Our meeting went so.much.better than I could have
ever imagined. In fact, I was the least anxious walking into that hospital than I have been since he was actually in cancer care. The peace we all felt still brings me to tears. We were strengthened.
First and foremost: Caden's cancer is
so rare, there is absolutely no data about anything. Truly, we were given NOTHING. This should make us terrified (when is it going to come back, how long are we going to have to fight this, is he going to die from this tomorrow or in 80 years?) but instead, without a negative prognosis, it was a very positive meeting. We are starting from scratch. We have no preconceived notions about deadlines or deathbeds. We are making our own history.
How rare: In Dr. Hawkins' recent years of study, he's done a nationwide case study of sarcomas. Remember, he is the number one sarcoma doctor in the nation. A few years ago, there was a study of 600 patients. Of those 600 patients, 39 had Undifferentiated Embryonal Sarcoma of the Liver. Of those 39, only 6 had recurrences. Of those 6, five had recurrences in their liver and only ONE had recurrence in the lungs. Of those 600 patients, only one was like our Caden. This proves that my son, The Boy in the Bed, is a unique,
special Child of God. Dr. Hawkins said he believed it was unlikely that Caden would have a recurrence, that it came as a bit of a shock that he did.
Ruled Out: There are three things that have been ruled out as possibilities for
Caden's case. 1- Radiation. It is most harsh on both the lungs and the liver. Caden will never be a candidate for Radiation. 2- PET and MRI scans to detect cancer. While they are amazing for diagnosis on many forms of cancer, they are not good indicators for Caden. We will continue to get CT scans every three months.
CT Scans: Here is our miracle. The tumor that they found this time was actually smaller than they originally thought from the scan on the 7/17/15. Why? It was surrounded by inflammation. The miracle is this: Because of the smallness of the actual tumor, without that inflammation, they would not have been able to see it in the CT scan. Because it had inflammation, we were able to find it three months sooner. We were able to ressect it three months sooner. We were able to positively diagnose the cancer three months sooner. We will be able to move forward the next time we find a tumor. And we will. It is almost a 100% guarantee that it will come back. Soon.
We have been carried through our trials. Because it has to be a certain size to be seen on CT scans, Dr. Hawkins said it wouldn't be necessary to have him scanned monthly, since this small tumor was only found after the three month scan because of that inflammation. Our next scan is in October. We have been given an amazing gift: Three months to live our lives to their fullest.
Options: We were given many options. Some of which scared me as soon as he spoke them, but all of them sound optimistic now that he has explained them all. It is important to realize this: He has ZERO data on Caden's particular cancer. He can't tell us survival rate, likely possibility of it coming back, how scary it is that it
has come back, where we should go from here, which option we should choose. All of the options he gave us have been found to work for
other sarcomas. We just don't have any data for his.
~Resection- We would just wait for it to come back and cut it out, like this time. I gasped. Being so fresh off of the worst surgery he has ever had (It still strikes me that he was in more pain after this surgery than his 11-hour one in May 2014) I couldn't imagine having him go through that multiple times in his life. Yikes. No! However, he said that with osteosarcomas, this is the thing he would have told us to do. We wouldn't have an option. That
is the only option.
~Wait- He began this line with, "I know it can scare some people to just do nothing..." this is where my hand
shot up. I was overcome with emotion at the thought of just letting the cancer continue to grow. I was all pumped up to
prevent it. As it turns out, this is the choice we are taking. I'll explain later.
~Chemo- In this, there are three different types of options.
*Aggressive- He would get five Rounds of intense Ifosphamide. This is the drug that he had last time. Where I thought he was resistant was actually not quite true. While it didn't
prevent him from ever getting it again, it
did kill that massive tumor. DEAD! The higher doses have been shown to be a very effective option for other sarcomas that have a high likelihood of returning often. However, we know what that means: hospital stays, inpatient, low counts, more hospital stays, loss of hair, nausea, crazy mind warping. With Caden's insistence that he will NOT get another feeding tube, this one is pretty much our last effort. Nausea means loss of weight which means NG tube. Not unless it is absolutely necessary. He is old enough to make that kind of decision.
*Out-patient- This would be one option where he would get different chemo drugs intravenously a couple times a week in the clinic for as long as it takes. He would be needed in Seattle a lot, but he wouldn't be in-patient as much.
*Pill- This would be taken each day. He would have a lot of blood work needed here in Richland, but he would be able to be home. The side-effects are just different. Not as nauseous- that sort of thing, however, it would turn his hair white.
Snow white. After time- it would begin to change his skin tone, as well. Sue had a mixed-race patient that made the comment that "she was starting to look more like Sue's daughter," because her mother was African-American. Truth-be-told, I believe this is the one that sounded the most desirable to Caden.
~Case-Study Trial: Seattle Children's is one of only three hospitals in the nation that is trying a new kind of therapy. It is one possibility that may end up being an option for us
when his cancer returns. We have consented to send in a sample of Caden's tumor to be tested by Merck to see if his cancer has a certain kind of protein. If it does not, that option is not viable for us, ever. If it does, Caden could, potentially, be a candidate to be included in the trial. The catch...he has to have an active tumor. They have to be able to track and measure the progress of the trial-drug. If he has that protein, it will be one more option in our back pocket. We are all fairly certain that his cancer will return. This option may end up being our modern-day miracle.
These were the options that we were given. Dr. Hawkins told us that we could choose any one of the Chemo options and begin tomorrow (today). However, without any known cancer in his body (He told us Cancer Free, by definition, is the lack of visible, known cancer. I may be paraphrasing, just a bit) we wouldn't be able to really track. What if it never came back, yet we had him taking that daily-pill? What if it didn't recur for another 14 months- like our last resection to recurrence? However, maybe it was the extra two Round that kept it away for a year, who knows. There is just no right option to choose.
Our Choice- We have chosen to wait. We know it will come back. We now have proof that it is cancer, so we won't have to have any more proving- we can just begin therapy. Our plan is to find a tumor, choose one of the Chemo or Immunotherapy trial drugs, see how the tumor reacts to the option, KILL it, and then get.it.out. With this option, it has been helpful in other cancer cases that once you find what kills the recurrences, you kill the cancer. You just have to have an active tumor. Which he does NOT at this time!!! Wahoo!! Oh, yeah!! Par-Tay!! There is no guarantee that Chemo would prevent it from coming back. I want our lives to go on as "normal" until it does. And when it does, we feel more prepared and assured, than ever before.
It is quite liberating to remove the "what the heck would we do if it did come back? Please, please, please don't let it come come," from our lives. We
know it will come back. It will be a pleasant surprise in three months if it hasn't come back, yet. Our lives will go on as it has for a year- living three-months at a time. But during that three months, we are going to
LIVE! We are going to take each day as it is: A gift to be alive, 'healthy,' and together. Oh, and listening to my kids, at this very second, I guess we are going to argue, scream, and cry, too.
I
appreciate all of the love, support, and prayers. I am telling you, they were
felt yesterday. The Spirit was in that room. It was calm, peaceful, and encouraging during a scenario that should have been anything but. We don't know how long we will be able to dodge the 'cancer bullet'
this time, but for now, I am content. My Caden is bragging about winning an Uno match against Keilie. Shelby, Brennon, and Tyson are standing up for the sibling they think should have won, or did win. I have a three-month break (hopefully longer) from witnessing the physical suffering of Caden, and the emotional suffering of my other kids. My Mister is out working to provide for our comfort, selling his goods to make the law enforcement industry a safer place.
Our home is still our Heaven on Earth.
We have everything we could ever want.
We have each other.
Now, and for Eternity.