he is compliant and sweet and has a difficult time saying things that may upset ‘his people’. This isn’t super helpful when we, his parents or drs, ask him to tell us how he feels. Or identify what hurts. Or even tell us when he has been sick. He doesn’t see it as lying. He sees it as protecting himself and those he loves from discomfort. I love that about him. It is also scary at times though.
 After Dr. Spiller did her exam, we went out in the hall to talk about his weight, nausea, and the need for a feeding tube. She agreed that Judah needed a feeding tube put in asap and wasn’t opposed to a G-Tube instead a NG-Tube. The problems that Dr. Esbenshade described are real. But she said those problems (not healing and getting infected etc) are more common when people are getting chemo every day for long periods of time. When their bodies don’t have time for the blood counts to rebound. But she said that Judah isn’t in that boat. We went over the pros and cons of surgery verses no surgery and in the most lovely way, left the decision up to us. Judah does not want an NG-Tube. He doesn’t want surgery either. But what he wants most, is to just be Judah. And the G-Tube allows him to hide the feeding tube.
We got home around dinner time, and Judah fell into a great rhythm with his cousins. The fluids did him so much good. Over the next couple of days, Judah did much better, eating and drinking, swimming and playing Wii. He and his siblings and cousins lived it up! And the adults had some much needed connection time. Being seen by your people is one of the great joys of being alive. I long for it and got an overflowing portion.
Judah’s surgery will be Wednesday at noon. He will have to stay for 2 days. And then he will be able to get the nutrition he needs to fatten him up. What a wonderful day that will be!

Judah is still very sick

After Judah’s last chemo, he never really bounced back. He hasn’t been ill the whole time but has been tired and had very little appetite. Then Sunday he became incredibly lethargic. He was white as a sheet with huge blue bags under his eyes. He ate 2 pieces of bacon all day long and drank about the same. He did not move from the couch/floor.
Matthew and I had been out of town and returned today to find him looking the way I described above. It was shocking. So shocking. Today we have spent the day getting fluids in him. He has eaten a bit more but everything runs straight through him. And he feels wretched.

This is so much worse than he was the first time we did chemo. And we have a long, long way to go. We want more than anything for him to be better and know that the chemo is killing the cancer. But it feels like it’s killing him too. And that is almost too much for a momma and daddy (and grandparents, aunts/uncles, cousins, friends) to stomach. We are watching him with tears in our eyes. Doing the best and knowing the best is not even close to helping.

We will be taking him to see his Dr tomorrow morning and fully anticipate him being admitted to ETCH. Please pray for him and us. Pray that tonight is uneventful and that we get a solid plan for helping Judah with his diarrhea and nausea so he can start to get a little more energy. Pray that we get a feeding tube put in soon and that it helps. Pray for his spirits. He is so sad and tired. And so are we.
Thank you friends.

Chemo 4 done and side effects ramp up

I’ll start with the most important news first: Judah’s tumor hasn’t grown since we started chemo!

The radiologist hasn’t actually read it yet but we looked at with the dr and you can see it hasn’t grown! We also saw, and the dr confirmed, that there is less contrast (lighting up) so that means the chemo is killing those growing cancer cells. We are so elated! We won’t know if it’s shrunk until we see the radiologist’s report but we feel confident that this MRI is good news!

He has already had his labs and anti nausea meds. Everything looked pretty good. The dr said it looked, by his labs, that he is fighting “a little something” by the slight elevations but nothing to be worried about.

We did have to have a talk about his weight. He had lost weight…again. Dr pulled up Judah’s growth chart, which I always dread because he hasn’t been on a growth chart since he was 4, and showed us that Judah is in the 0.02% for his age. That means if you picked 1,000 kids randomly, he would be the smallest and thinnest of all those kids. And the kicker is, that he has now lost so much that he is technically considered “failing to thrive”. This wasn’t shocking to us because we have been fighting his weight loss and lack of appetite for 5 yrs. But the failure to thrive was heart wrenching. The dr was quick to tell us that we have done nothing wrong. That gaining weight is hard for a lot of kids with cancer. But also said that we can’t do nothing now. So in the next couple of weeks Judah will probably be getting a feeding tube (NG Tube). For those of you who are medical people, he can’t get a G Tube because the chemo makes it too hard for his body to heal. They can’t do surgery unless he goes off chemo for 4-6 wks. And we aren’t doing that right now.  Judah is very sad. He doesn’t want  to be “Judah with cancer”. He wants to be “just Judah”. And the NG Tube will be on his face. And people will see it. You can hide a G Tube under your shirt. It’s a bummer. But it’s also necessary at this point. Judah is an amazing kid. He sweet and gets “it” like most kids can’t. He understands he has to have the NG Tube. And he will get to a better place because that is just who God made him to be. Brave and introspective and sweet and trusting. Join us in praying for his heart. And that his little friends can see past the weird tube and treat him like “just Judah”!

He finished his chemo in great time and we went down the street to McDougal’s Chicken, before we headed back to Bam’s for the night. We planned ahead of time to stay over night in case judah was sick and boy am I glad we did. About an hour after he finished chemo he started getting sick. We had to rush to the bathroom several times before we even got back to Bam’s. Unfortunately, Judah was sick the rest of the day and into the night. He hasn’t been actively sick today but he also hasn’t eaten much.

Thank you for celebrating with us and praying with us. We are grateful for our community!

Last day of school and 6wk MRI

Judah and Camilla Kate (Cricket) had their last day of school today. It was full of fun and parties and sweet hugs and goodbyes. Thankfully, the co-op family is close and we will still see our friends throughout the summer.
While the kids were at school, I busies myself with cleaning and packing and searching for Judah’s long lost bey blade he “really needed to show to Gabe!” *Insert exasperated 9yro voice* Packing for Nashville isn’t usually very hard, but this time, since he’ll be doing chemo there tomorrow, I had to pack for chemo day too. It was hectic and frustrating and I did not find the bey blade though I searched for almost 30 dedicated minutes?
As I loaded the car, I kept running through my mental list of must haven’t items knowing I would forget something. And I did. Matthew and my toiletries…of all the things to deal with on chemo day, stinky breath and armpits was not one of them. We weren’t far from home when I realized it so we went back!? My mother has always told me to make a list, put it the car when you think of it…I’m a great listener ?
After dropping off Emmett at Mimi’s, meeting Mumzy to get her lasagna, we finally got on the road.
God has blessed us with beautiful weather and traffic and we are about to pull into Bam’s as I type this. But before I leave you, I want to request a few specific prayers:
1) That Judah’s rocks his MRI at 7est and is very still so the picture is crystal clear (he does them awake bc he’s a rockstar!)
2) That the MRI shows that the chemo is working and Judah’s tumor has stopped growing (or at least shrunk)
3) That tomorrow’s chemo (begins at ~10am) goes by quickly and that the nurses are kind.
4) That Judah doesn’t get sick during or after chemo.
5) That God continue show us His enormous love and care whether through continuing to provide for our every need (And He has!) or healing Judah completely or both!Matthew and I cannot thank you all enough for showing up and showing out for the Thacker pack. We are in awe at how The Mover of Mountains has battled for us through y’all.

Sleep, chemo side effects, and Jesus

I am a heavy sleeper. I love sleep and people who know me will tell you that I really do need 9-10 hrs of sleep a night to be my joyful self. So I go to bed early. Like at 9pm. I know! But I have learned that if I want to get all the sleeps, I have to forgo the TV and all that stuff and get into bed. I have even gone back to reading ‘dead tree’ books, as my husband affectionately calls them, to minimize the chances of falling into the endlessness of internet only to find that I’ve scrolled my way to midnight and kick myself because what had I actually read/seen that as worth losing precious shut eye?

All that to say, once I’m asleep, there isn’t much that wakes me. One of my children crying is one thing I ALWAYS hear no matter how asleep I am (fellow mommas nodding, right?) Another is the Holy Spirit. And that’s about it. Last night I was out cold, and had been for a few hrs, when I woke up for no apparent reason. When I say woke up, I mean wide awake! I looked at the time, after midnight, and then looked around the room. Nothing. Looked out into the hall and saw the bathroom light was on. And I said a quick thank you prayer because I knew then that one of my kids was sick. It wasn’t the fact that the light was on, cause my kids get up to pee in the middle of the night too. It was that I had been asleep and woke up for no apparent reason to find the bathroom light on. I knew this was a gentle nudging from Jesus.

I walked into the bathroom and found Judah a mess. He looked awful and told me he felt equally so. I asked him what was wrong and he said “my belly really hurt like I needed to poop but I was too late. And I feel like I’m gonna throw up”.  I told him is was totally fine and I would clean it all up. And I looked in his face and saw how embarrassed he was. So I got down next to him and said, “Hey Bug. I’m sorry this happened. Don’t feel bad about it ok? It’s so easy to fix this mess and it is 100% not your fault. This is the chemo rearing it’s ugly head.”

I prayed over him and for him, got him cleaned up and back in bed, and then set to cleaning up the hall and bathroom. While I cleaned I felt a crushing sadness. A feeling of helplessness. Weakness. How do we get Judah through this? What will it even look like to get him through this? And then there was the black hole…the what if’s taking over. I wish I could tell you I prayed or got my bible and read or even sang a worship song to myself. But I did none of those things. I scrubbed the floors and bathroom and cleaned myself up and crawled back in bed. I chose to ignore my feelings in hopes that they would go away if I just went to sleep. I slept horribly. I woke the next morning ‘tight’ inside. I knew I needed Jesus but I couldn’t bring myself to talk to Him. So Jesus crossed lines to get to me.

My phone pinged. A simple text message popped up on my phone. “I’m praying for you right now.” That’s all it said. But it’s all it needed to say. Cause in that moment I felt God’s love for me. And that made it possible for the walls to come down and me to see Jesus.

Sometimes the Holy Spirit wakes us up in the middle of the night. Sometimes He urges us to send a note, a text, to make a call. Sometimes He brings a friend to mind. My advice is to heed that prompting. Jesus may be using you to pull someone out of the the back hole of despair.

We all want the miracle

Since Judah’s rediagnosis, I have found a renewed urgency to soak up God’s words. I remember the last time we went through all this, God had prepared me by giving me a desire to memorize His word. When I was afraid or sad or joyful, His word would linger in my mind, an encouragement to me. I sit here this morning, praying for a friend who is having surgery this morning, and I long for those scriptures I used to have at my fingertips! I have a distant memory of them, but have to look them up now. So as I’m thinking and praying, I know there is a scripture I want, I just can’t think of it.

But I call to God, and the Lord saves me. Evening, morning and noon I cry out in distress and He hears my voice. He ransoms me unharmed from the battle waged against me. ~Psalm 55: 16-18

We are distressed. We live in a time where the world feels sick. But I love this bit of scripture. “He ransoms me unharmed”. Strong’s says this word ‘ransom’, at its root, means to deliver, by any means, preserve, redeem, rescue. And how are we redeemed? Unharmed. Also translated as ‘in peace’. This Hebrew word is Shalem. It means to amend, make good, finish, repay, restore, recompense. So this doesn’t mean unharmed the way we think of it. It means, when He rescues us, He will restore us. This is a beautiful picture of love. Because love doesn’t mean we are always safe and happy. But it does mean showing up. Showing care. Participating in restoration. Now, more than ever, I need to know this.

Because we all want to experience the miracle, right? We all want to be the 1 in a million. And when we aren’t? What happens to our faith then? For me, it’s knowing that God promises restoration.  And He is moving in ways we cannot see for His and our good.

Would it be nice to have the rescue story? Of course. For now, though, we will allow ourselves to be satisfied by His care and provision. And we cling to hope, asking God to keeps us close and direct our steps.

Third chemo all done

We got to ETCH at 9:30am and I realized, to my dismay, that I forgot to put Judah’s EMLA cream on. So though the nurses were on top of it, ready to access him and start his fluids, we had to wait 30 mins for the cram to numb his port  so it wouldn’t hurt. I now have a reminder on my phone?
Once the cream did it’s magic, his awesome nurse accessed him, drew labs, and started his fluids. I got out Judah’s school work but before we could get started Child Life came by to tell us some Tennessee Athletes were in the game room doing Beads of Courage bracelets, Judah jumped at the chance to not do his work, and he loves crafts!
The athletes were so nice and Judah loved having them help him make a bracelet for himself and his sister!
Thank you Tennessee Athletics for organizing a fun distraction for the kids!
When he finished, we headed back to his room where Judah proceeded to eat 4 bags of goldfish and 2 bags of Cheetos while waiting for his labs to come back. He loves him so salty cracker snacks!
Around 11 his labs came back great and the timing couldn’t have been more perfect because his fluids had just finished too!
Dr Spiller order his chemo and Judah and I started his school work, trying to finish his math and spelling…which he was not happy about. It took quite a while and a FaceTime call from Daddy to get him to do it. But that seemed to work!
Judah’s first chemo just finished at 12:30. We’ll wait for the flush and then hopefully start the next one!
Now he’s done with his school work though, we can get down to real business, battling each other in Pokken Tournament DX! This time I’m the one thankful for the distraction cause I have lots of work I should be doing…?
So far he hasn’t had any side effects. Keep the prayers coming because they are helping!
We made great time once they started the chemo and we are headed home at 2:30! Judah did great and was a warrior, as usual?
He is feeling mean though. I would be too though, so I get it! But it’s hard when he being so very hateful.

We will continue to ask Jesus to comfort our boy. Continue to pray that the Holy Spirit will help us to be slow to anger and abounding in love. Like He is!

LAST DAY TO ORDER

Today is the LAST DAY to order #TEAMJUDAH t-shirts and car magnets!
We are taking orders for shirts and magnets through today. Click here for more info on shirts/sizing/magnets/pricing
Email teamjudah@thackerpack.com with your name, address and what you would like to order. If you want a bracelet, there are still some in the office! We hope to mail/deliver everything by May 21st, before we break for the summer.
When we decided to make the shirts and magnets, our hope was to see people ‘wearing their love’ for Judah. That as we drove around town, walked through the grocery store, we would see #TEAMJUDAH everywhere! Already, as we see people wearing the free bracelets, we are encouraged and Judah lights up. He knows those people are on HIS team!
Please forward this info to anyone you’d like. We would love to see #TEAMJUDAH all over town!
Thanks?

When it rains it pours (2)

Last Tuesday was a busy day. Judah and I were still in Kingsport helping Cara. She had a follow-up appointment with her surgeon in Knoxville. We all piled into Cara’s van (Cara and her 3 kids, Judah and me) and drove to my house where Mumzy (our Mom) was waiting to take care of all the kiddos while we were at the Dr. We made great time and dropped the kids in time to get lunch before hand.

Cara’s appointment went great and the Dr said everything looked good. It was quick and easy. We swung by the house and got Cara’s kids, leaving Judah at home with Matthew so he could go to school Wednesday, and got on the road to go back to Kingsport.

Everything went great Tuesday night–in Kingsport. I got the boys ready for bed, Billy read them a story and then we put them to bed. Cara, Billy and I got to hang out for a bit and then went to bed. The next morning, Matthew texted me during my quiet time to see if “I had a second to talk”. This is never a good sign. I called. Judah had spiked a fever last night and after careful thought and testing out of a hypothesis, he decided not to take him to the ER. Judah is fine. His fever and headache behaved the way they always had in the past. The protocol is to take Judah to the ER for a fever over 100.3 because of the port. We knew it wasn’t something like a blood infection, but as his Drs have said, there is no way to KNOW from home. Taking Judah to the ER every week in the middle of the night is not feasible. We need a different solution.

I got home Wednesday in time for dinner and enjoyed time with my kiddos. I was really glad to be home. The rest of the week went on like usual. Then, Saturday night at 3AM, Judah stumbles into our room. His head is killing him and he is running a fever–again. I got up with him, took him downstairs, took his temperature and heart rate, and tried to figure out what to do. Fever was 102.5, heart rate was between 145-155. This was obviously a ‘take him to the ER’ thing. And yet, I waited. I gave him a pain med that does NOT help with fever, to help with his headache and arm/leg pain and decided to wait 30 minutes to see how he was doing. That 30 minutes crept by and when it was finally time to reck him, his fever and heart rate were no better so I got him in the car.

At the ER they took him temperature and it had come down to 101.7 but that is still too high for Judah to have. They accessed his port, took a blood culture and cbc and started a round of antibiotics. After 1.5 hrs, his cbc came back relatively normal for a kid on chemo and he was discharged with orders to talk to our Oncologist Thursday. We were home by 6:30AM and though I was exhausted, Judah had gotten his second wind and the other 2 kiddos were awake. As you can imagine Sunday was a LONG day. Judah was not particularly nice but would you bet if you’d gotten up at 3AM?

Our prayer is that someone finds out what’s causing he headaches and fever so we can stop them. And also, selfishly, that Matthew and I can find ways to talk to Judah, patiently and with love, when he is spewing meanness at everyone around him.

Chemo is Thursday.